THE COMMUNITY HOSPITAL GROUP INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: THE COMMUNITY HOSPITAL GROUP INC (EIN 22-6019101)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-14
IRS object ID: 201823189349312287
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-14T18:23:57-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5 TIMES SQUARE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10036	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	226019101	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE COMMUNITY HOSPITAL GROUP INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% RICHARD C SMITH	InCareOfNm
Business Name Control	COMM	BusinessNameControlTxt
Phone	7323217747	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O TAX DEPT 1350 CAMPUS PARKWAY	AddressLine1Txt
City	NEPTUNE	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	07753	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT L GLENNING	PersonNm
Person Title	PRES FIN&IT SVC/CFO	PersonTitleTxt
Phone	7327513361	PhoneNum
Signature	2018-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAURA KIELCZEWSKI	PreparerPersonNm
PTIN	P00740769	PTIN
Phone	2127733000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	108.206.163.59	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520183185000136	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	582F47EFACDD6166E52205D1FBFEA2601660FA18	AtSubmissionCreationDeviceId
At Submission Filing Device Id	770194AAF055F9EA87E64CA02E08FE540289067F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	JFK MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	RAYMOND F FREDERICKS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	80 JAMES STREET	AddressLine1Txt
City	EDISON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08820	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$557,364,624	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.JFKMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1962	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	TRANSFORM HEALTH CARE AND BE RECOGNIZED AS THE LEADER OF POSITIVE CHANGE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	5025	TotalEmployeeCnt
Total Volunteers	505	TotalVolunteersCnt
Total Gross UBI	$453,725	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$210,088	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$979,337	PYContributionsGrantsAmt
CY Contributions Grants	$649,646	CYContributionsGrantsAmt
PY Program Service Revenue	$534,444,264	PYProgramServiceRevenueAmt
CY Program Service Revenue	$543,246,678	CYProgramServiceRevenueAmt
PY Investment Income	$1,761,750	PYInvestmentIncomeAmt
CY Investment Income	$3,595,419	CYInvestmentIncomeAmt
PY Other Revenue	$14,941,339	PYOtherRevenueAmt
CY Other Revenue	$2,330,277	CYOtherRevenueAmt
PY Total Revenue	$552,126,690	PYTotalRevenueAmt
CY Total Revenue	$549,822,020	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$232,063	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$288,059,375	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$304,401,353	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$224,641,228	PYOtherExpensesAmt
CY Other Expenses	$239,984,592	CYOtherExpensesAmt
PY Total Expenses	$512,700,603	PYTotalExpensesAmt
CY Total Expenses	$544,618,008	CYTotalExpensesAmt
PY Revenues Less Expenses	$39,426,087	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,204,012	CYRevenuesLessExpensesAmt
Total Assets BOY	$309,103,297	TotalAssetsBOYAmt
Total Assets EOY	$279,460,343	TotalAssetsEOYAmt
Total Liabilities BOY	$268,100,151	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$250,608,870	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$41,003,146	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$28,851,473	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TRANSFORM HEALTH CARE AND BE RECOGNIZED AS THE LEADER OF POSITIVE CHANGE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$136,780,759	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$132,520,229	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2017, JFK MEDICAL CENTER HAD 20,155 ADMISSIONS RESULTING IN 96,095 PATIENT DAYS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$100,693,825	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$109,172,829	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM AND SAME DAY SURGERIES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2017, JFK MEDICAL CENTER PERFORMED 3,950 INPATIENT SURGERIES, 4,431 SAME DAY STAY SURGICAL PROCEDURES AND 2,287 SURGICAL PROCEDURES AT THE MEDIPLEX SURGERY CENTER.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$67,256,319	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$81,670,330	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY REHABILITATION SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2017, JFK JOHNSON REHABILITATION INSTITUTE HAD 1,877 INPATIENT ADMISSIONS RESULTING IN 28,027 PATIENT DAYS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$185,448,511	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$232,063	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$219,883,290	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$490,179,414	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	Yes (true)	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	398	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5025	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RICHARD C SMITH	PersonNm
Phone	7323217747	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	80 JAMES STREET	AddressLine1Txt
City	EDISON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08820	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
PRAFUL RAJA
CHAIR - TRUSTEE	3.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL A KLEIMAN DMD
VICE CHAIR-TRUSTEE; EX-OFFICIO	3.0	24.0	Yes (X)	Yes (X)	$0	$0	$0
JAY M JENEY
SECRETARY/TREASURER - TRUSTEE	3.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID A BELOWICH
TRUSTEE	3.0	9.0	Yes (X)		$0	$0	$0
RICHARD BULLOCK MD
TRUSTEE	3.0	0.0	Yes (X)		$0	$6,268	$0
KIMBERLY GALEOTA
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
JOHN O GRUN
TRUSTEE	3.0	6.0	Yes (X)		$0	$0	$0
DONALD KLINE MD
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
JOHN G MCDONOUGH DMD
TRUSTEE	3.0	15.0	Yes (X)		$0	$0	$0
PARAG P PATEL ESQ
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
ELAINE SANTOWASSO
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
FRANKLIN SPIRN MD
TRUSTEE	3.0	3.0	Yes (X)		$0	$1,799	$0
RAYMOND F FREDERICKS
TRUSTEE; EX-OFFICIO/PRES & CEO	33.0	27.0	Yes (X)	Yes (X)	$2,644,769	$0	$46,859
JASBIR S SARKARIA MD
TRUSTEE; EX-OFFICIO	3.0	0.0	Yes (X)		$0	$0	$0
PRADIP SHAH
TRUSTEE; EX-OFFICIO	3.0	0.0	Yes (X)		$5,700	$0	$0
KATHLEEN M KOWALCZYK
TRUSTEE; EX-OFFICIO	3.0	0.0	Yes (X)		$0	$0	$0
CLAUDIA R MASTRAPASQUA
TRUSTEE; EX-OFFICIO	3.0	0.0	Yes (X)		$0	$0	$0
PETER A POGANY
TRUSTEE;EX-OFFICIO(TERM 12/17)	3.0	9.0	Yes (X)		$0	$0	$0
JUDITH SPIEGEL
TRUSTEE;EX-OFFICIO (TERM 1/17)	3.0	0.0	Yes (X)		$0	$0	$0
FRANKLIN YOREY
TRUSTEE;EX-OFFICIO (TERM 1/17)	3.0	0.0	Yes (X)		$0	$0	$0
RICHARD C SMITH
SENIOR VP & CFO	46.0	9.0		Yes (X)	$785,741	$0	$38,526
J SCOTT GEBHARD
EXECUTIVE VP & COO	49.0	6.0		Yes (X)	$768,235	$0	$40,161
HENRY FERRAIOLI
VP & CHIEF LEGAL OFFICER	55.0	0.0		Yes (X)	$461,879	$0	$42,830
WILLIAM F OSER MD
SENIOR VP & CHIEF MED OFFICER	55.0	0.0			$805,544	$0	$39,292	Yes (X)
SARA JEAN CUCCURULLO
MEDICAL DIRECTOR EXECUTIVE	55.0	0.0			$601,348	$0	$37,688	Yes (X)
AMIE THORNTON
SENIOR VP OPERATIONS	55.0	0.0			$501,302	$0	$10,702	Yes (X)
INDRANIL GANGULY
VP & CIO	55.0	0.0			$475,473	$0	$31,734	Yes (X)
SHIRLEY HIGGINS BOWERS
SENIOR VP HUMAN RESOURCES	55.0	0.0			$415,123	$0	$42,212	Yes (X)
JAMES LINDQUIST RN
CHIEF NURSING OFFICER	55.0	0.0			$364,995	$0	$31,646	Yes (X)
THOMAS C STEINEKE MD
PHYSICIAN	55.0	0.0			$732,582	$0	$32,213		Yes (X)
JAWAD F KIRMANI MD
PHYSICIAN	55.0	0.0			$712,314	$0	$29,269		Yes (X)
STEPHEN BLOOMFIELD MD
PHYSICIAN	55.0	0.0			$599,449	$0	$30,663		Yes (X)
GREGORY PRZYBYLSKI MD
MED DIRECTOR NEUROSURGERY EXEC	55.0	0.0			$585,153	$0	$34,661		Yes (X)
ASIF BASHIR MD
PHYSICIAN	55.0	0.0			$575,810	$0	$13,046		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,035,417	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,067	TotReportableCompRltdOrgAmt
Total Other Compensation	$501,502	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	555	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CPS LLC
6409 QUAIL HOLLOW ROAD	MEMPHIS	TN	38120	MANAGEMENT	$16,053,312
MCKESSON TECHNOLOGIES INC
5995 Windward PARKWAY	ALPHARETTA	GA	30005	SOFTWARE SVCS.	$6,303,757
EDISON IMAGING AT JFK MEDICAL CENTE
2101 PARK CENTER DRIVE SUITE 170	ORLANDO	FL	32835	MEDICAL SERVICES	$5,208,496
GE HEALTHCARE
3000 NORTH GRANDVIEW BLVD	WAUKESHA	WI	53188	EQUIP MAINTENANCE	$4,333,768
KEY EQUIPMENT FINANCE
1000 SOUTH MCCASLIN BLVD	SUPERIOR	CO	80027	FINANCING	$2,696,392

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	185	CntrctRcvdGreaterThan100KCnt
Related Organizations	$48,809	RelatedOrganizationsAmt
Government Grants	$600,837	GovernmentGrantsAmt
Total Contributions	$649,646	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	541900	$533,391,762	$533,391,762
SCHOOL OF NURSING	611519	$4,884,532	$4,884,532
OTHER HEALTHCARE RELATED REVENUE	541900	$4,235,433	$4,235,433
SCHOOL OF RADIOGRAPHY	611310	$734,951	$734,951

Field	Value	IRS element (for citing)
Total Program Service Revenue	$543,246,678	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,340,525	TotalRevenueColumnAmt
Exclusion	$3,340,525	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,162	TotalRevenueColumnAmt
Exclusion	$37,162	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$465,474	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$322,173	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$143,301	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$143,301	TotalRevenueColumnAmt
Exclusion	$143,301	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,437,413	SecuritiesAmt
Other	$750	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,220,431	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$216,982	SecuritiesAmt
Other	$750	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,732	TotalRevenueColumnAmt
Exclusion	$217,732	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CHILDCARE	624410	$1,293,156	$373,172	$919,984
CAFETERIA SALES	517000	$681,681		$681,681
FITNESS CENTER	713940	$131,787	$80,553	$51,234

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$80,352	TotalRevenueColumnAmt
Exclusion	$80,352	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,186,976	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$549,822,020	TotalRevenueColumnAmt
Related Or Exempt Func Income	$543,246,678	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$453,725	UnrelatedBusinessRevenueAmt
Exclusion	$5,471,971	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$229,260	TotalAmt
Program Services	$229,260	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,803	TotalAmt
Program Services	$2,803	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,191,760	TotalAmt
Program Services	$7,372,584	ProgramServicesAmt
Management And General	$819,176	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$246,632,152	TotalAmt
Program Services	$221,968,937	ProgramServicesAmt
Management And General	$24,663,215	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,844,907	TotalAmt
Program Services	$3,460,416	ProgramServicesAmt
Management And General	$384,491	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,910,932	TotalAmt
Program Services	$24,219,839	ProgramServicesAmt
Management And General	$2,691,093	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,821,602	TotalAmt
Program Services	$16,939,442	ProgramServicesAmt
Management And General	$1,882,160	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$205,509	TotalAmt
Program Services	$184,958	ProgramServicesAmt
Management And General	$20,551	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$85,382,120	TotalAmt
Program Services	$76,843,908	ProgramServicesAmt
Management And General	$8,538,212	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$190,120	TotalAmt
Program Services	$171,108	ProgramServicesAmt
Management And General	$19,012	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,165,083	TotalAmt
Program Services	$7,348,575	ProgramServicesAmt
Management And General	$816,508	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$361,704	TotalAmt
Program Services	$325,534	ProgramServicesAmt
Management And General	$36,170	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,937,983	TotalAmt
Program Services	$3,544,185	ProgramServicesAmt
Management And General	$393,798	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,053,997	TotalAmt
Program Services	$948,597	ProgramServicesAmt
Management And General	$105,400	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$324,879	TotalAmt
Program Services	$292,391	ProgramServicesAmt
Management And General	$32,488	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,694,007	TotalAmt
Program Services	$6,024,606	ProgramServicesAmt
Management And General	$669,401	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,089,467	TotalAmt
Program Services	$10,880,520	ProgramServicesAmt
Management And General	$1,208,947	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,145,764	TotalAmt
Program Services	$7,331,188	ProgramServicesAmt
Management And General	$814,576	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$79,908,123	$71,917,311	$7,990,812	$0
PROP. LOSS ON ABANDONMENT	$26,428,051	$23,785,246	$2,642,805	$0
OVERHEAD ALLOCATION	$5,187,120	$4,668,408	$518,712	$0
DUES & LICENSES	$1,398,060	$1,258,254	$139,806	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$512,605	TotalAmt
Program Services	$461,344	ProgramServicesAmt
Management And General	$51,261	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$544,618,008	TotalAmt
Program Services	$490,179,414	ProgramServicesAmt
Management And General	$54,438,594	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,454	BOYAmt
EOY	$11,704	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$49,308,633	BOYAmt
EOY	$39,048,894	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$65,040,245	BOYAmt
EOY	$70,129,908	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,737,897	BOYAmt
EOY	$2,685,913	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,405,920	BOYAmt
EOY	$7,791,757	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,709,237	BOYAmt
EOY	$7,459,299	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$341,133,478	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$234,433,568	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$138,831,623	BOYAmt
EOY	$106,699,910	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,313,197	BOYAmt
EOY	$11,598,874	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,328,510	BOYAmt
EOY	$10,218,314	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,924,088	BOYAmt
EOY	$7,828,728	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,492,493	BOYAmt
EOY	$15,987,042	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$309,103,297	BOYAmt
EOY	$279,460,343	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$77,896,200	BOYAmt
EOY	$89,637,798	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,450,220	BOYAmt
EOY	$3,782,309	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,606,900	BOYAmt
EOY	$99,927,298	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,565,785	BOYAmt
EOY	$9,848,496	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,581,046	BOYAmt
EOY	$47,412,969	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$268,100,151	BOYAmt
EOY	$250,608,870	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,079,058	BOYAmt
EOY	$21,022,740	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,679,462	BOYAmt
EOY	$6,062,644	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,244,626	BOYAmt
EOY	$1,766,089	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,003,146	BOYAmt
EOY	$28,851,473	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$309,103,297	BOYAmt
EOY	$279,460,343	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,204,012	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$261,283	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,616,968	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$152,067	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$53,442	OtherActivitiesAmt
Total Lobbying Expenditures	$205,509	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE C, PART II-B; LINE 1G

DURING 2017, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS A TOTAL OF $92,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO SENIOR MANAGEMENT PERSONNEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $60,067 IN 2017.

SCHEDULE C, PART II-B; LINE 1I

THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE AMERICAN MEDICAL REHAB PROVIDERS ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THIER MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $48,750 IN 2017. THE ORGANIZATION ALSO ALLOCATED EXPENSES RELATED TO TRAVEL, SUBSCRIPTIONS AND CONVENTIONS RELATED TO LOBBYING ACTIVITY. THIS ALLOCATION AMOUNTED TO $4,692 IN 2017.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	1	TotalEasementsCnt
Total Acreage	3.00	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	false	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	0.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$0	ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd	false	Section170hRqrStsfdInd
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,244,626	BeginningYearBalanceAmt
Investment Earnings Or Losses	$521,463	InvestmentEarningsOrLossesAmt
End Year Balance	$1,766,089	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,246,626	BeginningYearBalanceAmt
Administrative Expenses	$2,000	AdministrativeExpensesAmt
End Year Balance	$1,244,626	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,244,626	BeginningYearBalanceAmt
Contributions	$2,000	ContributionsAmt
End Year Balance	$1,246,626	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,217,626	BeginningYearBalanceAmt
Contributions	$27,000	ContributionsAmt
End Year Balance	$1,244,626	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,217,626	BeginningYearBalanceAmt
End Year Balance	$1,217,626	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,014,427	OtherCostOrOtherBasisAmt
Book Value	$2,014,427	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$202,168,006	OtherCostOrOtherBasisAmt
Depreciation	$120,192,973	DepreciationAmt
Book Value	$81,975,033	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$999,475	OtherCostOrOtherBasisAmt
Depreciation	$810,539	DepreciationAmt
Book Value	$188,936	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,448,792	OtherCostOrOtherBasisAmt
Depreciation	$106,997,738	DepreciationAmt
Book Value	$21,451,054	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,502,778	OtherCostOrOtherBasisAmt
Depreciation	$6,432,318	DepreciationAmt
Book Value	$1,070,460	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$106,699,910	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$9,599,180
DUE FROM AFFILIATES	$6,387,862

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,987,042	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$9,676,118
AMOUNTS DUE 3RD PARTY PAYORS	$19,628,689
ACCRUED PENSION LIABILITY	$11,401,183
ACCRUED POST RETIREMENT BENEFITS	$38,466
DUE TO AFFILIATES	$6,668,513

Field	Value	IRS element (for citing)
Total Liability	$47,412,969	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART II, LINE 9	JFK MEDICAL CENTER REPORTS CONSERVATION EASEMENTS FOR UNDEVELOPED LAND WITHIN PROPERTY PLANT AND EQUIPMENT ON THE BALANCE SHEET.
SCHEDULE D, PART V, QUESTION 4	ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
SCHEDULE D, PART X, QUESTION 2	BAKER TILLY AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE COMMUNITY HOSPITAL GROUP, INC. D/B/A JFK MEDICAL CENTER FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. THE FOLLOWING DISCLOSURE IS INCLUDED IN THE ORGANIZATION'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF THE 2017 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): JFK MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2017 AND 2016. BAKER TILLY ALSO AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF JFK HEALTH SYSTEM, INC. AND CONTROLLED ENTITIES FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. THE FOLLOWING DISCLOSURE IS INCLUDED IN THE ORGANIZATION'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF THE 2017 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE JFK HEALTH SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2017 OR 2016.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,105,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,796,833	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,308,167	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,373,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,334,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,038,900	NetCommunityBenefitExpnsAmt
Total Expense	0.02570	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,478,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,131,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,347,067	NetCommunityBenefitExpnsAmt
Total Expense	0.03910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$585,559	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$585,559	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,850,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,208,929	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,641,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,231,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,166,599	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,064,419	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,989,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,989,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,002,225	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,814,091	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,188,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,658,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,189,619	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,469,296	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,137,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,321,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,816,363	NetCommunityBenefitExpnsAmt
Total Expense	0.06370	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$20,278,073	BadDebtExpenseAmt
Bad Debt Expense Attributable	$12,011,862	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$133,319,145	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$147,322,324	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,003,179	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
ANTHONY M YELENCSICS COMMUNITY HOSP
1	65 JAMES STREET	EDISON	NJ	08820	WWW.JFKMC.ORG	11201	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
JFK JOHNSON REHABILITATION INSTITUTE
2	65 JAMES STREET	EDISON	NJ	08820	WWW.JFKMC.ORG	22293	Yes (X)	Yes (X)	Yes (X)	Yes (X)		B	REHAB CENTER

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
A
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	Yes (true)	17	false	Yes (true)	false	Yes (true)	Yes (X)	200.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	Yes (true)	17	false	Yes (true)	false	Yes (true)	Yes (X)	200.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION C	PLEASE NOTE THE ORGANIZATION INCLUDES TWO HOSPITAL FACILITIES AS OUTLINED WITHIN SCHEDULE H, PART V, SECTION A. THE NARRATIVES INCLUDED BELOW AND WITHIN SCHEDULE H, PART VI APPLY TO BOTH HOSPITAL FACILITIES ACCORDINGLY. ANTHONY M. YELENCSICS COMMUNITY HOSPITAL AND JFK JOHNSON REHABILITATION INSTITUTE ("JRI") ARE COLLECTIVELY REFERRED TO AS "JFK MEDICAL CENTER" ("JFKMC").
SCHEDULE H, Part V, Section B, Question 3E	The significant health needs included in the Community Health Needs Assessment ("CHNA") for each of the hospital facilities are a prioritized description of the significant health needs of the community.
SCHEDULE H, Part V, Section B, Question 5	AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS, THE ORGANIZATION CONTRACTED WITH SETON HALL UNIVERSITY'S SETON CENTER FOR COMMUNITY AND POPULATION HEALTH ("SCCPH") TO CONDUCT A RIGOROUS CHNA PROCESS THAT PRODUCED AN ACCURATE AND REPRESENTATIVE SNAPSHOT FOR PRIMARY SERVICE AREAS AND REFLECTED THE VOICE OF THE COMMUNITY. ADDITIONALLY, SCCPH COLLABORATED WITH THE HEALTHY COMMUNITIES INSTITUTE ("HCI") TO DEVELOPE A WEB-BASED PLATFORM, WHICH INCLUDED 132 HEALTH AND QUALITY OF LIFE INDICATORS FOR ANY COMMUNITY OR COUNTY. PRIMARY DATA COLLECTION ------------------------------------------- IN AN EFFORT TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, THE ORGANIZATION COMPLETED A COMPREHENSIVE REVIEW OF BACKGROUND MATERIALS, INCLUDING BUT NOT LIMITED TO PAST REPORTS, EVALUATIONS, DATA, AND STRATEGIC IMPLEMENTATION OUTCOMES. THE ORGANIZATION AND SCCPH DEVELOPED A DETAILED PLAN FOR PRIMARY DATA COLLECTION. THIS ACTIVITY INVOLVED OUTREACH AND CONSULTATION WITH COMMUNITY REPRESENTATIVES, MUNICIPAL ORGANIZATIONS, HEALTH AGENCIES, AND OTHER INTERESTED STAKEHOLDERS. THIS PLAN ENSURED ADEQUATE REPRESENTATION AND ENGAGEMENT. AS PART OF THE CHNA PROCESS, THE ORGANIZATION COMPLETED A PRIMARY DATA STRATEGY, WHICH INCLUDED: - A PERSONALIZED/TAILORED CHNA QUESTIONNAIRE; - COMMUNITY-BASED FOCUS GROUPS; AND - KEY INFORMANT INTERVIEWS. JFK CHNA QUESTIONNAIRE/SURVEY ------------------------------------------------------ BASED ON BEST PRACTICE MODELS IDENTIFIED BY THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S COMMUNITY HEALTH ASSESSMENT TOOLKIT, SCCPH DEVELOPED A 23 ITEM CHNA SURVEY FOR THE ORGANIZATION. SURVEY ITEMS INCLUDED BASIC POPULATION PROFILE QUESTIONS, HEALTH STATUS UPDATES, ASSESSMENT OF COMMUNITY HEALTH NEEDS AND CHALLENGES, AND A PRIORITIZATION OF POTENTIAL COMMUNITY HEALTH ISSUES. RESPONDENTS WERE ALSO GIVEN SEVERAL OPPORTUNITIES TO SHARE THEIR PERSPECTIVES AND PRIMARY HEALTH CONCERNS. THE SURVEYS WERE DISTRIBUTED DURING THE SUMMER OF 2016 VIA EMAIL AND WEB LINKS. PAPER COPIES WERE ALSO DISTRIBUTED WITHIN THE FOLLOWING REPRESENTATIVE SERVICE AREA LOCATIONS: - EDISON SENIOR SERVICES; - LINCOLN TECHNICAL INSTITUTE ISELIN CAMPUS (LPN NURSING STUDENTS); - PLAINFIELD HEALTH CONNECTIONS PROGRAM (RUN THROUGH JFK HEALTH); - JFK HEALTH FAMILY MEDICINE CENTER; - JFK RADIATION ONCOLOGY DEPARTMENT; - JFK MEDICAL CENTER OUTPATIENT WAITING ROOM; AND - JFK HEALTH VOLUNTEER SERVICES. THE ORGANIZATION ADVERTISED THE SURVEY THROUGH THE WEBSITE, PRINTED MEDIA (NEWSLETTERS) AND ACCESSIBILITY VIA AN E-SURVEY. THE JFK CHNA QUESTIONNAIRES WERE MADE AVAILABLE IN ENGLISH, SPANISH, MANDARIN AND GUJARATI. ALL RESPONSES WERE KEPT STRICTLY CONFIDENTIAL. COMMUNITY-BASED FOCUS GROUPS ------------------------------------------------------- ON BEHALF OF THE ORGANIZATION, SCCPH CONDUCTED THREE TARGETED FOCUS GROUPS DURING THE SUMMER OF 2016 TO OBTAIN COMMENTS AND SUGGESTIONS FROM INTERESTED AND KNOWLEDGEABLE COMMUNITY OFFICIALS AND REPRESENTATIVES. THE FIRST FOCUS GROUP INCLUDED MUNICIPAL REPRESENTATIVES FROM THE ORGANIZATION'S PRIMARY SERVICE AREA INCLUDING PUBLIC HEALTH AND ENVIRONMENTAL DIRECTORS AND OTHER LOCAL AND COUNTY REPRESENTATIVES. THESE REPRESENTATIVES INCLUDED PARTICIPANTS FROM THE FOLLOWING STAKEHOLDER GROUPS: - EDISON SENIOR SERVICES; - EDISON HEALTH DEPARTMENT; - MIDDLESEX COUNTY OFFICE OF PLANNING; - BOROUGH OF METUCHEN BUSINESS ADMINISTRATOR; - SOUTH PLAINFIELD MAYOR'S WELLNESS COMMITTEE; - MIDDLESEX COUNTY REGIONAL CHRONIC DISEASE COORDINATOR; - MIDDLESEX COUNTY HEALTH EDUCATORS; AND - MIDDLESEX COUNTY INTERNS. THE SECOND FOCUS GROUP ENGAGED INTERESTED INDIVIDUALS FROM VARIOUS LOCAL COMMUNITY ORGANIZATIONS INCLUDING: - EDISON GREENWAYS GROUP INC; - YMCA OF METUCHEN; - YMCA OF EDISON; AND - YMCA OF WOODBRIDGE. THE THIRD FOCUS GROUP CONSISTED OF JFKMC AND JRI EMPLOYEES WHO WERE INVITED TO ATTEND AND CONTRIBUTE THEIR PERSPECTIVES ON THE COMMUNITY HEALTH NEEDS OF THEIR PATIENTS AND CONSUMERS. THESE EMPLOYEES REPRESENTED INPUT FROM THE FOLLOWING HOSPITAL DEPARTMENTS: - VOLUNTEER SERVICES; - QUALITY & ACCREDITATION; - DIAGNOSTIC IMAGING; - NEUROSCIENCE; - ENDOCRINOLOGY; - CRITICAL CARE UNIT; - JFK @ HOME; - REHABILITATION; - CENTER FOR BEHAVIORAL HEALTH; - FITNESS; - ADMITTING; - NUCLEAR MEDICINE; - MATERIALS MANAGEMENT; - ACCOUNTS PAYABLE; - BARIATRIC SURGERY; - NURSING; - HEALTH INFORMATION SERVICES; - MRI CENTER; - NURSING ADMINISTRATION; - HOSPITALITY SERVICES; - DIAGNOSTIC IMAGINING; - CASE MANAGEMENT; - SOCIAL WORK; AND - BREAST SURGERY ASSOCIATES. A FINAL FOCUS GROUP WAS CONDUCTED WITH REPRESENTATIVES FROM THE PLAINFIELD HEALTH COALITION. INVITATION LETTERS WERE SENT TO ALL DESIGNATED COMMUNITY PARTICIPANTS. ALL FOCUS GROUPS WERE HELD AT THE ORGANIZATION'S HEADQUARTERS IN EDISON, NEW JERSEY EXCEPT FOR THE PLAINFIELD FOCUS GROUP SESSION. EACH FOCUS GROUP FOLLOWED A PRE-SET LIST OF QUESTIONS IN ORDER TO ENSURE CONSISTENCY ACROSS EACH FOCUS GROUP SESSION. FOCUS GROUPS WERE RECORDED AND TRANSCRIBED. MAJOR THEMES WERE IDENTIFIED AND COLLATED. FINDINGS ARE PRESENTED BY GROUP. FOCUS GROUP MEMBERS INTRODUCED THEMSELVES AND THEN RESPONDED TO THESE CORE SET OF QUESTIONS. THESE INCLUDED: - HOW WELL DO JFKMC AND JRI SERVE THE COMMUNITY? ARE THERE ANY WEAKNESSES? - ARE THERE COMMUNITY HEALTH SERVICES THAT JFK SHOULD CONTINUE TO EXPAND? - ARE THERE OPPORTUNITIES FOR THE JFKMC AND JRI TO BETTER MEET THE COMMUNITY'S HEALTH NEEDS? EACH FOCUS GROUP LASTED A MINIMUM OF ONE AND ONE HALF HOURS. SCCPH FACILITATORS ENCOURAGED PARTICIPANTS TO EXPAND ON COMMENTS AND PROPOSED SOLUTIONS. ALL PARTICIPANTS WERE ENGAGED AND PROVIDED CLEAR RECOMMENDATIONS BASED ON THEIR PERCEPTIONS OF COMMUNITY HEALTHCARE PROBLEMS. IN ADDITION TO THE TAPED RECORDING, A JFK-MHA STUDENT INTERN TOOK NOTES AND A FLIPCHART WAS USED TO HELP COLLATE IDEAS AND SOLUTIONS. ALL FOCUS GROUP MEMBERS WERE ENCOURAGED TO COMPLETE THE JFKMC AND JRI QUESTIONNAIRE IF THEY HAD NOT ALREADY DONE SO. WHILE THE DISCUSSION FOCUSED ON MANY ISSUES, SEVERAL THEMES WERE APPARENT ACROSS THE DIFFERENT GROUPS. ALL PARTICIPATING STAKEHOLDERS OFFERED OPINIONS AND CONTEXT FOR COMMUNITY HEALTH NEEDS. THE COMMUNITY STAKEHOLDER GROUP IDENTIFIED SEVERAL ISSUES THAT ARE BEING ADDRESSED BY THE ORGANIZATION. KEY INFORMANT INTERVIEWS -------------------------------------------- THE ORGANIZATION WORKED WITH SCCPH TO COMPLETE A PERSONAL INTERVIEW WITH THE JFKMC AND JRI COMMUNITY OUTREACH COORDINATOR. OTHER KEY INFORMANTS WERE IDENTIFIED USING RECOMMENDATIONS FROM JFKMC AND JRI SENIOR STAFF AND COMMUNITY LEADERS. THESE ACTIVITIES ENSURED THAT ALL DATA WAS GROUNDED IN THE REALITIES OF THE COMMUNITIES THAT JFKMC AND JRI SERVE. THE KEY INFORMANTS INCLUDED A LOCAL PUBLIC HEALTH OFFICER, AN EXECUTIVE MANAGER FROM JOHNSON REHABILITATION INSTITUTE AND A JFKMC AND JRI REPRESENTATIVE. TOGETHER, THEIR INPUT HELPED PROVIDE ADDITIONAL DETAIL AND CONTEXT FOR UNDERSTANDING THE COMMUNITY STAKEHOLDERS AND THEIR RELATIONSHIP TO JFKMC AND JRI. KEY INFORMANTS PROVIDED SIGNIFICANT DETAIL ON PREVIOUSLY INDICATED AREAS OF COMMUNITY HEALTH NEEDS. DETAILS INCLUDED A CLARIFICATION OF RISK FACTORS, ISSUES RELATED TO CONTINUITY AND DELIVERY OF CARE AND A DESCRIPTION OF THE MOST VULNERABLE POPULATIONS AND THE BARRIERS THEY ENCOUNTER. THE KEY INFORMANTS PROVIDE SEVERAL RELEVANT RECOMMENDATIONS ALONG WITH PROPOSED ACTIVITIES TO SUPPORT POSITIVE OUTCOMES. ALL KEY INFORMANTS HIGHLIGHTED THE NEED FOR TRUE PARTNERSHIP AND ENGAGEMENT WITH COMMUNITY LEADERS AND HEALTH ORGANIZATIONS. IN ADDITION, REPRESENTATIVES ATTENDED SEVERAL CENTRAL NEW JERSEY COALITION MEETINGS AND OTHER PLANNING EVENTS TO OBTAIN CONTEXTUAL EVIDENCE. THESE EVENTS INCLUDED THE FOLLOWING: - HANDS OF HOPE; - EDISON FAMILY DAY; - METUCHEN LIBRARY; - THE BAPS TEMPLE HEALTH FAIR; - MIDDLESEX COUNTY FAITH HEALTH INITIATIVE CONFERENCE; - COMMUNITY HEALTH CONSORTIUM FOR CENTRAL JERSEY; AND - MIDDLESEX COUNTY WELLNESS COUNCIL. CONCLUSION -------------------- USING THE FINDINGS FROM THE JFK-CHNA SURVEY QUESTIONNAIRE, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS PROVIDED A CLEAR REPRESENTATION OF THE COMMUNITY'S VOICE AND THEIR PERCEPTION OF CURRENT HEALTH NEEDS AND HEALTH STATUS. THESE METHODS PROVIDED SIGNIFICANT COMMUNITY INPUT FOR THE CHNA PROCESS.
SCHEDULE H, Part V, Section B, Question 7A	THE COMMUNITY HOSPITAL GROUP, INC. IS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH OPERATES TWO HOSPITAL FACILITIES, (1) ANTHONY M. YELENCSICS COMMUNITY HOSPITAL, AN ACUTE CARE HOSPITAL FACILITY AND (2) JFK JOHNSON REHABILITATION INSTITUTE, A REHABILITATION FACILITY. THE TWO HOSPITAL FACILITIES ARE COLLECTIVELY REFERRED TO AS "JFK MEDICAL CENTER" ("JFKMC"). THESE HOSPITAL FACILITIES ARE BOTH LOCATED AT 65 JAMES STREET EDISON, NJ 08820. THE TWO HOSPITAL FACILITIES HAVE THE SAME PRIMARY SERVICE AREA AND DEFINE THEIR COMMUNITIES TO BE THE SAME, AS REQUIRED BY IRC 501(R)(3). GIVEN THESE FACTS AND CIRCUMSTANCES, THE HOSPITAL FACILITIES COLLABORATED TO FILE A JOINT CHNA FOR THE YEAR ENDED DECEMBER 31, 2016. IN ADDITION, THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH THE SETON CENTER FOR COMMUNITY AND POPULATION HEALTH AND THE HEALTHY COMMUNITIES INSTITUTE TO COMPLETE ITS 2016 CHNA. THE SETON CENTER FOR COMMUNITY AND POPULATION HEALTH WAS ESTABLISHED IN 2004 AS AN ACADEMIC RESOURCE FOR COLLABORATION, LEARNING, AND RESEARCH TO ENHANCE THE QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES IN NEED. THE ORGANIZATION IS LOCATED IN THE DEPARTMENT OF INTERPROFESSIONAL HEALTH SCIENCES AND HEALTH ADMINISTRATION IN THE SCHOOL OF HEALTH AND MEDICAL SCIENCES WITHIN SETON HALL UNIVERSITY. SINCE ITS INCEPTION THE ORGANIZATION HAS PARTNERED WITH MULTIPLE COMMUNITY ORGANIZATIONS ON GRANTS INVOLVING MHA STUDENTS FROM SETON HALL UNIVERSITY. THE HEALTHY COMMUNITIES INSTITUTE ("HCI") OFFERS A WEB-BASED DASHBOARD SYSTEM THAT ALLOWS DATA TO BE EASILY VISUALIZED AND COMPREHENDED BY ITS USERS. THE WEB PORTAL ALLOWS COMMUNITY STAKEHOLDERS TO UNDERSTAND THE VARIETY OF DATA, AND TO BE ABLE TO TAKE CONCRETE ACTION AND IMPROVE TARGET AREAS OF INTEREST. HCI HAS OVER 100 IMPLEMENTATIONS OF ITS DASHBOARD FOR CLIENTS IN 35+ STATES. THE HCI MISSION IS TO IMPROVE THE HEALTH, ENVIRONMENTAL SUSTAINABILITY, AND ECONOMIC VITALITY OF CITIES, COUNTIES, AND COMMUNITIES WORLDWIDE. THE COMPANY IS ROOTED IN WORK STARTED IN 2002 IN CONCERT WITH THE HEALTHY CITIES MOVEMENT AT THE UNIVERSITY OF CALIFORNIA AT BERKELEY. HCI STAFF ARE EXPERTS IN MANAGING AND PRESENTING DATA WITH EXTENSIVE EXPERIENCE IN DATA VISUALIZATION AND DATA MAPPING. HCI HAS RECENTLY BECOME PART OF THE XEROX COMPANY.
SCHEDULE H, Part V, Section B, Question 7A	THE TAXPAYER'S CHNA FOR THE YEAR ENDED DECEMBER 31, 2016 IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL ADDRESS: https://jfkmc.org/about-us/community-health-needs-assessment.
SCHEDULE H, Part V, Section B, Question 11	THE 2016 CHNA IDENTIFIED 29 HEALTH NEEDS IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THE FINAL PRIORITIZATION PROCESS WAS BASED ON RECOGNIZING THE IMPORTANT ROLE OF JFK'S NOT-FOR-PROFIT MISSION AND THE ABILITY TO IMPACT COMMUNITY HEALTH NEEDS. ALL 29 OF THE HEALTH NEEDS IDENTIFIED BY THE COMMUNITY ARE CATEGORIZED AND PRIORITIZED BY THE BELOW MISSION RATING CRITERIA: (A) CORE RELATIONSHIP TO THE HOSPITALS' MISSION; (B) CONTINUATION OF THE PRIORITIES IDENTIFIED IN ITS 2013 CHNA; (C) SIGNIFICANT DISPARITIES WITH BENCHMARK COMPARISONS; (D) TOP HEALTH CONCERNS IDENTIFIED IN THE JFKMC AND JRI CHNA QUESTIONNAIRE FINDINGS; AND (E) RELEVANCE FOR BOTH JFKMC AND JRI POPULATIONS. PRIORITIZATION OF COMMUNITY HEALTH NEEDS USING MISSION CRITERIA ----------------------------------------------------------------- THE FINAL HEALTH NEEDS PRIORITIZATION STEP INVOLVED ADDITIONAL JFK STRATEGIC CRITERIA: (A) RELATIONSHIP TO EXISTING PROGRAMS; (B) THE ABILITY TO MAKE AN IMPACT WITHIN A REASONABLE TIME FRAME; (C) THE FINANCIAL AND HUMAN RESOURCES REQUIRED; AND (D) WHETHER THERE WOULD BE A MEASURABLE OUTCOME TO GAUGE IMPROVEMENT. THE PROCESS ALSO INCLUDED A REVIEW OF OTHER COMMUNITY RESOURCES THAT MIGHT BE CURRENTLY PROVIDING SIMILAR SERVICES OR ARE BETTER SUITED TO PROVIDE SERVICES TO MEET THE COMMUNITY'S NEEDS. THIS CRITERIA WAS USED TO SELECT THE TOP COMMUNITY HEALTH NEEDS PRIORITIES THAT ALIGN THE ORGANIZATION'S COMMITMENT TO THE COMMUNITY. THE JFK CHNA POPULATION HEALTH MATRIX SHOWS THE FINAL COMMUNITY HEALTH NEEDS PRIORITY AREAS PLACED UNDER THE THREE POPULATION HEALTH AREAS OF FOCUS. THIS ANALYSIS PERMITTED THE ORGANIZATION TO REVIEW ANY ADDITIONAL NEEDS AND IDENTIFY ANY RESOURCES THAT WOULD BE REQUIRED TO ADDRESS ISSUES THAT ARE OUTSIDE OF JFKMC AND JRI'S MISSION. POPULATION HEALTH FOCUS #1: HEALTH PROMOTION AND WELLNESS FOR ALL POPULATIONS ========================================================================= THE GOAL OF THIS FOCUS IS TO IMPROVE ACCESS TO PRIMARY CARE AND DELIVER PREVENTIVE CARE OPPORTUNITIES FOR ALL JFK SERVICE AREA POPULATIONS BY HIGHLIGHTING HEALTH PROMOTION AND WELLNESS INITIATIVES. COMMUNITY OUTREACH/AWARENESS/PHYSICIAN AVAILABILITY -------------------------------------------------------------------------- JFK MEDICAL CENTER FEATURES A ROBUST COMMUNITY OUTREACH PROGRAM, WITH A DEDICATED PART-TIME COORDINATOR AND STAFFED BY PAID CLINICIANS AND VOLUNTEERS. JFK PROVIDES WELLNESS SEMINARS AT THE JFK CAMPUS. IN ADDITION, JFK STAFF MEMBERS PARTICIPATE IN COMMUNITY HEALTH FAIRS THAT ARE HELD YEAR-ROUND AND ARE HOSTED BY COMMUNITY ORGANIZATIONS, SUCH AS LOCAL CHURCHES AND SENIOR CITIZEN CENTERS. JFK/JRI PARTICIPATES IN DOZENS OF COMMUNITY EVENTS EACH YEAR, AS WELL AS SUPPORT GROUPS, EDUCATIONAL SEMINARS AND OTHER WELLNESS EVENTS. HOWEVER, ITS 2016 CHNA FOUND THAT THE COMMUNITY IS UNDER-AWARE OF THESE ACTIVITIES AND HOW TO ACCESS THEM. GOALS: (1) CONTINUE TO MAINTAIN THE JFK COMMUNITY OUTREACH PROGRAM. IN 2016, JFK ASSESSED THE FREQUENCY AND LOCATION OF WELLNESS EVENTS. IN 2017-2018, JFK SEEKS TO INCREASE THE FREQUENCY OF WELLNESS EVENTS BY TEN PERCENT. (2) JFK WILL ACTIVELY PROMOTE WELLNESS EVENTS IN ITS MONTHLY EMPLOYEE NEWSLETTER "SPOTLIGHT" TO PUBLICIZE COMMUNITY OUTREACH AND WELLNESS RELATED ACTIVITIES TO INTERNAL AUDIENCES. (3) JFK WILL INCLUDE COMMUNITY OUTREACH AND WELLNESS RELATED EVENTS IN ITS PATIENT AND COMMUNITY E-NEWSLETTER TO HIGHLIGHT EVENTS THAT JFK HAS IN THE COMMUNITY TO EXTERNAL AUDIENCES. PHYSICAL ACTIVITY/WEIGHT CONTROL --------------------------------------------------- JFK SPONSORS SEVERAL COMMUNITY 5K RUNS AND OPERATES A FITNESS CENTER AT 70 JAMES STREET IN EDISON. THE JFK FOR LIFE WEIGHT LOSS PROGRAM FEATURES FITNESS, DIET AND SURGICAL WEIGHT LOSS SERVICES. THE ORGANIZATION ALSO OFFERS AN EMPLOYEE WELLNESS PROGRAM THAT INCENTIVIZES THOUSANDS OF EMPLOYEE COMMUNITY MEMBERS TO LOSE WEIGHT AND ADOPT HEALTHY BEHAVIORS. GOALS: (1) IMPROVE COMMUNITY PARTICIPATION IN JFK SPONSORED FITNESS AND WELLNESS PROGRAMS. - 2017: ASSESS COMMUNITY PARTICIPATION IN 5K RUNS, FITNESS CENTER AND JFK FOR LIFE WEIGHT LOSS PROGRAM AND DEVELOP PLANS TO IMPROVE PARTICIPATION BY FIVE PERCENT BY 2019. - 2018: IMPROVE COMMUNITY PARTICIPATION IN 5K RUNS, FITNESS CENTER AND JFK FOR LIFE WEIGHT LOSS PROGRAM BY TWO PERCENT OVER BASE YEAR. - 2019: IMPROVE COMMUNITY PARTICIPATION IN 5K RUNS, FITNESS CENTER AND JFK FOR LIFE WEIGHT LOSS PROGRAM BY FIVE PERCENT OVER BASE YEAR. (2) IMPROVE EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAM - 2017: ASSESS EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAMS AND DEVELOP PLANS TO IMPROVE OUTCOMES BY FIVE PERCENT BY 2019. - 2018: IMPROVE EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAMS AND DEVELOP PLANS TO IMPROVE OUTCOMES BY TWO PERCENT OVER BASE YEAR. - 2019: IMPROVE EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAMS AND DEVELOP PLANS TO IMPROVE OUTCOMES BY FIVE PERCENT OVER BASE YEAR. POPULATION HEALTH FOCUS #2: DISEASE MANAGEMENT FOR ALL POPULATIONS ================================================================== THE GOAL OF THIS FOCUS IS TO IMPLEMENT TARGETED INITIATIVES FOR AT-RISK POPULATIONS THAT REFLECT A STRATEGY OF "RIGHT CARE, RIGHT PLACE, RIGHT TIME". DIABETES ------------ JFK MEDICAL CENTER IS WORKING TO IMPROVE HEALTH FOR PATIENTS WITH DIABETES THROUGH PROGRAMS SUCH AS THE JFK MEDICARE ACCOUNTABLE CARE ORGANIZATION ("ACO"), JFK DIABETES CENTER, FAMILY PRACTICE, ETC. THE JFK ACO HAS PROVIDED A PLATFORM FOR THE HOSPITAL TO WORK WITH PARTICIPATING PHYSICIANS AND TRACK THE IMPACT THAT THESE PROGRAMS HAVE HAD IN THE COMMUNITY. THE ACO TRACKS ALL DIABETIC PATIENTS ENSURING LAB WORK AND EYE EXAMS ARE PERFORMED YEARLY AS REQUIRED. PROCESSES WERE PUT IN PLACE TO ENSURE THAT THE PRIMARY CARE PHYSICIANS RECEIVE THE RESULTS OF THEIR PATIENTS' LABS AND WRITTEN REPORTS OF THEIR PATIENTS EYE EXAMS. GOALS: (1) TO PROVIDE NUTRITION AND DIABETES EDUCATION TO THOSE PATIENTS WHO PRESENT WITH DIABETES TO THE DIABETES TREATMENT CENTER AS WELL AS INDIVIDUALS WHO ARE IDENTIFIED AT RISK FOR DIABETES AT HEALTH FAIRS OR OTHER COMMUNITY WELLNESS EVENTS. (2) MEET 60TH PERCENTILE FOR JFK ACO (AKA MEDICARE SHARED SAVINGS PROGRAM) DIABETES CARE QUALITY MEASURERS FOR JFK MEDICAL CENTER MEDICARE SHARED SAVINGS PLAN PARTICIPANTS. CURRENT VALUE: BELOW 30TH PERCENTILE (BASED ON 2015 DATA). - 2017: MEET OR EXCEED 40TH PERCENTILE FOR JFK MSSP DIABETES QUALITY MEASURES BASED ON 2016 DATA. - 2018: MEET OR EXCEED 50TH PERCENTILE FOR JFK MSSP DIABETES QUALITY MEASURES BASED ON 2017 DATA. - 2019: MEET OR EXCEED 60TH PERCENTILE FOR JFK MSSP DIABETES QUALITY MEASURES BASED ON 2018 DATA. CANCER/MAMMOGRAPHY SCREENING --------------------------------------------------- JFK CANCER CARE PROGRAM IS ACCREDITED THROUGH THE COMMISSION ON CANCER. JFK BREAST CENTER EMPLOYS A PART-TIME OUTREACH COORDINATOR TO PROVIDE MAMMOGRAPHY AWARENESS AND PROMOTE ACCESS. THE CENTER PROVIDES ACCESS TO SCREENING SERVICES FROM 7 A.M. TO 8 P.M. DURING THE WEEK, AND ON SATURDAY MORNINGS. JFK OFFERS FREE MEDICAL TRANSPORTATION SERVICES FOR UNION COUNTY RESIDENTS TO ACCESS PRESCHEDULED MAMMOGRAPHY SCREENINGS AT JFK. UNION COUNTY RESIDENTS' RATES OF MAMMOGRAM ACCESS ARE LOWER THAN THE STATE AVERAGE. GOALS: (1) IMPROVE MAMMOGRAPHY SCREENING AWARENESS FOR UNION COUNTY RESIDENTS BY INCREASING OUTREACH AND COMMUNITY EDUCATION. - 2017: ASSESS JFK MAMMOGRAPHY SCREENING OUTREACH IN UNION COUNTY AND DEVELOP PLANS TO IMPROVE OUTREACH AND COMMUNITY EDUCATION ABOUT MAMMOGRAPHY SCREENING BY FIVE PERCENT BY 2019. - 2018: IMPROVE UNION COUNTY OUTREACH AND COMMUNITY EDUCATION ABOUT MAMMOGRAPHY SCREENING BY TWO PERCENT OVER BASE YEAR. - 2019: IMPROVE UNION COUNTY OUTREACH AND COMMUNITY EDUCATION ABOUT MAMMOGRAPHY SCREENING BY FIVE PERCENT OVER BASE YEAR. CARDIAC/HEART DISEASE ---------------------------------- Heart failure rates for Medicare Readmissions are less than the National Average in the JFK Inpatient- Primary Service Area (PSA). For the last several years, JFK has an instituted program called "Project Redparticipates in the NJ Delivery System Reform Incentive Payment ("NJ DSRP") Program with incentive to reduce Cardiac readmissions for Medicaid and noninsured Heart failure and Acute Myocardial Infarction ("AMI") patients. Both programs have assisted with the overall reduction in Heart Failure Readmissions. Heart failure patients are evaluated by a Nurse Practitioner who provides the patients with individualized tailored disease specific education that promotes healthier patients. This JFK Re-Engineered Discharge Program's goal is to educate and empower patients and their families to be able to manage their medical condition at home by learning to identify early signs and symptoms and knowing what to do or when to contact a physician. During and after a patient's hospital stay, Project Red team will ensure that patients have the tools for a smooth, high quality, safe and effective transition from discharge to ho
SCHEDULE H, Part V, Section B, Question 16	THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: HTTPS://JFKMC.ORG/PATIENTS-VISITORS/FINANCIAL-RESOURCES

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
JFK IMAGING CENTER
60 James Street	Edison	NJ	08820	Imaging & MRI Center
Breast Center at JFK Medical
60 James Street	Edison	NJ	08818	Imaging & Women's Center
Mediplex Surgical Center Associates LP
98 James Street	Edison	NJ	08820	Surgery Center
JFK Diagnostic Cardiology Center
4 Ethel Road Suite 406A	Edison	NJ	08817	Diagnostic & Cardiology Center
PrimeCare Medical Group Family Practice
561 Middlesex Avenue	Metuchen	NJ	08840	Family Medicine
Raritan Bay Cardiology
3 Hospital Plaza Suite 305	Old Bridge	NJ	08857	Cardiology
Raritan Bay Cardiology
7 Centre Drive Suite 13	Monroe	NJ	08831	Cardiology
Family Medicine Center - JFK Medical
65 James Street	Edison	NJ	08820	Family Medicine
JFK Johnson Rehabilitation Institute
2048 Oak Tree Road	Edison	NJ	08818	Cognitive Rehabilitation
JFK Center for Behavioral Health
65 James Street	Edison	NJ	08820	Behavioral Health
Schools of Nursing & Medical Imaging
1200 Randolph Road	Plainfield	NJ	07060	School
JFK Johnson Rehabilitation Institute
2050 Oak Tree Road	Edison	NJ	08818	Pediatric Rehabilitation
Edison Neurologic Associates
34-36 Progress Street Ste B-3	Edison	NJ	08820	Neurology
JFK Outpatient Infusion Center
1030 Saint George Avenue	Avenel	NJ	07001	Outpatient Infusion
JFK Johnson Rehabilitation Institute
308 Talmadge Road	Edison	NJ	08817	Prosthetic & Orthotic Lab
JFK Johnson Rehabilitation Institute
100 Overlook Drive	Monroe Township	NJ	08831	OUTPATIENT REHAB FACILITY
JFK Johnson Rehabilitation Institute
481 Memorial Parkway	Metuchen	NJ	08840	OUTPATIENT REHAB FACILITY
JFK Johnson Rehabilitation Institute
5 Progress Street	Edison	NJ	08820	OUTPATIENT REHAB FACILITY
Keith Wold Child Care Center
2050 Oak Tree Road	EDISON	NJ	08818	Childcare
JFK Adult Medical Day Program
3 Progress Street	EDISON	NJ	08817	Adult Day Care
JFK Occupational Health Services
1200 Green Street	Iselin	NJ	08830	Occupational Health
JFK Breast Surgery Associates
98 James Street Ste 202	Edison	NJ	08820	Surgical Center
JFK Health & Fitness Center
70 James Street	Edison	NJ	08820	Fitness & Conference Center
JFK Health System Administration
80 James Street	Edison	NJ	08820	Business & Admin Office
JFK Johnson Rehabilitation Institute
16-8 Route 88 Ste 104	Brick	NJ	08724	Vocational Rehab
JFK Johnson Rehabilitation Institute
1080 Stelton Road	Piscataway	NJ	08854	Outpatient Rehab Facility
ADVANCED MEDICAL IMAGING OF TOMS RIVER
1430 HOOPER AVENUE	TOMS RIVER	NJ	08753	MEDICAL IMAGING
ADVANCED MEDICAL IMAGING OF OLD BRIDGE
3548 ROUTE 9 SOUTH	OLD BRIDGE	NJ	08857	MEDICAL IMAGING, LABORATORY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	JFK OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS TO HELP UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE PROGRAMS INCLUDED BELOW PROVIDE FREE OR DISCOUNTED EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO INDIVIDUALS IF THEY MEET THE ESTABLISHED CRITERIA AND ARE DETERMINED TO BE ELIGIBLE. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO THE ORGANIZATION'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ====================================================================== CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. JOHNSON REHABILITATION INSTITUTE PATIENTS ARE NOT ELIGIBLE TO RECEIVE CHARITY CARE FOR OUTPATIENT REHABILITATION SERVICES. THE STATE OF NEW JERSEY DOES NOT REIMBURSE REHABILITATION FACILITIES FOR THOSE SERVICES. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME ELIGIBILITY CRITERIA --------------------------------------------- PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY LEVEL ("FPL") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPL ARE ELIGIBLE FOR DISCOUNTED CARE. ASSET CRITERIA ------------------------- CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATE THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. RESIDENCY CRITERIA --------------------------------- CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. CHARITY CARE ELIGIBILITY GUIDELINES ARE SET BY THE STATE OF NEW JERSEY AND ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTP://WWW.STATE.NJ.US/HEALTH/CHARITYCARE/DOCUMENTS/CHARITYCARE_FACTSHEET_ EN.PDF. NEW JERSEY UNINSURED DISCOUNT PUBLIC LAW 2008, C. 60 ("UNINSURED DISCOUNT") ================================================================ THE NEW JERSEY UNINSURED DISCOUNT IS AVAILABLE TO UNINSURED PATIENTS. COMPASSIONATE CARE DISCOUNT ============================== ALL POTENTIALLY ELIGIBLE PATIENTS MUST BE SCREENED AND APPLY FOR CHARITY CARE ASSISTANCE BEFORE CONSIDERATION OF THE COMPASSIONATE CARE DISCOUNT. THE JFK COMPASSIONATE CARE DISCOUNT IS AVAILABLE TO UNINSURED OR UNDERINSURED NEW JERSEY RESIDENTS WHO ARE ELIGIBLE FOR PARTIAL CHARITY CARE ASSISTANCE. IF AN INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE, BUT DOES NOT RECEIVE 100% CHARITY CARE COVERAGE THE COMPASSIONATE CARE DISCOUNT WILL BE APPLIED TO REMAINING BALANCE. UNINSURED INDIVIDUALS WHO HAVE BEEN SCREENED FOR CHARITY CARE AND THE UNINSURED DISCOUNT, BUT DO NOT QUALIFY, ARE ELIGIBLE FOR THE COMPASSIONATE CARE DISCOUNT.
SCHEDULE H, PART I, LINE 7	FINANCIAL STATEMENTS AND PATIENT DETAIL WAS USED TO CALCULATE THE AMOUNTS REPORTED FOR EACH LINE IN THE TABLE. As part of the hospital's mission support, the organization subsidizes the loss of its non-profit physician practice so that it can provide medically necessary healthcare services to the community. Schedule H, Part I, Line 7g includes this mission support as part of the hospital's subsidized services.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES REPRESENT CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED, DESPITE OPERATING EXPENSES IN EXCESS OF REVENUE, BECAUSE THEY ARE NEEDED IN THE COMMUNITY. DURING 2017 THE ORGANIZATION PROVIDED FAMILY PRACTICE, DENTAL, ADULT DAY CARE, PEDIATRICS REHABILITATION AND COGNITIVE REHABILITATION SERVICES PROGRAMS. THE NET COMMUNITY BENEFIT EXPENSES REPRESENT THE TOTAL EXPENSES OFFSET BY ANY PATIENT AND GRANT REVENUE.
SCHEDULE H, PART III, LINE 2	ACCOUNTS THAT REACH THE END OF THE BILLING CYCLE WITHOUT PAYMENTS OR FINANCIAL ASSISTANCE APPROVAL ARE TRANSFERRED TO BAD DEBT.
SCHEDULE H, PART III, LINE 3	THE METHODOLOGY USED BY THE ORGANIZATION TO ESTIMATE THE AMOUNT OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS TO APPLY ITS COST TO CHARGE RATIO TO TOTAL SELF-PAY GROSS CHARGES. Bad debt should be included as a community benefit because the organization provides much needed health care services indiscriminately to the community-at-large without regard to whether the patient has insurance or the ability to pay.
SCHEDULE H, PART III, LINE 4	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS OF THE COMMUNITY HOSPITAL GROUP, INC. WHICH DESCRIBES BAD DEBT EXPENSE IS CONTAINED ON PAGE 8.
SCHEDULE H, PART III, LINE 8	The organization believes that its Medicare shortfall are community benefits because, as a hospital, it is stepping up to carry the burden of the government, by promoting health of the community as a whole and providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay.
SCHEDULE H, PART III, LINE 9B	BILLING AND COLLECTION PROCEDURES ----------------------------------------------------- ONCE A PATIENT'S CLAIM IS PROCESSED BY THEIR INSURANCE, JFK WILL SEND THE PATIENT A BILL INDICATING THE PATIENT RESPONSIBILITY. ADDITIONALLY, IF A PATIENT HAS NO THIRD-PARTY COVERAGE THEY WILL RECEIVE A BILL INDICATING THEIR PATIENT RESPONSIBILITY. THIS WILL BE THE PATIENTS FIRST POST DISCHARGE BILLING STATEMENT. THE DATE ON THIS STATEMENT WILL BEGIN THE APPLICATION AND NOTIFICATION PERIODS. AFTER THE PATIENT RECEIVES THEIR FIRST POST DISCHARGE BILLING STATEMENT, JFK SENDS OUT 3 ADDITIONAL STATEMENTS (4 TOTAL BILLING STATEMENTS, IN 28 DAY INTERVALS) AND 2 LETTERS. IF PAYMENT HAS NOT BEEN RECEIVED AFTER 4 BILLING STATEMENTS, JFK WILL SEND OUT A LETTER INFORMING THE PATIENT IN WRITING THAT THE ACCOUNT WILL BE SENT TO COLLECTIONS IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS. ADDITIONALLY, THE LETTER WILL INCLUDE THE EXTRAORDINARY COLLECTION ACTIONS ("ECAS") THAT MAY TAKE PLACE AFTER THE PATIENT ACCOUNT HAS BEEN PLACED IN COLLECTIONS. THE WRITTEN NOTICE WILL ALSO INCLUDE A COPY OF THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY. WHEN BILLING INVOICES ARE RETURNED STATING THE PATIENT EXPIRED OR ARE UNDELIVERABLE AND NO OTHER ADDRESS IS FOUND THE ACCOUNTS GO TO A PRE-COLLECT STATUS FOR FOLLOW-UP AND VALIDATION. COLLECTIONS WITHIN THE BILLING CYCLE JFK MAY SEND ACCOUNTS TO PRE-COLLECT. DURING THIS TIME, THIRD PARTIES ACTING ON BEHALF OF JFK MAY CONTACT THE PATIENTS VIA TELEPHONE TO COLLECT PAYMENT. NO ECAS WILL BE TAKEN AGAINST THE PATIENT WHILE THE ACCOUNT IS IN THE PRE-COLLECTION CYCLE. AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD, JFK WILL SEND THE PATIENT ACCOUNT TO COLLECTIONS. COLLECTION AGENCY TECHNIQUES TO COLLECT PAYMENT WILL INCLUDE TELEPHONE CALLS, LETTERS AND CERTAIN ECAS. ALL OF THEIR ACTIVITIES WILL BE COMPLETELY DOCUMENTED WITHIN THE BILLING SYSTEM AND WILL FOLLOW ALL GUIDELINES OF STATE REGULATIONS GOVERNING COLLECTION AGENCIES. IF COLLECTION AGENCIES ARE THEREAFTER UNSUCCESSFUL (FOR A PERIOD NOT TO EXCEED 180 DAYS) THE PATIENT ACCOUNT WILL BE RETURNED TO JFK. AT THE TIME THE ACCOUNT IS RETURNED, THE COLLECTION AGENCY WILL INCLUDE COMPLETE DOCUMENTATION OF THEIR ACTIVITIES AND FINDINGS WHEN COMMUNICATION IS MADE WITH THE PATIENT AS WELL AS THE DATE THE ACCOUNT IS RETURNED BACK TO JFK. COMPLIANCE WITH IRC 501(R)(6) ---------------------------------------------- IN ACCORDANCE WITH IRC 501(R)(6), JFK DOES NOT ENGAGE IN ANY ECAS PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. SUBSEQUENT TO THE NOTIFICATION PERIOD JFK, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF A FAP-ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE: - REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; - PLACING A LIEN ON AN INDIVIDUAL'S PROPERTY; - FORECLOSING ON AN INDIVIDUAL'S REAL PROPERTY; - ATTACHING OR SEIZING AN INDIVIDUAL'S BANK ACCOUNT OR OTHER PERSONAL PROPERTY; - COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; AND - GARNISHING AN INDIVIDUAL'S WAGES. JFK MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THEY WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FAP AND WILL TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECAS: 1. THE PATIENT WILL BE PROVIDED WITH WRITTEN NOTICE WHICH: (A) INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; (B) IDENTIFIES THE ECAS THAT JFK INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND (C) STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2. THE PATIENT HAS RECEIVED A COPY OF THE PLS WITH THIS WRITTEN NOTIFICATION; AND 3. REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. JFK, AND THIRD PARTY VENDORS ACTING ON THEIR BEHALF, WILL ACCEPT AND PROCESS ALL APPLICATIONS FOR FINANCIAL ASSISTANCE AVAILABLE UNDER THIS POLICY SUBMITTED DURING THE APPLICATION PERIOD.
SCHEDULE H, PART VI, QUESTION 2	IN ACCORDANCE WITH PROVISIONS OF THE AFFORDABLE CARE ACT, ENACTED MARCH 23, 2010, THE ORGANIZATION BEGAN A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ORGANIZATION'S 1ST CHNA WAS COMPLETED IN 2013 AND ITS 2ND WAS COMPLETED IN 2016. A COMPLETE NEEDS ASSESSMENT IS PERFORMED EVERY THREE YEARS AND IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THE NEEDS ASSESSMENT PROCESS INCLUDED A TAILORED CHNA QUESTIONNAIRE COMPLETED BY 745 RESPONDENTS REPRESENTING A DIVERSE CONTINGENT OF JFKMC AND JRI STAKEHOLDERS. DATA OBTAINED FROM A 23-ITEM SURVEY SUPPLIED AMPLE EVIDENCE OF STAKEHOLDER INPUT. ADDITIONAL HEALTH INFORMATION WAS COLLECTED VIA FOCUS INTERVIEWS WITH COMMUNITY MEMBERS WHO PROVIDED A FUNDAMENTAL UNDERSTANDING OF THE AREA'S HEALTH NEEDS AND REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. KEY INFORMANTS SHARED VALUABLE INSIGHTS AND INPUT ON THE COUNTY'S HEALTH CHALLENGES, THE SUB-POPULATIONS MOST IN NEED, AND EXISTING RESOURCES FOR THE PRIMARY SERVICE AREA. JFKMC AND JRI REMAIN COMMITTED TO THEIR VITAL ROLE IN CARING FOR THE HEALTH OF THE COMMUNITY. AS PART OF THE CHNA PROCESS, JFKMC AND JRI CONTRACTED WITH THE SETON CENTER FOR COMMUNITY AND POPULATION HEALTH (SCCPH) TO CONDUCT A RIGOROUS CHNA PROCESS THAT PRODUCED AN ACCURATE AND REPRESENTATIVE SNAPSHOT FOR PRIMARY SERVICE AREAS AND REFLECTED THE VOICE OF THE COMMUNITY VIA A TAILORED SURVEY. SCCPH COLLABORATED WITH THE HEALTHY COMMUNITIES INSTITUTE (HCI) TO DEVELOP A WEB-BASED PLATFORM, WHICH INCLUDED 132 HEALTH AND QUALITY OF LIFE INDICATORS FOR ANY COMMUNITY OR COUNTY. IN ADDITION TO THE ABOVE AND THE CHNA PROCESS DESCRIBED ABOVE AND IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THE ORGANIZATION UTILIZES A VARIETY OF MEANS BY WHICH IT IDENTIFIES AND ANALYZES PATIENT CARE NEEDS. AMONG THEM ARE: SECONDARY DATA COLLECTION ------------------------------------------------ SECONDARY DATA WAS OBTAINED FROM THE HCI WEB-BASED PLATFORM WHICH OFFERED A PORTAL TO OBTAIN REAL-TIME DATA AND ANALYSIS. THE HCI PLATFORM PROVIDES INFORMATION ON 132 COMMUNITY HEALTH INDICATORS. THE HCI DATABASE INCLUDES RELEVANT DATA AT THE COUNTY LEVEL FROM A VARIETY OF SOURCES, SUCH AS THE COUNTY HEALTH RANKINGS, CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, NJ STATE HEALTH, US CENSUS DATA AND CDC WONDER DATABASES. CENSUS TRACT AND ZIP CODE DATA ARE OFFERED, IF AVAILABLE, FOR A PARTICULAR INDICATOR. SCCPH ALSO ADDED PRIMARY DATA FROM THE JFK QUESTIONNAIRES TO THE HCI PLATFORM FOR ADDITIONAL COMPARISONS. ZIP CODE HOSPITAL USAGE DATA WAS OBTAINED FROM NEW SOLUTIONS, INC. AND INTEGRATED WITH THE STANDARD HCI DATA TO ENSURE CUSTOM AND VALID ANALYSIS AND REPORTING. SECONDARY DATA ANALYSIS ------------------------------------------- SECONDARY DATA USED FOR THIS ASSESSMENT WAS COLLECTED AND ANALYZED WITH THE JFKMC AND JRI/SCCPH COMMUNITY DASHBOARD, A WEB-BASED COMMUNITY HEALTH DATA PLATFORM DEVELOPED BY HEALTHY COMMUNITIES INSTITUTE AND SCCPH. THE COMMUNITY DASHBOARD BRINGS NON-BIASED DATA, LOCAL RESOURCES AND A WEALTH OF INFORMATION TO ONE ACCESSIBLE, USER-FRIENDLY LOCATION. IT INCLUDES A COMPREHENSIVE DASHBOARD OF OVER 132 COMMUNITY INDICATORS COVERING OVER 20 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA IS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. IN ORDER TO MAKE THE AVAILABLE DATA ACTIONABLE, THE HCI DASHBOARD WAS USED IN CONJUNCTION WITH PRIMARY DATA TO IDENTIFY PRIORITY HEALTH NEEDS. A DETAILED PROCESS IS DESCRIBED IN THE RESULTS/FINDINGS SECTION. THE DATA FROM THIS CHNA CAN BE MADE AVAILABLE IN ELECTRONIC FORMAT THROUGH THE WEB-BASED PORTAL OF THE HCI PLATFORM. THIS PORTAL INCLUDES A VARIETY OF LINKAGES TO SOCIAL MEDIA. IN ADDITION, PAPER FORMATS OF THE KEY HIGHLIGHTS FROM THIS CHNA WILL BE DEVELOPED FOR FURTHER DISSEMINATION. OF PRIMARY IMPORTANCE WAS THE SUMMARY OF SELECTED HEALTH AND HEALTH STATUS INDICATORS THAT DID NOT MEET ANY OF THE COMPARISON BENCHMARKS. ALL INDICATORS WERE REVIEWED FOR COMPARISONS (WHERE APPROPRIATE) TO HP 2020, US BENCHMARK, OR THE NJ BENCHMARK. DATA FOR BOTH MIDDLESEX AND UNION COUNTIES WERE ASSESSED. SUMMARY SLIDES FROM THE HCI PLATFORM SHOW ONLY SEVENTEEN (17) PRIMARY AREAS OF INTEREST WHERE THERE WAS A DISCREPANCY BETWEEN COUNTY DATA AND ONE OF THE BENCHMARK INDICATORS. IN ADDITION TO THE COMBINED PRIMARY AND SECONDARY ANALYSIS FINDINGS, JFK ALSO REVIEWED THREE ADDITIONAL REPORTS TO FURTHER CLARIFY CHNA FINDINGS. ANALYSIS WAS COMPLETED USING THE CHI PLATFORM TO ASSESS THESE ADDITIONAL CATEGORIES OF INTEREST: - SOCIONEEDS INDEX - HEALTH DISPARITIES AND - DEMOGRAPHIC ISSUES. SOCIONEEDS INDEX ------------------------------ THE 2016 SOCIONEEDS INDEX, CREATED BY HEALTHY COMMUNITIES INSTITUTE, IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. ALL ZIP CODES, COUNTIES, AND COUNTY EQUIVALENTS IN THE UNITED STATES ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP YOU FIND THE AREAS OF HIGHEST NEED IN YOUR COMMUNITY, THE SELECTED LOCATIONS ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE.
SCHEDULE H, PART VI, QUESTION 3	IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4), THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED IN THE FOLLOWING WAYS: THE FAP, APPLICATION AND PLS ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: HTTPS://JFKMC.ORG/PATIENTS-VISITORS/FINANCIAL-RESOURCES. PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE WITHIN VARIOUS AREAS THROUGHOUT JFK'S FACILITIES. THIS INCLUDES, BUT IS NOT LIMITED TO, EMERGENCY ROOMS, PATIENT REGISTRATION CHECK-IN AREAS AND THE BUSINESS OFFICE. ALL PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE INTAKE PROCESS. IN THE EVENT OF AN EMERGENT SITUATION, THE PATIENT WILL BE OFFERED THE PLS DURING THE REGISTRATION PROCESS, AFTER THE PATIENT RECEIVES THE REQUIRED MEDICAL ATTENTION. SIGNS OR DISPLAYS INFORMING PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE CONSPICUOUSLY POSTED IN PUBLIC LOCATIONS INCLUDING THE EMERGENCY ROOMS, PATIENT REGISTRATION CHECK-IN AREAS, ADMITTING AND THE BUSINESS OFFICE. JFK MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE BY SPEAKING TO COMMUNITY MEMBERS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AT JFK DURING COMMUNITY EVENTS HELD THROUGHOUT THE YEAR (I.E HEALTH FAIRS, SCREENINGS, EDUCATION SESSIONS, ETC.). JFK'S FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH (LEP) THAT CONSTITUTES THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED WITHIN JFK'S PRIMARY SERVICE AREA. JFK MEDICAL CENTER PROVIDES FREE INTERPRETATION, TRANSLATION AND SIGN LANGUAGE SERVICES FOR (LEP) INDIVIDUALS AND DEAF PATIENTS. WE ENCOURAGE PATIENTS TO USE AVAILABLE INTERPRETATION SERVICES FOR IMPORTANT MEDICAL DISCUSSIONS. PATIENT CARE TREATMENT INVOLVES MEDICAL TERMINOLOGY THAT MAY BE COMPLICATED IN ANY LANGUAGE. THE INTERPRETATION SERVICES AVAILABLE THROUGH JFK MEDICAL CENTER INCLUDE PHONE INTERPRETATION IN MOST LANGUAGES. TRANSLATION OF CRITICAL DOCUMENTS AND PATIENT EDUCATION MATERIAL FOR COMMON PATIENT CONDITIONS IS ALSO AVAILABLE. IF A PATIENT REQUIRES AN INTERPRETER, SIGN LANGUAGE INTERPRETER OR A TRANSLATOR, THE PATIENT IS DIRECTED TO CONTACT THE PATIENT REPRESENTATIVE OFFICE AT (732) 321-7566 OR ASK THE ADMITTING CLERK OR NURSE FOR ASSISTANCE. IN AN EMERGENCY, THE ASL REFERRAL SERVICE (800) 275-7551 CAN PROVIDE A SIGN LANGUAGE INTERPRETER WITHIN THREE HOURS 24 HOURS A DAY, SEVEN DAYS PER WEEK. SERVICES UTILIZED THROUGH ASL ARE PROVIDED AT NO CHARGE TO THE PATIENT. HOWEVER, WE ASK THAT THE PATIENT NOTIFY THE PATIENT REPRESENTATIVE OFFICE AS TO THE NAME OF THE PATIENT AND THE INTERPRETER SO THAT THE JFK MEDICAL CENTER CAN MAKE THE NECESSARY PAYMENT ARRANGEMENTS FOR SERVICES RENDERED.
SCHEDULE H, PART VI, QUESTION 4	THE PRIMARY SERVICE AREA ("PSA") OF JFKMC AND JRI INCLUDES 21 OF 36 ZIP CODES IN MIDDLESEX COUNTY, 8 OF 26 ZIP CODES IN UNION COUNTY AND ONE ZIP CODE IN SOMERSET COUNTY, NEW JERSEY. THE PSA IS DEFINED AS ZIP CODES WHICH PROVIDE 65% OF THE MARKET SHARE. JFKMC'S AND JRI'S PSA OVERLAP IN 50% (15 ZIP CODES) OF THE 30 ZIP CODES IN THEIR COMBINED PSA; 43% (13) ARE ONLY JRI'S PSA WITH THE REMAINING 7% (2) BEING EXCLUSIVELY JFKMC'S PSA. IN THE CHNA CONDUCTED IN 2016, THE ORGANIZATION REPORTED THE FOLLOWING DEMOGRAPHICS FOR THE COMMUNITY THE ORGANIZATION SERVES: POPULATION -------------------- ACCORDING TO THE DATA IN THE CHNA, DURING 2015 THE PSA SERVED AN ESTIMATED 657,500 PEOPLE IN MIDDLESEX COUNTY, 52,999 IN SOMERSET COUNTY AND 207,853 IN UNION COUNTY, WHICH INCLUDED 74,216 IN THE CITY OF PLAINFIELD. THE POPULATION DENSITY IS MUCH HIGHER (2,621 PEOPLE PER SQUARE MILE) IN THE PSA THAN IN NEW JERSEY (1,195.5 PEOPLE PER SQUARE MILE). OVERALL, MIDDLESEX COUNTY RESIDENTS IN THE PSA ARE SLIGHTLY YOUNGER COMPARED TO THE STATE AVERAGE, WHILE THE PROPORTION OF RESIDENTS BELOW 18 YEARS OF AGE IS APPROXIMATELY EQUAL TO THE STATE AVERAGE. BOTH UNION (13.7%) AND MIDDLESEX COUNTY (13.7%) HAVE SIMILAR PERCENTAGES OF RESIDENTS OVER THE AGE OF 65 WITHIN THE PSA. ORIGIN AND RACE/ETHNICITY -------------------------------------------- A SIGNIFICANT PERCENTAGE OF BOTH MIDDLESEX AND UNION COUNTIES IDENTIFY AS FOREIGN BORN. AT LEAST 42% OF MIDDLESEX AND 42.6 % OF UNION COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, VERSUS 30.3% STATEWIDE. AMONG PEOPLE REPORTING A SINGLE RACE, BOTH COUNTIES HAVE A SIMILAR PROPORTION OF RESIDENTS WHO IDENTIFIED AS WHITE (61.5%, 58.92%), AS COMPARED TO THE NEW JERSEY AVERAGE (72.6%). THE MAJORITY OF NON-WHITE RESIDENTS IN MIDDLESEX ARE ASIAN (24.5%), AND IN UNION ARE BLACK/AFRICAN AMERICAN (22.26%). INCOME ------------ THE MEDIAN HOUSEHOLD INCOME IN MIDDLESEX COUNTY IS $80,118 WHICH IS HIGHER THAN THE MEDIUM UNION COUNTY HOUSEHOLD INCOME OF $67,257. THE STATE AVERAGE IS $72,062. POVERTY -------------- THE PERCENT OF FAMILIES IN POVERTY IN NEW JERSEY IS 8.5%. A LOWER PERCENT OF MIDDLESEX COUNTY FAMILIES (6.1%) LIVE IN POVERTY COMPARED TO UNION COUNTY (8.8%). EDUCATION ------------------ FINDINGS INDICATE THAT 88.8% OF PEOPLES AGE 25+ OR OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER IN MIDDLESEX COUNTY. FOR UNION COUNTY, 14% OF PEOPLES OVER 25+ HAD LESS THAN HIGH SCHOOL GRADUATION, WHICH IS SLIGHTLY LESS THAN MIDDLESEX COUNTY AND STATE BENCHMARKS.
SCHEDULE H, PART VI, QUESTION 5	As one of the state's major healthcare facilities, JFK Medical Center has a proud tradition of clinical excellence in numerous medical and surgical specialties, including two world-class institutes under one roof -- The Neuroscience Institute and the Johnson Rehabilitation Institute. The Neuroscience Institute has been rated as the number one hospital in New Jersey for the treatment of stroke and complex neurological disorders. The Johnson Rehabilitation Institute has received a national designation in rehabilitation medicine and traumatic brain recovery. From cutting-edge technology for diagnostic imaging and radiation therapies, to participating in the prestigious nationwide Johns Hopkins University School of Medicine elective cardiac catheterization study, JFK Medical Center remains on the forefront of delivering high quality care for the entire family. JFK continues our history of innovation and growth with recent facility investments including a state of the art cardiac catheterization laboratory (for elective and emergency angioplasty), enhanced digital mammography at the Breast Center, the comprehensive Center for Wound Healing, and a brand new pediatric and adult emergency department. JFK's Cardiac Catheterization Lab became the first in Middlesex County to provide a new bio-absorbable stent as an alternative to traditional metal stents in treating coronary artery disease. Heart disease is a serious public health issue and is now the leading cause of death among men and women; coronary artery disease is the most common form of heart disease. The Emergency Department consists of 50 adult private beds, a separate Pediatric Emergency Department with 14 private beds and a spacious and efficient Patient Arrival Center. The new Emergency Department offers privacy, safety and fast access to a team of specialists trained in emergency medicine who provide streamlined patient care. Lung Cancer ========== Lung cancer is the leading cause of cancer-related mortality in the United States and worldwide. Five-year survival rates are low, as most patients have advanced stage lung cancer at the time of diagnosis. In the past, a CT scan was not an approved screening method. Now, early detection with a low dose screening CT ("LDCT") scan can improve prognosis. The JFK Diagnostic Imaging Department uses prudent scanning protocols to reduce the radiation dose by as much as 50% without compromising image quality. This technique, with the addition of state-of-the-art Adaptive Statistical Iterative Reconstruction technology, further minimizes radiation dose to its patients. It also provides a highly detailed look at the lungs for effective diagnosis, early detection and treatment of lung disease and lung cancer. The LDCT screening scan can provide early detection of lung cancer which allows timely treatment and improved survival as the disease is found at an earlier stage. The LDCT screening scan can also provide incidental detection of other diseases such as breast and other cancers, COPD and other lung diseases, and coronary artery disease. The outcomes are: a reduction in disease-related and treatment related morbidity; improvement in healthy lifestyle; and decreased anxiety. Robotic Surgery ============ JFK Medical Center surgeons use the latest da Vinci Xi surgical system, which is the newest addition to the da Vinci line of robotic surgery tools. Robotic surgery uses advanced robotic, computer and optical technologies to assist the surgeon with an operation. Its movements are completely controlled by the surgeon, but with 3D high definition vision systems, special instruments and computer software, the surgeon can operate with enhanced vision, precision, dexterity and control. The inclusion of the latest in robotic surgery tools among JFK Medical Center's surgical offerings is yet another reinforcement of its efforts to stay on the leading edge of treatment, ensuring that the JFK community receives the best care. JFK Johnson Rehabilitation Institute =========================== Open since 1974, the JFK Johnson Rehabilitation Institute ("JRI") is a Center of Excellence of JFK Health System, Inc. It is also the Physical Medicine and Rehabilitation Department of Rutgers Robert Wood Johnson Medical School. JRI's mission is to provide quality rehabilitation that will assist adults and children living with disabilities to obtain optimal function and independence within an accepting community. Our continuum of care assures patients of an integrated, personalized program that facilitates the recovery process and encourages family participation. JRI is now expanding many of its existing services, including those focused on spasticity, Parkinson's, pain management, cardiac rehabilitation, and men's and women's health services. JRI is also expanding its research capabilities to ensure that its patients receive the best in new innovations that translate to improvements in clinical care. The Center for Brain Injuries at JRI developed the Continuum of Care model where patients receive intensive and integrated care that progresses as their needs change. The Continuum of Care provides patients with highly specialized rehabilitation at every step of their journey toward recovery. First Phase: Trauma Center for Rehabilitation Immediately after a traumatic brain injury, perhaps a car or bicycle accident, a fall or assault, the patient may be facing multiple and critical injuries. Yet brain injury rehabilitation must nonetheless begin, even for patients with tracheostomy tubes, on ventilators or with serious orthopedic injuries. Second Phase: Brain Trauma Unit If patients have a change in mental status, a seizure or other health care issue, JRI has resources to help them that are second to none. If necessary, patients are just an elevator ride to an ICU. And because JRI can draw on the wider resources of JFK Medical Center, rehabilitation can start early, and continue even if a patient needs additional medical treatment. Third Phase: Extended Recovery Unit The subacute rehabilitation program was created within JRI for patients who are more stable medically but not yet ready to return home. These patients benefit greatly from continued intensive rehabilitation. The Extended Recovery Unit is the only state-certified subacute brain injury rehabilitation program in New Jersey. Fourth Phase: Outpatient Comprehensive Neuro Rehabilitation Many patients who are well enough to go home can still benefit greatly from ongoing, highly specialized outpatient therapy that includes neuropsychology and all the therapies - recreational, speech, vocational and academic. Patients in outpatient cognitive rehabilitation can receive up to 25 hours of therapy each week. Neuroscience Institute ================= The Neuroscience Institute is New Jersey's leader in the diagnosis and treatment of brain and spine disorders. The Institute offers extensive clinical care programs, research and education in neurology and neurosurgery. In the past few years, the use of immunotherapy represents a novel approach to cancer treatment, based on a sophisticated understanding of cancer biology and the immune response. For that reason, JFK has been part of clinical trials that explore new treatment options. In addition to trials on ImmunoCellular's therapy, JFK has been the site for clinical testing of Tacagen's gene therapy effort. The JFK Brain Tumor Center will also be studying the effect of the next class of drugs in the treatment of malignant brain tumors, known as PD1/PDL inhibitors. These drugs block immunosuppressive factors in the body, allowing for a more robust immune reaction against the brain tumor cells. JFK has the reputation of having a 'look forward' view in delivering healthcare, whether it be technology or advances in treatment. JFK's Neurocritical Care Unit is a natural outgrowth of the commitment it has made to provide comprehensive treatment of acute ischemic stroke and similar emergent conditions. The Unit enables JFK to provide efficient continuity of care for patients without the need for transfer to New York City or Philadelphia. This is good for the patient and a great benefit for their families. In keeping with its focus on meeting the full range of a patient's medical needs, JFK has a multi-disciplinary team. The team includes neurologists, neurointensivists, neurointerventionalists (who perform image-guided, minimally invasive procedures on the brain and spine), critical care registered nurses, respiratory therapists, pharmacists, dieticians, physical therapists, occupational therapists, speech-language pathologies, physiatrists, case managers and social workers. Its nurses are certified in Emergency Neurological Life Support and trained in both intensive care and stroke management. Its imaging specialists employ sophisticated technologies to provide highly detailed views of the brain and spinal cord, so that bleeding or swelling in the brain, and the status of tumors an
SCHEDULE H, PART VI, QUESTION 6	JFK Health System, Inc. is a non-profit health care organization and is the sole corporate member of various health care-related organizations, the majority of which are tax-exempt entities. The Internal Revenue Service ("IRS") has recognized JFK Health System, Inc. as being a tax-exempt organization under Internal Revenue Code ("IRC") Section 501(c)(3). JFK Health System, Inc. and its controlled entities comprise an integrated health care delivery network. JFK Heath System, Inc. is incorporated as a New Jersey non-profit corporation established to promote and carry out charitable, scientific, academic and research activities. JFK Health System, Inc. is the sole corporate member of the following entities: The Community Hospital Group, Inc. ("JFK Medical Center"), Muhlenberg Regional Medical Center, Inc., John F. Kennedy Medical Center Foundation, Inc., Muhlenberg Foundation, Inc., Robert Wood Johnson Jr. Lifestyle Institute, Inc., JFK Healthshare, Inc., Hartwyck at JFK, Inc., Hartwyck West Nursing Home, Inc. and affiliates, Hartwyck at Oak Tree, Inc., JFK Population Health Company, LLC, JFK Medical Associates, P.A., JFK Medical Group, P.C., and Atlantic Insurance Exchange, Ltd. As the parent organization of a tax-exempt integrated health care delivery network, JFK Health System, Inc. strives to continually develop and operate an integrated health care delivery network which provides a comprehensive spectrum of medically necessary health care services to the residents of New Jersey. JFK Health System, Inc. ensures that its network provides medically necessary health care services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. JFK Medical Center is recognized by the IRS as an IRC Section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the hospital provides medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin religion or ability to pay. Moreover, the hospital operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1) the hospital provides medically necessary health care services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2) the hospital operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3) the hospital maintains an open medical staff, with privileges available to all qualified physicians; 4) control of the hospital rests with its board of directors; which is 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. Mission ---------- Transform health care and be recognized as the leader of positive change. Vision -------- Innovation is in our DNA, compelling us to create a world where: the highest quality care is human-centered, accessible and affordable; we deliver outcomes that matter most; and excellence is the standard. Founded in 1967, JFK Medical Center is a non-profit, 498-bed community hospital, serving residents of Middlesex, Union and Somerset counties in Central New Jersey. With more than 1,000 affiliated physicians, JFK Medical Center offers a complete array of advanced services, including general and specialized surgery, cardiac care, maternity and pediatric care, wound care and emergency medicine. JFK Medical Center is an affiliate of JFK Health System, Inc. and accredited by the Joint Commission. PLEASE REFER TO SCHEDULE R FOR A LISTING OF ALL AFFILIATED ORGANIZATIONS.
SCHEDULE H, PART VI, QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MERIDIAN HEALTH FOUNDATION INC
1350 CAMPUS PARKWAY	NEPTUNE	NJ	07753	300107825	501(C)(3)	$15,000	SPONSORSHIP
RUTGERS UNIVERSITY FOUNDATION
335 GEORGE STREET	NEW BRUNSWICK	NJ	08901	237318742	501(C)(3)	$200,000	FINANCIAL ASSISTANCE
AUXILIARY OF THE ROBERT WOOD JOHNSON UNIV HOSPITAL
1 RWJ PLACE	NEW BRUNSWICK	NJ	08901	226014339	501(C)(3)	$6,000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I; QUESTION 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION, INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAYMOND F FREDERICKS
TRUSTEE; EX-OFFICIO/PRES & CEO	$851,102	$0	$203,057	$0	$1,590,610	$0	$19,545	$0	$27,314	$0	$2,691,628	$0	$1,420,400	$0
RICHARD C SMITH
SENIOR VP & CFO	$533,301	$0	$109,300	$0	$143,140	$0	$15,294	$0	$23,232	$0	$824,267	$0	$117,500	$0
J SCOTT GEBHARD
EXECUTIVE VP & COO	$518,481	$0	$104,300	$0	$145,454	$0	$20,156	$0	$20,005	$0	$808,396	$0	$110,100	$0
HENRY FERRAIOLI
VP & CHIEF LEGAL OFFICER	$350,395	$0	$65,100	$0	$46,384	$0	$14,960	$0	$27,870	$0	$504,709	$0	$0	$0
WILLIAM F OSER MD
SENIOR VP & CHIEF MED OFFICER	$511,916	$0	$107,300	$0	$186,328	$0	$13,057	$0	$26,235	$0	$844,836	$0	$142,000	$0
SARA JEAN CUCCURULLO
MEDICAL DIRECTOR EXECUTIVE	$535,138	$0	$66,150	$0	$60	$0	$9,818	$0	$27,870	$0	$639,036	$0	$0	$0
AMIE THORNTON
SENIOR VP OPERATIONS	$348,992	$0	$74,200	$0	$78,110	$0	$6,028	$0	$4,674	$0	$512,004	$0	$69,800	$0
INDRANIL GANGULY
VP & CIO	$358,821	$0	$116,100	$0	$552	$0	$5,400	$0	$26,334	$0	$507,207	$0	$0	$0
SHIRLEY HIGGINS BOWERS
SENIOR VP HUMAN RESOURCES	$312,323	$0	$57,200	$0	$45,600	$0	$20,170	$0	$22,042	$0	$457,335	$0	$30,920	$0
JAMES LINDQUIST RN
CHIEF NURSING OFFICER	$312,035	$0	$52,600	$0	$360	$0	$3,677	$0	$27,969	$0	$396,641	$0	$0	$0
THOMAS C STEINEKE MD
PHYSICIAN	$662,784	$0	$40,000	$0	$29,798	$0	$6,112	$0	$26,101	$0	$764,795	$0	$0	$0
JAWAD F KIRMANI MD
PHYSICIAN	$563,398	$0	$28,806	$0	$120,110	$0	$5,400	$0	$23,869	$0	$741,583	$0	$0	$0
STEPHEN BLOOMFIELD MD
PHYSICIAN	$595,651	$0	$0	$0	$3,798	$0	$6,794	$0	$23,869	$0	$630,112	$0	$0	$0
GREGORY PRZYBYLSKI MD
MED DIRECTOR NEUROSURGERY EXEC	$488,830	$0	$78,323	$0	$18,000	$0	$6,914	$0	$27,747	$0	$619,814	$0	$0	$0
ASIF BASHIR MD
PHYSICIAN	$547,790	$0	$0	$0	$28,020	$0	$5,400	$0	$7,646	$0	$588,856	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, QUESTION 4B	FormAndLineReferenceDesc
Explanation	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING AND DISTRIBUTION 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: RAYMOND F. FREDERICKS, $1,571,847; RICHARD C. SMITH, $133,098; J. SCOTT GEBHARD, $118,290; HENRY FERRAIOLI, $35,000; WILLIAM F. OSER, M.D., $161,787; AMIE THORNTON, $77,198; AND SHIRLEY HIGGINS BOWERS, $30,920.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NJ HEALTHCARE FACILITIES FINANCING AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	221987084	BondIssuerEIN
CUSIP	64580AAT8	CUSIPNum
Bond Issued	2009-06-18	BondIssuedDt
Issue Price	$119,623,712	IssuePriceAmt
Purpose	REFUNDING & CAPITAL IMPROVEMENTS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$13,239,970	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$119,745,700	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,971,722	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$21,892,468	CapitalExpendituresAmt
Other Spent Proceeds	$95,881,510	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2013	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART 1, COLUMN (E)	THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS IS DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART I, COLUMN (F)	PROCEEDS FOR THE BOND ISSUED ON 6/1/2009 WERE USED TO REFUND THE FOLLOWING NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE BOND ISSUES: - JFK HEALTH SYSTEMS OBLIGATED GROUP ISSUE, SERIES 1993, DATED MARCH 18, 1993 - JFK HEALTH SYSTEMS OBLIGATED GROUP ISSUE, SERIES 1995, DATED JUNE 14, 1995 - JFK MEDICAL CENTER/HARTWYCK AT OAK TREE OBLIGATED GROUP ISSUE, SERIES 1998, DATED AUGUST 6, 1998 - MUHLENBERG REGIONAL MEDICAL CENTER ISSUE, SERIES 2000, DATED OCTOBER 12, 2000 - THE COMMUNITY HOSPITAL GROUP, INC. ISSUE, SERIES 2003 A-1, DATED JUNE 20, 2003 - JFK MEDICAL CENTER PROJECT ISSUE, SERIES 2005 A-3, DATED DECEMBER 20, 2005
SCHEDULE K, PART IV, QUESTION 2C	NO REBATE WAS DUE FOR THE REFUNDING OF THE NEW MONEY BOND. THE REBATE REPORT WAS CALCULATED AS OF MAY 31, 2014.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; LINE 4D	Expenses incurred in providing various other medically necessary healthcare services, such as neuroscience, cardiac care, pediatric care, emergency department, obstetrics & newborns, oncology, behavioral health, etc., to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay.
CORE FORM, PART VI, SECTION A; QUESTION 3	The organization uses outside management services for the following departments: Pharmacy, BioMed services, Hemodialysis, Housekeeping management (Includes housekeeping, linen & patient transport), MRI services and wound care.
CORE FORM, PART VI, SECTION A, QUESTIONS 6 & 7	JFK Health System, Inc. is the sole member of this organization. JFK Health System, Inc. has the right to appoint the members of the organization's board of trustees and has certain reserved powers as defined in the organization's bylaws.
CORE FORM, PART VI, SECTION B, LINE 11	As of January 1, 2018, Hackensack Meridian Health, Inc. ("HMH") acquired JFK Health System, Inc. and all of its subsidiaries. This organization is a subsidiary of HMH; a tax-exempt integrated healthcare delivery network. HMH's finance personnel prepared the Federal Form 990, which was then reviewed by other appropriate internal staff for accuracy. HMH retained a firm of independent certified public accountants with experience and expertise in health care and not-for-profit tax return preparation to review and file the Form 990. HMH's Board of Trustees designated the Audit and Compliance Committee ("ACC") to review the Form 990 of HMH's subsidiaries. The Form 990 was provided to the members of the ACC for review. The Form 990 was then provided to each voting member of HMH's governing body, its Board of Trustees, prior to filing with the Internal Revenue Service. The HMH Board of Trustees has the final governing authority over the subsidiaries of HMH.
CORE FORM, PART VI, SECTION B, LINE 12C	On an annual basis, Conflict of Interest Disclosure Statements are distributed to all Board Members and employees that are department heads and higher levels. All disclosures are reviewed by the Compliance Officer and the Chair of the JFK Audit and Compliance Committee. Any potential conflict of interest is brought to the said Committee for review and consideration and any appropriate action deemed necessary pursuant to the Conflict of Interest policy.
CORE FORM, PART VI, SECTION B, LINE 15	THE JFK BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") THAT IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE MANAGEMENT OF THE ORGANIZATION. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE TOTAL COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION. THE COMMITTEE CONSISTS ENTIRELY OF INDEPENDENT MEMBERS OF THE JFK HEALTH SYSTEM BOARD. THE COMMITTEE REVIEWS IN ADVANCE INDEPENDENT DATA SHOWING THE COMPENSATION PROVIDED BY NON-PROFIT ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS, AND THE COMMITTEE PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. ASSISTING THE COMMITTEE IS AN OUTSIDE COMPENSATION CONSULTANT ALONG WITH OUTSIDE LEGAL COUNSEL. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES: 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 WITHIN THE MEANING OF THE REGULATIONS UNDER SECTION 4958; 2. THE AUTHORIZED BODY OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS REQUIRED IN THE REGULATIONS.
CORE FORM, PART VI, SECTION C, LINE 19	THE COMMUNITY HOSPITAL GROUP, INC. HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS AND RENOVATIONS AND TO REFUND EXISTING TAX-EXEMPT BONDS. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXMEPT BONDS, THE COMMUNITY HOSPITAL GROUP, INC.'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS AND ARE, ON AN ANNUAL BASIS, MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE COMMUNITY HOSPITAL GROUP, INC.'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST.
CORE FORM, PART VII, SECTION A	THE COMMUNITY HOSPITAL GROUP, INC. IS AN AFFILIATE WITHIN JFK HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF GOVERNOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THE COMMUNITY HOSPITAL GROUP, INC. AND OTHER SUBSIDIARIES AND CONTROLLED ENTITIES WITHIN THE NETWORK. 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 THE COMMUNITY HOSPITAL GROUP, INC. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED SUBSIDIARIES AND CONTROLLED ENTITIES IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON 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 THE NETWORK; NOT SOLELY THE COMMUNITY HOSPITAL GROUP, INC.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THE COMMUNITY HOSPITAL GROUP, INC. OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE COMMUNITY HOSPITAL GROUP, INC. OR OF A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE COMMUNITY HOSPITAL GROUP INC.'S BOARD OF GOVERNORS.
CORE FORM, PART X	PRIOR YEAR BALANCES HAVE BEEN REVISED BUT THE TOTAL ASSETS, LIABILITIES AND NET ASSETS HAVE NOT CHANGED.
CORE FORM, PART XI; LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION/POST RETIREMENT LIABILITY ADJUSTMENT - $11,962,389; - TRANSFERS TO AFFILIATES - ($25,979,581); - FORGIVENESS OF AMOUNTS DUE FROM AFFILIATES - ($5,595,896); - NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURCHASES - $1,010,739; - NET ASSETS ADJUSTMENT - $80,736; - TRANSFER FROM AFFILIATES, TEMPORARILY RESTRICTED - $1,059,548; - CHANGE IN INTEREST IN NET ASSETS OF JFK FOUNDATION, TEMPORARILY RESTRICTED - $383,182; - NET ASSETS RELEASED FROM RESTRICTIONS FOR USE IN OPERATIONS, TEMPORARILY RESTRICTED - ($48,809); - NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURCHASES, TEMPORARILY RESTRICTED - ($1,010,739); AND - CHANGE IN INTEREST IN NET ASSETS OF JFK FOUNDATION, PERMANENTLY RESTRICTED - $521,463.
CORE FORM, PART XII; QUESTION 2C	THE PROCESS HAS NOT CHANGED SINCE LAST YEAR. JFK HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:76293709
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:8246831
FORM 990 PART IX LINE 11G	DESCRIPTION:COMMUNITY SERVICE FEE TOTAL FEES:500000
FORM 990 PART IX LINE 11G	DESCRIPTION:COMMISSION FEE TOTAL FEES:341580

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
JFK HEALTH SYSTEM INC
98 JAMES STREET	EDISON	NJ	08820	222421432	HEALTHCARE	NJ	501(C)(3)	12A	NA	false
MUHLENBERG REGIONAL MEDICAL CENTER INC
98 JAMES STREET	EDISON	NJ	08820	221487258	HEALTHCARE	NJ	501(C)(3)	10	JFKHS	false
MUHLENBERG FOUNDATION INC
98 JAMES STREET	EDISON	NJ	08820	510212678	FUNDRAISING	NJ	501(C)(3)	7	MRMC	false
JFK MEDICAL CENTER FOUNDATION INC
98 JAMES STREET	EDISON	NJ	08820	222315044	FUNDRAISING	NJ	501(C)(3)	7	JFKHS	false
JFK HEALTH SYSTEMS REALTY CORPORATION
98 JAMES STREET	EDISON	NJ	08820	521703518	INACTIVE	NJ	501(C)(2)	N/A	JFKHS	false
ROBERT WOOD JOHNSON JR LIFESTYLE INST
98 JAMES STREET	EDISON	NJ	08820	222421433	HEALTHCARE	NJ	501(C)(3)	10	JFKHS	false
HARTWYCK WEST NURSING HOME INC
98 JAMES STREET	EDISON	NJ	08820	221802017	HEALTHCARE	NJ	501(C)(3)	10	JFKHS	false
JFK ASSISTED LIVING INC
98 JAMES STREET	EDISON	NJ	08820	223715324	HEALTHCARE	NJ	501(C)(3)	10	HWNH	false
HARTWYCK AT OAK TREE INC
98 JAMES STREET	EDISON	NJ	08820	222666023	HEALTHCARE	NJ	501(C)(3)	10	JFKHS	false
HARTWYCK AT JFK INC
98 JAMES STREET	EDISON	NJ	08820	204144804	HEALTHCARE	NJ	501(C)(3)	10	JFKHS	false
JFK MEDICAL ASSOCIATES PA
98 JAMES STREET	EDISON	NJ	08820	462219798	HEALTHCARE	NJ	501(C)(3)	10	JFKHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEDIPLEX SURGICAL CTR ASSOC LP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	98 JAMES STREET	AddressLine1Txt
City	EDISON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08820	ZIPCd

Field	Value	IRS element (for citing)
EIN	222846980	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	NJ	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
ATLANTIC INSURANCE EXCHANGE LTD
CLARENDON HOUSE 2 CHURCH STREET	HAMILTON	BD	HM11	981330735	FINANCIAL VEHICLE	BD	NA	C CORP	false
CENTRAL JERSEY MEDICAL GROUP PA
				223477610	INACTIVE		NA	C CORP	false	98 JAMES STREET	EDISON	NJ	08820	NJ
JFK MEDICAL GROUP PC
				223482637	HEALTHCARE		NA	C CORP	false	98 JAMES STREET	EDISON	NJ	08820	NJ
JFK HARTWYCK MGT & CONSULTING INC
				223812130	INACTIVE		NA	C CORP	false	98 JAMES STREET	EDISON	NJ	08820	NJ
JFK HEALTHSHARE INC
				222528967	MANAGEMENT		NA	C CORP	false	98 JAMES STREET	EDISON	NJ	08820	NJ
MIDTOWN SHOPS INC
				221536954	INACTIVE		NA	C CORP	false	98 JAMES STREET	EDISON	NJ	08820	NJ
THE PRIMARY CARE NETWORK INC
				522069919	INACTIVE		NA	C CORP	false	98 JAMES STREET	EDISON	NJ	08820	NJ
JFK Ambulatory Care PA
				473018240	HEALTHCARE		NA	C CORP	false	98 James Street	Edison	NJ	08820	NJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd