STRATEGY STUDIO / PUBLIC DATA EXPLORER

MONMOUTH FAMILY HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MONMOUTH FAMILY HEALTH CENTER INC (EIN 20-0547132)
Tax period
2012-04-01 to 2013-03-31
Filed
2014-02-14
IRS object ID
201400459349301045
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-14T13:38:23-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14 BECKER FARM ROADAddressLine1
CityROSELANDCity
StateNJState
ZIP Code07068ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200547132EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONMOUTH FAMILY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONMNameControl
Phone7329237100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 BROADWAYAddressLine1
CityLONG BRANCHCity
StateNJState
ZIP Code07740ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT J AURIEMMAName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7329237100Phone
Date Signed2014-02-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone9732283500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT J AURIEMMANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1270 BROADWAYAddressLine1
CityLONG BRANCHCity
StateNJState
ZIP Code07740ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8436536GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDER SERVED POPULATION IN MONMOUTH COUNTY, NEW JERSEYActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees95TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1727886ContributionsGrantsPriorYear
Contributions Grants Current Year1940791ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6340906ProgramServiceRevenuePriorYear
Program Service Revenue CY6465446ProgramServiceRevenueCY
Investment Income Prior Year29915InvestmentIncomePriorYear
Investment Income Current Year23856InvestmentIncomeCurrentYear
Other Revenue Prior Year15131OtherRevenuePriorYear
Other Revenue Current Year6443OtherRevenueCurrentYear
Total Revenue Prior Year8113838TotalRevenuePriorYear
Total Revenue Current Year8436536TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4551991SalariesEtcPriorYear
Salaries Etc Current Year4579895SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3551309OtherExpensePriorYear
Other Expenses Current Year3559326OtherExpensesCurrentYear
Total Expenses Prior Year8103300TotalExpensesPriorYear
Total Expenses Current Year8139221TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10538RevenuesLessExpensesPriorYear
Revenues Less Expenses CY297315RevenuesLessExpensesCY
Total Assets BOY3907457TotalAssetsBOY
Total Assets EOY4409086TotalAssetsEOY
Total Liabilities BOY946194TotalLiabilitiesBOY
Total Liabilities EOY1150508TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2961263NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3258578NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL, DENTAL, AND OTHER SOCIAL SERVICES TO THE UNDERSERVED POPULATION OF MONMOUTH COUNTY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6432555Expense
Revenue6471889Revenue
DescriptionTO PROVIDE A BROAD RANGE OF PRIMARY CARE SERVICES TO A LARGELYUNDER SERVED POPULATION IN MONMOUTH COUNTY, NEW JERSEY.Description
Total Program Service Expense6432555TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees95NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT J AURIEMMA DIRECTOR OF FINANCE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7329630159TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line180 PAVILION AVEAddressLine1
CityLONG BRANCHCity
StateNJState
ZIP Code07740ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ANA M DOWLAND
CHAIRPERSON1.00XX000
AVIS MCMILLON
TRUSTEE1.00X000
CARL F JENNINGS
TRUSTEE1.00X000
CARL VEGA
TRUSTEE1.00X000
FATIMA CAMACHO
TRUSTEE1.00X000
LAWRENCE KERRIGAN
TREASURER/VICE CHAIRPERSON1.00XX000
MARGARET FISHER MD
TRUSTEE1.00X000
MICHAEL PERDONI
TRUSTEE1.00X000
RODNEY O'NEAL
TRUSTEE1.00X000
WEBSTER TRAMMELL JR PSYD
SECRETARY1.00XX000
LIBERT AMATO
CFO40.00X6004208168
MARTA SILVERBERG
CHIEF EXECUTIVE OFFICER40.00X174993025417
AIDA LOMBARDI
INTERIM CFO40.00X60221022894
RAKSHA JOSHI MD
CHIEF MEDICAL OFFICER40.00269211026343X
AAREFA SHAKIR MD
PHYSICIAN24.0011224800X
MARTIN ARAUJO MD
PHYSICIAN40.00146113010014X
FieldValueIRS element (for citing)
Total Reportable Comp From Org822828TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation92836TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants961259GovernmentGrants
All Other Contributions979532AllOtherContributions
Noncash Contributions436227NoncashContributions
Total Contributions1940791TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID62199037686613768661
NJ UNCOMPENSATED62199014994461499446
SELF-PAY621990872628872628
MEDICARE621990219559219559
OTHER THIRD PARTY621990105152105152
FieldValueIRS element (for citing)
Total Program Service Revenue6465446TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23856TotalRevenueColumn
Exclusion$23,856ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column6443TotalRevenueColumn
Related Or Exempt Function Income6443RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6443TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8436536TotalRevenueColumn
Related Or Exempt Function Income6471889RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$23,856ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total629970Total
Program Services480939ProgramServices
Management And General149031ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2990538Total
Program Services2283073ProgramServices
Management And General707465ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total55208Total
Program Services42148ProgramServices
Management And General13060ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total653502Total
Program Services498905ProgramServices
Management And General154597ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total250677Total
Program Services191375ProgramServices
Management And General59302ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1205613Total
Program Services1052102ProgramServices
Management And General153511ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5914Total
Program Services3520ProgramServices
Management And General2394ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49766Total
Program Services29620ProgramServices
Management And General20146ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total218420Total
Program Services129999ProgramServices
Management And General88421ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total500430Total
Program Services411265ProgramServices
Management And General89165ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total415359Total
Program Services310107ProgramServices
Management And General105252ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15179Total
Program Services11588ProgramServices
Management And General3591ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total270978Total
Program Services202312ProgramServices
Management And General68666ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total63415Total
Program Services47346ProgramServices
Management And General16069ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DONATED VACCINES436227436227
REPAIRS AND MAINTENANCE18873814091247826
PROVISION FOR BAD DEBT7020570205
OTHER699275338516542

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total49155Total
Program Services37527ProgramServices
Management And General11628ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8139221Total
Program Services6432555ProgramServices
Management And General1706666ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY401354BOY
EOY693799EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY729045BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1568431BOY
EOY1791850EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY41666BOY
EOY19248EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2064252LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec955924LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1140861BOY
EOY1108328EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY751761EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26100BOY
EOY44100EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3907457BOY
EOY4409086EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY894989BOY
EOY1066102EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY51205BOY
EOY77205EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY7201EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY946194BOY
EOY1150508EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2961263BOY
EOY3258578EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2961263BOY
EOY3258578EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3907457BOY
EOY4409086EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses297315ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1030860CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2138095CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1963750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1727886CurrentTaxYearMinus1Year
Current Tax Year1940791CurrentTaxYear
Total8801382Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1030860CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2138095CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1963750CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1727886CurrentTaxYearMinus1Year
Current Tax Year1940791CurrentTaxYear
Total8801382Total
FieldValueIRS element (for citing)
Public Support Total1708801382PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4494CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10649CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29915CurrentTaxYearMinus1Year
Current Tax Year23856CurrentTaxYear
Total88260Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40282CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26078CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10851CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15131CurrentTaxYearMinus1Year
Current Tax Year6443CurrentTaxYear
Total98785Total
FieldValueIRS element (for citing)
Total Support8988427TotalSupport
Gross Receipts From Admissions Etc30564168GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97920PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97830PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER - 2008 AMOUNT: $ 40,282. 2009 AMOUNT: $ 26,078. 2010 AMOUNT: $ 10,851. 2011 AMOUNT: $ 15,131. 2012 AMOUNT: $ 6,443.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis101654OtherCostOrOtherBasis
Depreciation13312Depreciation
Book Value88342BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1085000OtherCostOrOtherBasis
Depreciation542658Depreciation
Book Value542342BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis514799OtherCostOrOtherBasis
Depreciation399954Depreciation
Book Value114845BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis362799OtherCostOrOtherBasis
Book Value362799BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1108328TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDENTAL PROJECTDescription
Amount$7,201Amount
FieldValueIRS element (for citing)
Total Of Amounts7201TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt8366331TotRevenueEtcAuditedFinclStmt
Other Revenues-70205OtherRevenues
Revenue Not Rptd F990-70205RevenueNotRptdF990
Revenue Subtotal8436536RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908436536TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8069016TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8069016ExpensesSubtotal
Other Expenses Not Included70205OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt70205ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908139221TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CENTER WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW JERSEY AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE CENTER HAS FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYROLL TAXES DUE HAVE BEEN PAID. THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT MARCH 31, 2013. THE CENTER'S U.S. FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2010 AND 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE CENTER WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF OPERATING EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENT OF FINANCIAL POSITION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -70,205.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 70,205.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARTA SILVERBERG
CHIEF EXECUTIVE OFFICER1749930000051230212890201405000
RAKSHA JOSHI MD
CHIEF MEDICAL OFFICER2692110000068430207290296783000
MARTIN ARAUJO MD
PHYSICIAN146113000004419066790157211000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990436227NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PROVIDES THE BOARD OF TRUSTEES WITH AN EMAIL COPY OF THE FORM 990 IN ADVANCE OF FILING WITH THE IRS. PRIOR TO FILING, THE TAX PREPARER IS AVAILABLE TO ANSWER ALL QUESTIONS THAT ANY MEMBER OF THE BOARD OF TRUSTEES MAY HAVE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION MONITORS ON A REGULAR BASIS THE CONFLICT OF INTEREST POLICY. IF A CONFLICT OF INTEREST IS IDENTIFIED, MANAGEMENT WILL RESPOND IN ACCORDANCE WITH THE CENTER'S COMPLIANCE PROGRAMS AND STANDARDS OF CONDUCT. MANAGEMENT WILL DETERMINE IF THE CONFLICT IS OF A NATURE THAT MUST BE REFERRED TO LEGAL COUNSEL FOR THEIR RECOMMENDATION AS TO THE APPROPRIATE ACTION TO BE TAKEN. IN ADDITION, THE BOARD OF TRUSTEE MEMBERS ARE INFORMED OF ANY POTENTIAL CONFLICTS AND HOW THE CONFLICT WAS RESOLVED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL PROVIDE ALL GOVERNING DOCUMENTS TO ANY PERSON OR PERSONS WHO REQUEST THE DOCUMENTS EITHER IN WRITING OR IN PERSON. UPON THE REQUEST, THE ORGANIZATION LOGS WHAT WAS REQUESTED, BY WHOM, AND WHERE AND WHEN THE DOCUMENTS WERE SENT.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS A FINANCE COMMITTEE WHO OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTS ITS INDEPENDENT ACCOUNTANTS.