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Page 1: MuhlenbergRegional.1

MUHLENBERGREGIONAL

Page 2: MuhlenbergRegional.1

Additional Data

Software ID:Software Version:

EZN:Name:

22-1487258MUHLENBERG REGIONAL MEDICAL CENTER INC

Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, HighestCompensated Employees, and Independent Contractors

Name and Title(B)

Averagehoursper

week

(C)Position (check all

that apply)

a.a"*

CD}Reportable

compensationfrom the

organization (W-2/1Q99-MISC)

(E)Reportable

compensationfrom relatedorganizations(W- 2/1099-

MZSC}

CFJEstimated

amount of othercompensation

from theorganization and

relatedorganizations

RO MAUDE WESTCHAIRMANSAWATORE BADALAMENTIVICE CHAIRMANMARIBONINISECRETARY TREASURERCHARLES K ANASTASIOUBOARD MEMBERRONALD] KENTBOARD MEMBER3OHNLKOLAYA PEBOARD MEMBERDOUGLAS A NORDSTROMBOARD MEMBERPETERA POGANY RPBOARD MEMBERULYSSES RICE JRBOARD MEMBERCAROLYN SIEGELMANBOARD MEMBERDONNA VOSEBOARD MEMBERMICHAEL A KLEIMAN DMDEX-OFFICIO30HNPMCGEEEX-OFFICIOSEAN PATRICK MURPHY ESQSVP LEGAL/ASST SECRETARYRAYMOND FREDERICKSEVP &COORICHARD C SMITHSVP & CFOFRAWCIS GRIFFIN MDHIGHEST COMPENSATED INDISUSAN GATCHALIANHIGHEST COMPENSATED INDINANCY FIAMINGOformer officer

000 X

000 X

000 X

000 X

000 X

000 X

000 X

000 X

000 X

000 X

000 X

000 X

40 OO X

4000

4000

4000

4000

4000

000

0

0

0

0

0

0

0

0

0

0

0

0

0

0

O

0

121,791

105,495

0

0

0

0

0

0

0

0

0

0

0

0

0

697,097

322,133

420,886

318,450

0

0

222,632

0

0

0

0

0

0

0

0

0

0

0

0

34,456

53,156

63,362

S7.10S

12,893

17,274

16,124

Page 3: MuhlenbergRegional.1

Form 990(2008)

Compensation of Officers. Directors.Trustees. Key Employees, Highest CompensatedPage 7

Employees, and Independent Contractors

Section A Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

la Complete this table fer all persons required to be listed Use Schedule 1-2 if additional space re needed* List all of the organization^ current officers, directors, trustees (whether individuals or organizations) and key employees regardlessof amount of compensation, and current key employees Enter-O- in columns (D), (E), and (F) if no compensation was paid* List the organization's five current highest compensated employees (other than an officer, director, trustee or key employee)who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $200,000 from theorganization and any related organizations* List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000of reportable compensation from the organization and any related organizations" List all of the organization's former directors ortmtees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations

List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highestcompensated employees, and farmersuch persons

(A)Name and Title

ROHALO E WEST , CHAIR

SALVftTORE BADALAMEHTI. VICE CHAIRNANCY FIftMINGO , CHEF OPERATING OFFKER

MARI BONHH , SECRETARY TREASURER

CHARLES K ANASTASKJU , BOARD MEMBER

DPMD A GOLDENBERG no , BOARD MEMBER

RONALD ] KENT , BOARD MEMBER

jam L KOUWA PE , BOARO MEMBER

SETH MCQUILLAN , BOARD MEMBER

DQUGIAS A NORDSTROM . BOARD MEMBERGREGORY OLIVER MD , BOARD MEMBER

PETER A PQGflNY HP , BOARD MEMBER

ULYSSES RICE 3R , BOARD MEMBER

SUSAN SALMOMO EDDRN , BOARD MEMBER

CAROLYH SEGELMAN , 60ARD MEMBER

BONNA VOSE , BOARD MEMBER

JOSEPH WILLIAM YEWAJSB , BOARD MEMBER

JEAN BADfttAMENTI , EX-OFFICE)

ALAN KAUSCHER MD, 6X-GFFICID

MICHAELA (OEH»WW DMD , EX-OFFIOO

JOHN P MCGEE , EX-OFFKID

MARY JANE ROBERTS , EX-OFFICE)

SEfttt PATRICK MURPHY ESQ. SVP LEGAL

RAYMOND FREDERICKS , EVP & COO

RICHARD C SMITH , SW> a CFO

WILLIAM OSER , StfP MEDICAL AFFAIRANN LOGAN , SVP NURSING AND CHE

LOUIS HERMANS, VP AMD dO

RANDOLPH SCOTT , HIGHEST COMPENSATED BiDJ

FRANCE GRIFFIN , HIGHEST COMPENSATED INDI

DEMESVAR JEAN-BBPTESTE , HIGHESTCOMPENSATED INDI

SHANTHI CHEZKN , HIGHEST COMPENSATEDINDI

ASF HASHMI, HIGHEST COMPENSATED INDI

(B)Averagehoursper

week

000

ooo-10 Off

000ooo000000000

ooeOOB

00B

006

OK

OOQ000

000

000

OQO

OOO

0004000

00040 0040 QG4000

4000

40 OQ40 004000

4000

4000

4000

4000

<c>Position (cheek all

that apply)

individual Trustsor DiPM

tar

X

XXXX

X

X

X

X

XX

X

X

X

X

X

X

XXXX

X

IrtttttutiQiujI Trustee

i

X

X

XXX

$Of

aoO

XXX

Highost compsnsaU

d]em

olovee 1

X

X

X

X

X

i12%

(0)Reportablecompensationfrom theorganization (W-2/1099MISC)

0

(G0

0

C0

0

aa0e0ea0

Ga00

0a0

a0

0

Ga

311,659

185, KS

305,420

198,169

155,571

(E)Repayablecompensationfrom relatedorganizations(W- 2/1Q99-MISC)

0G

274,091

G0

00

G

0

G

J),

0

0

0

aaac00

672,403

0

311,401

403,365

315,409

475,483

239,741

233,676

138,572

a

107,752

a

a

CF)Estimatedamount of othercompensationfrom theorganization andrelatedorganizations

0

0

104,460

0

000

0

0

0

0

0

0000

00

00

112,661

0

95,889

127,878

112,254

108,718

57,760

96,013

19,232

51/H8

22,761

22,011

26,488

Form 990 (200 8}

Page 4: MuhlenbergRegional.1

Form 990 (2007) I-BSB-- ^jgjtf

a

b

1

2

3

4

ed

2

e

ITTra

b

l

2

3

4

C

d1

2

e

WffiS Reconciliation of Revenue per Audited Financitfte instructions.)

Total revenue, gains, And other support per audited financial statem

Amounts included on line a but not on Part I, Ime 12

al Statements With Revenue per Return (See

ents

blb2

b3

M 822,063

Amounts included on Part I, line 12, but not on Ime •

Investment expenses not included on Part I, linedi

da 5,581,490

Total tevennft (Part I, line 12) Add lines c andd *•

a

b

c

d

e

"W*! Reconciliation of Expenses per Audited Financial Statements With Exec isesTotal expenses and losses per audited financial statements . .

Amounts included on line a but not on Part I, line 17

Poor year adjustments reported on Part I, line20Lasses reported on Part I, line20

Other {specify! . .

bl

bZ

D3

b4

. . . . .

Amounts included on Part I, line 17, but not on line a;

Investment expenses not included on Part I, tine6b

Other (soecrfV)

dl

dZ

Total expenses (Parti, line 17J Add lines candd K

a

b

d

e

140,655,136

822,068

139,833,063

822,068

145,414,558

9er Return157,390,857

157,390,357

157,390,857

Current Officers, Directors, Trustees, and Key Employees (List each person who was an officer,director, trustee, or key employee at any time dunng the year even if they were not compensated.) (See theInstructions.)

(A) Name and address

JOHN PMCGEE98 JAMES STREETSUITE 400EDISON, NJ 08820

RAYMOND FREQRICKS9S JAMES STREETSUITE 400EDISON, N3 08320

SCOTT GSBHARD98 3AMES STREETSUITE 400EDISON, M3 03820

THOMAS LAN KEY98 JAMES STREETSUITE 400EDISON, HJ 08820

SEAM PATRICK MURPHY96 JAMES STREETSUITE 400EDISON, H3 08820

NANCY FIAMINGO96 JAMES STREETSUITE 400EDISON.Nl 08820

RICHARD SMITH98 JAMES STREETSUITE 400EDISON, NJ OS62O

SEE ATTACHED PDF FILE FOR98 JAMES STREETSUITE 400EDISON, NJ 08820

(B) Titte and average twinsper week devoted to position

PRESIDENT/CEOD

EXEC VP/COOa

COO -JFK MEDICALCENTER0

SENIOR VP/LTC FORHARTWYCKS0

ASSISTANTSECRETARY3

CHIEF OPERA TINGOFFICERD

SENIOR VP/CH1EFFINANCIAL OFFa

CHAIR0

(C) Compensation(If nut paid, «nter -O-.)

0

0

0

o

0

0

0

0

(D) Ommfcutionstaemployee benefit plats ftdefteinnl compensation

plans

0

0

0

0

0

0

0

(EJ Expenseacomnt and other

atewances

0

0

0

0

0

0

0

Form 990(2007)

Page 5: MuhlenbergRegional.1

Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:

(A) Name and address

3QHN P MC<3EE98 JAMES STREETSUITE 400EDISON, NJ 08820

RAYMOND FREDRICKS98 JAMES STREETSUITE 400EDISON, NJ 08820

SCOTT GEBHARD98 JAMES STREETSUITE 400EDISON, NJ 06820

THOMAS LANKEY98 JAMES STREETSUITE 400EDISON, NJ 08820

SEAN PATRICK MURPHY98 JAMES STREETSUITE 400EDISON, NJ 06820

NANCY FIAMINGO98 JAMES STREETSUITE 400EDISON, NJ 08620

RICHARD SMITH98 JAMES STREETSUITE 400EDISON, NJ 08820

JOHN LKOLAYA PE98 JAMES STREETSUITE 400EDISON, NJ 08820

SALVATORE J BADALAMENTI98 JAMES STREETSUITE 400EDISON, NJ 08820

MARE BONINI98 JAMES STREETSUT'"' 400ED( M,NJ 08820

(B) Title and averagehours per week devoted

to position

PRESIDENT/CEO400

EXEC VP/COO40 0

COO -JFK MEDICALCENTER400

SENIORVP/LTC FORHARTWYCKS400

ASSISTANTSECTRETARY400

CHIEFOPERATINGOFFICER400

SENIOR VP/CHIEFFINANCIAL OFF400

CHAIR0

VICE CHAIR0

SECRETARY /TREASURER0

(C) Compensation(If not paid, enter -0-

<)

202,222

129,073

0

0

92f627

200,648

28,469

0

0

0

C

(D) Contributions toemployee benefitplans & deferred

compensation plans

0

8,680

0

0

6,125

12,750

2,800

0

0

0

(E) Expenseaccount and other

allowances

0

0

0

0

0

0

0

0

0

0

Page 6: MuhlenbergRegional.1

Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:

(A ) Name and address

CHARLES K ANASTAS1OU98 JAMES STREETSUITE 400EDISON, NJ 08820

M ELAN IE BARSTAD98 3AMES STREETSUITE 400EDISON, NJ 08820

DAVID A GOLDENBERG MD98 JAMES STREETSUITE 400EDISON, Nil 08820

RONALD 3 KENT98 JAMES STREETSUITE 400EDISON, NJ 08820

SETH MCQUILLIAN98 JAMES STREETSUITE 400EDISON, NJ 08820

ALBERT TMCWILLIAMS98 JAMES STREETSUITE 400EDISON, MJ 08820

DOUGLAS A NORDSTROM98 JAMES STREETSUITE 400EDISON, NJ 08820

GREGORY OLIVER MD98 JAMES STREETSUITE 400EDISON, NJ 08820

PETERA POGANY RP98 JAMES STREETSUITE 400EDISON, NJ OS820

ULYSSES RICE JR98 JAMES STREETSUITS 400EDf I,NJ 08820

(B) Title and averagehours per week devoted

to position

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

BOARD MEMBER0

(C) Compensation(If not paid, enter -0-

•)

0

0

0

0

0

0

0

0

0

0

(

(D) Contributions toemployee benefitplans & deferred

compensation plans

0

0

0

0

0

0

0

0

0

0

(E) Expenseaccount and other

allowances

0

0

0

0

0

0

0

0

0

0

Page 7: MuhlenbergRegional.1

Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:

(A ) Name and address(BJ Title and averagehours per week devoted

to position

(C) Compensation(If not paid, enter -0-

(D) Contributions toemployee benefitplans & deferred

compensation plans

(E) Expenseaccount and other

allowances

SUSAN SALMOND EDO RN98 JAMES STREETSUITE 400EDISON, NJ 08820

BOARD .MEMBER0

DONNA VOSE98 JAMES STREETSUITE 400EDISON, NJ 08820

BOARD MEMBER0

RONALD E WEST98 JAMES STREETSUITE 400EDISON.NJ 08820

BOARD MEMBER0

JOSEPH WILLIAM YEWAISIS98 JAMES STREETSUITE 400EDISON, NJ 08820

BOARD MEMBER0

Page 8: MuhlenbergRegional.1

H E A L T H " S Y S T E M ISM

MUHLENBERG REGIONAL MEDICAL CENTER. INC.

ChairVice ChairChief Operating OfficerSecretary/TreasurerAssistant Secretary

Melanie BarstadRay BlancoFrank H. Blatz, Esq.David A. Goldenberg, MDRonald J. KentAnthony L Marchetta, Esq.Seth McQuillanAlbert T. McWilliams, Esq

John L. Kolaya, PESalvatore J. BadaiamentiNancy FiamingoMariBoniniSean Patrick Murphy, Esq.

Douglas A. NordstromGregory Oliver, MDUlysses Rice, Ir.Susan Satmond, Ed.D., ENPeter J.VentrellaDonna VaseRonald E. West

Ex-officio:Harry AilsterSiddeeq El AminAlan Katischer, MDMichael A. Kleiinan, DMDJohnP.McGeeGregory Oliver, MDMarie PalumboThomas £. SharpJadwig M. Warwas, MD

Page 9: MuhlenbergRegional.1

2004 OFFICERS AND BOARD MEMBERS

MUHLENBERG REGIONAL MEDICAL CENTER. INC

ChairVice ChairChief Operating OfficerSecretary/TreasurerAssistant Secretary

Ray BlancoFrank H. Blatz, Esq.David A. Goldenberg, MDRonald J.KentAnthony J. Marchetta, Esq.Brian T. McGowanSeth McQuillanAlbert T. Me Williams, Esq

John L. Kolaya, PESalvatorc J. BadalamentzNancy FiamingoMariBoniniSean Patrick Murphy, Esq.

Douglas A. NordstromGregory Oliver, MDUlysses Rice, Jr.Chester D. Szyinanski, PhD.Barry M.TowbinPeter J-YenfreUaDonna VoseRonald E. West

Ex-ofiicio:Laurdl JohnsonAlan Kaliscfacr, MDMichael A. Kleiman, DMDJobnP.McGeeGregory Oliver, MDMariePalomboThoniasE. SharpCarolyn Siegelman

STATEMEMT6A

Page 10: MuhlenbergRegional.1

2004 OFFICERS AND BOARD MEMBERS

MCJHLENBERG REGIONAL MEDICAL CENTER. INC

ChairVice ChairChief Operating OfficerSecretary/TreasurerAssistant Secretary

Ray BlancoFrank H. Blate, Esq.David A. Goldenberg, MDRonald J. KsntAnthony J. Marchetta, Esq.Brian T. McGowanSeth McQuillanAlbert T. McWiUiams, Esq

John t. Kolaya, PESalvatore J. BadalamentiNancy FlamingoMari BoainiSean Patrick Murphy, Esq.

Douglas A. NordstromGregory Oliver, MDUlysses Rice, Jr.Chester D. Szymanski, Ph.D.Barry M. TowbinPeter J. VentrellaDonna VoseRonald E West

Ex-officio:Laurefl JohnsonAlan Kalischer, MDMichael A. KJeiman, DMDJohn P. McGeeGregory Oliver, MDMarie PalumboThomas E. SharpCarolyn Siegelman

STATEMENT SA

Page 11: MuhlenbergRegional.1

MUHUENBERG REGIONAL MEDICAL CENTER. INC EIN 22-1487258• .

Board of Directors Address List2003

BADALAMENTi,SalvatQreJ. (2005)15 Pheasant LaneScotch Plains. NJ 07076(908)754-1945

BLATZ, Frank H.t Jr., Esq. * (2006)Private Law Practice292 South Avenue - Suite 201Fanwood, NJ 07023(908)889-7707

Home: 970 Nepawin LaneScotch Plains, NJ 07076(908)754-7718

BONfNt, Mart (2006)SecretaryfTreasurer, Brd. of Directors960 Cedar Brook RoadPIainffetd»NJQ7Q68(998)756-9164

JOHNSON, Laurel! (Pialnfleld Health Center) (2005)**Lucent Technologies211 Mt Airy RoadBasking Ridge, NJ 07920(908)953-2409

KEATING, GanettM.rM.D. (2004)Home: 238 Ridge RoadWatchung.NJ 07060(908)757-6789

Mall to be delivered to place of business.

STATEMENT

Page 12: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER, INC BN 22-1467258

KENT, Ronald, President {2096}The Portasoft Company, Inc.2285 South AvenueScotch Plains, NJ 07076(908)233-4300 - Fax: (908)2334353

KOLAYA, John L, P.E. (2004)First Vice Chairman, Brd. of DirectorsExecutive Vies PresidentYonkers Contracting Co., Inc.969 Midland AvenueYonkers, New York 10704(914)965-1500 ext 843

MARCHETTA, Anthony J.t Esq. * (2006)Pitney, Harcttn, Klpp & SzucfiP.O. Box 1945Monistown, NJ 07962 -1945(973)966^032-Fax: (973)966^1550

McGOWAN, Brian Tt * (2005) (wife -Connie)Mefuehen Savings Bank429 Matn StreetP.O. Box 431

(732) 549-2111 ext 5023 - Fax: (732) 549-0109

*Mail to be deitversd to place of business.

STATEMENT

Page 13: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER, INC EIN 22-1487258

MCWILUAMS, Albert T. * {2085}Assistant General CounselEngelhard Corporation101 Wood AvenueKselln, N J 08630-0770(732)205-5000

* Mail to be delivered to place of business below:Mayor Albert McWmiams c/0 Plalnfteld City Kali515 Watchung AvenuePlalnfield, N.J. 07060

NORDSTROM, Doug fas A. * (2005)Chairman, Board of DirectorsVice President & Manager, Administrative Planning and ControlChubb & Son, Inc.15 Mountain View RoadPO Box 1615Warren, NJ 07061-1615(908)903-3397

QUVEft, Gregory, M.D. * (2006}Associated Colon & Rectal Surgeons, PA3900 Park Avenue, Suite 101Edison, NJ 08820(732)494-43640

Mail to be delivered to place of business.

STATEMENT

Page 14: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER, INC EIN 22-1487258

RICE, UtyssQS, Jr. * (2006)Director, Engineering & Technical ServicesPublic Service Electric & Gas Company80 Park Plaza -T-46MNewark, NJ 07102(973)430-6338

SALVATi, Eugene P., M.D. * (2004)Second Vice Chairman, Board of DirectorsAssociated Colon and Rectal Surgeons, P.A.3900 Park Avenue - Suite 101Edison, N J 08820{732} 494-6640

SCHLOSSER, Robert E-.Ph.D. (2004) .Immediate Past Chairman, Board of Directors78 Rosewood DriveLafcewood, NJ 08701-5758(732)730-1394-Pax: (732)730-1379

SEtQUIST.CurtM. * (2006)Group ChairmanJohnson & Johnson Healthcare Systems, Inc.42S Hoes LanePlscataway,NJQas54(732)562-3598-Fax: (732)562-8010

SIEGELMAN, Carolyn, Mrs.1430 Higjand AvenuePlafnftefd,NJ 07080(908)756-6759

•Man to be delivered to place of business.STATEMENT

Page 15: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL. CENTER, INC EIN 22-1487258

' .; 'SZYMANSKI, Chester D,, Ph.D. (2006)459 Washington AvenueP.O. Box 299MartlnsvHle,NJ 08836(732) 356-6998

TITTMANN, Marie, Mrs. (2006)1075 Oakland AvenuePtalnflefd, NJ 07060(908) 756-8543

TURNBULL, Kenneth Vfc (2006)Home: 200 Washington Rock RoadWatchung, NJ 07060(908)755-0076

Malting Address: P.O. Box 4372Wanen, NJ 07059-0372

- VENTREUA, Peter J. (2004)Home: SEndorLaneMountainside, NJ 07092Business Phone and Fax (908) 317-8892

VOSE, Donna (2004)922 Hillside AvenuePla?nfIeld,NJ 07060(908)755-7235

WEST, Rona/rf a (2004)Home: S Brook lane'PlalnfleidpNJ 07060(908)753-4929-Fax: (903)753-4591

*Mail to be delivered to place of business.

STATEMENT

Page 16: MuhlenbergRegional.1

MUHIENBERG REGIONAL MEDICAL CEMTER, INC BN 22-1487258

Life Governors:\, Warren H., Jr.

Business Phone at Home: (609) 924-3221

Home: 508 Terfiuna RoadPrinceton, NJ 08540

VAN BUREN, RobertHome: 1096 Oakland AvenuePlainfleld, NJ 07060(908) 756-2335

GOVERNORS EMERITUS

tEAVEE, Raymond J.2703 Wentworth CircleBretton WoodsPlnohurst, North Carolina 28374(819)295^094

MORAN, Reverend Michael J.Si John's Rectory69 Valley StP. O« Box 306HlHsda!e,NJ 07642(201)664-3131

STATHMEftfT

Page 17: MuhlenbergRegional.1

BAPALAMENTI, Sa&atore I. (2005)ISFkeasantLaneScotch. Plains, New Jersey 0707690S -754-1945

Henry J- (2004}Broadcast ConsultantNew Jersey Broadcaster's Association1512 Long EHl Road, M3gngtOT,NJ. 07946908-647-5650

BLATZ, FBANK EL Jr. Eao. * ^2003)Private law Practice232 South Am, Suite 201Fanwood, New Jersey 07G23908^89-7707

(2003)SECRETARY/TREASURER, BOARD OF DIRECTORS960 Cedar Bzook Road

07060908-75 -9164

*Maa to be delivered to place of business.

Page 18: MuhlenbergRegional.1

JOHNSON. LanreH (Hainfield Health Center) (2005)Lucent Technologies211 ML Any RoadBasfciag Ridge, NJ. 07920908-953-2409

KEATING. Garrett M- MJD. (2004)Home 238 Ridge Road, Wateteig, N.J. 07060908-757-6789

KQLAYA. John I- P.& (2004)FIRST Via CHAIRMAN, BOARD OF DIRECTORSExecutive Vice PresidentYonkers Contracting Co, Toe969 Midland AveaueYookers, New York 10704§14-965-1500, Ext 843

LQNGSTREET. Pcimls N. * (2004)Coz&pany Gtoz^> ChamaaOne Johnson & Johnson PlazaRoomWT-803New Brunswick, NJ OS933732524-3781

MARCHETTA. Anthony J.. ESQ. * (2003)Bzney, Hardin, Kipp & SzucKPO Boxl945Moiristowa, N J 07962-1945973-966-8032

*Mafl to be delivered to place of business.

n-

Page 19: MuhlenbergRegional.1

~ I

McGOWAN. Brian T. * (2005)Metaehen Savings Bank429 Main Street, P.Q Box 431Metuchen,NJ 08S40(732) 548-7400, Ext 6123

WTT J JAMS. Albert T. * (2005)Assistant General CounselEngelhard Corporation101 Wood AvenuefceBn, New Jersey 08830-0770732-205-5000

MTLIJGAN.R- Brace. MJ»-* (2004)PRESIDENT, MEDICAI/DENTAI- STAFF3910 Paris Avenue, Suite 8, Edison, NJ. 08820732-767-3130

NORDSTROM. ConniePRESIDENT,MUHLENBERG AUXILIARYHome 20 Nonnan Place, Cranfi>rd,N.J 07016908-276-5156

NORDSTROM. Douglas A, * (2005)CHAffiftlAN, BOARD OF DIRECTORSVice President and Manager, Administrative Planning & ControlChubb & Son Inc.15 Mountain View Road, PO Box 1615Wazrea, New Jersey 07061-1615908-903-3397

*Mail to be delivered to place of business.

Page 20: MuhlenbergRegional.1

Associated Colon & Rectal Surgeons, PA.3900 Pask Avenue, Suite 101, Edison, NJ 08820732-494-6640

RlCKUlvsscs.Jr. * (2003)Director, Engineering & Technical ServicesPublic Service Electnc & Gas Company80 3Paric Plaza, T-16M, Newark, N.J 07102973-430-8338

SALVATL Eugene R, MJ>. * (2004)SECOND VICE CHAIRMAN, BOARD OF DIRECTORSAssociated Colon & Rectal Surgeons, P A.3900PaikAvenue,Suite 101,Edison,NJ 08820732-494-6640

SCHLOSSER. Robert E~ Ph.D. (2004)IMMEDIATE PAST CHAIRMAN, BOARD OF DIRECiUKS78 Rosewood DriveLakewood,NJ 08701-5758732-730-1394

SZYMANSKL Chester P. - Ph. I>. (2003)459 Wasblagton Avenue, P O Box 299MarinLSvitte, N J 08836732-356-6998

TTTTMANN. Marie, Mrs. (2003)1075 Oakland Ave,JWaiofieia,NJ 07060908-756^8543

*Mail to be delivered to place of business.

Page 21: MuhlenbergRegional.1

TKBKBUL3L Kenneth W. (2003)Home 200 Washington Rock Road, Watcta&NJ 07060908-755-0076Mailing Address: P.O Box 4372, Wazrea, N.J 07059-0372

VENJRELLA.PeterJ. (2004)Business Rioae and Fax (90S) 317-9892Home 5 Endor Laoe, Mountainside, N J. 07092908-233-3798

VOSE, Donna, Mm. (2004)922HaiadeAvePhmfielcLNJ 07060908-755-7235

WEST. Ronald E. (2004)Vzce Prersident, Cheat RelationsB CI locoiporated39 Broadway, Suite 500NewYoricCity,NY 10004(212)897-6903

UFE GOVERNORS

^ Edward J., Jr.38 Register Road, Hney PointMarion, Mass. 02738-2020508-748-2984

SIMMONS. Warren H,, Jr.Busmess Ehone at Hoine - 699-924-3221

Home 508 Tedmoe Road, Princeton, NJ 08540

T 7A

Page 22: MuhlenbergRegional.1

RobertHome 1096OaJdaBLdAve,PIamfield,NJ. 0706090&-756-2335

GOVERNORS EMERITUS

LEAVER. Raymond J.2703 Weotwoifc Circle, Bretton Woods^ae*tmst,NoftfeCaroBna 28374919-295-4094

MORAN, Reverend Michael JSt John's Rectory69VaHeySt,PO Box SOSIBIsdale.NJ 07642201-664-3)31

Page 23: MuhlenbergRegional.1

WB^'

EeniyJ.Broadcast ConsultantNew Jersey Broadcaster

. 07946

(2000)960 Cedar Brook Roa id . .Plaisfid^NJ. 07060. V;,

(2000)

Corporate HeadquartersP.O3ox6000 • - . " - .Z13QRcA3e22Ba3t • ;.*Bridgewatcr, K J. 08S07

. Lanrca— fiPa=aficM Health Center^ (2002)

Home; 926 Shenaaa Avenue, Plaicfid^NJ. 07063

/•. Garrctt M^ S£IK ' (2CX)1) \' '

Home: ZSSKidcRoaWatcJamNX 07060

Page 24: MuhlenbergRegional.1

1^AYA. lotm 1 PJUSr. Vice President,Yookeia Contracting Co., IRC.969 iwEdhnd Avenue

10704

PRESIDENT & CHIEF EXECUTIVE OFFICERSECRETARY, BOA^a OF GOVERNORS

• Wwhicaberg B^ona! Medical Center07061

T^ Pcaais N. * (2001)Coiapaay Croup Chairman, Johnson & JohnsonOne Joimscn& Johnson Plaza

, OS933

13431

Qemcnt A-,MJ>P -(2002)65 M

. 07059

Page 25: MuhlenbergRegional.1

(2002)

429 Maia Street, P.O. Box 431. 08840

AH>«t T. *Asastant General Counsel .£ngeibard Ccjtporation. v '. . •101 Wood Avenue •MSJ, New Jersey OS830-0770

MILUGAy.g. Brace. MJ>.* (2001)?BES3I>ENT5 MEDICAUDENTAI.STAFF

- 07060

NORDSTROM. OmnieCHAiOR?ERSQN; Steerisg CoamuttecMUHLENBERG ATjXOJ^JRyKtuae: ^Ken»sAPiac«C:AnS5r4Nr.l 07015

^ce Preadeat and Manager, Admifastrstsve Planning &Chubb&Sonlac. /IS Mountain View Road, P.O. Box 1615 N

"Warren, New Jersey 07061-1615

Page 26: MuhlenbergRegional.1

4 - P-r-4 V:

* (2000), Engineering & Tedaacal Scmces

Public Service Electric & OE* Company80 ParicPIaaa, T-15M, Newatfc. NJ.. 07102

Eggeae P^ MJ3C « (2001)

Associated Colon & Rectal Surgeons, P. A3900 Pa* Avmie, SntalOl, Etfiaoa, NJ. 08820

tS^R. Robert E^PhJD. (2001)CHAIRMAN, BOARD OF GOVEKKORS921 Cedar Brack Soad, PJaafidd, NJ. 07060

SZVMANSKT. Chester 0., Ph. D. (2000)459 Washington Avezme, P.O. Bos 299MaztissviUe.NJ. 03836

(2000)2075 Oaktad Ave., Pla£o£d4 NJ. 07060

L. Kenneth W. (ZOOO)Director EmeritusUnited Neaond Bank,Coiporate Headquarters • ;P.O. Box €000, 1130 Route22 EastBridgcwatcr, N J. OSaQ7:

TREASOKER, BOAEB. OF GOVERNORS

Page 27: MuhlenbergRegional.1

5

VOSk, Donna. Mrs-

922 ESHwdft Awe. .'". 07060

ViccPrersideiit, CfientRelatioasB.C.I Incorporated . . .

Now YoricCiiy, N.V..10004•" •" •" »"> * K _JJi * .. .

Edward J Jr.38 Register Road, KayPoifftMarion, Masa, 02738-2020.

VENTREtXA^PcterJ.

. 07090

SIMMONS, Warren ELT Jr. : /

Home: 508 Tctbunft Road, Princeton, NJ. 08540

Page 28: MuhlenbergRegional.1

Pfl^ V . O^ . f c r s

, ffiigRf ruS

TJRAVIi^. Raymond J.2703 Wentwot&i Cade, Bretton WoodsPinehuist, North Csrolica 2«374

St Joha's Rectory69 Valley St., P.O. Box 3CS

. 07642

Page 29: MuhlenbergRegional.1

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Page 30: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER, INC. 22-1487258

FORK 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

NAME AND ADDRESSTITLE AND TIKE

DEVOTED TO POSITIONCOMPENSATION

CONTRIBUTIONSTO EMPLOYEEBENEFIT PLANS

EXPENSE ACCTAND COTERALLOWANCES

JAKES J. LONSDQRFHC 62, BOX G79-DHONESDALE, FA

CLEMENT A. MACCIA, M.D.65 MOUNTAIN BLVD. EXT.WARREN, NJ 07059

ALBERT T. MCWILLIAMSENGELHARD CORPORATION101 WOOD AVENUEISELIN, NJ 08830

DOUGLAS A. KORDSTOMCHUBB fi SON INC.12 MOUNTAIN VIEW ROADWARREN, NJ 07061

ULYSSES RICE/ JR.PUBLIC SERVICE ELECTRIC G GAS CO80 PARK PLAZA, T-16MNEWARK, NJ 07102

EUGENE P. SALVATI, M.D.ASSOCIATED COLON & RECTAL SURGE OK S3900 PARK AVENUE, SUITE 101EDISON, NJ 08820

ROBERT E. SCHLOSSER921 CEDAR BROOK ROADPLAINFIELD, NJ 08805

BOARD 0 GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSKONE

BOARD OF GOVERNORSNONE

CHAIRMAN OF BOARDNONE

NOME

NONE

NONE

NONE

NONE

KONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE;

NONE

NONE

NONE

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SSFSLN2XXB

JV4737 1534 11/13/2000 17:26:23 V9.08.01

K v

23STATEMEN

Page 31: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER, INC.22-1487258

FORM 990, PART V— es= S5==s: c: c— = tss cs= =;

NAME AND ADDRESS

LIST OF OFFICERS, DIRECTORS, AND TRUSTEESssas = = = cs cs ess ssc = ESS: 2 e;ts=

TITLE AND TIMEDEVOTED TO POSITION COMPENSATION

CONTRIBUTIONS EXPENSE ACCTTO EMPLOYEE AND OTHER

BENEFIT PLANS ALLOWANCES

CHESTER E. S2YMANSKI459 WASHINGTON AVENUEMARTINSVILLE, NJ 08836

TXTTMANN1075 OAKLAND AVENUEPLAINFIELD, NJ .08836 '

KENNETH W. TURNBULLUNITED NATIONAL BANKP.O. BOX €000BRIDGEWATER, NJ QSSO?PETER J. VENTRELLA5 ENDOR LANDWESTFIELD, NJ 07090DONNA VOSEMtJHLEKBERG AUXILIARY922 HILLSIDE AVENUEPLAINFIELD, NJ 07Q60RONALD E. WESTBCI INCORPORATED39 BROADWAY/ SUITE £00HEW YORK CITY, NY 10004EDWARD J. DAILEY, JR.38 REGISTER ROAD, PINEY POINTMARION, MA 02738-2020

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

TREASURERNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

HONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

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SSPSLH 2X00

JV4737 1534 11/13/2000 17:26:23 VS.08.0124STATEMENT 8

C

Page 32: MuhlenbergRegional.1

MOHLENBERG REGIONAL MEDICAL CENTER, ISC. 22-1487258

FORM 990, PART V - LIST 03* OFFICERS, DIRECTORS, AND TRUSTEES

NAME AND ADDRESSTITLE AMD TIME

DEVOTED TO POSITIONCOMPENSATION

CONTRIBUTIONSTO EMPLOYEEBENEFIT PLANS

EXPENSE ACCTAND OTHERALLOWANCES

WARREN H. SIMMONS508 TERHONE ROADPRINCETON, NJ 08540

RAYMOND J. LEAVEE2703 WENTWORTH CIRCLEBRETTQN WOODSPINETORST, NC 28374

REVEREND MICHAEL J KORANSt. JOHN'S RECTOR?69 VALLE2 ST, P.O. BOX 308HILLSDALE, KJ 07642

BRIAN T. MCGOWANC/0 KETUCHEN SAVINGS BANK429 MAIN STREETP 0 BOX 431METUCHEN, NJ 08840

R. BRUCE MILLIGAN, MD15 ALLENBY LANESCOTCH PLAINS, NJ 07060

CONNIE NORDSTQM20 NORMAN PLACECRANFORD NJ 07016

JOHN P MCGEEC/0 ME7HLENBER3 REGIONAL MED CTR98 JAMES STREET

BOARD OB1 GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

BOARD OF GOVERNORSNONE

CHAIRPERSONNONE

PRESIDENT AND CEOAS REQ

NONE

NONE

- NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NOME

NONE

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36,735.

NONE

NONE

NONE

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. 9SPSIN1001)JV4737 1534 11/13/2000 17:26:23 V9.08.0123STATEMENT 8-

c

Page 33: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER, INC. 22-1487258

FORM 990, PART V - LIST OE1 OFFICERS, DIRECTORS, AND TRUSTEES

CONTRIBUTIONS EXPENSE ACCTTITLE AND TIME TO EMPLOYEE AND OTHER

NAME AND ADDRESS DEVOTED TO POSITION COMPENSATION BENEFIT PLANS ALLOWANCES

EDISON, NEW JERSEY/ 08820

RAYMOND EREDRICKS SK VP AND CEO 25,737. NONE NONEC/0 MUHLENEERG REGIONAL MED CTR AS REQ98 JAMES STREETEDISON, NEW JERSEY Q8820

GRAND TOTALS 62,472. NONE NONE

85PSLN 2.093JV4737 1534 11/13/2000 17:26:23 V9.08.01 26 STATEMENT

( c c

Page 34: MuhlenbergRegional.1

KfcUIONAL MEDICAL CENTER.-1 .INC..'22-1487258

FORM 990.; PART V -. LIST OF OFF ICERS,-DIRECTORS. AND TRUSTEES

'NAME AND. ADDRESS..

/TITLE AND TIME . '. -.DfiVQTfeD-.TO P.OSITIQK ^COMPENSATION

CONTRIBUTIONS EXPENSE ACCTTO EMPLOYEE AND OTHERBENEFIT PLANS ALLOWANCES

.. JOHN R. KOP.'ICKI;. MOB HOLLY STREET '.. "CRANFO&D...NJ 07016

EXECUTIVE VICE. PRES - 291,867.. ."37; 6 HRS .- ..... • /•: v

-.- PHILIP-A-. 'I•-•• -2 KALE -DRIVE . ' • : ' . "'...••• . BR!DG£WATEfc. NJ 08807 '

••'"'• DR. 'FRANCES HULSE. ""••"' /'';.. B'-GARDEN.TERR- .;..;.: MILLTOWN,- NJ 08650 -. ' ;

•'• JOHN RUTZEL... " - : •;- - :. • • '\;-- 14 HAtHAWAY DRIVE . - :-. PR1MCETPN; JUNCTION-,- NJ '0.8580

:r' • -sH'i RLEY. "H'IGS'I NS-BOWERS -. . .:-'..6-GLEN 'COURT • . 'y MONMOUTH:JUNCTION, NJ 08882 ,• : MARY ANNE KEYES • ' ' •-': • '/ .350'RIVER RDV D-B'"-.' NEW HOPE,- PA- 18938 ' /. -

'•': HENRY J-. BEHRE ' ... .NJ BROADCASTER'S.ASSOCIAt(ON

" --1S12 'LONG HILL-ROAD,v; MIL-L-INGTON,;- 'NJ 0794.6- ' .-v .

;: - -MARI. BONI.NI' •.'••".''-.-•960 CEDAR BROOK ROAD: -.

SR VP/COO •37.6 HRS -.

.SR VP • '-.37.B HRS

37:,B HRS.-

VP37 ;'B HRS-

VP-37.B HRS

BOARD OF GOVERNORS

247 * 616.

229,684.

".. '188V186.;

^ ' -117.088,'

BOARD OF GOVERNORSNONE'" ' . -

NONE

NONE

39,398.

NONE

.18., 426,

.NONE ' .

.'-..- NONE

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1,088.

1,876. ..

1.926.

683. • •'..

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8BP8LNWOD ' ' ' .' . - • • - ' • . '--..-.- '.„ -. BQFB4Z E481. 10/26/1999 14.{.B3;46 V8.07.01..-STATEMENT TO

Page 35: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER, INC.;.22-1487258 .

FORM 980, PART V - LIST:QF OFFICERS,. DIRECTORS. AND TRUSTEES.!s==:sBs«==:Has=eaB=c:cOTBSKffl

NAME AND ADDRESS

PLAINF1ELD, NJ. 07060

NORMAN M CARTER. JR. ' . . ' .CARTER, VANRENSSELAER AND CALDWELL• 120 DEPOT PARK - '' "f -' '' • ' :P'LAINFIELD, NJ .07060 ' • • • •

AUUN B'COHEN. M.D. ' '" •"1.166'PARK AVENUE ' . " - -. .. 'PLAINF1ELD,. NJ 07060 ' _"•'.••

THOMAS-C.- GREGOR - .:UN ITED-NATIONAL BANK ' - . .P.O. BOX 6000 -BRI.DGEWATER. NJ . 08807

GARRETf M. KEATINGi M.D238 RIDGE ROADWATCHUNG..NJ 07060

SUSAN KILDUFP" ' " .- • •MUHLENBERG AUXILIARY..1620 P.OREST HILLPL'AIWFIELD. NJ 07060

JOHN (.. KOLAYAYONKERS CONTRACTING. CO.963 MIDLAND AVENUEYONKERS.. NY 107Q4

INC,

TITLE.AND TTMEDEVOTED TO POSITION COMPENSATION

CONTRIBUTIONSTO EMPLOYEEBENEFIT PLANS

EXPENSE ACCTAND OTHERALLOWANCES

BOARD OF GOVERNORSNONE ; -. .

BOARD OF. GOVERNORSNONE .•:.. . ' '

BOARD -OF GOVERNORSNONE . '-.'...

BOARD OF GOVERNORSN'QNE ,' '

•BOARD-.OF GOVERNORSNONE -.

.JOHN R.. K6PICKI • . ".-••' ."•MUHLENBERG REGIONAL .MEDICAL CENTER ;

.BOARD OF GOVERfJQRSNONE- . ". .

BOARD OF GOVERNORSNONE • •"' • • ' • .

NONE

NONE

NONE

NONE.

NONE

NONE

NONE

NONE

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NONE

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'NONE.

: - NONE

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SGPSUN 1,000-5QF.B42-.E481. 10/26/1999 U:S3i46.VS.07iOtSTATEMENT 11

Page 36: MuhlenbergRegional.1

.. "MUHLENBERG REGIONAL MEDICAL CENTER. INC'. . . 22-1487258

• ;. FQRM. 990, >ART V.-. L.ISTOF OFFICERS. DIRECTORS. AMD/TRUSTEES ' .' • ' eeisc===«!=siBSKK5==cst=K5s«Ki=!ssKe=c=Kec;tsja«eKss«etse=c±es:csc=!=s=SBBKK:tse=ttissBEBSS=«' "" • " "' ' •

NAME AND ADDRESS

PARK AVE & RANDOLPH ROADPLAINFIELD, NJ.OTOSI -.DENNIS N.. tONGSTREET ''.-JOHNSON & JOHNSON . --ROOM wt-'so's ..'•MEW BRUNSWICK, NJ 08933

JAMES!.; J-. LONSDORE- ' .»' •HC 6'2, BOX 678-D '•-:HONESDALE, PA. 18431

CLEMENT A. MACCIA, M.D.65 MOUNTAIN BLVD. EXT;-'WARREN, NJ 070S9 , •

ALBERT T. MCWILLIAMS. •ENGELHARD -CORPORATION:t ot. WOOD -AVENUE ... -..ISELIN, NJ 08980. . .

DOUSAS.A. NORDSTOM "•-CHUBB 8t SON INC. ...12 MOUNTAIN VIEW ROAD. ;

V ULYSSES RICE." JR. ..'-.-''PUBLIC SERVICE ELECTRIC & GAS CO

. 80 -PARK- PLAZA,. T-16M . '."• NEWARK, |NJ 07102 • ; .

• EUGENE P. .SALVATI, M.D'. ...

' TITLE AND.- TIMEDEVOTED TO PO'SlTION "COMPENSATION

CONTRIBUTIONS EXPENSE ACCTTO EMPLOYEE AND OTHER

BENEFIT PLANS ALLOWANCES

.' BOARD OF GOVERNORS- NONE. ' - - - . ' .

BOARD OF. GOVERNORS•NONE '•'••' ': '.

BOARD OF GOVERNORSNONE - .

BOARD OF 'GOVERNORSNONE • • : -.

• BOARD' OF GOVERNORSNONE •'•;. • : ', ;

BOARD OF GOVERNORS..- NONE •' ' - .--

BOARD OF GOVERNORSNONE- .-...'•

S6P6LN t.OOfl .6QFB4Z E48f 10/26/1999 t4iB3i4Q

NONE.

NONE

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STATEMENT 12

Page 37: MuhlenbergRegional.1

MUHLENBERG. REGIONAL MEDICAL CENTER,:.INC,.. . -..-. 22-1487258

FORM 990. PART V r'L'fST OF .'OFFICERS, DIRECTORS,. AND TRUSTEES. -

NAME AND ADDRESS.

ASSOCIATED COLON & RECTAL SURGEONS3900 PARK AVENUE, SUITE 101EDISON. -NJ ' 08820 .;.,'•

ROBERT E. scHLQssER :"-'•"921-GEDAR BROOK"ROAD 'PLAINFIELd-. NJ- "b8806. ' * •

CHESTER' E. • SZVMANSK\"\. WASHINGTON AVENUE

MART.INSVILLE. NJ 08836 ' " ,: .

MARIE-TITTMANN ' .•'•.'"1076 OAKLAND AVENUE -.•PLAINF-IEL'D, NJ , 08886 : .....'

KENNETH W/ TURKBULL . '\•UN.ITED. NATIONAL. BANKP.O. BOX 6000 . -. 'BRIDGEWATER. NJ 08807 , .'ROBERT .VAW/BUREN- '. . ,'' . -."•• •••SMITH CORONA -68 -LOCUST. AVENUE .NEW- CANAAN',-. CT. 06840 . ;.PETER J. VEMTRELLA ..B"ENDOR LANDWESTFI.ELD,. NJ.XJ7680 ;' ; /' .DONNA VOSE '.-•"'. :MUHLENBERG AUXILIARY ..' . .

TITLE AND TIME . • -- -DEVOTED TO. POSITION COMPENSATION.

CQNTR[BUTTONS EXPENSE ACCJTO EMPLOYEE AND OTHERBENEFIT PLANS ALLOWANCES

BOARD OF GOVERNORS'NONE ..-".'•.

BOARD OF .GOVERNORS : .NONE ..." ..' . . ' .

BOARD' OF GOVERNORSNONE '•'•• . " "-

.BOARD. OB GOVERNORSNONE ' - '

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BOARD OF GOVERNORS.NONE •

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;' ' .BQF64Z E481 10/26/1998 14lB3j46 VS.0.7,01 .".,• STATEMENT 13

Page 38: MuhlenbergRegional.1

MUHLENBERG REGIONAL MEDICAL CENTER,' INC. . . . 22-1487268

FORM 990, PART !V - LIST OF OFFICERS, DIRECTORS. AND TRUSTEES - .

NAME AND ADDRESS -

922- HILLS IDE AVENUE • • ' - -PLAINFIEM3, NJ 07060

DAVID R. -WALKER ' -.. . ' -1200 RAHWAY ROAD •''

/ SCOTCH PLAINS.. NJ 07076- :.:

•RONALD E. WEST. BC[. INCORPORATED : .

39 BROADWAY, SUITE 'BOO '" .;• NEW .YORK CITY. NY 10004 <:.

EDWARD J. DA I LEY, JR.38 REGISTER ROAD, PIRlEY POINT": MAR i ON; :MA '* THEODORE U012EAUX, M.D, .. 3231 .FELLOWSHIP -ROAD: BASKING RIDGE, NJ 07920

:. WARREN .'H, SIMMONS' • .'-.-.• 608 TERflUNE ROAD • •

'•-PRINCETON. 'NJ &'86%0 ••"••

• RAYMOND J. 'LEAVEE . ' .' 2703 WE'NTWORTH CIRCLE • '' BRETTON WOODS"P I-NEHURST ;, NC ' 288.7'4 ., . ; ;. .

- REVEREND- MICHAEL J MORANST. JOHN'S RECTORY • ••68 VALLEY 'ST.. P.O." BOX 308 •

. -- . CONTRIBUTIONS EXPENSE ACCTTITLE AND tlME-. ..." TO EMPLOYEE AND OTHER

-DEVOTED TO POSITION COMPENSATi&N- BENEFIT PLANS ALLOWANCES'

BOARD OF GOVERNORS.NONE

BOARD OF GOVERNORS.NOME-

BOARD, OF GOVERNORSNONE. ' •:. : '..- '• -

BOARD OF .GOVERNORS-NOME • .' .-

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-E481 10/26-/1999 ' 14:S3:46 V8.07 i 01STATEMENT 14

Page 39: MuhlenbergRegional.1

.MUHLENBERG REGIONAL MEDICAL CENTER, INC. . .. ; ' ... . 22-1.487268

."FORM/990, PART V - LIST OF OFFICERS, DIRECTORS,-AND'TRUSTEES. . . .....

;,.. WAME: AND ADDRESS

H.ILLS0ALE,: NJ 0.7642

RAYMOND FRibERICKS80-'JAMES STREET .EDISON, NJ 08820 ' •

.10/26/1999

.' TITLE AND TIME .. .DEVOTED TO POSITION -COMPENSATION

CONTRIBUTIONS EXPENSE ACCTTO-EMPLOYEE AND OtHER .BENEFIT P'LANS ALLOWANCES

.CFONONE

NONE. NONE

: .G.RAND TOTALS.. • • .1 ,229,406.8.8.358.

NO'NE

6., 200. .• I .Hiai^B fm^ffJ1

.01

jfSTATEMENT '16.

Page 40: MuhlenbergRegional.1

Muhlenberg Regional Medical Center, IBC.Board of Governors Address List 1997-1998

BUSINESS ADDRESS

BEHKE, Heavy J.Broadcast ConsultantNew Jersey Broadcasters Association1512 Long HSU Road

NJ 07946

>a Simon X 967 Lawrence AvenueExecutive Vice President, Westaeld, NJ 07090Merck Human Health DivisionMerck & Co., lac.PO Box 100One Merck DriveWfahefcouse Station, NJ 08889-0100

BON!N!,MariPresidentMuhienberg Auxiliary960 Cedar Brook RoadPiaiofield,NJ 07060

CARTER, Norman M. Jfr^ Esq. 400 Loagview RoadAttorney, Carter, VanRensselaet & CaldweH Far EGHs, NJ 07931120 Depot ParkPIaMeM,NJ 07060

COHEN, AOaa B., MD 41 Cbnsty DtN?ePresident, Medical/Dental Staff Wairea, NJ 070591165 Padc AvenuePlainfield,NJ 07060

DOHERTY,JoimB.IMMEDIATE PAST CHAIRMANBOARD OF GOVERNORS6 Colonial DriveQKG&I BrooK NJ 08812

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BUSINESS ADDRESS HOMEA8&BESS

GOU>MANN, Anker P.169 Persbing BoulevardLaveHette,NI 08735

GREGGR, Thomas C Stark DriveChairman Monistown, ~&J 07960United National BackCorporate HeadquartersPO Bos 60001130 Route 22 EastBridgewater, W OS807

JONES, L. Laneuvilte, MB725 West 4th StreetPlainfidd,NJ 07060

KEATING, Garrett M., MD 238 Ridge RoadWatdmag, NJ 07060

—^ KOtAVA, JTohn L., PE 10S1 Oakland AvenueSr. Tice President, Construction PiaMdd, NJ 0706O-3411Yonkers Contractors Co., Inc.969 Midland AvenueYonkers, NY 10704

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BUSINESS ADDRESS

KOPICKLJohoR,President & Qnef Executive Q&eerSecretary, Board Of GovernorsMubleoberg Regional Medical CenterPark Avenue & Randolph RoadPiaJnfidd,NJ 07061

LONGSTKEET, Dennis N.Company Group ChairmanJohnson & Johnson Healthcare Systems, Inc.425 Hoes LanePisca*away,HJ 08855

HOME ADDRESS

105 HoUy Street

Mailing Address:PQBox68QQPiscatawqy, NJ 08855-6800

LONSBORF, James 3,HC62,Box679-DHonesdale, PA 18431

MACCI&, aeraent A., MD65 Mountain Boulevard Ext.Warren, NJ070S9

10 Blue Ridge RoadGreen Brook, N3 08812

MAROTT&, Mrs. Toni142 Deer RunWatcbuag. NJ 07060

MCWIUJAMS, Albert T.Assistant General CousselEageUiazd Corporadon101 Wood AvoraieUKNI08830-0770

1341 Prospect AveimePlaiafie^KJ 07060

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BUSINESS ADDRESS HOMEADDKESS

MHXIGAN, R. Bruce 15 Allenby Lane1314 Park Avenue Scotch Plains, NJ 07076Piata6el4NJQ7Q60

NORBSTROM, Douglas A. 20 Norman PlaceVice President & Manager GranforOj NJ 07016Administrative Planning & ControlChubb & Son, Inc.15 Mountain View RoadPO Box 1615Warren, NJ 07061-1615

RICE, Ulysses, Jr. 48 Hi^imauat AvenueDirector, Customer Service Warren, NJ 07059Pubfic Service Electric & Gas Company80 Park Plaza, T-7PO Box 570Newark, NJ 07101

RGTAN&, Robert J.President, Rotaoz Associates25 Birehwood LaneWatchung, NJ 07060

ROARK, Robert G-, Jr. 4 Crest Acre CourtSummit, NJ 07901

RUBOW, Ulrich 597 LMe Suver Point RoadVice President, Corp. & Engia Services Little Silver, NJ 07739Johnson & JohnsonOne Johnson & Johnson PlazaNew Brunswick, NJ OS933

SALVATJ, Eugene P., MO 1911 Mddlebraok &oadSecond Vice Chairman, Board of Governors Bound Brook, NJ 088051010 Park Avenue

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BUSINESS A&D8ESS HOMEA&DSESS

SCHLOSSER, Robert E., Ph. D.Chairman, Board of Governors921 Cedar Brook Road

SHRAGER, James J. 197 Rock Road WestFirst Vice Chairman Greea Brook, NJ 08812Board of GovernorsAttorney, Hacnoch Weisman4 Becker Farm RoadRo$eiand1NJG7G6S

SPRAETZ, Ronald i* 137 banana DriveVice President, External A£&&s & Quality Skffimaa, NJ 08858Nadoaal Starch & Cheimcai CompanyFindeme AvenueBridgewater, NJ OS807

SZYMANSKI, Chester 0^ JPh. B.459 Washington AvenuePO Box 299MartJDSviile, NJ 08836

TITTMANN, Marie, Mrs.1075 Oakland AvenueP!ainfieid,NJ 07060

200 Washii ton Rock RoadChairman Emeritus . WatdsiRg, NJ 07060United National Bancorp65 Readingtoa RoadBranchburg, NJ 08876 Mailing Address:

POBOK4372•nyBASUREEl, BOARD OF GOVERNORS Wanea, NJ 070S9-Q372

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BUSINESS ADDRESS

VAN BUKEN, RobertChairman, Smith Corona65 Locust AvenueNew Canaan, CT 06S40

HOMEADDJRESS

1096 Oakland AvenuePIaisfieId,NJQ7Q6Q

VENTRELIA, Peter J.Business Phone & Fax: (908)233-3798

SEndorLaneWestgeM.HF 07090

VQSE, Donna, Mrs.VP Community Relations & ComraujaicationMUHL^BERG AUXILIARY

Plaingeia, NT 07060

WAUKER, David R. 1200 Rahway RoadScotch Plains, NJ 07076

WEBB, Carol A., Ms.PresidentOrtho Biotech, Inc.7GQUSHigfeway202PO Box 670Rantan,NJ 08869-0690

6 Rose Lane, NJ 08807

WEST, Ronald E.Sr. Manager, Telecomniuucatioos & O&eAutomationShearman & Sterling599 Lexington AveaueNew York, NY 10022

5 Brook LanePlaiafield, NJ 07060

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LIFE GOVERNORS

D AELEY, Edward J-, Jr.38 Register Road, Piuey PointMarion, MA 02738-2020

3231 Fellowship RoadBasking Ridge, NJ 07920

SIMMONS, Warren H., Jr. 508 Terfiuae RoadPrinceton, NJ 08540

3 Sabre CayNap!es> Ft 33940

GOVERNORS EMERITUS

LEAVEE, JRaymond J.2703 Wentworth Carole, Bretton WoodsKneiairet, NC 2S374

MOHAN, Reverend Michael J.St John's Rectory69 Valley StreetPO Box 308Haisda!e,NJQ7642