Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 | |||
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| Yes | No | Yes | No | Yes | No | ||||
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 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). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
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| CORE FORM, PART III | Background ========== Community Medical Center ("CMC") is a general medical and surgical hospital. CMC is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, CMC 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, CMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. CMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. CMC operates an active emergency department for all persons which is open 24 hours a day, 7 days a week, 365 days per year; 3. CMC maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of CMC rests with its board of trustees and the board of trustees of Barnabas Health, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of CMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of CMC 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. CMC's sole corporate member is Barnabas Health, Inc. ("BH"), a tax-exempt New Jersey non-profit parent corporation. Barnabas Health is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. This integrated network of healthcare providers throughout the state of New Jersey provides substantial community benefit. The sole member or stockholder of each entity is either BH or another BH affiliate controlled or owned by BH. CMC, like its corporate parent is a not-for-profit organization. BH is the largest multi-hospital system in New Jersey and provides substantial community benefit. BH consists of free-standing acute care hospitals, a free-standing psychiatric hospital, Medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, outpatient behavioral health centers and other entities. BH provides medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, BH provides healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health and Senior services without charge or at amounts less than established rates. BH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Hospital Statistical Information ================================ CMC is a non-profit general medical and surgical hospital located in Toms River, Ocean County, New Jersey. CMC is comprised of 587 adult beds, a 32 bassinet nursery and 25 transitional care (skilled nursing) beds. During 2013, CMC serviced nearly 25,000 inpatients and over 84,800 emergency department visits. The emergency department is open to all individuals 7 days a week, 24 hours per day, 365 days per year. Mission Statement ================= Community Medical Center, a not-for-profit acute care hospital serving the Ocean County region, is committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services, including continuing medical education for our medical staff. In collaboration with our medical staff and in partnership with BH, we strive to exceed patients' expectations in a progressive organizational environment which emphasizes commitment, competence, collaboration, communication and compassion. Through dedication, clinical excellence, patient satisfaction and education, we will ensure safe and comprehensive care for generations to come. Accomplishments/Milestones/Recognitions/Awards ============================================== CMC has been recognized with distinguished awards for clinical excellence. Some of these are listed below: - The hospital was surveyed by the Joint Commission and received its triennial re-accreditation for the hospital, home care and hospice programs. - The hospital is the recipient of the Joint Commission - gold seal of approval for acute coronary syndrome, heart failure, cardiac rehabilitation, total joint replacement - hip & knee, and stroke care. - The New Jersey Department of Health designated CMC as a primary stroke center. - The Commission on Cancer of the American College of Surgeons designated CMC as a community hospital comprehensive cancer program. The program has had this distinction since 1986. - The American College of Radiology renewed accreditations for mammography services, stereotactic breast, ultrasound breast, ultrasound GYN, general ultrasound, nuclear medicine, MRI, radiation oncology and Breast Center of Excellence. Healthgrades awards: - America's 50 Best Hospitals: 2011, 2012, 2013 - Distinguished Hospital Award for Clinical Excellence since 2005 - Gynecologic surgery excellence award - Gastrointestinal surgery excellence award - Maternity care excellence award - Orthopedic care excellence award - Pulmonary care excellence award - Coronary interventional excellence award - Five-star for treatment of heart attack - Five-star for treatment of heart failure - Five star rating for critical care - CMC received an "A" in the Hospital Safety Score from The Leapfrog Group - CMC associates and medical staff collected over 18,500 pounds of food and donated it to area food banks in Ocean County. Over 107,000 pounds of food has been donated to those in need during the past 6 years. - The fourth annual back to school supplies drive sponsored by CMC employees collected over 200 backpacks along with cartons of crayons, markers, pencils, pens, calculators, filler paper, notebooks, highlighters, lunchboxes, etc, for children in need. - The emergency department treats over 95,000 adult and pediatric emergency patients annually. - The J. Phillip Citta Regional Cancer Center offers the rapid arc linear accelerator and the CyberKnife to Ocean County; offering area residents access to the latest generation of cancer fighting technologies. Centers of Excellence ===================== CMC's recognized medical services centers of excellence include, but are not limited to, the following: 1. J. Phillip Citta Regional Cancer Center CMC offers a dedicated inpatient oncology unit, radiation oncology center, infusion center and a full range of support groups and services for patients and their families. CMC's dedicated staff of physicians, nurses and allied health professionals address the needs of patients and families facing a cancer diagnosis and treatment. The cancer program is a member of the renowned Penn Cancer Network in Philadelphia and is accredited by the American College of Surgeons. Programs and services of this center include: - Medical oncology - a multidisciplinary team approach ensures the physical and psychosocial needs of patients and their families are addressed. The team includes board certified physicians, oncology certified nurses, licensed clinical social workers, case managers, dieticians and home care professionals working together to provide high quality care in both the inpatient and outpatient settings. - Radiation oncology - from sophisticated rapid arc linear accelerator to the CyberKnife, the department of radiation oncology offers the highest standard of care and is accredited by the American College of Radiology. The radiation oncology team consists of board certified radiation oncologists and physicists, nurses who specialize in oncology, registered radiation therapists, and licensed clinical social workers. - The breast care program - the breast care program helps meet the special needs of women undergoing breast cancer diagnosis, surgery, treatment and follow-up. - Complementary services - CMC provides several complementary services including massage therapy provided by certified massage therapists, relaxation training, and guided imagery by social workers, pet therapy, art therapy programs and Reiki therapy - therapeutic touch to reduce stress and promote relaxation - by certified Reiki therapists. Radiation Oncology patients also receive free transportation services if need be. |
| CORE FORM, PART III | - Oncology data center - the oncology data center/tumor registry provides essential research and information. Data is provided as mandated to the New Jersey Department of Health as well as the national cancer data base. Data obtained from the registry is used to analyze various treatment programs and is used for use in cancer research, medical education, funding applications and medical publications. - Oncology research - clinical trials are offered through CMC's affiliation with the Penn Cancer Network. CMC provides patients access to national and regional clinical research studies, in the treatment of cancer, chemoprevention and supportive care. - Support services - psycho-social services are provided by licensed clinical social workers. Supportive counseling, pastoral care services, education, referral services and support groups are all available for patients and families. - Oncology nurse navigator - available to assist lung cancer patients streamline the healthcare process and meet individuals' medical, psycho-social and emotional needs. 2. First Moments Maternity Services The maternity program specializes in a total concept of care for mothers and their babies - where advanced technology and training are enhanced by the human touch of dedicated healthcare professionals. The unit is staffed by highly skilled physicians, midwives and nurses. In addition, all of CMC's nurses are certified in neonatal resuscitation and lactation resource trained. The modern state-of-the-art unit offers moms-to-be the most advanced maternal and child health technology, including 24/7 neonatal coverage, in a comfortable and safe environment. The labor-delivery recovery and postpartum rooms combine the latest technology with a soothing home-like decor. The unit also includes a special care nursery staffed by a neonatologist and certified neonatal nurses to care for babies with special needs, and a fully-equipped operating suite for cesarean births or high-risk vaginal deliveries. Programs and services of this center include: - Extensive childbirth preparation and infant care classes - Comprehensive parenting support and education - Comprehensive pre and postnatal care - Specially designed labor-delivery-recovery rooms with jacuzzis - 24-hour anesthesia and pain management therapies - Superior lactation education and support - Special care nursery - 24-hour neonatal coverage - Level II special care nursery, for premature newborns 3. The Spine Institute / The Joint Institute A multi-disciplinary team of nurses, therapists, orthopedic and neurosurgeons work to provide a comprehensive planned course of treatment with active involvement of the patient in their treatment and recovery. Medical and Community Services ============================== Additional Medical Services --------------------------- Consistent with revenue ruling 69-545, all qualified physicians are eligible for medical staff privileges at CMC. CMC had over 750 physicians on its medical staff during 2013, including, but not limited to, the following medical specialties: - Anesthesiology - Emergency/Outpatient Medicine - Family Medicine - Medicine - Cardiology - Dermatology - Endocrinology - Gastroenterology - Geriatrics - Infectious Diseases - Nephrology - Neurology - Hematology/Oncology - Physical Medicine & Rehabilitation - Psychiatry - Pulmonary - Obstetrics & Gynecology - Otolaryngology, Head & Neck Surgery - Ophthalmology - Orthopedics - Pathology & Laboratory - Pediatrics - Podiatry - Radiology - Surgery - Neurosurgery - Oral & Maxillofacial Surgery - Plastic Surgery - Thoracic Surgery - Vascular Surgery - Pediatric Surgery - Urology Community Service Centers ------------------------- CMC is committed to keeping its community healthy and offers an extensive array of community outreach programs and services for the benefit of the community it serves. Community Medical Center's Health Education and Outreach Division is dedicated to promoting health awareness for the community by providing needed educational, preventative and screening sessions for the public. We have participated in many speaking engagements for the community, participated in health fairs and external programs that include updates on health issues, conducting screenings, facilitating support groups and other community functions/activities while acting as a single location for referral for all types of services. Senior adults, young families and children all benefit from these programs and services. These centers promote health and health awareness for the community: - The Lighthouse, a Center for Senior Health - The Center for Kids and Family - The Center for Diabetes Education - Certified Diabetes Educators provide services to men, women, children and pregnant women. - The Center for Women's Health Community Medical Center's Volunteer Resource Center provides hospital departments with an active volunteer network. Volunteers give their support in several ways, from delivering flowers and mail to filing or answering phones. Nearly 108,000 hours of services were provided throughout the year. Community Benefit Programs -------------------------- 1. Employees Give Back to Combat Hunger; Community Medical Center Health Care Harvest Food Drive For the past eight years, CMC employees and members of the Medical Staff have collected and donated food for local food pantries through Health Care Harvest, the hospital's annual food drive. This year, the staff surpassed the 125,000-pound benchmark, collecting an eight-year cumulative total of 125,289 pounds of food, 18,243 pounds of which was collected this year. The food drive was designed to coincide with the end of the school year and support children who usually depend on schools' free breakfast and lunch programs. Departments within the hospital compete among themselves to collect the most food. This year's collection benefited Ocean County Hunger Relief, Food Bank of Monmouth and Ocean Counties and Morning Star Presbyterian Church of Bayville. Other community-focused programs the hospital staff has participated in include a 'Tools for School' backpack and schools supplies drive, a holiday toy drive and a collaborative effort with the American Littoral Society to create a cleaner Barnegat Bay. 2. Women and Heart Disease; Community Medical Center Raises Awareness of Heart Disease in Women As a Spirit of Women and Heart Caring designated hospital, CMC is uniquely poised to raise awareness of medical issues affecting women, including heart health. Heart disease is the No. 1 cause of death in the United States. It is also one of the most preventable. The hospital helped to ensure that women make their health a priority during American Heart Month by offering free blood pressure screenings and cholesterol and glucose testing as part of its Day of Dance 2014 celebration, a series of health education activities designed to reach women in all stages of life. A cardiologist offered a presentation on the importance of heart health, and CMC invited local dance groups to perform throughout the day to encourage people of all ages to dance and keep moving as a way to stay heart healthy. For the past four years, CMC has held the "Get Your Red On" program for women designed to raise awareness about achieving a heart healthy lifestyle. Hospital physicians present detailed information on common cardiac conditions during the event, which features free blood pressure, glucose and cholesterol screenings. Last year, "Get Your Red On" drew 300 women, each of whom was requested to wear red in honor of American Heart Month. 3. Children and Obesity; The Whimsical Foodtastic Fun Tour - Children's Nutritional School Assembly Children need a solid foundation in life that includes healthy eating habits, exercise and fun. CMC combines these three components in a program that uses a grocery store outing to teach children about the various food groups and how this knowledge can fuel healthy decisions. A chef and his mascot expose children to a variety of foods, helping them to learn how to fuel their bodies. Students from Toms River and the surrounding region in kindergarten through third grade receive in-classroom lessons and attend an interactive in-school assembly featuring educational nutritional prizes. To date, Community Medical Center has involved more than 1,300 students in the nutritional outreach program. |
| CORE FORM, PART III | Medical Screenings ------------------ CMC provides numerous medical screening and preventive health programs to the community in furtherance of its tax exempt purposes including, but not limited to, the following: - Blood pressure screening - Cardiac and concussion screenings for young athletes - Diabetes screenings - Heart Disease screenings - Skin cancer screenings - Prostate cancer screenings Community Education ------------------- The hospital's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. All patients are asked regarding living wills and advanced directives. CMC provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax exempt purposes including, but not limited to, the following: 1. Center for Diabetes Education - Diabetes self-management series - One-on-one counseling services - Support groups including 2 diabetes support groups & an insulin-pump support group - Community outreach - Diabetes Expo Health Fair and Presentation - Weight Management - Diabetes Alert Day Health Education Presentation - Diabetes . . . News You Can Use Free Education Program 2. Center for Kids & Family - Safe sitter program - Home alone - Parenting - Anger Management and Violence Prevention - Mom's Support Group - Eating Disorder Support Group - Kids and Divorce Support Group - Bereavement for Children Support 3. Pediatric Information - Bicycle and helmet safety - Baby & Children's Fair for expectant and new moms, dads and grandparents and families - Self Defense Instruction (ages 10 - 14) - Sports medicine programs: Matthew J. Morahan Concussion & Cardiac Screening - Health Education to Toms River School children regarding circulatory system and heart disease - Ocean County Library Family Place Events; informational sessions for parents - The Whimsical Foodtastic Fun Tour - Children's Nutritional School Assembly 4. Women's Health - Get Your Red On - increase awareness about heart disease in women - Women's Health Week - Physician Lectures & Health Screenings - Living Well - Brick Seniors Club - Breast and Cervical Education - Breast Health - Fitness - Osteoporosis - Menopause - Nutrition - Healthy Bones: Osteoporosis Exercise and Education Program - PMS - Stress Management - Women's Tea at the Women's Imaging Center to discuss breast imaging, care and wellness 5. The Lighthouse - Older Adults - Take Control of Your Health, a chronic disease and medication management program - Review Your Medications - Self Defense Instruction - Exercise and Balance for Older Adults - Blood Pressure Screening - AARP Driver's Safety Program - AARP Income Tax Assistance - Drive Defensively Classes - Look Good, Feel Better - Insurance Counseling - Prescription Discount Program - Health Education Sessions 6. Various Health Fairs, Educational Sessions and Programs: - Colorectal Cancer Awareness Fair - Heart Health Fair - Pain Awareness Health Fair - Toms River Older Adults Health Fair - Neuroscience Health Fair - American Red Cross Blood Drives - Health Fair Baby Fair for pregnant women - Guys Night Out - Men's Health Event - Discharge Transportation provided for patients in need (via ambulance, taxi, MAV wheelchair transport) - Provide patients in need with Durable Medical Equipment/Supplies - Annual Food Drive to benefit local food banks in Ocean County - Health Education Session for Brick Seniors Club - Health Education and Awareness of Colon Health to Churches - Health Education Session at Imaging Center in Whiting - Health Education Session to Manchester Township Employees - Health Education Seminar regarding Benefits of Pet Therapy - Health Education Presentation on Diabetes to Renaissance Men's Club Night - Health Education on Sleep Center - Health Fair at First Baptist Church - Health Fair to Garfield Senior Center regarding breast and cervical screenings, hospice, community health education - Health Fair - OCC Senior Living Expo - Health Fair for Ocean County Employees - Health Fair for Ocean First Bank - Prescription Medication Coverage for patients in need, post discharge - Self Defense Instruction (Men and Women All Ages) - SHIP Counseling - PAWS for Cancer - A Time for Us - Mothers and Daughters program 7. Offered fire safety house demonstration model to schools and community fairs. 8. CMC's health line and newborn television channels were developed for patient and family education. CMC also distributed publications to provide information to the community on healthcare issues. Support Groups -------------- A partial listing of patient and community support groups includes: - Bereavement Support Group - Brain Injury Support Group - Coping with Cancer Support Group - Cardiac Rehabilitation Support Group - Caregivers Support Group and Counseling - Congestive Heart Failure Support Group - Diabetes Support Group - Insulin Pump Support - Perinatal Bereavement Support Group - Prostate Cancer Support Group - Nu-voice Support Group - Head and Neck Cancer Support Group - Colorectal Cancer Support Group - Breast Cancer Support Group - Sjogrens Support Group - Look Good, Feel Better - American Cancer Society - Leukemia and Lymphoma Support Group Instructional Classes and Programs ---------------------------------- CMC offers a variety of lifestyle and instructional classes to improve an individual's overall well-being. There is a fee associated with these programs. Some of these programs include: - CPR: cardiopulmonary resuscitation class - T'ai chi - Yoga CMC offers an extensive array of prenatal childbirth preparation and parenting classes and services. The following courses and services are some of those currently offered: - Breastfeeding Class - Grand Parenting Class - Infant Care Class - Childbirth Refresher - Prepared Childbirth Series - Healthy Beginnings regarding good nutrition - Preparing for Your Newborn |
| CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING IN-HOUSE COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT, INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE CHAIRPERSON OF THE ORGANIZATION'S FINANCE COMMITTEE AND OTHER INDIVIDUALS FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. ("BH") IS THE TAX-EXEMPT PARENT ENTITY OF BARNABAS HEALTH. BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS PART OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART VII AND SCHEDULE J | MARK A. OSTRANDER IS STILL EMPLOYED WITHIN BARNABAS HEALTH AS A FINANCIAL ANALYST. EFFECTIVE 5/13/13, MR. OSTRANDER WAS TRANSFERRED TO A BARNABAS HEALTH AFFILIATE WHERE HE ACTED AS A FINANCIAL ANALYST FOR THE REMAINDER OF 2013. THOMAS R. PERCELLO, CHIEF FINANCIAL OFFICER/VICE PREISDENT OF FINANCE OF THE ORGANIZATION, WAS FORMERLY THE CHIEF FINANCIAL OFFICER/VICE PRESIDENT OF FINANCE AT KIMBALL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, FOR THE PERIOD 1/1/13 - 5/12/13. HE BECAME THE CHIEF FINANCIAL OFFICER/VICE PRESIDENT OF FINANCE OF THIS ORGANIZATION EFFECTIVE 5/13/13. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - EQUITY TRANSFER TO INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES - ($240,235); - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $4,309,260; AND - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF COMMUNITY MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($250,000). |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 | THIS ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
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