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MONOC, The Monmouth Ocean Hospital Service Corporation, is a non-profit company comprised of nineteen acute care hospitals located in Monmouth, Ocean, Atlantic, Bergen, Cape May, Hudson, Essex and Union Counties, New Jersey. Together this shared services consortium acts as a health care co-operative for these acute care hospitals and the over 4.3 million residents that they serve living in more than 2,500 square miles along New Jersey's northern, central and southern shore. It includes hospitals from four of New Jersey's premier integrated health care delivery networks; Meridian Health System, Robert Wood Johnson Health Network, the Saint Barnabas Health System and the Atlantic Health Care System . MONOC's Board of Directors is comprised of the Presidents/Executive Directors of each member hospital. In addition, administrative and financial resources are provided through committees with representation from each hospital. Ad-Hoc Committees are formed on an as-needed basis to address special projects. MONOC's Medical Advisory Board is composed of emergency department physicians from each of the seven mobile intensive care system participating hospitals, a system cardiologist and a system medical intensivist. MONOC was formed in 1978 as "a cooperative venture to improve health care and reduce costs." Among its numerous projects, MONOC operates four main programs: Mobile Intensive Care Services, Mobile Critical Care Services, EMS and Transport Basic Life Support Services and EMS educational courses. Through its affiliate, the Monmouth Ocean Healthcare Co-operative, other specialty programs are provided, including group purchasing and personnel agency services. MONOC employs over 850 staff and operates within a $67 Million annual budget. Last year, the company responded to more than 100,000 requests for emergency and medical transport services.