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BARNABAS BAYONNE DEVELOPMENT URBAN RENEWAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BARNABAS BAYONNE DEVELOPMENT URBAN RENEWAL CORPORATION (EIN 35-2219655)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349301738
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)
Timestamp2013-11-14T09:12:32-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352219655EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CENTER STAFFING SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% THOMAS G SCOTT CPAInCareOfName
Name ControlMEDINameControl
Phone9733224032Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CRAGWOOD ROAD SUITE 3DAddressLine1
Address Line2SuiteAddressLine2
CityS PLAINFIELDCity
StateNJState
ZIP Code07080ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCATHERINE DOWDYName
TitleOFFICERTitle
Phone9738989494Phone
Date Signed2013-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARRY H OSTROWSKYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line195 OLD SHORT HILLS ROADAddressLine1
CityWEST ORANGECity
StateNJState
ZIP Code07052ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4539140GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BARNABASHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees63TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4317427ProgramServiceRevenuePriorYear
Program Service Revenue CY4539140ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4317427TotalRevenuePriorYear
Total Revenue Current Year4539140TotalRevenueCurrentYear
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 Year4160372SalariesEtcPriorYear
Salaries Etc Current Year4543688SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year154047OtherExpensePriorYear
Other Expenses Current Year156235OtherExpensesCurrentYear
Total Expenses Prior Year4314419TotalExpensesPriorYear
Total Expenses Current Year4699923TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3008RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-160783RevenuesLessExpensesCY
Total Assets BOY611209TotalAssetsBOY
Total Assets EOY174475TotalAssetsEOY
Total Liabilities BOY598588TotalLiabilitiesBOY
Total Liabilities EOY322637TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12621NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-148162NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO SUPPORT THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. CENTER STATE HEALTH GROUP, INC. SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF BARNABAS HEALTH, INC. AND ITS AFFILIATES AND ACTS AS A CENTRALIZED BUSINESS OFFICE FOR THE TAX-EXEMPT ACUTE CARE HOSPITALS AND MEDICAL CENTERS OF BARNABAS HEALTH WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4229930Expense
Grants0Grants
Revenue4539140Revenue
DescriptionEXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. CENTER STATE HEALTH GROUP, INC. SUPPORTS THE CHARITABLE PURPOSES PROGRAMS AND SERVICES OF BARNABAS HEALTH, INC. AND ITS AFFILIATES AND ACTS AS A CENTRALIZED BUSINESS OFFICE FOR THE TAX-EXEMPT ACUTE CARE HOSPITALS AND MEDICAL CENTERS OF BARNABAS HEALTH WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Description
Total Program Service Expense4229930TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees63NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS G SCOTT CPANamePerson
Telephone Number7329238072TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 CRESCENT PLACEAddressLine1
CityOceanportCity
StateNJState
ZIP Code07757ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
VINCENT BUFANO
TRUSTEE1.0X000
JOHN P MEYERHOLZ
TRUSTEE1.0X000
JOHN E MONAHAN
TRUSTEE55.0X046317187000
RICHARD ONEILL
TRUSTEE1.0X000
ANTHONY D SLONIM MD
TRUSTEE55.0X082524830205
CAMILLE JADELIS
DIRECTOR50.0128717028133X
FieldValueIRS element (for citing)
Total Reportable Comp From Org128717TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1288419TotalReportableCompFrmRltdOrgs
Total Other Compensation145338TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NIGHTINGALE NURSES LLC
PO BOX 5935TROYMI48007STAFFING1599401
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA303844674STAFFING462481
AMN HEALTHCARE INC
PO BOX 5389NEW YORKNY10087STAFFING379123
NURSE STAFFING LLC
1700 ROUTE 23 NORTH SUITE 100WAYNENJ07470STAFFING209201
PRIME STAFFING LLC
499 7TH AVENUE 21ST FLOOR NORTH TONEW YORKNY10018STAFFING102722
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PROGRAM SERVICE REVENUEDescription
Business Code541900BusinessCode
Total Revenue Column4539140TotalRevenueColumn
Related Or Exempt Function Income4539140RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4539140TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4539140TotalRevenueColumn
Related Or Exempt Function Income4539140RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4379709Total
Program Services3941738ProgramServices
Management And General437971ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6011Total
Program Services5410ProgramServices
Management And General601ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total55948Total
Program Services50353ProgramServices
Management And General5595ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total102020Total
Program Services91818ProgramServices
Management And General10202ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12880Total
Program Services11592ProgramServices
Management And General1288ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total61922Total
Program Services55730ProgramServices
Management And General6192ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2886Total
Program Services2597ProgramServices
Management And General289ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3996Total
Program Services3596ProgramServices
Management And General400ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2672Total
Program Services2405ProgramServices
Management And General267ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionPURCHASED SERVICESDescription
Total71879Total
Program Services64691ProgramServices
Management And General7188ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4699923Total
Program Services4229930ProgramServices
Management And General469993ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY542517BOY
EOY144531EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4259BOY
EOY171EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY64433BOY
EOY29773EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY611209BOY
EOY174475EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY509523BOY
EOY292700EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY35155BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53910BOY
EOY29937EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY598588BOY
EOY322637EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12621BOY
EOY-148162EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12621BOY
EOY-148162EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY611209BOY
EOY174475EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-160783ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTER STATE HEALTH GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN222939956EIN
Type Of Organization0TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
FieldValueIRS element (for citing)
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionOTHER RECEIVABLESDescription
Book Value29773BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets29773TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES; CURRENT$8,972
DUE TO AFFILIATES; NON-CURRENT$20,965
OTHER LIABILITIES$0
FieldValueIRS element (for citing)
Total Of Amounts29937TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierTEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationTHE ORGANIZATION IS AN AFFILIATE of BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S 2007 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN JULY 2006, FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007, THE CORPORATION ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

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
JOHN E MONAHAN
TRUSTEE0320195013500007976061336025664055017100
ANTHONY D SLONIM MD
TRUSTEE05337670237000054481010000020205085545300
CAMILLE JADELIS
DIRECTOR1135190144670731050680230650156850000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I, QUESTION 4BTHE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN Was NOT INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN E. MONAHAN, $51,336.
COMPENSATION INFORMATIONCORE FORM, PART VII AND SCHEDULE J, PART I, QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 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

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7CENTER STATE HEALTH GROUP, INC. ("CSHG") IS THE SOLE MEMBER OF THIS ORGANIZATION. BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF CSHG. 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. IS THE PARENT ENTITY OF THE SYSTEM. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF 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 ORGANIZATION HIRED A PROFESSIONAL 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 IN HOUSE COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT, 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 PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE 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 A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION IS AN AFFILIATE IN A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL AND OTHERS ARE EMPLOYED BY ANOTHER ENTITY WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS OR BOARD MEMBERS OF THIS ORGANIZATION. BARNABAS HEALTH, INC. ("BH") IS THE PARENT ENTITY OF THE INTEGRATED HEALTHCARE DELIVERY SYSTEM. ACCORDINGLY, BH'S BOARD OF TRUSTEES HAS 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 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 IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE BH 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 REVIEWING 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 SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE 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 ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THE VARIOUS BARNABAS HEALTH FORMS 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM BH'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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT BOARD MEMBERs RECEIVING COMPENSATION FROM A RELATED ORGANIZATION. PLEASE NOTE THAT THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THAT RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
RELATED HOURS DISCLOSURECORE FORM, PART VII, SECTION A, COLUMN BTHIS ORGANIZATION IS PART 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 AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. 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 BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION.
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (38 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CENTER STATE HEALTH GROUP INC
2 CRESCENT PLACEOCEANPORTNJ07757222939956HEALTH SVCS.NJ501(C)(3)509(a)(3)BHfalse
CENTER STATE PROPERTIES CORPORATION
99 HIGHWAY 37 WESTTOMS RIVERNJ08755521571939TITLE HLDNG.NJ501(C)(2)N/ACSHGfalse
CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC
1691 ROUTE 9TOMS RIVERNJ08754223343959HEALTH SVCS.NJ501(C)(3)509(a)(3)SBBHfalse
CLARA MAASS FOUNDATION
ONE CLARA MAASS DRIVEBELLEVILLENJ07109222132516FUNDRAISINGNJ501(C)(3)509(a)(1)BHfalse
CLARA MAASS HEALTH SYSTEM INC
ONE CLARA MAASS DRIVEBELLEVILLENJ07109222802778HEALTH SVCS.NJ501(C)(3)509(a)(3)BHfalse
CLARA MAASS MEDICAL CENTER
ONE CLARA MAASS DRIVEBELLEVILLENJ07109221500556HEALTH SVCS.NJ501(C)(3)HOSPITALBHfalse
CLARA MAASS PROPERTIES INC
ONE CLARA MAASS DRIVEBELLEVILLENJ07109521855420INACTIVENJ501(C)(2)N/ABHfalse
COMMUNITY MEDICAL CENTER
99 HIGHWAY 37 WESTTOMS RIVERNJ08755223452306HEALTH SVCS.NJ501(C)(3)HOSPITALBHfalse
COMMUNITY MEDICAL CENTER FOUNDATION
99 HIGHWAY 37 WESTTOMS RIVERNJ08755222597592FUNDRAISINGNJ501(C)(3)509(a)(1)BHfalse
COUNTRY MANOR AT DOVER
16 WHITESVILLE ROADTOMS RIVERNJ08753222462909INACTIVENJ501(C)(3)509(A)(2)CSHGfalse
IRVINGTON GENERAL HOSPITAL
832 CHANCELLOR AVENUEIRVINGTONNJ07111223452411INACTIVENJ501(C)(3)HOSPITALBHfalse
IRVINGTON HOSPITAL FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052237025428INACTIVENJ501(C)(3)509(a)(3)BHfalse
KENSINGTON MANOR CARE CENTER
16 WHITESVILLE ROADTOMS RIVERNJ08753521571883INACTIVENJ501(C)(3)509(a)(2)CSHGfalse
KIMBALL MEDICAL CENTER
600 RIVER AVENUELAKEWOODNJ08701223452413HEALTH SVCS.NJ501(C)(3)HOSPITALBHfalse
KIMBALL MEDICAL CENTER FOUNDATION
600 RIVER AVE ANNEX BLDG ELAKEWOODNJ08701222630076FUNDRAISINGNJ501(C)(3)509(a)(1)BHfalse
MEGA CARE INC
1020 GALLOPING HILL ROADUNIONNJ07083222578561HEALTH SVCS.NJ501(C)(3)509(a)(3)CSHGfalse
MMC AMBULATORY SURGERY CENTER INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07052753166377INACTIVENJ501(C)(3)N/AMMCfalse
MONMOUTH MEDICAL CENTER
300 SECOND AVENUELONG BRANCHNJ07740223452412HEALTH SVCS.NJ501(C)(3)HOSPITALBHfalse
MONMOUTH MEDICAL CENTER - FACULTY PRACT
100 STATE HIGHWAY 36WEST LONG BRANCHNJ07764223357053HEALTH SVCS.NJ501(C)(3)509(a)(3)MMCfalse
MONMOUTH MEDICAL CENTER FOUNDATION
300 SECOND AVENUELONG BRANCHNJ07740222456079FUNDRAISINGNJ501(C)(3)509(a)(1)BHfalse
BARNABAS HEALTH MEDICAL GROUP PC
300 SECOND AVENUELONG BRANCHNJ07740223316007HEALTH SVCS.NJ501(C)(3)509(a)(2)MMCfalse
NBI HEALTH PARTNERS PA
201 LYONS AVENUENEWARKNJ07112271694034INACTIVENJ501(C)(3)N/ANBIfalse
NEWARK BETH ISRAEL MEDICAL CENTER
201 LYONS AVENUENEWARKNJ07112223452311HEALTH SVCS.NJ501(C)(3)HOSPITALBHfalse
SAINT BARNABAS ASSIST LIVING AT LAKEWOOD
77 WILLIAMS STREETLAKEWOODNJ08701223451655INACTIVENJ501(C)(3)509(a)(2)CSHGfalse
SAINT BARNABAS BEHAVIORAL HEALTH CENTER
1691 ROUTE 9TOMS RIVERNJ08754222977312HEALTH SVCS.NJ501(C)(3)HOSPITALCSHGfalse
BARNABAS HEALTH INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222405279HEALTH SVCS.NJ501(C)(3)509(a)(3)NAfalse
SAINT BARNABAS DEVELOPMENT FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222378422FUNDRAISINGNJ501(C)(3)509(a)(1)NJHCICfalse
SAINT BARNABAS HEALTH CARE SYSTEM FDN
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223769036FUNDRAISINGNJ501(C)(3)509(a)(1)BHfalse
SAINT BARNABAS HOSPICE AND PALLIATIVE
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222354659HEALTH SVCS.NJ501(C)(3)509(a)(1)BHfalse
SAINT BARNABAS MEDICAL CENTER
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039221494440HEALTH SVCS.NJ501(C)(3)HOSPITALBHfalse
HARVEY E NUSSBAUM MD RESEARCH INST OF SB
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039227146916RESEARCHNJ501(C)(3)170, BOX 4NJHCICfalse
SAINT BARNABAS OUTPATIENT CENTERS
200 SOUTH ORANGE AVENUELIVINGSTONNJ07039222458479HEALTH SVCS.NJ501(C)(3)509(A)(2)BHfalse
SAINT BARNABAS PALLIATIVE CARE PHYS PA
95 OLD SHORT HILLS ROADWEST ORANGENJ07052262532578HEALTH SVCS.NJ501(C)(3)509(A)(2)HOSPICEfalse
SAINT BARNABAS REALTY DEVELOPMENT CORP
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039222940008TITLE HLDNG.NJ501(C)(3)509(a)(3)NJHCICfalse
NJ HEALTH CARE INNOVATION CENTER INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039222458481HEALTH SVCS.NJ501(C)(3)509(a)(3)BHfalse
THE NEWARK BETH ISRAEL MEDICAL CNTR FDN
201 LYONS AVENUENEWARKNJ07112222587176FUNDRAISINGNJ501(C)(3)509(a)(1)BHfalse
UNION HOSPITAL
1000 GALLOPING HILL ROADUNIONNJ07083221413947INACTIVENJ501(C)(3)HOSPITALBHfalse
SANDY HOOK FRNDS OF ST BARNABAS BURN FDN
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039223236202FUNDRAISINGNJ501(C)(3)509(A)(3)BHfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
INNOVATIVE PURCHASING CONCEPTS
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223786557PURCHASINGNJBHfalse$0false
KIM-MED ASSOCIATES
3OO SECOND AVENUELONG BRANCHNJ07740222775619REAL ESTATENJKHCAfalse$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
LSC HOLDING COMPANY INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223569598HOLDING CO.NJNAC CORP.false
LIVINGSTON SERVICES CORP
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222465402HEALTHCARE SVCS.NJNAC CORP.false
LIVINGSTON INFUSION CARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223190756HEALTHCARE SVCS.NJNAC CORP.false
MAJOR SECURITY SERVICES INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223040539SECURITY SVCS.NJNAC CORP.false
MEDICAL CTR HEALTH CARE SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223011742HEALTHCARE SVCS.NJNAC CORP.false
CENTER STATE HEALTH SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222592293HEALTHCARE SVCS.NJNAC CORP.false
CENTER STATE MANAGEMENT CORP
300 SECOND AVENUELONG BRANCHNJ07740222506125MGMT SVCS.NJNAC CORP.false
CENTER STATE COLLECTION SVCS
2 CRESCENT PLACEOCEANPORTNJ07757222629075COLLECTION SVCS.NJNAC CORP.false
COMMUNITY KARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222993840HEALTHCARE SVCS.NJNAC CORP.false
KIMBALL HLTH CARE AFFILIATES
300 SECOND AVENUELONG BRANCHNJ07740222701213INVESTMENTNJNAC CORP.false
HEALTH CARE FACILITIES MGT
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223532988MAINT. SVCS.NJNAC CORP.false
PREMIUM HEALTH SYSTEMS INC
ONE FRANKLIN AVENUEBELLEVILLENJ07109222779395HEALTHCARE SVCS.NJNAC CORP.false
SBC MANAGEMENT CORPORATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223414332MGMT SVCS.NJNAC CORP.false
PROFESSIONAL QUALITY LIAB
100 BANK STREETBURLINGTONVT05401205163819INSURANCE SVCS.VTNAC CORP.false
NJ HEALTH CARE SYSTEM INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039223536986INACTIVENJNAC CORP.false
CPIC
FINANCIAL VEHICLENAFOREIGN CORP.false44 CHURCH STREETHAMILTONBERMUDABDHM11BD
LSC PHARMACY SERVICES INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07052452552776PHARMACY SVCS.NJNAC CORP.false
SAINT BARNABAS PHYSICIAN ASSOCIATES PA
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039271259104HEALTHCARE SVCS.NJNAC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE R, PART VReturnReference
ExplanationBARNABAS HEALTH, INC. AND SBC MANAGEMENT CORPORATION 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.Explanation