2019-11-15T13:41:50-06:00 2018-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2018-01-01 221494440 SAINT BARNABAS MEDICAL CENTER % CATHERINE DOWDY CPA SAIN 9733224032 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 CATHERINE A DOWDY SVP FINANCE 7329238929 2019-11-11 true Scott J Mariani P00642486 9738989494 65.124.179.218 22006220193195000253 2019-11-15 P 0E7AA6D09474FC827FC900BEE833A570B2ABBB6B BC1463C2C33C0789E044F59BFBDC14725F3736CE 2018 2020-03-31 21:24:44Z STEPHEN P ZIENIEWICZ FACHE 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 873483242 false X WWW.RWJBH.ORG X 1867 NJ TO PURSUE DELIVERY OF PRIMARY, SECONDARY & TERTIARY HEALTH SVCS WHILE CONSISTENTLY MEETING THE HIGHEST QUALITY OF CARE AND MEETING OUR CUSTOMERS EXPECATIONS & SATISFACTION. 21 16 4970 628 0 604612 3283432 3331530 807867700 862628325 -822424 452704 5482745 5473242 815811453 871885801 57155 54839 0 0 274272450 295308736 328000 273555 273555 451711008 514707588 726368613 810344718 89442840 61541083 1512102276 1606957926 512074437 539320238 1000027839 1067637688 X SAINT BARNABAS MEDICAL CENTER, A NON-SECTARIAN HEALTHCARE INSTITUTION, WILL PURSUE THE DELIVERY OF PRIMARY, SECONDARY, AND TERTIARY HEALTH SERVICES WHILE CONSISTENTLY MEETING THE HIGHEST QUALITY OF CARE AND MEETING OUR CUSTOMERS' EXPECTATIONS AND SATISFACTION. WE WILL SERVE ALL OF OUR CUSTOMERS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION, FINANCIAL STATUS OR MENTAL/PHYSICAL DISABILITY. WE ARE COMMITTED TO THE DELIVERY OF SAFE, CLINICALLY APPROPRIATE CARE IN AN ENVIRONMENT FOCUSED ON IMPROVING PATIENT SAFETY THROUGH A PRO-ACTIVE APPROACH. WE ARE COMMITTED TO THE PRUDENT MANAGEMENT OF RESOURCES, COMPLIANCE WITH ALL LEGAL AND REGULATORY REQUIREMENTS AND TO ETHICAL CONDUCT AND INTEGRITY IN ALL OF OUR INTERACTIONS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 120685522 0 114552803 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY ONCOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THERE WERE 15,084 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 94031279 0 94662580 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY CARDIOVASCULAR SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THERE WERE 18,503 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 73682308 0 58683631 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GENERAL SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018 THERE WERE 3,909 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 440670421 54839 594729311 729069530 true true false true false false false false false true true false false true true true false true false true true false false true true true true true false true true false false false false false false false false true false false false false true false false false true 1551 0 true 4970 true true true true BD false false false true true false false false false true false X 21 16 false false false false true true true true true false false true true true true true true true true false AL AK CO DC FL GA IL KY MD MA MN MS NV NH NJ NM NY ND OH OK OR SC UT WA WI X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X BRUCE SCHONBRAUN CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 DAVID A MEBANE ESQ SECRETARY - TRUSTEE 55.0 0.0 X X 0 1617173 50702 KATHY BRAND TRUSTEE 1.0 0.0 X 0 0 0 STEPHEN CRANE MD TRUSTEE 1.0 0.0 X 0 0 0 STUART GEFFNER MD TRUSTEE 50.0 0.0 X 788122 0 26701 GREGG GOTTSEGEN TRUSTEE 1.0 0.0 X 0 0 0 ALISON GRANN MD TRUSTEE 50.0 0.0 X 778308 0 3160 JEFFREY KIGNER TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL A MARANO MD TRUSTEE 50.0 0.0 X 154391 0 16782 ROBERT D MARCUS TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH MAURIELLO TRUSTEE 1.0 0.0 X 0 0 0 ANDREA MELCHIORRE TRUSTEE 1.0 0.0 X 0 0 0 EVAN RATNER TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL REKOON TRUSTEE 1.0 0.0 X 0 0 0 JOHN RUSSO MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 ELENA SANTORO TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 RYAN SCHINMAN TRUSTEE 1.0 0.0 X 0 0 0 ROBERT W SCHUMAN MD TRUSTEE 1.0 0.0 X 0 0 0 NINA MITCHELL WELLS TRUSTEE 1.0 0.0 X 0 0 0 STEPHEN P ZIENIEWICZ FACHE TRUSTEE - CEO 55.0 0.0 X X 1472781 0 247621 KATHRYN ZIZZA TRUSTEE 1.0 0.0 X 0 0 0 PATRICK J HAUGHEY COO 55.0 0.0 X 442812 0 107671 RICHARD L DAVIS EVP/CFO - TREASURER 55.0 0.0 X 845838 0 125071 GREGORY ROKOSZ MD SENIOR VICE PRESIDENT - VPMA 55.0 0.0 X 657083 0 126798 LOUIS LA SALLE SENIOR VICE PRESIDENT 55.0 0.0 X 261977 0 38425 JENNIFER A O'NEILL VP/CHIEF NURSING OFFICER 50.0 0.0 X 389791 0 24133 ARNOLD D MANZO VP/CHIEF HR OFFICER 50.0 0.0 X 209691 0 3907 SHAMKANT MULGAONKAR MD DIRECTOR 50.0 0.0 X 1035222 0 25813 M MICHELE BLACKWOOD MD PHYSICIAN 50.0 0.0 X 801719 0 1010 MICHAEL SCOPPETUOLO MD DIRECTOR 50.0 0.0 X 793746 0 19446 STUART LEITNER MD PHYSICIAN 50.0 0.0 X 722252 0 26069 I ROBERT GROSSMAN MD PHYSICIAN 50.0 0.0 X 608331 0 22674 JOHN F BONAMO MD MS FORMER OFFICER 55.0 0.0 X 0 1924471 40772 PATRICK M AHEARN FORMER OFFICER 50.0 0.0 X 0 599886 118185 SARI B KAPLON FORMER OFFICER 50.0 0.0 X 0 154524 23364 9962064 4296054 1048304 690 true true false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 85556257 SODEXO INCORPORATED AND AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD/MANAGEMENT 28004590 WM BLANCHARD CO 199 MOUNTAIN AVENUE SPRINGFIELD NJ 07081 CONSTRUCTION 15211265 NJ ORGAN AND TISSUE SHARING NETWORK 691 CENTRAL AVENUE NEW PROVIDENCE NJ 07974 ORGAN PROCUREMENT 9656194 SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 9502209 77 868969 652458 1810103 29161 3331530 NET PATIENT SERVICE REVENUE 541900 850097328 850097328 OTHER HEALTHCARE RELATED REVENUE 541900 12530997 12530997 862628325 465722 465722 0 0 5319911 990880 4329031 0 4329031 4329031 47000 60018 -13018 -13018 -13018 518993 868969 518993 55100 27550 27550 27550 0 0 0 PARKING LOT 812930 1104026 1104026 TELEPHONE 517000 12635 12635 1116661 871885801 862628325 5925946 8499 8499 46340 46340 0 0 6721063 6048957 672106 0 236644424 212979982 23664442 13439508 12095557 1343951 15305530 13774977 1530553 23198211 20878390 2319821 95058466 85552619 9505847 266579 239921 26658 18114 16303 1811 44038 39634 4404 273555 273555 0 55863723 50277350 5586373 0 537169 483453 53716 12696982 11427284 1269698 2237731 2013958 223773 0 6825081 6142573 682508 393286 353957 39329 0 141576 127418 14158 13577347 12219612 1357735 0 30354963 27319466 3035497 10053662 9048296 1005366 MEDICAL SUPPLIES 176236107 158612496 17623611 0 PHYSICIAN FEES & SALARIES 76928963 69236067 7692896 0 DIETARY MANAGEMENT FEES 10961776 9865598 1096178 0 REPAIRS AND MAINTENANCE 5179921 4661929 517992 0 17332104 15598894 1733210 810344718 729069530 81001633 273555 18475 26652 7791515 4276237 11659809 8641413 80829747 86791173 0 0 0 0 0 0 10745166 11896706 3216437 7125495 827054466 466702762 344956048 360351704 0 0 0 0 24623220 31489079 5716658 5716658 1022545201 1090642809 1512102276 1606957926 69443555 65422158 0 0 39912 216318 0 0 0 0 0 0 25887580 23996822 0 0 416703390 449684940 512074437 539320238 X 968009839 1036390688 29575000 28804000 2443000 2443000 1000027839 1067637688 1512102276 1606957926 X 61541083 27407 6041359 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false true 44038 44038 false SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF RWJBARNABAS HEALTH AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ALLIANCE OF NEW JERSEY, THE NEW JERSEY HOSPITAL ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $44,038 IN 2018. false false 32018000 -771000 31247000 21531000 10487000 32018000 46176000 -24249000 396000 21531000 46180000 -4000 46176000 0 46180000 46180000 0.07820 0.92180 false false 579837 579837 512018798 254918464 257100334 22725523 20205070 2520453 263863984 188482053 75381931 27866324 3097175 24769149 360351704 OTHER RECEIVABLES 4287913 SECURITY DEPOSITS 70808 THIRD PARTY PAYORS, NET 2892643 DUE FROM AFFILIATES; CURRENT 1083349738 OTHER ASSETS 41707 1090642809 0 OTHER LIABILITIES 32703733 DUE TO AFFILIATES; CURRENT 28090 PARTY PAYORS; NON-CURRENT 2221963 DUE TO AFFILIATES; NON-CURRENT 33581285 LIABILITY 364998023 ACCRUED INTEREST EXPENSE 16151846 449684940 X SCHEDULE D, PART V; QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 AND 2017. Central America and the Caribbean Program Services FINANCIAL VEHICLE 0 Central America and the Caribbean Investments 245737830 245737830 245737830 false false true false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES PAYMENTS TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $7,539,097; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true COMMUNITY COUNSELING SVC CO CAMPAIGN MGMT false 273555 273555 AL AK CO DC FL GA IL KY MD MA MN MS NV NH NJ NM NY ND OH OK OR SC UT WA WI GOLF 493475 348483 144992 133223 11769 MIRACLE WALK 286179 247434 38745 3812 34933 7 608308 273052 335256 122480 212776 1387962 868969 518993 259515 259478 518993 55100 27550 true 1.00000 55100 27550 27550 27550 NJ true false false false 1.00000 DIANE REEVES 2 CRESCENT PLACE OCEANPORT NJ 07757 false KELLY GROSS MANAGES DAY TO DAY OPERATIONS OF RAFFLE X false true true X true X true X 500. true true true false false 3683 10476113 630726 9845387 0.01210 45055 106119226 87125234 18993992 0.02340 4740974 0 4740974 0.00590 48738 121336313 87755960 33580353 0.04140 172870 2318081 182779 2135302 0.00260 23912527 10153625 13758902 0.01700 16873395 8715046 8158349 0.01010 7827368 0 7827368 0.00970 163112 0 163112 0.00020 172870 51094483 19051450 32043033 0.03960 221608 172430796 106807410 65623386 0.08100 false 23564975 2356498 199786212 208943093 -9156881 X true true 1 1 SAINT BARNABAS MEDICAL CENTER 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 WWW.RWJBH.ORG 10710 X X X X 1 SAINT BARNABAS MEDICAL CENTER 1 false false true X X X X X X X X X X 16 true false false true X WWW.RWJBH.ORG X X true 16 false true false true X 200. 500. X X X X X true true X X X true X WWW.RWJBH.ORG X WWW.RWJBH.ORG X WWW.RWJBH.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 3J The COMMUNITY HEALTH NEEDS assessment ("CHNA") included results from a qualitative survey of service area residents; a comprehensive review of secondary data sources from a County and service area perspective where available; facility-specific and the facility's service area-specific utilization (e.g. ambulatory care sensitive condition admissions and ED visits) and other measures (e.g. re-admission rates). SCHEDULE H, PART V, SECTION B, QUESTION 5 A comprehensive resident survey was conducted to provide qualitative data for the CHNA. The CHNA was further informed by local health officers and other community stakeholders through a survey of their assessment of the community's health need priorities, barriers and other considerations. The public health officers were provided hospital utilization for their review and assessment of community health needs as part of the collaborative process. In addition, the facility participated in a county-wide public health symposium with public health officers and community stakeholders including: insurance company, community-based organization, other health providers (physicians, home care), state and local health departments. Details including symposium attendees are contained in the CHNA. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B WHILE SAINT BARNABAS MEDICAL CENTER ("SBMC") HAD ITS OWN CHNA, SBMC PARTICIPATES IN A SYSTEM WIDE COMMUNITY HEALTH NEEDS STEERING COMMITTEE FOR ALL MEMBER HOSPITALS. STRATEGIES AND BEST PRACTICES ARE IDENTIFIED AND SHARED AS WELL AS PROGRAM SUPPORT. SCHEDULE H, PART V, SECTION B, QUESTIONs 7A & 7D The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Question 7a, is the home page for the system. The CHNA can be accessed at the following page included in the systems website: https://www.rwjbh.org/DOCUMENTS/SAINT%20BARNABAS%20MEDICAL%20CENTER/RWJBAR NABAS-CHNA-SBMC-12-2016.PDF The CHNA was shared at A coalition meeting and with other external meetings. SCHEDULE H, PART V, SECTION B, QUESTION 8 The facility, with limited resources, prioritized health needs that were identified and developed an implementation plan to address these priority health need areas. The System and Facility strategic plan maps to improved community health and the CHNA implementation plan. The CHNA implementation plan includes resources, actions and goals (measurable). SCHEDULE H, PART V, SECTION B, QUESTION 11 As discussed above, the facility conducted a comprehensive assessment and a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by the facility and ability to collaborate with community partners. SCHEDULE H, PART V,SECTION B,Q'S 13B,13H,15E,16J,18E,19E,20E,21C,21D,23,24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 16 The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Questions 16a, 16b and 16c, is the home page for the system. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: httpS://www.RWJBH.ORG/BILLING/FINANCIAL-RESOURCES/ 39 ACC - Physical Therapy 200 South Orange Ave Livingston NJ 07039 Physical Therapy NJ CARDIOLOGY ASSOC - CARDIAC IMAGING 375 MOUNT PLEASANT AVENUE WEST ORANGE NJ 07052 CARDIAC IMAGING CONSULTANTS IN CARDIOLOGY - CARDIAC IMAG 741 NORTHFIELD AVENUE WEST ORANGE NJ 07052 CARDIAC IMAGING ACC - Vascular Lab 200 South Orange Ave Livingston NJ 07039 Vascular Lab ACC - Pediatric Physical Therapy 101 Old Short Hills Road Suite 210 WEST ORANGE NJ 07052 Pediatric Physical Therapy NUCLEAR IMAGING - DR LENCHUR 776 E 3RD AVENUE ROSELLE NJ 07203 CARDIAC IMAGING OUTREACH PHLEBOTOMY 200 SOUTH ORANGE AVENUE LIVINGSTON NJ 07039 PHLEBOTOMY STATION SUMMIT CARDIOLOGY IMAGING PRACTICE 1 SPRINGFIELD AVENUE SUMMIT NJ 07901 CARDIAC IMAGING ACC - Speech & Hearing 200 South Orange Ave Livingston NJ 07039 Speech & Hearing ACC - Echocardiography 200 South Orange Ave Livingston NJ 07039 Echocardiography NEURO SCIENCE INSTITUTE 200 SOUTH ORANGE AVENUE LIVINGSTON NJ 07039 OP TESTING ACC - Morahan Center 200 South Orange Ave Livingston NJ 07039 Morahan Center ACC - Health & Wellness Center 200 South Orange Ave Livingston NJ 07039 Health & Wellness Center ACC - RefractiveLasik Vision 200 South Orange Ave Livingston NJ 07039 Refractive/Lasik Vision OUTREACH PATHOLOGY - NJCA 375 MOUNT PLEASANT AVENUE WEST ORANGE NJ 07052 PHLEBOTOMY STATION OUTREACH PATHOLOGY - CALDWELL 382 BLOOMFIELD AVENUE CALDWELL NJ 07006 PHLEBOTOMY STATION OUTREACH PATHOLOGY - ROSELAND 189 EAGLE ROCK AVENUE ROSELAND NJ 07068 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SKILLED NURSING 101 WHIPPANY ROAD WHIPPANY NJ 07981 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SKILLED NURSING 311 S LIVINGSTON AVENUE LIVINGSTON NJ 07039 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SKILLED NURSING 68 PASSAIC AVENUE LIVINGSTON NJ 07039 PHLEBOTOMY STATION PHYSICAL THERAPY - MILLBURN 120 MILLBURN AVENUE MILLBURN NJ 07041 Physical Therapy OUTREACH PATHOLOGY - SKILLED NURSING 5 BROOK END DRIVE WEST ORANGE NJ 07052 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SKILLED NURSING 787 NORTHFIELD AVENUE WEST ORANGE NJ 07052 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SKILLED NURSING 200 MAZDABROOK ROAD PARSIPPANY NJ 07054 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SKILLED NURSING 1150 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SKILLED NURSING 25 FIFTH AVENUE HASKELL NJ 07420 PHLEBOTOMY STATION SLEEP LAB - MILLBURN 96 MILLBURN AVENUE MILLBURN NJ 07041 SLEEP LAB OUTREACH PATHOLOGY - SKILLED NURSING 560 BERKELEY AVENUE ORANGE NJ 07050 PHLEBOTOMY STATION OUTREACH PATHOLOGY - WESTFIELD 560 SPRINGFIELD AVENUE STE 103 WESTFIELD NJ 07081 PHLEBOTOMY STATION JCC OUTREACH PROGRAM 760 NORTHFIELD AVENUE WEST ORANGE NJ 07052 WELLNESS PROGRAM OUTREACH PATHOLOGY - SKILLED NURSING 35 COTTAGE STREET BERKLEY HEIGHTS NJ 07922 PHLEBOTOMY STATION ACC - Early Intervention (craniofaCIAL) 200 South Orange Ave Livingston NJ 07039 Early Intervention OUTREACH PATHOLOGY - SKILLED NURSING 369 E MOUNT PLEASANT AVENUE LIVINGSTON NJ 07039 PHLEBOTOMY STATION OUTREACH PATHOLOGY - REHAB CENTER 51 MADISON AVENUE MADISON NJ 07940 PHLEBOTOMY STATION ACC - Celiac Program 200 South Orange Ave Livingston NJ 07039 Celiac Program OUTREACH PATHOLOGY - SKILLED NURSING 76 PASSAIC AVENUE LIVINGSTON NJ 07039 PHLEBOTOMY STATION OUTREACH PATHOLOGY - SUBACUTE 59 BIRCH STREET PATERSON NJ 07522 PHLEBOTOMY STATION OUTREACH PATHOLOGY - ATKINS KENT 101 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 PHLEBOTOMY STATION Corporate Care 101 Old Short Hills Road Suite 415 WEST ORANGE NJ 07052 Corporate Care SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE H, PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2015 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I, QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THE FACILITY IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH A WIDE ARRAY OF ACTIVITIES AND SERVICES, INCLUDING, BUT NOT LIMITED, TO: - SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, - VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, - PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE CAUSES AND TREATMENT OF HEALTH CONCERNS, - THE PROVISION OF EDUCATIONAL MATERIALS AND SPONSORING HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS [PRESENTATIONS ARE OFTEN PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS], - PARTICIPATION IN COMMUNITY HEALTH FAIRS, - SERVING ON THE BOARDS OF MANY LOCAL NOT FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION), AND - PROFESSIONAL EDUCATION. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND OUR RESPONSE TO SCHEDULE H, PART VI, QUESTION 6 SUMMARY OF ALL ENTITIES WHICH COMPRISE rwjBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SCHEDULE H, PART III, SECTION A; QUESTION 1 HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 ("STATEMENT 15") PROVIDES GUIDELINES FOR DISTINGUISHING CHARITY CARE FROM BAD DEBT EXPENSE. STATEMENT 15 REQUIRES THAT CHARITY CARE IS NOT RECOGNIZED AS RECEIVABLE OR REVENUE IN THE FINANCIAL STATEMENTS. STATEMENT 15 FURTHER EXPLAINS THAT SELF-PAY PATIENTS THAT DO HAVE A REASONABLE LIKELIHOOD OF PAYMENT SHOULD BE REPORTED AS CHARITY CARE AND NOT BAD DEBT EXPENSE. THE HOSPITAL GENERALLY FOLLOWS THE GUIDELINES OUTLINED IN STATEMENT 15. IN ADDITION, THE HOSPITAL FOLLOWS THE STATE OF NEW JERSEY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. IN CERTAIN INSTANCES, IT IS UNLIKELY THAT UNINSURED PATIENTS WILL PAY FOR THE SERVICES RENDERED, BUT THEY DO NOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM BECAUSE OF LACK OF PATIENT COOPERATION OR OTHER REASONS. THE HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS AND UNPAID BALANCES ARE REPORTED AS BAD DEBT EXPENSE. UNDER STATEMENT 15, THESE AMOUNTS WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT EXPENSE AND THIS IS THE RATIONALE FOR OUR RESPONSE: "NO". SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. RWJBARNABAS HEALTH ("RWJBH") AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RWJBH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(E) AND 2(P) ON PAGES 9 AND 15; RESPECTIVELY, OF THE RWJBARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH THE CORPORATIONS MISSION AND PHILOSOPHY, THE CORPORATION'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEAR'S ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017 IS AS FOLLOWS: 2018 2017 -------- -------- (IN THOUSANDS) (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED, LESS STATE SUBSIDY FUNDING $ 98,632 $ 83,563 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $233,193 $201,584 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 3,200 $ 4,675 - EDUCATION AND RESEARCH $ 88,758 $ 83,717 - SUBSIDIZED DEPARTMENTS $ 59,762 $ 53,593 - OTHER COMMUNITY BENEFIT $ 10,150 $ 9,914 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM OR FILED COST REPORTS. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $27,981,000 AND $35,412,000, RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2018 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPE SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF the RWJBARNABAS HEALTH ("RWJBH") BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER/TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD); OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR SBMC ANNUALLY WHICH INCLUDES: - a review of healthcare utilization of its service area population by services (cardiology, obstetrics, gynecology, urology, etc.) for determining increased or decreased health needs; - healthcare service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data and - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). RWJBarnabas Health conducts an extensive service area population physician need study (by primary care and physician specialty) every three to five years. The 2017 study used generally accepted physician to population ratios adjusted for local community population to identify gaps in service. These studies inform medical staff development and recruitment needs at the hospitals to assure responsiveness to the specific identified needs of the community and to assure access to physician provider services. SBMC reviews patient surveys and comments to understand patient and family concerns. Further, SBMC participates and works with many local organizations on health issues including: discussing and prioritizing needs, coordinating services, providing education and specialty knowledge, and supporting local health promotions. SBMC also participates with a quarterly regional community advisory board for the greater Newark area hosted by RWJBarnabas Health with representatives from local politicians, local community health centers, emergency health providers and other community leaders. Another collaborative organization is the Greater Newark Health Care Coalition, which includes executive leadership of hospitals and health organizations in the greater Newark area. This coalition meets monthly with the mission to reduce health disparities and to improve health. SBMC also works with Essex County Health Department to plan and implement a local needs assessment/health status approximately every five years. These community touch points provide the hospital with valuable external insights regarding community need. SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNAGE IS POSTED IN ALL PATIENT REGISTRATION AREAS IN ENGLISH AND SPANISH. CHARITY CARE NOTICE OF FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH THEIR GENERAL CONSENT. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR IF THEY REQUIRE ASSISTANCE. LETTERS ARE MAILED TO SELF-PAY PATIENTS ADVISING THEM OF FINANCIAL ASSISTANCE PROGRAMS. SCHEDULE H, PART VI; QUESTION 4 SBMC is located in the town of Livingston, within Essex County, New Jersey. Within the State, Essex County is the second most densely populated and the third-most populous county. There are 22 municipalities in Essex County with the Western parts encompassing more affluent and suburban populations, while the Eastern Region of the County contains more urbanized, impoverished inner city communities (four designated urban enterprise zones Newark, East Orange, Orange and Irvington). Newark is ranked as one of the poorest places in the county and is located less than ten miles from Essex Fells which has one of the highest per capita incomes in the State. Livingston, South Orange and Short Hills have some of the highest percentage of Jewish populations for municipalities in the U.S., and Belleville and Bloomfield maintain a strong Italian-American population. SBMC is committed to service for its communities both within the inner city and the suburban areas, with awareness to the growing Asian and Hispanic populations, as well as communities of color within its service area. Minorities represent approximately 48% of SBMCs patients and more than 15% of its patients are of underinsured and uninsured payer categories. Medicare represents an additional 31% of patients. SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by SBMC improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. SBMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. The majority of the Board of Trustees members are individuals with local businesses or who reside in the community. Hospital staff members serve on the Boards of many local not-for-profit organizations or provide other forms of support such as fundraising, activity participation and promotion of the charitable events and mission. All qualified physicians are extended privileges. Diversity is welcomed and encouraged for recruitment of Trustees, physicians and staff. Under the directive of the Systems Finance Office, surplus funds are utilized for capital projects to improve services, to purchase equipment, or to advance medical care, programs and activities. All of these purposes for expenditure of surplus funds, in turn, benefit the community. Please also refer to Form 990, Schedule O, which contains the organizations community benefit statement and provides a summary of entities comprising RWJBarnabas Health. SCHEDULE H, PART VI; QUESTION 6 THE ORGANIZATION IS AN AFFILIATE OF RWJBARNABAS HEALTH ("RWJBH"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. RWJBH STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS BY EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. RWJBH SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED FOR PART I, PART II, AND PART III ARE REFLECTIVE OF THAT POLICY. RWJ BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ BARNABAS HEALTH, INC. OPERATES AS THE PARENT ENTITY OF A MULTI-CORPORATE HEALTHCARE SYSTEM, WHICH INCLUDES ALL OF THE TAX-EXEMPT HOSPITALS OF THE FORMER SEPARATE BARNABAS HEALTH AND THE ROBERT WOOD JOHNSON HEALTH SYSTEMS. IT WAS CREATED TO COORDINATE, SUPERVISE AND ENSURE THE CONTINUATION AND IMPROVEMENT OF THE QUALITY OF HEALTHCARE SERVICES PROVIDED BY ITS QUALIFYING AFFILIATES TO THE COMMUNITY. RWJ BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY WITHIN THE SYSTEM IS EITHER RWJ BARNABAS HEALTH, INC. OR ANOTHER RWJBH AFFILIATE CONTROLLED OR OWNED BY RWJ BARNABAS HEALTH, INC. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE RWJBH. ACTIVE HOSPITALS INCLUDE CHILDRENS SPECIALIZED HOSPITAL, CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, JERSEY CITY MEDICAL CENTER, MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH ACUTE CARE HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR (SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. IS A BEHAVIORAL HEALTH SPECIALTY HOSPITAL FACILITY AND, ACCORDINGLY, DOES NOT OPERATE AN EMERGENCY ROOM); 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ BARNABAS HEALTH, INC. (BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY); AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. AFFILIATED RWJBH ENTITIES ARE AS FOLLOWS: CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162-BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH 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. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CLARA MAASS MEDICAL CENTER ("CMMC") IS A 469-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC 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. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 592-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC 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. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. JERSEY CITY MEDICAL CENTER ("JCMC") IS A 316-BED REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE, LOCATED IN JERSEY CITY, HUDSON COUNTY, NEW JERSEY. JCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, JCMC 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. MOREOVER, JCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MONMOUTH MEDICAL CENTER ("MMC") IS COMPRISED OF THE FOLLOWING HOSPITALS: MONMOUTH MEDICAL CENTER, A 513-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY AND MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS, A 330-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC 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. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 665-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC 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. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH 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. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH 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. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A LICENSED 251-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR 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. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., D/B/A BARNABAS HEALTH BEHAVIORAL HEALTH CENTER, IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION 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. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. BARNABAS HEALTH BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS, SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC 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. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BARNABAS BAYONNE DEVELOPMENT URBAN RENEWAL CORPORATION F/K/A MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, AND SUPPORTS THE BARNABAS HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE LEGACY BARNABAS HEALTH AFFILIATES; PRE ROBERT WOOD JOHNSON HEALTH SYSTEM AFFILIATION; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE AND PREVENTION SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. BARNABAS HEALTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RWJ BARNABAS HEALTH, INC. AND THE RWJBARNABAS HEALTH SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR RWJBARNABAS HEALTH AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC., IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION 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 AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT ALSO 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. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LIBERTY HEALTH CARE SYSTEM ("LHCS") WAS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO JERSEY CITY MEDICAL CENTER DURING 2018. THE JERSEY CITY MEDICAL CENTER FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE JERSEY CITY MEDICAL CENTER. SCHEDULE H, PART VI; QUESTION 6 LIBERTY RIVERSIDE HEALTHCARE IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATIONS MISSION WAS TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY PRIOR TO THE SALE OF THE HOSPITAL AND ITS ASSETS ON DECEMBER 7, 2010. MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION IS ACTING AS A MEMBER OF VNA HEALTH GROUP OF NEW JERSEY, LLC WHICH PROVIDES MEDICALLY NECESSARY HOME HEALTH AND HOSPICE CARE TO ALL INDIVIDUALS. MONMOUTH MEDICAL CENTER-FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. RWJ HEALTH CARE CORPORATION WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO RWJ BARNABAS HEALTH, INC. DURING 2018. ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO RWJ BARNABAS HEALTH, INC. DURING 2018. ROBERT WOOD JOHNSON HEALTH NETWORK, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3) UNTIL ITS STATUTORY MERGER INTO SAINT BARNABAS REALTY DEVELOPMENT CORPORATION DURING 2018. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. WAS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1) UNTIL ITS STATUTORY MERGER INTO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY DURING 2018. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. SCHEDULE H, PART VI; QUESTION 6 SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RWJBARNABAS HEALTH. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY. OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS, CORP. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF RWJBARNABAS HEALTH. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS BURN UNIT AT SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT 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. UNITED RESCUE AT JERSEY CITY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). VNA HEALTH GROUP OF NEW JERSEY, LLC IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE SYSTEM ALSO INCLUDES ADDITIONAL NOT-FOR-PROFIT ENTITIES THAT ARE RECOGNIZED AS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS BUT ARE CURRENTLY INACTIVE. THESE ENTITIES INCLUDE THE FOLLOWING: - GREENVILLE HOSPITAL; - IRVINGTON HOSPITAL FOUNDATION, INC.; - LAKEVIEW CHILD CARE CENTER FOUNDATION, INC.; - LIBERTY BEHAVIORAL HEALTH ASSOCIATES; - LIBERTY SURGICAL ASSOCIATES; - NEW MARGARET HAGUE CENTER WOMEN'S JERSEY MEDICAL CENTER OB/GYN; - SOMERSET COMMUNITY CARE CORPORATION; AND - SOMERSET HEALTH CARE AFFILIATES, INC. FOR PROFIT RWJBARNABAS HEALTH ENTITIES INCLUDE THE FOLLOWING: ACUCARE PHYSICIANS, P.C. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CENTRAL JERSEY ACO, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. CENTER STATE MANAGEMENT CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE RELATED BUSINESS ACTIVITIES. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD, A CONTROLLED FOREIGN CORPORATION OF SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. CSH VENTURES, INC. IS AN ENTITY WHOSE SOLE MEMBER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY. EOS, INC. WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. HAMILTON ENDOSCOPY & SURGERY CENTER, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. HEALTH CARE FACILITIES MANAGEMENT, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO RWJBH ENTITIES. INNOVATIVE PURCHASING CONCEPTS, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBERS ARE THE RWJBH HOSPITALS. THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. JERSEY ASC VENTURES, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. KIMBALL HEALTH CARE AFFILIATES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. LIBERTY HEALTHCARE CAPITAL IS AN ENTITY WHOSE SOLE SHAREHOLDER IS JERSEY CITY MEDICAL CENTER. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO JERSEY CITY MEDICAL CENTER. LIBERTY HEALTHCARE MANAGEMENT, LLC WAS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. LIVINGSTON INFUSION CARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS BARNABAS HEALTH, INC. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE BUSINESS ACTIVITIES. LSC PHARMACY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES A PHARMACY FOR RWJBH ENTITIES. SCHEDULE H, PART VI; QUESTION 6 MAJOR SECURITY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO RWJBH ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. NEW JERSEY HEALTH CARE SYSTEM, INC. IS AN INACTIVE ENTITY. NEW JERSEY HEALTH, INC. WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY BEHAVIORAL HEALTH ASSOCIATES FACULTY PRACTICE PLAN, INC. DURING 2018. NEW JERSEY HEALTHCARE ASSOCIATES IS AN INACTIVE ENTITY. NEW JERSEY IMAGING NETWORK, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS CENTER STATE MANAGEMENT CORPORATION. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, WAS A VERMONT BASED INSURANCE COMPANY UNTIL BEING DISSOLVED DURING 2018. RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. IS AN INACTIVE ENTITY. RWJ KIDNEY TRANSPLANT ASSOCIATION IS AN INACTIVE ENTITY. RWJ MEDICAL ASSOCIATES AT HAMILTON IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. R.W.J. MEDICAL ASSOCIATES, P.A., IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY GROUP, P.A. IS AN INACTIVE ENTITY. RWJ PHYSICIAN ENTERPRISE, P.A. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SBC MANAGEMENT CORPORATION IS AN ENTITY, WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO RWJBH. SHC ENTERPRISES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SHREWSBURY DIAGNOSTIC IMAGING, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. IS AN INACTIVE ENTITY. SOMERSET CARDIOLOGY PARTNERS, P.C. IS AN INACTIVE ENTITY. SOMERSET REALTY GROUP, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION WAS AN INACTIVE ENTITY UNTIL ITS STATUTORY MERGER INTO LIBERTY HEALTHCARE CAPITAL, INC. DURING 2018. VISION HEALTHCARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY CONDUCTS VARIOUS HEALTHCARE BUSINESS ACTIVITIES. WARREN INTERNAL MEDICINE, P.C. IS AN INACTIVE ENTITY. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. true INDIVIDUAL ASSISTANCE 67 46340 FMV SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL AND HUMAN RESOURCES DEPARTMENT PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X false true false false false false false true false DAVID A MEBANE ESQ SECRETARY - TRUSTEE 0 613110 0 482037 0 522026 0 23375 0 27327 0 1667875 0 0 STUART GEFFNER MD TRUSTEE 692300 0 75000 0 20822 0 0 0 26701 0 814823 0 0 0 ALISON GRANN MD TRUSTEE 614946 0 162072 0 1290 0 0 0 3160 0 781468 0 0 0 MICHAEL A MARANO MD TRUSTEE 152245 0 0 0 2146 0 0 0 16782 0 171173 0 0 0 STEPHEN P ZIENIEWICZ FACHE TRUSTEE - CEO 733726 0 338912 0 400143 0 226688 0 20933 0 1720402 0 250851 0 PATRICK J HAUGHEY COO 384450 0 56200 0 2162 0 79383 0 28288 0 550483 0 0 0 RICHARD L DAVIS EVP/CFO - TREASURER 406672 0 142758 0 296408 0 95589 0 29482 0 970909 0 292890 0 GREGORY ROKOSZ MD SENIOR VICE PRESIDENT - VPMA 498528 0 51188 0 107367 0 109439 0 17359 0 783881 0 76988 0 LOUIS LA SALLE SENIOR VICE PRESIDENT 179678 0 61500 0 20799 0 22178 0 16247 0 300402 0 0 0 JENNIFER A O'NEILL VP/CHIEF NURSING OFFICER 302169 0 67952 0 19670 0 14982 0 9151 0 413924 0 0 0 ARNOLD D MANZO VP/CHIEF HR OFFICER 102592 0 25238 0 81861 0 0 0 3907 0 213598 0 0 0 SHAMKANT MULGAONKAR MD DIRECTOR 680955 0 337500 0 16767 0 8250 0 17563 0 1061035 0 0 0 M MICHELE BLACKWOOD MD PHYSICIAN 781001 0 0 0 20718 0 0 0 1010 0 802729 0 0 0 MICHAEL SCOPPETUOLO MD DIRECTOR 776995 0 10000 0 6751 0 0 0 19446 0 813192 0 0 0 STUART LEITNER MD PHYSICIAN 686795 0 10000 0 25457 0 0 0 26069 0 748321 0 0 0 I ROBERT GROSSMAN MD PHYSICIAN 579477 0 10000 0 18854 0 0 0 22674 0 631005 0 0 0 JOHN F BONAMO MD MS FORMER OFFICER 0 678231 0 632150 0 614090 0 20625 0 20147 0 1965243 0 0 PATRICK M AHEARN FORMER OFFICER 0 438337 0 43758 0 117791 0 91827 0 26358 0 718071 0 107122 SARI B KAPLON FORMER OFFICER 0 145721 0 5257 0 3546 0 13106 0 10258 0 177888 0 0 SCHEDULE J, PART I: QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEPHEN P. ZIENIEWICZ, FACHE, $368,029; RICHARD L. DAVIS, $292,991; GREGORY ROKOSZ, M.D., $76,988 AND PATRICK M. AHEARN, $107,122. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN THE INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID A. MEBANE, ESQ., $399,500; AND JOHN F. BONAMO, M.D., M.S., $383,385. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES AN AMOUNT REPORTED ON A FORM W-2 ISSUED BY FIDELITY INVESTMENTS INSTITUTIONAL OPERATIONS CO., THE EMPLOYER'S THIRD PARTY ADMINISTRATOR OF THE ORGANIZATION'S LIFESTYLE DEFERRED PLAN ("LIFESTYLE DEFERRED"). EACH PARTICIPANT IN THE LIFESTYLE DEFERRED MAY AUTHORIZE THE EMPLOYER TO REDUCE HIS/HER FUTURE COMPENSATION BY AN AMOUNT AND TO HAVE A CORRESPONDING AMOUNT CREDITED TO THE PARTICIPANT'S ACCOUNT(S). THE AMOUNT OUTLINED HEREIN WAS REPORTED ON HIS 2018 FIDELITY INVESTMENTS FORM W-2 AND INCLUDED IN THE SCHEDULE J, PART II, COLUMN E, TOTAL COMPENSATION COLUMN, WHICH REPRESENTS A DISTRIBUTION FROM HIS LIFESTYLE DEFERRED ACCOUNT MONIES WHICH FUNDS WERE SUBJECT TO THE ORGANIZATION'S GENERAL CREDITORS: DAVID A. MEBANE, ESQ., $33,661. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEPHEN P. ZIENIEWICZ, FACHE, $216,375; PATRICK J. HAUGHEY, $68,430; RICHARD L. DAVIS, $83,214; GREGORY ROKOSZ, M.D., $86,428 AND PATRICK M. AHEARN, $73,884. SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 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 FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: STEPHEN P. ZIENIEWICZ, FACHE, $250,851; RICHARD L. DAVIS, $292,890; GREGORY ROKOSZ, M.D., $76,988 AND PATRICK M. AHEARN, $107,122. X 3 29161 FMV false true true SCHEDULE M, PART I; QUESTION 32A THE ORGANIZATION HIRES INDEPENDENT THIRD-PARTIES TO SELL NON-CASH CONTRIBUTIONS IT RECEIVES; IF THE ORGANIZATION DECIDES NOT TO RETAIN THE ITEM(S) THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Founded in 1865, Saint Barnabas Medical Center ("SBMC") is New Jersey's oldest non-profit, nonsectarian hospital. SBMC blends the essential elements of community service with advanced medical and surgical specialties to care for patients throughout the state. SBMC is located in Livingston Township and is the second largest hospital in the county of Essex. Recently, Livingston was ranked as one of New Jersey monthly magazines "Top 100 Places to Live in the State". Essex County is the second most densely populated county in the state and the 14th most densely populated in the United States. Essex has the third largest total population in the state containing 21 counties had had the 6th largest increase in population size estimated from 2010 to 2018. Essex County, a leading financial and industrial hub of the state, consists of both urban and suburban communities that represent a broad range of racial/ethnic and cultural diversity served by SBMC. SBMC is a major teaching hospital and is recognized by the Internal Revenue Service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, SBMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, gender identity, sexual orientation, national origin or ability to pay. Moreover, SBMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. SBMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. SBMC operates an active emergency department for all persons that is open 24 hours a day, 7 days a week, 365 days per year; 3. SBMC maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of SBMC rests with its board of trustees and the board of trustees of RWJ Barnabas Health, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of SBMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of SBMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. SBMC's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of RWJBARNABAS HEALTH ("RWJBH"); an integrated healthcare delivery system. The sole member of each entity is either RWJ BH or another RWJBH affiliate controlled or owned by RWJ BH. SBMC, like its corporate parent, is a not-for-profit organization. RWJBH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. RWJBH was formed with the merger of Barnabas Health Inc. ("BH"), the parent of the Barnabas Health System ("Barnabas Health"), and Robert Wood Johnson Health Care Corporation ("RWJHCC"), the parent of the former Robert Wood Johnson Health System ("RWJHS"). The definitive agreement signed on July 14, 2015, outlined the combination of these two leading health systems and created the largest and most comprehensive healthCare delivery system in the state of New Jersey and one of the largest in the nation RWJBH. The transaction (hereinafter referred to as the "merger") successfully completed federal and state review in March 2016, and the transaction closed operationally on April 1, 2016. The background of BH includes its formation in June 1996 when six New Jersey hospitals and their affiliates joined Saint Barnabas Medical Center and Union Hospital (), which had affiliated in 1993. The six hospitals included: Community Medical Center, Inc. and Kimball Medical Center, Inc., which had affiliated in 1993 to form the Community/Kimball Health Care System; Newark Beth Israel Medical Center, Inc. and Irvington General Hospital, Inc. ("Irvington"), affiliates of each other since 1991; Monmouth Medical Center, Inc.; and Wayne General Hospital Corp. ("Wayne"). In January 1997, West Hudson Hospital Association, Inc. ("West Hudson") joined Barnabas Health, followed by Clara Maass Medical Center in December 1997. Barnabas Health subsequently divested Wayne, closed West Hudson, Irvington, and Union and consolidated their operations into other system facilities. Most recently, Jersey City Medical Center joined Barnabas Health in 2014. The background of RWJHCC includes its formation in 1984 to promote, support and further the charitable purposes of the Robert Wood Johnson University Hospital and other affiliated and related non-profit healthcare organizations. RWJHS then expanded to include Robert Wood Johnson University Hospital at Hamilton, Robert Wood Johnson University Hospital Rahway, Childrens Specialized Hospital, Somerset Medical Center, and other healthcare related ventures. RWJBH is the largest multi-hospital system in New Jersey and continues to provide substantial community benefit as was previously provided by its formative health systems, BH and RWJHCC. RWJBH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJBH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey department of health without charge or at amounts less than established rates. RWJBH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. RWJBH is New Jerseys second largest private employer with approximately 32,000 employees, nearly 7,300 individual physicians on the combined medical staffs (of which, in excess of 1,600 are employed), and over 1,000 residents and interns. RWJBH routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in excess of $5 billion and treats over three million patients each year with nearly 198,000 inpatient admissions, over two million outpatient visits (including over 742,000 emergency department visits) and nearly 24,000 newborn and neonatal admissions. RWJBHs composition includes 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. RWJBH created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout New Jersey. The systems geographic coverage spans the greater Hudson, Essex, Union, Middlesex, Mercer, Somerset, Monmouth and Ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of Barnabas Health and RWJHS promotes the highest quality healthcare delivery and greater levels of efficiency. In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform health care in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Mission Statement/Vision/Values =============================== Mission statement ----------------- Mission: Provide compassionate care, healthcare excellence and superior service to our patients and their families. Vision: Nationally recognized at the forefront of improving health and healthcare delivery. Values: Ensure the safety of our patients, community and each other by consistently demonstrating our values of exceptional communication, outstanding teamwork, professional integrity, accountability, innovation and resilience as we strive towards becoming a high reliability organization. Hospital Statistical Information ================================ The 597-bed institution cared for more than 33,000 inpatients and close to 99,000 emergency department adult and pediatric patients. The hospital delivered over 5,800 babies for mothers coming from nearly every county in the state. SBMC and the RWJBarnabas Health ambulatory care center also provided treatment, lab and other diagnostic services for approximately 340,000 outpatient visits in 2018. SBMCs patient mix, evidencing its commitment to diverse communities, includes approximately 48% of the hospital's inpatients are of minority race/ethnicity and approximately 15% of its patients are of underinsured and uninsured payer categories. An additional 31% are Medicare patients. There are over 4,200 employees at the medical center. The SBMC medical staff is comprised of more than 1,700 physicians and dentists representing approximately 100 specialties. SBMC, a teaching institution, trains approximately 171 residents and fellows each year through eleven approved residency programs and two fellowship programs. SBMC is home to nationally recognized programs including: - The Burn Center: the only certified burn treatment facility in the state; - The RWJBarnabas Health renal and pancreas transplant division: one of the most active transplant programs in the country; - RWJBarnabas Health heart centers: a world-class cardiac surgery program in affiliation with Newark Beth Israel Medical Center; - Neurology and neurosurgical services at SBMC: an unprecedented team of experts dedicated to diagnosing and treating disorders of the brain and nervous system; - The regional perinatal center: providing care for high-risk and critically ill infants in New Jerseys leading Level III, a 56-bed neonatal intensive care unit; - Comprehensive pediatric services including a dedicated intensive care unit; - The center for sleep disorders; - The comprehensive stroke center at SBMC; - Extensive services in robotic and minimally-invasive surgery; AND - The Cancer Center at Saint Barnabas, a clinical partner of the Rutgers Cancer Institute of New Jersey, offers a coordinated program including Medical, Surgical and Radiation Oncology with the expertise and compassion to treat a wide range of cancers and disease sites. In 2017, SBMC completed its most ambitious construction project at the hospital in two decades, the 241,000 square-foot, five-story Cooperman Family Pavilion, which opened in September, is the cornerstone of the campus transformation. The Cooperman Family Pavilion is home to a world-class Neonatal Intensive Care Unit; new state-of-the-art nursing units, and a host of modern and expansive outpatient testing areas along with a light-filled, two-story Eric F. and Lore Ross lobby and a new parking garage. Through collaboration with SBMC caregivers, this transformative project draws from the very best evidence-based hospital design. The five-story pavilion features soothing colors, abundant natural light and leading-edge patient care technology. Most importantly, every Cooperman Family Pavilion patient room is a private room. The Cooperman Family Pavilion embodies what matters most to our patients. From curb-free showers that prevent falls, to acoustical materials that reduce noise, to private rooms bathed in natural light, the community will derive hope, healing, and peace of mind from our campus-wide transformation. The staff of dedicated physicians, nurses and healthcare professionals is committed to providing the highest quality of patient care and health education to the community and to the region. Accomplishments/Milestones/Recognitions/Awards ============================================== SBMC is the recipient of numerous awards and honors including, but not limited to, the following: - Grade "A" for Patient Safety from the Leapfrog Group, 14 consecutive surveys. The only hospital in the Tri-State Area and one of 42 in the U.S. to have achieved straight A's since the survey began in 2012. - Achieved Magnet Recognition; the gold standard for Nursing Excellence. - 2018 Most Wired Hospital from the American Hospital Association. - 2017 Leapfrog Top Hospitalnationally recognized for patient safety and quality, one of only 36 teaching hospitals recognized in the U.S. - Academic Center of Excellence in Womens Health (the first in NJ). - Three-year approval for the Cancer Center from the American College of Surgeons Commission on Cancer. - Comprehensive Stroke Center designation by the New Jersey Department of Health and Senior Services. - The Joint Commission certification for a Primary Stroke Center. - Designated Level 4 Epilepsy Center by the National Association of Epilepsy Centers. - One of the largest kidney transplant programs in the nation. - Named 2017 Hospital of the Year at the 11th NJ Biz Healthcare Heroes Award. - Award-winning Level III Neonatal Intensive Care Unit. - Mid-Atlantic Alliance for Performance Excellence 2017 Excellence Award. - 2018 Leader in LGBTQ Healthcare Equality. - SBMC is accredited by the Joint Commission and the American Medical Association Accreditation Council for Graduate Medical Education. - SBMC has earned many certifications and accreditations and has been the recipient of numerous awards and honors including, but not limited to, the following: - The breast center received national accreditation by national accreditation program for breast centers by the American College of Surgeons; - The quality oncology practice initiative (QOPI) certification program, an affiliate of the American society of clinical oncology (ASCO) certification of the cancer center at SBMC; - Joint Commission Gold Seal of Approval for acute coronary syndrome (ASC), heart failure, cardiac rehabilitation, primary stroke, total hip replacement and total knee replacement; - Breast Center accreditation from the National Accreditation Program for Breast Center, a quality program from the American College of Surgeons; - Academic Center of Excellence in Womens Health (the first in NJ); - Mid-Atlantic alliance for performance excellence 2017 award; - Accredited/certified center by the American Society of Metabolic and Bariatric Surgery; - QRCR certified by the American Association for Respiratory Care; - Cardiac rehabilitation program accredited/certified by the American Association of Cardiovascular and Pulmonary Rehabilitation; - Nuclear cardiology laboratory services and general nuclear medicine services accredited/certified by the Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories; - Adult transesophageal and adult transthoracic services accredited/certified by the Intersocietal Commission for the Accreditation of Echocardiography Laboratories; - Visceral vascular testing, extracranial cerebrovascular testing, and peripheral arterial testing accredited/certified by the Intersocietal Commission for the Accreditation of Vascular Laboratories; - Laboratory and pathology services accredited/certified by the College of American Pathologists; - Laboratory transfusion services accredited/certified by the American Association of Blood Banks; AND - Radiation oncology services accredited/certified by the American College of Radiology and the American College of Radiation Oncology. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Centers of Excellence ===================== 1. The Cancer Center Top tier cancer care is characterized by patient centric, multidisciplinary, specialized care, delivered in a compassionate manner. The Cancer Center at SBMC strives to offer hope where others might find it lost. We harness the powers of novel cancer therapies coupled with dedicated physicians who specialize in specific types of cancer. With advances in understanding the genetic makeup of cancer we are able to offer patients personalized treatment plans. We currently have 13 disease site-specific tumor boards where new and complex cases are presented to teams of specialists including medical oncologists, surgical oncologists, radiation oncologists, gastroenterologists, interventional radiologists, pathologists, nurses, genetic counselors, nutritionists, and social workers. Following a thorough review of each patients case, individualized cancer treatment plans are created to ensure our patients are receiving the most advanced and effective care. RWJBarnabas Health and Saint Barnabas Medical Center in partnership with the Rutgers Cancer Institute of New Jersey - the states only National Cancer Institute-designated Comprehensive Cancer Center - brings a world class team of researchers and specialists to ?ght alongside you, providing close-to-home access to the latest treatments and clinical trials. The best cancer care is not delivered in a silo; therefore, we stress collaboration and an integrated cancer program. We are well equipped to individualize a patients care and offer them access to clinical trials through our institution, the Rutgers Cancer Institute of New Jersey, the Big Ten Cancer Research Consortium, the UCLA TRIO network and other national cooperative groups. The Lung Cancer institute at SBMC partners with our community to offer education, screening and diagnostic tools to detect and treat lung cancer. Each year, more people die of lung cancer than colon, breast and prostate cancer combined. As the leading cause of cancer death in us, lung cancer is most curable when diagnosed at an early stage. In high risk people, lung cancer deaths drop by 20 percent when cancer is identified early using a low-dose spiral CT compared with individuals receiving a chest x-ray. The lung cancer institute joined the international early lung cancer action program to provide a free low-dose CT screening program for individuals who are at high risk for developing lung cancer to identify abnormalities earlier. In 2018, the Lung Cancer Institute served 496 individuals, 165 were initial screens, 140 1-year follow-ups and 191 2-year follow-ups. There were 6 lung cancers identified; 3 STG I, 1 STG II, 1 STG III and 1 STG IV. Nearly 90 individuals were counseled for smoking cessation. Our medical staff is committed to offering the most up-to-date treatments available; as such, SBMC is active in clinical research programs, including national cancer institute and pharmaceutical-sponsored protocols. SBMC has built an infrastructure around patient centric care and has developed a robust patient navigation network. To enhance our patients experience, our patient navigators serve as a single point of contact to help patients from their initial diagnosis throughout their treatment and into survivorship. Our navigators guide patients through their journeys to ensure they receive the best care that exceeds their expectations. All of our cancer patients are provided with a patient navigator to ensure that all cancer care is coordinated and to prevent avoidable delays. Our oncology care team is committed to your overall well-being including medical, emotional and educational needs. What is most unique about seeking treatment at Saint Barnabas Medical Center is the combination of advanced expert care with unparalleled support, commitment and unsurpassed compassion. Among the services offered are: - Dedicated Oncology Navigator provide support and help oncology patients "navigate" the medical center; - Extensive free psychological and psychosocial support services are available offering individual counseling, support groups, art therapy, workshops on coping with cancer, financial counseling and nutritional guidance; - Cancer genetics counseling services; - PET therapy; - Comfort Cart through Comfort Projects 360; AND - A state-of-the-art outpatient chemotherapy treatment facility with private treatment rooms, a satellite pharmacy and private consultation rooms and numerous other amenities. 2. The Renal and Pancreas Transplant Division The RWJBarnabas Health Renal and Pancreas Division, located at SBMC is one of the largest programs in the United States, with 289 kidney transplants performed in 2018. SBMC is one of the largest adult kidney transplant volume of centers in the nation, and has one of the highest living donor transplant volume in the country. The programs provide deceased as well as living donor transplantation including living related donors or emotionally related donors and altruistic living donation when family members are unable to donate. In 2017, SBMC performed more living donor transplants than any other program in the US. In 1995, Barnabas Health began its simultaneous pancreas/kidney transplant program and in 1996 opened a pediatric nephrology program. Since 1968, The Renal Transplant Division has performed medical first kidney transplantation, including transplant in the youngest kidney transplant recipient in new Jersey and the first laparoscopic kidney retrieval in a living donor and the first robotic kidney transplant surgery in the world. The Pediatric Nephrology and Transplantation program manages children and adolescents with acute and chronic diseases at all stages of severity, including nephritic syndrome and hypertension up to and including end-stage renal disease. The pediatric nephrologists work closely with pediatric urologists to provide total care for patients with urological and nephrological problems. 3. The SBMC Neurology and Neurosurgery Institute The SBMC Neurology and Neurosurgery Institute is dedicated to diagnosing and treating disorders of the brain and nervous system for adults and children. An unprecedented team of experts leads the programs of the institute and offer the most comprehensive program in New Jersey dedicated to the medical, surgical and psychological treatment of neurologic disorders. Specialized care is offered for individuals with epilepsy, memory disorders, movement disorders and other neurologic disorders resulting from an injury or accident. Comprehensive care is also provided for children with attention deficit disorder-hyperactivity and learning disabilities, as well as for adults with attention deficit disorders. The institute's Comprehensive Epilepsy Centers for children and adults use sophisticated diagnostic techniques to provide complete and accurate diagnosis critical to implementing effective treatment. Innovative surgical and drug therapies are offered to help individuals with epilepsy achieve the best possible seizure control. This includes the participation in clinical trials to identify cutting edge therapies that can improve the lives of our patients. The comprehensive epilepsy centers have been named a level 4 specialized epilepsy center by the National Association of Epilepsy Centers ("NAEC"), the level 4 designation is the highest given by the NAEC and identifies those centers that offer the broadest range of complex medical and surgical treatments for epilepsy. SBMC is a state designated comprehensive stroke center and joint commission certified for primary stroke. The stroke center offers the latest treatment for stroke including complex neuro interventions. The center, as part of its mission, provides stroke and prevention education to the community and to other healthcare. The Stroke Program staff conduct outreach and education activities and focus on populations at higher-risk of stroke. Education programs review and reinforce stroke warning signs and the importance of calling for immediate medical help at the first sign of stroke. The team conducts a stroke risk awareness programs including on-site blood pressure and cholesterol screening. Referrals for care are facilitated for those whose risk awareness survey and blood pressure/cholesterol readings suggest higher-than-average chance of stoke. 4. RWJBH Heart Centers at SBMC SBMC is a regional cardiac surgery center and part of RWJBarnabas Health heart centers, located across New Jersey, which have integrated diagnostic, medical and surgical services into one comprehensive program that offers a full range of advanced cardiac services for adults and children including diagnosis, imaging, interventional cardiology, electrophysiology and the management of heart failure. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS An experienced team is pioneering new therapies and the clinical use of the latest mechanical assist devices that improve the quality of life for people with congenital heart defects and heart disease. They participate in cardiac research trials that offer patients access to breakthrough therapies. The RWJBH heart centers continue to lead the way in offering minimally invasive procedures and catheter-based alternatives to open heart surgery including transcatheter aortic valve replacement ("TAVR") procedures, all forms of angioplasty/stent procedures. Advanced electrophysiology studies offer sophisticated diagnosis and treatment of heart rhythm disturbances in adults and children. heart rhythm disturbances in adults and children. 5. Regional Perinatal Center Each year SBMC delivers close to 6,000 babies and is recognized as a top hospital for high-risk pregnancies. SBMC's level III regional perinatal center, the highest designation in the state, offers the most advanced intensive care for premature and ill newborns. Our 56-bed neonatal intensive/intermediate care unit ("NICU") is one of only a few in the nation with the lowest rate of chronic lung disease, a common complication for extremely low birth-weight infants. The NICU offers the latest treatments and modalities in the field to provide the most advanced care for more than 1,200 premature and ill newborns each year. The SBMC NICU has one of the best infant survival rates among neonatal intensive care units in the nation. SBMC also offers extensive childbirth and family preparation classes. The members of the division of maternal fetal medicine assist obstetricians in the tri-state area in the care of high-risk patients and receive high-risk transfers from other community hospitals. They also educate SBMC's many obstetrical residents. Opened in 2011, the Regional Simulation Center at SBMC provides valuable clinical training and education for physicians, nurses, residents, medical students and Courses are open to practitioners throughout the tri-state area regardless of affiliation. The goal of the center is to elevate patient care, improve clinical performance and enhance maternal/child health outcomes in the region by providing access to state of the art education. Simulation enhances the current educational offerings at SBMC by providing an experiential learning environment where clinicians can practice and learn a variety of technical and behavioral skills. 6. The Joint and Spine Institute The Joint and Spine Institute offers dedicated beds within the hospital. Surgeries are scheduled Monday through Friday and patients typically return home after a three-night stay. Features of the program include: - Nurses, therapists and nursing assistants who specialize in the care of joint patients; - Private and semi-private rooms; - Emphasis on group activities as well as individual care; - Family and friends educated to participate as "coaches" in the recovery process; - Group lunches with patients, their coaches and others in the program; - A joint team that coordinates all pre-operative care and discharge planning; - A comprehensive patient guide for patients to follow from six weeks pre-op until three months post-op and beyond; - Coordinated after-care program; - Newsletters to update patients with new information about arthritis and joint care; and - Public education seminars about hip and knee pain. 7. The Burn Center of New Jersey The Burn Center is the only state-certified burn treatment facility in New Jersey and one of the largest in North America with 12 intensive care beds and an 18-bed step-down unit for less critically injured and improved status patients. The Burn Center provides expert care for patients of all ages. The Burn Center also meets the verification criteria of the American Association and the American College of Surgeons to provide optimal care for burn patients. The Burn Center is equipped to treat pediatric through geriatric burn patients with a full range of specialized services, including a dedicated outpatient department where individuals with small or minor burns receive treatment and discharged patients return for follow-up care. Approximately 400 patients are treated as inpatients annually. Medical and Community Services ============================== SBMC's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic to prevention and treatment. Medical staff ============= SBMC medical staff is comprised of more than 100 medical and surgical specialties. SBMC, its medical staff and/or our partners provided an extensive array of medical services during 2018 which include, but are not limited to, the following: - Ambulatory Surgery - Anesthesiology - Balance Program - Bariatric Center - Blood Management Institute - Breast Health and Disease Management - The Burn Center - SBMC Burn Foundation - The Cancer Center at SBMC - Cardiac Department - Cardiac Rehabilitation - Cardiac Surgery - Case Management - Child abuse treatment and services - Child Life Program - RWJBH Childrens Kidney Center - Community Services - Cardiothoracic Intensive Care Unit - Department of ENT - Department of Dentistry - Department of Family Practice - Department of Medicine - Department of Neurosurgery - Department of Obstetrics/Gynecology - Department of Orthopedics - Department of Pathology - Department of Pediatrics - Department of Plastic Surgery - Department of Radiology - Department of Radiation Oncology - Department of Surgery - Development department - Emergency Department - Adult and Pediatric Comprehensive Epilepsy - Ethics consultation services - Family Practice - Fibroid Center - Department of Food and Nutrition - Health Science Library - High-risk infant follow-up program - Home health care - Home Infusion care - Infant apnea program - Infection Control - Infusion center - Inpatient speech pathology - Inpatient Audiology - Internal Medicine Faculty Practice - Intravenous Therapy Department - Intensive Care Units - The Joint Institute - The Lung Cancer Institute - Medical Education - Clinical Research - Melanoma Center - Neonatal Intensive Care Unit - Neurology - Nursing - Nutrition counseling services - Pastoral Care - Pharmacy Services - Pediatric Intensive Care Unit - Pediatric Health Center - Pediatric Nephrology and Transplantation - Pediatric Pulmonary Center/Pediatric Pulmonary Laboratory - Pediatric Specialty Center - Regional Simulation Training Center - Pharmacy Department - Physical Medicine and Rehabilitation - Pre-admission testing Prenatal Health Center - Department of Strategic Marketing and Communications Pulmonary LAboratory - Quality Department Outpatient Pulmonary Rehabilitation - Pulmonary services - Rehabilitation services - RWJBarnabas Health Renal and Pancreas Transplant Division - Respiratory Care - Robotic Surgery- Center for Sleep Disorders - Smoking Cessation - Social Work Services - Comprehensive Stroke Center - Numerous support groups - Department of Surgery - Minimally invasive surgery - Thyroid, Head and Neck Cancer Institute- Vascular Lab - Womens Health Education - The Wound and Burn Healing Center Community Service Centers ========================= SBMC's community health & outreach department coordinates many health and social services between SBMC and the community. In 2018, the community health & outreach department was involved in numerous events throughout the community reaching over 172,800 people with events including health fairs, walks, 5ks, health education lectures or screenings. Our involvement doesn't end there. Additionally, we are working with towns, businesses, civic organizations, community-based organization, and chambers of commerce in the community to provide on-site lectures, health programing and screenings for their residents, members and employees. Community Partnerships ====================== For our community members living in assisted living facilities, independent living facilities and skilled nursing facilities, we further the continuum of care through our transitions of care program, physician relationships, health screenings, educational services and on-site lab services. Together, through many avenues, both in the hospital and in the community, utilizing a variety of approaches, we are working to not only care for our residents when they are sick but to also help keep them healthy. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SBMC works with other care providers to assure effortless care transitions and to promote health and wellness. Such partnerships include connections with local skilled nursing facilities, other hospitals and specialized outpatient centers, such as local federally qualified health centers. Further, members of our team participate with community organizations to support care improvement. One example is the outreach of asthma educators into local schools and day care centers in an effort to reduce ed visits and admissions for uncontrolled asthma. The Center for Asian Health a grant renewal from the Centers for Disease Control and Prevention to improve Hepatitis B & C screening and care. The program "Building Bridges to Liver Health" provides free Hepatitis B & C screening and care to individuals who are at high risk for the disease. The center held its third Chinese wellness day, partnering with the Tzu Chi Foundation, to provide attendees with access to numerous physician specialists (internal medicine, ophthalmology, cardiology, gastroenterology, breast surgery, colorectal surgery, family practice, hepatology and more), lectures, cooking demonstrations, physical therapy demonstrations, and screenings. In partnership with the Junior League of the Oranges and Short Hills (JLOSH), SBMC held a food drive to collect Thanksgiving meal items. Over 400 Thanksgiving baskets were delivered to families in Orange, NJ. Medical screenings ================== SBMC, along with the RWJBarnabas Health ambulatory care center, provides and supports numerous medical screening programs to the community in furtherance of its tax-exempt purposes including, but not limited, to the following: - heart wellness; - high blood pressure screening; - body fat analysis; - bone density heel screening; - breast cancer; - calcium scoring; - cancer wellness; - cardiac screening for young athletes; - concussion screening; - diabetes; - Hepatitis B screening; - Hepatitis C screening; - joint health; - lung cancer screening and early detection initiative; - prostate cancer screening; - sexually transmitted disease testing; - skin cancer; - sleep hygiene; - flu clinics; - stroke assessment; and - vision screening. Support Groups and programs --------------------------- SBMC is dedicated to providing the highest quality of services to meet all the healthcare needs of our community. In addition to the direct patient care provided by our staff, SBMC makes available the following healthcare education programs and classes, patient support groups and community services to patients and their families. The list includes, but is not limited, to: - awake support group; - bariatric surgery programs and support groups; - bereavement support group; - bike Livingston outreach; - breast health education; - breastfeeding support group; - burn community outreach; - cancer support groups and programs (survivor day, chi kung, look good...feel better, psychosocial support, reiki/massage); - caregiver overload; - diabetes support group; - Parkinsons disease support group; - Parkinsons Caregiver support group; - feeling stronger - feeling better Parkinsons support group and caregiver support group; - "Go Red" American health association womens CV program outreach; - infertility support groups; - Livingston night out; - memory help; - NICU support group; - newborn mom breastfeeding solutions; - new mom's circle; - sharing network walk (organ donation); - osteoporosis support group; - pastoral care; - perinatal bereavement support group; - postpartum depression support group; - parents' night out (for parents of children with kidney disease); - teen support group (for adolescents with chronic kidney disease; - pre-dialysis patient education; - pre-transplant education seminars; - womens health and parent education; - refractive surgery seminar; - pre-dialysis patient education; and - sports medicine programs. Community Education =================== SBMC offers a variety of lifestyle and instructional classes to improve an individual's overall well-being. These include but are not limited to: - Alzheimers and dementia education; - asthma and COPD education; - balance education; - breast cancer symposium; - burn community and prevention education; - Cardiac education; - concussion education; - consumer health education; - diabetes education and management; - digestion, GERD education; - emergency preparedness education; - falls prevention and balance community education; - family fit lifestyle cardiac program; - get smart on antibiotics; - fire safety education; - health science library mentoring program; - healthy aging-women's health education; - healthy living-celiac program; - healthy eating; - geriatric education; - joint institute community education; - LGBTQ+ education/services; - Lyme Disease education; - melanoma education; - nutrition education; - PT and speech/hearing therapy education; - safe medication use; - sleep and sleep apnea education; - speech pathology education; - stress management; - stroke prevention education; - transplant patient education; - vitamins and other supplements pharmacy education; and - women's health education. SBMC offers an extensive array of prenatal childbirth preparation and parenting classes and services. In addition, the women's health department offers seminars on women's health issues. The following courses and services are currently offered: - women's health/parent education; - adoptive parents baby care consultations; - breastfeeding class; - breast pump rental service; - grandparenting; - infant and child CPR; - marvelous multiples program; - Mommies Moods; - new mom's circle; - newborn mom breastfeeding solutions; - post-partum depression assistance; - prepared childbirth series; - prepared childbirth; - prenatal tours; - relaxed birth class; and - sibling class. SBMC's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs are advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients who are part of at-risk populations are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives. Wills and advanced directives. Further, SBMC recognizes the impact of social determinants of health and the value of community investment and addressing disparities in health status. During 2018, SBMC worked with the Hispanic populations in Orange and West Orange to help improve access to health care. Additional outreach was provided in the public school systems to students, faculty and parents. In 2018, as part of the RWJBarnabas Health "MLK Week of Service", in partnership with Jersey Cares, SBMC employees were mobilized to make no-sew blankets and scarves for local homeless shelters and over 100 personal hygiene kits were assembled for distribution to an underserved community in Puerto Rico. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Professional Medical Education and Training =========================================== As a major teaching hospital, supporting residency training programs and medical student education, SBMC reaches hundreds in advancing professional knowledge through its regular CME programs. There were over 8,000 physicians and 2,500 non-physician attendees at all the courses. A sample of SBMC professional medical education and training courses spanning a broad range of pediatric and adult clinical topics include, but are not limited to, the following programs, lectures and courses: - 18th annual Barbara Echikson Palliative Care Symposium; - advances in neurosurgery; - being mortal: improving quality care for patients with advanced illness; - cardio-oncology symposium; - coding & compliance in the medical practice; - end of life care in NJ; - joy of practicing medicine; - law, medicine and the pursuit of justice; - MACRA/MIPS: are you ready?; - medical grand rounds a series of topics; - neck lift, body contouring & reverse abdominoplasty; - neurosurgical grand rounds- a series of topics; - NJ American cardiology society; - NJ academy of ophthalmology annual meeting; - NJ ob/gyn society annual and semi-annual meetings; - NJ society of pathologists annual meeting; - NJ state society of anesthesiologists annual meeting; - ob/gyn grand rounds a series of topics; - ob/gyn research day; - pediatric grand rounds a series of topics; - physician leadership development; - precision medicine; - prevention and treatment of kidney disease in children; - radiological society of NJ musculoskeletal symposium; - revision breast surgery; - Schwartz Rounds a series of topics; - simwars; - surgery grand rounds a series of topics; - surgery qi; - the Graying Rainbow caring for the aging LGBTQ patient; - transplant conference a series of topics; and - tumor boards a series of topics. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF the RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN RWJ BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART VII AND SCHEDULE J PATRICK M. AHEARN, FORMER CHIEF OPERATING OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE CHIEF OPERATING OFFICER OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. JOHN F. BONAMO, M.D., M.S., FORMER CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS An EXECUTIVE VICE PRESIDENT AND CHIEF MEDICAL OFFICER OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. SARI B. KAPLON, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A director of cardiac services OF NEWARK BETH ISRAEL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION. CORE FORM, PART X; LINE 25 The organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. CORE FORM, PART X; LINES 27-29 IN AUGUST 2016, THE FASB ISSUED ASU 2016-14, NOT-FOR-PROFIT ENTITIES (TOPIC 958): PRESENTATION OF FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES, WHICH REQUIRES NOT-FOR-PROFIT ENTITIES TO REVISE ITS FINANCIAL PRESENTATION TO INCLUDE NET ASSET CLASSIFICATIONS, PROVIDE QUANTITATIVE AND QUALITATIVE INFORMATION AS TO AVAILABLE RESOURCES AND MANAGEMENT OF LIQUIDITY AND LIQUIDITY RISK AND EXPANDED DISCLOSURES ON FUNCTIONAL EXPENSES. THE CORPORATION ADOPTED THE NEW STANDARD AS OF DECEMBER 31, 2018 ON A RETROSPECTIVE BASIS. THERE WERE NO MATERIAL CHANGES TO THE CONSOLIDATED BALANCE SHEETS, STATEMENTS OF OPERATIONS, AND CHANGES IN NET ASSETS OR CASH FLOWS AS A RESULT OF THE ADOPTION. PERIODS PRIOR TO ADOPTION HAVE BEEN DISPLAYED TO CONFORM TO THE NEW PRESENTATION OF A SINGLE CLASSIFICATION OF NET ASSETS WITH DONOR RESTRICTIONS. PREVIOUSLY, THE CONSOLIDATED BALANCE SHEETS DISPLAYED TEMPORARILY RESTRICTED NET ASSETS OF $131,468,000 AND PERMANENTLY RESTRICTED NET ASSETS OF $33,494,000. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - PENSION ADMINISTRATION COSTS - ($947,207); - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $7,763,396; - CAPITAL ASSET TRANSFER FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($4,080); AND - CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS of saint barnabas development foundation; a division of this organization - ($770,750). CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS SAINT BARNABAS MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND SAINT BARNABAS MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY SAINT BARNABAS MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-1494440. BELOW IS A LIST OUTLINING THE VARIOUS SAINT BARNABAS MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. NICU ASSOCIATES AT SAINT BARNABAS 22-3181029 PEDIATRIC CRITICAL CARE ASSOCIATES AT SAINT BARNABAS 22-3258938 SAINT BARNABAS MULTI SPECIALTY GROUP 22-3551005 MEDICAL ONCOLOGY ASSOCIATES AT SAINT BARNABAS 22-3403774 SBMC DEPARTMENT OF CRITICAL CARE MEDICINE 03-0498041 CANCER SURGERY SERVICES OF SAINT BARNABAS 20-1716316 ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY 20-3128758 SBMC STRESS TEST PANEL 76-0828820 RADIATION ONCOLOGY GROUP AT SBMC 81-2497757 SBMC PROVIDER SERVICES 81-4786011 BARNABAS BAYONNE DEV URBAN RENEWAL CORP 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 352219655 STAFFING SVCS NJ 501(C)(3) 509(a)(3) SBRDC false BARNABAS HEALTH MEDICAL GROUP PC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223316007 HEALTH SVCS. NJ 501(C)(3) 509(a)(2) RWJ BH false Barnabas Health Inc 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222405279 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH false CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222939956 HEALTH SVCS. 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NJ 501(C)(3) 509(a)(3) MMC false MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH NJ 07740 222456079 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false NEW BRUNSWICK AFFILIATED HOSPITALS INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 221946837 HLTHCARE SVCS NJ 501(C)(3) 509(A)(3) RWJ BH false NEW MARGARET HAGUE CTR WOMENS JCM OBGYN 355 GRAND STREET JERSEY CITY NJ 07302 223363012 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC false NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK NJ 07112 223452311 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false ROBERT WOOD JOHNSON VISITING NURSES INC 972 SHOPPES BOULEVARD NORTH BRUNSWICK NJ 08902 263659270 HLTHCARE SVCS NJ 501(C)(3) 509(A)(2) NA false RWJ BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 810682747 INACTIVE NJ 501(C)(3) 509(A)(3) NA false RWJ HEALTH CARE CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 222568905 HOLDING CO. 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