2016-11-14T21:27:02-06:00 2015-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2015-01-01 223113911 LIBERTY HEALTHCARE SYSTEM FOUNDATION % ROBERT VALENTINE LIBE 9733224032 350 Montgomery Street JERSEY CITY NJ 07302 LAURA SCHILARE CORPORATE CONTROLLER 2017165733 2016-11-08 true Scott J Mariani P00642486 9738989494 2015 2017-02-10 21:41:12Z BARRY H OSTROWSKY 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 1314707 false X WWW.BARNABASHEALTH.ORG X 1990 NJ TO SOLICIT AND MAINTAIN GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY NEW JERSEY COMMUNITY. 12 11 0 10 0 939718 638579 0 275802 12638 3664 0 -32541 952356 885504 219236 1147642 0 0 0 0 0 201449 602183 1197231 616394 1416467 1965485 -464111 -1079981 7247603 6024167 222463 83167 7025140 5941000 X 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 false false 1147642 1147642 275802 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. 1147642 true true false false false false false false false false false false false false true true false true false false false false false true true false false true true true false false false false false false false false false false false false false true false false false true 42 0 true 0 false false false false false true true false false false false X 12 11 false false false false true true true true true false false true true true true true true true true false NJ X ROBERT VALENTINE 2017165733 350 MONTGOMERY STREET JERSEY CITY NJ 07302 X JOSEPH F SCOTT FACHE CHAIRMAN - TRUSTEE 55.0 0.0 X X 0 1489825 32158 W NEVINS MCCANN ESQ SECRETARY/TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 ANTHONY E CRISTIANO TRUSTEE 1.0 0.0 X 0 0 0 JOHN DOYLE TRUSTEE 1.0 0.0 X 0 0 0 DANIEL FROHWIRTH TRUSTEE 1.0 0.0 X 0 0 0 KIM HAAS TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH KNIGHT TRUSTEE 1.0 0.0 X 0 0 0 MARYELLEN J MCLAUGHLIN TRUSTEE 1.0 0.0 X 0 0 0 RACHELLE A PELUSO TRUSTEE 1.0 0.0 X 0 0 0 PAUL M SALLARULO TRUSTEE 1.0 0.0 X 0 0 0 BUDDY VALASTRO TRUSTEE 1.0 0.0 X 0 0 0 JARED H WOLOVNICK ESQ TRUSTEE 1.0 0.0 X 0 0 0 KENNETH GARAY MD CHIEF MEDICAL OFFICER 55.0 0.0 X 0 890658 37998 RITA V SMITH DNP SVP, PATIENT CARE SERVICES/CNO 55.0 0.0 X 0 543138 25343 BRENDA HALL SVP, PATIENT SAFETY 55.0 0.0 X 0 404925 39373 MARY CATAUDELLA VP, HUMAN RESOURCES 55.0 0.0 X 0 457817 32054 NICOLE KAGAN VICE PRESIDENT (EFF 9/21/15) 55.0 0.0 X 0 45677 20410 ROBERT VALENTINE CORPORATE CONTROLLER 55.0 0.0 X 0 314445 6454 REGINA ANDRIOLO EXECUTIVE DIRECTOR FOUNDATION 55.0 0.0 X 0 192157 32219 LAURA SCHILARE CORPORATE CONTROLLER 55.0 0.0 X 0 137663 21383 PAUL GOLDBERG FORMER OFFICER 0.0 0.0 X 0 266384 17626 PAUL R MURPHY ESQ FORMER OFFICER 0.0 0.0 X 0 189514 28830 0 4932203 293848 0 true true false COMMUNITY COUNSELING SERVICE CO LLC 461 FIFTH AVENUE 3RD FLOOR NEW YORK NY 900286107 FUNDRAISING 201449 KORN FERRY INTERNATIONAL NW 5064 PO BOX 1450 MINNEAPOLIS MN 554855064 STAFFING 101954 2 X 76651 561928 638579 OTHER PROGRAM RELATED REVENUE 900099 275802 275802 275802 3664 3664 0 0 0 0 0 0 393692 76651 429203 -35511 -35511 2970 2970 2970 0 0 885504 275802 -28877 1099000 1099000 48642 48642 0 0 0 0 0 0 0 0 0 0 0 0 201449 201449 0 189049 2376 186673 3478 3478 10592 8483 2109 0 0 0 8432 8432 0 550 550 0 0 0 0 ALLOCATION OF PERSONNEL COST 288130 0 144065 144065 VARIOUS FUNDRAISING EXPENSES 61411 0 0 61411 BAD DEBT EXPENSE 41387 0 41387 0 DUES AND SUBSCRIPTIONS 2093 0 1253 840 11272 5636 5636 1965485 1147642 215660 602183 500 250 6710306 5807073 355579 216844 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135606 0 0 0 45612 0 7247603 6024167 86883 25823 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135580 57344 222463 83167 X 6167632 5010000 857508 931000 0 0 7025140 5941000 7247603 6024167 X -1079981 -4159 X X false true X true false X 1217708 566821 1383722 939718 638579 4746548 0 0 0 0 275802 275802 0 0 0 1217708 566821 1383722 939718 914381 5022350 0 0 0 5022350 8156 13457 15619 12638 3664 53534 0 8156 13457 15619 12638 3664 53534 0 0 0 0 0 2970 2970 1225864 580278 1399341 952356 921015 5078854 0.98887 0.98817 0.01054 0.01183 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 791 OTHER LIABILITIES 56553 57344 X SCHEDULE D, PART X 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. X X X true COMMUNTIY COUNSELLING SERVICE CO 461 FIFTH AVENUE 3RD FLOOR NEW YORK NY 900286107 CAMPAIGN MGMT false 201449 201449 NJ GOLF 230078 53975 176103 86400 89703 BIRDIES FOR BC 173880 173880 117500 8500 83391 2 66385 22676 43709 17213 26496 470343 76651 393692 221113 8500 199590 429203 -35511 true JERSEY CITY MEDICAL CENTER 350 MONTGOMERY STREET JERSEY CITY NJ 07302 222783298 501(C)(3) 1099000 PROGRAM SUPPORT 1 0 EMPLOYEE ASSISTANCE 9 12581 COMMUNITY ASSISTANCE 17 36061 GRANT FUND MONITORING GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X true true false false false false false true false JOSEPH F SCOTT FACHE CHAIRMAN - TRUSTEE 0 1035632 0 423122 0 31071 0 3875 0 28283 0 1521983 0 0 KENNETH GARAY MD CHIEF MEDICAL OFFICER 0 727925 0 156012 0 6721 0 2600 0 35398 0 928656 0 0 RITA V SMITH DNP SVP, PATIENT CARE SERVICES/CNO 0 396209 0 127961 0 18968 0 3875 0 21468 0 568481 0 0 BRENDA HALL SVP, PATIENT SAFETY 0 280087 0 94499 0 30339 0 3769 0 35604 0 444298 0 0 MARY CATAUDELLA VP, HUMAN RESOURCES 0 352560 0 103765 0 1492 0 3875 0 28179 0 489871 0 0 ROBERT VALENTINE CORPORATE CONTROLLER 0 309085 0 0 0 5360 0 3852 0 2602 0 320899 0 0 REGINA ANDRIOLO EXECUTIVE DIRECTOR FOUNDATION 0 189106 0 0 0 3051 0 2852 0 29367 0 224376 0 0 LAURA SCHILARE CORPORATE CONTROLLER 0 137145 0 0 0 518 0 7824 0 13559 0 159046 0 0 PAUL GOLDBERG FORMER OFFICER 0 0 0 0 0 266384 0 0 0 17626 0 284010 0 0 PAUL R MURPHY ESQ FORMER OFFICER 0 11979 0 0 0 177535 0 2600 0 26230 0 218344 0 0 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. 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. 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) N/A false 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 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 44 CHURCH STREET HAMILTON BERMUDA BD HM11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false 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 false true false true true false false false false false false false false true true true false true true SCHEDULE R, PART V 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.