Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
THE COMMUNITY HOSPITAL GROUP INC
 
Doing Business As
JFK MEDICAL CENTER
 
Number and street (or P.O. box if mail is not delivered to street address)
98 JAMES STREET
 
Room/suite
City or town, state or country, and ZIP + 4
EDISON, NJ08820
D Employer identification number

22-6019101
E Telephone number

G Gross receipts $ 428,349,346
F Name and address of principal officer:
RAYMOND F FREDERICKS
80 JAMES STREET
EDISON,NJ08820
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
SOLARISHS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1962
M State of legal domicile: NJ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 19
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 4,429
6 Total number of volunteers (estimate if necessary) .... 6 450
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 747,906
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -90,523
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,342,172 1,421,505
9 Program service revenue (Part VIII, line 2g) ......... 410,277,760 414,461,584
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,116,557 954,050
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 11,565,563 11,041,616
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 424,302,052 427,878,755
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 240,611,770 243,128,806
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 180,485,454 186,888,560
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 421,097,224 430,017,366
19 Revenue less expenses. Subtract line 18 from line 12...... 3,204,828 -2,138,611
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 238,836,869 243,935,184
21 Total liabilities (Part X, line 26)............ 254,656,328 276,711,712
22 Net assets or fund balances. Subtract line 21 from line 20 ..... -15,819,459 -32,776,528
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: WE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 54,228,564 including grants of $   ) (Revenue $ 60,280,085 )
JFK JOHNSON REHABILITATION INSTITUTE
4b (Code:   ) (Expenses $ 106,683,161 including grants of $   ) (Revenue $ 118,083,899 )
INPATIENT SERVICE
4c (Code:   ) (Expenses $ 98,179,342 including grants of $   ) (Revenue $ 107,862,594 )
OPERATING ROOM AND SAME DAY SURGERIES
(Code:   ) (Expenses $ 137,304,258 including grants of $   ) (Revenue $ 127,171,657 )
OTHER PROGRAM SERVICE EXPENSES
4d Other program services. (Describe in Schedule O.)
(Expenses $ 137,304,258 including grants of $   ) (Revenue $ 127,171,657 )
4e Total program service expensesMediumBullet$ 396,395,325
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
Yes
 
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
318
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
4,429
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
21
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
RICHARD C SMITH
80 JAMES STREET
EDISON,NJ08820
(732) 321-7747
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) PRAFUL RAJA
CHAIRMAN
 0.00 X           0 0 0
(2) MICHAEL A KLEIMAN DMD
VICE CHAIRMAN
 0.00 X           0 0 0
(3) JAY M JENEY
SECRETARY & TREASURER
 0.00 X           0 0 0
(4) DAVID A BELOWICH
BOARD MEMBER
 0.00 X           0 0 0
(5) MORRIS BROWN ESQ
BOARD MEMBER
 0.00 X           0 0 0
(6) SIMPSON YT CHOI
BOARD MEMBER
 0.00 X           0 0 0
(7) DONALD GRIFFIN
BOARD MEMBER
 0.00 X           0 0 0
(8) JOHN O GRUN
BOARD MEMBER
 0.00 X           0 0 0
(9) DONALD KLINE MD
BOARD MEMBER
 1.00 X           4,875 0 0
(10) WILLIAM J LOVETT
BOARD MEMBER
 0.00 X           0 0 0
(11) JOHN G MCDONOUGH DMD
BOARD MEMBER
 0.00 X           0 0 0
(12) VAL MESZAROS
BOARD MEMBER
 0.00 X           0 0 0
(13) PARAG P PATEL ESQ
BOARD MEMBER
 0.00 X           0 0 0
(14) ELAINE SANTOWASSO
BOARD MEMBER
 0.00 X           0 0 0
(15) LEONARD SENDELSKY
BOARD MEMBER
 0.00 X           0 0 0
(16) JOHN P MCGEE
PRESIDENT AND CEO
 40.00 X   X       673,885 0 41,418
(17) SCOTT GEBHARD
EXECUTIVE VP & COO
 40.00 X   X       485,738 0 45,563
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) BARBARA BRAYNOCK
EX-OFFICIO
 0.00 X           0 0 0
(19) BHUDEV SHARMA
EX-OFFICIO
 0.00 X           0 0 0
(20) FRANKLIN SPIRN MD
EX-OFFICIO
 .50 X           1,037 0 0
(21) JUDITH SPIEGEL
EX-OFFICIO
 0.00 X           0 0 0
(22) SEAN PATRICK MURPHY ESQ
SVP LEGAL & ASST SECT
 40.00     X       333,737 0 34,911
(23) RICHARD C SMITH
SENIOR VP & CFO
 40.00     X       332,684 0 34,368
(24) RAYMOND FREDERICKS
EXECUTIVE VP & COO
 40.00     X       461,043 0 42,481
(25) LOUIS HERMANS
VP & CIO
 40.00       X     273,467 0 31,716
(26) AMIE THORNTON
VP
 40.00       X     261,928 0 8,932
(27) ANN LOGAN
SENIOR VP NURSING AND CN
 40.00       X     246,937 0 26,507
(28) WILLIAM OSER
SENIOR VP MEDICAL AFFAIR
 40.00       X     414,065 0 36,261
(29) THOMAS STRAX MD
MEDICAL DIRECTOR EXECUTIVE
 40.00       X     421,282 0 51,055
(30) GREGORY PRZYBYLSKI MD
MEDICAL DIRECTOR NEUROSURG
 40.00         X   717,556 0 26,837
(31) SIMON SALERNO MD
HIGHEST COMPENSATED EMPLOY
 40.00         X   624,681 0 20,588
(32) STEPHEN BLOOMFIELD MD
HIGHEST COMPENSATED EMPLOY
 40.00         X   545,644 0 21,126
(33) THOMAS STEINEKE MD
HIGHEST COMPENSATED EMPLOY
 40.00         X   685,705 0 19,659
(34) WILLIAM MAGGIO MD
HIGHEST COMPENSATED EMPLOY
 40.00         X   539,338 0 2,290
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,023,602 0 443,712
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet315
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MCKESSON TECHNOLOGIES INC
PO BOX 98347
CHICAGO,IL60693 		SOFTWARE SERVICES 4,648,771
GE HEALTHCARE
PO BOX 96483
CHICAGO,IL60693 		EQUIPMENT MAINTENANCE CONTRACTS 4,597,915
TRI COUNTY HEART NEW JERSEY LLC
10720 SIKES PLACE STE 300
CHARLOTTE,NC28277 		CATH LAB MANAGEMENT 3,379,970
DAVITA
PO BOX 403008
ATLANTA,GA30384 		HEMODIALYSIS SERVICES 1,855,552
DELPHI HEALTHCARE PARTNERS INC
170 SOUTHPORT DRIVE
MORRISVILLE,NC27560 		PHYSICIAN SERVICES 1,463,100
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet96
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 353,821
e Government grants (contributions)1e 1,067,684
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 1,421,505
Program Service Revenue Business Code
2a PATIENT SERVICE REVENU 900,099 413,398,234 413,398,234    
b JRI GRANT INCOME 900,099 741,997 741,997    
c MEDICAL RECORDS 900,099 139,338 139,338    
d NEURO DRUG STUDY 900,009 92,669 92,669    
e LAMAZE 900,099 45,373 45,373    
f All other program service revenue . 43,973 43,973    
g Total. Add lines 2a–2f........MediumBullet 414,461,584
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 944,575     944,575
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 305,700  
b Less: rental expenses    
c Rental income or (loss) 305,700  
d Net rental income or (loss).......MediumBullet 305,700     305,700
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 480,066  
b Less: cost or other basis and sales expenses 470,591  
c Gain or (loss) 9,475  
d Net gain or (loss)..........MediumBullet 9,475     9,475
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a SCHOOL OF NURSING 900,099 4,565,516 4,565,516    
b CHILDCARE 900,099 1,635,452 950,585 684,867  
c SCHOOL OF RADIOGRAPHY 900,099 1,205,955 1,205,955    
d All other revenue .... 3,328,993 3,265,954 63,039  
e Total. Add lines 11a–11d ......MediumBullet 10,735,916
12 Total revenue. See Instructions....MediumBullet 427,878,755 425,251,025 747,906 1,259,750
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,257,977 3,832,179 425,798  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 197,452,766 177,707,490 19,745,276  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 2,743,506 2,469,155 274,351  
9 Other employee benefits ....... 21,701,738 19,531,564 2,170,174  
10 Payroll taxes ........... 16,972,819 15,275,537 1,697,282  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 532,511 479,260 53,251  
c Accounting ........... 166,106 149,495 16,611  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other ..........        
12 Advertising and promotion .... 1,038,349 934,514 103,835  
13 Office expenses ....... 2,468,551 2,221,696 246,855  
14 Information technology ...... 11,280,866 10,152,779 1,128,087  
15 Royalties ..        
16 Occupancy ........... 3,673,459 3,306,113 367,346  
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 364,334 327,901 36,433  
20 Interest ........... 6,161,731 5,545,558 616,173  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 12,743,016 11,468,714 1,274,302  
23 Insurance .............. 4,586,589 4,127,930 458,659  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL SUPPLIES 59,683,947 59,683,947    
b BAD DEBT 27,093,267 27,093,267    
c PURCHASE SERVICES 21,232,103 19,108,896 2,123,207  
d EQUIPMENT RENTAL & MAIN 9,894,727 8,905,254 989,473  
e OTHER 8,805,617 7,925,053 880,564  
f All other expenses 17,163,387 16,149,023 1,014,364  
25 Total functional expenses. Add lines 1 through 24f 430,017,366 396,395,325 33,622,041 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 23,483,926 1 26,767,071
2 Savings and temporary cash investments .......   2  
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 50,550,611 4 52,395,715
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 6,958,177 8 6,086,762
9 Prepaid expenses and deferred charges ............ 5,790,768 9 6,122,442
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 341,154,304
b Less: accumulated depreciation. ..... 10b 238,471,447 100,338,361 10c 102,682,857
11 Investments—publicly traded securities .......... 15,868,952 11 16,175,528
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 35,846,074 15 33,704,809
16 Total assets. Add lines 1 through 15 (must equal line 34)... 238,836,869 16 243,935,184
Liabilities 17 Accounts payable and accrued expenses . 52,982,407 17 57,431,153
18 Grants payable ..........   18  
19 Deferred revenue .......... 2,342,912 19 2,069,872
20 Tax-exempt bond liabilities .......... 119,636,336 20 119,636,336
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 79,694,673 25 97,574,351
26 Total liabilities. Add lines 17 through 25..... 254,656,328 26 276,711,712
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -21,328,961 27 -38,806,718
28 Temporarily restricted net assets ..... 5,509,502 28 6,030,190
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... -15,819,459 33 -32,776,528
34 Total liabilities and net assets/fund balances ..... 238,836,869 34 243,935,184
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
427,878,755
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
430,017,366
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-2,138,611
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
-15,819,459
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-14,818,458
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
-32,776,528
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
THE COMMUNITY HOSPITAL GROUP INC
  		Employer identification number

22-6019101
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
THE COMMUNITY HOSPITAL GROUP INC
  		Employer identification number

22-6019101
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
THE COMMUNITY HOSPITAL GROUP INC
  		Employer identification number

22-6019101
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
159,619
j
Total. lines 1c through 1i ...................................
159,619
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: RETAINER WITH WASHINGTON STRATEGIC CONSULTING AND IMPACT NJ, LLC, TRAVEL & CONVENTIONS, MEALS & SPECIAL FUNCTIONS AND PAID STAFF OR MANAGEMENT. ALSO, THE HOSPITAL IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $31,472.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a 1
b Total acreage restricted by conservation easements .................. 2b 3.00
c Number of conservation easements on a certified historic structure included in (a) ..... 2c 0
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d 0
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet1
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   8,309,784 8,309,784
b Buildings ................   146,682,027 88,114,266 58,567,761
c Leasehold improvements ............   646,022 122,757 523,265
d Equipment ................   180,062,862 150,234,424 29,828,438
e Other .................   5,453,609   5,453,609
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 102,682,857
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) OTHER ASSETS 19,596,767
(2) BENEFICIAL INTEREST IN NET ASSETS OF JFK FOUNDATION 6,030,190
(3) DUE FROM HARTWYCK AT OAK TREE, INC. 3,059,343
(4) DUE FROM JFK HEALTHSHARE, INC. 170,286
(5) DUE FROM JFK MEDICAL CENTER FOUNDATION, INC. 402,221
(6) DUE FROM ATLANTIC INSURANCE EXCHANGE, LTD 645,753
(7) DUE FROM LIFESTYLE INSTITUTE, INC. 36,669
(8) DUE FROM MUHLENBERG FOUNDATION, INC. 60,825
(9) NOTE RECEIVABLE FROM JFK HEALTHSHARE, INC. 93,000
(10) DEFERRED FINANCING COSTS 3,609,755
Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 33,704,809
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
AMOUNTS DUE 3RD PARTY PAYORS 10,464,833
ACCRUED PENSION LIABILITY 69,057,945
ACCRUED POST RETIREMENT BENEFITS 12,628,412
DUE TO HARTWYCK WEST NURSING HOME, INC. 138,065
CAPITAL LEASE OBLIGATIONS 4,131,589
CURRENT PORTION OF CAPITAL LEASE OBLIGATION 1,153,507



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 97,574,351
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 427,878,755
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 430,017,366
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -2,138,611
4 Net unrealized gains (losses) on investments .......................... 4 75,111
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -14,893,569
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -14,818,458
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -16,957,069
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 427,132,052
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 427,132,052
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 746,703
c Add lines 4a and 4b....................... 4c 746,703
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 427,878,755
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 430,017,366
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 430,017,366
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 430,017,366
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
EXPLANATION OF EASEMENTS ENFORCEMENT POLICIES: PART II, LINE 5: JFK MEDICAL CENTER CREATED THE CONSERVATION EASEMENT. THE LAND WAS NOT CONTRIBUTED TO JFK MEDICAL CENTER.
DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS: PART II, LINE 9: JFK MEDICAL CENTER REPORTS CONSERVATION EASEMENTS WITHIN PROPERTY PLANT AND EQUIPMENT ON THE BALANCE SHEET.
    PART II, LINE 8 - THE EASEMENT IS UNDEVELOPABLE RAW LAND. PART XI, LINE 8 - OTHER ADJUSTMENTS: PENSION/POST RETIREMENT LIABILITY ADJUSTMENT: -16,414,404 TRANSFER FROM LIFESTYLE, INC.: 115,000 TRANSFER FROM SOLARIS: 70,000 CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF JFK FOUNDATION: 520,688 PROVISION FOR DOUBTFUL COLLECTIONS: 815,147 TOTAL PART XI, LINE 8: -14,893,569 PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME: 543,383 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURCHASES: 203,320 TOTAL PART XII, LINE 4B: 746,703
    PART X, QUESTION 2: JFK MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010 OR 2009.
    PART II, QUESTIONS 6 AND 7: THE ONLY STAFF HOURS AND EXPENSES INCURRED FOR THE PROPERTY AND EASEMENT WOULD BE FOR ORDINARY LAND UPKEEP.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    14,506,163 4,367,351 10,138,812 2.520 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    32,619,008 23,600,888 9,018,120 2.240 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    47,125,171 27,968,239 19,156,932 4.760 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    377,278   377,278 0.090 %
f Health professions education
(from Worksheet 5) .. 		    14,387,035 8,647,291 5,739,744 1.420 %
g Subsidized health services
(from Worksheet 6) .. 		    9,748,592 8,557,375 1,191,217 0.300 %
h Research (from Worksheet 7)     1,915,352 819,930 1,095,422 0.270 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		           
jTotal Other Benefits ...     26,428,257 18,024,596 8,403,661 2.080 %
kTotal. Add lines 7d and 7j. ..     73,553,428 45,992,835 27,560,593 6.840 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
27,093,267
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
29,003,149
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
124,685,035
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
150,230,650
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-25,545,615
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?13
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 THE COMMUNITY HOSPITAL GROUP INC
65 JAMES STREET
EDISON,NJ08820 		X X   X   X X   ACUTE HOSPITAL
2 THE COMMUNITY HOSPITAL GROUP INC
65 JAMES STREET
EDISON,NJ08820 		X X   X   X     REHAB FACILITY
3 THE COMMUNITY HOSPITAL GROUP INC
98 JAMES STREET
EDISON,NJ08820 		                SURGERY CENTER
4 THE COMMUNITY HOSPITAL GROUP INC
PARK RANDOLPH ROADS
PLAINFIELD,NJ07061 		            X   SATELLITE ER
5 THE COMMUNITY HOSPITAL GROUP INC
60 JAMES STREET
EDISON,NJ08820 		                OUTPATIENT CENTER
6 THE COMMUNITY HOSPITAL GROUP INC
2048 OAKTREE ROAD
EDISON,NJ08818 		                REHAB
7 THE COMMUNITY HOSPITAL GROUP INC
2050 OAKTREE ROAD
EDISON,NJ08818 		                PEDIATRIC REHAB
8 THE COMMUNITY HOSPITAL GROUP INC
65 JAMES STREET
EDISON,NJ08820 		                BEHAV/OCCUPAT HEALTH
9 THE COMMUNITY HOSPITAL GROUP INC
481 MEMORIAL PARKWAY
METUCHEN,NJ08840 		                OUTPATIENT REHAB FACILITY
10 THE COMMUNITY HOSPITAL GROUP INC
300 OVERLOOK DRIVE
MONROE TOWNSHIP,NJ08831 		                OUTPATIENT REHAB FACILITY
11 THE COMMUNITY HOSPITAL GROUP INC
3 PROGRESS STREET
EDISON,NJ08817 		                ADULT DAY CARE
12 THE COMMUNITY HOSPITAL GROUP INC
65 JAMES STREET
EDISON,NJ08820 		                FAMILY MEDICINE
13 THE COMMUNITY HOSPITAL GROUP INC
308 TALMADGE ROAD
EDISON,NJ08818 		                DIABETES CENTER
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NOT REQUIRED
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 7: WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
    PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $27,093,267.
  PART 1, LINE 3C JFK MEDICAL CENTER USES THE INCOME/ASSET CRITERIA AND SLIDING SCALE PROVIDED BY THE STATE OF NEW JERSEY WHEN SCREENING PATIENTS FOR FINANCIAL ASSISTANCE. ADDITIONALLY, JFK MEDICAL CENTER HAS A COMPASSIONATE CARE POLICY TO APPLY DISCOUNTS (WHEN APPLICABLE) IF A PATIENT DOES NOT QUALIFY OR ONLY QUALIFIES FOR PARTIAL CHARITY CARE.
  PART 1, LINE 6A IN LIEU OF A WRITTEN REPORT, IN JUNE 2010, JFK MEDICAL CENTER HELD A PUBLIC ANNUAL COMMUNITY MEETING. AT THIS MEETING, SENIOR MANAGEMENT AND BOARD MEMBERS DISCUSSED THE MEDICAL CENTER'S COMMUNITY BENEFITS, CLINICAL AND COMMUNITY STRATEGIES AND FINANCIAL STATUS FOR THE CURRENT YEAR AND BEYOND. THIS MEETING IS OPEN TO THE PUBLIC AND NOTICE IS ADVERTISED TO THE MEDICAL CENTER'S PRIMARY AND SECONDARY SERVICE AREAS.
  PART I, LINE 7G SUBSIDIZED HEALTH SERVICES REPRESENT CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED, DESPITE A NEGATIVE MARGIN, BECAUSE THEY ARE NEEDED IN THE COMMUNITY. DURING 2010, THE ORGANIZATION PROVIDED FAMILY PRACTICE, DENTAL, ADULT DAY CARE, PEDS REHABILITATION, CARDIAC REHABILITATION, AND COGNITIVE REHABILITATION SERVICES PROGRAMS. THE NET COMMUNITY BENEFIT EXPENSES REPRESENTS THE TOTAL EXPENSES OFFSET BY ANY PATIENT AND GRANT REVENUE.
    PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. THE COSTING METHODOLOGY USED IS THE RATIO OF THE COST TO CHARGES AS DESCRIBED IN WORKSHEET #2 INSTRUCTIONS.
    PART III, LINE 8: MEDICARE ALLOWABLE COSTS PER FILED MEDICARE COST REPORT WORKSHEET B-1 WAS $364,933,188. TOTAL MEDICARE REIMBURSEMENT PER PS&R REPORTS FOR 2010 TOTALED $124,685,035 THE DIFFERENCE IS THE SHORTFALL.
    PART III, LINE 9B: JFK MEDICAL CENTER RECOGNIZES THE FINANCIAL DIFFICULTY IMPOSED ON THE SELF-PAY PATIENT WHO IS LEAST ABLE TO PAY FOR HEALTHCARE SERVICES WHEN BILLED AT THE HOSPITAL'S STANDARD CHARGES. CREDIT ADJUSTMENTS TO THE SELF-PAY BALANCE WILL BE PERMITTED FOR THE PURPOSE OF BILLING AND COLLECTING FROM THE SELF-PAY PATIENT. THIS POLICY DOES NOT AFFECT ANY BILLINGS FOR SERVICES RENDERED BY HOSPITAL BASED PHYSICIANS GROUPS, PROFESSIONAL PRACTICE PHYSICIANS, OR PARTIES PROVIDING OTHER MEDICAL SERVICES TO THE PATIENT NOT BILLED BY THE HOSPITAL. THIS POLICY EXCLUDES BILLING FOR OBSTETRICS, GYNECOLOGY (SELECTED), NEWBORN, AND COSMETIC PROCEDURES (COVERED UNDER SEPARATE POLICY). THIS POLICY DOES NOT COVER AMOUNTS OWED RELATING TO COPAYS, DEDUCTIBLES, AND COINSURANCE.THE COST AND SUBSEQUENT SELF-PAY BILLING AMOUNT WILL BE DETERMINED BASED UPON A REVIEW OF THE MOST CURRENT HOSPITAL SPECIFIC MEDICARE COST REPORT AND MANAGED CARE COMMERCIAL RATE. ALL PATIENTS THAT PRESENT TO THE HOSPITAL FOR MEDICALLY NECESSARY SERVICESWHO ARE IDENTIFIED AS SELF-PAY PATIENTS WILL BE ADVISED WHEN APPROPRIATE, BY THE HOSPITAL REGISTRAR TO CONTACT THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM REPRESENTATIVE OR A PATIENT ACCOUNTING DEPARTMENT REPRESENTATIVE. THE HOSPITAL HAS A FORMAL SELF-PAY BILLING AND COLLECTION PRACTICE IN PLACE TO ASSIST THE PATIENT WITH THE PAYMENT OF THEIR ACCOUNT.A. ALL PATIENTS ARE TO BE MADE AWARE OF THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM AND BE PROVIDED WITH THE APPROPRIATE NOTICE OF THE AVAILABILITY OF THE PROGRAM AS REQUIRED BY THE PROGRAM'S REGULATORY GUIDELINES.B. PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM WILL HAVE THEIR CHARGES FOR SERVICES REDUCED USING THE PROGRAM CALCULATION AND METHODOLOGY.C. PATIENTS FOUND INELIGIBLE FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM ARE ADVISED OF THE UNINSURED ELIGIBILITY CRITERIA AND ARE ENCOURAGED TO APPLY.D. THE BILLING PRACTICE SHALL BE EXPLAINED WHEN APPROPRIATE TO THE PATIENT TO ENSURE THAT PROPER COMMUNICATION OCCURS REGARDING THIS POLICY.E. A DETERMINATION WILL BE MADE AT THE TIME OF SERVICE OR AS SOON AS POSSIBLE THEREAFTER TO ACCESS AND IDENTIFY ANY AND ALL OTHER 3RD PARTY BENEFITS AVAILABLE TO THE PATIENT. THIS WILL ENSURE THAT ALL 3RD PARTY PAYERS ARE BILLED APPROPRIATELY, PRIOR TO A SELF-PAY ADJUSTMENT BEING MADE ON AN ACCOUNT.F. THE ADJUSTMENT WILL BE MANUALLY MADE THROUGH THE HOSPITAL BILLING SYSTEM AND APPEAR AS A CREDIT ADJUSTMENT TO THE PATIENT BALANCE.G. IF THE PATIENT EXPRESSES AN INABILITY TO PAY THE ACCOUNT BALANCE IN FULL, A PAYMENT ARRANGEMENT MAY BE AUTHORIZED BY THE HOSPITAL AT ITS DISCRETION. PAYMENT ARRANGEMENTS WILL BE BASED UPON THE HOSPITAL'S CREDIT AND COLLECTION POLICY.
  PART VI, NO. 2 THIS ORGANIZATION REVIEWS KEY FACTORS THAT BY POPULATION (PRIMARY AND SECONDARY SERVICE AREAS) THAT INCLUDES A REPRESENTATIVE CROSS-SECTION OF DEMOGRAPHICS BY ETHNICITY AND AGE. THIS IS ACCOMPLISHED A NUMBER OF WAYS. WE PERFORM EXTENSIVE FOCUS GROUPS ATTENDED BY OUR PRIMARY AND SECONDARY SERVICE AREA PATIENT BASE. WE ASK QUESTIONS ABOUT HEALTH NEEDS, INPATIENT AND OUTPATIENT EXPERIENCES AND NEEDS, CLINIC NEEDS, CLINICAL SERVICE LINE NEEDS AND PATIENT SATISFACTION. THESE FOCUS GROUPS ARE DONE AT VARIOUS TIMES IN ORDER TO ACCOMPLISH OUR GOAL OF HAVING THE REPRESENTATIVE COHORTS. WE PERFORM A TELEPHONE SURVEY ASKING 1,000 RESIDENTS SIMILAR QUESTIONS REGARDING HEALTH CARE NEEDS. WE ALSO WORK WITH OUR LOCAL COMMUNITY BASED ORGANIZATIONS, BOTH FAITH BASED AND NON-FAITH BASED, TO PROVIDE AND IDENTIFY HEALTH NEEDS. ADDITIONALLY, WE ARE MEMBERS OF A COMMUNITY ACTION GROUP IN THE PLAINFIELD COMMUNITY TO ADDRESS THE HEALTH NEEDS OF THIS PRIMARY SERVICE AREA.
  PART VI, NO. 3 FINANCIAL ASSISTANCE SIGNS ARE POSTED THROUGHOUT THE FACILITY, INCLUDING ADMITTING, EMERGENCY ROOM, SATELLITE EMERGENCY DEPARTMENT, IMAGING CENTER AND OTHER PATIENT REGISTRATION AREAS. ALL ELIGIBLE PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO THE APPROPRIATE AGENCIES OR PROGRAMS. ALL PATIENTS THAT CONTACT THE HOSPITAL FOR PRICING ARE INFORMED OF THE CHARITY AND COMPASSIONATE CARE POLICIES OF THE MEDICAL CENTER.
  PART VI, NO. 4 ACCORDING TO THE 2010 CENSUS, THE POPULATION OF MIDDLESEX COUNTY (WHERE JFK IS LOCATED) REACHED 809,858, AN INCREASE OF 8% SINCE THE 2000 CENSUS. ALMOST HALF THE TOTAL POPULATION IS COMPRISED OF MINORITIES AND 7% OF FAMILIES LIVE IN POVERTY. AS A RESULT OF THE CLOSURE OF NEARBY MUHLENBERG REGIONAL MEDICAL CENTER IN AUGUST 2008, JFK'S PRIMARY SERVICE AREA HAS EXPANDED AS IT HAS BECOME THE NEAREST FULL SERVICE HOSPITAL FOR RESIDENTS OF SOUTHWESTERN UNION COUNTY, INCLUDING THE CITY OF PLAINFIELD, WHERE OVER 80% OF THE 46,318 RESIDENTS ARE MINORITIES, MORE THAN 12% OF FAMILIES LIVE IN POVERTY AND PORTIONS OF THE CITY ARE CONSIDERED AN URBAN ENTERPRISE ZONE (AN AREA WHERE BLIGHTED NEIGHBORHOODS RECEIVE ENCOURAGEMENT THROUGH TAX RELIEF TO BUSINESSES AND ENTREPRENEURS). IN 2009, PLAINFIELD'S MEDIAN HOUSEHOLD INCOME WAS $49,210, 39% LOWER THAN THE STATE'S $68,342. UNEMPLOYMENT IN PLAINFIELD WAS LAST REPORTED IN MARCH 2011 AT 14.3%. IN TERMS OF ETHNICITY, MIDDLESEX COUNTY HAS THE HIGHEST PERCENTAGE OF ASIAN RESIDENTS OF ALL NEW JERSEY COUNTIES (21.4%). AFRICAN AMERICANS ACCOUNT FOR 9.7% OF THE POPULATION, WHILE HISPANICS MAKE UP 18.4%. OVER 7% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL ($22,300 PER YEAR FOR A FAMILY OF FOUR). THE COUNTY'S MEDIAN INCOME OF $74,959 IN 2009 (THE MOST RECENT DATA AVAILABLE) WAS HIGHER THAN THE STATE, NEVERTHELESS, MIDDLESEX COUNTY HAS POCKETS OF WORKING POOR AND UNEMPLOYED PERSONS WHO RELY ON JFK FOR CARE. ACCORDING TO THE MIDDLESEX COUNTY FREEHOLDERS' WEBSITE, "CLOSE TO ONE THIRD OF THE POPULATION STILL EARNS LESS THAN A LIVING WAGE." UNEMPLOYMENT IN MIDDLESEX COUNTY ROSE FROM 5% IN 2008 TO 8.7% IN 2010. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AREA RESOURCE FILE STATES THAT, IN 2008 (MOST RECENT DATA AVAILABLE), THERE WERE 193,329 UNINSURED PERSONS UNDER AGE 65 AND 65,053 MEDICAID RECIPIENTS IN MIDDLESEX COUNTY. HRSA ALSO RECORDED 89,740 INDIVIDUALS 65 AND OLDER AND 13,323 DISABLED INDIVIDUALS RECEIVING MEDICARE. IMMIGRANTS MAKE UP 25.3% OF THE POPULATION AND HOMELESS PERSONS NUMBERED 796 MEN, WOMEN AND CHILDREN AS OF JANUARY 2009 - THE MOST RECENT SURVEY BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD).
  PART VI, NO. 5 COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION ARE FOCUSED ON IMPROVING BOTH THE WELL-BEING OF OUR PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA AND IMPROVING ACCESS TO HEALTH CARE. WE ACCOMPLISH THIS THROUGH PARTNERSHIPS WITH LOCAL ORGANIZATIONS LIKE THE YMCA, FEDERALLY QUALIFIED HEALTH CENTER, RELIGIOUS AND CULTURAL ORGANIZATIONS AND INDIVIDUALS WHO RESIDE IN THE COMMUNITY. WE PARTICIPATE IN CONFERENCES, LECTURES, SEMINARS, HEALTH FAIRS AND SPONSORSHIPS. WE PROVIDE MATERIALS, PROFESSIONAL AND MEDICAL PERSONNEL, CLASSROOMS, SOCIAL HALLS FOR THE COMMUNITY BENEFIT.
  PART VI, NO. 6 THE ORGANIZATION HOLDS AN ANNUAL BOARD MEETING OPEN TO THE PUBLIC. THE MAJORITY OF BOARD MEMBERS OF JFK MEDICAL CENTER ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHO RESIDE IN THE COMMUNITY. HOSPITAL STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN BENEFIT THE COMMUNITY.
  PART VI, NO. 7 NOT APPLICABLE
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JOHN P MCGEE (i)
(ii)		 673,885
0 		0
0 		0
0 		29,543
0 		11,875
0 		715,303
0 		0
0
(2) SCOTT GEBHARD (i)
(ii)		 373,003
0 		0
0 		112,735
0 		25,676
0 		19,887
0 		531,301
0 		0
0
(3) SEAN PATRICK MURPHY ESQ (i)
(ii)		 333,737
0 		0
0 		0
0 		16,667
0 		18,244
0 		368,648
0 		0
0
(4) RICHARD C SMITH (i)
(ii)		 332,684
0 		0
0 		0
0 		18,831
0 		15,537
0 		367,052
0 		0
0
(5) RAYMOND FREDERICKS (i)
(ii)		 432,715
0 		0
0 		28,328
0 		24,774
0 		17,707
0 		503,524
0 		0
0
(6) LOUIS HERMANS (i)
(ii)		 273,467
0 		0
0 		0
0 		24,814
0 		6,902
0 		305,183
0 		0
0
(7) AMIE THORNTON (i)
(ii)		 261,928
0 		0
0 		0
0 		5,784
0 		3,148
0 		270,860
0 		0
0
(8) ANN LOGAN (i)
(ii)		 246,937
0 		0
0 		0
0 		13,277
0 		13,230
0 		273,444
0 		0
0
(9) WILLIAM OSER (i)
(ii)		 414,065
0 		0
0 		0
0 		15,681
0 		20,580
0 		450,326
0 		0
0
(10) THOMAS STRAX MD (i)
(ii)		 421,282
0 		0
0 		0
0 		44,619
0 		6,436
0 		472,337
0 		0
0
(11) GREGORY PRZYBYLSKI MD (i)
(ii)		 717,556
0 		0
0 		0
0 		7,032
0 		19,805
0 		744,393
0 		0
0
(12) SIMON SALERNO MD (i)
(ii)		 599,681
0 		25,000
0 		0
0 		4,900
0 		15,688
0 		645,269
0 		0
0
(13) STEPHEN BLOOMFIELD MD (i)
(ii)		 545,644
0 		0
0 		0
0 		6,863
0 		14,263
0 		566,770
0 		0
0
(14) THOMAS STEINEKE MD (i)
(ii)		 685,705
0 		0
0 		0
0 		5,903
0 		13,756
0 		705,364
0 		0
0
(15) WILLIAM MAGGIO MD (i)
(ii)		 529,338
0 		0
0 		10,000
0 		0
0 		2,290
0 		541,628
0 		0
0

Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 7 THE NON-FIXED PAYMENTS WERE BASED ON PRODUCTIVITY, MEASURED AS RELATIVE VALUE UNITS (RVU). THE AMOUNTS WERE INCLUDED IN BOX 5 OF FORM W-2.
SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART II: SCOTT GEBHARD AND RAYMOND FREDERICKS OTHER REPORTABLE COMPENSATION WAS A KESOP DISTRIBUTION INCLUDED IN BOX 5 OF FORM W-2. WILLIAM MAGGIO, MD OTHER REPORTABLE COMPENSATION WAS A LOAN FORGIVENESS INCLUDED IN BOX 5 OF FORM W-2.
SUPPLEMENTAL INFORMATION PART III THE AMOUNTS LISTED BELOW ARE COMPENSATION REIMBURSED BY ANOTHER ACUTE HOSPITAL FOR NEUROSURGICAL SERVICES RENDERED IN CONJUNCTION WITH A MANAGEMENT AGREEMENT. THE AMOUNTS SHOWN BELOW WERE INCLUDED IN BOX 5 OF FORM W-2. DR. PRZYBYLSKI - $67,400 DR. BLOOMFIELD - $69,531 DR. STEINEKE - $152,967 DR. SALERNO - $624,681 DR. MAGGIO - $539,338
SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, QUESTION 4B: THIS QUESTION WAS ANSWERED YES DUE TO THE TWO BENEFIT PLANS THAT SEVERAL KEY EXECUTIVES ARE PARTICIPANTS IN: A) A 457(F) PLAN THAT WAS ESTABLISHED, BUT NOT FUNDED IN 2010; HOWEVER, 2010 SERVICE WILL BE CREDITED B) A KESOP PLAN THAT WAS FROZEN TO NEW CONTRIBUTIONS SUBSEQUENT TO 2002
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number
22-6019101
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A NJ HEALTHCARE FACILITIES FINANCING AUTHORITY
  		22-1987084 64580AAT8 06-01-2009 119,623,712 SEE SCHEDULE O.   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 119,655,272      
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,946,274      
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 2,629,008      
11 Other spent proceeds . .        
12 Other unspent proceeds. . . 19,596,767      
13 Year of substantial completion . . . 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue?   X            
16 Has the final allocation of proceeds been made? . .   X            
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X            
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X            
b Are there any research agreements that may result in private business use of bond-financed property? . .   X            
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 %      
6 Total of lines 4 and 5 . . .. . . . . . 0 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue?   X            
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider . NA
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X            
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3   THE ORGANIZATION USES OUTSIDE MANAGEMENT SERVICES FOR THE FOLLOWING DEPARTMENTS: PHARMACY, CARDIAC CATH SERVICES, HEMODIALYSIS AND HOUSEKEEPING MANAGEMENT (INCLUDES HOUSEKEEPING, LINEN & PATIENT TRANSPORT).
FORM 990, PART VI, SECTION A, LINE 6   THE ORGANIZATION HAS SOLARIS HEALTH SYSTEM, INC. AS ITS SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B   CERTAIN DECISIONS OF THE GOVERNING BODY OF THE ORGANIZATION ARE SUBJECT TO APPROVAL BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11   AN AD-HOC COMMITTEE, WHICH INCLUDES THE CHAIRMAN OF THE AUDIT & COMPLIANCE COMMITTEE AND A SELECTED DESIGNEE OF THE AUDIT AND COMPLIANCE COMMITTEE AS WELL AS DESIGNEES FROM FINANCE, LEGAL AND AUDIT AND COMPLIANCE, REVIEW THE IRS 990 TAX RETURNS WITH EISNERAMPER, LLP, THE TAX ACCOUNTANT FOR SOLARIS HEALTH SYSTEM, INC. DURING THIS REVIEW, ALL COMMENTS AND RECOMMENDATIONS THAT ARE MADE ARE ADDRESSED BY FINANCE, LEGAL, AUDIT AND COMPLIANCE AND EISNERAMPER. THE FINAL REVISED DRAFTS ARE REVIEWED BY THE AD-HOC COMMITTEE TO ENSURE ALL COMMENTS AND RECOMMENDATIONS WERE ADDRESSED IN THE FINAL DRAFTS. THE AUDIT AND COMPLIANCE COMMITTEE HAS GIVEN THE AD-HOC COMMITTEE THE AUTHORITY TO APPROVE THE IRS 990 TAX RETURNS. ONCE THE IRS 990 TAX RETURNS ARE APPROVED BY THE AD-HOC COMMITTEE, ALL BOARD MEMBERS ARE SENT AN E-MAIL WITH INSTRUCTIONS ON HOW TO ACCESS THE RESPECTIVE IRS 990 TAX RETURNS FOR THEIR REVIEW AND COMMENTS FOR 4 DAYS ON A SECURE WEBSITE PROVIDED BY EISNERAMPER, LLP. AT THE END OF THE 4 DAY REVIEW PERIOD, AND AFTER ANY COMMENTS HAVE BEEN ADDRESSED, THE IRS 990 TAX RETURNS ARE FINALIZED AND FILED. ALSO, AFTER THE IRS 990 TAX RETURNS ARE FILED, THE RETURNS ARE POSTED ON THE SOLARIS HEALTH SYSTEM BOARD PORTAL.
  FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE DISTRIBUTED TO ALL BOARD MEMBERS AND EMPLOYEES THAT ARE DEPARTMENT HEAD AND HIGHER LEVELS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE CHAIR OF THE SOLARIS AUDIT AND COMPLIANCE COMMITTEE. ANY POTENTIAL CONFLICT OF INTEREST IS BROUGHT TO THE SAID COMMITTEE FOR REVIEW AND CONSIDERATION AND ANY APPROPRIATE ACTION DEEMED NECESSARY PURSUANT TO THE CONFLICT OF INTEREST POLICY.
  FORM 990, PART VI, SECTION B, LINE 15 THE SOLARIS BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") THAT IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE MANAGEMENT OF THE ORGANIZATION. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE TOTAL COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION. THE COMMITTEE CONSISTS ENTIRELY OF INDEPENDENT MEMBERS OF THE SOLARIS BOARD, THE COMMITTEE REVIEWS IN ADVANCE INDEPENDENT DATA SHOWING THE COMPENSATION PROVIDED BY NON-PROFIT ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS, AND THE COMMITTEE PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. ASSISTING THE COMMITTEE IS AN OUTSIDE COMPENSATION CONSULTANT ALONG WITH OUTSIDE LEGAL COUNSEL. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS ARE POSTED ON THE SOLARIS WEBSITE; ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 75,111. PENSION/POST RETIREMENT LIABILITY ADJUSTMENT -16,414,404. TRANSFERS FROM AFFILIATES 185,000. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF JFK FOUNDATION 520,688. PROVISION FOR DOUBTFUL COLLECTIONS 815,147. TOTAL TO FORM 990, PART XI, LINE 5: -14,818,458.
  FORM 990, PART XI, QUESTION 2C THE PROCESS HAS NOT CHANGED SINCE LAST YEAR. SOLARIS HAS A COMMITTEE THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
JFK MEDICAL CENTER BACKGROUND   JFK MEDICAL CENTER ("JFK") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. JFK IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PURSUANT TO ITS CHARITABLE PURPOSES, JFK PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR, MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS, AND HAS A BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, SOME MEDICAL STAFF MEMBERS, AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. THE OPERATIONS OF JFK, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF JFK IS FOR THE BENEFIT OF THE PUBLIC.
JFK MEDICAL CENTER HISTORY   JFK BEGAN IN THE 1960'S IN RESPONSE TO THE INCREASING DEMAND FOR HEALTH CARE SERVICES CREATED BY RAPID POPULATION GROWTH IN EDISON TOWNSHIP AND ITS SURROUNDING COMMUNITIES. THE LATE EDISON MAYOR ANTHONY M. YELENCSICS, FOR WHOM THE ORIGINAL COMMUNITY HOSPITAL WAS NAMED, LED A GRASSROOTS EFFORT TO OPEN A HOSPITAL TO MEET THIS DEMAND. FOLLOWING A FUNDRAISING CAMPAIGN PIONEERED BY TRUSTEES, PHYSICIANS, AUXILIANS AND COMMUNITY RESIDENTS, THE ORIGINAL 205-BED HOSPITAL OPENED ITS DOORS AND ADMITTED ITS FIRST PATIENT IN 1967. THE 1970'S REPRESENTED A PERIOD OF SIGNIFICANT GROWTH FOR JFK. ONE OF THE MOST IMPORTANT HIGHLIGHTS IN ITS HISTORY WAS THE OPENING OF THE JFK JOHNSON REHABILITATION INSTITUTE ("JRI") IN 1974 FOLLOWING A MERGER WITH MIDDLESEX REHABILITATION HOSPITAL. SINCE THAT TIME, JRI HAS FORGED A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND HAS BECOME A NATIONAL LEADER IN PHYSICAL REHABILITATION MEDICINE. JRI WAS ONE OF THE FIRST REHABILITATION CENTERS IN THE NATION TO RECOGNIZE THAT INDIVIDUALS WITH ACQUIRED TRAUMATIC BRAIN INJURY REQUIRE A SPECIALIZED TREATMENT ENVIRONMENT. WITH ITS UNPRECEDENTED, COMPREHENSIVE APPROACH TO CARE, JRI'S CENTER FOR HEAD INJURIES IS REGARDED AS PIONEERING IN HEAD TRAUMA EVALUATION AND TREATMENT. IN ADDITION, JRI'S PEDIATRIC REHABILITATION DEPARTMENT PROVIDES CHILDREN WITH THE ADAPTIVE AND COPING SKILLS THEY NEED TO ACHIEVE SUCCESS IN EVERYDAY LIFE THROUGH PHYSICAL AND OCCUPATIONAL THERAPY. JRI ALSO OFFERS INPATIENT AND DAY REHABILITATION, OUTPATIENT THERAPIES, AND PROSTHETICS AND ORTHOTICS. JFK ALSO OPENED ITS RADIATION THERAPY CENTER AND ITS FAMILY PRACTICE CENTER DURING THIS DECADE. JFK REACHED A SIGNIFICANT MILESTONE IN 1992 WHEN IT OPENED THE NEW JERSEY NEUROSCIENCE INSTITUTE ("INSTITUTE"), WHICH IS A NATIONALLY RECOGNIZED COMPREHENSIVE CENTER FOR THE DIAGNOSIS, TREATMENT, AND STUDY OF NEUROLOGICAL DISEASE. THE INSTITUTE CONTINUES TO ATTRACT TOP NEUROSCIENCE EXPERTS FROM ACROSS THE UNITED STATES. IT ALSO WORKS TO PROMOTE INVESTIGATIVE EFFORTS IN BASIC AND CLINICAL RESEARCH. OTHER SIGNIFICANT ADDITIONS THAT OCCURRED OVER THE PAST THREE DECADES INCLUDED JFK'S CANCER CENTER, WHICH FEATURES STATE-OF-THE-ART CANCER DIAGNOSIS AND TREATMENT CAPABILITIES, HOSPICE CARE AND PARTICIPATION IN NATIONWIDE CANCER RESEARCH NETWORKS; JFK'S OUTPATIENT MEDIPLEX SURGERY CENTER WHICH PROVIDES SAME-DAY PROCEDURES, INCLUDING LASER, ENDOSCOPIC AND ARTHOSCOPIC SURGERY, JFK'S IMAGING CENTER AND BREAST CENTER. BOTH OFFER A FULL RANGE OF DIAGNOSTIC EXAMINATIONS, INCLUDING CAT SCAN AND MRI SERVICES.
JFK MEDICAL CENTER CURRENT INFORMATION   JFK MEDICAL CENTER ("JFK") IS A 498-BED HOSPITAL CONSISTING OF THE 404-ACUTE CARE BED ANTHONY M. YELENSICS COMMUNITY HOSPITAL AND THE ADJACENT 94-BED JFK JOHNSON REHABILITATION INSTITUTE. JFK FEATURES A COMPLETE ARRAY OF SERVICES, INCLUDING GENERAL SURGERY, EMERGENCY MEDICINE, BEHAVIORAL HEALTH, ORTHOPEDICS, MATERNITY AND PEDIATRIC CARE PROGRAMS. SPECIAL SERVICES AT THE MEDICAL CENTER INCLUDE THE NEW JERSEY NEUROSCIENCE INSTITUTE, A DIAGNOSTIC, TREATMENT, TEACHING AND RESEARCH CENTER FOR THE STUDY OF COMPLEX NEUROLOGICAL DISORDERS; THE REGIONAL CANCER CENTER, OFFERING COMPREHENSIVE MEDICAL, SURGICAL AND RADIATION ONCOLOGY SERVICES; THE JFK DIAGNOSTIC IMAGING CENTER WHICH HOUSES TRADITIONAL AND OPEN AIR MRI CAPABILITIES, HIGH SPEED COMPUTER TOMOGRAPHY (CT), ADVANCED BONE DENSITY TECHNOLOGY, AND THE BREAST CENTER, PROVIDING COMPLETE MAMMOGRAPHY SERVICES INCLUDING FULL-FIELD DIGITAL AND THE R2 IMAGE CHECKER TECHNOLOGY. OTHER SERVICES INCLUDE THE JFK FITNESS CENTER, OCCUPATIONAL HEALTH PROGRAM AND FAMILY MEDICINE CENTER. THE FAMILY MEDICINE CENTER WAS ESTABLISHED IN 1976 AND HAS SERVED THE SURROUNDING COMMUNITIES TO PROVIDE PRIMARY CARE SERVICES TO INSURED AND UNINSURED PATIENTS IN THE SERVICE AREA. STAFFED BY FACULTY AND RESIDENT PHYSICIANS, IT PROVIDES SERVICES WHICH INCLUDE: GENERAL MEDICINE, OB/GYN CARE, PEDIATRIC AND MINOR SURGERY. IN ADDITION, HEALTH EDUCATION/PROMOTION, NUTRITIONAL COUNSELING AND EMOTIONAL SUPPORT PROGRAMS ARE OFFERED. ANNUALLY JFK RECORDS OVER 19,500 ADMISSIONS, OVER 2,700 BIRTHS, AND MORE THAN 60,000 EMERGENCY ROOM VISITS. JFK IS AN AFFILIATE OF SOLARIS HEALTH SYSTEM, A NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE RESIDENTS OF CENTRAL NEW JERSEY WITH STRONG TIES TO THE LOCAL COMMUNITY, ESTABLISHED REGIONAL REPUTATIONS, EXCEPTIONAL EMPLOYEES, A COMMITMENT TO PATIENT SATISFACTION AND QUALITY MEDICAL STAFFS ARE KEY FACTORS THAT BROUGHT THE ORGANIZATIONS TOGETHER IN ORDER TO PROVIDE HIGH QUALITY, COST-EFFECTIVE CARE. SPECIAL SUPPORT SERVICES ARE ALSO AVAILABLE SUCH AS DIAGNOSTIC IMAGING, GERIATRIC CARE AND COMMUNITY HEALTH AND FITNESS PROGRAMS. THROUGH COMMUNITY OUTREACH, JFK OFFERS HEALTH AND WELLNESS PROGRAMS, SCREENINGS, LECTURES AND EDUCATIONAL SEMINARS TO MORE THAN 15,000 AREA RESIDENTS ANNUALLY. THE HAROLD B. AND DOROTHY A. SNYDER SCHOOLS OF NURSING, RADIOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND DIAGNOSTIC MEDICAL SONOGRAPHY ARE OPERATED BY AND FOR PURPOSES OF ACADEMIC ACCREDITATION, SPONSORED BY JFK. THE SCHOOLS CARRY ON A LONG TRADITION OF EDUCATING FUTURE HEALTH CARE PROFESSIONALS WITH MORE THAN 300 STUDENTS ENROLLED IN THE FIVE SCHOOLS ANNUALLY. THE SCHOOL OFFERS STUDENTS ACCESS TO SOLARIS HEALTH SYSTEM'S STATE-OF-THE-ART EQUIPMENT AND EXPANSIVE CLINICAL FACILITIES.
JFK MEDICAL CENTER VISION   WE WILL BE RECOGNIZED FOR BEING RESPONSIVE AND SENSITIVE TO COMMUNITY NEEDS, EXTENDING BEYOND OUT TRADITIONAL BOUNDARIES, IN ORDER TO ACHIEVE HIGHER LEVELS OF COMMUNITY HEALTH AND ACCESS. WE WILL BE RECOGNIZED FOR A CULTURE DRIVEN BY TRUST, IN WHICH DEDICATED, CARING AND COMPASSIONATE INDIVIDUALS WORK TOGETHER WITH FAMILIES TO OVERCOME HEALTH CARE CHALLENGES. WE WILL BE RECOGNIZED FOR HIGH QUALITY SERVICES AND OUTSTANDING SAFETY PERFORMANCE BASED UPON NATIONAL STANDARDS. WE WILL BE RECOGNIZED AS AN EMPLOYER THAT EMPHASIZES PROFESSIONAL AND PERSONAL DEVELOPMENT IN ORDER TO MAXIMIZE THE POTENTIAL OF EVERY INDIVIDUAL. WE WILL BE RECOGNIZED FOR CLINICAL SUPERIORITY THROUGH THE EXPERTISE OF OUR MEDICAL STAFF AND THE CONTINUED APPLICATION OF CUTTING-EDGE TECHNOLOGIES.
JFK MEDICAL CENTER DEMOGRAPHICS   JFK MEDICAL CENTER IS LOCATED IN EDISON - AN URBAN/SUBURBAN AREA OF MIDDLESEX COUNTY. ONE OF THE FASTEST GROWING COUNTIES IN THE STATE, MIDDLESEX COUNTY IS THE THIRD LARGEST COUNTY IN NEW JERSEY WITH MORE THAN 809,000 RESIDENTS.
DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES. FORM 990, PART I, QUESTION 1 WE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES.
DESCRIPTION ON WHY THE RETURN WAS NOT TIMELY FILED EXTENSION AWAITING INFORMATION FROM THIRD PARTIES NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN.
METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK. FORM 990, PART VII DURING THE ANNUAL BUDGET PROCESS, THE FINANCE DEPARTMENT PERFORMS AN ANALYSIS OF THE EXECUTIVE LEVEL EMPLOYEES TIME ALLOCATION FROM TIME KEEPING RECORDS. THE APPROPRIATE ADJUSTMENTS ARE MADE TO THE TIME ALLOCATIONS AT THAT TIME. THE OFFICERS AND KEY EMPLOYEES OF SOLARIS HEALTH SYSTEM HOURS PER WEEK ARE ALLOCATED AMONG MANY OF THE RELATED ORGANIZATIONS.
  SCHEDULE R, PART V, LINE 1N SOLARIS HEALTH SYSTEM MAINTAINS A MASTER EMPLOYEE LEASING AGREEMENT THAT PROVIDES FOR THE LEASING OF PERSONNEL TO AND FROM VARIOUS SOLARIS ENTITIES.
  SCHEDULE K, PART I NEW MONEY -- $21,892,468.25 FOR VARIOUS CAPITAL IMPROVEMENTS TO JFK MEDICAL CENTER, INCLUDING, BUT NOT LIMITED TO, EXPANSION OF INPATIENT BED CAPACITY AND UNIT RENOVATIONS, EMERGENCY ROOM EXPANSION, OPERATING ROOM RENOVATIONS AND EXPANSION, RELOCATION OF SUPPORT DEPARTMENTS, CONVERSION OF HVAC SYSTEM AND OTHER NECESSARY EXPANSIONS, RENOVATIONS AND IMPROVEMENTS, AND THE REFINANCING OF VARIOUS SERIES OF BONDS ISSUED ON BEHALF OF, AND OTHER INDEBTEDNESS OF, JFK MEDICAL CENTER, HARTWYCK AT OAK TREE AND MUHLENBERG REGIONAL MEDICAL CENTER, AS DESCRIBED BELOW, ALL IN CONNECTION WITH THE TERMINATION OF THE PROVISION OF HOSPITAL ACUTE CARE SERVICES AT MUHLENBERG REGIONAL MEDICAL CENTER AND PURSUANT TO THE STATE'S HOSPITAL ASSET TRANSFORMATION PROGRAM. CURRENT REFUNDINGS: 1995 BONDS $17,670,697 1998 BONDS $36,114,765 2003 BONDS $33,137,809 2005 BONDS $17,935,000 LINE OF CREDIT $6,571,000 CAPITALIZED INTEREST -- 1,761,145 COSTS OF ISSUANCE- -- 1,946,274
  SCHEDULE K, PART III THE PRIVATE BUSINESS PART OF SCHEDULE K IS NOT APPLICABLE. SEE ABOVE EXPLANATION.
  FORM 990, PART III, QUESTION 2 IN NOVEMBER 2009, JFK MEDICAL CENTER TOOK OVER THE OPERATIONS OF THE ADULT DAY CARE CENTER FROM ITS AFFILIATE HARTWYCK AT OAK TREE.
  FORM 990, PART VI, SECTION A, LINE 7A WHILE THE MEMBER CANNOT ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY, ALL BOARD APPOINTMENTS ARE SUBJECT TO APPROVAL BY THE MEMBER. THE DIRECTORS, OTHER THAN EX-OFFICIO DIRECTORS, ARE ELECTED BY A VOTE OF THE BOARD AT THE ANNUAL MEETING OF THE CORPORATION. THE DIRECTOR MEMBERSHIP COMMITTEE SHALL NOMINATE A SLATE OF DIRECTORS TO SERVE AS OFFICERS TO REPLACE OR REELECT THOSE OFFICERS WHOSE TERMS ARE ENDING.
DEFINITION OF EX-OFFICIO FORM 990, PART VII PEOPLE WHO HOLD A POSITION BY VIRTUE OF THEIR OFFICE
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE COMMUNITY HOSPITAL GROUP INC
 
Employer identification number

22-6019101
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) SOLARIS HEALTH SYSTEM INC

98 JAMES STREET

EDISON,NJ08820
22-2421432 		TO FURTHER COMMUNITY HEALTHCARE. NJ 501(C)(3) 509(A)(3) - TYPE 1  
 
No
(2) MUHLENBERG REGIONAL MEDICAL CENTER INC

98 JAMES STREET

EDISON,NJ08820
22-1487258 		HOMECARE NJ 501(C)(3) 509(A)(2) SOLARIS
 
 
No
(3) MUHLENBERG FOUNDATION INC

98 JAMES STREET

EDISON,NJ08820
51-0212678 		FUNDRAISING ENTITY TO SUPPORT MRMC AND ITS NOT-FOR-PROFIT AFFILIATES NJ 501(C)(3) 509(A)(3) - TYPE 1 SOLARIS
 
 
No
(4) JFK MEDICAL CENTER FOUNDATION INC

98 JAMES STREET

EDISON,NJ08820
22-2315044 		ENGAGE IN PROGRAMS AND ACTIVITIES FOR THE BENEFIT OF JFK MEDICAL CENTER. NJ 501(C)(3) 509(A)(3) - TYPE 1 SOLARIS
 
 
No
(5) JFK HEALTH SYSTEMS REALTY CORPORATION

98 JAMES STREET

EDISON,NJ08820
52-1703518 		INACTIVE. NJ 501(C)(25) 509(A)(3) - TYPE 1 SOLARIS
 
 
No
(6) LIFESTYLE INSTITUTE INC

98 JAMES STREET

EDISON,NJ08820
22-2421433 		PROVIDE COMMUNITY HEALTHCARE SERVICES. NJ 501(C)(3) 509(A)(2) SOLARIS
 
 
No
(7) HARTWYCK WEST NURSING HOME INC

98 JAMES STREET

EDISON,NJ08820
22-1802017 		PROVIDE COMMUNITY HEALTHCARE. NJ 501(C)(3) 509(A)(2) SOLARIS
 
 
No
(8) JFK ASSISTED LIVING

98 JAMES STREET

EDISON,NJ08820
22-3715324 		PROMOTE THE HEALTH OF THE COMMUNITY NJ 501(C)(3) 509(A)(2) HARTWYCK WEST
 
 
No
(9) HARTWYCK AT OAK TREE INC

98 JAMES STREET

EDISON,NJ08820
22-2666023 		PROVIDE COMMUNITY HEALTHCARE. NJ 501(C)(3) 509(A)(2) SOLARIS
 
 
No
(10) HARTWYCK AT JFK INC

98 JAMES STREET

EDISON,NJ08820
20-4144804 		PROVIDE COMMUNITY HEALTHCARE. NJ 501(C)(3) 509(A)(2) SOLARIS
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) MANAGEMENT SERVICES ORGANIZATION OF CENTRAL JERSEY LLC

98 JAMES STREET
EDISON,NJ08820
22-3489091 		INACTIVE. NJ SOLARIS
  		RELATED       No     No  
(2) MEDIPLEX SURGICAL CENTER ASSOCIATION LP

98 JAMES STREET
EDISON,NJ08820
22-2846980 		RENTALS. NJ JFK HEALTHSHARE INC
  		EXCLUDED       No     No  
(3) TRI-COUNTY HEART NJ LLC

98 JAMES STREET
EDISON,NJ08820
26-1104379 		PROVIDE COMMUNITY HEALTH CARE. NJ SOLARIS
  		RELATED       No     No  








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) ATLANTIC INSURANCE EXCHANGE LTD
98 JAMES STREET
EDISON,NJ08820
99-9999999 		INSURANCE CAPTIVE BD SOLARIS
  		C      
(2) CENTRAL JERSEY MEDICAL GROUP PA
98 JAMES STREET
EDISON,NJ08820
22-3477610 		INACTIVE NJ MRMC
  		C      
(3) JFK MEDICAL GROUP PC
98 JAMES STREET
EDISON,NJ08820
22-3482637 		CAPTIVE PROFESSIONAL MEDICAL SERVICES NJ JFKMC
  		C   47,040 100.000 %
(4) JFK HARTWYCK MGT & CONSULTING INC
98 JAMES STREET
EDISON,NJ08820
22-3812130 		INACTIVE NJ HARTWYCK WEST
  		C      
(5) JFK HEALTHSHARE INC
98 JAMES STREET
EDISON,NJ08820
22-2528967 		MANAGEMENT SERVICES NJ SOLARIS
  		C      
(6) MIDTOWN SHOPS INC
98 JAMES STREET
EDISON,NJ08820
22-1536954 		RETAIL COMPLEX NJ MRMC
  		C      
(7) PRIMARY CARE NETWORK
98 JAMES STREET
EDISON,NJ08820
52-2069919 		PHYSICIAN HEALTH ORGANIZATION NJ JFKMC
  		C -1,466 219,336 100.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) HARTWYCK AT OAK TREE INC

 A 1,076,500 CASH
(2) SOLARIS HEALTH SYSTEM INC

 C 70,000 CASH
(3) JOHN F KENNEDY MEDICAL CENTER FOUNDATION INC

 C 353,821 CASH
(4) MUHLENBERG REGIONAL MEDICAL CENTER INC

 P 9,088,249 INTERCOMPANY ACCOUNT
(5) MUHLENBERG REGIONAL MEDICAL CENTER INC

 J 1,029,192 CASH
(6) SOLARIS HEALTH SYSTEM INC

 O 720,000 INTERCOMPANY ACCOUNT
(7) JFK HEALTHSHARE INC

 J 375,864 CASH
(8) HARTWYCK AT OAK TREE INC

 P 4,983,784 INTERCOMPANY ACCOUNT
(9) HARTWYCK WEST NURSING HOME INC

 P 880,000 INTERCOMPANY ACCOUNT
(10) SOLARIS HEALTH SYSTEM INC

 P 1,545,333 INTERCOMPANY ACCOUNT
(11) LIFESTYLE INSTITUTE INC

 P 520,000 INTERCOMPANY ACCOUNT
(12) JOHN F KENNEDY MEDICAL CENTER FOUNDATION INC

 P 176,179 INTERCOMPANY ACCOUNT
(13) MUHLENBERG REGIONAL MEDICAL CENTER FOUNDATION INC

 P 363,486 INTERCOMPANY ACCOUNT
(14) JFK ASSISTED LIVING

 P 588,000 INTERCOMPANY ACCOUNT
(15) MUHLENBERG REGIONAL MEDICAL CENTER INC

 A 933,006 CASH
(16) MUHLENBERG REGIONAL MEDICAL CENTER INC

 C 214,241 CASH
(17) LIFESTYLE INSTITUTE INC

 C 115,000 CASH
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
  SCHEDULE R, PART IV DR. WILLIAM OSER IS THE LEGAL OWNER OF JFK MEDICAL GROUP. JFK MEDICAL CENTER IS THE BENEFICIAL OWNER.
Additional Data


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