TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ROBERT E MARGULIES ESQ...................................................................... CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(2) THOMAS M GALLAGHER...................................................................... VICE CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(3) THOMAS A BIGA...................................................................... TRUSTEE	60.0 ................. 0.0	X		1,798,893	43,548
(4) CATHERINE M CARNEVALE...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(5) ABEGAIL DOUGLAS-JOHNSON...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(6) MARVIN GLAZERMAN...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(7) KIM HAAS...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(8) JEREMY KAPLAN...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(9) CARLOS LEJNIEKS...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(10) EDGAR MARTINEZ...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(11) RICHARD O'NEILL...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(12) JOSEPH A PANEPINTO JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(13) IGNATIUS SCALIA DMD...................................................................... TRUSTEE;EX-OFF-PRES MED STAFF	50.0 ................. 0.0	X		134,495	18,893
(14) JOSEPH F SCOTT FACHE...................................................................... TRUSTEE; EX-OFF-PRESIDENT/CEO	55.0 ................. 0.0	X		1,489,825	32,158
(15) RITA V SMITH DNP...................................................................... TRUSTEE - SVP PAT. CARE/CNO	55.0 ................. 0.0	X		543,138	25,343
(16) SEENA A STEIN...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(17) ALAN J WILZIG...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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

2015

Open to Public
Inspection

Name of the organization

LIBERTY HEALTHCARE SYSTEM INC

Employer identification number

22-3113960

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

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

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

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............. 5

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 (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)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) JERSEY CITY MEDICAL CENTER	222783298	3	Yes		0	0
(B) JERSEY CITY FAMILY HEALTH CENTER	223579538	3	Yes		0	0
(C) LIBERTY RIVERSIDE HEALTHCARE INC (DBA) MHMC	223284894	3	Yes		0	0
(D) GREENVILLE HOSPITAL	220963805	3	Yes		0	0
(E) LIBERTY HOME CARE	223327677	9	Yes		0	0
Total 5					0	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.)..

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

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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

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.

Yes

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

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.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) 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.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

Yes

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

2015

Open to Public Inspection

Name of the organization

LIBERTY HEALTHCARE SYSTEM INC

Employer identification number

22-3113960

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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 ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

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

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on 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).)..

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO AFFILIATES; NET	9,146,326
OTHER LIABILITIES	6,788
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	9,153,114
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (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
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART X	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH ("BH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BH ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE BH HOSPITALS AND CERTAIN OTHER BH AFFILIATES. THE FOOTNOTE BELOW IS FROM BH'S 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS BH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014.

Return Reference

Explanation

SCHEDULE D, PART X

THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH ("BH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BH ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE BH HOSPITALS AND CERTAIN OTHER BH AFFILIATES. THE FOOTNOTE BELOW IS FROM BH'S 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS BH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

LIBERTY HEALTHCARE SYSTEM INC

Employer identification number

22-3113960

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

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

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? ..

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

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

Yes

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

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

Any related organization?

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1THOMAS A BIGATRUSTEE	(i) (ii)	0 ------------- 864,502	0 ------------- 477,000	0 ------------- 457,391	0 ------------- 22,707	0 ------------- 20,841	0 ------------- 1,842,441	0 ------------- 0
2IGNATIUS SCALIA DMDTRUSTEE;EX-OFF-PRES MED STAFF	(i) (ii)	0 ------------- 134,122	0 ------------- 0	0 ------------- 373	0 ------------- 1,345	0 ------------- 17,548	0 ------------- 153,388	0 ------------- 0
3JOSEPH F SCOTT FACHETRUSTEE; EX-OFF-PRESIDENT/CEO	(i) (ii)	0 ------------- 1,035,632	0 ------------- 423,122	0 ------------- 31,071	0 ------------- 3,875	0 ------------- 28,283	0 ------------- 1,521,983	0 ------------- 0
4RITA V SMITH DNPTRUSTEE - SVP PAT. CARE/CNO	(i) (ii)	0 ------------- 396,209	0 ------------- 127,961	0 ------------- 18,968	0 ------------- 3,875	0 ------------- 21,468	0 ------------- 568,481	0 ------------- 0
5DOMENIC SEGALLAEXECUTIVE VICE PRESIDENT/CFO	(i) (ii)	0 ------------- 402,211	0 ------------- 116,282	0 ------------- 313,239	0 ------------- 79,430	0 ------------- 6,681	0 ------------- 917,843	0 ------------- 231,693
6KENNETH GARAY MDCHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 727,925	0 ------------- 156,012	0 ------------- 6,721	0 ------------- 2,600	0 ------------- 35,398	0 ------------- 928,656	0 ------------- 0
7BRENDA HALLSVP, PATIENT SAFETY	(i) (ii)	0 ------------- 280,087	0 ------------- 94,499	0 ------------- 30,339	0 ------------- 3,769	0 ------------- 35,604	0 ------------- 444,298	0 ------------- 0
8MARY CATAUDELLAVP, HUMAN RESOURCES	(i) (ii)	0 ------------- 352,560	0 ------------- 103,765	0 ------------- 1,492	0 ------------- 3,875	0 ------------- 28,179	0 ------------- 489,871	0 ------------- 0
9ROBERT VALENTINECORPORATE CONTROLLER	(i) (ii)	0 ------------- 309,085	0 ------------- 0	0 ------------- 5,360	0 ------------- 3,852	0 ------------- 2,602	0 ------------- 320,899	0 ------------- 0
10PAUL GOLDBERGFORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 266,384	0 ------------- 0	0 ------------- 17,626	0 ------------- 284,010	0 ------------- 0
11PAUL R MURPHY ESQFORMER OFFICER	(i) (ii)	0 ------------- 11,979	0 ------------- 0	0 ------------- 177,535	0 ------------- 2,600	0 ------------- 26,230	0 ------------- 218,344	0 ------------- 0

Schedule J (Form 990) 2015

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 4A	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2015 WHICH WAS INCLUDED IN EACH INDIVIDUALS 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: PAUL GOLDBERG, $262,776 AND PAUL R. MURPHY, ESQ., $172,772.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING AND DISTRIBUTIONS 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. A PORTION OF THESE AMOUNTS WERE REPORTED AS EMPLOYEE BENEFIT PLAN CONTRIBUTIONS OF THE ORGANIZATION'S PRIOR YEARS' FORM 990. THE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DOMENIC SEGALLA, $295,335 AND BRENDA HALL, $23,847. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS A. BIGA, $451,335. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THIS INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2015 FORM W-2, AS TAXABLE MEDICARE WAGES: DOMENIC SEGALLA, $69,492.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN F	THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS REPORTED ON PRIOR YEARS' FORMS 990, SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THIS INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DOMENIC SEGALLA, $231,693.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

2015

Open to Public
Inspection

Name of the organization

LIBERTY HEALTHCARE SYSTEM INC

Employer identification number

22-3113960

Return Reference	Explanation
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Liberty Healthcare System, Inc. ("Liberty") is a not for-profit holding company based in Hudson County, New Jersey. The Internal Revenue Service ("IRS") has recognized Liberty as a tax-exempt organization under Internal Revenue Code ("IRC") section 501(c)(3). Background ========== Jersey City Medical Center ("JCMC") is a regional referral teaching hospital recognized by the Internal Revenue Service ("IRS") as an internal revenue code section 501(c)3) tax-exempt organization. Pursuant to its charitable purposes, JCMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, ethnicity, color, creed, gender, sexual orientation, gender identity, national origin or ability to pay. Moreover, JCMC operates consistently with the following criteria outlined in revenue ruling 69-545. 1. JCMC provides medically necessary healthcare services are provided to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. JCMC operates an active emergency department which is open 24 hours a day, seven days a week, 365 days a year; 3. JCMC maintains an open medical staff with privileges available to all qualified physicians; 4. Control of JCMC rests with its Board of Trustees and the Board of Trustees of Barnabas Health, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patients care, expand and renovate facilities and advance medical care, programs and activities. The operations of JCMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of JCMC 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. Barnabas Health is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. JCMC's sole corporate member is Barnabas Health, Inc. ("BH"). BH is also the tax-exempt New Jersey non-profit parent corporation of the integrated healthcare delivery system. The sole member of each entity is either BH or another BH affiliate controlled or owned by BH. JCMC, like its corporate parent, is a not-for-profit organization. This integrated network of healthcare providers provides substantial community benefit throughout the state of New Jersey. BH is the largest multi-hospital system in New Jersey and provides substantial community benefit. BH consists of free-standing acute care hospitals, a free-standing psychiatric hospital, Medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, outpatient behavioral health centers and other entities. BH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, BH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health without charge or at amounts less than established rates. BH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Hospital Statistics =================== JCMC treats all adults and children regardless of age or their ability to pay for services rendered. JCMC is one of the largest providers of charity care services in the state of New Jersey. In 2015, JCMC admitted nearly 17,000 patients and provided over 87,000 emergency department visits. The Hospital delivered over 2,200 babies and our outpatient programs serviced over 194,000 visits. JCMC's patient population is represented by 80% minority race/ethnicity and nearly 35% of patients are of underinsured and uninsured payer classification. JCMC Emergency Medical Services includes Basic and Advanced Life Support, special operations, neonatal transfers, critical care inter-facility transports, regional EMS communications, and much more! As one of the largest and busiest EMS systems in the state, JCMC EMS now responds to more than 90,000 incidents a year. JCMC also plays a vital role in domestic preparedness education, homeland security response and educating the public and healthcare providers in CPR and advanced adult and pediatric life support. JCMC is one of New Jersey's largest community teaching hospitals, where physicians work as a team dedicated to academic excellence, clinical competence, and comprehensive and compassionate patient care. JCMC has over 2,750 employees, over 670 physicians, and over 75 medical residents and interns. JCMC is a teaching affiliate and a member of Americas Essential Hospitals. It is also a major teaching affiliate of St. Georges University of Grenada and New York College of Osteopathic Medicine. JCMC has several Nursing Academic affiliations. Mission Statement ================= JCMCs mission is Enhancing Life. These two words are our commitment to provide patients, their families and all in need, excellence in hospital and healthcare services and programs to enhance community health. JCMC collaborates with its physicians, nurses and staff to provide a full range of clinical services for all regardless of race, color, creed, sex national origin or ability to pay. Our clinical services include regional specialty and subspecialty care; well-established academic and clinical affiliations; educational programs for medical students, physicians in residency training, nurses, and EMTs-Paramedics and other healthcare professionals; and innovative relationships with hospitals, FQHCs and other providers. Accomplishments/Milestones/Recognition/Awards ============================================= JCMC is a DNV (which stands for Det Norske Veritas) fully accredited hospital and has been recognized for its excellence in providing care and support for the health and wellness of our community. DNV is recognized by Medicare for the accreditation of Healthcare Organizations ("NIAHO") hospital accreditation program. The following is a listing of awards and designations recently received by JCMC in recognition of its service to the community. - The Commission on the Accreditation of Ambulance Services ("CAAS") is an national association providing Emergency Medical Services ("EMS") agencies standardization to increase organizational performance and efficiency, increase clinical quality, safety and decrease risks. The JCMC EMS received official notification stating JCMC was reaccredited with no deficiencies noted. The JCMC EMS was the first EMS agency in the country to receive accreditation from CAAS and four other national accreditation agencies; - JCMC earned "top level" awards from the American Heart Association and American Stoke Association as a Stroke Gold Plus hospital & Target Stroke Elite Honor Roll Award hospital; - Recognized with the HEI Award for LGBT patient care; - Recognized on the American Hospital Association's Equity of Care National Listing as "National Best in Class Hospital for Diversity in Leadership and Governance - Received an "A" Hospital Safety Score from The Leapfrog Group, an independent national nonprofit group measuring hospital safety and quality, for the 9th consecutive time. Jersey City Medical is one of only six hospitals (out of 67) in New Jersey (and the only one in Hudson County) to have received an A grade for safety each time. Only 153 hospitals nationally have earned straight "A" grades; - US News & World Report best regional hospital listing (high performance in nephrology 2012 2013); - Magnet designation and re-designation (2014) for excellence in patient care by the American Nurses Credentialing; - Recognized by the American College of Surgeons for "Excellence in Trauma" 2013; - State designated regional trauma center; - First EMS in the US to earn triple accreditation in dispatch, education and emergency medical service; - CEO Cancer Round Table Gold standard; - Gold Plus achievement award in stroke quality care form the American Heart and Stroke Association, four consecutive years (2012 2015); - State designated Regional Heart Center; - 100 Best Places to Work in Healthcare, ranked nationally by Modern Healthcare Magazine 2011; - 100 Best Places to Work in the Healthcare Field by Beckers Hospital Review, 2012-2013; - Castle Connolly "Top Hospital in NJ" under 350 beds, 2010, 2011 and 2015; - CHF Gold Award from American Heart and Stroke Association; - American Heath Association Named JCMC a "Gold Fit-Friendly" Company in 2013 & 2014; - State Designated Regional Neonatal Intensive Care ("NICU") Center for Diagnosis and Treatment of most critically ill newborns;
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Cristie Kerr Women's Health Center is located in our medical office building on the JCMC Campus; and - Primary Stroke Center approved by the New Jersey Department of Health. Centers of Excellence ===================== (1) The Cristie Kerr Womens Health Center The Cristie Kerr Womens Health center opened in 2010 offering imaging and other diagnostic services to women in our community. The center offers breast cancer screening programs including mammograms and education to women in the community regardless of ability to pay. The center is the first full-service facility in Hudson County to provide detection, healing, support and recovery services. (2) The Family Regional Perinatal Center The region's highest level of care for women and infants, the Family Regional Perinatal Center, provides confidence and hope for families. The Center is the place that provides care for the region's sickest and most fragile infants. The Center has full time neonatalogists and perinatologists, an intensive care and an intermediate care neonatal unit and the support and expertise of a full service General Pediatrics center at JCMC. Highly trained staff works closely with families with a multi-disciplinary approach. (3) The Epilepsy Center at JCMC The Epilepsy Center at JCMC opened in 2010 offering comprehensive outpatient and inpatient diagnostic services, including evaluation and treatment plans, as well as state-of-the-art therapy for children and adults with seizures and epilepsy. (4) Fannie E. Rippel Foundation Heart Institute ("The Institute") The Institute features state-of-the-art diagnostic technology to provide exemplary outpatient cardiac care. The Institute provides two high-risk cardiac catheterization laboratories, a single plane and a three-dimensional bi-plane along with other critically important diagnostic technology. The medical center is the region's "high-risk" destination for patients with the most comprehensive cardiac center in Hudson County. JCMC is Hudson Countys only full-service heart hospital. Cardiac services provided include angioplasty, diagnostic cardiac catheterization, intravascular ultrasound, pacemaker & implantable cardioverter defibrillator therapy, minimally invasive vein harvesting and cardiac artery bypass graft, thoracic and abdominal aortic aneurysm repair, mitral and aortic valve repair and replacement, electrophysiology, peripheral vascular procedures, including endovascular procedures and cardiac ablation. (5) Port Authority Heroes of September 11 Trauma Center This Regional Trauma Center is the state-designated level II trauma center for Hudson County. In addition to serving the growing communities of Jersey City, the service covers Hudson County, New Jersey Waterways, New Jersey Turnpike, the Holland and Lincoln Tunnels, and Liberty State Park. The Trauma Center provides 24 hour trauma surgery for adults and children. The Center has been active in all regional disasters including the 1993 and 2001 World Trade Center bombings, the "miracle on the Hudson" plane landing, several train derailments, and various hazmat incidents. In addition, the Hospital is a state designated primary stroke center. (6) The Orthopedic Institute at JCMC The Orthopedic Institute offers an expansive array of orthopedic services, from total joint replacement and surgery, to sports medicine and rehabilitation. This unique program brings together a multi-disciplinary team of physicians, nurses, therapists and technicians with the goal of providing seamless coordinated care. Further, there is a Joint Care Coordinator works with patients having joint replacements and provides education classes prior to your surgery that better prepares patients and their families for the procedure. (7) Outpatient Services JCMC operates an ambulatory care center adjacent to the hospital as well as two satellite clinics to ensure access for those most in need. Our outpatient services offerings include obstetrics and gynecology, ophthalmology, dental, physical and speech therapy, and audiology. We provide needed outpatients services to special needs populations in our community including the homeless and adults and children requiring behavioral health services, HIV/AIDS patients, and those in need of dialysis. JCMC is the regional psychiatric referral center providing crisis intervention and evaluation, voluntary and involuntary inpatient services, community psychiatric outreach services, and a full spectrum of outpatient psychiatric and addiction services. Medical and Community Services ============================== JCMCs services include an array of medical services and programs that address the healthcare needs of its communities, from diagnostic to prevention and treatment. These services include, but are not limited to, the following: - Athlete Screenings, Matthew J. Morahan III Health Assessment Center for Athletes; - Bariatric Surgery; - Behavioral Health; - Breastfeeding Educational Network; - Cardiac Care; - Child and Adolescent Behavioral Health Services; - Center for Children with Special Needs; - Center For Comprehensive Care; - Critical Care; - Diabetes Education Program; - Emergency Medical Service (EMS); - Emergency Services; - Endocrinology; - Epilepsy Center; - Eyecare Center; - Gastroenterology; - Geriatrics and Palliative Care; - Health Stops; - Hematology/Oncology; - Imaging Center; - Infectious Diseases; - Lung Cancer Screening Program; - Medical and Social Services for the Homeless (M.A.S.S.H.); - Ryan White Program; - Midwifery; - Neonatal Intensive Care Unit (NICU); - Nephrology; - Nursing; - Orthopedic Institute; - Pediatrics; - Family Regional Perinatal Center; - Pulmonary Medicine; - Inpatient Services Rehabilitation; - Outpatient Services Rehabilitation; - Smoking Cessation Program; - Special Child Health Services; - Speech/Audiology Services; - Stroke Center; - Trauma Center; - Uncompensated Care Program; - Urgent Care Centers (Health Stops); - Outpatient Vascular Testing Service; - Weight Loss; - Wellness; - Womens Health; and - Wound Prevention. Volunteer Services ------------------ JCMC has an active and diverse volunteer program providing companionship and support to patients of all ages hospitalized on our nursing floors, the Emergency Department, and other patient areas. JCMC volunteer advocate for patient families and provide them with information and support. They also provide clerical and other support to our staff community. JCMC is actively engaged in community education including outreach to schools, churches, and community groups to address targeted, appropriate education needs. Health fairs are held annually in conjunction with businesses and community groups to provide a wide range of screening and education. A dinner with the doctor program was implemented in 2009 and over the past five years physicians have addressed the community on various health issues and the prevention of disease. We also provide recurring safety programs in our community schools to educate children on wellness, trauma prevention and safety. We also visit senior centers to educate seniors on fall prevention, and our EMS service provides medical care at community events during the year. We supported a turkey drop program in Jersey City to provide Thanksgiving meals for those in need in our community.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Community Service Centers and Community Partnerships ---------------------------------------------------- JCMC has created a free, voluntary program called Wealth from Health ("WFH") to assist patients who suffer from chronic disease to be able to better self-manage through the support of physicians and support staff working in this program, as well as provide access to JCMC physicians and partnering FQHCs in the community. The Wealth from Health navigator team has become an integral part of the JCMC community activity calendar; there are biweekly or monthly health screenings at churches and joint events with the Jersey City Department of Health. In addition, the team participates with ShopRite to schedule nutritional oriented visits for members of the Wealth from Health program. The Wealth from Health team also met with school nurses at an area high school to implement a blood pressure screening event for staff and adolescents. For JCMC staff, WFH navigators have implemented in-house weight loss teams. WFH has also provided free of charge environmental home reviews for asthma triggers. As JCMC employees, members of the WFH program have also participated as volunteers for community half marathons, assembled teams for Walk-A-Thons for breast cancer, heart disease, epilepsy and infant health awards and designations. In 2014, JCMC joined with the Boys and Girls Club of Hudson County, in welcoming the first class of 125 freshmen to the new Great Futures High School for the Health Sciences - Jersey City's first academic institution dedicated exclusively to the health sciences. The school, which is a collaborative effort between the Boys and Girls Club of Hudson County and the JCMC, is a state-designated charter school providing students a foundation for post-secondary education or workforce readiness in certified health-related professions. Students will learn through integrated projects, case studies and online learning. Graduating students will be certified as emergency medical technicians or patient care technicians, and also encouraged to attend college in a health-related field. The idea for a health-oriented charter high school began to take shape about five years ago when the Boys and Girls Club of Hudson County formed an alliance with JCMC that allowed students to do internships with the hospital's staff. Those short-term educational opportunities have now been expanded into the Great Futures' curriculum. In each of the coming four years, the school will add a new class with total enrollment to reach 500 students. JCMC also conducts a special summer internship to immerse college and high school students in the world of health care while affording them a "real life" work experience. The program, in its fourth year in 2015, provided over 20 young people living in Jersey City, in addition to the children of hospital staff, a six-week paid internship in a specific hospital department, where they work under the direction of a dedicated manager. Students were assigned at the beginning of the program to an individual department based, if possible, on their interests including behavioral health, human resources, emergency department, emergency medical services, dietary, case management, pharmacy, patient access, speech pathology, dental staffing, same day surgery, physical therapy, operating room, physician practices, revenue management, public affairs and volunteer services. Additionally, they participate in weekly meetings with their peers to learn about other hospital services to broaden their experiences and future choices. Additional Community Building Activities undertaken by JCMC 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. JCMC 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. We also provide to schools, senior centers and other community organizations programs about safety and trauma prevention including proper use of car seats, bicycle safety, and fall prevention for seniors. Several times a year working with local police departments, we provide this free educational service at local shopping centers, libraries and police department headquarters. The hospital holds an annual community meeting as required by the NJ Department of Health where the community can ask questions and give comments to the hospital leadership and board of trustees. Events & Classes ---------------- - Diabetes Self-Management Education for the Community; - Join us for a Conversation about Managing your Diabetes; - Prenatal Yoga; - Family & Friends CPR; - Family & Friends First Aid for Children; - A Day of Wellness Breast Cancer; - Car Seat Inspections & Education; - COPD Educational Program; - Baby Fair for New Parents; - "Dinner with the Doctor - Diabetes Fair; and - Role of Nutrition in Chronic Disease Management. Support Groups & Screenings --------------------------- - Cancer Support Group; - Breast Cancer Survivors Support Group; - Healing Hearts and Connecting Hands; - The Mommy's Club for New Mothers; - Cardiac & Concussion Screening; - Wellness Screenings; and - HIV testing. The hospital's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients part of at risk populations, are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives.
CORE FORM, PART IV, SECTION A; QUESTIONS 6 & 7	BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION b; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH AN INDIVIDUAL DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE INDIVIDUAL'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE INDIVIDUAL'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. ("BH") IS THE TAX-EXEMPT PARENT ENTITY OF BARNABAS HEALTH. BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, 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, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - ASSETS ACQUIRED OVER LIABILITIES ASSUMED AS A RESULT OF THE TRANSACTION WHEREIN LIBERTY HEALTHCARE SYSTEM, INC. BECAME AN AFFILIATE WITHIN BARNABAS HEALTH - ($195,827).
CORE FORM, PART XII; QUESTION 2B	THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE BARNABAS HEALTH HOSPITALS AND CERTAIN OTHER BARNABAS HEALTH AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

LIBERTY HEALTHCARE SYSTEM INC

Employer identification number

22-3113960

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
(1) LIBERTY HEALTHCARE VENTURES LLC 350 MONTGOMERY STREET JERSEY CITY,NJ07302 27-2045146	HEALTH SVCS.	NJ	0	0	LHCS

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)LIBERTY BEHAVIORAL HEALTH ASSOCIATES 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3506358	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	JCMC		No
(2)LIBERTY CHILD HEALTH SERVICES 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3386849	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	JCMC		No
(3)LIBERTY HEALTHCARE SYSTEM FOUNDATION 350 Montgomery Street Jersey City,NJ07302 22-3506358	FUNDRAISING	NJ	501(C)(3)	509(a)(2)	LHCS	Yes
(4)LIBERTY HOME CARE 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3327677	HEALTH SVCS.	NJ	501(C)(3)	509(a)(2)	LHCS	Yes
(5)LIBERTY REHAB CTR FACULTY PRACTICE PLAN 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3605610	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	JCMC		No
(6)LIBERTY SURGICAL ASSOCIATES 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3386850	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	JCMC		No
(7)LIBERTY RIVERSIDE HEALTHCARE 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3284894	INACTIVE	NJ	501(C)(3)	HOSPITAL	LHCS	Yes
(8)NEW MARGARET HAGUE CTR WOMENS JCM OBGYN 350 MONTGOMERY STREET JHERSEY CITY,NJ07302 22-3363012	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	JCMC		No
(9)JERSEY CITY FAMILY HEALTH CENTER 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3579538	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	LHCS	Yes
(10)JERSEY CITY MEDICAL CENTER 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-2783298	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(11)GREENVILLE HOSPITAL 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-0963805	INACTIVE	NJ	501(C)(3)	HOSPITAL	LHCS	Yes
(12)BARNABAS HEALTH INC 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-2405279	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	NA		No
(13)CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT,NJ07757 22-2939956	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	BH		No
(14)CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER,NJ08754 22-3343959	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	SBBH		No
(15)CLARA MAASS FOUNDATION ONE CLARA MAASS DRIVE BELLEVILLE,NJ07109 22-2132516	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	BH		No
(16)CLARA MAASS MEDICAL CENTER ONE CLARA MAASS DRIVE BELEVILLE,NJ07109 22-1500556	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(17)COMMUNITY MEDICAL CENTER 99 HIGHWAY 37 WEST TOMS RIVER,NJ08755 22-3452306	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(18)COMMUNITY MEDICAL CENTER FOUNDATION 99 HIGHWAY 37 WEST TOMS RIVER,NJ08755 22-2597592	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	BH		No
(19)IRVINGTON GENERAL HOSPITAL 832 CHANCELLOR AVENUE IRVINGTON,NJ07111 22-3452411	INACTIVE	NJ	501(C)(3)	HOSPITAL	BH		No
(20)IRVINGTON HOSPITAL FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 23-7025428	INACTIVE	NJ	501(C)(3)	509(A)(3)	BH		No
(21)MONMOUTH MED CNTR - SOUTHERN CAMPUS FDN 600 RIVER AVE ANNEX BLDG E LAKEWOOD,NJ08701 22-2630076	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	BH		No
(22)MEDICAL CENTER STAFFING SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 35-2219655	STAFFING SVCS	NJ	501(C)(3)	509(A)(3)	CSHG		No
(23)MEGA CARE INC 2 CRESCENT PLACE OCEANPORT,NJ07757 22-2578561	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	CSHG		No
(24)MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH,NJ07740 22-3452412	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(25)MONMOUTH MEDICAL CENTER - FACULTY PRACT 100 STATE HIGHWAY 36 WEST LONG BRANCH,NJ07764 22-3357053	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	MMC		No
(26)MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2456079	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	BH		No
(27)BARNABAS HEALTH MEDICAL GROUP PC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3316007	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	BH		No
(28)NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK,NJ07112 22-3452311	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(29)SAINT BARNABAS BEHAVIORAL HEALTH CENTER 1691 ROUTE 9 TOMS RIVER,NJ08754 22-2977312	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	CSHG		No
(30)SAINT BARNABAS HEALTH CARE SYSTEM FDN 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3769036	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	BH		No
(31)SAINT BARNABAS HOSPICE AND PALLIATIVE 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2354659	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	BH		No
(32)SAINT BARNABAS MEDICAL CENTER 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-1494440	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	BH		No
(33)SAINT BARNABAS OUTPATIENT CENTERS 200 SOUTH ORANGE AVENUE LIVINGSTON,NJ07039 22-2458479	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	BH		No
(34)SAINT BARNABAS REALTY DEVELOPMENT CORP 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-2940008	TITLE HLDNG.	NJ	501(C)(3)	509(A)(3)	BH		No
(35)UNITED RESCUE AT JERSEY CITY INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2458481	INACTIVE	NJ	501(C)(3)	509(A)(2)	BH		No
(36)THE NEWARK BETH ISRAEL MEDICAL CNTR FDN 201 LYONS AVENUE NEWARK,NJ07112 22-2587176	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	BH		No
(37)UNION HOSPITAL 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-1413947	INACTIVE	NJ	501(C)(3)	HOSPITAL	BH		No
(38)SANDY HOOK FRNDS OF ST BARNABAS BURN FDN 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-3236202	FUNDRAISING	NJ	501(C)(3)	509(A)(3)	BH		No
(39)BARNABAS HEALTH PHYSICIAN ASSOCIATES PC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 47-3922235	INACTIVE	NJ	501(C)(3)	509(A)(2)	BH		No
(40)RWJ BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 81-0682747	INACTIVE	NJ	501(C)(3)	509(A)(3)	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) LIBERTY HEALTHCARE MANAGEMENT 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3597891	MANAGEMENT	NJ	LHCS	RELATED	0	0		No	0	Yes		99.000 %
(2) LIBERTYUSP SURGERY CENTERS LLC 15305 DALLAS PKWY SUITE 1600 LB 28 ADDISON,TX75001 26-4756962	HEALTHCARE SVCS.	TX	LHCS	RELATED	0	0		No	0		No	50.100 %
(3) INNOVATIVE PURCHASING CONCEPTS 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3786557	PURCHASING	NJ	NA
(4) KIM-MED ASSOCIATES 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2775619	REAL ESTATE	NJ	NA
(5) NEW JERSEY IMAGING NTWKLLC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 46-0623701	HEALTHCARE SVCS.	NJ	NA
(6) CENTRAL JERSEY ACO LLC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 45-5460713	HEALTHCARE SVCS.	NJ	NA
(7) SHREWSBURY DIAGNOSTIC IMAGING LLC 1131 BROAD STREET SUITE 110 SHREWSBURY,NJ07702 20-3833246	HEALTHCARE SVCS.	NJ	NA
(8) JERSEY ASC VENTURES LLC 1A BURTON HILLS BLVD NASHVILLE,TN37215 47-3368037	MEDICAL	TN	NA
(9) VNA HEALTH GROUP OF NEW JERSEY LLC 176 RIVERSIDE AVENUE RED BANK,NJ07701 47-4841103	MEDICAL	NJ	NA

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) LIBERTY HEALTHCARE CAPITAL 350 MONTGOMERY STREET JERSEY CITY,NJ07302 22-3444345	LEASE/FINANCE	NJ	LHCS	C CORP.	0	0	100.000 %	Yes
(2) LIVINGSTON SERVICES CORP 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2779395	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(3) LIVINGSTON INFUSION CARE INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3190756	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(4) MAJOR SECURITY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3040539	SECURITY SVCS.	NJ	NA	C CORP.					No
(5) CENTER STATE MANAGEMENT CORP 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2506125	MGMT SVCS.	NJ	NA	C CORP.					No
(6) KIMBALL HLTH CARE AFFILIATES 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2701213	INVESTMENT	NJ	NA	C CORP.					No
(7) HEALTH CARE FACILITIES MGT 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3532988	MAINT. SVCS.	NJ	NA	C CORP.					No
(8) SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3414332	MGMT SVCS.	NJ	NA	C CORP.					No
(9) PROFESSIONAL QUALITY LIAB 100 BANK STREET BURLINGTON,VT05401 20-5163819	INSURANCE SVCS.	VT	NA	C CORP.					No
(10) NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-3536986	INACTIVE	NJ	NA	C CORP.					No
(11) CPIC 44 CHURCH STREET HAMILTON,BERMUDAHM11 BD	FINANCIAL VEHICLE	BD	NA	FOREIGN CORP.					No
(12) LSC PHARMACY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 45-2552776	PHARMACY SVCS.	NJ	NA	C CORP.					No
(13) JCMC PHYSICIANS ASSOCIATES PC 355 GRAND STREET JERSEY CITY,NJ07302 46-5329974	INACTIVE	NJ	NA	C CORP.					No

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BARNABAS HEALTH INC	E	2,747,428	COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

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

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE R, PART III

The organization reported $_____ of total income derived by Liberty Healthcare Management in Schedule R, Part III of this Form 990. Total gross income of Liberty Healthcare Management was $_____ in 2015; all of this income was derived from entities within the Liberty Healthcare System.

SCHEDULE R, PART V

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

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ACT AS A HOLDING COMPANY AND IMPROVE THE HEALTH STATUS OF AREA RESIDENTS THROUGH A FULL RANGE OF HEALTHCARE PROGRAMS AND SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	29,774,898	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,737,333	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	31,512,231	0
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	31,848,634	0
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	31,848,634	0
19	Revenue less expenses. Subtract line 18 from line 12.......	-336,403	0
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	8,665,637	-247,295
21	Total liabilities (Part X, line 26).............	17,870,219	9,153,114
22	Net assets or fund balances. Subtract line 21 from line 20.....	-9,204,582	-9,400,409

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
	PRIOR TO BECOMING AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, THIS ORGANIZATION INCURRED EXPENSES IN ACTING AS A HOLDING COMPANY. LIBERTY'S MISSION WAS AND REMAINS TO IMPROVE THE HEALTHCARE STATUS OF AREA RESIDENTS THROUGH A FULL RANGE OF HEALTHCARE PROGRAMS AND SERVICES AND TO OFFER THEM WITH COMPASSION AND DIGNITY. AS A NOT-FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM, BARNABAS HEALTH AND LIBERTY PROVIDE THE REGION WITH A WIDE RANGE OF MEDICALLY NECESSARY HEALTHCARE SERVICES, FROM HIGH TECHNOLOGY INFANT AND ADULT CARE TO IN-HOSPITAL REHABILITATION AND HOME CARE SERVICES. PLEASE REFER TO THE THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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
(A) Name and Title
(18) DOMENIC SEGALLA........................................................................ EXECUTIVE VICE PRESIDENT/CFO	55.0 .......................0.0	X		0	831,732	86,111
(19) KENNETH GARAY MD........................................................................ CHIEF MEDICAL OFFICER	55.0 .......................0.0	X		0	890,658	37,998
(20) BRENDA HALL........................................................................ SVP, PATIENT SAFETY	55.0 .......................0.0	X		0	404,925	39,373
(21) MARY CATAUDELLA........................................................................ VP, HUMAN RESOURCES	50.0 .......................0.0	X		0	457,817	32,054
(22) ROBERT VALENTINE........................................................................ CORPORATE CONTROLLER	50.0 .......................0.0	X		0	314,445	6,454
(23) PAUL GOLDBERG........................................................................ FORMER OFFICER	0.0 .......................0.0		X	0	266,384	17,626
(24) PAUL R MURPHY ESQ........................................................................ FORMER OFFICER	0.0 .......................0.0		X	0	189,514	28,830

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	7,321,826	368,388

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		0

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....		0

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			0
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	0
12	Advertising and promotion ....	0
13	Office expenses .......	0	0	0	0
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	0
23	Insurance ...	0
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
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	0	0	0	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			376,288	1	-247,295
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			409,410	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 ........			0	8	0
9	Prepaid expenses and deferred charges ......			2,409,214	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	4,889,308	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 ..			195,827	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			385,590	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...			8,665,637	16	-247,295

17	Accounts payable and accrued expenses .....	16,762,702	17	0
18	Grants payable ...	0	18	0
19	Deferred revenue .........	385,590	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	24,884	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	697,043	25	9,153,114
26	Total liabilities. Add lines 17 through 25..	17,870,219	26	9,153,114

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-9,204,582	27	-9,400,409
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	-9,204,582	33	-9,400,409
34	Total liabilities and net assets/fund balances ........	8,665,637	34	-247,295