2018-11-15T10:33:11-06:00 2017-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2017-01-01 223452306 COMMUNITY MEDICAL CENTER % CATHERINE DOWDY CPA COMM 9733224032 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 THOMAS R PERCELLO CFO 2018-10-31 true Scott J Mariani P00642486 9738989494 2018-11-15 148.77.36.74 22006220183195000128 2018-11-15 P 3F1A83D2B95247F00EF570354270773C8FC3A63C B4F49B62ABB70139397F9A781BA9C9E9BE652F2C 2017 2019-02-21 02:37:17Z MICHAEL MIMOSO 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 380714813 false X WWW.RWJBH.ORG X 1996 NJ HOSPITAL SERVING OCEAN COUNTY AND IS COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. 21 19 3050 626 3613329 1882716 764375 772366 382762589 378587825 100885 87738 804294 728460 384432143 380176389 4548 9050 0 0 162617119 162046403 0 0 0 187289385 190097519 349911052 352152972 34521091 28023417 461892574 492771054 110048068 113363999 351844506 379407055 X THE ORGANIZATION, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL SERVING THE OCEAN COUNTY REGION, IS COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES INCLUDING CONTINUING MEDICAL EDUCATION FOR OUR MEDICAL STAFF. IN COLLABORATION WITH OUR MEDICAL STAFF AND IN PARTNERSHIP WITH RWJBARNABAS HEALTH, WE STRIVE TO EXCEED PATIENTS' EXPECTATIONS IN A PROGRESSIVE ORGANIZATIONAL ENVIRONMENT WHICH EMPHASIZES COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION AND COMPASSION. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 37827127 0 33285527 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GENERAL MEDICINE INPATIENT 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 TREATED 3,640 GENERAL MEDICINE INPATIENTS FOR A TOTAL OF 21,781 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 23977073 0 22528090 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PULMONARY 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 TREATED 2,442 PULMONARY CASES FOR A TOTAL OF 13,967 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 22640883 0 20016370 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SAME DAY 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 4,905 SAME DAY SURGERY PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 232493498 9050 302757838 316938581 true true false true false false false false false false true false false true true true false true false false true false false false false false true true false false true false false false false false false true false false false false false false true false false false true 850 0 true 3050 true true true false false false false false false false false false X 21 19 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 THOMAS HOURIGAN CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 DONALD JUMP CPA VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 GARY V LOTANO SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 DAVID ROSEN TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JERRY P BOISSEAU TRUSTEE 1.0 0.0 X 0 0 0 SANDY S BROUGHTON TRUSTEE 1.0 0.0 X 0 0 0 KARAMBIR DALAL MD TRUSTEE 1.0 0.0 X 0 0 0 PAUL J DEMARTINO MD FACG TRUSTEE 1.0 0.0 X 0 0 0 THEODORE GOODING TRUSTEE 1.0 0.0 X 0 0 0 JARROD C GRASSO TRUSTEE 1.0 0.0 X 0 0 0 JEREMY GRUNIN TRUSTEE 1.0 0.0 X 0 0 0 ANIL GUPTA MD TRUSTEE 1.0 0.0 X 0 0 0 MAURICE B HILL JR DMD TRUSTEE 1.0 0.0 X 0 0 0 FRANCIS J KELLY MD TRUSTEE 1.0 0.0 X 0 0 0 AWANI KUMAR MD TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL MIMOSO TRUSTEE; ex-officio - ceo 55.0 0.0 X X 1473525 0 308833 JUDITH SCHMIDT RN TRUSTEE 20.0 0.0 X 34181 0 5642 RICHARD STANZIONE ESQ TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM STRAZELLA MD TRUSTEE 1.0 0.0 X 0 0 0 PETER VAN DYKE ESQ TRUSTEE 1.0 0.0 X 0 0 0 DANIEL J VITALE CPA TRUSTEE 1.0 0.0 X 0 0 0 PATRICK M AHEARN COO 55.0 0.0 X 537392 0 149911 THOMAS R PERCELLO SENIOR VP OF FINANCE/CFO 55.0 0.0 X 990868 0 144222 YESHAVANTH P NAYAK MD SVP/CMO 55.0 0.0 X 517849 0 114633 TODD EUGENE PHILLIPS VP, QUALITY & CLINICAL EFFECT 55.0 0.0 X 413817 66047 17379 DONNA CARTELLI BONACORSO VP PATIENT CARE (EFF 7/21/17) 55.0 0.0 X 244248 0 40851 VANESSA D SMITH VP HUMAN RELATIONS 55.0 0.0 X 237324 0 26975 JANE E O'ROURKE VP PATIENT CARE (TERM 5/19/17) 55.0 0.0 X 180268 0 10126 CHRISTOPHER REIDY VICE PRESIDENT 50.0 0.0 X 252672 0 22917 RICHARD J PALLAMARY VP DEVELOPMENT 50.0 0.0 X 246164 0 20999 RICHARD EVERETT TENPENNY JR CHIEF PHYSICIST 50.0 0.0 X 240630 0 42351 NEIL J BRYANT VP SUPPORT SERVICES 50.0 0.0 X 225640 0 36500 THERESA JEAN KUBIEL VP PT EXPERIENCE & COMM AFFAIR 50.0 0.0 X 201204 0 19666 FRANK GELORMINI FORMER OFFICER 50.0 0.0 X 0 1000585 31601 MARY ELIZABETH DENO FORMER OFFICER 55.0 0.0 X 0 515478 21239 MARK A OSTRANDER FORMER OFFICER 55.0 0.0 X 0 384054 44172 STEPHANIE L SCHWARTZ FORMER OFFICER 0.0 0.0 X 265701 0 0 6061483 1966164 1058017 168 true true false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 35274356 SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 4560548 REA MANAGEMENT LLC 100 BAYVIEW CIRCLE 400 NEWPORT BEACH CA 92660 CYBER KNIFE 4444795 INTENSIVISTS AT TOMS RIVER 66 W GILBERT STREET RED BANK NJ 07701 MEDICAL 1464867 EMERGENCY MEDICAL ASSOCIATES OF NJ 3 CENTURY DRIVE PARSIPPANY NJ 07054 MEDICAL 1430302 44 X 759366 13000 772366 NET PATIENT SERVICE REVENUE 541900 376165607 372652701 3512906 OTHER HEALTHCARE RELATED REVENUE 541900 2422218 2321795 100423 378587825 105863 105863 0 0 636260 520299 115961 0 115961 115961 0 18125 -18125 -18125 -18125 0 0 0 0 0 0 0 0 0 PARKING 900099 326020 326020 CAFETERIA 900099 286479 286479 612499 380176389 374974496 3613329 816198 9050 9050 0 0 0 5445610 4901049 544561 0 128783167 115904850 12878317 6353905 5718515 635390 9734181 8760763 973418 11729540 10556586 1172954 39834903 35851413 3983490 0 0 25483 22935 2548 0 0 21545073 19390566 2154507 3194 2875 319 7141000 6426900 714100 1017685 915917 101768 0 6164386 5547947 616439 71102 63992 7110 0 0 2175095 1957586 217509 0 12783748 11505373 1278375 4200646 3780581 420065 MEDICAL SUPPLIES 65267409 58740668 6526741 PHYSICIAN FEES AND SALARIES 17952268 16157041 1795227 REPAIRS & MAINTENANCE 2265299 2038769 226530 OTHER EXPENSES 9650228 8685205 965023 352152972 316938581 35214391 0 X 10580 8591 0 0 0 0 34620335 35447731 0 0 0 0 0 0 6472152 6812660 414854 1020833 411292672 268410874 140369733 142881798 0 0 0 0 10079895 11876872 0 0 269925025 294722569 461892574 492771054 30647749 30356426 0 0 26874 17844 0 0 0 0 0 0 6168 0 0 0 79367277 82989729 110048068 113363999 X 351844506 379407055 0 0 0 0 351844506 379407055 461892574 492771054 X 28023417 -460868 X X false true X true true true X false false false false false false false false true 25483 25483 false SCHEDULE C, PART II-B; QUESTION 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 $25,483 IN 2017. 198713 198713 206891323 103902302 102989021 5183612 5145127 38485 190023291 157362414 32660877 8995733 2001031 6994702 142881798 CURRENT 0 NON-CURRENT 0 OTHER RECEIVABLES 91386 DUE FROM AFFILIATES; CURRENT 294631183 294722569 360000 PARTY PAYORS; CURRENT 964884 PARTY PAYORS; NON-CURRENT 1933714 OTHER LONG TERM LIABILITIES 4058130 DUE TO AFFILIATES; CURRENT 0 OTHER CURRENT LIABILITIES 15726967 LIABILITY 58743115 ACCRUED INTEREST EXPENSE 1202919 82989729 X 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 VEHICHLE 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, $2,884,639; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X 500. true true true false false 3560 4196478 136637 4059841 0.01150 32207 43661846 39197034 4464812 0.01270 2201024 2201024 0.00630 35767 50059348 39333671 10725677 0.03050 8842 619065 619065 0.00180 419909 233151 186758 0.00050 75 5029309 467564 4561745 0.01300 431727 431727 0.00120 1203710 1203710 0.00340 8917 7703720 700715 7003005 0.01990 44684 57763068 40034386 17728682 0.05040 false 13463501 1346350 154486479 171557314 -17070835 X true true 1 1 COMMUNITY MEDICAL CENTER 99 ROUTE 37W TOMS RIVER NJ 087556423 WWW.RWJBH.ORG 11501 X X X COMMUNITY 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, INPUT WAS DERIVED FROM THE COUNTY-WIDE TASK FORCE WHICH PROVIDED INSIGHT AND EXPERTISE, LEADING TO THE IDENTIFICATION OF COUNTY-WIDE HEALTH PRIORITIES. DETAILS INCLUDING THE COUNTY-WIDE TASK FORCE MEMBERS, COMMUNITY MEETING ATTENDEES AND PROCESS ARE CONTAINED IN THE CHNA. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B WHILE COMMUNITY MEDICAL CENTER ("CMC") HAD ITS OWN CHNA, CMC 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, QUESTION 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 SYSTEM'S WEBSITE: HTTP://WWW.RWJBH.ORG/DOCUMENTS/COMMUNITY-MEDICAL-CENTER-/RWJBARNABAS-CHNA- CMC-12-2016.PDF THE CHNA WAS SHARED WITH THE LOCAL HEALTH DEPARTMENT. 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 IN WHICH 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 COLABORATE 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/ 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 OUTLINE IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR CMC ANNUALLY WHICH INCLUDES; - a review of health care 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. CMC reviews patient surveys and comments to understand patient and family concerns. Further, CMC 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. In addition, CMC participates with the Ocean County Health Departments Health Advisory Group to plan and implement a local needs assessment/health status approximately every five years, with ongoing communication and collaboration between the five-year updates. 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 CMC is located in Toms River, the county seat of Ocean County. Ocean County is one of the fastest growing counties in the state since 1940 and Toms River is ranked the 5th most populous CDP in the state in the 2010 census counts. Ocean County is considered part of the NY metropolitan area; however, it is actually home to one-third of the Jersey Shore, bordering the Atlantic Ocean in the southern part of New Jersey, a prime destination for large beach populations, fisherman and boaters, which places additional seasonal demands on the hospitals emergency department. While there was a 12.8% population growth between the 2000 and 2010 census, hurricane Sandy limited future growth. The 2012-2016 census estimates Toms River to have a 10% minority presence and 4.5% of families living below the poverty level. Approximately 9% do not have health insurance, 31% have public health insurance and 7% of households receive food stamps/SNAP assistance. CMC serves both suburban and semi-rural communities including the shore communities and lower-income municipalities of Manchester and South Toms River. CMC serves a significant proportion of elderly 2016 census ACS estimates that 33% of the county population is aged 65 and older as opposed to the 15.6% national percentage and 15.7 percent for the state in the 2017 population estimates. In 2017, over 60% of CMCs patient admissions were comprised of a Medicare payer. Further, nearly 18% of CMCs payer mix was comprised of underinsured and uninsured payer categories. Minorities comprised over 18% of patients. SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by CMC 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. CMC provides educational materials, conducts community health fairs and health screenings, and holds health education seminars, wellness events 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 CMC 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 CMC. 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. X X X X X true true false false false false false true false MICHAEL MIMOSO TRUSTEE; ex-officio - ceo 433515 0 204957 0 835053 0 285159 0 23674 0 1782358 0 721677 0 PATRICK M AHEARN COO 438535 0 88189 0 10668 0 124672 0 25239 0 687303 0 0 0 THOMAS R PERCELLO SENIOR VP OF FINANCE/CFO 399770 0 99773 0 491325 0 118144 0 26078 0 1135090 0 427263 0 YESHAVANTH P NAYAK MD SVP/CMO 414089 0 49720 0 54040 0 96909 0 17724 0 632482 0 0 0 TODD EUGENE PHILLIPS VP, QUALITY & CLINICAL EFFECT 349845 29153 58556 0 5416 36894 13640 2221 1305 213 428762 68481 0 0 DONNA CARTELLI BONACORSO VP PATIENT CARE (EFF 7/21/17) 230565 0 5908 0 7775 0 15775 0 25076 0 285099 0 0 0 VANESSA D SMITH VP HUMAN RELATIONS 206411 0 29025 0 1888 0 10823 0 16152 0 264299 0 0 0 JANE E O'ROURKE VP PATIENT CARE (TERM 5/19/17) 125126 0 26775 0 28367 0 8330 0 1796 0 190394 0 0 0 CHRISTOPHER REIDY VICE PRESIDENT 214811 0 37128 0 733 0 14248 0 8669 0 275589 0 0 0 RICHARD J PALLAMARY VP DEVELOPMENT 181239 0 38096 0 26829 0 20108 0 891 0 267163 0 0 0 RICHARD EVERETT TENPENNY JR CHIEF PHYSICIST 237616 0 0 0 3014 0 18507 0 23844 0 282981 0 0 0 NEIL J BRYANT VP SUPPORT SERVICES 186540 0 32576 0 6524 0 19418 0 17082 0 262140 0 0 0 THERESA JEAN KUBIEL VP PT EXPERIENCE & COMM AFFAIR 175284 0 25121 0 799 0 14598 0 5068 0 220870 0 0 0 FRANK GELORMINI FORMER OFFICER 0 173776 0 5000 0 821809 0 15772 0 15829 0 1032186 0 727300 MARY ELIZABETH DENO FORMER OFFICER 0 327501 0 99000 0 88977 0 17511 0 3728 0 536717 0 47592 MARK A OSTRANDER FORMER OFFICER 0 252828 0 71818 0 59408 0 18749 0 25423 0 428226 0 0 STEPHANIE L SCHWARTZ FORMER OFFICER 0 0 0 0 265701 0 0 0 0 0 265701 0 0 0 SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2017 WHICH WAS INCLUDED IN HER 2017 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: STEPHANIE L. SCHWARTZ, $265,701. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED HIS 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARK A. OSTRANDER, $57,977. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTINGS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL MIMOSO, $803,636; THOMAS R. PERCELLO, $479,988; FRANK GELORMINI, $790,408 AND MARY ELIZABETH DENO, $87,965. 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: MICHAEL MIMOSO, $273,009; PATRICK M. AHEARN, $107,122; THOMAS R. PERCELLO, $95,194; YESHAVANTH P. NAYAK, M.D. $73,458 AND MARY ELIZABETH DENO, $5,288. CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 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. SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THOSE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEARS FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL MIMOSO, $721,677; THOMAS R. PERCELLO, $427,263; FRANK GELORMINI, $727,300 AND MARY ELIZABETH DENO, $47,592. KAREN B TORTORELLI FAMILY MEMBER OF OFFICER 60046 COMMUNITY MEDICAL CTR EMPLOYEE false CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Community medical center ("cmc") is a general medical and surgical hospital. Cmc 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, 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 following criteria outlined in irs revenue ruling 69-545: 1. Cmc provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Cmc operates an active emergency department for all persons which is open 24 hours a day, 7 days a week, 365 days per year; 3. Cmc maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of cmc rests with its board of trustees and the board of trustees of 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 cmc, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of cmc 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. cmc'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. cmc, 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 healthcare 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 =============================== Mission statement ================= Cmc, a not-for-profit acute care hospital serving the ocean county region, is dedicated to advancing the quality of life and health of the communities served. Cmcs vision is to be the premier health care provider committed to quality and compassionate care. The hospitals mission and vision will be achieved in collaboration with our medical staff and in partnership with rwjbarnabas health through the core values of compassions, quality, accountability, integrity, diversity and teamwork. Hospital statistical information ================================ Cmc is a non-profit general acute care hospital located in toms river, ocean county, new jersey. Its service area includes nearly 600,000 residents. Cmc is comprised of 617 licensed beds including 25 transitional care (skilled nursing) beds. Cmc serves both suburban and semi-rural communities including shore towns and the lower-income municipalities of manchester and toms river south. Cmc serves a significant proportion of elderly as the 2016 census estimates the county proportion of seniors at 33% contrasted with the national percentage of 15.7%. During 2017, cmc serviced over 23,100 inpatients, delivered over 2,000 babies, provided approximately 77,000 emergency department visits and nearly 190,000 outpatient visits for diagnostic and treatment services. Nearly 18% of inpatients are comprised of underinsured and uninsured payers. Over 60% are covered by medicare and medicare plans. Accomplishments/milestones/recognitions/awards ============================================== Cmc is fully accredited and has been recognized with distinguished awards for clinical excellence and service. Some of these include: - Cmc was surveyed by the joint commission and received its triennial re-accreditation; - Cmc is the recipient of the joint commission - gold seal of approval for total joint replacement hip & knee and stroke care; - The new jersey department of health designated cmc as a primary stroke center; - The commission on cancer of the american college of surgeons has granted 3-year accreditation to the j. Phillip citta regional cancer center at cmc for maintaining excellence in the delivery of comprehensive patient-centered care. The program received the outstanding achievement award and is one of two hospitals in nj and one of 75 in the nation to achieve this designation for the period surveyed. The program has been designated as a community hospital comprehensive cancer program since 1986; - The national association of epilepsy centers has re-accredited cmcs epilepsy program at the jay & linda grunin neuroscience institute as a level 3 epilepsy center. Level 3 epilepsy centers have the professional expertise and facilities to provide the highest level medical evaluation and treatment for patients with complex epilepsy; - Cmc earned accreditation from the national accreditation program for breast centers (napbc), a program administered by the american college of surgeons, and is the first accredited program in ocean and atlantic counties; - Accredited as a center of excellence in robotic surgery by the surgical review corporation; - The american college of radiology renewed accreditations for mammography services, breast center of excellence, ultrasound gyn, ultrasound imaging, nuclear medicine, mri, ct and radiation oncology; - The american diabetes association education recognition certificate for a quality diabetes self-management education program was awarded to the center for diabetes education at cmc; - The center for sleep disorders has earned re-accreditation from the american academy of sleep medicine, a designation it has maintained since 2006; - Pathology and laboratory services accreditation by college of american pathologist; - Intersocietal commission accreditation of echocardiography laboratories; and - Platinum award from the us department of health and human services for increasing organ and tissue donation awareness. Centers of excellence ===================== Cmc's recognized medical services centers of excellence include, but are not limited to, the following: 1. J. Phillip citta regional cancer center Cmc offers a dedicated inpatient oncology unit, radiation oncology center, infusion center and a full range of support groups and services for patients and their families. Cmc's dedicated staff of physicians, nurses and allied health professionals address the needs of patients and families facing a cancer diagnosis and treatment. The cancer program is nationally accredited by the commission on cancer of the american college of surgeons. Programs and services of this center include: - Medical oncology: a multidisciplinary team approach ensures the physical and psychosocial needs of patients and their families are addressed. The team includes board certified physicians, oncology certified nurses, licensed clinical social workers, case managers, dieticians and home care professionals working together to provide high quality care in both the inpatient and outpatient settings; - Radiation oncology: from sophisticated rapid arc linear accelerator to the cyberknife, the department of radiation oncology offers the highest standard of care and is accredited by the american college of radiology. The radiation oncology team consists of board certified radiation oncologists and physicists, nurses who specialize in oncology, registered radiation therapists, and licensed clinical social workers; - The breast care program is a unique program providing women who undergo surgery for breast cancer with education, support and referral information. Before surgery, a woman may meet with a specially-trained nurse consultant who educates her about what she can expect during her surgery, post-operatively, and throughout her recovery and treatment. The nurse navigator works with the surgeon, nurse, case manager and social worker to provide the woman with individualized care; - The gynecologic oncology program at the j. Phillip citta regional cancer center at cmc is dedicated to addressing the individual needs of each patient in a caring and supportive environment. Our gynecologic oncologists work with primary care and ob/gyns to assure a continuity of care during a patient's treatment. Cmc offers robotic surgery, an effective surgical option for the treatment of many female reproductive cancers including early-stage cancers of the cervix, endometrium, uterus and ovary. Our gynecologic oncologists are among the most experienced in the region in robotic hysterectomy, an advanced surgical procedure with benefits including less pain and blood loss, fewer infections and a significantly shorter recovery time. Additionally, we offer remote after loading high-dose rate (hdr) intracavitary brachytherapy. This outpatient procedure dramatically reduces a woman's hospital stay from several days to several hours; - Neuro-oncology: cmc offers an intensive and comprehensive approach to the care of patients with tumors of the central nervous system. Utilizing the latest technologies and medical advances, a full spectrum of neuro-oncologic services are provided to treat benign and malignant tumors originating in the brain and spinal cord, as well as neurological complications of cancer that has spread to other regions of the body; - The valerie fund children's center for cancer and blood disorders: located within the j. Phillip citta regional cancer center at cmc, the pediatric cancer and hematology program is affiliated with the unterberg childrens hospital at monmouth medical center and brings access to this exceptional pediatric subspecialty care at a convenient location in ocean county, close to home. This program is part of a select network of hospitals in the tristate area of new jersey, new york and pennsylvania. Our hospitals are part of the valerie fund childrens center for cancer and blood disorders, one of the nations largest and most advanced pediatric oncology/hematology networks, providing care to more than 5,000 children with cancer and blood disorders each year. Cmcs valerie center provides access to comprehensive medical services to children, adolescents and young adults (from birth to age 30) with leukemia and other cancers, and blood disorders, such as sickle cell anemia, thalassemia and thrombocytopenia; - Surgical oncology: the j. Phillip citta regional cancer center offers the specialized discipline of surgical oncology in various forms, depending on the extent of the cancer. When the cancer has not yet spread to other parts of the body, the simple removal of a small tumor offers the greatest chance for a cure; CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Outpatient infusion center: designed for patient comfort and convenience, the outpatient infusion center provides a full range of intravenous procedures for cancer treatment, including chemotherapy, transfusions of blood and blood products, therapeutic phlebotomy and antibiotic infusions. The centers staff is committed to providing quality infusion care and excellence in service, keeping abreast of current developments and trends in the field of infusion therapy; - Oncology data center: the oncology data center/tumor registry provides essential research and information. Data is provided as mandated to the new jersey department of health as well as the national cancer data base. Data obtained from the registry is used to analyze various treatment programs and for use in cancer research, medical education, funding applications and medical publications; - Oncology research: the j. Phillip citta cancer center provides patients access to national and regional clinical research studies. The availability of these studies in the treatment of cancer, chemoprevention, and supportive care allow patients the option to participate in the latest treatment options including investigational drugs; - Oncology patient navigators: in partnership with the american cancer society, the j. Phillip citta regional cancer center offers a patient navigator program free of charge to all cancer patients receiving oncology services at cmc. Since cancer is a complex disease that impacts a persons life in so many ways, the program is designed to guide patients and caregivers as they face the psychological, emotional and financial challenges that cancer brings. Patients are provided with individualized information and services to help them navigate their way through the healthcare system along their cancer journey - from diagnosis and treatment through to recovery and survivorship. Cmc "navigators" help people facing cancer by providing information on cancer and treatment options, community resources, and referrals to appropriate agencies and persons, among a host of other areas of assistance. In addition, breast, lung and survivorship navigators are available to provide patients with cancer the support, education and resources they need to fight their disease; - Complementary services - cmc provides several complementary services including massage therapy provided by certified massage therapists, relaxation training, and guided imagery by social workers, pet therapy, art therapy programs and reiki - therapeutic touch to reduce stress and promote relaxation - by certified reiki therapists; and - Support services - supportive counseling, pastoral care services, education, nutrition counseling, pain management, referral services and support groups are all available for patients and families. Social services such as free transportation (approximately 2,500 round trips annually), wigs and prosthetic devices, financial and disability assistance, and home care are also available. 2. First moments maternity services The maternity program specializes in a total concept of care for mothers and their babies, where advanced technology and training are enhanced by the human touch of dedicated healthcare professionals. The unit is staffed by highly skilled physicians, midwives and nurses. In addition, all of cmc's nurses are certified in neonatal resuscitation and lactation resource trained. The modern state-of-the-art unit offers moms-to-be the most advanced maternal and child health technology, including 24/7 neonatal coverage, in a comfortable and safe environment. The labor-delivery recovery and postpartum rooms combine the latest technology with a soothing home-like decor. The unit also includes a special care nursery staffed by a neonatologist and certified neonatal nurses to care for babies with special needs, and a fully-equipped operating suite for cesarean births or high-risk vaginal deliveries. - extensive childbirth preparation and infant care classes; - comprehensive parenting support and education; - comprehensive pre- and postnatal care; - specially designed labor-delivery-recovery rooms with jacuzzis; - 24-hour anesthesia and pain management therapies; - superior lactation education and support; - special care nursery; - 24-hour neonatal coverage; - level ii special care nursery for premature newborns; - family-centered care; and - all private rooms and baths with showers. 3. The jay and linda grunin neuroscience institute The jay and linda grunin neuroscience institute at cmc brings together a highly skilled interdisciplinary group of specialists to provide the highest quality advanced care to prevent, diagnose and treat diseases of the brain, the spinal cord, and the peripheral nervous system 24 hours a day, 365 days a year. A multi-disciplinary team of nurses, therapists, orthopedic and neurosurgeons work to provide a comprehensive planned course of treatment with active involvement of the patient in their treatment and recovery. The institute combines the extensive medical experience and compassion of our specialists with cmc's state-of-the-art technology to treat stroke, epilepsy and other neurologic conditions. The jay and linda grunin neuroscience institute offers comprehensive care in specialized areas dedicated to the care of patients with a variety of neurologic conditions: - Neuro-interventional suite with an integrated state-of-the-art biplane procedure room and pre-and post-procedural care areas; - Neuroscience acute care inpatient unit; - Neuro-intensive care; - Operating suites with specialized technology; - Radiation oncology department with a cyberknife and highly sophisticated rapid arc linear accelerator; and - Accredited as a joint commission and nj department of health stroke center. The institute complements the specialty services offered by the hospital including: - Video-eeg and neuro imaging services with specially trained and highly experienced seizure diagnostics and eeg interpretation; - Neuroimaging including high-resolution mri and pet whole-body imaging; - Neuro-interventional suite with an integrated state-of-the-art biplane procedure; - Center for sleep disorders; - Neurophysiology; - Rehabilitation specialists; - Pain management; - Epilepsy center and pediatric/adolescent concussion program; and - Neuroscience research. Medical and community services ============================== Medical staff ------------- Consistent with revenue ruling 69-545, all qualified physicians are eligible for medical staff privileges at cmc. Cmc had approximately 750 physicians on its medical staff during 2017 with over 45 medical and surgical specialties, including, but not limited to, the following medical specialties: - anesthesiology; - emergency/outpatient medicine; - family medicine; - medicine; - cardiology; - dermatology; - endocrinology; - gastroenterology; - geriatrics; - infectious diseases; - nephrology; - neurology; - hematology/oncology; - physical medicine & rehabilitation; - psychiatry; - pulmonary; - obstetrics & gynecology; - otolaryngology, head & neck surgery; - ophthalmology; - orthopedics; - pathology & laboratory; - pediatrics; - podiatry; - radiology; - surgery; - neurosurgery; - oral & maxillofacial surgery; - plastic surgery; - thoracic surgery; - vascular surgery; - pediatric surgery; and - urology. Community service centers ========================= Cmc is committed to keeping its community healthy, and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. For more than 55 years, cmc has been a leader in ocean county. As part of rwjbarnabas health, cmc provides access to the best in healthcare and the latest in medical technology to the nearly 600,000 residents that comprise its service area. Cmc is a resource to its communities, employees and affiliated professionals. Cmcs volunteer resource center provides hospital departments with an active volunteer network. Volunteers give their support in several ways, from delivering flowers and mail to filing or answering phones. A total of 631 volunteers donated over 89,500 hours of services throughout the year. Cmc is committed to keeping its community healthy and offers an extensive array of community outreach programs and services for the benefit of the community it serves. The hospital offers health services focused on promoting health awareness for the community by providing needed educational, preventative and screening sessions for the public. We have participated in many speaking engagements for the community, including health fairs and external programs that inform the community about health issues, conducted screenings, facilitated support groups and other community functions/activities while acting as a single location for referral for all types of services. Senior adults, young families and children all benefit from these programs and services. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Special community centers offered by the hospital promote health and health awareness for the community: - The lighthouse, a center for senior health: designed to provide health related educational programming for persons over age 50; - The center for kids and family: offers a wide array of programs for area families and children; - The center for diabetes education: certified diabetes educators provides services to men, women, children and pregnant women; and - The center for women's health: provides a complete range of educational, preventive and support services for women of all ages. Community partnerships ====================== In 2017, rwjbarnabas health announced a multifaceted partnership with the toms river schools to become an official healthcare partner to the school district. This partnership forges new opportunities to improve health for the school district employees, students and their families. Other activities include, but are not limited to: 1. employees give back to the community; community medical center health care harvest food drive and tools for school supply drive. For the past ten years, cmc employees and members of the medical staff have collected and donated to local food pantries through health care harvest, the hospital's annual summer food drive. Over 20,000 pounds of food was donated in 2017. Cumulatively, over the past eleven years, over 174,000 pounds of food has been donated to area food banks. The food drive was designed to coincide with the end of the school year and support children who usually depend on schools free breakfast and lunch programs. Departments within the hospital compete among themselves to collect the most food. In addition to the food drive, cmc employees sponsored a 'tools for school back-to-school supplies drive which collected over 60 backpacks along with cartons of crayons, markers, pencils, pens, calculators, filler paper, notebooks, highlighters, lunchboxes, etc., for children in need. The generous donations made by cmc employees were distributed to ocean health initiatives (fqhc), the salvation army and court appointed special advocates of ocean county for local students. Other 'give back' programs the hospital staff has participated in include a holiday toy drive (750 toys given to the court appointed special advocates of ocean county, ocean health initiatives, salvation army and a local church), over 1,300 coats were donated in a coat drive partnered with the nj devils. Employees also partnered with the american littoral society to create a cleaner barnegat bay. In june 2015, the system partnered with ocean county, the national recreation and park association and cbs eco-media to construct a new fitness-themed play pocket trail at jakes branch county park in ocean county. The jakes branch county park play trail provides local children and their families a trail experience that integrates play, physical activity, education and socialization. Jakes branch county park is a regional park located off of double trouble road in beachwood, new jersey. 2. women and heart disease; community medical center raises awareness of heart disease in women. The hospital helped to ensure that women make their health a priority during american heart month by offering free blood pressure screenings and cholesterol and glucose testing as part of its day of dance 2017 celebration, a series of health education activities designed to reach women in all stages of life. Day of dance included health screenings, heart health info and cmc invited local dance groups to perform throughout the day to encourage people of all ages to dance and keep moving as a way to stay heart healthy. For the past seven years, cmc has held the "get your red on" a cardiac program for women designed to raise awareness about achieving a heart healthy lifestyle. Hospital physicians present detailed information on common cardiac conditions during the event, which features free blood pressure, glucose and cholesterol screenings. Last year, "get your red on" drew 750 persons, each of whom was requested to wear red in honor of american heart month. 3. inspiration boutique: specialty center for cancer patients. Undergoing treatment for cancer can be a very stressful time for the patient and their families. With generous funding from the american cancer society through a grant from the jay and linda grunin foundation, the inspiration boutique marked its one year anniversary in october 2015. At that time, 368 patients had visited the boutique and taken advantage of the spa-like environment, holistic therapies and extra special pampering it offers. The boutique is conveniently located within the j. Phillip citta regional cancer center at cmc. The goal of the inspiration boutique is to offer comfort to cancer patients and their families. Since one of the most common side effects patients experience during cancer treatment is hair loss, the boutique provides patients access to many wigs and hat/cap styles free of charge. In addition, patients can participate in complementary therapy services at no cost, such as reiki for stress reduction and relaxation. This boutique offers a spa-like environment so patients can relax in a soothing and quiet environment. In 2017, cmc opened a survivorship garden dedicated to all cancer survivors past, present and future. Located in the courtyard, it provides a quiet, peaceful space for visitors to the hospital. It features a fountain with lights and lush plants. Cmc'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 if they have completed or require assistance in completing living wills and advanced directives. Cmc recognizes its role in addressing the social determinants of health and works to address barriers and special needs in its communities such as patient transportation and advocacy services. Cmc began a healthcare youth learning collaborative, in partnership with the barnegat township school district, to offer high school students an unique opportunity to attend monthly lectures and workshops at the hospital where they learn about a wide variety of career paths. Twenty-five students attended during the year. Cmc also provided over 25,000 round trip rides over the past ten years for cancer center patients to their treatment in recognition that, for some, transportation is a barrier that exist to obtaining needed services. Medical screenings ================== Cmc provides numerous medical screenings and preventive health programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: - Blood pressure screenings; - Cardiac and concussion screenings for young athletes; - Diabetes screenings (blood glucose); - Heart disease screenings; - Skin cancer screenings - "choose your cover - Lung cancer screenings for current or former smokers between ages 50-74; - Clinical breast exams, mammograms, cervical exams and pap smears to uninsured women between ages 40-64; - Body mass index screening; - Balance screening; and - Oral cancer screening. Community education =================== Cmc'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. All patients are asked regarding living wills and advanced directives. Cmc 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. Center for diabetes education - Diabetes self-management series; - One-on-one counseling services; - Support groups including 2 diabetes support groups, an insulin-pump support group and a support group for parents of children with diabetes; - Community outreach; - Diabetes expo health fair and presentation; - Weight management; - Diabetes alert day health education presentation; and - Medication management for diabetes. 2. Center for kids & family - Parenting program; - Anger management and violence prevention program; - Mom's support group; - Eating disorder support group; - Stress management; and - Fitness & nutrition. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 3. Pediatric information - Baby & children's fair for expectant and new moms, dads and grandparents and families; - Sports medicine screening programs: matthew j. Morahan; - Concussion & cardiac screening; and - Health education to ocean county school children regarding nutrition and healthy food choices. 4. Women's health - Get your red on health fair - increase awareness about heart disease in women; - Women's health week - physician lectures & health screenings; - Breast health symposium; - Heart health education; - Fitness; - Osteoporosis; - Menopause; - Nutrition; - Healthy bones: osteoporosis exercise and education program; - Pms; - Stress management; - Life is a balancing act, focusing on womens health; and - Spirit of women health education. 5. The lighthouse - older adults - Review your medications with a pharmacist; - Self defense instruction - exercise and balance for older adults; - Aarp driver's safety program; - Aarp income tax assistance; - Drive defensively classes; - Insurance counseling; - Health education sessions; and - Project health bones, an osteoporosis exercise program. 6. Various health fairs, educational sessions and programs: - Colorectal cancer awareness fair & symposium; - Reduce your cancer risk an update on cancer screenings; - Heart health fair; - Pain awareness health fair; - Toms river senior health fair; - Neuroscience institute health fair; - American red cross blood drives; - Health fair baby fair for pregnant women; - Guys night out - men's health event; - Discharge transportation provided for patients in need (via ambulance, taxi, mav wheelchair transport); - Provide patients in need with durable medical equipment/supplies; - Health fair - occ senior living expo; - Health fair for ocean first bank employees; - Prescription medication coverage for patients in need, post discharge; - A time for us - mothers and daughters program; - Health fair for borough of beachwood; - Bikur cholim ladies night event in lakewood; - Health & wellness expo at greenbriar woodlands, toms river; - Stop smoking hypnosis session; and - Yoga for individuals diagnosed with cancer. 7. Offered fire safety house demonstration model to schools and community fairs. 8. Cmc's health line and newborn television channels were developed for patient and family education. Cmc also distributed publications to provide information to the community on healthcare issues. Support groups -------------- A partial listing of patient and community support groups include: - Bereavement support group; - Coping with cancer support group; - Caregivers support group and counseling; - Diabetes support group; - Insulin pump support; - Prostate cancer support group; - Nu-voice support group; - Head and neck cancer support group; - Colorectal cancer support group; - Breast cancer support group; - Sjogrens support group; - Look good, feel better - american cancer society; - Lung cancer support group; and - Leukemia and lymphoma support group. Instructional classes and programs ---------------------------------- Cmc offers a variety of lifestyle and instructional classes to improve an individual's overall well-being. There is a fee associated with these programs. Some of these programs include: - Cpr: cardiopulmonary resuscitation class; - T'ai chi; - Yoga, including chair yoga for a healthy heart; - Meditation & wellness; and - Self-defense. Cmc offers an extensive array of prenatal childbirth preparation and parenting classes and services. The following courses and services are some of those currently offered: - Breastfeeding class and support; - Grand parenting class; - Infant care class; - Childbirth refresher; - Prepared childbirth series; - Healthy beginnings regarding good nutrition; - Preparing for your newborn; - Prepared brothers and sisters; and - Exercise for pregnancy & post-delivery. Professional medical education and training =========================================== Cmc professional medical education and training was provided to over 3,460 attendees. Programs in 2017, included, but were not limited to, the following programs, lectures and courses: - options for current treatment and management of advanced breast cancer in geriatric population; - evaluation and management guidelines for coding; - peripheral vestibular disorders: a quarter century perspective; - transforming clinical practices initiatives; - robotic radical cystectomy: a minimally invasive approach to a maximally invasive disease; - opioid use epidemic and available services; - pulmonary hypertension: clinical pearls and expanding paradigms of treatment; - colorectal liver metastases: considerations and management; - spasticity management and the role of the pediatric physiatrist; - the global burden of disease due to hcv; - medical staff preparedness for joint commission; - information technology forum; - taking a team approach to documenting acuity: what's in it for the physician?; - breast cancer high risk evaluation and management; - end of life care; - how to recognize, prevent and effectively address sexual and other types of illegal harassment and related issued; - no deadly draught: law, ethics and physician assisted suicide; - being mortal; - palliative care update: caring for the hospitalized patient with advanced illness; - the dangers of diagnostic radiation and the head injury dilemma; - clostridium difficile infection: community medical center experience; lessons learned; - clinical guidelines for benign positional vertigo; - surviving sepsis: the past, present and future; - that gut feeling: a review of gi motility disorders and therapies; - pediatric: mine, yours, ours - an overview of pediatric upper extremity care; - opioids use, abuse and dependence; - thyroid nodules/thyroid cancer; - prostate cancer staging: 8th edition changes and implications for prognosis/treatment; - hyperbaric oxygen therapy: it's role in the treatment of radiation injured tissue; - silencing the zebra; - lung transplant for respiratory failure; - elder neglect and abuse: facts and myths; - update on the nj medical marijuana program; - common office problems in pediatric urology; and - numerous tumor conferences with a range of topics on breast, neuro, lung, ent, colorectal, skin and other cancer sites. 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 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 MARY ELIZABETH DENO, FORMER VICE PRESIDENT OF HUMAN RESOURCES OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A CHIEF HUMAN RESOURCES OFFICER AND VICE PRESIDENT OF BARNABAS HEALTH, inc.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MARK A. OSTRANDER, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A VICE PRESIDENT OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. FRANK GELORMINI, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A DIRECTOR OF BARNABAS HEALTH, inc.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. CORE FORM, PART X; LINE 25 The organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - EQUITY TRANSFER TO COMMUNITY MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($542,596); - CAPITAL ASSET TRANSFER FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $151,872; - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF COMMUNITY MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $1,716,000; AND - PENSION ADMINISTRATION COSTS - ($1,786,144). 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. SCHEDULE I, PART II AND CORE FORM, PART IV; QUESTION 21 PLEASE NOTE THAT ALL GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER ORGANIZATIONS WERE LESS THAN OR EQUAL TO $5,000 EACH. THEREFORE, THERE ARE NO ORGANIZATIONS LISTED IN SCHEDULE I, PART II. THE TOTAL AMOUNTS PAID FOR CONTRIBUTIONS AND EVENT SPONSORSHIPS CAN BE FOUND ON CORE FORM, PART IX, LINE 1. 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. 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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 true true true false false false false false false false true true true true true true true BARNABAS HEALTH INC M 35274356 COST BARNABAS HEALTH INC R 22851667 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.