Civic Intelligence

Community Medical Center

EIN 22-3452306 • 501(c)3 • Toms River, NJ

Profile

The organization, a not-for-profit acute care hospital serving the ocean county region, is committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services including continuing medical education for our medical staff. In collaboration with our medical staff and in partnership with barnabas health, we strive to exceed patients' expectations in a progressive organizational environment which emphasizes commitment, competence, collaboration, communication and compassion. Please refer to the organization's community benefit statement included in schedule o.

99 Highway 37 WestToms River, NJ 08755

www.barnabashealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

43rd percentile

0.24x

Higher debt load relative to assets than 43% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

36th percentile

0.31x

Higher debt load relative to revenue than 36% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

55th percentile

5.3%

Higher net margin than 55% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

52nd percentile

5.9%

Faster asset growth than 52% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

34th percentile

3.0%

Faster revenue growth than 34% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Using 2018 Form 990 data because the latest 2024 filing does not report standard financial totals.

Assets

Up

$522,090,050

Up $29,318,996 (+5.9%) from 2017

Liabilities

Up

$123,209,467

Up $9,845,468 (+8.7%) from 2017

Net Assets

Up

$398,880,583

Up $19,473,528 (+5.1%) from 2017

Revenue

Up

$391,553,292

Up $11,376,903 (+3.0%) from 2017

Expenses

Up

$370,977,491

Up $18,824,519 (+5.3%) from 2017

Net Income

Down

$20,575,801

Down $7,447,616 (-27%) from 2017

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600M$400M$200M$0Assets 2010: $374,784,681Liabilities 2010: $137,125,502Net Assets 2010: $237,659,1792010Assets 2011: $393,601,596Liabilities 2011: $166,508,514Net Assets 2011: $227,093,0822011Assets 2012: $402,260,075Liabilities 2012: $158,545,615Net Assets 2012: $243,714,4602012Assets 2013: $395,013,845Liabilities 2013: $136,874,518Net Assets 2013: $258,139,3272013Assets 2014: $469,067,551Liabilities 2014: $186,283,751Net Assets 2014: $282,783,8002014Assets 2015: $475,558,888Liabilities 2015: $159,262,713Net Assets 2015: $316,296,1752015Assets 2016: $461,892,574Liabilities 2016: $110,048,068Net Assets 2016: $351,844,5062016Assets 2017: $492,771,054Liabilities 2017: $113,363,999Net Assets 2017: $379,407,0552017Assets 2018: $522,090,050Liabilities 2018: $123,209,467Net Assets 2018: $398,880,5832018

Latest loaded filing

2018

Assets$522,090,050
Liabilities$123,209,467
Net Assets$398,880,583

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$300M$200M$100M$0Expenses 2010: $331,339,1772010Expenses 2011: $350,972,0982011Expenses 2012: $363,496,6312012Revenue 2013: $320,760,162Expenses 2013: $316,998,717Net Income 2013: $3,761,4452013Revenue 2014: $371,816,981Expenses 2014: $328,503,806Net Income 2014: $43,313,1752014Revenue 2015: $372,696,198Expenses 2015: $339,215,058Net Income 2015: $33,481,1402015Revenue 2016: $384,432,143Expenses 2016: $349,911,052Net Income 2016: $34,521,0912016Revenue 2017: $380,176,389Expenses 2017: $352,152,972Net Income 2017: $28,023,4172017Revenue 2018: $391,553,292Expenses 2018: $370,977,491Net Income 2018: $20,575,8012018

Latest loaded filing

2018

Revenue$391,553,292
Expenses$370,977,491
Net Income$20,575,801

Filings

Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 11, 2019
Return Version
2018v3.1
Gross Receipts
$392,169,825
Mission and Program Overview

Mission

The organization, a not-for-profit acute care hospital serving the ocean county region, is committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services including continuing medical education for our medical staff. In collaboration with our medical staff and in partnership with rwjbarnabas health, we strive to exceed patients' expectations in a progressive organizational environment which emphasizes commitment, competence, collaboration, communication and compassion. Please refer to the organization's community benefit statement included in schedule o.

Hospital serving ocean county and is committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$142,881,798$139,317,717▼ $3,564,081
Accounts Receivable$35,447,731$34,647,927▼ $799,804
Investments Program Related$11,876,872$12,507,685▲ $630,813
Inventories for Sale or Use$6,812,660$7,493,597▲ $680,937
Prepaid Expenses and Deferred Charges$1,020,833$2,697,285▲ $1,676,452
Pledges and Grants Receivable$0$266,028▲ $266,028
Cash and Non-Interest-Bearing Accounts$8,591$8,600▲ $9
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$492,771,054$522,090,050▲ $29,318,996
Other Assets Total$294,722,569$325,151,211▲ $30,428,642
Liabilities
Other Liabilities$83,812,219$87,931,934▲ $4,119,715
Accounts Payable and Accrued Expenses$29,533,936$35,152,820▲ $5,618,884
Mortgage Notes Payable Secured by Investment Property$0$89,839▲ $89,839
Deferred Revenue$17,844$34,874▲ $17,030
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$113,363,999$123,209,467▲ $9,845,468
Net Assets / Fund Balance
Unrestricted Net Assets$370,796,055$390,178,583▲ $19,382,528
Temporarily Rstr Net Assets$6,117,000$6,208,000▲ $91,000
Permanently Rstr Net Assets$2,494,000$2,494,000→ $0
Total Net Assets Fund Balance$379,407,055$398,880,583▲ $19,473,528
Total Liabilities and Net Assets / Fund Balance$492,771,054$522,090,050▲ $29,318,996

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$103,910,497$109,010,860$212,921,357
Equipment$33,231,525$155,028,686$188,260,211
Leasehold Improvements$14,103$5,169,509$5,183,612
Other Land Buildings$1,962,879$2,043,903$4,006,782
Land$198,713-$198,713
Other Assets Org$26,817--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$8,611,000-▲ $91,000-$8,702,000
2017$6,895,000-▲ $1,716,000-$8,611,000
2016$7,965,000-▼ $1,070,000-$6,895,000
2015$8,050,000-▼ $85,000-$7,965,000
2014$9,333,000-▼ $1,283,000-$8,050,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael MimosoTRUSTEE; ex-officio - CEOFT$443,266$445,122$888,388
Patrick M AhearnCOOFT$438,337$279,734$718,071
Yeshavanth P Nayak MdSVP/CMOFT$412,691$303,596$716,287
Thomas R PercelloSenior VP of Finance/CFOFT$407,421$169,586$577,007
Todd Eugene Phillips MdVP, Qual & Clin Effect/CMOFT$378,209$87,138$465,347
Donna Cartelli BonacorsoVP Patient Care Svcs/CNOFT$266,457$72,203$338,660
Richard Everett Tenpenny JrChief PhysicistFT$242,278$46,212$288,490
Christopher ReidyVice PresidentFT$214,406$47,462$261,868
Richard J PallamaryVP DevelopmentFT$181,539$71,223$252,762
Vanessa D SmithVP Human RelationsFT$205,862$45,022$250,884
Neil J BryantVP Support ServicesFT$186,500$56,160$242,660
Theresa Jean KubielVP Pt Experience & Comm AffairFT$186,287$41,746$228,033
Awani Kumar MdTrusteePT$51,675-$51,675

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Barnabas Health INCManagement95 OLD SHORT HILLS ROAD, West Orange, NJ 07052$39,058,895
Sbc Management CorporationManagement95 OLD SHORT HILLS ROAD, West Orange, NJ 07052$4,338,032
Rea Management LLCCyber Knife100 BAYVIEW CIRCLE 400, Newport Beach, CA 92660$3,607,094
Emergency Medical Associates Of NjMedical3 CENTURY DRIVE, Parsippany, NJ 07054$1,715,134
Intensivists At Toms RiverMedical66 W GILBERT STREET, Red Bank, NJ 07701$1,433,445
Revenue and Support

Revenue Composition

Contributions and Grants
$1,387,635
Program Service Revenue
$389,516,422
Investment Income
$13,445
Other Revenue
$635,790
Change in Net Assets
$20,575,801
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$201,675,698
Salaries, Compensation, and Employee Benefits$169,301,293
Grants and Similar Amounts Paid$500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$123,536,768$13,726,308-$137,263,076
Fees for Services Management$39,057,234$4,339,693-$43,396,927
Fees for Services Other$20,423,642$2,269,293$0$22,692,935
Depreciation Depletion$12,090,161$1,343,351-$13,433,512
Payroll Taxes$10,560,246$1,173,361-$11,733,607
Other Expenses$9,001,047$1,000,117$0$10,001,164
Other Employee Benefits$8,968,491$996,499-$9,964,990
Office Expenses$6,865,068$762,786-$7,627,854
Pension Plan Contributions$5,699,971$633,330-$6,333,301
Occupancy$5,533,444$614,827-$6,148,271
Insurance$4,111,446$456,827-$4,568,273
Current Officers, Directors, Trustees, and Key Employees$3,605,687$400,632-$4,006,319
Interest$1,976,830$219,647-$2,196,477
Information Technology$1,091,521$121,280-$1,212,801
All Other Expenses$407,450$45,272-$452,722
Travel$80,121$8,903-$89,024
Fees for Services Lobbying$21,028$2,336-$23,364
Advertising$968$108-$1,076
Grants to Domestic Individuals$500--$500
Total Functional Expenses$333,879,790$37,097,701$0$370,977,491
International Activity

International Summary

Spending
$0

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanProgram ServicesFinancial Vehichle--$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Sheryl Lee McginleyFamily Member of TrusteeCommunity Medical Ctr EmployeeNo$90,698
Karen B TortorelliFamily Member of Former OfficerCommunity Medical Ctr EmployeeNo$60,346
Sharon a OttFamily Member of TrusteeCommunity Medical Ctr EmployeeNo$16,672

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Liability$71,400,455
Other Current Liabilities$7,895,711
Other Long Term Liabilities$4,259,565
PARTY PAYORS; NON-CURRENT$1,634,485
PARTY PAYORS; CURRENT$1,270,259
Accrued Interest Expense$1,224,538
DUE TO AFFILIATES; CURRENT$246,921
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 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 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

MARY ELIZABETH DENO, FORMER VICE PRESIDENT OF HUMAN RESOURCES OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A CHIEF HUMAN RESOURCES OFFICER AND VICE PRESIDENT OF BARNABAS HEALTH, inc.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MARK A. OSTRANDER, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A VICE PRESIDENT OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. FRANK GELORMINI, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A DIRECTOR OF BARNABAS HEALTH, inc.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.

Filing and Contact Details

Filer

Filer Name
Community Medical Center
EIN
22-3452306
In Care Of
% CATHERINE DOWDY CPA
Phone
9733224032
Address
99 HIGHWAY 37 WEST, TOMS RIVER, NJ 08755

Signing Officer

Name
Catherine a Dowdy
Title
SVP Finance
Phone
7329238929
Signed
2019-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Patrick M Ahearn
Formed
1996
Legal Domicile
Nj
Voting Board Members
21
Independent Board Members
18
Employees
3,116
Volunteers
446

Preparer

Firm
WithumSmithBrown PC
Address
200 Jefferson Park Suite 400, Whippany, NJ 07981-1070
Preparer
Scott J Mariani
Phone
9738989494
Supplemental Narrative

Additional Explanations

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

Background ========== Community Medical Center ("CMC"), a RWJBarnabas Health facility, is a fully accredited acute care hospital offering area residents highly sophisticated medical treatment close to home. Opened in 1961, CMC has evolved into the states largest nonteaching hospital and Ocean Countys largest and most active health care facility. CMC is located in Ocean County, the states sixth-most populous county, in the county seat of Toms River. Since 1990, Ocean County has been one of New Jerseys fastest-growing counties, experiencing a 4.4% population increase from 2010 to 2018. The 2010 Census shows that 21% of the population is aged 65 or older. Ocean County is also a tourist destination county in the summer due to its beaches and proximity to Philadelphia and New York City. CMC is a general medical and surgical hospital. CMC is recognized by the Internal Revenue Service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, CMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, CMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. CMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. CMC operates an active emergency department for all persons that is open 24 hours a day, 7 days a week, 365 days per year; 3. CMC maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of CMC rests with its board of trustees and the board of trustees of 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 CMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of CMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. CMC's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of rwjbarnabas health ("RWJBH"); 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. CMC, 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

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

Mission Statement/Vision/Values =============================== Mission Statement ----------------- CMC, a not-for-profit acute care hospital serving the Ocean County region, is dedicated to advancing the quality of life and health of the communities served. CMCs vision is to be the premier health care provider committed to quality and compassionate care. The hospitals mission and vision will be achieved in collaboration with our medical staff and in partnership with RWJBarnabas Health through the core values of compassions, quality, accountability, integrity, diversity and teamwork. Hospital Statistical Information ================================ CMC is a non-profit general acute care hospital located in Toms River, Ocean County, New Jersey. Its service area includes nearly 600,000 residents. CMC is comprised of 617 licensed beds, including 25 transitional care (skilled nursing) beds. CMC serves both suburban and semi-rural communities including shore towns and the lower-income municipalities of Manchester and Toms River South. CMC serves a significant proportion of elderly, as the 2018 census estimates the county proportion of seniors at 22.5% contrasted with the national percentage of 15.41% (2017). During 2018, CMC serviced over 23,000 inpatients, delivered over 2,000 babies, provided approximately 74,500 emergency department visits and over 120,000 outpatient visits for diagnostic and treatment services. Over 17% of inpatients are comprised of underinsured and uninsured payers. Over 57% are covered by Medicare and Medicare plans. Accomplishments/Milestones/Recognitions/Awards ============================================== CMC is fully accredited and has been recognized with distinguished awards for clinical excellence and service. Some of these include: - CMC was surveyed by the Joint Commission and received its triennial re-accreditation; - CMC is the recipient of the Joint Commissions - gold seal of approval for total joint replacement hip & knee and stroke care; - The New Jersey Department of Health designated CMC as a primary stroke center; - The commission on cancer of the American College of Surgeons has granted 3-year accreditation to the J. Phillip Citta Regional Cancer Center at CMC for maintaining excellence in the delivery of comprehensive patient-centered care. The program has been designated as a community hospital comprehensive cancer program since 1986; - The National Association of Epilepsy Centers has re-accredited CMCs epilepsy program at the Jay & Linda Grunin Neuroscience Institute as a level 3 epilepsy center. Level 3 epilepsy centers have the professional expertise and facilities to provide the highest level medical evaluation and treatment for patients with complex epilepsy; - CMC earned accreditation from the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, and is the first accredited program in Ocean and Atlantic Counties; - Accredited as a center of excellence in robotic surgery by the Surgical Review Corporation; - The American College of Radiology renewed accreditations for mammography services, breast center of excellence, ultrasound gyn, ultrasound imaging, nuclear medicine, MRI, CT and radiation oncology; - The American diabetes association education recognition certificate for a quality diabetes self-management education program was awarded to the center for diabetes education at CMC; - The center for sleep disorders has earned re-accreditation from the American academy of sleep medicine, a designation it has maintained since 2006; - Pathology and laboratory services accreditation by college of American pathologist; - Intersocietal commission accreditation of echocardiography laboratories; and - Platinum award from the US Department of Health and Human Services for increasing organ and tissue donation awareness. Centers of Excellence ===================== CMC's recognized medical services centers of excellence include, b

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

- Oncology research: the J. Phillip Citta Cancer Center provides patients access to national and regional clinical research studies. The availability of these studies in the treatment of cancer, chemoprevention, and supportive care allow patients the option to participate in the latest treatment options including investigational drugs; RWJBarnabas Health and Community Medical Center, in partnership with Rutgers Cancer Institute of New Jersey-the states only NCI-Designated Comprehensive Cancer Center-provide close-to home access to the latest treatment and clinical trials. - Oncology patient navigators: in partnership with the American cancer society, the J. Phillip Citta Regional Cancer Center offers a patient navigator program free of charge to all cancer patients receiving oncology services at CMC. Since cancer is a complex disease that impacts a persons life in so many ways, the program is designed to guide patients and caregivers as they face the psychological, emotional and financial challenges that cancer brings. Patients are provided with individualized information and services to help them navigate their way through the healthcare system along their cancer journey - from diagnosis and treatment through to recovery and survivorship. CMC "navigators" help people facing cancer by providing information on cancer and treatment options, community resources, and referrals to appropriate agencies and persons, among a host of other areas of assistance. In addition, breast, lung and survivorship navigators are available to provide patients with cancer the support, education and resources they need to fight their disease; - Complementary services - CMC provides several complementary services including massage therapy provided by certified massage therapists, relaxation training, and guided imagery by social workers, pet therapy, art therapy programs and reiki - therapeutic touch to reduce stress and promote relaxation - by certified reiki therapists; and - Support services - supportive counseling, pastoral care services, education, nutrition counseling, pain management, referral services and support groups are all available for patients and families. Social services such as free transportation (approximately 2,500 round trips annually), wigs and prosthetic devices, financial and disability assistance, and home care are also available. 2. First Moments Maternity Services The maternity program specializes in a total concept of care for mothers and their babies, where advanced technology and training are enhanced by the human touch of dedicated healthcare professionals. The unit is staffed by highly skilled physicians, midwives, and nurses. In addition, all of CMC's nurses are certified in neonatal resuscitation and lactation resource trained. The modern state-of-the-art unit offers moms-to-be the most advanced maternal and child health technology, including 24/7 neonatal coverage, in a comfortable and safe environment. The labor-delivery recovery and postpartum rooms combine the latest technology with a soothing home-like decor. The unit also includes a special care nursery staffed by a neonatologist and certified neonatal nurses to care for babies with special needs, and a fully-equipped operating suite for cesarean births or high-risk vaginal deliveries. - Extensive childbirth preparation and infant care classes; - Comprehensive parenting support and education; - Comprehensive pre- and postnatal care; - Specially designed labor-delivery-recovery rooms with jacuzzis; - 24-hour anesthesia and pain management therapies; - Superior lactation education and support; - Special care nursery; - 24-hour neonatal coverage; - Level II special care nursery for premature newborns; - Family-centered care; and - All private rooms and baths with showers. 3. The Jay and Linda Grunin Neuroscience Institute The Jay and Linda Grunin Neuroscience Institute at CMC brings together a highly skilled interdisciplinary group of specialists to provide the hi

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

Special community centers offered by the hospital promoting health and health awareness for the community such as our Community Outreach Program and the Center for Diabetes staffed by certified diabetes educators. Community Partnerships ====================== In 2018, RWJBarnabas Health announced a multifaceted partnership with the Toms River schools to become an official healthcare partner to the school district. We opened a Center for Health and Wellness on the campus of Ocean County College. These partnerships forge new opportunities to improve health for the employees, students and their families. Other activities include, but are not limited to: 1. Employees give back to the community; Community Medical Center Health Care Harvest Food Drive and tools for school supply drive. For the past ten years, CMC employees and members of the medical staff have collected and donated to local food pantries through Health Care Harvest, the hospital's annual summer food drive. Over 20,187 pounds of food was donated in 2018. Cumulatively, over the past eleven years, over 194,917 pounds of food has been donated to area food banks. The food drive was designed to coincide with the end of the school year and support children who usually depend on schools free breakfast and lunch programs. Departments within the hospital compete among themselves to collect the most food. In addition to the food drive, CMC employees sponsored a 'tools for school' back-to-school supplies drive which collected over 80 backpacks along with cartons of crayons, markers, pencils, pens, calculators, filler paper, notebooks, highlighters, lunchboxes, etc., for children in need. The generous donations made by CMC employees were distributed to Ocean Health Initiatives (FQHC), the Salvation Army and Court Appointed Special Advocates (CASA) of Ocean County for local students. Other 'give back' programs the hospital staff has participated in include a holiday toy drive (750 toys given to CASA of Ocean County, Ocean Health Initiatives, Salvation Army and a local church). 2. Women and Heart Disease; Community Medical Center raises awareness of heart disease in women. The hospital helped to ensure that women make their health a priority during American Heart Month by offering free blood pressure screenings and cholesterol and glucose testing as part of its Day of Dance 2018 celebration, a series of health education activities designed to reach women in all stages of life. Day of Dance included health screenings, heart health info and CMC invited local dance groups to perform throughout the day to encourage people of all ages to dance and keep moving as a way to stay heart healthy. For the past seven years, CMC has held the "Get Your Red On" a cardiac program for women designed to raise awareness about achieving a heart healthy lifestyle. Hospital physicians present detailed information on common cardiac conditions during the event, which features free blood pressure, glucose, and cholesterol screenings. Last year, "Get Your Red On" drew 750 persons, each of whom was requested to wear red in honor of American Heart Month. 3. Inspiration boutique: specialty center for cancer patients. Undergoing treatment for cancer can be a very stressful time for the patient and their families. Patient visits the boutique and take advantage of the spa-like environment, holistic therapies, and extra special pampering it offers. The boutique is conveniently located within the J. Phillip Citta Regional Cancer Center at CMC. The goal of the inspiration boutique is to offer comfort to cancer patients and their families. Since one of the most common side effects patients experience during cancer treatment is hair loss, the boutique provides patients access to many wigs and hat/cap styles free of charge. In addition, patients can participate in complementary therapy services at no cost, such as reiki for stress reduction and relaxation. This boutique offers a spa-like environment so patients can rel

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

6. Various health fairs, educational sessions and programs: - Colorectal cancer awareness fair & symposium; - Reduce your cancer risk an update on cancer screenings; - Heart health fair; - Pain awareness health fair; - Toms River senior health fair; - Neuroscience institute health fair; - American Red Cross blood drives; - Health fair baby fair for pregnant women; - Guys night out - men's health event; - Discharge transportation provided for patients in need (via ambulance, taxi, mav wheelchair transport); - Provide patients in need with durable medical equipment/supplies; - Health fair - OCC senior living expo; - Health fair for Ocean first bank employees; - Prescription medication coverage for patients in need, post discharge; - A time for us - mothers and daughters program; - Health fair for Borough of Beachwood; - Bikur Cholim ladies night event in Lakewood; - Health & wellness expo at Greenbriar Woodlands, Toms River; - Stop smoking hypnosis session; and - Yoga for individuals diagnosed with cancer. 7. Offered fire safety house demonstration model to schools and community fairs. 8. CMC's health line and newborn television channels were developed for patient and family education. CMC also distributed publications to provide information to the community on healthcare issues. Support Groups -------------- A partial listing of patient and community support groups includes: - Bereavement support group; - Coping with cancer support group; - Caregivers support group and counseling; - Diabetes support group; - Insulin pump support; - Prostate cancer support group; - Nu-voice support group; - Head and neck cancer support group; - Colorectal cancer support group; - Breast cancer support group; - Sjogrens support group; - Look good, feel better - American cancer society; - Lung cancer support group; and - Leukemia and lymphoma support group. Instructional Classes and Programs ---------------------------------- CMC offers a variety of lifestyle and instructional classes to improve an individual's overall well-being. There is a fee associated with these programs. Some of these programs include: - CPR: cardiopulmonary resuscitation class; - T'ai chi; - Yoga, including chair yoga for a healthy heart; - Meditation & wellness; and - Self-defense. CMC offers an extensive array of prenatal childbirth preparation and parenting classes and services. The following courses and services are some of those currently offered: - Breastfeeding class and support; - Grand parenting class; - Infant care class; - Childbirth refresher; - Prepared childbirth series; - Healthy beginnings regarding good nutrition; - Preparing for your newborn; - Prepared brothers and sisters; and - Exercise for pregnancy & post-delivery. Professional medical education and training =========================================== CMC professional medical education and training was provided to over 3,460 attendees. Programs in 2018, included, but were not limited to, the following programs, lectures and courses: - Options for current treatment and management of advanced breast cancer in geriatric population; - Evaluation and management guidelines for coding; - Peripheral vestibular disorders: a quarter century perspective; - Transforming clinical practices initiatives; - Robotic radical cystectomy: a minimally invasive approach to a maximally invasive disease; - Opioid use epidemic and available services; - Pulmonary hypertension: clinical pearls and expanding paradigms of treatment; - Colorectal liver metastases: considerations and management; - Spasticity management and the role of the pediatric physiatrist; - The global burden of disease due to HCV; - Medical staff preparedness for Joint Commission; - Information technology forum; - Taking a team approach to documenting acuity: what's in it for the physician?; - Breast cancer high risk evaluation and management; - End of life care; - How to recognize, prevent and effectively address sexual and other types of illegal harassment a

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 X; LINE 25

The organization is a member of RWJBarnabas 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.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET 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 includes: - equity transfer to community medical center foundation; a related internal revenue code section 501(c)(3) tax-exempt organization - ($514,745); - net change in temporarily and permanently restricted net assets of community medical center foundation; a related internal revenue code section 501(c)(3) tax-exempt organization - $91,000; - pension administration costs - ($1,035,819); - net assets released from restriction for purchase of equipment - $221,412; and - net assets released from restriction - $135,879.

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.

SCHEDULE I, PART II AND CORE FORM, PART IV; QUESTION 21

Please note that all gifts, grants and contributions to other organizations were less than or equal to $5,000 each. Therefore, there are no organizations listed in schedule i, part ii. The total amounts paid for contributions and event sponsorships can be found on core form, part ix, line 1.

Financial Statement Notes

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.

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