2023-11-14T18:40:16-06:00 2022-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2022-01-01 223316007 BARNABAS HEALTH MEDICAL GROUP PC % CATHERINE DOWDY CPA BARN 9733224032 C/O CORP FINANCE 2 CRESCENT PLACE OCEANPORT NJ 07757 CATHERINE A DOWDY SVP FINANCE 7329238929 2023-11-14 true CATHERINE A DOWDY 000000000 Scott J Mariani P00642486 9738989494 2 2022 2023-04-26 12:10:37Z RWJBH PRIMARY CARE SERVICES RURIC C ANDERSON MD 2 CRESCENT PLACE OCEANPORT NJ 07757 527546975 false X WWW.RWJBH.ORG X 1994 NJ TO SUPPORT THE CHARITABLE PURPOSES, GOALS AND OBJECTIVES OF RWJ BARNABAS HEALTH, INC. AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. 1 0 4735 0 0 0 1203638 613384 410714224 526087156 6548 116297 430624 576922 412355034 527393759 0 0 0 0 131670167 157871140 0 0 0 280944278 369469194 412614445 527340334 -259411 53425 150195711 209230394 138759267 208553564 11436444 676830 X THE PROVISION OF PROFESSIONAL MEDICAL PHYSICIAN SERVICES WITHOUT REGARD TO ABILITY TO PAY AND IN A CHARITABLE MANNER TO SUPPORT THE GOALS AND OBJECTIVES OF RWJ BARNABAS HEALTH, INC. ("RWJ BH") AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH MEDICAL GROUP, P.C.'S ACTIVITIES AND CHARITABLE PURPOSES INCLUDE, WITHOUT LIMITATION, ACTIVITIES IN FURTHERANCE OF ITS AFFILIATED TAX-EXEMPT HOSPITALS (COLLECTIVELY, "RWJ BH TAX-EXEMPT HOSPITALS") INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - TO SERVE AS THE RWJ BH PHYSICIAN LINE OF BUSINESS AND SEE PATIENTS IN THE COMMUNITIES SERVED BY THE RWJ BH TAX-EXEMPT HOSPITALS; - TO RENDER MEDICAL SERVICES FOR PATIENTS OF THE RWJ BH TAX-EXEMPT HOSPITALS AND ELSEWHERE; - TO PROVIDE MEDICAL CARE TO ALL OF THE SICK AND INJURED WHO PRESENT FOR DIAGNOSIS, TREATMENT, AND CARE AT THE RWJ BH TAX-EXEMPT HOSPITALS, WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY FOR SERVICES AND ELSEWHERE; - TO PARTICIPATE AS true false 474606301 0 526087156 EXPENSES INCURRED IN THE PROVISION OF PROFESSIONAL MEDICAL PHYSICIAN SERVICES WITHOUT REGARD TO ABILITY TO PAY AND IN A CHARITABLE MANNER TO SUPPORT THE GOALS AND OBJECTIVES OF RWJ BARNABAS HEALTH, INC. AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH MEDICAL GROUP, P.C.'S ACTIVITIES AND CHARITABLE PURPOSES INCLUDE, WITHOUT LIMITATION, ACTIVITIES IN FURTHERANCE OF ITS AFFILIATED TAX-EXEMPT HOSPITALS. 474606301 true true false false false false false false false false true false false true true true false true false false true false false false false false false false false true false false false false false false false false false false false false false true false false false true X 712 0 true 4735 true false false false false false false false false false false true false X 1 0 false false true false true true true true true false false true true true true true true true true true true X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X JOHN F BONAMO MD MS TRUSTEE-PRESIDENT (TERM 5/15) 55.0 0.0 X X 0 8130124 445949 ARASH SALEMI MD PHYSICIAN 55.0 0.0 X 2771416 0 53684 FRANK A LIPORACE MD PHYSICIAN 55.0 0.0 X 2683469 0 52208 RAHULDEV S BHALLA MD PHYSICIAN 55.0 0.0 X 1904536 0 3050 RURIC C ANDERSON MD TRUSTEE - PRESIDENT 55.0 0.0 X X 0 1392853 399781 FREDERIC SARDARI MD PHYSICIAN 55.0 0.0 X 1537304 0 63800 RICHARD S LAZZARO MD PHYSICIAN 55.0 0.0 X 1555910 0 16263 TIPTON H FORD COO (TERMED 2/18) 55.0 0.0 X 1511890 0 36878 MICHAEL PRILUTSKY CHIEF EXECUTIVE OFFICER 55.0 0.0 X 0 1228007 252178 ALISON GRANN MD CHAIR M.D. 55.0 0.0 X 799023 0 24587 LINA SHIHABUDDIN MD CHIEF MEDICAL OFFICER 55.0 0.0 X 0 677587 125291 AMATO R AMARAIN CFO (TERMED 7/22) 55.0 0.0 X 633732 0 120934 KELLY L FULTON SENIOR VICE PRESIDENT 55.0 0.0 X 481563 126468 128758 CHARLES S CATHCART MD VP MEDICAL AFFAIRS 55.0 0.0 X 545062 0 18808 RITU CHANDAK MD CHAIR M.D. 55.0 0.0 X 364266 0 31225 GARY ROGAL MD CHIEF OF CARDIOLOGY 55.0 0.0 X 386124 0 8391 15174295 11555039 1781785 1430 false true false DIAGNOSTIC AND CLINICAL CARDIOLOGY 375 MOUNT PLEASANT AVENUE WEST ORANGE NJ 07052 MEDICAL 22626261 AFFILIATES IN GASTROENTEROLOGY PA 101 OLD SHORT HILLS ROAD SUITE 217 WEST ORANGE NJ 07052 MEDICAL 17649013 CERNER CORPORATION 2702 ROCKCREEK PARKWAY KANSAS CITY MO 64117 CONSULTING 8564828 BARNABAS HEALTH INC C/O CORP FINANCE 2 CRESCENT PLACE OCEANPORT NJ 07757 MANAGEMENT 7119959 CONSULTANTS IN CARDIOLOGY PA 741 NORTHFIELD AVENUE WEST ORANGE NJ 07052 MEDICAL 4873642 32 613384 613384 NET PATIENT SERVICE REVENUE 541900 526087156 526087156 526087156 29767 0 29767 0 0 576922 576922 0 576922 576922 239746 153216 86530 86530 86530 0 0 0 0 0 0 0 0 0 0 527393759 526087156 0 693219 X 0 0 0 0 5088873 4579986 508887 0 111413740 100272366 11141374 6577587 5919828 657759 16462072 14815865 1646207 18328868 16495981 1832887 0 69609 62648 6961 0 0 0 0 51449727 46304754 5144973 0 21934 19741 2193 7613231 6851908 761323 1260127 1134115 126012 0 24155070 21739563 2415507 581768 523591 58177 0 85948 77353 8595 0 0 5034590 4531131 503459 5949298 5354368 594930 PHYSICIAN SALARIES & FEES 250662443 225596199 25066244 MEDICAL SUPPLIES 11325867 10193281 1132586 SUPPORT SERVICES 7119959 6407963 711996 REPAIRS & MAINTENANCE 1573583 1416225 157358 2566040 2309435 256605 527340334 474606301 52734033 0 X 52301 66999 0 0 0 0 24702420 23692600 0 0 0 0 0 0 0 0 9809764 10166565 57175147 23407761 29971309 33767386 0 0 0 0 10310764 10089731 0 0 75349153 131447113 150195711 209230394 39747382 38609762 0 0 681606 340472 0 0 0 0 0 0 45087072 58022643 0 0 53243207 111580687 138759267 208553564 X 11436444 676830 0 0 11436444 676830 150195711 209230394 X 53425 -10813039 X X false true X true false X 639375 751301 26218335 1203638 613384 29426033 234058831 289283362 293326367 410714224 526087156 1753469940 0 0 0 234698206 290034663 319544702 411917862 526700540 1782895973 0 0 0 1782895973 139588 262511 437029 432193 606689 1878010 0 139588 262511 437029 432193 606689 1878010 0 0 234837794 290297174 319981731 412350055 527307229 1784773983 0.99895 0.99900 0.00105 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2490756 1451807 1038949 20430386 8115995 12314391 34254005 13839959 20414046 33767386 DUE FROM AFFILIATES 75997793 SECURITY DEPOSITS 864743 OTHER RECEIVABLES 279429 RIGHT OF USE ASSET 54305148 131447113 0 OTHER LIABILITIES 59409587 DUE TO AFFILIATES 52171100 111580687 X 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 2022 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, 2022 AND 2021. Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 0 0 0 0 false false false false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES EXPENSES TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., $3,653,560; A FINANCIAL VEHICLE, ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. X X X X X true true false false false false false true false JOHN F BONAMO MD MS TRUSTEE-PRESIDENT (TERM 5/15) 0 4071494 0 1000000 0 3058630 0 416550 0 29399 0 8576073 0 500775 ARASH SALEMI MD PHYSICIAN 2749674 0 0 0 21742 0 13725 0 39959 0 2825100 0 0 0 FRANK A LIPORACE MD PHYSICIAN 2682659 0 0 0 810 0 11201 0 41007 0 2735677 0 0 0 RAHULDEV S BHALLA MD PHYSICIAN 1693788 0 210000 0 748 0 3050 0 0 0 1907586 0 0 0 RURIC C ANDERSON MD TRUSTEE - PRESIDENT 0 1012728 0 350000 0 30125 0 352977 0 46804 0 1792634 0 0 FREDERIC SARDARI MD PHYSICIAN 1460911 0 52329 0 24064 0 25925 0 37875 0 1601104 0 0 0 RICHARD S LAZZARO MD PHYSICIAN 1533445 0 0 0 22465 0 1939 0 14324 0 1572173 0 0 0 TIPTON H FORD COO (TERMED 2/18) 181870 0 0 0 1330020 0 14711 0 22167 0 1548768 0 247136 0 MICHAEL PRILUTSKY CHIEF EXECUTIVE OFFICER 0 752508 0 350000 0 125499 0 233937 0 18241 0 1480185 0 93179 ALISON GRANN MD CHAIR M.D. 796701 0 0 0 2322 0 21011 0 3576 0 823610 0 0 0 LINA SHIHABUDDIN MD CHIEF MEDICAL OFFICER 0 433018 0 149116 0 95453 0 100058 0 25233 0 802878 0 88642 AMATO R AMARAIN CFO (TERMED 7/22) 295281 0 108915 0 229536 0 80775 0 40159 0 754666 0 0 0 KELLY L FULTON SENIOR VICE PRESIDENT 292365 123324 103974 0 85224 3144 100230 0 26160 2368 607953 128836 78151 0 CHARLES S CATHCART MD VP MEDICAL AFFAIRS 533496 0 0 0 11566 0 17451 0 1357 0 563870 0 0 0 RITU CHANDAK MD CHAIR M.D. 317763 0 25000 0 21503 0 12692 0 18533 0 395491 0 0 0 GARY ROGAL MD CHIEF OF CARDIOLOGY 375000 0 0 0 11124 0 8061 0 330 0 394515 0 0 0 SCHEDULE J, PART I; QUESTION 4A The following individuals received severance during calendar year 2022 which was included in each individual's 2022 form w-2, box 5, as taxable medicare wages: TIPTON H. FORD, $1,041,989 AND AMATO R. AMARAIN, $224,231. The following individual received a one-time separation of employment payment during calendar year 2022 which was included in his 2022 Form W-2, Box 5, as taxable Medicare wages: John F. Bonamo, M.D., M.S., $830,769. 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 AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN F. BONAMO, M.D., M.S., $2,188,375; TIPTON H. FORD, $285,118; MICHAEL PRILUTSKY, $93,179; LINA SHIHABUDDIN, M.D., $88,642 AND KELLY L. FULTON, $78,151. 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 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN F. BONAMO, M.D., M.S., $390,625; RURIC C. ANDERSON, M.D., $348,958; TIPTON H. FORD, $11,875; MICHAEL PRILUTSKY, $222,500; LINA SHIHABUDDIN, M.D., $88,367; AMATO R. AMARAIN, $69,337 AND KELLY L. FULTON, $80,096. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 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) include amounts reported on prior years' forms 990 in schedule j, part ii, either in column (b)(iii) as Form W-2, Box 5, taxable Medicare wages or in column (c) as non-taxable unvested deferred compensation that is now being reported again on this year's form 990. CORE FORM, PART III; QUESTION 2 ON JANUARY 1, 2022, LICENSED PHYSICIANS AND OTHER INDIVIDUALS WHO WERE PREVIOUSLY EMPLOYED BY UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY ("UPA"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WERE TRANSFERRED TO BARNABAS HEALTH MEDICAL GROUP, P.C. THESE INDIVIDUALS WERE LEASED FROM THIS ORGANIZATION TO UPA. SALARY AND EMPLOYEE BENEFIT COSTS WERE CHARGED TO THIS ORGANIZATION. UPA BILLED FOR THE SERVICES RENDERED BY THESE INDIVIDUALS. CORE FORM, PART V; QUESTION 15 Prior to his retirement, John F. Bonamo, M.D., M.S. served as the nominee owner of Barnabas Health Medical Group, P.C. for the period January 1, 2022 through May 15, 2022 solely due to State of New Jersey corporate practice of medicine prohibition rules and regulations. Dr. Bonamo was not involved with Barnabas Health Medical Group, P.C. in any other capacity; he provided no services to or for Barnabas Health Medical Group, P.C. and was not involved in the management of Barnabas Health Medical Group, P.C. Prior to his retirement, Dr. Bonamo was employed by a related organization and worked full-time in a corporate system role for RWJBarnabas Health as the system's executive vice president, Chief Medical and Quality Officer. Accordingly, his common law employer/employee relationship was with Barnabas Health, Inc. (EIN: 22-2405279). Barnabas Health, Inc. filed a 2022 Federal Form 4720 which included a remittance of excise tax related to Dr. Bonamo's compensation in excess of $1M. Ruric C. Anderson, M.D. is the nominee owner of Barnabas Health Medical Group, P.C. solely due to State of New Jersey corporate practice of medicine prohibition rules and regulations. Dr. Anderson receives a Form W-2 from a related organization within RWJBarnabas Health. However, his common law employer/employee relationship is with Barnabas Health Medical Group, P.C. (EIN: 22-3316007). Barnabas Health Medical Group, P.C. filed a 2022 Federal Form 4720 which included a remittance of excise tax related to Dr. Anderson's compensation in excess of $1M. Tipton h. Ford served as the chief operating officer of barnabas health medical group, p.c. from january 1, 2022 until his termination on february 18, 2022. Mr. Ford was employed by and received a federal form w-2 from this organization. Accordingly, his common law employer/employee relationship is with barnabas health medical group, p.c. (ein: 22-3316007). Barnabas health medical group, p.c. filed a 2022 federal form 4720 which included a remittance of excise tax related to his compensation in excess of $1m. Michael Prilutsky is the Chief Executive Officer of Barnabas Health Medical Group, P.C. He serves as the President and Chief Executive Officer of Jersey City Medical Center, although he receives a Form W-2 from Barnabas Health, Inc.; a related organization. Accordingly, his common law employer/employee relationship is with Jersey City Medical Center (EIN: 22-2783298). Jersey City Medical Center filed a 2022 Federal Form 4720 which included a remittance of excise tax related to Mr. Prilutsky's compensation in excess of $1M. Arash Salemi, M.D., Frank A. Liporace, M.D., Rahuldev S. Bhalla, M.D., Frederic Sardari, M.D. and Richard S. Lazzaro, M.D. are included within the organization's Form 990, Part VII. The organization was not required to file a Federal Form 4720 for any remittance of excise tax related to these individuals because they are licensed medical providers whose compensation was for clinical services and thus exempt from excise taxes as provided for under internal revenue code section 4960. CORE FORM, PART VI, SECTION A; QUESTION 4 The organization's governing documents were amended to reflect the change in nominee ownership. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A LICENSED PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITIONS. RWJ BH HAS THE ULTIMATE AUTHORITY AND 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 EXECUTIVE VICE PRESIDENT/GENERAL COUNSEL, EXECUTIVE VICE PRESIDENT/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. 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 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 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 B; QUESTION 16B RWJBarnabas Health maintains a written policy to ensure that any joint venture entered into by a RWJBarnabas Health tax-exempt entity with a for-profit participant is reviewed and followed so as to evaluate its participation under applicable Federal tax law, and to ensure that the organization takes steps to safeguard the organization's exempt status with respect to such arrangements. 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 CORE FORM, PART VII AND SCHEDULE J REFLECTS THE TRUSTEE - PRESIDENT AND CHIEF EXECUTIVE OFFICER RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE 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"). 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 XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - NET TRANSFER OF EQUITY TO RELATED ORGANIZATIONS - ($10,792,778); AND - PENSION ADMINISTRATION COSTS - ($20,261). 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, 2022 AND DECEMBER 31, 2021; 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. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS BARNABAS HEALTH MEDICAL GROUP, P.C. HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND BARNABAS HEALTH MEDICAL GROUP, P.C. EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY BARNABAS HEALTH MEDICAL GROUP, P.C. UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-3316007. BELOW IS A LIST OUTLINING THE VARIOUS BARNABAS HEALTH MEDICAL GROUP, P.C. PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. BARNABAS HEALTH MEDICAL GROUP, P.C. - NORTH 45-4832340 BARNABAS HEALTH MULTISPECIALTY - AIG 46-2784071 BHMG - UNITED MEDICAL 46-4762508 BHMG - CORPORATE CARE 81-4437269 RWJBH PRIMARY CARE SERVICES 85-3737205 IN ADDITION, BELOW IS A LIST OUTLINING VARIOUS ALTERNATIVE NAMES UTILIZING THE BARNABAS HEALTH MEDICAL GROUP, P.C. FEDERAL IDENTIFICATION NUMBER OF 22-3316007. BARNABAS HEALTH MEDICAL GROUP, P.C. - SOUTH BARNABAS HEALTH MEDICAL GROUP, P.C. - CERNER PATIENT NEW JERSEY PERIOPERATIVE ASSOCIATES BARNABAS BAYONNE DEV URBAN RENEWAL CORP C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 352219655 STAFFING SVCS NJ 501(C)(3) 12A SBRDC false BARNABAS HEALTH INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222405279 HEALTH SVCS. NJ 501(C)(3) 12A RWJ BH false CENTER STATE HEALTH GROUP INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222939956 HEALTH SVCS. NJ 501(C)(3) 12B RWJ BH false CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223343959 HEALTH SVCS. NJ 501(C)(3) 12A SBBH false CHILDRENS SPECIALIZED HOSPITAL C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 221487148 PED. 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NJ 501(C)(3) 10 RWJ BH false TRINITAS REGIONAL MEDICAL CENTER C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223601678 HEALTH SVCS. NJ 501(C)(3) 3 RWJ BH false UNITED RESCUE AT JERSEY CITY INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222458481 HEALTH SVCS. NJ 501(C)(3) 10 JCMC false UNIVERSITY PHYSICIAN ASSOCIATES OF NJ C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222095812 HEALTH SVCS. NJ 501(C)(3) 12C RWJ BH false VNA HEALTH GROUP OF NEW JERSEY LLC 176 RIVERSIDE AVENUE RED BANK NJ 07701 474841103 HEALTH SVCS. NJ 501(C)(3) 10 MEGA CARE false AVENEL ISELIN MEDICAL GROUP LLC 400 GILL LANE ISELIN NJ 08830 221965695 HEALTH SVCS. NJ NA BARNABAS ON TIME HOLDINGS LLC 135 E HIGHLAND PARK ROSELLE NJ 07203 842572508 HEALTH SVCS. NJ NA CENTRAL JERSEY ACO LLC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 455460713 HEALTH SVCS. NJ NA CREST PHYSICAL THERAPY SERVICES LLC 66 WEST GILBERT STREET RED BANK NJ 07701 844913447 HEALTH SVCS. 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NJ NA RWJ-REGENT LLC 10 PLUM STREET 4TH FLOOR NEW BRUNSWICK NJ 08901 453853994 HEALTH SVCS. NJ NA SHREWSBURY DIAGNOSTIC IMAGING LLC 1131 BROAD STREET SUITE 110 SHREWSBURY NJ 07702 203833246 HEALTH SVCS. NJ NA SOMERSET PEDIATRIC GROUP LLC 575 ROUTE 28 BLDG 2 STE 2205 RARITAN NJ 08869 221908643 HEALTH SVCS. NJ NA CARE STATION MSO LLC 328 WEST ST GEORGES AVENUE LINDEN NJ 07036 854383640 HEALTH SVCS. NJ NA JAG-ONE HOLDINGS LP C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 854395273 HEALTH SVCS. NJ NA PREDICTIVE HEALTH SOLUTIONS LLC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 871292461 HEALTH SVCS. NJ NA ADVANCED GASTROENTEROLOGY GROUP LLC 1308 MORRIS AVENUE SUITE 102 UNION NJ 07083 223759909 HEALTH SVCS. NJ NA PARKWAY ANESTHESIA ASSOCIATES LLC 66 WEST GILBERT STREET RED BANK NJ 07701 812934369 HEALTH SVCS. NJ NA ANESTHESIA SPECIALISTS OF NJ LLC 66 WEST GILBERT STREET RED BANK NJ 07701 833143957 HEALTH SVCS. NJ NA PARKWAY MEDICAL MANAGEMENT LLC 66 WEST GILBERT STREET RED BANK NJ 07701 461795830 HEALTH SVCS. NJ NA DIGESTIVE HEALTHCARE CENTER LLC 511 COURTYARD DRIVE BLDG 500 HILLSBOROUGH NJ 08844 223411123 HEALTH SVCS. NJ NA KAYAL MEDICAL GROUP LLC 266 HARRISTOWN RD STE 104 GLEN ROCK NJ 07452 874143819 HEALTH SVCS. NJ NA MEDICOR CARDIOLOGY LLC 331 ROUTE 206 HILLSBOROUGH NJ 08844 920386532 HEALTH SVCS. NJ NA MONTGOMERY MEDICAL ASSOCIATES LLC 9 DUTCHTOWN-HARLINGEN ROAD BELLE MEAD NJ 08502 412048013 HEALTH SVCS. NJ NA UNION COUNTY HC ASSOCIATES LLC 2005 ST GEORGES AVENUE RAHWAY NJ 07065 251918025 HEALTH SVCS. NJ NA CENTER STATE MANAGEMENT CORP C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222506125 MGMT SVCS. NJ NA C Corp. false CSH VENTURES INC 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 472729885 MED. CONSULTING NJ NA C Corp. false HEALTH CARE FACILITIES MGT C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223532988 MAINT. SVCS. NJ NA C Corp. false LIVINGSTON INFUSION CARE INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223190756 HEALTH SVCS. NJ NA C Corp. false LIVINGSTON SERVICES CORP C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222779395 HEALTH SVCS. NJ NA C Corp. false LSC PHARMACY SERVICES INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 452552776 PHARMACY SVCS. NJ NA C Corp. false MAJOR INVESTIGATIONS INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223040539 SECURITY SVCS. NJ NA C Corp. false NJ HEALTH CARE SYSTEM INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223536986 INACTIVE NJ NA C Corp. false RWJ MED SVCS ORG AT HAMILTON C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223454270 HEALTH SVCS. NJ NA C Corp. false RWJ MEDICAL ASSOCIATES PA C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223586872 HEALTH SVCS. NJ NA C Corp. false RWJ PHYSICIAN ENTERPRISE PA C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 453967414 HEALTH SVCS. NJ NA C Corp. false RWJ SURGERY CENTER INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223698431 HEALTH SVCS. NJ NA C Corp. false SBC MANAGEMENT CORPORATION C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223414332 MGMT SVCS. NJ NA C Corp. false SHC ENTERPRISES INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222665595 MGMT SVCS. NJ NA C Corp. false SOMERSET REALTY GROUP INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223269525 REAL ESTATE NJ NA C Corp. false TRINITAS HEALTH SERVICES CORPORATION C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222557627 HEALTH SVCS. NJ NA C Corp. false VISION HEALTHCARE INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 204285005 INVESTMENT NJ NA C Corp. false CPIC 44 CHURCH STREET HAMILTON BD HM11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false false false false true true false false false false false false false false false true true true true true SCHEDULE R, PART V This organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system. Funds are routinely transferred between affiliates and business activities are common 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 other affiliates. The RWJBarnabas Health entities work together to deliver high quality cost effective healthcare and wellness services to their communities regardless of ability to pay and in furtherance of charitable tax-exempt purposes.