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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 05-31-2014
BCheck if applicable:
CName of organization
SOMERSET MEDICAL CENTER
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
110 REHILL AVENUE
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SOMERVILLE, NJ08876
D Employer identification number

22-1487350
E Telephone number

G Gross receipts $ 107,265,511
F Name and address of principal officer:
STEPHEN K JONES
ONE ROBERT WOOD JOHNSON PL
NEW BRUNSWICK,NJ08903
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.RWJUH.EDU
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: 1899
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION AT SOMERSET MEDICAL CENTER IS TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES OF THE HIGHEST QUALITY TO OUR REGION IN A PATIENT-FIRST ENVIRONMENT.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 2,377
6 Total number of volunteers (estimate if necessary) ............. 6 466
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 152,921
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -35,580
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,386,792 944,392
9 Program service revenue (Part VIII, line 2g) ......... 244,198,935 105,677,570
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,229,912 -211,779
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,074,160 855,328
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 250,889,799 107,265,511
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 23,016 59,708
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) 135,393,618 63,276,164
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).... 119,345,428 59,205,658
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 254,762,062 122,541,530
19 Revenue less expenses. Subtract line 18 from line 12....... -3,872,263 -15,276,019
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 221,587,533 0
21 Total liabilities (Part X, line 26)............. 165,908,102 0
22 Net assets or fund balances. Subtract line 21 from line 20..... 55,679,431 0
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 (2014)
Form 990 (2014)
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: THE MISSION AT SOMERSET MEDICAL CENTER IS TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES OF THE HIGHEST QUALITY TO OUR REGION IN A PATIENT-FIRST ENVIRONMENT. 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 $ 6,460,618 including grants of $ 0 ) (Revenue $ 5,067,920 )
SOMERSET MEDICAL CENTER'S OPERATING ROOM SUPPORTS BOTH INPATIENT AND OUTPATIENT PROCEDURES AND PERFORMS MORE THAN 8,000 SURGERIES EACH YEAR. THERE ARE 19 OPERATING SUITES. ALL FEATURE HIGH DEFINITION DIGITAL CAMERAS AND THE LATEST AUDIO-VISUAL TECHNOLOGIES USED FOR CONVENTIONAL, LAPAROSCOPIC AND ROBOTIC SURGERIES. OUR OR NURSES ARE CERTIFIED IN THEIR RESPECTIVE SPECIALTIES AND OFFER THE BEST CARE AND EXPERTISE IN THEIR FIELD. OTHER SURGICAL ENHANCEMENTS INCLUDED NAVIGATION TECHNOLOGY FOR ORTHOPEDIC AND NEUROLOGICAL CASES, WHICH PROMOTE MORE ACCURACY AND PREVENT DAMAGE TO SURROUNDING TISSUES. THE MEDICAL CENTER ALSO OFFERS THE LATEST "STATE-OF-THE-ART" TECHNOLOGY FOR SINUS SURGERY. THE ROBOTICS PROGRAM AT SMC HAS THE LATEST IN MIS ROBOTIC TECHNOLOGY. THE SPECIALLY TRAINED OR STAFF OF THE ROBOTIC TEAM BEGAN CARING FOR THEIR FIRST PATIENTS IN THE BEGINNING OF JUNE 2010. THE SMC GI CENTER IS ALSO STAFFED BY SPECIALLY TRAINED NURSES WHO ARE CERTIFIED IN GASTROENTEROLOGY AND ARE PART OF A COLLABORATIVE PERIOPERATIVE TEAM WORKING WITH THE PHYSICIANS TO MAKE THE PATIENT'S EXPERIENCE A SAFE AND PLEASANT VISIT. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION. THE ANESTHESIOLOGISTS HAVE ACQUIRED AND PERFORMED A NEW STATE-OF-THE-ART BLOCK TECHNIQUE. THEY UTILIZE ULTRASOUND TO VISUALIZE THE NERVES TO PERFORM ANESTHESIA AND MANAGE PAIN. SOMERSET MEDICAL CENTER HAS RECEIVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR TOTAL KNEE AND TOTAL HIP REPLACEMENT SURGERY. THE MEDICAL CENTER HAS ALSO BEEN HONORED WITH THE 2011 HEALTHGRADES ORTHOPEDIC SURGERY EXCELLENCE AWARD, RANKING IN THE TOP 10 PERCENT IN THE NATION FOR ORTHOPEDIC CARE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
4b (Code:   ) (Expenses $ 1,626,096 including grants of $ 0 ) (Revenue $ 2,634,444 )
The Somerset Medical Center Cardiac Catheterization Laboratory Department provides twenty-four hour/seven day a week services and performs invasive cardiovascular and radiological diagnostic and therapeutic procedures to meet the needs of the community. All patients referred to the Cardiac Cath Lab Procedures will have their procedure performed regardless of race, ethnicity, religion, national origin, citizenship, age, sex, pre-existing medical condition, physical or mental handicap, insurance status, economic status or ability to pay for medical services. The physician and staff strive for optimal patient safety and optimal data collection within the framework of the procedures performed. The Cardiac Catheterization Laboratory cooperateS with other departments/care settings of Somerset Medical Center and with members of the outside medical community in providing quality patient care. In general, adult patients (18 years and older) with clinical indications for procedures approved are to be candidates for admission. Adult procedures which may be done in the Cardiac Catheterization Laboratory include, but are not limited to the following: - Right heart catheterization - Left heart catheterization - Angiogram of coronary arteries and bypass grafts - Percutaneous Coronary Intervention (PCI) - Pericardiocentesis - IVC FILTERS - IMPELLA INSERTION - Intra Coronary and Peripheral administration of thrombolytic agents - Temporary and Permanent Pacemaker insertion - Intra-aortic balloon pump insertion (IABP) - Peripheral angiograms and interventional procedures - BEDSIDE PICC Team Cardiac Catheterization Laboratory cases are scheduled from 6:30 AM until 5:30 PM Monday through Friday. Emergency service is provided seven days a week, 24 hours a day by on-call staff. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
4c (Code:   ) (Expenses $ 1,826,154 including grants of $ 0 ) (Revenue $ 504,406 )
THE MATERNAL CHILD HEALTH (MCH) DEPARTMENT AT SOMERSET MEDICAL CENTER IS COMMITTED TO PROMOTING THE TOTAL WELLBEING OF THE FAMILY UNIT BEFORE, DURING AND AFTER DELIVERY. OUR LEVEL II NURSERY ALSO CAN PROVIDE CARE TO OUR INFANTS WHO REQUIRE CLOSE OBSERVATION, MONITORING AND INTERVENTIONS. THE MCH CONSISTS OF SEVERAL UNITS THAT COMPLIMENT DIFFERENT AREAS OF CARE FOR OUR CHILDBEARING FAMILIES AND THEIR LOVED ONES. OUR MATERNITY COMMUNITY EDUCATION DEPARTMENT OFFERS A WIDE VARIETY OF CHILDBIRTH, BREASTFEEDING, PARENTING, SIBLING AND GRANDPARENT CLASSES. LABOR AND DELIVERY PROVIDES EXPERT CLINICAL SUPPORT FOR OUR LABORING CLIENTS WITH A VARIETY OF DIAGNOSIS AND CONDITIONS ADHERING TO CRITERIA FOR INTERMEDIATE CARE. WE OFFER 24 HOUR IN HOUSE PHYSICIAN COVERAGE FOR OBSTETRICS, NEONATOLOGY AND ANESTHESIA. POST-PARTUM CARE IS PROVIDED IN OUR PRIVATE ROOMS. MCH HAS MET OR EXCEEDED ALL QUALITY BENCHMARKS FOR FALLS, INFECTION, AND CUSTOMER SATISFACTION. OUR DEPARTMENT ALSO HAS 80% OF NURSES NATIONALLY CERTIFIED IN THEIR SPECIALTY. THE CLINICAL KNOWLEDGE OF BEST PRACTICE AND THE COLLABORATIVE EFFORT WITH OUR PHYSICIANS DRAMATICALLY REDUCED ELECTIVE INDUCTIONS BELOW 39 WEEKS. THIS REDUCTION WAS ACKNOWLEDGED BY THE LEAP FROG ORGANIZATION AND CONTRIBUTED TO SOMERSET MEDICAL CENTER'S LEAP FROG DESIGNATION. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
4d Other program services (Describe in Schedule O.)
(Expenses $ 86,295,069 including grants of $ 59,708 ) (Revenue $ 97,623,721 )
4e Total program service expensesMediumBullet96,207,937
Form 990 (2014)
Form 990 (2014)
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
 
No
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
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part 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
 
No
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 (2014)
Form 990 (2014)
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 domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
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................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
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
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
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................... Click to see attachment
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 "Yes," complete Schedule L, Part II................ Click to see attachment
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......... Click to see attachment
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 .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
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... Click to see attachment
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
........................... Click to see attachment
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...................... Click to see attachment
32
Yes
 
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 (2014)
Form 990 (2014)
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
242
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
2,377
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2014)
Form 990 (2014)
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
14
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
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
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
Yes
 
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSTEVEN KACZYNSKI
110 REHILL AVENUE
SOMERVILLE,NJ08876 (908) 685-2993
Form 990 (2014)
Form 990 (2014)
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) PAUL V STAHLIN........................................................................
CHAIRMAN - TRUSTEE
5.0
.......................0.0
X   X       0 0 0
(2) JO ANN MENDLES........................................................................
VICE CHAIR - TRUSTEE
5.0
.......................  
X   X       0 0 0
(3) JAMES T RICK JR........................................................................
SECRETARY - TRUSTEE
3.0
.......................  
X   X       0 0 0
(4) SANDY BABEY........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(5) KENNETH W BATEMAN........................................................................
TRUSTEE - PRES/CEO (1/1-5/31)
55.0
.......................  
X   X       945,333 0 0
(6) CHARLES BROWN........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(7) JERRY DURSO........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(8) RAYMOND FINO........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(9) JAMES HESTON........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(10) STEVE KALAFER........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(11) THOMAS SCHAIBLE........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(12) WILLIAM M SUGARMANN MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(13) CORY VERGILIO MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(14) ROGER YANG MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(15) DAVID DYER........................................................................
CIO/VP INFO SYSTEMS (1/1-5/31)
55.0
.......................  
    X       176,067 0 0
(16) PAUL HUEGEL........................................................................
PRESIDENT - FOUNDATION
55.0
.......................  
    X       177,705 0 0
(17) GLENN MCCREESH........................................................................
SR VP OPERATIONS (1/1-5/31)
55.0
.......................  
    X       267,586 0 0
Form 990 (2014)
Form 990 (2014)
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) MAUREEN SCHNEIDER........................................................................
SR VP-CHIEF NURS OFF(1/1-5/31)
55.0
.......................  
    X       205,240 0 0
(19) MARY ANN BROSS........................................................................
VP HUMAN RESOURCES (1/1-5/31)
55.0
.......................  
    X       149,653 0 0
(20) ROBERT SENSKA III........................................................................
VP REG AFFAIRS/CCO (1/1-5/31)
55.0
.......................  
    X       140,397 0 0
(21) STEPHEN MINOGUE........................................................................
VP SLEEP FOR LIFE (1/1-5/31)
55.0
.......................  
    X       118,444 0 0
(22) MARY BOLLWAGE........................................................................
VP RISK MANAGEMENT (1/1-5/31)
55.0
.......................  
    X       100,980 0 0
(23) VICTORIA ALLEN........................................................................
VP MARKETING
55.0
.......................  
    X       82,868 0 0
(24) SALVATORE MOFFA........................................................................
VPMA
55.0
.......................  
    X       138,646 0 0
(25) JOHN BUCEK MD........................................................................
DIRECTOR - FAMILY PRACTICE
55.0
.......................  
        X   132,823 0 0
(26) EVA B BESSERMAN MD........................................................................
MEDICAL DIRECTOR ICU
55.0
.......................  
        X   125,725 0 0
(27) AKHTAR HOSSAIN MD........................................................................
MEDICAL DIRECTOR ADULT PSYCH
55.0
.......................  
        X   120,013 0 0
(28) ABHISHEK DWIVEDI MD........................................................................
CHIEF PHYSICIST
55.0
.......................  
        X   103,789 0 0
(29) PATRICK ROWAN MD........................................................................
PSYCHIATRIST
55.0
.......................  
        X   101,364 0 0
(30) CARL OBRIEN........................................................................
FORMER OFFICER
0.0
.......................  
          X 613,454 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,700,087 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet16
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
Yes
 
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
CAIN BROTHERS COMPANY LLC,
360 MADISON AVENUE 5TH FLOOR
NEW YORK,NY10017
CONSULTING 2,912,077
INTEGRATIVE OBGYN LLC,
775 MOUNTAIN BLVD SUITE 107
WATCHUNG,NJ07069
MEDICAL 465,485
ALLEGIANCE BILLING CONSULTING,
333 JERICHO TURNPIKE SUITE 102
JERICHO,NY11753
BILLING/CONSULTING 437,459
GENOVA BURNS GIANTOMASI WEBSTER,
494 BROAD STREET
NEWARK,NJ07102
LEGAL 417,025
HCSC LAUNDRY,
PO BOX 25092
LEHIGH VALLEY,PA180025092
LAUNDRY 353,873
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet25
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 483,361
f All other contributions, gifts, grants, and
similar amounts not included above
1f
461,031
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 944,392
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 541900 104,522,383 104,522,383    
b OTHER HEALTHCARE RELATED REVENUE 541900 1,155,187 1,155,187    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 105,677,570
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet -357,932     -357,932
4 Income from investment of tax-exempt bond proceeds..MediumBullet 4,141     4,141
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 207,244  
b Less: rental expenses    
c Rental income or (loss) 207,244 0
d Net rental income or (loss).......MediumBullet 207,244     207,244
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   142,012
b Less: cost or other basis and sales expenses    
c Gain or (loss)   142,012
d Net gain or (loss)..........MediumBullet 142,012     142,012
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 722514 371,270     371,270
b PHYSICIAN ANSWERING SERVICE 561300 152,921   152,921  
c COFFEE SHOP 900099 85,791     85,791
d All other revenue .... 38,102     38,102
e Total. Add lines 11a–11d ...... MediumBullet 648,084
12 Total revenue. See Instructions......MediumBullet 107,265,511 105,677,570 152,921 490,628
Form 990 (2014)
Form 990 (2014)
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 domestic organizations and domestic governments. See Part IV, line 21 .... 59,708 59,708
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 .... 2,502,919 1,964,791 538,128  
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 .... 49,502,463 38,859,434 10,643,029  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,447,213 1,136,062 311,151  
9 Other employee benefits ....... 6,307,448 4,951,347 1,356,101  
10 Payroll taxes ........... 3,516,121 2,760,155 755,966  
11 Fees for services (non-employees):        
a Management ...... 178,980 140,499 38,481  
b Legal ......... 367,644 288,601 79,043  
c Accounting ........... 215,000 168,775 46,225  
d Lobbying ........... 11,561 10,405 1,156  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 6,017 4,723 1,294  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 9,493,913 7,451,392 2,042,521  
12 Advertising and promotion .... 722,201 566,928 155,273  
13 Office expenses ....... 3,989,051 3,131,405 857,646  
14 Information technology ...... 319,382 250,715 68,667  
15 Royalties .. 0      
16 Occupancy ........... 3,585,612 2,814,705 770,907  
17 Travel ............ 32,102 25,200 6,902  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 86,031 67,534 18,497  
20 Interest ........... 1,908,454 1,498,136 410,318  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 6,122,672 4,806,298 1,316,374  
23 Insurance .............. 5,638,559 4,426,269 1,212,290  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 14,726,818 11,560,552 3,166,266 0
b REPAIRS AND MAINTENANCE 5,064,102 3,975,320 1,088,782  
c PHYSICIAN PRACTICES 2,750,110 2,158,836 591,274  
d DUES, SUBSCRIPTIONS&LICENSES 524,105 411,422 112,683  
e All other expenses 3,463,344 2,718,725 744,619  
25 Total functional expenses. Add lines 1 through 24e 122,541,530 96,207,937 26,333,593 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 (2014)
Form 990 (2014)
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 ............. 5,270 1 0
2 Savings and temporary cash investments ......... 9,453,010 2 0
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 26,497,392 4 0
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 ............. 0 7 0
8 Inventories for sale or use .............. 4,382,194 8 0
9 Prepaid expenses and deferred charges .......... 2,262,119 9 0
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 0
b Less: accumulated depreciation ..... 10b 0 125,265,022 10c 0
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 ..... 45,639,625 13 0
14 Intangible assets ............... 2,974,753 14 0
15 Other assets. See Part IV, line 11 ........... 5,108,148 15 0
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 221,587,533 16 0
Liabilities 17 Accounts payable and accrued expenses ......... 33,816,405 17 0
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 4,527,457 19 0
20 Tax-exempt bond liabilities ............. 99,921,284 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 319,524 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.................... 27,323,432 25 0
26 Total liabilities. Add lines 17 through 25......... 165,908,102 26 0
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 .............. 52,545,764 27 0
28 Temporarily restricted net assets ........... 1,993,800 28 0
29 Permanently restricted net assets ........... 1,139,867 29 0
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 ........... 55,679,431 33 0
34 Total liabilities and net assets/fund balances ........ 221,587,533 34 0
Form 990 (2014)
Form 990 (2014)
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
107,265,511
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
122,541,530
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-15,276,019
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
55,679,431
5
Net unrealized gains (losses) on investments ...............
5
1,344,742
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
-41,748,154
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
0
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
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
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 section 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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

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
2014
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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


(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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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) 2014

Schedule C (Form 990 or 990-EZ) 2014
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) ...... 11,561 11,561
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 122,529,969 122,529,969
c Total lobbying expenditures (add lines 1a and 1b) ................... 122,541,530 122,541,530
d Other exempt purpose expenditures ........................ 122,541,530 122,541,530
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 245,083,060 245,083,060
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
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) ................. 250,000 250,000
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-. ................ 121,541,530 121,541,530
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures 25,105 23,662 22,077 11,561 82,405
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures 0 0 0 0 0
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
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? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2014

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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 value of contributions to (during year)    
3 Aggregate value of 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)
Revenue 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
Revenue 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) 2014

Schedule D (Form 990) 2014
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, for escrow or custodial account liability?
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 ....   3,057,824 4,778,675 3,679,067 4,087,814
b Contributions ........     1,784,136 969,553 1,798,795
c Net investment earnings, gains, and losses   75,843 -270,842 787,270 -920,605
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
    3,234,145 657,215 1,286,937
f Administrative expenses ....          
g End of year balance ......   3,133,667 3,057,824 4,778,675 3,679,067
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 Bullet  
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 ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet  
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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
OTHER LIABILITIES 0
SETTLEMENTS; CURRENT 0
SETTLEMENTS; NON-CURRENT 0
ACCURED INTEREST PAYABLE 0
ACCRUED PENSION LIABILITY 0




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 0
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) 2014

Schedule D (Form 990) 2014
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 ....... 1 107,265,511
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3 107,265,511
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 107,265,511
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 ........... 1 122,541,530
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..................... 3 122,541,530
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 122,541,530
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 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF SOMERSET MEDICAL CENTER FOR THE SHORT PERIOD ENDED MAY 31, 2014 AND THE YEAR ENDED DECEMBER 31, 2013; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2014 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): The Medical Center accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measure of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2014 and 2013.
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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 criteria used 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

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
 
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
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
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) ..
    4,766,113 1,295,835 3,470,278 2.830 %
b Medicaid (from Worksheet 3,
column a) ....
    11,246,221 5,701,428 5,544,793 4.520 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    16,012,334 6,997,263 9,015,071 7.350 %
Other Benefits
    250,622 14,361 236,260 0.190 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    1,286,782 468,043 818,739 0.670 %
g Subsidized health services
(from Worksheet 6) ..
    715,250 147,181 568,069 0.460 %
h Research (from Worksheet 7)     66,131 9,950 56,181 0.050 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    3,692 0 3,692  
j Total. Other Benefits ..     2,322,477 639,535 1,682,941 1.370 %
k Total. Add lines 7d and 7j .     18,334,811 7,636,798 10,698,012 8.720 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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
Yes
 
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
3,352,323
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
603,418
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
32,846,493
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
42,940,286
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-10,093,793
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

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SOMERSET MEDICAL CENTER
110 REHILL AVENUE
SOMERVILLE,NJ08876
WWW.RWJUH.EDU
11802
X X   X     X     01
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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)
SOMERSET MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.HEALTHIERSOMERSET.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

SOMERSET MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

SOMERSET MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SCHEDULE H, PART V; SECTION B, QUESTION 3J NOT APPLICABLE.
Schedule h, part v; section b, question 5 SOMERSET MEDICAL CENTER INCLUDED HEALTHIER SOMERSET IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS. HEALTHIER SOMERSET IS A COALITION OF HEALTHCARE SERVICE PROVIDERS WITHIN SOMERSET COUNTY THAT WORK TO MAKE THE COUNTY A HEALTHIER PLACE TO LIVE AND WORK.
Schedule h, part v; section b, question 6A THE HOSPITAL FACILITY'S CHNA WAS JOINTLY CONDUCTED WITH SAINT PETER'S UNIVERSITY HOSPITAL AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL.
Schedule h, part v; section b, questions 6b and 7d Not applicable.
Schedule h, part v; section b, question 11 Somerset Medical Center in conjunction with Healthier Somerset works to meet the needs of the community as outlined in the CHNA. Healthier Somerset has formed working groups for each priority area or need identified in the CHNA/CHIP. Each working group will develop initiatives to address and meet the objectives addressed in the CHIP. Initiatives include, but are not limited to, education, health screenings, fitness classes, outreach, etc. By the end of 2014, Healthier Somerset met 14 out of 17 objectives in the CHIP.
Schedule h,part v;section b, questions 13h, 15e, 16i, 18d, 19d, 20e & 21d Not applicable.
Schedule h, part v; section b, question 22D The facility uses 115% of the medicare rate as the maximum amount that can be charged to fap-eligible individuals for emergency or other medically necessary care.
Schedule h, part v; section b, questions 23 & 24 Not applicable.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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?6
Name and address Type of Facility (describe)
1 THE STEEPLECHASE CANCER CENTER
30 REHILL AVENUE
SOMERVILLE,NJ08876
ONCOLOGY SERVICES
2 SMC SPORTS INSTITUTE - PRINCETON
743 ALEXANDER ROAD SUITE 2
PRINCETON,NJ08540
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
3 SMC SPORTS INSTITUTE - HILLSBOROUGH
1 JILL COURT BLDG 16 SUITE 20
PRINCETON,NJ08540
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
4 SLEEP FOR LIFE CENTER
331 ROUTE 206
HILLSBOROUGH,NJ08844
SLEEP TESTING
5 SMC SPORTS PERFORMANCE AND REHAB CENTER
TD BANK BALLPARK 1 PATRIOTS PARK
BRIDGEWATER,NJ08807
PHYSICAL THERPAY, OCCUPATIONAL THERAPY & WELLNESS TRAINING
6 SMC SPORTS INSTITUTE - FLEMINGTON
361 STATE ROUTE 31 BLDG C STE 804
FLEMINGTON,NJ08822
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
7
8
9
10
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
SCHEDULE H, PART I; QUESTION 3C The income based criteria used to determine eligibility is per new jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the 2014 federal poverty guidelines ("fpg") (department of health and senior services). Fpg are included in the criteria for determining eligibility for charity and discounted care.
SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7G No costs relating to subsidized healthcare services are attributable to any physician clinics.
SCHEDULE H, PART I; QUESTION 7 Worksheet 2 was used for the cost to charge ratio.
SCHEDULE H, PART I; QUESTION 7 Please note that, due to this Form 990 representing a short-period final filing with an extended due date of April 15, 2015, certain information regarding the community benefit expenses reported on Lines 7e, 7f, 7h and 7i was not yet readily available as, in the past, the information was generally gathered and recorded on a calendar year basis and filed with the Form 990 in November. Accordingly, the organization used reasonable estimates for purposes of the community benefit expenses to report on these lines.
SCHEDULE H, PART II Community building activities undertaken by this organization improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals.
SCHEDULE H, PART III; QUESTIONS 2, 3 & 4 Bad debt expense was calculated using the provider's bad debt expense from the financial statements. The organization prepares and issues audited financial statements. The attached text was obtained from the footnotes to the audited financial statements of somerset health care corporation and controlled entities. Accounts receivable, patients Accounts receivable, patients are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. In evaluating the collectability of patient accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractual amounts due and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients (which includes insured patients with deductible and copayment balances), the Medical Center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center has not changed its financial assistance policy in 2014 or 2013. The Medical Center does not maintain a material allowance for doubtful accounts from third party payors, nor did it have significant write-offs from third-party payors. Charity care The Medical Center provides care to patients who meet certain criteria under its patient financial assistance policy without charge or at amounts less than its established rates. Because the Medical Center does not pursue collections of amounts determined to qualify as charity care, they are not reported as patient service revenues.
SCHEDULE H, PART III, SECTION B; QUESTION 8 Medicare costs were derived from the 2014 medicare cost report. The organization believes that medicare underpayments (shortfall) and bad debt are community benefit and associated costs should be includable on the form 990, schedule h, part i. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense," and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The organization believes that medicare underpayments and bad debt are community benefit and associated costs should be includable on the form 990, schedule h, part i. The american hospital association's ("aha") position is that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving medicare patients is an essential part of the community benefit standard. - medicare, like medicaid, does not pay the full cost of care. Recently, medicare reimburses hospitals only 92 cents for every dollar they spend to take care of medicare patients. The medicare payment advisory commission ("medpac") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many medicare beneficiaries, like their medicaid counterparts, are poor. More than 46 percent of medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those medicare beneficiaries are also eligible for medicaid -- so called "dual eligibles." There is every compelling public policy reason to treat medicare and medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are general
SCHEDULE H, PART III, SECTION B; QUESTION 9B Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance. It is the policy of the organization to treat all patients equally regardless of insurance and their ability to pay. For accounts determined to be "self-pay" and/or accounts with balance after primary insurance payments, the collection policy requires: a minimum of one pre-collection letter, telephone contact for any account over $500 or at the discretion of the account representative and/or supervisor. The facility also has a charity care access policy to assure patients are provided with charity care assistance determined by state and federal regulations. It is the policy to inform all patients deemed self-pay of the appropriate assistance programs available. Patients applying for charity care assistance will be financially screened by a resource advisor to determine eligibility according to state and federal guidelines and will be informed of documentation need to complete a charity care application. Patients not eligible for charity care will be financially counseled for all other options. Qualified patients will be referred to all appropriate agencies or programs to meet other financial needs. At the time of the patient visit and part of the registration process at the facility, the following options are made available to patients: - financial counseling for possible eligibility for medical assistance including medicaid and ssi; - financial counseling for possible eligibility for the new jersey hospital care payment assistance program; and, - financial arrangements including: 1. Cash/credit card (american express, discover, visa, mastercard), 2. Low interest loan program, or 3. Flexible payment plans. In addition to the above options, the facility has established a self-pay assistance program for our uninsured patients that do not qualify for medicaid or the new jersey hospital care payment assistance program. The self-pay assistance program rates are reflective of medicare reimbursement, as referred by the state of new jersey.
SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-16 AND SECTION C, this organization conducts a review of key factor information annually which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare service estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties health research and education trust of new jersey, united way of somerset county, greater somerset public health partnership and the somerset county health officer's association. This organization conducts an extensive service area population need study every three to five years. Specific questions are asked to identify gaps in service. These reviews inform the board of trustees and the executive team of somerset medical center to assure responsiveness to identified community needs. In addition, this organization works with local providers to plan and discuss health needs of the population. One forum is a monthly meeting of the healthier somerset coalition hosted by the healthcare system with representation from local politicians, local community health centers, local health departments, emergency health providers and other community health leader.
SCHEDULE H, PART VI; QUESTION 3 Charity care signs are posted throughout the facility, mainly in patient registration areas. Signs are posted in both english and spanish. All patients deemed self-pay or those who request financial assistance are screened for financial need by a resource advisor according to the federal poverty guidelines and referred to appropriate agencies or programs.
SCHEDULE H, PART VI; QUESTION 4 This organization is in a diverse suburban location serving diverse communities ranging from small inner city communities in the central region to more affluent suburban areas in the northern region. This organization is located in new jersey in somerset county. This organization is committed to service for its communities and serves both inner city and suburban areas. About 24.8% of its inpatients are of minority race/ethnicity. In addition, approximately 7.75% of its patients are of underinsured and uninsured payer categories.
SCHEDULE H, PART VI; QUESTION 5 This organization operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. The organization provices medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. The organization operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. The organization maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of the organization rests with its board of directors; which is 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.
SCHEDULE H, PART VI; QUESTION 6 Not for-profit somerset health care corporation and affiliates entities: Somerset health care corporation Prior to its statutory merger into Robert Wood Johnson University Hospital on May 30, 2014, Somerset health care corporation ("shcc") was the tax-exempt parent of the somerset health care corporation and affiliates ("system"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either shcc or another system affiliate controlled by shcc. The system is an integrated network of healthcare providers throughout the state of new jersey. Somerset health care corporation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). Somerset Medical Center Somerset medical center ("smc") is a 355-bed acute care and teaching hospital located in somerville, somerset county, new jersey. Smc is recognized by the internal revenue service as an internal revenue code section 501(c) (3) tax-exempt organization. Pursuant to its charitable purposes, smc 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, smc operates consistently with the criteria outlined in irs revenue ruling 69-545. 1. Smc provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self- pay, medicare and medicaid patients; 2. Smc operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. Smc maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of smc rests with its board of trustees which is comprised of independent civic leaders, members of the community and medical staff representation; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. Somerset community care corporation Somerset community care corporation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization supports somerset medical center; a related internal revenue code section 501(c)(3) tax-exempt organization, and its affiliates in providing medically necessary healthcare services to the community in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Somerset health care affiliates, inc. Somerset health care affiliates, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization supports somerset medical center; a related internal revenue code section 501(c)(3) tax-exempt organization, and its affiliates in providing medically necessary healthcare services to the community in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Somerset medical center foundation, inc. Somerset medical center foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). The organization supports somerset medical center; a related internal revenue code section 501(c)(3) tax-exempt organization, and its affiliates in providing medically necessary healthcare services to the community in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. For-profit somerset health care corporation and affiliates entities: Eos, inc. An inactive for-profit corporation. New jersey health, inc. An inactive for-profit corporation. New jersey healthcare associates A for-profit entity whose sole shareholder is new jersey health, inc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. New jersey management services organization A for-profit entity whose sole shareholder is new jersey health, inc. The organization is located in somerville, somerset county, new jersey. This entity provides management services. Shc enterprises, inc. A for-profit entity whose sole shareholder is shcc. The organization is located in somerville, somerset county, new jersey. This entity provides management services. Somerset realty group, inc. A for-profit entity whose sole shareholder is shc enterprises, inc. The organization is located in somerville, somerset county, new jersey. This entity provides real estate services. Somerset staffing corporation An inactive for-profit corporation. Warren internal medicine, p.c. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Franklin medical group, p.c. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Acucare physicians, p.c. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Somerset medical care partners, p.c. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Somerset cardiology partners, p.c. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Somerset cardiology group, p.c. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Somerset chest and intensive care medicine, p.c. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Somerset Medical Center Urgent Care, P.C. A for-profit entity whose nominee owner is smc. The organization is located in somerville, somerset county, new jersey. This entity provides medical services.
SCHEDULE H, PART VI; QUESTION 7 Not applicable. The entity and related provider organizations are located in new jersey. No community benefit report is filed with the state of new jersey.
Schedule H (Form 990) 2014
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number
22-1487350
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) RARITAN VALLEY COMMUNITY COLLEGE
118 LAMINGTON ROAD
BRANCHBURG,NJ08876
23-7138731 501(c)(3) 10,000       EDUC. SCHOLARSHIPS






















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENATION AND RECEIPTS.
Schedule I (Form 990) 2014


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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 Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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
Yes
 
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
Yes
 
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
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
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) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1KENNETH W BATEMANTRUSTEE - PRES/CEO (1/1-5/31) (i)
(ii)
278,152
...............................
0
0
...............................
0
667,181
...............................
0
0
...............................
0
0
...............................
0
945,333
...............................
0
574,532
...............................
0
2DAVID DYERCIO/VP INFO SYSTEMS (1/1-5/31) (i)
(ii)
146,076
...............................
0
0
...............................
0
29,991
...............................
0
0
...............................
0
0
...............................
0
176,067
...............................
0
0
...............................
0
3PAUL HUEGELPRESIDENT - FOUNDATION (i)
(ii)
173,168
...............................
0
0
...............................
0
4,537
...............................
0
0
...............................
0
0
...............................
0
177,705
...............................
0
0
...............................
0
4GLENN MCCREESHSR VP OPERATIONS (1/1-5/31) (i)
(ii)
194,876
...............................
0
0
...............................
0
72,710
...............................
0
0
...............................
0
0
...............................
0
267,586
...............................
0
41,675
...............................
0
5MAUREEN SCHNEIDERSR VP-CHIEF NURS OFF(1/1-5/31) (i)
(ii)
166,305
...............................
0
0
...............................
0
38,935
...............................
0
0
...............................
0
0
...............................
0
205,240
...............................
0
0
...............................
0
6CARL OBRIENFORMER OFFICER (i)
(ii)
0
...............................
0
0
...............................
0
613,454
...............................
0
0
...............................
0
0
...............................
0
613,454
...............................
0
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION MAINTAINED MEMBERSHIPS IN TWO COUNTRY CLUBS FOR BUSINESS PURPOSES. THE COUNTRY CLUBS REQUIRE THAT AN INDIVIDUAL BE NAMED AS THE MEMBER. ACCORDINGLY, THE ORGANIZATION HAS DESIGNATED KENNETH W. BATEMAN, PRESIDENT/CEO AND GLENN MCCREESH, SENIOR VP OPERATIONS AS THE MEMBERS; ONE FOR EACH COUNTRY CLUB. DURING 2014, NEITHER MR. BATEMAN NOR MR. MCCREESH USED THE COUNTRY CLUB FOR ANY PERSONAL USE OR BENEFIT.
SCHEDULE J, PART I; QUESTION 4A THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES A SEVERANCE PAYMENT RECEIVED DURING 2014. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: KENNETH BATEMAN, $23,390; CARL O'BRIEN, $165,252; DAVID DYER, $12,384; GLENN MCCREESH, $16,447; MAUREEN SCHNEIDER, $13,823; MARY ANN BROSS, $9,921; ROBERT SENSKA, III, $10,577; STEPHEN MINOGUE, $8,200 AND MARY BOLLWAGE, $7,571.
SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: KENNETH W. BATEMAN, $574,532 AND GLENN MCCREESH, $41,675. The amount reflected in Column B(iii) for Carl O'Brien includes payment of a retention bonus in the amount of $397,828 which became taxable to Mr. O'Brien upon his termination in December of 2013. Please note that this amount was reported in his Form W-2, Box 5, as taxable Medicare wages.
SCHEDULE J, PART II; COLUMNS C & D In accordance with the 2014 Form 990, Core Form, Part VII and Schedule J instructions, Please note that Schedule J, Part II, Column (c), Retirement and Other Deferred Compensation, and Column (d), Nontaxable benefits, have not been completed. The Form 990, Schedule J instructions state that a short-period final return is only required to report compensation that is "reportable compensation" (Form W-2, Box 5 wages) in Part II of Schedule J.
SCHEDULE J, PART II; COLUMN F THE AMOUNT REFLECTED IN COLUMN (F) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: KENNETH W. BATEMAN, $574,532 AND GLENN MCCREESH, $41,675. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE DEFERRED COMPENSATION.
Schedule J (Form 990) 2014

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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2014
Schedule L (Form 990 or 990-EZ) 2014
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) LAURA FINO FAMILY MEMBER - RAY FINO 51,778 EMPLOYEE   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE N
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet Attach to Form 990 or 990-EZ.
bulletInformation about Schedule N (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number
22-1487350
Part I
Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed.Click to see list of attachments
1(a)Description of asset(s)
distributed or transaction
expenses paid
(b)Date of
distribution
(c)Fair market value of
asset(s) distributed or
amount of transaction
expenses
(d)Method of
determining FMV for
asset(s) distributed or
transaction expenses
(e)EIN of recipient (f)Name and address of recipient (g)IRC section
of recipient(s) (if
tax-exempt) or type
of entity




















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
 
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
 
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .
2c
 
 
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .
2d
 
 
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) (2014)

Schedule N (Form 990 or 990-EZ) (2014)
Page 2
Part I
Liquidation, Termination, or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III . . . . . . . . . . .
3
 
 
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .
4a
 
 
b
If "Yes," did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
 
 
5
Did the organization discharge or pay all of its liabilities in accordance with state laws? . . . . . . . . . . . . . . . . .
5
 
 
6a
Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .
6a
 
 
b
If "Yes" to line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?
6b
 
 
c
If "Yes" to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" to line 6b, explain in Part III.

Part II
Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid
(b) Date of
distribution
(c) Fair market value of
asset(s) distributed or
amount of transaction
expenses
(d) Method of
determining FMV for
asset(s) distributed or
transaction expenses
(e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
NET ASSETS 05-31-2014 31,577,509 COST 22-1487243 ROBERT WOOD JOHNSON UNIVERSITY HOSP
ONE ROBERT WOOD JOHNSON PLACE
NEW BRUNSWICK,NJ08903
501(C)(3)
















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
 
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
 
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2c
 
 
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .
2d
 
 
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
Schedule N(Form 990 or 990-EZ) (2014)

Schedule N (Form 990 or 990-EZ) (2014)
Page 3
Part III
Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE N, PART II, QUESTION 2B Somerset medical Center, an Internal Revenue Code 501(c)(3) tax-exempt organization, was legally merged into Robert Wood Johnson University Hospital; an Internal Revenue Code 501(c)(3) tax-exempt teaching hospital, on May 31, 2014. Accordingly, certain employee and independent contractor arrangements of Somerset Medical Center are likely to be continued by Robert Wood Johnson University Hospital; For example, individuals with a title of Vice President or contractual relationships with physicians. Please note that these arrangements will continue to be at fair market value rates pursuant to arm's length negotiations.
Schedule N (Form 990 or 990-EZ) (2014)


Additional Data


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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 990-EZ 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
2014
Open to Public
Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
Return Reference Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SOMERSET MEDICAL CENTER ("SMC") IS AN ACUTE CARE GENERAL MEDICAL AND SURGICAL HOSPITAL. SMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SMC 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, SMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. SMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS. 2. SMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR. 3. SMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4. CONTROL OF SMC RESTS WITH ITS BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 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 SMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF SMC 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. BACKGROUND ========== SMC IS A NATIONALLY ACCREDITED 355-BED ACUTE CARE AND TEACHING HOSPITAL PROVIDING COMPREHENSIVE EMERGENCY, MEDICAL/SURGICAL AND REHABILITATIVE SERVICES TO CENTRAL NEW JERSEY RESIDENTS. IT IS NATIONALLY RECOGNIZED AS A MAGNET HOSPITAL FOR NURSING EXCELLENCE. AS SOMERSET COUNTY'S ONLY ACUTE CARE HOSPITAL, SOMERSET MEDICAL CENTER HAS A FAR-REACHING IMPACT ON THE COUNTY'S QUALITY OF LIFE, TOUCHING THE LIVES OF RESIDENTS OF ALL AGES AND RACIAL AND ECONOMIC BACKGROUNDS. EACH YEAR, MORE THAN 250,000 PEOPLE TURN TO THE MEDICAL CENTER FOR CARE, RANGING FROM EMERGENCY, CARDIAC AND CANCER CARE TO SURGICAL, MATERNITY AND REHABILITATION SERVICES. CARE IS PROVIDED REGARDLESS OF PATIENTS' ABILITY TO PAY. EACH YEAR, THE MEDICAL CENTER PROVIDES APPROXIMATELY $74.2 MILLION IN CHARITY CARE (AT GROSS CHARGES). FOR MORE THAN A CENTURY, SMC HAS BEEN DEEPLY ROOTED IN THE HEALTH OF THE COMMUNITY. ITS EXTRAORDINARY, FAR-REACHING COMMITMENT TO KEEPING PEOPLE WELL AND ENHANCING THEIR QUALITY OF LIFE HAS BEEN A GROUNDING AND GUIDING FORCE - EMBRACING THE CORNERSTONE OF ITS MISSION WHILE INSPIRING NEW DIMENSIONS OF CARE FOR AREA FAMILIES. SMC HAS PROUDLY EVOLVED INTO A CENTERPIECE OF SOMERSET COUNTY AND ITS SURROUNDING COMMUNITIES. OVER THE YEARS, IT HAS EXPANDED BEYOND THE REALM OF HEALING AND TOWARD A BROADER ROLE OF ADVOCATING WELLNESS AND EMPOWERING INDIVIDUALS TO LIVE HEALTHIER LIFESTYLES. THIS MULTI-FACETED APPROACH REFLECTS A DRAMATIC SHIFT IN MODERN MEDICINE, RECOGNIZING THAT THE MOST POWERFUL PATHWAY TO GOOD HEALTH IS THROUGH DISEASE PREVENTION RATHER THAN CURE. AND THAT ADDING LIFE TO YOUR YEARS IS JUST AS IMPORTANT AS ADDING YEARS TO YOUR LIFE. WITH THAT IN MIND, SMC HAS COMPLEMENTED ITS LEADING EDGE CLINICAL SERVICES WITH AN ARRAY OF COMMUNITY-BASED, HEALTH PROMOTION INITIATIVES. THESE OUTREACH AND COLLABORATIVE PROGRAMS ADDRESS THE REGION'S GREATEST MEDICAL PRIORITIES WHILE SUPPORTING ALL ASPECTS OF PHYSICAL, MENTAL AND SPIRITUAL WELL-BEING. COMMUNITY EDUCATION, SCREENINGS & OUTREACH ========================================== SMC'S COMMUNITY FOCUS IS ANCHORED BY A VAST ASSORTMENT OF SEMINARS, FITNESS PROGRAMS, SUPPORT GROUPS AND SCREENINGS THAT GUIDE AREA RESIDENTS TO HEALTHIER, SAFER LIVING. THE COMMUNITY HEALTH DEPARTMENT SPONSORS AN EXTENSIVE CALENDAR OF EVENTS, INCLUDING CLASSES ON NUTRITION, EXERCISE, DISEASE MANAGEMENT, DEPRESSION AND A VARIETY OF OTHER HEALTH TOPICS. PHYSICIANS AND PROFESSIONAL STAFF OFFER ENLIGHTENING PRESENTATIONS AT THE MEDICAL CENTER AND ALSO TRAVEL TO VARIOUS COMMUNITY SITES, I.E., WORKPLACE, SCHOOLS AND OTHER COMMUNITY SETTINGS, THROUGH THE HOSPITAL'S SPEAKER'S BUREAU. IN ADDITION TO WELLNESS EDUCATION, THE MEDICAL CENTER PROVIDES FREE AND LOW-COST SCREENINGS FOR CANCER, DIABETES, CHOLESTEROL AND OTHER SERIOUS MEDICAL CONDITIONS THAT ARE TREATED MOST SUCCESSFULLY WITH EARLY DETECTION. THE MEDICAL CENTER SPONSORS A FREE BLOOD PRESSURE KIOSK AT THE BRIDGEWATER COMMONS MALL, WHICH RECORDED AN AVERAGE OF APPROXIMATELY 150 TESTS PER DAY FOR THE SHORT-PERIOD JANUARY 1, 2014 THROUGH MAY 31, 2014. ESPECIALLY FOR WOMEN: FROM CHILDBIRTH TO MENOPAUSE, SMC OFFERS A FULL CONTINUUM OF WELLNESS PROGRAMS ADDRESSING ALL ASPECTS OF WOMEN'S HEALTH. ITS BABY SUITES HOST A VARIETY OF PRENATAL, POSTPARTUM AND PARENTING COURSES FOR NEW AND EXPECTANT MOTHERS, AS WELL AS THEIR FAMILIES. THESE INCLUDE CLASSES ON BIRTHING, TOURS AND SPECIAL PROGRAMS FOR DADS AND SIBLINGS. IN COOPERATION WITH THE COURIER NEWS, THE COMMUNITY HEALTH DEPARTMENT PRESENTS FREE LECTURES ADDRESSING A WIDE RANGE OF WOMEN'S HEALTH TOPICS, IMPORTANT WOMEN'S ISSUES RELATED TO HEART DISEASE, OSTEOPOROSIS AND PHYSIOLOGICAL PSYCHOLOGICAL WELLNESS ARE INCORPORATED INTO THE HOSPITAL'S GENERAL COMMUNITY HEALTH CALENDAR. SCHOOL ACTIVITIES: DEDICATED TO GIVING YOUTH A HEALTHY START, SMC PARTNERS WITH LOCAL SCHOOLS AND ORGANIZATIONS TO FOSTER EARLY, POSITIVE LIFESTYLE HABITS WHILE OPENING DOORS TO A BRIGHTER FUTURE. ANNUAL PROGRAMS ABOUT DENTAL HEALTH ARE PRESENTED TO HIGH-RISK PRESCHOOL CHILDREN AND HIGHLIGHTED AT HEALTH FAIRS THROUGHOUT THE YEAR. SCREENINGS TO PREVENT SUDDEN CARDIAC DEATH IN YOUNG ATHLETES HAVE BEEN CONDUCTED ANNUALLY SINCE 2009. THE MEDICAL CENTER ALSO PARTNERS WITH BRIDGEWATER COMMONS MALL TO OFFER A CLIMATE-CONTROLLED ENVIRONMENT FOR WALKERS SEVEN DAYS A WEEK THROUGH A HEALTHHIKE WALKING PROGRAM. MEDICATION ASSISTANCE PROGRAM: SOMERSET FAMILY PRACTICE AND THE COMMUNITY HEALTH DEPARTMENT HELP CONNECT UNDERINSURED PATIENTS WITH ACCESS TO AFFORDABLE OR FREE MEDICATIONS. A REGISTERED NURSE IDENTIFIES FREE MEDICATION PROGRAMS OFFERED THROUGH PHARMACEUTICAL COMPANIES AND ASSISTS IN THE APPLICATION PROCESS OR DIRECTS PATIENTS TO LOW COST ALTERNATIVES FOR MEDICATIONS. THE NURSE ALSO HELPS EDUCATE PATIENTS ABOUT MEDICATION SAFETY. DIABETES EDUCATION: THE EL PODER SOBRE LA DIABETES PROGRAM, MANAGED BY THE COMMUNITY HEALTH DEPARTMENT, SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED HISPANICS THROUGH DIABETES PREVENTION ACTIVITIES AND DISEASE MANAGEMENT. THE PROGRAM'S GOAL IS TO HELP INDIVIDUALS MAKE BEHAVIOR CHANGES THAT POSITIVELY IMPACT THEIR LONG-TERM HEALTH. HEALTHIER SOMERSET: SOMERSET MEDICAL CENTER HAS BROUGHT TOGETHER A COALITION OF SOMERSET COUNTY HEALTH AGENCIES, EMPLOYERS AND ORGANIZATIONS SEEKING TO IMPROVE THE HEALTH OF COUNTY RESIDENTS AT HOME AND WORK THROUGH A SERIES OF HEALTH AND WELLNESS INITIATIVES. MAGIC MIRROR PLAYERS: COORDINATED THROUGH THE COMMUNITY HEALTH DEPARTMENT, THE MAGIC MIRROR PLAYERS ARE VOLUNTEER ACTORS WHO VISIT CIVIC ORGANIZATIONS, SCHOOLS, RELIGIOUS CONGREGATIONS, CORPORATIONS AND OTHER GROUPS TO HELP AUDIENCES EXPLORE LIFE'S CHALLENGES AND DISCOVER MORE ABOUT THEIR FEELINGS AND THEMSELVES. THE PLAYERS PORTRAY REAL-LIFE ISSUES, SUCH AS PARENT-CHILD CONFLICTS AND FAMILY ILLNESS, THROUGH DRAMATIC PRESENTATIONS UTILIZING IMPROVISATIONAL AND ROLE-PLAYING TECHNIQUES. PERFORMANCES ARE FOLLOWED BY FACILITATED GROUP DISCUSSIONS AND INFORMATION REGARDING BEHAVIORAL HEALTH SERVICES AVAILABLE WITHIN THE COMMUNITY. SOMERSET MEDICAL CENTER HAS DEDICATED SUBSTANTIAL RESOURCES TO IMPROVING THE HEALTH AND WELLNESS OF SOMERSET COUNTY RESIDENTS THROUGH HEALTH SCREENINGS, EDUCATIONAL PROGRAMS AND COMMUNITY OUTREACH EFFORTS TO CHILDREN, ADULTS AND SENIORS. THESE PROGRAMS, OFFERED THROUGH THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT, REACH 39,000 PEOPLE EACH YEAR.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS TOBACCO QUIT CENTER ================== SMC'S TOBACCO DEPENDENCY TREATMENT PROGRAM ENLISTS A COMPREHENSIVE APPROACH TO HELP PATIENTS KICK THE SMOKING HABIT SAFELY AND SUCCESSFULLY. IN FACT, 73 PERCENT OF SMOKERS WHO SET A QUIT DATE AND COMPLETED TREATMENT AT THE QUIT CENTER WERE TOBACCO FREE AT THEIR SIX-MONTH FOLLOW-UP. THE PROGRAM INCLUDES AN EVALUATION, COUNSELING AND, WHEN NEEDED, PHARMACOTHERAPY TO HELP DEAL WITH NICOTINE WITHDRAWAL SYMPTOMS. IT ALSO ADDRESSES ISSUES THAT CAN ACCOMPANY TOBACCO DEPENDENCY, SUCH AS DEPRESSION, EATING DISORDERS, FEARS OF WEIGHT GAIN, ANXIETY, SPOUSAL PROBLEMS AND WORK-RELATED STRESS. TREATMENTS ARE TAILORED TO EACH PATIENT'S NEEDS AND CAN BE COUPLED WITH ONE-ON-ONE EDUCATION AND MOTIVATIONAL TECHNIQUES. SOMERSET MEDICAL CENTER'S COMMITMENT TO THE COMMUNITY IS INTEGRATED INTO EVERY AREA OF PROGRAMMING. THIS COMMITMENT IS SEEN CLEARLY IN THE ACTIVITIES AND PROJECTS THAT ARE PLANNED TO MEET IDENTIFIED HEALTH NEEDS, TO FORM PARTNERSHIPS TO MEET THESE NEEDS AND TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THOSE THAT WE SERVE. EMERGENCY MEDICAL SERVICES ========================== SOMERSET MEDICAL CENTER HAS PROVIDED ADVANCED LIFE SUPPORT SERVICES TO SOMERSET COUNTY SINCE 1982. SOMERSET MEDICAL CENTER'S THREE MOBILE INTENSIVE CARE UNITS RESPOND TO OVER 7,500 REQUESTS FOR SERVICE ANNUALLY. THROUGH A SHARED SERVICES AGREEMENT WITH NEIGHBORING COMMUNITIES, SOMERSET MEDICAL CENTER ALSO PROVIDES PRIMARY AMBULANCE COVERAGE FOR MANVILLE AND RARITAN, BACKUP AMBULANCE COVERAGE FOR SOUTH BOUND BROOK AND BRIDGEWATER. IN ADDITION, THE MEDICAL CENTER PROVIDES DAYTIME AMBULANCE COVERAGE FOR BEDMINSTER AND FAR HILLS AND DAYTIME COVERAGE FOR SOUTH PLAINFIELD AND STAFFS TWO COUNTY-WIDE UNITS AVAILABLE TO RESPOND ANYWHERE IN SOMERSET COUNTY TO SUPPLEMENT COVERAGE BY VOLUNTEER RESCUE SQUADS. IN 2007, THE MEDICAL CENTER BEGAN OFFERING A NON-EMERGENCY AMBULANCE TRANSPORT SERVICE TO TRANSPORT DISCHARGED PATIENTS BETWEEN THE MEDICAL CENTER AND NURSING HOMES, ASSISTED LIVING FACILITIES, REHABILITATION CENTERS AND OTHER HEALTHCARE FACILITIES. IN 2009, SOMERSET MEDICAL CENTER'S EMERGENCY MEDICAL SERVICES (EMS) DEPARTMENT BECAME ONE OF THE FIRST IN NEW JERSEY TO BEGIN ADMINISTERING THERAPEUTIC HYPOTHERMIA - ONE OF THE MOST PROMISING NEW ADVANCES IN THE TREATMENT OF CARDIAC ARREST PATIENTS - BEFORE PATIENTS EVEN ARRIVE AT THE HOSPITAL. THIS PROCEDURE HAS BEEN SHOWN TO INCREASE SURVIVAL RATES AND MINIMIZE BRAIN DAMAGE IN PATIENTS RESUSCITATED AFTER A CARDIAC ARREST. THE SOONER THERAPEUTIC HYPOTHERMIA IS ADMINISTERED, THE MORE LIKELY THE PATIENT WILL BE ABLE TO PRESERVE BRAIN FUNCTION. IN ORDER TO SUPPORT LOCAL RESCUE SQUADS WITH THE ADDITION OF TRAINED VOLUNTEERS, THE MEDICAL CENTER'S EMS DEPARTMENT DEVELOPED AN EMERGENCY MEDICAL TECHNICIAN TRAINING PROGRAM FOR HIGH SCHOOL STUDENTS IN PARTNERSHIP WITH SOMERSET COUNTY BOARD OF CHOSEN FREEHOLDERS, SOMERSET COUNTY VOCATIONAL & TECHNICAL HIGH SCHOOL, SOMERSET COUNTY EMS CHIEF OFFICERS ASSOCIATION, RARITAN VALLEY COMMUNITY COLLEGE AND VOLUNTEER FIRST AID SQUADS IN SOMERSET COUNTY. THE CLASS IS THE ONLY ONE OF ITS KIND IN THE STATE AFFILIATED WITH A HOSPITAL. STUDENTS, WHO COMPLETE THE 16-WEEK CLASS, EARN SIX COLLEGE CREDITS TRANSFERABLE TO RARITAN VALLEY COMMUNITY COLLEGE. MANY OF THE GRADUATES OF THE CLASS NOW SERVE ON VOLUNTEER RESCUE SQUADS. THE MEDICAL CENTER'S EMERGENCY MEDICAL SERVICES DEPARTMENT ALSO PROVIDES A COMPREHENSIVE RANGE OF TRAINING PROGRAMS YEAR-ROUND FOR AREA RESCUE SQUAD MEMBERS AND COMMUNITY RESIDENTS, INCLUDING CPR AND FIRST AID CLASSES. GATEWAY TO HEALTH INFORMATION ============================= AS PART OF ITS COMMITMENT TO WELLNESS EDUCATION, SMC MAINTAINS AN EXTENSIVE COLLECTION OF HEALTH INFORMATION RESOURCES AVAILABLE TO ALL MEMBERS OF THE COMMUNITY. THE HOSPITAL CAMPUS HOUSES A COMPREHENSIVE MEDICAL LIBRARY WITH THE LATEST MEDICAL REFERENCE TEXTS AND PERIODICALS, AS WELL AS INTERNET ACCESS TO A WORLDWIDE MEDICAL INFORMATION NETWORK. THE FACILITY IS OPEN TO THE PUBLIC, HEALTHCARE PROFESSIONALS AND HOSPITAL EMPLOYEES ON WEEKDAYS FROM 8 A.M. TO 4 P.M. THE MEDICAL CENTER ALSO INVITES THE COMMUNITY TO RESEARCH AND EXPLORE HEALTH ISSUES ON ITS WEB SITE AT WWW.SOMERSETMEDICALCENTER.COM. THE SITE OFFERS A BROAD SPECTRUM OF HEALTH TIPS AND FEATURES, FACTS ON MEDICAL CONDITIONS AND INJURIES, DRUG INFORMATION AND A COMPLETE MEDICAL DICTIONARY. VISITORS CAN EVEN REVIEW VARIOUS MEDICAL PROCEDURES, CALCULATE THEIR OWN BODY MASS INDEX, AND SUBSCRIBE TO THE HOSPITAL'S FREE COMMUNITY MAGAZINE - HEALTHY EDITION OR ITS FREE E-NEWSLETTERS, HEALTHY LIVING OR MY BABY EXPECTATIONS. IN ADDITION, THE STEEPLECHASE CANCER CENTER ALSO OFFERS A RESOURCE LIBRARY FOR PATIENTS AND THEIR FAMILIES WHO ARE INTERESTED IN RESEARCHING THEIR DISEASE OR LOOKING FOR ADDITIONAL INFORMATION ABOUT THEIR TREATMENTS. THE LIBRARY OFFERS BOOKS, PERIODICALS AND INTERNET ACCESS. PHYSICIAN OUTREACH ================== SMC'S FAMILY PRACTICE RESIDENTS, AFFILIATED WITH SOMERSET FAMILY PRACTICE, AID YOUTHS IN THE COMMUNITY THROUGH ADDITIONAL OUTREACH, INCLUDING MISSIONS TO HONDURAS TO PROVIDE CARE. THESE MISSIONS NOT ONLY AID THOSE LESS FORTUNATE OUTSIDE OUR COUNTRY BUT ALSO HAVE ENHANCED THE CARE THAT WE PROVIDE TO OUR PATIENTS AT SOMERSET FAMILY PRACTICE CENTER. THE PHYSICIANS ALSO PARTICIPATE IN CAREER DAYS, HEALTH FAIRS AND ADMINISTER FLU SHOTS TO CITIZENS OF SEVERAL MUNICIPALITIES. PROFESSIONAL EDUCATION ====================== SMC ACTIVELY SUPPORTS HEALTHCARE PROFESSIONALS IN THEIR QUEST TO REMAIN ON TOP OF THEIR FIELDS. THE HOSPITAL IS ACCREDITED BY THE MEDICAL SOCIETY OF NEW JERSEY AND OTHER GOVERNING ASSOCIATIONS TO SPONSOR ONGOING EDUCATIONAL OPPORTUNITIES, INCLUDING CME(CONTINUING MEDICAL EDUCATION) COURSES FOR PHYSICIANS, CEU (CONTINUING EDUCATION UNITS) FOR NURSES, AND VARIOUS ADVANCED LIFE SUPPORT AND SPECIALTY CLASSES FOR EMERGENCY MEDICAL TECHNICIANS AND OTHER HEALTHCARE PROFESSIONALS. NURSES PRACTICING IN THE COMMUNITY SETTING, I.E., FAITH-BASED COMMUNITY NURSES AND SCHOOL NURSES ARE INVITED TO ATTEND SPECIFIC COURSES THAT OFFER CONTINUING EDUCATION CREDITS. STUDENT VOLUNTEER/EDUCATION PROGRAMS ==================================== ASPIRING DOCTORS, NURSES AND HEALTHCARE PROFESSIONALS ARE TREMENDOUSLY REWARDED THROUGH STUDENT VOLUNTEER OPPORTUNITIES AT SMC. HUNDREDS OF TEENS AND YOUNG ADULTS HAVE DONATED THEIR SUMMERS TO LEARNING MORE ABOUT HOSPITALS AND THEIR INTENDED CAREERS, WHILE GIVING BACK TO THEIR COMMUNITY. THE MEDICAL CENTER OFFERS A NURSE EXTERN PROGRAM FOR NURSING SCHOOL STUDENTS, A BRIDGE TO EMPLOYMENT PROGRAM FOR STUDENTS CONSIDERING HEALTHCARE CAREERS, A MONTH-LONG SENIOR PRACTICUM FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTH CAREERS, AND A TOUR PROGRAM FOR HIGH SCHOOL STUDENTS TO HELP INCREASE AWARENESS OF THE MANY HEALTHCARE CAREERS AVAILABLE. A VOLUNTEER/INTERNSHIP PROGRAM IS AVAILABLE FOR COLLEGE STUDENTS AND A VOLUNTEER PROGRAM FOR THOSE INTERESTED IN CLINICAL OR GENERAL SUPPORT AREAS. IN ADDITION TO TRAINING AND EDUCATING VOLUNTEERS TO THE VARIETY OF POSITIONS AVAILABLE TO THEM, THE VOLUNTEER SERVICES DEPARTMENT ALSO PARTNERS WITH AREA HIGH SCHOOLS AND STATE ORGANIZATIONS TO PROVIDE WEEKLY VOLUNTEER OPPORTUNITIES FOR DEVELOPMENTALLY DELAYED OR PHYSICALLY DISABLED STUDENTS TO LEARN SKILLS AND GAIN WORK EXPERIENCE.
CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTION 4 EFFECTIVE WITH THE CLOSE OF BUSINESS ON MAY 31, 2014, THE MEDICAL CENTER WAS STATUTORILY MERGED INTO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT TEACHING HOSPITAL.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 SOMERSET HEALTH CARE CORPORATION ("SHCC") IS THE SOLE MEMBER OF THIS ORGANIZATION. SHCC 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'S FEDERAL FORM 990 WAS PROVIDED TO EACH MEMBER OF ITS GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S BOARD OF TRUSTEES HAS DELEGATED TO ITS ADVISORY COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. 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 PROVIDING IT TO EACH VOTING MEMBER OF ITS GOVERNING BODY 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, SENIOR MANAGEMENT AND OTHER KEY PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VICE PRESIDENT OF REGULATORY AFFAIRS/CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE VICE PRESIDENT OF REGULATORY AFFAIRS/CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THIS SUMMARY IS THEN PROVIDED TO THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. THEREAFTER, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION PRESENTS THIS SUMMARY TO SOMERSET MEDICAL CENTER'S AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15 DURING THE SHORT PERIOD JANUARY 1, 2014 THROUGH ITS STATUTORY MERGER INTO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ON MAY 31, 2014, THE ORGANIZATION'S BOARD OF TRUSTEES HAD AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. 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. IN 2008, THE EXECUTIVE COMPENSATION COMMITTEE WAS A RECOMMENDING BODY TO THE BOARD OF TRUSTEES. THE RECOMMENDATIONS OF THE EXECUTIVE COMPENSATION COMMITTEE WERE SUBMITTED FOR FULL APPROVAL BY THE BOARD OF TRUSTEES. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS. THE PEER GROUP OF EMPLOYERS TO BE CONSIDERED IN MEASURING THE COMPETITIVENESS OF THE EXECUTIVE COMPENSATION PROGRAM NECESSARY TO RECRUIT AND RETAIN TOP EXECUTIVE TALENT CONSISTS OF MAJOR TEACHING HOSPITALS IN THE NORTHEAST REGION OF THE UNITED STATES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS OF THE OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND SENIOR STAFF 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 HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF 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. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE 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 This organization is AN AFFILIATE WITHIN 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 THE SAME AS THE HOURS REFLECTED ON PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY AND PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - LOSS ON DEFEASEMENT OF LONG-TERM DEBT - ($3,847,132); - PENSION LIABILITY ADJUSTMENT - ($5,120,418); - FUND BALANCE TRANSFER OF SOMERSET HEALTH CARE CORPORATION; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION - ($990,772); - NET CHANGE IN INTEREST IN NET ASSETS OF SOMERSET MEDICAL CENTER FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($212,323); AND - STATUTORY MERGER INTO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT TEACHING HOSPITAL - ($31,577,509).
CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE SHORT PERIOD ENDED MAY 31, 2014 AND YEAR ENDED DECEMBER 31, 2013; RESPECTIVELY, AND ISSUED A CERTIFIED OPINION ON THOSE AUDITED FINANCIAL STATEMENTS. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE TAXPAYER'S AUDIT AND COMPLIANCE COMMITTEE OF ITS BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS 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) 2014

Additional Data


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

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SOMERSET MEDICAL CENTER
 
Employer identification number

22-1487350
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) SOMERSET COMMUNITY CARE CORP
110 REHILL AVENUE

SOMERVILLE,NJ08876
22-3295495
INACTIVE NJ 501(C)(3) 509(A)(2) SHCC
 
 
No
(2) SOMERSET HEALTH CARE AFFILIATES INC
110 REHILL AVENUE

SOMERVILLE,NJ08876
22-2665685
SUPPORT SMC NJ 501(C)(3) 509(A)(2) SHCC
 
 
No
(3) SOMERSET HEALTH CARE CORP
110 REHILL AVENUE

SOMERVILLE,NJ08876
22-2765539
SUPPORT SMC NJ 501(C)(3) 509(A)(2) NA
 
 
No
(4) SOMERSET MEDICAL CENTER FOUNDATION INC
110 REHILL AVENUE

SOMERVILLE,NJ08876
22-3294408
SUPPORT SMC NJ 501(C)(3) 509(A)(1) SHCC
 
 
No






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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
(1) EOS INC

110 REHILL AVENUE
SOMERVILLE,NJ08876
30-0382075
INACTIVE NJ NA
 
C CORP.         No
(2) NEW JERSEY HEALTH INC

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3339824
INACTIVE NJ NA
 
C CORP.         No
(3) NEW JERSEY HEALTHCARE ASSOC PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3339827
INACTIVE NJ NA
 
C CORP.         No
(4) NJ MGT SERVICES ORGANIZATION

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3339486
INACTIVE NJ NA
 
C CORP.         No
(5) SHC ENTERPRISES INC

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-2665595
MANAGEMENT NJ NA
 
C CORP.         No
(6) SOMERSET REALTY GROUP INC

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3269525
REAL ESTATE NJ NA
 
C CORP.         No
(7) SOMERSET STAFFING CORP

110 REHILL AVENUE
SOMERVILLE,NJ08876
11-3829651
INACTIVE NJ NA
 
C CORP.         No
(8) WARREN INTERNAL MEDICINE PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
35-2366107
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
(9) FRANKLIN MEDICAL GROUP PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
27-2209369
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
(10) ACUCARE PHYSICIANS PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3566010
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
(11) SOMERSET MEDICAL CARE PARTNERS PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
38-3834110
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
(12) SOMERSET CARDIOLOGY PARTNERS PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
90-0668649
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
(13) SOMERSET CARDIOLOGY GROUP PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
37-1640531
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
(14) SOMERSET CHEST & INTENSIVE CARE MED PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
38-3848048
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
(15) SOMERSET MEDICAL CENTER URGENT CARE PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
90-0929065
MEDICAL SVCS. NJ SMC
 
C CORP.     100.000 % Yes  
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
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
Yes
 
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
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
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) SOMERSET HEALTH CARE CORPORATION

LNOPR 970,186 COST
(2) SOMERSET MEDICAL CENTER FOUNDATION INC

LNOPR 1,214,496 COST
(3) SOMERSET MEDICAL CENTER FOUNDATION INC

C 461,031 COST



Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R, PART IV SOMERSET MEDICAL CENTER IS THE SOLE MEMBER OF THE PROFESSIONAL CORPORATIONS LISTED IN SCHEDULE R, PART IV WHICH EXIST THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS.
SCHEDULE R, PART V SOMERSET HEALTH CARE CORPORATION AND AFFILIATES IS A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES SOMERSET MEDICAL CENTER. SOMERSET MEDICAL CENTER ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.
Schedule R (Form 990) 2014
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