LIBERTY HEALTHCARE SYSTEM FOUNDATION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- LIBERTY HEALTHCARE SYSTEM FOUNDATION INC (EIN 22-3113911)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201623199349312242
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T21:27:02-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 079606497 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223113911 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIBERTY HEALTHCARE SYSTEM FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROBERT VALENTINE | InCareOfNm |
| Business Name Control | LIBE | BusinessNameControlTxt |
| Phone | 9733224032 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Montgomery Street | AddressLine1Txt |
| City | JERSEY CITY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07302 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA SCHILARE | PersonNm |
| Person Title | CORPORATE CONTROLLER | PersonTitleTxt |
| Phone | 2017165733 | PhoneNum |
| Signature | 2016-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Scott J Mariani | PreparerPersonNm |
| PTIN | P00642486 | PTIN |
| Phone | 9738989494 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BARRY H OSTROWSKY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 OLD SHORT HILLS ROAD | AddressLine1Txt |
| City | WEST ORANGE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07052 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,314,707 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BARNABASHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO SOLICIT AND MAINTAIN GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY NEW JERSEY COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $939,718 | PYContributionsGrantsAmt |
| CY Contributions Grants | $638,579 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $275,802 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,638 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,664 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | -$32,541 | CYOtherRevenueAmt |
| PY Total Revenue | $952,356 | PYTotalRevenueAmt |
| CY Total Revenue | $885,504 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $219,236 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,147,642 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $201,449 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $602,183 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,197,231 | PYOtherExpensesAmt |
| CY Other Expenses | $616,394 | CYOtherExpensesAmt |
| PY Total Expenses | $1,416,467 | PYTotalExpensesAmt |
| CY Total Expenses | $1,965,485 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$464,111 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,079,981 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,247,603 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,024,167 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $222,463 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $83,167 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,025,140 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,941,000 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LIBERTY HEALTHCARE SYSTEM FOUNDATION (THE "FOUNDATION") WAS INCORPORATED IN NOVEMBER 1992. THE MISSION OF THE FOUNDATION IS TO SOLICIT AND MAINTAIN 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"). THE FOUNDATION PARTICIPATES IN NUMEROUS COMMUNITY ACTIVITIES, DEVELOPS AND ENHANCES RELATIONSHIPS WITH BUSINESS, COMMUNITY, AND GOVERNMENTAL LEADERS, AND RUNS SPECIAL EVENTS TO FULFILL ITS MISSION. A MULTI-HOSPITAL HEALTH SERVICE SYSTEM, LIBERTY PROVIDES TO ITS COMMUNITY A WIDE RANGE OF MEDICALLY NECESSARY HEALTH SERVICES, FROM HIGH TECHNOLOGY INFANT AND ADULT CARES TO IN-HOSPITAL REHABILITATION AND HOME CARE SERVICES. LIBERTY HEALTHCARE SYSTEM AFFILIATES BENEFITING FROM THE FOUNDATION'S EFFORTS INCLUDE THE FOLLOWING CARE PROVIDERS: JERSEY CITY MEDICAL CENTER ("JERSEY CITY") - JERSEY CITY IS A REGIONAL REFERRAL, TEACHING HOSPITAL AND PROVIDES THE HIGHEST LEVEL O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,147,642 | ExpenseAmt |
| Grant | $1,147,642 | GrantAmt |
| Revenue | $275,802 | RevenueAmt |
| Desc | EXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF JERSEY CITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $1,147,642 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT VALENTINE | PersonNm |
| Phone | 2017165733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 MONTGOMERY STREET | AddressLine1Txt |
| City | JERSEY CITY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| JOSEPH F SCOTT FACHE | ||||||||
| CHAIRMAN - TRUSTEE | 55.0 | 0.0 | Yes (X) | Yes (X) | $0 | $1,489,825 | $32,158 | |
| W NEVINS MCCANN ESQ | ||||||||
| SECRETARY/TREASURER - TRUSTEE | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANTHONY E CRISTIANO | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN DOYLE | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL FROHWIRTH | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KIM HAAS | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH KNIGHT | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARYELLEN J MCLAUGHLIN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RACHELLE A PELUSO | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PAUL M SALLARULO | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BUDDY VALASTRO | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JARED H WOLOVNICK ESQ | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KENNETH GARAY MD | ||||||||
| CHIEF MEDICAL OFFICER | 55.0 | 0.0 | Yes (X) | $0 | $890,658 | $37,998 | ||
| RITA V SMITH DNP | ||||||||
| SVP, PATIENT CARE SERVICES/CNO | 55.0 | 0.0 | Yes (X) | $0 | $543,138 | $25,343 | ||
| BRENDA HALL | ||||||||
| SVP, PATIENT SAFETY | 55.0 | 0.0 | Yes (X) | $0 | $404,925 | $39,373 | ||
| MARY CATAUDELLA | ||||||||
| VP, HUMAN RESOURCES | 55.0 | 0.0 | Yes (X) | $0 | $457,817 | $32,054 | ||
| NICOLE KAGAN | ||||||||
| VICE PRESIDENT (EFF 9/21/15) | 55.0 | 0.0 | Yes (X) | $0 | $45,677 | $20,410 | ||
| ROBERT VALENTINE | ||||||||
| CORPORATE CONTROLLER | 55.0 | 0.0 | Yes (X) | $0 | $314,445 | $6,454 | ||
| REGINA ANDRIOLO | ||||||||
| EXECUTIVE DIRECTOR FOUNDATION | 55.0 | 0.0 | Yes (X) | $0 | $192,157 | $32,219 | ||
| LAURA SCHILARE | ||||||||
| CORPORATE CONTROLLER | 55.0 | 0.0 | Yes (X) | $0 | $137,663 | $21,383 | ||
| PAUL GOLDBERG | ||||||||
| FORMER OFFICER | 0.0 | 0.0 | $0 | $266,384 | $17,626 | Yes (X) | ||
| PAUL R MURPHY ESQ | ||||||||
| FORMER OFFICER | 0.0 | 0.0 | $0 | $189,514 | $28,830 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,932,203 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $293,848 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMMUNITY COUNSELING SERVICE CO LLC | |||||
| 461 FIFTH AVENUE 3RD FLOOR | NEW YORK | NY | 900286107 | FUNDRAISING | $201,449 |
| KORN FERRY INTERNATIONAL | |||||
| NW 5064 PO BOX 1450 | MINNEAPOLIS | MN | 554855064 | STAFFING | $101,954 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $76,651 | FundraisingAmt |
| All Other Contributions | $561,928 | AllOtherContributionsAmt |
| Total Contributions | $638,579 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER PROGRAM RELATED REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $275,802 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $275,802 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $275,802 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,664 | TotalRevenueColumnAmt |
| Exclusion | $3,664 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $393,692 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $76,651 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $429,203 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$35,511 | TotalRevenueColumnAmt |
| Exclusion | -$35,511 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $2,970 | GamingGrossIncomeAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,970 | TotalRevenueColumnAmt |
| Exclusion | $2,970 | ExclusionAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $885,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $275,802 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$28,877 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099,000 | TotalAmt |
| Program Services | $1,099,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,642 | TotalAmt |
| Program Services | $48,642 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,449 | TotalAmt |
| Fundraising | $201,449 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,049 | TotalAmt |
| Management And General | $2,376 | ManagementAndGeneralAmt |
| Fundraising | $186,673 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,478 | TotalAmt |
| Management And General | $3,478 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,592 | TotalAmt |
| Management And General | $8,483 | ManagementAndGeneralAmt |
| Fundraising | $2,109 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,432 | TotalAmt |
| Management And General | $8,432 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550 | TotalAmt |
| Management And General | $550 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| ALLOCATION OF PERSONNEL COST | $288,130 | $0 | $144,065 | $144,065 |
| VARIOUS FUNDRAISING EXPENSES | $61,411 | $0 | $0 | $61,411 |
| BAD DEBT EXPENSE | $41,387 | $0 | $41,387 | $0 |
| DUES AND SUBSCRIPTIONS | $2,093 | $0 | $1,253 | $840 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,272 | TotalAmt |
| Management And General | $5,636 | ManagementAndGeneralAmt |
| Fundraising | $5,636 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,965,485 | TotalAmt |
| Program Services | $1,147,642 | ProgramServicesAmt |
| Management And General | $215,660 | ManagementAndGeneralAmt |
| Fundraising | $602,183 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $250 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,710,306 | BOYAmt |
| EOY | $5,807,073 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $355,579 | BOYAmt |
| EOY | $216,844 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,606 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,612 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,247,603 | BOYAmt |
| EOY | $6,024,167 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,883 | BOYAmt |
| EOY | $25,823 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,580 | BOYAmt |
| EOY | $57,344 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,463 | BOYAmt |
| EOY | $83,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,167,632 | BOYAmt |
| EOY | $5,010,000 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $857,508 | BOYAmt |
| EOY | $931,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,025,140 | BOYAmt |
| EOY | $5,941,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,247,603 | BOYAmt |
| EOY | $6,024,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,079,981 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,159 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,217,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $566,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,383,722 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $939,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $638,579 | CurrentTaxYearAmt |
| Total | $4,746,548 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $275,802 | CurrentTaxYearAmt |
| Total | $275,802 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,217,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $566,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,383,722 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $939,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $914,381 | CurrentTaxYearAmt |
| Total | $5,022,350 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,022,350 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,156 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,619 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,638 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,664 | CurrentTaxYearAmt |
| Total | $53,534 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,156 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,619 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,638 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,664 | CurrentTaxYearAmt |
| Total | $53,534 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,970 | CurrentTaxYearAmt |
| Total | $2,970 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,225,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $580,278 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,399,341 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $952,356 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $921,015 | CurrentTaxYearAmt |
| Total | $5,078,854 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98887 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98817 | PublicSupportPY509Pct |
| Investment Income CY | 0.01054 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01183 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $791 |
| OTHER LIABILITIES | $56,553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $57,344 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH ("BH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BH 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 BH HOSPITALS AND CERTAIN OTHER BH AFFILIATES. THE FOOTNOTE BELOW IS FROM BH'S 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS BH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014. IN ADDITION, THE BH FOUNDATIONS ISSUE AUDITED COMBINED FINANCIAL STATEMENTS WHICH INCLUDE ALL BH RELATED FOUNDATIONS; INCLUDING THIS ORGANIZATION. THE AUDITED COMBINED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOOTNOTE BELOW IS FROM BH FOUNDATIONS' 2015 AUDITED COMBINED FINANCIAL STATEMENTS AND REPORTS BH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE FOUNDATIONS RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. NO PROVISION FOR INCOME TAXES WAS REQUIRED FOR 2015 AND 2014. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COMMUNTIY COUNSELLING SERVICE CO | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 461 FIFTH AVENUE 3RD FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 900286107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CAMPAIGN MGMT | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Retained By Contractor | $201,449 | RetainedByContractorAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $201,449 | TotalRetainedByContractorsAmt |
| Licensed States | NJ | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF | Event1Nm |
| Gross Receipts Event1 | $230,078 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $53,975 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $176,103 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $86,400 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $89,703 | OtherDirectExpensesEvent1Amt |
| Event2 | BIRDIES FOR BC | Event2Nm |
| Gross Receipts Event2 | $173,880 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $173,880 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $117,500 | RentFacilityCostsEvent2Amt |
| Entertainment Event2 | $8,500 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $83,391 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $66,385 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $22,676 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $43,709 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $17,213 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $26,496 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $470,343 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $76,651 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $393,692 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $221,113 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $8,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $199,590 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $429,203 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$35,511 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERSEY CITY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 MONTGOMERY STREET | AddressLine1Txt |
| City | JERSEY CITY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 222783298 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $1,099,000 | CashGrantAmt |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| EMPLOYEE ASSISTANCE | 9 | $12,581 |
| COMMUNITY ASSISTANCE | 17 | $36,061 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | GRANT FUND MONITORING | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH F SCOTT FACHE | ||||||||||||||
| CHAIRMAN - TRUSTEE | $0 | $1,035,632 | $0 | $423,122 | $0 | $31,071 | $0 | $3,875 | $0 | $28,283 | $0 | $1,521,983 | $0 | $0 |
| KENNETH GARAY MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $727,925 | $0 | $156,012 | $0 | $6,721 | $0 | $2,600 | $0 | $35,398 | $0 | $928,656 | $0 | $0 |
| RITA V SMITH DNP | ||||||||||||||
| SVP, PATIENT CARE SERVICES/CNO | $0 | $396,209 | $0 | $127,961 | $0 | $18,968 | $0 | $3,875 | $0 | $21,468 | $0 | $568,481 | $0 | $0 |
| BRENDA HALL | ||||||||||||||
| SVP, PATIENT SAFETY | $0 | $280,087 | $0 | $94,499 | $0 | $30,339 | $0 | $3,769 | $0 | $35,604 | $0 | $444,298 | $0 | $0 |
| MARY CATAUDELLA | ||||||||||||||
| VP, HUMAN RESOURCES | $0 | $352,560 | $0 | $103,765 | $0 | $1,492 | $0 | $3,875 | $0 | $28,179 | $0 | $489,871 | $0 | $0 |
| ROBERT VALENTINE | ||||||||||||||
| CORPORATE CONTROLLER | $0 | $309,085 | $0 | $0 | $0 | $5,360 | $0 | $3,852 | $0 | $2,602 | $0 | $320,899 | $0 | $0 |
| REGINA ANDRIOLO | ||||||||||||||
| EXECUTIVE DIRECTOR FOUNDATION | $0 | $189,106 | $0 | $0 | $0 | $3,051 | $0 | $2,852 | $0 | $29,367 | $0 | $224,376 | $0 | $0 |
| LAURA SCHILARE | ||||||||||||||
| CORPORATE CONTROLLER | $0 | $137,145 | $0 | $0 | $0 | $518 | $0 | $7,824 | $0 | $13,559 | $0 | $159,046 | $0 | $0 |
| PAUL GOLDBERG | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $0 | $266,384 | $0 | $0 | $0 | $17,626 | $0 | $284,010 | $0 | $0 |
| PAUL R MURPHY ESQ | ||||||||||||||
| FORMER OFFICER | $0 | $11,979 | $0 | $0 | $0 | $177,535 | $0 | $2,600 | $0 | $26,230 | $0 | $218,344 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I; QUESTION 4A | THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2015 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-1, BOX 5 AS TAXABLE MEDICARE WAGES: PAUL GOLDBERG, $262,776 AND PAUL R. MURPHY, ESQ., $172,772. |
| SCHEDULE J, PART I; QUESTION 4B | THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTING AND DISTRIBUTIONS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. A PORTION OF THIS AMOUNT WAS REPORTED AS EMPLOYEE BENEFIT PLAN CONTRIBUTIONS ON THE ORGANIZATION'S PRIOR YEARS' FORM 990. THE AMOUNT WAS INCLUDED IN HER 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BRENDA HALL, $23,847. |
| SCHEDULE J, PART I; QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART IV, SECTION A; QUESTIONS 6 & 7 | LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS") IS THE SOLE MEMBER OF THIS ORGANIZATION. EFFECTIVE JUNE 1, 2015 BARNABAS HEALTH, INC. ("BH") BECAME THE SOLE MEMBER OF LHCS. 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 BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). 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 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 BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. 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 SENIOR VICE PRESIDENT/GENERAL COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT 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. THIS FORM 990 WAS REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CORPORATE CONTROLLER, A BOARD MEMBER OF THE ORGANIZATION, THE SYSTEM'S VICE PRESIDENT OF INTERNAL AUDIT AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. 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. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH AN INDIVIDUAL DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE INDIVIDUAL'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE INDIVIDUAL'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 BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. ("BH") IS THE TAX-EXEMPT PARENT ENTITY OF BARNABAS HEALTH. 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 BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF BARNABAS 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 BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS 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 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 | Part VII and Schedule J reflect a board member and officers receiving compensation from related organizations. Please note that this remuneration was for services rendered as full-time employees of THE related organizations and not for services rendered as A board member or officer of this organization's board of trustees. |
| CORE FORM, PART VII AND SCHEDULE J | SUSAN M. WALSH, M.D., VICE PRESIDENT, ACCOUNTABLE CARE ORGANIZATION, IS STILL EMPLOYED WITHIN LIBERTY HEALTHCARE SYSTEM, INC. HOWEVER, HER ROLE IS LIMITED TO JERSEY CITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THEREFORE, SHE IS NO LONGER BEING REPORTED ON THIS FORM 990 AND HER COMPENSATION AND BENEFITS CAN BE FOUND ON THE JERSEY CITY MEDICAL CENTER 2015 FORM 990. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF BARNABAS 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, DIRECTORS AND KEY EMPLOYEES 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 THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART XII; QUESTION 2B | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE BARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. IN ADDITION, THE BH FOUNDATIONS ISSUED AUDITED COMBINED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY, WHICH INCLUDE ALL BH RELATED FOUNDATION ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED COMBINED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE COMBINED FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LIBERTY BEHAVIORAL HEALTH ASSOCIATES | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223506358 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | JCMC | false | |
| LIBERTY CHILD HEALTH SERVICES | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223386849 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | JCMC | false | |
| LIBERTY HEALTHCARE SYSTEM INC | |||||||||||
| 350 Montgomery Street | Jersey City | NJ | 07302 | 223506358 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | NA | false | |
| LIBERTY HOME CARE | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223327677 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(2) | LHCS | false | |
| LIBERTY REHAB CTR FACULTY PRACTICE PLAN | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223605610 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | JCMC | false | |
| LIBERTY SURGICAL ASSOCIATES | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223386850 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | JCMC | false | |
| LIBERTY RIVERSIDE HEALTHCARE | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223284894 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | LHCS | false | |
| NEW MARGARET HAGUE CTR WOMENS JCM OBGYN | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223363012 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | JCMC | false | |
| JERSEY CITY FAMILY HEALTH CENTER | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223579538 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | LHCS | false | |
| JERSEY CITY MEDICAL CENTER | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 222783298 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| GREENVILLE HOSPITAL | |||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 220963805 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | LHCS | false | |
| BARNABAS HEALTH INC | |||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222405279 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | NA | false | |
| CENTER STATE HEALTH GROUP INC | |||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222939956 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | BH | false | |
| CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC | |||||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 223343959 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | SBBH | false | |
| CLARA MAASS FOUNDATION | |||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 222132516 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | BH | false | |
| CLARA MAASS MEDICAL CENTER | |||||||||||
| ONE CLARA MAASS DRIVE | BELEVILLE | NJ | 07109 | 221500556 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| COMMUNITY MEDICAL CENTER | |||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 223452306 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| COMMUNITY MEDICAL CENTER FOUNDATION | |||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 222597592 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | BH | false | |
| IRVINGTON GENERAL HOSPITAL | |||||||||||
| 832 CHANCELLOR AVENUE | IRVINGTON | NJ | 07111 | 223452411 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| IRVINGTON HOSPITAL FOUNDATION | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 237025428 | INACTIVE | NJ | 501(C)(3) | 509(A)(3) | BH | false | |
| MONMOUTH MED CNTR - SOUTHERN CAMPUS FDN | |||||||||||
| 600 RIVER AVE ANNEX BLDG E | LAKEWOOD | NJ | 08701 | 222630076 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | BH | false | |
| MEDICAL CENTER STAFFING SERVICES INC | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 352219655 | STAFFING SVCS | NJ | 501(C)(3) | 509(A)(3) | CSHG | false | |
| MEGA CARE INC | |||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222578561 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | CSHG | false | |
| MONMOUTH MEDICAL CENTER | |||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 223452412 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| MONMOUTH MEDICAL CENTER - FACULTY PRACT | |||||||||||
| 100 STATE HIGHWAY 36 | WEST LONG BRANCH | NJ | 07764 | 223357053 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | MMC | false | |
| MONMOUTH MEDICAL CENTER FOUNDATION | |||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222456079 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | BH | false | |
| BARNABAS HEALTH MEDICAL GROUP PC | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223316007 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | BH | false | |
| NEWARK BETH ISRAEL MEDICAL CENTER | |||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 223452311 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| SAINT BARNABAS BEHAVIORAL HEALTH CENTER | |||||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 222977312 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | CSHG | false | |
| SAINT BARNABAS HEALTH CARE SYSTEM FDN | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223769036 | FUNRAISING | NJ | 501(C)(3) | 509(A)(1) | BH | false | |
| SAINT BARNABAS HOSPICE AND PALLIATIVE | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222354659 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(1) | BH | false | |
| SAINT BARNABAS MEDICAL CENTER | |||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 221494440 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| SAINT BARNABAS OUTPATIENT CENTERS | |||||||||||
| 200 SOUTH ORANGE AVENUE | LIVINGSTON | NJ | 07039 | 222458479 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | BH | false | |
| SAINT BARNABAS REALTY DEVELOPMENT CORP | |||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222940008 | TITLE HLDNG. | NJ | 501(C)(3) | 509(A)(3) | BH | false | |
| UNITED RESCUE AT JERSEY CITY INC | |||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222458481 | INACTIVE | NJ | 501(C)(3) | 509(A)(3) | BH | false | |
| THE NEWARK BETH ISRAEL MEDICAL CNTR FDN | |||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 222587176 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | BH | false | |
| UNION HOSPITAL | |||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 221413947 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | BH | false | |
| SANDY HOOK FRNDS OF ST BARNABAS BURN FDN | |||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 223236202 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(3) | BH | false | |
| Barnabas Health Physician Associates PC | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 473922235 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | BH | false | |
| RWJ BARNABAS HEALTH INC | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 810682747 | INACTIVE | NJ | 501(C)(3) | 509(A)(3) | false | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|
| LIBERTY HEALTHCARE MANAGEMENT | ||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223597891 | MANAGEMENT | NJ | NA | |
| LIBERTYUSP SURGERY CENTERS LLC | ||||||||
| 15305 DALLAS PKWY SUITE 1600 LB 28 | ADDISON | TX | 75001 | 264756962 | HEALTHCARE SVCS. | TX | NA | |
| INNOVATIVE PURCHASING CONCEPTS | ||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223786557 | PURCHASING | NJ | NA | |
| KIM-MED ASSOCIATES | ||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222775619 | REAL ESTATE | NJ | N/A | |
| NEW JERSEY IMAGING NTWKLLC | ||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 460623701 | HEALTHCARE SVCS. | NJ | NA | |
| CENTRAL JERSEY ACO LLC | ||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 455460713 | HEALTHCARE SVCS. | NJ | NA | |
| SHREWSBURY DIAGNOSTIC IMAGING LLC | ||||||||
| 1131 BROAD STREET SUITE 110 | SHREWSBURY | NJ | 07702 | 203833246 | HEALTHCARE SVCS. | NJ | NA | |
| JERSEY ASC VENTURES LLC | ||||||||
| 1A BURTON HILLS BLVD | NASHVILLE | TN | 37215 | 473368037 | MEDICAL | TN | NA | |
| VNA HEALTH GROUP OF NEW JERSEY LLC | ||||||||
| 176 RIVERSIDE AVENUE | RED BANK | NJ | 07701 | 474841103 | MEDICAL | NJ | NA | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIBERTY HEALTHCARE CAPITAL | |||||||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223444345 | LEASE/FINANCE | NJ | NA | C CORP. | false | ||||||
| LIVINGSTON SERVICES CORP | |||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222779395 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| LIVINGSTON INFUSION CARE INC | |||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223190756 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| MAJOR SECURITY SERVICES INC | |||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223040539 | SECURITY SVCS. | NJ | NA | C CORP. | false | ||||||
| CENTER STATE MANAGEMENT CORP | |||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222506125 | MGMT SVCS. | NJ | NA | C CORP. | false | ||||||
| KIMBALL HLTH CARE AFFILIATES | |||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222701213 | INVESTMENT | 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 | ||||||
| SBC MANAGEMENT CORPORATION | |||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223414332 | MGMT SVCS. | NJ | NA | C CORP. | false | ||||||
| PROFESSIONAL QUALITY LIAB | |||||||||||||||
| 100 BANK STREET | BURLINGTON | VT | 05401 | 205163819 | INSURANCE SVCS. | VT | NA | C CORP. | false | ||||||
| NJ HEALTH CARE SYSTEM INC | |||||||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 223536986 | INACTIVE | NJ | NA | C CORP. | false | ||||||
| CPIC | |||||||||||||||
| FINANCIAL VEHICLE | NA | FOREIGN CORP. | false | 44 CHURCH STREET | HAMILTON | BERMUDA | BD | HM11 | BD | ||||||
| LSC PHARMACY SERVICES INC | |||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 452552776 | PHARMACY SVCS. | NJ | NA | C CORP. | false | ||||||
| JCMC PHYSICIANS ASSOCIATES PC | |||||||||||||||
| 355 GRANT STREET | JERSEY CITY | NJ | 07302 | 465329974 | INACTIVE | NJ | NA | C CORP. | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V | FormAndLineReferenceDesc |
| Explanation | BARNABAS HEALTH, INC. AND SBC MANAGEMENT CORPORATION, BOTH RELATED ORGANIZATIONS, ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES WITHIN BARNABAS HEALTH IN THE ORDINARY COURSE OF BUSINESS, INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED. | ExplanationTxt |