2016-11-14T14:41:53-06:00 2015-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2015-01-01 221487148 CHILDREN'S SPECIALIZED HOSPITAL % JOSEPH J DOBOSH JR CHIL 9083015455 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 JOSEPH DOBOSH CFO 9083015455 2016-11-10 true Scott J Mariani P00642486 9738989494 2015 2017-02-10 21:41:12Z WARREN E MOORE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 135942076 false X www.childrens-specialized.org X 1893 NJ TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. 19 15 1494 637 0 7982373 7776962 117157819 127352728 701256 422376 412631 390010 126254079 135942076 127640 542463 0 0 88656176 94689311 0 0 0 34402266 36579909 123186082 131811683 3067997 4130393 178980852 181359649 73563274 71329142 105417578 110030507 X TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 39539002 53713741 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT REHABILITATION SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 20,846 PATIENT DAYS FROM THE PROVISION OF INPATIENT REHABILITATION SERVICES IN 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 17696042 21729518 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY LONG-TERM CARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 26,234 PATIENT DAYS FROM THE PROVISION OF LONG-TERM CARE SERVICES IN 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 17396836 11989799 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY AMBULATORY CARE CENTER PROGRAM SERVICES TO ALL CHILDREN 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. 9864930 542463 39919670 84496810 true true false true false false false false false true true false true false true true false true false true true false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true 102 0 true 1494 true false true BD false false false false false false false false X 19 15 false false false false true true true true true false false true true true true true true true true false NJ X JOSEPH J DOBOSH JR 9083015455 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 X MARGARET M PEGO CHAIRWOMAN - TRUSTEE 1.0 0.0 X X 0 0 0 STEVEN M ROSENBERG ESQ 1ST VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 SUEANNE D KORN 2ND VICE CHAIRWOMAN - TRUSTEE 1.0 0.0 X X 0 0 0 CELESTE ANDRIOT WOOD SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 BARBARA ROTHMAN TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JENFU CHENG MD TRUSTEE - PRESIDENT MED STAFF 55.0 0.0 X 265331 0 31370 JOHN CRISAN ESQ TRUSTEE 1.0 0.0 X 0 0 0 MARTIN DIAMOND MD TRUSTEE - PHYSIATRIST 55.0 0.0 X 246456 0 13114 DAVID KOSTINAS TRUSTEE 1.0 0.0 X 0 0 0 LAWRENCE KRAMER TRUSTEE 1.0 0.0 X 0 0 0 PENELOPE E LATTIMER PHD TRUSTEE 1.0 0.0 X 0 0 0 AMY B MANSUE TRUSTEE - PRESIDENT/CEO 55.0 0.0 X X 737722 0 116725 GLENN MORTIMER TRUSTEE 1.0 0.0 X 0 0 0 JOAN MURRAY TRUSTEE 1.0 0.0 X 0 0 0 GEOFFREY PERSELAY TRUSTEE 1.0 0.0 X 0 0 0 PHILIP SALERNO TRUSTEE - PRES/CDO FOUNDATION 55.0 0.0 X 425548 0 37784 ROBIN A WALTON TRUSTEE 1.0 0.0 X 0 0 0 VICTORIA WICKS TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA WHITLEY-WILLIAMS MD TRUSTEE 1.0 0.0 X 0 0 0 WARREN E MOORE EVP/COO 55.0 0.0 X 552464 0 57080 JOSEPH J DOBOSH JR MBA VP/CFO 55.0 0.0 X 415972 0 68328 CHRISTOPHER HAINES DO FACEP CHIEF MEDICAL OFFICER 55.0 0.0 X 457056 0 5500 MICHAEL R DRIBBON PHD VP REHAB SERVICES & PROG. DEV. 55.0 0.0 X 325794 0 54061 WILLIAM J DWYER VP HUMAN RESOURCES 55.0 0.0 X 319280 0 33575 BONNIE ALTIERI PHD RN VP PATIENT CARE SERVICES/CNO 55.0 0.0 X 314380 0 70774 CHARLES CHIANESE VP OP'S/CHIEF PERFORMANCE OFF. 55.0 0.0 X 296239 0 39522 PATRICIA D FOLEY PT FACHE VP OUTPATIENT SERVICES 55.0 0.0 X 232920 0 59710 UDAY MEHTA MD DEVELOPMENTAL PEDIATRICIAN 55.0 0.0 X 415133 0 13675 MATT B MCDONALD III MD SEC CHIEF SPECIAL NEEDS PEDS. 55.0 0.0 X 263308 0 25057 YVETTE JANVIER MD DIRECTOR; MEDICAL SERVICES 55.0 0.0 X 259283 0 11095 COLIN R O'REILLY MD SECTION CHIEF IP PEDIATRICS 55.0 0.0 X 253873 0 20631 THOMAS A RUGINO MD PHYSIATRIST 55.0 0.0 X 248721 0 13680 6029480 0 671681 154 false true false MICHAEL RIESZ CO INC 588 NEW BRUNSWICK AVENUE FORDS NJ 08863 CONSTRUCTION 1264268 RUTGERS BUSINESS OFFICE PO BOX 2685 NEW BRUNSWICK NJ 08903 MEDICAL 1088918 NEW BRUNSWICK PARKING AUTHORITY 106 SOMERSET STREET 6TH FLOOR NEW BRUNSWICK NJ 08901 PARKING 930998 HARMELIN MEDIA 525 RIGHTS FERRY ROAD BALA CYNWYD PA 19004 ADVERTISING 631627 BLUE PRINT HEALTHCARE IT 1249 SOUTH RIVER ROAD SUITE 106 CRANBURY NJ 08512 IT 629306 58 X 3924755 3852207 7776962 NET PATIENT SERVICE REVENUE 541900 125929280 125929280 OTHER HEALTHCARE RELATED REVENUE 541900 1423448 1423448 127352728 454997 454997 0 0 29520 29520 0 29520 29520 -32621 -32621 -32621 -32621 0 0 0 CAFETERIA & DIETARY REVENUE 360490 360490 360490 135942076 127352728 812386 542463 542463 0 0 0 5176701 4659031 517670 0 71517426 54951872 16565554 0 1084520 797263 287257 10866260 8253769 2612491 0 6044404 4714635 1329769 0 59418 59418 198248 198248 99164 99164 0 79264 79264 7811744 3875301 3936443 157341 43151 114190 4939335 2815903 2123432 1537103 1537103 0 7148852 844569 6304283 940868 785746 155122 0 236085 182145 53940 2028522 2028522 0 0 7955322 7955322 0 771677 771677 MEDICAL SUPPLIES 1183037 1162084 20953 LICENSES, DUES AND FEES 460318 133985 326333 EXTINGUISHMENT OF DEBT 153385 153385 PATIENT CAMPS & RECREATION 79906 76009 3897 740320 658884 81436 131811683 84496810 47314873 0 X 14316 8801 25019960 31800861 1028042 1758473 16070488 17143030 0 0 0 0 0 0 471875 563321 8886144 8635255 169584021 94113718 77445585 75470303 0 0 0 0 46249109 42378581 897622 505693 2897711 3095331 178980852 181359649 18497743 20121480 0 0 217623 187514 44850110 40592968 0 0 0 0 2709533 2473602 0 0 7288265 7953578 73563274 71329142 X 83604339 88604735 15351062 14957575 6462177 6468197 105417578 110030507 178980852 181359649 X 4130393 -329997 812533 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 90000 false true 9164 99164 false SCHEDULE C, PART II-B; LINES 1G AND 1I CHILDREN'S SPECIALIZED HOSPITAL IS A MEMBER OF ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CHILDREN'S SPECIALIZED HOSPITAL PAID ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, $90,000 FOR ITS PORTION OF THE LOBBYING EXPENSES INCURRED BY THE SYSTEM. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL PAID AN OUTSIDE INDEPENDENT LOBBYING FIRM TO PROVIDE LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION AND THE NEW JERSEY CHAMBER OF COMMERCE WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $9,164 IN 2015. 10638632 6020 10609 257868 10397393 10268974 12982 613584 256908 10638632 8731853 16248 1630528 109655 10268974 8110182 9227 722099 109655 8731853 8364523 20618 215644 490603 8110182 0.62210 0.37790 false true true 156400 156400 66942181 27550016 39392165 13358882 8559231 4799651 83106312 56074529 27031783 6020246 1929942 4090304 75470303 LIMITED USE 523650 F LIMITED USE 571451 F LIMITED USE 2127071 F LIMITED USE 5133132 F EQUIVALENTS; LIMITED USE 1218501 F MONEY MARKET FUNDS 546087 F U.S. CORPORATE BONDS 790444 F U.S. GOVERNMENT BONDS 2942212 F U.S. EQUITY SECURITIES 7100261 F ORGANIZATION 21425772 F 42378581 0 OTHER LIABILITIES 3779981 CURRENT 1636935 NON-CURRENT 2536662 7953578 X SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. The Hospitals endowment consists of funds that have been established by the Foundation to support the Hospital in providing healthcare services. These funds are invested by the Foundation. The Foundation has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of income and growth, while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor restricted funds that the Foundation must hold in perpetuity. Under this policy, as approved by the Foundations board of trustees, the endowment assets are invested in a manner that is intended to produce moderate to high rates of return while assuming a moderate level of investment risk over the long term. SCHEDULE D, PART X THE ORGANIZATION ENGAGED AN INDEPENDENT CPA FIRM TO ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. OUTLINED BELOW IS THE TEXT OF THE FIN 48 (ASC 740) DISCLOSURE FOOTNOTE FROM THE ORGANIZATION'S 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE ("THE CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE AND LOCAL TAXES. The Hospital follows the provisions of the authoritative guidance on accounting for uncertainty in income taxes. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes 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. The guidance also provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, and disclosure. Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 332651 Central America and the Caribbean Investments 1218501 1 1 1 1 1551152 1551152 true false true false false false true true X true X 400. true X 500. true true false false 1562257 1562257 0.01190 1562257 1562257 0.01190 444245 444245 0.00340 2410860 2410860 0.01830 1886486 1886486 0.01430 4741591 4741591 0.03600 6303848 6303848 0.04790 32089 32089 0.00020 32089 32089 0.00020 true 3828589 true true 1 1 PSE&G CHILDREN'S SPECIALIZED HOSPITAL 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 WWW.CHILDRENS-SPECIALIZED.ORG 22249 X X 1 PSE&G CHILDREN'S SPECIALIZED HOSPITAL 1 false false true X X X X X X X 13 true false false true X WWW.CHILDRENS-SPECIALIZED.ORG X true 15 true WWW.CHILDRENS-SPECIALIZED.ORG false false true X 400. 500. X X X true true X X X X true X SEE SCH H, QUESTION 16 SUPP. X SEE SCH H, QUESTION 16 SUPP. X X X true X false X X X X false X X false false SCH H,PT V,SECTION B,Q'S: 2,3J,6A&B,7D,13B,13H,16I,18D,19D,20E,21C&D,23&24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 5 When conducting the most recent community health needs assessment ("chna"), CHILDREN'S SPECIALIZED HOSPITAL ("CSH") took into account input from persons who represent the broad interests of the community served by CSH. CSH conducted four key informant interviews WHICH provided information regarding the successes and challenges faced by CSH. In addition, phone interviews were conducted with various other community members AND were analyzed TO DETERMINE key issues WHICH NEEDED to BE addressED. CSH also conducted two focus groups. The first focus group consisted of CSH physicians and the second consisted of members of the CSH family advisory council. The feedback received from these focus groups were analyzed and formulated into recommendations. Lastly, CSH administered two surveys via the survey monkey on-line system. Detailed comments received were used for the development of recommendations. SCHEDULE H, PART V, SECTION B, QUESTION 11 CHILDREN'S SPECIALIZED HOSPITAL ("CSH") CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING 2013. THROUGH THAT CHNA, CSH IDENTIFIED SEVERAL NEEDS WITHIN THE COMMUNITY THAT NEEDED TO BE ADDRESSED. AS A RESULT OF THOSE SIGNIFICANT NEEDS CSH CREATED AN IMPLEMENTATION STRATEGY WHICH EXPLAINS THE SIGNIFICANT NEEDS IDENTIFIED AND HOW CSH PLANS TO ADDRESS THEM. ON AN ANNUAL BASIS CSH ACTIVELY WORKS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2013 CHNA. FOR EXTENSIVE DETAIL REGARDING THE SIGNIFICANT STRATEGIC ACHIEVEMENTS MADE TO ADDRESS THESE NEEDS PLEASE REFER TO CSH'S MOST RECENTLY ADOPTED STRATEGIC PLAN LOCATED ON THE FOLLOWING WEBSITE: https://www.childrens-specialized.org/about-us/who-we-are/strategic-plan OUTLINED BELOW ARE four needs identified in the chna that HAVE NOT BEEN AND WILL NOT BE ADDRESSED BY CSH AND THE REASONS WHY: (i) create pediatric neurologists' training program - CSH believes the demand for services is for developmental behavioral pediatricians to serve children with autism. In 2009, CSH received approval for a fellowship program in developmental pediatrics and now HAS four fellows in the program. (ii) mental health network should be preventative-based and participate in managed care - CSH provides a range of healthcare services, including psychology services for children with special needs. Providing a full range of mental health services would be an expansion of existing services. CSH BELIEVES THE COMMUNITY WOULD BE BETTER SERVED IF CSH CONTINUES TO focus on its existing services and meet the current needs OF THE COMMUNITY before venturing into new healthcare areas. (iii) development curriculum to be offered for CONTINUING EDUCATION UNIT ("CEU") for statewide conferences with the medical society of services for children with special needs - CSH presently offers many training programs and education sessions, however, to attain CEU approval requires additional investment and would take CSH away from its existing training programs for its physicians. (iv) increase outreach to children who are asian and see if there is an unmet need that the hospital is not addressing - CSH currently has a 65-day wait list for services for developmental pediatrics, and is focused on improving access for all children. SCHEDULE H, PART V, SECTION B, QUESTION 15E CSH'S WEBSITE PROVIDES THE CONTACT INFORMATION OF THE CSH DEPARTMENT THAT CAN PROVIDE AN INDIVIDUAL WITH INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY ("FAP") AND FAP APPLICATION PROCESS. IF INDIVIDUALS NEED ASSISTANCE WITH THE FINANCIAL ASSISTANCE PROCESS THEY ARE ENCOURAGED TO SPEAK WITH A MEMBER OF THE CSH PATIENT ACCESS SERVICES DEPTARTMENT WHICH CAN BE REACHED AT 908-233-3720 ext.5193. SCHEDULE H, PART V, SECTION B, QUESTIONS 16A, 16B & 16C THE ORGANIZATION'S FAP (CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND) AND THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND APPLICATION ARE AVAILABLE ON THE FOLLOWING WEBSITE: http://www.childrens-specialized.org/for-patients-and-families/billing-fin ancial-and-insurance-information/hospital-benefit-fund-and-application SCHEDULE H, PART V, SECTION B, QUESTION 22D THE ORGANIZATION CURRENTLY UTILIZES AMOUNTS TYPICALLY CHARGED IN THESE INSTANCES. 13 CSH LONG TERM CARE AT MOUNTAINSIDE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 LONG-TERM CARE AND OUTPATIENT CENTER CSH LONG TERM CARE AT TOMS RIVER 94 STEVENS ROAD TOMS RIVER NJ 08755 LONG-TERM CARE AND OUTPATIENT CENTER CSH OUTPATIENT CENTER AT HAMILTON 3575 QUAKERBRIDGE ROAD HAMILTON NJ 08619 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT TOMS RIVER 368 LAKEHURST ROAD TOMS RIVER NJ 08755 OUTPATIENT CENTER CSH MED DAY CARE CTR & EARLY INTERVENT 316 WEST WESTFIELD AVENUE ROSELLE PARK NJ 07204 OUTPATIENT CENTER CSH EARLY INTERVENTION TOMS RIVER 316 WASHINGTON STREET TOMS RIVER NJ 08755 EARLY INTERVENTION CSH OUTPATIENT CENTER AT EGG HARBOR 6106 BLACK HORSE PIKE EGG HARBOR TOWNSHIP NJ 08234 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT FANWOOD 313 SOUTH AVENUE FANWOOD NJ 07023 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT CLIFTON 1135 BROAD STREET CLIFTON NJ 07013 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT BAYONNE 815 BROADWAY AVENUE BAYONNE NJ 07002 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT NEWARK 182 LYONS AVENUE NEWARK NJ 07112 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT WARREN 266 KING GEORGE ROAD WARREN NJ 07059 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT NEW BRUNSWICK 10 PLUM STREET 6TH FLOOR NEW BRUNSWICK NJ 08901 OUTPATIENT CENTER SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE FOLLOWING CRITERIA IS USED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. SCHEDULE H, PART I; QUESTION 6A Not applicable. SCHEDULE H, PART I; QUESTION 7 Worksheet 2 was used for the cost to charge ratio. SCHEDULE H, PART I, QUESTION 7G No costs relating to subsidized healthcare services are attributable to any physician clinics. SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 & 4 Bad debt expense was calculated using the provider's bad debt expense from financial statements, 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 recorded at the reimbursed or contracted amount and do not bear interest. The allowance for doubtful accounts is the hospital's best estimate of the amount of probable credit losses in the hospital's existing patient accounts receivable. The hospital determines the allowance for doubtful accounts by reviewing the age of the receivables in the aggregate and then applying consistent rates to each aged bucket across major payor source. The rates applied are based on historical write-off experience, and the hospital reviews its allowance and rates periodically. Past-due balances are reviewed individually for collectability. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. The Hospitals allowance for doubtful accounts for self-pay patients increased to 22.1% of self-pay accounts receivable at December 31, 2015 from 13.7% of self-pay accounts receivable at December 31, 2014. In addition, the Hospitals self-pay account write-offs (net of recoveries) decreased to $2,294,583 in 2015 from $2,410,441 in 2014. Charity And Other Uncompensated Services Care --------------------------------------------- The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates and 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. The Hospital does not pursue collection of amounts determined to qualify as charity care; therefore, these amounts are not reported as net patient service revenue. The Hospital does not receive any distribution of state or federal subsidies for charity care services rendered. An overall cost to charge ratio was applied to arrive at the cost of charity care. As a result, the cost of providing charity care was $1,562,257 and $1,018,697 for the years ended December 31, 2015 and 2014, respectively. In addition, the Hospital provides community service programs for free or below cost and provides a variety of patient care services where reimbursement under federal and state agreements is below costs. These services include, but are not limited to, health fair screenings and educational programs on a variety of topics related to the patient population the Hospital services. SCHEDULE H, PART III, SECTION B; QUESTION 8 Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The organization feels that bad debt should be a community benefit and associated costs should be included 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 individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay, and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Bad debt is 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 that bad debt should be community benefit. 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 bad debt as quantifiable community benefit for the following reasons: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospitals' best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance. 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 against revenue. It is the policy of children's specialized hospital to treat all patients equally regardless of insurance and their ability to pay. Childrens Specialized Hospital WILL exhaust all opportunities for insurance payments before billing any patient ("guarantor") for services provided by the Hospital. The exceptions to that policy are patient responsibility amounts that are known at the time of service. Payments for those amounts are expected to be paid by the patient at the time of service assuming there is no secondary insurance coverage. In the event a patient responsibility is identified by the patients insurance carrier after the services are provided, the patient will be billed the amount identified as the patients responsibility by the carrier. Again, in situations where secondary or tertiary coverage exists those amounts will be billed prior to the guarantor. All identified insurance carriers will be billed (electronically if possible) and payments pursued from those carriers. FINANCIAL ASSISTANCE will be offered to patients consistent with the FINANCIAL ASSISTANCE policy. Patient's accounts will be updated to reflect FINANCIAL ASSISTANCE eligibility. Patients will not be billed any balances until the point at which all insurance opportunities have been exhausted. The amount billed to the patient (guarantor) should be consistent with the insurance explanation of benefits "patient responsibilitybe net of any FINANCIAL ASSISTANCE AWARDED. Billing statements will be sent out every 21 days for no less than 120 days from the first such statement. Bills that remain unpaid after 120 days will be referred to a collection agency. Normal collections efforts will be pursued but FURTHER COLLECTION ACTIONS WILL BE SUBJECT TO APPROVAL BY THE Director of Patient Accounts on a case by case basis. Any patient overpayments recognized by the hospital resultant from retrospective FINANCIAL ASSISTANCE eligibility will be refunded as soon as reasonably possible. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE SECTION 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN THE FORM 990, SCHEDULE H, PART V, SECTION B, CHILDREN'S SPECIALIZED HOSPITAL CONDUCTS A REVIEW OF KEY MARKET FACTORS ANNUALLY WHICH INCLUDES: - a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; - healthcare service estimates and forecasts (both inpatient and outpatient); - assessments of local demographic and socioeconomic information; and - a review of health status/needs assessments and studies conducted by external parties (health research and education trust of new jersey, kid's count, etc.). This organization conducts an extensive service area population physician need study (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. In addition, this organization works with local providers to plan and discuss health needs of the population. SCHEDULE H, PART VI; QUESTION 3 THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: - THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION ARE available on-line at the following website: https://www.childrens-specialized.org/for-patients-And-families/billing-fi nancial-and-insurance-information/hospital-benefit-fund-and-application - Paper copies of THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION are available upon request without charge by mail and are available AT THE PATIENT ACCESS SERVICES DEPARTMENT WITHIN THE HOSPITAL; AND - Signs or displays informing patientS about the availability of financial assistance ARE conspicuously posted in public locations OF THE HOSPITAL. SCHEDULE H, PART VI; QUESTION 4 This organization is in a diverse suburban location serving diverse communities ranging from inner city communities to more affluent suburban areas throughout the state of new jersey. Children's has twelve locations throughout the state and is committed to service all of its communities and serves both inner city and suburban areas. About 60% of its inpatients are of minority race/ethnicity. In addition, approximately 8% of its patients are of underinsured and uninsured payer categories. SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by children's specialized hospital improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other health care professionals. Children's specialized hospital plans to hold an annual board meeting open to the public. The majority of the board of trustees are individuals with local businesses or whom reside in the community. Hospital staff members serve on the boards of many local not-for-profit organizations and provide other forms of support (fundraising, activity participation). All qualified physicians are extended privileges by the medical staff office credentialing committee. Under the directive of the organization's corporate finance office, surplus funds are utilized for capital projects to improve services or purchase equipment which in turn, benefit the community. Please also refer to form 990, schedule o, which contains the organization's community benefit statement and summary of all entities which comprise children's specialized hospital. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK AND AFFILIATES. NOT FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HEALTH CARE CORPORATION RWJ HEALTH CARE CORPORATION ("RWJHCC") IS THE TAX-EXEMPT PARENT OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ("NETWORK"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER RWJHCC OR ANOTHER NETWORK AFFILIATE CONTROLLED BY RWJCC. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. RWJ HEALTH CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ HEALTH CARE CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL 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. RWJ HEALTH CARE CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ACTIVE HOSPITALS INCLUDE: CHILDREN'S SPECIALIZED HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH, WITH THE EXCEPTION OF CHILDREN'S SPECIALIZED HOSPITAL; A SPECIALTY HOSPITAL, OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ HEALTH CARE CORPORATION. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CHILDREN'S SPECIALIZED HOSPITAL CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162 BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A 265-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL 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 IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION, INC. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. IS AN ORGANIZATION CURRENTLY AWAITING ITS DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE. ONCE RECEIVED THE ORGANIZATION WILL BE RECOGNIZED AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION PROVIDES CHARTIABLE AND EDUCATIONAL SERVICES AND SUPPORTS THE PROGRAMS AND STUDENTS OF LAKEVIEW CHILD CARE CENTER. THE ORGANIZATION AIMS TO IMPROVE EARLY EDUCATION AND CHILDCARE. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ORGANIZATION OF A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHICH INCLUDES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY 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 IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. NEW BRUNSWICK AFFILIATED HOSPITAL, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON VISITING NURSES, INC. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SOMERSET COMMUNITY CARE CORPORATION SOMERSET COMMUNITY CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SOMERSET HEALTH CARE AFFILIATES, INC. SOMERSET HEALTH CARE AFFILIATES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SOMERSET MEDICAL CENTER FOUNDATION, INC. SOMERSET MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. AN INACTIVE FOR-PROFIT ENTITY. RWJ MEDICAL ASSOCIATES AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. R.W.J. MEDICAL ASSOCIATES, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. RWJ HEALTH NETWORK, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A HEALTH CARE SYSTEM. RWJ KIDNEY TRANSPLANT ASSOCIATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SCHEDULE H, PART VI; QUESTION 6 RWJ PHYSICIAN ENTERPRISE, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES SURGERY SERVICES TO INDIVIDUALS. SYSTEM AND AFFILIATE MEMBERS, LTD. A CONTROLLED FOREIGN CORPORATION BY ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. VISION HEALTHCARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY PROVIDES INVESTMENT SERVICES TO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. EOS, INC. - AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTH, INC. - AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTHCARE ASSOCIATES - AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION - AN INACTIVE FOR-PROFIT CORPORATION. SHC ENTERPRISES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SOMERSET REALTY GROUP, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION - AN INACTIVE FOR-PROFIT CORPORATION. WARREN INTERNAL MEDICINE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. FRANKLIN MEDICAL GROUP, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. ACUCARE PHYSICIANS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET MEDICAL CARE PARTNERS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY PARTNERS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CHEST AND INTENSIVE CARE MEDICINE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET MEDICAL CENTER URGENT CARE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CSH VENTURES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. true THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET SUITE 305 PHILADELPHIA PA 191046284 231352685 501(C)(3) 38555 PROGRAM SUPPORT EMERSON COLLEGE 120 BOYLSTON STREET BOSTON MA 021164624 041286950 501(C)(3) 19911 PROGRAM SUPPORT BOGGS CENTER C/O RUTGERS ROBERT WOOD JOHNSON MED 65 DAVIDSON ROAD ROOM 306 PISCATAWAY NJ 088545602 462354111 41806 PROGRAM SUPPORT RONALD MCDONALD HOUSE OF LONG BRANCH NJ INC 131 BATH AVENUE LONG BRANCH NJ 07740 222715544 501(C)(3) 20000 PROGRAM SUPPORT EDWARD J ILL EXCELLENCE IN MEDICINE FDN INC 100 FRANKLIN CORNER ROAD LAWRENCEVILLE NJ 08648 208498347 501(C)(3) 10000 PROGRAM SUPPORT THE RWJ UNIVERSITY HOSPITAL FOUNDATION INC 10 PLUM STREET NO 910 NEW BRUNSWICK NJ 08901 222378007 501(C)(3) 10000 PROGRAM SUPPORT AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY 120 ALBANY STREET SUITE 720 NEW BRUNSWICK NJ 08901 226014339 501(C)(3) 10000 PROGRAM SUPPORT GEORGE STREET PLAYHOUSE INC 9 LIVINGSTON AVENUE NEW BRUNSWICK NJ 08901 237361588 501(C)(3) 7000 PROGRAM SUPPORT RWJ UNIVERSITY HOSPITAL HAMILTON FOUNDATION INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 086903599 222552329 501(C)(3) 6165 PROGRAM SUPPORT AUTISM NEW JERSEY INC 500 HORIZON DRIVE 530 ROBBINSVILLE NJ 08691 222129739 501(C)(3) 6000 PROGRAM SUPPORT 9 1 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 JENFU CHENG MD TRUSTEE - PRESIDENT MED STAFF 233607 0 31424 0 300 0 7101 0 24269 0 296701 0 0 0 MARTIN DIAMOND MD TRUSTEE - PHYSIATRIST 221147 0 10199 0 15110 0 9098 0 4016 0 259570 0 0 0 AMY B MANSUE TRUSTEE - PRESIDENT/CEO 563550 0 155303 0 18869 0 96927 0 19798 0 854447 0 0 0 PHILIP SALERNO TRUSTEE - PRES/CDO FOUNDATION 343527 0 65000 0 17021 0 10600 0 27184 0 463332 0 0 0 WARREN E MOORE EVP/COO 445307 0 93080 0 14077 0 33158 0 23922 0 609544 0 0 0 JOSEPH J DOBOSH JR MBA VP/CFO 337341 0 66006 0 12625 0 49141 0 19187 0 484300 0 0 0 CHRISTOPHER HAINES DO FACEP CHIEF MEDICAL OFFICER 366192 0 78177 0 12687 0 2650 0 2850 0 462556 0 0 0 MICHAEL R DRIBBON PHD VP REHAB SERVICES & PROG. DEV. 265614 0 48133 0 12047 0 42496 0 11565 0 379855 0 0 0 WILLIAM J DWYER VP HUMAN RESOURCES 254214 0 50574 0 14492 0 30176 0 3399 0 352855 0 0 0 BONNIE ALTIERI PHD RN VP PATIENT CARE SERVICES/CNO 255087 0 53303 0 5990 0 52912 0 17862 0 385154 0 0 0 CHARLES CHIANESE VP OP'S/CHIEF PERFORMANCE OFF. 240313 0 44686 0 11240 0 38489 0 1033 0 335761 0 0 0 PATRICIA D FOLEY PT FACHE VP OUTPATIENT SERVICES 187249 0 36226 0 9445 0 32775 0 26935 0 292630 0 0 0 UDAY MEHTA MD DEVELOPMENTAL PEDIATRICIAN 230287 0 0 0 184846 0 8424 0 5251 0 428808 0 0 0 MATT B MCDONALD III MD SEC CHIEF SPECIAL NEEDS PEDS. 241438 0 21600 0 270 0 0 0 25057 0 288365 0 0 0 YVETTE JANVIER MD DIRECTOR; MEDICAL SERVICES 227143 0 20450 0 11690 0 9559 0 1536 0 270378 0 0 0 COLIN R O'REILLY MD SECTION CHIEF IP PEDIATRICS 238759 0 15000 0 114 0 0 0 20631 0 274504 0 0 0 THOMAS A RUGINO MD PHYSIATRIST 202930 0 23680 0 22111 0 8958 0 4722 0 262401 0 0 0 SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION PAID FOR HEALTH CLUB DUES FOR CERTAIN EMPLOYEES. THE HEALTH CLUB DUES ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $500; WARREN E. MOORE, $500; JOSEPH J. DOBOSH, JR., MBA, $500; CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $500; MICHAEL R. DRIBBON PH.D., $500; WILLIAM J. DWYER, $500; BONNIE ALTIERI, PH.D., RN, $500; CHARLES CHIANESE, MBA, $500 AND PATRICIA D. FOLEY, PT, FACHE, $500. SCHEDULE J, PART I; QUESTION 4B 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 2015 FORM W-2, AS TAXABLE WAGES: AMY B. MANSUE, $86,327; WARREN E. MOORE, $22,558; JOSEPH J. DOBOSH, JR., MBA, $38,541; MICHAEL R. DRIBBON PH.D., $32,512; WILLIAM J. DWYER, $20,528; BONNIE ALTIERI, PH.D., RN, $47,762; CHARLES CHIANESE, MBA, $31,241 AND PATRICIA D. FOLEY, PT, FACHE, $25,050. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2013-08-01 10340000 DIRECT PLACEMENT REFINANCE false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2013-08-01 5170000 DIRECT PLACEMENT REFINANCE false false false C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2015-04-02 27200000 REDEEM 2005 BONDS false false false A 744747 0 10340000 0 0 0 190334 0 0 0 10340000 0 2013 true false true true B 296134 0 5170000 0 0 0 96803 0 0 0 5170000 0 2013 true false true true C 26895748 0 27200000 0 0 0 304252 0 0 0 0 0 2015 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 A false false false false false false 0 false 0 false true B false false false false true false 0 false 0 false true C false false false false false false 0 false 0 false true A true B true C true CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== CHILDREN'S SPECIALIZED HOSPITAL ("CSH"), AN AFFILIATE MEMBER OF THE ROBERT WOOD JOHNSON HEALTH SYSTEM, IS A NOT FOR-PROFIT LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY. CSH ALSO OPERATES A LICENSED PEDIATRIC MEDICAL DAY CARE AND A PEDIATRIC PRACTICE FOR CHILDREN WITH DISABILITIES. THE PEDIATRIC PRIMARY CARE AT MOUNTAINSIDE, WHICH OPENED IN DECEMBER 2014, CARED FOR A TOTAL OF 1,577 CHILDREN WITH SPECIAL AND COMPLEX MEDICAL NEEDS IN 2015. THIS REPRESENTED AN INCREASE OF 5.8%. THE SERVICE OFFERS SAME DAY APPOINTMENTS, A WEB PORTAL THAT PROVIDES BETTER ACCESS TO THE PATIENTS MEDICAL INFORMATION, THE ABILITY TO HANDLE MORE ASPECTS OF CARE REMOTELY, AND REGULAR FOLLOW-UP VISITS. CSH HAS BEEN PROVIDING SERVICES TO THE CHILDREN OF NEW JERSEY AND SURROUNDING STATES FOR 124 YEARS. OUR TALENTED AND CARING STAFF PROVIDE A WIDE ARRAY OF MEDICAL, DEVELOPMENTAL, EDUCATIONAL AND REHABILITATIVE SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS. CSH'S HEALTHCARE PROFESSIONALS ARE COMMITTED TO PROVIDING EXPERT AND COMPASSIONATE CARE TO CHILDREN WITH CHRONIC ILLNESSES AND DISABILITIES. EVALUATION AND TREATMENT IS AVAILABLE FOR A VARIETY OF REHABILITATION NEEDS, INCLUDING, BUT NOT LIMITED TO, BRAIN INJURIES, SPINAL CORD DYSFUNCTION, RESPIRATORY ISSUES, AUTISM, ORTHOPEDIC PROBLEMS, SPORTS INJURIES, LEARNING DISABILITIES, LANGUAGE OR HEARING PROBLEMS, DEVELOPMENTAL DELAYS, AND BEHAVIOR OR ATTENTION PROBLEMS AT HOME OR IN SCHOOL. COMPREHENSIVE, COORDINATED CARE IS PROVIDED FOR CHILDREN WITH CHRONIC ILLNESSES AND DISABILITIES WHO MAY HAVE MULTIPLE AND COMPLEX THERAPY NEEDS. CHARITABLE PURPOSES, CHARITY CARE AND COMMUNITY ACTIVITES ========================================================= CSH PROVIDES HEALTHCARE SERVICES TO ALL NJ CHILDREN WHO CAN BENEFIT FROM REHABILITATIVE CARE AND WHO ARE LEGAL RESIDENTS OF NEW JERSEY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF ABILITY TO PAY. CSH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN IT'S ESTABLISHED RATES AND MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. CSH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CSH DOES NOT RECEIVE ANY DISTRIBUTION OF FEDERAL OR STATE SUBSIDIES FOR CHARITY CARE SERVICES RENDERED. ACCREDITATIONS/LICENSURES ========================= 1) CSH IS ACCREDITED BY THE JOINT COMMISSION OF ACCREDITATION OF HEALTHCARE ORGANIZATIONS; 2) CSH IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AS A COMPREHENSIVE REHABILITATION HOSPITAL; 3) NURSING HOME ADMINISTRATROS LICENSING BOARD NEW JERSEY DEPARTMENT OF HEALTH; 4) NEW JERSEY DEPARTMENT OF HUMAN SERVICES OUTPATIENT MENTAL HEALTH SERVICES; 5) NEW JERSEY DEPARTMENT OF HEALTH HOSPITAL-BASED, OFF-SITE AMBULATORY CARE FACILITY PRIMARY CARE; and 6) NEW JERSEY DEPARTMENT OF HEALTH HOSPITAL BASED LONG TERM CARE FACILITY. MISSION STATEMENT ================= THE MISSION OF CHILDREN'S SPECIALIZED HOSPITAL IS TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. CHILDREN'S SPECIALIZED HOSPITAL CORPORATE VALUES ================================================ THE VALUES OF CSH ARE COMPASSION, INTEGRITY, EXCELLENCE, FUN, INNOVATION, AND TEAMWORK. COMPASSION: WE WILL PROVIDE A LOVING, CARING ENVIRONMENT FOR THE CHILDREN, FAMILIES, AND EACH OTHER. INTEGRITY: WE ARE COMMITTED TO ORGANIZATIONAL AND FINANCIAL ACCOUNTABILITY, TRANSPARENCY, RESPECT FOR ALL AND ETHICAL PRACTICES. EXCELLENCE: WE WILL BE THE BEST AT OUR JOBS AND PROVIDE THE HIGHEST QUALITY CARE TO OUR CHILDREN, CONSTANTLY STRIVING TO IMPROVE AND BE THE BEST. FUN: WE WILL PROVIDE A CHILD-FRIENDLY ENVIRONMENT. IF WE HAVE FUN DOING OUR JOBS, IT WILL REFLECT IN HOW WE DEAL WITH THE CHILDREN AND EACH OTHER. INNOVATION: WE WILL BE CREATIVE IN PROVIDING CARE AND PROBLEM SOLVING. TEAMWORK: CSH IS A TEAM WHERE EVERY PERSON IS NEEDED TO PROVIDE THE QUALITY CARE FOR WHICH WE ARE KNOWN. WE MUST WORK TOGETHER TO BE SUCCESSFUL. PATIENT-AND-FAMILY-CENTERED CARE AND CSH ======================================== PATIENT-AND-FAMILY CENTERED CARE IS AN APPROACH TO HEALTHCARE THAT SHAPES HEALTHCARE POLICIES, PROGRAMS, FACILITY DESIGN, AND DAY TO DAY INTERACTIONS AMONG PATIENTS FAMILIES, PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. HEALTHCARE PROFESSIONALS, WHO PRACTICE PATIENT-AND-FAMILY CENTERED CARE, RECOGNIZE THE VITAL ROLE THAT FAMILIES PLAY IN ENSURING THE HEALTH AND WELL-BEING OF CHILDREN AND FAMILY MEMBERS OF ALL AGES. THESE PRACTITIONERS ACKNOWLEDGE THAT EMOTIONAL, SOCIAL AND DEVELOPMENTAL SUPPORTS ARE INTEGRAL COMPONENTS OF HEALTHCARE. THEY RESPECT EACH CHILD AND FAMILY'S INNATE STRENGTHS AND VIEW THE HEALTHCARE EXPERIENCE AS AN OPPORTUINITY TO BUILD ON THESE STRENGTHS AND SUPPORT FAMILIES IN THEIR CARE-GIVING AND DECISION-MAKING ROLES. A PATIENT-AND- FAMILY CENTERED APPROACH LEADS TO BETTER HEALTH OUTCOMES AND WISER ALLOCATIONS OF RESOURCES, AS WELL AS GREATER PATIENT AND FAMILY SATISFACTION. PATIENT-AND-FAMILY CENTERED CARE IN PEDIATRICS IS BASED ON THE UNDERSTANDING THAT THE FAMILY IS THE CHILD'S PRIMARY SOURCE OF STRENGTH AND SUPPORT AND THAT THE CHILD'S AND FAMILY'S PERSPECTIVES AND INFORMATION ARE IMPORTANT IN CLINICAL DECISION MAKING. PATIENT-AND-FAMILY CENTERED PRACTITIONERS ARE KEENLY AWARE THAT HEALTHCARE EXPERIENCES CAN ENHANCE PARENTS' CONFIDENCE IN THEIR ROLES AND, OVER TIME INCREASE THE COMPETENCE OF CHILDREN AND YOUNG ADULTS TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTHCARE, PARTICULARILY IN ANTICIPATION OF THE TRANSITION TO ADULT SERVICE SYSTEMS. PATIENT-AND-FAMILY-CENTERED CARE IS GROUNDED IN COLLABORATION AMONG PATIENTS, FAMILIES, AND ALL HOSPITAL PERSONNEL FOR THE PLANNING, DELIVERY, AND EVALUATION OF THE DELIVERY OF HEALTH CARE TO THE CHILDREN WE SERVE, AS WELL AS IN THE EDUCATION OF HEALTH CARE WORKERS. CONTINUING OUR GOAL TO BE RECOGNIZED AS A CENTER OF EXCELLENCE IN PEDIATRIC CARE, CSH IS COMMITTED TO THE INTEGRATION OF PATIENT-AND-FAMILY-CENTERED PRINCIPLES INTO OUR HEALTH CARE POLICIES AND PRACTICES ACROSS THE CONTINUUM OF CARE PROVIDED BY OUR INSTITUTION. IN PLACING THE NEEDS OF THE CHILD AND FAMILY AT THE CENTER OF ALL ACTIVITIES WE WILL FULFILL OUR MISSION AND EMBODY THE VALUES OF PATIENT-AND-FAMILY-CENTERED CARE AND CHILDREN'S SPECIALIZED HOSPITAL BY: - RESPECTING EACH CHILD AND HIS OR HER FAMILY AS PARTNERS IN CARE; - HONORING DIVERSITY AND ITS EFFECT ON THE FAMILY'S EXPERIENCE AND THE PERCEPTION OF CARE THROUGH RECOGNIZING THAT EACH FAMILY IS UNIQUE IN THEIR STRUCTURE, VALUES, CULTURE, ETHNICITY, ORIENTATION, SPIRITUAL BELIEFS, SOCIAL, ECONOMICS, EDUCATIONAL, AND GEOGRAPHIC DIVERSITY; - BUILDING ON THE STRENGTHS OF EACH CHILD AND FAMILY, EVEN IN DIFFICULT AND CHALLENGING SITUATIONS, BY ACKNOWLEDGING EACH FAMILY'S PRIORTIES AND LEVEL OF EXPERTISE; - RECOGNIZING AND RESPECTING DIFFERENT METHODS OF COPING; - IMPLEMENTING COMPREHENSIVE SERVICES THAT PROVIDE DEVELOPMENTAL, EDUATIONAL, EMOTIONAL, ENVIRONMENTAL AND FINANCIAL SUPPORTS; - SUPPORTING AND FACILITATING CHOICE FOR THE CHILD AND FAMILY ABOUT APPROACHES TO CARE AND SUPPORT; - ENSURING FLEXIBILITY IN ORGANIZATIONAL POLICIES, PROCEDURES AND PROVIDER PRACTICES TO REFLECT DIVERSITY AND MEET THE NEEDS, BELIEFS, PERSONALITIES, LIFE EXPERIENCES, SPIRITUAL AND CULTURAL VALUES OF EACH CHILD AND FAMILY; - PROVIDING FORMAL AND INFORMAL SUPPORT FOR EACH CHILD AND FAMILY. COLLABORATING WITH FAMILIES AT ALL LEVELS OF HEALTHCARE, IN THE CARE OF THE INDIVIDUAL CHILD AND IN PROFESSIONAL EDUCATION, POLICY MAKING AND PROGRAM DEVELOPMENT, THROUGH THE EXCHANGE OF HONEST AND UNBIASED INFORMATION ON AN ONGOING BASIS AND IN WAYS THAT ARE USEFUL AND AFFIRMING; - EMPOWERING CHILDREN AND FAMILES TO DISCOVER THEIR OWN STRENGTHS, BUILD CONFIDENCE AND MAKE CHOICES AND DECISIONS ABOUT THEIR HEALTH THROUGH THE CREATION OF TRUE PARTNERSHIPS WITH HEALTHCARE PROFESSSIONALS; AND - WORKING WITH LOCAL COMMUNITIES, SCHOOLS AND HEALTH OFFICIALS TO ENSURE THAT COMMUNITY SERVICES AND SUPPORT SYSTEMS FOR CHILDREN AND THEIR FAMILIES ARE FLEXIBLE, ACCESSIBLE AND COMPREHENSIVE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CSH MAINTAINS INPATIENT PROGRAMS FOR BRAIN INJURY, SPINAL CORD DYSFUNCTION, INFANT AND TODDLERS WITH PREMATURITY AND BIRTH RELATED DISORDERS, CHRONIC PAIN, CHRONIC ILLNESS, AND GENERAL REHABILITATION. OUTPATIENT PROGRAMS EXIST AT VARYING LEVELS OF DEVELOPMENT INCLUDING THE AUTISM PROGRAM AND THE COMPREHENSIVE FEEDING PROGRAM. THESE ARE JUST A FEW OF OUR MANY PROGRAMS AND SPECIALTY SERVICE AREAS THAT COMBINE CUTTING-EDGE TECHNOLOGY WITH CLINICAL EXPERTISE AND COMPASSIONATE CARE IN A PATIENT-AND-FAMILY-CENTERED ENVIRONMENT AT FACILITIES IN NEW BRUNSWICK, MOUNTAINSIDE, TOMS RIVER, FANWOOD, HAMILTON, BAYONNE, CLIFTON, EGG HARBOR TOWNSHIP, NEWARK, WARREN, AND ROSELLE PARK. ADDITIONALLY, CSH'S STAFF PROVIDES EXPERTISE AT VARIOUS SCHOOLS, CENTERS, AND PROGRAMS FOR CHILDREN WITH SPECIAL NEEDS THROUGHOUT NEW JERSEY. PROGRAMS AND SERVICES INFORMATION ================================= INPATIENT PROGRAMS ------------------ INPATIENT SERVICES ARE LICENSED FOR 90 PEDIATRIC REHABILITATION BEDS, 68 COMPREHENSIVE REHABILITATION BEDS AND 73 PEDIATRIC LONG-TERM CARE BEDS THAT ARE IN OPERATION. INPATIENT REHABILITATION CARE PROVIDED INCLUDES MEDICAL AND NURSING CARE, COMPREHENSIVE THERAPY SERVICES, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL SERVICES, ACADEMICS, SOCIAL SERVICES, AND NUTRITIONAL SERVICES. INCLUDED IN THE THERAPY SERVICES ARE PHYSICAL THERAPY, HYDROTHERAPY, REHABILITATION TECHNOLOGY, AUGMENTATIVE COMMUNICATION, OCCUPATIONAL THERAPY, ACTIVITIES OF DAILY LIVING, SPEECH AND HEARING, RESPIRATORY THERAPY, RECREATIONAL THERAPY AND CHILD LIFE. THESE CSH SERVICES ARE PROVIDED TO ALLOW THE CHILDREN TO ATTAIN THEIR GREATEST POTENTIAL - MEDICALLY, SOCIALLY, ACADEMICALLY, AND EMOTIONALLY. THEIR FAMILIES ARE PROVIDED WITH SUPPORT AND EDUCATIONAL SERVICES TO ENSURE THEIR CHILD CAN RETURN TO THEIR HOME AND COMMUNITY. OUR LONG TERM CARE CENTERS, LOCATED IN MOUNTAINSIDE AND TOMS RIVER, NJ ARE SKILLED NURSING FACILITIES PROVIDING 24 HOUR NURSING CARE TO THE MEDICALLY INVOLVED PATIENT. WE HAVE 46 LICENSED BEDS IN MOUNTAINSIDE AND ONE WAIVER BED AND 26 LICENSED BEDS IN TOMS RIVER. OUR LONG TERM CARE PATIENTS RECEIVE RESPIRATORY AND NUTRITIONAL SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, AS WELL AS RECREATIONAL AND CHILD LIFE SERVICES. SOME OF THE PATIENTS ATTEND AN ON-SITE SCHOOL WHILE OTHERS ARE TRANSPORTED TO COMMUNITY SCHOOLS. BRAIN INJURY ------------ HELPING A CHILD RECOVER FROM A BRAIN INJURY PRESENTS COMPLEX CHALLENGES. WHILE THE CHILD NEEDS HELP IN RECOVERING FROM HIS INJURIES, HE ALSO IS STILL DEVELOPING PHYSICALLY, EMOTIONALLY, AND INTELLECTUALLY. THE BRAIN INJURY PROGRAM AT CSH MEETS THESE CHALLENGES AND THE UNIQUE NEEDS OF CHILDREN BY PROVIDING INNOVATIVE, EXPERT AND LOVING CARE FOR THE PATIENT WITH A BRAIN INJURY ON HIS OR HER ROAD TO INDEPENDENCE. THE BRAIN INJURY PROGRAM, WHICH WAS ESTABLISHED IN 1981, IS DESIGNED TO MEET THE NEEDS OF BRAIN-INJURED, AGE APPROPRIATE PATIENTS, AT ALL LEVELS OF COGNITIVE AWARENESS. THE REHABILITATION PROCESS IS THE FOUNDATION FOR LONG TERM RECOVERY. CHILDREN ARE BEST TREATED BY PEDIATRIC SPECIALISTS IN AN ENVIRONMENT ESPECIALLY GEARED TO THEIR NEEDS. CSH PROVIDES SPECIALIZED CARE FOR EACH CHILD'S UNIQUE NEEDS DURING THEIR RECOVERY IN A COMPREHENSIVE MEDICAL AND REHABILITATION SETTING. A FULL CONTINUUM OF CARE FROM COMA TO RE-ENTRY TO THE COMMUNITY IS PROVIDED FOR EACH CHILD. THE BRAIN INJURY PROGRAM IS GEARED TOWARD MAXIMAL PROGRESS THROUGH REHABILITATION WHILE EMPHASIZING THE ACHIEVEMENT OF NORMAL PEDIATRIC DEVELOPMENTAL MILESTONES. CSH'S PROFESSIONAL STAFF, WHO ARE EXPERIENCED WITH BRAIN INJURIES AND THE DEVELOPMENTAL NEEDS OF CHILDREN, INCORPORATE EACH CHILD AND FAMILY WITHIN THE REHABILITATION TEAM TO ENCOURAGE OPTIMAL PROGRESS. EACH CHILD'S INDIVIDUALIZED PROGRAM FOCUSES ON THEIR MEDICAL, PHYSICAL, COGNITIVE, AND PSYCHOSOCIAL NEEDS. IN ADDITION TO INDIVIDUAL THERAPY, GROUP THERAPY PROVIDES COMPREHENSIVE STRUCTURED STIMULATION SESSIONS FOR PATIENTS IN ORDER TO ENHANCE AND ACCELERATE AROUSAL, ALERTNESS, ORIENTATION AND SOCIALIZATION. THE BRAIN INJURY PROGRAM ADDRESSES: - MEDICAL MANAGEMENT; - SPECIALIZED NURSING CARE; - PHYSICAL THERAPY; - OCCUPATIONAL THERAPY; - SPEECH THERAPY; - AUDITORY EVALUATION; - COGNITIVE STATUS; - NUTRITIONAL STATUS; - FAMILY SUPPORT; - CASE MANAGEMENT; - PSYCHOLOGICAL STATUS; - CORTICAL FUNCTIONING; and - RE-ENTRY TO HOME, SCHOOL, AND COMMUNITY. ONE OUTPATIENT COMPONENT OF THE BRAIN INJURY PROGRAM IS THE NEURO-REHABILITATION PROGRAM. THE NEURO-REHABILITATION GROUP PROGRAM IS AN INTENSIVE TREATMENT PROGRAM FOR CHILDREN AND ADOLESCENTS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY, OR WHO ARE EXPERIENCING COGNITIVE DYSFUNCTION AS A RESULT OF NEUROLOGICAL OR OTHER CHRONIC ILLNESS. THIS FAMILY-CENTERED PROGRAM PROVIDES THERAPEUTIC INTERVENTIONS DESIGNED TO HELP CHILDREN AND ADOLESCENTS REGAIN COGNITIVE SKILLS AND LEARN COMPENSATORY STRATEGIES THAT ARE NEEDED FOR SCHOOL AND SOCIAL FUNCTIONING. THE PROGRAM ALSO ADDRESSES MOTOR IMPAIRMENTS THAT MAY ACCOMPANY ACQUIRED BRAIN INJURY OR ILLNESS. THE GROUP PROGRAM IS DELIVERED PRIMARILY IN SMALL GROUP SETTINGS. INDIVIDUAL PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES MAY ALSO BE PROVIDED AS INDICATED. INVOLVEMENT IN THE GROUP PROGRAM PREPARES THE YOUNGSTER FOR RETURN TO A LARGER GROUP SETTING, USUALLY SCHOOL, AND PROVIDES HIM OR HER WITH IMPROVED SKILLS FOR PEER INTERACTION AND SOCIALIZATION. CHILDREN MAY ALSO BE SEEN THROUGH THE NEURO-REHABILITATION INDIVIDUAL PROGRAM. CHILDREN IN THE INDIVIDUAL PROGRAM ARE INVOLVED IN SCHOOL AND COMMUNITY ACTIVITIES BUT REQUIRE ADDITIONAL INTERVENTION TO BETTER REGAIN OR DEVELOP COMPENSATORY SKILLS TO IMPROVE OR MAINTAIN AGE APPROPRIATE WAYS OF THINKING AND BEHAVING. SPINAL CORD PROGRAM ------------------- THE SPINAL CORD PROGRAM PROVIDES INTENSIVE AND COMPREHENSIVE REHABILITATION SERVICES FOR CHILDREN AND ADOLESCENTS WITH ACQUIRED AND CONGENITAL SPINAL CORD PROBLEMS. THE PROGRAM TREATS PATIENTS WITH ALL LEVELS OF PEDIATRIC SPINAL CORD DYSFUNCTION, FROM THE CHILD DEPENDENT ON A VENTILATOR TO THE INDIVIDUAL WITH THE LOWEST LEVEL OF SPINAL CORD INJURY. PATIENTS ARE PROVIDED WITH AN AGGRESSIVE REHABILITATION TREATMENT PROGRAM COUPLED WITH COMPREHENSIVE MEDICAL AND NURSING CARE. THE PROGRAM'S TEAM APPROACH RESULTS IN A COORDINATED TREATMENT PLAN DESIGNED TO MEET THE COMPLEX NEEDS OF EACH PATIENT AND HIS OR HER FAMILY. WHILE AN EMPHASIS IS PLACED ON ACHIEVING NORMAL DEVELOPMENTAL MILESTONES, THE TREATMENT PLAN TAKES INTO ACCOUNT THE PATIENT'S LEVEL OF INJURY, AGE, AND DEVELOPMENTAL ABILITIES IN CREATING REALISTIC EXPECTATIONS FOR PERFORMING ACTIVITIES. THE TEAM IS ADEPT AT DEVELOPING TREATMENT PLANS TO ACCOMMODATE PATIENTS WITH HIGH SPINAL CORD INJURIES (TETRAPLEGIA & QUADRAPLEGIA) WHO REQUIRE A TREMENDOUS AMOUNT OF SUPPORT, SPECIAL EQUIPMENT AND VENTILATOR ASSISTANCE, AS WELL AS THOSE PATIENTS WITH LOW LEVEL SPINAL CORD INJURIES (PARAPLEGIA) WHO CAN GAIN VIRTUAL INDEPENDENCE. INTENSIVE MEDICAL NEEDS CAN BE SAFELY ACCOMMODATED AT CSH BY VIRTUE OF THE EXTENSIVE MEDICAL COVERAGE PROVIDED TO THE PATIENTS. PATIENTS WITH TRACHEOSTOMIES, SPECIAL FEEDING NEEDS, AND INTRAVENOUS AND CENTRAL LINES, FOR EXAMPLE, CAN BE MANAGED WHILE RECEIVING THE NECESSARY REHABILITATION THERAPY. FAMILIES AND PATIENTS ARE INTEGRALLY INVOLVED IN THE COMPREHENSIVE TREATMENT PLANNING. FAMILIES AND PATIENTS ALSO RECEIVE INSTRUCTION FROM THE STAFF IN OVERALL CARE AND THE USE OF SPECIAL EQUIPMENT. THE TEAM THOROUGHLY EDUCATES THE PATIENT AND HIS OR HER FAMILY REGARDING THE PHYSICAL CONSEQUENCES OF A SPINAL CORD INJURY AND THE REQUIRED CARE AND TREATMENT. SOME OF THE DIAGNOSTIC AND SPECIAL SERVICES AVAILABLE TO PATIENTS IN THE SPINAL CORD PROGRAM INCLUDE: - ELECTRODIAGNOSTIC TESTING; - VENTILATOR ASSISTANCE PROGRAM; - A FULL RANGE OF DIAGNOSTIC UROLOGIC TESTING; - REFERRAL FOR BACLOFEN PUMP PLACEMENT; - ORTHOTICS AND PROSTHETICS; - REHABILITATION TECHNOLOGY SERVICES INCLUDING: * SEATING AND POSITIONING; * MOBILITY AND ENVIRONMENTAL ACCESS; * AUGMENTATIVE AND ALTERNATIVE COMMUNICATION; and * COMPUTER ACCESS. GENERAL REHABILITATION PROGRAM ------------------------------ THE GENERAL REHABILITATION PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL OFFERS HABILITATIVE AND REHABILITATIVE SERVICES TO PATIENTS AGES Birth to 21 WITH, BUT NOT LIMITED TO, NEUROLOGIC, ORTHOPEDIC, DEVELOPMENTAL, CARDIOPULMONARY DISORDERS AND/OR OTHER ACQUIRED INJURIES AND ILLNESSES, THROUGH AN INTERDISCIPLINARY TEAM APPROACH. THE PROGRAM PROVIDES ASSESSMENT, TREATMENT, AND/OR SUPPORT TO THE PATIENT AND FAMILY FROM THE ACUTE INPATIENT PHASE OF REHABILITATION THROUGH THE COMMUNITY, VOCATIONAL, AND EDUCATIONAL RE-ENTRY PHASE. IN ORDER TO OFFER A CONTINUUM OF COMPREHENSIVE TRANSDISCIPLINARY SERVICE TO THESE CHILDREN AND THEIR FAMILIES, IN A COMPASSIONATE, PROFESSIONAL AND HOLISTIC FASHION, SERVICES ARE PROVIDED THROUGH BOTH INPATIENT AND OUTPATIENT PHASES OF REHABILITATIVE CARE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PATIENTS ADMITTED TO THE PROGRAM ARE REQUIRED TO MEET THE FOLLOWING CRITERIA REGARDING THEIR MEDICAL STABILITY: INITIAL DIAGNOSTIC AND SURGICAL PROCEDURES MUST BE COMPLETED; MEDICATION REGIMEN, FLUID AND ELECTROLYTE BALANCE AND LIFE SUPPORT SERVICES MUST BE STABILIZED. THE PATIENTS SERVED MAY HAVE IMPAIRMENTS IN AREAS INCLUDING THOSE OF, COGNITION, MOBILITY, SELF-CARE, COMMUNICATION, SOCIAL EMOTIONAL FUNCTIONING, SENSORY PROCESSING, ACADEMIC FUNCTIONING, AND FEEDING. THE PROGRAM ADDRESSES THE BEHAVIORAL, FUNCTIONAL, PHYSICAL, COGNITIVE, PSYCHOSOCIAL, VOCATIONAL, EDUCATIONAL, LEISURE, AND RECREATIONAL NEEDS OF EACH PATIENT. EVERY EFFORT IS MADE TO ACCOMMODATE THE PATIENT AND FAMILIES UNIQUE CULTURAL AND SPIRITUAL NEEDS. THE GOAL OF THE PROGRAM IS TO REDUCE THE BARRIERS, WHICH LIMIT A CHILD'S ABILITY TO PARTICIPATE IN DEVELOPMENTALLY APPROPRIATE ACTIVITIES OF HIS OR HER LIFE. TO FACILITATE A SMOOTH TRANSITION AND OPTIMIZE THE PATIENT'S ABILITY TO FULLY INTEGRATE INTO THE COMMUNITY, OUTREACH AND EDUCATION ARE PROVIDED TO THE INTENDED DISCHARGE ENVIRONMENT (E.G. SCHOOL, HOME, COMMUNITY ORGANIZATIONS). IN ADDITION, PATIENTS ARE PROVIDED DEVELOPMENTALLY APPROPRIATE LIFE SKILLS TRAINING THROUGH GROUP AND INDIVIDUAL THERAPY AS WELL AS COMMUNITY OUT-TRIPS. SOME CHILDREN AND ADOLESCENTS SEEN THROUGH THESE PROGRAMS REQUIRE INTENSIVE MEDICAL, NURSING, AND RESPIRATORY THERAPY SUPPORT FOR RESPIRATORY PROBLEMS. THESE CHILDREN MAY HAVE CONGENITAL OR ACQUIRED RESPIRATORY PROBLEMS INCLUDING BRONCHOPULMONARY DYSPLASIA, CONGENITAL MUSCULAR PROBLEMS, AND CONGENITAL AND ACQUIRED AIRWAY AND RESPIRATORY ABNORMALITIES. INFANT/TODDLER PROGRAM ---------------------- THE INFANT TODDLER PROGRAM PROVIDES INTENSIVE AND COMPREHENSIVE REHABILITATION SERVICES FOR INFANTS AND YOUNG CHILDREN WITH MEDICAL DIFFICULTIES RELATED TO PREMATURITY AND A RANGE OF DISORDERS PRESENTING AT BIRTH INCLUDING DRUG-EXPOSED NEWBORNS WHO ARE TREATED IN OUR NEONATAL WITHDRAWAL AND REHABILITATION PROGRAM. THE PROGRAM TREATS CHILDREN WHO REQUIRE ALL LEVELS OF NEONATAL CARE. PATIENTS ARE TREATED WITH A COMPREHENSIVE, THERAPEUTIC PROGRAM, COUPLED WITH EXCELLENT MEDICAL AND NURSING CARE. BECAUSE OF THIS TEAM APPROACH, A COORDINATED TREATMENT PLAN CAN BE DESIGNED TO MEET THE COMPLEX NEEDS OF EACH PATIENT AND HIS OR HER FAMILY. WHILE EMPHASIZING AGE-APPROPRIATE SKILLS, THE TEAM CUSTOMIZES GOALS BASED ON EACH INFANT'S OR TODDLER'S MEDICAL STABILITY, AGE, AND DEVELOPMENTAL LEVEL TO MAXIMIZE HIS OR HER UNIQUE POTENTIAL. THE MULTISPECIALTY STAFF IS HIGHLY TRAINED IN WORKING WITH THESE CHILDREN WHO REQUIRE SPECIAL EQUIPMENT AND VENTILATOR ASSISTANCE. THE TEAM USES SPECIAL TECHNIQUES TO ENCOURAGE THE CHILDS INTERACTION WITH THE ENVIRONMENT DURING THERAPY SESSIONS. WE ARE ABLE TO OFFER THIS SPECIALIZED TREATMENT BECAUSE OUR STAFF IS COMMITTED TO PURSUING ON-GOING EDUCATION AND TRAINING IN STATE-OF-THE-ART TECHNIQUES THAT ARE NECESSARY TO TREAT THIS SPECIAL POPULATION. THOSE INFANT AND TODDLER PATIENTS WHO NEED SPECIAL MEDICAL CARE CAN BE SAFELY ACCOMMODATED WITH CHILDREN'S SPECIALIZED HOSPITAL'S EXTENSIVE MEDICAL COVERAGE. THESE PATIENTS MAY BE TRACHEOSTOMY DEPENDENT, OXYGEN DEPENDENT, OR VENTILATOR DEPENDENT, REQUIRING CLOSE MONITORING AND FREQUENT CHANGES IN MANAGEMENT. THESE PATIENTS, AS WELL AS THOSE INFANTS AND TODDLERS WITH SPECIAL FEEDING NEEDS, INTRAVENOUS AND CENTRAL LINES, CAN BE MANAGED WHILE RECEIVING REHABILITATION THERAPY. FAMILY INVOLVEMENT IS VITAL TO A CHILD'S OVERALL DEVELOPMENT. WE STRONGLY ENCOURAGE FAMILY PARTICIPATION IN TREATMENT SESSIONS. OUR TEAM INSTRUCTS FAMILIES IN CARING FOR THEIR CHILDREN AND USING SPECIAL EQUIPMENT. FAMILIES LEARN ABOUT THERAPEUTIC INTERVENTIONS THAT PROMOTE GROWTH AND DEVELOPMENT. INFANT TODDLER MEDICAL SPECIALTIES: A NEONATOLOGIST/PEDIATRICIAN, A PHYSICIAN WHO SPECIALIZES IN NEONATAL CARE AND PEDIATRICS, HEADS THE INFANT TODDLER PROGRAM TEAM. OTHER MULTIDISCIPLINARY PEDIATRIC PROFESSIONALS PROVIDE MEDICAL SUPPORT, REHABILITATION SERVICES, AND ADDRESS DEVELOPMENTAL NEEDS WHILE AIMING TOWARD MAXIMIZING RESPIRATORY INDEPENDENCE. WHILE UPON ADMISSION MANY OF THE CHILDREN REQUIRE INTENSIVE RESPIRATORY CARE, THE GOAL FOR EACH IS TO BE TRANSITIONED BACK TO HIS OR HER HOME AND COMMUNITY. OTHER MEDICAL SPECIALISTS FOR THE INFANT TODDLER PROGRAM ARE ALSO AVAILABLE FOR CONSULTATION: - EAR, NOSE, AND THROAT; - NEUROLOGY; - OPHTHALMOLOGY; - ORTHOPEDICS; - PHYSIATRY; - RADIOLOGY; and - UROLOGY. CHRONIC PAIN MANAGEMENT PROGRAM ------------------------------- THE CHRONIC PAIN PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL PROMOTES THE WELLNESS OF CHILDREN AND ADOLESCENTS AGES 11-21 YEARS OLD, WITH CHRONIC PAIN, BY TEACHING STRATEGIES TO MANAGE PAIN AND ENCOURAGE FUNCTIONAL ACTIVITY. THE INPATIENT CHRONIC PAIN MANAGEMENT PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL IS TYPICALLY FOR CHILDREN AND ADOLESCENTS WITH CHRONIC PAIN WHO CONTINUE TO HAVE SIGNIFICANT PAIN AND DIFFICULTIES WITH DAILY FUNCTIONS DESPITE TRIALS OF CONSISTENT OUTPATIENT THERAPIES. THIS EVIDENCE-BASED PROGRAM IS TYPICALLY A FOUR WEEK PERIOD, WITH FOCUS ON REGAINING FUNCTION AND USING ONE'S BODY IN A NORMAL WAY. THE APPROACH TO TREATMENT OF CHRONIC PAIN AT CHILDREN'S SPECIALIZED HOSPITAL INCLUDES INTENSE PHYSICAL AND OCCUPATIONAL THERAPY AND INTEGRATED EXPOSURE TO MENTAL HEALTH INTERVENTION. OUR SPECIALIZED TEAM FOCUSES ON TREATING CHRONIC REGIONAL PAIN SYNDROME (CRPS) AND RELATED FORMS OF AMPLIFIED PAIN SUCH AS: - FIBROMYALGIA; - AMPLIFIED MUSCULOSKELETAL PAIN SYNDROME (AMPS); - REFLEX SYMPATHETIC DYSTROPHY (RSD); and - REFLEX NEUROPATHIC DYSTROPHY (RND). CHRONIC ILLNESS MANAGEMENT PROGRAM ---------------------------------- THE CHRONIC ILLNESS MANAGEMENT PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL IS A COMPREHENSIVE INPATIENT PROGRAM FOR ADOLESCENTS AGES 13-21 WHO STRUGGLE TO MANAGE THEIR CONDITION. IT PROVIDES THE TEEN AND FAMILY WITH A STRUCTURED, COMPREHENSIVE TREATMENT PLAN TO ADDRESS MEDICAL, NUTRITIONAL, PSYCHOLOGICAL, AND FAMILY COMMUNICATION ISSUES. SINCE PARENTS AND CAREGIVERS HAVE A CRUCIAL ROLE IN SUPPORTING THEIR CHILD'S HEALTH, WE ENCOURAGE PARENT/CAREGIVER PARTICIPATION IN MEDICAL EDUCATION, NUTRITIONAL AND PSYCHOLOGICAL COUNSELING SESSIONS TO ENSURE THE GREATEST SUCCESS. THE PROGRAM IS TYPICALLY A FOUR WEEK PROGRAM THAT FOLLOWS A TRANS DISCIPLINARY MODEL AND BEHAVIORAL APPROACH TO CARE, ADDRESSING THE PHYSICAL, EMOTIONAL, AND PSYCHO-SOCIAL NEEDS OF EACH PATIENT. THE GOAL FOR EACH ADOLESCENT IS ALWAYS TO IMPROVE SELF-MANAGEMENT OF THE DISEASE. THE CHRONIC ILLNESS MANAGEMENT PROGRAM IS ESPECIALLY FOR ADOLESCENTS WITH CONDITIONS SUCH AS, BUT NOT LIMITED TO: - DIABETES; - POST-ORGAN TRANSPLANT; and - CHRONIC RESPIRATORY DISEASE. THE AUTISM PROGRAM ------------------ THE AUTISM PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL WORKS WITH CHILDREN THROUGH 21 YEARS OF AGE, WHO HAVE AN AUTISM SPECTRUM DISORDER. THE PROGRAM IS DEDICATED TO IMPROVING THE LIVES OF CHILDREN, ADOLESCENTS AND FAMILIES WITH AUTISM SPECTRUM DISORDERS BY PROVIDING COMPREHENSIVE EVALUATIONS, TREATMENT, COMMUNITY EDUCATION AND RESEARCH. WE ARE ONE OF THE FEW PROGRAMS IN NEW JERSEY TO PROVIDE COORDINATED, MULTIDISCIPLINARY CARE FOR CHILDREN, ADOLESCENTS AND FAMILIES AFFECTED BY AN AUTISM SPECTRUM DISORDER. WE OFFER WORKSHOPS FOR FAMILIES NEWLY DIAGNOSED WITH AUTISM AS WELL AS A COMPREHENSIVE SYMPOSIUM WHERE FAMILIES HAVE THE OPPORTUNITY TO MEET WITH THE EXPERTS AND INTERACT WITH OTHER FAMILIES. AS PART OF OUR OUTREACH PROGRAMS WE PROVIDE AUTISM SCREENING/DIAGNOSIS AS WELL AS EDUCATIONAL PROGRAMS FOR SCHOOLS, COMMUNITY ORGANIZATIONS AND GROUPS. IN 2015 OUR AUTISM EDUCATOR CONTINUED TO WORK WITH EMERGENCY RESPONSE AND LAW ENFORCEMENT GROUPS, DISASTER RESPONSE CRISIS COUNSELORS, COURT ADMINISTRATORS, EDUCATIONAL AND COMMUNITY GROUPS PROVIDING THEM WITH SPECIFICS ON DEALING WITH AN INDIVIDUAL WITH ASD IN AN EMERGENCY SITUATION AND INTEGRATING THEM INTO COMMUNITY PROGRAMS. COMPREHENSIVE FEEDING PROGRAM ----------------------------- THE COMPREHENSIVE FEEDING PROGRAM IS AN OUTPATIENT PROGRAM THAT SERVES INFANTS, TODDLERS, AND YOUNG CHILDREN WHO ARE UNABLE OR REFUSE TO MAINTAIN AN ADEQUATE ORAL INTAKE OF FOOD. PROBLEMS MAY BE MEDICAL/PHYSIOLOGICAL, DEVELOPMENTAL, BEHAVIORAL, PSYCHOSOCIAL, AND INDIVIDUAL OR FAMILY RELATED. THIS TEAM UTILIZES A MULTIDISCIPLINARY APPROACH TO HAVE CHILDREN EAT PROPER FOODS AND IMPROVE NUTRITIONAL STANDING. BASED ON A PREDICTED INCIDENCE OF 25% OF INFANTS AND YOUNG CHILDREN WITH FEEDING PROBLEMS, THERE ARE THOUSANDS OF CHILDREN WHO CAN BENEFIT FROM THIS SERVICE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS EACH CHILD IS PROVIDED WITH A COMPREHENSIVE EVALUATION THAT COVERS MEDICAL, PHYSIOLOGICAL, DEVELOPMENTAL, BEHAVIORAL, AND PSYCHOSOCIAL ISSUES. THE TEAM COMBINES THE EXPERTISE OF A MULTIDISCIPLINARY TEAM OF PROFESSIONALS WHOS PRIMARY GOAL IS TO ESTABLISH FEEDING PATTERNS THAT CAN BE MAINTAINED IN THE CHILD'S NATURAL ENVIRONMENT. THE TEAM INCLUDES THE FOLLOWING: - SPEECH PATHOLOGIST; - CHILD PSYCHOLOGIST; - PEDIATRIC DIETITIAN; - DEVELOPMENTAL PEDIATRICIAN; - OCCUPATIONAL THERAPIST; - PHYSICAL THERAPIST; and - PATIENT CARE COORDINATOR. THE PROGRAM AND ITS TEAM MEMBERS EMPOWER PARENTS AND CAREGIVERS BY PROVIDING KNOWLEDGE AND TECHNIQUES, WHICH WILL ALLOW THEM TO ENGAGE THEIR CHILD IN POSITIVE THERAPEUTIC FEEDING EXPERIENCES AND INTERACTIONS. THE PROGRAM ALSO PROVIDES SUPPORT AND KNOWLEDGE TO OTHER PROFESSIONALS IN THE COMMUNITY, SUCH AS CHILDCARE PROVIDERS, WHO PARTICIPATE IN THE CHILD'S FEEDING EXPERIENCES. ADHD ---- CHILDREN'S SPECIALIZED HOSPITAL ALSO PROVIDES COMPREHENSIVE SERVICES FOR CHILDREN WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDERS (AD/HD). CSH IS A SERVICE PROVIDER DEDICATED TO IMPROVING THE LIVES OF CHILDREN AND ADOLESCENTS WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER AND ASSOCIATED DISABILITIES. NEURO-REHABILITATION -------------------- AN OUTPATIENT COMPONENT OF THE BRAIN INJURY PROGRAM IS THE NEURO-REHABILITATION PROGRAM. THE NEURO-REHABILITATION GROUP PROGRAM IS AN INTENSIVE TREATMENT PROGRAM FOR CHILDREN AND ADOLESCENTS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY, OR WHO ARE EXPERIENCING COGNITIVE DYSFUNCTION AS A RESULT OF NEUROLOGICAL OR OTHER CHRONIC ILLNESS. THIS FAMILY-CENTERED PROGRAM PROVIDES THERAPEUTIC INTERVENTIONS DESIGNED TO HELP CHILDREN AND ADOLESCENTS REGAIN COGNITIVE SKILLS AND LEARN COMPENSATORY STRATEGIES THAT ARE NEEDED FOR SCHOOL AND SOCIAL FUNCTIONING. THE PROGRAM ALSO ADDRESSES MOTOR IMPAIRMENTS THAT MAY ACCOMPANY ACQUIRED BRAIN INJURY OR ILLNESS. THE PROGRAM IS DELIVERED PRIMARILY IN SMALL GROUP SETTINGS, THOUGH INDIVIDUAL PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES MAY ALSO BE PROVIDED AS INDICATED. INVOLVEMENT IN THE GROUP PROGRAM PREPARES THE YOUNGSTER FOR RETURN TO A LARGER GROUP SETTING, USUALLY SCHOOL, AND PROVIDES HIM OR HER WITH IMPROVED SKILLS FOR PEER INTERACTION AND SOCIALIZATION. CHILDREN IN THE INDIVIDUAL PROGRAM ARE PRESENTLY INVOLVED IN SCHOOL AND COMMUNITY ACTIVITIES, BUT REQUIRE ADDITIONAL INTERVENTION TO BETTER REGAIN OR DEVELOP COMPENSATORY SKILLS TO IMPROVE OR MAINTAIN AGE APPROPRIATE WAYS OF THINKING AND BEHAVING. OUTPATIENT PROGRAMS AND SERVICES -------------------------------- CSH PROVIDES A NUMBER OF OUTPATIENT SERVICES RELATED TO PEDIATRIC REHABILITATION AND EDUCATION. OUTPATIENT PROGRAMS OFFERED BY CSH INCLUDE SERVICES IN ASSESSMENT AND THERAPY FROM PEDIATRIC MEDICAL SPECIALISTS AND SUB-SPECIALISTS, AS WELL AS VARIOUS THERAPY DEPARTMENTS. Therapy services include physical therapy, occupational therapy, speech therapy, psychological counseling and testing, audiology and Applied Behvior Analysis. IN ADDITION, THE FOLLOWING Medical SPECIALTY PROGRAMS AND CLINICS ARE OFFERED: ORTHOPEDICS, NEUROLOGY, PHYSIATRY, PSCHIATRY AND BEHAVIORAL DEVELOPMENTAL PEDIATRICS. IN ADDITION WE PROVIDE A PEDIATRIC PRACTICE FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS. THE MEDICAL DAYCARE AND THE EARLY INTERVENTION PROGRAMS (EIP) ARE DESIGNED TO MEET THE EDUCATIONAL, THERAPEUTIC, SOCIAL, AND EMOTIONAL NEEDS OF CHILDREN FROM BIRTH TO AGE FIVE WITH PHYSICAL DISABILITIES OR DEVELOPMENTAL DELAYS. THE EIP PROGRAM IS FUNDED BY GRANTS OR A FEE SCHEDULE FROM THE STATE OF NEW JERSEY AND THE FEDERAL GOVERNMENT. SPECIAL NEEDS PRIMARY CARE PEDIATRICS ------------------------------------- IN SPECIAL NEEDSPRIMARY CARE PEDIATRICS, WE ARE PROUD TO PROVIDE OUTSTANDING, FAMILY-CENTERED CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR SIBLINGS. AT PRIMARY CARE PEDIATRICS, OUR GOAL IS FOR EVERY CHILD TO REACH HIS OR HER FULL POTENTIAL. WE EMPLOY A TEAM-BASED APPROACH TO THE HEALTHCARE. OUR STAFF, NURSES, DOCTORS AND CARE COORDINATORS WORK TOGETHER TO MEET THE NEEDS OF OUR SPECIAL PATIENTS. WE STRIVE TO BE THE MEDICAL HOME, OR CENTER, FOR THE PATIENT'S CARE. OUR CARE COORDINATORS AND MEDICAL STAFF HELP PATIENTS AND FAMILIES NAVIGATE THROUGH THE HEALTH CARE SYSTEM AND EDUCATIONAL SYSTEM. WE HELP PATIENTS AND FAMILIES INTERACT WITH COMMUNITY ORGANIZATIONS, INSURANCE COMPANIES, SPECIALISTS, THERAPISTS, AND PHARMACIES WHILE ADVOCATING FOR OUR PATIENTS ALONG THE WAY. OUR TEAM AT PRIMARY CARE PEDIATRICS CONSISTS OF DOCTORS, NURSES, CARE COORDINATORS, SOCIAL WORKERS, PATIENT CARE TECHS, OFFICE COORDINATORS, AN INSURANCE LIAISON AND FAMILY FACULTY. FAMILY FACULTY MEMBERS ARE A PATIENTS FAMILY MEMBER WHO WORKS AT CSH AND HELPS ADVOCATE FOR OUR PATIENTSFAMILIES. THE TEAM IS EXPERIENCED IN CARING FOR CHILDREN WITH SPECIAL NEEDS. WE TAKE CARE OF CHILDREN AFFECTED BY CEREBRAL PALSY, DOWN SYNDROME, PREMATURITY, AUTISM, TECHNOLOGY DEPENDENCE, UNCOMMON MEDICAL CONDITIONS AND MANY OTHER SPECIAL HEALTHCARE NEEDS. WE RESPECT THE GREAT PRIVILEGE IT IS TO CARE FOR OUR PATIENTS AND FAMILIES. VARIOUS COMMUNITY EVENTS AND OUTPATIENT PROGRAMS AND SERVICES ARE OFFERED BY CSH. LISTED BELOW IS A BRIEF LIST OF EVENTS AND PROGRAMS OFFERED IN 2015: - CHILDREN'S REGIONAL SWIM MEET FOR ATHLETES WITH A PHYSICAL DISABILITY ADAPTIVE AQUATICS PROGRAMS; - MARTIAL ARTS; - INTERACTIVE ORAL SENSORY - MOTOR THERAPY IN AUTISM; - PEDIATRIC TRAUMATIC BRAIN INJURY - THE JOURNEY; - CHILDRENS INVITATIONAL TRACK AND FIELD MEET FOR ATHLETES WITH A PHYSICAL DISABILITY; - CAMP OPEN ARMS; - EXPANDED DAY CAMP WITH WESTFIELD YMCA; - PALS PARADISE; - OVERNIGHT CAMP; - CAMP CHATTERBOX; - NEURO-REHABILITATION PROGRAM; - PEDIATRIC PRACTICE; - WORKSHOPS FOR FAMILIES NEWLY DIAGNOSED WITH AUTISM; - CHRONIC ILLNESS PROGRAM; - AUTISM SYMPOSIUM HEAR FROM THE EXPERTS; - PARENT RESOURCE CENTER; - "LIGHTNING WHEELS" WHEELCHAIR & AMBULATORY SPORTS TEAM FOR THOSE WITH PHYSICAL DISABILITIES AGES 5 22 YEARS; - "FRIDAY NIGHT FEVER" - MOUNTAINSIDE AND TOMS RIVER SOCIAL GROUP FOR TEENS; - CAR SEAT CHECKS AND CHILD PASSENGER SAFETY EDUCATION; - SOCIAL SKILLS GROUPS; - SAFEKIDS UNION COUNTY; and - NJDC2015NJ - THE NATIONAL JUNIOR DISABILITIES CHAMPIONSHIPS FOR ATHLETES 7-22 YEARS OF AGE FROM ACROSS THE U.S. WHO PARTICIPATED IN A WEEK-LONG PARALYMPIC STYLE GAMES FEATURING TRACK, FIELD, SWIMMING, ARCHERY AND POWERLIFTING. PROFESSIONAL TRAINING --------------------- CSH IS COMMITTED TO PROVIDING AN EDUCATIONAL SETTING WHICH WILL LEAD TO CONTINUOUS ADVANCEMENT IN PROFESSIONAL KNOWLEDGE AND SKILLS FOR THOSE INTERESTED IN PEDIATRIC REHABILITATION. CSH PROVIDES CLINICAL TRAINING AND EXPERIENCE IN THE FIELD OF PEDIATRIC REHABILITATION AND CARE OF THE DISABLED CHILD FOR RESIDENT PHYSICIANS IN THE AREAS OF PEDIATRICS AND PHYSIATRY THROUGH SCHOOLS, WHICH AFFILIATE WITH THE HOSPITAL. IN ADDITION, THE HOSPITAL TRAINS FELLOWS, NURSES, AND THERAPISTS ENROLLED IN SCHOOLS AND COLLEGES THAT ARE AFFILIATED WITH THE HOSPITAL TO ADVANCE THE STATE OF PEDIATRIC REHABILITATION. CHILDREN'S SPECIALIZED ALSO CONDUCTS AND SUBSIDIZES PROGRAMS AND SEMINARS TO EDUCATE INTERESTED HEALTHCARE PROFESSIONALS. ACCESSIBILITY PLAN ================== EACH YEAR CHILDREN'S SPECIALIZED HOSPITAL LOOKS AT HOW TO IMPROVE ACCESS TO CARE AND THE COMMUNITY FOR OUR PATIENTS AND FAMILIES. WE REVIEW ANY BARRIERS THAT MAY EXIST AND HOW TO BEST REMOVE THEM. OUR APPROACH AND OUTCOMES ARE OUTLINED BELOW: REVIEW PLAN FOR PROMOTING ACCESSIBILITY TO ORGANIZATION-WIDE SERVICES FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS. IDENTIFY & REMOVE POTENTIAL BARRIERS TO OUR PROGRAMS & SERVICES FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS. IDENTIFY & REMOVE EXISTING BARRIERS AND MAKE PROGRAMS AND SERVICES ACCESSIBLE FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS AS SOLICITED & IDENTIFIED THROUGH AN ANNUAL ACCESSIBILITY SURVEY, AND MONTHLY ENVIRONMENT OF CARE ROUNDS. INITIATE AND IMPLEMENT NECESSARY STEPS TO DECREASE OR REMOVE IDENTIFIED BARRIER(S) FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS WITH A SPECIFIED TIMELINE. OUR THIRTEEN SITES THROUGHOUT THE STATE HAVE MADE OUR RENOWNED CARE MORE CONVENIENT AND ACCESSIBLE TO NEW JERSEYS CHILDREN. INTEGRATION: ADVOCACY & EDUCATION TO ELIMINATE & REDUCE BARRIERS IN THE COMMUNITIES OF PERSONS SERVED. PROVIDE A REVIEW MECHANISM FOR "REASONABLE ACCOMMODATION" REQUESTS MADE BY PERSONS SERVED AND/OR PERSONNEL. ON AN ANNUAL BASIS, HOSPITAL LEADERSHIP REVIEWS THE PLAN FOR PROMOTING ACCESSIBILITY TO ORGANIZATION-WIDE SERVICES FOR PERSONS SERVED AND POTENTIAL PERSONS SERVED, AS WELL AS THE FINDINGS FROM THE ANNUAL ACCESSIBILITY SURVEY THAT IS CONDUCTED BY A REHABILITATION PROFESSIONAL & A PERSON SERVED. THIS REVIEW TAKES PLACE AT THE HOSPITAL'S ENVIRONMENT OF CARE, OPERATIONS & PI STEERING COMMITTEE(S). COMMUNICATION AND FOLLOW THROUGH IS DONE WITHIN THE EXISTING HOSPITAL-WIDE PERFORMANCE IMPROVEMENT STRUCTURE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ARCHITECTURAL/ENVIRONMENTAL --------------------------- ENSURE THAT ALL HOSPITAL ENVIRONMENTS (INTERNAL & EXTERNAL) NEWLY DESIGNED CONSTRUCTION AREAS ADHERE TO ADA STANDARDS. MEASURE: SERVICE ACCESS FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS DATA SOURCE: CONSTRUCTION DOCUMENTS, ENVIRONMENT OF CARE ROUNDS LOG ATTITUDINAL ----------- PROVIDE COMMUNITY STAFF EDUCATION PROGRAMS THAT AIM TO HEIGHTEN THE AWARENESS OF CAREGIVERS AND COMMUNITY MEMBERS TO THE SPECIAL NEEDS OF PERSONS SERVED. MEASURE: PROVISION OF COMMUNITY/STAFF EDUCATION TO HEIGHTEN AWARENESS OF SPECIAL NEEDS OF PERSONS SERVED. DATA SOURCE: EDUCATION DEPT. LISTING & ADVOCACY ACTIVITIES (SEE LAST SECTION) IN 2015, WE CONTINUED TO OFFER PROGRAMS TO THE COMMUNITY IN A VARIETY OF AREAS INCLUDING TRAUMATIC BRAIN INJURY, AUTISM SPECTRUM DISORDERS, SPINAL CORD INJURY, CHRONIC ILLNESS IN CHILDREN AND SPECIAL NEEDS CAR SEAT SAFETY AND INSTALLATION. THESE PROGRAMS ARE DAY LONG PROGRAMS AND ARE OPEN TO PARENTS AS WELL AS PROFESSIONALS WHO RECEIVE CEUS. OUR NEWLY EXPANDED RESEARCH CENTER OFFERS A DISTINGUISHED LECTURES SERIES WHERE EXPERTS FROM AROUND THE WORLD ARE BROUGHT IN TO SHARE THEIR KNOWLEDGE AND RESEARCH. FINANCIAL --------- PROVIDE PERSONS SERVED WITH REFERRAL TO SOCIAL, LEGAL OR ECONOMIC ADVOCACY RESOURCES. CONTINUE TO OFFER "HOSPITAL ASSISTANCE PROGRAM" (CHARITY CARE PROGRAM REFERRED TO EARLIER IN THE DOCUMENT) IN ADDITION TO CUSTOMIZED PAYMENT PLANS. MEASURE: IMPROVE FINANCIAL REIMBURSEMENT FOR SERVICES DELIVERED TO PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS DATA SOURCE: ADVOCACY ACTIVITIES (SEE LAST SECTION) & PATIENT ACCESS SERVICE DEPT. MATERIALS & POLICIES SEVERAL ADVOCACY ACTIVITIES HAVE FOCUSED ON IMPROVING REIMBURSEMENT FOR PERSONS SERVED, AS WELL AS MODIFICATIONS TO "HOSPITAL ASSISTANCE PROGRAMS". IN 2015 CSH PROVIDED $1,562,257 WORTH OF CHARITY CARE AT COST TO OUR PATIENTS. IN 2015 WE PROVIDED MEDICAL EDUCATION TO PHYSICAL MEDICINE AND REHABILITATION RESIDENTS FROM UMDNJ AND WITH EXPENSES VERSUS TOTAL RECEIPTS FOR CHGME WE REALIZED A SHORTFALL OF $568,536. IN 2015 CSH PROVIDED $28,200 IN HOUSING TO STUDENTS IN THE DISCIPLINES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES DURING THEIR CLINICAL TRAINING WHICH RANGED FROM 2 - 16 WEEKS. A POSITIVE GAIN FROM OPERATIONS, ENABLES US TO RAISE 100% FUNDS FOR NEW OUTPATIENT SITE. UTILIZATION OF MEDITCH IMPROVED CONSISTENCY AND TIMELINESS OF DOCUMENTATION, LEADING TO IMPROVED REIMBURSEMENT. DEVELOPED A TOOL TO TRACK BILLABLE TIME AND CENSUS FOR ALL SERVICES. THROUGH OUR FOUNDATION CSH RECEIVED FUNDING FROM KOHLS TO BE USED TOFUND OUR AUTISM COMMUNITY OUTREACH PROGRAMS INCLUDING "QUICK PEEK" AN EVALUATION MECHANISM USED TO FIND THOSE AT RISK OR ALREADY ON THE ASD SPECTRUM AND VARIOUS EDUCATIONAL PROGRAMS FOR COMMUNITY LEADERS AND ORGANIZATIONS. SECURED FUNDING TO COVER COSTS OF FUNCTIONAL BEHAVIOR ASSESSMENT/CONSULTATION SERVICE. BEGAN (WITH MEDICAL) YEAR 3 OF $1 MILLION CLINICAL EXPANSION GRANT FROM THE GOVERNOR'S COUNCIL ON MEDICAL RESEARCH AND TREATMENT OF AUTISM. THE ON-LINE REGISTRATION PROCESS HAS WORKED WELL WHERE FAMILIES CAN SCHEDULE AN APPOINTMENT ON LINE. THE PATIENT PORTAL WHERE FAMILIES CAN NOW ASK FOR PRESCRIPTION RENEWALS AND PAY THEIR BILLS SECURELY ON LINE HAS MADE THE BILL PAYING PROCESS EASIER AND SMOOTHER. TABLETS ARE BEING USED IN REGISTRATION TO EXPEDITE THE PROCESS FOR PRE-REGISTERED/CLEARED FAMILIES. INSTALLED AN AUTOMATED INSURANCE VERIFICATION SYSTEM THAT WORKS IN CONJUNCTION WITH THE MEDITECH SOFTWARE FOR AN IMPROVED REGISTRATION PROCESS. MAJOR BUILD OF VARIOUS FILES THAT WORK IN CONJUNCTION WITH THE CLINICAL MODULES FOR PROPER BILLING AND CODING AND IMPROVED THE PROCESS FOR NOTIFICATION TO THERAPIST UPON ARRIVAL OF THE PATIENT VIA A SMART BOARD. ALL CHILDREN'S FACILITIES WERE UPGRADED TO ENABLE WIRELESS COMMUNICATIONS FOR CLINICIANS' USE OF MINI LAPTOPS TO DOCUMENT AND CHARGE DURING SESSIONS. THE HOSPTIALS SUCCESSFUL EFFORTS TO INCREASE ITS COMMUNITY BENEFIT WERE FACILITATED BY ITS ABILITY TO MAINTAIN STRONG CASH COLLECTIONS IN 2015. COLLECTIONS EXCEEDED BOTH THE TARGETED GOAL AND WAS HIGHER THAN 2014. MET ALL ANNUAL AND QUARTERLY REPORTING REQUIREMENTS RELATED TO OUR BOND ISSUE AND WAS IN FULL COMPLIANCE WITH THE REQUIRED FINANCIAL COVENANTS IN EACH QUARTER. RE-NEGOTIATED MANAGED CARE CONTRACTS DURING THE YEAR RESULTING IN INCREASED REIMBURSEMENT. RECEIVED NOTIFICATION IMPROVING OUR BOND RATING WITH FITCH IN THE FIRST HALF OF 2016. CONDUCTED ONGOING ORGANIZATIONAL-WIDE EDUCATION PROGRAMS FOR IMPROVING CHART DOCUMENTATION, SELECTING PROPER CODING FOR BILLING AND COMPLIANCE OF ALL HIPAA REGULATIONS. COMPLETED THE 2016 OPERATING AND CAPITAL BUDGET PROMPTLY FOR BOARD APPROVAL IN DECEMBER. COMMUNICATION ------------- PROMOTE FULL PROGRAM AND SERVICE ACCESS FOR PERSONS SERVED BY RESPECTING ETHNO-CULTURAL DIVERSITY. ENSURE THAT LANGUAGE & CULTURAL DIFFERENCES ARE NOT BARRIERS TO ACCESSING & PARTICIPATING IN HOSPITAL PROGRAMS (I.E. TRANSLATION SERVICES ARE AVAILABLE & OTHER COMMUNICATION RESOURCES) MEASURE: COMMUNICATION SERVICE ACCESS FOR PERSONS SERVED DATA SOURCE: CONTRACTS FOR VERBAL AND WRITTEN TRANSLATION TO PROMOTE COMMUNICATION & ADMINISTRATIVE POLICY ON MEETING COMMUNICATION NEEDS. TRANSPORTATION -------------- PROVIDE TRANSPORTATION SERVICES AS NEEDED THROUGH THE PATIENT CARE COORDINATION DEPARTMENT FOR INPATIENT FAMILIES. MEASURE: MAKE AVAILABLE TRANSPORTATION ACCESS FOR PERSONS SERVED DATA SOURCE: PATIENT CARE COORDINATION DEPT. LISTING 2015 FINDINGS: NO BARRIERS IDENTIFIED. ADMISSION TO HOSPITAL PROGRAM ----------------------------- GRANT ADMISSION TO PROGRAM SERVICES & ACTIVITIES TO THOSE WITH AN IDENTIFIED NEED THAT IS VALIDATED BY MEETING PRE-ESTABLISHED ADMISSION CRITERIA/SCREENING. MEASURE: PATIENT REFERRALS THAT MEET PRE-ESTABLISHED ADMISSION CRITERIA/SCREENING ARE OFFERED RELEVANT SERVICES/ADMISSION DATA SOURCE: PRE-ADMISSION DEPT. LOG. 2015 FINDINGS: 100% OF ALL ADMISSIONS MEETING CRITERIA/SCREENING ARE OFFERED ADMISSION. IF PATIENT NOT OFFERED ADMISSION, APPROPRIATE REFERRALS MADE. EMPLOYMENT ---------- RECRUIT QUALIFIED EMPLOYEES WITH "REASONABLE ACCOMMODATIONS" FOR PERSONS WITH ACTIVITY LIMITATIONS IN ORDER TO PROMOTE EQUAL EMPLOYMENT/PARTICIPATION OPPORTUNITIES THROUGHOUT ALL ORGANIZATIONAL LEVELS. MEASURE: ADHERENCE TO STATE/FEDERAL REGULATIONS RE: EMPLOYMENT WITHOUT REGARD TO ACTIVITY LIMITATIONS, RACE, COLOR, NATIONAL ORIGIN OR AGE & PARTICIPATE IN COMMUNITY EFFORTS TO PROMOTE OPPORTUNITIES FOR PERSONS WITH ACTIVITY LIMITATIONS DATA SOURCE: HUMAN RESOURCE DEPT. FILES. 2015 FINDINGS: 100% OF ALL JOB APPLICANTS FOLLOWED "STANDARD" PROCEDURES FOR EMPLOYMENT APPLICATION PROCESS AND ONGOING EMPLOYMENT. OTHER ----- REMAIN ACTIVELY INVOLVED IN COMMITTEES AT THE LOCAL, STATE & NATIONAL LEVEL WHERE POLICIES, REGULATIONS AND PROGRAM PLANNING IMPACT PEDIATRIC SERVICES & THEIR ACCESSIBILITY & DELIVERY. MEASURE: CONTINUED CHILDREN'S PRESENCE AT LOCAL, STATE, FEDERAL LEVEL PROGRAM PLANNING RE: SERVICE DELIVERY FOR PERSONS SERVED, ACTING AS AN ADVOCATE FOR PERSONS SERVED. MEMBERS OF FAMILY AND PATIENT CENTERED CARE ALONG WITH PRESIDENT & CEO TRAVELED TO WASHINGTON, DC TO MEET WITH LEGISLATURES WITH REGARD TO INSURANCE COVERAGE FOR INDIVIDUALS WITH DISABILITIES. DATA SOURCE: ADVOCACY ACTIVITIES. 2015 FINDINGS: SEVERAL ADVOCACY ACTIVITIES FOR PERSONS SERVED. LEADERSHIP: - PRESIDENT & CEO NAMED CHAIR OF THE NEW JERSEY CHAMBER OF COMMERCE BOARD OF DIRECTORS; - AUTISM SCREENING CLINICS HELD ON A REGULAR SCHEDULE; ARTICLE ON CLINICS FEATURED IN NEW BRUNSWICK TODAY; - CSH IS LICENSED BY THE NJDOH AS THE FOLLOWING: COMPREHENSIVE REHABILITATION HOSPITAL (INPATIENT, NEW BRUNSWICK); HOSPITAL -BASED, OFF-SITE AMBULATORY CARE FACILITY (OUTPATIENT); LONG TERM CARE FACILITY (LTC, MOUNTAINSIDE & TOMS RIVER STEVENS RD); - STUDY ON THE IMPACT/BENEFITS OF USING PASSIVE VS. DYNAMIC STANDERS WITH CHILDREN IN OUR CARE DONE IN COLLABORATION WITH NJ INSTITUTE OF TECHNOLOGY AND FEATURED IN PHYSICAL THERAPY & REHAB MEDICINCE, A NATIONAL JOURNAL; - PRESENTATION AT THE GETWELL NETWORKS "GET CONNECTED CONFERENCE" AS PART OF THE BEST PRACTICE TRACK. PRESENTATION ON DISCHARGE PLANNING SOLUTION THAT WE DESIGNED & IMPLEMENTED FOR OUR INPATIENT UNIT; - CONGRESSMAN FRANK PALLONE, MINORITY CHAIRMAN OF THE CONGRESSIONAL COMMITTEE THAT CONTROLS WHAT HAPPENS TO MEDICAID & STATE SENATE PRESIDENT STEPHEN SWEENEY & STATE SENATOR JOE VITALE, CHAIRMAN OF THE HEALTH COMMITTEE VISITED THE HOSPITAL TO DISCUSS FUTURE FUNDING OF THE CHILDRENS HEALTH INSURANCE PROGRAM (FAMILY CARE IN NJ); - RETRIEVAL PRACTICE AS AN EFFECTIVE MEMORY STRATEGY IN CHILDREN & ADOLESCENTS WITH TRAUMATIC BRAIN INJURY PUBLISHED IN ARCHIVES OF PHYSICAL MEDICINE & REHABILITATION THE TOP REHABILITATION JOURNAL; CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - CHIEF OF PHYSIATRY WAS NOMINATED BY THE STUDENTS AT NEW JERSEY MEDICAL SCHOOL FOR THE GOLDEN APPLE TEACHING AWARD; - OVERVIEW OF PEDIATRIC BRAIN INJURY FOR LAWYERS PEDIATRIC BIANJ FOR JUSTICE EDCUATIONAL FOUNDATION, INC.; - PRESENTATION AT THE CHILDRENS HOSPITAL ASSOCIATIONS NATIONAL QUALITY SUMMIT ON THE TOOLS THAT WE HAVE CREATED TO TRACK & MANAGE OUR OUTPATIENT PRODUCTIVITY; - TWO SEGMENTS ABOUT OUR NEONATAL ABSTINENCE SYNDROME PROGRAM AIRED ON NEW JERSEY 101.5; - TESTIFIED FOR THE WOMENS/CHILDRENS COMMITTEE ON THE IMPORTANCE OF EXPANDING THE HELMET LAW TO APPLY TO NON-MOTORIZED SCOOTERS; - HOSTED THE ANNUAL TRI-STATE REGIONAL SWIM MEET FOR JUNIOR & ADULT ATHLETES WITH A PHYSICAL DISBILITY AT RUTGERS 35 ATHLETES FROM NJ, NY, CT, VA, MD, PA PARTICIPATED; - CSH HOSTED THE NJ/EASTERN PENNSYLVANIA THERAPEUTIC RECREATION SPRING WORKSHOP PARTNERING WITH FAMILIES TO INTEGRATE PATIENT AND FAMILY-CENTERED CARE APPROXIMATELY 65 ATTENDEES; OUR EXPERTS WERE SOME OF THE SPEAKERS THAT SHARED THEIR KNOWLEDGE WITH THE ATTENDEES; - PRESENTED WITH AN AWARD AT THE 2015 HIMSS ANNUAL CONFERENCE & EXHIBITION WHICH RECOGNIZED THE NAVIGATION TOOL THAT WE CREATED AS PART OF OUR MEDICAL HOME INITIATIVE. THE AWARD LOOKS AT HOW ORGANIZATIONS USE MICROSOFT DEVICES & SERVICES IN INNOVATIVE WAYS THAT HELP ENHANCE THE QUALITY OF PATIENT CARE, IMPROVE CLINICIAN PRODUCTIVITY, EMR OPTIMIZATION & STREAMLINE CLINICAL & BUSINESS PROCESSES; - ARTICLE ENTITLED "SCREENING FOR ASD IN UNDERSERVED COMMUNITIES: EARLY CHILDCARE PROVIDERS AS REPORTERS" WAS PUBLISHED IN THE NATIONAL JOURNAL ON AUTISM RESEARCH AUTISM; - LED A SPANISH SPEAKING WORKSHOP FOR THE SPANISH PARENT SUPPORT GROUP "WINNING ANGELS" FOR THOSE WITH SPECIAL NEEDS CHILDREN; - "NEUROPSYCHOLOGICAL SCORES AND WEEFIM COGNITIVE RATINGS OF CHILDREN WITH TRAUMATIC BRAIN INJURY: A BRIEF REPORT" WAS PUBLISHED IN THE JOURNAL BRAIN INJURY; - PARTICIPATED IN MANY SAFE KIDS DAYS AT BOTH COMMUNITY EVENTS & THOSE SPECIFICALLY FOR THE AUTISM COMMUNITY PROGRAMS DEALT WITH SAFE PLAY; - PRESENTATION AT THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATIONS NATIONAL CONFERENCE ON THE PROCESS THAT WE CREATED TO DEVELOP A PROTOCOL FOR REPLICABILITY IN PRACTICE WITH IMPLICATION OF IMPROVING PATIENT OUTCOMES FOR PATIENTS WITH SENSORY INTEGRATION (SI) ISSUES. THE RESULTS EVOLVED INTO A BOOK ENTITLED: THE CLINICIANS GUIDE FOR IMPELENTING AYRES SENSORY INTEGRATION (ASI) PROMOTING PARTICIPATION FOR CHILDREN WITH AUTISM THE 3 CLINICIANS THAT WERE VERY HELPFUL WITH THIS STUDY ALONG WITH CSH & OUR FAMILIES WHO PARTCIPATED IN THE "PIVOTAL STUDY" THAT LED TO THIS WORK WERE ACKNOWLEDGED AS WELL; - WPLJ RADIO STATION REQUESTED A PATIENT INTERVIEW WHICH WAS ACCOMMODATED BY MAKING THE TRIP INTO NYC PART OF HIS CARE PLAN; - ARTICLE ENTITLED "LANGUAGE DEVELOPMENT IN CHILDREN: AGES 3 TO 4" WAS INCLUDED IN CARE.COM AN INTERNATIONAL RESOURCE FOR HIRING CARE PROVIDERS FOR CHILDREN & SENIORS THAT INCLUDES USEFUL CONTENT FOR ITS 14.1 MILLION MEMBERS IN 16 COUNTRIES; - NEW JERSEY FAMILY MAGAZINE RECOGNIZED TWO DOCS (A NEUROLOGIST & A PHYSIATRY) BASED ON FAMILY TESTAMONIALS; - DURING THE FIRST QUARTER OF 2015 WE SERVED 13,939 CHILDREN WHICH EQUALS 12.1% MORE THAN LAST YEAR DURING THE SAME TIME PERIOD; - PSYCHOLOGIST INTERVIEWED FOR FRONT PAGE STORY OF THE HOME NEWS TRIBUNE & COURIER NEWS WITH REGARD TO AUTISM; AUTISM EDUCATOR & DIRECTOR OF PROGRAM DEVELOPMENT & COORDINATOR FOR AUTISM PROGRAM INTERVIEWED ON NASH-FM RADIO STATION; - PRESIDENT & CEO MET WITH THE SECRETARY OF HEALTH & HUMAN SERVICES THANKING HER FOR SUPPORT OF "CHIP" BUT ALSO TO LET HER KNOW WE NEED TO BE ABLE TO HAVE THE FLEXIBILITY WITNIN MEDICAID TO PROVIDE TELEMEDICINE & OTHER OPPORTUNITIES TO INCREASE ACCESS FOR OUR KIDS; - HOSTED THE ANNUAL INVITATIONAL TRACK & FIELD MEET FOR ATHLETES WITH A PHYSICAL DISABILITY WITH 41 REGISTERED JUNIOR & ADULT ATHLETES REPRESENTING NJ, NY, CT & PA; - EXPANDED PHYSICIAN SERVICES (ACC) AT OUR WARREN FACILITY - BRINGING OUR OUTPATIENT SERVICES CLOSER TO OUR FAMILIES; - ANNUAL WALK 'N ROLL EVENT HELD WITH OVER 2000 PARTICIPANTS, THE LARGEST NUMBER TO DATE; - REPRESENTATION AT THE ABILITIES EXPO; - PRESENTATION BY DIRECTOR OF INFANT/TODDLER PROGRAM TO A NATIONAL TASK FORCE ON OUR WORK ON THE PROBLEM OF MATERNAL SUBSTANCE ABUSE & INFANT EXPOSURE. NJ IS ONE OF ONLY SIX STATES THAT HAVE RECEIVED A GRANT TO WORK ON THIS PROBLEM; - EXHIBITION GIVEN AT THE ECAC (EASTERN COLLEGIATE ATHLETIC CONFERENCE) TRACK & FIELD MEET AT PRINCTON UNIVERSITY TO HELP CONFERENCE PARTICIPANTS WITH INTEGRATING SPORTS FOR THE DISABLED INTO THEIR COLLEGIATE PROGRAMS BY 2016; - RECEIVED TWO GRANTS FROM THE NJ GOVERNORS COMMISSION ON AUTISM ONE FOR THE AUTISM MEDICAL HOME PILOT PROJECT & A QUALITATIVE STUDY (INTERVIEWS & FOCUS GROUPS) WITH HISPANIC FAMILIES OF CHILDREN NEWLY DIAGNOSED WITH ASD REACTIONS TO THE DIAGNOSIS & EXPERIENCES LINKING TO SERVICES. STUDY TO DETERMINE IF THERE ARE CULTURAL DIFFERENCES AND HOW TO BETTER UNDERSTAND THOSE DIFFERENCES; - PHYSIATRIST INTERVIEWED BY THE ASSOCIATION OF ACADEMIC PHYSIATRISTS FOR A PODCAST ABOUT PREDIATRIC REHAB FELLOWHSIP OPPORTUNITIES; - FAMILY FEATURED IN THE NATIONAL JOURNAL HEALTH AFFAIRS TO HELP MOVE FORWARD A PIECE OF FEDERAL LEGISLATION THAT WOULD BETTER COORDINATE HEALTH SERVICES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS; - THREE PROJECTS ACCEPTED FOR THE PEDIATRIC SECTION OF THE AMERICAN PHYSICAL THERAPY ASSOCIATIONS MEETING: "SURGICAL & REHABILITATIVE TREATMENT OF PHRENIC NERVE CRUSH INJURY", "CASE STUDY: AN 8-WEEK TREADMILL TRAINING PROGRAM FOR AN 18 MONTH OLD TODDLER WITH WILLIAMS SYNDROME" & "CHILDRENS SPECIALIZED HOSPITAL INTEGRATION OF THE TORTICOLLIS CLINICAL PRACTICE GUIDELINE INTO OUR PRACTICE - PSYCHOLOGIST RECIPIENT OF THE LESTER Z. LIEBERMAN HUMANISM IN HEALTHCARE AWARD AN AWARD THAT RECOGNIZES FRONT LINE STAFF WHO IN ADDITION TO BEING A SKILLED CLINICIAN DEMONSTRATES AND LIVES THE VALUE OF ALWAYS TREATING PATIENTS WITH RESPECT; - LONG TERM CARE AT TOMS RIVER PASSED THE DEPARTMENT OF HEALTHS UNANNOUNCED SURVEY WITH FLYING COLORS THE DOH WAS EXTREMELY COMPLIMENTARY OF OUR CSH QUALITY OF CARE & LIFE STANDARDS OF PRACTICE & THERE WERE NO CLINICAL DEFICIENCIES; - HOSTED THE 32ND ANNUAL NATIONAL JUNIOR DISABILITY CHAMPIONSHIPS ATTENDED BY OVER 200 ATHLETES WITH A PHYSICAL DISABILITY FROM ALL ACROSS THE US. ATHLETES PARTICIPATED IN TRACK, FIELD, PENTATHLON, SWIMMING, ARCHERY AND POWERLIFTING DURING THE WEEK-LONG PARALYMPIC STYLE EVENT; - BY THE END OF JUNE, 20,506 CHILDREN WERE SERVED AN INCREASE OF 11% FROM THE PREVIOUS YEAR AT THE SAME TIME; - RECIPIENT OF THE NJ STATE TRAINING GRANT FOR PROVIDING TRAINING TO CHILD CARE PROVIDERS IN ALL 21 NJ COUNTIES ON DEVELOPMENTAL SCREENING; - HOSPITAL FIGHT VIDEO BASED ON THE POPULAR SONG BY RACHAEL PLATTEN WAS FEATURED ON "THE VIEW", IN THE STAR LEDGER & ON CHANNEL 9; - NEW TRAINING PROGRAM ESTABLISHED WITH CHINA; CEO PRESENTED GRAND ROUNDS AT BEIJING CHILDRENS HOSPITAL; PRESIDENT & CEO & VP BUSINESS DEVELOPMENT GAVE A PRESENTATION TO GOVERNMENT OFFICIALS; - PARTICIPATION IN ELIZABETH, NJS NATIONAL NIGHT OUT; - SAFE KIDS COORDINATOR PARTICPATED IN NEW PROVIDENCE, NJS NIGHT OUT WITH OVER 500 PEOPLE COMING TO BOOTH FOR INFORMATION; - DIRECTOR INFANT/TODDLER PROGRAM PRESENTED A WEBINAR SPONSORED BY THE NATIONAL CENTER FOR SUBSTANCE ABUSE & CHILD WELFARE & THE SUBSTANCE EXPOSED INFANT TASK FORCE OF THE NJ DEPARTMENT OF HUMAN SERVICES ON OUR PROGRAMS & HOW SUCCESSFUL WE HAVE BEEN WEANING CHILDREN OFF OF METHADONE; - SEPTEMBER 9TH, FETAL ALCOHOL AWARENESS DAY CSH CONSIDERED A LEADER IN NJ FOR THE IDENTIFICATION & CARE FOR CHILDREN IMPACTED BY THIS DISEASE; - HELD VERY SUCCESSFUL CAMPS FOR KIDS WITH SPECIAL NEEDS A WEEK-LONG SLEEPAWAY CAMP IN PENNSYLVANIA WHERE CAMPERS WERE FULLY INTEGRATED WITH NON-DISABLED PEERS & PARTICIPATED IN A FULL CAMP EXPERIENCE; 2 WEEK-LONG DAY CAMPS (TOMS RIVER & UNION) WHERE SPECIAL NEEDS KIDS & A FRIEND/SIBLING COULD ATTEND WITH THEM & EXPERIENCE A VARIETY OF UNIQUE ACTIVITIES; - RECEIVED A CLINICAL PARTNERSHIP EDUCATION & RESEARCH GRANT FROM SETON HALL UNIVERSITY TO FUND OUR GO BABY GO PROGRAM WHICH IS AN INTER-PROFESSIONAL COLLABORATIVE PROJECT THAT WILL PROVIDE EARLY POWER MOBILITY EQUIPMENT TO YOUNG CHILDREN WHO ARE NOT INDEPENDENTLY MOBILE BY ADAPTING RIDE-ON-TOYS; - PRESENTATION ON OUR R.E.S.T. PROTOCOL PROGRAM AT THE NEW JERSEY STATE NURSES CONVENTION. PRESENTATION FOCUSED ON OUR LOW COMA STIM PORGRAM FOCUSING ON RESTFUL RECOVERY, EMPHASIS ON EDUCATION, SENSORY STIMULATION & THERAPEUTIC INTERVENTIONS SHOWED HOW OUR NURSING & THERAPY DEPARTMENTS COLLABORATE FOR THE GOOD OF OUR PATIENTS; - STUDENTS FROM TORO UNIVERSITY HAD THE OPPORTUNITY TO SEE REAL-TIME WHAT IT MEANS TO WORK IN PEDIATRIC REHABILITATION; WHAT IT MEANS TO WORK IN PEDIATRIC REHABILITATION; CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - DIRECTOR OF MEDICAL SERVICES TOMS RIVER FEATURED AT A STATE-WIDE CONFERENCE HOSTED BY THE NJ AUTISM CENTER OF EXCELLENCE COORDINATING CENTER & WAS QUOTED IN NJ SPOTLIGHT ABOUT NEW JERSEYS RESEARCH PROGRAM SPECIFICALLY OUR WORK AROUND DEVELOPING A NEW AUTISM SCREENING TOOL FOR TRADITIONALLY UNDERSERVED CHILDREN; - SPONSORED TWO WEBINARS MEDICATIONS USED TO TREAT SYMPTOMS ASSOCIATED WITH AUTISM SPECTRUM DISORDER AND STRATEGIC PLANNING FOR RECREATION PROGRAMMING FOR CHILDREN WITH AUTISM SPECTRUM DISORDER; - AS OF SEPTEMBER 24, 2015 WE SERVED 22,536 UNDUPLICATED PATIENTS WHICH WAS 2,252 MORE PATIENTS OR 10.6% MORE THAN THE SAME PERIOD THE PREVIOUS YEAR; - PHYSIATRIST APPOINTED AS ASSISTANT CLINICAL PROFESSOR AT RUTGERS-NEW JERSEY MEDICAL SCHOOL; - CHILDRENS LIGHTNING WHEELS RECOGNIZED AS THE SECOND BEST LARGE TEAM IN THE COUNTRY AT THE 2015 NATIONAL JUNIOR DISABILITY CHAMPIONSHIPS; - A MEMBER OF THE CHILDRENS LIGHTNING WHEELS PARTICIPATED ON TEAM USA FOR THE JUNIOR INTERNATIONAL WHEELCHAIR & AMBULATORY SPORTS COMPETITION; - MEMBERS OF CHILDRENS LIGHTNING WHEELS RECEIVED AWARDS IN RECOGNITION OF THEIR ABILITIES AT THE LAST MEET OF THE SEASON; - ITS CHILDS PLAY AND ADAPTED SPORTS THINKING OUTSIDE THE BOX WERE PRESENTED AT THE NJ COMMISSION ON RECREATION FOR INDIVIDUALS WITH DISABILITIES CONFERENCE ENTITLED "GOING THE EXTRA MILE - WE HOSTED A MEETING FOR THE GOVERNORS OFFICE ON VOLUNTEERISM AT OUR NEW BRUNSWICK SITE; - 26,265 UNDUPLICATED PATIENTS SERVED BY END OF NOVEMBER; 2,245 OR 9.3% MORE THAN SAME PERIOD IN PREVIOUS YEAR; - CSH REPRESENTED IN NYC MARATHON WITH A TEAM OF EIGHT RUNNERS; - CREATED AN APN DEVELOPMENTAL BEHAVIORAL PEDIATIC FELLOWSHIP TO HELP ADDRESS THE HUGE DEMAND FOR DEVELOPMENTAL SCREENING SERVICES; - LONG TERM CARE BOY SCOUT TROOOP 6651 AWARDED THE SHINING STAR AWARD ACKNOWLEDGES THE WORK PUT IN BY THE RECREATION STAFF IN ADAPTING A TYPICAL BOY SCOUT CURRICULUM TO BETTER FIT THE NEEDS OF OUR TROOP THAT PROVIDE TYPICAL EXPERIENCES IN THE COMMUNITY & THE EDUCATION OF THE COMMUNITY BOY SCOUTS. THE TROOP ATTENDED THE ANNUAL FISHING TRIP TO CAMP CITTA; - HEALTHCARE PLANNERS & MARKETING ASSOCIATION AWARDED CSH WITH THE PERCY AWARD FOR OUR #FIGHTFACE VIDEO; - UNION COUNTY SAFE KIDS COALITION RECEIVED GENEROUS GIFT OF 10 YEAR SMOKE ALARMS FROM KIDDE; - PRESENTATION AT THE NEW JERSEY YOUTH FIRESETTER INTERVENTION CONFERENCE ON "UNDERSTANDING THE SPECTRUM OF THE AUTISM DIAGNOSIS & SERVICES". IN ATTENDANCE WERE 90 SCHOOL PROFESSIONAL SUPPORT STAFF OF THE NEW JERSEY DEPARTMENT OF CHILDREN & FAMILIES; - WOBM, WPLJ AND NASH RADIO DID RADIOTHONS FOR US; - ARTICLE AUTISM & SAFETY ITS UNPREDICTABLE APPEARED IN AUTISM SPECTRUM NEWS; - CHILDRENS SPECIALIZED PARTNERED WITH A LOCAL YMCA TO OFFER TWO ONE WEEK SLEEP AWAY CAMP EXPERIENCES; - CHILDRENS OFFERED SEVERAL OTHER DAY CAMP EXPERIENCES SOME FOR "FUN" OTHERS MORE THERAPEUTIC IN NATURE; - UNION COUNTY NEW JERSEY SAFE KIDS COALITION CHAIR IS CSH EMPLOYEE PARTICIPATED IN "PITCH YOUR PROJECT" AT THE 2015 PREVCON CONFERENCE AND WAS AWARDED THE GRAND PRIZE TO DEVELOP SAFETY TOOLS TO BE UTILITIZED BY THE CHILD WITH AUTISM, PARENTS/CAREGIVERS AND THE COMMUNITY AT LARGE. THE COALITION WILL BE COLLABORATNG WITH SAFEKIDS WORLD WIDE ON THE PROJECT; - ADMINISTRATIVE DIRECTOR OF LONG TERM CARE SERVED AS OUR EXPERT BEFORE THE NJ LEGISLATURE TESTIFYING AGAINST A BILL THEAT WOULD MANDATE CERTAIN STAFFING RATIOS WITHIN LONG TERM CARE UNITS. WE OPPOSED THE BILL BECAUSE WE NEED TO HAVE THE FLEXIBILITY TO STAFF BASED ON THE CHILDREN WE SERVE UNIQUE NEEDS; - FRIDAY NIGHT FEVER MOUNTAINSIDE & TOMS RIVER HELD MONTHLY ACTIVITIES FOR OVER 75 UNIQUE PARTICIPANTS INCLUDING A GRADUATION DANCE, SPRING PROM, BOATING AND MOVIE NIGHTS; - AUTISM ACTIVITIES & AWARENESS INCLUDED COMMUNITY RESOURCE FAIRS; WALKS FOR AUTISM IN VARIOUS PARTS OF THE STATE; SHOPPING EVENT AT KOHLS SPECIFICALLY FOR PARENTS OF CHILDREN WITH ASD; and - FINAL 2015 NUMBERS FOR UNDUPLICATED PATIENTS SEEN 28,735; 2,562 MORE PATIENTS OR 9.8% MORE THAN THE FINAL NUMBER FOR 2014; STAFF MEMBERS PARTICIPATED IN MANY LOCAL, REGIONAL, NATIONAL, INTERNATIONAL BOARDS & COMMITTEES INCLUDING: - PEDIATRIC COMPLEX CARE COMMITTEE; - DEVCO; - NEW JERSEY HOSPITAL ASSOCIATION; - PEAK POTENTIAL; - STAY-FOCUSES A PROGRAM DEVOTED TO HELPING KIDS WITH SPECIAL NEEDS BECOME CERTIFIED IN SCUBA DIVING; - AMERICAN ACADEMY OF CEREBRAL PALSY & DEVELOPMENTAL MEDICINE; - Healthcare Financial Management Association CFO served on a national committee and was elected Regional Executive for Region 3 for the 2016-17 year; - RONALD MCDONALD HOUSE COO/EVP; - MULTIPLE BOARDS & COMMITTEES OF THE CHILDRENS HOSPITAL ASSOCIATION; - NEW JERSEY CHAMBER OF COMMERCE; - RUTGERS UNIVERSITY; - INTERNATIONAL PEDIATRIC REHABILITATION COLLABORATIVE; - TREASURER - TRI-STATE WHEELCHAIR & AMBULATORY ATHLETICS; - NATIONAL CENTER FOR SUBSTANCE ABUSE & CHILD WELFARE; - SUNRISE MEDICAL PEDIATRIC ADVISORY BOARD; - PARALYMPIC EXPERIENCE DAY CUNY GATEWAY TO GOLD ADVISORY COMMITTEE; - SUBSTANCE EXPOSED INFANT TASK FORCE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES; - TOMS RIVER MAYORS ADVISORY COMMITTEE; - 2015 NATIONAL JUNIOR DISABILITY CHAMPIONSHIPS EXECUTIVE DIRECTOR; - MORRIS PLAINS BOARD OF HEALTH; - NEW JERSEY COMMISSION ON RECREATION FOR INDIVIDUALS WITH DISABILITIES; - AUTISM SPEAKS NJ; - ADAPTIVE SPORTS USA JUNIOR COMMITTEE; - NEW JERSEY SOCIETY FOR RESPIRATORY CARE; - NEW JERSEY PHYSICAL THERAPY ASSOCIATION; and - TOMS RIVER ROTARY. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ROBERT WOOD JOHNSON HEALTHCARE CORPORATION ("RWJHCC") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJHCC 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 THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE ORGANIZATIONS FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL 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 ORGANIZATIONS FINANCE PERSONNEL INCLUDING, BUT NOT LIMITED TO, THE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCE, ACCOUNTING MANAGER AND VARIOUS OTHER INDIVIDUALS WITHIN THE ORGANIZATION ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATIONS INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF THE ORGANIZATIONS GOVERNING BODY AND FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VICE PRESIDENT OF HUMAN RESOURCES FOR REVIEW. THEREAFTER THE VICE PRESIDENT OF HUMAN RESOURCES PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE VICE PRESIDENT OF HUMAN RESOURCES THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT/CHIEF FINANCIAL 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. 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 VICE PRESIDENT/CHIEF FINANCIAL 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 WHOM 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 SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. 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 ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF THE OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM 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 HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, 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 PHILIP SALERNO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 55 HOURS PER WEEK AS THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ADDITION, 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 THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE NETWORK. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART X CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION. THIS RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY AND EQUIPMENT - $1,200,000; - CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $3,298,993; - NET ASSETS RELEASED FROM RESTRICTION (TEMPORARILY RESTRICTED) - ($3,692,480); AND - CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $6,020. CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THIS ORGANIZATION AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR CHILDRENS SPECIALIZED HOSPITAL AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII, QUESTION 3A THIS ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. 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