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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
BARNABAS HEALTH INC
 
Employer identification number
22-2405279
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ELIZABETH HEALTHCARE FOUNDATION
1160-1164 ELIZABETH AVENUE
ELIZABETH,NJ07202 		22-2473474 501(C)(3) 1,606,000       SPONSORSHIPS
(2) MISSIONS IN HAITI
po box 2996
claremore,OK74017 		73-1594533 501(C)(3) 1,581,079       SPONSORSHIPS
(3) SISTERS OF CHARITY OF SAINT ELIZABETH
PO BOX 476 2 CONVENT ROAD
CONVENT STATION,NJ079610476 		22-1487343 501(C)(3) 1,500,000       SPONSORSHIPS
(4) COMING HOME OF MIDDLESEX COUNTY INC
75 BAYARD STREET 2ND FL
NEW BRUNSWICK,NJ08901 		26-3667672 501(C)(3) 160,050       SPONSORSHIPS
(5) TIDES CENTER
PO BOX 399385
SAN FRANCISCO,CA941399385 		94-3213100 501(C)(3) 150,000       SPONSORSHIPS
(6) THE COMMON MARKET MID ATLANTIC
428 E ERIE AVENUE
PHILADELPHIA,PA19134 		81-3440182 501(C)(3) 100,000       SPONSORSHIPS
(7) GREATER NEWARK CONSERVANCY
32 PRINCE STREET
NEWARK,NJ07103 		22-2691309 501(C)(3) 50,000       SPONSORSHIPS
(8) NEW JERSEY INSTITUTE FOR SOCIAL JUSTICE
60 PARK PLACE SUITE 511
NEWARK,NJ07103 		22-3478143 501(C)(3) 40,000       SPONSORSHIPS
(9) SOUP KITCHEN 411
PO BOX 1698
BETHLEHEM,PA180161698 		47-4438062 501(C)(3) 40,000       SPONSORSHIPS
(10) URBAN AGRICULTURE COOPERATIVE
58 CRAWFORD STREET
NEWARK,NJ07102 		82-1079237 501(C)(3) 8,750       SPONSORSHIPS
(11) ST BARNABAS HEALTHCARE SYSTEM FOUNDATION
C/O CORP FINANCE 2 CRESCENT PLACE
OCEANPORT,NJ07757 		22-3769036 501(C)(3) 7,000       SPONSORSHIPS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
11
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2021



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