2018-11-14T18:23:57-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 226019101 THE COMMUNITY HOSPITAL GROUP INC % RICHARD C SMITH COMM 7323217747 C/O TAX DEPT 1350 CAMPUS PARKWAY NEPTUNE NJ 07753 ROBERT L GLENNING PRES FIN&IT SVC/CFO 7327513361 2018-11-14 true LAURA KIELCZEWSKI P00740769 2127733000 108.206.163.59 26308520183185000136 2018-11-14 P 582F47EFACDD6166E52205D1FBFEA2601660FA18 770194AAF055F9EA87E64CA02E08FE540289067F 2017 2019-02-21 02:37:17Z X JFK MEDICAL CENTER RAYMOND F FREDERICKS 80 JAMES STREET EDISON NJ 08820 557364624 false X WWW.JFKMC.ORG X 1962 NJ TRANSFORM HEALTH CARE AND BE RECOGNIZED AS THE LEADER OF POSITIVE CHANGE. 17 16 5025 505 453725 -210088 979337 649646 534444264 543246678 1761750 3595419 14941339 2330277 552126690 549822020 0 232063 0 0 288059375 304401353 0 0 0 224641228 239984592 512700603 544618008 39426087 5204012 309103297 279460343 268100151 250608870 41003146 28851473 X TRANSFORM HEALTH CARE AND BE RECOGNIZED AS THE LEADER OF POSITIVE CHANGE. false false 136780759 0 132520229 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. 100693825 0 109172829 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. 67256319 0 81670330 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. 185448511 232063 219883290 490179414 true true false true false false true false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true 398 0 true 5025 true true true false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true true true true NJ X RICHARD C SMITH 7323217747 80 JAMES STREET EDISON NJ 08820 X PRAFUL RAJA CHAIR - TRUSTEE 3.0 6.0 X X 0 0 0 MICHAEL A KLEIMAN DMD VICE CHAIR-TRUSTEE; EX-OFFICIO 3.0 24.0 X X 0 0 0 JAY M JENEY SECRETARY/TREASURER - TRUSTEE 3.0 3.0 X X 0 0 0 DAVID A BELOWICH TRUSTEE 3.0 9.0 X 0 0 0 RICHARD BULLOCK MD TRUSTEE 3.0 0.0 X 0 6268 0 KIMBERLY GALEOTA TRUSTEE 3.0 0.0 X 0 0 0 JOHN O GRUN TRUSTEE 3.0 6.0 X 0 0 0 DONALD KLINE MD TRUSTEE 3.0 0.0 X 0 0 0 JOHN G MCDONOUGH DMD TRUSTEE 3.0 15.0 X 0 0 0 PARAG P PATEL ESQ TRUSTEE 3.0 0.0 X 0 0 0 ELAINE SANTOWASSO TRUSTEE 3.0 0.0 X 0 0 0 FRANKLIN SPIRN MD TRUSTEE 3.0 3.0 X 0 1799 0 RAYMOND F FREDERICKS TRUSTEE; EX-OFFICIO/PRES & CEO 33.0 27.0 X X 2644769 0 46859 JASBIR S SARKARIA MD TRUSTEE; EX-OFFICIO 3.0 0.0 X 0 0 0 PRADIP SHAH TRUSTEE; EX-OFFICIO 3.0 0.0 X 5700 0 0 KATHLEEN M KOWALCZYK TRUSTEE; EX-OFFICIO 3.0 0.0 X 0 0 0 CLAUDIA R MASTRAPASQUA TRUSTEE; EX-OFFICIO 3.0 0.0 X 0 0 0 PETER A POGANY TRUSTEE;EX-OFFICIO(TERM 12/17) 3.0 9.0 X 0 0 0 JUDITH SPIEGEL TRUSTEE;EX-OFFICIO (TERM 1/17) 3.0 0.0 X 0 0 0 FRANKLIN YOREY TRUSTEE;EX-OFFICIO (TERM 1/17) 3.0 0.0 X 0 0 0 RICHARD C SMITH SENIOR VP & CFO 46.0 9.0 X 785741 0 38526 J SCOTT GEBHARD EXECUTIVE VP & COO 49.0 6.0 X 768235 0 40161 HENRY FERRAIOLI VP & CHIEF LEGAL OFFICER 55.0 0.0 X 461879 0 42830 WILLIAM F OSER MD SENIOR VP & CHIEF MED OFFICER 55.0 0.0 X 805544 0 39292 SARA JEAN CUCCURULLO MEDICAL DIRECTOR EXECUTIVE 55.0 0.0 X 601348 0 37688 AMIE THORNTON SENIOR VP OPERATIONS 55.0 0.0 X 501302 0 10702 INDRANIL GANGULY VP & CIO 55.0 0.0 X 475473 0 31734 SHIRLEY HIGGINS BOWERS SENIOR VP HUMAN RESOURCES 55.0 0.0 X 415123 0 42212 JAMES LINDQUIST RN CHIEF NURSING OFFICER 55.0 0.0 X 364995 0 31646 THOMAS C STEINEKE MD PHYSICIAN 55.0 0.0 X 732582 0 32213 JAWAD F KIRMANI MD PHYSICIAN 55.0 0.0 X 712314 0 29269 STEPHEN BLOOMFIELD MD PHYSICIAN 55.0 0.0 X 599449 0 30663 GREGORY PRZYBYLSKI MD MED DIRECTOR NEUROSURGERY EXEC 55.0 0.0 X 585153 0 34661 ASIF BASHIR MD PHYSICIAN 55.0 0.0 X 575810 0 13046 11035417 8067 501502 555 false true false CPS LLC 6409 QUAIL HOLLOW ROAD MEMPHIS TN 38120 MANAGEMENT 16053312 MCKESSON TECHNOLOGIES INC 5995 Windward PARKWAY ALPHARETTA GA 30005 SOFTWARE SVCS. 6303757 EDISON IMAGING AT JFK MEDICAL CENTE 2101 PARK CENTER DRIVE SUITE 170 ORLANDO FL 32835 MEDICAL SERVICES 5208496 GE HEALTHCARE 3000 NORTH GRANDVIEW BLVD WAUKESHA WI 53188 EQUIP MAINTENANCE 4333768 KEY EQUIPMENT FINANCE 1000 SOUTH MCCASLIN BLVD SUPERIOR CO 80027 FINANCING 2696392 185 48809 600837 649646 NET PATIENT SERVICE REVENUE 541900 533391762 533391762 SCHOOL OF NURSING 611519 4884532 4884532 OTHER HEALTHCARE RELATED REVENUE 541900 4235433 4235433 SCHOOL OF RADIOGRAPHY 611310 734951 734951 543246678 3340525 3340525 37162 37162 0 465474 322173 143301 0 143301 143301 7437413 750 7220431 216982 750 217732 217732 0 0 0 0 0 0 0 0 0 CHILDCARE 624410 1293156 373172 919984 CAFETERIA SALES 517000 681681 681681 FITNESS CENTER 713940 131787 80553 51234 80352 80352 2186976 549822020 543246678 453725 5471971 X 229260 229260 2803 2803 0 0 8191760 7372584 819176 0 246632152 221968937 24663215 3844907 3460416 384491 26910932 24219839 2691093 18821602 16939442 1882160 0 0 0 205509 184958 20551 0 0 85382120 76843908 8538212 190120 171108 19012 8165083 7348575 816508 361704 325534 36170 0 3937983 3544185 393798 1053997 948597 105400 0 324879 292391 32488 6694007 6024606 669401 0 12089467 10880520 1208947 8145764 7331188 814576 MEDICAL SUPPLIES 79908123 71917311 7990812 0 PROP. LOSS ON ABANDONMENT 26428051 23785246 2642805 0 OVERHEAD ALLOCATION 5187120 4668408 518712 0 DUES & LICENSES 1398060 1258254 139806 0 512605 461344 51261 544618008 490179414 54438594 0 X 11454 11704 49308633 39048894 0 0 65040245 70129908 0 0 0 0 2737897 2685913 7405920 7791757 7709237 7459299 341133478 234433568 138831623 106699910 11313197 11598874 9328510 10218314 6924088 7828728 0 0 10492493 15987042 309103297 279460343 77896200 89637798 0 0 2450220 3782309 104606900 99927298 0 0 0 0 18565785 9848496 0 0 64581046 47412969 268100151 250608870 X 34079058 21022740 5679462 6062644 1244626 1766089 41003146 28851473 309103297 279460343 X 5204012 261283 -17616968 X X false true X true true true X false true false false false false true 152067 false true 53442 205509 false 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. X 1 3.00 0 0 0 1 false 0.00 0 false 1244626 521463 1766089 1246626 2000 1244626 1244626 2000 1246626 1217626 27000 1244626 1217626 1217626 1.00000 false false 2014427 2014427 202168006 120192973 81975033 999475 810539 188936 128448792 106997738 21451054 7502778 6432318 1070460 106699910 OTHER ASSETS 9599180 DUE FROM AFFILIATES 6387862 15987042 0 OTHER LIABILITIES 9676118 AMOUNTS DUE 3RD PARTY PAYORS 19628689 ACCRUED PENSION LIABILITY 11401183 ACCRUED POST RETIREMENT BENEFITS 38466 DUE TO AFFILIATES 6668513 47412969 X 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. true true X true X true X true true true false false 10105000 2796833 7308167 0.01340 61373529 47334629 14038900 0.02570 71478529 50131462 21347067 0.03910 585559 0 585559 0.00110 14850413 10208929 4641484 0.00850 21231019 18166599 3064419 0.00560 1989700 0 1989700 0.00360 9002225 5814091 3188134 0.00580 47658916 34189619 13469296 0.02460 119137445 84321081 34816363 0.06370 true 20278073 12011862 133319145 147322324 -14003179 X true true 2 1 ANTHONY M YELENCSICS COMMUNITY HOSP 65 JAMES STREET EDISON NJ 08820 WWW.JFKMC.ORG 11201 X X X X X A 2 JFK JOHNSON REHABILITATION INSTITUTE 65 JAMES STREET EDISON NJ 08820 WWW.JFKMC.ORG 22293 X X X X REHAB CENTER B A 1 false false true X X X X X X X X X 16 true true true true X SEE SECTION C X true 17 false true false true X 200. 300. X X X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false B 2 false false true X X X X X X X X X 16 true true true true X SEE SECTION C X true 17 false true false true X 200. 300. X X X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X false X X false false 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 28 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 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. true MERIDIAN HEALTH FOUNDATION INC 1350 CAMPUS PARKWAY NEPTUNE NJ 07753 300107825 501(C)(3) 15000 SPONSORSHIP RUTGERS UNIVERSITY FOUNDATION 335 GEORGE STREET NEW BRUNSWICK NJ 08901 237318742 501(C)(3) 200000 FINANCIAL ASSISTANCE AUXILIARY OF THE ROBERT WOOD JOHNSON UNIV HOSPITAL 1 RWJ PLACE NEW BRUNSWICK NJ 08901 226014339 501(C)(3) 6000 SPONSORSHIP 3 0 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION, INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X false true false false false false false false false RAYMOND F FREDERICKS TRUSTEE; EX-OFFICIO/PRES & CEO 851102 0 203057 0 1590610 0 19545 0 27314 0 2691628 0 1420400 0 RICHARD C SMITH SENIOR VP & CFO 533301 0 109300 0 143140 0 15294 0 23232 0 824267 0 117500 0 J SCOTT GEBHARD EXECUTIVE VP & COO 518481 0 104300 0 145454 0 20156 0 20005 0 808396 0 110100 0 HENRY FERRAIOLI VP & CHIEF LEGAL OFFICER 350395 0 65100 0 46384 0 14960 0 27870 0 504709 0 0 0 WILLIAM F OSER MD SENIOR VP & CHIEF MED OFFICER 511916 0 107300 0 186328 0 13057 0 26235 0 844836 0 142000 0 SARA JEAN CUCCURULLO MEDICAL DIRECTOR EXECUTIVE 535138 0 66150 0 60 0 9818 0 27870 0 639036 0 0 0 AMIE THORNTON SENIOR VP OPERATIONS 348992 0 74200 0 78110 0 6028 0 4674 0 512004 0 69800 0 INDRANIL GANGULY VP & CIO 358821 0 116100 0 552 0 5400 0 26334 0 507207 0 0 0 SHIRLEY HIGGINS BOWERS SENIOR VP HUMAN RESOURCES 312323 0 57200 0 45600 0 20170 0 22042 0 457335 0 30920 0 JAMES LINDQUIST RN CHIEF NURSING OFFICER 312035 0 52600 0 360 0 3677 0 27969 0 396641 0 0 0 THOMAS C STEINEKE MD PHYSICIAN 662784 0 40000 0 29798 0 6112 0 26101 0 764795 0 0 0 JAWAD F KIRMANI MD PHYSICIAN 563398 0 28806 0 120110 0 5400 0 23869 0 741583 0 0 0 STEPHEN BLOOMFIELD MD PHYSICIAN 595651 0 0 0 3798 0 6794 0 23869 0 630112 0 0 0 GREGORY PRZYBYLSKI MD MED DIRECTOR NEUROSURGERY EXEC 488830 0 78323 0 18000 0 6914 0 27747 0 619814 0 0 0 ASIF BASHIR MD PHYSICIAN 547790 0 0 0 28020 0 5400 0 7646 0 588856 0 0 0 SCHEDULE J, PART I, QUESTION 4B 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. A NJ HEALTHCARE FACILITIES FINANCING AUTHORITY 221987084 64580AAT8 2009-06-18 119623712 REFUNDING & CAPITAL IMPROVEMENTS false false false A 13239970 0 119745700 0 0 0 1971722 0 0 21892468 95881510 0 2013 true true true true A false true false false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true A true 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. 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 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 MEDIPLEX SURGICAL CTR ASSOC LP 98 JAMES STREET EDISON NJ 08820 222846980 REAL ESTATE NJ NA 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 98 JAMES STREET EDISON NJ 08820 223477610 INACTIVE NJ NA C CORP false JFK MEDICAL GROUP PC 98 JAMES STREET EDISON NJ 08820 223482637 HEALTHCARE NJ NA C CORP false JFK HARTWYCK MGT & CONSULTING INC 98 JAMES STREET EDISON NJ 08820 223812130 INACTIVE NJ NA C CORP false JFK HEALTHSHARE INC 98 JAMES STREET EDISON NJ 08820 222528967 MANAGEMENT NJ NA C CORP false MIDTOWN SHOPS INC 98 JAMES STREET EDISON NJ 08820 221536954 INACTIVE NJ NA C CORP false THE PRIMARY CARE NETWORK INC 98 JAMES STREET EDISON NJ 08820 522069919 INACTIVE NJ NA C CORP false JFK Ambulatory Care PA 98 James Street Edison NJ 08820 473018240 HEALTHCARE NJ NA C CORP false true false true false false false false false false false true false false false true true true false false