2018-11-15T10:33:34-06:00 2017-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2017-01-01 223452412 MONMOUTH MEDICAL CENTER % CATHERINE DOWDY CPA MONM 9733224032 300 SECOND AVENUE LONG BRANCH NJ 07740 JOANNA P ZIMMERMAN CFO 2018-11-08 true Scott J Mariani P00642486 9738989494 2018-11-15 148.77.36.74 22006220183195000163 2018-11-15 P 3F1A83D2B95247F00EF570354270773C8FC3A63C 8A18823307223DEFE2348A7E64ED0049F1172BAE 2017 2019-02-21 02:37:17Z WILLIAM S ARNOLD 300 SECOND AVENUE LONG BRANCH NJ 07740 523679422 false X WWW.RWJBH.ORG X 1996 NJ TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING COST-EFFECTIVE QUALITY CARE, TO EDUCATE HEALTHCARE PROVIDERS & TO PROVIDE CONTINUUM OF REGIONAL TERTIARY CARE. 42 39 3525 826 0 0 8867529 8766315 510739987 511708926 3075756 190794 2231720 1605394 524914992 522271429 390781 191306 0 0 198022519 198437037 0 0 0 264264564 262791568 462677864 461419911 62237128 60851518 607866208 672102238 265788231 267465247 342077977 404636991 X TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING COST-EFFECTIVE QUALITY CARE. TO EDUCATE PRESENT AND FUTURE GENERATIONS OF HEALTHCARE PROVIDERS. TO PROVIDE A CONTINUUM OF REGIONAL TERTIARY CARE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 45758658 0 31372619 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SAME DAY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2017 THE ORGANIZATION PERFORMED 6,545 SAME DAY SURGICAL PROCEDURES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 36222744 0 35868650 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OBSTETRICS 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 5,451 OBSTETRICS INPATIENTS FOR A TOTAL OF 14,332 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 23080764 0 19408808 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PSYCHIATRY 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 2,986 PSYCHIATRIC INPATIENTS FOR A TOTAL OF 18,206 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 310234885 191306 425058849 415297051 true true false true false false false false false false true false true true true true false true false false true false false false false false true true true false true false false false false false false true true false false false false false true true true false false true 1505 0 true 3525 true false false false false false false false false false false false X 42 39 true false false false true true true true true false false true true true true true true true true true true NJ X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X RONALD J RICCIO ESQ CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 ROBERT P HERRMANN VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 RAYMOND F SHEA JR ESQ VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 ANN UNTERBERG VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 FRANK CIESLA ESQ SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 JOHN W HEAVEY TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JAMES G AARON ESQ TRUSTEE 1.0 0.0 X 0 0 0 ROBERT BUTTERS TRUSTEE 1.0 0.0 X 0 0 0 PETER L CARTON ESQ TRUSTEE 1.0 0.0 X 0 0 0 GEORGE CONWAY TRUSTEE 1.0 0.0 X 0 0 0 ALAN E DAVIS ESQ TRUSTEE 1.0 0.0 X 0 0 0 ANNE EVANS-ESTABROOK TRUSTEE 1.0 0.0 X 0 0 0 VICTOR FERLISE ESQ TRUSTEE 1.0 0.0 X 0 0 0 GREGORY M FROMKIN TRUSTEE 1.0 0.0 X 0 0 0 SEAN GERTNER TRUSTEE 1.0 0.0 X 0 0 0 BENJAMIN R HARVEY III TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA HOWARD TRUSTEE 1.0 0.0 X 0 0 0 HEYWOOD H KNOPF TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL KOKES TRUSTEE 1.0 0.0 X 0 0 0 RABBI AARON KOTLER TRUSTEE 1.0 0.0 X 0 0 0 BRUCE KRAMER TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH F LAGROTTERIA ESQ TRUSTEE 1.0 0.0 X 0 0 0 JUDGE LAWRENCE LAWSON TRUSTEE 1.0 0.0 X 0 0 0 JEFFREY LEDERMAN DO TRUSTEE; EX-OFFICIO 25.0 0.0 X 0 40000 0 JAMES R MAIDA TRUSTEE 1.0 0.0 X 0 0 0 GERALD C MARRONE TRUSTEE 1.0 0.0 X 0 0 0 ANDREW J MELNICK TRUSTEE 1.0 0.0 X 0 0 0 VALERIE MONTECALVO TRUSTEE 1.0 0.0 X 0 0 0 VITO R NARDELLI ESQ TRUSTEE 1.0 0.0 X 0 0 0 KIRITKUMAR PANDYA MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 ROBERT PATTON TRUSTEE 1.0 0.0 X 0 0 0 LOUIS A RODRIGUEZ PE TRUSTEE 1.0 0.0 X 0 0 0 ANDREW SAFRAN TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA SENSI TRUSTEE 1.0 0.0 X 0 0 0 DARSIT SHAH MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 KAREN M SICILIANO TRUSTEE 1.0 0.0 X 0 0 0 DAVID SICKEL TRUSTEE 1.0 0.0 X 0 0 0 ROBERT SICKEL TRUSTEE 1.0 0.0 X 0 0 0 ANDREW SUN MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 ANTHONY P TERRACCIANO TRUSTEE 1.0 0.0 X 0 0 0 BETTE UHRMACHER ESQ TRUSTEE 1.0 0.0 X 0 0 0 FRED VAN LOOY TRUSTEE 1.0 0.0 X 0 0 0 JUDI W DAWKINS VC - TRUSTEE (TERM 2/8/17) 1.0 0.0 X X 0 0 0 KEN BRESSI TRUSTEE (TERM 5/1/17) 1.0 0.0 X 0 0 0 MARGARET C FISHER MD TRST; EX-OFFICIO (TERM 1/2017) 55.0 0.0 X 0 265032 27483 TYRONE GARRETT ESQ TRUSTEE (TERM 9/2017) 1.0 0.0 X 0 0 0 TARA FORMICA KELLY TRUSTEE (TERM 5/1/17) 50.0 0.0 X 262379 0 34693 MARY ANN NAGY TRUSTEE (TERM 5/1/17) 1.0 0.0 X 0 0 0 VINCENT A TOMASUOLO MD TRUSTEE (TERM 1/2017) 40.0 0.0 X 60470 0 0 JOSEPH A TORCIVIA TRUSTEE (TERM 5/1/17) 1.0 0.0 X 0 0 0 JAMES S VACCARO TRUSTEE (TERM 5/1/17) 1.0 0.0 X 0 0 0 WILLIAM S ARNOLD CEO 55.0 0.0 X 1294694 0 210196 JOANNA P ZIMMERMAN CFO 55.0 0.0 X 464715 0 103295 ERIC W CARNEY COO MMC 55.0 0.0 X 435952 0 112481 JUDY CASTELLANO COLORADO COO/CNO MMCSC 55.0 0.0 X 286185 0 36054 DEANNA SPERLING BEHAVIORAL HEALTH COO 55.0 0.0 X 0 490098 146116 JOSEPH JAEGER CHIEF ACADEMIC OFFICER 55.0 0.0 X 287953 0 42906 FRANK J VOZOS MD FACS EXECUTIVE VICE PRESIDENT 55.0 0.0 X 1005233 0 275201 DIANN JOHNSTON VP PATIENT CARE SERVICES 55.0 0.0 X 365311 0 16517 RICHARD B KIERNAN VP, CHIEF HR OFFICER-MMC 55.0 0.0 X 307555 0 34445 RAJESH MOHAN CHIEF MEDICAL OFFICER 55.0 0.0 X 248362 0 2105 MICHAEL S PERDONI VP OPERATIONS - MMC 55.0 0.0 X 216217 0 29926 JONATHAN P TANGO VP OPERATIONS - MMCSC 55.0 0.0 X 209209 0 39909 THOMAS HELEOTIS MD VPMA - MMC 55.0 0.0 X 527359 0 121498 TODD EUGENE PHILLIPS MD VPMA - MMCSC (TERM 1/13/17) 55.0 0.0 X 66047 413817 17379 SHIRLEY HWANG VICE PRESIDENT 50.0 0.0 X 242838 0 24061 THOMAS PICCOLI PHYSICIST 50.0 0.0 X 222571 0 33840 PATRICIA A MCNAMEE ASSISTANT VICE PRESIDENT 50.0 0.0 X 218066 0 13776 ANDREW HARRISON MD PHYSICIAN 50.0 0.0 X 201098 0 0 DENICE V GAFFNEY VICE PRESIDENT 50.0 0.0 X 200015 0 19632 MICHAEL MIMOSO FORMER OFFICER 55.0 0.0 X 0 1473525 308833 GERALD L TOFANI CPA FORMER OFFICER 50.0 0.0 X 0 476897 29535 DAVID W MCCLUNG FORMER OFFICER 0.0 0.0 X 0 231046 1176 MICHELE H SCHWEERS FORMER OFFICER 55.0 0.0 X 0 208415 41022 7122229 3598830 1722079 178 true true false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 47542794 SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 6146709 NEW JERSEY LABORIST GROUP LLC 911 SOUTH MAIN STREET BELMAR NJ 07719 MEDICAL 1721500 HCSC COOPERATIVE INC 2171 28TH STREET SOUTH WEST ALLENTOWN PA 18103 LAUNDRY 1310742 QUEST DIAGNOSTICS INCORPORATED 500 PLAZA DRIVE SECAUCUS NJ 07094 MEDICAL 1284107 49 X 1838785 6857530 70000 8766315 NET PATIENT SERVICE REVENUE 541900 507031714 507031714 OTHER HEALTHCARE RELATED REVENUE 541900 4251374 4251374 MMC & MMC-SC MEDICAL STAFF ACTIVITIES 541900 425838 425838 511708926 274649 274649 0 0 1653355 1324138 329217 0 329217 329217 0 83855 -83855 -83855 -83855 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 1038205 1038205 PARKING 812930 233903 233903 TELEVISION 517000 4069 4069 1276177 522271429 511708926 1796188 191306 191306 0 0 0 7099301 6389371 709930 0 159998665 143998799 15999866 7366208 6629587 736621 10521125 9469013 1052112 13451738 12106564 1345174 53689501 48320551 5368950 0 0 40985 36887 4098 0 0 21663277 19496949 2166328 7081 6373 708 10085623 9077061 1008562 1735166 1561649 173517 0 6698946 6029051 669895 224864 202378 22486 0 82243 74019 8224 6999610 6299649 699961 0 18236779 16413101 1823678 6962716 6266444 696272 MEDICAL SUPPLIES 83865104 75478594 8386510 0 PHYSICIAN FEES AND SALARIES 31466075 28319467 3146608 0 REPAIRS AND MAINTENANCE 7031909 6328718 703191 0 OTHER EXPENSES 13595609 12236048 1359561 0 406080 365472 40608 461419911 415297051 46122860 0 X 8300 8569 0 0 2935507 5402296 44045487 48577228 0 0 0 0 0 0 8551103 8677438 1701651 1395597 460925788 340099910 124873078 120825878 0 0 0 0 32859876 34210677 0 0 392891206 453004555 607866208 672102238 39492085 41146443 0 0 808698 802484 0 0 0 0 0 0 12498 0 0 0 225474950 225516320 265788231 267465247 X 342077977 404636991 0 0 0 0 342077977 404636991 607866208 672102238 X 60851518 1707496 X X false true X true true true X false false false false false false false false true 40985 40985 false SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF RWJBARNABAS HEALTH AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ALLIANCE OF NEW JERSEY, THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $40,985 IN 2017. 1688351 1688351 273996757 205960277 68036480 892975 868026 24949 175485285 130526357 44958928 8862420 2745250 6117170 120825878 LIMITED USE 3341677 F SUBSIDIARIES 1000 F TAX-EXEMPT ORGANIZATION 26258000 F ORGANIZATION 4610000 F 34210677 SECURITY DEPOSITS 69231 OTHER RECEIVABLES 563269 THIRD-PARTY PAYORS, NET 2722895 FQHC RECEIVABLE 413050 DUE FROM AFFILIATES 448679763 ACCOUNTS 556347 453004555 0 DUE TO AFFILIATES 0 PENSION EXPENSE PAYABLE 179928 OTHER LIABILITIES 24532871 NON-CURRENT 3522327 LIABILITY 189670840 ACCRUED INTEREST EXPENSE 7054007 ACCOUNTS 556347 225516320 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 VEHICLE 0 0 0 false false false false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $5,015,730; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X 500. true true true false false 12741 13117578 1913050 11204528 0.02430 69227 115329691 100616034 14713657 0.03190 3279192 3279192 0.00710 81968 131726461 102529084 29197377 0.06330 64311 825146 12841 812305 0.00180 18210537 8860925 9349612 0.02030 12597529 1339588 11257941 0.02440 64294 64294 0.00010 1418968 1418968 0.00310 64311 33116474 10213354 22903120 0.04970 146279 164842935 112742438 52100497 0.11300 false 16940978 1694098 127233775 132657661 -5423886 X true true SHREWSBURY DIAG IMAG OUTPATIENT RADIOLOGY SERVICES 0.51 0.49 2 1 MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH NJ 07740 WWW.RWJBH.ORG 11304 X X X X X 2 MONMOUTH MED CTR - SOUTHERN CAMPUS 600 RIVER AVENUE LAKEWOOD NJ 08701 WWW.RWJBH.ORG 11502 X X X MONMOUTH MEDICAL CENTER 12 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 MONMOUTH MEDICAL CENTER ("MMC") HAD ITS OWN CHNA, MMC PARTICIPATES IN A SYSTEM WIDE COMMUNITY HEALTH NEEDS STEERING COMMITTEE FOR ALL MEMBER HOSPITALS. STRATEGIES AND BEST PRACTICES ARE IDENTIFIED AND SHARED AS WELL AS PROGRAM SUPPORT. SCHEDULE H, PART V, SECTION B, QUESTIONs 7A & 7D The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Question 7a, is the home page for the system. The CHNA FOR BOTH OF THE ORGANIZATION'S HOSPITAL FACILITIES can be accessed at the following pages included in the systems website: https://www.rwjbh.org/documents/monmouth-medical-center/RWJbarnabas-CHNA-M MC-1208-2016.pdf https://www.rwjbh.org/images/hospital-locations/monmouth%20Medical%20Cente r%20Southern%20Campus/RWJBarnabas-CHNA-MMCSC-1207-2016.pdf The CHNA was shared with the Monmouth County work group including Public Health Officers of local health departments. SCHEDULE H, PART V, SECTION B, QUESTION 8 The facilitIES, 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 facilitIES 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 collaborate WITH COMMUNITY PARTNERS. SCHEDULE H, PART V,SECTION B,Q'S 13B,13H,15E,16J,18E,19E,20E,21C,21D,23,24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 16 The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Questions 16a, 16b and 16c, is the home page for the system. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: https://www.rwjbh.org/BILLING/FINANCIAL-RESOURCES/ 8 MONMOUTH MEDICAL CENTER 100 STATE HIGHWAY 36 WEST LONG BRANCH NJ 07764 INFUSION AND LAB BLOOD DRAW MONMOUTH MEDICAL CENTER 310 ROUTE 34 COLTS NECK NJ 07722 MAMMOGRAPHY SCREENING MONMOUTH MEDICAL CENTER 1910 HIGHWAY 35 OAKHURST NJ 07755 LAB SERVICES AND RADIOLOGY SERVICES MONMOUTH MEDICAL CENTER 4019 ROUTE 9 NORTH SUITE 25 HOWELL NJ 07731 MAMMOGRAPHY SCREENING MONMOUTH MEDICAL CENTER 3301 HIGHWAY 66 BLDG B 1ST FLOOR NEPTUNE NJ 07753 EARLY INTERVENTION SUPPORT SERVICES (PSYCHIATRIC) MONMOUTH MEDICAL CENTER - POLLAK CLINIC 75 NORTH BATH AVENUE LONG BRANCH NJ 07740 OUTPATIENT PSYCHIATRIC SERVICES MONMOUTH MEDICAL CENTER 444 NEPTUNE ROAD 2ND FLOOR NEPTUNE NJ 07753 NUCLEAR STRESS TESTING MONMOUTH MEDICAL CENTER-LAB DRAW STATION 166 MORRIS AVENUE LONG BRANCH NJ 07740 LAB SERVICES 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; QUESTION 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2015 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I; QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THE FACILITY IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH A WIDE ARRAY OF ACTIVITIES AND SERVICES, INCLUDING, BUT NOT LIMITED, TO: - SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, - VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, - PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE CAUSES AND TREATMENT OF HEALTH CONCERNS, - THE PROVISION OF EDUCATIONAL MATERIALS AND SPONSORING HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS [PRESENTATIONS ARE OFTEN PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS], - PARTICIPATION IN COMMUNITY HEALTH FAIRS, - SERVING ON THE BOARDS OF MANY LOCAL NOT FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION), AND - PROFESSIONAL EDUCATION. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND OUR RESPONSE TO SCHEDULE H, PART VI, QUESTION 6 SUMMARY OF ALL ENTITIES WHICH COMPRISE RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SCHEDULE H, PART III, SECTION A; QUESTION 1 HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 ("STATEMENT 15") PROVIDES GUIDELINES FOR DISTINGUISHING CHARITY CARE FROM BAD DEBT EXPENSE. STATEMENT 15 REQUIRES THAT CHARITY CARE IS NOT RECOGNIZED AS RECEIVABLE OR REVENUE IN THE FINANCIAL STATEMENTS. STATEMENT 15 FURTHER EXPLAINS THAT SELF-PAY PATIENTS THAT DO HAVE A REASONABLE LIKELIHOOD OF PAYMENT SHOULD BE REPORTED AS CHARITY CARE AND NOT BAD DEBT EXPENSE. THE HOSPITAL GENERALLY FOLLOWS THE GUIDELINES OUTLINED IN STATEMENT 15. IN ADDITION, THE HOSPITAL FOLLOWS THE STATE OF NEW JERSEY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. IN CERTAIN INSTANCES, IT IS UNLIKELY THAT UNINSURED PATIENTS WILL PAY FOR THE SERVICES RENDERED, BUT THEY DO NOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM BECAUSE OF LACK OF PATIENT COOPERATION OR OTHER REASONS. THE HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS AND UNPAID BALANCES ARE REPORTED AS BAD DEBT EXPENSE. UNDER STATEMENT 15, THESE AMOUNTS WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT EXPENSE AND THIS IS THE RATIONALE FOR OUR RESPONSE: "NO". SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. RWJBARNABAS HEALTH ("RWJBH") AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RWJBH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(D) AND 2(n) ON PAGES 9 AND 14; RESPECTIVELY, OF THE RWJBARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH THE CORPORATIONS MISSION AND PHILOSOPHY, THE CORPORATION'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEAR ENDED DECEMBER 31, 2017 IS AS FOLLOWS: 2017 -------- (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED, LESS STATE SUBSIDY FUNDING $ 83,563 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $201,584 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 4,675 - EDUCATION AND RESEARCH $83,717 - SUBSIDIZED DEPARTMENTS $53,593 - OTHER COMMUNITY BENEFIT $ 9,914 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM OR FILED COST REPORTS. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR YEAR ENDED DECEMBER 31, 2017, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $35,412,000, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2017 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPE SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF the RWJBARNABAS HEALTH ("RWJBH") BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER/TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD); OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR MMC ANNUALLY WHICH INCLUDES: - a review of healthcare utilization of its service area population by services (cardiology, obstetrics, gynecology, urology, etc.) for determining increased or decreased health needs; - healthcare service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data; and - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). RWJBarnabas Health conducts an extensive service area population physician need study (by primary care and physician specialty) every three to five years. The 2017 study used generally accepted physician to population ratios adjusted for local community population to identify gaps in service. These studies inform medical staff development and recruitment needs at the hospitals to assure responsiveness to the specific identified needs of the community and to assure access to physician provider services. MMC reviews patient surveys and comments to understand patient and family concerns. Further, MMC 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, MMC works with Monmouth County Health Department to plan and implement a local needs assessment/health status approximately every five years. These community touch points provide the hospital with valuable external insights regarding community need. SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNAGE IS POSTED IN ALL PATIENT REGISTRATION AREAS IN ENGLISH AND SPANISH. CHARITY CARE NOTICE OF FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH THEIR GENERAL CONSENT. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR IF THEY REQUIRE ASSISTANCE. LETTERS ARE MAILED TO SELF-PAY PATIENTS ADVISING THEM OF FINANCIAL ASSISTANCE PROGRAMS. SCHEDULE H, PART VI; QUESTION 4 MMC is located in Long Branch, Monmouth County. Long Branch is the countys largest city. Monmouth County is the northernmost county on the Jersey shore, and is in close proximity to New York City and has the fifth largest total population in the state. Monmouth County is home to immigrant populations of Italian, German and Polish, with a large Irish-American population and a rapidly growing Asian presence. The Long Branch location of MMC has been designated as a MUA/MUP (Medically Underserved Area/Population) by the Health Resources and Services Administration (HRSA) of the Department of Health and Human Services. Between the residents and the summertime shore visitors, MMC serves a diverse patient population with over 32% of its patients comprised of minority/race ethnicity groups and about 39% of patients in underinsured and uninsured payer groups in 2017. Medicare represents an additional 21% of patients served. MMC-SC is located in Lakewood Township, Ocean County. Lakewood has been identified as the fastest-growing town in New Jersey during the past decade (with 54% growth) and is ranked the 15th most populous place in the State according to 2016 estimates. Ocean County is the second largest county in the State in terms of geographic size and statewide, it has the sixth largest total population size. The location of MMC-SC is within a designated Medically Underserved Area/Population (MUA/MUP) by the Health Resources and Service Administration (HRSA) branch of the U.S. Department of Health and Human Services and an Urban Enterprise Zone (UEZ) by the State of New Jersey. Lakewood Township is also one of the hubs of Orthodox Judaism and is home to one of the largest Yeshivas in the world. The large Orthodox population comprises nearly half of the townships population. MMC-SC serves a number of diverse communities in the county, with a proportionally higher mix of elderly and uninsured/ underinsured. As a result, in 2017, MMC-SCs patients were comprised of 30% minority populations and nearly 42% of patients are of underinsured/uninsured payor categories. Medicare comprises an additional 47% of patients payer classification. SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by MMC 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. MMC 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. Community building activities undertaken by MMC-SC 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. MMC-SC 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 MMC 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 MMC. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY WITHIN THE SYSTEM IS EITHER RWJ BARNABAS HEALTH, INC. OR ANOTHER RWJBH AFFILIATE CONTROLLED OR OWNED BY RWJ BARNABAS HEALTH, INC. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE RWJBH. ACTIVE HOSPITALS INCLUDE CHILDRENS SPECIALIZED HOSPITAL, CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, JERSEY CITY MEDICAL CENTER, MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH ACUTE CARE HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR (SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. IS A BEHAVIORAL HEALTH SPECIALTY HOSPITAL FACILITY AND, ACCORDINGLY, DOES NOT OPERATE AN EMERGENCY ROOM); 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ BARNABAS HEALTH, INC. (BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY); AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. AFFILIATED RWJBH ENTITIES ARE AS FOLLOWS: CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162-BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CLARA MAASS MEDICAL CENTER ("CMMC") IS A 469-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 592-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. JERSEY CITY MEDICAL CENTER ("JCMC") IS A 316-BED REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE, LOCATED IN JERSEY CITY, HUDSON COUNTY, NEW JERSEY. JCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, JCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, JCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MONMOUTH MEDICAL CENTER ("MMC") IS COMPRISED OF THE FOLLOWING HOSPITALS: MONMOUTH MEDICAL CENTER, A 513-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY AND MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS, A 330-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 665-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A LICENSED 251-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., D/B/A BARNABAS HEALTH BEHAVIORAL HEALTH CENTER, IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. BARNABAS HEALTH BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS, SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BARNABAS BAYONNE DEVELOPMENT URBAN RENEWAL CORPORATION F/K/A MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX- EXEMPT ORGANIZATION, AND SUPPORTS THE BARNABAS HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE LEGACY BARNABAS HEALTH AFFILIATES; PRE ROBERT WOOD JOHNSON HEALTH SYSTEM AFFILIATION; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE AND PREVENTION SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. BARNABAS HEALTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RWJ BARNABAS HEALTH, INC. AND THE RWJBARNABAS HEALTH SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR RWJBARNABAS HEALTH AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC., IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT ALSO PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LIBERTY HEALTH CARE SYSTEM ("LHCS") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE JERSEY CITY MEDICAL CENTER FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE JERSEY CITY MEDICAL CENTER. SCHEDULE H, PART VI; QUESTION 6 LIBERTY RIVERSIDE HEALTHCARE IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATIONS MISSION WAS TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY PRIOR TO THE SALE OF THE HOSPITAL AND ITS ASSETS ON DECEMBER 7, 2010. MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION IS ACTING AS A MEMBER OF VNA HEALTH GROUP OF NEW JERSEY, LLC WHICH PROVIDES MEDICALLY NECESSARY HOME HEALTH AND HOSPICE CARE TO ALL INDIVIDUALS. MONMOUTH MEDICAL CENTER-FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. RWJ HEALTH CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON HEALTH NETWORK, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF REAL PROPERTY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SCHEDULE H, PART VI; QUESTION 6 SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RWJBARNABAS HEALTH. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY. OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS, CORP. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF RWJBARNABAS HEALTH. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS BURN UNIT AT SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. UNITED RESCUE AT JERSEY CITY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). VNA HEALTH GROUP OF NEW JERSEY, LLC IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE SYSTEM ALSO INCLUDES ADDITIONAL NOT-FOR-PROFIT ENTITIES THAT ARE RECOGNIZED AS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS BUT ARE CURRENTLY INACTIVE. THESE ENTITIES INCLUDE THE FOLLOWING: - BARNABAS HEALTH PHYSICIAN ASSOCIATES, P.C.; - GREENVILLE HOSPITAL; - IRVINGTON HOSPITAL FOUNDATION, INC.; - LAKEVIEW CHILD CARE CENTER FOUNDATION, INC.; - LIBERTY BEHAVIORAL HEALTH ASSOCIATES; - LIBERTY SURGICAL ASSOCIATES; - NEW MARGARET HAGUE CENTER WOMEN'S JERSEY MEDICAL CENTER OB/GYN; - SOMERSET COMMUNITY CARE CORPORATION; AND - SOMERSET HEALTH CARE AFFILIATES, INC. FOR PROFIT RWJBARNABAS HEALTH ENTITIES INCLUDE THE FOLLOWING: ACUCARE PHYSICIANS, P.C. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CENTRAL JERSEY ACO, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. CENTER STATE MANAGEMENT CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE RELATED BUSINESS ACTIVITIES. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD, A CONTROLLED FOREIGN CORPORATION OF SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. CSH VENTURES, INC. IS AN ENTITY WHOSE SOLE MEMBER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY. EOS, INC. IS AN INACTIVE ENTITY. HAMILTON ENDOSCOPY & SURGERY CENTER, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. HEALTH CARE FACILITIES MANAGEMENT, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS SBC MANAGEMENT CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO RWJBH ENTITIES. INNOVATIVE PURCHASING CONCEPTS, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBERS ARE THE RWJBH HOSPITALS. THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. JERSEY ASC VENTURES, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS LIVINGSTON SERVICES CORPORATION. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. KIMBALL HEALTH CARE AFFILIATES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THIS ENTITY IS A PARTNER IN KIM-MED ASSOCIATES AND RECEIVES A FORM K-1. KIM-MED ASSOCIATES IS A PARTNERSHIP WHICH OWNED A MEDICAL OFFICE BUILDING IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. LIBERTY HEALTHCARE CAPITAL IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIBERTY HEALTHCARE SYSTEM, INC. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO JERSEY CITY MEDICAL CENTER. LIBERTY HEALTHCARE MANAGEMENT, LLC IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBERS ARE LIBERTY HEALTHCARE SYSTEM, INC. AND LIBERTY HEALTHCARE CAPITAL, INC. THIS ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY AND PROVIDES MANAGEMENT SERVICES. LIBERTY/USP SURGERY CENTERS, LLC IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHICH PROVIDES SURGERY SERVICES TO INDIVIDUALS. LIVINGSTON INFUSION CARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS BH. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY ENGAGES IN VARIOUS HEALTHCARE BUSINESS ACTIVITIES. LSC PHARMACY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES A PHARMACY FOR RWJBH ENTITIES. SCHEDULE H, PART VI; QUESTION 6 MAJOR SECURITY SERVICES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO RWJBH ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. NEW JERSEY HEALTH CARE SYSTEM, INC. IS AN INACTIVE ENTITY. NEW JERSEY HEALTH, INC. IS AN INACTIVE ENTITY. NEW JERSEY HEALTHCARE ASSOCIATES IS AN INACTIVE ENTITY. NEW JERSEY IMAGING NETWORK, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES WHOSE RWJBH MEMBER IS CENTER STATE MANAGEMENT CORPORATION. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION IS AN INACTIVE ENTITY. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, IS A VERMONT BASED INSURANCE COMPANY. RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. IS AN INACTIVE ENTITY. RWJ KIDNEY TRANSPLANT ASSOCIATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL ASSOCIATES AT HAMILTON IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. R.W.J. MEDICAL ASSOCIATES, P.A., IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY GROUP, P.A. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ PHYSICIAN ENTERPRISE, P.A. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES, FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SBC MANAGEMENT CORPORATION IS AN ENTITY, WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO RWJBH. SHC ENTERPRISES, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SHREWSBURY DIAGNOSTIC IMAGING, L.L.C. IS A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY PARTNERS, P.C. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET REALTY GROUP, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION IS AN INACTIVE ENTITY. VISION HEALTHCARE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY CONDUCTS VARIOUS HEALTHCARE BUSINESS ACTIVITIES. WARREN INTERNAL MEDICINE, P.C. IS AN ENTITY WHOSE NOMINEE SOLE SHAREHOLDER IS A LICENSED MD HOLDING SHARES FOR THE BENEFIT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. true AMERICAN CANCER SOCIETY 1035 HOOPEVER AVE TOMS RIVER NJ 08755 160743902 501(C)(3) 7500 SPONSORSHIP GREATER LONG BRANCH CHAMBER OF COMMERCE PO BOX 628 LONG BRANCH NJ 07740 210502065 501(C)(3) 7500 SPONSORSHIP GREATER OCEAN TOWNSHIP CHAMBER OF COMMERCE PO BOX 656 OAKHURST NJ 07755 222929297 501(C)(3) 5180 SPONSORSHIP HABITAT FOR HUMANITY IN MONMOUTH COUNTY 45 SOUTH STREET FREEHOLD NJ 07728 223284309 501(c)(3) 10759 SPONSORSHIP LONG BRANCH COMMUNITY FUND INC 228 BROADWAY PO BOX 628 LONG BRANCH NJ 07740 461259873 501(C)(3) 15000 SPONSORSHIP MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH NJ 07740 222456079 501(C)(3) 8050 SPONSORSHIP MONMOUTH UNIVERSITY 400 CEDAR AVENUE WEST LONG BRANCH NJ 07764 210634584 501(C)(3) 7400 SPONSORSHIP NEW JERSEY REPERTORY COMPANY 132 WEST END AVENUE LONG BRANCH NJ 07740 223513797 501(C)(3) 10000 SPONSORSHIP SCAN LEARNING CENTER 180 HIGHWAY 35 SOUTH EATONTOWN NJ 07724 223178757 501(C)(3) 12500 SPONSORSHIP THE VALERIE FUND 2101 MILBURN AVENUE MAPLEWOOD NJ 07040 222126867 501(C)(3) 7250 SPONSORSHIP 10 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL and HUMAN RESOURCES DEPARTMENT PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X true true false false false false false true false MARGARET C FISHER MD TRST; EX-OFFICIO (TERM 1/2017) 0 258174 0 0 0 6858 0 19688 0 7795 0 292515 0 0 TARA FORMICA KELLY TRUSTEE (TERM 5/1/17) 206441 0 54777 0 1161 0 11716 0 22977 0 297072 0 0 0 WILLIAM S ARNOLD CEO 501001 0 316094 0 477599 0 208447 0 1749 0 1504890 0 432801 0 JOANNA P ZIMMERMAN CFO 413496 0 41667 0 9552 0 81152 0 22143 0 568010 0 0 0 ERIC W CARNEY COO MMC 339483 0 87675 0 8794 0 86787 0 25694 0 548433 0 0 0 JUDY CASTELLANO COLORADO COO/CNO MMCSC 236516 0 47616 0 2053 0 10925 0 25129 0 322239 0 0 0 DEANNA SPERLING BEHAVIORAL HEALTH COO 0 293135 0 186727 0 10236 0 129750 0 16366 0 636214 0 0 JOSEPH JAEGER CHIEF ACADEMIC OFFICER 225546 0 56245 0 6162 0 17199 0 25707 0 330859 0 0 0 FRANK J VOZOS MD FACS EXECUTIVE VICE PRESIDENT 573890 0 303727 0 127616 0 258840 0 16361 0 1280434 0 81476 0 DIANN JOHNSTON VP PATIENT CARE SERVICES 293658 0 67106 0 4547 0 14744 0 1773 0 381828 0 0 0 RICHARD B KIERNAN VP, CHIEF HR OFFICER-MMC 246715 0 59288 0 1552 0 11284 0 23161 0 342000 0 0 0 RAJESH MOHAN CHIEF MEDICAL OFFICER 247115 0 0 0 1247 0 642 0 1463 0 250467 0 0 0 MICHAEL S PERDONI VP OPERATIONS - MMC 171097 0 42585 0 2535 0 14107 0 15819 0 246143 0 0 0 JONATHAN P TANGO VP OPERATIONS - MMCSC 171863 0 34560 0 2786 0 18032 0 21877 0 249118 0 0 0 THOMAS HELEOTIS MD VPMA - MMC 414215 0 93713 0 19431 0 95393 0 26105 0 648857 0 0 0 TODD EUGENE PHILLIPS MD VPMA - MMCSC (TERM 1/13/17) 29153 349845 0 58556 36894 5416 2221 13640 213 1305 68481 428762 0 0 SHIRLEY HWANG VICE PRESIDENT 192531 0 44061 0 6246 0 15594 0 8467 0 266899 0 0 0 THOMAS PICCOLI PHYSICIST 192418 0 11020 0 19133 0 17940 0 15900 0 256411 0 0 0 PATRICIA A MCNAMEE ASSISTANT VICE PRESIDENT 206207 0 8711 0 3148 0 12840 0 936 0 231842 0 0 0 ANDREW HARRISON MD PHYSICIAN 201098 0 0 0 0 0 0 0 0 0 201098 0 0 0 DENICE V GAFFNEY VICE PRESIDENT 153589 0 37970 0 8456 0 10587 0 9045 0 219647 0 0 0 MICHAEL MIMOSO FORMER OFFICER 0 433515 0 204957 0 835053 0 285159 0 23674 0 1782358 0 721677 GERALD L TOFANI CPA FORMER OFFICER 0 268891 0 74250 0 133756 0 20250 0 9285 0 506432 0 0 DAVID W MCCLUNG FORMER OFFICER 0 12369 0 0 0 218677 0 1176 0 0 0 232222 0 0 MICHELE H SCHWEERS FORMER OFFICER 0 152956 0 54205 0 1254 0 15775 0 25247 0 249437 0 0 SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION'S CURRENT CHIEF FINANCIAL OFFICER, JOANNA P. ZIMMERMAN, RELOCATED TO THE STATE OF NEW JERSEY FOR MONMOUTH MEDICAL CENTER WORK PURPOSES. IN ORDER TO FACILITATE THE RELOCATION OF HER PRIMARY RESIDENCE, THE ORGANIZATION PROVIDED HER WITH A HOUSING ALLOWANCE IN THE AMOUNT OF $5,500 WHICH WAS INCLUDED IN HER 2017 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2017 WHICH WAS INCLUDED IN HIS 2017 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: DAVID W. MCCLUNG, $218,677. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WILLIAM S. ARNOLD, $465,989; FRANK J. VOZOS, M.D., FACS, $81,476 AND MICHAEL MIMOSO, $803,636. 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 IN HIS 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GERALD L. TOFANI, CPA, $60,638. 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: WILLIAM S. ARNOLD, $188,021; JOANNA P. ZIMMERMAN, $66,250; ERIC W. CARNEY, $65,651; DEANNA SPERLING, $96,000; FRANK J. VOZOS, M.D., FACS, $235,890; THOMAS HELEOTIS, M.D., $77,807 AND MICHAEL MIMOSO, $273,009. 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 AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: WILLIAM S. ARNOLD, $432,801; FRANK J. VOZOS, M.D., FACS, $81,476 AND MICHAEL MIMOSO, $721,677. SICILIANO LANDSCAPING COMPANY - TRUSTEE 141275 LANDSCAPING SERVICES false FROMKIN BROTHERS INC COMPANY - TRUSTEE 607983 CONTRACTOR SERVICES false ERIN CARLY WINKELS FAMILY MEMBER - KEY EE 83151 MONMOUTH MED. CTR. EMPLOYEE false SCHEDULE L, PART IV KAREN M. SICILIANO IS A TRUSTEE OF THE ORGANIZATION. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF HER COMPANY, SICILIANO LANDSCAPING, DURING 2017. TOTAL FEES PAID BY THIS ORGANIZATION AND TO SICILIANO LANDSCAPING AMOUNTED TO $141,275 in 2017. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GREGORY FROMKIN IS A TRUSTEE OF THE ORGANIZATION. MONMOUTH MEDICAL CENTER UTILIZED THE SERVICES OF HIS COMPANY, FROMKIN BROTHERS, INC., DURING 2017. TOTAL FEES PAID BY THIS ORGANIZATION TO FROMKIN BROTHERS, INC. AMOUNTED TO $607,983 IN 2017. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Monmouth medical center ("mmc") is a general medical and surgical hospital. Mmc is recognized by the internal revenue service ("irs") as an internal revenue code section 501(c)(3) tax-exempt organization. On may 1, 2014, kimball medical center ("kmc"), a nonprofit corporation, merged with and into mmc, so that the two facilities would be under common ownership to better coordinate health delivery for a shared service area. The separate existence of kmc ceased and mmc continues as the "surviving corporation". RWJ Barnabas health, inc. Continues to be the sole member (i.e. owner) of mmc following the merger. Mmc, as the surviving corporation, operates two separately licensed hospital facilities, mmc, located in long branch, nj and the former kmc facility, which now operates under its new name, monmouth medical center - southern campus ("mmc-sc"). Pursuant to its charitable purposes, mmc and mmc-sc provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, mmc and mmc-sc operate consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Mmc/mmc-sc provide medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Mmc/mmc-sc operate active emergency departments for all persons and are open 24 hours a day, 7 days a week, 365 days per year; 3. Mmc/mmc-sc maintain open medical staff, with privileges available to all qualified physicians; 4. Control of mmc/mmc-sc rests with its board of trustees and the board of trustees of rwj barnabas health, inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of mmc/mmc-sc, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of mmc/mmc-sc 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. Mmc/mmc-sc'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. Mmc/mmc-sc, like its corporate parent, is a not-for-profit organization. RWJBh is the largest multi-hospital system in new jersey and provides substantial community benefit. RWJBh consists of free-standing acute care hospitals, a free-standing psychiatric hospital, medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, outpatient behavioral health centers and other entities. RWJBh entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJbh entities provide healthcare services to patients who meet certain criteria defined by the new jersey department of health without charge or at amounts less than established rates. RWJBh maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Rwjbh is new jerseys second largest private employer - with more than 32,300 employees, nearly 9,000 physicians on the combined medical staffs (of which in excess of 1,200 are employed) and 1,000 residents and interns - and routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in of $4.5 billion and treats over three million patients each year with over 198,600 inpatient admissions, over two million outpatient visits (including around 740,000 emergency department visits) and more than 23,500 newborn deliveries. Rwjbh is comprised of 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. Rwjbh - created with a strong foundation of shared cultures and core values - provides opportunity to improve the health and promote wellness of communities throughout new jersey. The systems geographic coverage spans the greater hudson, essex, union, middlesex, mercer, somerset, monmouth and ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of barnabas health and rwjhs promotes the highest quality health care delivery and greater levels of efficiency. Once consummated, our planned partnership with rutgers university will create the states largest academic healthcare system dedicated to providing high-quality patient care, leading-edge research, and world-class health and medical education, further advancing our mission of providing high-quality healthcare in new jersey. In 2017, rwjbh announced with rutgers, the state university of new jersey, their intent to launch a public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform health care in new jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the rutgers cancer institute of new jersey and rutgers university behavioral health care. Barnabas health was formed in june 1996 when six new jersey hospitals and their affiliates joined saint barnabas medical center and union hospital (), which had affiliated in 1993. The six hospitals included: community medical center, inc. And kimball medical center, inc., which had affiliated in 1993 to form the community/kimball health care system; newark beth israel medical center, inc. And irvington general hospital, inc. ("Irvington"), affiliates of each other since 1991; monmouth medical center, inc.; and wayne general hospital corp. ("wayne"). In january 1997, west hudson hospital association, inc. ("west Hudson") joined barnabas health, followed by clara maass medical center in december 1997. Barnabas health subsequently divested wayne, closed west hudson, irvington, and union and consolidated their operations into other system facilities, and sold all of its long-term care facilities, allowing barnabas health to concentrate on its core services and facilities. Most recently, jersey city medical center joined barnabas health in 2014. Rwjhcc was formed in 1984 to promote, support and further the charitable purposes of the robert wood johnson university hospital and other affiliated and related non-profit health care organizations. Since that time rwjhs expanded to include robert wood johnson university hospital at hamilton, robert wood johnson university hospital rahway, childrens specialized hospital, somerset medical center, and other health care related ventures. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Mission statement/vision/values =============================== Mmcs vision, as a part of rwjbarnabas health, is to be a leader in designing unparalleled new ways for delivering healthcare. Mmc provides quality-driven, safe, efficient, cost-effective and responsive health care services that meet the needs and exceed the expectations of our community. Our mission: - to meet the healthcare needs of our community by providing cost-effective quality care; - to educate present and future generations of healthcare providers; and - to provide a continuum of regional tertiary care. The hospitals strategic focus includes embracing and responding to emerging models of healthcare; developing a robust wellness program to improve the health of the people served; increasing geographic access; providing cutting edge technology; offering exceptional patient experience; and being a best place to work. Hospital statistical information ================================ For over 125 years, mmc has been a leader in central new jersey providing the best in healthcare and the latest in medical technology to the nearly one million residents that comprise its service area of monmouth county, and portions of ocean and middlesex counties. Mmc is one of new jersey's largest teaching hospitals and a teaching affiliate of Philadelphias drexel university college of medicine for more than 40 years. Mmc is a 514-bed non-profit, regional tertiary care teaching hospital located in long branch, monmouth county, new jersey. The institution provides a full spectrum of services, serving the lifespan ranging from high-risk neonatology to geriatric care. Admissions total over 22,000 annually, including over 5,300 births, and approximately 50,000 emergency visits, 185,000 ancillary visits and nearly 73,000 outpatient visits in 2017. Mmc serves a diverse community with over 32% of its patients comprised of minority groups and approximately 39% of patients in underinsured and uninsured payer groups. Medicare represents an additional 21% of patients served. Mmc-sc is a 241-bed fully accredited non-profit acute care hospital dedicated to providing the finest medical and healthcare services to the residents of ocean county and the surrounding areas. Mmc-sc is located in lakewood, ocean county, new jersey. Mmc-sc serves a diverse urban population including a proportionately higher mix of elderly and uninsured/underinsured communities. During 2017, mmc-sc serviced over 5,800 inpatients, nearly 32,000 emergency visits and over 50,000 outpatient and ancillary test visits. Over 30% of patients are minority and approximately 42% were of underinsured or charity/self-pay categories. Medicare comprises an additional 47% of patients payer classification. Mmc accomplishments/milestones/recognitions/awards ================================================== Mmc is accredited by the joint commission under the hospital accreditation standards and behavioral health standards and is the recipient of numerous awards and honors including, but not limited to, the following: - Recognized as a top teaching hospital in 2017 by the leapfrog group, an independent national non-profit organization of employer purchasers of healthcare and the nation's leading experts on patient safety. Consistently achieves an "a" grade in all five score releases of the hospital safety scores. - One of eight hospitals in new jersey to receive a four-star ranking from the medicare and medicaid services (cms) rating system, highest awarded in the state. - Recognized as a top performer, mmc is certified by the joint commission disease-specific care certification program in: stroke (advanced certification), total hip replacement, total knee replacement, and spine surgery. - Regions only facility designated as an academic comprehensive cancer program by the american college of surgeons commission on cancer. Leon hess cancer center earned accreditation with silver commendation. - Monmouth medical center was named by beckers hospital review in 2017 as one of the nations top 100 hospital and health systems with great womens health programs. - Certified as an american society for metabolic and bariatric surgery bariatric center of excellence. This is a prominent designation recognizing surgical programs with a demonstrated track record of exceptional patient outcomes. Mmc was the first hospital in new jersey to perform laparoscopic gastric bypass and is among the most highly experienced centers in the tri-state area. - An institute for health care improvement "mentor hospital status" for care of the heart failure patient. - Certified quality breast center of excellence - the highest certification level offered by the national quality measures for breast centers (nqmbc). Also, women's choice award as one of america's best breast centers for multiple years. - Designated a breast imaging center of excellence by the american college of radiology's (acr) commission on quality and safety and the commission on breast imaging. Additionally, the wilentz center is the first facility in new jersey and just the 20th in the nation to earn acr's gold seal accreditation for breast mri and also holds acr accreditation for mammography, breast ultrasound and stereotactic breast biopsy. - Achieved food and drug administration (fda) compliance with stringent requirements under the federal mammography quality standards act (mqsa) with "no" deficiencies - a success achieved by less than 20 percent of the more than 2,000 facilities in the country inspected by the fda. - Designated a primary stroke center by the new jersey department of health and senior services. - Designated as an official childrens hospital for monmouth and ocean counties and a member of the national association of childrens hospitals and related institutions. - Designated as a niche (nurses improving care for health system elders) hospital. - American association of cardiovascular and pulmonary rehabilitation certified for cardiac rehabilitation program. - Intersocietal commission for the accreditation of echocardiography laboratories for cardiac non-invasive, adult transesophageal, adult transthoracic, and adult stress. - College of american pathologists accredited for laboratory and pathology services. - American association of blood banks for laboratory transfusion services. - American college of radiology for breast mri, general mri, ct, diagnostic ultrasound, breast imaging center of excellence, mammography, ultrasound, and stereotactic breast biopsy. - American academy of sleep medicine accredited for sleep disturbance services. - Get with the guidelinesheart failure gold plus quality achievement award from the american heart association; heart failure honor roll; and aha/asa/tjc primary stroke certification. - Mmc is one of only eight cystic fibrosis ("cf") centers in the state and has earned a prestigious distinction as a comprehensive cf center. It is the oldest and largest of the centers in new jersey. - Based on its outstanding cardiac outcomes, invited by yale university/yale-new haven health services corporations center for outcomes research and evaluation (core) to participate in a research study to promote hospital-level quality improvement efforts. Core chose monmouth based on several factors, including volume of heart failure patients, exemplary 30-day readmission and mortality outcome and patient case mix. - Cerner, a technology solutions company with more than 27,000 contracted provider facilities worldwide, recognized mmc as a 2017 most wired winner. - Mmc received cultural diversity partnership award from the lakewood orthodox jewish community for sensitive leadership in all matters of patient care. Mmc-sc accomplishments/milestones/recognitions/awards ===================================================== Mmc-scs lakewood campus is accredited by the joint commission and has also been recognized with distinguished awards for clinical excellence including, but not limited to, the following: - Cerner, a technology solutions company with more than 27,000 contracted provider facilities worldwide, recognized mmc as a 2017 most wired winner. - Heart failure disease specific recertification awarded by the joint commission. - Niche (nurses improving care of health system elders) re-designation achieved. - Intersocietal commission for the accreditation of echocardiography laboratories for adult transesophageal and adult transthoracic. - College of american pathologists accredited for laboratory and pathology services. - American association of blood banks for laboratory transfusion services. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - American college of radiology for mri, ultrasound, and nuclear medicine. - Designated a primary stroke center by the new jersey department of health and senior services. - Recognized as a mentor hospital by the new jersey hospital engagement network (hen). - Nj sharing network platinum level recognition for increasing enrollment in the nj state donor registry and spreading the life-saving message of organ and tissue donation. Mmc centers of excellence ========================= Mmc's recognized medical services centers of excellence include, but are not limited to, the following: 1. the unterberg children's hospital at mmc ("children's hospital") The children's hospital offers the community renowned medical expertise in the care of children that only a leading academic medical center can provide. The childrens hospital has 140 pediatric specialists who concentrate in 26 fields of medicine. The organization provides specialized pediatric care, offering a 54-bed regional perinatal center with level iii neonatal intensive care unit, the region's only program in children's crisis intervention services and subspecialty pediatric care in areas such as cardiology, gastroenterology, surgery and orthopedics. In addition, a host of outpatient services for children are offered, including: a pediatric neurology program, pediatric medical day stay unit, the regional cleft palate center, and a pediatric subspecialty center in ocean county for children who require specialty care in the areas of gastroenterology, endocrinology and pulmonology. 2. psychiatric centers/program Mmc has the largest psychiatric program in monmouth county, with a total of 44 beds within voluntary and involuntary adult inpatient units and 19 beds in its inpatient children's crisis intervention service, where children and adolescents with acute emotional, behavioral or psychiatric problems are treated. In addition, its psychiatric emergency screening service ("pess") is the state-designated service for monmouth county. Mmc also offers partial hospitalization, intensive outpatient programs, traditional outpatient care and an early intervention support services program ("eiss"). 3. the jacqueline m. Wilentz comprehensive breast center Committed to meeting the breast health care needs of all women, the breast center is the region's leader in providing the most advanced array of breast health services through a multidisciplinary team dedicated to the breast health needs of all women. Mmc provides a comfortable and supportive setting in which all outpatient breast healthcare services are found in one convenient location. Mmc takes a coordinated approach to breast care including both well care and cancer care. Mmc is here for women who seek annual breast evaluation and for those women diagnosed with breast cancer or benign breast disease. Several of mmc's services are specifically for women diagnosed with breast cancer, including: an outpatient chemotherapy suite, psychosocial counseling and rehabilitation services, breast cancer support groups, breast conservation surgery and patient navigators. These qualified experts represent many medical disciplines, working together to provide women with diagnostic, treatment, surgical, psychosocial support, and education and rehabilitation services. Mmc's state-of-the-art facility offers the latest in medical equipment, technology and services, including: - annual physical breast examinations, mammography and diagnostic service, headed by a dedicated breast radiologist who oversees a staff of highly trained technologists; - consultations and second opinions (surgery, medical oncology, pathology, mammography, plastic surgery and radiation therapy), breast cancer high risk program, stereotactic biopsy system, tomosynthesis, computer-aided detection ("icad") mammography, breast-specific gamma imaging, breast mri, automated whole-breast ultrasound, high-resolution breast ultrasound, ultrasound-guided fine-needle biopsy, dexa scanning, clinical research and a breast information center; and - satellite locations in colts neck, howell and lakewood to offer women convenient access to screening mammography and bone density testing. 4. leon hess cancer center Mmc stands at the forefront of providing the most extensive array of highly advanced cancer services, delivered by a multidisciplinary team of specialists in a caring and supportive environment. For decades, mmc's leadership role in oncology services has been broadened through the ongoing expansion of state-of-the-art programs and technologies offered in all areas of cancer prevention, detection and treatment. The leon hess cancer center at mmc brings together a host of specialists and a vast array of services under one roof, making care more convenient, efficient and effective. It features comprehensive multidisciplinary medical services that are led by teams of major physician specialists including medical, surgical and radiation oncology. Together, these cancer specialists, in consultation with each patients primary care physician and in conjunction with the hospitals cancer care management team, work to create the most appropriate and effective plan of treatment. Mmc is accredited by the commission on cancer of the american college of surgeons as a "teaching hospital and cancer center" - the group's highest designation. 5. the cranmer ambulatory surgery center The center provides a full spectrum of same-day surgical services using the most modern technology available. The facility includes four full-service operating rooms, three minor procedure rooms and a three-tiered graduated recovery area, respecting the individual needs of adult and pediatric patients. The one-story, 19,000-square-foot building is equipped to perform all types of same-day surgical procedures, including arthroscopic, laparoscopic and laser techniques. Every aspect of the center has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. 6. the eisenberg family center Mmc delivers 5,300 babies annually - the most in monmouth and ocean counties and has built one of the safest obstetrical programs in the nation, maintaining one of the lowest c-section rates in the nation. The vast majority of the more than 50 obstetrician/gynecologists who serve as attending physicians on mmcs medical staff are board certified or eligible in the discipline. Many also hold certification in such specialties as maternal-fetal medicine (perinatology), reproductive endocrinology and infertility, uro-gynecology and gynecologic oncology. In addition, mmcs skilled and dedicated nursing staff is trained to assist mothers and their childbirth partners during labor and delivery and to instruct new parents and other family members in newborn care. 7. the valerie fund children's center for cancer and blood disorders The center provides comprehensive medical services to children with childhood cancers such as leukemia, lymphomas and neuroblastomas, and blood disorders such as sickle cell anemia and white cell abnormalities. Children and young adults (birth to 21 years of age) with leukemia and other cancers are treated according to the most advanced therapeutic protocols. Patients receive treatment on an outpatient basis from a team of specialists, including pediatric hematologists/oncologists, surgeons, radiologists, nurses, social workers, counselors and child life specialists. Among the valerie fund's services is red blood cell apheresis - a sophisticated exchange/transfusion of red blood cells for patients with sickle cell disease. Mmc is one of eight hospitals in the tri-state area that is part of the valerie fund, one of the largest and most advanced pediatric oncology/hematology networks in the country. 8. robotic surgery program Mmc created the regions first robotic surgery program with the da vinci s surgical system, the most advanced of the robotic platforms. The system combines computer and robotic technologies with the skills of mmc's surgeons to create a new category of surgical treatment, making it possible to perform more technically demanding surgeries, such as prostatectomy, using a minimally invasive approach. Mmc offers robotic surgery for the removal of a variety of cancerous tumors as well as for benign conditions. The robotic surgery system offers patients better outcomes, less pain, less scarring, less blood loss, shorter hospital stays and a quicker return to normal activities than conventional surgery. First hospital in central and southern new jersey to introduce mako robotic-assisted total and partial knee and hip replacement surgery. Mako surgery is performed using a surgeon-controlled robotic arm system that enables accurate alignment and placement of implants. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Mmc-sc centers of excellence ============================== Mmc-sc's recognized medical services and centers of excellence include, but are not limited to, the following: 1. The james & sharon maida geriatrics institute MMC-SC has long been a leader in geriatric medicine, which specifically addresses the unique care needs of older adults. Our one-of-a-kind james and sharon maida geriatrics institute provides integrated inpatient and outpatient geriatric services for patients 65 and older in one convenient location. In addition, our geriatricians - physicians specializing in the medical care of the elderly - have a full understanding of the wide range of physical, mental, medical, social, and spiritual issues that older adults can face. With our many interlinked services, the experts at the geriatrics institute provide individualized care recommendations to ensure that patients receive the special care they require, without interfering with their independence. And our geriatric team works closely with you or your loved ones primary care physician to make sure that all patient and family needs are met. With the expert treatment available at our state-of-the-art outpatient practice, older adults can live the fullest life possible. Our multidisciplinary team also including nurses, social workers, nutritionists, pharmacists, health educators, physical therapists, occupational therapists, speech therapists and audiologists, all who specialize in the care of seniors and are available to accommodate the needs of patients as they transition from inpatient to outpatient care. Complementing the geriatrics institute are the geriatric emergency medicine (gem) unit, created to meet the more complex needs of seniors in emergency care, the acute care for elders (ace) unit, an inpatient unit utilizing an interdisciplinary approach to collaboratively develop a patient-centered care plan, and the better health program, which offers courses and more to men and women 55 and older who want to improve their health and well-being. 2. the emergency department at mmc-sc The emergency department treats approximately 32,000 patients annually, utilizing the latest in cardiac monitoring equipment, including special rooms for trauma, orthopedics, ear/nose/throat, obstetrics/gynecology, pediatrics, suturing and psychiatric emergencies. The main emergency department includes 30 treatment bays and has revolutionized how patients are treated in modern healthcare settings by expediting the process which patients must undergo prior to receiving medical treatment. The staff is focused on respecting the individual needs of all adult and pediatric patients. Mmc-sc is a state-designated primary stroke center and joint commission certified chest pain center and has ocean county's only psychiatric emergency screening program. Mmc-scs pediatric emergency services program is staffed full time by highly experienced, board-certified emergency medicine physicians with access to pediatric consultations 24 hours a day with on-site double board certified neonatologists/pediatricians and an on-call board certified pediatrician. When necessary, consultations with pediatric subspecialists are coordinated with the medical staff at the unterberg childrens hospital at mmc. Additionally, infants and children requiring more specialized care are transported to the childrens hospital, if and when necessary. Mmc-scs child-friendly pediatric-designated treatment area in the emergency department offers a pediatric playroom with games, toys and books and colorfully decorated treatment rooms equipped with tv and dvd player. Every aspect of mmc-scs emergency department has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. This has led to numerous recognitions and awards for patient satisfaction and quality medical care, including exceptional turnaround time. 3. the center for wound healing The wound care center at mmc-sc provides diagnosis, treatment and healing of chronic and hard-to-heal wounds caused by a variety of medical conditions including diabetes, trauma, poor circulation, bedridden, surgical complications, vascular diseases, etc. The center for wound healing and hyperbaric medicine applies proven wound care practices and advanced clinical approaches including hyperbaric oxygen therapy to help heal patients suffering from chronic wounds. Additionally, our center frequently participates in clinical trials utilizing the latest wound care products available. 4. psychiatric centers/program Mmc-sc has the largest psychiatric program in ocean county, with a total of 60 beds within voluntary and involuntary adult inpatient units located in a free-standing facility in toms river, nj. In addition, its psychiatric emergency screening service ("pess") is the state-designated service for ocean county. Mmc-sc also offers intensive outpatient programs and traditional outpatient care. Medical and community services ============================== Mmc's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic, to prevention and treatment. Additional medical services --------------------------- Mmc offers many specialized programs including robotic surgery, minimally invasive surgery, regional perinatal center, sleep center, hyperbaric treatment, and integrative medicine. Mmc provides comprehensive behavioral health services including psychiatric emergency services, mobile outreach, children's crisis intervention and intensive outpatient services. Medical staff ============= Consistent with revenue ruling 69-545 all qualified physicians are eligible for medical staff privileges at mmc. Mmc had nearly 1,000 physicians on its medical staff in 2017 and other health professionals, comprised of the following specialties: - adult psychiatry; - allergy, med.; - allergy, ped.; - anatomic & clinical, path; - anesthesiology; - cardiology, med.; - cardiology, ped.; - child development, ped.; - child psychiatry; - colon & rectal surgery; - critical care, ped.; - dentistry, out; - dermatology, med.; - emergency medicine; - endocrinology, med.; - endocrinology, ped.; - endodontics, outpt dent; - endoscopy, med.; - family practice; - foot & ankle; - gastroenterology, med.; - gastroenterology, ped.; - general dent, inpt dent; - general dent, outpt dent; - general pediatrics; - general surgery; - general/sports; - geriatrics; - gynecologic oncology; - hand surgery; - hand/sports; - hematology/oncology, med.; - hematology/oncology, ped.; - hospitalist; - infectious disease, med.; - infectious diseases, ped.; - internal medicine; - joints; - joints/sports; - maternal fetal med.; - medical genetics, ped.; - neonatology; - nephology, ped.; - nephrology; - neurology; - neurology, ped.; - neurosurgery; - ob/gyn; - ophthalmology; - oral surgery, inpt dent; - orthodontics, outpt dent; - orthopedic surgery; - otolaryngology; - pain management; - pathology; - pediatric surgery; - pediatric, inpt dent; - peds; - periodontics, outpt dent; - physical med. & rehab.; - plastic & recon. Surgery; - podiatric medicine; - prosthodontics/outpt dent; - psychiatry; - psychiatry & neurology; - pulmonary med.; - pulmonary, ped.; - radiation oncology; - radiology; - reproductive endo & infert.; - reproductive endocrinology; - rheumatology, med.; - spine; - sports; - thoracic surgery; - total joints; - urogynecology; - urology; and - vascular surgery. Mmc-sc had approximately 430 physicians on its medical staff during 2017 comprised of the following specialties: - allergy/immunology; - anesthesiology; - cardiology; - colon-rectal surgery; - dentistry; - dermatology; - emergency medicine; - endocrinology, diabetes & metabolism; - family practice; - gastroenterology; - general surgery; - geriatrics; - gynecology; - hematology/oncology; - infectious disease; - internal medicine; - internal medicine/pediatrics; - nephrology; - neurology; - neurosurgery; - ophthalmology; - orthopedic surgery; - otolaryngology; - pain management; - pathology; - physical medicine/rehab; - plastic surgery; - podiatry; - psychiatry; - pulmonary medicine; - pulmonology/critical care; - radiation oncology; - radiology; - repro endo; - rheumatology; - thoracic surgery; - urology; and - vascular surgery. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Mmc community service centers ============================= Mmc 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. Mmc operates the department of community health & wellness, which is designed to promote health and health awareness for the community. The department of community health & wellness has a philosophy and way of life that allows individuals to reach their full potential for optimal well-being. Recognizing that individuals have become increasingly health conscious and are seeking new ways to improve their health and prevent illness, mmc's department of community health education has developed multiple programs to assist the community in fulfilling their health goals. Community partnerships ====================== 1. cancer support community is a program run in partnership with mmc and mmc-sc. The cancer support community (csc) is an international non-profit organization whose mission is to support the myriad concerns of individuals affected by cancer. Partnering with mmc in 2014, csc currently holds supportive and educational programs in long branch and lakewood. All programs are free of charge to anyone affected by a cancer diagnosis: patients, caregivers, and family members, no matter where treatment has been received. 2. mmc and social community activities network partner on services for active adult community. For more than 25 years, mmc has partnered with the social community activities network ("scan") (formerly the senior community activities network), located in the monmouth mall in eatontown, in service to the active adult community. Like scan, which promotes a culture of lifelong learning, healthy lifestyles and independent living by offering programs that make the community "healthy, wealthy & wise", mmc believes that "life is better healthyis dedicated to helping seniors live healthy lifestyles. Throughout the year, mmc provides a host of health lectures, screenings and classes led by the hospital's doctors and healthcare professionals. These free programs, which mmc advertises monthly in the community health education calendar, focuses on topics such as heart health, stroke prevention, brain health, cancer awareness, nutrition and stress relief. Mmc offers workshops to teach strategies for managing daily life when living with chronic conditions such as arthritis, heart and lung conditions, anxiety, diabetes and high blood pressure. The evidence-based workshops teach individuals how to: - manage stress; - improve balance; - cope with depression and fatigue; - eat healthy, weight management and move more; and - take control of your health. 3. safe kids monmouth/ocean is led by mmc and mmc-sc, which provides safety education to children, parents and caregivers to prevent childhood injuries. It is a chapter of safe kids new jersey and safe kids worldwide, a global organization dedicated to preventing injuries in children. 4. MMC regularly collaborates with local law enforcement and government officials on emergency preparedness drills. 5. mmcs community partnerships include new jersey community work experience program, family and childrens services, long branch public school district, long branch schools work study program, monmouth university field experience and the national council on aging. 6. mmc regularly hosts meetings between mayors and council members from local towns and the hospital's senior leadership, physicians, members of the board of trustees and employees to discuss community needs and the importance of working together as partners to promote healthy communities. 7. in addition to providing comfort to adult and pediatric patients, mmcs freed therapeutic paws program - thriving pet therapy program offers a scholarship program to pay for training of therapy dogs. Mmc-sc community service centers ================================ Mmc-sc in lakewood is equally 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. As a rwjbarnabas health facility, mmc-sc prides itself on recognizing the growing needs of the community and fulfilling those needs by providing new, specialized programs and services. Mmc-sc operates the following centers designed to promote health and health awareness for the community. 1. community health education The community health education department at mmc-sc, offers an array of programs designed to keep the community healthy through education and screenings. Among its award winning programs is the caregivers and grandparents raising grandchildren support group facilitated by a licensed clinical social worker to provide counseling and support to anyone caring for a person age 60 or older in ocean county. Also offered at mmc-sc is an american diabetes association recognized diabetes education and support program which is designed for newly diagnosed diabetes and provides self-management education through a 8-hour program which is divided into four separate 2-hour classes. Participants in all outreach programs experience enhanced physical, emotional and spiritual well-being through individual and group programs in an environment where they can join with others to learn and share experiences, strength and hope. Recognizing the unique needs of the region's aging population, mmc-sc offers healthcare programs that promote healthy lifestyles and enhance seniors' quality of life. Programs are designed to provide older adults with easy and convenient access to a variety of healthcare services in their own community and to encourage them to live independently, confidently and happily. Mmc-sc continues to offer a variety of educational, screening and support programs which include diabetes management/support, nutritional counseling, fall prevention and balance testing. Approximately 15,250 individuals participated in medical screenings, support groups and educational programs at mmc-sc in 2017. 2. better health - a free wellness program just for seniors Mmc-scs better health program is a free membership program available to seniors who want to improve their health and well-being. The better health program has grown its membership to 1,972 in 2017 since its inception in may 2015. Mmc-sc invites people age 55+ to become a member of the better health program to help maintain good health. Members take advantage of many exclusive benefits designed to help take charge of their health and wellness. Aside from taking steps toward living a more productive and fulfilling life, specific benefits include: - preferred physician scheduling with appointments guaranteed within 48 hours of placing the call; - preferred parking at mmc-sc; - a simplified pre-registration process for laboratory and radiology services resulting in no-wait times; - special visits from a patient resource representative should one be admitted for an overnight stay; - a copy of a special calendar for club members; - a copy of our healthy aging newsletter sent to the home; and - access to a special web site that provides advance notice of: free screening locations, physician lectures and topics. Each month better health members are invited to educational lunch and learns that are offered at mmc-sc or, in some cases, brought to the communities in which members live. The lectures are provided by physicians from mmc in long branch and/or mmc-sc in lakewood or other members of the clinical and educational team. Topics include: - healthy nutrition; - know your medications (and those of your loved ones); - the benefits of movement; - stress management; - how to get the most from your doctors visit; and - getting an a for memory. Mmc-sc provides a variety of community social events in or around lakewood or at senior communities throughout the area that focuses on arts, entertainment, and socialization. Events are unique and enable members to meet new people while improving their health. Medical screenings ================== Mmc provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes. Mmc served approximately 50,000 individuals in 2017 served via health fairs, screenings, workshops, education, and other community benefits supports. Further, multiple organizations are assisted in their fund-raising efforts. Every february, the mmc dental residency program hosts "give kids a smile day" in the monmouth family health center dental clinic, providing free dental care to children from low-income families who dont have access to regular dental care. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Screenings also include, but are not limited to, the following: - balance and fall prevention; - blood pressure; - body mass index - bone density; - breast health/mammograms; - cardiac and concussion for young athletes; - cardiac risk assessments - cholesterol; - dietary; - skin cancer (choose your cover); - glucose; - hiv; - high-risk lung cancer assessments; and - oral health or dental. Medical screening programs provided by the mmc-sc lakewood campus in furtherance of its tax-exempt purposes include the following: - balance and fall prevention; - blood pressure screenings; - bone density screenings; - cardiac and concussion testing for young athletes; - glucose screenings; - high-risk lung cancer screening assessments; and - skin cancer screenings (choose your cover). Community education =================== Mmcs and mmc-scs 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. Mmc 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. wellness programs/health fairs - monmouth family health center wellness and health fair; - mindfulness meditation stress reduction; - great american smoke-out informational session; - babysitting/safe sitter; - ladies night out, empowering women to live healthy; - mens health event; - strategies for health aging; - how to get a good nights sleep-take control of your health fair; - first aid for seniors; - how to navigate a hospital stay; - whats in your medicine cabinet; - annual oceanport summers end festival, offering safe child safety info; - national night out against crime; - oceanfest; - blood drives; - physicians night at the lakewood blue claws (education and lectures); and - nutrition and brain fitness fair. 2. various educational sessions - conversations with the pharmacist; - total joint replacement information session; - skin cancer awareness; - kids fit - 6 week nutritional program for children and parents; - physician lecture: break free from pelvic floor disorders; - choose your cover - free skin cancer screenings and education; - 4-week diabetes self-management series; - eating heart healthy with diabetes; - heart health fair and wear red day; - chinese and russian medical program information sessions; - living with alzheimer's disease for the caregiver: late stage; - insomnia educational session; - health information on the internet; - updates on cancer screenings; - your heart and electrical disturbances; - natural ways to manage depression; - understanding your options for rehab; - new patients weight loss surgery educational lecture; - breast cancer awareness; - fall prevention; - 2017 jersey shore undy 5000 - colon cancer alliance; - living well with diabetes; - assisting those in emotional or mental health crises; - antibiotics and your immune system; - seasonal affective disorder (sad); - peripheral vascular disease (pvd) education; - palliative care: what is it and when is it appropriate?; - restorative yoga for cancer survivors; - eye care as we age; and - geriatric emergency medicine information session. 3. childbirth preparation and parenting programs - the eisenberg family center tours; - breastfeeding today; - one-day preparation for childbirth; - two-day preparation for childbirth; - baby care basics; - make room for baby (children ages 2 and up); - grandparents program; - new moms support group; - postpartum depression (ppd)/anxiety support group; - breastfeeding support group; - gestational diabetes education program; 4. support groups - general bereavement drop-in support group; - living with breast cancer support group; - early-stage breast cancer support group; - ovarian cancer support group; - support for people with oral, head and neck cancer; - us too: prostate cancer support group; - weight loss support group; - diabetes support group; - children/adolescents experiencing loss; - kids need support, too; - alzheimer's caregivers support group; - grandparents raising grandchildren support group; - adult attention deficit disorder (add) support group; - shore area stroke survivors; - look good, feel better; - voices sickle cell support group; - adult pulmonary support group/better breathers club; - caregiver support group; - cardiac support group; - survivors of suicide support group; - relaxation and guided imagery; - weekly cancer support group; and - blood cancer support group. 5. mmc's speakers bureau Mmc's speakers bureau brings an extensive range of healthcare programs to schools, businesses, faith-based organizations, or community sites such as senior centers, libraries and health clinics. Our highly training physicians, nurses and other health professionals share their knowledge on a variety of interesting and stimulating subjects concerning healthcare and hospital services. The mmc-sc lakewood campus also offers a full array of wellness programs, including 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. older adults - senior health & fitness day; - aging eyes physician lecture; - audiology program physician lecture; - age-related hearing loss program; - brain health as you age; - talking with your doctor; - five wishes; - brain health fair; - balance presentation; - tai chi for seniors; - health & education program for seniors, out in senior communities; - fall prevention workshop: staying falls free; - mobile phlebotomy units to increase access for lab work at senior communities; - osteoporosis lunch and learn; - lunch & learn: understanding medicare & your options for comprehensive coverage; - health screenings for seniors at ymca open house; and - staying safe after 60. 2. support groups - caregiver's support group; - grandparents raising grandchildren support group; - smoking cessation support group; - all cancers support group; and - finding rainbows - children & families impacted by a cancer diagnosis. 3. various seminars and physician lectures - colorectal cancer awareness education session; - weight loss surgery - educational physician lecture; - choose your cover - skin cancer education and prevention; - look good feel better by the american cancer society; - lunch & learn: heart health; - lung cancer education & screening event; - living heart healthy; - living with alzheimers disease for the caregiver: middle and late stages; - lunch & learn: solutions for better pelvic health; - lunch & learn: under pressure - healing problematic wounds with oxygen; - dont miss a beat; - living well with diabetes; - basics of diabetes; - "take control of your health" - a chronic disease self-management program; - breaking down nutrition labels; - get heart healthy luncheon; - coffee and a craft - for those affected by cancer; and - exploring the web: useful sites for cancer patients. 4. instructional classes and programs - healthease move today program; - classic yoga, gentle yoga, chair yoga and all levels yoga; - defensive driving, sponsored by the ocean county department of safety; - diabetes education & self-management 4-week series; - take control of your health program; - self-defense & exercise; - lunch & learn: the health benefits of tai chi; - relaxation & guided imagery; - benefits of exercise; - complimentary consults with a registered dietician; and - meditation & relaxation. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Professional medical education and training =========================================== Mmc and mmc-sc professional medical education and training costs, included, but were not limited to, the following programs, lectures and courses during 2017: - Surgery m&m conference; - Breast tumor board; - Pediatric grand rounds; - Medical tumor board; - Neuro tumor board; - Othopaedic case review & fracture conference; - Gi tumor board; - Orthopaedicjournal club; - Gyn tumor board; - Medical grand rounds mmc; - Pediatric tumor board; - End of life part 1; - End of life part 2; - Orthopaedic m&m conference; - Medical grand rounds mmc-sc; - Medical m&m; mmc; - Pediatric touchpoints 2017; - Management and leadership; - Surgical grand rounds; - Tools and client relations; - Cutting edge 2017; - Communication; - Execution and project management; - 15th annual advanced em conference; - Ema conference 2017 stroke home study; - Ema 2017 llsa home study; - Ema 2017 trauma home study; - Ema 2017 procedural sedation home study; - 13th annual pediatric symposium - "screening for depression and anxiety in childhood and adolescence"the opioid epidemic, what a pain in the ed - Workers compensation talk series: knee and ankle; - Team building; - 2017 rwjbarnabas health quality forum; - Advances in breast cancer care: surgery, radiation therapy, reconstruction and surveillance; - Change management and public speaking; and - Talent management and current healthcare. 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; QUESTION 2 DAVID SICKEL AND RAYMOND F. SHEA, JR. ESQ. - BUSINESS RELATIONSHIP. DAVID SICKEL AND ROBERT SICKEL - FAMILY RELATIONSHIP. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11b THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF THE RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN RWJ BH'S 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 TODD EUGENE PHILLIPS, M.D. SERVED AS THE VICE PRESIDENT OF MEDICAL AFFAIRS OF MONMOUTH MEDICAL CENTER FOR THE PERIOD 1/1/2017 - 1/13/2017. ON 1/13/2017, DR. PHILLIPS BECAME THE VICE PRESIDENT OF MEDICAL AFFAIRS FOR COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHELE H. SCHWEERS, FORMER VICE PRESIDENT/CHIEF HUMAN RESOURCES OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE VICE PRESIDENT/CHIEF HUMAN RESOURCES OFFICER FOR BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHAEL MIMOSO, FORMER CHIEF EXECUTIVE OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS CHIEF EXECUTIVE OFFICER OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. GERALD L. TOFANI, CPA, FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER OF OUTPATIENT SERVICES. CORE FORM, PART X; LINE 25 The organization is a member of RWJ Barnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc. and Barnabas Health, Inc. to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a due to related party liability and are reflected on the balance sheets of the following subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $319,677; - EQUITY TRANSFER TO MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($1,020,317); - EQUITY TRANSFER TO MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($490,693); - CAPITAL ASSET TRANSFER FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $936,128; - EQUITY TRANSFER FROM HEALTH SOUTH REHAB CENTER - ($109,734); - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $2,925,000; - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $96,000; - DISTRIBUTIONS FROM SHREWSBURY DIAGNOSTIC IMAGING, LLC; A LIMITED LIABILITY COMPANY CONTROLLED BY THIS ORGANIZATION - $553,862; AND - PENSION ADMINISTRATION COSTS - ($1,502,427). 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. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS MONMOUTH MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND MONMOUTH MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY MONMOUTH MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-3452412. BELOW IS A LIST OUTLINING THE VARIOUS MONMOUTH MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. MMC PROVIDER SERVICES 81-4837197 IN ADDITION, THIS FORM 990 INCLUDES THE CURRENT YEAR REVENUE AND EXPENSE ACTIVITY AND YEAR END ASSETS AND LIABILITIES OF BOTH THE MEDICAL STAFFS OF MONMOUTH MEDICAL CENTER AND MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS. 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 RWJ MED SVCS ORG AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 223454270 HEALTHCARE SVCS. NJ NA C CORP. false RWJ MEDICAL ASSOCIATES PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223586872 HEALTHCARE SVCS. NJ NA C CORP. false RWJ MULTI-SPECIALTY GROUP PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 030382492 HEALTHCARE SVCS. NJ NA C CORP. false RWJ PHYSICIAN ENTERPRISE PA 3 EXECUTIVE DRIVE SUITE 400 SOMERSET NJ 08873 453967414 HEALTHCARE SVCS. NJ NA C CORP. false RWJ SURGERY CENTER INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223698431 HEALTHCARE SVCS. NJ NA C CORP. false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223414332 MGMT SVCS. NJ NA C CORP. false SHC ENTERPRISES INC 110 REHILL AVENUE SOMERVILLE NJ 08876 222665595 MANAGEMENT NJ NA C CORP. false SOMERSET CARDIOLOGY GROUP PC 110 REHILL AVENUE SOMERVILLE NJ 08876 371640531 MEDICAL SVCS. NJ NA C CORP. false SOMERSET CARDIOLOGY PARTNERS PC 110 REHILL AVENUE SOMERVILLE NJ 08876 900668649 MEDICAL SVCS. NJ NA C CORP. false SOMERSET REALTY GROUP INC 110 REHILL AVENUE SOMERVILLE NJ 08876 223269525 REAL ESTATE NJ NA C CORP. false SOMERSET STAFFING CORP 110 REHILL AVENUE SOMERVILLE NJ 08876 113829651 INACTIVE NJ NA C CORP. false VISION HEALTHCARE INC 865 STONE STREET RAHWAY NJ 07065 204285005 INVESTMENT NJ NA C CORP. false WARREN INTERNAL MEDICINE PC 110 REHILL AVENUE SOMERVILLE NJ 08876 352366107 MEDICAL SVCS. 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 47542794 COST BARNABAS HEALTH INC R 28614804 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.