2017-11-15T12:12:58-06:00 2016-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2016-01-01 222783298 JERSEY CITY MEDICAL CENTER % CATHERINE DOWDY CPA JERS 9733224032 44 BRIGHT STREET JERSEY CITY NJ 07302 DOMENIC SEGALLA CFO 2017-11-15 true Scott J Mariani P00642486 9738989494 148.77.36.74 22006220173195000121 2017-11-15 P EFB3F90CD62757DA7B098748B029987CE34337C5 8A18823307223DEFE2348A7E64ED0049F1172BAE 2016 2021-01-29 14:40:06Z X BARRY H OSTROWSKY 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 380526203 false X WWW.RWJBH.ORG X 1987 NJ the organization's mission is to offer healthcare services with compassion and dignity. 19 16 3320 200 0 13136601 13124150 384814320 364690835 -280591 35336 1700247 1660856 399370577 379511177 143508 71920 0 0 183939729 187248093 0 0 0 177358648 194860944 361441885 382180957 37928692 -2669780 558538526 378062687 406107146 236962813 152431380 141099874 X THE ORGANIZATION'S MISSION IS TO OFFER HEALTHCARE SERVICES WITH COMPASSION AND DIGNITY. THE ORGANIZATION PROVIDES PATIENTS, THEIR FAMILIES AND ALL IN NEED, EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES AND PROGRAMS TO ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, THE ORGANIZATION IN COLLABORATION WITH ITS PHYSICIANS, NURSES AND STAFF, WILL: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL, REGARDLESS OF RACE, COLOR, CREED, SEX, GENDER, RELIGION, ABILITY TO PAY INCLUDING REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIPS WITH OTHER HOSPITALS AND SYSTEMS. THE ORGANIZATION WILL BE GUIDED BY A BOARD OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. THROUGH DIFFERENTIATION, false false 69443527 0 69316526 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT MEDICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2016 THE ORGANIZATION TREATED 152,905 OUTPATIENTS FOR MEDICAL SERVICES. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 31336899 0 22507874 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT GENERAL SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2016 THE ORGANIZATION PERFORMED 660 INPATIENT GENERAL SURGERY PROCEDURES FOR A TOTAL OF 8,777 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 30518636 0 22577491 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT GENERAL MEDICINE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2016 THE ORGANIZATION TREATED 2,285 INPATIENTS FOR GENERAL MEDICINE SERVICES FOR A TOTAL OF 11,932 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 212670994 71920 250288944 343970056 true true false true false false false false false false true false false true true true false true false false true false false false false false true true true true true false false false false false false true false false false false false true true true false false false true 1031 0 true 3320 true false false false false false false false false false false X 19 16 false false false false true true true true true false false true true true true true true true true false NJ X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X ROBERT E MARGULIES ESQ CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 THOMAS M GALLAGHER VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 MARVIN GLAZERMAN SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 SEENA A STEIN TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 THOMAS A BIGA TRUSTEE 60.0 0.0 X 0 2308539 49804 CATHERINE M CARNEVALE TRUSTEE 1.0 0.0 X 0 0 0 ABEGAIL DOUGLAS-JOHNSON TRUSTEE 1.0 0.0 X 0 0 0 GENEVIEVE GAZON TRUSTEE 1.0 0.0 X 0 0 0 KIM HAAS TRUSTEE 1.0 0.0 X 0 0 0 CARLOS LEJNIEKS TRUSTEE 1.0 0.0 X 0 0 0 EDGAR MARTINEZ TRUSTEE 1.0 0.0 X 0 0 0 W NEVINS MCCANN ESQ TRUSTEE 1.0 0.0 X 0 0 0 RICHARD O'NEILL TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH A PANEPINTO JR TRUSTEE 1.0 0.0 X 0 0 0 VERONICA PARK TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL PHAM MD TRUSTEE - EX-OFFICIO 1.0 0.0 X 0 0 0 JOSEPH F SCOTT FACHE TRUSTEE; EX-OFFICIO - CEO 55.0 0.0 X X 1184139 0 15030 RITA V SMITH DNP TRUSTEE; EX-OFF-SVP/PAT CARE 55.0 0.0 X X 677193 0 16437 ALAN J WILZIG TRUSTEE 1.0 0.0 X 0 0 0 JEREMY KAPLAN TRUSTEE (TERMED 6/30/16) 1.0 0.0 X 0 0 0 DOMENIC SEGALLA EVP/CFO 55.0 0.0 X 0 608823 93616 MICHAEL PRILUTSKY COO (EFF. 8/1/16) 55.0 0.0 X 166379 0 2325 KENNETH GARAY MD CHIEF MEDICAL OFFICER 55.0 0.0 X 771806 0 23729 BRENDA HALL SVP, PATIENT SAFETY 55.0 0.0 X 334214 0 23188 DOUGLAS RATNER MD VP, CHAIRMAN MEDICAL 50.0 0.0 X 466848 0 27028 MARY CATAUDELLA VP, HUMAN RESOURCES 50.0 0.0 X 374686 0 21860 ANROY OTTLEY MD PHYSICIAN 50.0 0.0 X 1599863 0 30493 BRUNO MOLINO MD PHYSICIAN 50.0 0.0 X 737217 0 31189 SHERWIN SCHRAG MD PHYSICIAN 50.0 0.0 X 687813 0 27011 MITCHELL CHAAR MD PHYSICIAN 50.0 0.0 X 645117 0 19341 MICHAEL BIMONTE MD VICE PRESIDENT 50.0 0.0 X 535473 0 21878 8180748 2917362 402929 384 true true false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 22987985 TOTAL CARDIOLOGY CARE LLC 120 FRANKLIN STREET JERSEY CITY NJ 07307 MEDICAL 3094226 SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 2941613 NEW JERSEY HEALTHCARE SPECIALISTS 7700 WEST SUNRISE BLVD PLANTATION FL 33322 MEDICAL 2729885 PRN FINANCIAL SERVICES LLC 1040 KINGS HIGHWAY NORTH SUITE 500 CHERRY HILL NJ 08034 BILLING/COLLECTION 2306698 54 X 435169 12417576 271405 13124150 NET PATIENT SERVICE REVENUE 541900 354606343 354606343 OTHER HEALTHCARE RELATED REVENUE 541900 10084492 10084492 364690835 4339 4339 3310 3310 0 1015026 1015026 0 0 0 0 27687 27687 27687 27687 0 0 0 0 0 0 0 0 0 PARKING REVENUE 812930 1181373 1181373 CAFETERIA REVENUE 453220 479483 479483 1660856 379511177 364690835 1696192 20000 20000 51920 51920 0 0 4104863 3694375 410488 0 0 147786272 133007645 14778627 5751090 5175981 575109 16321364 14689228 1632136 13284504 11956054 1328450 25929598 23336638 2592960 0 0 0 0 0 22548062 20293256 2254806 0 345643 311079 34564 9799121 8819209 979912 1307724 1176952 130772 0 10443286 9398958 1044328 110876 99789 11087 0 44128 39715 4413 6593406 5934066 659340 0 13925002 12532502 1392500 4430085 3987077 443008 MEDICAL SUPPLIES 54011000 48609900 5401100 0 PHYSICIAN FEES 37767790 33991011 3776779 0 REPAIRS & MAINTENANCE 2905311 2614780 290531 0 OTHER EXPENSES 4699912 4229921 469991 0 382180957 343970056 38210901 0 X 8843 8997 2734531 86624 1098516 1852615 28081776 31332620 0 0 0 0 0 0 5406689 6439758 3984386 2160218 286335202 32994029 239768130 253341173 0 0 0 0 5941140 5953471 0 0 271514515 76887211 558538526 378062687 39535194 29844075 0 0 6042900 5615289 0 0 0 0 0 0 1016184 725012 0 0 359512868 200778437 406107146 236962813 X 146490238 136791732 5941142 4308142 0 0 152431380 141099874 558538526 378062687 X -2669780 -8661726 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF BARNABAS HEALTH, INC. AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. 69720000 69720000 155823787 11618328 144205459 2908985 712112 2196873 55401521 20457481 34944040 2480909 206108 2274801 253341173 OTHER ASSETS 2221376 DUE FROM AFFILIATES 72973832 OTHER RECEIVABLES; NET 1692003 THIRD PARTY PAYORS; NET 0 76887211 0 ACCRUED PENSION LIABILITY 9238354 OTHER CURRENT LIABILITIES 13236420 OTHER LONG-TERM LIABILITIES 1514527 PARTY PAYORS; CURRENT 201775 DUE TO AFFILIATES 3429004 LIABILITY 161743955 PARTY PAYORS; NON-CURRENT 8111483 ACCRUED INTEREST EXPENSE 3302919 200778437 X SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF AND FOR THE NINE MONTHS ENDED DECEMBER 31, 2016. Central America and the Caribbean Program Services FINANCIAL VEHICLE 2665846 2665846 2665846 false false false false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $2,665,846; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X 500. true true true false true true 17004 35635965 35187966 447999 0.00120 103200 133322130 96277566 37044564 0.09690 2277606 0 2277606 0.00600 120204 171235701 131465532 39770169 0.10410 34419 398291 79800 318491 0.00080 10113913 5501543 4612370 0.01210 2635 8138830 3317291 4821539 0.01260 248723 0 248723 0.00070 37054 18899757 8898634 10001123 0.02620 157258 190135458 140364166 49771292 0.13030 true 24600207 5092243 76558721 70373350 6185371 X true true 1 1 JERSEY CITY MEDICAL CENTER 355 GRAND STREET JERSEY CITY NJ 07302 WWW.BARNABASHEALTH.ORG 10904 X X X X X 1 JERSEY CITY MEDICAL CENTER 1 false false true X X X X X X X X X X 16 true false false true X WWW.RWJBH.ORG X X true 16 false true false true X 200. 500. X X X X X true true X X X true X WWW.RWJBH.ORG X WWW.RWJBH.ORG X WWW.RWJBH.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 3J The COMMUNITY HEALTH NEEDS assessment ("CHNA") included results from a qualitative survey of service area residents; a comprehensive review of secondary data sources from a County and service area perspective where available; facility-specific and the facility's service area-specific utilization (e.g. ambulatory care sensitive condition admissions and ED visits) and other measures (e.g. re-admission rates). SCHEDULE H, PART V; SECTION B, QUESTION 5 A comprehensive resident survey was conducted to provide qualitative data for the CHNA. The CHNA was further informed by local health officers and other community stakeholders through a survey of their assessment of the community's health need priorities, barriers and other considerations. The public health officers were provided hospital utilization for their review and assessment of community health needs as part of the collaborative process. In addition, the facility participated in a county-wide public health symposium with public health officers and community stakeholders including: insurance company, community-based organization, other health providers (physicians, home care), state and local health departments. Details including symposium attendees are contained in the CHNA. SCHEDULE H, PART V, SECTION B, QUESTIONs 7A & 7D The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Question 7a, is the home page for the system. The CHNA can be accessed at the following page included in the systems website: http://www.barnabashealth.org/Jersey-City-Medical-Center/About-Us/Communit y-Health-Needs-Assessment.aspx THE CHNA was shared with the local health department SCHEDULE H, PART V, SECTION B, QUESTION 8 The facility, with limited resources, prioritized health needs that were identified and developed an implementation plan to address these priority health need areas. The System and Facility strategic plan maps to improved community health and the CHNA implementation plan. The CHNA implementation plan includes resources, actions and goals (measurable). SCHEDULE H, PART V, SECTION B, QUESTION 11 As discussed above, the facility conducted a comprehensive assessment in which a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by the facility and ability to collaborate. SCHEDULE H, PART V,SECTION B,Q'S 13B,13H,15E,16J,18D,19E,20E,21C,21D,23,24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 16 The organization is an affiliate within RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitations, the website listed in Part V, Section B, Questions 16a, 16band 16c, is the home page for the system. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: http://www.barnabashealth.org/For-Patients/Financial-Resources/Financial-A ssistance-Policy-FAP-.aspx 5 JERSEY CITY MEDICAL CENTER 953-961 GARFIELD AVENUE JERSEY CITY NJ 07302 OUTPATIENT CLINICS JERSEY CITY MEDICAL CENTER 9 NUNDA AVENUE JERSEY CITY NJ 07302 RESIDENTIAL PSYCHIATRIC SERVICES JCMC AMBULATORY CARE FACILITY 415 SUMMIT AVENUE JERSEY CITY NJ 07306 AMBULATORY CARE JCMC AMBULATORY CARE FACILITY 377 JERSEY AVENUE JERSEY CITY NJ 07302 AMBULATORY CARE JCMC AMBULATORY CARE FACILITY 395 GRAND STREET JERSEY CITY NJ 07302 AMBULATORY CARE SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE H, PART I, LINE 3C The income based criteria used to determine eligibility is per New Jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the 2016 poverty guidelines (Department of Health and Senior Services). Federal poverty guidelines are included in the criteria for determining eligibility for charity and discounted care. SCHEDULE H, PART I, LINE 6A The Medical Center has prepared an annual report for 2016 reporting on its accomplishments and services provided. The report is available to the public. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II Community building activities undertaken by Jersey City Medical Center ("JCMC") improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. JCMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. We also provide to schools, senior centers and other community organizations programs about safety and trauma prevention including proper use of car seats, bicycle safety, and fall prevention for seniors. Several times a year working with local police departments we provide this free educational service at local shopping centers, libraries and police department headquarters. The hospital holds an annual community meeting as required by the New Jersey Department of Health where the community can ask questions and give comments to the hospital leadership and board of trustees. Please refer to the Form 990, Schedule O, which contains the organization's community benefit statement AND OUR RESPONSE TO SCHEDULE H, PART VI, QUESTION 6 SUMMARY OF ALL ENTITIES WHICH COMPRISE rwjBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. RWJBARNABAS HEALTH ("RWJBH") AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RWJBH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(D) AND 2(n) ON PAGES 9 AND 14; RESPECTIVELY, OF THE RWJBARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH THE CORPORATIONS MISSION AND PHILOSOPHY, THE CORPORATION'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE NINE MONTHS ENDED DECEMBER 31, 2016 IS AS FOLLOWS: 2016 -------- (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET COST OF CHARITY CARE PROVIDED $48,018 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $150,438 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 3,829 - EDUCATION AND RESEARCH $40,597 - SUBSIDIZED DEPARTMENTS $35,999 - OTHER COMMUNITY BENEFIT $ 8,108 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR THE NINE MONTHS ENDED DECEMBER 31, 2016, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $47,703, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW. SCHEDULE H, PART III, SECTION B; QUESTION 8 Medicare costs were derived from the 2016 Medicare cost report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The organization feels that Medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the Form 990, schedule H, Part I. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity care standard In 1956, the IRS issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the IRS issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the AHA position. As outlined in the AHA letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the aha felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. - Medicare, like Medicaid, does not pay the full cost of care. Recently, Medicare reimburses hospitals only 92 cents for every dollar they spend to take care of Medicare patients. The Medicare payment advisory commission ("MEDPAC") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 46 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called eligibles." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - The CBO concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF the RWJBARNABAS HEALTH ("RWJBH") BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER/TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD); OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR NBIMC ANNUALLY WHICH INCLUDES: - a review of healthcare utilization of its service area population by services (cardiology, obstetrics, gynecology, urology, etc.) for determining increased or decreased health needs; - healthcare service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data; and - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). Barnabas Health conducts an extensive service area population physician need study (by primary care and physician specialty) every three to five years. The study uses generally accepted physician to population ratios to identify gaps in service. These studies inform medical staff development and recruitment needs at the Medical Center and assure responsiveness to identified community physician needs and to improve access to physician services. JCMC reviews patient surveys and comments to understand patient and family concerns. Further, JCMC participates and works with many local organizations on health issues including: discussing and prioritizing needs, coordinating services, providing education and specialty knowledge, and supporting local health promotions. JCMC also participates with a collaborative organization is the Greater Newark Health Care Coalition, which includes executive leadership of hospitals and health organizations in the greater Newark area. This coalition meets monthly with the mission to reduce health disparities and to improve health. JCMC also works with Hudson County Health Department to plan and implement a local needs assessment/health status approximately every five years. These community touch points provide the hospital with valuable external insights regarding community need. SCHEDULE H, PART VI; QUESTION 3 Charity care signs are posted throughout the facility, mainly in patient registration areas. Signs are posted in both English and Spanish. All patients deemed self-pay are screened for financial assistance by a resource advisor according to the federal poverty guidelines and referred to appropriate agencies or programs. SCHEDULE H, PART VI; QUESTION 4 JCMC is located in Jersey City, the population center of Hudson County. Jersey City was the second most populous city in New Jersey in the 2010 census count and was among the top population growth places in New Jersey. Hudson County is estimated to have the largest population growth in the state since 2010, adding over 40,000 people. With a location across the river from New York City, Jersey City has a fast-expanding skyline and its rapid revitalization of the city is supported by an integrated transportation system including a port of entry with 11 miles of waterfront and significant rail connections. Jersey Citys economic sphere is one of the fastest-growing as more Fortune-500 corporations such as Chase Manhattan Bank, Lehman Brothers, Merrill Lynch, Charles Schwab, continue to bring their businesses to the area. It has one of the most diverse populations in the United States, and is host to an array of ethnicities and cultures including communities of Jewish, Italian, Cuban, Filipino, Polish, Indian, Irish, Puerto Rican, Dominican, African, Arab, and Asian descent. JCMC serves areas that include MUA/MUP designations and state designation as medically underinsured and is an Urban Enterprise Zone (UEZ) by the State of New Jersey. Jersey City has high unemployment and poverty ratios compared to state and local averages. Households in the economic census reflect lower median and mean household incomes. JCMC is committed to providing quality and compassionate care to its inner city communities; serving an inpatient population, excluding newborns) comprised of more than 65% minority representation and nearly 46% underinsured and uninsured payer classifications in 2016. Medicare represents an additional 30% of the inpatients by payer classification. SCHEDULE H, PART VI; QUESTION 5 Community building activities are undertaken by JCMC to improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. JCMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. The majority of the Board of Trustees members are individuals with local businesses or who reside in the community. Hospital staff members serve on the Boards of many local not-for-profit organizations or provide other forms of support such as fundraising, activity participation and promotion of the charitable events and mission. All qualified physicians are extended privileges. Diversity is welcomed and encouraged for recruitment of Trustees, physicians and staff. Under the directive of the Systems Finance Office, surplus funds are utilized for capital projects to improve services, to purchase equipment, or to advance medical care, programs and activities. All of these purposes for expenditure of surplus funds, in turn, benefit the community. Please also refer to Form 990, Schedule O, which contains the organizations community benefit statement and provides a summary of entities comprising Barnabas Health. SCHEDULE H, PART VI; QUESTION 6 JCMC IS AN AFFILIATE OF RWJBARNABAS HEALTH ("RWJBH"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. RWJBH STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS BY EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. RWJBH SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED FOR PART I, PART II, AND PART III ARE REFLECTIVE OF THAT POLICY. RWJ BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ BARNABAS HEALTH, INC. OPERATES AS THE PARENT ENTITY OF A MULTI-CORPORATE HEALTHCARE SYSTEM, WHICH INCLUDES ALL OF THE TAX-EXEMPT HOSPITALS OF THE FORMER SEPARATE BARNABAS HEALTH AND THE ROBERT WOOD JOHNSON HEALTH SYSTEMS. IT WAS CREATED TO COORDINATE, SUPERVISE AND ENSURE THE CONTINUATION AND IMPROVEMENT OF THE QUALITY OF HEALTHCARE SERVICES PROVIDED BY ITS QUALIFYING AFFILIATES TO THE COMMUNITY. RWJ BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. RWJ BARNABAS HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF BARNABAS HEALTH, INC. ("BH"). CMMC'S SOLE CORPORATE MEMBER IS BH. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY WITHIN THE SYSTEM IS EITHER RWJ BARNABAS HEALTH, INC. OR ANOTHER RWJBH AFFILIATE CONTROLLED OR OWNED BY RWJ BARNABAS HEALTH, INC. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE RWJBH. ACTIVE HOSPITALS INCLUDE CHILDRENS SPECIALIZED HOSPITAL, CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, JERSEY CITY MEDICAL CENTER, MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH ACUTE CARE HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR (SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. IS A BEHAVIORAL HEALTH SPECIALTY HOSPITAL FACILITY AND, ACCORDINGLY, DOES NOT OPERATE AN EMERGENCY ROOM); 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF BARNABAS HEALTH, INC. (BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY); AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. AFFILIATED RWJBH ENTITIES ARE AS FOLLOWS: CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162-BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CLARA MAASS MEDICAL CENTER ("CMMC") IS A 469-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 592-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. JERSEY CITY MEDICAL CENTER ("JCMC") IS A 316-BED REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE, LOCATED IN JERSEY CITY, HUDSON COUNTY, NEW JERSEY. JCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, JCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, JCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MONMOUTH MEDICAL CENTER ("MMC") IS COMPRISED OF THE FOLLOWING HOSPITALS: MONMOUTH MEDICAL CENTER, A 513-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY AND MONMOUTH MEDICAL CENTER- SOUTHERN CAMPUS, A 330-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 665-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A LICENSED 265-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., D/B/A BARNABAS HEALTH BEHAVIORAL HEALTH CENTER, IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. BARNABAS HEALTH BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS, SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BARNABAS BAYONNE DEVELOPMENT URBAN RENEWAL CORPORATION F/K/A MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX- EXEMPT ORGANIZATION, AND SUPPORTS THE BARNABAS HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE LEGACY BARNABAS HEALTH AFFILIATES; PRE ROBERT WOOD JOHNSON HEALTH SYSTEM AFFILIATION; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE AND PREVENTION SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. BARNABAS HEALTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF BARNABAS HEALTH, INC. AND THE BARNABAS HEALTH SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR BARNABAS HEALTH AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC., IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT ALSO PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LIBERTY HEALTH CARE SYSTEM ("LHCS") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). LIBERTY HEALTHCARE SYSTEM FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE LIBERTY HEALTHCARE SYSTEM. SCHEDULE H, PART VI; QUESTION 6 LIBERTY RIVERSIDE HEALTHCARE IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C )(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATIONS MISSION WAS TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY PRIOR TO THE SALE OF THE HOSPITAL AND ITS ASSETS ON DECEMBER 7, 2010. MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF BARNABAS HEALTH, INC., AND PROVIDES HOME HEALTH AGENCY SERVICES IN SUPPORT OF BARNABAS HEALTH, INC. AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS. MONMOUTH MEDICAL CENTER-FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NEW MARGARET HAGUE CENTER WOMEN'S JERSEY MEDICAL CENTER OB/GYN IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PROFESSIONAL OBSTETRICAL AND GYNECOLOGICAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. RWJ HEALTH CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ORGANIZATION OF A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHICH INCLUDES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ORGANIZATION OF A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHICH INCLUDES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SCHEDULE H, PART VI; QUESTION 6 SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF BARNABAS HEALTH. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY. OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS, CORP. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE BARNABAS HEALTH SYSTEM. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS BURN UNIT AT SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF NEWARK BETH ISRAEL MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. UNITED RESCUE AT JERSEY CITY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE SYSTEM ALSO INCLUDES ADDITIONAL NOT-FOR-PROFIT ENTITIES THAT ARE RECOGNIZED AS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS BUT ARE CURRENTLY INACTIVE. THESE ENTITIES INCLUDE THE FOLLOWING: - BARNABAS HEALTH PHYSICIAN ASSOCIATES, P.C.; - GREENVILLE HOSPITAL; - IRVINGTON HOSPITAL FOUNDATION, INC.; - LAKEVIEW CHILD CARE CENTER FOUNDATION, INC.; - LIBERTY BEHAVIORAL HEALTH ASSOCIATES; - LIBERTY SURGICAL ASSOCIATES; - SOMERSET COMMUNITY CARE CORPORATION; AND - SOMERSET HEALTH CARE AFFILIATES, INC. FOR PROFIT RWJBARNABAS HEALTH ENTITIES INCLUDE THE FOLLOWING: ACUCARE PHYSICIANS, P.C. IS A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CENTRAL JERSEY ACO, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY BARNABAS HEALTH, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. CENTER STATE MANAGEMENT CORPORATION IS A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS CSHS THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY PROVIDES ADVERTISING SERVICES FOR BOTH BH ENTITIES AND NON-SBHCS ENTITIES AND PROVIDES MANAGEMENT SERVICES TO PHYSICIAN GROUPS. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD, A CONTROLLED FOREIGN CORPORATION OF SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. CSH VENTURES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY. EOS, INC. IS AN INACTIVE FOR-PROFIT CORPORATION. HAMILTON ENDOSCOPY & SURGERY, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. HEALTH CARE FACILITIES MANAGEMENT, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC MANAGEMENT CORPORATION (THE SOLE STOCKHOLDER OF WHICH IS SBC). THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO BH ENTITIES. INNOVATIVE PURCHASING CONCEPTS, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY THE BARNABAS HEALTH SYSTEM HOSPITALS. THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. JERSEY ASC VENTURES, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY CENTER STATE MANAGEMENT CORPORATION THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. JCMC PHYSICIAN ASSOCIATES, P.C. WAS AN INACTIVE FOR-PROFIT CORPORATION. THIS CORPORATION WAS DISSOLVED IN 2016. KIMBALL HEALTH CARE AFFILIATES, INC. IS A FOR PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CENTER STATE HEALTH SERVICES CORP. THIS ENTITY IS A PARTNER IN KIM-MED ASSOCIATES AND RECEIVES A FORM K-1 ANNUALLY FROM THE PARTNERSHIP. KIM-MED ASSOCIATES IS A PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. MMC AND KIMBALL HEALTH CARE AFFILIATES, INC. ARE THE PARTNERS IN THIS PARTNERSHIP. LIBERTY HEALTHCARE CAPITAL IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LHCS. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO LIBERTY HEALTHCARE SYSTEM. LIBERTY HEALTHCARE MANAGEMENT, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY WHICH PROVIDES MANAGEMENT SERVICES. LIBERTY HEALTHCARE SYSTEM, INC. AND LIBERTY HEALTHCARE CAPITAL, INC. ARE THE PARTNERS IN THIS PARTNERSHIP WITH 99% AND 1% OWNERSHIP INTERESTS, RESPECTIVELY. LIBERTY/USP SURGERY CENTERS, LLC IS A PARTNERSHIP WHICH PROVIDES SURGERY SERVICES TO INDIVIDUALS. LIVINGSTON INFUSION CARE, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS BH. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A MRI MACHINE AND THE RECEIPT OF RENTAL INCOME. LSC PHARMACY SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES A PHARMACY FOR BH ENTITIES. SCHEDULE H, PART VI; QUESTION 6 MAJOR SECURITY SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO BH ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. NEW JERSEY HEALTH CARE SYSTEM, INC. IS AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTH, INC. IS AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTHCARE ASSOCIATES IS AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY IMAGING NETWORK, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY LIVINGSTON SERVICES CORPORATION. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION IS AN INACTIVE FOR-PROFIT CORPORATION. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, IS A VERMONT BASED INSURANCE COMPANY. RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. IS AN INACTIVE FOR-PROFIT ENTITY. RWJ HEALTH NETWORK, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A HEALTH CARE SYSTEM. RWJ KIDNEY TRANSPLANT ASSOCIATION IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL ASSOCIATES AT HAMILTON IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. R.W.J. MEDICAL ASSOCIATES, P.A., IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY GROUP, P.A. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ PHYSICIAN ENTERPRISE, P.A. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SBC MANAGEMENT CORPORATION IS A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS BH. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO BH. SHC ENTERPRISES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SHREWSBURY DIAGNOSTIC IMAGING, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY MONMOUTH MEDICAL CENTER. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. IS A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY PARTNERS, P.C. IS A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET REALTY GROUP, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION IS AN INACTIVE FOR-PROFIT CORPORATION. SYSTEM AND AFFILIATE MEMBERS, LTD., A CONTROLLED FOREIGN CORPORATION OF RWJ HEALTH SYSTEM LEGACY AFFILIATES. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. VISION HEALTHCARE, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY PROVIDES INVESTMENT SERVICES TO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. VNA HEALTH GROUP OF NEW JERSEY, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY MEGA CARE, INC. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES. WARREN INTERNAL MEDICINE, P.C. IS A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. true JCMC MEDICAL DENTAL STAFF FUND 355 GRAND STREET JERSEY CITY NJ 07302 222783298 501(C)(3) 20000 PROGRAM SUPPORT 1 PATIENT ASSISTANCE 7 51920 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 true true X X X X X false true false false false false false true false THOMAS A BIGA TRUSTEE 0 875251 0 794227 0 639061 0 22525 0 27279 0 2358343 0 0 JOSEPH F SCOTT FACHE TRUSTEE; EX-OFFICIO - CEO 1146950 0 6727 0 30462 0 3925 0 11105 0 1199169 0 0 0 RITA V SMITH DNP TRUSTEE; EX-OFF-SVP/PAT CARE 405812 0 0 0 271381 0 3925 0 12512 0 693630 0 0 0 DOMENIC SEGALLA EVP/CFO 0 565186 0 0 0 43637 0 91575 0 2041 0 702439 0 0 MICHAEL PRILUTSKY COO (EFF. 8/1/16) 166176 0 0 0 203 0 0 0 2325 0 168704 0 0 0 KENNETH GARAY MD CHIEF MEDICAL OFFICER 760948 0 0 0 10858 0 2650 0 21079 0 795535 0 0 0 BRENDA HALL SVP, PATIENT SAFETY 298824 0 0 0 35390 0 3860 0 19328 0 357402 0 0 0 DOUGLAS RATNER MD VP, CHAIRMAN MEDICAL 463284 0 0 0 3564 0 3925 0 23103 0 493876 0 0 0 MARY CATAUDELLA VP, HUMAN RESOURCES 372044 0 0 0 2642 0 3925 0 17935 0 396546 0 0 0 ANROY OTTLEY MD PHYSICIAN 1599323 0 0 0 540 0 3925 0 26568 0 1630356 0 0 0 BRUNO MOLINO MD PHYSICIAN 736378 0 0 0 839 0 3925 0 27264 0 768406 0 0 0 SHERWIN SCHRAG MD PHYSICIAN 687304 0 0 0 509 0 3925 0 23086 0 714824 0 0 0 MITCHELL CHAAR MD PHYSICIAN 644577 0 0 0 540 0 2650 0 16691 0 664458 0 0 0 MICHAEL BIMONTE MD VICE PRESIDENT 528615 0 0 0 6858 0 2650 0 19228 0 557351 0 0 0 SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION'S CURRENT CHIEF OPERATING OFFICER, MICHAEL PRILUTSKY, RELOCATED TO THE STATE OF NEW JERSEY FOR JERSEY CITY MEDICAL CENTER WORK PURPOSES. IN ORDER TO FACILITATE THE RELOCATION OF HIS PRIMARY RESIDENCE, THE ORGANIZATION PROVIDED HIM WITH A HOUSING ALLOWANCE IN THE AMOUNT OF $50,000; NONE OF WHICH WAS INCLUDED IN HIS 2016 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING AND DISTRIBUTIONS 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. A PORTION OF THESE AMOUNTS WERE REPORTED AS EMPLOYEE BENEFIT PLAN CONTRIBUTIONS OF THE ORGANIZATION'S PRIOR YEARS' FORM 990. THE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RITA V. SMITH, DNP, $246,477 AND BRENDA HALL, $24,324. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS A. BIGA, $628,038. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THIS INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2016 FORM W-2, AS TAXABLE WAGES: DOMENIC SEGALLA, $79,650. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2016 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. DAVID RATNER FAMILY MEMBER OF KEY EE 15600 INDEPENDENT CONTRACTOR false CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ============= Jersey City Medical Center ("JCMC") is a regional referral teaching hospital recognized by the IRS as an internal revenue code section 501 (c)(3) tax-exempt organization. Pursuant to its charitable purposes, JCMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, ethnicity, color, creed, gender, sexual orientation, gender identity, national origin, or ability to pay. Moreover, JCMC operates consistently with the following criteria outlined in revenue ruling 69-545. 1. jCMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare, and Medicaid patients; 2. JCMC operates an active emergency room department which is open 24 hours a day, seven days a week, 365 days a year; 3. JCMC maintains an open medical staff with privileges available to all qualified physicians; 4. Control of JCMC rests with its Board of Trustees and the Board of Trustees of Barnabas Health, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patients care, expand and renovate facilities and advance medical care, programs and activities. The operations of JCMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of JCMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private interest being served other than incidentally. Barnabas Health Inc. ("BH"), the parent of Barnabas Health ("Barnabas Health"), and Robert WOOD JOHNSON HEALTH CARE CORPORATION ("RWJHCC"), THE PARENT OF ROBERT WOOD JOHNSON HEALTH SYSTEM ("RWJHS"), SIGNED A DEFINITIVE AGREEMENT ON July 14, 2015 outlining the combination of these two leading health systems creating the largest and most comprehensive healthcare delivery system in the State of New Jersey and one of the largest in the nation - rwjbarnabas health ("rwjbhthe "system"). the transaction (hereinafter referred to as the "merger") successfully completed federal and state review in March 2016 and closed operationally on April 1, 2016. rwjBarnabas health is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. JCMCs sole corporate member is BH. rwj barnabas health, inc. ("rwj BH") is the sole corporate member of bh. rwj BH is also the tax-exempt New Jersey non-profit parent corporation of the integrated healthcare delivery system. The sole member of each entity is either rwj BH or another rwjBH affiliate controlled or owned by rwj BH. JCMC, like its corporate parent, is a not-for-profit organization. This integrated network of healthcare providers provides substantial community benefit throughout the state of New Jersey. rwjBH is the largest multi-hospital system in New Jersey and provides substantial community benefit. rwjBH consists of free-standing acute care hospitals, a free-standing psychiatric hospital, Medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, outpatient behavioral health centers and other entities. rwjBH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, rwjBH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health without charge or at amounts less than established rates. rwjBH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. RWJBH is New Jerseys second largest private employer with more than 32,000 employees, 9,000 physicians on the combined medical staffs (of which in excess of 1,200 are employed) and 1,000 residents and interns and routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in excess of $5 billion and treats over three million patients each year with over 200,000 inpatient admissions, over two million outpatient visits (including 700,000 Emergency Department visits) and more than 24,000 newborn deliveries. RWJBH is comprised of 11 acute care hospitals, 3 acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding behavioral health center, ambulatory care centers, geriatric centers, the States largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and four accountable care organizations. RWJBH created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout New Jersey. The Systems geographic coverage spans Hudson, Essex, Union, Middlesex, Mercer, Somerset, Monmouth and Ocean Counties and encompasses the center of the State serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of Barnabas Health and RWJHS promotes the highest quality health care delivery and greater levels of efficiency. Barnabas Health was formed in June 1996 when six New Jersey hospitals and their affiliates joined Saint Barnabas Medical Center and Union Hospital (), which had affiliated in 1993. The six hospitals included: Community Medical Center, Inc. and Kimball Medical Center, Inc., which had affiliated in 1993 to form the Community/Kimball Health Care System; Newark Beth Israel Medical Center, Inc. and Irvington General Hospital, Inc. ("Irvington"), affiliates of each other since 1991; Monmouth Medical Center, Inc.; and Wayne General Hospital Corp. ("Wayne"). In January 1997, West Hudson Hospital Association, Inc. ("West Hudson") joined Barnabas Health, followed by Clara Maass Medical Center in December 1997. Barnabas Health subsequently divested Wayne, closed West Hudson, Irvington, and Union and consolidated their operations into other system facilities, and sold all of its long-term care facilities, allowing Barnabas Health to concentrate on its core services and facilities. Most recently, Jersey City Medical Center joined Barnabas Health in 2014. RWJHCC was formed in 1984 to promote, support and further the charitable purposes of the Robert Wood Johnson University Hospital and other affiliated and related non-profit health care organizations. Since that time RWJHS expanded to include Robert Wood Johnson University Hospital at Hamilton, Robert Wood Johnson University Hospital Rahway, Childrens Specialized Hospital, Somerset Medical Center, and other health care related ventures. MISSION STATEMENT/VISION/VALUES ================================ Mission Statement ----------------- JCMCs mission is Enhancing Life. These two words are our commitment to provide patients, their families and all in need, excellence in hospital and healthcare services and programs to enhance community health. JCMC collaborates with its physicians, nurses and staff to provide a full range of clinical services for all regardless of race, color, creed, sex national origin, religion or ability to pay. Our clinical services include regional specialty and subspecialty care; well-established academic and clinical affiliations; educational programs for medical students, physicians in residency training, nurses, and EMTs-Paramedics and other healthcare professionals; and innovative relationships with hospitals, FQHCs and other providers. HOSPITAL STATISTICAL INFORMATION ================================ JCMC treats all adults and children regardless of age or their ability to pay for services rendered. JCMC is one of the largest providers of charity care services in the state of New Jersey. In 2016, JCMC admitted nearly 17,000 patients and provided over 87,000 emergency department visits. The Hospital delivered nearly 2,200 babies and our outpatient programs and therapeutic modalities serviced over 200,000 visits. JCMC's patient population is represented by 80% minority race/ethnicity and nearly 35% of patients are of underinsured and uninsured payer classification. JCMC is committed to providing quality and compassionate care to its inner city communities; serving an inpatient population, excluding newborns) comprised of more than 65% minority representation and nearly 46% underinsured and uninsured payer classifications in 2016. Medicare represents an additional 30% of the inpatients by payer classification. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS JCMC Emergency Medical Services includes Basic and Advanced Life Support, special operations, neonatal transfers, critical care inter-facility transports, regional EMS communications, and much more! As one of the largest and busiest EMS systems in the state, JCMC EMS now responds to more than 90,000 incidents a year. JCMC also plays a vital role in domestic preparedness education, homeland security response and educating the public and healthcare providers in CPR and advanced adult and pediatric life support. JCMC is one of New Jersey's largest community teaching hospitals, where physicians work as a team dedicated to academic excellence, clinical competence, and comprehensive and compassionate patient care. JCMC has over 2,600 employees, over 700 physicians, and over 75 medical residents and interns. Jersey City Medical Center is a teaching affiliate and a member of Americas Essential Hospitals. It is also a major teaching affiliate of St. Georges University of Grenada and New York College of Osteopathic Medicine. JCMC has several Nursing Academic affiliations. ACCOMPLISHMENTS/MILESTONES/RECOGNITIONS/AWARDS JCMC is a DNV (Det Norske Veritas) accredited hospital and has been recognized for its excellence in providing care and support for the health and wellness of our community. DNV is recognized by Medicare for the accreditation of Healthcare Organizations (NIAHO) hospital accreditation program. The following is a listing of awards and designations recently received by the Jersey City Medical Center in recognition of its service to the community. - Jersey City Medical Center-Barnabas Health has earned the Vision of Performance Excellence Award (VoPE) in 2016, the highest quality achievement award presented on the state level. - In 2016, JCMC received an ISO 9001 Certification, which demonstrates an organization's ability to consistently meet high customer and regulatory standards for service. - The Commission on the Accreditation of Ambulance Services (CAAS) is a national accrediting body providing Emergency Medical Services (EMS) agencies standardization to increase organizational performance and efficiency, increase clinical quality, safety and decrease risks. The Jersey City Medical Center EMS received official notification stating Jersey City Medical Center was reaccredited with no deficiencies noted. The JCMC EMS was the first EMS agency in the country to receive triple accreditation including CAAS and two other national accreditation agencies for dispatch, education, and emergency medical service. Additionally, in 2016 JCMC EMS received the prestigious EMS 10 Innovators award from the Journal of EMS. - Received an "A" Hospital Safety Score from The Leapfrog Group, an independent national nonprofit group measuring hospital safety and quality, for the 11th consecutive time. Jersey City Medical center is one of only 63 hospitals in the country to have received an A grade for safety each time. - Magnet designation in 2008 and re-designation in 2014 for excellence in patient care by the American Nurses Credentialing Center - Recognized by the American College of Surgeons for "Excellence in Trauma" 2013 - Gold Plus achievement award in stroke quality care form the American Heart and Stroke Association, 6 consecutive years (2012 2017) - State designated regional trauma center - State designated regional heart Center - CEO Gold Cancer Award 2013-2015 - Front Line Worker Champion 2015 from the National Fund for Workforce - Recognized with the HEI Award for LGBT patient care 2014 2017 - 2012 Modern Healthcare Best Places to Work - US News & World Report best regional hospital listing (high performance in nephrology 2012 2013) - 100 Best Places to Work in the Healthcare Field by Beckers Hospital Review, 2012-2013 - Castle Connolly "Top Hospital in NJ" under 350 beds, 2010, 2011 and 2015 - American Heath Association Named JCMC a "Gold Fit-Friendly" Company in 2013 & 2014 - Primary Stroke Center approved by the NJ Department of Health - 2017 Overall Population Heroes Award by New Jersey Department of Health CENTERS OF EXCELLENCE ===================== 1. The Cristie Kerr Womens Health Center The Cristie Kerr Womens Health center opened in 2010 offering imaging and other diagnostic services to women in our community. The center offers breast cancer screening programs including mammograms and education to women in the community regardless of ability to pay. The center is the first full-service facility in Hudson County to provide detection, healing, support, and recovery services. 2. Fannie E. Rippel Foundation Heart Institute ("The Institute") The Institute features state-of-the-art diagnostic technology to provide exemplary outpatient cardiac care. The Institute provides two high-risk cardiac catheterization laboratories, a single plane and a three-dimensional bi-plane along with other critically important diagnostic technology. The medical center is the regions "high-risk" destination for patients with the most comprehensive cardiac center in Hudson County. JCMC is Hudson Countys only full-service heart hospital. Cardiac services provided include angioplasty, diagnostic cardiac catheterization, intravascular ultrasound, pacemaker & implantable cardioverter defibrillator therapy, minimally invasive vein harvesting and cardiac artery bypass graft, thoracic and abdominal aortic aneurysm repair, mitral and aortic valve repair and replacement, electrophysiology, peripheral vascular procedures, including endovascular procedures and cardiac ablation. 3. Port Authority Heroes of September 11 Trauma Center This Regional Trauma Center is the state-designated level II trauma center for Hudson County. In addition to serving the growing communities of Jersey City, the service covers Hudson County, New Jersey Waterways, New Jersey Turnpike, the Holland and Lincoln Tunnels, and Liberty State Park. The Trauma Center provides 24 hour trauma surgery for adults and children. The Center has been active in all regional disasters including the 1993 and 2001 World Trade Center bombings, the "miracle on the Hudson" plane landing, several train derailments, and various hazmat incidents. In addition, the Hospital is a state designated primary stroke center. 4. The Orthopedic Institute at Jersey City Medical Center The Orthopedic Institute offers an expansive array of orthopedic services, from total joint replacement and surgery, to sports medicine and rehabilitation. This unique program brings together a multi-disciplinary team of physicians, nurses, therapists and technicians with the goal of providing seamless coordinated care. Further, there is a Joint Care Coordinator who works with patients having joint replacements and provides education classes prior to your surgery that better prepares patients and their families for the procedure. 5. The neonatal intensive care unit at Jersey City medical Center JCMC is the regions only state-designated "Perinatal Center", accepting and providing treatment to infants suffering from extreme prematurity, severe respiratory distress and feeding issues during the first 28 days of life. 6. Outpatient Services JCMC operates an ambulatory care center adjacent to the hospital as well as two satellite clinics to ensure access for those most in need. Our outpatient services offerings include obstetrics and gynecology, ophthalmology, dental, physical and speech therapy, and audiology. We provide needed outpatients services to special needs populations in our community including the homeless and adults and children requiring behavioral health services, HIV/AIDS patients, and those in need of dialysis. JCMC is the regional psychiatric referral center providing crisis intervention and evaluation, voluntary and involuntary inpatient services, community psychiatric outreach services, and a full spectrum of outpatient psychiatric and addiction services. MEDICAL AND COMMUNITY SERVICES ============================== JCMCs services include an array of medical services and programs that address the healthcare needs of its communities, from diagnostic to prevention and treatment. Volunteer Services ------------------- JCMC has an active and diverse volunteer program providing companionship and support to patients of all ages hospitalized on our nursing floors, the Emergency Department, and other patient areas. JCMC volunteers advocate for patient families and provide them with information and support. They also provide clerical and other support to our staff community. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS JCMC is actively engaged in community education including outreach to schools, churches, and community groups to address targeted, appropriate education needs. Health fairs are held annually in conjunction with businesses and community groups to provide a wide range of screening and education. A dinner with the doctor program was implemented in 2009 and over the past five years physicians have addressed the community on various health issues and the prevention of disease. We also provide recurring safety programs in our community schools to educate children on wellness, trauma prevention and safety and our EMS service provides medical care at community events during the year. MEDICAL STAFF ============= JCMC HAD PHYSICIANS ON ITS MEDICAL STAFF DURING 2016, COMPRISED OF THE FOLLOWING SPECIALTIES: - Athlete Screenings, Matthew J. Morahan III Health Assessment Center for Athletes - Bariatric Surgery - Behavioral Health - Breastfeeding Educational Network - Cardiac Care - Child and Adolescent Behavioral Health Services - Children with Special Needs, Center for - Comprehensive Care, Center for - Critical Care - Diabetes Education Program - Emergency Medical Service (EMS) - Emergency Services - Endocrinology - Epilepsy Center - Eyecare Center - Gastroenterology - Geriatrics and Palliative Care - Hematology/Oncology - Imaging Center - Infectious Diseases - Lung Cancer Screening Program - Medical and Social Services for the Homeless (M.A.S.S.H.) - Ryan White Program - Midwifery - Neonatal Intensive Care Unit (NICU) - Nephrology - Nursing - Orthopedic Institute - Pediatrics - Perinatal Center, Family Regional - Pulmonary Medicine - Rehabilitation, Inpatient Services - Rehabilitation, Outpatient Services - Smoking Cessation Program - Special Child Health Services - Speech/Audiology Services - Stroke Center - Trauma Center - Uncompensated Care Program - Urgent Care Centers (Health Stops) - Vascular Testing Service, Outpatient - Weight Loss - Wellness - Womens Health - Wound Prevention COMMUNITY SERVICE CENTERS ========================= Jersey City Medical Center has a patient navigation program that supports, advocates for, and motivates patients who suffer from chronic disease to better self-manage through the support of physicians and support staff. The navigation program provides a comprehensive patient engagement program to address the multifaceted changes of providing healthcare to low income and vulnerable community. The program targets the following groups of vulnerable patients: individuals with uncontrolled or poorly managed conditions; high-risk or complex patients; patients with multiple chronic conditions; patients who are non-compliant with medications or medical appointments; patients encountering challenging social and stated barriers to care; patients experiencing frequent inpatient hospitalization or ER visits; and individuals in need of care coordination. The navigation team is an integral community resource undertaking several regular health screening activities throughout the community. There are biweekly or monthly health screenings at faith-based organizations, barbershops, community centers, residential buildings, senior centers, public schools, FQHC sites, homeless shelters etc. The patient navigators have implemented weight loss clinics, patient and family support groups, free of charge environmental home assessment for asthma triggers, 1:1 patient education, nutritional consults, cooking and diet tours, community services linkage, chronic disease management, post-discharge phone calls, care giver support and general health education. COMMUNITY PARTNERSHIPS ====================== In 2014, JCMC joined with the Boys and Girls Club of Hudson County, in welcoming the first class of 125 freshmen to the new Great Futures High School for the Health SciencesJersey City's first academic institution dedicated exclusively to the health sciences. The school, which is a collaborative effort between the Boys and Girls Club of Hudson County and the Jersey City Medical Center, is a state-designated charter school providing students a foundation for post-secondary education or workforce readiness in certified health-related professions. Students will learn through integrated projects, case studies and online learning. Graduating students will be certified as emergency medical technicians or patient care technicians, and also encouraged to attend college in a health-related field. The idea for a health-oriented charter high school began to take shape about five years ago when the Boys and Girls Club of Hudson County formed an alliance with JCMC that allowed students to do internships with the hospital's staff. Those short-term educational opportunities have now been expanded into the Great Futures' curriculum. In each of the coming four years, the school will add a new class with total enrollment to reach 500 students. Jersey City Medical Center also conducts a special summer internship to immerse college and high school students in the world of health care while affording them a "real life" work experience. The program, in its fourth year in 2015, provided over 20 young people living in Jersey City, in addition to the children of hospital staff, a six-week paid internship in a specific hospital department, where they work under the direction of a dedicated manager. Students were assigned at the beginning of the program to an individual department based, if possible, on their interests including behavioral health, human resources, emergency department, emergency medical services, dietary, case management, pharmacy, patient access, speech pathology, dental staffing, same day surgery, physical therapy, operating room, physician practices, revenue management, public affairs and volunteer services. Additionally, they participate in weekly meetings with their peers to learn about other hospital services to broaden their experiences and future choices. Additional Community Building Activities undertaken by JCMC improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. JCMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. We also provide to schools, senior centers and other community organizations programs about safety and trauma prevention including proper use of car seats, bicycle safety, and fall prevention for seniors. The hospital holds an annual community meeting as required by the NJ Department of Health where the community can ask questions and give comments to the hospital leadership and board of trustees. MEDICAL SCREENINGS ================== Support Groups & Screenings ---------------------------- - Cancer Support Group - Breast Cancer Survivors Support Group - Diabetes Support Group - Asthma Support Group - Medication Support Group - Caregiver support Group - Cardiac & Concussion Screening - Wellness Screenings - HIV testing COMMUNITY EDUCATION =================== The hospital's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients part of at risk populations, are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives. Events & Classes ---------------- - Cancer Survivorship Day - Diabetes Self-Management Education for the Community - Join us for a Conversation about Managing your Diabetes - Prenatal Yoga - Family & Friends CPR - Car Seat Inspections & Education - COPD Educational Program - Baby Fair for New Parents - "Dinner with the Doctor" - Role of Nutrition in Chronic Disease Management - Healthy Shopping Tours - Free Job Training Class CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PROFESSIONAL MEDICAL EDUCATION AND TRAINING =========================================== JCMC PROFESSIONAL MEDICAL EDUCATION AND TRAINING COSTS, INCLUDED, BUT WERE NOT LIMITED TO, THE FOLLOWING PROGRAMS, LECTURES AND COURSES DURING 2016: - ACL & Meniscul inuries - Ankle and Pilon Fractures - Atrial Fibrillation - Blount's Disease - Calcaneus, Talus and Midfoot Injuries - Cervical Spinal (Degenerative Disc Disease, Stenosis, Myelopathy) Treatment and Idication - Congestive Heart Failure - Developmental Dysplasia of the Hip - Diagnosis & Management of Clostridium difficile Colitis - Diagnosis & Treatment of Abdominal Stab Wounds - Diagnosis and Treatment of Soft Tissue and Chondral Hip Injuries - Distal Radius Fracture: How to think about them and fix them - Documentation for Disability/SSI/Welfare - Dupuytren's and Other Benin "Lumps & Bumps" of the Hand - Evaluation of the Field Athlete: Cervical Spine Injuries, Concussion Protocols and Treatment - Femur and Distal Femoral Fracture: Treatment Options and Strategies - Hand Injuries - Hepatobiliary Carcinoma, Pancreatic Carcinoma and GI Bleed as a Manifestation of Renal CA - Hereditary Cancer Genetics: What do you need to know - Hip Arthroscopy: Where we've been and where we're going - Hodgkins Lymphoma, T-Cell Lymphoma and Large Cell Lymphomas - IM Nailing of the Lower Extremity: Techniques, Tips and Staying out of Trouble - Infective Endocarditis - Inflammatory Breast Cancer and Luminal A Breast Cancer and Papillomatosis - Invasive Breast Cancer of the Nipple - Low Back Pain: Diagnosis and Role of Minimally Invasive Spinal Surgery - Lumbar Degenerative Disease - Malignant Hyperthermia - Management of Complex Bile Duct Injuries - Meniscal Root Pathology - Metachronous bilateral HER breast cancer, Neu positive breast cancer, Invasive Ductal breast - Metachronous Breast Cancer (MBC) - MRI in the preoperative evaluation of Breast Cancer - Mucinous Colloid Carcinoma, Invasive Mucinous Ductal Carcinoma - Multifocal Breast Cancer and HRT, Abnormal MRI following Neoadjuvent Chemotherapy - Multimodal Analgesia in the Post-Operative Patient - Multiplanar Sacral Fracture and Reverse Total Shoulder Arthroplasty - Nash (Non Alcoholic Steato Hepatitis) - Neoadjuvent Chemotherapy, Invasive Breast Cancer, Male Breast Cancer - Management of Tibial Nonunions - Shoulder Arthroplasty: Case Presentation and Review of the Literature. - Osteochandral Defects and Meniscal Injuries about the Knee - Palliative Care - Pancreatic, Esophageal, Gastric and Colon Cancers - Pediatric Forearm, Elbow and Shoulder Injuries - Pediatric Hip Displasia - Phylloides Tumors and Invasive Ductal Carcinoma - Premenopausal Triple Negative Breast Cancer, Genetic Variant of Unknown Significance (VUS) - Primary Hormonal Blockade (non-surgical) in the treatment of Breast Cancer - Proximal Humerus Fractures: Concepts, Techniques, Pitfalls - Radiation Safety - Rotator Cuff Disease: Conservative and Post-Op Physical Therapy Management - Shoulder Dislocation, Ligaments and Bony Contribution - Sleep Deprivation and it's adverse effects - Small Intestinal Tumors - Stage IV Metastatic Breast Cancer in ER Positive Premenopausal Patients - Surviving Sepsis: Update - Templating in Total Hip Arthroplasty - The Soft Tissue Reconstructive Ladder: Definitions, Free Tissue Transfer and Osteocutaneous - The Young High Energy Hip Fracture Patient - Tibial Plateau Fractures: Indications, Treatments and Approaches - Trans Catheter Aortic-Valve Replacement (TAVAR) - Triple positive breast cancer and neoadjuvent toxicity - Unicompartmental Knee Replacement, High Tibial Osteotomy and ACI - Unresectable Breast Cancer, Bilateral Breast Cancer (DCIS and IDC) - Uterine, Thyroid and Merkel Cell Carcinoma - Work place Violence - Zika Virus CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART IV, SECTION A; QUESTIONS 6 & 7 BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF BH. RWJ BH HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH, INC. ("BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF the BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART VII AND SCHEDULE J Certain individuals were reported as officers or key employees on part vii of the 2015 Form 990. Upon a review of their respective duties, roles and responsibilities it was determined that these individuals do not satisfy the criteria to be an officer or key employee under (1) Form 990 rules, regulations and instructions; (2) State of New Jersey law; or (3) the organizations bylaws. Accordingly, these individuals have not been included on this 2016 Form 990 as either an officer, key employee or a former officer nor should have been reported on previous years Forms 990. In addition, certain individuals were reported as officers on part vii of the 2015 Form 990. Upon a review of their respective duties, roles and responsibilities it was determined that these individuals do not satisfy the criteria to be an officer under (1) Form 990 rules, regulations and instructions; (2) State of New Jersey law; or (3) the organizations bylaws. However, it was determined that these individuals do satisfy the criteria to be classified as a key employee for Form 990 reporting purposes. Accordingly, these individuals have been included on this 2016 Form 990 as a key employee. Please note that the organization did not amend its 2015 Form 990 with respect to the reclassifications outlined above. CORE FORM, PART X; LINE 25 The organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - EQUITY TRANSFER TO LIBERTY HEALTHCARE SYSTEM FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($5,625,700); - PENSION AND POST RETIREMENT CHANGES OTHER THAN NET PERIODIC BENEFIT COST - ($2,972,191); - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE LIBERTY HEALTHCARE SYSTEM FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($1,633,000); - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF PROPERTY AND EQUIPMENT - $300,000; - GAIN ON EARLY EXTINGUISHMENT OF DEBT - $339,635; - DISTRIBUTIONS FROM NON CONTROLLING INTEREST - $172,000; AND - OTHER CHANGES IN NET ASSETS - $757,530. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJBARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE PERIOD ENDED DECEMBER 31, 2016. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS JERSEY CITY MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND JERSEY CITY MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY JERSEY CITY MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-2783298. PLEASE NOTE THAT THERE ARE VARIOUS EMPLOYED PHYSICIANS THAT REMIT BILLINGS UNDER THEIR SEPARATE EIN'S DIRECTLY TO JERSEY CITY MEDICAL CENTER. SUCH PHYSICIAN'S RESPECTIVE NAME AND EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER IS NOT OUTLINED ABOVE BUT MAY BE OBTAINED UPON REQUEST. JCMC CARE NETWORK LLC 44 BRIGHT STREET JERSEY CITY NJ 07302 464935475 HEALTH SVCS. 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NJ NA C CORP. false NEW JERSEY HEALTH INC 110 REHILL AVENUE SOMERVILLE NJ 08876 223339824 INACTIVE NJ NA C CORP. false NEW JERSEY HEALTHCARE ASSOC PC 110 REHILL AVENUE SOMERVILLE NJ 08876 223339827 INACTIVE NJ NA C CORP. false NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 223536986 INACTIVE NJ NA C CORP. false NJ MGT SERVICES ORGANIZATION 110 REHILL AVENUE SOMERVILLE NJ 08876 223339486 INACTIVE NJ NA C CORP. false PROFESSIONAL QUALITY LIAB 100 BANK STREET BURLINGTON VT 05401 205163819 INSURANCE SVCS. VT NA C CORP. false RWJ HAMILTON PHYSICIAN ENTERPRISE PA ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 460765254 HLTHCARE SVCS. NJ NA C CORP. false RWJ HEALTH NETWORK INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223420314 HLTHCARE SVCS. NJ NA C CORP. false RWJ KIDNEY TRANSPLANT ASSOC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 030382501 HLTHCARE SVCS. NJ NA C CORP. false RWJ MED ASSOC AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 223454267 PROF. SVCS. NJ NA C CORP. false RWJ MED SVCS ORG AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 223454270 HLTHCARE SVCS. NJ NA C CORP. false RWJ MEDICAL ASSOCIATES PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223586872 HLTHCARE SVCS. NJ NA C CORP. false RWJ MULTI-SPECIALTY GROUP PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 030382492 HLTHCARE SVCS. NJ NA C CORP. false RWJ PHYSICIAN ENTERPRISE PA 3 EXECUTIVE DRIVE SUITE 400 SOMERSET NJ 08873 453967414 HLTHCARE SVCS. NJ NA C CORP. false RWJ SURGERY CENTER INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223698431 HLTHCARE SVCS. NJ NA C CORP. false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223414332 MGMT SVCS. NJ NA C CORP. false SHC ENTERPRISES INC 110 REHILL AVENUE SOMERVILLE NJ 08876 222665595 MANAGEMENT NJ NA C CORP. false SOMERSET CARDIOLOGY GROUP PC 110 REHILL AVENUE SOMERVILLE NJ 08876 371640531 MEDICAL SVCS. NJ NA C CORP. false SOMERSET CARDIOLOGY PARTNERS PC 110 REHILL AVENUE SOMERVILLE NJ 08876 900668649 MEDICAL SVCS. NJ NA C CORP. false SOMERSET REALTY GROUP INC 110 REHILL AVENUE SOMERVILLE NJ 08876 223269525 REAL ESTATE NJ NA C CORP. false SOMERSET STAFFING CORP 110 REHILL AVENUE SOMERVILLE NJ 08876 113829651 INACTIVE NJ NA C CORP. false VISION HEALTHCARE INC 865 STONE STREET RAHWAY NJ 07065 204285005 INVESTMENT NJ NA C CORP. false WARREN INTERNAL MEDICINE PC 110 REHILL AVENUE SOMERVILLE NJ 08876 352366107 MEDICAL SVCS. NJ NA C CORP. false CPIC 44 CHURCH STREET HAMILTON BERMUDA BD HM11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false SYSTEM AND AFFILIATE MEMBERS LTD POWER HOUSE 7 PAR-LA-VILLE ROAD HAMILTON BD HM11 980656382 FINANCIAL VEHICLE BD NA FOREIGN CORP. false false false true true true false false false false false false false true true true true true true true BARNABAS HEALTH INC D 8157601 COST BARNABAS HEALTH INC E 5498010 COST BARNABAS HEALTH INC M 22987985 COST BARNABAS HEALTH INC r 20904814 cost SCHEDULE R, PART V THE ORGANIZATION IS A MEMBER OF RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AFFILIATES WITHIN THE SYSTEM, BARNABAS HEALTH, INC. AND SBC MANAGEMENT CORPORATION, BOTH RELATED ORGANIZATIONS, ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES WITHIN RWJBARNABAS HEALTH IN THE ORDINARY COURSE OF BUSINESS, INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.