2017-11-15T12:27:10-06:00 2016-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2016-01-01 221537688 HUNTERDON MEDICAL CENTER % GAIL KOSYLA HUNT 9087886153 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 GAIL KOSYLA CFO 2017-11-15 true Scott J Mariani P00642486 9738989494 148.77.36.74 22006220173195000152 2017-11-15 P EFB3F90CD62757DA7B098748B029987CE34337C5 8A18823307223DEFE2348A7E64ED0049F1172BAE 2016 2021-01-29 14:40:06Z ROBERT P WISE 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 274473008 false X WWW.HUNTERDONHEALTHCARE.ORG X 1948 NJ STRIVES TO PROVIDE TO THE MAXIMUM EXTENT POSSIBLE QUAL COMPR. HLTHCARE SVCS WHICH ARE REQ. BY THE PEOPLE OF THE OF THE COMMUNITY AND SURROUNDING AREAS AND APPROPRIATE TO THE ORG. 16 15 2748 400 495204 -275137 5907156 5453512 268583762 241972750 2237343 2233312 1910608 1670406 278638869 251329980 0 2630954 0 0 157605903 145350615 0 0 0 110688497 86250179 268294400 234231748 10344469 17098232 335025514 338853052 149516983 135067489 185508531 203785563 X PLEASE REFER TO SCHEDULE O FOR A DETAILED MISSION AND COMMUNITY BENEFIT STATEMENT. true false 30299154 0 53689669 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 26558373 0 23122691 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL/SURGICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 20480267 0 22223822 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY, ICU & CCU SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. 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MEDICAL PRACTICES 50.0 0.0 X 206738 0 30545 DONALD R PINNER VP, COO - HRCH 50.0 0.0 X 292394 0 40885 CHRISTINE E SKOTZKO MD PHYSICIAN 50.0 0.0 X 290654 0 10600 LAN CAO MD PHYSICIAN 50.0 0.0 X 286888 0 21394 MIMI MAK MD PHYSICIAN 50.0 0.0 X 263754 0 19314 MUKESH D PATEL MD PHYSICIAN 50.0 0.0 X 263596 0 39344 7278745 0 955399 299 false true false HUNTERDON CARDIOLOGY 1100 WESCOTT DRIVE SUITE G3 FLEMINGTON NJ 08822 MEDICAL 5201547 DESAPIO CONSTRUCTION INC 280 Ridge Road FRENCHTOWN NJ 08825 construction 1226252 core enterprises llc 1250 Route 28 SUITE 101 BRANCHBURG NJ 08876 construction 852294 SHI INTERNATIONAL CORPORATION 290 Davidson Ave SOMERSET NJ 08873 IT 851333 structure tone inc 10 Woodbridge Center Drive WOODBRIDGE NJ 07095 construction 817019 114 X 1836499 3522046 94967 5453512 NET PATIENT SERVICE REVENUE 541900 236440722 236440722 STATE OF NJ CHARITY SUBSIDY 541900 1109508 1109508 HEALTH AND WELLNESS 713940 3756839 3734263 22576 OTHER HEALTHCARE RELATED REVENUE 541900 665681 665681 241972750 1727255 1727255 0 0 845182 506590 338592 0 338592 338592 23137995 4500 22620905 15533 517090 -11033 506057 506057 0 0 0 0 0 0 0 0 0 CHILD CARE 624410 740113 472628 267485 CAFETERIA 722320 559568 559568 VENDING MACHINE 722320 32133 32133 1331814 251329980 241950174 495204 3431090 2630954 2630954 0 0 0 6705321 5833629 871692 0 116695004 101524653 15170351 -724237 -630086 -94151 8725417 7591113 1134304 13949110 12135726 1813384 734669 661202 73467 212488 191239 21249 228000 205200 22800 42702 38432 4270 0 0 15062719 13556447 1506272 1175561 1058005 117556 3143049 2828744 314305 0 0 9621096 8658986 962110 42858 38572 4286 0 517984 466186 51798 2762864 2486578 276286 0 16883891 15195502 1688389 2723955 2451559 272396 MEDICAL SUPPLIES 36136550 32522895 3613655 0 MAINTENANCE/SERVICE CONTRACT 12524132 11271719 1252413 0 PHYSICIAN FEES 6687342 6018608 668734 0 OTHER EXPENSES 13891630 12502467 1389163 0 -36141311 -32527180 -3614131 234231748 206711150 27520598 0 X 8362 8862 31951357 34769212 656300 733301 25060809 20572907 22318 0 0 0 0 0 1724257 1533740 3176690 3452098 348323703 208468505 137099376 139855198 0 0 0 0 115257421 118453441 0 3082395 20068624 16391898 335025514 338853052 27402622 26869673 0 0 0 0 71167562 69192651 0 0 0 0 1402197 923820 0 0 49544602 38081345 149516983 135067489 X 161327350 178857176 5895398 5811777 18285783 19116610 185508531 203785563 335025514 338853052 X 17098232 1919536 -740736 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 42702 42702 false SCHEDULE C, PART II-B; LINE 1I DURING 2016, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM A TOTAL OF $30,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $12,702 DURING THE YEAR ENDED DECEMBER 31, 2016. 19983713 900244 1609857 19274100 20189578 -178492 27373 19983713 18392151 1200000 670449 73022 20189578 16914263 1551777 73889 18392151 15956024 1065759 107520 16914263 0.99180 0.00820 false false 6796849 6796849 135265197 53653255 81611942 8324349 2832390 5491959 189187198 146921692 42265506 8750110 5061168 3688942 139855198 SHORT-TERM INVESTMENTS 47422477 F ASSETS WHOSE USE IS LIMITED 1016331 F FUNDS HELD BY TRUSTEE 0 F BOARD DESIGNATED FUNDS 44900511 F DONOR RESTRICTED ASSETS 17144032 F BENEFICIAL INTEREST IN TRUSTS 2096636 F INVESTMENTS - LAND 213099 F ASSETS OF HMC FOUNDATION 5660355 F 118453441 0 ACCRUED INTEREST PAYABLE 1054358 OTHER LIABILITIES 8063903 THIRD-PARTY PAYORS; CURRENT 1352454 THIRD-PARTY PAYORS; NON-CURRENT 7688162 MALPRACTICE LIABILITY 720000 PENSION BENEFIT LIABILITY 33484623 DUE TO AFFILIATES -14282155 38081345 X SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS HUNTERDON HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2016 AND DECEMBER 31, 2015; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HUNTERDON MEDICAL CENTER AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48 (ASC 740): The Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on its exempt income under Section 501(a) of the Code. The CAPTIVE PC'S ARE NEW JERSEY PROFESSIONAL CORPORATIONS as described in Section 501(c)(3) of the Internal Revenue Code and ARE exempt from federal income taxes on exempt income under Section 501(a) of the Code. The Medical Center accounts for uncertainty in income taxes by prescribing a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2016 or 2015. The Medical Centers federal tax-exempt organization business income tax returns are no longer subject to examination by the Internal Revenue Service for years before 2013. true true X true X true X 500. true true false true true 3404423 896358 2508065 0.01070 26777758 21032159 5745599 0.02450 30182181 21928517 8253664 0.03520 3607648 0 3607648 0.01540 3345053 1786814 1558239 0.00670 10051779 5924723 4127056 0.01760 17004480 7711537 9292943 0.03970 47186661 29640054 17546607 0.07490 1 483666 100098 383568 0.00160 17 1565 0 1565 0.00000 2 115337 810 114527 0.00050 1 288 0 288 0.00000 21 600856 100908 499948 0.00210 true 7392986 2461125 60393202 70025817 -9632615 X true true 1 1 HUNTERDON MEDICAL CENTER 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 WWW.HUNTERDONHEALTHCARE.ORG 11001 X X X X HUNTERDON MEDICAL CENTER 1 false false true X X X X X X X X X 16 true false true true X www.hunterdonhealthcare.org X see schedule h, part v, section c X true 16 true www.hunterdonhealthcare.org false true X 200. 500. X X X X X true true X X X true X WWW.hunterdonhealthcare.org X WWW.hunterdonhealthcare.org X WWW.hunterdonhealthcare.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 5 THE HUNTERDON COUNTY PARTNERSHIP FOR HEALTH IS A COUNTY-WIDE INITIATIVE THAT INVOLVES MORE THAN 30 COMMUNITY SERVICE PROVIDERS, AGENCIES AND ORGANIZATIONS SHARING A COMMON INTEREST IN PROMOTING AND IMPROVING THE HEALTH, WELL-BEING AND QUALITY OF LIFE OF HUNTERDON COUNTY RESIDENTS. SINCE ITS INCEPTION IN 1995, THIS HEALTHIER COMMUNITY INITIATIVE HAS LED THE COMPLETION OF 4 COUNTY-LEVEL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEYS AND THE DEVELOPMENT OF A 2007 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MEMBERS OF THE HUNTERDON COUNTY PARTNERSHIP FOR HEALTH INCLUDE: - American Heart Association - Anderson House - Cancer Coalition of Hunterdon and Mercer - Calvary Episcopal Church - Central Jersey Family Health Consortium - Delaware Valley Family Health Center - Fishermans Mark - Flemington Jewish Community Center - Francis Desmares Elementary School - Flemington Area Food Pantry - HART Commuter Information Services - Hunterdon Care Center - Hunterdon Cardiovascular Associates - Hunterdon County Chamber of Commerce - Hunterdon County Resident - Hunterdon County Department of Human Services - Hunterdon County Division of Health - Hunterdon County Division of Senior, Disabilities and Veterans Services - Hunterdon County Economic Development - Hunterdon County Medication Access Partnership - Hunterdon County Medical Reserve Corps - Hunterdon County Office of the Prosecutor - Hunterdon County Parks and Recreation - Hunterdon County Public Health Nursing and Education - Hunterdon County Superintendent Office - Hunterdon County YMCA - Hunterdon Drug Awareness Program - Hunterdon Helpline - Hunterdon HealthCare Partners - Hunterdon Healthcare System - Hunterdon Medical Center - Center for Healthy Aging - Center for Nutrition and Diabetes Management - Home Health Services - Hunterdon Behavioral Health - Hunterdon Healthcare Foundation - Hunterdon Health and Wellness Center - Hunterdon/Mercer Regional Chronic Disease Coalition - Hunterdon Pediatric Associates - Hunterdon Regional Cancer Center - Hunterdon Regional Community Health - Hunterdon Hospice - Visiting Health and Supportive Services - Hunterdon Lifeline - Hunterdon Integrative Medicine - Hunterdon and Mercer County Regional Chronic Disease Coalition - Hunterdon Prevention Resources - Latino Healthcare Access Committee - NJ Cancer Education and Early Detection - NJ SNAP-Ed - Phillips Barber Family Health Center - Raritan Valley Community College - Readington Township Board of Health - Rutgers Cooperative Extension Services - Safe Communities Coalition of Hunterdon and Somerset County - State of New Jersey- Department of Education - Shoprite of Hunterdon County - Templo Internacional de Restauracion - United Way of Hunterdon County - Zufall Health IN ADDITION, WE CONSULTED WITH A UNIVERSITY PROFESSOR, WHO IS AN MPH AND PH.D., TO FACILITATE OUR FOCUS GROUPS. WE ALSO UTILIZED THE FORMER HUNTERDON COUNTY HEALTH DEPARTMENT DIRECTOR TO ASSIST US WITH MUCH OF THE PROCESS. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7B THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: http://www.hunterdonhealthcare.org/about-us/community-health-needs-assessm ent/ THE CHNA IS LISTED ON THE HOSPITAL'S WEBSITE. IN ADDITION, THE HOSPITAL FACILITY MAKES ITS CHNA REPORT AVAILABLE TO THE PUBLIC VIA THE FOLLOWING WEBSITES: - http://partnershipforhealth.hunterdonhealthcare.org - http://www.co.hunterdon.nj.us/health.htm SCHEDULE H, PART V, SECTION B, QUESTION 8 THE FACILITY, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS IDENTIFIED AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THESE PRIORITY HEALTH NEED AREAS. THE CHNA INFORMS THE FACILITY'S STRATEGIC PLANNING WHICH INCORPORATES ELEMENTS FROM THE CHNA IMPLEMENTATION PLAN IN ITS STRATEGIES TO MEET ITS GOAL OF IMPROVED COMMUNITY HEALTH. THE CHNA IMPLEMENTATION PLAN ALSO INCLUDES RESOURCES, ACTIONS AND GOALS (MEASURABLE). SCHEDULE H, PART V, SECTION B, QUESTION 11 AS DISCUSSED ABOVE, THE FACILITY CONDUCTED A COMPREHENSIVE ASSESSMENT AND 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. Obesity: Goal: Reduce the prevalence of obesity among Hunterdon County residents. Measure: 1. Stop and eventually reverse the rising obesity trend 2. Increase number of participants in wellness and weight and diabetes management programs by 10% Data Source: 1. Percentage of adults who have a BMI within the normal range (between 18.5 and 24.9) in Hunterdon Healthcare physician practices electronic health records (NextGen) 2. Number of adults participating in wellness and weight and diabetes management programs Although we were not able to reverse the rising obesity trend, we did increase the number of participants in wellness and weight and diabetes management programs by over 80%. To support community efforts we tracked the percentage of patients who have a BMI within a healthy weight range (adults and children). For 2016 these numbers were static with 30% of our patient population within the healthy BMI range as defined by the Centers for Disease Control. These numbers are shared quarterly with system administrative leadership, Boards, the Clinical Management Committee and the Population Health Committee. As part of a CMS CPCI (Comprehensive Primary Care Initiative) innovation project, seven primary care practices conducted nutrition education classes at their sites for patients identified as pre-diabetic in 2014. Ten Care Coordinators also assisted patients in addressing weight management as part of our Accountable Care programs. Static percentages across quarters in 2014 provided evidence that efforts needed to be expanded. In 2016 the percentage of adult patients within a healthy weight range was shared quarterly with the Hunterdon County Partnership for Health and as part of their Community Health Needs Assessment process. A metric for BMI and Plan was added to the Family Practice measure set in 2016 with practices receiving monthly dashboards tracking their progress compared to other Hunterdon Healthcare affiliated family practices. The Hunterdon Healthcare System supports the Partnership for Health (PFH), a county-wide initiative that involves nearly 60 community service providers, agencies and organizations sharing a common interest in promoting and improving the health, well-being and quality of life of Hunterdon County residents. In 2016 the PFH had four action teams, one concentrating on obesity. The Obesity Action Team continued working with food pantries to solicit healthier donations with an emphasis on low-sodium and low-sugar options. They also provided cooking demonstrations and recipes so that food pantry patrons could learn how to incorporate the available fresh produce donated by local farmers into their family meals. This was particularly helpful when the patrons were not used to eating certain vegetables or their culture was not familiar with how to cook them. The Hunterdon Healthcare System regularly communicates the food pantry needs list to our entire staff, encouraging healthy donations. In 2016 we conducted a Community Health Needs Assessment to develop a comprehensive community health profile that would provide a snapshot of the health and healthcare-related needs of Hunterdon County residents. Using the Mobilizing for Action through Planning and Partnerships (MAPP) framework we were able to identify and prioritize the health issues and needs in our county. This assessment data will drive the focus for our next Community Health Improvement Plan. The Obesity Action Team partnered with the Hunterdon County Chamber of Commerce to create the "Healthy Hunterdon Workforce Initiative". This worksite wellness program is encouraging businesses large and small to adopt a "Culture of Health" in their workplace. By stressing how small changes can make a big impact on health, we hope to improve the health of employees throughout the workforce and we have already seen results. Employees have reported weight loss, healthier eating habits and an increase in total minutes of exercise per week. The program rolled out in January of 2016 and has grown to approximately forty businesses so far. In 2016, Hunterdon Healthcare System offered employee wellness rewards to those who participated in various wellness activities such as 5ks (or other race participation) or wellness challenges such as a Walking Challenge or Activity Challenge (where participants track their total daily steps or activity). Employees were eligible to participate in monthly lunch and learns that discussed various health topics such as the dangers of too much sodium and sugar, stress management, safe driving practices, and proper exercise techniques, just to name a few. In addition, employees had access to an on-site Weight Watchers program conducted during the lunch hour. If employees exercised at least 3 times per week in at least 30-minute increments, they would also qualify for wellness rewards. All employees can take advantage of discount gym memberships and an on-site weight management program, in addition to a campus Walking Map, which outlines a variety of "trails" employees, can walk around campus during their lunch break. A salad bar and healthy options are offered in the employee cafeteria. The Center for Nutrition and Diabetes Management, part of the Hunterdon Healthcare System provides diabetes and nutrition education to patients with type 1, type 2 and gestational diabetes. Approximately 85-90% of people with diabetes are overweight or obese. In 2016, 709 patients with diabetes attended at least 1 but up to 4 appointments with a diabetes nurse educator and a registered dietitian. Diabetes patient visits increased slightly in 2016. Of these patients 71% either lost weight (52%) or maintained weight (19%) post education. The Center for Nutrition and Diabetes also provides nutrition education for patients with a diagnosis of prediabetes. In 2016, 120 people with prediabetes were educated on lifestyle modification to manage weight and increase physical activity. Our center provides nutrition education for weight management to adults and children without diabetes who are overweight or obese. In 2016, 204 adults worked with a registered dietitian one on one or in a group weight management setting. Additionally, 46 children of all ages attended a one on one nutrition session or group weight management program designed for children. Barriers to increasing usage of our diabetes and nutrition experts continues to include issues with insurance coverage including no coverage from policy for education, high deductibles and use of internet versus educators for information. Obesity/overweight continues to be a challenge in Hunterdon County. Moving forward in 2017, we will continue to be involved in the Hunterdon County Partnership for Health initiatives for increasing healthier weight in Hunterdon County as part of multiple teams. Substance Abuse: Goal: Reduce the prevalence and incidence of substance abuse among Hunterdon County residents. Measure: Reduce Substance Abuse by 5% Data Source: Increase number of completed inpatient Addiction Treatment Consults The number of inpatient consults conducted by Hunterdon Medical Centers Behavioral Health Practitioners was 435 in 2016. This is higher than our 2013 baseline of 346 completed consults. In February of 2016 weekend consults were transferred to the responsibility of Hunterdon Behavioral Health Emergency Services. Latino Health Disparity & Prenatal Care: Goal: Reduce health disparities among the Latino population in Hunterdon County Measure: 1. Increase number of Latino mothers attending group prenatal care program 2. Increase the proportion of Latino mothers receiving early and adequate prenatal care 3. Increase the number of Latinos participating in health education workshops 4. Increase percentage of Latinos receiving age-appropriate cancer screening Data Source: 1. Number of Latino mothers attending the group prenatal care program at Phillips Barber 2. Percentage of pregnant Latino women receiving prenatal care in their first trimester 3. Number of adult Latinos participating in health education workshops 4. Percentage of Latinos who have had a mammogram in the past 2 years The Latino Prenatal Group Visit program was successful this past year in providing access to care to 38 Latino women for prenatal care. This is an increase over the 2013 baseline of 31 women. Hunterdon County Division of Public Health collaborates with Hunterdon Family Medicine at Phillips-Barber to provide transportation. In 2016, the number of Latino women receiving prenatal care during their first trimester and delivering at Hunterdon Medical Center was 72% remaining flat from 2015, although we did see an increase in the second quarter to 85%. The designation of Phillips Barber as SCH H,PART V,SECTB,2,3J,6A,6B,7D,13B,13H,15E,16J,18E,19E,20E,21C,21D,23&24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 16A, 16B & 16C THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONs 16A, 16B AND 16C, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: http://www.hunterdonhealthcare.org/financial-assistance-policy/ 28 HUNTERDON H & W CENTER AT CLINTON 1738 ROUTE 31 NORTH CLINTON NJ 08809 PEDIATRICS, PHYSICAL THERAPY, SLEEP CENTER, HEALTH & WELLNESS CENTER, LAB, FHC SOMERSET MEDICAL OFFICE BUILDING 1121 ROUTE 22 WEST SUITE 201 BRIDGEWATER NJ 08807 PHYSICIAN OFFICE SANDHILL MEDICAL OFFICE BUILDING 6 SAND HILL ROAD FLEMINGTON NJ 08822 PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PEDIATRICS & LAB HUNTERDON DOCTORS OFFICE BUILDING 1100 WESCOTT DRIVE FLEMINGTON NJ 08822 INFECTIOUS DISEASE, GASTROENTEROLOGY & NUTRItIoN AND CARDIOLOGY HMC PAVILION 190 HIGHWAY 31 SUITE 100 FLEMINGTON NJ 08822 BEHAVIORAL HEALTH, FAMILY MEDICINE, PHYSICAL THERAPY, PSYCHIATRY WESCOTT MEDICAL ARTS BUILDING 9100 WESCOTT DRIVE FLEMINGTON NJ 08822 NUTRITION & DIABETES MGMT., WOUND HEALING CENTER, ENDOCRINOLOGY HUNTERDON WOMEN'S IMAGING CENTER 121 ROUTE 31 SOUTH FLEMINGTON NJ 08822 WOMEN'S IMAGING CENTER HMC HOME HEALTH SERVICES 315 ROUTE 31 FLEMINGTON NJ 08822 HOME HEALTH SERVICES PHILLIPS BARBER FAMILY HEALTH CENTER 73 ALEXANDER AVENUE LAMBERTVILLE NJ 08530 FAMILY HEALTH CENTER, MICU, EMS SSB BUILDING 1 WESCOTT DRIVE SUITE 101 FLEMINGTON NJ 08822 DERMATOLOGY & PULMONARY CARE DEL VAL FAMILY HEALTH CENTER 200 FRENCHTOWN ROAD MILFORD NJ 08848 FAMILY HEALTH CENTER HUNTERDON H & W CENTER - WHITEHOUSE 537 ROUTE 22 EAST WHITEHOUSE STATION NJ 08889 HEALTH & WELLNESS CENTER, CARDIAC REHAB, PHYSICAL THERAPY & PEDIATRICS HOI BUILDING 8100 WESCOTT DRIVE FLEMINGTON NJ 08822 PHYSICAL THERAPY HUNTERDON SPORTS & PHYSICAL THERAPY 222 ROUTE 31 FLEMINGTON NJ 08822 PHYSICAL THERAPY HAWK POINTE 6 CLUBHOUSE DRIVE WASHINGTON NJ 07882 PHYSICIAL THERAPY MOBILE INTENS CARE SVCS AT GLEN GARDNER 2168 ROUTE 31 GLEN GARDNER NJ 08826 MICU, EMS HUNTERDON UROLOGICAL ASSOCIATES 121 ROUTE 31 SUITE 1200 FLEMINGTON NJ 08822 UROLOGICAL PRACTICE HOPEWELL FAMILY PRACTICE 84 route 31 suite 103 PENNINGTON NJ 08534 FAMILY PRACTICE HIGHLANDS FAMILY HEALTH CENTER 61 FRONTAGE ROAD HAMPTON NJ 08827 FAMILY HEALTH CENTER HUNTERDON BREAST SURGERY CENTER 121 ROUTE 31 SUITE 1000 FLEMINGTON NJ 08822 BREAST SURGERY PRACTICE HUNTERDON PEDIATRICS ASSOCIATES 8 READING ROAD FLEMINGTON NJ 08822 PEDIATRICS BRANCHBURG FAMILY HEALTH CENTER 2143 SOUTH BRANCH ROAD SOMERVILLE NJ 08876 FAMILY HEALTH CENTER SOMERSET MEDICAL OFFICE BUILDING 1121 ROUTE 22 WEST SUITE 205 BRIDGEWATER NJ 08807 PHYSICIAN OFFICE HUNTERDON URGENT CARE 63 CHURCH STREET FLEMINGTON NJ 08822 URGENT CARE CENTER SOMERSET MEDICAL OFFICE BUILDING 1121 ROUTE 22 WEST SUITE 207 BRIDGEWATER NJ 08807 PHYSICIAN OFFICE SOMERSET MEDICAL OFFICE BUILDING 1121 ROUTE 22 WEST SUITE 202 BRIDGEWATER NJ 08807 PHYSICIAN OFFICE HUNTERDON FAMILY MEDICINE AT BRIDGEWATER 250 STATE ROUTE 28 SUITE 100 BRIDGEWATER NJ 08807 FAMILY PRACTICE HUNTERDON URGENT CARE 45 ROUTE 206 SOUTH SUITE F RARITAN NJ 08869 URGENT CARE CENTER 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). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II THE PRIMARY ACTIVITY IS SUBSIDIZED HOUSING FOR THE MEDICAL RESIDENTS OF HUNTERDON MEDICAL CENTER. SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 AND 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION ISSUED AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED. BELOW DESCRIBES IT IN MORE DETAIL: PATIENT ACCOUNTS RECEIVABLE Patient accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. In evaluating the collectability of patient accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractual amounts due and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, the Medical Center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center's allowance for doubtful accounts for self-pay patients was 93% and 99% of self-pay accounts receivable at December 31, 2016 and December 31, 2015, respectively. In addition, the Medical Center's self-pay account write-offs (net of recoveries) decreased to $4,540,273 in 2016 from $6,238,918 in 2015. CHARITY CARE AND UNCOMPENSATED CARE In furtherance of its charitable purpose, the Medical Center provides a wide variety of benefits to the community, including offering various community-based programs, such as health screenings, training for emergency service personnel, social service, support counseling for patients and families, pastoral care, and crisis intervention. Additionally, a large number of health-related educational programs are provided for the benefit of the community, including health enhancements and wellness, classes on specific conditions, and telephone information services designed to improve the general standards of the health of the community. The Medical Center also provides medical care without charge or at reduced costs to residents of its community who meet the criteria under state regulation for charity care. The Medical Centers definition of charity care includes services provided at no charge or at a reduced charge to patients who are uninsured or underinsured. The Medical Center maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. An overall cost to charge ratio was applied to arrive at the cost of charity care, and as a result the cost of charity care amounted to $3,607,206 and $4,315,047 in 2016 and 2015, respectively. Because the Medical Center does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The state provides certain subsidy payments to qualified hospitals to partially fund uncompensated care and certain other costs. Subsidy payments recognized as revenue amounted to $896,358 and $1,610,513 and 2016 and 2015, respectively, and are included in other revenue in the accompanying consolidated statement of operations. 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 DID NOT INCLUDE MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT IN THE CALCULATION OF THEIR COMMUNITY BENEFIT PERCENTAGE. HOWEVER THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF T 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 HUNTERDON MEDICAL CENTER, 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 NEEDED 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; - FINANCIAL COUNSELING FOR A HOSPITAL INITIATED DISCOUNT PROGRAM FOR THOSE WITH NO INSURANCE OR WHO ARE UNDERINSURED AND DON'T MEET THE STATEMENT REQUIREMENTS FOR FREE CARE. THE HOSPITAL-INITIATED DISCOUNT PROGRAM RATES ARE REFLECTIVE OF 200% OF MEDICAID; AND -FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. SCHEDULE H, PART VI; QUESTION 2 UNDER THE BYLAWS OF HMC, THE HOSPITAL HAS A NEEDS COMMITTEE WHICH ANALYZES THE HEALTHCARE SERVICES THAT ARE CONSIDERED NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. THE COMMITTEE IS COMPRISED OF HEALTHCARE ADMINISTRATION, PHYSICIANS AND COMMUNITY MEMBERS. THIS COMMITTEE WORKS TOWARD ENSURING THERE IS AN APPROPRIATE SUPPLY OF PHYSICIANS TO MEET THE NEEDS OF THE POPULATION. HUNTERDON MEDICAL CENTER ALSO CONTINUES TO WORK WITH THE "PARTNERSHIP FOR HEALTH", WHICH IS A GROUP OF ORGANIZATIONS IN THE COUNTY INCLUDING THE HUNTERDON COUNTY DEPARTMENT OF HEALTH, THE UNITED WAY OF HUNTERDON COUNTY AND MANY OTHER ORGANIZATIONS. THE EFFORTS OF THIS ORGANIZATION ARE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND FOCUS ON SUCH ISSUES AS DIABETES, BEHAVIORAL HEALTH AND WEIGHT MANAGEMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS BEGUN IN 2015 WHEN QUANTITATIVE AND QUALITATIVE DATA WAS COLLECTED. SIX FOCUS GROUPS WERE CREATED TO IDENTIFY COMMUNITY THEMES AND STRENGTHS. THE LOCAL PUBLIC HEALTH SYSTEM WAS ASSESSED. A GROUP OF COMMUNITY MEMBERS INCLUDING HIGH SCHOOL SUPERINTENDENTS, THE MAYOR, PHYSICIANS, PROSECUTOR, FAITH LEADERS AND BUSINESS LEADERS ASSESSED THE COMMUNITY'S HEALTH AND IDENTIFIED FIVE FORCES OF CHANGE OCCURRING IN THE COUNTY THAT WAS IMPACTING THE HEALTH OF THE COMMUNITY MEMBERS. FINALLY STATEWIDE DATA SOURCES WERE USED AS BENCHMARKS TO COMPARE THE RESULTS OF HUNTERDON COUNTY IN PARTICULAR. THE ASSESSMENT WAS COMPLETED IN 2016 AND IDENTIFIED FOUR PRIORITY HEALTH ISSUES TO BE ADDRESSED BY HUNTERDON HEALTHCARE SYSTEM: OBESITY/OVERWEIGHT, SUBSTANCE ABUSE, LATINO HEALTH DISPARITIES & AGE RELATED ISSUES. SCHEDULE H, PART VI; QUESTION 3 THE MEDICAL CENTER PROVIDES FINANCIAL COUNSELING TO ALL PATIENTS REGARDLESS OF INSURANCE STATUS. THEY RECEIVE A WRITTEN NOTICE IN ENGLISH OR SPANISH FORMAT OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AT THE TIME OF ADMISSION OR DURING THE OUTPATIENT REGISTRATION PROCESS. FINANCIAL COUNSELING SERVICES ARE AVAILABLE TO ALL PATIENTS THROUGH THE PATIENT ACCOUNTS DEPARTMENT DURING OR AFTER THE PROVISION OF SERVICES. 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. VERBIAGE STATING FINANCIAL ASSISTANCE IS AVAILABLE IS INCLUDED ON EACH PATIENT'S BILLING STATEMENT. THE MESSAGE READS AS FOLLOWS: "IF YOU CANNOT PAY THIS BILL AND REQUIRE FINANCIAL ASSISTANCE OR PAYMENT ARRANGEMENTS, PLEASE CONTACT OUR PATIENT ACCOUNTS DEPARTMENT." CHARITY CARE SIGNS ARE ALSO POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. SCHEDULE H, PART VI; QUESTION 4 HUNTERDON MEDICAL CENTER'S PRIMARY SERVICE AREA IS HUNTERDON COUNTY, NEW JERSEY, BUT ALSO SERVES PART OF SOMERSET, WARREN AND MERCER COUNTIES. THE CENSUS FOR HUNTERDON COUNTY AS OF 2010 WAS 128,349. IT IS PART OF THE NY METROPOLITAN AREA AND THE COUNTY SEAT IS FLEMINGTON. THE RACIAL MAKE-UP OF THE COUNTY IS 91.4% CAUCASIAN, 2.7% AFRICAN AMERICAN, 0.1% NATIVE AMERICAN, 3.3% ASIAN AND 5.2% HISPANIC/LATINO. HUNTERDON COUNTY HAS BEEN RANKED AS HAVING THE 4TH HIGHEST INCOME PER CAPITA IN THE U.S. SCHEDULE H, PART VI; QUESTION 5 HUNTERDON MEDICAL CENTER HAS FURTHERED ITS EXEMPT PURPOSE IN SUCH PROGRAMS AS 1) LATINO HEALTH INITIATIVE FOCUSED ON LOW-INCOME IMMIGRANTS HEALTH NEEDS, 2) CREATION OF A MEDICATION ACCESS PROGRAM IN COLLABORATION WITH THE PHARMACEUTICAL INDUSTRY TO DISTRIBUTE FREE PRESCRIPTION DRUGS TO PATIENTS UNABLE TO PAY, AND 3) ANNUAL FREE HEALTH SCREENING PROGRAMS FOR THE ENTIRE COUNTY FOR BREAST CANCER, PROSTATE CANCER, COLON CANCER, HEARING LOSS, ALZHEIMER'S DISEASE, PRE-NATAL AND DIABETES CARE, AMONG OTHERS. THE FOUR PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS PROCESS HAVE been ADDRESSED IN 2016 THROUGH THE 2013 IMPLEMENTATION PLAN ADOPTED BY THE MEDICAL CENTER BOARD AT ITS SEPTEMBER 2013 MEETING. THE GOALS INCLUDED: 1) REDUCE THE PREVALENCE OF OBESITY AMONG HUNTERDON COUNTY RESIDENTS THROUGH the increase of the number of adults participating in wellness and weight and diabetes management programs. 2) REDUCE THE PREVALENCE OF SUBSTANCE ABUSE OF HUNTERDON COUNTY RESIDENTS THROUGH THE STRENGTHENING OF EXISTING PROGRAMS, THE ENHANCEMENT OF TRAINING AMONG PHYSICIANS TO EFFECTIVELY IDENTIFY THE USE OF SUBSTANCES AMONG THE COMMUNITY'S MEMBERS, and with the increase in the number of completed inpatient addiction treatment consults. 3) REDUCE LATINO HEALTH DISPARITY BY PROVIDING BROCHURES, INFORMATION MATERIALS, EDUCATIONAL SESSIONS IN SPANISH, BY IMPROVING ACCESS TO PRENATAL CARE THROUGH THE MEDICAL CENTER'S FAMILY HEALTH CENTER IN LAMBERTVILLE, and improving access to age-appropriate cancer screenings. 4) IMPROVING QUALITY OF LIFE OF SENIORS (65 YEARS AND OVER) LIVING IN HUNTERDON COUNTY BY OFFERING SUPPORT GROUPS, increasing the percentage of seniors who seek preventive care, increasing the percentage of seniors who have completed an Advanced Directive, increasing the utilization of the Systems Adult Day Center, INCREASING THE UTILIZATION OF HOSPICE SERVICES TO COMMUNITY MEMBERS, AND EDUCATING NURSES TO PROPERLY ASSESS AND ADDRESS SENIOR HEALTH ISSUES. SCHEDULE H, PART VI; QUESTION 6 THIS ORGANIZATION IS AN AFFILIATE OF THE HUNTERDON HEALTHCARE SYSTEM. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE HUNTERDON HEALTHCARE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE HUNTERDON HEALTHCARE SYSTEM, INC. NOT FOR PROFIT HUNTERDON HEALTHCARE SYSTEM ENTITIES HUNTERDON HEALTHCARE SYSTEM, INC. HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS") IS THE TAX-EXEMPT PARENT OF THE HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER HHS OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY HHS. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. HUNTERDON HEALTHCARE SYSTEM, 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). HUNTERDON HEALTHCARE SYSTEM, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. HUNTERDON HEALTHCARE SYSTEM, INC. ENSURES THAT HUNTERDON MEDICAL CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. HUNTERDON MEDICAL CENTER OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS A CLOSED MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF HUNTERDON HEALTHCARE SYSTEM, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. HUNTERDON MEDICAL CENTER HUNTERDON MEDICAL CENTER ("HMC") IS A 178-BED LICENSED NON-PROFIT COMMUNITY HOSPITAL LOCATED IN FLEMINGTON, NEW JERSEY. HMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, HMC 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, HMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BRITESIDE ADULT DAY CENTERS, INC. BRITESIDE ADULT DAY CENTERS, 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 ADULT DAY CARE SERVICES TO INDIVIDUALS. HUNTERDON HEALTHCARE FOUNDATION HUNTERDON HEALTHCARE 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 HUNTERDON 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. HUNTERDON REGIONAL COMMUNITY HEALTH, INC. HUNTERDON REGIONAL COMMUNITY 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 NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON 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. HUNTERDON HOSPICE HUNTERDON HOSPICE 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. HUNTERDON HOSPICE HAS 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, THEIR 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. VISITING HEALTH & SUPPORTIVE SERVICES VISITING HEALTH & SUPPORTIVE SERVICES 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 SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON 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. HUNTERDON PRIMARY CARE, P.C. HUNTERDON PRIMARY CARE, 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)(3). THE ORGANIZATION SUPPORTS HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATING MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. HUNTERDON SPECIALTY CARE, P.C. HUNTERDON SPECIALTY CARE, 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)(3). THE ORGANIZATION SUPPORTS HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATING MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. HUNTERDON URGENT CARE, P.C. HUNTERDON URGENT CARE, 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)(3). THE ORGANIZATION SUPPORTS HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATING MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. Hunterdon Ambulatory Services, LLC a single member limited liability company whose sole member is Hunterdon Medical Center, the organization is located in Flemington, hunterdon county, new jersey. the organization provides ambulatory non-provider based diagnostic and therapeutic services. FOR PROFIT HUNTERDON HEALTHCARE SYSTEM ENTITIES MIDJERSEY HEALTH CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS"). THIS ENTITY PROVIDES OVERSIGHT TO VARIOUS ENTITIES IN THE HHS. DEL VALLEY OFFICE ASSOCIATION A PARTNERSHIP WHICH PROVIDES PROPERTY MANAGEMENT SERVICES FOR BOTH HHS ENTITIES AND NON-HHS ENTITIES. HUNTERDON MEDICAL OFFICE ASSOCIATES A PARTNERSHIP WHICH PROVIDES PROPERTY MANAGEMENT SERVICES FOR BOTH HHS ENTITIES AND NON-HHS ENTITIES. NORTH HUNTERDON MEDICAL ASSOCIATES A PARTNERSHIP WHICH PROVIDES PROPERTY MANAGEMENT SERVICES FOR BOTH HHS ENTITIES AND NON-HHS ENTITIES. HUNTERDON CENTER FOR SURGERY LLC A PARTNERSHIP WHICH PROVIDES SURGERY SERVICES TO INDIVIDUALS. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. true HUNTERDON HEALTHCARE FOUNDATION 2100 wescott drive flemington NJ 08822 222526895 501(c)(3) 2010954 general support visiting health & supportive services 2100 wescott drive flemington NJ 08822 221636709 501(c)(3) 620000 general support 2 0 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X false true false false false false false true false ROBERT P WISE TRUSTEE; EX-OFFICIO - PRES/CEO 706850 0 279324 0 140569 0 15900 0 106442 0 1249085 0 0 0 GAIL KOSYLA TREASURER/CFO 386066 0 111508 0 42189 0 40332 0 21107 0 601202 0 28532 0 LAWRENCE N GRAND EXECUTIVE VP/COO 298847 0 88067 0 73314 0 57002 0 1458 0 518688 0 42906 0 DEBORAH L HOSKINS VP, FINANCE 226555 0 39125 0 22705 0 33162 0 24282 0 345829 0 18916 0 RICHARD J WEBB CHIEF LEGAL OFFICER 327268 0 96967 0 46054 0 39984 0 22494 0 532767 0 28671 0 VIOLET T KOCSIS CHIEF HUMAN RESOURCES OFFICER 254656 0 74523 0 31733 0 41845 0 25461 0 428218 0 25908 0 GEORGE ROKSVAAG MD CHIEF MEDICAL OFFICER 236652 0 78940 0 43030 0 32958 0 3789 0 395369 0 33597 0 WAYNE G FELLMETH MD CHIEF MEDICAL INFO OFFICER 275690 0 8453 0 762 0 14575 0 23192 0 322672 0 0 0 DANIEL MORREALE CHIEF INFORMATION OFFICER 254116 0 0 0 7068 0 1687 0 15511 0 278382 0 0 0 NEIL HUDES VP, PRESIDENT OPERATIONS 303552 0 90526 0 28862 0 43118 0 22864 0 488922 0 0 0 ROBERT G COATES MD VPMA 289449 0 55583 0 57525 0 48339 0 28662 0 479558 0 26916 0 PATRICIA STEINGALL RN VP, PATIENT CARE 246006 0 72394 0 52500 0 48743 0 21383 0 441026 0 32209 0 DAVID D SKILLINGE MD VP, MEDICAL PRACTICES 271277 0 50820 0 5196 0 31689 0 27338 0 386320 0 0 0 CHRISTINE D BOGARD EXEC. DIR. MEDICAL PRACTICES 184739 0 21840 0 159 0 10453 0 20092 0 237283 0 0 0 DONALD R PINNER VP, COO - HRCH 189769 0 58962 0 43663 0 32871 0 8014 0 333279 0 19886 0 CHRISTINE E SKOTZKO MD PHYSICIAN 290388 0 0 0 266 0 10600 0 0 0 301254 0 0 0 LAN CAO MD PHYSICIAN 208237 0 78547 0 104 0 2746 0 18648 0 308282 0 0 0 MIMI MAK MD PHYSICIAN 203812 0 59850 0 92 0 8200 0 11114 0 283068 0 0 0 MUKESH D PATEL MD PHYSICIAN 262834 0 0 0 762 0 14575 0 24769 0 302940 0 0 0 SCHEDULE J, PART I; QUESTION 1B THE ORGANIZATION PAID ROTARY CLUB DUES FOR ROBERT P. WISE, PRESIDENT/CEO OF THE ORGANIZATION. UTILIZATION OF THIS MEMBERSHIP WAS PRIMARILY FOR THE BENEFIT OF HUNTERDON MEDICAL CENTER. SCHEDULE J, PART I; QUESTION 4B THE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT P. WISE, $92,634; GAIL KOSYLA, $28,532; LAWRENCE N. GRAND, $42,906; DEBORAH L. HOSKINS, $18,916; RICHARD J. WEBB, $28,671; VIOLET T. KOCSIS, $25,908; GEORGE ROKSVAAG, M.D., $33,597; ROBERT G. COATES, M.D., $26,916; PATRICIA STEINGALL, RN, $32,209 and DONALD R. PINNER, $19,886. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2016 FORM W-2, AS TAXABLE WAGES: GAIL KOSYLA, $29,732; LAWRENCE N. GRAND, $41,102; DEBORAH L. HOSKINS, $20,130; RICHARD J. WEBB, $29,384; VIOLET T. KOCSIS, $26,416; GEORGE ROKSVAAG, M.D., $19,756; NEIL HUDES, $27,218; ROBERT G. COATES, M.D., $36,414; PATRICIA STEINGALL, RN, $33,253; DAVID D. SKILLINGE, M.D., $21,089 and DONALD R. PINNER, $20,474. 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. SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDE VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A substantial RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2016 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: GAIL KOSYLA, $28,532; LAWRENCE N. GRAND, $42,906; DEBORAH L. HOSKINS, $18,916; RICHARD J. WEBB, $28,671; VIOLET T. KOCSIS, $25,908; GEORGE ROKSVAAG, M.D., $33,597; ROBERT G. COATES, M.D., $26,916; PATRICIA STEINGALL, RN, $32,209 and DONALD R. PINNER, $19,886 A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 42735000 REPAY 2006A BOND SERIES & CONST. false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 16260000 REPAY 2006A BOND SERIES & CONST. false false false C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 6360000 REPAY 2006A BOND SERIES & CONST. false false false D NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 4935000 REPAY 2006A BOND SERIES & CONST. false false false A 0 0 45681704 0 0 0 33306 0 0 0 0 0 2015 true false false true B 0 0 16260000 0 0 0 6457 0 0 0 0 0 2008 true false true true C 0 0 5155162 0 0 0 1883 0 0 0 0 0 2011 true false true true D 0 0 4751432 0 0 0 11262 0 0 0 0 0 2014 true false true true A false false false false 0 true false false true B false false false false 0 true false false true C false false false false 0 true false false true D false false false false 0.02060 0.02060 true false false true A true false false 0 false 0 false true B true false false 0 false 0 false true C true false false 0 false 0 false true D true false false 0 false 0 false true A true B true C true D true REBECCA L WISE TRUSTEE - FAMILY MEMBER 23967 EMPLOYEE false CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Hunterdon Medical Center ("HMC") is a general acute care teaching hospital. HMC provides a full range of preventive, diagnostic, and therapeutic inpatient and outpatient hospital & community services. HMC is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, HMC 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, HMC operates consistently within the following criteria outlined in IRS revenue ruling 69-545: 1. HMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. HMC operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. HMC maintains a closed medical staff, with privileges available based on community need; 4. Control of HMC rests with its board of trustees and the board of trustees of Hunterdon Healthcare System, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities, and advance medical care, programs and activities. The operations of HMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of HMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. HMC's sole corporate member is Hunterdon Healthcare System, Inc. ("HHS"). HHS is the tax-exempt parent of Hunterdon Medical Center. This tax-exempt integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either HHS or another system affiliate controlled by HHS. Mission ======= Hunterdon Medical Center strives to provide to the maximum extent possible comprehensive quality healthcare services which are required by the people of Hunterdon county and surrounding areas and appropriate to the medical center organization. HMC will assume an appropriate role in the education of physicians and other healthcare professionals. Care and treatment will be equally accessible to all persons. Vision ====== Hunterdon Healthcare System is recognized as a national model for providing community focused healthcare that is patient-centered and driven by a passion for clinical excellence. Hunterdon Medical Center ======================== Hunterdon Medical Center was created in 1953 with the vision of an integrated healthcare delivery system in mind: namely, that primary care would be delivered by family physicians in the community, that consultative and specialty care would be hospital-based with patients returned to their personal physicians and finally, that the hospital would be a training center for family physicians. This system has worked remarkably well with Hunterdon Medical Center currently enjoying one of the best quality care outcomes in the country, as well as having one of the lowest per capita costs for hospitalization in the nation. Family medicine is real in Hunterdon county. The centerpiece of the Hunterdon Healthcare System is Hunterdon Medical Center. The medical center has 178-beds, including advanced medical and surgical units, a 12-bed intensive care unit, a 4-bed coronary care unit, a 20-bed same day surgery center, a 20-bed maternity and newborn care center which was one of the first single-room maternity centers in New Jersey, a 10-bed pediatric unit and a 14-bed behavioral health wing. Hunterdon led the nation by implementing the first, year-round night float system for family medicine residency programs. This system alleviates resident fatigue and eliminates the exhaustion which can be detrimental to residents, their families and patient care. This has become the national norm for residency scheduling with the implementation of new work hour regulations. Senior residents cover the hospital from 7:00pm to 7:00am in a designed night float rotation. They then have a 12-hour duty free period to rest and rejuvenate in the comfort of their own homes. First year residents also work a 12-hour shift from 7pm to 7am in a similar rotation. They function to help with admissions in conjunction with the senior residents and the nocturnist from 7pm to 10pm thus allowing them to get supervised instruction in this important skills set. From 10pm to 7am the first year resident works in an emergency department rotation under the supervision of a board certified emergency medicine physician where they learn important triage and treatment skills in this setting. First year residents are in a true call situation only to cover weekend shifts with senior resident supervision. Second and third year residents average call one night in six this guarantees an adequate volume and experience to develop mastery in common problem management. They also have a longitudinal experience in the nursing home setting with full time geriatrician faculty supervising their patient care. Third year residents also cover outpatient call for the family health centers on average one night in six. The combination of night float and the appropriate frequency of night call combine to create the best possible call schedule. Radiology and lab services are state-of-the-art. Most of the members of the specialty medical staff have offices in the Hunterdon doctors' office building adjacent to the medical center or within close vicinity to the hospital. Hunterdon Medical Center has achieved widespread recognition for its role as a provider of community health services beyond those normally associated with a hospital. Patient and community health education programs, public health screening and detection services, a certified home health agency, integrated behavioral health services within the owned physician practices, and end of life services complement the medical center's comprehensive in-hospital services. On the grounds of the Medical Center is a child care facility available to children of employees and staff as well as to other members of the community. Geriatrics is one of the major initiatives of the Hunterdon Medical Center, with a full time director and comprehensive hospital and ambulatory services. The RN, Director is a Certified Dementia Practitioner. All seven of our faculty physicians hold the certificate of added qualifications in geriatrics, (CAQH), and all have completed a fellowship. Four of these geriatricians are also Certified Medical Directors. Hunterdon Medical Center has received accreditation and national recognition that verifies our position as a leading provider of quality healthcare. The administration and staff of Hunterdon Medical Center is extremely proud of the many awards the community hospital has earned. Each one is recognition that HMC ranks within the top 10% of national and New Jersey hospitals in many performance indicators for quality healthcare. Hunterdon Medical Center has achieved numerous awards including: Magnet re-designation - the magnet recognition program recognizes healthcare organizations that provide nursing excellence. Recognizing quality patient care, nursing excellence and innovations in professional nursing practice, the magnet recognition program provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive. The program is administered by the American nurses credentialing center. Being a Magnet organization helps distinguish Hunterdon Medical Center as an organization marked by quality inpatient care. Named one of the "100 Most Wired" hospitals & health networks twelve out of the last fifteen years. Being a "most wired" hospital confirms that an organization uses information technology to benefit its quality, customer service, public health and safety, business processes and workforce. Because our medical records are linked electronically, patients can be confident that, with consent, any physician who needs to access patient records can do so throughout the Hunterdon Healthcare System. For the sixth year in a row, Hunterdon was ranked the healthiest county in New Jersey based on a study conducted by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS NICHE designation - nurses improving care to health system elders (NICHE) is a national geriatric nursing program. The program's vision is for all patients 65 and over to be given sensitive and exemplary care. The mission of niche is to raise awareness of principles and tools that can achieve patient-centered care for older adults. Accreditation by the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) the JCAHO sets the standards by which healthcare quality is measured in America and around the world. It is an independent, not-for-profit organization that accredits and certifies over 17,000 healthcare organizations and programs. To maintain and earn accreditation, organizations must have an extensive on-site review by a team of JCAHO healthcare professionals, at least once every three years. Hunterdon Healthcare was honored with an "A" Hospital Safety Score by The Leapfrog Group, an independent national nonprofit run by employers and other large purchasers of health benefits. The Hospital Safety Score was calculated under the guidance of The Leapfrog Groups Blue Ribbon Expert Panel using publicly available data on patient injuries, medical and medication errors, and infections. U.S. hospitals were assigned an A, B, C, D, or F for their safety. HMC was ranked among the top five hospitals in New Jersey for patient safety in Consumer Reports magazine and was named one of the 100 Great Community Hospitals in the nation by Becker's Hospital Review. HMC was also recently named a recipient of the Women's Choice Award as one of America's Best Breast Centers, acknowledging its dedication to providing exceptional patient care and treatment. HMC received three-year full accreditation by The National Accreditation Program for Breast Centers (NAPBC). Hunterdon Happenings 2016 - Each year local residents vote on "favorites" in various categories of retail and service oriented businesses. This years winners that are part of our healthcare family are: - Dr. Dein Shapiro from Hunterdon Family Medicine at County Line for "Best Family Medicine". - Hunterdon Medical Center for "Best Hospital". - Hunterdon Sports and Physical Therapy/Flemington for "Best Sports Medicine". - Bright Tomorrows Childcare Center and Preschool for "Best Daycare". - Hunterdon Pediatric Associates for "Best Pediatrics". - Hunterdon Healthcare for "Best Places to Work". Clinical service lines ====================== Heart and vascular care ----------------------- Heart and vascular care at HMC combines a knowledgeable staff of physicians and specialists with state-of-the-art technology to bring the patient the best cardiovascular care in Hunterdon and its surrounding counties. Our superior staff and technological support enables us to diagnose heart and vascular disease and perform interventional procedures on patients suspected of heart and/or vascular disease. The Emergency PTCA door to balloon time is under sixty minutes. The service line also includes: A Faint and Fall Center; provides our region's only dedicated multi-specialty center for people suffering from fainting or falls. Working with the Center for Healthy Aging, cardiovascular specialists provide a comprehensive approach which helps to reduce fall related injury risk and prevent expensive inpatient hospital stays. Cardiopulmonary rehabilitation which is a medically supervised program of health education and physical activity for women and men of any age. Their mission is to treat the body, mind, and spirit of people with heart or lung disease so they may lead satisfying, productive, and healthy lives. Their professional team includes physicians, respiratory therapists, registered nurses, and exercise physiologists specially trained in exercise therapy and disease management. National recognition: Both the cardiac and pulmonary rehabilitation program are nationally certified by the American association of cardiovascular and pulmonary rehabilitation. This certification process is designed to review and monitor adherence to the high standards and guidelines developed by the American association of cardiovascular and pulmonary rehabilitation and other professional societies to best serve the patients. Programs include: - phase ii cardiac rehabilitation. - phase ii pulmonary rehabilitation. - phase iii cardiopulmonary rehabilitation. The cardiac catheterization laboratory offers state-of-the-art technology to bring you the best cardiovascular care in Hunterdon county and its surrounding counties. Superior staff and technological support enable the diagnosis of heart and vascular disease. The lab performs interventional procedures on patients suspected of heart or vascular disease. Hunterdon medical center has been designated a primary stroke center by the new jersey state department of health and senior services. Cancer care ----------- Hunterdon regional cancer center is accredited by the American College of Surgeons' Commission on Cancer as a community hospital cancer program. The Commission has recognized the cancer program at Hunterdon Medical Center as offering high quality cancer care. Only one in four hospitals that treat cancer receives this special approval. The recognition of this quality and commitment allows the patient access to the expert medical specialists who are involved in diagnosing and treating cancer. Approval by the Commission is given only to those facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancer. To meet the standards necessary for commission approval, each cancer program, and the organization that controls it, must undergo a rigorous evaluation process and a review of its performance. In order to maintain approval, facilities with approved cancer programs must undergo an on-site review every three years. Receiving care at an approved cancer program ensures that the patient will receive: - quality care close to home. - comprehensive care offering a range of state-of-the art services and equipment. - a multidisciplinary team approach to coordinate the best treatment options available. - access to cancer-related information, education, and support. - a cancer registry that collects data on type and stage of cancers and treatment results, and offers lifelong patient follow-up. - ongoing monitoring and improvement of care. - information about ongoing cancer clinical research studies and new treatment options. Orthopedics ----------- The Center for Bone and Joint Health offers a comprehensive approach that revolves around health and wellness. The center offers preventive therapies, nutrition counseling and a full spectrum of non-invasive treatments that may completely eliminate the need for surgical options. But if surgery is ultimately needed, the center's wellness approach gets you back to a normal quality of life weeks sooner than with traditional options. The circle of care refers to the coordinated, comprehensive services that the center for bone and joint health offers to patients. The program coordinator can guide patients through all of their options and help coordinate these services. Behavioral health ----------------- Hunterdon behavioral health ("HBH") provides high-quality, comprehensive mental health and addiction services. HBH diagnoses, treats and cares for adolescents and adults with mental illness, emotional difficulties or addiction. Expert clinical staff is highly trained in treating individuals in need of psychiatric and psychological support or addiction treatment. Hunterdon behavioral health offers: - evaluation, medication monitoring and therapy for individuals with mental health issues. - counseling for families in crisis to help provide a stable home environment. - support for adolescents and adults struggling with alcohol or drug addiction. - employee assistance to work with employers to resolve personal issues. Hunterdon behavioral health provides treatment for children, adolescents and adults who experience: - mental illness. - drug or alcohol addiction. - family crises. - difficulties in their work or school environment. - depression. - anxiety disorders. - attention disorders. - sleep disorders. - eating disorders. - emotional and behavioral issues. - peer pressure. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Obstetrics & Gynecology ----------------------- Hunterdon Healthcare's women's circle of care is a comprehensive approach to women's needs. We offer resources related to a woman's reproductive, gynecological and overall health; support for growing families, prevention and treatment for diseases and conditions; emotional support; and resources for menopause and healthy aging. As primary caregivers, women often assume responsibility for making healthcare decisions for themselves and their families. Hunterdon healthcare offers a full range of healthcare services and educational programs to support women in this critical role. Our Maternity and Newborn Care Centers experienced staff provides expert care for moms and babies alike. We offer technically advanced birthing suites that are private, spacious and comfortable. Our experienced physicians and nurses deliver nearly 900 babies annually. Highlights of the Hunterdon Medical Center Maternity and Newborn Care Center: - 20 private patient rooms. Patients deliver in one suite and receive post-partum care in another suite. - A Level II Special Care Nursery, available for early deliveries, emergency situations, or for newborns with a medical problem. - A wide range of Childbirth Education classes and attentive staff who welcome your questions and concerns. - A staff of Board Certified Lactation Consultants are on hand to teach and assist you learn how to breastfeed your baby. They are also available prior to your babys arrival, and after you go home. Insurance often covers outpatient lactation visits. - After-baby support, including a courtesy follow-up phone call to all new moms after discharge, as well as numerous supportive groups and ongoing telephone support. Primary care ------------ At the heart of the primary care service line is the patient centered medical home which aims to give the right care in the right place the first time. Medical home certification is granted to practices that go through a voluntary recognition process by a non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model. The National Committee for Quality Assurance (NCQA) has granted patient centered medical home certification at the highest level to 24 Hunterdon Healthcare affiliated physician practices. In a patient centered medical home certified practice, a team headed by the patient's personal physician delivers care. The personal physician tracks and coordinates the patient's care over time. The physician and the patient create a partnership and make decisions about healthcare together. Quality and safety drive the decisions, using guidelines based on evidence rather than tradition. Of course, this may mean that more care is not always better care. Hunterdon Healthcare Partners has worked hard to ensure that evidence-based guidelines are used in our system. Hunterdon Healthcare is committed to care that is coordinated and integrated across all elements of the complex healthcare system (subspecialty care, hospitals, home health agencies, nursing homes) and the patient's community (family, public and private community-based services). Hunterdon healthcare's collaboration guideline and agreement among primary care and specialty care physicians is integral to this, recognizing the importance of transitions of care in the outpatient setting, the emergency department, and during hospitalization. Hunterdon Healthcare's medical home practices provide distinctly different options for their patients to support their personal health goals. We emphasize self-management support. The patient, with support from a team of physician, nurses, social workers, care managers, dietitians, pharmacists, physical and occupational therapists, and other healthcare professionals, becomes engaged in their healthcare. From 2013 through 2016, 12 Hunterdon Healthcare affiliated practices participated in the national Comprehensive Primary Care Initiative ("CPCI") innovation project. As part of this project practices focused on risk stratification, care management of high risk patients, evaluation and improvement of the patient experience, care coordination across the medical neighborhood and enhanced shared decision making. Care Plans were developed and a new integrated behavioral health program was introduced as part of the CPC initiative. Home health services -------------------- Home health services is a non-profit home health agency certified by the federal government, licensed by the new jersey department of health, and accredited by the joint commission on accreditation of healthcare organizations. At home health services, each patient's program is carefully guided and planned so that all care is integrated for maximum benefit. The team includes: - home care nurses. - physical therapists. - occupational therapists. - speech pathologists. - medical social worker. - home health aides Physician patient educator. In order to be eligible for admission to home health services, patients: - must be homebound (unable to leave home without assistance). - have ongoing medical supervision and orders from a physician. - require periodic visits from at least one of four primary services. 1. Skilled nursing 2. Physical therapy 3. Occupational therapy 4. Speech language therapy If home health services are not indicated, a referral may be made to another community agency or service through Hunterdon Regional Community Health (HRCH), a wholly owned subsidiary of Hunterdon Healthcare. They can provide the following services to the community: - home health aides. - home infusion. - hospice. - respite care. - companion service. - lifeline personal emergency response service. Other services ============== Surgical Services ----------------- Hunterdon Medical Center provides the patient access to the most advanced technology, expert surgeons and personalized patient care in a comforting environment. Skilled professional staff work as a team with the physician to individualize patient care and recovery with the goal to improve bodily function and return the patient to daily activities as safely and quickly as possible. Hunterdon medical center's surgery department performs slightly more than 5,000 surgeries per year. Types of surgery include, among others: - abdominal surgery. - appendectomy. - arthroscopy. - bariatric surgery. - breast surgery. - cataract surgery. - dilation & cutellage (d&c). - gallbladder surgery. - hernia surgery. - hysterectomy. - laminectomy. - neurosurgery. - plastic surgery. - spine surgery. - total joint replacement surgery. - vascular surgery. - urologic surgery. Sleep disorders --------------- Sleep disorders are associated with a long list of medical problems, including: - heart attack. - stroke. - irregular heartbeat. - high blood pressure. - heart failure. - obesity. - diabetes. The sleep disorders center at Hunterdon Medical Center treats many types of sleep disorders, including: - sleep apnea which is a medical disorder in which a person, usually a loud snorer, experiences an obstruction in the throat during sleep. Lack of sufficient air causes the individual to awaken, usually with a cough or a gasp that opens the airway. Airflow is re-established and breathing resumes during the next episode. People with sleep apnea have to wake up briefly to breathe, sometimes hundreds of times during the night, although there is no memory of these brief awakenings. - periodic limb movement syndrome may coexist with obstructive sleep apnea. Multiple jerking movements, typically of the legs, awaken those with the disorder repeatedly through the night. - restless legs syndrome is a condition involving sensations in the legs, and sometimes arms, while the individual is awake. The sensations usually occur when the individual is lying down and the only relief is to move the limbs, keeping the individual awake. - narcolepsy is a neurological disorder characterized by excessive daytime sleepiness. Individuals with narcolepsy fall asleep at inappropriate, and occasionally, dangerous times. - insomnia refers to a chronic inability to initiate or sustain sleep, resulting in sleep deprivation and daytime fatigue. There are numerous causes for insomnia, including stress, anxiety, depression, chronic illness, medications, poor sleep habits and circadian rhythm disorders. Occasionally, a sleep study may be part of the evaluation, especially if obstructive sleep apnea is contributing. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Hospital owned physician specialty services =========================================== - endocrinology. - gastroenterology. - infectious disease. - dermatology. - psychiatry. - center for health aging. - pulmonary & critical care. - cardiology. - urology. - breast surgery. - neonatology. Community care services ======================= The Hunterdon Health and Wellness center ---------------------------------------- The Hunterdon health and wellness center has two premier fitness facilities located in Whitehouse station and Clinton, New Jersey in Hunterdon county. Members benefit from access to Hunterdon Healthcare staff for guidance in attaining their optimal health. Access to health education staff and wellness classrooms for programs which focus on a variety of topics designed to improve lifestyle is also a community benefit. Bright Tomorrows Child Care Center ---------------------------------- The center provides care and early childhood education for children ages 6 weeks to 6 years. Multi-sensory disciplines are utilized to facilitate growth in the areas of social, emotional, physical and cognitive development. Programming includes: - age appropriate thematic curriculum. - daily nutritious lunch and snacks. - diapers and wipes for infants and toddlers. - monthly themes, class trips and special guests. - enrichment programs. - parental education. - an annual back to school night and other family events. A preventative approach to discipline teaches positive behaviors, rather than punishing for misbehaviors. The goal is to provide children with motivation and an opportunity to make positive choices. Learning social skills through gentle encouragement, the children learn to respect the needs of others, adapt to routines and simple rules, and become responsible. Parent and family involvement is an integral part of the program. an "open door" policy is maintained to allow parents to visit and observe their child at any time. Parents are always welcome to participate in educational opportunities and special events. Bright tomorrows strives to maintain competent staff by providing competitive wages and ensuring each staff member is actively engaged in ongoing professional development. All staff maintain adult and pediatric CPR and First Aid certification and all receive a child abuse record of incident and criminal history record of incident background checks. Hunterdon family medicine residency =================================== The primary mission of the Hunterdon medical center family medicine residency program is to educate residents utilizing the values and precepts which are fundamental to the way medicine is practiced by family physicians in Hunterdon county, New Jersey, so that they themselves may graduate as family physicians who can provide this model of exemplary primary care to their patients, their patients' families and the communities which they serve. Because of the respect that family medicine enjoys in Hunterdon county, residents have a unique opportunity to see how effective a family physician can be. Every facet of Hunterdons integrated delivery system is utilized to enhance the resident's understanding of the full impact of family practice in this country. Our mission allows us to move toward our ultimate vision in family medicine education. This vision is to create a humanistic and compassionate form of education which models completely the humanism and compassion that we teach in the doctor-patient relationship. Our competency-based curriculum is central to both our mission and our vision. It is recognized that every resident has unique educational styles and needs. Our educational system is designed to create a "core" curriculum for every resident and a unique educational experience based on their passions and interests. Residents can develop an area of concentration and focus during their third year with a range of opportunities including sports medicine, global health, geriatrics, palliative care, and others. University affiliation ---------------------- Hunterdon Medical Center has enjoyed a major teaching affiliation with the University of Medicine and Dentistry of New Jersey-Robert Wood Johnson medical school since 1972 and has been involved with the teaching of medical students in physical diagnosis, office preceptorships, third-year clinical rotations and fourth-year electives and sub-internships. This affiliation allows extended learning beyond Hunterdon, including a variety of exceptional programs such as advanced lifesaving in obstetrics, conferences on professionalism, career development, medical-legal issues, contracting and negotiations, research and other scholarly activities. Community support and education =============================== - Alcoholics Anonymous meetings. - Alzheimers support group. - arthritis & osteoporosis support group. - bereavement support group. - brain injury support group. - breastfeeding support group. - caregiver support groups. - celiac disease support group. - children of divorce. - depression support group. - diabetes support group. - family cancer risk assessment program. - family support group. - look good... Feel better educational group. - mental illness family support groups. - narcotics anonymous meetings. - overeaters anonymous. - "smart" recovery discussion group. - social skills group. - mom time support group (postpartum adjustment/depression support). - baby steps, family support group. - toddler steps, for families of toddlers. - anger management group. - anger management group for adolescents. - multifamily support group, addictions treatment. - new beginnings support group for post bariatric surgery patients. - bariatric surgery support group for potential clients considering bariatric surgery. - weigh to go, weight management program for kids. - why can't I lose weight, weight management program for adults. - monthly health education series at the Hunterdon health and wellness centers. - living with a medical condition for adolescents. - hospice art bereavement program. - adult bereavement program through Hunterdon hospice. CORE FORM, PART III; QUESTION 2 Hunterdon Ambulatory Services, LLC was created as a sole member Limited liability company with Hunterdon Medical Center being the sole member. Hunterdon Ambulatory Services, LLC provides ambulatory non-provider based diagnostic and therapeutic services. 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, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS") IS THE SOLE MEMBER OF THIS ORGANIZATION. HHS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HUNTERDON HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY HUNTERDON HEALTHCARE SYSTEM, INC.'S AUDIT COMMITTEE. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION 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 INTERNAL WORKING GROUP OF THE ORGANIZATION 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 FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND 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 FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS PRESENTED TO THE MEMBERS OF HUNTERDON HEALTHCARE SYSTEM, INC.'S AUDIT COMMITTEE FOR REVIEW AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS OBTAINED ANNUALLY FROM ALL TRUSTEES, SENIOR STAFF, AND OTHER KEY EMPLOYEES WHO ARE CURRENTLY SERVING THE ORGANIZATION. IT IS THE ORGANIZATION'S POLICY THAT IN THE EVENT OF A CONFLICT THEY DO THE FOLLOWING: IF THERE IS A CONFLICT RELEVANT TO A MATTER REQUIRING ACTION BY tHE BOARD OF TRUSTEES, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE BOARD OF TRUSTEES, AND THE TRUSTEE CONCERNED SHALL NOT VOTE ON THE MATTER. MOREOVER, THE PERSON HAVING A CONFLICT SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD IS MEETING AND SHALL NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE MATTER UNDER CONSIDERATION. WHEN THERE IS DOUBT AS TO WHETHER A CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE RESOLVED BY VOTE OF THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF, EXCLUDING FROM THE ROOM AND THE VOTE of THE PERSON WHOSE SITUATION WILL BE DISCUSSED. WHEN A CONFLICT OF INTEREST ARISES FOR ANY STAFF MEMBER EXCEPT THE PRESIDENT, THAT STAFF MEMBER SHALL REPORT IT TO THE PRESIDENT IN WRITING. A CONFLICT OF INTEREST RELATING TO THE PRESIDENT SHALL BE REPORTED IN WRITING TO THE CHAIRMAN OF THE BOARD. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER. 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. IN 2016, THE EXECUTIVE COMPENSATION COMMITTEE REPORTED TO THE FULL BOARD FOR RATIFICATION. 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, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER. 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 REVIEWING 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. IN ADDITION, THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION ADJUSTMENTS BASED ON MARKET SURVEYS DEVELOPED BY INDEPENDENT CONSULTANTS, INDUSTRY AVERAGE COMPARISON, YEARS OF SERVICE AND OTHER EXEMPT ORGANIZATIONS IN THE GEOGRAPHIC AREA. AFTER A REVIEW OF THE INDIVIDUAL'S PERFORMANCE FOR THE YEAR AND RELYING ON COMPARABLE INFORMATION AND OTHER OBJECTIVE DATA, THE EXECUTIVE COMMITTEE WILL RECOMMEND AN ADJUSTMENT TO THE INDIVIDUAL'S COMPENSATION. ANY DETERMINATIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE EXECUTIVE COMMITTEE MINUTES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS 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 SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE HUNTERDON HEALTHCARE SYSTEM, INC.'S 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 MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND IS AVAILABLE ONLINE AT WWW.DACBOND.COM. THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. 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. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF HUNTERDON HEALTHCARE SYSTEM, INC. AND AFFILIATES; INCLUDING HUNTERDON MEDICAL CENTER, AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THE BOARD OF TRUSTEES OF THIS ORGANIZATION. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS PART OF HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND KEY EMPLOYEES 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 CORE FORM, 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 HUNTERDON HEALTHCARE SYSTEM, INC. AND ALL AFFILIATES AND NOT TOTAL HOURS WORKED PER WEEK ON BEHALF OF ONLY HUNTERDON MEDICAL CENTER. CORE FORM, PART VII AND SCHEDULE J A Certain individual was reported as a key employee on part vii of the 2015 Form 990. Upon a review of their duties, roles and responsibilities it was determined that this individual does not satisfy the criteria to be a key employee under (1) Form 990 rules, regulations and instructions; (2) State of New Jersey law; or (3) the organizations bylaws. Accordingly, this individual has not been included on this 2016 Form 990 as either a key employee or a former key employee nor should have been reported on previous years Forms 990. In addition, a certain individual was reported as a key employee on part vii of the 2015 Form 990. Upon a review of their duties, roles and responsibilities it was determined that this individual does not satisfy the criteria to be a key employee under (1) Form 990 rules, regulations and instructions; (2) State of New Jersey law; or (3) the organizations bylaws. However, it was determined that this individual does satisfy the criteria to be classified as a highest compensated employee for Form 990 reporting purposes. Accordingly, this individual has been included on this 2016 Form 990 as a highest compensated employee. Please note that the organization did not amend its 2015 Form 990 with respect to the reclassifications outlined above. CORE FORM, PART XI; LINE 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST; ($3,057,966); - NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS; $1,570,024; - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS; ($83,621); AND - NET CHANGE IN PERMANENTLY RESTRICTED NET ASSETS; $830,827. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HUNTERDON HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HUNTERDON HEALTHCARE SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HUNTERDON MEDICAL CENTER AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE HUNTERDON MEDICAL CENTER'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY 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. hunterdon ambulatory services llc 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 812462115 HEALTHCARE NJ 184040 184243 HMC HUNTERDON HEALTHCARE SYSTEM INC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 222537411 HEALTHCARE NJ 501(C)(3) 509(A)(3) NA false HUNTERDON HOSPICE 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 222276083 HEALTHCARE NJ 501(C)(3) 509(A)(1) HRCH false VISITING HEALTH & SUPPORTIVE SERVICES 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 221636709 HEALTHCARE NJ 501(C)(3) 509(A)(1) HRCH false HUNTERDON HEALTHCARE FOUNDATION 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 222526895 FUNDRAISING NJ 501(C)(3) 509(A)(1) HHS false HUNTERDON REGIONAL COMMUNITY HEALTH INC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 223453318 HEALTHCARE NJ 501(C)(3) 509(A)(3) HHS false BRITESIDE ADULT DAY CENTERS INC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 222113056 ADLT DAY CARE NJ 501(C)(3) 509(A)(2) HRCH false HUNTERDON PRIMARY CARE PC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 474931969 HEALTHCARE NJ 501(C)(3) 509(A)(3) HMC true HUNTERDON SPECIALTY CARE PC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 474913206 HEALTHCARE NJ 501(C)(3) 509(A)(3) HMC true HUNTERDON URGENT CARE PC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 474901532 HEALTHCARE NJ 501(C)(3) 509(A)(3) HMC true HUNT IMAGING ASSOC 2100 WESCOTT DR FLEMINGTON NJ 08822 223126699 HEALTHCARE NJ NA DELVALLEY OFF ASSOC 2100 WESCOTT DR FLEMINGTON NJ 08822 222878037 PROPERTY MGMT NJ NA HUNT HEALTHCARE LLC 2100 WESCOTT DR FLEMINGTON NJ 08822 223642089 HEALTHCARE NJ NA HC FOR SURGERY LLC 2100 WESCOTT DR FLEMINGTON NJ 08822 223401213 HEALTHCARE NJ NA HUNT CARDVSC HEALTH 1100 WESCOTT DRIVE SUITE G3 FLEMINGTON NJ 08822 223665435 HEALTHCARE NJ NA MIDJERSEY HLTH ALLI 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 815198825 HEALTHCARE NJ NA MIDJERSEY HEALTH CORPORATION 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 222713664 HEALTHCARE NJ NA C CORP. false HUNTERDON COMMUNITY CARE INC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 223453281 HEALTHCARE NJ NA C CORP. false HUNTERDON REGIONAL PHARMACY INC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 743055633 HEALTHCARE NJ NA C CORP. false false false true true false false false false false true true true true false true false false false false HUNTERDON HEALTHCARE SYSTEM INC O 3276483 cost HUNTERDON HEALTHCARE SYSTEM INC D 101993 COST HUNTERDON PRIMARY CARE PC O 4557833 COST HUNTERDON PRIMARY CARE PC D 4128806 COST HUNTERDON SPECIALTY CARE PC O 3081494 COST HUNTERDON SPECIALTY CARE PC D 9634480 COST HUNTERDON URGENT CARE PC O 260178 COST HUNTERDON URGENT CARE PC D 1287869 COST SCHEDULE R, PART V HUNTERDON MEDICAL CENTER ROUTINELY PAYS EXPENSES FOR ITS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. 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.