TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ANTHONY P TERRACCIANO........................................................................ CHAIRMAN - TRUSTEE	1.0 .......................	X	X	0	0
(2) ARTHUR M GREENBAUM ESQ........................................................................ VICE CHAIRMAN - TRUSTEE	1.0 .......................	X	X	0	0
(3) RONALD J RICCIO ESQ........................................................................ VICE CHAIRMAN - TRUSTEE	1.0 .......................	X	X	0	0
(4) ANN UNTERBERG........................................................................ VICE CHAIR - TRUSTEE	1.0 .......................	X	X	0	0
(5) JOHN W HEAVEY........................................................................ TREASURER - TRUSTEE	1.0 .......................	X	X	0	0
(6) JAMES G AARON ESQ........................................................................ TRUSTEE	1.0 .......................	X		0	0
(7) MICHAEL ARVANITIS MD........................................................................ TRUSTEE;EX-OFFICIO-MD STF PRES	5.0 .......................	X		61,770	0
(8) PETER L CARTON ESQ........................................................................ TRUSTEE	1.0 .......................	X		0	0
(9) GEORGE CONWAY........................................................................ TRUSTEE	1.0 .......................	X		0	0
(10) STEVEN J CORODEMUS ESQ........................................................................ TRUSTEE	1.0 .......................	X		0	0
(11) ALAN E DAVIS ESQ........................................................................ TRUSTEE	1.0 .......................	X		0	0
(12) JUDI W DAWKINS........................................................................ TRUSTEE	1.0 .......................	X		0	0
(13) MARGARET C FISHER MD........................................................................ TRUSTEE;EX-OFFICIO-MD STF PRES	55.0 .......................	X		261,402	18,165
(14) GREGORY M FROMKIN........................................................................ TRUSTEE	1.0 .......................	X		0	0
(15) TYRONE GARRETT ESQ........................................................................ TRUSTEE	1.0 .......................	X		0	0
(16) ROBERT M GERARD........................................................................ TRUSTEE	1.0 .......................	X		0	0
(17) ROBERT HARRISON........................................................................ TRUSTEE	1.0 .......................	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) ROBERT P HERRMANN........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(19) TODD E KATZ........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(20) HEYWOOD W KNOPF........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(21) BRUCE KRAMER........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(22) CHRISTOPHER LABRECQUE........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(23) JOSEPH F LAGROTTERIA ESQ........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(24) GEORGE LAUFENBERG........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(25) GERALD C MARRONE........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(26) ANDREW J MELNICK........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(27) DANIEL O MINERVA........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(28) MARY ANN NAGY........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(29) VITO R NARDELLI ESQ........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(30) LOUIS A RODRIGUEZ PE........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(31) PATRICIA SENSI........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(32) KAREN M SICILIANO........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(33) ANDREW SUN MD........................................................................ TRUSTEE;EX-OFFICIO-VP MD STAFF	1.0 .......................	X			0	0	0
(34) JOSEPH A TORCIVIA........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(35) WEBSTER TRAMMELL JR........................................................................ TRUSTEE; EX-OFFICIO	1.0 .......................	X			0	0	0
(36) BETTE UHRMACHER ESQ........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(37) JAMES S VACCARO........................................................................ TRUSTEE; EX-OFFICIO	1.0 .......................	X			0	0	0
(38) FRANK J VOZOS MD FACS........................................................................ CHIEF EXECUTIVE OFFICER	55.0 .......................		X		796,731	0	25,202
(39) GERALD L TOFANI CPA........................................................................ CFO/VP OF FINANCE (TERM 8/11)	55.0 .......................		X		370,209	0	114,438
(40) WILLIAM S ARNOLD........................................................................ VICE PRESIDENT	50.0 .......................		X		434,282	0	95,852
(41) THOMAS HELEOTIS........................................................................ VICE PRESIDENT	50.0 .......................		X		324,479	0	34,083
(42) DIANN JOHNSTON........................................................................ VICE PRESIDENT	50.0 .......................		X		294,486	0	11,986
(43) TARA FORMICA-KELLY........................................................................ VICE PRESIDENT	50.0 .......................		X		253,425	0	17,801
(44) RICHARD B KIERNAN........................................................................ VICE PRESIDENT	50.0 .......................		X		197,394	0	32,024
(45) DAVID W MCCLUNG........................................................................ CFO/VP OF FINANCE (EFF 8/12)	50.0 .......................		X		181,916	0	6,333
(46) SHIRLEY HWANG........................................................................ VICE PRESIDENT (EFF 8/11/13)	50.0 .......................		X		176,429	0	26,935
(47) KATHRYN A KELLY........................................................................ VP ADMINISTRATION	50.0 .......................		X		161,579	0	23,537
(48) PATRICIA A KEATING........................................................................ VICE PRESIDENT	50.0 .......................		X		153,194	0	16,907
(49) MICHAEL S PERDONI........................................................................ VICE PRESIDENT (EFF 6/9/13)	50.0 .......................		X		128,956	0	18,768
(50) ERIC N BURKETT MD........................................................................ VPMA	50.0 .......................		X		330,773	57,492	21,701
(51) THOMAS PICCOLI MD........................................................................ PHYSICIST	50.0 .......................			X	207,893	0	28,662
(52) JOSEPH JAEGER........................................................................ ASSOCIATE VP, ACADEMIC AFFAIRS	50.0 .......................			X	204,269	0	34,936
(53) JAMES ALEXANDER........................................................................ ASSISTANT VICE PRESIDENT	50.0 .......................			X	201,924	0	9,765
(54) PATRICIA A MCNAMEE........................................................................ ASSISTANT VICE PRESIDENT	50.0 .......................			X	199,306	0	9,644
(55) ANDREW S MATHIS........................................................................ REGIONAL ADMIN DIRECTOR	50.0 .......................			X	169,147	0	24,514

(A) Name and business address	(B) Description of services	(C) Compensation
SBC MANAGEMENT CORPORATION, 95 OLD SHORT HILLS ROADWEST ORANGENJ07052	MANAGEMENT	29,121,699
BARNABAS HEALTH MEDICAL GROUP PC, 300 SECOND AVENUELONG BRANCHNJ07740	MEDICAL	11,280,148
TORCON INC, 328 NEWMAN SPRINGS ROADRED BANKNJ07701	CONSTRUCTION	4,390,021
NEW JERSEY LABORIST GROUP LLC, 911 SOUTH MAIN STREETBELMARNJ07719	MEDICAL	1,337,500
HCSC COOPERATIVE INC, 2171 28TH STREET SOUTH WESTALLENTOWNPA18103	LAUNDRY	1,156,712
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 53

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 United States. See Part IV, line 21	332,003	332,003
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	4,249,418	3,824,480	424,938
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	106,266,820	95,640,138	10,626,682
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,851,289	4,366,160	485,129
9	Other employee benefits .......	10,826,161	9,743,545	1,082,616
10	Payroll taxes ...........	8,723,407	7,851,066	872,341
11	Fees for services (non-employees):
a	Management ......	29,121,699	26,209,529	2,912,170
b	Legal .........	167,767	150,990	16,777
c	Accounting ...........	0
d	Lobbying ...........	26,740	24,066	2,674
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	1,937,658	1,743,892	193,766
12	Advertising and promotion ....	2,605,589	2,345,030	260,559
13	Office expenses .......	8,116,634	7,304,971	811,663
14	Information technology ......	1,710,154	1,539,139	171,015
15	Royalties ..	0
16	Occupancy ...........	339,323	305,391	33,932
17	Travel ............	211,728	190,555	21,173
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	7,742,344	6,968,110	774,234
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	13,377,243	12,039,519	1,337,724
23	Insurance ..............	5,553,596	4,998,236	555,360
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	50,729,180	45,656,262	5,072,918	0
b	PHYSICIAN FEES AND SALARIES	22,735,036	20,461,532	2,273,504
c	PURCHASED SERVICES	12,623,649	11,361,284	1,262,365
d	UTILTIES	4,569,847	4,112,862	456,985
e	All other expenses	11,337,197	10,203,477	1,133,720
25	Total functional expenses. Add lines 1 through 24e	308,154,482	277,372,237	30,782,245	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	11,800	1	12,000
2	Savings and temporary cash investments .........	0	2	0
3	Pledges and grants receivable, net ...........	502,488	3	0
4	Accounts receivable, net .............	36,801,132	4	38,184,109
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	139,065,082	7	258,561,905
8	Inventories for sale or use ..............	4,029,250	8	4,510,119
9	Prepaid expenses and deferred charges ..........	5,737,264	9	5,561,542
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	299,186,823
b	Less: accumulated depreciation .....	10b	204,930,038	93,619,445	10c	94,256,785
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	25,552,989	13	28,323,779
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	5,823,733	15	4,399,212
16	Total assets. Add lines 1 through 15 (must equal line 34)......	311,143,183	16	433,809,451
	17	Accounts payable and accrued expenses .........	29,229,528	17	31,472,578
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	1,478,067	23	1,160,119
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	176,222,428	25	243,244,985
26	Total liabilities. Add lines 17 through 25.........	206,930,023	26	275,877,682
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	104,213,160	27	157,931,769
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	104,213,160	33	157,931,769
34	Total liabilities and net assets/fund balances ........	311,143,183	34	433,809,451

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of 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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization MONMOUTH MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization MONMOUTH MEDICAL CENTER

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose 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

(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

(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

(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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

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)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

26,740

Total. Add lines 1c through 1i ...............................

26,740

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINE 1I	A RELATED FOR-PROFIT ORGANIZATION PAID THREE INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF BARNABAS HEALTH AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC.; THE TAX-EXEMPT PARENT OF BARNABAS HEALTH AND AFFILIATES. IN ADDITION, THE ORGANIZATION 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 ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $26,740 DURING 2013.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINE 1I

A RELATED FOR-PROFIT ORGANIZATION PAID THREE INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF BARNABAS HEALTH AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC.; THE TAX-EXEMPT PARENT OF BARNABAS HEALTH AND AFFILIATES. IN ADDITION, THE ORGANIZATION 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 ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $26,740 DURING 2013.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

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 ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

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 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,156,755		1,156,755
b	Buildings ................	161,568,092	108,575,808	52,992,284
c	Leasehold improvements ............
d	Equipment ................	130,935,831	94,187,440	36,748,391
e	Other .................	5,526,145	2,166,790	3,359,355
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				94,256,785

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) LIMITED USE	1,361,810	F
(2) CONSTRUCTION FUND; LIMITED USE		F
(3) SUBSIDIARIES	2,405,969	F
(4) TAX-EXEMPT ORGANIZATION	24,556,000	F





Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	28,323,779

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
DUE TO AFFILIATES; CURRENT		103,243,450
DUE TO AFFILIATES; NON-CURRENT		99,257,850
PENSION EXPENSE PAYABLE		20,373,694
OTHER LIABILITIES		14,685,095
NON-CURRENT		3,115,577
CURRENT		0
(LEASING PROGRAM)		2,569,319


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		243,244,985
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
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 XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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 XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART X	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH ("BH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BH ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOOTNOTE BELOW IS FROM BH'S 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND REPORTS BH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012.

Return Reference

Explanation

SCHEDULE D, PART X

THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH ("BH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BH ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOOTNOTE BELOW IS FROM BH'S 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND REPORTS BH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	15,326	20,051,617	8,964,200	11,087,417	3.600 %
b	Medicaid (from Worksheet 3, column a) ....	33,815	57,315,875	55,069,422	2,246,453	0.730 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .		2,063,570		2,063,570	0.670 %
d	Total Financial Assistance and Means-Tested Government Programs .	49,141	79,431,062	64,033,622	15,397,440	5.000 %
Other Benefits		81,352	138,945		138,945	0.050 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	81,352	138,945		138,945	0.050 %
f	Health professions education (from Worksheet 5) ..		18,509,452	6,722,956	11,786,496	3.820 %
g	Subsidized health services (from Worksheet 6) ..	3,699	12,163,147	10,581,949	1,581,198	0.510 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)		1,070,904		1,070,904	0.350 %
j	Total. Other Benefits ..	85,051	31,882,448	17,304,905	14,577,543	4.730 %
k	Total. Add lines 7d and 7j .	134,192	111,313,510	81,338,527	29,974,983	9.730 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(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

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

8,632,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

483,536

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

74,716,126

Enter Medicare allowable costs of care relating to payments on line 5.....

77,288,404

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-2,572,278

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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 %
1SHREWSBURY DIAG IMAG	OUTPATIENT RADIOLOGY SERVICES	51.000 %	49.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH,NJ07740 WWW.BARNABASHEALTH.ORG	X	X	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MONMOUTH MEDICAL CENTER
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): BARNABASHEALTH.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, QUESTION 1J	The COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") included a comprehensive review of secondary data sources; new area estimates such as AFFORDABLE CARE ACT insurance impact and facility-specific and the facility's service area-specific utilization (e.g. ambulatory care sensitive condition admissions and ED visits) and other measures (e.g. re-admission rates).
SCHEDULE H, PART V, SECTION B, QUESTION 3	The CHNA data was supplemented by meetings and discussions with the local health department where data was shared from their own needs assessments. In addition, input was derived from the county-wide task force which provided insight and expertise, leading to the identification of county-wide health priorities. Details including the county-wide task force members, community meeting attendees and process are contained in the CHNA.
SCHEDULE H, PART V, SECTION B, QUESTION 4	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 5D	Document was shared with the Monmouth County work group including Public Health Officers of local health departments.
SCHEDULE H, PART V, SECTION B, QUESTION 6I	The facility, with limited resources, prioritized health needs identified and developed an implementation plan to address these priority health need areas. Facility strategic plan maps to improved community health and the CHNA implementation plan. The CHNA implementation plan includes resources, actions and goals (measurable).
SCHEDULE H, PART V, SECTION B, QUESTION 7	As discussed above, the facility conducted a comprehensive assessment and a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by the facility and ability to collaborate.
SCHEDULE H, PART V, SECTION B, Q'S 10,11,12I,14G,16E,17E,18E,19C,19D,21&22	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 20D	THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address		Type of Facility (describe)
1	MONMOUTH MEDICAL CENTER 310 ROUTE 34 COLTS NECK,NJ07722	LAB SERVICES AND MAMMOGRAPHY SCREENING
2	MONMOUTH MEDICAL CENTER 1910 HIGHWAY 35 OAKHURST,NJ07755	LAB SERVICES AND RADIOLOGY SERVICES
3	MONMOUTH MEDICAL CENTER 59 KENT ROAD HOWELL,NJ07731	MAMMOGRAPHY SCREENING
4	MONMOUTH MEDICAL CENTER 444 NEPTUNE ROAD 2ND FLOOR NEPTUNE,NJ07753	NUCLEAR STRESS TESTING
5	MONMOUTH MEDICAL CENTER 3301 HIGHWAY 66 BLDG B STE 201 NEPTUNE,NJ07753	EARLY INTERVENTION SUPPORT SERVICES (PSYCHIATRIC)
6
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, QUESTION 1J	The COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") included a comprehensive review of secondary data sources; new area estimates such as AFFORDABLE CARE ACT insurance impact and facility-specific and the facility's service area-specific utilization (e.g. ambulatory care sensitive condition admissions and ED visits) and other measures (e.g. re-admission rates).
SCHEDULE H, PART V, SECTION B, QUESTION 3	The CHNA data was supplemented by meetings and discussions with the local health department where data was shared from their own needs assessments. In addition, input was derived from the county-wide task force which provided insight and expertise, leading to the identification of county-wide health priorities. Details including the county-wide task force members, community meeting attendees and process are contained in the CHNA.
SCHEDULE H, PART V, SECTION B, QUESTION 4	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 5D	Document was shared with the Monmouth County work group including Public Health Officers of local health departments.
SCHEDULE H, PART V, SECTION B, QUESTION 6I	The facility, with limited resources, prioritized health needs identified and developed an implementation plan to address these priority health need areas. Facility strategic plan maps to improved community health and the CHNA implementation plan. The CHNA implementation plan includes resources, actions and goals (measurable).
SCHEDULE H, PART V, SECTION B, QUESTION 7	As discussed above, the facility conducted a comprehensive assessment and a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by the facility and ability to collaborate.
SCHEDULE H, PART V, SECTION B, Q'S 10,11,12I,14G,16E,17E,18E,19C,19D,21&22	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 20D	THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
MONMOUTH MEDICAL CENTER

Employer identification number
22-3452412

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) GREATER LONG BRANCH CHAMBER OF COMMERCE PO BOX 628 LONG BRANCH,NJ07740	21-0502065	501(C)(3)	24,730				SPONSORSHIP
(2) BOROUGH OF OCEANPORT 222 MONMOUTH BOULEVARD OCEANPORT,NJ07757	21-6000961	501(C)(3)	10,000				SPONSORSHIP
(3) AMERICAN CANCER SOCIETY 2310 ROUTE 34 SUITE 1D MANASQUAN,NJ08736	16-0743902	501(C)(3)	8,450				SPONSORSHIP
(4) GREATER MONMOUTH CHAMBER OF COMMERCE 57 SCHANCK RD SUITE C3 FREEHOLD,NJ07728	21-0724285	501(C)(3)	7,500				SPONSORSHIP
(5) INSTITUTE FOR NURSING 1479 PENNINGTON RD TRENTON,NJ086182661	22-2259791	501(C)(3)	7,500				SPONSORSHIP
(6) KIMBALL MEDICAL CENTER 600 RIVER AVE LAKEWOOD,NJ08701	22-3452413	501(C)(3)	10,000				SPONSORSHIP
(7) MONMOUTH COUNCIL BOY SCOUTS OF AMERICA 705 GINESI DR MORGANVILLE,NJ07751	21-0634963	501(C)(3)	5,500				SPONSORSHIP
(8) MOUMOUTH PARK CHARITY FUND 175 OCEANPORT AVE OCEANPORT,NJ07757	22-6063135	501(c)(3)	5,750				SPONSORSHIP
(9) MONMOUTH UNIVERSITY 400 CEDAR AVENUE WEST LONG BRANCH,NJ07754	21-0634584	501(C)(3)	17,600				SPONSORSHIP
(10) PREVENTION FIRST 1405 HIGHWAY 35 OCEAN,NJ07712	22-1841122	501(C)(3)	8,650				SPONSORSHIP
(11) SAINT GEORGE GREEK ORTHODOX CHURCH 1033 WEST PARK AVE OCEAN,NJ07712	21-0643361	501(C)(3)	12,500				SPONSORSHIP
(12) SUSAN G KOMEN BREAST CANCER FOUNDATION 2 PRINCESS RD SUITE D LAWRENCEVILLE,NJ08648	43-2052349	501(C)(3)	17,650				SPONSORSHIP
(13) THE GIFTED EXECUTIVE 524 BRIGHTON AVE SUITE 7 SPRING LAKE,NJ07762	22-3675324	501(C)(3)		19,962	DONATION	GIFT ITEMS	SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
SCHEDULE D, PART I; QUESTION 2	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)MARGARET C FISHER MDTRUSTEE;EX-OFFICIO-MD STF PRES	(i) (ii)	0 257,838	0 0	0 3,564	0 10,937	0 7,228	0 279,567	0 0
(2)FRANK J VOZOS MD FACSCHIEF EXECUTIVE OFFICER	(i) (ii)	476,916 0	208,750 0	111,065 0	10,965 0	14,237 0	821,933 0	76,345 0
(3)GERALD L TOFANI CPACFO/VP OF FINANCE (TERM 8/11)	(i) (ii)	310,529 0	55,720 0	3,960 0	93,858 0	20,580 0	484,647 0	0 0
(4)WILLIAM S ARNOLDVICE PRESIDENT	(i) (ii)	333,400 0	100,020 0	862 0	94,706 0	1,146 0	530,134 0	0 0
(5)THOMAS HELEOTISVICE PRESIDENT	(i) (ii)	275,118 0	41,741 0	7,620 0	10,889 0	23,194 0	358,562 0	0 0
(6)DIANN JOHNSTONVICE PRESIDENT	(i) (ii)	250,228 0	38,540 0	5,718 0	10,557 0	1,429 0	306,472 0	0 0
(7)TARA FORMICA-KELLYVICE PRESIDENT	(i) (ii)	205,847 0	47,385 0	193 0	10,267 0	7,534 0	271,226 0	0 0
(8)RICHARD B KIERNANVICE PRESIDENT	(i) (ii)	196,964 0	0 0	430 0	12,259 0	19,765 0	229,418 0	0 0
(9)DAVID W MCCLUNGCFO/VP OF FINANCE (EFF 8/12)	(i) (ii)	130,771 0	40,000 0	11,145 0	6,311 0	22 0	188,249 0	0 0
(10)SHIRLEY HWANGVICE PRESIDENT (EFF 8/11/13)	(i) (ii)	164,489 0	11,834 0	106 0	7,643 0	19,292 0	203,364 0	0 0
(11)KATHRYN A KELLYVP ADMINISTRATION	(i) (ii)	128,769 0	27,216 0	5,594 0	10,382 0	13,155 0	185,116 0	0 0
(12)PATRICIA A KEATINGVICE PRESIDENT	(i) (ii)	128,117 0	19,088 0	5,989 0	9,395 0	7,512 0	170,101 0	0 0
(13)ERIC N BURKETT MDVPMA	(i) (ii)	284,716 0	42,384 0	3,673 57,492	8,415 0	13,286 0	352,474 57,492	0 0
(14)THOMAS PICCOLI MDPHYSICIST	(i) (ii)	189,349 0	14,114 0	4,430 0	13,344 0	15,318 0	236,555 0	0 0
(15)JOSEPH JAEGERASSOCIATE VP, ACADEMIC AFFAIRS	(i) (ii)	189,626 0	13,743 0	900 0	13,003 0	21,933 0	239,205 0	0 0
(16)JAMES ALEXANDERASSISTANT VICE PRESIDENT	(i) (ii)	188,222 0	12,999 0	703 0	8,614 0	1,151 0	211,689 0	0 0
(17)PATRICIA A MCNAMEEASSISTANT VICE PRESIDENT	(i) (ii)	188,088 0	11,049 0	169 0	8,533 0	1,111 0	208,950 0	0 0
(18)ANDREW S MATHISREGIONAL ADMIN DIRECTOR	(i) (ii)	159,919 0	9,089 0	139 0	5,582 0	18,932 0	193,661 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 1A	THE ORGANIZATION'S CHIEF FINANCIAL OFFICER/VICE PRESIDENT OF FINANCE, DAVID W. MCCLUNG, RELOCATED TO THE STATE OF NEW JERSEY FOR MONMOUTH MEDICAL CENTER WORK PURPOSES. IN ORDER TO FACILITATE THE RELOCATION OF HIS PRIMARY RESIDENCE, THE ORGANIZATION PROVIDED HIM WITH A HOUSING ALLOWANCE IN THE AMOUNT OF $11,000 WHICH WAS INCLUDED IN HIS 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A BARNABAS HEALTH INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE: FRANK J. VOZOS, M.D., FACS, $76,345. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GERALD L. TOFANI, CPA, $77,793 AND WILLIAM S. ARNOLD, $83,604.
CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN F	THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: FRANK J. VOZOS, M.D. FACS, $76,345.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) FROMKIN BROTHERS INC	COMPANY - TRUSTEE	278,697	CONTRACTING SERVICES		No
(2) GIORDANO HALLERAN CIESLA	COMPANY - TRUSTEE	143,764	LEGAL SERVICES		No
(3) TORCON INC	COMPANY - TRUSTEE	4,390,021	CONSTRUCTION SERVICES		No
(4) SICILIANO LANDSCAPING	COMPANY - TRUSTEE	101,321	LANDSCAPING SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV

Gregory M. Fromkin is a Trustee OF the organization. Monmouth Medical Center and its affiliates utilized the services of his company, Fromkin Brothers, Inc., during 2013. Total fees paid BY THIS ORGANIZATION AND ITS AFFILIATES to Fromkin Brothers, Inc. AMOUNTED TO $282,105 IN 2013. Services were rendered at fair market value rates pursuant to arm's length negotiations. STEVEN J. CORODEMUS, ESQ. is a Trustee OF the organization. Monmouth Medical Center and its affiliates utilized the services of hIS company, GIORDANO, HALLERAN & CIESLA, during 2013. Total fees paid BY THIS ORGANIZATION AND ITS AFFILIATES to GIORDANO, HALLERAN & CIESLA AMOUNTED TO $285,398 IN 2013. Services were rendered at fair market value rates pursuant to arm's length negotiations. ROBERT M. GERARD AND JOSEPH A. TORCIVIA ARE BOTH TRUSTEES OF THE ORGANIZATION. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF THEIR COMPANY, TORCON, INC., DURING 2013. TOTAL FEES PAID BY THIS ORGANIZATION AND ITS AFFILIATES TO TORCON, INC. AMOUNTED TO $4,445,021 in 2013. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. KAREN M. SICILIANO IS A TRUSTEE OF THE ORGANIZATION. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF HER COMPANY, SICILIANO LANDSCAPING, DURING 2013. TOTAL FEES PAID BY THIS ORGANIZATION AND ITS AFFILIATES TO SICILIANO LANDSCAPING AMOUNTED TO $101,321 in 2013. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Background ========== Monmouth Medical Center ("MMC") is a general medical and surgical hospital. MMC is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, MMC provides 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. Moreover, MMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. MMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. MMC operates an active emergency department for all persons which is open 24 hours a day, 7 days a week, 365 days per year; 3. MMC maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of MMC rests with its board of trustees and the board of trustees of Barnabas Health, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of MMC, 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 MMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. MMC's sole corporate member is Barnabas Health, Inc. ("BH"), a tax-exempt New Jersey non-profit parent corporation. Barnabas Health is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. This integrated network of healthcare providers throughout the state of New Jersey provides substantial community benefit. The sole member or stockholder of each entity is either BH or another BH affiliate controlled or owned by BH. MMC, like its corporate parent is a not-for-profit organization. BH is the largest multi-hospital system in New Jersey and provides substantial community benefit. BH consists of free-standing acute care hospitals, a free-standing psychiatric hospital, Medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, 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. BH 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. Hospital Statistical Information ================================ For 125 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 one million residents that comprise its service area of Monmouth County, and portions of Ocean and Middlesex Counties. MMC is one of New Jersey's largest academic medical centers and a teaching affiliate of Philadelphia's Drexel University College of Medicine for more than 40 years. MMC is a 521-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 4,700 births, and approximately 49,700 emergency visits a year. MMC serves a diverse community with over 22.9% of its patients comprised of minority groups and approximately 31.5% 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. Mission Statement ================= Monmouth Medical Center's vision, as a part of Barnabas Health, is a leader in designing unparalleled new ways for delivering healthcare. The medical center provides quality-driven, safe, efficient, cost-effective and responsive healthcare services that meet the needs and exceed the expectations of our community. Our Mission: - To meet the healthcare needs of our community by providing cost-effective quality care. - To educate present and future generations of healthcare providers. - To provide a continuum of regional tertiary care. Accomplishments/Milestones/Recognitions/Awards ============================================== Monmouth Medical Center is the recipient of numerous awards and honors including, but not limited to, the following: - Received an "A" Hospital Safety Score by The Leapfrog Group, an independent national non-profit organization of employer purchasers of healthcare and the nation's leading experts on patient safety. Among only 251 hospitals in the entire nation to have achieved an "A" grade in all five score releases of the hospital safety scores. - Named one of the nation's Top Performers on Key Quality Measures by The Joint Commission, the leading accreditor of healthcare organizations in America. MMC was one of 14 hospitals in New Jersey to achieve this important designation, and is among just two hospitals in Monmouth and Ocean counties to earn this recognition. - Recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions, including heart attack, heart failure, pneumonia, surgical care, children's asthma, stroke and venous thromboembolism, as well as inpatient psychiatric services. This was the second year in a row that MMC was recognized as a Top Performer, and Monmouth is one of only 244 hospitals that achieved the distinction two years in a row. - Received TJC Disease Specific Certification for Acute Coronary Syndrome, Cardiac Rehabilitation, Breast Cancer and Hip/Knee Replacement and Advanced Certification for Primary Stroke and recently added spine surgery. MMC is the only hospital in the region to achieve Advanced Certification for Heart Failure. - Rated in the top five percent of the nation for both emergency medicine and maternity care by Healthgrades for three years in a row - 2010 through 2012. - The Pain Care Service at MMC was recently recognized by HCAHPS for outstanding scores well above state and national rankings in the area of pain management. Ranked in the 99th percentile in the state and the 90th percentile nationally for pain management. - Named a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery - a prominent designation recognizing surgical programs with a demonstrated track record of exceptional patient outcomes. Monmouth Medical was the first in New Jersey to perform laparoscopic gastric bypass and is among the most highly experienced centers in the tri-state area. - The Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center is New Jersey's only certified quality breast center of excellence - the highest certification level offered by the National Quality Measures for Breast Centers (NQMBC). The Center is a recipient of the Women's Choice Award as one of America's Best Breast Centers, acknowledging its dedication to providing exceptional patient care and treatment. - Monmouth holds the Gold Seal of Accreditation from the American College of Radiology for its advanced imaging systems, and was the first in New Jersey and the 20th in the nation to achieve this status for magnetic resonance imaging (MRI) of the breast. - MMC was chosen by the Institute for Healthcare Improvement as one of only 14 hospitals in the nation and the only hospital in New Jersey to participate in a key national initiative to improve care for heart failure patients. - MMC joined a select group of 13 U.S. hospitals chosen to participate in the Radiologic Society of North America Image Share Network. MMC is the only facility in New Jersey to be chosen for this project. - The Unterberg Children's Hospital at Monmouth Medical Center was the first hospital in New Jersey to open a level III neonatal intensive care unit. It has one of the highest survival rates among neonatal intensive care units in the county and ranks in the top one-third for survival among such units that participated in Vermont/Oxford Network's international database for benchmarking.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Monmouth has one of only three cystic fibrosis centers in the state and has earned a prestigious distinction as a comprehensive CF center. It is the oldest and largest of the centers in New Jersey. - MMC has received full accreditation as a cycle III accredited chest pain center from the Society of Chest Pain Centers ("SCPC"). Cycle III is the highest level of accreditation. - MMC received CT accreditation from the American College of Radiology ("ACR") with zero deficiencies. MMC, a BH facility, has been granted ultrasound accreditation by the ACR ultrasound committee. - U.S. News & World Report recognized Monmouth as a regional leader in cancer, geriatrics, gynecology, neurology and neurosurgery. - 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. - MMC is recognized as a distinguished academic medical center among an elite group of the nation's nine leading teaching hospitals, by Press Ganey. - Established the first comprehensive Sleep Disorders Center in Monmouth and Ocean counties, and was the first to receive accreditation by the American Academy of Sleep Medicine. - The prestigious American Diabetes Association education recognition certificate for a quality diabetes self-management education program was awarded to the pediatric endocrinology program of the Unterberg 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. - The Joel Opatut Cardiopulmonary Rehabilitation Program was the first in Monmouth County to be certified for both cardiac and pulmonary rehabilitation by the American Association of Cardiovascular and Pulmonary Rehabilitation. Centers of Excellence ===================== MMC's recognized medical services centers of excellence include, but are not limited to, the following: 1. The Unterberg Children's Hospital at Monmouth Medical Center. The Children's Hospital offers the community the renowned medical expertise in the care of children that only a leading academic medical center can provide, with more than 140 pediatric specialists who concentrate in 26 specialties. The organization provides specialized pediatric care, offering a 44-bassinet regional newborn center, a 23-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. 2. Psychiatric Centers/Program 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 service for Monmouth County. MMC recently expanded its outpatient behavioral health services to include an Early Intervention Support Services Program ("EIS"). 3. The Jacqueline M. Wilentz Comprehensive Breast Center Committed to meeting the breast health care needs of all women, the breast center is the region's only facility to offer a multidisciplinary team dedicated to the breast health needs of all women. MMC provides a comfortable and supportive setting in which all outpatient breast healthcare services are found in one convenient location. MMC takes a coordinated approach to breast care -- both well care and cancer care. MMC is here for women who seek annual breast evaluation and for those women diagnosed with breast cancer or benign breast disease. Several of MMC's services are specifically for women diagnosed with breast cancer, including: an outpatient chemotherapy suite, psychosocial counseling and rehabilitation services, breast cancer support groups and breast conservation surgery. These qualified experts represent many medical disciplines, working together to provide women with diagnostic, treatment, surgical, psychosocial support, and education and rehabilitation services. MMC's state-of-the-art facility offers the latest in medical equipment, technology and services, including: - Annual physical breast examinations, mammography and diagnostic service, headed by a dedicated breast radiologist who oversees a staff of highly trained technologists. - Consultations and second opinions (surgery, medical oncology, pathology, mammography, plastic surgery and radiation therapy), breast cancer high risk program, stereotactic biopsy system, tomosynthesis, breast-specific gamma imaging, breast MRI, automated whole-breast ultrasound, clinical research and a breast information center. - Satellite locations in Colts Neck, Howell and Lakewood to offer women convenient access to screening mammography and bone density testing. 4. Leon Hess Cancer Center MMC stands at the forefront of providing the most extensive array of highly advanced cancer services, delivered by a multidisciplinary team of specialists in a caring and supportive environment. For decades, MMC's leadership role in oncology services has been broadened through the ongoing expansion of state-of-the-art programs and technologies offered in all areas of cancer prevention, detection and treatment. The Leon Hess Cancer Center at Monmouth brings together a host of specialists in a convenient setting to offer comprehensive cancer services. MMC is accredited by the Commission on Cancer of the American College of Surgeons as a "teaching hospital cancer center" - the group's highest designation. MMC is a part of The Penn Cancer Network - a select group of community hospitals in New Jersey, Pennsylvania and Delaware - collaborating with the Abramson Cancer Center at the University of Pennsylvania to provide excellence in patient care throughout the region. Penn's Cancer Network hospitals are recognized for their excellence in patient care and commitment to improving the health and well-being of their community. The Cancer Network offers an integrated system of care between MMC and Penn. 5. The Cranmer Ambulatory Surgery Center The center provides a full spectrum of same-day surgical services using the most modern technology available. The facility includes four full-service operating rooms, three minor procedure rooms and a three-tiered graduated recovery area, respecting the individual needs of adult and pediatric patients. The one-story, 19,000-square-foot building is equipped to perform all types of same-day surgical procedures, including arthroscopic, laparoscopic and laser techniques. Every aspect of the center has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. 6. The Eisenberg Family Center Monmouth delivers nearly 5,000 babies annually - the most in Monmouth and Ocean counties. To accommodate the demand for its services, the hospital recently completed an ambitious expansion of the Eisenberg Family Center to offer additional expansive private postpartum rooms and an additional newborn nursery. Monmouth has built one of the safest obstetrical programs in the nation, and as a result, was recently lauded on network news by Consumer Reports for maintaining one of the lowest C-section rates in the nation. 7. The Valerie Fund Children's Center for Cancer and Blood Disorders The center provides comprehensive medical services to children with childhood cancers such as leukemia, lymphomas and neuroblastomas, and blood disorders such as sickle cell anemia and white cell abnormalities. Children and young adults (birth to 21 years of age) with leukemia and other cancers are treated according to the most advanced therapeutic protocols. The center is designated as a "comprehensive treatment center for sickle cell anemia" by the state of New Jersey. Medical and emotional support for patients and their families is provided through an interdisciplinary team. MMC is one of five hospitals in New Jersey that are part of the Valerie Fund, one of the largest and most advanced pediatric oncology/hematology networks in the country.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	8. Robotic Surgery Program Monmouth is the first hospital in central and southern New Jersey to introduce robotic-assisted partial knee resurfacing and total hip replacement procedures known as Makoplasty. This surgeon-controlled robotic arm system enables highly accurate alignment and placement of implants for a more natural feel. Additionally, partial knee resurfacing is a minimally invasive option for knee pain sufferer that quickly gets them back to normal activities. This latest example of pioneering robotic surgery at Monmouth Medical Center came on the heels of the hospital's milestone of performing its 2,000th robotic surgery. Monmouth boasts the most experienced robotic surgeons in the state, including fellowship trained physicians in minimally invasive and advanced robotic thoracic surgery, and is the only hospital in the region to employ two surgical robots and the latest technology for minimally invasive complex procedures in adult and pediatric urology, gynecology and thoracic surgery. In the past month, the first robotic colorectal procedures in the region utilizing the da Vinci stapler have been completed at MMC. 9. Monmouth Medical Center Southern Campus Monmouth Medical Center, Southern Campus resulted from the merger of Kimball and Monmouth Medical Centers in 2014 and creates an integrated, regionalized two-campus partnership to provide high quality, efficient health care to the communities in the region. Monmouth had previously partnered with Kimball on the Jacqueline M. Wilentz Breast Center at Lakewood, as well as a Geriatric Emergency Medicine, or GEM, Unit and a Pediatric Emergency Department at the Monmouth Medical Center, Southern Campus. Medical and Community Services ============================== MMC's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic, to prevention and treatment. Additional Medical Services --------------------------- MMC offers many specialized programs including robotic surgery, minimally invasive surgery, regional perinatal center, sleep center, hyperbaric treatment, and integrative medicine. MMC provides comprehensive behavioral health services including psychiatric emergency services, mobile outreach, children's crisis intervention and intensive outpatient services Consistent with revenue ruling 69-545 all qualified physicians are eligible for medical staff privileges at MMC. MMC has over 900 physicians on its medical staff and other health professionals, comprised of the following specialties: - Anatomic & Clinical, Path - Allergy Medicine - Allergy Pediatric - Adult Psychiatry - Anesthesiology - Colon & Rectal Surgery - Critical Care, Anesthesia - Child Development, Pediatric - Child Psychiatry - Cardiology, Med - Cardiology, Pediatric - Critical Care, Pediatric - Certified Nurse Midwife - Nurse Anesthetist - Dermatology, Med - Diagnostic Radiology - Endodontics - Emergency Medicine - Endocrinology, Med - Endocrinology, Pediatric - Family Practice - General Dent, Inpatient Dental - General Dent, Outpatient Dental - General Pediatrics - General Surgery - Gastroenterology, Med - Gastroenterology, Pediatric - Geriatrics - Gynecologic Oncology - Hand Surgery - Hematology, Med - Hematology / Oncology, Med - Hematology / Oncology, Pediatric - Intensive Care, Pediatric - Internal Medicine - Infectious Disease, Med - Infectious Disease, Pediatric - Maternal-Fetal Medicine - Medical Genetics, Pediatric - Nuclear Medicine, Rad - Psychiatry & Neurology - Neonatology - Nephrology - Nephrology, Ped - Neurology - Neurology, Pediatric - Neurosurgery - Nurse Practitioner - Oral Surgery, Inpatient Dental - Oral Surgery, Outpatient - Ob/Gyn - Oncology, Med - Ophthalmology - Orthopedic Surgery - Orthodontics, Outpatient Dent - Otolaryngology - Physician Assistant - Pediatric, Inpatient Dental - Pediatric Surgery - Periodontics, Outpatient Dental - Physical Med & Rehab - Plastic & Recon Surgery - Pain Medicine - Podiatric Medicine - Prosthodontics / Outpatient Dental - Pulmonary Med - Pulmonary Pediatric - Psychology - Radiation Oncology - Radiology - Vascular / Interventional Radiology - Reproductive Endocrinology - Rheumatology Med - Thoracic Surgery - Urology - Vascular Surgery Community Service Centers ------------------------- MMC is committed to keeping its community healthy, and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. MMC operates the following department designed to promote health and health awareness for the community. The Department of Community Health & Wellness has a philosophy and way of life that allows individuals to reach their full potential for optimal well-being. Recognizing that individuals have become increasingly health conscious and are seeking new ways to improve their health and prevent illness, Monmouth Medical Center's Department of Community Health Education has developed multiple programs to assist the community in fulfilling their health goals. Community Benefit Programs -------------------------- 1. Monmouth Medical Center's annual 'Roll Out the Ribbons' Campaign Supports the Fight Against All Cancers To raise awareness of cancer in all its forms and educate the public about the importance of early detection and prevention, Monmouth Medical Center created a unique summertime awareness campaign designed to unify the community in the fight against cancer and honor courageous individuals who have and are fighting the battle. Roll Out the Ribbons kicks off on July 4th at Oceanfest on the Long Branch boardwalk, and the colorful ROR tent, offering cancer resources, information, sunscreen, giveaways and an opportunity to fill out a Ribbon of Honor, visits at least 10 public events throughout the summer. The goals are to educate the community about the risk factors associated with cancer and preventive approaches to the disease, and help those affected cope with the challenges ahead. The ROR website is filled with valuable cancer related information, such as links to support organizations, patient stories and local cancer-related events are featured. A focal point of Roll Out the Ribbons is engaging the public in the creation of the Promenade of Hope - a half-mile stretch of railing along the boardwalk in Long Branch delivers messages of hope and healing to the community through its multi-colored ribbons displaying personal messages to symbolize a united front in the fight against cancer. From Memorial Day through Labor Day 2013, MMC proudly hung more than 7,000 ribbons along Long Branch's oceanfront Promenade. Since filling out Ribbons of Honor proved to be so meaningful for so many, the 2014 ROR campaign has now incorporated Expressions of Hope, which encourages participants to reap the benefits of therapeutic writing and journaling by creating and submitting letters to cancer. A public event for cancer patients, caregivers and friends will be held on August 21 and feature therapeutic journaling, meditation, Reiki, and healthy cooking. All but the healthy cooking segment will be led by MMC nurses from the MMC Holistic Nursing Council. Several local schools, including Tinton Falls Middle School, and Shore Regional High School, have become involved in the campaign, with students filling out ribbons and counselors, teachers and students opening a dialogue about cancer in the schools. Local businesses and the community are encouraged to participate in the campaign - one local business held a bake sale for patrons and raised over a thousand dollars and children in a local neighborhood worked together on a lemonade stand to spread the message and raise funds. Funds raised go to patient and family programs of the Leon Hess Cancer Center and the Valerie Fund Children's Center for Cancer and Blood Disorders at Monmouth Medical Center. The Roll Out the Ribbons' "Ribbon of Honor" was designed to represent all types of cancer, as symbolized by its color: lavender, the official color of awareness of all cancers. The colored stripes represent the 12 most common types of cancer: thyroid, prostate, pancreatic, bladder, breast, colorectal, endometrial, kidney, leukemia, lung, melanoma and lymphoma.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	2. Unterberg Children's Hospital Sponsors Beach Safety Week National Rip Current and Beach Safety Awareness Week is observed annually the first week of June. In 2013 and 2014, The Unterberg Children's Hospital at Monmouth Medical Center has sponsored the local "Know BEFORE you go!" campaign that helps educate the community about water safety. The campaign, which is led by the Monmouth County Chapter of the United States Life Guarding Association (including Unterberg Children's Hospital Pediatric Endocrinologist, Mike Barrows, MD), visits local high schools throughout Monmouth County and presents a fun and informative workshop on beach safety and dealing with rip currents. Our sponsorship also enables 128 radio Public Service Announcements throughout June via Press Communications. Importance: Every day about 10 people die from unintentional drowning. Of these, two are children aged 14 or younger. Drowning ranks fifth among the leading causes of unintentional death in the United States. About one in five people who die from drowning are children 14 and younger. For every child who dies from drowning, another receives emergency department care for non-fatal submersible injuries. More than 50% of drowning victims treated in emergency departments require hospitalization or transfer for further care. These non-fatal drowning injuries can cause severe brain damage that may result in long term disabilities such as memory problems, learning disabilities and permanent loss of basic function. 3. Monmouth Medical Center and SCAN Partner on Services for Active Adult Community For more than 25 years, MMC has partnered with the Social Community Activates Network ("SCAN") (formerly the Senior Community Activities Network), located in the Monmouth Mall in Eatontown, in service to the active adult community. Like SCAN, which promotes a culture of lifelong learning, healthy lifestyles and independent living by offering programs that make the community "Healthy, Wealthy & Wise," MMC believes that "Life is Better Healthy" and is dedicated to helping seniors live healthy lifestyles. Throughout the year, Monmouth provides a host of health lectures, screenings and classes led by the hospital's doctors and healthcare professionals. These free programs, which Monmouth advertises monthly in the Asbury Park Press, focus on topics such as heart health, stroke prevention, brain health, cancer awareness, nutrition and stress relief. For example, in 2014, Monmouth teamed with SCAN to offer Take Control of Your Health, a free, six-week workshop to teach strategies for managing daily life when living with chronic conditions such as arthritis, heart and lung conditions, anxiety, diabetes and high blood pressure. Created by Stanford University, the evidence-based Take Control of Your Health workshop teaches individuals how to: - Manage stress - Improve communication - Cope with depression and fatigue - Increase energy levels - Eat healthy and maintain weight - Get more out of life Screening Programs ------------------ MMC provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes. Approximately 81,000 individuals participated in medical screenings, health fairs and educational programs at MMC in 2013. These include, but are not limited to, the following: - Screening - Blood Pressure - Screening - Body Composition/BMI - Screening - Derma View Facial Scan - Screening - Cholesterol - Screening - Glucose - Screening - Breast Health - Screening - Lung Cancer - Screening - Prostate Cancer - Screening - Cardiac and Concussion for Young Athletes - Community Events/Health Fairs Community Education ------------------- The hospital's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients part of at risk populations are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives. MMC provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: 1. CPR and First Aid Instruction - Neonatal resuscitation - Heartsaver AED CPR program - Heartsaver First Aid 2. Wellness Programs - Stress management/Stress-free workshops - Smoking Cessation - Babysitting/Safe Sitter - Lung Health: Saving Lives Through Early Detection - Barnabas Health Family Festival and Kids Race Day - Weight Loss Institute of NJ Physician Lectures - Healthy Eating Across the Ages - NJ Marathon Health & Fitness Expo - Sports "Fun"damentals - NJ Marathon Race Day - Nutrition and Brain Fitness - The Benefits of Healing Touch or Reiki - Spirit of Women: excellence in women's health, education and community outreach - Corporate Wellness Center including customized programs 3. Various Educational Sessions - Mind Your Meds: Keys to Self-Management of Medications - Total Joint Replacement and Spine Surgery Information Session - Music and Movement - Skin Cancer Awareness; DermaView Facial Scans - Physician Lecture on Tourette Syndrome - Physician Lecture: Break Free From Pelvic Floor Disorders - Advanced Treatment Options for Women: Uro-gynecology and Gynecology Solutions for Incontinence, Fibroids and Uterine, Bladder or Rectum Prolapse - Choose Your Cover - Free Cancer Screenings - 4-week Diabetes Self-Management Series - Diabetes Meal Planning - Counting Carbohydrates - Marlboro Township Senior Health Fair - Secrets for Successful Aging - Heart Health Fair and Wear Red Day - Makoplasty Information Session - Chinese Medical Program Information Session - Thyroid Health and You - Alzheimer's Awareness - Parkinson's Disease - Preventive Cardiology - Living with a Sleep Disorder - Health Information on the Internet - Anxiety Disorders - Heart Health: Understanding the New Guidelines - Your Heart and Electrical Disturbances - Strokes, TIAs and Tremors - Free Art Workshop for Those Impacted by Brain Tumors - Brainstorm: A Dialogue and Education Series - Peace of Mind: Maintaining Brain Health as we Age - Stroke Awareness Day - How to Quit Smoking - Lung Health: Saving Lives Through Early Detection - Prostate Cancer Awareness - Natural Ways to Handle Depression - Back Pain Treatment Options Information Session - Monmouth County Park System Health Seminar - SCAN Learning Center Health & Wellness Fair - Pediatric Pre-Operative Tours - Ladies Night Out - Empowering Women to Take Care of Themselves - Power of Pink Luncheon - Managing Mother's and Father's Day during a Time of Loss - Hip and Knee Arthritis - Understanding Your Options for Rehab 4. Childbirth Preparation and Parenting Programs - Baby Fair - The Eisenberg Family Center Tours - Breastfeeding Today - Preparation for Childbirth - 5 week series - One-Day Preparation for Childbirth - Two-Day Preparation for Childbirth - One-Day Marvelous Multiples - Childbirth Update / VBAC - Cesarean Birth Education - Baby Care Basics - Make Room for Baby (Children ages 2 and up) - Grandparents Program - Adoptive Parenting - Moms of Multiples Support Group - Mother to Mother Support Group - Happiest Baby on the Block - Daddy Knows Best - Parenting Young Children Through S.T.E.P. (Systematic Training for Effective Parenting) - Gestational Diabetes Education Program - Understanding your Toddler - Free Child Car Seat Inspections 5. Support Groups - Journey of Hope Bereavement Support Group & Bereavement Counseling - Living with Early Stage Breast Cancer Support Group - Ovarian Cancer Support Group - Support for People with Oral, Head and Neck Cancer - Living with Metastatic Breast Cancer - US TOO: Prostate Cancer Support Group - Weight Loss Institute of New Jersey Patient Support Group - Diabetes Insulin Pump Support Group - Diabetes Support Group - Children/Adolescents Experiencing Loss - Kids Need Support, Too - Alzheimer's Caregivers Support Group - Grandparents Raising Grandchildren Support Group - Kogan Celiac Center Support Group - Inflammatory Bowel Disease Support Group - Pediatric Diabetes Support Group - Adult Attention Deficit Disorder - Family Support Group - Cleft Palate Support Group - Shore Area Stroke Survivors - Look Good, Feel Better - New Babies, New Emotions Support Group - Voices Sickle Cell Support Group - Adult Pulmonary Support Group - Living Smoke-Free - Trigeminal Neuralgia (TNA)/Facial Pain Support Group - Postpartum Depression (PPD)/Anxiety Support Group 6. MMC's Speakers Bureau brings an extensive range of healthcare programs to businesses, religious establishments or community sites such as senior centers. Our highly training physicians, nurses and other health professionals share their knowledge on a variety of interesting and stimulating subjects c
CORE FORM, PART III; QUESTION 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.
CORE FORM, PART VI, SECTION A; QUESTION 2	ROBERT M. GERARD AND JOSEPH A. TORCIVIA - BUSINESS RELATIONSHIP.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM 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 FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING 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. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE CHAIRPERSON OF THE ORGANIZATION'S FINANCE COMMITTEE AND OTHER INDIVIDUALS FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
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.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. ("BH") IS THE TAX-EXEMPT PARENT ENTITY OF BARNABAS HEALTH. BH'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 BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE 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. 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 REVIEW 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 THE 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 BH SENIOR MANAGEMENT PERSONNEL. 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.
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.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN 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.
CORE FORM, PART VII AND SCHEDULE J	GERALD L. TOFANI, CPA, CHIEF FINANCIAL OFFICER/VICE PREISDENT OF FINANCE FOR THIS ORGANIZATION FOR THE PERIOD 1/1/13 - 8/11/13 WAS TRANSFERRED TO KIMBALL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ON 8/12/13 WHERE HE SERVED AS THE CHEIF FINANCIAL OFFICER/VICE PRESIDENT OF FINANCE FOR THE REMAINDER OF 2013.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $3,251,059; - NET EQUITY TRANSFER TO INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES - ($1,150,533); AND - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $4,522,000.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THIS ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONMOUTH MEDICAL CENTER

Employer identification number

22-3452412

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) 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 entity?
(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	Yes	No
(1) CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT,NJ07757 22-2939956	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	BH		No
(2) CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER,NJ08754 22-3343959	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	SBBH		No
(3) CLARA MAASS FOUNDATION ONE CLARA MAASS DRIVE BELLEVILLE,NJ07109 22-2132516	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	BH		No
(4) CLARA MAASS MEDICAL CENTER ONE CLARA MAASS DRIVE BELLEVILLE,NJ07109 22-1500556	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(5) COMMUNITY MEDICAL CENTER 99 HIGHWAY 37 WEST TOMS RIVER,NJ08755 22-3452306	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(6) COMMUNITY MEDICAL CENTER FOUNDATION 99 HIGHWAY 37 WEST TOMS RIVER,NJ08755 22-2597592	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	BH		No
(7) IRVINGTON GENERAL HOSPITAL 832 CHANCELLOR AVENUE IRVINGTON,NJ07111 22-3452411	INACTIVE	NJ	501(C)(3)	HOSPITAL	BH		No
(8) IRVINGTON HOSPITAL FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 23-7025428	INACTIVE	NJ	501(C)(3)	509(a)(3)	BH		No
(9) KIMBALL MEDICAL CENTER 600 RIVER AVENUE LAKEWOOD,NJ08701 22-3452413	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(10) KIMBALL MEDICAL CENTER FOUNDATION 600 RIVER AVE ANNEX BLDG E LAKEWOOD,NJ08701 22-2630076	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	BH		No
(11) MEDICAL CENTER STAFFING SERVICES INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD,NJ07080 35-2219655	STAFFING SVCS	NJ	501(C)(3)	509(a)(3)	CSHG		No
(12) MEGA CARE INC 2 CRESCENT PLACE OCEANPORT,NJ07757 22-2578561	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	CSHG		No
(13) MONMOUTH MEDICAL CENTER - FACULTY PRACT 100 STATE HIGHWAY 36 WEST LONG BRANCH,NJ07764 22-3357053	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	MMC	Yes
(14) MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2456079	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	BH		No
(15) BARNABAS HEALTH MEDICAL GROUP PC 300 SECOND AVENUE LONG BRANCH,NJ07740 22-3316007	HEALTH SVCS.	NJ	501(C)(3)	509(a)(2)	MMC	Yes
(16) NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK,NJ07112 22-3452311	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(17) SAINT BARNABAS BEHAVIORAL HEALTH CENTER 1691 ROUTE 9 TOMS RIVER,NJ08754 22-2977312	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	CSHG		No
(18) BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2405279	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	NA		No
(19) SAINT BARNABAS DEVELOPMENT FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2378422	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	BH		No
(20) SAINT BARNABAS HEALTH CARE SYSTEM FDN 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3769036	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	BH		No
(21) SAINT BARNABAS HOSPICE AND PALLIATIVE 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2354659	HEALTH SVCS.	NJ	501(C)(3)	509(a)(1)	BH		No
(22) SAINT BARNABAS MEDICAL CENTER 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-1494440	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(23) SAINT BARNABAS OUTPATIENT CENTERS 200 SOUTH ORANGE AVENUE LIVINGSTON,NJ07039 22-2458479	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	BH		No
(24) SAINT BARNABAS REALTY DEVELOPMENT CORP 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-2940008	TITLE HLDNG.	NJ	501(C)(3)	509(a)(3)	BH		No
(25) NJ HEALTH CARE INNOVATION CENTER INC 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-2458481	INACTIVE	NJ	501(C)(3)	509(a)(3)	BH		No
(26) THE NEWARK BETH ISRAEL MEDICAL CNTR FDN 201 LYONS AVENUE NEWARK,NJ07112 22-2587176	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	BH		No
(27) UNION HOSPITAL 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-1413947	INACTIVE	NJ	501(C)(3)	HOSPITAL	BH		No
(28) SANDY HOOK FRNDS OF ST BARNABAS BURN FDN 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-3236202	FUNDRAISING	NJ	501(C)(3)	509(A)(3)	BH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

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	(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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) INNOVATIVE PURCHASING CONCEPTS 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3786557	PURCHASING	NJ	BH				No	0		No
(2) KIM-MED ASSOCIATES 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2775619	REAL ESTATE	NJ	KHCA				No	0		No
(3) SHREWSBRY DIAG IMAG 1131 BROAD ST BLDG B STE 110 SHREWSBURY,NJ07702 20-3833246	RADIOLOGY SVCS.	NJ	MMC	804,991			No	0		No	51.000 %
(4) NEW JERSEY IMAGING NTWK LLC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 46-0623701	HEALTHCARE SVCS.	NJ	CSHG				No	0		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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) LIVINGSTON SERVICES CORP 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD,NJ07080 22-2779395	HEALTHCARE SVCS.	NJ	NA	C CORP.				No
(2) LIVINGSTON INFUSION CARE INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD,NJ07080 22-3190756	HEALTHCARE SVCS.	NJ	NA	C CORP.				No
(3) MAJOR SECURITY SERVICES INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD,NJ07080 22-3040539	SECURITY SVCS.	NJ	NA	C CORP.				No
(4) CENTER STATE MANAGEMENT CORP 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2506125	MGMT SVCS.	NJ	NA	C CORP.				No
(5) KIMBALL HLTH CARE AFFILIATES 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2701213	INVESTMENT	NJ	NA	C CORP.				No
(6) HEALTH CARE FACILITIES MGT 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD,NJ07080 22-3532988	MAINT. SVCS.	NJ	NA	C CORP.				No
(7) SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3414332	MGMT SVCS.	NJ	NA	C CORP.				No
(8) PROFESSIONAL QUALITY LIAB 100 BANK STREET BURLINGTON,VT05401 20-5163819	INSURANCE SVCS.	NJ	NA	C CORP.				No
(9) NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-3536986	INACTIVE	NJ	NA	C CORP.				No
(10) CPIC 44 CHURCH STREET HAMILTON,BERMUDAHM11 BD	FINANCIAL VEHICLE	BD	NA	FOREIGN CORP.				No
(11) LSC PHARMACY SERVICES INC 95 old short hills road west orange,NJ07052 45-2552776	PHARMACY SVCS.	NJ	na	c corp.				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2013

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V

BARNABAS HEALTH, INC. AND SBC MANAGEMENT CORPORATION ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES WITHIN BARNABAS HEALTH IN THE ORDINARY COURSE OF BUSINESS, INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING COST-EFFECTIVE QUALITY CARE, TO EDUCATE HEALTHCARE PROVIDERS AND TO PROVIDE CONTINUM REGIONAL TERTIARY CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	37
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	30
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	2,556
6	Total number of volunteers (estimate if necessary) .............	6	436
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,325,089	6,545,934
9	Program service revenue (Part VIII, line 2g) .........	330,352,162	345,900,269
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,281,143	1,085,681
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,705,763	1,718,681
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	340,664,157	355,250,565
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	269,298	332,003
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)	131,131,553	134,917,095
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	170,855,938	172,905,384
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	302,256,789	308,154,482
19	Revenue less expenses. Subtract line 18 from line 12.......	38,407,368	47,096,083
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	311,143,183	433,809,451
21	Total liabilities (Part X, line 26).............	206,930,023	275,877,682
22	Net assets or fund balances. Subtract line 21 from line 20.....	104,213,160	157,931,769

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 29,192,243 including grants of $ 0 ) (Revenue $ 36,045,013 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OBSTETRICS SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2013 THE ORGANIZATION TREATED 4,853 PATIENTS FOR A TOTAL OF 13,963 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 24,384,628 including grants of $ 0 ) (Revenue $ 13,091,213 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PSYCHIATRY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2013 THE ORGANIZATION TREATED 2,772 PATIENTS FOR A TOTAL OF 18,802 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 21,955,761 including grants of $ 0 ) (Revenue $ 18,096,744 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SAME DAY SURGERY PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2013 THE ORGANIZATION PERFORMED 3,964 SAME DAY SURGERIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 201,839,605 including grants of $ 332,003 ) (Revenue $ 278,667,299 )
4e	Total program service expenses277,372,237

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,786,392	380,664	571,253

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		531,042
e	Government grants (contributions)1e		5,907,598

f	All other contributions, gifts, grants, and similar amounts not included above1f		107,294

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			6,545,934
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	334,713,637	334,713,637
b	OTHER HEALTHCARE RELATED REVENUE		541900	11,186,632	11,186,632
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			345,900,269
3	Investment income (including dividends, interest, and other similar amounts).......			1,076,814			1,076,814
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	458,358
b	Less: rental expenses
c	Rental income or (loss)	458,358	0
d	Net rental income or (loss).......			458,358			458,358
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		8,867
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		8,867
d	Net gain or (loss)..........			8,867			8,867
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..			0
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...			0
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..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722514	854,401			854,401
b	PARKING		812930	331,781			331,781
c	TELEVISION		517000	52,982			52,982
d	All other revenue ....			21,159			21,159
e	Total. Add lines 11a–11d ......			1,260,323
12	Total revenue. See Instructions......			355,250,565	345,900,269		2,804,362


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			11,800	1	12,000
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ...........			502,488	3	0
4	Accounts receivable, net .............			36,801,132	4	38,184,109
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			139,065,082	7	258,561,905
8	Inventories for sale or use ..............			4,029,250	8	4,510,119
9	Prepaid expenses and deferred charges ..........			5,737,264	9	5,561,542
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	299,186,823
b	Less: accumulated depreciation .....	10b	204,930,038	93,619,445	10c	94,256,785
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			25,552,989	13	28,323,779
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			5,823,733	15	4,399,212
16	Total assets. Add lines 1 through 15 (must equal line 34)......			311,143,183	16	433,809,451
17	Accounts payable and accrued expenses .........			29,229,528	17	31,472,578
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			1,478,067	23	1,160,119
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			176,222,428	25	243,244,985
26	Total liabilities. Add lines 17 through 25.........			206,930,023	26	275,877,682
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			104,213,160	27	157,931,769
28	Temporarily restricted net assets ...........			0	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			104,213,160	33	157,931,769
34	Total liabilities and net assets/fund balances ........			311,143,183	34	433,809,451