Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
BCheck if applicable:
CName of organization
MONMOUTH MEDICAL CENTER
 
% CATHERINE DOWDY CPA
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
300 SECOND AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LONG BRANCH, NJ07740
D Employer identification number

22-3452412
E Telephone number

G Gross receipts $ 543,789,021
F Name and address of principal officer:
WILLIAM S ARNOLD
300 SECOND AVENUE
LONG BRANCH,NJ07740
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.RWJBH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1996
M State of legal domicile: NJ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING COST-EFFECTIVE QUALITY CARE, TO EDUCATE HEALTHCARE PROVIDERS & TO PROVIDE CONTINUUM OF REGIONAL TERTIARY CARE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 41
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 38
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 3,634
6 Total number of volunteers (estimate if necessary) ............. 6 629
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 88,876
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 8,766,315 7,477,221
9 Program service revenue (Part VIII, line 2g) ......... 511,708,926 530,243,212
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 190,794 3,243,628
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,605,394 1,483,972
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 522,271,429 542,448,033
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 191,306 392,893
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) 198,437,037 208,082,238
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 262,791,568 279,345,333
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 461,419,911 487,820,464
19 Revenue less expenses. Subtract line 18 from line 12....... 60,851,518 54,627,569
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 672,102,238 770,048,613
21 Total liabilities (Part X, line 26)............. 267,465,247 299,645,395
22 Net assets or fund balances. Subtract line 21 from line 20..... 404,636,991 470,403,218
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING COST-EFFECTIVE QUALITY CARE. TO EDUCATE PRESENT AND FUTURE GENERATIONS OF HEALTHCARE PROVIDERS. TO PROVIDE A CONTINUUM OF REGIONAL TERTIARY CARE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 71,066,799 including grants of $ 0 ) (Revenue $ 74,643,695 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY ONCOLOGY SERVICES PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THE ORGANIZATION PERFORMED 13,320 ONCOLOGY SERVICES PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 52,122,712 including grants of $ 0 ) (Revenue $ 39,907,028 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PSYCHIATRY SERVICES PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THE ORGANIZATION TREATED 17,658 PSYCHIATRIC SERVICES PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 47,625,433 including grants of $ 0 ) (Revenue $ 48,930,840 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OBSTETRICS SERVICES PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THE ORGANIZATION PERFORMED 7,984 OBSTETRICS SERVICES PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 268,262,762 including grants of $ 392,893 ) (Revenue $ 366,761,649 )
4e Total program service expensesMediumBullet439,077,706
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part IIIClick to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,467
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,634
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
No
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
41
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
38
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
Yes
 
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletCATHERINE DOWDY CPA2 CRESCENT PLACE   OCEANPORT,NJ07757 (732) 923-8929
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ROBERT P HERRMANN......................................................................
CHAIRMAN - TRUSTEE
 1.0
.................
0.0 		X   X       0 0 0
(2) RAYMOND F SHEA JR ESQ......................................................................
VICE CHAIRMAN - TRUSTEE
 1.0
.................
0.0 		X   X       0 0 0
(3) ANN UNTERBERG......................................................................
VICE CHAIR - TRUSTEE
 1.0
.................
0.0 		X   X       0 0 0
(4) FRANK CIESLA ESQ......................................................................
SECRETARY - TRUSTEE
 1.0
.................
0.0 		X   X       0 0 0
(5) JOHN W HEAVEY......................................................................
TREASURER - TRUSTEE
 1.0
.................
0.0 		X   X       0 0 0
(6) ANTHONY P TERRACCIANO......................................................................
TREASURER - TRUSTEE
 1.0
.................
0.0 		X   X       0 0 0
(7) JAMES G AARON ESQ......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(8) GEORGE CONWAY......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(9) ALAN E DAVIS ESQ......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(10) ANNE EVANS-ESTABROOK......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(11) VICTOR FERLISE ESQ......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(12) SEAN GERTNER......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(13) BENJAMIN R HARVEY III......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(14) PATRICIA HOWARD......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(15) CLAIRE M KNOPF......................................................................
TRUSTEE; EX-OFFICIO
 1.0
.................
0.0 		X           0 0 0
(16) HEYWOOD H KNOPF......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(17) MICHAEL KOKES......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) RABBI AARON KOTLER........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(19) BRUCE KRAMER........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(20) JOSEPH F LAGROTTERIA ESQ........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(21) GEORGE LAUFENBERG........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(22) JUDGE LAWRENCE LAWSON........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(23) JEFFREY LEDERMAN DO........................................................................
TRUSTEE; EX-OFFICIO
 25.0
.......................0.0 		X           0 92,885 0
(24) JAMES R MAIDA........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(25) GERALD C MARRONE........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(26) ANDREW J MELNICK........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(27) VALERIE MONTECALVO........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(28) MARY ANNE NAGY........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(29) VITO R NARDELLI ESQ........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(30) KIRITKUMAR PANDYA MD........................................................................
TRUSTEE; EX-OFFICIO
 1.0
.......................0.0 		X           0 0 0
(31) ROBERT PATTON........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(32) ADAM PFEFFER ESQ........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(33) RONALD J RICCIO ESQ........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(34) LOUIS A RODRIGUEZ PE........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(35) ANDREW SAFRAN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(36) PATRICIA SENSI........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(37) DARSIT SHAH MD........................................................................
TRUSTEE; EX-OFFICIO
 1.0
.......................0.0 		X           0 0 0
(38) DAVID SICKEL........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(39) ROBERT SICKEL........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(40) ANDREW SUN MD........................................................................
TRUSTEE; EX-OFFICIO
 1.0
.......................0.0 		X           0 0 0
(41) BETTE UHRMACHER ESQ........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(42) ROBERT BUTTERS........................................................................
TRUSTEE (TERM 6/1/18)
 1.0
.......................0.0 		X           0 0 0
(43) PETER L CARTON ESQ........................................................................
TRUSTEE (TERM 5/1/18)
 1.0
.......................0.0 		X           0 0 0
(44) GREGORY M FROMKIN........................................................................
TRUSTEE (TERM 5/1/18)
 1.0
.......................0.0 		X           0 0 0
(45) KAREN M SICILIANO........................................................................
TRUSTEE (TERM 5/1/18)
 1.0
.......................0.0 		X           0 0 0
(46) FRED VAN LOOY........................................................................
TRUSTEE (TERM 5/17/18)
 1.0
.......................0.0 		X           0 0 0
(47) WILLIAM S ARNOLD........................................................................
CEO
 55.0
.......................0.0 		    X       848,400 0 184,580
(48) ERIC W CARNEY........................................................................
COO MMC
 55.0
.......................0.0 		    X       496,330 0 121,643
(49) JOANNA P ZIMMERMAN........................................................................
CFO
 55.0
.......................0.0 		    X       479,382 0 73,853
(50) JUDY CASTELLANO COLORADO........................................................................
COO/CNO MMCSC
 55.0
.......................0.0 		    X       283,687 0 38,889
(51) DEANNA SPERLING........................................................................
RWJBH BEHAVIORAL HEALTH CEO
 55.0
.......................0.0 		      X     0 490,481 150,244
(52) JOSEPH JAEGER DRPH........................................................................
CHIEF ACADEMIC OFFICER
 55.0
.......................0.0 		      X     306,872 0 45,447
(53) FRANK J VOZOS MD FACS........................................................................
EXECUTIVE VICE PRESIDENT
 55.0
.......................0.0 		      X     1,171,877 0 219,896
(54) RAJESH MOHAN MD........................................................................
CHIEF MEDICAL OFFICER
 55.0
.......................0.0 		      X     409,265 0 8,368
(55) DIANN JOHNSTON........................................................................
VP PATIENT CARE SVCS/CNO MMC
 55.0
.......................0.0 		      X     390,901 0 17,663
(56) RICHARD B KIERNAN........................................................................
VP, CHIEF HR OFFICER-MMC
 55.0
.......................0.0 		      X     322,669 0 36,229
(57) JONATHAN P TANGO........................................................................
VP OPERATIONS - MMCSC
 55.0
.......................0.0 		      X     243,434 0 42,733
(58) MICHAEL S PERDONI........................................................................
VP OPERATIONS - MMC
 55.0
.......................0.0 		      X     210,640 0 31,440
(59) THOMAS HELEOTIS MD........................................................................
VPMA - MMC
 55.0
.......................0.0 		      X     602,984 0 120,712
(60) PHILLIP G PASSES........................................................................
VICE PRESIDENT
 50.0
.......................0.0 		        X   360,185 0 31,391
(61) SHIRLEY HWANG........................................................................
VICE PRESIDENT
 50.0
.......................0.0 		        X   313,119 0 34,921
(62) TARA FORMICA KELLY........................................................................
VICE PRESIDENT
 50.0
.......................0.0 		        X   254,537 0 38,792
(63) PATRICIA A MCNAMEE........................................................................
ASST. VP (TERM 12/1/18)
 50.0
.......................0.0 		        X   251,997 0 15,288
(64) ANDREW HARRISON MD........................................................................
PHYSICIAN
 50.0
.......................0.0 		        X   249,864 0 0
(65) MICHAEL MIMOSO........................................................................
FORMER OFFICER
 55.0
.......................0.0 		          X 0 651,052 237,336
(66) GERALD L TOFANI CPA........................................................................
FORMER OFFICER
 50.0
.......................0.0 		          X 0 536,873 30,131
(67) MICHELE H SCHWEERS........................................................................
FORMER OFFICER
 55.0
.......................0.0 		          X 0 236,683 44,386
(68) TODD EUGENE PHILLIPS MD........................................................................
FORMER KEY EMPLOYEE
 55.0
.......................0.0 		          X 0 440,415 24,932
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 7,196,143 2,448,389 1,548,874
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet229
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BARNABAS HEALTH INC,
95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052 		MANAGEMENT 53,328,306
SBC MANAGEMENT CORPORATION,
95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052 		MANAGEMENT 5,922,848
NEW JERSEY LABORIST GROUP LLC,
911 SOUTH MAIN STREET
BELMAR,NJ07719 		MEDICAL 1,721,500
QUEST DIAGNOSTICS INCORPORATED,
500 PLAZA DRIVE
SECAUCUS,NJ07094 		MEDICAL 1,458,242
EMERGENCY MEDICAL ASSOCIATES OF NJ,
3 CENTURY DRIVE
PARSIPPANY,NJ07054 		MEDICAL 1,280,336
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet52
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 577,626
e Government grants (contributions)1e 6,899,595
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 7,477,221
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 541900 526,447,715 526,447,715    
b OTHER HEALTHCARE RELATED REVENUE 541900 3,442,462 3,442,462    
c MMC & MMC-SC MEDICAL STAFF ACTIVITIES 541900 353,035 353,035    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet 530,243,212
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 2,931,891     2,931,891
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   1,616,552
b Less: rental expenses   1,345,746
c Rental income or (loss) 0 270,806
d Net rental income or (loss)......MediumBullet 270,806     270,806
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 306,979  
b Less: cost or other basis and sales expenses -4,758  
c Gain or (loss) 311,737  
d Net gain or (loss).....MediumBullet 311,737     311,737
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
a 0
b Less: cost of goods sold ..b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a CAFETERIA 722514 991,954     991,954
b PARKING 812930 221,212     221,212
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 1,213,166
12 Total revenue. See Instructions......MediumBullet 542,448,033 530,243,212   4,727,600
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 392,893 392,893
2 Grants and other assistance to domestic individuals. See Part IV, line 22 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16. 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 6,707,894 6,037,105 670,789  
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 170,705,019 153,634,517 17,070,502  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 7,837,006 7,053,305 783,701  
9 Other employee benefits ....... 8,456,566 7,610,909 845,657  
10 Payroll taxes ........... 14,375,753 12,938,177 1,437,576  
11 Fees for services (non-employees):        
a Management ...... 59,251,155 53,326,039 5,925,116  
b Legal ......... 10,549 9,494 1,055  
c Accounting ........... 0      
d Lobbying ........... 38,802 34,922 3,880  
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) 21,331,988 19,198,789 2,133,199 0
12 Advertising and promotion .... 12,594 11,334 1,260  
13 Office expenses ....... 8,701,810 7,831,629 870,181  
14 Information technology ...... 2,035,480 1,831,932 203,548  
15 Royalties .. 0      
16 Occupancy ........... 6,011,144 5,410,030 601,114  
17 Travel ............ 253,284 227,956 25,328  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 126,053 113,447 12,606  
20 Interest ........... 7,037,656 6,333,890 703,766  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 18,997,183 17,097,465 1,899,718  
23 Insurance ... 7,507,081 6,756,373 750,708  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 92,354,165 83,118,748 9,235,417 0
b PHYSICIAN FEES AND SALARIES 33,915,044 30,523,540 3,391,504 0
c REPAIRS AND MAINTENANCE 6,576,931 5,919,238 657,693 0
d OTHER EXPENSES 14,831,379 13,348,242 1,483,137 0
e All other expenses 353,035 317,732 35,303  
25 Total functional expenses. Add lines 1 through 24e 487,820,464 439,077,706 48,742,758 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 8,569 1 9,415
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 5,402,296 3 5,762,973
4 Accounts receivable, net ............. 48,577,228 4 48,337,092
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 ........ 8,677,438 8 10,775,123
9 Prepaid expenses and deferred charges ...... 1,395,597 9 4,368,785
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 486,552,460
b Less: accumulated depreciation 10b 358,130,404 120,825,878 10c 128,422,056
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 .. 34,210,677 13 46,353,794
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 453,004,555 15 526,019,375
16 Total assets. Add lines 1 through 15 (must equal line 34)... 672,102,238 16 770,048,613
Liabilities 17 Accounts payable and accrued expenses ..... 41,146,443 17 44,248,953
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 802,484 19 839,786
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 .. 0 23 192,513
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 225,516,320 25 254,364,143
26 Total liabilities. Add lines 17 through 25.. 267,465,247 26 299,645,395
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 373,768,991 27 430,388,218
28 Temporarily restricted net assets ........... 23,199,000 28 32,346,000
29 Permanently restricted net assets 7,669,000 29 7,669,000
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 404,636,991 33 470,403,218
34 Total liabilities and net assets/fund balances ........ 672,102,238 34 770,048,613
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
542,448,033
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
487,820,464
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
54,627,569
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
404,636,991
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
11,138,658
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
470,403,218
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 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)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 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.
9c
 
 
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
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (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?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
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 2018 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-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
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) 2018


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
MONMOUTH MEDICAL CENTER
  		Employer identification number
22-3452412
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
MONMOUTH MEDICAL CENTER
  		Employer identification number

22-3452412
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
MONMOUTH MEDICAL CENTER
  		Employer identification number

22-3452412
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data


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SCHEDULE C
(Form 990 or 990-EZ)

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
38,802
j
Total. Add lines 1c through 1i ....................................................................................................
38,802
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF RWJBARNABAS HEALTH AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ALLIANCE OF NEW JERSEY, THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $38,802 IN 2018.
Schedule C (Form 990 or 990EZ) 2018


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" 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 .... 30,868,000 27,847,000 27,994,000 26,230,000 28,267,000
b Contributions ...          
c Net investment earnings, gains, and losses 9,147,000 3,021,000 -147,000 1,764,000 -2,037,000
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ...... 40,015,000 30,868,000 27,847,000 27,994,000 26,230,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet19.170 %
c
Temporarily restricted endowment SchDMd Bullet80.830 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
No
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" 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 .....   2,867,530 2,867,530
b Buildings ....   281,563,311 213,961,155 67,602,156
c Leasehold improvements   892,975 870,524 22,451
d Equipment ....   192,291,253 140,501,273 51,789,980
e Other .....   8,937,391 2,797,452 6,139,939
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 128,422,056
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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)LIMITED USE 3,616,695 F
(2)SUBSIDIARIES 1,000 F
(3)TAX-EXEMPT ORGANIZATION 35,375,000 F
(4)ORGANIZATION 4,640,000 F
(5)INVESTMENT IN JOINT VENTURES 2,721,099 F
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 46,353,794
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) SECURITY DEPOSITS 86,791
(2) OTHER RECEIVABLES 140,585
(3) THIRD-PARTY PAYORS, NET 1,506,121
(4) FQHC RECEIVABLE 498,247
(5) DUE FROM AFFILIATES 523,388,049
(6) ACCOUNTS 376,485
(7) OTHER ASSETS 23,097
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 526,019,375
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
PENSION EXPENSE PAYABLE 150,757
OTHER LIABILITIES 20,118,237
NON-CURRENT 2,435,699
LIABILITY 221,013,620
ACCRUED INTEREST EXPENSE 10,269,345
ACCOUNTS 376,485
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 254,364,143
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) 2018

Schedule D (Form 990) 2018
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 V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH 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 RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 AND 2017.
Schedule D (Form 990) 2018


Additional Data


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean     Program Services FINANCIAL VEHICLE 0
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     0
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES PAYMENTS TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $5,359,856; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2018
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  13,539 15,624,279 1,696,088 13,928,191 2.860 %
b Medicaid (from Worksheet 3, column a) . . . . .   66,595 122,054,784 102,840,771 19,214,013 3.940 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     3,340,372 0 3,340,372 0.680 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .   80,134 141,019,435 104,536,859 36,482,576 7.480 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).   77,779 1,734,597 2,319 1,732,278 0.360 %
f Health professions education (from Worksheet 5) . . .     16,823,096 8,487,535 8,335,561 1.710 %
g Subsidized health services (from Worksheet 6) . . . .     11,217,498 1,743,894 9,473,604 1.940 %
h Research (from Worksheet 7) .     4,208,388 0 4,208,388 0.860 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,426,941 0 1,426,941 0.290 %
j Total. Other Benefits . .   77,779 35,410,520 10,233,748 25,176,772 5.160 %
k Total. Add lines 7d and 7j .   157,913 176,429,955 114,770,607 61,659,348 12.640 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
17,330,468
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
1,733,047
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
133,761,575
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
137,702,172
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-3,940,597
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1SHREWSBURY DIAG IMAG
  		OUTPATIENT RADIOLOGY SERVICES 51 %   49 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 MONMOUTH MEDICAL CENTER
300 SECOND AVENUE
LONG BRANCH,NJ07740
WWW.RWJBH.ORG
11304 		X X X X     X      
2 MONMOUTH MED CTR - SOUTHERN CAMPUS
600 RIVER AVENUE
LAKEWOOD,NJ08701
WWW.RWJBH.ORG
11502 		X X         X      
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MONMOUTH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		12
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MONMOUTH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.RWJBH.ORG
b
WWW.RWJBH.ORG
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
MONMOUTH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MONMOUTH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SCHEDULE H, PART V, SECTION B, QUESTION 3J The COMMUNITY HEALTH NEEDS assessment ("CHNA") included results from a qualitative survey of service area residents; a comprehensive review of secondary data sources from a County and service area perspective where available; facility-specific and the facility's service area-specific utilization (e.g. ambulatory care sensitive condition admissions and ED visits) and other measures (e.g. re-admission rates).
SCHEDULE H, PART V, SECTION B, QUESTION 5 A comprehensive resident survey was conducted to provide qualitative data for the CHNA. The CHNA was further informed by local health officers and other community stakeholders through a survey of their assessment of the community's health need priorities, barriers and other considerations. The public health officers were provided hospital utilization for their review and assessment of community health needs as part of the collaborative process. In addition, input was derived from the county-wide task force which provided insight and expertise, leading to the identification of county-wide health priorities. Details including the county-wide task force members, community meeting attendees and process are contained in the CHNA.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B WHILE MONMOUTH MEDICAL CENTER ("MMC") HAD ITS OWN CHNA, MMC PARTICIPATES IN A SYSTEM WIDE COMMUNITY HEALTH NEEDS STEERING COMMITTEE FOR ALL MEMBER HOSPITALS. STRATEGIES AND BEST PRACTICES ARE IDENTIFIED AND SHARED AS WELL AS PROGRAM SUPPORT.
SCHEDULE H, PART V, SECTION B, QUESTIONs 7A & 7D The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Question 7a, is the home page for the system. The CHNA FOR BOTH OF THE ORGANIZATION'S HOSPITAL FACILITIES can be accessed at the following pages included in the systems website: https://www.rwjbh.org/documents/monmouth-medical-center/RWJbarnabas-CHNA-M MC-1208-2016.pdf https://www.rwjbh.org/images/hospital-locations/monmouth%20Medical%20Cente r%20Southern%20Campus/RWJBarnabas-CHNA-MMCSC-1207-2016.pdf The CHNA was shared with the Monmouth County work group including Public Health Officers of local health departments.
SCHEDULE H, PART V, SECTION B, QUESTION 8 The facilitIES, with limited resources, prioritized health needs that were identified and developed an implementation plan to address these priority health need areas. The System and Facility strategic plan maps to improved community health and the CHNA implementation plan. The CHNA implementation plan includes resources, actions and goals (measurable).
SCHEDULE H, PART V, SECTION B, QUESTION 11 As discussed above, the facilitIES conducted a comprehensive assessment IN WHICH a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by the facility and ability to collaborate WITH COMMUNITY PARTNERS.
SCHEDULE H, PART V,SECTION B,Q'S 13B,13H,15E,16J,18E,19E,20E,21C,21D,23,24 NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 16 The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Questions 16a, 16b and 16c, is the home page for the system. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: https://www.rwjbh.org/BILLING/FINANCIAL-RESOURCES/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?6
Name and address Type of Facility (describe)
1 MONMOUTH MEDICAL CENTER
100 STATE HIGHWAY 36
WEST LONG BRANCH,NJ07764 		INFUSION AND LAB BLOOD DRAW
2 MONMOUTH MEDICAL CENTER
310 ROUTE 34
COLTS NECK,NJ07722 		MAMMOGRAPHY SCREENING
3 MONMOUTH MEDICAL CENTER
1910 HIGHWAY 35
OAKHURST,NJ07755 		LAB SERVICES AND RADIOLOGY SERVICES
4 MONMOUTH MEDICAL CENTER
4013 ROUTE 9 NORTH SUITE 2A
HOWELL,NJ07731 		MAMMOGRAPHY SCREENING
5 MONMOUTH MEDICAL CENTER
3301 HIGHWAY 66 BLDG B 1ST FLOOR
NEPTUNE,NJ07753 		EARLY INTERVENTION SUPPORT SERVICES (PSYCHIATRIC)
6 MONMOUTH MEDICAL CENTER - POLLAK CLINIC
75 NORTH BATH AVENUE
LONG BRANCH,NJ07740 		OUTPATIENT PSYCHIATRIC SERVICES
7
8
9
10
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES.
SCHEDULE H, PART I; QUESTION 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2015 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
SCHEDULE H, PART I; QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THE FACILITY IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH A WIDE ARRAY OF ACTIVITIES AND SERVICES, INCLUDING, BUT NOT LIMITED, TO: - SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, - VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, - PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE CAUSES AND TREATMENT OF HEALTH CONCERNS, - THE PROVISION OF EDUCATIONAL MATERIALS AND SPONSORING HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS [PRESENTATIONS ARE OFTEN PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS], - PARTICIPATION IN COMMUNITY HEALTH FAIRS, - SERVING ON THE BOARDS OF MANY LOCAL NOT FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION), AND - PROFESSIONAL EDUCATION. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND OUR RESPONSE TO SCHEDULE H, PART VI, QUESTION 6 SUMMARY OF ALL ENTITIES WHICH COMPRISE RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM.
SCHEDULE H, PART III, SECTION A; QUESTION 1 HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 ("STATEMENT 15") PROVIDES GUIDELINES FOR DISTINGUISHING CHARITY CARE FROM BAD DEBT EXPENSE. STATEMENT 15 REQUIRES THAT CHARITY CARE IS NOT RECOGNIZED AS RECEIVABLE OR REVENUE IN THE FINANCIAL STATEMENTS. STATEMENT 15 FURTHER EXPLAINS THAT SELF-PAY PATIENTS THAT DO HAVE A REASONABLE LIKELIHOOD OF PAYMENT SHOULD BE REPORTED AS CHARITY CARE AND NOT BAD DEBT EXPENSE. THE HOSPITAL GENERALLY FOLLOWS THE GUIDELINES OUTLINED IN STATEMENT 15. IN ADDITION, THE HOSPITAL FOLLOWS THE STATE OF NEW JERSEY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. IN CERTAIN INSTANCES, IT IS UNLIKELY THAT UNINSURED PATIENTS WILL PAY FOR THE SERVICES RENDERED, BUT THEY DO NOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM BECAUSE OF LACK OF PATIENT COOPERATION OR OTHER REASONS. THE HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS AND UNPAID BALANCES ARE REPORTED AS BAD DEBT EXPENSE. UNDER STATEMENT 15, THESE AMOUNTS WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT EXPENSE AND THIS IS THE RATIONALE FOR OUR RESPONSE: "NO".
SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. RWJBARNABAS HEALTH ("RWJBH") AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RWJBH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(E) AND 2(P) ON PAGES 9 AND 15; RESPECTIVELY, OF THE RWJBARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH THE CORPORATIONS MISSION AND PHILOSOPHY, THE CORPORATION'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEAR'S ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017 IS AS FOLLOWS: 2018 2017 -------- -------- (IN THOUSANDS) (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED, LESS STATE SUBSIDY FUNDING $ 98,632 $ 83,563 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $233,193 $201,584 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 3,200 $ 4,675 - EDUCATION AND RESEARCH $ 88,758 $ 83,717 - SUBSIDIZED DEPARTMENTS $ 59,762 $ 53,593 - OTHER COMMUNITY BENEFIT $ 10,150 $ 9,914 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM OR FILED COST REPORTS. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $27,981,000 AND $35,412,000, RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW.
SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2018 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPE
SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF the RWJBARNABAS HEALTH ("RWJBH") BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER/TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD); OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY.
SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR MMC ANNUALLY WHICH INCLUDES: - a review of healthcare utilization of its service area population by services (cardiology, obstetrics, gynecology, urology, etc.) for determining increased or decreased health needs; - healthcare service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data; and - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). RWJBarnabas Health conducts an extensive service area population physician need study (by primary care and physician specialty) every three to five years. The 2017 study used generally accepted physician to population ratios adjusted for local community population to identify gaps in service. These studies inform medical staff development and recruitment needs at the hospitals to assure responsiveness to the specific identified needs of the community and to assure access to physician provider services. MMC reviews patient surveys and comments to understand patient and family concerns. Further, MMC participates and works with many local organizations on health issues including: discussing and prioritizing needs, coordinating services, providing education and specialty knowledge, and supporting local health promotions. In addition, MMC works with Monmouth County Health Department to plan and implement a local needs assessment/health status approximately every five years. These community touch points provide the hospital with valuable external insights regarding community need.
SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNAGE IS POSTED IN ALL PATIENT REGISTRATION AREAS IN ENGLISH AND SPANISH. CHARITY CARE NOTICE OF FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH THEIR GENERAL CONSENT. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR IF THEY REQUIRE ASSISTANCE. LETTERS ARE MAILED TO SELF-PAY PATIENTS ADVISING THEM OF FINANCIAL ASSISTANCE PROGRAMS.
SCHEDULE H, PART VI; QUESTION 4 MMC is located in Long Branch, Monmouth County. Long Branch is the countys largest city. Monmouth County is the northernmost county on the Jersey shore, and is in close proximity to New York City with the fifth largest total population in the state. Monmouth County is home to immigrant populations of Italian, German and Polish, with a large Irish-American population and a rapidly growing Asian presence. The Long Branch location of MMC has been designated as a MUA/MUP (Medically Underserved Area/Population) by the Health Resources and Services Administration (HRSA) of the Department of Health and Human Services. Between the residents and the summertime shore visitors, MMC serves a diverse patient population with over 30% of its patients comprised of minority/race ethnicity groups and about 42% of patients in underinsured and uninsured payer groups in 2018. Medicare represents an additional 21% of patients served. MMC-SC is located in Lakewood Township, Ocean County. Lakewood has been identified as the fastest-growing town in New Jersey during the past decade (with 54% growth) and is ranked the 7th most populous place in the State according to 2017 estimates. Ocean County is the second largest county in the State in terms of geographic size and statewide, it has the sixth largest total population size. The location of MMC-SC is within a designated Medically Underserved Area/Population (MUA/MUP) by the Health Resources and Service Administration (HRSA) branch of the U.S. Department of Health and Human Services and an Urban Enterprise Zone (UEZ) by the State of New Jersey. Lakewood Township is also one of the hubs of Orthodox Judaism and is home to one of the largest Yeshivas in the world. The large Orthodox population comprises nearly half of the townships population. MMC-SC serves a number of diverse communities in the county, with a proportionally higher mix of elderly and uninsured/underinsured. As a result, in 2018, MMC-SCs patients were comprised of 23% minority populations and nearly 41% of patients are of underinsured/uninsured payor categories. Medicare comprises an additional 47% of patients payer classification.
SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by MMC 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. MMC provides educational materials, conducts community health fairs and health screenings, and holds health education seminars, wellness events and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. Community building activities undertaken by MMC-SC 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. MMC-SC provides educational materials, conducts community health fairs and health screenings, and holds health education seminars, wellness events and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. The majority of the Board of Trustees members are individuals with local businesses or who reside in the community. Hospital staff members serve on the Boards of many local not-for-profit organizations or provide other forms of support such as fundraising, activity participation and promotion of the charitable events and mission. All qualified physicians are extended privileges. Diversity is welcomed and encouraged for recruitment of Trustees, physicians and staff. Under the directive of the Systems Finance Office, surplus funds are utilized for capital projects to improve services, to purchase equipment, or to advance medical care, programs and activities. All of these purposes for expenditure of surplus funds, in turn, benefit the community. Please also refer to Form 990, Schedule O, which contains the organizations community benefit statement and provides a summary of entities comprising RWJBarnabas Health.
SCHEDULE H, PART VI; QUESTION 6 THE ORGANIZATION IS AN AFFILIATE OF RWJBARNABAS HEALTH ("RWJBH"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. RWJBH STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS BY EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. RWJBH SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED FOR PART I, PART II, AND PART III ARE REFLECTIVE OF THAT POLICY. RWJ BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ BARNABAS HEALTH, INC. OPERATES AS THE PARENT ENTITY OF A MULTI-CORPORATE HEALTHCARE SYSTEM, WHICH INCLUDES ALL OF THE TAX-EXEMPT HOSPITALS OF THE FORMER SEPARATE BARNABAS HEALTH AND THE ROBERT WOOD JOHNSON HEALTH SYSTEMS. IT WAS CREATED TO COORDINATE, SUPERVISE AND ENSURE THE CONTINUATION AND IMPROVEMENT OF THE QUALITY OF HEALTHCARE SERVICES PROVIDED BY ITS QUALIFYING AFFILIATES TO THE COMMUNITY. RWJ BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY WITHIN THE SYSTEM IS EITHER RWJ BARNABAS HEALTH, INC. OR ANOTHER RWJBH AFFILIATE CONTROLLED OR OWNED BY RWJ BARNABAS HEALTH, INC. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE RWJBH. ACTIVE HOSPITALS INCLUDE CHILDRENS SPECIALIZED HOSPITAL, CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, JERSEY CITY MEDICAL CENTER, MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH ACUTE CARE HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR (SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. IS A BEHAVIORAL HEALTH SPECIALTY HOSPITAL FACILITY AND, ACCORDINGLY, DOES NOT OPERATE AN EMERGENCY ROOM); 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ BARNABAS HEALTH, INC. (BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY); AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. AFFILIATED RWJBH ENTITIES ARE AS FOLLOWS: CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162-BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CLARA MAASS MEDICAL CENTER ("CMMC") IS A 469-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 592-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. JERSEY CITY MEDICAL CENTER ("JCMC") IS A 316-BED REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE, LOCATED IN JERSEY CITY, HUDSON COUNTY, NEW JERSEY. JCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, JCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MONMOUTH MEDICAL CENTER ("MMC") IS COMPRISED OF THE FOLLOWING HOSPITALS: MONMOUTH MEDICAL CENTER, A 513-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY AND MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS, A 330-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 665-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545.
SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A LICENSED 251-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., D/B/A BARNABAS HEALTH BEHAVIORAL HEALTH CENTER, IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. BARNABAS HEALTH BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS, SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BARNABAS BAYONNE DEVELOPMENT URBAN RENEWAL CORPORATION F/K/A MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, AND SUPPORTS THE BARNABAS HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE LEGACY BARNABAS HEALTH AFFILIATES; PRE ROBERT WOOD JOHNSON HEALTH SYSTEM AFFILIATION; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE AND PREVENTION SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. BARNABAS HEALTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RWJ BARNABAS HEALTH, INC. AND THE RWJBARNABAS HEALTH SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR RWJBARNABAS HEALTH AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC., IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT ALSO PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LIBERTY HEALTH CARE SYSTEM ("LHCS") WAS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO JERSEY CITY MEDICAL CENTER DURING 2018. THE JERSEY CITY MEDICAL CENTER FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE JERSEY CITY MEDICAL CENTER.
SCHEDULE H, PART VI; QUESTION 6 LIBERTY RIVERSIDE HEALTHCARE IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATIONS MISSION WAS TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY PRIOR TO THE SALE OF THE HOSPITAL AND ITS ASSETS ON DECEMBER 7, 2010. MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION IS ACTING AS A MEMBER OF VNA HEALTH GROUP OF NEW JERSEY, LLC WHICH PROVIDES MEDICALLY NECESSARY HOME HEALTH AND HOSPICE CARE TO ALL INDIVIDUALS. MONMOUTH MEDICAL CENTER-FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. RWJ HEALTH CARE CORPORATION WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO RWJ BARNABAS HEALTH, INC. DURING 2018. ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO RWJ BARNABAS HEALTH, INC. DURING 2018. ROBERT WOOD JOHNSON HEALTH NETWORK, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO SAINT BARNABAS REALTY DEVELOPMENT CORPORATION DURING 2018. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1) UNTIL ITS STATUTORY MERGER INTO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY DURING 2018. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY.
SCHEDULE H, PART VI; QUESTION 6 SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RWJBARNABAS HEALTH. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY. OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS, CORP. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF RWJBARNABAS HEALTH. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS BURN UNIT AT SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. UNITED RESCUE AT JERSEY CITY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). VNA HEALTH GROUP OF NEW JERSEY, LLC IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE SYSTEM ALSO INCLUDES ADDITIONAL NOT-FOR-PROFIT ENTITIES THAT ARE RECOGNIZED AS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS BUT ARE CURRENTLY INACTIVE. THESE ENTITIES INCLUDE THE FOLLOWING: - GREENVILLE HOSPITAL; - IRVINGTON HOSPITAL FOUNDATION, INC.; - LAKEVIEW CHILD CARE CENTER FOUNDATION, INC.; - LIBERTY BEHAVIORAL HEALTH ASSOCIATES; - LIBERTY SURGICAL ASSOCIATES; - NEW MARGARET HAGUE CENTER WOMEN'S JERSEY MEDICAL CENTER OB/GYN; - SOMERSET COMMUNITY CARE CORPORATION; AND - SOMERSET HEALTH CARE AFFILIATES, INC. FOR PROFIT RWJBARNABAS HEALTH ENTITIES INCLUDE THE FOLLOWING: ACUCARE PHYSICIANS, P.C. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CENTRAL JERSEY ACO, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. CENTER STATE MANAGEMENT CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE RELATED BUSINESS ACTIVITIES. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD, A CONTROLLED FOREIGN CORPORATION OF SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. CSH VENTURES, INC. IS AN ENTITY WHOSE SOLE MEMBER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY. EOS, INC. WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. HAMILTON ENDOSCOPY & SURGERY CENTER, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. HEALTH CARE FACILITIES MANAGEMENT, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO RWJBH ENTITIES. INNOVATIVE PURCHASING CONCEPTS, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBERS ARE THE RWJBH HOSPITALS. THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. JERSEY ASC VENTURES, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. KIMBALL HEALTH CARE AFFILIATES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. LIBERTY HEALTHCARE CAPITAL IS AN ENTITY WHOSE SOLE SHAREHOLDER IS JERSEY CITY MEDICAL CENTER. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO JERSEY CITY MEDICAL CENTER. LIBERTY HEALTHCARE MANAGEMENT, LLC WAS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. LIVINGSTON INFUSION CARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS BARNABAS HEALTH, INC. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE BUSINESS ACTIVITIES. LSC PHARMACY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES A PHARMACY FOR RWJBH ENTITIES.
SCHEDULE H, PART VI; QUESTION 6 MAJOR SECURITY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO RWJBH ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. NEW JERSEY HEALTH CARE SYSTEM, INC. IS AN INACTIVE ENTITY. NEW JERSEY HEALTH, INC. WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY BEHAVIORAL HEALTH ASSOCIATES FACULTY PRACTICE PLAN, INC. DURING 2018. NEW JERSEY HEALTHCARE ASSOCIATES IS AN INACTIVE ENTITY. NEW JERSEY IMAGING NETWORK, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS CENTER STATE MANAGEMENT CORPORATION. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, WAS A VERMONT BASED INSURANCE COMPANY UNTIL BEING DISSOLVED DURING 2018. RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. IS AN INACTIVE ENTITY. RWJ KIDNEY TRANSPLANT ASSOCIATION IS AN INACTIVE ENTITY. RWJ MEDICAL ASSOCIATES AT HAMILTON IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. R.W.J. MEDICAL ASSOCIATES, P.A., IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY GROUP, P.A. IS AN INACTIVE ENTITY. RWJ PHYSICIAN ENTERPRISE, P.A. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SBC MANAGEMENT CORPORATION IS AN ENTITY, WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO RWJBH. SHC ENTERPRISES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SHREWSBURY DIAGNOSTIC IMAGING, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. IS AN INACTIVE ENTITY. SOMERSET CARDIOLOGY PARTNERS, P.C. IS AN INACTIVE ENTITY. SOMERSET REALTY GROUP, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. VISION HEALTHCARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY CONDUCTS VARIOUS HEALTHCARE BUSINESS ACTIVITIES. WARREN INTERNAL MEDICINE, P.C. IS AN INACTIVE ENTITY.
SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY.
Schedule H (Form 990) 2018
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number
22-3452412
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) AHAVAS TZEDAKAH INC
816 FOREST AVENUE
LAKEWOOD,NJ08701 		22-3719783 501(C)(3) 100,000       SPONSORSHIP
(2) WALL TOWNSHIP PBA LOCAL 234 CIVIC
PO BOX 1332
WALL,NJ07719 		80-0783738 501(C)(3) 50,000       SPONSORSHIP
(3) HABITAT FOR HUMANITY IN MONMOUTH COUNTY
45 SOUTH STREET
FREEHOLD,NJ07728 		22-3284309 501(c)(3) 30,241       SPONSORSHIP
(4) LONG BRANCH COMMUNITY FUND INC
228 BROADWAY PO BOX 628
LONG BRANCH,NJ07740 		46-1259873 501(C)(3) 15,000       SPONSORSHIP
(5) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
ONE ROBERT WOOD JOHNSON PLACE
NEW BRUNSWICK,NJ08902 		22-1487243 501(C)(3) 12,500       SPONSORSHIP
(6) MONMOUTH UNIVERSITY
400 CEDAR AVENUE
WEST LONG BRANCH,NJ07764 		21-0634584 501(C)(3) 11,500       SPONSORSHIP
(7) GREATER LONG BRANCH CHAMBER OF COMMERCE
PO BOX 628
LONG BRANCH,NJ07740 		21-0502065 501(C)(3) 11,350       SPONSORSHIP
(8) LONG BRANCH BOARD OF EDUCATION
540 BROADWAY
LONG BRANCH,NJ07740 		21-6000229 501(C)(3) 11,350       SPONSORSHIP
(9) NEW JERSEY REPERTORY COMPANY
132 WEST END AVENUE
LONG BRANCH,NJ07740 		22-3513797 501(C)(3) 10,000       SPONSORSHIP
(10) CITY OF LONG BRANCH
344 BROADWAY
LONG BRANCH,NJ07740 		22-3389797 501(C)(3) 8,180       SPONSORSHIP
(11) THE VALERIE FUND
2101 millburn avenue
maplewood,NJ07040 		22-2126867 501(C)(3) 6,000       SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
11
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL and HUMAN RESOURCES DEPARTMENT PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2018



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1WILLIAM S ARNOLD
CEO 		(i)

(ii)		 510,634
-------------
0 		316,521
-------------
0 		21,245
-------------
0 		182,633
-------------
0 		1,947
-------------
0 		1,032,980
-------------
0 		0
-------------
0
2ERIC W CARNEY
COO MMC 		(i)

(ii)		 389,889
-------------
0 		98,000
-------------
0 		8,441
-------------
0 		95,325
-------------
0 		26,318
-------------
0 		617,973
-------------
0 		0
-------------
0
3JOANNA P ZIMMERMAN
CFO 		(i)

(ii)		 399,314
-------------
0 		76,200
-------------
0 		3,868
-------------
0 		50,576
-------------
0 		23,277
-------------
0 		553,235
-------------
0 		0
-------------
0
4JUDY CASTELLANO COLORADO
COO/CNO MMCSC 		(i)

(ii)		 235,922
-------------
0 		45,712
-------------
0 		2,053
-------------
0 		12,265
-------------
0 		26,624
-------------
0 		322,576
-------------
0 		0
-------------
0
5DEANNA SPERLING
RWJBH BEHAVIORAL HEALTH CEO 		(i)

(ii)		 0
-------------
280,760 		0
-------------
187,218 		0
-------------
22,503 		0
-------------
133,125 		0
-------------
17,119 		0
-------------
640,725 		0
-------------
0
6JOSEPH JAEGER DRPH
CHIEF ACADEMIC OFFICER 		(i)

(ii)		 253,972
-------------
0 		49,687
-------------
0 		3,213
-------------
0 		18,584
-------------
0 		26,863
-------------
0 		352,319
-------------
0 		0
-------------
0
7FRANK J VOZOS MD FACS
EXECUTIVE VICE PRESIDENT 		(i)

(ii)		 596,702
-------------
0 		304,037
-------------
0 		271,138
-------------
0 		202,775
-------------
0 		17,121
-------------
0 		1,391,773
-------------
0 		235,890
-------------
0
8RAJESH MOHAN MD
CHIEF MEDICAL OFFICER 		(i)

(ii)		 350,000
-------------
0 		50,850
-------------
0 		8,415
-------------
0 		6,707
-------------
0 		1,661
-------------
0 		417,633
-------------
0 		0
-------------
0
9DIANN JOHNSTON
VP PATIENT CARE SVCS/CNO MMC 		(i)

(ii)		 299,773
-------------
0 		84,000
-------------
0 		7,128
-------------
0 		15,661
-------------
0 		2,002
-------------
0 		408,564
-------------
0 		0
-------------
0
10RICHARD B KIERNAN
VP, CHIEF HR OFFICER-MMC 		(i)

(ii)		 246,889
-------------
0 		74,403
-------------
0 		1,377
-------------
0 		12,336
-------------
0 		23,893
-------------
0 		358,898
-------------
0 		0
-------------
0
11JONATHAN P TANGO
VP OPERATIONS - MMCSC 		(i)

(ii)		 202,103
-------------
0 		38,080
-------------
0 		3,251
-------------
0 		19,860
-------------
0 		22,873
-------------
0 		286,167
-------------
0 		0
-------------
0
12MICHAEL S PERDONI
VP OPERATIONS - MMC 		(i)

(ii)		 172,545
-------------
0 		34,290
-------------
0 		3,805
-------------
0 		14,850
-------------
0 		16,590
-------------
0 		242,080
-------------
0 		0
-------------
0
13THOMAS HELEOTIS MD
VPMA - MMC 		(i)

(ii)		 413,971
-------------
0 		79,688
-------------
0 		109,325
-------------
0 		93,428
-------------
0 		27,284
-------------
0 		723,696
-------------
0 		77,807
-------------
0
14PHILLIP G PASSES
VICE PRESIDENT 		(i)

(ii)		 357,816
-------------
0 		0
-------------
0 		2,369
-------------
0 		9,114
-------------
0 		22,277
-------------
0 		391,576
-------------
0 		0
-------------
0
15SHIRLEY HWANG
VICE PRESIDENT 		(i)

(ii)		 246,328
-------------
0 		60,000
-------------
0 		6,791
-------------
0 		18,047
-------------
0 		16,874
-------------
0 		348,040
-------------
0 		0
-------------
0
16TARA FORMICA KELLY
VICE PRESIDENT 		(i)

(ii)		 206,117
-------------
0 		47,259
-------------
0 		1,161
-------------
0 		14,616
-------------
0 		24,176
-------------
0 		293,329
-------------
0 		0
-------------
0
17PATRICIA A MCNAMEE
ASST. VP (TERM 12/1/18) 		(i)

(ii)		 202,201
-------------
0 		9,930
-------------
0 		39,866
-------------
0 		14,275
-------------
0 		1,013
-------------
0 		267,285
-------------
0 		0
-------------
0
18ANDREW HARRISON MD
PHYSICIAN 		(i)

(ii)		 249,864
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		249,864
-------------
0 		0
-------------
0
19MICHAEL MIMOSO
FORMER OFFICER 		(i)

(ii)		 0
-------------
443,266 		0
-------------
171,844 		0
-------------
35,942 		0
-------------
212,633 		0
-------------
24,703 		0
-------------
888,388 		0
-------------
0
20GERALD L TOFANI CPA
FORMER OFFICER 		(i)

(ii)		 0
-------------
238,523 		0
-------------
74,250 		0
-------------
224,100 		0
-------------
19,830 		0
-------------
10,301 		0
-------------
567,004 		0
-------------
0
21TODD EUGENE PHILLIPS MD
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
378,209 		0
-------------
47,186 		0
-------------
15,020 		0
-------------
14,210 		0
-------------
10,722 		0
-------------
465,347 		0
-------------
0
22MICHELE H SCHWEERS
FORMER OFFICER 		(i)

(ii)		 0
-------------
178,196 		0
-------------
57,000 		0
-------------
1,487 		0
-------------
17,915 		0
-------------
26,471 		0
-------------
281,069 		0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: FRANK J. VOZOS, M.D., FACS, $235,890 AND THOMAS HELEOTIS, M.D., $77,807. 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 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GERALD L. TOFANI, CPA, $60,638. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES AN AMOUNT REPORTED ON A FORM W-2 ISSUED BY FIDELITY INVESTMENTS INSTITUTIONAL OPERATIONS CO., THE EMPLOYER'S THIRD PARTY ADMINISTRATOR OF THE ORGANIZATION'S LIFESTYLE DEFERRED PLAN ("LIFESTYLE DEFERRED"). EACH PARTICIPANT IN THE LIFESTYLE DEFERRED MAY AUTHORIZE THE EMPLOYER TO REDUCE HIS/HER FUTURE COMPENSATION BY AN AMOUNT AND TO HAVE A CORRESPONDING AMOUNT CREDITED TO THE PARTICIPANT'S ACCOUNT(S). THE AMOUNT OUTLINED HEREIN WAS REPORTED ON HIS 2018 FIDELITY INVESTMENTS FORM W-2 AND INCLUDED IN THE SCHEDULE J, PART II, COLUMN E, TOTAL COMPENSATION COLUMN, WHICH REPRESENTS A DISTRIBUTION FROM HIS LIFESTYLE DEFERRED ACCOUNT MONIES WHICH FUNDS WERE SUBJECT TO THE ORGANIZATION'S GENERAL CREDITORS: GERALD L. TOFANI, CPA, $55,844. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WILLIAM S. ARNOLD, $162,074; ERIC W. CARNEY, $74,700; JOANNA P. ZIMMERMAN, $40,263; DEANNA SPERLING, $96,000; FRANK J. VOZOS, M.D., FACS, $179,400; THOMAS HELEOTIS, M.D., $75,703 AND MICHAEL MIMOSO, $200,258.
CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 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 AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS 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. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: FRANK J. VOZOS, M.D., FACS, $235,890 AND THOMAS HELEOTIS, M.D., $77,807.
Schedule J (Form 990) 2018
Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2018
Schedule L (Form 990 or 990-EZ) 2018
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SICILIANO LANDSCAPING COMPANY - TRUSTEE 141,450 LANDSCAPING SERVICES   No
(2) FROMKIN BROTHERS INC COMPANY - TRUSTEE 488,315 CONTRACTOR SERVICES   No
(3) ERIN CARLY WINKELS FAMILY MEMBER - KEY EE 86,709 MONMOUTH MED. CTR. EMPLOYEE   No
(4) PINE BELT ENTERPRISES INC COMPANY - TRUSTEES 170,355 VEHICLE SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV KAREN M. SICILIANO A TRUSTEE OF THE ORGANIZATION FROM 1/1/2018 - 5/1/2018. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF HER COMPANY, SICILIANO LANDSCAPING, DURING 2018. TOTAL FEES PAID BY THIS ORGANIZATION TO SICILIANO LANDSCAPING AMOUNTED TO $141,450 in 2018. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. DAVID SICKEL AND ROBERT SICKEL ARE TRUSTEES OF THE ORGANIZATION. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF THEIR COMPANY, PINE BELT ENTERPRISES, INC., DURING 2018. TOTAL FEES PAID BY THIS ORGANIZATION TO PINE BELT ENTERPRISES, INC. AMOUNTED TO $170,355 in 2018. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GREGORY FROMKIN A TRUSTEE OF THE ORGANIZATION FROM 1/1/2018 - 5/1/2018. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF HIS COMPANY, FROMKIN BROTHERS, INC., DURING 2018. TOTAL FEES PAID BY THIS ORGANIZATION TO FROMKIN BROTHERS, INC. AMOUNTED TO $488,315 IN 2018. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.
Schedule L (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Return Reference Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Monmouth Medical Center ("MMC"), a RWJBarnabas Health ("rwjbh") facility, is one of the largest teaching hospitals in New Jersey and is a teaching affiliate of Rutgers Robert Wood Johnson Medical School in New Brunswick. This affiliation has allowed MMC to meet their goal of educating current and future healthcare providers in a state-of-the-art environment. MMC is located in Monmouth County along the coast of New Jersey making it another tourist destination in the summer months. It is the states fifth most populous county. The county saw a slight population decrease from the 2010 Census (630,380) to the 2018 Census (621,354 a .6% decrease) after seeing growth the previous decade. The county is ranked as the fifth-highest per capita personal income in the state at $69,410 and ranked 38th in the country. Monmouth Medical Center is a general acute care hospital recognized by the Internal Revenue Service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. On May 1, 2014, Kimball Medical Center ("KMC"), a non-profit corporation, merged with and into MMC, so that the two facilities would be under common ownership to better coordinate health delivery for a shared service area. The separate existence of KMC ceased and MMC continues as the "surviving corporation." Following the merger, MMC, as the surviving corporation, operates two separately licensed hospital facilities, MMC, located in Long Branch, NJ and the former KMC facility, which now operates under its new name, Monmouth Medical Center - Southern Campus ("MMC-SC"), located in Lakewood, Ocean County, NJ. Pursuant to its charitable purposes, MMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, MMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. MMC provides medically necessary healthcare services at both its hospital campuses to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. MMCs campuses operate active emergency departments for all persons that are open 24 hours a day, 7 days a week, 365 days per year; 3. MMCs maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of MMC and its hospital campuses rests with the MMC Board of Trustees and the Board of Trustees of RWJ Barnabas Health, Inc., both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of MMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital with its two campuses, provides substantial community benefit. Further, the use and control of MMC is demonstrated to be for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. MMC's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of RWJBARNABS HEALTH; an integrated healthcare delivery system. The sole member of each entity is either RWJ BH or another RWJBH affiliate controlled or owned by RWJ BH. MMC, like its corporate parent, is a not-for-profit organization. RWJBH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. RWJBH was formed with the merger of Barnabas Health Inc. ("BH"), the parent of the Barnabas Health System ("Barnabas Health"), and Robert Wood Johnson Health Care Corporation ("RWJHCC"), the parent of the former Robert Wood Johnson Health System ("RWJHS"). The definitive agreement signed on July 14, 2015, outlined the combination of these two leading health systems and created the largest and most comprehensive healthcare delivery system in the state of New Jersey and one of the largest in the nation RWJBH. The transaction (hereinafter referred to as the "merger") successfully completed federal and state review in March 2016, and the transaction closed operationally on April 1, 2016. The background of BH includes its formation in June 1996 when six New Jersey hospitals and their affiliates joined Saint Barnabas Medical Center and Union Hospital (), which had affiliated in 1993. The six hospitals included: Community Medical Center, Inc. and Kimball Medical Center, Inc., which had affiliated in 1993 to form the Community/Kimball Health Care System; Newark Beth Israel Medical Center, Inc. and Irvington General Hospital, Inc. ("Irvington"), affiliates of each other since 1991; Monmouth Medical Center, Inc.; and Wayne General Hospital Corp. ("Wayne"). In January 1997, West Hudson Hospital Association, Inc. ("West Hudson") joined Barnabas Health, followed by Clara Maass Medical Center in December 1997. Barnabas Health subsequently divested Wayne, closed West Hudson, Irvington, and Union and consolidated their operations into other system facilities. Most recently, Jersey City Medical Center joined Barnabas Health in 2014. The background of RWJHCC includes its formation in 1984 to promote, support and further the charitable purposes of the Robert Wood Johnson University Hospital and other affiliated and related non-profit health care organizations. RWJHS then expanded to include Robert Wood Johnson University Hospital at Hamilton, Robert Wood Johnson University Hospital Rahway, Childrens Specialized Hospital, Somerset Medical Center, and other health care related ventures. RWJBH is the largest multi-hospital system in New Jersey and continues to provide substantial community benefit as was previously provided by its formative health systems, BH and RWJHCC. RWJBH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJBH 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. RWJBH 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. RWJBH is New Jerseys second largest private employer with approximately 32,000 employees, nearly 7,300 individual physicians on the combined medical staffs (of which, in excess of 1,600 are employed), and over 1,000 residents and interns. RWJBH routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in excess of $5 billion and treats over three million patients each year with nearly 198,000 inpatient admissions, over two million outpatient visits (including over 742,000 emergency department visits) and nearly 24,000 newborn and neonatal admissions. RWJBHs composition includes: 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. RWJBH created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout New Jersey. The systems geographic coverage spans the greater Hudson, Essex, Union, Middlesex, Mercer, Somerset, Monmouth and Ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of Barnabas Health and RWJHS promotes the highest quality healthcare delivery and greater levels of efficiency.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform healthcare in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. Mission Statement/Vision/Values =============================== MMCs vision, as a part of RWJBarnabas Health, is to be a leader in designing unparalleled new ways for delivering healthcare. MMC provides quality-driven, safe, efficient, cost-effective and responsive health care services that meet the needs and exceed the expectations of our community. Our mission is: - to meet the healthcare needs of our community by providing cost-effective quality care; - to educate present and future generations of healthcare providers; and - to provide a continuum of regional tertiary care. The hospitals strategic focus includes embracing and responding to emerging models of healthcare; developing a robust wellness program to improve the health of the people served; increasing geographic access; providing cutting edge technology; offering exceptional patient experience; and being a best place to work. Hospital Statistical Information ================================ For over 125 years, MMC has been a leader in central New Jersey providing the best in healthcare and the latest in medical technology to the nearly one million residents that comprise its service area of Monmouth County, and portions of Ocean and Middlesex Counties. MMC is one of New Jersey's largest teaching hospitals and a teaching affiliate of Rutgers Robert Wood Johnson Medical School. MMC is a 514-bed non-profit, regional tertiary care teaching hospital located in Long Branch, Monmouth County, New Jersey. The institution provides a full spectrum of services, serving the lifespan ranging from high-risk neonatology to geriatric care. Admissions total nearly 23,000 annually, including nearly 5,400 births, and approximately 50,000 emergency visits, nearly 120,000 outpatient visits in 2018. MMC serves a diverse community with over 23% of its patients comprised of minority groups and approximately 41% of patients in underinsured and uninsured payer groups. Medicare represents an additional 21% of patients served. MMC-SC is a 241-bed fully accredited non-profit acute care hospital dedicated to providing the finest medical and healthcare services to the residents of Ocean County and the surrounding areas. MMC-SC is located in Lakewood, Ocean County, New Jersey. MMC-SC serves a diverse urban population including a proportionately higher mix of elderly and uninsured/underinsured communities. During 2018, MMC-SC serviced over 6,000 inpatients, nearly 32,000 emergency visits and over 28,000 outpatient and ancillary test visits. Over 30% of patients are minority and approximately 41% were of underinsured or charity/self-pay categories. Medicare comprises an additional 47% of patients payer classification. Accomplishments/Milestones/Recognitions/Awards ============================================== MMC Campus ---------- MMC is accredited by the joint commission under the hospital accreditation standards and behavioral health standards and is the recipient of numerous awards and honors including, but not limited to, the following: - The only hospital in New Jersey named one of the nation's 100 Top Hospitals by IBM Watson Health, which uses independent research to analyze hospital and health system performance. MMC was among just 25 recognized in the teaching hospital category. - The first hospital in the country to earn platinum status from the Bloom Foundation. This Colorado-based foundation is the accrediting body and national authority for the Maternal Mental Health Friendly Initiative in the United States. - Continually earns the highest score of "A" for safety, quality and efficiency from the Leapfrog Group, a national watchdog organization focused on healthcare safety and quality, and recently earned its ninth consecutive A grade. - Recognized as Leapfrog Group Top Teaching Hospital, one of only 53 U.S. hospitals recognized as a Top Teaching Hospital. - Recognized by the Leapfrog Group for fully meeting their quality and safety standards on three key maternity metrics; cesarean section, episiotomy and early elective delivery rates. Only eight hospitals in New Jersey achieved this accomplishment. - Named to Becker's Healthcare's "100 Hospitals and Health Systems with Great Women's Health Programs" list. - Named a 2018 Leader in LGBTQ Healthcare Equality by the HRC Foundation. - Accreditation from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program for exceptional patient outcomes in weight loss surgery. - Joint Commission Disease-Specific Certifications in Stroke, Hip Replacement, Knee Replacement, Spine Surgery and Breast Cancer. - One 1 of 9 "Institute for Healthcare Improvement" Mentor Sites for Heart Failure. - Cardiac and Pulmonary Rehab programs are certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. - Received the Gold Star Plus Award from the American Heart Association's Get With the Guidelines Performance Achievement Award for 2018. - The Leon Hess Cancer Center attained American College of Surgeons Commission on Cancer Accreditation with silver commendation. - Named to the American Hospital Associations Most Wired list. - An institute for health care improvement "mentor hospital status" for care of the heart failure patient. - Certified quality breast center of excellence - the highest certification level offered by the national quality measures for breast centers (NQMBC). - Designated a breast imaging center of excellence by the American College of Radiology's (ACR) commission on quality and safety and the commission on breast imaging. Additionally, the Wilentz center is the first facility in New Jersey and just the 20th in the nation to earn ACR's gold seal accreditation for breast MRI and also holds ACR accreditation for mammography, breast ultrasound and stereotactic breast biopsy. - Designated a primary stroke center by the New Jersey Department of Health. - Designated as an official Childrens Hospital for Monmouth and Ocean counties and a member of the National Association of Childrens Hospitals and Related Institutions. - Designated as a NICHE (nurses improving care for health system elders) hospital. - Intersocietal commission for the accreditation of echocardiography laboratories for cardiac non-invasive, adult transesophageal, adult transthoracic, and adult stress. - College of American Pathologists accredited for laboratory and pathology services. - American Association of Blood Banks for laboratory transfusion services. - American College of Radiology for breast MRI, general MRI, CT, diagnostic ultrasound, breast imaging center of excellence, mammography, and stereotactic breast biopsy. - American Academy of Sleep Medicine accredited for sleep disturbance services. - Get with the GuidelinesHeart Failure Gold Plus quality achievement award from the American Heart Association; heart failure honor roll; and AHA/ASA/TIC primary stroke certification. - MMC is one of only eight cystic fibrosis ("CF") centers in the state and has earned a prestigious distinction as a comprehensive CF center. It is the oldest and largest of the centers in New Jersey. - Based on its outstanding cardiac outcomes, invited by Yale University/Yale-New Haven Health Services Corporations Center for Outcomes Research and Evaluation (CORE) to participate in a research study to promote hospital-level quality improvement efforts. CORE chose MMC based on several factors, including volume of heart failure patients, exemplary 30-day readmission and mortality outcome and patient case mix.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MMC-SC Campus ------------- MMC-SCs Lakewood campus is accredited by the Joint Commission and has also been recognized with distinguished awards for clinical excellence including, but not limited to, the following: - Four-star rating from the Center's for Medicare & Medicaid Services (CMS) - the highest hospital rating in New Jersey. - Successful hospital re-accreditation with the Joint Commission in April 2018. - Joint Commission Disease-Specific Care Certification for Heart Failure Recertified in November of 2017. - Successful re-accreditation with the College of American Pathology (February 2018), American Association of Blood Banks (March 2018), and Intersocietal Accreditation Commission in Echocardiography (April 2017) in Adult Transthoracic and Adult Transesophageal Echocardiography. - Accreditation by American College of Radiology in Ultrasound, MRI, and Nuclear Medicine - accredited 2016 through 2019; CT services - accredited in 2017 through 2020. - NJ Sharing Network Platinum Level Recognition for increasing enrollment in the NJ state donor registry and spreading the life-saving message of organ and tissue donation. - Recognition as a "Most Wired" hospital by the American Hospital Association. - Designation as a NICHE (Nurses Improving Care for Healthsystem Elders) hospital. MMC Centers of Excellence ========================= MMC Campus MMC's recognized medical services centers of excellence include, but are not limited to, the following: 1. The Unterberg Children's Hospital at MMC ("Children's Hospital") The Childrens Hospital offers the community renowned medical expertise in the care of children that only a leading academic medical center can provide. The Childrens Hospital has 140 pediatric specialists who concentrate oin 26 fields of medicine. The organization provides specialized pediatric care, offering a 54-bed regional perinatal center with level iii neonatal intensive care unit, the region's only program in children's crisis intervention services and subspecialty pediatric care in areas such as cardiology, gastroenterology, surgery, and orthopedics. In addition, a host of outpatient services for children are offered, including: a pediatric neurology program, pediatric medical day stay unit, the regional cleft palate center, and a pediatric subspecialty center in Ocean County for children who require specialty care in the areas of gastroenterology, endocrinology and pulmonology. 2. Psychiatric centers/program MMC has the largest psychiatric program in Monmouth County, with a total of 44 beds within voluntary and involuntary adult inpatient units and 19 beds in its inpatient children's crisis intervention service, where children and adolescents with acute emotional, behavioral or psychiatric problems are treated. In addition, its psychiatric emergency screening service ("PESS") is the state-designated service for Monmouth County. MMC also offers partial hospitalization, intensive outpatient programs, traditional outpatient care and an early intervention support services program ("EISS"). 3. The Jacqueline M. Wilentz Comprehensive Breast Center Committed to meeting the breast healthcare needs of all women, the breast center is the region's leader in providing the most advanced array of breast health services through a multidisciplinary team dedicated to the breast health needs of all women. MMC provides a comfortable and supportive setting in which all outpatient breast healthcare services are found in one convenient location. MMC takes a coordinated approach to breast care, including both well care and cancer care. MMC is here for women who seek annual breast evaluation and for those women diagnosed with breast cancer or benign breast disease. Several of MMCs services are specifically for women diagnosed with breast cancer, including: an outpatient chemotherapy suite, psychosocial counseling and rehabilitation services, breast cancer support groups, breast conservation surgery and patient navigators. These qualified experts represent many medical disciplines, working together to provide women with diagnostic, treatment, surgical, psychosocial support, and education and rehabilitation services. MMC's state-of-the-art facility offers the latest in medical equipment, technology and services, including: - Annual physical breast examinations, mammography and diagnostic service, headed by a dedicated breast radiologist who oversees a staff of highly trained technologists; - consultations and second opinions (surgery, medical oncology, pathology, mammography, plastic surgery and radiation therapy), breast cancer high risk program, stereotactic biopsy system, tomosynthesis, computer-aided detection ("ICAD") mammography, breast-specific gamma imaging, breast MRI, automated whole-breast ultrasound, high-resolution breast ultrasound, ultrasound-guided fine-needle biopsy, DEXA scanning, clinical research and a breast information center; and - Satellite locations in Colts Neck, Howell and Lakewood to offer women convenient access to screening and diagnostic mammography, breast ultrasound, genetic testing and bone density testing. 4. Leon Hess Cancer Center MMC stands at the forefront of providing the most extensive array of highly advanced cancer services, delivered by a multidisciplinary team of specialists in a caring and supportive environment. For decades, MMCs leadership role in oncology services has been broadened through the ongoing expansion of state-of-the-art programs, and technologies offered in all areas of cancer prevention, detection and treatment. The Leon Hess Cancer Center at MMC brings together a host of specialists and a vast array of services under one roof, making care more convenient, efficient, and effective. It features comprehensive multidisciplinary medical services that are led by teams of major physician specialists including medical, surgical and radiation oncology. Together, these cancer specialists, in consultation with each patients primary care physician and in conjunction with the hospitals cancer care management team, work to create the most appropriate and effective plan of treatment. MMC is accredited at the highest designation by the Commission on Cancer of the American College of Surgeons as a "teaching hospital and cancer center". 5. The Cranmer Ambulatory Surgery Center The center provides a full spectrum of same-day surgical services using the most modern technology available. The facility includes four full-service operating rooms, three minor procedure rooms and a three-tiered graduated recovery area, respecting the individual needs of adult and pediatric patients. The one-story, 19,000-square-foot building is equipped to perform all types of same-day surgical procedures, including arthroscopic, laparoscopic and laser techniques. Every aspect of the center has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. 6. The Eisenberg Family Center MMC delivers nearly 5,500 babies annually - the most in Monmouth and Ocean Counties and has built one of the safest obstetrical programs in the nation, maintaining one of the lowest C-section rates in the nation. The vast majority of the more than 50 obstetrician/gynecologists who serve as attending physicians on MMCs medical staff are board certified or eligible in the discipline. Many also hold certification in such specialties as maternal-fetal medicine (perinatology), reproductive endocrinology and infertility, uro-gynecology and gynecologic oncology. In addition, MMC's skilled and dedicated nursing staff is trained to assist mothers and their childbirth partners during labor and delivery and to instruct new parents and other family members in newborn care. 7. The Valerie Fund Children's Center for Cancer and Blood Disorders The center provides comprehensive medical services to children with childhood cancers such as leukemia, lymphomas and neuroblastomas, and blood disorders such as sickle cell anemia and white cell abnormalities. Children and young adults (birth to 21 years of age) with leukemia and other cancers are treated according to the most advanced therapeutic protocols. Patients receive treatment on an outpatient basis from a team of specialists, including pediatric hematologists/oncologists, surgeons, radiologists, nurses, social workers, counselors, and child life specialists. Among the valerieValerie fund's services is red blood cell apheresis - a sophisticated exchange/transfusion of red blood cells for patients with sickle cell disease. MMC is one of eight hospitals in the tri-state area that is part of the Valerie Fund, one of the largest and most advanced pediatric oncology/hematology networks in the country.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 8. Robotic Surgery Program MMC created the regions first robotic surgery program with the Da Vinci S surgical system. The system combines computer and robotic technologies with the skills of MMCs surgeons to create a new category of surgical treatment, making it possible to perform more technically demanding surgeries, such as prostatectomy, using a minimally invasive approach. MMC offers robotic surgery for the removal of a variety of cancerous tumors as well as for benign conditions. The robotic surgery system offers patients better outcomes, less pain, less scarring, less blood loss, shorter hospital stays and a quicker return to normal activities than conventional surgery. First hospital in Central and Southern New Jersey to introduce Mako robotic-assisted total and partial knee and hip replacement surgery. Mako surgery is performed using a surgeon-controlled robotic arm system that enables accurate alignment and placement of implants. MMC-SC Campus MMC-SC's recognized medical services and centers of excellence include, but are not limited to, the following: 1. The James & Sharon Maida Geriatrics Institute MMC-SC has long been a leader in geriatric medicine, which specifically addresses the unique care needs of older adults. Our one-of-a-kind James and Sharon Maida Geriatrics Institute provides integrated inpatient and outpatient geriatric services for patients 65 and older in one convenient location. In addition, our geriatricians - physicians specializing in the medical care of the elderly - have a full understanding of the wide range of physical, mental, medical, social, and spiritual issues that older adults can face. With our many interlinked services, the experts at the geriatrics institute provide individualized care recommendations to ensure that patients receive the special care they require, without interfering with their independence. And our geriatric team works closely with you or your loved ones primary care physician to make sure that all patient and family needs are met. With the expert treatment available at our state-of-the-art outpatient practice, older adults can live the fullest life possible. Our multi-disciplinary team also including nurses, social workers, nutritionists, pharmacists, health educators, physical therapists, occupational therapists, speech therapists and audiologists, all who specialize in the care of seniors and are available to accommodate the needs of patients as they transition from inpatient to outpatient care. Complementing the geriatrics institute are the geriatric emergency medicine (gem) unit, created to meet the more complex needs of seniors in emergency care, the acute care for elders (ace) unit, an inpatient unit utilizing an interdisciplinary approach to collaboratively develop a patient-centered care plan, and the better health program, which offers courses and more to men and women 55 and older who want to improve their health and well-being. 2. The emergency department at MMC-SC The emergency department treats approximately 32,000 patients annually, utilizing the latest in cardiac monitoring equipment, including special rooms for trauma, orthopedics, ear/nose/throat, obstetrics/gynecology, pediatrics, suturing and psychiatric emergencies. The main emergency department includes 30 treatment bays and has revolutionized how patients are treated in modern healthcare settings by expediting the process which patients must undergo prior to receiving medical treatment. The staff is focused on respecting the individual needs of all adult and pediatric patients. MMC-SC is a state-designated primary stroke center and Joint Commission certified chest pain center and has Ocean County's only psychiatric emergency screening program. MMC-SCs pediatric emergency services program is staffed full time by highly experienced, board-certified emergency medicine physicians with access to pediatric consultations 24 hours a day with on-site double board certified neonatologists/pediatricians and an on-call board certified pediatrician. When necessary, consultations with pediatric subspecialists are coordinated with the medical staff at the Unterberg Childrens Hospital at MMC. Additionally, infants and children requiring more specialized care are transported to the Childrens Hospital, if and when necessary. MMC-SCs child-friendly pediatric-designated treatment area in the emergency department offers a pediatric playroom with games, toys and books and colorfully decorated treatment rooms equipped with TV and DVD player. Every aspect of MMC-SCs emergency department has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. This has led to numerous recognitions and awards for patient satisfaction and quality medical care, including exceptional turnaround time. 3. The Center for Wound Healing The Wound Care Center at MMC-SC provides diagnosis, treatment and healing of chronic and hard-to-heal wounds caused by a variety of medical conditions including diabetes, trauma, poor circulation, bedridden, surgical complications, vascular diseases, etc. The center for wound healing and hyperbaric medicine applies proven wound care practices and advanced clinical approaches including hyperbaric oxygen therapy to help heal patients suffering from chronic wounds. Additionally, our center frequently participates in clinical trials utilizing the latest wound care products available. 4. Psychiatric Centers/Program MMC-SC has the largest psychiatric program in Ocean County, with a total of 60 beds within voluntary and involuntary adult inpatient units located in a free-standing facility in Toms River, NJ. In addition, its psychiatric emergency screening service ("PESS") is the state-designated service for Ocean County. MMC-SC also offers intensive outpatient programs and traditional outpatient care. Medical and community services ============================== MMC's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic, to prevention and treatment. Additional medical services --------------------------- MMC offers many specialized programs including robotic surgery, minimally invasive surgery, regional perinatal center, sleep center, hyperbaric treatment, and integrative medicine. MMC provides comprehensive behavioral health services including psychiatric emergency services, mobile outreach, children's crisis intervention and intensive outpatient services. Medical staff ============= Consistent with revenue ruling 69-545 all qualified physicians are eligible for medical staff privileges at MMC. MMC had nearly 1,000 physicians on its medical staff in 2018 and other health professionals, comprised of the following specialties: - adult psychiatry; - allergy, med.; - allergy, ped.; - anatomic & clinical, path; - anesthesiology; - cardiology, med.; - cardiology, ped.; - child development, ped.; - child psychiatry; - colon & rectal surgery; - critical care, ped.; - dentistry, out; - dermatology, med.; - emergency medicine; - endocrinology, med.; - endocrinology, ped.; - endodontics, outpt dent; - endoscopy, med.; - family practice; - foot & ankle; - gastroenterology, med.; - gastroenterology, ped.; - general dent, inpt dent; - general dent, outpt dent; - general pediatrics; - general surgery; - general/sports; - geriatrics; - gynecologic oncology; - hand surgery; - hand/sports; - hematology/oncology, med.; - hematology/oncology, ped.; - hospitalist; - infectious disease, med.; - infectious diseases, ped.; - internal medicine; - joints; - joints/sports; - maternal fetal med.; - medical genetics, ped.; - neonatology; - nephology, ped.; - nephrology; - neurology; - neurology, ped.; - neurosurgery; - ob/gyn; - ophthalmology; - oral surgery, inpt dent; - orthodontics, outpt dent; - orthopedic surgery; - otolaryngology; - pain management; - pathology; - pediatric surgery; - pediatric, inpt dent; - peds; - periodontics, outpt dent; - physical med. & rehab.; - plastic & recon. Surgery; - podiatric medicine; - prosthodontics/outpt dent; - psychiatry; - psychiatry & neurology; - pulmonary med.; - pulmonary, ped.; - radiation oncology; - radiology; - reproductive endo & infert.; - reproductive endocrinology; - rheumatology, med.; - spine; - sports; - thoracic surgery; - total joints; - urogynecology; - urology; and - vascular surgery.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MMC-SC had approximately 430 physicians on its medical staff during 2018 comprised of the following specialties: - allergy/immunology; - anesthesiology; - cardiology; - colon-rectal surgery; - dentistry; - dermatology; - emergency medicine; - endocrinology, diabetes & metabolism; - family practice; - gastroenterology; - general surgery; - geriatrics; - gynecology; - hematology/oncology; - infectious disease; - internal medicine; - internal medicine/pediatrics; - nephrology; - neurology; - neurosurgery; - ophthalmology; - orthopedic surgery; - otolaryngology; - pain management; - pathology; - physical medicine/rehab; - plastic surgery; - podiatry; - psychiatry; - pulmonary medicine; - pulmonology/critical care; - radiation oncology; - radiology; - repro endo; - rheumatology; - thoracic surgery; - urology; and - vascular surgery. MMC community service centers ============================= MMC Campus MMC is committed to keeping its community healthy and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. MMC operates the department of community health & wellness, which is designed to promote health and health awareness for the community. The department of community health & wellness has a philosophy and way of life that allows individuals to reach their full potential for optimal well-being. Recognizing that individuals have become increasingly health conscious and are seeking new ways to improve their health and prevent illness, MMC's department of community health education has developed multiple programs to assist the community in fulfilling their health goals. Community Partnerships ====================== 1. Cancer Support Community ("CSC") is a program run in partnership with MMC and MMC-SC. CSC is an international non-profit organization whose mission is to support the myriad concerns of individuals affected by cancer. Partnering with MMC in 2014, CSC currently holds supportive and educational programs in long branch and Lakewood. All programs are free of charge to anyone affected by a cancer diagnosis: patients, caregivers, and family members, no matter where treatment has been received. 2. MMC and Social Community Activities Network partner on services for active adult community. For more than 25 years, MMC has partnered with the social community activities network ("SCAN") (formerly the senior community activities network), located in the Monmouth Mall in Eatontown, in service to the active adult community. Like SCAN, which promotes a culture of lifelong learning, healthy lifestyles and independent living by offering programs that make the community "healthy, wealthy & wise,", MMC believes that "life is better healthyis dedicated to helping seniors live healthy lifestyles. Throughout the year, MMC provides a host of health lectures, screenings and classes led by the hospital's doctors and healthcare professionals. These free programs, which MMC advertises monthly in the community health education calendar, focuses on topics such as heart health, stroke prevention, brain health, cancer awareness, nutrition and stress relief. MMC offers workshops to teach strategies for managing daily life when living with chronic conditions such as arthritis, heart and lung conditions, anxiety, diabetes and high blood pressure. The evidence-based workshops teach individuals how to: - breast cancer awareness; - boost your memory; - first aid for seniors; - improve balance; - improving social relationships in older adulthood; - navigating a hospital stay; - skin cancer awareness; AND - stress management. 3. Safe Kids Monmouth/Ocean is led by MMC and MMC-SC, which provides safety education to children, parents and caregivers to prevent childhood injuries. It is a chapter of safe kids New Jersey and Safe Kids worldwide, a global organization dedicated to preventing injuries in children. 4. MMC regularly collaborates with local law enforcement and government officials on emergency preparedness drills. 5. MMCs community partnerships include Monmouth Family Health Center, Ronald McDonald House, New Jersey community work experience program, family and childrens services, Long Branch public school district, Long Branch schools work study program, shaping Long Branch coalition, 21st century after school program, Long Branch Ministerium, Monmouth University field experience and the national council on aging. 6. MMC regularly hosts meetings between mayors and council members from local towns and the hospital's senior leadership, physicians, members of the board of trustees, Long Branch advisory council, patient family advisory council and employees to discuss community needs and the importance of working together as partners to promote healthy communities. 7. In addition to providing comfort to adult and pediatric patients, MMCs freed therapeutic paws program - thriving pet therapy program offers a scholarship program to pay for training of therapy dogs. MMC-SC campus MMC-SC in Lakewood is equally committed to keeping its community healthy, and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. As an RWJBarnabas Health facility, MMC-SC prides itself on recognizing the growing needs of the community and fulfilling those needs by providing new, specialized programs and services. MMC-SC operates the following centers designed to promote health and health awareness for the community. 1. Community Health Education The community health education department at MMC-SC, offers an array of programs designed to keep the community healthy through education and screenings. Among its award winning programs is the caregivers and grandparents raising grandchildren support group facilitated by a licensed clinical social worker to provide counseling and support to anyone caring for a person age 60 or older in Ocean County. Also offered at MMC-SC is an American diabetes association recognized diabetes education and support program which is designed for newly diagnosed diabetes and provides self-management education through an 8-hour program which is divided into four separate 2-hour classes. Participants in all outreach programs experience enhanced physical, emotional and spiritual well-being through individual and group programs in an environment where they can join with others to learn and share experiences, strength and hope. Recognizing the unique needs of the region's aging population, MMC-SC offers healthcare programs that promote healthy lifestyles and enhance seniors' quality of life. Programs are designed to provide older adults with easy and convenient access to a variety of healthcare services in their own community and to encourage them to live independently, confidently and happily. MMC-SC continues to offer a variety of educational, screening and support programs which include diabetes management/support, nutritional counseling, fall prevention and balance testing. Approximately 17,643 individuals participated in medical screenings, support groups and educational programs at MMC-SC in 2018. 2. Better Health - a free wellness program just for seniors MMC-SCs better health program is a free membership program available to seniors who want to improve their health and well-being. The better health program has grown its membership to 2,130 in 2018 since its inception in May 2015. MMC-SC invites people age 55+ to become a member of the better health program to help maintain good health. Members take advantage of many exclusive benefits designed to help take charge of their health and wellness. Aside from taking steps toward living a more productive and fulfilling life, specific benefits include: - advance notice of free screening locations, physician lectures and topics by email; - healthy aging newsletter mailed to homes; - preferred parking in close proximity to entrance of the hospital; - preferred physician scheduling with appointments guaranteed within 48 hours of placing the call; - simplified pre-registration process for laboratory and radiology services resulting in no-wait times; - special visits from a patient resource representative should one be admitted for an overnight stay; and - special calendar for members. Each month better health members are invited to educational lunch and learns that are offered at MMC-SC or, in some cases, brought to the communities in which members live. The lectures are provided by physicians from MMC in long branch and/or MMC-SC in Lakewood or other members of the clinical and educational team. Topics include: - benefits of movement; - getting an a for memory; - healthy nutrition; - how to get the most from your doctors visit; - know your medications (and those of your loved ones); and - stress management.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MMC-SC provides a variety of community events in or around Lakewood or at senior communities throughout the area that focuses on the four pillars of better health; nutrition, physical activity, and evidenced based health education. Events are unique and enable members to meet new people while improving their health. Medical screenings ================== MMC provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes. MMC served approximately 60,000 individuals in 2018 served via health fairs, screenings, workshops, education, and lectures. Further, multiple organizations are assisted in their fund-raising efforts. Every February, the MMC dental residency program hosts "give kids a smile day" in the Monmouth family health center dental clinic, providing free dental care to children from low-income families who dont have access to regular dental care. Screenings also include, but are not limited to, the following: - balance and fall prevention; - blood pressure; - body mass index - bone density; - breast health/mammograms; - cardiac and concussion for young athletes; - cholesterol; - dietary; - skin cancer (choose your cover); - glucose; - HIV; AND - high-risk lung cancer assessments. Medical screening programs provided by the MMC-SC Lakewood campus in furtherance of its tax-exempt purposes include the following: - balance and fall prevention; - blood pressure screenings; - bone density screenings; - cardiac and concussion testing for young athletes; - glucose screenings; - hearing; - high-risk lung cancer screening assessments; - skin cancer screenings (choose your cover); and - vascular. Community education =================== MMCs and MMC-SCs ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs are advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. MMC provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: 1. Wellness programs/health fairs - blood drives; - go red: heart health event for women; - great American smoke-out informational session; - ladies night out, empowering women to live healthy; - long branch day; pedestrian & bike safety; - mens night out, empowering men to live healthy; - Monmouth family health center wellness and health fair; - national night out against crime - edestrianpedestrian safety; - nutrition and brain fitness fair; - oceanfest; safe kids & health screenings; - Oceanport summers end festival, offering safe child safety info; - police week health & safety information; - strategies for health aging; and - Tinton Falls day pedestrian safety. 2. Various educational sessions - breast cancer awareness; - colon cancer awareness; - conversations with the pharmacist; - choose your cover - free skin cancer screenings and education; - diabetes self-management series; - eye care as we age; - fall prevention; - first aid for seniors; - health information on the internet; - how to get a good nights sleep; - kids fit - 6 week nutritional program for children and parents; - living with Alzheimers disease for the caregiver: late stage; - living well with diabetes; - mindfulness meditation stress reduction; - natural ways to manage depression; - palliative care: what is it and when is it appropriate?; - restorative yoga for cancer survivors; - safe sitter; - seasonal affective disorder (sad); - skin cancer awareness; - total joint replacement information session; - understanding your options for rehab; - updates on cancer screenings; - stroke awareness; - whats in your medicine cabinet; and - your heart and electrical disturbances. 3. Childbirth preparation and parenting programs - Childbirth preparation and parenting programs; - the Eisenberg Family Center tours; - breastfeeding today; - one-day preparation for childbirth; - two-day preparation for childbirth; - baby care basics; - new moms support group; - postpartum depression (ppd)/anxiety support group; - breastfeeding support group; AND - gestational diabetes education program. 4. Support Groups - adult attention deficit disorder (add) support group; - alcoholics anonymous support group; - all recovery support group; - Alzheimers caregivers support group; - bereavement support group; - breast cancer support group; - breast feeding support group; - cancer support community; - caregiver support group; - early-stage breast cancer support group; - ovarian cancer support group; - postpartum depression support group; - us too: prostate cancer support group; - survivors of suicide support group; - weekly cancer support group; and - weight loss support group. 5. MMC's speakers bureau MMC's speakers bureau brings an extensive range of healthcare programs to schools, businesses, faith-based organizations, or community sites such as senior centers, libraries, and health clinics. Our highly training physicians, nurses, and other health professionals share their knowledge on a variety of interesting and stimulating subjects concerning healthcare. The MMC-SC Lakewood campus also offers a full array of wellness programs, including numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: 1. Older adults - aging eyes physician lecture; - age-related hearing loss program; - audiology program physician lecture; - balance presentation; - brain health as you age; - brain health fair; - chair yoga; - fall prevention workshop: staying falls free; - five wishes; - health & education program for seniors, out in senior communities; - health screenings for seniors at YMCA open house; - lunch & learn: understanding Medicare & your options for comprehensive coverage; - mindful meditation for seniors; - mobile phlebotomy units to increase access for lab work at senior communities; - osteoporosis lunch and learn; - pilates for seniors; - senior health & fitness day; - staying safe after 60; - tai chi for seniors; - talking with your doctor; - yoga; and - zumba for seniors. 2. Support Groups - alcoholics anonymous; - all cancers support group; - caregiver's support group; - finding rainbows - children & families impacted by a cancer diagnosis; - grandparents raising grandchildren support group; - overeaters Anonymous; - sexaholics AnoymousAnonymous (SA) group; and - smoking cessation support group. 3. Various seminars and physician lectures - basics of diabetes; - breaking down nutrition labels; - coffee and a craft - for those affected by cancer; - colorectal cancer awareness education session; - dont miss a beat; - exploring the web: useful sites for cancer patients - get heart healthy luncheon; - living heart healthy; - living well with diabetes; - living with Alzheimers disease for the caregiver: middle and late stages; - look good feel better by the American Cancer Society; - lunch & learn: heart health; - lung cancer education & screening event; - lunch & learn: under pressure - healing problematic wounds with oxygen; - mens night out, empowering men to live healthy; - skin cancer education and prevention; and - "Take Control of Your Health" - a chronic disease self-management program. 4. Instructional classes and programs - benefits of exercise; - classic yoga, gentle yoga, chair yoga and all levels yoga; - complimentary consults with a registered dietician; - defensive driving, sponsored by the Ocean County department of safety; - diabetes education & self-management 4-week series; - healthease move today program; - lunch & learn: the health benefits of tai chi; - meditation & relaxation; - relaxation & guided imagery; - self-defense & exercise; and - take control of your health program.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Professional medical education and training =========================================== MMC and MMC-SC professional medical education and training costs, included, but were not limited to, the following programs, lectures and courses during 2018: - surgery M&M conference; - breast tumor board; - pediatric grand rounds; - medical tumor board; - neuro tumor board; - othopaedic case review & fracture conference; - GI tumor board; - orthopaedicjournal club; - gyn tumor board; - medical grand rounds MMC; - pediatric tumor board; - end of life part 1; - end of life part 2; - orthopaedic M&M conference; - medical grand rounds MMC-SC; - medical M&M; MMC; - pediatric touchpoints 2017; - management and leadership; - surgical grand rounds; - tools and client relations; - cutting edge 2017; - communication; - execution and project management; - 15th annual advanced em conference; - EMA conference 2017 stroke home study; - EMA 2017 llsa home study; - EMA 2017 trauma home study; - EMA 2017 procedural sedation home study; - 13th annual pediatric symposium - "screening for depression and anxiety in childhood and adolescence"the opioid epidemic, what a pain in the ED - workers compensation talk series: knee and ankle; - team building; - 2017 RWJBarnabas Health quality forum; - advances in breast cancer care: surgery, radiation therapy, reconstruction and surveillance; - change management and public speaking; - talent management and current healthcare; - Post-Operative Complications in Foot and Ankle Surgery - Choosing the Correct Bunion Procedures through Radiographic Evaluations - Dr. Petranto; - Inguinal Hernia Repair - Dr. Michael Jaronczyk; - Colorectal Cancer Screening - Dr. Joel Musicant; - Chronic Pain - Dr. Lina Shihibudin; - Lung Cancer & Emerging Trends - Dr. Sumit Talwar; - Update on New Therapeutics in Clinical Oncology - Dr. Seth Cohen; - Stroke - Basic Management & New Modalities of Treatment - Tele - TPA - Dr. Tejas Deliwala; - Organ & Tissue Donation: The Power to Save Lives - Carolyn Welsh; - Prescription Protocols - Dr. Ted Freeman; - Protocol for Alcohol Withdrawal - Dr. Arnold Williams; - Lung Cancer Awareness: What you need to know - Dr. Andrew Nguyen; - Updates on Medical and Surgical Therapy for Benigh Prostatic Hypertrophy - Parvez Mahmood, MD; - Local Anesthetic Toxicity - Eduard Krishtul, MD; - Hyperbaric Oxygen Therapy: What, Where, How, Who and Why - Johnny Larsen, DO; AND - Opioids - Prescribing, Withdrawal and Medication Assisted Treatment - Jarrett Tosk, MD.
CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTION 2 DAVID SICKEL AND RAYMOND F. SHEA, JR. ESQ. - BUSINESS RELATIONSHIP. DAVID SICKEL AND ROBERT SICKEL - BUSINESS RELATIONSHIP AND FAMILY RELATIONSHIP. CLAIRE M. KNOPF AND HEYWOOD H. KNOPF - FAMILY RELATIONSHIP. ADAM PFEFFER, ESQ. AND RAYMOND F. SHEA, JR. ESQ. - BUSINESS RELATIONSHIP.
CORE FORM, PART VI, SECTION A; QUESTION 5 Based on allegations communicated to Management, MONMOUTH MEDICAL CENTER ("MMC") determined that funds from the MMC-Medical Staff Office were misappropriated in the form of checks paid to certain employees over a period of time. Upon discovery, the RWJBARNABAS HEALTH ("RWJBH") Internal Audit Department, in consultation with Legal Affairs, launched an immediate investigation. The investigation concluded that $468,566.19 in checks were issued without proper approval and made payable to the now former employees WHICH WAS CONCLUDED IN 2018. There were several corrective actions taken to prevent a similar loss in the future and to safeguard assets. RWJBH continues to cooperate with the investigation. RWJBH submitted an insurance claim to its carrier which resulted in full settlement of the loss plus additional expenses incurred, less deductible.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ 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 RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("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, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") 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 FOR 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. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT.
CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ 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 RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF THE RWJBARNABAS 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 RWJ BH'S SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS 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 RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART VII AND SCHEDULE J TODD EUGENE PHILLIPS, M.D. FORMER VICE PRESIDENT OF MEDICAL AFFAIRS OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE VICE PRESIDENT OF MEDICAL AFFAIRS FOR COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHELE H. SCHWEERS, FORMER VICE PRESIDENT/CHIEF HUMAN RESOURCES OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE VICE PRESIDENT/CHIEF HUMAN RESOURCES OFFICER FOR BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHAEL MIMOSO, FORMER CHIEF EXECUTIVE OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS CHIEF EXECUTIVE OFFICER OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. GERALD L. TOFANI, CPA, FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER OF OUTPATIENT SERVICES.
CORE FORM, PART X; LINE 25 The organization is a member of RWJ Barnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc. and Barnabas Health, Inc. to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a due to related party liability and are reflected on the balance sheets of the following subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279.
CORE FORM, PART X; LINES 27-29 In August 2016, the FASB issued ASU 2016-14, Not-for-Profit Entities (Topic 958): Presentation of Financial Statements of Not-for-Profit Entities, which requires not-for-profit entities to revise its financial presentation to include net asset classifications, provide quantitative and qualitative information as to available resources and management of liquidity and liquidity risk and expanded disclosures on functional expenses. The Corporation adopted the new standard as of December 31, 2018 on a retrospective basis. There were no material changes to the consolidated balance sheets, statements of operations, and changes in net assets or cash flows as a result of the adoption. Periods prior to adoption have been displayed to conform to the new presentation of a single classification of net assets with donor restrictions. Previously, the consolidated balance sheets displayed temporarily restricted net assets of $131,468,000 and permanently restricted net assets of $33,494,000.
CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $466,316; - NET ASSETS RELEASED FROM RESTRICTION - $123,000; - EQUITY TRANSFER FROM MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $2,188,451; - EQUITY TRANSFER TO MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($517,848); - EQUITY TRANSFER TO HEALTH SOUTH REHAB CENTER - ($30,785); - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $9,117,000; - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $30,000; - DISTRIBUTIONS FROM SHREWSBURY DIAGNOSTIC IMAGING, LLC; A LIMITED LIABILITY COMPANY CONTROLLED BY THIS ORGANIZATION - $569,156; - PENSION ADMINISTRATION COSTS - ($815,632); AND - INCREASE IN INVESTMENT OF SHREWSBURY DIAGNOSTIC IMAGING, LLC; A LIMITED LIABILITY COMPANY CONTROLLED BY THIS ORGANIZATION - $9,000.
CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN rwjBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.
DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS MONMOUTH MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND MONMOUTH MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY MONMOUTH MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-3452412. BELOW IS A LIST OUTLINING THE VARIOUS MONMOUTH MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. MMC PROVIDER SERVICES 81-4837197 IN ADDITION, THIS FORM 990 INCLUDES THE CURRENT YEAR REVENUE AND EXPENSE ACTIVITY AND YEAR END ASSETS AND LIABILITIES OF BOTH THE MEDICAL STAFFS OF MONMOUTH MEDICAL CENTER AND MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MONMOUTH MEDICAL CENTER
 
Employer identification number

22-3452412
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BARNABAS BAYONNE DEV URBAN RENEWAL CORP
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
35-2219655 		STAFFING SVCS NJ 501(C)(3) 509(a)(3) SBRDC
 
 
No
(2)BARNABAS HEALTH MEDICAL GROUP PC
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
22-3316007 		HEALTH SVCS. NJ 501(C)(3) 509(a)(2) RWJ BH
 
 
No
(3)Barnabas Health Inc
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
22-2405279 		HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH
 
 
No
(4)CENTER STATE HEALTH GROUP INC
2 CRESCENT PLACE

OCEANPORT,NJ07757
22-2939956 		HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH
 
 
No
(5)CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC
1691 ROUTE 9

TOMS RIVER,NJ08754
22-3343959 		HEALTH SVCS. NJ 501(C)(3) 509(A)(3) SBBH
 
 
No
(6)CHILDRENS SPECIALIZED HOSPITAL
150 NEW PROVIDENCE ROAD

MOUNTAINSIDE,NJ07092
22-1487148 		PED. CARE NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(7)CLARA MAASS FOUNDATION
ONE CLARA MAASS DRIVE

BELLEVILLE,NJ07109
22-2132516 		FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH
 
 
No
(8)CLARA MAASS MEDICAL CENTER
ONE CLARA MAASS DRIVE

BELLEVILLE,NJ07109
22-1500556 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(9)COMMUNITY MEDICAL CENTER
99 HIGHWAY 37 WEST

TOMS RIVER,NJ08755
22-3452306 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(10)COMMUNITY MEDICAL CENTER FOUNDATION
99 HIGHWAY 37 WEST

TOMS RIVER,NJ08755
22-2597592 		FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH
 
 
No
(11)GREENVILLE HOSPITAL
355 GRAND STREET

JERSEY CITY,NJ07302
22-0963805 		INACTIVE NJ 501(c)(3) HOSPITAL RWJ BH
 
 
No
(12)IRVINGTON HOSPITAL FOUNDATION
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
23-7025428 		INACTIVE NJ 501(C)(3) 509(a)(3) RWJ BH
 
 
No
(13)JERSEY CITY MEDICAL CENTER
355 GRAND STREET

JERSEY CITY,NJ07302
22-2783298 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(14)LAKEVIEW CHILD CARE CENTER INC
ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
22-2627639 		CHILD CARE NJ 501(C)(3) 509(A)(2) RWJ BH
 
 
No
(15)LAKEVIEW CHILD CENTER FOUNDATION INC
ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
46-2038300 		FUNDRASING NJ 501(C)(3) 509(A)(3) LCCC
 
 
No
(16)LIBERTY BEHAVIORAL HEALTH ASSOCIATES
355 GRAND STREET

JERSEY CITY,NJ07302
22-3506358 		HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC
 
 
No
(17)LIBERTY HEALTHCARE SYSTEM INC
355 GRAND STREET

JERSEY CITY,NJ07302
22-3113960 		HEALTH SVCS. NJ 501(C)(3) 509(A)(2) RWJ BH
 
 
No
(18)LIBERTY RIVERSIDE HEALTHCARE
355 GRAND STREET

JERSEY CITY,NJ07302
22-3284894 		INACTIVE NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(19)LIBERTY SURGICAL ASSOCIATES
355 GRAND STREET

JERSEY CITY,NJ07302
22-3386850 		HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC
 
 
No
(20)MEGA CARE INC
2 CRESCENT PLACE

OCEANPORT,NJ07757
22-2578561 		HEALTH SVCS. NJ 501(C)(3) 509(a)(3) CSHG
 
 
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) RWJ BH
 
 
No
(22)MONMOUTH MEDICAL CENTER - FACULTY PRACT
100 STATE HIGHWAY 36

WEST LONG BRANCH,NJ07764
22-3357053 		HEALTH SVCS. NJ 501(C)(3) 509(a)(3) MMC
 
Yes
 
(23)MONMOUTH MEDICAL CENTER FOUNDATION
300 SECOND AVENUE

LONG BRANCH,NJ07740
22-2456079 		FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH
 
 
No
(24)NEW BRUNSWICK AFFILIATED HOSPITALS INC
ONE ROBERT WOOD JOHNSON PLACE

NEW BRUNSWICK,NJ08901
22-1946837 		HLTHCARE SVCS NJ 501(C)(3) 509(A)(3) RWJ BH
 
 
No
(25)NEW MARGARET HAGUE CTR WOMENS JCM OBGYN
355 GRAND STREET

JERSEY CITY,NJ07302
22-3363012 		HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC
 
 
No
(26)NEWARK BETH ISRAEL MEDICAL CENTER
201 LYONS AVENUE

NEWARK,NJ07112
22-3452311 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(27)ROBERT WOOD JOHNSON VISITING NURSES INC
972 SHOPPES BOULEVARD

NORTH BRUNSWICK,NJ08902
26-3659270 		HLTHCARE SVCS NJ 501(C)(3) 509(A)(2) NA
 
 
No
(28)RWJ BARNABAS HEALTH INC
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
81-0682747 		INACTIVE NJ 501(C)(3) 509(A)(3) NA
 
 
No
(29)RWJ HEALTH CARE CORPORATION
ONE ROBERT WOOD JOHNSON PLACE

NEW BRUNSWICK,NJ08901
22-2568905 		HOLDING CO. NJ 501(C)(3) 509(A)(3) RWJ BH
 
 
No
(30)RWJ HEALTH CARE CORPORATION AT HAMILTON
ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
22-2566863 		HOLDING CO. NJ 501(C)(3) 509(A)(3) RWJHCC
 
 
No
(31)RWJ HEALTH NETWORK INC
ONE ROBERT WOOD JOHNSON PLACE

NEW BRUNSWICK,NJ08901
22-3420314 		HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH
 
 
No
(32)RWJ PROPERTY HOLDING CORPORATION
ONE ROBERT WOOD JOHNSON PLACE

NEW BRUNSWICK,NJ08901
22-2474955 		PROPERTY NJ 501(C)(3) 509(A)(3) RWJHCC
 
 
No
(33)RWJ UNIVERSITY HOSPITAL
ONE ROBERT WOOD JOHNSON PLACE

NEW BRUNSWICK,NJ08901
22-1487243 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(34)RWJ UNIV HOSP AT HAMILTON FDN INC
ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
22-2552329 		FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJ BH
 
 
No
(35)RWJ UNIV HOSP RAHWAY FOUNDATION
865 STONE STREET

RAHWAY,NJ07065
22-2405094 		FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJUHR
 
 
No
(36)RWJ UNIV HOSPITAL AT HAMILTON
ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
21-0634572 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(37)RWJ UNIV HOSPITAL FOUNDATION INC
10 PLUM STREET NO 910

NEW BRUNSWICK,NJ08901
22-2378007 		FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJ BH
 
 
No
(38)RWJ UNIVERSITY HOSPITAL RAHWAY
865 STONE STREET

RAHWAY,NJ07065
22-1487305 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(39)SAINT BARNABAS BEHAVIORAL HEALTH CENTER
1691 ROUTE 9

TOMS RIVER,NJ08754
22-2977312 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL CSHG
 
 
No
(40)SAINT BARNABAS HEALTH CARE SYSTEM FDN
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
22-3769036 		FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH
 
 
No
(41)SAINT BARNABAS HOSPICE AND PALLIATIVE
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
22-2354659 		HEALTH SVCS. NJ 501(C)(3) 509(a)(1) RWJ BH
 
 
No
(42)SAINT BARNABAS MEDICAL CENTER
94 OLD SHORT HILLS ROAD

LIVINGSTON,NJ07039
22-1494440 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH
 
 
No
(43)SAINT BARNABAS OUTPATIENT CENTERS
200 SOUTH ORANGE AVENUE

LIVINGSTON,NJ07039
22-2458479 		HEALTH SVCS. NJ 501(C)(3) 509(A)(2) RWJ BH
 
 
No
(44)SAINT BARNABAS REALTY DEVELOPMENT CORP
94 OLD SHORT HILLS ROAD

LIVINGSTON,NJ07039
22-2940008 		TITLE HLDNG. NJ 501(C)(3) 509(a)(3) RWJ BH
 
 
No
(45)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) RWJ BH
 
 
No
(46)SOMERSET COMMUNITY CARE CORP
110 REHILL AVENUE

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

SOMERVILLE,NJ08876
22-2665685 		INACTIVE NJ 501(C)(3) 509(A)(2) RWJUH
 
 
No
(48)SOMERSET HEALTH CARE FOUNDATION INC
110 REHILL AVENUE

SOMERVILLE,NJ08876
22-3294408 		FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH
 
 
No
(49)THE JERSEY CITY MEDICAL CENTER FDN
355 GRAND STREET

JERSEY CITY,NJ07302
22-3113911 		FUNDRAISING NJ 501(C)(3) 509(a)(2) RWJ BH
 
 
No
(50)UNITED RESCUE AT JERSEY CITY INC
95 OLD SHORT HILLS ROAD

WEST ORANGE,NJ07052
22-2458481 		HEALTH SVCS. NJ 501(C)(3) 509(A)(2) JCMC
 
 
No
(51)VNA HEALTH GROUP OF NEW JERSEY LLC
176 RIVERSIDE AVENUE

RED BANK,NJ07701
47-4841103 		HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MEGA CARE
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) CENTRAL JERSEY ACO LLC

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
45-5460713 		HEALTHCARE SVCS. NJ NA
  		                 
(2) INNOVATIVE PURCHASING CONCEPTS

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
22-3786557 		INACTIVE NJ NA
  		                 
(3) JERSEY ASC VENTURES LLC

1A BURTON HILLS BLVD
NASHVILLE,TN37215
47-3368037 		MEDICAL TN NA
  		                 
(4) LIBERTY HEALTHCARE MANAGEMENT

355 GRAND STREET
JERSEY CITY,NJ07302
22-3597891 		MANAGEMENT NJ NA
  		                 
(5) LIBERTYUSP SURGERY CENTERS LLC

15305 DALLAS PKWY SUITE 1600 LB 28
ADDISON,TX75001
26-4756962 		HEALTHCARE SVCS. TX NA
  		                 
(6) NEW JERSEY IMAGING NTWKLLC

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
46-0623701 		HEALTHCARE SVCS. NJ NA
  		                 
(7) RWJ-REGENT II LLC

ONE ROBERT WOOD JOHNSON PLACE
NEW BRUNSWICK,NJ08903
80-0878969 		HEALTHCARE SVCS. NJ NA
  		                 
(8) RWJ-REGENT LLC

10 PLUM STREET 4TH FLOOR
NEW BRUNSWICK,NJ08901
45-3853994 		HEALTHCARE SVCS. NJ NA
  		                 
(9) SHREWSBURY DIAGNOSTIC IMAGING LLC

1131 BROAD STREET SUITE 110
SHREWSBURY,NJ07702
20-3833246 		HEALTHCARE SVCS. NJ MMC
  		RELATED 156,252 191,262   No 0 Yes   51.000 %
(10) HAMILTON ENDO & SURG LLC

1235 WHITEHORSE-MERCERVILLE RD STE
HAMILTON,NJ08619
22-3837967 		HEALTHCARE SVCS. 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?
Yes No
(1) ACUCARE PHYSICIANS PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3566010 		MEDICAL SVCS. NJ NA
  		C CORP.         No
(2) CENTER STATE MANAGEMENT CORP

300 SECOND AVENUE
LONG BRANCH,NJ07740
22-2506125 		MGMT SVCS. NJ NA
  		C CORP.         No
(3) CSH VENTURES INC

200 SOMERSET STREET
NEW BRUNSWICK,NJ08901
47-2729885 		MED. CONSULTING NJ NA
  		C CORP.         No
(4) EOS INC

110 REHILL AVENUE
SOMERVILLE,NJ08876
30-0382075 		INACTIVE NJ NA
  		C CORP.         No
(5) HEALTH CARE FACILITIES MGT

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
22-3532988 		MAINT. 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) LIBERTY HEALTHCARE CAPITAL

355 GRAND STREET
JERSEY CITY,NJ07302
22-3444345 		LEASE/FINANCE NJ NA
  		C CORP.         No
(8) LIVINGSTON INFUSION CARE INC

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
22-3190756 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(9) LIVINGSTON SERVICES CORP

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
22-2779395 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(10) LSC PHARMACY SERVICES INC

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
45-2552776 		PHARMACY SVCS. NJ NA
  		C CORP.         No
(11) MAJOR SECURITY SERVICES INC

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
22-3040539 		SECURITY SVCS. NJ NA
  		C CORP.         No
(12) NEW JERSEY HEALTH INC

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

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3339827 		INACTIVE NJ NA
  		C CORP.         No
(14) NJ HEALTH CARE SYSTEM INC

94 OLD SHORT HILLS ROAD
LIVINGSTON,NJ07039
22-3536986 		INACTIVE NJ NA
  		C CORP.         No
(15) NJ MGT SERVICES ORGANIZATION

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-3339486 		INACTIVE NJ NA
  		C CORP.         No
(16) PROFESSIONAL QUALITY LIAB

100 BANK STREET
BURLINGTON,VT05401
20-5163819 		INSURANCE SVCS. VT NA
  		C CORP.         No
(17) RWJ HAMILTON PHYSICIAN ENTERPRISE PA

ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
46-0765254 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(18) RWJ KIDNEY TRANSPLANT ASSOC

ONE ROBERT WOOD JOHNSON PLACE
NEW BRUNSWICK,NJ08901
03-0382501 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(19) RWJ MED ASSOC AT HAMILTON

ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
22-3454267 		PROF. SVCS. NJ NA
  		C CORP.         No
(20) RWJ MED SVCS ORG AT HAMILTON

ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
22-3454270 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(21) RWJ MEDICAL ASSOCIATES PA

ONE ROBERT WOOD JOHNSON PLACE
NEW BRUNSWICK,NJ08901
22-3586872 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(22) RWJ MULTI-SPECIALTY GROUP PA

ONE ROBERT WOOD JOHNSON PLACE
NEW BRUNSWICK,NJ08901
03-0382492 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(23) RWJ PHYSICIAN ENTERPRISE PA

3 EXECUTIVE DRIVE SUITE 400
SOMERSET,NJ08873
45-3967414 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(24) RWJ SURGERY CENTER INC

ONE ROBERT WOOD JOHNSON PLACE
NEW BRUNSWICK,NJ08901
22-3698431 		HEALTHCARE SVCS. NJ NA
  		C CORP.         No
(25) SBC MANAGEMENT CORPORATION

95 OLD SHORT HILLS ROAD
WEST ORANGE,NJ07052
22-3414332 		MGMT SVCS. NJ NA
  		C CORP.         No
(26) SHC ENTERPRISES INC

110 REHILL AVENUE
SOMERVILLE,NJ08876
22-2665595 		MANAGEMENT NJ NA
  		C CORP.         No
(27) SOMERSET CARDIOLOGY GROUP PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
37-1640531 		MEDICAL SVCS. NJ NA
  		C CORP.         No
(28) SOMERSET CARDIOLOGY PARTNERS PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
90-0668649 		MEDICAL SVCS. NJ NA
  		C CORP.         No
(29) SOMERSET REALTY GROUP INC

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

110 REHILL AVENUE
SOMERVILLE,NJ08876
11-3829651 		INACTIVE NJ NA
  		C CORP.         No
(31) VISION HEALTHCARE INC

865 STONE STREET
RAHWAY,NJ07065
20-4285005 		INVESTMENT NJ NA
  		C CORP.         No
(32) WARREN INTERNAL MEDICINE PC

110 REHILL AVENUE
SOMERVILLE,NJ08876
35-2366107 		MEDICAL SVCS. NJ NA
  		C CORP.         No
(33) CPIC

44 CHURCH STREET
HAMILTON,BERMUDAHM11
BD
FINANCIAL VEHICLE BD NA
  		FOREIGN CORP.         No
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BARNABAS HEALTH INC

 M 53,328,306 COST
(2) BARNABAS HEALTH INC

 R 26,097,685 COST




Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R, PART V THE ORGANIZATION IS A MEMBER OF RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC., SBC MANAGEMENT CORPORATION AND CENTER STATE HEALTH GROUP, INC.; ALL RELATED ORGANIZATIONS, ROUTINELY TRANSFER FUNDS AND ENGAGE IN BUSINESS ACTIVITIES ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE 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) 2018

Additional Data


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