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← MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS FOUNDATION INC

Form 990 for tax year 2022

Filed by MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS FOUNDATION INC.

Totals

Total revenue
$1,963,838
Total expenses
$1,238,057
Contributions and grants received
$1,004,709
Grants paid
$524,386
Program service revenue
$779,958
Investment income
$142,671
Other revenue
$36,500
Total assets, end of year
$8,402,793
Total liabilities, end of year
$482,793
Net assets or fund balances, end of year
$7,920,000
Program services expenses (Part IX)
$524,386
Management and general expenses
$249,735
Fundraising expenses
$463,936
Program service expenses (Part III)
$524,386

Program services were 42.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $177,451

  • 1f · All other contributions, gifts and grants

    $827,258

  • 2a · Program service revenue: OTHER PROGRAM RELATED REVENUE

    total $779,958 · related or exempt $779,958

  • 3 · Investment income

    total $147,124 · excluded $147,124

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7b · Less cost or other basis and sales expenses

    securities $4,453

  • 7c · Gain or loss

    securities -$4,453

  • 7d · Net gain or loss

    total -$4,453 · excluded -$4,453

  • 8a · Fundraising events: gross income

    $104,561

  • 8a · Fundraising events: contributions included on line 1c

    $177,451

  • 8b · Fundraising events: direct expenses

    $104,561

  • 9a · Gaming: gross income

    $36,985

  • 9b · Gaming: direct expenses

    $485

  • 9c · Net income from gaming

    total $36,500 · excluded $36,500

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $495,356 · program services $495,356

  • 2 · Grants to domestic individuals

    total $29,030 · program services $29,030

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $85 · fundraising $85

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $26,316 · management and general $18,177 · fundraising $8,139

  • 14 · Information technology

    total $12,465 · management and general $6,232 · fundraising $6,233

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $53 · management and general $53

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $2,487 · management and general $2,487

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: ALLOC. OF PERSONNEL COSTS

    total $345,467 · management and general $135,043 · fundraising $210,424

  • 24b · Other expenses: VARIOUS FUNDRAISING EXPENSES

    total $154,622 · management and general $574 · fundraising $154,048

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $2,163 · management and general $2,163

  • 24d · Other expenses: OTHER EXPENSES

    total $170,013 · management and general $85,006 · fundraising $85,007

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $790,140 · end of year $547,626

  • 3 · Pledges and grants receivable

    beginning of year $16,866 · end of year $58,063

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $37,878 · end of year $15,855

  • 10a · Land, buildings and equipment: cost or other basis

    $67,769

  • 10b · Land, buildings and equipment: accumulated depreciation

    $67,769

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $5,156,961 · end of year $4,872,862

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $1,985,583 · end of year $2,908,387

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,830 · end of year $8,271

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $5,157 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $506,099 · end of year $399,663

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $121,342 · end of year $74,859

  • 27 · Net assets without donor restrictions

    beginning of year $1,598,000 · end of year $1,585,000

  • 28 · Net assets with donor restrictions

    beginning of year $5,741,000 · end of year $6,335,000

Mission and programs · 2022

Mission

TO SUPPORT THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER (SOUTHERN CAMPUS); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH 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.

Activities or mission (Part I)

TO SUPPORT THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER (SOUTHERN CAMPUS); A RELATED IRC SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.

  • EXPENSES INCURRED IN SUPPORT OF THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER (SOUTHERN CAMPUS); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILTY TO PAY.

    Expenses $524,386 · Grants $524,386 · Revenue $779,958

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Eric W Carney

    TRUSTEE; MMC/MMC-SC PRES/CEO

    Total calculated
    $1,257,936
    From this org
    $0
    From related orgs
    $1,010,979
    Other
    $246,957
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $675,760 related
    Bonus
    $0 + $244,500 related
    Other
    $0 + $90,719 related
    Deferred
    $0 + $208,442 related
    Nontaxable benefits
    $0 + $38,515 related
    Filer's total
    $0 + $1,257,936 related

  • William M Schulman MD

    TRUSTEE

    Total calculated
    $318,736
    From this org
    $0
    From related orgs
    $272,849
    Other
    $45,887
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $247,652 related
    Bonus
    $0
    Other
    $0 + $25,197 related
    Deferred
    $0 + $18,060 related
    Nontaxable benefits
    $0 + $27,827 related
    Filer's total
    $0 + $318,736 related

  • Denice V Gaffney

    VP DEVELOPMENT

    Total calculated
    $252,827
    From this org
    $0
    From related orgs
    $225,459
    Other
    $27,368
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $183,321 related
    Bonus
    $0 + $28,114 related
    Other
    $0 + $14,024 related
    Deferred
    $0 + $11,633 related
    Nontaxable benefits
    $0 + $15,735 related
    Filer's total
    $0 + $252,827 related

  • Robert Sickel

    CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Thomas Calabro

    VICE CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Ben Heinemann

    SECRETARY - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Frank J Congilose

    TREASURER - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Brian Buckelew

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Robert J Calabro

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Naomi Halpert

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Alan Krupnick

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Robert Lawson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • James R Maida

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Debra J Morgan

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Adam Pfeffer Esq

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Joseph Russell Esq

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Brian J Tramontano

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Patricia Ostaszewski

    VC - TRUSTEE (TERMED 2/9/22)

    Total calculated
    $0
    Hours/week
    1

  • Ralph Legge Jr

    TRUSTEE (TERMED 7/8/22)

    Total calculated
    $0
    Hours/week
    1

  • Glenn Miller

    RWJBH CHIEF DEV. OFFICER

    Total calculated
    $0
    Hours/week
    0 + 55 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTION 4B
THE AMOUNT REFECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL 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 AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ERIC W. CARNEY, $85,299. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ERIC W. CARNEY, $185,567.
SCHEDULE J, PART I; QUESTION 7
THE 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • AVENEL ISELIN MEDICAL GROUP LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • BARNABAS ON TIME HOLDINGS LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • CENTRAL JERSEY ACO LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • CREST PHYSICAL THERAPY SERVICES LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • HAMILTON ENDO & SURG LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • HUDSON MD GROUP LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • INNOVATIVE PURCHASING CONCEPTS

    INACTIVE · NJ

    Directly controlled by NA

  • JERSEY ASC VENTURES LLC

    HEALTH SVCS. · TN

    Directly controlled by NA

  • LIBERTYUSP SURGERY CENTERS LLC

    HEALTH SVCS. · TX

    Directly controlled by NA

  • MEDEMERGE LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • NEW JERSEY IMAGING NTWK LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • RWJBH ASSOCIATES 2 LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • RWJ-REGENT II LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • RWJ-REGENT LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • SHREWSBURY DIAGNOSTIC IMAGING LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • SOMERSET PEDIATRIC GROUP LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • CARE STATION MSO LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • JAG-ONE HOLDINGS LP

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • PREDICTIVE HEALTH SOLUTIONS LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • ADVANCED GASTROENTEROLOGY GROUP LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • PARKWAY ANESTHESIA ASSOCIATES LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • ANESTHESIA SPECIALISTS OF NJ LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • PARKWAY MEDICAL MANAGEMENT LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • DIGESTIVE HEALTHCARE CENTER LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • KAYAL MEDICAL GROUP LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • MEDICOR CARDIOLOGY LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • MONTGOMERY MEDICAL ASSOCIATES LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

  • UNION COUNTY HC ASSOCIATES LLC

    HEALTH SVCS. · NJ

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CPIC

    Foreign Corp. · FINANCIAL VEHICLE · BD

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202323189349318522

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