MUHLENBERG REGIONAL

Additional Data Software ID: Software Version:

EZN: 22-1487258 Name: MUHLENBERG REGIONAL MEDICAL CENTER INC

Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
(B)

Name and Title

Average hours per week

(C) Position (check all that apply)

CD}

(E)
Reportable compensation from related organizations

CFJ
Estimated amount of other compensation from the organization and related organizations

a"*

Reportable compensation from the organization (W2/1Q99-MISC)

(W- 2/1099MZSC}

a.

RO MAUDE WEST CHAIRMAN SAWATORE BADALAMENTI VICE CHAIRMAN MARIBONINI SECRETARY TREASURER CHARLES K ANASTASIOU BOARD MEMBER RONALD] KENT BOARD MEMBER 3OHNLKOLAYA PE BOARD MEMBER DOUGLAS A NORDSTROM BOARD MEMBER PETERA POGANY RP BOARD MEMBER ULYSSES RICE JR BOARD MEMBER CAROLYN SIEGELMAN BOARD MEMBER DONNA VOSE BOARD MEMBER MICHAEL A KLEIMAN DMD EX-OFFICIO 30HNPMCGEE EX-OFFICIO SEAN PATRICK MURPHY ESQ SVP LEGAL/ASST SECRETARY RAYMOND FREDERICKS EVP &COO RICHARD C SMITH SVP & CFO FRAWCIS GRIFFIN MD HIGHEST COMPENSATED INDI SUSAN GATCHALIAN HIGHEST COMPENSATED INDI NANCY FIAMINGO former officer

000 000
000

X X
X

0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

000
000 000 000

X
X X X

000
000 000 000 000 40 OO

X
X X X X X

697,097 322,133 420,886 318,450

0 0

34,456 53,156 63,362 S7.10S 12,893 17,274 16,124

4000 4000 4000 4000 4000

000

121,791 105,495

222,632

Form 990(2008)

Page 7

Compensation of Officers. Directors.Trustees. Key Employees, Highest Compensated 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 regardless of 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 the organization and any related organizations * List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations " List all of the organization's former directors ortmtees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highest compensated employees, and farmersuch persons

<c>
Position (cheek all that apply)
(B) (A) (0)

Name and Title

Average hours per week

$
Of

ia
o
O

i1 2
%

Reportable compensation from the organization (W2/1099MISC)

(E) Repayable compensation from related organizations (W- 2/1Q99MISC)

CF)

Estimated amount of other compensation from the organization and related organizations

Highost compsnsaUd] emolovee 1

individual Trusts or DiPMtar

IrtttttutiQiujI Trustee

ROHALO E WEST , CHAIR SALVftTORE BADALAMEHTI. VICE CHAIR NANCY 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 MEMBER GREGORY 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 (OEHWW 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 AFFAIR ANN LOGAN , SVP NURSING AND CHE LOUIS HERMANS, VP AMD dO RANDOLPH SCOTT , HIGHEST COMPENSATED BiDJ FRANCE GRIFFIN , HIGHEST COMPENSATED INDI DEMESVAR JEAN-BBPTESTE , HIGHEST COMPENSATED INDI SHANTHI CHEZKN , HIGHEST COMPENSATED INDI ASF HASHMI, HIGHEST COMPENSATED I D N I

000

0
G 274,091 G 0 0
0 G 0 G J), 0 0

0 0 104,460 0

ooo
-10 Off 000

X X X
X X X X X

(
X

G
0 0 C 0 0

ooo
000 000
000

0 0
0 0 0 0 0 0

ooe
OOB 00B 006

X
X X X X X X X

a
0

e
0

OK

OOQ
000 000 000 OQO OOO 000 4000

e a
0

a
a a c
0
0

0 0 0
0

0
0

X X X
X X

a
0
0

X X X X X X X
X

672,403
0

0 0 1 26 1 1,6
0

000 40 00 40 QG 4000 4000 40 OQ 40 00 4000 4000

4000 4000 4000

a
0

a
0 0

3 14 1 1,0 403,365 315,409 475,483 239,741 233,676 138,572

95,889 127,878 112,254 108,718 57,760 96,013 19,232

a
311,659
185, KS

X
X X

a
107,752

51/H8
22,761 22,011 26,488

305,420 1 81 9 9,6

155,571

a a

Form 990 (200 8}

jgjtf
a b 1 2 3 4

WffiS Reconciliation of Revenue per Audited Financi al Statements With Revenue per Return (See tfte instructions.)
Total revenue, gains, And other support per audited financial statements Amounts included on line a but not on Part I, Ime 12

140,655,136

bl
b2 b3 M

822,063

e d

b c
Amounts included on Part I, line 12, but not on Ime Investment expenses not included on Part I, line

822,068 139,833,063

di

da
e
a b l 2
3 4

5,581,490

d
Total tevennft (Part I, line 12) Add lines c and

822,068 145,414,558

*
. .
. . . . .

ITTr "W*! Reconciliation of Expenses per Audited Financial Statements With Exec ises 9er Return
Total expenses and losses per auditedfinancialstatements Amounts included on line a but not on Part I, line 17

157,390,857

bl
Poor year adjustments reported on Part I, line

20
Lasses reported on Part I, line

bZ D3

20
Other {specify! . .

b4

b
C

157,390,357 Amounts included on Part I, line 17, but not on line a; Investment expenses not included on Part I, tine

d 1
2

6b
Other (soecrfV)

dl

dZ

d
e
Total expenses (Parti, line 17J Add lines cand 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 the Instructions.)
(A) Name and address JOHN PMCGEE 98 JAMES STREET SUITE 400 EDISON, NJ 08820 RAYMOND FREQRICKS 9S JAMES STREET SUITE 400 EDISON, N3 08320 SCOTT GSBHARD 98 3AMES STREET SUITE 400 EDISON, M3 03820 THOMAS LAN KEY 98 JAMES STREET SUITE 400 EDISON, HJ 08820 SEAM PATRICK MURPHY 96 JAMES STREET SUITE 400 EDISON, H3 08820 NANCY FIAMINGO 96 JAMES STREET SUITE 400 EDISON.Nl 08820 RICHARD SMITH 98 JAMES STREET SUITE 400 EDISON, NJ OS62O SEE ATTACHED PDF FILE FOR 98 JAMES STREET SUITE 400 EDISON, NJ 08820 (B) Titte and average twins per week devoted to position (D) Ommfcutionsta (C) Compensation employee benefit plats ft (If nut paid, nter -O-.) defteinnl compensation plans
0 0

(EJ Expense acomnt and other atewances

PRESIDENT/CEO D

EXEC VP/COO

COO -JFK MEDICAL CENTER 0 SENIOR VP/LTC FOR HARTWYCKS 0 ASSISTANT SECRETARY 3 CHIEF OPERA TING OFFICER D

SENIOR VP/CH1EF FINANCIAL OFF a

CHAIR 0

Form 990(2007)

Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:
(A) Name and address
(B) Title and average hours per week devoted to position

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

202,222

(D) Contributions to employee benefit plans & deferred compensation plans

0

(E) Expense account and other allowances

0

3QHN P MC<3EE 98 JAMES STREET SUITE 400 EDISON, NJ 08820 R A Y M O N D FREDRICKS 98 JAMES STREET SUITE 400 EDISON, NJ 08820 SCOTT GEBHARD 98 JAMES STREET SUITE 400 EDISON, NJ 06820 T H O M A S LANKEY 98 JAMES STREET SUITE 400 EDISON, NJ 08820 SEAN PATRICK MURPHY 98 JAMES STREET SUITE 400 EDISON, NJ 06820 NANCY FIAMINGO 98 J A M E S STREET SUITE 400 EDISON, NJ 08620 RICHARD SMITH 98 JAMES STREET SUITE 400 EDISON, NJ 08820 JOHN L K O L A Y A PE 98 J A M E S STREET SUITE 400 EDISON, NJ 08820 SALVATORE J BADALAMENTI 98 JAMES STREET SUITE 400 EDISON, NJ 08820 MARE BONINI 98 JAMES STREET SUT'"' 400 ED( M,NJ 08820

PRESIDENT/CEO 400

EXEC V P / C O O 40 0

129,073

8,680

COO -JFK MEDICAL CENTER 400

SENIORVP/LTC FOR HARTWYCKS 400

ASSISTANT SECTRETARY 400

92 f 627

6,125

CHIEFOPERATING OFFICER 400

200,648

12,750

SENIOR VP/CHIEF FINANCIAL OFF 400

28,469

2,800

CHAIR 0

VICE CHAIR 0

SECRETARY /TREASURER 0

Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:
(A ) Name and address (B) Title and average hours per week devoted to position
BOARD MEMBER 0 (C) Compensation (If not paid, enter -0)
0

(D) Contributions to employee benefit plans & deferred compensation plans

0

(E) Expense account and other allowances

0

CHARLES K ANASTAS1OU 98 JAMES STREET SUITE 400 EDISON, NJ 08820 M ELAN IE BARSTAD 98 3AMES STREET SUITE 400 EDISON, NJ 08820 DAVID A GOLDENBERG MD 98 JAMES STREET SUITE 400 EDISON, Nil 08820 RONALD 3 KENT 98 JAMES STREET SUITE 400 EDISON, NJ 08820 SETH MCQUILLIAN 98 JAMES STREET SUITE 400 EDISON, NJ 08820 ALBERT TMCWILLIAMS 98 JAMES STREET SUITE 400 EDISON, MJ 08820 DOUGLAS A NORDSTROM 98 JAMES STREET SUITE 400 EDISON, NJ 08820 GREGORY OLIVER MD 98 JAMES STREET SUITE 400 EDISON, NJ 08820 PETERA POGANY RP 98 JAMES STREET SUITE 400 EDISON, NJ OS820 ULYSSES RICE JR 98 JAMES STREET SUITS 400 EDf I,NJ 08820

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees: (A ) Name and address
(BJ Title and average hours per week devoted to position BOARD .MEMBER 0 (C) Compensation (If not paid, enter -0(E) Expense account and other

(D) Contributions to employee benefit plans & deferred compensation plans

allowances

SUSAN SALMOND EDO RN 98 JAMES STREET SUITE 400 EDISON, NJ 08820 DONNA VOSE 98 JAMES STREET SUITE 400 EDISON, NJ 08820 RONALD E WEST 98 JAMES STREET SUITE 400 EDISON.NJ 08820 JOSEPH WILLIAM YEWAISIS 98 JAMES STREET SUITE 400 EDISON, NJ 08820

BOARD MEMBER 0

BOARD MEMBER 0

BOARD MEMBER 0

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

MUHLENBERG REGIONAL MEDICAL CENTER. INC.

Chair
Vice Chair Chief Operating Officer Secretary/Treasurer

Assistant Secretary
Melanie Barstad Ray Blanco Frank H. Blatz, Esq. David A. Goldenberg, MD Ronald J. Kent Anthony L Marchetta, Esq. Seth McQuillan Albert T. McWilliams, Esq

John L. Kolaya, PE Salvatore J. Badaiamenti Nancy Fiamingo MariBonini Sean Patrick Murphy, Esq. Douglas A. Nordstrom Gregory Oliver, MD Ulysses Rice, Ir. Susan Satmond, Ed.D., EN Peter J.Ventrella Donna Vase Ronald E. West Ex-officio: Harry Ailster Siddeeq El Amin Alan Katischer, MD Michael A. Kleiinan, DMD JohnP.McGee Gregory Oliver, MD Marie Palumbo Thomas . Sharp Jadwig M. Warwas, MD

2004 OFFICERS AND BOARD MEMBERS

MUHLENBERG REGIONAL MEDICAL CENTER. INC Chair Vice Chair Chief Operating Officer Secretary/Treasurer Assistant Secretary Ray Blanco Frank H. Blatz, Esq. David A. Goldenberg, MD Ronald J.Kent Anthony J. Marchetta, Esq. Brian T. McGowan Seth McQuillan Albert T. MeWilliams, Esq John L. Kolaya, PE Salvatorc J. Badalamentz Nancy Fiamingo MariBonini Sean Patrick Murphy, Esq. Douglas A. Nordstrom Ex-ofiicio: Gregory Oliver, MD Laurdl Johnson Ulysses Rice, Jr. Alan Kaliscfacr, MD Chester D. Szyinanski, PhD. Michael A. Kleiman, DMD Barry M.Towbin JobnP.McGee Gregory Oliver, MD Peter J-YenfreUa Donna Vose MariePalombo Ronald E. West ThoniasE. Sharp Carolyn Siegelman

STATEMEMT6A

2004 OFFICERS AND BOARD MEMBERS

MCJHLENBERG REGIONAL MEDICAL CENTER. INC Chair Vice Chair

John t. Kolaya, PE
Salvatore J. Badalamenti Nancy Flamingo Mari Boaini Sean Patrick Murphy, Esq. Douglas A. Nordstrom Ex-officio: Laurefl Johnson Gregory Oliver, MD Alan Kalischer, MD Ulysses Rice, Jr. Michael A. KJeiman, DMD Chester D. Szymanski, Ph.D. Barry M. Towbin John P. McGee Gregory Oliver, MD Peter J. Ventrella Marie Palumbo Donna Vose Thomas E. Sharp Ronald E West Carolyn Siegelman

Chief Operating Officer

Secretary/Treasurer Assistant Secretary

Ray Blanco
Frank H. Blate, Esq.

David A. Goldenberg, MD Ronald J. Ksnt

Anthony J. Marchetta, Esq. Brian T. McGowan Seth McQuillan Albert T. McWiUiams, Esq

STATEMENT SA

MUHUENBERG REGIONAL MEDICAL CENTER. INC

EIN 22-1487258

Board of Directors Address List 2003

BADALAMENTi,SalvatQreJ. (2005) 15 Pheasant Lane Scotch Plains. NJ 07076 (908)754-1945
BLATZ, Frank H.t Jr., Esq. * (2006)

Private Law Practice

292 South Avenue - Suite 201 Fanwood, NJ 07023 (908)889-7707
Home: 970 Nepawin Lane Scotch Plains, NJ 07076 (908)754-7718

BONfNt, Mart (2006) SecretaryfTreasurer, Brd. of Directors 960 Cedar Brook Road PIainffetdNJQ7Q68 (998)756-9164 JOHNSON, Laurel! (Pialnfleld Health Center) (2005)** Lucent Technologies 211 Mt Airy Road Basking Ridge, NJ 07920 (908)953-2409

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

Mall to be delivered to place of business.

STATEMENT

MUHLENBERG REGIONAL MEDICAL CENTER, INC

BN 22-1467258

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

KOLAYA, John L, P.E. (2004) First Vice Chairman, Brd. of Directors Executive Vies President Yonkers Contracting Co., Inc. 969 Midland Avenue Yonkers, New York 10704 (914)965-1500 ext 843

MARCHETTA, Anthony J.t Esq. * (2006)

Pitney, Harcttn, Klpp & Szucfi

P.O. Box 1945 Monistown, NJ 07962 -1945 (973)966^032-Fax: (973)966^1550

McGOWAN, Brian Tt * (2005) (wife -Connie) Mefuehen Savings Bank 429 Matn Street P.O. Box 431 (732) 549-2111 ext 5023 - Fax: (732) 549-0109

*Mail to be deitversd to place of business.

STATEMENT

MUHLENBERG REGIONAL MEDICAL CENTER, INC

EIN 22-1487258

MCWILUAMS, Albert T. * {2085} Assistant General Counsel Engelhard Corporation 101 Wood Avenue Kselln, NJ 08630-0770 (732)205-5000 * Mail to be delivered to place of business below: Mayor Albert McWmiams c/0 Plalnfteld City Kali 515 Watchung Avenue Plalnfield, N.J. 07060

NORDSTROM, Dougfas A. * (2005) Chairman, Board of Directors Vice President & Manager, Administrative Planning and Control Chubb & Son, Inc. 15 Mountain View Road PO Box 1615 Warren, NJ 07061-1615 (908)903-3397

QUVEft, Gregory, M.D. * (2006} Associated Colon & Rectal Surgeons, PA 3900 Park Avenue, Suite 101 Edison, NJ 08820 (732)494-43640

Mail to be delivered to place of business.

STATEMENT

MUHLENBERG REGIONAL MEDICAL CENTER, INC

EIN 22-1487258

RICE, UtyssQS, Jr. * (2006) Director, Engineering & Technical Services Public Service Electric & Gas Company 80 Park Plaza -T-46M Newark, NJ 07102
(973)430-6338

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

SCHLOSSER, Robert E-.Ph.D. (2004) .

Immediate Past Chairman, Board of Directors 78 Rosewood Drive Lafcewood, NJ 08701-5758

(732)730-1394-Pax: (732)730-1379 SEtQUIST.CurtM. * (2006)

Group Chairman Johnson & Johnson Healthcare Systems, Inc. 42S Hoes Lane
Plscataway,NJQas54

(732)562-3598-Fax: (732)562-8010

SIEGELMAN, Carolyn, Mrs. 1430 Higjand Avenue Plafnftefd,NJ 07080 (908)756-6759 Man to be delivered to place of business.
STATEMENT

MUHLENBERG REGIONAL MEDICAL. CENTER, INC

EIN 22-1487258

'

.; 'SZYMANSKI, Chester D,, Ph.D. (2006) 459 Washington Avenue P.O. Box 299 MartlnsvHle,NJ 08836 (732) 356-6998 TITTMANN, Marie, Mrs. 1075 Oakland Avenue Ptalnflefd, NJ 07060 (908) 756-8543 (2006)

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

Malting Address: P.O. Box 4372

Wanen, NJ 07059-0372 -^ VENTREUA, Peter J. (2004) Home: SEndorLane Mountainside, NJ 07092 Business Phone and Fax (908) 317-8892

VOSE, Donna (2004) 922 Hillside Avenue Pla?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

MUHIENBERG REGIONAL MEDICAL CEMTER, INC

BN 22-1487258

Life Governors: Jr. \, Warren H.,

Business Phone at Home: (609) 924-3221 Home: 508 Terfiuna Road Princeton, NJ 08540

VAN BUREN, Robert Home: 1096 Oakland Avenue Plainfleld, NJ 07060 (908) 756-2335

GOVERNORS EMERITUS
tEAVEE, Raymond J. 2703 Wentworth Circle Bretton Woods Plnohurst, North Carolina 28374 (819)295^094 MORAN, Reverend Michael J. Si John's Rectory 69 Valley St P. O Box 306 HlHsda!e,NJ 07642 (201)664-3131

STATHMEftfT

BAPALAMENTI, Sa&atore I. (2005) ISFkeasantLane Scotch. Plains, New Jersey 07076 90S -754-1945 Henry J(2004}

Broadcast Consultant New Jersey Broadcaster's Association

1512 Long EHl Road, M3gngtOT,NJ. 07946 908-647-5650 BLATZ, FBANK EL Jr. Eao. * ^2003) Private law Practice 232 South Am, Suite 201 Fanwood, New Jersey 07G23

908^89-7707

(2003) SECRETARY/TREASURER, BOARD OF DIRECTORS

960 Cedar Bzook Road

07060 908-75^-9164 *Maa to be delivered to place of business.

JOHNSON. LanreH

(Hainfield Health Center) (2005)

Lucent Technologies 211 ML Any Road Basfciag Ridge, NJ. 07920 908-953-2409

KEATING. Garrett M- MJD. (2004) Home 238 Ridge Road, Wateteig, N.J. 07060 908-757-6789 KQLAYA. John I- P.& (2004) FIRST Via CHAIRMAN, BOARD OF DIRECTORS

Executive Vice President Yonkers Contracting Co, Toe 969 Midland Aveaue Yookers, New York 10704 14-965-1500, Ext 843

LQNGSTREET. Pcimls N. * (2004)

Coz&pany Gtoz^> Chamaa

One Johnson & Johnson Plaza

RoomWT-803 New Brunswick, NJ OS933 732524-3781

MARCHETTA. Anthony J.. ESQ. * (2003) Bzney, Hardin, Kipp & SzucK PO Boxl945 Moiristowa, N J 07962-1945 973-966-8032

*Mafl to be delivered to place of business.

n-

~ I

McGOWAN. Brian T. * (2005) Metaehen Savings Bank 429 Main Street, P.Q Box 431 Metuchen,NJ 08S40 (732) 548-7400, Ext 6123

WTT J JAMS. Albert T. * (2005)

Assistant General Counsel Engelhard Corporation 101 Wood Avenue fceBn, New Jersey 08830-0770 732-205-5000

MTLIJGAN.R- Brace. MJ-* (2004) PRESIDENT, MEDICAI/DENTAI- STAFF 3910 Paris Avenue, Suite 8, Edison, NJ. 08820 732-767-3130

NORDSTROM. Connie PRESIDENT, MUHLENBERG AUXILIARY Home 20 Nonnan Place, Cranfi>rd,N.J 07016 908-276-5156 NORDSTROM. Douglas A, * (2005) CHAffiftlAN, BOARD OF DIRECTORS Vice President and Manager, Administrative Planning & Control Chubb & Son Inc. 15 Mountain View Road, PO Box 1615 Wazrea, New Jersey 07061-1615 908-903-3397

*Mail to be delivered to place of business.

Associated Colon & Rectal Surgeons, PA. 3900 Pask Avenue, Suite 101, Edison, NJ 08820 732-494-6640

RlCKUlvsscs.Jr. * (2003) Director, Engineering & Technical Services Public Service Electnc & Gas Company 80 3Paric Plaza, T-16M, Newark, N.J 07102 973-430-8338

SALVATL Eugene R, MJ>. * (2004) SECOND VICE CHAIRMAN, BOARD OF DIRECTORS Associated Colon & Rectal Surgeons, P A. 3900PaikAvenue,Suite 101,Edison,NJ 08820 732-494-6640

SCHLOSSER. Robert E~ Ph.D. (2004) IMMEDIATE PAST CHAIRMAN, BOARD OF DIRECiUKS 78 Rosewood Drive Lakewood,NJ 08701-5758 732-730-1394 SZYMANSKL Chester P. - Ph. I>. (2003) 459 Wasblagton Avenue, P O Box 299 MarinLSvitte, N J 08836 732-356-6998 TTTTMANN. Marie, Mrs. (2003) 1075 Oakland Ave,JWaiofieia,NJ 07060 908-756^8543 *Mail to be delivered to place of business.

TKBKBUL3L Kenneth W. (2003) Home 200 Washington Rock Road, Watcta&NJ 07060 908-755-0076 Mailing Address: P.O Box 4372, Wazrea, N.J 07059-0372

VENJRELLA.PeterJ. (2004) Business Rioae and Fax (90S) 317-9892 Home 5 Endor Laoe, Mountainside, N J. 07092 908-233-3798 VOSE, Donna, Mm. (2004) 922HaiadeAve PhmfielcLNJ 07060 908-755-7235 WEST. Ronald E. (2004) Vzce Prersident, Cheat Relations B CI locoiporated 39 Broadway, Suite 500 NewYoricCity,NY 10004 (212)897-6903

UFE GOVERNORS ^ Edward J., Jr. 38 Register Road, Hney Point Marion, Mass. 02738-2020 508-748-2984

SIMMONS. Warren H,, Jr. Busmess Ehone at Hoine - 699-924-3221 Home 508 Tedmoe Road, Princeton, N J 08540

7A

Robert Home 1096OaJdaBLdAve,PIamfield,NJ. 07060 90&-756-2335

GOVERNORS EMERITUS

LEAVER. Raymond J. 2703 Weotwoifc Circle, Bretton Woods ^ae*tmst,NoftfeCaroBna 28374 919-295-4094 MORAN, Reverend Michael J St John's Rectory 69VaHeySt,PO Box SOS IBIsdale.NJ 07642 201-664-3)31

WB^
'

EeniyJ. Broadcast Consultant New Jersey Broadcaster

. 07946

(2000) 960 Cedar Brook R o a i d . . Plaisfid^NJ. 07060. V;,

(2000) Corporate Headquarters P.O3ox6000 -."-. Z13QRcA3e22Ba3t ;.* Bridgewatcr, KJ. 08S07

. LanrcafiPa=aficMHealth Center^ (2002) Home; 926 Shenaaa Avenue, Plaicfid^NJ. 07063 . Garrctt M^ SIK ' (2CX)1)
/ \' '

Home: ZSSKidcRoaWatcJamNX 07060

1^AYA. lotm 1^ PJU

Sr. Vice President,

Yookeia Contracting Co., IRC.

969 iwEdhnd Avenue

10704

PRESIDENT & CHIEF EXECUTIVE OFFICER SECRETARY, BOA^a OF GOVERNORS Wwhicaberg B^ona! Medical Center 07061

T^ Pcaais N. * (2001)

Coiapaay Croup Chairman, Johnson & Johnson One Joimscn& Johnson Plaza
, OS933

13431

Qemcnt A-,MJ>P -(2002)

65 M
. 07059

(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. Omnie CHAiOR?ERSQN; Steerisg Coamuttec MUHLENBERG ATjXOJ^JRy Ktuae: ^KensAPiacC: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

4 -

P-r-4

V:

* (2000) , Engineering & Tedaacal Scmces Public Service Electric & OE* Company 80 ParicPIaaa, T-15M, Newatfc. NJ.. 07102

Eggeae P^ MJ3C

(2001)

Associated Colon & Rectal Surgeons, P. A 3900 Pa* Avmie, SntalOl, Etfiaoa, NJ. 08820

tS^R. Robert E^PhJD. (2001) CHAIRMAN, BOARD OF GOVEKKORS 921 Cedar Brack Soad, PJaafidd, NJ. 07060 SZVMANSKT. Chester 0., Ph. D. (2000) 459 Washington Avezme, P.O. Bos 299 MaztissviUe.NJ. 03836 (2000) 2075 Oaktad Ave., Plaod4 NJ. 07060 L. Kenneth W.
Director Emeritus

(ZOOO) ;

United Neaond Bank, Coiporate Headquarters P.O. Box 000, 1130 Route22 East Bridgcwatcr, NJ. OSaQ7:

TREASOKER, BOAEB. OF GOVERNORS

VENTREtXA^PcterJ. . 07090 VOSk, Donna. Mrs922 ESHwdft Awe. .'" . 07060

ViccPrersideiit, CfientRelatioas B.C.I Incorporated . . .

Now YoricCiiy, N.V..10004

" " " "> * K _JJi * .. .

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

SIMMONS, Warren ELT Jr. :

Home: 508 Tctbunft Road, Princeton, NJ. 08540

Pfl^ , ffiigRf ruS

V . O^.fcrs

TJRAVIi^. Raymond J.

2703 Wentwot&i Cade, Bretton Woods Pinehuist, North Csrolica 2374

St Joha's Rectory 69 Valley St., P.O. Box 3CS . 07642

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MUHLENBERG REGIONAL MEDICAL CENTER, INC. FORK 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

22-1487258

NAME AND ADDRESS JAKES J. LONSDQRF HC 62, BOX G79-D HONESDALE, FA CLEMENT A. MACCIA, M.D. 65 MOUNTAIN BLVD. EXT. WARREN, NJ 07059 ALBERT T. MCWILLIAMS ENGELHARD CORPORATION 101 WOOD AVENUE ISELIN, NJ 08830 DOUGLAS A. KORDSTOM CHUBB fi SON INC. 12 MOUNTAIN VIEW ROAD WARREN, NJ 07061 ULYSSES RICE/ JR. PUBLIC SERVICE ELECTRIC G GAS CO 80 PARK PLAZA, T-16M NEWARK, NJ 07102 EUGENE P. SALVATI, M.D. ASSOCIATED COLON & RECTAL SURGE OK S 3900 PARK AVENUE, SUITE 101 EDISON, NJ 08820 ROBERT E. SCHLOSSER 921 CEDAR BROOK ROAD PLAINFIELD, NJ 08805

TITLE AND TIKE DEVOTED TO POSITION BOARD 0^ GOVERNORS NONE BOARD OF GOVERNORS NONE BOARD OF GOVERNORS NONE

COMPENSATION NOME

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS NONE

EXPENSE ACCT AND COTER ALLOWANCES NONE

NONE

NONE

NONE

NONE

NONE

NONE;

BOARD OF GOVERNORS NONE

NONE

NONE

NONE

BOARD OF GOVERNORS KONE

NONE

NONE

NONE

BOARD OF GOVERNORS NONE

KONE

NONE

NONE

CHAIRMAN OF BOARD NONE

NONE

NONE

SSFSLN2XXB

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

v

23

STATEMEN

MUHLENBERG REGIONAL MEDICAL CENTER, INC. FORM 990, PART V LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
ssas = = = cs cs ess ssc = ESS: 2 e;ts= es= S5==s: c: c = tss cs= =;

22-1487258

NAME AND ADDRESS CHESTER E. S2YMANSKI 459 WASHINGTON AVENUE MARTINSVILLE, NJ 08836 TXTTMANN 1075 OAKLAND AVENUE PLAINFIELD, NJ .08836 ' KENNETH W. TURNBULL UNITED NATIONAL BANK P.O. BOX 000

TITLE AND TIME DEVOTED TO POSITION BOARD OF GOVERNORS NONE BOARD OF GOVERNORS NONE TREASURER NONE

COMPENSATION NONE

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS HONE

EXPENSE ACCT AND OTHER ALLOWANCES NONE

NONE

NONE

NONE

NONE

NONE

NONE

BRIDGEWATER, NJ QSSO? PETER J. VENTRELLA 5 ENDOR LAND WESTFIELD, NJ 07090

DONNA VOSE

BOARD OF GOVERNORS NONE BOARD OF GOVERNORS NONE

NONE

NONE

NONE

MtJHLEKBERG AUXILIARY 922 HILLSIDE AVENUE PLAINFIELD, NJ 07Q60

NONE

NONE

NONE

BOARD OF GOVERNORS NONE

NONE

NONE

NONE

RONALD E. WEST BCI INCORPORATED 39 BROADWAY/ SUITE 00 HEW YORK CITY, NY 10004 EDWARD J. DAILEY, JR. 38 REGISTER ROAD, PINEY POINT MARION, MA 02738-2020

BOARD OF GOVERNORS NONE

NONE

NONE

NONE

SSPSLH 2X00

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

24

STATEMENT

MOHLENBERG REGIONAL MEDICAL CENTER, ISC. FORM 990, PART V - LIST 03* OFFICERS, DIRECTORS, AND TRUSTEES

22-1487258

NAME AND ADDRESS WARREN H. SIMMONS 508 TERHONE ROAD PRINCETON, NJ 08540 RAYMOND J. LEAVEE 2703 WENTWORTH CIRCLE BRETTQN WOODS PINETORST, NC 28374 REVEREND MICHAEL J KORAN St. JOHN'S RECTOR? 69 VALLE2 ST, P.O. BOX 308 HILLSDALE, KJ 07642 BRIAN T. MCGOWAN C/0 KETUCHEN SAVINGS BANK 429 MAIN STREET

TITLE AMD TIME DEVOTED TO POSITION BOARD OB1 GOVERNORS NONE BOARD OF GOVERNORS NONE

COMPENSATION NONE

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS NONE

EXPENSE ACCT AND OTHER ALLOWANCES NONE

NONE

NONE

NONE

BOARD OF GOVERNORS NONE

- NONE

NONE

NONE

BOARD OF GOVERNORS NONE

NONE

NONE

NOME

P 0 BOX 431
METUCHEN, NJ 08840 BOARD OF GOVERNORS NONE CHAIRPERSON NONE PRESIDENT AND CEO AS REQ NONE NONE NONE R. BRUCE MILLIGAN, MD 15 ALLENBY LANE SCOTCH PLAINS, NJ 07060 CONNIE NORDSTQM 20 NORMAN PLACE CRANFORD NJ 07016
JOHN P MCGEE C/0 ME7HLENBER3 REGIONAL MED CTR

NONE

NONE

NONE

36,735.

NONE

NONE

98 JAMES STREET

. 9SPSIN1001)

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

23

STATEMENT

8-

MUHLENBERG REGIONAL MEDICAL CENTER, INC. FORM 990, PART V - LIST OE1 OFFICERS, DIRECTORS, AND TRUSTEES

22-1487258

NAME AND ADDRESS EDISON, NEW JERSEY/ 08820 RAYMOND EREDRICKS C/0 MUHLENEERG REGIONAL MED CTR 98 JAMES STREET EDISON, NEW JERSEY Q8820

TITLE AND TIME DEVOTED TO POSITION

COMPENSATION

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS

EXPENSE ACCT AND OTHER ALLOWANCES

SK VP AND CEO AS REQ

25,737.

NONE

NONE

GRAND TOTALS

62,472.

NONE

NONE

85PSLN 2 0 3 .9

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

26

STATEMENT

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 ACCT TO EMPLOYEE AND OTHER BENEFIT PLANS ALLOWANCES 39,398.
1,088.

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

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

247 * 616.

-.- PHILIP-A-. 'I - -2 KALE -DRIVE . ' : ' .. . BR!DGWATEfc. NJ 08807 '

. "'.

SR VP/COO 37.6 HRS -.

NONE

1,876. ..

'"' 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 ,

.SR VP '-. 37.B HRS

229,684.

1.926.

".. '188V186.;
37:,B HRS.VP 37 ;'B HRSVP-

.18., 426,

683. '..

^ ' -117.088,'

.NONE ' .

628., .

' -': ' ' /. -

.'-..- NONE

- -NONE''-

: MARY ANNE KEYES ' / .350'RIVER RDV D-B' "-.' NEW HOPE,- PA- 18938

37.B HRS

'': HENRY J-. BEHRE ' ... . NJ BROADCASTER'S.ASSOCIAt(ON " --1S12 'LONG HILL-ROAD ,v; MIL-L-INGTON,;- 'NJ 0 9 . - ' .-v . 746 ;: - -MARI. BONI.NI' . ' " . ' '-.-960 CEDAR BROOK ROAD: -.

BOARD OF GOVERNORS

NONE

'NONE

NONE:

BOARD OF GOVERNORS NONE'" ' . -

NONE

NONE

NONE

8BP8LNWOD

.- ' . -.

BQFB4Z E481. 10/26/1999 14.{.B3;46 V8.07.01..-

''

'

.'

'

' - - . . -

STATEMENT

TO

MUHLENBERG REGIONAL MEDICAL CENTER, INC.; FORM 980, PART V - LIST:QF OFFICERS,. DIRECTORS. AND TRUSTEES.
!s^==:sBs==:Has=eaB=c:cOTBSKffl

.22-1487258 .

NAME AND ADDRESS PLAINF1ELD, NJ. 07060

TITLE.AND TTME DEVOTED TO POSITION

COMPENSATION

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS

EXPENSE ACCT AND OTHER ALLOWANCES

BOARD OF GOVERNORS NORMAN M CARTER. JR. ' ..' . CARTER, VANRENSSELAER AND CALDWELL NONE ; -. . 120 DEPOT PARK '' " f - ' ' ': P'LAINFIELD, NJ .07060 ' AUUN B'COHEN. M.D. 1.166'PARK AVENUE ' PLAINF1ELD,. NJ 07060 ' '" ." ' - . BOARD OF. GOVERNORS " NONE .:.. . ' ' -. .. ' _"'. . .: BOARD -OF GOVERNORS NONE . '-.'...

NONE

NONE

NONE

NONE

NONE

NONE.

THOMAS-C.- GREGOR UN ITED-NATIONAL BANK ' P.O. BOX 6000 BRI.DGEWATER. NJ . 08807 GARRETf M. KEATINGi M.D 238 RIDGE ROAD WATCHUNG..NJ 07060 SUSAN KILDUFP" ' " .- MUHLENBERG AUXILIARY ..1620 P.OREST HILL PL'AIWFIELD. NJ 07060

NONE

NONE

NONE

BOARD OF GOVERNORS N'QNE ,' ' BOARD-.OF GOVERNORS NONE -.

NONE.

NONE

: -

NONE

NONE

NONE

NONE

JOHN (. KOLAYA . YONKERS CONTRACTING. CO. INC, 963 MIDLAND AVENUE YONKERS.. NY 107Q4

.BOARD OF GOVERfJQRS NONE- . ". .

NONE

NONE

NONE

.JOHN R.. K6PICKI . ".-' ." BOARD OF GOVERNORS ' . MUHLENBERG REGIONAL .MEDICAL CENTER ; NONE "'

NONE

'NONE.

NONE

SGPSUN 1,000

-5QF.B42-.E481. 10/26/1999 U:S3i46.VS.07iOt

STATEMENT

11

.. "MUHLENBERG REGIONAL MEDICAL CENTER. INC'.

. .

22-1487258 '

;. FQRM. 990, >ART V.-. L.ISTOF OFFICERS. DIRECTORS. AMD/TRUSTEES

' ' eeisc===!=siBSKK5==cst=K5sKi=!ssKe=c=Kec;^tsjaeKssetse=ces:csc=!=s=SBBKK:tse=ttissBEBSS=' ""

.
" "' '

CONTRIBUTIONS

EXPENSE ACCT

NAME AND ADDRESS

' TITLE AND.- TIME DEVOTED TO PO'SlTION "COMPENSATION

TO EMPLOYEE BENEFIT PLANS

AND OTHER ALLOWANCES

PARK AVE & RANDOLPH ROAD PLAINFIELD, 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

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

NONE.

NONE

NONE

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

NONE

NONE

NONE:
NONE

NONE

NONE

NONE

NONE

NONE

: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'. . . .

BOARD' OF GOVERNORS NONE ';. : ', ;

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

' NONE

NONE

NONE

NONE.

NONE

NONE

BOARD OF GOVERNORS NONE.-...'

NONE

NONE

NONE

S6P6LN t.OOfl .

6QFB4Z E48f 10/26/1999 t4iB3i4Q

STATEMENT

12

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 SURGEONS 3900 PARK AVENUE, SUITE 101 EDISON. - N J ' 08820 . ; . , '

TITLE AND TIME . DEVOTED TO. POSITION

-COMPENSATION.

CQNTR[BUTTONS TO EMPLOYEE BENEFIT PLANS

EXPENSE ACCJ AND OTHER ALLOWANCES

ROBERT E. scHLQssER

:"-'"

921-GEDAR BROOK"ROAD ' PLAINFIELd-. NJ- "b8806. ' *

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

NONE-

NONE

NONE

BOARD CHESTER' E. SZVMANSK\"\. WASHINGTON AVENUE OF .GOVERNORS : . NONE ..." ..' . . ' . MART.INSVILLE. NJ 08836 ' " ,: . BOARD' OF GOVERNORS NONE '' . " "'\ .BOARD. OB GOVERNORS NONE ' - ' MARIE-TITTMANN ' .'.'" 1076 OAKLAND AVENUE -. PLAINF-IEL'D, NJ , 08886 : .....' KENNETH W/ TURKBULL UN.ITED. NATIONAL. BANK P.O. BOX 6000 . -. . '

NONE

NONE-

NONE'

NONE

NONE-

NONE

NONE

NONE

NONE--

BRIDGEWATER. NJ 08807

.
BOARD OF GOVERNORS 'NON'E . ' . "-.--' " '-NONE .NONE NONB.

'ROBERT .VAW/BUREN- '. . ,'' . -."

SMITH CORONA 68 -LOCUST. AVENUE .

NEW- CANAAN',-. CT. 06840 . ;.

PETER J. VEMTRELLA B"ENDOR LAND ..

WESTFI.ELD,. NJ.XJ7680 ;'

; /' .

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

. - NONE

NONE

NONE

DONNA VOSE '.-"'. : MUHLENBERG AUXILIARY ..'

. .

NONE'

NONE

''

NONE

;' ' .BQF64Z E481 10/26/1998 14lB3j46 VS.0.7,01

.".,

STATEMENT

13

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-

. -. TITLE AND tlME-. ..." -DEVOTED TO POSITION COMPENSATi&N-

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS

EXPENSE ACCT AND OTHER ALLOWANCES'

BOARD OF GOVERNORS .NONE :.: BOARD OF GOVERNORS. NOME-

.NONE

NONE ,

NONE

RONALD E. WEST . BC[. INCORPORATED : . 39 BROADWAY, SUITE 'BOO '" . ; NEW .YORK CITY. NY 10004 <:.

NONE

NONE ' -

NONE

: MAR i ON; :MA

:

EDWARD J. DA I LEY, JR. 38 REGISTER ROAD, PIRlEY POINT"

'

BOARD, OF GOVERNORS NONE. ' :. : '..- ' BOARD OF .GOVERNORSNOME .' .BOARD OF GOVERNORS NON'E -' \ ' BOARD OF GOVERNORS NONE ..' . .' '

. NONE

NONE

NONE

* THEODORE U012EAUX, M.D, . . 3231 .FELLOWSHIP -ROAD BASKING RIDGE, NJ 07920

NONE

NONE.

NONE'

:. WARREN . H SIMMONS' ', .'-.-. 608 TERflUNE ROAD '-PRINCETON. 'NJ & 8 % '60 "

NONE

NONE

NONE

.NONE

NONE

'NONE

RAYMOND J. 'LEAVEE . ' . ' 2703 WE'NTWORTH CIRCLE ' ' BRETTON WOODS" P I-NEHURST ;, NC ' 288.7'4 ., . ; ;. . - REVEREND- MICHAEL J MORAN ST. JOHN'S RECTORY 68 VALLEY 'ST.. P.O." BOX 308

BOARD OF GOVERNORS NONE '- -.

NONE

NONE

NONE

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

STATEMENT

14

.MUHLENBERG REGIONAL MEDICAL CENTER, INC.

.. ; ' . . .

22-1.487268 . .....

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

;,.. WAME: AND ADDRESS H.ILLS0ALE,: NJ 074 .62

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

CONTRIBUTIONS TO-EMPLOYEE BENEFIT P'LANS

EXPENSE ACCT AND OtHER . ALLOWANCES

RAYMOND FRibERICKS 80-'JAMES STREET . EDISON, NJ 08820 '

.CFO NONE

NONE

. NONE

NO'NE

.G.RAND TOTALS..

.1 ,229,406.

8.8.358.

6., 200. .
I .Hiai^B fm^ffJ1

.10/26/1999

.01

STATEMENT '16.

jf

Muhlenberg Regional Medical Center, IBC. Board of Governors Address List 1997-1998
BUSINESS ADDRESS BEHKE, Heavy J. Broadcast Consultant New Jersey Broadcasters Association 1512 Long HSU Road NJ 07946 >a Simon X Executive Vice President, Merck Human Health Division Merck & Co., lac. PO Box 100 One Merck Drive Wfahefcouse Station, NJ 08889-0100 BON!N!,Mari President Muhienberg Auxiliary 960 Cedar Brook Road Piaiofield,NJ 07060 CARTER, Norman M. Jfr^ Esq. Attorney, Carter, VanRensselaet & CaldweH 120 Depot Park PIaMeM,NJ 07060 COHEN, AOaa B., MD President, Medical/Dental Staff 1165 Padc Avenue Plainfield,NJ 07060 DOHERTY,JoimB. IMMEDIATE PAST CHAIRMAN BOARD OF GOVERNORS 6 Colonial Drive QKG&I BrooK NJ 08812 400 Loagview Road Far EGHs, NJ 07931 967 Lawrence Avenue Westaeld, NJ 07090

41 Cbnsty DtN?e Wairea, NJ 07059

BUSINESS ADDRESS GOU>MANN, Anker P. 169 Persbing Boulevard LaveHette,NI 08735 GREGGR, Thomas C Chairman United National Back Corporate Headquarters PO Bos 6000 1130 Route 22 East Bridgewater, W OS807 JONES, L. Laneuvilte, MB 725 West 4th Street Plainfidd,NJ 07060 KEATING, Garrett M., MD ^ KOtAVA, JTohn L., PE Sr. Tice President, Construction Yonkers Contractors Co., Inc. 969 Midland Avenue Yonkers, NY 10704

HOMEA8&BESS

Stark Drive Monistown, ~&J 07960

238 Ridge Road Watdmag, NJ 07060 10S1 Oakland Avenue PiaMdd, NJ 0706O-3411

BUSINESS ADDRESS KOPICKLJohoR, President & Qnef Executive Q&eer Secretary, Board Of Governors Mubleoberg Regional Medical Center Park Avenue & Randolph Road PiaJnfidd,NJ 07061 LONGSTKEET, Dennis N. Company Group Chairman Johnson & Johnson Healthcare Systems, Inc. 425 Hoes Lane Pisca*away,HJ 08855 Mailing Address: PQBox68QQ Piscatawqy, NJ 08855-6800 LONSBORF, James 3, HC62,Box679-D Honesdale, PA 18431 MACCI&, aeraent A., MD 65 Mountain Boulevard Ext. Warren, NJ070S9 MAROTT&, Mrs. Toni 142 Deer Run Watcbuag. NJ 07060

HOME ADDRESS
105 HoUy Street

10 Blue Ridge Road Green Brook, N3 08812

MCWIUJAMS, Albert T.
Assistant General Coussel EageUiazd Corporadon 101 Wood Avoraie UKNI08830-0770

1341 Prospect Aveime Plaiafie^KJ 07060

BUSINESS ADDRESS
MHXIGAN, R. Bruce

HOMEADDKESS
15 Allenby Lane

1314 Park Avenue Piata6el4NJQ7Q60

NORBSTROM, Douglas A.

Scotch Plains, NJ 07076

20 Norman Place

Vice President & Manager

Administrative Planning & Control

GranforOj NJ 07016

Chubb & Son, Inc. 15 Mountain View Road

PO Box 1615 Warren, NJ 07061-1615 RICE, Ulysses, Jr. Director, Customer Service Pubfic Service Electric & Gas Company 80 Park Plaza, T-7 PO Box 570 Newark, NJ 07101 RGTAN&, Robert J. President, Rotaoz Associates 25 Birehwood Lane Watchung, NJ 07060 ROARK, Robert G-, Jr. 4 Crest Acre Court Summit, NJ 07901 48 Hi^imauat Avenue Warren, NJ 07059

RUBOW, Ulrich Vice President, Corp. & Engia Services

597 LMe Suver Point Road Little Silver, NJ 07739

Johnson & Johnson One Johnson & Johnson Plaza

New Brunswick, NJ OS933

SALVATJ, Eugene P., MO Second Vice Chairman, Board of Governors 1010 Park Avenue

1911 Mddlebraok &oad Bound Brook, NJ 08805

BUSINESS A&D8ESS SCHLOSSER, Robert E., Ph. D. Chairman, Board of Governors 921 Cedar Brook Road

HOMEA&DSESS

SHRAGER, James J. First Vice Chairman

Board of Governors

197 Rock Road West Greea Brook, NJ 08812

Attorney, Hacnoch Weisman 4 Becker Farm Road

Ro$eiand1NJG7G6S

SPRAETZ, Ronald i* Vice President, External A&&s & Quality Nadoaal Starch & Cheimcai Company Findeme Avenue Bridgewater, NJ OS807

137 ^banana Drive Skffimaa, NJ 08858

SZYMANSKI, Chester 0^ JPh. B. 459 Washington Avenue PO Box 299 MartJDSviile, NJ 08836 TITTMANN, Marie, Mrs. 1075 Oakland Avenue P!ainfieid,NJ 07060 200 Washii^ton Rock Road WatdsiRg, NJ 07060

Chairman Emeritus . United National Bancorp 65 Readingtoa Road Branchburg, NJ 08876 nyBASUREEl, BOARD OF GOVERNORS

Mailing Address: POBOK4372 Wanea, NJ 070S9-Q372

BUSINESS ADDRESS
VAN BUKEN, Robert Chairman, Smith Corona 65 Locust Avenue New Canaan, CT 06S40

HOMEADDJRESS 1096 Oakland Avenue PIaisfieId,NJQ7Q6Q

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

SEndorLane WestgeM.HF 07090

VQSE, Donna, Mrs. VP Community Relations & Comraujaication MUHL^BERG AUXILIARY Plaingeia, NT 07060 WAUKER, David R. 1200 Rahway Road Scotch Plains, NJ 07076 6 Rose Lane , NJ 08807

WEBB, Carol A., Ms. President Ortho Biotech, Inc. 7GQUSHigfeway202 PO Box 670 Rantan,NJ 08869-0690 WEST, Ronald E. Sr. Manager, Telecomniuucatioos & O&e Automation Shearman & Sterling 599 Lexington Aveaue New York, NY 10022

5 Brook Lane Plaiafield, NJ 07060

LIFE GOVERNORS

DAELEY, Edward J-, Jr. 38 Register Road, Piuey Point Marion, MA 02738-2020

3231 Fellowship Road Basking Ridge, NJ 07920 SIMMONS, Warren H., Jr. 508 Terfiuae Road Princeton, NJ 08540 3 Sabre Cay Nap!es> Ft 33940
GOVERNORS EMERITUS

LEAVEE, JRaymond J. 2703 Wentworth Carole, Bretton Woods Kneiairet, NC 2S374 MOHAN, Reverend Michael J. St John's Rectory 69 Valley Street PO Box 308 Haisda!e,NJQ7642