Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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...... | 11,612,284 | 11,878,386 | 10,800,194 | 12,674,359 | 27,690,839 | 74,656,062 |
| 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. | 11,612,284 | 11,878,386 | 10,800,194 | 12,674,359 | 27,690,839 | 74,656,062 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | 0 | 0 | 0 | 0 | 0 |
| 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. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public Support (Subtract line 7c from line 6.) | 74,656,062 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 11,612,284 | 11,878,386 | 10,800,194 | 12,674,359 | 27,690,839 | 74,656,062 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 40,762 | 41,670 | 34,770 | 34,966 | 17,717 | 169,885 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 40,762 | 41,670 | 34,770 | 34,966 | 17,717 | 169,885 |
| 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.). | 11,653,046 | 11,920,056 | 10,834,964 | 12,709,325 | 27,708,556 | 74,825,947 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| COMMUNITY BENEFIT STATEMENT | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BACKGROUND ========== MONMOUTH MEDICAL GROUP ("MMG") WAS FORMED IN 1994 AS A PROFESSIONAL CORPORATION UNDER NEW JERSEY FOR-PROFIT CORPORATION LAWS TO SUPPORT MONMOUTH MEDICAL CENTER ("MMC") BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. AS DESCRIBED BELOW, MMG CONSTITUTES A MAJORITY OF THE CLINICAL SERVICES PHYSICIAN PRACTICE PLANS OF MMC. MMG IS AN INTEGRAL PART OF MMC'S MEMBERSHIP IN BARNABAS HEALTH ("BH"), NEW JERSEY'S LARGEST INTEGRATED HEALTHCARE DELIVERY SYSTEM. MMG IS CONTROLLED BY MMC THROUGH MMG'S SOLE PHYSICIAN SHAREHOLDER. DUE TO CORPORATE PRACTICE OF MEDICINE LAWS IN NEW JERSEY, ERIC N. BURKETT, M.D., AN EMPLOYEE OF MMC, IS THE SOLE SHAREHOLDER AND NOMINEE OWNER OF MMG FOR THE BENEFIT OF MMC. NEW JERSEY CORPORATE PRACTICE OF MEDICINE LAWS DO NOT PERMIT MMC TO SERVE AS THE SHAREHOLDER OF MMG. CONTROL BY MMC OF MMG IS INSURED AND WILL CONTINUE BASED ON THE FACT THAT DR. BURKETT IS AN EMPLOYEE OF MMC AND A MEMBER OF MMC'S MEDICAL STAFF AND HAS ENTERED INTO AN OPERATING AGREEMENT WITH MMG AND MMC. THE OPERATING AGREEMENT TOGETHER WITH DR. BURKETT'S EMPLOYMENT AT MMC ENSURES STRUCTURAL AND FINANCIAL CONTROL OF MMG BY MMC. MMG AMENDED ITS ORIGINAL CERTIFICATE OF INCORPORATION WITH THE STATE OF NEW JERSEY TO REFLECT THE ORGANIZATION AS A NOT FOR-PROFIT ORGANIZATION. THE AMENDED CERTIFICATE OF INCORPORATION STATES THAT MMG IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT ALSO STATES THAT MMG IS ORGANIZED TO RENDER MEDICAL SERVICES TO PATIENTS OF MMC AND TO PROVIDE MEDICAL EDUCATION, RESEARCH AND TEACHING SERVICES IN FURTHERANCE OF MMC'S CHARITABLE PURPOSES AS A 501(C)(3) TAX-EXEMPT ORGANIZATION. MMG IS A MEDICAL PRACTICE COMPONENT OF MMC. MMG PROVIDES MEDICAL SERVICES, MEDICAL RESEARCH AND EDUCATION OF MMC RESIDENTS AND MEDICAL STUDENTS. IN ITS ROLE AS A MEDICAL PRACTICE COMPONENT OF MMC AND AS AN EDUCATOR, MEDICAL STUDENTS AND MEDICAL RESIDENTS OF MMC RECEIVE EDUCATION AND TRAINING AT MMG THROUGH MEDICAL ROTATIONS. THESE ACTIVITIES FURTHER THE CHARITABLE PURPOSES OF MMG AND THE CHARITABLE PURPOSES OF MMC BY PROVIDING HEALTHCARE SERVICES TO ALL THOSE IN NEED OF CARE WITHOUT REGARD TO ABILITY TO PAY, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, PHYSICAL HANDICAP OR DISABILITY. MMG WAS FORMED TO EXPAND MMC'S, AND THUS BH'S, INTEGRATED HEALTHCARE DELIVERY SYSTEM THROUGHOUT PRIMARILY MONMOUTH COUNTY, NEW JERSEY, IS A SEAMLESS EXTENSION OF MMC'S HEALTHCARE SERVICES AND IS OPERATED FOR THE CONVENIENCE OF MMC'S PATIENTS. CONSISTENT WITH MMC'S GENERAL PRACTICE DESCRIBED ABOVE, MMG IS STAFFED BY ITS OWN PHYSICIANS AND MMC EMPLOYED PHYSICIANS. ALL PHYSICIANS EMPLOYED BY MMG HAVE ADMITTING PRIVILEGES AT MMC. MMG PERFORMS A CRUCIAL FUNCTION IN MMC'S, AND THUS BH'S, INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY. MMG SUPPORTS MMC BY REACHING OUT INTO THE COMMUNITY AND THEREBY ALLOWING MMC TO DELIVER ITS STATE-OF-THE-ART HEALTHCARE SERVICES TO A LARGER PATIENT BASE THAN IT WOULD OTHERWISE BE ABLE TO REACH. THIS COMMUNITY SERVICE, INCLUDES, BUT IS NOT LIMITED TO, THE PHYSICIANS OF MMG PROVIDING SPEAKING ENGAGEMENTS TO THE COMMUNITY AT NO COST IN ORDER TO EDUCATE THE PUBLIC ON VARIOUS MEDICAL AND HEALTHCARE ISSUES. MMG IS A DIVERSIFIED MULTI-SPECIALTY GROUP WHOSE PHYSICIANS ARE VERY ACTIVE WITHIN THE COMMUNITY AND IN ASSISTING OTHER HOSPITALS AND MEDICAL CENTERS WITHIN BH. SEE BELOW FOR A BRIEF SYNOPSIS OF EACH OF MMG'S SPECIALTIES: PRIMARY CARE ------------ PRIMARY CARE PHYSICIANS ARE EMPLOYED BY MMG COVERING OFFICE LOCATIONS IN WEST LONG BRANCH, MIDDLETOWN, LONG BRANCH AND TINTON FALLS, NEW JERSEY. SOME OF THESE PHYSICIANS ARE EXTREMELY ACTIVE IN PROVIDING LECTURES ON VARIOUS TOPICS RELATIVE TO FEMALE HEALTH ISSUES. MATERNAL/FETAL MEDICINE ----------------------- PHYSICIANS ARE EMPLOYED BY MMG SPECIALIZING IN THIS AREA. THE PRIMARY LOCATION FOR THIS PRACTICE IS IN LONG BRANCH, NEW JERSEY. THIS GROUP OF PHYSICIANS IS VERY ACTIVE AND PLAYS A VITAL ROLE IN THE WOMEN'S AND CHILDREN'S SPECIALTY CENTER LOCATED IN LAKEWOOD, NEW JERSEY. THIS CENTER MEETS THE NEEDS AND DEMANDS OF HIGH RISK OB/GYN PATIENTS IN THE OCEAN COUNTY, NEW JERSEY AREA. THIS SERVICE PROVIDED BY THE MMG PHYSICIANS PROVIDES A DIRECT BENEFIT TO COMMUNITY AND KIMBALL MEDICAL CENTERS LOCATED IN TOMS RIVER AND LAKEWOOD, NEW JERSEY; RESPECTIVELY. BOTH ARE MEMBERS OF BH ALONG WITH MMC. UROGYNECOLOGY ------------- PHYSICIANS ARE EMPLOYED BY MMG PROVIDE UROGYNECOLOGY SERVICES IN LAKEWOOD, COLTS NECK AND TINTON FALLS, NEW JERSEY. THE PHYSICIANS WITHIN THIS SPECIALTY AREA TAKE A VERY ACTIVE ROLE IN DEVELOPING THIS PROGRAM AND IN TEACHING AT MMC. THERE IS A GREAT DEMAND FOR THESE SERVICES WITHIN THE COMMUNITY; MAINLY AMONG THE FEMALE POPULATION. IN ADDITION, THE PHYSICIANS PROVIDE MANY SPEAKING ENGAGEMENTS TO OTHER AREA ORGANIZATIONS RELATIVE TO THIS TOPIC. PEDIATRIC SPECIALISTS --------------------- PHYSICIANS PROVIDE PEDIATRIC CARE SERVICES TO THE COMMUNITY. ALL ELEVEN PHYSICIANS HAVE PRACTICE SITES WITHIN OR AROUND MMC IN LONG BRANCH, SHREWSBURY AND TOMS RIVER, NEW JERSEY. ALL PHYSICIANS WITHIN THIS SPECIALTY HAVE DEVELOPED THEIR RESPECTIVE PRACTICE AND PROGRAM WITHIN MMG AND CONTINUE TO EXPAND AND ENHANCE ACTIVITIES ON A DAILY BASIS WITHIN THE PRACTICE ITSELF AND THE COMMUNITY AT LARGE. ALL OF THESE PHYSICIANS PROVIDE SPEAKING ENGAGEMENTS TO THE COMMUNITY RELATIVE TO IMPORTANT TOPICS WITHIN THE PEDIATRIC SPECIALTY AREA. UNTIL THIS SPECIALTY WAS FORMED AT MMG, BOTH KIMBALL AND COMMUNITY MEDICAL CENTERS HAD VOIDS IN THE PEDIATRIC SPECIALIST AREA. MOREOVER, ONE OF THE PHYSICIANS WITHIN THIS SPECIALTY AT MMG HAS BEEN INSTRUMENTAL IN DEVELOPING A WIDELY RECOGNIZED CYSTIC FIBROSIS PROGRAM WHICH RECEIVES STATE OF NEW JERSEY GRANT SUPPORT. MONMOUTH MEDICAL CENTER ("MMC") =============================== MMC IS A 513-BED NON-PROFIT, REGIONAL TERTIARY CARE TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY. THE INSTITUTION PROVIDES A FULL SPECTRUM OF SERVICES, RANGING FROM HIGH-RISK NEONATOLOGY TO GERIATRIC CARE. ADMISSIONS TOTAL OVER 22,000 ANNUALLY, WITH OVER 4,000 BIRTHS, AND APPROXIMATELY 50,000 EMERGENCY VISITS A YEAR. MMC SERVES A DIVERSE COMMUNTY WITH OVER 25% OF ITS PATIENTS COMPRISED OF MINORITY GROUPS AND 31% OF PATIENTS IN UNDERINSURED AND UNINSURED PAYER GROUPS. IT HAS A JCAHO CERTIFIED CHEST PAIN CENTER AND IS STATE DESIGNATED AS A PRIMARY STROKE CENTER. ANNUAL OUTPATIENT VISITS ARE MORE THAN 187,000. MMC IS ONE OF NEW JERSEY'S LARGEST COMMUNITY TEACHING HOSPITALS, WHERE PHYSICIANS WORK AS A TEAM DEDICATED TO ACADEMIC EXCELLENCE, CLINICAL COMPETENCE, AND COMPREHENSIVE AND COMPASSIONATE PATIENT CARE. FOR MORE THAN 100 YEARS, MMC HAS BEEN THE LEADER IN CENTRAL NEW JERSEY IN PROVIDING THE BEST IN HEALTHCARE AND THE LATEST IN MEDICAL TECHNOLOGY TO THE NEARLY 1 MILLION RESIDENTS THAT COMPRISE ITS PRIMARY SERVICE AREA OF MONMOUTH COUNTY, AND PORTIONS OF OCEAN AND MIDDLESEX COUNTIES. THE CHILDREN'S HOSPITAL AT MONMOUTH MEDICAL CENTER IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS (NACHRI) AND OFFERS MORE THAN 140 PEDIATRIC SPECIALISTS WHO CONCENTRATE IN 26 SPECIALTIES. THE ORGANIZATION PROVIDES SPECIALIZED PEDIATRIC CARE, OFFERING A 29-BASSINET REGIONAL NEWBORN CENTER, A 15-BED LEVEL III NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY PROGRAM IN CHILDREN'S CRISIS INTERVENTION SERVICES AND SUBSPECIALTY PEDIATRIC CARE IN AREAS SUCH AS CARDIOLOGY, GASTROENTEROLOGY, SURGERY AND ORTHOPEDICS. THE PRESTIGIOUS AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR A QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM WAS RECENTLY AWARDED TO THE PEDIATRIC ENDOCRINOLOGY PROGRAM OF THE CHILDREN'S HOSPITAL AT MONMOUTH MEDICAL CENTER AS WELL AS THE CENTER FOR DIABETES EDUCATION AT MONMOUTH MEDICAL CENTER - AN HONOR ORIGINALLY BESTOWED ON THE MEDICAL CENTER IN 2007. WITH THIS RECOGNITION, THE CENTER WAS RE-CERTIFIED BY THE ADA AS OFFERING HIGH QUALITY DIABETES SELF-MANAGEMENT EDUCATION THAT IS AN ESSENTIAL COMPONENT OF EFFECTIVE DIABETES TREATMENT. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | MMC HAS THE LARGEST PSYCHIATRIC PROGRAM IN MONMOUTH COUNTY, WITH A TOTAL OF 63 BEDS IN VOLUNTARY AND INVOLUNTARY ADULT INPATIENT UNITS AND 19 BEDS IN ITS INPATIENT CHILDREN'S CRISIS INTERVENTION SERVICE, WHERE CHILDREN AND ADOLESCENTS WITH ACUTE EMOTIONAL, BEHAVIORAL OR PSYCHIATRIC PROBLEMS ARE TREATED. IN ADDITION, ITS NEWLY RENOVATED PSYCHIATRIC EMERGENCY SCREENING SERVICE IS THE DESIGNATED SUCH SERVICE FOR MONMOUTH COUNTY. MONMOUTH IS DREXEL UNIVERSITY'S LARGEST MAJOR ACADEMIC MEDICAL AFFILIATE IN NEW JERSEY AND IS THE ONLY AREA ACADEMIC MEDICAL CENTER TO ACHIEVE REGIONAL MEDICAL CAMPUS STATUS. IT IS RECOGNIZED AS A DISTINGUISHED ACADEMIC MEDICAL CENTER AMONG AN ELITE GROUP OF THE NATION'S NINE LEADING TEACHING HOSPITALS, BY PRESS GANEY. ADDITIONALLY, MONMOUTH MEDICAL CENTER HAS EARNED THE COVETED SOLUCIENT 100 TOP HOSPITALS - PERFORMANCE IMPROVEMENT LEADERS AWARD, RECOGNIZING MONMOUTH MEDICAL CENTER FOR ITS CLINICAL OUTCOMES AND PATIENT SAFETY AMONG 100 TOP HOSPITALS IN THE NATION. MMC'S SOLE CORPORATE MEMBER IS SAINT BARNABAS CORPORATION ("SBC"). SBC IS THE TAX-EXEMPT PARENT OF BARNABAS HEALTH ("BH"). THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SBC OR ANOTHER BH AFFILIATE CONTROLLED BY SBC. BH IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY THAT PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. BH IS CURRENTLY ONE OF THE LARGEST MULTI-HOSPITAL SYSTEMS IN NEW JERSEY. BH CONSISTS OF FREE-STANDING HOSPITALS, A FREE-STANDING PSYCHIATRIC HOSPITAL, LONG-TERM CARE AND ASSISTED LIVING FACILITIES, MEDICARE-CERTIFIED HOME HEALTHCARE AND HOSPICE PROGRAMS, MULTI-SPECIALTY AMBULATORY CARE FACILITIES, OUTPATIENT BEHAVIORAL HEALTH CENTERS, AND OTHER ENTITIES. BH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, BH PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SBC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. - MONMOUTH MEDICAL CENTER'S RELATIONSHIP WITH ASSOCIATION OF AMERICAN MEDICAL COLLEGES AS OUTLINED ABOVE, MMC IS A MEMBER OF BH. BH IS A MEMBER OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES ("AAMC"). AAMC IS A NON-PROFIT ASSOCIATION OF MEDICAL SCHOOLS, TEACHING HOSPITALS, AND ACADEMIC SOCIETIES. THE AAMC SEEKS TO IMPROVE THE NATION'S HEALTH BY ENHANCING THE EFFECTIVENESS OF ACADEMIC MEDICINE. THE AAMC ASSISTS ACADEMIC MEDICINE'S INSTITUTIONS, ORGANIZATIONS, AND INDIVIDUALS IN THREE MAIN MISSION AREAS: 1. MEDICAL EDUCATION - EDUCATING THE PHYSICIAN AND MEDICAL SCIENTIST WORKFORCE. 2. MEDICAL RESEARCH - DISCOVERING NEW MEDICAL KNOWLEDGE AND DEVELOPING INNOVATIVE TECHNOLOGIES FOR THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE. 3. PATIENT CARE - PROVIDING HEALTHCARE SERVICES IN ACADEMIC SETTINGS. - MONMOUTH MEDICAL CENTER'S RELATIONSHIP WITH DREXEL UNIVERSITY COLLEGE OF MEDICINE MMC IS AFFILIATED WITH THE DREXEL UNIVERSITY COLLEGE OF MEDICINE ("DREXEL"). DREXEL, A NEW NAME JUST A FEW YEARS AGO, IS THE CONSOLIDATION OF TWO VENERABLE MEDICAL SCHOOLS WITH RICH AND INTERTWINED HISTORIES: HAHNEMANN MEDICAL COLLEGE AND WOMAN'S MEDICAL COLLEGE OF PENNSYLVANIA. ESTABLISHED IN 1848 AND 1850, RESPECTIVELY, THEY WERE TWO OF THE EARLIEST MEDICAL COLLEGES IN THE UNITED STATES, AND WOMAN'S WAS THE VERY FIRST MEDICAL SCHOOL FOR WOMEN IN THE NATION. TODAY, WITH OVER 1,000 MEDICAL STUDENTS, DREXEL IS THE LARGEST PRIVATE MEDICAL SCHOOL IN THE COUNTRY. BIOMEDICAL GRADUATE STUDENTS NUMBER MORE THAN 500. THERE ARE SOME 550 RESIDENTS, 600 CLINICAL AND BASIC SCIENCE FACULTY, AND OVER 1,700 AFFILIATE AND VOLUNTEER FACULTY. DREXEL'S CLINICAL PRACTICE, DREXEL UNIVERSITY PHYSICIANS, IS A PATIENT-FOCUSED PRACTICE EMPHASIZING QUALITY, INNOVATION AND COMMUNITY SERVICE, AND ENHANCED BY PHYSICIAN INVOLVEMENT IN THE RESEARCH AND EDUCATIONAL PROGRAMS. DREXEL HAS PARTICIPATED IN PIONEERING CLINICAL TRIALS INVOLVING THE WORLD'S FIRST IMPLANTABLE ARTIFICIAL HEART, ESTABLISHED A MAJOR REGIONAL CENTER FOR SPINAL CORD RESEARCH, AND FOUNDED ONE OF THE LEADING CENTERS FOR MALARIA STUDY IN THE NATION. COLLABORATIVE PROJECTS LEVERAGING DREXEL'S TECHNOLOGICAL EXPERTISE PUSH THE FRONTIERS OF NANOMEDICINE AND NEUROENGINEERING. DREXEL HOUSES ONE OF JUST 21 NATIONAL CENTERS OF EXCELLENCE IN WOMEN'S HEALTH DESIGNATED BY THE DEPARTMENT OF HEALTH & HUMAN SERVICES. IT HAS DEVELOPED THE LARGEST HIV/AIDS PRIMARY CARE PRACTICE IN THE MID-ATLANTIC REGION. FACULTY CLINICIANS ARE HIGHLY RESPECTED IN NUMEROUS OTHER SPECIALTIES, INCLUDING PAIN MANAGEMENT, SPORTS MEDICINE AND TOXICOLOGY. MONMOUTH MEDICAL SCHOOL SCHOLARS -------------------------------- THE MMC SCHOLARS PROGRAM IS AN EIGHT-YEAR UNDERGRADUATE/MEDICAL SCHOOL PROGRAM DIRECTED TOWARD THE PREPARATION OF PHYSICIANS FOR THE 21ST CENTURY. THE PROGRAM IS FOR STUDENTS WHO HAVE EXCELLED ACADEMICALLY AND WHO WISH TO ENTER THE MEDICAL DISCIPLINES OF FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, OR GENERAL PEDIATRICS. THE MMC SCHOLARS PROGRAM IS A COOPERATIVE INTEGRATED PROGRAM DEVELOPED BY MONMOUTH UNIVERSITY, MONMOUTH MEDICAL CENTER, AND DREXEL IN PHILADELPHIA, PENNSYLVANIA. THE PROGRAM STRUCTURE IS AS FOLLOWS: STUDENTS COMPLETE A FOUR-YEAR UNDERGRADUATE DEGREE AT MONMOUTH UNIVERSITY. WHILE PURSUING THIS DEGREE, STUDENTS INTERACT EXTENSIVELY WITH THE FACULTY MEMBERS WHO MAKE UP MONMOUTH'S PRE-PROFESSIONAL ADVISORY COMMITTEE. THIS INTERACTION IS INTENDED TO PREPARE STUDENTS FOR MEDICAL SCHOOL ENROLLMENT. WHILE AT MONMOUTH UNIVERSITY, UNDERGRADUATE STUDENTS COMPLETE A PRECEPTORSHIP AT MMC, A TEACHING HOSPITAL LOCATED TWO MILES FROM THE UNIVERSITY'S CAMPUS. THE PRECEPTORSHIP OCCURS DURING THE STUDENTS' SENIOR YEAR. UPON GRADUATION FROM MONMOUTH UNIVERSITY, STUDENTS CONTINUE THEIR STUDIES AT DREXEL. THE FIRST TWO YEARS OF STUDY ARE DEVOTED TO FOUNDATION COURSES IN MEDICINE. THE FINAL TWO YEARS OF MEDICAL SCHOOL INVOLVE CLINICAL CLERKSHIPS AT DREXEL CLINICAL CAMPUSES IN PHILADELPHIA AND NEW JERSEY. THE FIRST CLERKSHIP IS AT MMC. IN SUMMARY, MMG IS AN INTEGRAL PART OF MMC AND OF BH'S INTEGRATED HEALTHCARE DELIVERY SYSTEM. IT PROVIDES AN ESSENTIAL SERVICE TO MMC BY EXTENDING THE REACH OF MMC, AND ULTIMATELY BH'S, INTEGRATED HEALTHCARE DELIVERY SYSTEM FURTHER INTO THE NEW JERSEY COMMUNITY. MOREOVER, THE CONTROLS AND RESTRICTIONS DISCUSSED ABOVE ENSURE THAT MMG IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES IN SUPPORT OF MMC AND SBHCS. |
| OTHER PROGRAM SERVICES | CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A, QUESTION 4 | PLEASE NOTE THAT THE ORGANIZATION FILED AN AMENDED CERTIFICATE OF INCORPORATION WITH THE STATE OF NEW JERSEY LEGALLY CHANGING ITS NAME TO BARNABAS HEALTH MEDICAL GROUP, P.C. ON FEBRUARY 14, 2012. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | MONMOUTH MEDICAL CENTER ("MMC") IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITIONS. SAINT BARNABAS CORPORATION ("SBC") IS THE SOLE MEMBER OF MMC. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT BARNABAS CORPORATION IS THE PARENT ENTITY OF THE SYSTEM. THE SAINT BARNABAS CORPORATION AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF SAINT BARNABAS CORPORATION. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S IN HOUSE COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT, INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO THE FILING WITH THE IRS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT BARNABAS CORPORATION ("SBC") IS THE PARENT ENTITY OF BARNABAS HEALTH. CERTAIN OFFICERS AND EMPLOYEES OF OTHER BARNABAS HEALTH ENTITIES MAY BE OFFICERS, TRUSTEES OR KEY INDIVIDUALS OF THIS ORGANIZATION. SBC'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF SBC'S SENIOR MANAGEMENT, INCLUDING THE RETIRED CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VICE PRESIDENT OPERATIONS AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE EXECUTIVE DIRECTORS OF BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE RETIRED CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VICE PRESIDENT OPERATIONS AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SBC SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE RETIRED CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VICE PRESIDENT OPERATIONS, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND THE EXECUTIVE DIRECTORS OF THE BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| COMPENSATION INFORMATION DISCLOSURE | CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECTS A BOARD MEMBER/OFFICER RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS A FULL-TIME EMPLOYEE OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| RELATED HOURS DISCLOSURE | CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS PART OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
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