Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
BACHARACH INSTITUTE FOR REHABILITATION
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
61 WEST JIMMIE LEEDS ROAD PO BOX
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
POMONA, NJ082400723
D Employer identification number

21-0634964
E Telephone number

G Gross receipts $ 49,682,395
F Name and address of principal officer:
RICHARD J KATHRINS PHD
61 WEST JIMMIE LEEDS ROAD
POMONA,NJ082400723
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BACHARACH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1924
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: RESTORING INDEPENDENCE AND WELL-BEING THROUGH QUALITY, CARING, ADVOCACY AND ACCESSIBLE INTERDISCIPLINARY SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 16
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 673
6 Total number of volunteers (estimate if necessary) ............. 6 45
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  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 294,073 259,794
9 Program service revenue (Part VIII, line 2g) ......... 45,210,848 46,347,878
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 341,852 736,991
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 244,324 160,499
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 46,091,097 47,505,162
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 14,000 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 36,522,696 37,453,429
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 11,043,296 11,423,776
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 47,579,992 48,877,205
19 Revenue less expenses. Subtract line 18 from line 12....... -1,488,895 -1,372,043
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 79,538,759 84,332,115
21 Total liabilities (Part X, line 26)............. 13,345,705 13,239,317
22 Net assets or fund balances. Subtract line 21 from line 20..... 66,193,054 71,092,798
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: RESTORING INDEPENDENCE AND WELL-BEING THROUGH QUALITY, CARING, ADVOCACY AND ACCESSIBLE INTERDISCIPLINARY SERVICES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 18,289,790 including grants of $ 0 ) (Revenue $ 22,964,544 )
INPATIENT CARE - PATIENT DAYS 15,776; 1,138 DISCHARGES AND APPROXIMATELY 206 FULL-TIME EMPLOYEES. THE ONLY NON-PROFIT ADULT COMPREHENSIVE REHABILITATION PROVIDER IN SOUTH JERSEY WHICH PROVIDES FREE CARE AS OUTLINED IN SCHEDULE O. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 15,688,373 including grants of $ 0 ) (Revenue $ 15,323,139 )
OUTPATIENT - 121,791 VISITS AND APPROXIMATELY 152 FULL-TIME EMPLOYEES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT
4c (Code:   ) (Expenses $ 6,296,565 including grants of $ 0 ) (Revenue $ 5,811,384 )
SKILLED NURSING CARE - 9,409 PATIENT DAYS; 812 DISCHARGES AND APPROXIMATELY 62 FULL-TIME EMPLOYEES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 3,714,758 including grants of $ 0 ) (Revenue $ 2,248,811 )
4e Total program service expensesMediumBullet43,989,486
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
117
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
673
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
18
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJEANNE VUKSTA61 WEST JIMMIE LEEDS ROAD PO BOXPOMONANJ08240 (609) 748-5490
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) PHILIP J PERSKIE ESQ........................................................................
CHAIRMAN - TRUSTEE
1.0
.......................  
X   X       0 0 0
(2) ROY GOLDBERG........................................................................
VICE CHAIRMAN - TRUSTEE
1.0
.......................  
X   X       0 0 0
(3) RONALD ROSSI........................................................................
SECRETARY - TRUSTEE
1.0
.......................  
X   X       0 0 0
(4) PHILLIP DIBERARDINO........................................................................
TREASURER - TRUSTEE
1.0
.......................  
X   X       0 0 0
(5) TOM BALLANCE........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(6) DAVID BLECKER MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(7) DAVID COSKEY........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(8) MICHAEL FEDORKO........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(9) FRANCIS X FEE........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(10) RICHARD J KATHRINS phd........................................................................
TRUSTEE - PRESIDENT/CEO
55.0
.......................  
X   X       343,195 0 8,812
(11) EDWARD KLINE........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(12) ELLIOT M KRAUS MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(13) ROSALIND KRAUSE........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(14) KENNETH LEFEVRE........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(15) JAMES G LOWE MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(16) ROBERT MAIRONE........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(17) LAWRENCE J NAAME MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ALYCE PARKER........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(19) CRAIG J ANMUTH MD........................................................................
MEDICAL DIRECTOR
55.0
.......................  
    X       614,782 0 35,413
(20) DIANE S CROSHAW........................................................................
VP HUMAN RESOURCES
55.0
.......................  
    X       154,319 0 16,196
(21) BETH HOFFMAN........................................................................
VP REHABILITATION SERVICES
55.0
.......................  
    X       148,531 0 32,069
(22) JEANNE VUKSTA........................................................................
CHIEF FINANCIAL OFFICER
55.0
.......................  
    X       136,609 0 22,867
(23) MARY JOYCE PERSKIE........................................................................
VP MKTG & BUSINESS DEV
55.0
.......................  
    X       123,781 0 25,181
(24) DIANE MOHR........................................................................
VP NURSING/PATIENT SERVICES
55.0
.......................  
    X       110,119 0 30,834
(25) MARIA FUDDY TERMED 7113........................................................................
VP NURSING/PATIENT SERVICES
55.0
.......................  
    X       93,945 0 7,337
(26) ROBERT F HAHN MD........................................................................
PHYSIATRIST
55.0
.......................  
        X   279,302 0 35,790
(27) MARIANNE STURR MD........................................................................
PHYSIATRIST
55.0
.......................  
        X   272,843 0 18,891
(28) ROSS D BERLIN MD........................................................................
PHYSIATRIST
55.0
.......................  
        X   251,738 0 35,263
(29) ABRAHAM ALFARO MD........................................................................
PHYSIATRIST
55.0
.......................  
        X   235,523 0 27,330
(30) WEI XU MD........................................................................
PHYSIATRIST
55.0
.......................  
        X   193,182 0 22,777
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,957,869 0 318,760
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet43
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ATLANTICARE REGIONAL MEDICAL CENTER, 65 WEST JIMMIE LEEDS ROADPOMONANJ08240 PHARMACY 650,001
HCSC LAUNDRY, PO BOX 25092LEHIGH VALLEYPA18002 LAUNDRY 229,022
MACHINERY, 10 N THIRD STREET 2ND FLOORPHILADELPHIAPA19106 ADVERTISING 228,095
L FERIOZZI CONCRETE COMPANY, 3010 SUNSET AVENUEATLANTIC CITYNJ08401 CONTRACTOR 134,621
Landmark Transcription Inc, 509 St Davids AvenueST DAVIDSPA19087 TRANSCRIPTION 123,291
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet5
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 167,472
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
92,322
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 259,794
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 541900 43,534,071 43,534,071    
b OTHER HEALTHCARE RELATED REVENUE 541900 2,813,807 2,813,807    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 46,347,878
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 333,183   0 333,183
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 2,553,697 27,344
b Less: cost or other basis and sales expenses 2,166,354 10,879
c Gain or (loss) 387,343 16,465
d Net gain or (loss)..........MediumBullet 403,808     403,808
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 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...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA SALES, VENDING MACHINES 900099 98,546     98,546
b OTHER INCOME 900099 61,953     61,953
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 160,499
12 Total revenue. See Instructions......MediumBullet 47,505,162 46,347,878 0 897,490
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 0  
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 .... 1,903,992 1,713,593 190,399 0
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 27,388,093 24,649,282 2,738,811  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 708,422 637,579 70,843  
9 Other employee benefits ....... 5,308,586 4,777,731 530,855  
10 Payroll taxes ........... 2,144,336 1,929,902 214,434  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 125,412 112,871 12,541  
c Accounting ........... 108,406 97,565 10,841  
d Lobbying ........... 12,347 11,112 1,235  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 39,831 35,848 3,983  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 832,935 749,642 83,293 0
12 Advertising and promotion .... 316,006 284,405 31,601  
13 Office expenses ....... 778,919 701,027 77,892  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 1,578,616 1,420,754 157,862  
17 Travel ............ 168,259 151,433 16,826  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 193,332 173,999 19,333  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 1,578,893 1,421,004 157,889  
23 Insurance .............. 463,119 416,807 46,312  
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 PURCHASED SERVICES 2,184,189 1,965,770 218,419 0
b MEDICAL SUPPLIES 2,255,566 2,030,010 225,556 0
c PROVISION FOR BAD DEBTS 570,045 513,040 57,005 0
d REPAIRS AND MAINTENANCE 133,711 120,340 13,371 0
e All other expenses 84,190 75,772 8,418  
25 Total functional expenses. Add lines 1 through 24e 48,877,205 43,989,486 4,887,719 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 7,150 1 7,150
2 Savings and temporary cash investments ......... 10,657,573 2 12,141,302
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 5,812,456 4 4,940,763
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 ............. 93,700 7 0
8 Inventories for sale or use .............. 249,551 8 288,564
9 Prepaid expenses and deferred charges .......... 540,518 9 583,641
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 36,598,136
b Less: accumulated depreciation ..... 10b 24,130,646 13,183,997 10c 12,467,490
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 ..... 47,177,963 13 51,440,158
14 Intangible assets ............... 679,881 14 676,681
15 Other assets. See Part IV, line 11 ........... 1,135,970 15 1,786,366
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 79,538,759 16 84,332,115
Liabilities 17 Accounts payable and accrued expenses ......... 5,210,942 17 4,948,128
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 5,881,537 20 5,588,848
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 .. 0 23 0
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.................... 2,253,226 25 2,702,341
26 Total liabilities. Add lines 17 through 25......... 13,345,705 26 13,239,317
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 61,657,439 27 66,124,618
28 Temporarily restricted net assets ........... 1,169,239 28 1,295,503
29 Permanently restricted net assets ........... 3,366,376 29 3,672,677
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 66,193,054 33 71,092,798
34 Total liabilities and net assets/fund balances ........ 79,538,759 34 84,332,115
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
47,505,162
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
48,877,205
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-1,372,043
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
66,193,054
5
Net unrealized gains (losses) on investments ...............
5
208,904
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
6,062,883
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
71,092,798
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
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
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) right arrow (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) right arrow (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).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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
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) right arrow (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) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
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:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet 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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box 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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


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

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

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

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 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


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)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
12,347
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
12,347
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) 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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
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 1H THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS PRESIDENT/CHIEF EXECUTIVE OFFICER TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $3,520. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION AND THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING EFFORTS PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $8,827 IN 2013.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a 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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
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.
1a
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.
b
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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part 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 .... 3,366,376 3,199,039 3,564,321 3,317,200 2,941,666
b Contributions ........          
c Net investment earnings, gains, and losses 306,301 167,337 -365,282 247,121 375,534
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ...... 3,672,677 3,366,376 3,199,039 3,564,321 3,317,200
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   23,096,389 13,020,715 10,075,674
c Leasehold improvements ............        
d Equipment ................   12,922,476 10,790,642 2,131,834
e Other .................   579,271 319,289 259,982
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 12,467,490
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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) COMMON STOCKS; LIMITED USE 499,322 F
(2) INVESTMENTS; LIMITED USE 103,251 F
(3) LIMTED USE 93,500 F
(4) MUTUAL FUNDS; LIMTED USE 632,348 F
(5) LIMITED USE 493,113 F
(6) SHORT TERM INVESTMENTS 234,490 F
(7) MUTUAL FUNDS 1,878,831 F
(8) FIXED INCOME CORPORATE BONDS 736,741 F
(9) COMMON STOCKS 1,535,803 F
(10) EXEMPT ORGANIZATION 42,093,292 F
(11) CHARITABLE TRUSTS 3,139,467 F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 51,440,158
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.)...........Small Bullet  
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 CONTRACTING AGENCIES 2,702,341








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,702,341
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

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 47,674,235
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 208,904
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 208,904
3 Subtract line 2e from line 1..................... 3 47,465,331
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 39,831
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c 39,831
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 47,505,162
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 48,837,374
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 48,837,374
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 39,831
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 39,831
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 48,877,205
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 V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF BACHARACH INSTITUTE FOR REHABILITATION FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2013; RESPECTIVELY. THE FIN 48 (ASC 740) FOOTNOTE BELOW IS FROM THE ORGANIZATION'S 2013 AUDITED FINANCIAL STATEMENTS. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CONSIDERED A PRIVATE FOUNDATION. ACCORDINGLY, GRANTS AND CONTRIBUTIONS TO THE HOSPITAL WILL QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES UNDER THE CHARITABLE FUNDRAISING ACT OF 1971. MANAGEMENT HAS EVALUATED UNCERTAIN TAX POSITIONS TAKEN BY THE HOSPITAL. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER TAXING AUTHORITY. THE HOSPITAL HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: .........
3b
Yes
 
c
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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
 
No
b
If "Yes," did the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    86,263 0 86,263 0.180 %
b Medicaid (from Worksheet 3,
column a) ....
    187,364 177,043 10,321 0.020 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    273,627 177,043 96,584 0.200 %
Other Benefits
    609,125 0 609,125 1.260 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    514,364 0 514,364 1.060 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    24,779 0 24,779 0.050 %
j Total. Other Benefits ..     1,148,268 0 1,148,268 2.370 %
k Total. Add lines 7d and 7j .     1,421,895 177,043 1,244,852 2.570 %
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
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
570,045
3
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. ......
3
9,825
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
19,895,736
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
17,291,816
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
2,603,920
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

 

No
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 %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
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
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 BACHARACH INSTITUTE FOR REHab
61 JIMMIE LEEDS ROAD PO BOX 723
POMONA,NJ082400723
WWW.BACHARACH.ORG
20125
X                  
Schedule H (Form 990) 2013
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)
BACHARACH INSTITUTE FOR REHABILIATION
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)
1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 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 .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 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):
a
b
c
d
e
f
g
h
i
7 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 ........ 7   No
8a 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)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c 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
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: 100%
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: 100%
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
b
c
d
e
f
g
h
i
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
b
c
d
e
f
g
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
b
c
d
e
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
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19   No
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................ 21   No
If "Yes," explain in Part VI.
22 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? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
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
SCH H,PART V,SECT B, Q's 1J,6I,10,11,12I,14G,16E,17E,18E,19C,19D,20D,21&22 NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 3 FOLLOWING THE COLLECTION OF DATA, FOUR COMMUNITY-BASED FOCUSED GROUPS WERE CONDUCTED IN THE FALL OF 2012. THE FOCUS GROUPS WERE CONDUCTED BY A THIRD-PARTY SO THAT THE INTEGRITY OF THE INFORMATION CAPTURED WAS NOT COMPROMISED OR INFLUENCED. SPECIAL ATTENTION WAS PROVIDED TO ENSURE THAT THE VOICES OF LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS WERE CAPTURED. THE THIRD-PARTY WORKED WITH REPRESENTATIVES FROM BOTH ATLANTICARE HEALTH SYSTEM, INC. AND BACHARACH INSTITUTE FOR REHABILITATION TO DETERMINE THE DISCUSSION GUIDE TO BE CONSISTENTLY USED IN ALL GROUPS. DURING THE FOCUS GROUPS, PARTICIPANTS WERE PRESENTED WITH COMMUNITY PRIORITIES AND CONCERNS. FOCUS GROUP PARTICIPANTS PROVIDED ADDITIONAL INSIGHT INTO THE PERCEIVED BARRIERS AND FACILITATORS OF HEALTH. IN ADDITION TO THE FOCUS GROUPS, COMMUNITY PRIORITIES ALSO WERE SHARED WITH VARIOUS COMMUNITY SERVICE AGENCIES AND COMMUNITY LEADERS WITHIN ATLANTIC COUNTY TO FURTHER ENGAGE IN DIALOGUE FROM ALL PERSPECTIVES AROUND PERCEIVED BARRIERS AND FACILITATORS. COMMUNITY AGENCIES AND LEADERS ENGAGED INCLUDED: - FAMILY SERVICES ASSOCIATION. - UNITED WAY OF ATLANTIC COUNTY. - THE ATLANTIC COUNTY DEPARTMENT OF PUBLIC HEALTH. - THE ATLANTIC CITY HEALTH DEPARTMENT. - SOUTHERN JERSEY FAMILY MEDICINE. - THE CITY OF ATLANTIC CITY. - THE CITY OF PLEASANTVILLE. - ATLANTIC HOUSING AUTHORITY. - PLEASANTVILLE HOUSING AUTHORITY.
SCHEDULE H, PART V, SECTION B, QUESTION 4 THE ORGANIZATION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH ATLANTICARE REGIONAL MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, QUESTION 5D THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DISTRIBUTED IN WAITING AREAS AT THE HOSPITAL AND AT VARIOUS COMMUNITY HEALTH EVENTS AND MEETINGS.
SCHEDULE H, PART V, SECTION B, QUESTION 7 THE FOLLOWING NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL NOT BE ADDRESSED BY THE ORGANIZATION AS A RESULT OF ITS COLLABORATION WITH ATLANTICARE REGIONAL MEDICAL CENTER IN CONDUCTING THE ASSESSMENT: - CHILDBIRTH AND PARENTING CLASSES - BLOOD PRESSURE SCREENINGS - WEIGHT LOSS CLINICS - JOINT REPLACEMENT PREPARATION - WELLNESS CLASSES DUE TO FEDERAL GUIDELINES THAT CALL FOR ALL NON-PROFIT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND RECOGNIZING THAT MULTIPLE ORGANIZATIONS SERVING THE SAME COMMUNITY WILL NEED TO COMPLETE THE REPORT, A PARTNERSHIP WAS FORMED BETWEEN TWO OF THE THREE HOSPITALS IN ATLANTIC COUNTY TO COMPLETE THIS ASSESSMENT. ATLANTICARE REGIONAL MEDICAL CENTER AND BACHARACH INSTITUTE FOR REHABILITATION JOINED FORCES TO IDENTIFY AND RESPOND TO COMMUNITY CONCERNS. THIS PARTNERSHIP NOT ONLY REDUCED DUPLICATIVE EFFORTS AND UNNECESSARY COSTS, BUT ALSO ENSURED THE ALLOCATION OF LIMITED RESOURCES TO THE IDENTIFIED CONCERNS. IN ADDITION TO BACHARACH INSTITUTE FOR REHABILITATION, PARTNERS SUCH AS THE ATLANTIC COUNTY DEPARTMENT OF PUBLIC HEALTH AND UNITED WAY WERE CONSULTED FOR DIRECTION AND ALSO TO DETERMINE PREVIOUSLY COLLECTED DATA AS AN ADDITIONAL EFFORT TO REDUCE DUPLICATIVE EFFORTS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
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?17
Name and address Type of Facility (describe)
1 BIR - MAYS LANDING
5429 MAYS LANDING ROAD
MAYS LANDING,NJ08330
OUTPATIENT REHABILItATION FACILITY
2 BIR - SLEEP CENTER
54 JIMMIE LEEDS ROAD SUITE 1 2
POMONA,NJ08240
SLEEP CENTER/LICENSED AMBULATORY CARE FACILITY
3 BIR - CAPE MAY COURT HOUSE
601 ROUTE 9 SOUTH
CAPE MAY COURT HOUSE,NJ08204
OUTPATIENT REHABILITATION FACILITY
4 BIR - SOMERS POINT
501 BAY AVENUE SUITE 101
SOMERS POINT,NJ08244
OUTPATIENT REHABILITATION FACILITY
5 BIR - ATLANTIC CITY
1401 ATLANTIC AVENUE
ATLANTIC CITY,NJ08401
OUTPATIENT REHABILITATION FACILITY
6 BIR - NORTH CAPE MAY
3860 BAYSHORE ROAD UNIT f
NORTH CAPE MAY,NJ08204
OUTPATIENT REHABILITATION FACILITY
7 BIR - MANAHAWKIN
691 MILL CREEK ROAD SUITE 12
MANAHAWKIN,NJ08050
OUTPATIENT REHABILITATION FACILITY
8 BIR - MARMORA
4 W ROOSEVELT BLVD UNIT 9
MARMORA,NJ08223
OUTPATIENT REHABILITATION FACILITY
9 BIR - OCEAN CITY NORTH
1555 HAVEN AVENUE
OCEAN CITY,NJ08226
OUTPATIENT REHABILITATION FACILITY
10 BIR - TUCKERTON
345 E MAIN STREET SUITE 200
TUCKERTON,NJ08087
OUTPATIENT REHABILITATION FACILITY
11 BIR - EGG HARBOR TWP - TILTON
3022 HINGSTON AVENUE
EGG HARBOR TOWNSHIP,NJ08234
OUTPATIENT REHABILITATION FACILITY
12 BIR - MARGATE
501 N JEROME AVENUE
MARGATE,NJ08402
OUTPATIENT REHABILITATION FACILITY
13 BIR - GALLOWAY
323 S PITNEY ROAD
GALLOWAY,NJ08205
OUTPATIENT REHABILITATION FACILITY
14 BIR - SOMERS POINT AUDIO
647 SHORE ROAD
SOMERS POINT,NJ08244
OUTPATIENT REHABILItATION FACILITY
15 BIR - VINELAND
1450 E CHESTNUT AVE BLDG 3 SUIT
VINELAND,NJ08361
OUTPATIENT REHABILITATION FACILITY
16 BIR - CENTRAL SQUARE - LINWOOD
199 ROUTE 9 CENTRAL SQUARE OFFICE
LINWOOD,NJ08221
OUTPATIENT REHABILITATION FACILITY
17 BIR - BRIGANTINE
3201 BRIGANTINE AVENUE
BRIGANTINE,NJ08203
OUTPATIENT REHABILITATION FACILITY
Schedule H (Form 990) 2013
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
SCH H,PART V,SECT B, Q's 1J,6I,10,11,12I,14G,16E,17E,18E,19C,19D,20D,21&22 NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 3 FOLLOWING THE COLLECTION OF DATA, FOUR COMMUNITY-BASED FOCUSED GROUPS WERE CONDUCTED IN THE FALL OF 2012. THE FOCUS GROUPS WERE CONDUCTED BY A THIRD-PARTY SO THAT THE INTEGRITY OF THE INFORMATION CAPTURED WAS NOT COMPROMISED OR INFLUENCED. SPECIAL ATTENTION WAS PROVIDED TO ENSURE THAT THE VOICES OF LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS WERE CAPTURED. THE THIRD-PARTY WORKED WITH REPRESENTATIVES FROM BOTH ATLANTICARE HEALTH SYSTEM, INC. AND BACHARACH INSTITUTE FOR REHABILITATION TO DETERMINE THE DISCUSSION GUIDE TO BE CONSISTENTLY USED IN ALL GROUPS. DURING THE FOCUS GROUPS, PARTICIPANTS WERE PRESENTED WITH COMMUNITY PRIORITIES AND CONCERNS. FOCUS GROUP PARTICIPANTS PROVIDED ADDITIONAL INSIGHT INTO THE PERCEIVED BARRIERS AND FACILITATORS OF HEALTH. IN ADDITION TO THE FOCUS GROUPS, COMMUNITY PRIORITIES ALSO WERE SHARED WITH VARIOUS COMMUNITY SERVICE AGENCIES AND COMMUNITY LEADERS WITHIN ATLANTIC COUNTY TO FURTHER ENGAGE IN DIALOGUE FROM ALL PERSPECTIVES AROUND PERCEIVED BARRIERS AND FACILITATORS. COMMUNITY AGENCIES AND LEADERS ENGAGED INCLUDED: - FAMILY SERVICES ASSOCIATION. - UNITED WAY OF ATLANTIC COUNTY. - THE ATLANTIC COUNTY DEPARTMENT OF PUBLIC HEALTH. - THE ATLANTIC CITY HEALTH DEPARTMENT. - SOUTHERN JERSEY FAMILY MEDICINE. - THE CITY OF ATLANTIC CITY. - THE CITY OF PLEASANTVILLE. - ATLANTIC HOUSING AUTHORITY. - PLEASANTVILLE HOUSING AUTHORITY.
SCHEDULE H, PART V, SECTION B, QUESTION 4 THE ORGANIZATION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH ATLANTICARE REGIONAL MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, QUESTION 5D THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DISTRIBUTED IN WAITING AREAS AT THE HOSPITAL AND AT VARIOUS COMMUNITY HEALTH EVENTS AND MEETINGS.
SCHEDULE H, PART V, SECTION B, QUESTION 7 THE FOLLOWING NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL NOT BE ADDRESSED BY THE ORGANIZATION AS A RESULT OF ITS COLLABORATION WITH ATLANTICARE REGIONAL MEDICAL CENTER IN CONDUCTING THE ASSESSMENT: - CHILDBIRTH AND PARENTING CLASSES - BLOOD PRESSURE SCREENINGS - WEIGHT LOSS CLINICS - JOINT REPLACEMENT PREPARATION - WELLNESS CLASSES DUE TO FEDERAL GUIDELINES THAT CALL FOR ALL NON-PROFIT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND RECOGNIZING THAT MULTIPLE ORGANIZATIONS SERVING THE SAME COMMUNITY WILL NEED TO COMPLETE THE REPORT, A PARTNERSHIP WAS FORMED BETWEEN TWO OF THE THREE HOSPITALS IN ATLANTIC COUNTY TO COMPLETE THIS ASSESSMENT. ATLANTICARE REGIONAL MEDICAL CENTER AND BACHARACH INSTITUTE FOR REHABILITATION JOINED FORCES TO IDENTIFY AND RESPOND TO COMMUNITY CONCERNS. THIS PARTNERSHIP NOT ONLY REDUCED DUPLICATIVE EFFORTS AND UNNECESSARY COSTS, BUT ALSO ENSURED THE ALLOCATION OF LIMITED RESOURCES TO THE IDENTIFIED CONCERNS. IN ADDITION TO BACHARACH INSTITUTE FOR REHABILITATION, PARTNERS SUCH AS THE ATLANTIC COUNTY DEPARTMENT OF PUBLIC HEALTH AND UNITED WAY WERE CONSULTED FOR DIRECTION AND ALSO TO DETERMINE PREVIOUSLY COLLECTED DATA AS AN ADDITIONAL EFFORT TO REDUCE DUPLICATIVE EFFORTS.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, 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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
Yes
 
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)RICHARD J KATHRINS phdTRUSTEE - PRESIDENT/CEO (i)
(ii)
334,105
0
0
0
9,090
0
7,650
0
1,162
0
352,007
0
0
0
(2)CRAIG J ANMUTH MDMEDICAL DIRECTOR (i)
(ii)
608,822
0
0
0
5,960
0
7,650
0
27,763
0
650,195
0
0
0
(3)DIANE S CROSHAWVP HUMAN RESOURCES (i)
(ii)
154,033
0
0
0
286
0
4,697
0
11,499
0
170,515
0
0
0
(4)BETH HOFFMANVP REHABILITATION SERVICES (i)
(ii)
148,254
0
0
0
277
0
4,550
0
27,519
0
180,600
0
0
0
(5)JEANNE VUKSTACHIEF FINANCIAL OFFICER (i)
(ii)
136,364
0
0
0
245
0
4,155
0
18,712
0
159,476
0
0
0
(6)ROBERT F HAHN MDPHYSIATRIST (i)
(ii)
279,145
0
0
0
157
0
7,650
0
28,140
0
315,092
0
0
0
(7)MARIANNE STURR MDPHYSIATRIST (i)
(ii)
272,426
0
0
0
417
0
7,650
0
11,241
0
291,734
0
0
0
(8)ROSS D BERLIN MDPHYSIATRIST (i)
(ii)
250,933
0
0
0
805
0
7,607
0
27,656
0
287,001
0
0
0
(9)ABRAHAM ALFARO MDPHYSIATRIST (i)
(ii)
233,313
0
0
0
2,210
0
7,082
0
20,248
0
262,853
0
0
0
(10)WEI XU MDPHYSIATRIST (i)
(ii)
192,941
0
0
0
241
0
1,678
0
21,099
0
215,959
0
0
0
Schedule J (Form 990) 2013

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 5A THE ORGANIZATION PAYS CERTAIN PHYSIATRISTS A BASE SALARY AND A PERCENTAGE OF CASH COLLECTED EACH MONTH FOR SERVICES RENDERED TO PATIENTS. DR. ANMUTH RECEIVES A PERCENTAGE OF CASH COLLECTED ATTRIBUTABLE TO INPATIENTS AND OUTPATIENTS; THIS TOTALED $344,301 IN 2013 WHICH AMOUNT WAS INCLUDED IN DR. ANMUTH'S 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. ROBERT F. HAHN, M.D., MARIANNE STURR, M.D., ROSS D. BERLIN, M.D., ABRAHAM ALFARO, M.D., AND WEI XU, M.D. RECEIVED A PERCENTAGE OF CASH COLLECTED EACH MONTH FOR SERVICES RENDERED WITH RESPECT TO OUTPATIENTS ONLY. THESE AMOUNTS TOTALED $88,169; $64,216; $38,573; $31,071 AND $41,840; RESPECTIVELY, IN 2013 WHICH AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number
21-0634964
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A NJ ECONOMIC DEVELOPMENT AUTHORITY
 
22-2045817   06-09-2003 7,960,000 BUILDING CONSTRUCTION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 7,960,000      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0      
5 Capitalized interest from proceeds . . . . . . . . . . . 0      
6 Proceeds in refunding escrows . . . . . . . . . . . . 0      
7 Issuance costs from proceeds . . . . . . . . . . . . 150,000      
8 Credit enhancement from proceeds . . . . . . . . . . . 0      
9 Working capital expenditures from proceeds . . . . . . . . . 0      
10 Capital expenditures from proceeds . . . . . . . . . . . 7,810,000      
11 Other spent proceeds . . . . . . . . . . . . . . 0      
12 Other unspent proceeds . . . . . . . . . . . . . . 0      
13 Year of substantial completion . . . . . . . . . . . . 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X            
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X            
16 Has the final allocation of proceeds been made? . . . . . . . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X            
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet        
6 Total of lines 4 and 5 . . . . . . . . . . . . .        
7 Does the bond issue meet the private security or payment test? . . . . . X              
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X            
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X            
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
  X            
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X            
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . . X              
c No rebate due? . . . . . . . .                
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X              
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider . . . . . . . . . 0
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X            
b Name of provider . . . . . . . . . 0
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X            
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X            
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X              
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
Return Reference Explanation
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== BACHARACH INSTITUTE FOR REHABILITATION ("BACHARACH") IS A NOT-FOR-PROFIT REHABILITATION HOSPITAL. BACHARACH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, BACHARACH 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, BACHARACH OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. BACHARACH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. BACHARACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 3. CONTROL OF BACHARACH RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 4. 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 BACHARACH, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF THE HOSPITAL 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. MOREOVER, BACHARACH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AS OUTLINE HEREIN. BACHARACH CONTINUES TO DEMONSTRATE ITS ONGOING AND GROWING COMMITMENT TO THE COMMUNITY BY PROVIDING REHABILITATION SERVICES REGARDLESS OF THE ABILITY TO PAY FOR THE PARTIAL OR FULL COST OF THE CARE DELIVERED. A SUMMARY OF THE COMMUNITY BENEFIT FOR 2012 IS REPORTED BELOW. ORGANIZATION OVERVIEW ===================== BACHARACH INSTITUTE FOR REHABILITATION IS A NON-PROFIT PRIVATE CORPORATION THAT PROVIDES REHABILITATION, SUB-ACUTE REHABILITATION CARE, AND OUTPATIENT SERVICES PRIMARILY TO PATIENTS FROM ATLANTIC, CAPE MAY, OCEAN, AND CUMBERLAND COUNTIES IN NEW JERSEY. THE PROGRAMS AND SERVICES ARE LICENSED OR ACCREDITED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES, THE JOINT COMMISSION, AND THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). IN ADDITION, CARF HAS SPECIFICALLY ACCREDITED: 1. BRAIN INJURY INPATIENT PROGRAM - HOSPITAL (ADULTS & CHILDREN) 2. BRAIN INJURY OUTPATIENT PROGRAM (ADULTS & CHILDREN) 3. COMPREHENSIVE INPATIENT REHABILITATION PROGRAM (ADULTS & CHILDREN) 4. SPINAL CORD SYSTEM OF CARE (ADULTS & CHILDREN) 5. INPATIENT REHABILITATION STROKE SPECIALTY PROGRAM THE BREADTH AND DEPTH OF BACHARACH'S ACCREDITED PROGRAMS ARE UNIQUE IN NEW JERSEY, AND OUR LOCAL RESIDENTS WOULD BE FACED WITH THE PROSPECT OF TRAVELING GREAT DISTANCES OR EVEN TO OTHER STATES SHOULD THESE SERVICES NOT BE PROVIDED. WHILE THE HOSPITAL WAS ESTABLISHED IN 1924 AS A HOSPITAL FOR CHILDREN WITH POLIO, TODAY'S BACHARACH OFFERS A FULL SPECTRUM OF BOTH INPATIENT AND OUTPATIENT REHABILITATION FOR ADULTS AND CHILDREN, INCLUDING: - PHYSICAL AND OCCUPATIONAL THERAPY - SPEECH AND HEARING SERVICES - CARDIOPULMONARY REHABILITATION - ORTHOPEDIC AND JOINT REPLACEMENT REHABILITATION - BRAIN INJURY - STROKE - NEUROLOGICAL CONDITIONS - AMPUTEE SERVICES - SLEEP DISORDERS AND NEURODIAGNOSTIC TESTING - AQUATIC THERAPY - PHYSIATRY SERVICES BACHARACH IS STAFFED BY PHYSICIANS, NURSES, AND THERAPISTS WHO SPECIALIZE IN IMPROVING QUALITY OF LIFE FOLLOWING ILLNESS, INJURY AND SURGERY. MISSION ======= BACHARACH INSTITUTE FOR REHABILITATION STRIVES FOR RESTORING INDEPENDENCE AND WELL BEING. THE HOSPITAL FULFILLS THIS MISSION BY WORKING WITH THE COMMUNITY, PHYSICIANS, HEALTHCARE PROFESSIONALS, PATIENTS AND THEIR FAMILIES TO IMPROVE ACCESSIBILITY, SAFETY AND THE QUALITY OF SERVICES PROVIDED. THE MISSION IS FURTHER SUPPORTED BY AN ONGOING COMMITMENT TO QUALITY CARE, CARING, ADVOCACY, TEAM WORK, PUTTING THE PATIENT FIRST, CONTINUAL PERFORMANCE IMPROVEMENT, AND EFFICIENCY. SERVICES PROVIDED WHICH SUPPORT THE MISSION INCLUDE: - COMPREHENSIVE ADULT INPATIENT REHABILITATION SERVICES - SUB-ACUTE REHABILITATION SERVICES (LONG-TERM CARE) - DAY REHABILITATION SERVICES - AMBULATORY CARE SERVICES - PHSYIATRY SERVICES - PROVISION OF REHABILITATION SERVICES TO ATLANTICARE REGIONAL MEDICAL CENTER AND SHORE MEMORIAL HOSPITAL - EDUCATIONAL PROGRAMS IN WHICH GRADUATE AND UNDERGRADUATE TRAINING IS PROVIDED TO NURSING, PHYSICAL, NUTRITIONAL, SPEECH, AND OCCUPATIONAL THERAPY AND EXERCISE PHYSIOLOGY ENTRY-LEVEL PROGRAMS. LOCALLY THESE SERVICES ARE PROVIDED TO THE RICHARD STOCKTON COLLEGE OF NEW JERSEY, ATLANTIC-CAPE COMMUNITY COLLEGE AND CUMBERLAND COUNTY COMMUNITY COLLEGE AND OTHERS WITHIN THE REGION. - NURSING AND OTHER PROFESSIONAL SCHOLARSHIP PROGRAMS (2 SEPARATE PROGRAMS) ARE MANAGED IN COORDINATION WITH THE HOSPITAL. - PROGRAMS AND SUPPORT GROUPS ARE PROVIDED TO EDUCATE PATIENTS, THEIR FAMILIES AND THE COMMUNITY AT LARGE ABOUT PROMOTING HEALTH, UNDERSTANDING DISEASE AND ILLNESS PROCESSES, AND INCREASING KNOWLEDGE ABOUT HEALTHCARE OPTIONS. PROGRAMS ALSO ENCOURAGE COMMUNITY INVOLVEMENT IN COMMUNITY-BASED LEISURE ACTIVITIES, RETURN TO WORK AND ASSIMILATION INTO THE COMMUNITY. UNCOMPENSATED CARE: UNCOMPENSATED CARE IS THE TERM USED FOR PATIENT CARE PROVIDED BUT NOT PAID FOR. THIS CARE, PROVIDED BY BACHARACH, IS THE MAJOR COMPONENT OF OUR COMMUNITY BENEFIT AND THE FASHION IN WHICH BACHARACH MEETS IT CHARITABLE OBLIGATION. IF BACHARACH DID NOT PROVIDE THESE SPECIALIZED AND INDIVIDUALIZED SERVICES TO THE COMMUNITY, PATIENTS WOULD HAVE NO CHOICE BUT TO TRAVEL LONG DISTANCES TO RECEIVE THE SERVICES, OR THEY WOULD NOT ACHIEVE THE INDEPENDENCE NEEDED TO LIVE A FULLER AND MORE PRODUCTIVE LIFE. UNLIKE ACUTE CARE HOSPITALS IN NEW JERSEY, ACUTE REHABILITATION HOSPITALS DO NOT RECEIVE ANY REIMBURSEMENT FROM THE STATE OF NEW JERSEY TO COMPENSATE FOR THE CHARITY CARE PROVIDED TO THE COMMUNITY. UNCOMPENSATED CARE IS DEFINED BELOW: CHARITY CARE: FINANCIAL ASSISTANCE MADE AVAILABLE TO PATIENTS IN NEED WHO LIVE IN THE COMMUNITIES WE SERVE AND WHO CANNOT AFFORD TO PAY. THIS POLICY PROVIDES ACCESS, AND EQUAL AVAILABILITY TO HIGH-QUALITY REHABILITATION SERVICES REGARDLESS OF PAYMENT BAD DEBT: THIS AMOUNT REPRESENTS PATIENT ACCOUNTS, WHICH REMAIN UNPAID DESPITE REASONABLE ATTEMPTS TO COLLECT PAYMENTS. UNCOMPENSATED CARE SUMMARY 2004 2005 2006 ------ ------ ------ CHARITY $670,639 $700,310 $579,401 BAD DEBT $342,658 $275,000 $357,147 ----------- ---------- --------- TOTAL $1,013,297 $975,310 $936,548 ========== ========= ======== 2007 2008 2009 ------ ------ ------ CHARITY $697,370 $427,209 $691,128 BAD DEBT $387,144 $409,000 $234,713 ------------ ---------- ---------- TOTAL $1,084,514 $836,209 $925,841 ============ ========== ========== 2010 2011 2012 ------ ------ ------ CHARITY $381,726 $487,945 $449,853 BAD DEBT $188,402 $230,645 $157,895 ---------- --------- ---------- TOTAL $570,128 $718,590 $607,748 ========= ========= ========= 2013 ------ CHARITY $ 86,263 BAD DEBT $280,704 ---------- TOTAL $366,967 ==========
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS TRANSPORTATION: IN ADDITION, BACHARACH PROVIDES FREE VAN SERVICE TO PATIENTS WHO DO NOT HAVE ANOTHER MEANS OF TRANSPORTATION TO THEIR APPOINTMENTS. IN THE LAST TWELVE MONTHS, BACHARACH PROVIDED 18,376 TRIPS FREE OF CHARGE AT A COST TO US OF $463,960. NEURO-DIAGNOSTIC CLINIC: THERE IS ALSO A NEURO-DIAGNOSTIC CLINIC HELD AT THE ATLANTICARE REGIONAL MEDICAL CENTER FOR PATIENTS WHO ARE UNABLE TO PAY. THE CLINIC IS STAFFED BY BACHARACH'S PHYSIATRISTS. WE HAVE HISTORICALLY PROVIDED SERVICES REGARDLESS OF THE ABILITY TO PAY, WHILE AT THE SAME TIME WE HAVE WORKED WITH PATIENTS AND FAMILIES TO FIND ALTERNATIVE SOURCES FOR HEALTHCARE COVERAGE. SUBSIDIZED HEALTHCARE SERVICES: BACHARACH OPERATES A NUMBER OF PROGRAMS AND SERVICES AT A DEFICIT. IN MANY CASES PUBLIC ASSISTANCE PROGRAMS DO NOT FULLY COVER EITHER THE INDIRECT OR DIRECT EXPENSES OF THE SERVICES PROVIDED. DESPITE THE FACT THAT THEY ARE UNDER-FUNDED, THEY ARE PROVIDED AS THEY FULFILL A COMMUNITY AND SPECIFIC PATIENT NEED. IT IS IMPORTANT FOR THE COMMUNITY TO UNDERSTAND, RECOGNIZE, AND SUPPORT THE PROVISION OF THESE PROGRAMS. THE CLOSURE OF THESE PROGRAMS WOULD PLACE OUR COMMUNITY RESIDENTS AT RISK AND WOULD CREATE A GAP IN SERVICES. BACHARACH'S BOARD OF GOVERNORS AND ADMINISTRATION CONTINUALLY ASSESS THE MISSION AND ROLE OF THESE PROGRAMS. THE FOLLOWING PROGRAMS, WHILE MEETING A WELL-DOCUMENTED COMMUNITY NEED. BACHARACH STRIVES TO MEET THE CHALLENGE OF PROVIDING THESE SERVICES BY BEING A LOW-COST AND PRODUCTIVE PROVIDER. PROGRAMS AND SERVICES THAT REQUIRE DEFICIT FUNDING DUE TO UNDER-FUNDED PUBLIC PROGRAMS INCLUDE: - BRAIN INJURY - SPINAL CORD - STROKE - AMPUTEE - NEUROLOGICAL AND - CERTAIN ORTHOPEDIC PROGRAMS AND SERVICES - CARDIAC REHABILITATION COMMUNITY SUPPORT: THROUGHOUT 2012 BACHARACH AND ITS EMPLOYEES SUPPORTED A NUMBER OF CIVIC AND COMMUNITY PROJECTS THAT STRENGTHEN THE COMMUNITY. WHILE SOME OF THESE PROGRAMS ARE NOT DIRECTLY RELATED TO THE PROVISION OF HEALTHCARE THEY DO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY. THESE PROGRAMS INCLUDED THE SUPPORT OF THE UNITED WAY, RUTH NEWMAN SHAPIRO HEART AND CANCER FUND, COMMUNITY FOOD BANK, SHIRLEY MAE BREAST CANCER ASSISTANCE FUND, ATLANTIC CITY DAY NURSERY, GILDA'S CLUB, MAPS, SHORE MEMORIAL HOSPITAL STAINTON SOCIETY, BETH JUDAH UNDERSERVED TEEN HOLIDAY PARTY, DISABLED AMERICAN VETERANS, MAKE A WISH FOUNDATION, SOUTH JERSEY CANCER FUND AND THE ATLANTICARE FOUNDATION. COMMUNITY OUTREACH PROGRAMS AND SUPPORT GROUPS: BACHARACH IS COMMITTED TO IMPROVING THE QUALITY OF LIFE AND HEALTH OF OUR LOCAL RESIDENTS. IN 2013, BACHARACH INVESTED FUNDS TO PROVIDE EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, EDUCATIONAL SESSIONS, AND HEALTH AND WELLNESS PROGRAMS. THESE SUPPORT SERVICES AND PROGRAMS INCLUDE: - AMPUTEE SUPPORT GROUPS - BRAIN INJURY SUPPORT GROUPS - STROKE SUPPORT GROUPS - STROKE SUPPORT FOR CARE GIVERS - COMMUNITY ADVISORY PANELS - SLEEP APNEA SUPPORT GROUP - HEARING AIDE BANK (HEARING AIDE SUPPORT FUND) - AQUATIC POOL - ONLY PROGRAM OF ITS TYPE IN THE REGION - CPR TRAINING (ADULTS AND CHILDREN) THE ESTIMATED COST OF THESE SERVICES IN 2013 WAS $4,231. EDUCATIONAL SCHOLARSHIPS: IN 2013, BACHARACH PROVIDED ADMINISTRATIVE SERVICES PRIMARILY THROUGH AN INDEPENDENT SCHOLARSHIP PROGRAM FOR MATRICULATED STUDENTS OF EMPLOYEES WHICH IS NOT LIMITED TO STUDENTS ENROLLED IN HEALTHCARE PROGRAMS. BACHARACH ALSO PROVIDES ADMINISTRATIVE SERVICES TO ANOTHER INDEPENDENT SCHOLARSHIP PROGRAM WHICH PROVIDES SUPPORT TO MATRICULATED NURSING STUDENTS. COMMUNITY MEDICAL EDUCATION: BACHARACH PROVIDES AND PARTICIPATES IN VARIOUS PROFESSIONAL EDUCATIONAL PROGRAMS. IT OFFERS A WIDE VARIETY OF MEDICAL EDUCATION, CONTINUING EDUCATION PROGRAMS AND VARIOUS DAY TRAINING FOR THE PROFESSIONAL COMMUNITY. BACHARACH SERVES AS A CLINICAL PRACTICE SITE FOR VARIOUS PROFESSIONAL PROGRAMS, INCLUDING MEDICAL STUDENTS, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, NUTRITION, THERAPEUTIC RECREATIONAL, NURSES AND EXERCISE SCIENCE STUDENTS AS WELL AS PSYCHOLOGY INTERNS. PROGRAMS SUCH AS THESE PROVIDE THE AREA WITH A CONSTANT SUPPLY OF WELL-TRAINED HEALTH PROFESSIONALS. WHILE SOME OF THESE STUDENTS MAY FIND EMPLOYMENT POST GRADUATION AT BACHARACH, MOST WILL ULTIMATELY WORK WITHIN THE COMMUNITY. THE COST $514,364 ASSOCIATED WITH THIS PROGRAM INCLUDES STAFF TIME, EQUIPMENT AND SUPPLIES. THERE IS NO CHARGE TO THE STUDENT TO PARTICIPATE IN THESE PROGRAMS. VOLUNTEER SUPPORT: THE ABILITY FOR BACHARACH TO OFFER THE COMMUNITY THE SCOPE OF ITS SERVICES IS SUPPORTED BY THE EFFORTS OF THE COMMUNITY-BASED VOLUNTEERS. IN 2013, COMMUNITY VOLUNTEERS GAVE GENEROUSLY OF THEIR TIME AND SUPPORT. THE VALUE OF THOSE HOURS TRANSLATED INTO $75,168 DOLLARS. THE BENEFIT OF THE SUPPORT OF THE VOLUNTEERS IS THROUGH THE PROVISION OF PERSONAL ESCORTS, GREETERS, PATIENT FOLLOW-UP PHONE CALLS POST DISCHARGE AND CLERICAL SUPPORT. SUMMARY OF COMMUNITY BENEFITS ============================= UNCOMPENSATED CARE - INCLUDES CHARITY CARE, WHICH IS THE NON-REIMBURSED COST OF PROVIDING FREE OR DISCOUNTED CARE TO PERSONS WHO CANNOT PAY ALL, OR PART AND WHO ARE DETERMINED ELIGIBLE THROUGH A STRUCTURED APPLICATION PROCESS. UNCOMPENSATED CARE ALSO INCLUDES BAD DEBT, WHICH REPRESENTS PATIENT ACCOUNTS WHERE REASONABLE ATTEMPTS TO WERE MADE. SUBSIDIZED HEALTHCARE SERVICES - THE DIFFERENCE BETWEEN THE COST OF PROVIDING CARE TO THOSE ENROLLED IN PUBLIC PROGRAMS AND WHAT THE GOVERNMENT REIMBURSES COMMUNITY DEVELOPMENT - FINANCIAL AND STAFF SUPPORT OF PARTNERSHIPS FOR COMMUNITY SERVICES. THIS IS A LONG STANDING TRADITION OF SUPPORTING AGENCIES AND PROGRAMS THAT CONTRIBUTE TO THE COMMUNITY. MEDICAL EDUCATION - ESSENTIAL TO PATIENT CARE, OUR INVOLVEMENT INCLUDES INSERVICE EDUCATION TO COMMUNITY PROFESSIONAL STAFF, AND PARTNERSHIPS WITH THE AREA HEALTHCARE PROFESSIONAL TRAINING PROGRAMS. COMMUNITY EDUCATION AND OUTREACH - COST OF PROVIDING FREE SCREENINGS, TRANSPORTATION, HEALTH AND WELLNESS PROGRAMS, AND SUPPORT GROUPS. COMMUNITY SPONSORSHIPS- PROVIDING FINANCIAL SUPPORT AND MEETING SPACE TO COMMUNITY GROUPS, EQUIPMENT, SERVICES, SUPPLIES, AND AGENCIES. EDUCATIONAL SCHOLARSHIP PROGRAMS - PROVIDED TO MATRICULATED NURSING STUDENTS AND TO CHILDREN OF BACHARACH EMPLOYEES. VOLUNTEER SUPPORT - THE VALUE OF THE VOLUNTEERS DONATED TIME AND EFFORT. 2013 COMMUNITY BENEFIT SUMMARY AMOUNT UNCOMPENSATED CARE - BAD DEBT: $280,704 UNCOMPENSATED CARE - CHARITY CARE: $86,263 SUBSIDIZED HEALTHCARE SERVICES: $10,321 VOLUNTEER SUPPORT: $75,168 COMMUNITY OUTREACH & SUPPORT: $24,779 TRANSPORTATION SERVICES: $533,957 COMMUNITY MEDICAL EDUCATION: $514,364 ------------ TOTAL: $1,525,556 ============
CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
PART VI, SECTION A, QUESTION 2 PHILIP J. PERSKIE, ESQ. AND ROY GOLDBERG - FAMILY RELATIONSHIP. PHILIP J. PERSKIE, ESQ. AND MARY JOYCE PERSKIE - FAMILY RELATIONSHIP.
CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO A COMMITTEE OF ITS GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE Organization 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 FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS 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 FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO A COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES AND FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE DISTRIBUTED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. THE PRESIDENT/CHIEF EXECUTIVE OFFICER DISCUSSES THE COMPLETED FORMS WITH THE EXECUTIVE COMMITTEE OF THE BOARD WHICH THEN REPORTS TO THE BOARD OF TRUSTEES, WHERE NECESSARY.
CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES APPOINTS A COMPENSATION COMMITTEE TO REVIEW AND APPROVE OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE COMPENSATION COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMPENSATION COMMITTEE OBTAINED INDEPENDENT SALARY SURVEY INFORMATION FURNISHED BY AN INDEPENDENT CONSULTANT AND REVIEWED FORMS 990 OF SIMILAR ORGANIZATIONS THROUGHOUT THE UNITED STATES. THIS INCLUDED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED REHABILITATION FACILITIES, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMPENSATION AND BENEFITS OF ALL OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S VICE PRESIDENT OF HUMAN RESOURCES IN CONJUNCTION WITH EACH 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, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN A HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS ("SYSTEM"). CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS, DIRECTORS AND KEY EMPLOYEES 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 REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES, OFFICER, DIRECTOR OR KEY EMPLOYEE OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON THIS FORM 990.
CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY AND EQUIPMENT - $124,549; - CHANGE IN INTEREST OF NET ASSETS OF BACHARACH HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION - $5,763,026; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS - ($130,993); and - CHANGE IN BENEFICIAL INTEREST OF CHARITABLE TRUSTS; PERMANENTLY RESTRICTED - $306,301.
CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF BACHARACH INSTITUTE FOR REHABILITATION FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
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:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach 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
BACHARACH INSTITUTE FOR REHABILITATION
 
Employer identification number

21-0634964
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?
Yes No
(1) ATLANTIC PROSTHETIC & ORTHOTIC SVCS INC

199 NEW ROAD

LINWOOD,NJ08221
22-3164284
HEALTHCARE NJ 501(C)(3) N/A BIR
 
Yes
 
(2) BACHARACH HOSPITAL FOUNDATION INC

61 W JIMMIE LEEDS ROAD

POMONA,NJ08240
22-3049576
SUPPORT NJ 501(C)(3) 509(A)(3) BIR
 
Yes
 










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
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



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2013
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) BACHARACH HOSPITAL FOUNDATION INC

O 230,130 COST
(2) BACHARACH HOSPITAL FOUNDATION INC

C 167,422 COST
(3) BACHARACH HOSPITAL FOUNDATION INC

E 5,588,849 COST
(4) ATLANTIC PROSTHETIC & ORTHOTIC SERVICES INC

q 214,141 COST


Schedule R (Form 990) 2013
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
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 (Form 990) 2013
Additional Data


Software ID:  
Software Version: