2018-11-15T10:33:41-06:00 2017-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2017-01-01 223452311 NEWARK BETH ISRAEL MEDICAL CENTER % CATHERINE DOWDY CPA NEWA 9733224032 201 LYONS AVENUE NEWARK NJ 07112 NIKOLAS ALEXIADES CFO 2018-11-12 true Scott J Mariani P00642486 9738989494 148.77.36.74 22006220183195000150 2018-11-15 P 3F1A83D2B95247F00EF570354270773C8FC3A63C 8A18823307223DEFE2348A7E64ED0049F1172BAE 2017 2019-02-21 02:37:17Z DARRELL TERRY 201 LYONS AVENUE NEWARK NJ 07112 620075084 false X WWW.RWJBH.ORG X 1996 NJ THE SPIRIT THAT INFUSES NEWARK BETH ISRAEL MEDICAL CENTER AND CHILDREN'S HOSPITAL OF NEW JERSEY IS ITS COMMITMENT TO EXCELLENCE. 19 11 4252 232 0 0 11269042 10507460 589072453 606306218 346199 608817 1165226 1943999 601852920 619366494 12345 26000 0 0 245969611 248345867 0 25000 25000 327881195 335966360 573863151 584363227 27989769 35003267 453181167 483043513 293300693 296544288 159880474 186499225 X THE SPIRIT THAT INFUSES NEWARK BETH ISRAEL MEDICAL CENTER AND CHILDREN'S HOSPITAL OF NEW JERSEY IS ITS COMMITMENT TO EXCELLENCE. OUR MISSION IS TO ACHIEVE THIS EXCELLENCE THROUGH: - THE DELIVERY OF PRIMARY HEALTH CARE TO ALL WHO NEED OUR SERVICE. - THE PROVISION OF HEALTH CARE TO PATIENTS DRAWN TO THE MEDICAL CENTER BECAUSE OF SPECIALTY CAPABILITIES. - MEETING THE UNDERGRADUATE, GRADUATE AND CONTINUING EDUCATIONAL NEEDS OF HEALTH CARE PROFESSIONALS. - EDUCATION OF THOSE ENTERING HEALTH CARE PROFESSIONS. - PHYSICIANS AND STAFF, DEDICATED TO COMPASSIONATE CARE AND HEALING, WHO ENHANCE SKILLS THROUGH EDUCATION AND RESEARCH. - THE DELIVERY OF SAFE, CLINICALLY APPROPRIATE CARE IN AN ENVIRONMENT FOCUSED ON IMPROVING PATIENT SAFETY THROUGH A PROACTIVE APPROACH. - INTERACTING WITH THE HIGHEST INTEGRITY AND COMMITMENT TO REGULATORY COMPLIANCE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 47899054 0 40326072 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT CARDIAC SURGERY PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2017 THE ORGANIZATION PERFORMED 639 INPATIENT CARDIAC SURGERY PROCEDURES FOR A TOTAL OF 6,050 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 43648389 0 30208889 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT NEONATOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2017 THE ORGANIZATION PERFORMED 1,505 INPATIENT NEONATOLOGY PROCEDURES FOR A TOTAL OF 16,667 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 42534706 0 27022224 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT TRANSPLANT PROCEDURES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2017 THE ORGANIZATION PERFORMED 96 INPATIENT TRANSPLANT PROCEDURES FOR A TOTAL OF 3,931 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 391824856 26000 508749033 525907005 true true false true false false false false false true true false false true true true false true false false true false false true true false true true false true true false false false false false false true false false false false false false true false false false true 1206 0 true 4252 true false false false false false true true false false false false X 19 11 false false false false true true true true true false false true true true true true true true true false NJ X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X MARC E BERSON CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 PATRICK E HOBBS ESQ SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 THIRI ANANDARANGAM MD TRUSTEE 50.0 0.0 X 168600 0 1265 FLEETA J BARNES TRUSTEE 1.0 0.0 X 0 0 0 ERIC BRUNDAGE TRUSTEE 1.0 0.0 X 0 0 0 NANCY CANTOR PHD TRUSTEE 1.0 0.0 X 0 0 0 CHARLES CATHCART MD TRUSTEE 50.0 0.0 X 0 529982 15099 REVEREND william CHRISTIAN TRUSTEE 1.0 0.0 X 0 0 0 VAUGHN CROWE TRUSTEE 1.0 0.0 X 0 0 0 FRANCIS J GIANTOMASI ESQ TRUSTEE 1.0 0.0 X 0 0 0 LAWRENCE P GOLDMAN TRUSTEE 1.0 0.0 X 0 0 0 ALAN LAPA MD TRUSTEE - MEDICAL DIRECTOR 50.0 0.0 X 184600 0 2877 WAYNE K NASH TRUSTEE 1.0 0.0 X 0 0 0 VICTOR PARSONNET MD TRUSTEE 5.0 0.0 X 17123 0 7612 JOSHUA ROSENBLATT MD TRUSTEE; EX-OFFICIO 50.0 0.0 X X 434179 0 28269 DAVID E ROTHSCHILD TRUSTEE 1.0 0.0 X 0 0 0 NORMAN SAMUELS PHD TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH S TAYLOR TRUSTEE 1.0 0.0 X 0 0 0 MARK J ZUCKER MD TRUSTEE 50.0 0.0 X 963890 0 46721 DARRELL TERRY CEO 55.0 0.0 X 933468 0 528574 DOUGLAS A ZEHNER COO 55.0 0.0 X 634937 0 152057 NIKOLAS ALEXIADES EVP/CFO 55.0 0.0 X 463093 0 143546 ZACHARY LIPNER VP HUMAN RESOURCES 55.0 0.0 X 415973 0 27420 AMY DORAN VP PATIENT CARE SERVICES 55.0 0.0 X 267154 0 45809 CRAIG SAUNDERS MD DIVISION DIRECTOR 55.0 0.0 X 1498538 300824 33552 MARK RUSSO MD PHYSICIAN 50.0 0.0 X 1089100 0 31385 MUNIR NAZIR MD PHYSICIAN 50.0 0.0 X 791252 0 34156 FREDERIC SARDARI MD PHYSICIAN 50.0 0.0 X 785351 0 42418 MARC COHEN MD CHAIRMAN M.D. 50.0 0.0 X 741421 0 39409 CHUNGUANG CHEN MD MEDICAL DIRECTOR 50.0 0.0 X 704161 0 45045 JEREMIAS MURILLO MD FORMER OFFICER 0.0 0.0 X 498295 77021 0 DOMENIC SEGALLA FORMER OFFICER 55.0 0.0 X 170715 388231 98961 MARY E FUHRO FORMER OFFICER 0.0 0.0 X 326499 0 0 11088349 1296058 1324175 613 true true false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 51142165 SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 6612064 NJ ORGAN AND TISSUE SHARING NETWORK 691 CENTRAL AVENUE NEW PROVIDENCE NJ 07974 ORGAN PROCUREMENT 4904822 SODEXO INCORPORATED AND AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD/MANAGEMENT 3629029 SAINT BARNABAS EMERGENCY PHYSICIANS 3 CENTURY DRIVE PARSIPPANY NJ 07054 MEDICAL 3041708 56 X 222411 6568487 3716562 10507460 NET PATIENT SERVICE REVENUE 541900 545379876 545379876 OTHER HEALTHCARE RELATED REVENUE 541900 60926342 60926342 606306218 609342 609342 0 0 859233 476838 382395 0 382395 382395 0 30775 26927 4373 -26927 26402 -525 -525 200426 222411 200426 0 1660 26 1634 1634 0 0 0 CAFETERIA 722514 1015069 1015069 PARKING 812930 544901 544901 1559970 619366494 606306218 2552816 6000 6000 20000 20000 0 0 6999257 6299331 699926 0 191618302 172456472 19161830 12175269 10957742 1217527 18285020 16456518 1828502 19268019 17341217 1926802 57754229 51978806 5775423 17714 15943 1771 16000 14400 1600 38097 34287 3810 25000 25000 0 27193814 24474433 2719381 0 1365 1229 136 9618157 8656341 961816 1980941 1782847 198094 0 5654733 5089260 565473 308913 278022 30891 0 100899 90809 10090 6237543 5613789 623754 0 14180366 12762329 1418037 9347817 8413035 934782 MEDICAL SUPPLIES 108686064 97817458 10868606 0 PHYSICIAN FEES AND SALARIES 75811328 68230195 7581133 0 REPAIRS & MAINTENANCE 3714590 3343131 371459 0 OTHER EXPENSES 15303790 13773411 1530379 0 584363227 525907005 58431222 25000 X 276850 210750 5065223 1557219 2853026 2299954 62199842 52728893 0 0 0 0 0 0 9439758 10484151 1489673 1960260 369953819 269852373 103260200 100101446 0 0 0 0 26449064 23324360 0 0 242147531 290376480 453181167 483043513 80506729 81866166 0 0 2238947 2153551 0 0 0 0 0 0 10140 0 0 0 210544877 212524571 293300693 296544288 X 151122474 177377225 8278000 8642000 480000 480000 159880474 186499225 453181167 483043513 X 35003267 -36209 -8348307 X X false true X true true true X false false false false false false false false true 38097 38097 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 NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH 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 $38,097 IN 2017. 480000 480000 0 480000 480000 1.00000 false false 2601777 2601777 213357145 151640567 61716578 150239209 117500149 32739060 3755688 711657 3044031 100101446 OTHER RECEIVABLES 9555310 DUE FROM AFFILIATES; CURRENT 280821170 290376480 0 OTHER LIABILITIES 27511897 DUE TO AFFILIATES 8443 PARTY PAYORS; CURRENT 955171 PARTY PAYORS; NON-CURRENT 9265616 LIABILITY 168179374 ACCRUED INTEREST 6604070 212524571 X SCHEDULE D, PART V; QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. THE FOUNDATIONS' ENDOWMENTS CONSIST OF THE BOARD-DESIGNATED AND DONOR-RESTRICTED ENDOWMENT FUNDS. THE ENDOWMENT INVESTMENTS PROVIDE FUNDING FROM INVESTMENT EARNINGS, WHICH IS EXPENDABLE TO SUPPORT EQUIPMENT PURCHASES, EDUCATION, COMMUNITY, AND OTHER VARIOUS PROGRAMS. 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 2017 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, 2017 AND 2016. Central America and the Caribbean Program Services FINANCIAL VEHICLE 0 0 0 false false false false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $7,881,745; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. X X true GAIL P STONE 2932 VAUXHALL ROAD VAUXHALL NJ 07088 FUNDRAISING false 188949 25000 163949 188949 25000 163949 NJ GALA DINNER 329096 140147 188949 105560 83389 WALK-A-THON 49263 37786 11477 2300 9177 1 44478 44478 0 422837 222411 200426 107860 92566 200426 true true X true X true X 500. true true true false false 17060 20599950 3564199 17035751 0.02920 144217 215893393 191415756 24477637 0.04190 3562306 0 3562306 0.00610 161277 240055649 194979955 45075694 0.07720 22880 2338493 1400 2337093 0.00400 29927193 13077741 16849452 0.02880 8501893 6058913 2442980 0.00420 1348051 0 1348051 0.00230 91801 0 91801 0.00020 22880 42207431 19138054 23069377 0.03950 184157 282263080 214118009 68145071 0.11670 false 19109037 1910904 112195179 106482479 5712700 X true true 1 1 NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK NJ 07112 WWW.RWJBH.ORG 10709 X X X X X X ORGAN TRANS. CENTER, PSYCHIATRIC UNIT, OUTPATIENT CLINICS NEWARK BETH ISRAEL 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 NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") HAD ITS OWN CHNA, NBIMC 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/IMAGES/HOSPITAL-LOCATIONS/NEWARK-BETH-ISRAEL-MEDICAL -CENTER/ABOUT/COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT/RWJBARNABAS-CHNA-NBI MC-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/ 4 NBIMC SPECIALTY SERVICES AT EDISON 102 JAMES STREET EDISON NJ 08820 HOSPITAL BASED OFF-SITE AMBULATORY CARE FACILITY SAINT BARNABAS SPECIALTY (#24336) 780 ROUTE 37 WEST TOMS RIVER NJ 08755 FREE-STANDING AMBULATORY CARE FACILITY NBIMC SPECIALTY PHYS PRACTICE BAYONNE 16 EAST 29TH STREET BAYONNE NJ 07002 HOSPITAL BASED, OFF-SITE AMBULATORY CARE FACILITY JAMES WHITE MANOR 516 BERGEN STREET NEWARK NJ 07108 HOSPITAL BASED, OFF-SITE AMBULATORY CARE FACILITY 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(D) AND 2(n) ON PAGES 9 AND 14; 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 ENDED DECEMBER 31, 2017 IS AS FOLLOWS: 2017 -------- (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED, LESS STATE SUBSIDY FUNDING $ 83,563 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $201,584 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 4,675 - EDUCATION AND RESEARCH $83,717 - SUBSIDIZED DEPARTMENTS $53,593 - OTHER COMMUNITY BENEFIT $ 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 YEAR ENDED DECEMBER 31, 2017, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $35,412,000, 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 2017 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 NBIMC 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. NBIMC reviews patient surveys and comments to understand patient and family concerns. Further, NBIMC 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. NBIMC 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. NBIMC 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 NBIMC is located in the City of Newark, the seat of Essex County. Newark is the 67th largest place in the United States according to 2016 place estimates and it is New Jerseys largest and second-most diverse city. Newark is estimated to have had the 3rd highest increase in population from 2000 to 2017. It is home to a major International airport, connects to major roadways and adjacent to major shipping yards. Due to the nature of its location, NBIMC is a major referral treatment center to various diverse communities, with the majority of the racial makeup of the city being predominantly minority. Newark is surrounded by residential suburbs to the West, dense urban areas to both the South and East, and middle-class residential suburbs and industrial areas to the North. NBIMC serves areas that include MUA/MUP designations and state designation as medically underinsured and Newark is an Urban Enterprise Zone (UEZ) by the State of New Jersey. Newark has high unemployment and poverty ratios compared to state and local averages. NBIMC is committed to providing quality and compassionate care to its inner city communities; serving a patient population comprised of over 93% minority representation and over 55% underinsured and uninsured payer classifications in 2017. Medicare represents an additional 28% of the inpatients by payer classification. SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by NBIMC 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. NBIMC 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 NBIMC 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. RWJ BARNABAS HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF NBIMC. 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 NONDISCRIMINATORY 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 NONDISCRIMINATORY 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 NONDISCRIMINATORY 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 NONDISCRIMINATORY 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 NONDISCRIMINATORY 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 NONDISCRIMINATORY 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") IS 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). 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 NONDISCRIMINATORY 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 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 HEALTH CARE CORPORATION AT HAMILTON 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 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 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 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 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, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF REAL PROPERTY. 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. 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 RAHWAY; 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 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: - BARNABAS HEALTH PHYSICIAN ASSOCIATES, P.C.; - 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. IS AN INACTIVE ENTITY. 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 SBC MANAGEMENT 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 LIVINGSTON SERVICES CORPORATION. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. KIMBALL HEALTH CARE AFFILIATES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THIS ENTITY IS A PARTNER IN KIM-MED ASSOCIATES AND RECEIVES A FORM K-1. KIM-MED ASSOCIATES IS A PARTNERSHIP WHICH OWNED A MEDICAL OFFICE BUILDING IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. LIBERTY HEALTHCARE CAPITAL IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIBERTY HEALTHCARE SYSTEM, INC. 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 IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBERS ARE LIBERTY HEALTHCARE SYSTEM, INC. AND LIBERTY HEALTHCARE CAPITAL, INC. THIS ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY AND PROVIDES MANAGEMENT SERVICES. LIBERTY/USP SURGERY CENTERS, LLC IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHICH PROVIDES SURGERY SERVICES TO INDIVIDUALS. 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 BH. 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. IS AN INACTIVE ENTITY. 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 IS AN INACTIVE ENTITY. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, IS A VERMONT BASED INSURANCE COMPANY. RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. IS AN INACTIVE ENTITY. RWJ KIDNEY TRANSPLANT ASSOCIATION 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. 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 ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. 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 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 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 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. 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 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. SOMERSET CARDIOLOGY PARTNERS, 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. 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 IS AN INACTIVE ENTITY. VISION HEALTHCARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY CONDUCTS VARIOUS HEALTHCARE BUSINESS ACTIVITIES. WARREN INTERNAL MEDICINE, 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. 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 EMPLOYEE ASSISTANCE 16 20000 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 true true false false false false false true false THIRI ANANDARANGAM MD TRUSTEE 168600 0 0 0 0 0 1265 0 0 0 169865 0 0 0 CHARLES CATHCART MD TRUSTEE 0 234616 0 289050 0 6316 0 14850 0 249 0 545081 0 0 ALAN LAPA MD TRUSTEE - MEDICAL DIRECTOR 184600 0 0 0 0 0 2877 0 0 0 187477 0 0 0 JOSHUA ROSENBLATT MD TRUSTEE; EX-OFFICIO 404648 0 0 0 29531 0 22950 0 5319 0 462448 0 0 0 MARK J ZUCKER MD TRUSTEE 840593 0 102500 0 20797 0 22950 0 23771 0 1010611 0 0 0 DARRELL TERRY CEO 574400 0 314227 0 44841 0 505270 0 23304 0 1462042 0 0 0 DOUGLAS A ZEHNER COO 452435 0 162000 0 20502 0 128091 0 23966 0 786994 0 0 0 NIKOLAS ALEXIADES EVP/CFO 349174 0 94720 0 19199 0 138988 0 4558 0 606639 0 0 0 ZACHARY LIPNER VP HUMAN RESOURCES 313259 0 76738 0 25976 0 22745 0 4675 0 443393 0 0 0 AMY DORAN VP PATIENT CARE SERVICES 255052 0 10370 0 1732 0 20345 0 25464 0 312963 0 0 0 CRAIG SAUNDERS MD DIVISION DIRECTOR 1493594 13566 0 0 4944 287258 20250 0 13302 0 1532090 300824 0 0 MARK RUSSO MD PHYSICIAN 1088560 0 0 0 540 0 10125 0 21260 0 1120485 0 0 0 MUNIR NAZIR MD PHYSICIAN 766394 0 0 0 24858 0 17550 0 16606 0 825408 0 0 0 FREDERIC SARDARI MD PHYSICIAN 748029 0 35000 0 2322 0 20250 0 22168 0 827769 0 0 0 MARC COHEN MD CHAIRMAN M.D. 642857 0 95000 0 3564 0 17382 0 22027 0 780830 0 0 0 CHUNGUANG CHEN MD MEDICAL DIRECTOR 658787 0 25000 0 20374 0 20250 0 24795 0 749206 0 0 0 JEREMIAS MURILLO MD FORMER OFFICER 0 0 0 0 498295 77021 0 0 0 0 498295 77021 0 0 DOMENIC SEGALLA FORMER OFFICER 160955 327322 0 0 9760 60909 29086 67868 602 1405 200403 457504 0 0 MARY E FUHRO FORMER OFFICER 0 0 46980 0 279519 0 0 0 0 0 326499 0 0 0 SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2017 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: DOMENIC SEGALLA, $17,192 AND MARY E. FUHRO, $279,519. SCHEDULE J, PART I, QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A BARNABAS HEALTH INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AS THE AMOUNT Was NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE: JEREMIAS MURILLO, M.D., $498,295. 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 OPERATION CO., THE EMPLOYER'S THIRD PARTY ADMINISTRATOR OF THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP"). EACH PARTICIPANT 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 FIDELITY INVESTMENTS FORM W-2 AND INCLUDED IN THE SCHEDULE J, PART II, COLUMN E, TOTAL COMPENSATION COLUMN, WHICH REPRESENTS A DISTRIBUTION FROM HIS SERP MONIES WHICH FUNDS WERE SUBJECT TO THE ORGANIZATION'S GENERAL CREDITORS. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2017 FORM W-2 ISSUED BY FIDELITY INVESTMENTS: JEREMIAS MURILLO, M.D., $77,021. 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 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DARRELL TERRY, $484,992; DOUGLAS A. ZEHNER, $117,966; NIKOLAS ALEXIADES, $129,590 AND DOMENIC SEGALLA, $84,804. 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 2017 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2017 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. KENNETH S TERRY FAMILY MEMBER OF OFFICER 67590 NEWARK BETH ISRAEL MC EMPLOYEE false RENEE NASH FAMILY MEMBER OF TRUSTEE 69268 NEWARK BETH ISRAEL MC EMPLOYEE false AJ TERRY - PURYEAR FAMILY MEMBER OF OFFICER 58274 NEWARK BETH ISRAEL MC EMPLOYEE false RENEE TERRY FAMILY MEMBER OF OFFICER 13392 NEWARK BETH ISRAEL MC EMPLOYEE false CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Newark beth israel medical center ("nbimc"), a 665-bed teaching hospital established in 1901, provides comprehensive healthcare services to its local communities and is a major referral and treatment center for patients throughout the northern new jersey metropolitan area. Nbimc is located in the county of essex, within the city of newark, which has the most population of all cities in new jersey. Essex county is the second most densely populated of the 21 counties and has the third largest total population in the state. 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. Nbimc is a major teaching hospital. Nbimc 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, 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 following criteria outlined in irs revenue ruling 69-545: 1. Nbimc provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Nbimc operates an active emergency department for all persons which is open 24 hours a day, 7 days a week, 365 days per year; with both specialized pediatric and geriatric emergency rooms; 3. Nbimc maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of nbimc 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 nbimc, 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 nbimc 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. Barnabas health inc. ("bh"), the parent of barnabas health ("barnabas health"), and robert wood johnson health care corporation ("rwjhcc"), the parent of robert wood johnson health system ("rwjhs"), signed a definitive agreement on july 14, 2015 outlining the combination of these two leading health systems creating the largest and most comprehensive health care delivery system in the state of new jersey and one of the largest in the nation rwjbarnabas health ("rwjbhthe "system"). 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. RWJBarnabas health is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. nbimc's sole corporate member is RWJ barnabas health, inc. ("RWJ bh"). RWJ Bh is also the tax-exempt new jersey non-profit parent corporation of 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. nbimc, like its corporate parent, is a not-for-profit organization. RWJBh is the largest multi-hospital system in new jersey and provides substantial community benefit. RWJBh consists of free-standing acute care hospitals, a free-standing psychiatric hospital, medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, outpatient behavioral health centers and other entities. 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 more than 32,300 employees, nearly 9,000 physicians on the combined medical staffs (of which in excess of 1,200 are employed) and 1,000 residents and interns - and routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in of $4.5 billion and treats over three million patients each year with over 198,600 inpatient admissions, over two million outpatient visits (including around 740,000 emergency department visits) and more than 23,500 newborn deliveries. Rwjbh is comprised of 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 health care delivery and greater levels of efficiency. Once consummated, our planned partnership with rutgers university will create the states largest academic healthcare system dedicated to providing high-quality patient care, leading-edge research, and world-class health and medical education, further advancing our mission of providing high-quality healthcare in new jersey. In 2017, rwjbh announced with rutgers, the state university of new jersey, their intent to launch a 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. Barnabas health was formed 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, and sold all of its long-term care facilities, allowing barnabas health to concentrate on its core services and facilities. Most recently, jersey city medical center joined barnabas health in 2014. Rwjhcc was formed in 1984 to promote, support and further the charitable purposes of the robert wood johnson university hospital and other affiliated and related non-profit health care organizations. Since that time rwjhs expanded to include robert wood johnson university hospital at hamilton, robert wood johnson university hospital rahway, childrens specialized hospital, somerset medical center, and other health care related ventures. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Mission statement/vision/values =============================== The spirit that infuses nbimc is its commitment to excellence. Our mission is to achieve this excellence through: - The delivery of safe, clinically appropriate care in an environment focused on improving patient safety through a pro-active approach; - The delivery of primary healthcare to all who need our service; - The provision of healthcare to patients drawn to the medical center because of specialty capabilities; - Meeting the undergraduate, graduate and continuing educational needs of healthcare professionals; - Physicians and staff, dedicated to compassionate care and healing, who enhance skill through education and research; and - Interacting with the highest integrity and commitment to regulatory compliance. Our vision for the twenty-first century is that nbimc will be the healthcare delivery system of choice, which provides outcomes demonstrating the highest standards of clinical practice and customer satisfaction. Hospital statistical information ================================ Nbimc is a 665-licensed bed, non-profit, fully accredited regional care teaching hospital located in newark, new jersey. Nbimc provides comprehensive care to its local communities and serves as a major referral and treatment center for patients throughout the northern new jersey metropolitan area. In 2017, nbimc had over 22,300 inpatient admissions, over 3,000 births and about 89,000 emergency visits. In addition, nbimc provided over 290,000 outpatient and same day visits for clinics, outpatient surgery and specialty services. Nbimcs patient population is represented by 93% minority race/ethnicity and over 55% of patients are of underinsured and uninsured payer classification. Medicare represents an additional 28%. Nbimc is one of new jersey's largest community teaching hospitals, where physicians work as a team dedicated to academic excellence, clinical competence, and comprehensive and compassionate patient care. Nbimc has over 3,700 employees, over 1,000 physicians with nearly 200 medical residents and interns. Nbimc is home to a nationally and regionally recognized programs including, but not limited to, the following: - rwjBarnabas health heart center: world-class cardiology and cardiac surgery programs for both adults and children; - Heart transplant and heart failure centers; - Advanced lung disease center: the only lung transplant center in the state; - A comprehensive hemophilia and blood disorders center; - Regional perinatal center and a designated children's hospital: provides care for high-risk and critically ill infants in new jersey with 69 total beds for neonatal intensive and intermediate care; and - Comprehensive robotics and minimally invasive surgical center. Nbimc provides comprehensive health care services to the residents of newark and surrounding communities, and is a major referral and treatment center for patients throughout the state and a major teaching affiliate of rutgers university, new jersey medical school. Nbimc hosts junior clerkships in the core curriculum and senior elective for rutgers - new jersey medical school as well as for students from new york college of osteopathic medicine and st. Georges university school of medicine, grenada. Nbimc is a sponsor of 19 acgme accredited residency and fellowship programs. 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 ============================================== Nbimc is the recipient of numerous awards and honors including, but not limited to, the following: - Nbimc received the joint commission gold seal of approval for hospital accreditation; - Nbimc is certified by the joint commission disease-specific care certification program in: acute coronary syndrome (acs) 2011-2017, congestive heart failure (chf) 2013-2017, stroke, 2015-2017 and ventricular assist device (vad) 2013-2017; - Nbimc has a new jersey designated primary stroke center by the new jersey department of health and senior services; - Nbimc received platinum recognition from the u.s. department of health and human services health resources and services administration (hrsa) workplace; - Nbimc received platinum recognition for the partnership for life hospital campaign, recognized for raising organ and tissue donation awareness in 2016 and 2017; - Nbimc received the hret award: the beth garden in 2012 from the new jersey hospital association; - Nbimc received the healthcare professional of the year award, 2012, 2013 and 2016 and 2017 from the new jersey hospital association; - Nbimc achieved in 2017, maintained since 2105, the niche (nurses improving care for health system elders) exemplar hospital designation, indicating a hospital's commitment to elder care excellence; - Nbimc has silver level accreditation and three-year commendation for the cohen cancer center at nbimc from the american college of surgeons commission on cancer; - Nbimc has quality oncology practice initiative (qopi) certification for the cohen cancer center at nbimc from the american society of clinical oncology; - Nbimc was named hospitals & health networks most wired hospital in 2015, 2016, and 2017 for utilizing information technology to connect with patients and in partnership with the american hospital associations health forum and the college of healthcare information management executives (chime); - U.s. news & world report rated nbimc high performing for treatment of chronic obstructive pulmonary disease (copd) and heart failure 2016 and one of the best hospitals in the new jersey and metro area; - U.s. news & world report also recognized nbimc for: cancer, cardiology & heart surgery, diabetes & endocrinology, gastroenterology & gi surgery, nephrology, neurology & neurosurgery 2014-2015; - Njbiz named nbimc education hero 2017 and physician of the year healthcare hero, 2015; - American heart association awarded nbimc distinguished physician harvey e. Nussbaum award 2017, mission lifeline gold for stemi2011 (bronze), 2012 (silver), 2013-2016 (gold), "get with the guidelines gold award" for heart failure, 2011-2013, and "get with the guidelines gold award" resuscitation, 2017; - Performance achievement award for cardiac caregold award 2014; silver 2017 from the american college of cardiology; - Breast imaging center of excellence accredited by the american college of radiology; - Ct, mri, nuclear medicine, pet, ultrasound accredited by the by the american college of radiology; - Diagnostic imaging center of excellence accredited by the american college of radiology; - Nbimc lung cancer screening center was designated by the american college of radiology; - Nova award as one of the top five out of 5,000 hospitals with community programs 2012 was awarded to nbimc by the american hospital association; - Accredited echocardiography facility for cardiac non-invasive, adult transesophageal, adult transthoracic, adult stress by the intersocietal accreditation commission; - Accredited of vascular testing facility for extracranial cerebrovascular, peripheral artery, peripheral venous, visceral vascular by the intersocietal accreditation commission; - Accredited laboratory and pathology services by the college of american pathologists; and - Accredited laboratory services by the american association of blood bank. Centers of excellence ===================== Nbimc's recognized medical services centers of excellence include, but are not limited to, the following: 1. Heart transplant program & heart failure treatment The renowned heart transplant center has performed over 1,000 heart transplants. The team performed 51 transplants in 2017, ranking amongst the highest transplant volume centers in the country. The heart transplant program has been one of the fifteen most active in the country for nine consecutive years and is one of only two sites in nation to achieve better than expected 3-year heart transplant survival rates from 2004 to 2007 (based on data from the national scientific registry of transplant recipients). The program provides the most advanced treatment options available anywhere in new jersey for people with congestive heart failure or end stage cardiac disease including the ultimate treatment; organ transplantation. Nbimc's short and long-term survival rates have continually surpassed both regional and national averages. Furthermore, the patients spend less time waiting for a heart transplant than most candidates across the country. The experienced multidisciplinary team has worked closely together under the same leadership for more than 20 years. Nbimc is a designated ventricular assist devise ("vad") center and was one of the first in nj to employ extracorporeal membrane oxygenation ("ecmo"). CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 2. Rwjbarnabas health heart center at nbimc The premier cardiac services provide immediate access to highly sophisticated heart surgery. Members of the surgical team are recognized as national leaders in the field of cardiothoracic surgery and are advancing the latest minimally invasive techniques that offer patients faster recovery and fewer complications. The center's reputation for excellence has made them educational resources for cardiac surgeons throughout the northeast. Services include minimally invasive cardiac surgery/robotic surgery, beating heart surgery, transcatheter aortic valve replacement ("tavr") and integrative cardiac wellness. To ensure everyone with heart disease has access to the specialized services, our cardiac team sees patients at satellite offices throughout the state. In conjunction with its affiliate, saint barnabas medical center, the heart centers performed more than 800 open heart procedures in 2016. 3. Lung transplant and the center for advanced lung disease New jersey's only lung transplant program, the rwjbarnabas health advanced lung disease and transplant program at nbimc, offers increased access to single and double lung transplant and comprehensive treatment and management of chronic and complex lung disease. To-date, the center has already performed over 100 transplants. The program brings specialty services to the state improving the lives of people with advanced lung conditions including chronic obstructive pulmonary disease ("copd"), cystic fibrosis, pulmonary fibrosis and pulmonary hypertension. While a primary goal of the program is to identify suitable candidates for a transplant, the comprehensive multidisciplinary evaluation can also benefit patients who are not transplant candidates. The program offers complete evaluation and treatment plans for patients with lung diseases such as: asthma, cystic fibrosis interstitial lung diseases, alpha 1 antitrypsin deficiency, chronic obstructive pulmonary disease, pulmonary fibrosis, sarcoidosis, lymphangioleiomyomatosis (lam), scleroderma, pulmonary alveolar proteinosis and pulmonary hypertension. State-of-the-art diagnostic services include: ct-guided biopsy, navigational bronchoscopy and endobronchial ultrasound, bronchial thermoplasty, endobronchial resection of tumors, endobronchial stents, and pleurax catheter placement for malignant pleural effusions and whole lung lavage. The center has various ongoing cutting edge research trials helping patients with end-stage lung disease. 4. Children's hospital of new jersey ("chonj") Chonj provides comprehensive healthcare programs and services to children of all ages. The hospital within a hospital combines the most advanced facilities and technology dedicated exclusively to pediatric patients with the philosophy of family centered care. Pediatric and neonatal services of the children's hospital range from primary/preventive care services to critical intensive and intermediate acute care for children and newborns. Nbimc has the largest pediatric intensive care unit in the state. Specialty services include the children's heart center providing the most comprehensive pediatric cardiac and cardiac surgery services in the state, neonatal intensive and intermediate care, pediatric emergency services, pulmonary services, the state's only pediatric ecmo provider, pediatric video monitoring unit, valerie fund cancer center, hemophilia treatment center, moderate sedation, robotic surgery and the primary and physician subspecialty services of the family health center. Families experience a warm, comforting environment in which physicians, nurses and clinical staff understand the unique needs of children and the vital role of parents in the healing process. 5. Comprehensive hemophilia treatment center One of only six state-designated centers in new jersey, the comprehensive hemophilia treatment center provides care to both pediatric and adult patients with inherited bleeding and clotting disorders. The center offers complete evaluations by a team of experts including hematologists, nurses, psychosocial professionals and physical therapists. Consultation by infectious disease specialists, dentists, nutritionists, gastroenterologists, orthopedists and other specialists is provided as needed. Our center's goal is to provide the latest advances in treatment for people with hemophilia, assist in the care of the complications of hemophilia, and continue to provide support to persons with hemophilia and their families with the goal of achieving a normal lifestyle. The center provides care for children and adults with von willebrand disease and other bleeding disorders. Patients with thrombosis (clotting disorder) receive comprehensive treatment at the center. We also coordinate a home care program which enables persons with hemophilia to lead normal, productive lives. The home care program allows for immediate treatment, thus avoiding the delay, stress and cost of emergency department care. Adult and pediatric infectious disease and gastrointestinal specialists provide comprehensive care for hemophilia patients with aids and/or hepatitis and their partners. 6. Robotic surgery Robotic surgery is offered in many specialties including cardiac, urology, pediatric surgery, gynecology, uro-gynecology and general surgery. Performing minimally invasive procedures can be less traumatic to patients and allow for quicker recovery times. Nbimc also offers bloodless surgery and celebrated 10 years of service in 2014. The robotic surgery program at nbimc was one of the country's first. Hundreds of physicians in new jersey and around the world have received training from robotic surgeons at nbimc. In addition, physicians at nbimc were some of the first trained in single site surgery. Medical and community services ============================== Nbimc services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic, to prevention and treatment. We are always looking for innovative ways to reach members of our community as we work to improve health status. A few of our successful programs include: Monday night football/men's health night with the beth ------------------------------------------------------ Nbimc was looking for a better way to connect men to having healthy lifestyles and to engage them in improving their quality of life through healthy living. We decided to create programming that would combine things that men enjoy (sports) with things that men historically don't do (have regular health checkups and screenings). Two years ago, we created and hosted monday night football/men's health night with the beth. The goal was to use a former nfl player (george martin) to encourage men to follow his journey to healthy living through diet, exercise and positive living. The evening event includes a presentation by george martin, followed by power point presentations by four physicians from nbimc; a cardiologist, an orthopedic surgeon, an urologist and a primary care physician. Before and after the presentations, the men receive a number of screenings, followed by massages and more. The event is strategically held at the maplewood golf course, and the evening includes a mini-golf exercise as well. Following the presentations, the tailgate party kicks off with food and beverages better than the giants parking lot, followed by the game on tv screens throughout the maplewood country club. In the first year, our goal was to have 50 men. By the time word spread days before the event, we hosted 102 men, many of whom are now connected to the beth and who have received a prostate screening and more. This past year, 106 men were immediately screened for prostate as well. In the second year, a newark fireman told us this event is his yearly reminder to get healthy and stay healthy. He said from monday night football, he found that he had diabetes and hypertension. He has since lost more than 50 pounds and continues to enjoy life more fully. Men's health night has since spread to high school athletes (unisex) where george martin speaks to athletes at newark's shabazz high school about healthy living and we are about to launch a similar program at our second church. Women's health day at the beth ------------------------------ The women of the south ward of newark and other parts of the city always support nbimcs annual health fair which has been held in september for more than 15 years. A couple of years ago, so many women attended the event that it gave us the idea of creating a health day just for women. The health day would include lectures, guest speakers, screenings, wellness and an exclusive lunch as part of a wellness initiative to improve the health of women in newark. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS The first year, we partnered with rutgers university/newark to encourage students, professors and employees to join us on a journey of wellness. More than 200 women registered for the day-long wellness program that included nbimc physicians focused on women's health. The second year, we decided to develop a program for 100 women. From screenings and private consultations with physicians to conversations with geriatricians to yoga, cooking, diet, exercise, massages and healthy eating classes, the day became the highlight of their commitment to begin a regimen of healthy living. The day also included special gifts for women such as journals, makeup donated by queen latifah/revlon, and gifts to serve as a reminder that healthy living can be rewarding. We are looking at ways to explore new ground and new opportunities to make wellness a focal point for the women of the south ward and newark. Falls prevention program ------------------------ Falls is one of the most fatal and nonfatal injuries seniors face. The pseg foundation awarded nbimc $20,000 to implement a comprehensive falls prevention program to help prevent and further educate the seniors of the greater newark area. The program consists of three components: education, screenings and enrollment in "matter of balance". The beth greenhouse in newark ----------------------------- One of the greatest barriers to a healthy and nutritious diet is access to fresh foods. In order to combat the growing epidemic of obesity in newark, nbimc and chonj have partnered together to help and expand the beth garden in newark. In addition, with generous donations from merck company foundation, aetna foundation, victoria foundation and most recently the manischewitz company, a sustainable greenhouse was constructed. The beth greenhouse provides year-round training, education, and job opportunities to the community. More than 10,000 pounds of high-quality, nutritious and locally grown lettuce, fruits, herbs, and greens are produced annually. The greenhouse is in the process of acquiring snap and provides a weekly farmers market to employees and the community. It also donates over 30 pounds of food weekly to the local soup kitchen. Kidsfit ------- Kidsfit is a wellness program that addresses both the treatment and prevention of obesity. It began as a multidisciplinary, nutrition education modality to treat obesity within childrens hospital of new jersey and expanded to the community through two local elementary schools where children, their families and teachers benefit from the expertise and resources of newark beth israel medical center. The program focuses on cultivating healthy lifestyles and behaviors within the classroom. In 2017, it has been adapted to the retail venue and will be implemented 119 shoprite stores in the tri-state area. Program highlights and strengths: - Focuses on the prevention of obesity and its co morbidities through nutrition and activity education in the classroom where there is accountability for learning and in after school programs, providing reinforcement for lessons learned. Both are taught by a nutrition and fitness professional who are employees of nbimc. - Lessons learned in the classroom provide hands on tools that help foster healthy lifestyles for parents and families. - "train the trainer" component provides the education for teachers. - Reaches each child through the classroom and facilitates parent and teacher involvement through homework assignments and projects. The beth challenge ------------------ The beth challenge is a wellness program that fosters lifestyle changes for improved health and well-being for life through nutrition and exercise education and support. Recognition and prizes are offered for those who lose the largest percentage of weight or meet their fitness goals at the end of a 12-week period. Contestants can enter as individuals, and/or teams. The program runs continuously during the year to reinforce importance of maintaining a healthy lifestyle. The program began as a small weight loss contest for employees of nbimc and quickly grew into a sustainable worksite wellness program that has served as program model and has been successfully replicated in the surrounding community. Program highlights and strengths: - Promote health and wellness in the surrounding community; - Employees who participate in the beth challenge program within the medical center set an example of healthy lifestyle behaviors for the community; - Fosters collaboration with key community partners in delivering the wellness message; - Provides nutrition and exercise education and support within the institution and within community venues such as faith based organizations, schools, businesses and government offices; - Addresses obesity epidemic and obstacles to improving and/or achieving health through the expertise and support of the nbimc; - Provides nutrition and fitness education through monthly classes and counseling; - Provides access to affordable exercise venues through partnerships with local fitness centers; and - Program is currently in 15 churches in the greater newark area. Faith in fitness faith based wellness mentorship program -------------------------------------------------------- Faith in fitness provides mentoring for a church member at each of our current affiliated churches to become a certified fitness professional from an accredited fitness association. Through nbimc, the program grants each church funding to provide onsite training and materials and other costs incurred when pursuing certification as a fitness professional. Costs include instruction provided by a certified professional, books and study materials, cpr instruction, certification testing, and one years liability insurance. Purpose and goal: the faith in fitness program is an extension of our work with the faith-based community in the greater newark area. It is an augmentation of our beth challenge program that currently provides parishioner engagement and support, wellness and lifestyle education, access to exercise venues and connection to our primary care services at nbimc. By appointing and training parishioners in our churches to become health and wellness leaders, we can help sustain the culture of health and wellness beyond the 12 weeks of our challenge. It will also help us to continue to communicate the wellness message and strengthen the connection between nbimc and the community. School based youth services program ("sbysp") --------------------------------------------- Funded by a grant from new jersey department of children & families, division of prevention and community partnerships, office of school linked services, sbysp is a program of nbimc that is located at barringer high school in newark. The goal of the sbysp is to help young people navigate their adolescent years by completing high school and establishing goals which lead to a rewarding adult life. The sbysp provides therapeutic, vocational and recreational opportunities for youth to build on their own strengths and reach for success. A major component of the sbysp is the adolescent pregnancy prevention initiative ("appi"). Students enrolled in appi have a pregnancy rate that is ten times lower than other students at the high school. Services are offered year-round, on-site at barringer high school during and after school hours. The student advancement center ------------------------------ Funded by a grant from the newark one-stop office, the student advancement center is a program of nbimc, also located at barringer high school, which addresses gaps in the educational process by creating and enhancing the following services: - Administration of wilson reading program (best practice with proven record of success); - Academic enrichment and tutoring services that address basic skills deficiencies in math and reading; - Public speaking and leadership training; - Exposure to traditional and non-traditional career opportunities; - Job readiness training and job placement; - Life skills and mentoring programs; and - Intensive case management to ensure that students receive needed services through appropriate assessment, implementation and monitoring. Senior health and wellness center at james c. White manor --------------------------------------------------------- The senior health and wellness center provides primary care and health and wellness programs to senior residents of the newark housing authority and the greater newark community in a state-of-the art facility, james c. White manor, located at 516 bergen street newark, new jersey. and the greater newark community in a state-of-the art facility, james c. White manor, located at 516 bergen street newark, new jersey. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS The family life education center ("flec") ----------------------------------------- The family life education center (flec) offers a therapeutic intervention program for families who have been referred by community agencies for individual parenting skills training. Flec also provides various support groups to address common issues for particular family members, such as parenting skills support groups (in english and spanish), teen parent groups, as well as support groups for young teen girls (ages 12-14). The program focuses on the prevention of further abuse and neglect by teaching skills to maintain family stability. Parents are instructed on developmentally appropriate child rearing practices and discipline techniques. Support groups help parents to feel less isolated and overwhelmed by daily problems. The program provides the following services in the community: - individual parenting skills; - parenting support groups; - co-ed young parents group (ages 17-21); - mommy-baby support group; - single parent support group; - grandparents raising grandchildren support group; - teen life skills group for girls 14-17; - structured learning education program life skills group; - community outreach; - child abuse prevention talks; and - community presentations on parenting. Flec also supports attitude, review, education and support ("areas"). Additionally, www.areaskeepgirlssafe.com offers a hotline and support service for teens experiencing domestic violence. Newark public schools structured learning experience program -------------------------------------------------------------- The structured learning experience program is designed to increase the career potential of high school students with disabilities by offering them internship opportunities. The volunteer services department takes 12 students (seniors as of september) with learning disabilities to help them make the transition from school to work. The students are chosen from different high schools throughout the city of newark. These students actually do their senior year at nbimc. Students receive instruction on site from a special education teacher paid for by the newark public school system. The remainder of the time is spent working in different areas of the hospital. Our contribution is the work experience, plus lunch. The program helps employers and their non-disabled employees recognize that young people with disabilities can become a highly valued resource in the workplace. Christ the king prep corporate work study program ------------------------------------------------- Christ the king school in newark is part of the cristo rey network of school, which provides a high-quality college preparatory education to inner city youth. The corporate work study program allows students the opportunity to enhance their education, through practical work experience and to build skills and relationships that can be applied to any field. Njseeds ------- Every summer nbimc provides summer internship opportunities to high school students from njseeds. New jersey seeds (scholars, educators, excellence, dedication, and success) is a nonprofit organization founded in 1992 that prepares motivated, high-achieving, low-income students for admission to private schools and colleges across the country. It is a privately funded, statewide, nonprofit organization committed to developing future leaders from the states least privileged communities. By providing access to exceptional educational opportunities, seeds programs create a viable path for students to achieve their full potential. Newark college internship program --------------------------------- Nbimc provides summer internship opportunities (8-weeks) to college students participating in the newark college internship program (ncip). Ncip is available to help college students obtain meaningful work experience. This program is an integral part of the citys aggressive and continuous campaign to assist our newark college population in their efforts to obtain employment. Ncip works with employers to identify their workforce needs and matches students that have interest aligned with employer needs. Newark works. Newark youth one stop office summer youth employment program ------------------------------------------------------------------ Nbimc partners the newark youth one-stop office to provide a short-term, supervised, meaningful work assignment. This activity is designed to enhance the employability skills of the participants through the development of good work habits. Summer teen volunteer program ----------------------------- Volunteer program designed to expose participants to health career and provide work readiness training. Essex county division on aging - home friend program ---------------------------------------------------- The home friend program provides free light chore services to qualified seniors age 60 and over and disabled adults age 18 and over who reside in the south ward of newark and irvington. Satellite offices ----------------- Nbimc now has satellite offices where we provide medical care in the senior citizen buildings such as the james c. White senior building, in newark, new jersey. Diabetes prevention program --------------------------- Nbimc received a grant from the office of minority and multicultural health to educate seniors 50 and older on how to reduce their risk of diabetes. Theses 16 sessions are facilitated by trained coaches, a registered nurse, a nutritionist a massage therapist and a professional chef. Participants also receive incentives to help them meet their goals. Matter of balance program ------------------------- The pseg foundation awarded newark beth israel a grant to implement a comprehensive falls prevention program to help prevent and further educate the seniors of the greater newark area on how to prevent falling. Falls are one of the most fatal and nonfatal injuries seniors are facing. The program consists of three components: education, screenings, and enrollment in "matter of balance". On4care telehealth program -------------------------- Nbimc currently partners with panasonic to provide the on4care telehealth program, which incorporates remote care delivery/monitoring between a healthcare provider and a participant outside of a clinical health facility, in their place of residence such as home, independent living, skilled nursing or assisted living residence. Biometric monitoring uses real-time data with the help of vital sign monitoring devices to detect, diagnose, report, and recover issues, or potential issues, in order to ensure that participants healthcare goals are met or exceeded. In the event of any abnormal biometric alerts, the nurse contacts the participant to perform an assessment to determine the nature of the participants problem, the urgency of healthcare needs and the appropriate cause of action. If the participants vital signs are critical the nurse will call and assess the participant first and based on the evaluation she/he will call the physician, and the family (in most cases) and/or 911. Additional medical services =========================== Some of the other special services provided at nbimc include: a regional perinatal center, a trip center, lupus and autoimmune disease specialist, bloodless surgery and management, behavioral health for adults and children, hospice and palliative care, pet therapy, comprehensive cancer services, hiv services, sleep disorders center, bariatric and minimally invasive surgery, psychiatric inpatient and outpatient services, wound and hyperbaric treatment center and arthritis center. As the primary provider to a large inner-city community, nbimc provides a vast array of primary care services. These include, but are not limited to: - The center for geriatric health care offers geriatric assessment, primary medical care, and specialty services for the elderly, including 24-hour emergency coverage. Staff provides coordination of services, transportation, and house calls, if necessary. The assessment team is available for all aspects of medical care, including the evaluation and treatment of falls, dementia, loss of mobility, incontinence, constipation, depression, weight loss and medication problems. "one stop shopping" in an attractive private office atmosphere includes podiatry, ophthalmology, urology, balance program, healthy mind program and support groups; CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Family treatment center ("ftc") at nbimc provides specialized care and treatment for individuals and families infected and affected by hiv/aids. Ftc focuses on prevention, intervention and treatment during all stages of the disease; and - The family health center, located in the outpatient department across lyons avenue from the medical center, is committed to providing a broad range of healthcare services to the community on an outpatient basis. The center's three divisions offer specifically designed programs for adults, women, and children. The family health center provides a vast array of community programs for patients of all ages including: individual counseling and nutrition education materials for men, women and children of all ages; nutrition counseling for weight loss, diabetes, heart disease, kidney disease and high blood pressure and many other conditions; adult health and disease prevention; women's health and nutrition during pregnancy; pediatric and adolescent nutrition; and geriatric nutrition and immunosuppressant diseases. Medical staff ============= Nbimc had over 1,000 physicians on its medical staff during 2017, comprised of the following specialties: - adolescent medicine; - adult congenital heart disease; - advance practice nurse; - allergy & immunology; - anatomic & clinical pathology; - anatomic pathology; - anesthesia; - cardiac anesthesia; - cardiology; - cardiothoracic surgery; - child abuse pediatrics; - child/adolescent psychiatry; - clinical genetics; - critical care medicine; - dentistry; - dermatology; - developmental behavioral pediatrics; - diagnostic radiology; - electrophysiology; - emergency medicine; - endocrinology & metabolism; - endodontics; - family medicine; - gastroenterology; - general surgery; - geriatrics; - gynecological oncology; - gynecology; - heart failure & transplant; - hematology pathology; - hematology/oncology; - hospice & palliative medicine; - infectious diseases; - internal medicine; - interventional cardiology; - interventional radiology; - maternal - fetal medicine; - neonatology; - nephrology; - neurodevelopmental disabilities; - neurology; - neurosurgery; - nuclear medicine; - obstetrics/gynecology; - occupational medicine; - oncology; - ophthalmology; - oral & maxillofacial surgery; - oral pathology; - orthodontics; - orthopaedic surgery; - otolaryngology; - pain management; - pediatric allergy/immunology; - pediatric cardiology; - pediatric cardiothoracic surgery; - pediatric dentistry; - pediatric emergency medicine; - pediatric endocrinology; - pediatric gastroenterology; - pediatric general; - pediatric hematology/oncology; - pediatric nephrology; - pediatric neurology; - pediatric neurosurgery; - pediatric ophthalmology; - pediatric pulmonary; - pediatric radiology; - pediatric rheumatology; - pediatric surgery; - pediatric urology; - pediatric/infectious diseases; - pediatrics; - pediatric anesthesia; - pediatric critical care medicine; - periodontics; - physical medicine & rehab; - physician assistant; - plastic surgery; - podiatry; - prosthodontics; - psychiatry; - psychiatry & neurology; - pulmonary disease; - radiation oncology; - reproductive endocrinology; - rheumatology; - surgical oncology; - thoracic surgery; - toxicology; - transplantation; - urogynecology; - urology; - vascular neurology; and - vascular surgery. Community service centers ========================= The nbimc community relations department coordinates many health and social services as previously described and other common activities between the medical center and the community, such as: - Goodwill visits to outside organizations, schools, musicians, athletes, entertainers, etc. Staff is invited on a voluntary basis to donate their time, skills and/or gifts to patients and various hospital departments and community organizations throughout the year; - Health fairs: nbimc holds an annual health fair and participates in health fairs organized by local corporations, schools and community organizations; and - Health screenings: nbimc sponsors free community health screenings throughout the year. Community partnerships ====================== Nbimc works to enhance healthcare delivery in the greater newark communities by partnering with system affiliates, other health care providers, and community stakeholder organizations. One example of such collaboration and partnership is the greater newark healthcare coalition ("gnhcc"), of which the medical center was a founding member. This coalition consists of major healthcare stakeholders in the area, including saint michael's medical center, east orange general hospital, university hospital, rutgers behavioral health center, jersey city medical center, newark community health centers (a local federally qualified health center), the city of newark and many others working together on strategic planning and coordination, incubation of innovative programs, data analysis, and policy and advocacy. The goal includes improving quality and access to care for the patients we serve. In addition, the state department of health participates in the coalition meetings. Gnhcc has hosted seminars to help link primary care providers with the resources and support they need to deliver high-quality, patient-centered care. Ehrs are the first step towards implementing best practices such the patient-centered medical home. It holds an annual public health officer symposium, sponsored by rwjbh, with essex county public health officers and other health experts to review health status data and indicators, prioritize health needs and learn from case studies. Nbimc also participates with a quarterly regional community advisory board for the greater newark area hosted by rwjbh with representatives from local politicians, local community health centers, emergency health providers and other community leaders. Nbimc works to enhance employment opportunities for unskilled/low-skilled members of the community through its partnership with the local workforce development board as well as through partnership programs with the newark one-stop office, and newark public schools. Nbimc participates in the hire newark initiative that started in 2015. Nbimc also actively engages with other health providers to assure a continuum of health care services is provided to the community. Amongst the many provider partners are other hospitals, federally qualified health centers, nursing homes and specialty providers. Medical screenings ================== Nbimc provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes including, but not limited, to the following: - hiv testing and counseling; - pregnancy screening; - sexually transmitted disease testing; - diabetes screening; - prostate cancer screening; - high blood pressure screening; - annual health fair; - oral cancer screening; - breast cancer screening; - mental health screening; - body fat and bmi analysis; - nicu parent to parent support group; - morahan concussion and cardiac screening in adolescent athletes; - monday night football/men's health night with the beth; - women's health day; - south ward churches walk for wellness; - annual breast cancer screening; and - annual vascular screening. Community education =================== Nbimc provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: 1. Cpr and first aid instruction - basic life support; - advanced cardiac life support; - pediatric advanced cardiac life support; - neonatal resuscitation; - automated external defibrillator (aed) training; - first aid; - heart saver; and - instructor development. 2. General health programs and services - health education meca (male, education & counseling for adolescents); - physician/dentist referral service; and - society of hearty hearts. 3. Renal transplant programs and services - pre-transplant education seminars; and - transplant recipient/family support group. 4. Women's health (look good, feel good program) 5. Parenting and children's health programs and services - adolescent sickle cell support group; - cardiopulmonary resuscitation; and - childbirth education class. 6. Other support groups - Alzheimers; - breast cancer; - cancer patient; - the lupus foundation of america, inc.; - narcotics anonymous; - nicu parent's; - pace (people with arthritis can exercise); - reminiscence group; and - sickle cell. 7. Valerie fund 8. Child life (starlight) 9. Youth case management/outreach program 10. School based educational programs 11. Internship program for newark public school children CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 12. Cardiovascular education: chest pain and signs and symptoms of a heart attack; congestive heart failure; and stroke. 13. Nutrition and lifestyle education programs including the beth challenge and kidsfit which include a weekly farmers market accept w.i.c., senior farmers market nutrition program vouchers and s.n.a.p. 14. Older adults; slips and falls 15. Nbimc annual alma beatty health fair 16. Mens health with the beth The hospital's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients 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. Professional medical education and training =========================================== Nbimc professional medical education and training costs, included, but were not limited to, the following small sample of programs, lectures and courses: - cpr training (acls, bls, pals); - nursing orientation; - critical care course; - wound care management; - or course; - nursing fellows program; - nursing extern program; - tracing - jacho training; - preceptor workshop; - iv therapy course; - ems education; - basic rhythm interpretation; - pediatric oncology course; - peri op: anesthesia course; - safe handling device course (patient movement); - precepting of diabetic interns; and - precepting pharmacy interns. 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 DOMENIC SEGALLA, FORMER EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER OF THE ORGANZIATION WAS STILL EMPLOYED WITHIN RWJ BARNABAS HEALTH AS THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER OF JERSEY CITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR THE PERIOD OF 1/1/2017 - 3/11/2017. ON 3/11/2017, MR. SEGALLA BECAME THE CHIEF OPERATING OFFICER/CHIEF FINANCIAL OFFICER OF CLARA MAASS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND SERVED IN THIS POSITION FROM 3/11/2017 UNTIL HIS TERMINATION DATE OF 12/2/2017. CORE FORM, PART X; LINE 25 The organization is a member of RWJ Barnabas 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. and Barnabas Health, Inc. to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a due to related party liability and are reflected on the balance sheets 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 XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - PENSION ADMINISTRATION COSTS - ($1,881,291); - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $1,322,385; - CAPITAL ASSET TRANSFER FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $151,872; - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $72,969; - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION; A DIVISION OF THIS ORGANIZATION - $366,758; AND - NET ASSET TRANSFER FROM THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION; A DIVISION OF THIS ORGANIZATION, PREVIOUSLY REFLECTED IN PRIOR YEAR - ($8,381,000). 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, 2017 AND DECEMBER 31, 2016; 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. DEPARTMENT EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS NEWARK BETH ISRAEL MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND NEWARK BETH ISRAEL MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY NEWARK BETH ISRAEL MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-3452311. THE FOLLOWING IS A LIST OUTLINING THE VARIOUS NEWARK BETH ISRAEL MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. NBIMC DEPARTMENT OF NON-INVASIVE CARDIOLOGY 22-3680276 NBIMC DEPARTMENT OF ONCOLOGY 22-3680355 NBIMC DEPARTMENT OF PATHOLOGY 22-3680343 NBIMC DEPARTMENT OF CARDIOTHORACIC SURGERY 22-3680349 NBIMC DEPARTMENT OF INTERNAL MEDICINE 22-3680346 NBIMC DEPARTMENT OF GERIATRICS 22-3680200 NBIMC DEPARTMENT OF OB/GYN 22-3680351 NBIMC DEPARTMENT OF HEART TRANSPLANT 16-1707383 NBIMC DEPARTMENT OF SURGERY 16-1711394 NBIMC INTERVENTIONAL CARDIOLOGY 01-0828308 NBIMC/TRINITAS PEDIATRIC MEDICAL GROUP 84-1671694 NBIMC ADULT GASTROENTEROLOGY 06-1748860 NEWARK BETH ISRAEL EMERGENCY DEPARTMENT 22-3719160 NBIMC DEPARTMENT OF RADIOLOGY 06-1793948 NBIMC CHONJ PHYSICIAN GROUP 26-2203038 NBI CHILDRENS HOSPITAL 22-3357053 NBIMC PROVIDER SERVICES 81-4857719 PLEASE NOTE THAT THERE ARE VARIOUS EMPLOYED PHYSICIANS THAT REMIT BILLINGS UNDER THEIR SEPARATE EIN'S DIRECTLY TO NEWARK BETH ISRAEL MEDICAL CENTER. SUCH PHYSICIAN'S RESPECTIVE NAME AND EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER IS NOT OUTLINED ABOVE BUT MAY BE OBTAINED UPON REQUEST. IN ADDITION, MONMOUTH MEDICAL CENTER - FACULTY PRACTICE PLAN; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, UTILIZES THE IDENTIFICATION NUMBER FOR NBI CHILDRENS HOSPITAL AS ITS PRINCIPLE IDENTIFICATION NUMBER. 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 Physician Associates PC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 473922235 INACTIVE 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. NJ 501(C)(3) 509(A)(3) RWJ BH false CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER NJ 08754 223343959 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) SBBH false CHILDRENS SPECIALIZED HOSPITAL 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 221487148 PED. CARE NJ 501(C)(3) HOSPITAL RWJHCC false CLARA MAASS FOUNDATION ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 222132516 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false CLARA MAASS MEDICAL CENTER ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 221500556 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false COMMUNITY MEDICAL CENTER 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 223452306 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false COMMUNITY MEDICAL CENTER FOUNDATION 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 222597592 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false GREENVILLE HOSPITAL 355 GRAND STREET JERSEY CITY NJ 07302 220963805 INACTIVE NJ 501(c)(3) HOSPITAL RWJ BH false IRVINGTON HOSPITAL FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 237025428 INACTIVE NJ 501(C)(3) 509(a)(3) RWJ BH false JERSEY CITY MEDICAL CENTER 355 GRAND STREET JERSEY CITY NJ 07302 222783298 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false LAKEVIEW CHILD CARE CENTER INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 222627639 CHILD CARE NJ 501(C)(3) 509(A)(2) RWJHCCH false LAKEVIEW CHILD CENTER FOUNDATION INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 462038300 FUNDRASING NJ 501(C)(3) 509(A)(3) LCCC false LIBERTY BEHAVIORAL HEALTH ASSOCIATES 355 GRAND STREET JERSEY CITY NJ 07302 223506358 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC false LIBERTY HEALTHCARE SYSTEM INC 355 GRAND STREET JERSEY CITY NJ 07302 223113960 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) RWJ BH false LIBERTY RIVERSIDE HEALTHCARE 355 GRAND STREET JERSEY CITY NJ 07302 223284894 INACTIVE NJ 501(C)(3) HOSPITAL RWJ BH false LIBERTY SURGICAL ASSOCIATES 355 GRAND STREET JERSEY CITY NJ 07302 223386850 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC false MEGA CARE INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222578561 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) CSHG false MONMOUTH MED CNTR - SOUTHERN CAMPUS FDN 600 RIVER AVE ANNEX BLDG E LAKEWOOD NJ 08701 222630076 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH NJ 07740 223452412 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false MONMOUTH MEDICAL CENTER - FACULTY PRACT 100 STATE HIGHWAY 36 WEST LONG BRANCH NJ 07764 223357053 HEALTH SVCS. 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NJ NA C CORP. false CPIC 44 CHURCH STREET HAMILTON BERMUDA BD HM11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false SYSTEM AND AFFILIATE MEMBERS LTD POWER HOUSE 7 PAR-LA-VILLE ROAD HAMILTON BD HM11 980656382 FINANCIAL VEHICLE BD NA FOREIGN CORP. false false false false true true false false false false false false false true true true true true true true BARNABAS HEALTH INC M 51142165 COST BARNABAS HEALTH INC E 71483 COST BARNABAS HEALTH INC R 24368394 COST SCHEDULE R, PART V THE ORGANIZATION IS A MEMBER OF RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC., SBC MANAGEMENT CORPORATION AND CENTER STATE HEALTH GROUP, INC.; ALL RELATED ORGANIZATIONS, ROUTINELY TRANSFER FUNDS AND ENGAGE IN BUSINESS ACTIVITIES ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.