STRATEGY STUDIO / PUBLIC DATA EXPLORER

BARNABAS HEALTH MEDICAL GROUP P C: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BARNABAS HEALTH MEDICAL GROUP P C (EIN 22-3316007)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201123149349301612
Schema version
2010v3.4
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)
Timestamp2011-11-10T09:54:20-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223316007EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONMOUTH MEDICAL GROUP PCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONMNameControl
Phone7329238072Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SECOND AVENUEAddressLine1
CityLONG BRANCHCity
StateNJState
ZIP Code07740ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameIVETTE YATCILLAName
TitleVICE PRESIDENTTitle
Date Signed2011-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONALD J DEL MAURONameOfPrincipalOfficerPerson

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 Receipts12709325GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sbhcs.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body1NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees163TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10800194ProgramServiceRevenuePriorYear
Program Service Revenue CY12674359ProgramServiceRevenueCY
Investment Income Prior Year1020InvestmentIncomePriorYear
Investment Income Current Year103InvestmentIncomeCurrentYear
Other Revenue Prior Year33750OtherRevenuePriorYear
Other Revenue Current Year34863OtherRevenueCurrentYear
Total Revenue Prior Year10834964TotalRevenuePriorYear
Total Revenue Current Year12709325TotalRevenueCurrentYear
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 Year9141063SalariesEtcPriorYear
Salaries Etc Current Year9771262SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1693901OtherExpensePriorYear
Other Expenses Current Year2938063OtherExpensesCurrentYear
Total Expenses Prior Year10834964TotalExpensesPriorYear
Total Expenses Current Year12709325TotalExpensesCurrentYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY3638306TotalAssetsBOY
Total Assets EOY5446370TotalAssetsEOY
Total Liabilities BOY3786534TotalLiabilitiesBOY
Total Liabilities EOY6564892TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-148228NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1118522NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Grants0Grants
DescriptionEXPENSES INCURRED IN PROVIDING PEDIATRIC SPECIALTY HEALTHCARE SERVICES TO ALL CHILDREN REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION TREATED ______ PEDIATRIC PATIENTS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Grants0Grants
DescriptionEXPENSES INCURRED IN PROVIDING INTERNAL MEDICINE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION TREATED ______ INTERNAL MEDICINE PATIENTS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Grants0Grants
DescriptionEXPENSES INCURRED IN PROVIDING MATERNAL FETAL MEDICINE TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION TREATED _____ MATERNAL PATIENTS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp11438393TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev11548919TotalOfOtherProgramServiceRev
Total Program Service Expense11438393TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096108NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees163NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members1NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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
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 (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ERIC N BURKETT MD
TRUSTEE - PRESIDENT10.0XX5980328600711042
IVETTE D YATCILLA
CFO55.0X83988021455
MARGO A PETERS
DIRECTOR OPERATIONS55.0X121400013544
DAVID WALLACE MD
PHYSICIAN55.0435556020401X
CARL A NATH MD
PHYSICIAN55.0379838017801X
DAVID GONZALEZ MD
PHYSICIAN55.0373248021996X
NISHA MALIK MD
PHYSICIAN55.037274807740X
JONATHAN TEITELBAUM MD
PHYSICIAN55.0320760020605X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2147341TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs286007TotalReportableCompFrmRltdOrgs
Total Other Compensation134584TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MONMOUTH MEDICAL CENTER
300 SECOND AVENUELONG BRANCHNJ07740MEDICAL2198723
CENTER STATE COLLECTION SERVICES IN
2 CRESCENT PLACEOCEANPORTNJ07757COLLECTION359637
SBC MANAGEMENT CORPORATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052MANAGEMENT200990
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE5419001125666611256666
OTHER HEALTHCARE RELATED REVENUE54190014176931417693
FieldValueIRS element (for citing)
Total Program Service Revenue12674359TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column103TotalRevenueColumn
Exclusion$103ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real34863Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real34863Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column34863TotalRevenueColumn
Exclusion$34,863ExclusionAmount

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 Column12709325TotalRevenueColumn
Related Or Exempt Function Income12674359RelatedOrExemptFunctionIncome
Exclusion$34,966ExclusionAmount

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)
Total300190Total
Program Services270172ProgramServices
Management And General30018ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7924229Total
Program Services7131806ProgramServices
Management And General792423ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total232817Total
Program Services209535ProgramServices
Management And General23282ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total811882Total
Program Services730694ProgramServices
Management And General81188ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total502144Total
Program Services451930ProgramServices
Management And General50214ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total12957Total
Program Services11661ProgramServices
Management And General1296ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total52876Total
Program Services47588ProgramServices
Management And General5288ManagementAndGeneral

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)
Total20434Total
Program Services18391ProgramServices
Management And General2043ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total522338Total
Program Services470104ProgramServices
Management And General52234ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total4961Total
Program Services4465ProgramServices
Management And General496ManagementAndGeneral

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)
Total183709Total
Program Services165338ProgramServices
Management And General18371ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total609830Total
Program Services548847ProgramServices
Management And General60983ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES114793410331411147930
REPAIRS AND MAINTENANCE121341109207121340
TRANSCRIPTION SERVICES113396102056113400
UTILITIES604585441260460
DUES AND SUBSCRIPTIONS283982555828400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total59431Total
Program Services53488ProgramServices
Management And General5943ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12709325Total
Program Services11438393ProgramServices
Management And General1270932ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY598380BOY
EOY-26490EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY257321BOY
EOY322640EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1786366BOY
EOY2123277EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY358143BOY
EOY303956EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1373938LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec955091LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY405658BOY
EOY418847EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY126802BOY
EOY106650EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY62712BOY
EOY2142567EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY42924BOY
EOY54923EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3638306BOY
EOY5446370EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY857821BOY
EOY1468113EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2928713BOY
EOY5096779EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3786534BOY
EOY6564892EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-148228BOY
EOY-1118522EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-148228BOY
EOY-1118522EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3638306BOY
EOY5446370EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Reconcilation Other Changes-970294ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6817638CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11612284CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11878386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10800194CurrentTaxYearMinus1Year
Current Tax Year12674359CurrentTaxYear
Total53782861Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6817638CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11612284CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11878386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10800194CurrentTaxYearMinus1Year
Current Tax Year12674359CurrentTaxYear
Total53782861Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50953782861PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24661CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41670CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34770CurrentTaxYearMinus1Year
Current Tax Year34966CurrentTaxYear
Total176829Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24661CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41670CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34770CurrentTaxYearMinus1Year
Current Tax Year34966CurrentTaxYear
Total176829Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6842299CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11653046CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11920056CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10834964CurrentTaxYearMinus1Year
Current Tax Year12709325CurrentTaxYear
Total53959690Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis197299OtherCostOrOtherBasis
Depreciation153557Depreciation
Book Value43742BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1176639OtherCostOrOtherBasis
Depreciation801534Depreciation
Book Value375105BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings418847TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$4,038,039
ACCRUED PENSION LIABILITY$1,058,740
FieldValueIRS element (for citing)
Total Of Amounts5096779TotalOfAmounts

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 PlanfalseSupplementalNonqualRetirePlan
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 (6 entries)

Base 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
ERIC N BURKETT MD
027125008184598036573000110425980329704900
DAVID WALLACE MD
35349007967702389000204010455957000
CARL A NATH MD
2996000796770561000178010397639000
DAVID GONZALEZ MD
2927600796770811000219960395244000
NISHA MALIK MD
292260079677081100077400380488000
JONATHAN TEITELBAUM MD
21895501013250480000206050341365000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION INFORMATIONIdentifier
Return ReferenceCORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7ReturnReference
ExplanationTHE FOLLOWING INDIVIDUALS RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH BONUS AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ERIC N. BURKETT, M.D., $8,184; IVETTE D. YATCILLA, $500; MARGO A. PETERS, $500; DAVID WALLACE, M.D., $79,677; CARL A. NATH, M.D., $79,677; DAVID GONZALEZ, M.D., $79,677; NISHA MALIK, M.D., $79,677; JONATHAN TEITELBAUM, M.D., $101,325.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSBACKGROUND ========== MONMOUTH MEDICAL GROUP ("MMG") WAS FORMED IN 1994 AS A PROFESSIONAL CORPORATION UNDER NEW JERSEY FOR-PROFIT CORPORATION LAWS TO SUPPORT MONMOUTH MEDICAL CENTER ("MMC") BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. AS DESCRIBED BELOW, MMG CONSTITUTES A MAJORITY OF THE CLINICAL SERVICES PHYSICIAN PRACTICE PLANS OF MMC. MMG IS AN INTEGRAL PART OF MMC'S MEMBERSHIP IN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SBHCS"), NEW JERSEY'S LARGEST INTEGRATED HEALTHCARE DELIVERY SYSTEM. MMG IS CONTROLLED BY MMC THROUGH MMG'S SOLE PHYSICIAN SHAREHOLDER. DUE TO CORPORATE PRACTICE OF MEDICINE LAWS IN NEW JERSEY, ERIC N. BURKETT, M.D., AN EMPLOYEE OF MMC, IS THE SOLE SHAREHOLDER AND NOMINEE OWNER OF MMG FOR THE BENEFIT OF MMC. NEW JERSEY CORPORATE PRACTICE OF MEDICINE LAWS DO NOT PERMIT MMC TO SERVE AS THE SHAREHOLDER OF MMG. CONTROL BY MMC OF MMG IS INSURED AND WILL CONTINUE BASED ON THE FACT THAT DR. BURKETT IS AN EMPLOYEE OF MMC AND A MEMBER OF MMC'S MEDICAL STAFF AND HAS ENTERED INTO AN OPERATING AGREEMENT WITH MMG AND MMC. THE OPERATING AGREEMENT TOGETHER WITH DR. BURKETT'S EMPLOYMENT AT MMC ENSURES STRUCTURAL AND FINANCIAL CONTROL OF MMG BY MMC. MMG AMENDED ITS ORIGINAL CERTIFICATE OF INCORPORATION WITH THE STATE OF NEW JERSEY TO REFLECT THE ORGANIZATION AS A NOT FOR-PROFIT ORGANIZATION. THE AMENDED CERTIFICATE OF INCORPORATION STATES THAT MMG IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT ALSO STATES THAT MMG IS ORGANIZED TO RENDER MEDICAL SERVICES TO PATIENTS OF MMC AND TO PROVIDE MEDICAL EDUCATION, RESEARCH AND TEACHING SERVICES IN FURTHERANCE OF MMC'S CHARITABLE PURPOSES AS A 501(C)(3) TAX-EXEMPT ORGANIZATION. MMG IS A MEDICAL PRACTICE COMPONENT OF MMC. MMG PROVIDES MEDICAL SERVICES, MEDICAL RESEARCH AND EDUCATION OF MMC RESIDENTS AND MEDICAL STUDENTS. IN ITS ROLE AS A MEDICAL PRACTICE COMPONENT OF MMC AND AS AN EDUCATOR, MEDICAL STUDENTS AND MEDICAL RESIDENTS OF MMC RECEIVE EDUCATION AND TRAINING AT MMG THROUGH MEDICAL ROTATIONS. THESE ACTIVITIES FURTHER THE CHARITABLE PURPOSES OF MMG AND THE CHARITABLE PURPOSES OF MMC BY PROVIDING HEALTHCARE SERVICES TO ALL THOSE IN NEED OF CARE WITHOUT REGARD TO ABILITY TO PAY, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, PHYSICAL HANDICAP OR DISABILITY. MMG WAS FORMED TO EXPAND MMC'S, AND THUS SBHCS', INTEGRATED HEALTHCARE DELIVERY SYSTEM THROUGHOUT PRIMARILY MONMOUTH COUNTY, NEW JERSEY, IS A SEAMLESS EXTENSION OF MMC'S HEALTHCARE SERVICES AND IS OPERATED FOR THE CONVENIENCE OF MMC'S PATIENTS. CONSISTENT WITH MMC'S GENERAL PRACTICE DESCRIBED ABOVE, MMG IS STAFFED BY ITS OWN PHYSICIANS AND MMC EMPLOYED PHYSICIANS. ALL PHYSICIANS EMPLOYED BY MMG HAVE ADMITTING PRIVILEGES AT MMC. MMG PERFORMS A CRUCIAL FUNCTION IN MMC'S, AND THUS SBHCS', INTEGRATED HEALTH CARE DELIVERY SYSTEM IN NEW JERSEY. MMG SUPPORTS MMC BY REACHING OUT INTO THE COMMUNITY AND THEREBY ALLOWING MMC TO DELIVER ITS STATE-OF-THE-ART HEALTH CARE SERVICES TO A LARGER PATIENT BASE THAN IT WOULD OTHERWISE BE ABLE TO REACH. THIS COMMUNITY SERVICE, INCLUDES, BUT IS NOT LIMITED TO, THE PHYSICIANS OF MMG PROVIDING SPEAKING ENGAGEMENTS TO THE COMMUNITY AT NO COST IN ORDER TO EDUCATE THE PUBLIC ON VARIOUS MEDICAL AND HEALTH CARE ISSUES. MMG IS A DIVERSIFIED MULTI-SPECIALTY GROUP WHOSE PHYSICIANS ARE VERY ACTIVE WITHIN THE COMMUNITY AND IN ASSISTING OTHER HOSPITALS AND MEDICAL CENTERS WITHIN THE SBHCS. SEE BELOW FOR A BRIEF SYNOPSIS OF EACH OF MMG'S SPECIALTIES: PRIMARY CARE ------------ PRIMARY CARE PHYSICIANS ARE EMPLOYED BY MMG COVERING OFFICE LOCATIONS IN WEST LONG BRANCH, MIDDLETOWN AND COLT'S NECK, NEW JERSEY. SOME OF THESE PHYSICIANS ARE EXTREMELY ACTIVE IN PROVIDING LECTURES ON VARIOUS TOPICS RELATIVE TO FEMALE HEALTH ISSUES. MATERNAL/FETAL MEDICINE ----------------------- PHYSICIANS ARE EMPLOYED BY MMG SPECIALIZING IN THIS AREA. THE PRIMARY LOCATION FOR THIS PRACTICE IS IN LONG BRANCH, NEW JERSEY. THIS GROUP OF PHYSICIANS IS VERY ACTIVE AND PLAYS A VITAL ROLE IN THE WOMEN'S AND CHILDREN'S SPECIALTY CENTER LOCATED IN LAKEWOOD, NEW JERSEY. THIS CENTER MEETS THE NEEDS AND DEMANDS OF HIGH RISK OB/GYN PATIENTS IN THE OCEAN COUNTY, NEW JERSEY AREA. THIS SERVICE PROVIDED BY THE MMG PHYSICIANS PROVIDES A DIRECT BENEFIT TO COMMUNITY AND KIMBALL MEDICAL CENTERS LOCATED IN TOMS RIVER AND LAKEWOOD, NEW JERSEY; RESPECTIVELY. BOTH ARE MEMBERS OF SBHCS ALONG WITH MMC. UROGYNECOLOGY ------------- PHYSICIANS ARE EMPLOYED BY MMG PROVIDE UROGYNECOLOGY SERVICES IN HOWELL, NEW JERSEY. THE PHYSICIANS WITHIN THIS SPECIALTY AREA TAKE A VERY ACTIVE ROLE IN DEVELOPING THIS PROGRAM AND IN TEACHING AT MMC. THERE IS A GREAT DEMAND FOR THESE SERVICES WITHIN THE COMMUNITY; MAINLY AMONG THE FEMALE POPULATION. IN ADDITION, THE PHYSICIANS PROVIDE MANY SPEAKING ENGAGEMENTS TO OTHER AREA ORGANIZATIONS RELATIVE TO THIS TOPIC. PEDIATRIC SPECIALISTS --------------------- PHYSICIANS PROVIDE PEDIATRIC CARE SERVICES TO THE COMMUNITY. ALL SIX PHYSICIANS HAVE PRACTICE SITES WITHIN OR AROUND MMC IN LONG BRANCH, NEW JERSEY. ALL PHYSICIANS WITHIN THIS SPECIALTY HAVE DEVELOPED THEIR RESPECTIVE PRACTICE AND PROGRAM WITHIN MMG AND CONTINUE TO EXPAND AND ENHANCE ACTIVITIES ON A DAILY BASIS WITHIN THE PRACTICE ITSELF AND THE COMMUNITY AT LARGE. ALL OF THESE PHYSICIANS PROVIDE SPEAKING ENGAGEMENTS TO THE COMMUNITY RELATIVE TO IMPORTANT TOPICS WITHIN THE PEDIATRIC SPECIALTY AREA. UNTIL THIS SPECIALTY WAS FORMED AT MMG, BOTH KIMBALL AND COMMUNITY MEDICAL CENTERS HAD VOIDS IN THE PEDIATRIC SPECIALIST AREA. THE ENDOCRINOLOGY PHYSICIANS ARE ALSO VERY INVOLVED IN THE WOMEN'S AND CHILDREN'S SPECIALTY CENTER IN LAKEWOOD, NEW JERSEY. MOREOVER, ONE OF THE PHYSICIANS WITHIN THIS SPECIALTY AT MMG HAS BEEN INSTRUMENTAL IN DEVELOPING A WIDELY RECOGNIZED CYSTIC FIBROSIS PROGRAM WHICH RECEIVES STATE OF NEW JERSEY GRANT SUPPORT. MONMOUTH MEDICAL CENTER ("MMC") =============================== MMC IS A 513-BED NON-PROFIT, REGIONAL TERTIARY CARE TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY. THE INSTITUTION PROVIDES A FULL SPECTRUM OF SERVICES, RANGING FROM HIGH-RISK NEONATOLOGY TO GERIATRIC CARE. ADMISSIONS TOTAL OVER 22,000 ANNUALLY, WITH OVER 4,000 BIRTHS, AND APPROXIMATELY 50,000 EMERGENCY VISITS A YEAR. MMC SERVES A DIVERSE COMMUNTY WITH OVER 22% OF ITS PATIENTS COMPRISED OF MINORITY GROUPS AND 28% OF PATIENTS IN UNDERINSURED AND UNINSURED PAYER GROUPS. IT HAS A JCAHO CERTIFIED CHEST PAIN CENTER AND IS STATE DESIGNATED AS A PRIMARY STROKE CENTER. ANNUAL OUTPATIENT VISITS ARE MORE THAN 187,000. MMC IS ONE OF NEW JERSEY'S LARGEST COMMUNITY TEACHING HOSPITALS, WHERE PHYSICIANS WORK AS A TEAM DEDICATED TO ACADEMIC EXCELLENCE, CLINICAL COMPETENCE, AND COMPREHENSIVE AND COMPASSIONATE PATIENT CARE. FOR MORE THAN 100 YEARS, MMC HAS BEEN THE LEADER IN CENTRAL NEW JERSEY IN PROVIDING THE BEST IN HEALTHCARE AND THE LATEST IN MEDICAL TECHNOLOGY TO THE NEARLY 1 MILLION RESIDENTS THAT COMPRISE ITS PRIMARY SERVICE AREA OF MONMOUTH COUNTY, AND PORTIONS OF OCEAN AND MIDDLESEX COUNTIES. THE CHILDREN'S HOSPITAL AT MONMOUTH MEDICAL CENTER IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS (NACHRI) AND OFFERS MORE THAN 140 PEDIATRIC SPECIALISTS WHO CONCENTRATE IN 26 SPECIALTIES. THE ORGANIZATION PROVIDES SPECIALIZED PEDIATRIC CARE, OFFERING A 29-BASSINET REGIONAL NEWBORN CENTER, A 15-BED LEVEL III NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY PROGRAM IN CHILDREN'S CRISIS INTERVENTION SERVICES AND SUBSPECIALTY PEDIATRIC CARE IN AREAS SUCH AS CARDIOLOGY, GASTROENTEROLOGY, SURGERY AND ORTHOPEDICS. THE PRESTIGIOUS AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR A QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM WAS RECENTLY AWARDED TO THE PEDIATRIC ENDOCRINOLOGY PROGRAM OF THE CHILDREN'S HOSPITAL AT MONMOUTH MEDICAL CENTER AS WELL AS THE CENTER FOR DIABETES EDUCATION AT MONMOUTH MEDICAL CENTER - AN HONOR ORIGINALLY BESTOWED ON THE MEDICAL CENTER IN 2007. WITH THIS RECOGNITION, THE CENTER WAS RE-CERTIFIED BY THE ADA AS OFFERING HIGH QUALITY DIABETES SELF-MANAGEMENT EDUCATION THAT IS AN ESSENTIAL COMPONENT OF EFFECTIVE DIABETES TREATMENT.
COMMUNITY BENEFIT STATEMENT CONTINUEDCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSMMC HAS THE LARGEST PSYCHIATRIC PROGRAM IN MONMOUTH COUNTY, WITH A TOTAL OF 44 BEDS IN VOLUNTARY AND INVOLUNTARY ADULT INPATIENT UNITS AND 19 BEDS IN ITS INPATIENT CHILDREN'S CRISIS INTERVENTION SERVICE, WHERE CHILDREN AND ADOLESCENTS WITH ACUTE EMOTIONAL, BEHAVIORAL OR PSYCHIATRIC PROBLEMS ARE TREATED. IN ADDITION, ITS NEWLY RENOVATED PSYCHIATRIC EMERGENCY SCREENING SERVICE IS THE DESIGNATED SUCH SERVICE FOR MONMOUTH COUNTY. MONMOUTH IS DREXEL UNIVERSITY'S LARGEST MAJOR ACADEMIC MEDICAL AFFILIATE IN NEW JERSEY AND IS THE ONLY AREA ACADEMIC MEDICAL CENTER TO ACHIEVE REGIONAL MEDICAL CAMPUS STATUS. IT IS RECOGNIZED AS A DISTINGUISHED ACADEMIC MEDICAL CENTER AMONG AN ELITE GROUP OF THE NATION'S NINE LEADING TEACHING HOSPITALS, BY PRESS GANEY. ADDITIONALLY, MONMOUTH MEDICAL CENTER HAS EARNED THE COVETED SOLUCIENT 100 TOP HOSPITALS - PERFORMANCE IMPROVEMENT LEADERS AWARD, RECOGNIZING MONMOUTH MEDICAL CENTER FOR ITS CLINICAL OUTCOMES AND PATIENT SAFETY AMONG 100 TOP HOSPITALS IN THE NATION. MMC'S SOLE CORPORATE MEMBER IS SAINT BARNABAS CORPORATION ("SBC"). SBC IS THE TAX-EXEMPT PARENT OF THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"). THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTH CARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SBC OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY SBC. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY THAT PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. SYSTEM IS CURRENTLY ONE OF THE LARGEST MULTI-HOSPITAL SYSTEMS IN NEW JERSEY. SYSTEM CONSISTS OF FREE-STANDING HOSPITALS, A FREE-STANDING PSYCHIATRIC HOSPITAL, LONG-TERM CARE AND ASSISTED LIVING FACILITIES, MEDICARE-CERTIFIED HOME HEALTHCARE AND HOSPICE PROGRAMS, MULTI-SPECIALTY AMBULATORY CARE FACILITIES, OUTPATIENT BEHAVIORAL HEALTH CENTERS, AND OTHER ENTITIES. SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, SYSTEM PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SBC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. - MONMOUTH MEDICAL CENTER'S RELATIONSHIP WITH ASSOCIATION OF AMERICAN MEDICAL COLLEGES AS OUTLINED ABOVE, MMC IS A MEMBER OF SBHCS. SBHCS IS A MEMBER OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES ("AAMC"). AAMC IS A NON-PROFIT ASSOCIATION OF MEDICAL SCHOOLS, TEACHING HOSPITALS, AND ACADEMIC SOCIETIES. THE AAMC SEEKS TO IMPROVE THE NATION'S HEALTH BY ENHANCING THE EFFECTIVENESS OF ACADEMIC MEDICINE. THE AAMC ASSISTS ACADEMIC MEDICINE'S INSTITUTIONS, ORGANIZATIONS, AND INDIVIDUALS IN THREE MAIN MISSION AREAS: 1. MEDICAL EDUCATION - EDUCATING THE PHYSICIAN AND MEDICAL SCIENTIST WORKFORCE. 2. MEDICAL RESEARCH - DISCOVERING NEW MEDICAL KNOWLEDGE AND DEVELOPING INNOVATIVE TECHNOLOGIES FOR THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE. 3. PATIENT CARE - PROVIDING HEALTH CARE SERVICES IN ACADEMIC SETTINGS. - MONMOUTH MEDICAL CENTER'S RELATIONSHIP WITH DREXEL UNIVERSITY COLLEGE OF MEDICINE MMC IS AFFILIATED WITH THE DREXEL UNIVERSITY COLLEGE OF MEDICINE ("DREXEL"). DREXEL, A NEW NAME JUST A FEW YEARS AGO, IS THE CONSOLIDATION OF TWO VENERABLE MEDICAL SCHOOLS WITH RICH AND INTERTWINED HISTORIES: HAHNEMANN MEDICAL COLLEGE AND WOMAN'S MEDICAL COLLEGE OF PENNSYLVANIA. ESTABLISHED IN 1848 AND 1850, RESPECTIVELY, THEY WERE TWO OF THE EARLIEST MEDICAL COLLEGES IN THE UNITED STATES, AND WOMAN'S WAS THE VERY FIRST MEDICAL SCHOOL FOR WOMEN IN THE NATION. TODAY, WITH OVER 1,000 MEDICAL STUDENTS, DREXEL IS THE LARGEST PRIVATE MEDICAL SCHOOL IN THE COUNTRY. BIOMEDICAL GRADUATE STUDENTS NUMBER MORE THAN 500. THERE ARE SOME 550 RESIDENTS, 600 CLINICAL AND BASIC SCIENCE FACULTY, AND OVER 1,700 AFFILIATE AND VOLUNTEER FACULTY. DREXEL'S CLINICAL PRACTICE, DREXEL UNIVERSITY PHYSICIANS, IS A PATIENT-FOCUSED PRACTICE EMPHASIZING QUALITY, INNOVATION AND COMMUNITY SERVICE, AND ENHANCED BY PHYSICIAN INVOLVEMENT IN THE RESEARCH AND EDUCATIONAL PROGRAMS. DREXEL HAS PARTICIPATED IN PIONEERING CLINICAL TRIALS INVOLVING THE WORLD'S FIRST IMPLANTABLE ARTIFICIAL HEART, ESTABLISHED A MAJOR REGIONAL CENTER FOR SPINAL CORD RESEARCH, AND FOUNDED ONE OF THE LEADING CENTERS FOR MALARIA STUDY IN THE NATION. COLLABORATIVE PROJECTS LEVERAGING DREXEL'S TECHNOLOGICAL EXPERTISE PUSH THE FRONTIERS OF NANOMEDICINE AND NEUROENGINEERING. DREXEL HOUSES ONE OF JUST 21 NATIONAL CENTERS OF EXCELLENCE IN WOMEN'S HEALTH DESIGNATED BY THE DEPARTMENT OF HEALTH & HUMAN SERVICES. IT HAS DEVELOPED THE LARGEST HIV/AIDS PRIMARY CARE PRACTICE IN THE MID-ATLANTIC REGION. FACULTY CLINICIANS ARE HIGHLY RESPECTED IN NUMEROUS OTHER SPECIALTIES, INCLUDING PAIN MANAGEMENT, SPORTS MEDICINE AND TOXICOLOGY. MONMOUTH MEDICAL SCHOOL SCHOLARS -------------------------------- THE MMC SCHOLARS PROGRAM IS AN EIGHT-YEAR UNDERGRADUATE/MEDICAL SCHOOL PROGRAM DIRECTED TOWARD THE PREPARATION OF PHYSICIANS FOR THE 21ST CENTURY. THE PROGRAM IS FOR STUDENTS WHO HAVE EXCELLED ACADEMICALLY AND WHO WISH TO ENTER THE MEDICAL DISCIPLINES OF FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, OR GENERAL PEDIATRICS. THE MMC SCHOLARS PROGRAM IS A COOPERATIVE INTEGRATED PROGRAM DEVELOPED BY MONMOUTH UNIVERSITY, MONMOUTH MEDICAL CENTER, AND DREXEL IN PHILADELPHIA, PENNSYLVANIA. THE PROGRAM STRUCTURE IS AS FOLLOWS: STUDENTS COMPLETE A FOUR-YEAR UNDERGRADUATE DEGREE AT MONMOUTH UNIVERSITY. WHILE PURSUING THIS DEGREE, STUDENTS INTERACT EXTENSIVELY WITH THE FACULTY MEMBERS WHO MAKE UP MONMOUTH'S PRE-PROFESSIONAL ADVISORY COMMITTEE. THIS INTERACTION IS INTENDED TO PREPARE STUDENTS FOR MEDICAL SCHOOL ENROLLMENT. WHILE AT MONMOUTH UNIVERSITY, UNDERGRADUATE STUDENTS COMPLETE A PRECEPTORSHIP AT MMC, A TEACHING HOSPITAL LOCATED TWO MILES FROM THE UNIVERSITY'S CAMPUS. THE PRECEPTORSHIP OCCURS DURING THE STUDENTS' SENIOR YEAR. UPON GRADUATION FROM MONMOUTH UNIVERSITY, STUDENTS CONTINUE THEIR STUDIES AT DREXEL. THE FIRST TWO YEARS OF STUDY ARE DEVOTED TO FOUNDATION COURSES IN MEDICINE. THE FINAL TWO YEARS OF MEDICAL SCHOOL INVOLVE CLINICAL CLERKSHIPS AT DREXEL CLINICAL CAMPUSES IN PHILADELPHIA AND NEW JERSEY. THE FIRST CLERKSHIP IS AT MMC. IN SUMMARY, MMG IS AN INTEGRAL PART OF MMC AND OF SBHCS' INTEGRATED HEALTH CARE DELIVERY SYSTEM. IT PROVIDES AN ESSENTIAL SERVICE TO MMC BY EXTENDING THE REACH OF MMC, AND ULTIMATELY SBHCS', INTEGRATED HEALTH CARE DELIVERY SYSTEM FURTHER INTO THE NEW JERSEY COMMUNITY. MOREOVER, THE CONTROLS AND RESTRICTIONS DISCUSSED ABOVE ENSURE THAT MMG IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES IN SUPPORT OF MMC AND SBHCS.
OTHER PROGRAM SERVICESCORE FORM, PART III; LINE 4DEXPENSES INCURRED IN PROVIDING VARIOUS OTHER 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. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7MONMOUTH MEDICAL CENTER ("MMC") IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITIONS. SAINT BARNABAS CORPORATION ("SBC") IS THE SOLE MEMBER OF MMC.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11ATHE ORGANIZATION IS AN AFFILIATE IN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT BARNABAS CORPORATION IS THE PARENT ENTITY OF THE SYSTEM. THE SAINT BARNABAS CORPORATION 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 SAINT BARNABAS CORPORATION. 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 OF THE TAX RETURN 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 THE SAINT BARNABAS HEALTH CARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT BARNABAS CORPORATION ("SBC") IS THE PARENT ENTITY OF THE SAINT BARNABAS HEALTH CARE SYSTEM. CERTAIN OFFICERS AND EMPLOYEES OF OTHER SAINT BARNABAS HEALTH CARE SYSTEM ENTITIES MAY BE OFFICERS, TRUSTEES OR KEY INDIVIDUALS OF THIS ORGANIZATION. SBC'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 SBC'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER AND EXECUTIVE VP OPERATIONS. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF THE SAINT BARNABAS HEALTH CARE SYSTEM; INCLUDING, WITHOUT LIMITATION, THE EXECUTIVE DIRECTORS OF THE SAINT BARNABAS HEALTH CARE SYSTEM'S HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION 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, INCLUDING THE CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER AND EXECUTIVE VP OPERATIONS. 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 SIMILARLY SIZED HEALTHCARE SYSTEMS AND 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 APPLIES TO CERTAIN SBC SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER, EXECUTIVE VP OPERATIONS AND THE EXECUTIVE DIRECTORS OF THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE SAINT BARNABAS HEALTH CARE SYSTEM'S 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.
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 SECRETARY OF STATE.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECTS A BOARD MEMBER/OFFICER RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS A FULL-TIME EMPLOYEE OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
OTHER CHANGES IN FUND BALANCECORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION CHARGES OTHER THAN NET PERIODIC BENEFIT COST - ($970,294)
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS SAINT BARNABAS CORPORATION. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT BARNABAS CORPORATION AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; 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 SAINT BARNABAS CORPORATION 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.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ERIC N BURKETT MD TITLE:TRUSTEE - PRESIDENT HOURS:45
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:IVETTE D YATCILLA TITLE:CFO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARGO A PETERS TITLE:DIRECTOR OPERATIONS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID WALLACE MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CARL A NATH MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID GONZALEZ MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NISHA MALIK MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JONATHAN TEITELBAUM MD TITLE:PHYSICIAN HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (40 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CENTER STATE HEALTH GROUP INC
2 CRESCENT PLACEOCEANPORTNJ07757222939956HEALTH SVCS.NJ501(C)(3)509(a)(3)SBC
CENTER STATE PROPERTIES CORPORATION
99 HIGHWAY 37 WESTTOMS RIVERNJ08755521571939TITLE HLDNG.NJ501(C)(2)N/ACSHG
CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC
1691 ROUTE 9TOMS RIVERNJ08754223343959HEALTH SVCS.NJ501(C)(3)509(a)(3)SBBH
CLARA MAASS FOUNDATION
ONE CLARA MAASS DRIVEBELLEVILLENJ07109222132516FUNDRAISINGNJ501(C)(3)509(a)(1)SBC
CLARA MAASS HEALTH SYSTEM INC
ONE CLARA MAASS DRIVEBELLEVILLENJ07109222802778HEALTH SVCS.NJ501(C)(3)509(a)(3)SBC
CLARA MAASS MEDICAL CENTER
ONE CLARA MAASS DRIVEBELLEVILLENJ07109221500556HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
CLARA MAASS PROPERTIES INC
ONE CLARA MAASS DRIVEBELLEVILLENJ07109521855420INACTIVENJ501(C)(2)N/ASBC
COMMUNITY MEDICAL CENTER
99 HIGHWAY 37 WESTTOMS RIVERNJ08755223452306HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
COMMUNITY MEDICAL CENTER FOUNDATION
99 HIGHWAY 37 WESTTOMS RIVERNJ08755222597592FUNDRAISINGNJ501(C)(3)509(a)(1)SBC
COUNTRY MANOR AT DOVER
16 WHITESVILLE ROADTOMS RIVERNJ08753222462909INACTIVENJ501(C)(3)509(A)(2)CSHG
EMTAC INC
2 CRESCENT PLACEOCEANPORTNJ07757222549945INACTIVENJ501(C)(3)509(a)(2)SBC
IRVINGTON GENERAL HOSPITAL
832 CHANCELLOR AVENUEIRVINGTONNJ07111223452411HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
IRVINGTON HOSPITAL FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052237025428FUNDRAISINGNJ501(C)(3)509(a)(3)SBC
KENSINGTON MANOR CARE CENTER
16 WHITESVILLE ROADTOMS RIVERNJ08753521571883NURSING LTCNJ501(C)(3)509(a)(2)CSHG
KIMBALL MEDICAL CENTER
600 RIVER AVENUELAKEWOODNJ08701223452413HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
KIMBALL MEDICAL CENTER FOUNDATION
600 RIVER AVE ANNEX BLDG ELAKEWOODNJ08701222630076FUNDRAISINGNJ501(C)(3)509(a)(1)SBC
MEDICAL CENTER STAFFING SERVICES INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080352219655STAFFING SVCSNJ501(C)(3)509(a)(3)CSHG
MEGA CARE INC
1020 GALLOPING HILL ROADUNIONNJ07083222578561HEALTH SVCS.NJ501(C)(3)509(a)(3)CSHG
MMC AMBULATORY SURGERY CENTER INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07052753166377INACTIVENJ501(C)(3)N/AMMC
MONMOUTH MEDICAL CENTER
300 SECOND AVENUELONG BRANCHNJ07740223452412HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
MONMOUTH MEDICAL CENTER - FACULTY PRACT
100 STATE HIGHWAY 36WEST LONG BRANCHNJ07764223357053HEALTH SVCS.NJ501(C)(3)509(a)(3)MMC
MONMOUTH MEDICAL CENTER FOUNDATION
300 SECOND AVENUELONG BRANCHNJ07740222456079FUNDRAISINGNJ501(C)(3)509(a)(1)SBC
NBI HEALTH PARTNERS PA
201 LYONS AVENUENEWARKNJ07112271694034INACTIVENJ501(C)(3)N/ANBI
NEWARK BETH ISRAEL MEDICAL CENTER
201 LYONS AVENUENEWARKNJ07112223452311HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
SAINT BARNABAS ASSIST LIVING AT LAKEWOOD
77 WILLIAMS STREETLAKEWOODNJ08701223451655NURSING LTCNJ501(C)(3)509(a)(2)CSHG
SAINT BARNABAS BEHAVIORAL HEALTH CENTER
1691 ROUTE 9TOMS RIVERNJ08754222977312HEALTH SVCS.NJ501(C)(3)HOSPITALCSHG
SAINT BARNABAS CORPORATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222405279HEALTH SVCS.NJ501(C)(3)509(a)(3)NA
SAINT BARNABAS DEVELOPMENT FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222378422FUNDRAISINGNJ501(C)(3)509(a)(2)SBHCSRI
SAINT BARNABAS HEALTH CARE SYSTEM FDN
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223769036FUNDRAISINGNJ501(C)(3)509(a)(1)SBC
SAINT BARNABAS HOSPICE AND PALLIATIVE
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222354659HEALTH SVCS.NJ501(C)(3)509(a)(1)SBC
SAINT BARNABAS MEDICAL CENTER
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039221494440HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
SAINT BARNABAS MEDICAL CNTR RESEARCH FDN
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039227146916RESEARCHNJ501(C)(3)170, BOX 4SBHCSRI
SAINT BARNABAS OUTPATIENT CENTERS
200 SOUTH ORANGE AVENUELIVINGSTONNJ07039222458479HEALTH SVCS.NJ501(C)(3)509(A)(2)SBC
SAINT BARNABAS PALLIATIVE CARE PHYS PA
95 OLD SHORT HILLS ROADWEST ORANGENJ07052262532578HEALTH SVCS.NJ501(C)(3)509(A)(2)HOSPICE
SAINT BARNABAS PHYSICIAN ASSOCIATES PA
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039271259104HEALTH SVCS.NJ501(C)(3)509(A)(2)SBMC
SAINT BARNABAS REALTY DEVELOPMENT CORP
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039222940008TITLE HLDNG.NJ501(C)(3)509(a)(3)SBHCSRI
SBHCS RESEARCH INSTITUTE INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039222458481HEALTH SVCS.NJ501(C)(3)509(a)(3)SBC
THE NEWARK BETH ISRAEL MEDICAL CNTR FDN
201 LYONS AVENUENEWARKNJ07112222587176FUNDRAISINGNJ501(C)(3)509(a)(1)SBC
UNION HOSPITAL
1000 GALLOPING HILL ROADUNIONNJ07083221413947HEALTH SVCS.NJ501(C)(3)HOSPITALSBC
UNION HOSPITAL FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222470286FUNDRAISINGNJ501(C)(3)509(a)(2)SBC

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 PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
INNOVATIVE PURCHASING CONCEPTS
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223786557PURCHASINGNJSBCfalse$0false0.00000
KIM-MED ASSOCIATES
300 SECOND AVENUELONG BRANCHNJ07740222775619REAL ESTATENJKHCAfalse$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress 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.
LIVINGSTON SERVICES CORP
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222465402HEALTHCARE SVCS.NJNAC CORP.
ACC PHARMACY INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223555334PHARMACY SVCS.NJNAC CORP.
LIVINGSTON INFUSION CARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223190756HEALTHCARE SVCS.NJNAC CORP.
MAJOR SECURITY SERVICES INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223040539SECURITY SVCS.NJNAC CORP.
MEDICAL CTR HEALTH CARE SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223011742HEALTHCARE SVCS.NJNAC CORP.
CENTER STATE HEALTH SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222592293HEALTHCARE SVCS.NJNAC CORP.
CENTER STATE MANAGEMENT CORP
300 SECOND AVENUELONG BRANCHNJ07740222506125MGMT SVCS.NJNAC CORP.
CENTER STATE COLLECTION SVCS
2 CRESCENT PLACEOCEANPORTNJ07757222629075COLLECTION SVCS.NJNAC CORP.
COMMUNITY KARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222993840HEALTHCARE SVCS.NJNAC CORP.
KIMBALL HLTH CARE AFFILIATES
300 SECOND AVENUELONG BRANCHNJ07740222701213INVESTMENTNJNAC CORP.
HEALTH CARE FACILITIES MGT
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223532988MAINT. SVCS.NJNAC CORP.
PREMIUM HEALTH SYSTEMS INC
ONE FRANKLIN AVENUEBELLEVILLENJ07109222779395HEALTHCARE SVCS.NJNAC CORP.
SBC MANAGEMENT CORPORATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223414332MGMT SVCS.NJNAC CORP.
PROFESSIONAL QUALITY LIAB
100 BANK STREETBURLINGTONVT05401205163819INSURANCE SVCS.VTNAC CORP.
HEALTHCARE SYSTEMS MGT INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080542104844INACTIVENJNAC CORP.
NJ HEALTH CARE SYSTEM INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039223536986INACTIVENJNAC CORP.
CPIC
FINANCIAL VEHICLENAFOREIGN CORP.44 CHURCH STREETHAMILTONBERMUDABDHM11BD
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
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 EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg