2015-11-16T11:49:30-06:00 2014-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2014-01-01 222783298 JERSEY CITY MEDICAL CENTER % ROBERT VALENTINE JERS 9733224032 350 Montgomery Street JERSEY CITY NJ 07302 DOMENIC SEGALLA cfo 9738989494 2015-11-09 true Scott J Mariani P00642486 9738989494 2014 2016-04-25 22:37:26Z BARRY H OSTROWSKY 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 366722653 false X WWW.BARNABASHEALTH.ORG X 1987 NJ the organization's mission is to offer healthcare services with compassion and dignity. 20 16 2636 234 0 0 13611321 13481348 343320175 346504626 4593201 4404351 2192471 2250894 363717168 366641219 7500 0 0 0 161476052 173275431 0 0 0 172552565 187201736 334036117 360477167 29681051 6164052 414288855 456825507 375041209 348356039 39247646 108469468 X THE ORGANIZATION'S MISSION IS TO OFFER HEALTHCARE SERVICES WITH COMPASSION AND DIGNITY. THE ORGANIZATION PROVIDES PATIENTS, THEIR FAMILIES AND ALL IN NEED, EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES AND PROGRAMS TO ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, THE ORGANIZATION IN COLLABORATION WITH ITS PHYSICIANS, NURSES AND STAFF, WILL: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL, REGARDLESS OF RACE, COLOR, CREED, SEX, GENDER, RELIGION, ABILITY TO PAY INCLUDING REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIPS WITH OTHER HOSPITALS AND SYSTEMS. THE ORGANIZATION WILL BE GUIDED BY A BOARD OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. THROUGH DIFFERENTIATION, false false 39798235 0 47134221 EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY CARDIAC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED CARDIAC SERVICES TO 2,767 PATIENTS FOR A TOTAL OF 10,104 PATIENT DAYS in 2014. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 34011795 0 30613157 EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY PSYCHIATRIC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED PSYCHIATRIC SERVICES TO 17,900 PATIENTS FOR A TOTAL OF 12,813 PATIENT DAYS in 2014. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 26222662 0 18878068 EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY OBSTETRICS SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED OBSTETRICS SERVICES TO 7,197 PATIENTS FOR A TOTAL OF 7,595 PATIENT DAYS in 2014. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 196662624 0 249879180 296695316 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 231 0 true 2636 true false false false false false false false false false false false false false X 20 16 false false true false true true true true true false false true true true true true true true true false NJ X ROBERT VALENTINE 2017165733 350 MONTGOMERY STREET JERSEY CITY NJ 07302 X ROBERT E MARGULIES ESQ CHAIRMAN - TRUSTEE 1.0 X X 0 0 0 THOMAS M GALLAGHER VICE CHAIRMAN - TRUSTEE 1.0 X X 0 0 0 ALAN J WILZIG SECRETARY - TRUSTEE 1.0 X X 0 0 0 CATHERINE M CARNEVALE TREASURER - TRUSTEE 1.0 X X 0 0 0 THOMAS A BIGA TRUSTEE 60.0 X 0 1708594 45259 ABEGAIL DOUGLAS JOHNSON TRUSTEE 1.0 X 0 0 0 MARVIN GLAZERMAN TRUSTEE 1.0 X 0 0 0 KIM HAAS TRUSTEE 1.0 X 0 0 0 JEREMY KAPLAN TRUSTEE 1.0 X 0 0 0 CARLOS LEJNIEKS TRUSTEE 1.0 X 0 0 0 EDGAR MARTINEZ TRUSTEE 1.0 X 0 0 0 W NEVINS MCCANN ESQ TRUSTEE 1.0 X 0 0 0 RICHARD O'NEILL TRUSTEE 1.0 X 0 0 0 JOSEPH A PANEPINTO JR TRUSTEE 1.0 X 0 0 0 VERONICA PARK TRUSTEE 1.0 X 0 0 0 IGNATIUS SCALIA DMD TRUSTEE;EX-OFF-PRES MED STAFF 55.0 X 132539 0 16889 JOSEPH F SCOTT FACHE TRUSTEE - PRESIDENT/CEO 55.0 X 0 1299473 153286 RITA V SMITH DNP TRUSTEE - SVP PAT CARE/CNO 55.0 X 380001 0 57748 SEENA A STEIN TRUSTEE 1.0 X 0 0 0 KABILI TAYARI TRUSTEE 1.0 X 0 0 0 CARLOS HERNANDEZ PHD TRUSTEE (TERMED 6/1/14) 1.0 X 0 0 0 HARRY MELENDEZ TRUSTEE (TERMED 6/1/14) 1.0 X 0 0 0 GARY B SCHERMERHORN TRUSTEE (TERMED 6/1/14) 1.0 X 0 0 0 PAUL GOLDBERG CFO (TERM 06/30/14) 55.0 X 0 998965 72609 DOMENIC SEGALLA CFO (EFFECTIVE 7/1/14) 55.0 X 0 479716 69733 KENNETH GARAY MD CHIEF MEDICAL OFFICER 55.0 X 0 734248 86870 STEPHEN LI CIO (TERM 11/01/14) 55.0 X 0 375054 12503 PAUL R MURPHY ESQ SVP, GEN COUNS (TERM 05/31/14) 55.0 X 0 609707 21027 BRENDA HALL SVP, PATIENT SAFETY 55.0 X 0 312069 22341 DOUGLAS RATNER MD VP, CHAIRMAN MEDICAL 55.0 X 389066 0 24481 MARY CATAUDELLA VP, HUMAN RESOURCES 55.0 X 0 343230 46937 SUSAN M WALSH MD VP, ACCOUNT CARE ORG. 55.0 X 286347 0 20431 KIRAT Y KHARODE VP, CLINICAL OPERATIONS 55.0 X 275241 0 10929 HENRY C IRVING MD VP, CHAIRMAN ORTHOPEDICS 55.0 X 270483 0 4108 ANDREW T SUKALA VP, INT AUDIT (TERM 10/01/14) 55.0 X 0 190657 16892 BARRY A MALTZMAN MD VP, OPTHAMOLOGY 55.0 X 158709 0 17362 PAUL M ROTUNDA DMD VP, DENTISTRY/CHAIRMAN 55.0 X 124788 0 11238 RITU CHANDAK MD CHAIRMAN DEPT OF PSYCHIATRY 55.0 X 358548 0 24243 ROBERT VALENTINE CORPORATE CONTROLLER 55.0 X 0 303655 1714 WILLIAM J COOK EXEC. DIR., FACILITIES & ENV. 55.0 X 193197 0 1248 SRINIVAS GONGIGREDDY MD CHIEF, HOSPITALIST 55.0 X 346683 0 23165 INCI BIJAN MD STAFF PSYCHIATRIST 55.0 X 255634 0 10924 ADRIANA GRIGORIU MD CHIEF DIR, INFECT DISEASE 55.0 X 239853 22856 NIRMALA RAJAKUMAR MD STAFF PSYCHIATRIST 55.0 X 237406 0 10627 KHURRAM S MALIK MD HOSPITALIST 55.0 X 235787 0 20575 3884282 7355368 825995 317 false true false SHERIDAN ANESTHESIA SERVICES OF NJ 1613 NORTH HARRISON PARKWAY SUITE SUNRISE FL 33323 MEDICAL 3544979 TOTAL CARDIOLOGY CARE 120 FRANKLIN STREET JERSEY CITY NJ 07307 MEDICAL 2260130 EMERGENCY MEDICAL ASSOCIATES OF NJ 3 CENTURY DRIVE PARSIPPANY NJ 07054 MEDICAL 1833833 HUDSON COUNTY CARDIOVASCULAR CARE P PO BOX 1965 LIVINGSTON NJ 07039 MEDICAL 1707296 UNIVERSITY RADIOLOGY PC 579 CRANBURY ROAD EAST BRUNSWICK NJ 08816 MEDICAL 1258709 54 X 219236 13214117 47995 13481348 NET PATIENT SERVICE REVENUE 541900 341678728 341678728 OTHER HEALTHCARE RELATED REVENUE 541900 4825898 4825898 346504626 4404351 4404351 0 0 81434 81434 0 0 0 0 0 0 0 PARKING REVENUE 812930 1187794 1187794 CAFETERIA REVENUE 453220 658639 658639 GIFT SHOP REVENUE 722410 357773 357773 46688 46688 2250894 366641219 346504626 0 6655245 0 0 0 0 2757595 2674866 82729 0 141574059 134530340 7043719 0 2858178 2716156 142022 14792402 14148345 644057 11293197 10735303 557894 64716872 11484550 53232322 0 0 0 0 0 6742115 6741457 658 976532 1545284 -568752 56830303 56148267 682036 0 0 5477016 5203286 273730 678917 671448 7469 0 0 9430850 8746206 684644 0 10776740 10244360 532380 6647200 6351983 295217 PHYSICIAN & RESIDENT FEES 22697835 22567781 130054 CONTRACTED SERVICES 1282926 1246407 36519 LINEN 840053 840053 REPAIRS & MAINTENANCE 104377 99224 5153 360477167 296695316 63781851 0 X 19112643 19550798 20297569 20058835 1727299 1596640 25892390 26131590 0 0 0 0 0 0 1717907 4614285 1808601 450075 346735519 118064640 158257949 228670879 0 0 0 0 157012827 2066871 0 0 28461670 153685534 414288855 456825507 31489154 33544409 0 0 4995883 6788591 0 0 0 0 0 0 285149713 0 0 0 53406459 308023039 375041209 348356039 X 34081149 101444326 5166497 7025142 0 0 39247646 108469468 414288855 456825507 X 6164052 -937106 63994876 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true true false false false true false true false false SCHEDULE C, PART II-B EFFECTIVE JUNE 1, 2014 THIS ORGANIZATION BECAME AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. PRIOR TO BECOMING AN AFFILIATE OF BARNABAS HEALTH, LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS"), AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), WAS THE TAX-EXEMPT PARENT ORGANIZATION OF JERSEY CITY MEDICAL CENTER. DURING 2014 LHCS SPENT $12,000 ON ADVERTISING FOR LOBBYING EFFORTS AND PAID AN OUTSIDE INDEPENDENT FIRM $36,000 FOR PUBLIC RELATIONS SERVICES WITH RESPECT TO LOBBYING EFFORTS. IN ADDITION, LHCS PAID AN OUTSIDE INDEPENDENT FIRM $120,000 TO PERFORM LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL ON BEHALF OF THIS ORGANIZATION AND ITS OTHER AFFILIATES. A RELATED FOR-PROFIT ORGANIZATION WITHIN BARNABAS HEALTH PAID TWO INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF BARNABAS HEALTH AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC.; THE TAX-EXEMPT PARENT OF BARNABAS HEALTH AND AFFILIATES. LASTLY, A PERCENTAGE OF THE 2014 TOTAL COMPENSATION FOR TWO JERSEY CITY MEDICAL CENTER EMPLOYEES HAS BEEN ALLOCATED TOWARD FEDERAL AND STATE LOBBYING ACTIVITIES PERFORMED ON BEHALF OF LHCS AND JERSEY CITY MEDICAL CENTER. DURING 2014, THESE ALLOCATIONS AMOUNTED TO $92,180. 43888354 43888354 209440984 65362376 144078608 4367274 2147715 2219559 86101652 50309136 35792516 2937255 245413 2691842 228670879 AFFILIATE 7025140 DEFERRED FINANCING COSTS 2224458 OTHER ASSETS 153842 AMOUNTS DUE FROM AFFILIATES 144282094 OTHER RECEIVABLES; NET 0 153685534 0 ACCRUED PENSION COST 11394683 ESTIMATED MEDICAL MALPRACTICE 0 OTHER LIABILITIES 853968 SETTLEMENTS 9145794 DUE TO AFFILIATES 124739000 (JOINT & SEVERAL LIABILITIES) 161889594 WORKERS COMPENSATION LIABILITY 0 308023039 X SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH ("BH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BH ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE BH HOSPITALS AND CERTAIN OTHER BH AFFILIATES. THE FOOTNOTE BELOW IS FROM BH'S 2014 CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND REPORTS BH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013. true true X true X true X true true true false true true 39919187 48926348 132648273 107534923 25113350 0.06970 172567460 156461271 25113350 0.06970 544383 0 544383 0.00150 10373502 5324821 5048681 0.01400 6780652 4968160 1812492 0.00500 0 0 0 0.00000 60215 528 59687 0.00020 17758752 10293509 7465243 0.02070 190326212 166754780 32578593 0.09040 true 26758585 5539027 64529342 67452896 -2923554 X true true 1 1 JERSEY CITY MEDICAL CENTER 355 GRAND STREET JERSEY CITY NJ 07302 WWW.BARNABASHEALTH.ORG 10904 X X X X X 1 JERSEY CITY MEDICAL CENTER 1 false false true X X X X X X X X X 13 true false false true X WWW.BARNABASHEALTH.ORG X true 13 false WWW.BARNABASHEALTH.ORG true false true X 200. 300. X X X X X true true X X X X true X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 3J The assessment included a comprehensive review of secondary data sources; focus groups further illuminated health concerns and issues from various segments of the community. SCHEDULE H, PART V; SECTION B, QUESTION 5 The CHNA data was supplemented by meetings and discussions with the Jersey City Depatment of Health and Human Serices (a local health department which shared data from their own needs assessments). In addition, facility participated in a city-wide public health symposium with public health officers and community stakeholders including: insurance company, community-based organization, other health providers (physicians, home care). SCHEDULE H, PART V, SECTION B, QUESTION 7D IN ADDITION TO PROVIDING ACCESS TO THE CHNA ON THE ORGANIZATION'S WEBSITE, WWW.BARNABASHEALTH.ORG, AND MAKING A PAPER COPY AVAILABLE TO THE PUBLIC WITHOUT CHARGE AT THE HOSPITAL FACILITY, THE CHNA was shared at A coalition meeting and AT the local health department. SCHEDULE H, PART V, SECTION B, QUESTION 8 The facility, with limited resources, prioritized health needs identified and developed an implementation plan to address these priority health need areas. The CHNA informs the facility's strategic planning which incorporates elements from the CHNA implementation plan in its strategies to meet its goal of improved community health. The CHNA implementation plan also includes resources, actions and goals (measurable). SCHEDULE H, PART V, SECTION B, QUESTION 11 As discussed above, the facility conducted a comprehensive assessment and a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by the facility and ability to collaborate. SCHEDULE H, PART V,SECTION B,Q'S 13B,13H,15E,16I,18D,19D,20E,21C,21D,23,24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 22D THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. 5 JERSEY CITY MEDICAL CENTER 953-961 GARFIELD AVENUE JERSEY CITY NJ 07302 OUTPATIENT CLINICS JERSEY CITY MEDICAL CENTER 9 NUNDA AVENUE JERSEY CITY NJ 07302 RESIDENTIAL PSYCHIATRIC SERVICES JCMC AMBULATORY CARE FACILITY 415 SUMMIT AVENUE JERSEY CITY NJ 07306 AMBULATORY CARE JCMC AMBULATORY CARE FACILITY 377 JERSEY AVENUE JERSEY CITY NJ 07302 AMBULATORY CARE JCMC AMBULATORY CARE FACILITY 395 GRAND STREET JERSEY CITY NJ 07302 AMBULATORY CARE SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE H, PART I, LINE 3C The income based criteria used to determine eligibility is per New Jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the 2014 poverty guidelines (Department of Health and Senior Services). Federal poverty guidelines are included in the criteria for determining eligibility for charity and discounted care. SCHEDULE H, PART I, LINE 6A The Medical Center has prepared an annual report for 2014 reporting on its accomplishments and services provided. The report is available to the public. SCHEDULE H, PART I, QUESTION 7a PLEASE NOTE THAT THE CONVERSION OF MANY CHARITY CARE PATIENTS TO MEDICAID MANAGED CARE PATIENTS AS WELL AS A CONSISTENT CHARITY CARE SUBSIDY FROM THE STATE OF NEW JERSEY HAS CREATED AN EXPENSE RECOVERY ON SCHEDULE H, PART I, LINE 7A, FINANCIAL ASSISTANCE AT COST, FOR THE YEAR ENDED DECEMEBER 31, 2014. THE ORGANIZATION'S CHARITY CARE SUBSIDY IS BEING REDUCED FOR THE YEAR ENDING DECEMBER 31, 2015 WITH FUTHER REDUCTIONS ON A PROSPECTIVE BASIS. SCHEDULE H, PART I, QUESTION 7 The organization's cost accounting system was utilized. SCHEDULE H, PART II Community building activities undertaken by Jersey City Medical Center ("JCMC") improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. JCMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. We also provide to schools, senior centers and other community organizations programs about safety and trauma prevention including proper use of car seats, bicycle safety, and fall prevention for seniors. Several times a year working with local police departments we provide this free educational service at local shopping centers, libraries and police department headquarters. The hospital holds an annual community meeting as required by the New Jersey Department of Health where the community can ask questions and give comments to the hospital leadership and board of trustees. Please refer to the Form 990, Schedule O, which contains the organization's community benefit statement. SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. BARNABAS HEALTH AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. BH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(D) AND 2(N) ON PAGES 12 AND 15; RESPECTIVELY, OF THE BARNABAS HEALTH, INC. AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, BARNABAS HEALTH'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEARS ENDED DECEMBER 31 IS AS FOLLOWS: 2014 2013 -------- ------- (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED $29,641 $68,460 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $65,794 $45,530 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 2,265 $ 2,733 - EDUCATION AND RESEARCH $37,106 $48,067 - SUBSIDIZED DEPARTMENTS $ 5,048 $ 6,246 - OTHER COMMUNITY BENEFIT $ 2,887 $ 2,602 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, BARNABAS HEALTH'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $89,254 AND $61,850 RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE 2014 INCREASE IS INCLUSIVE OF $27,580 IN FUNDING RELATED TO THE ACQUISITION OF JERSEY CITY MEDICAL CENTER. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW. SCHEDULE H, PART III, SECTION B; QUESTION 8 Medicare costs were derived from the 2014 Medicare cost report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The organization feels that Medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the Form 990, schedule H, Part I. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense," and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity care standard In 1956, the IRS issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the IRS issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the AHA position. As outlined in the AHA letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the aha felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. - Medicare, like Medicaid, does not pay the full cost of care. Recently, Medicare reimburses hospitals only 92 cents for every dollar they spend to take care of Medicare patients. The Medicare payment advisory commission ("MEDPAC") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 46 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called "dual eligibles." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - The CBO concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; SCHEDULE H, PART III, SECTION B; QUESTION 9B Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance. It is the policy of the barnabas health ("bh") business office, and all its hospital affiliates, to treat all patients equally regardless of insurance and their ability to pay. For all accounts determined to be "self-pay" and/or accounts with balance after primary insurance payments, the collection policy requires: sending a minimum of three statements which includes a pre-collection letter. We have charity care and hill burton access policies to assure patients are provided with charity care assistance determined by state and federal regulations. It is our policy to inform all patients deemed self-pay of the appropriate assistance programs available. Patients applying for charity care assistance will be financially screened by a resource advisor to determine eligibility according to state and federal guidelines and will be informed of documentation needed to complete a charity care application. At the time of the patient's visit and as part of the registration process, the following options are made available to patients: - Financial counseling for possible eligibility for medical assistance, including Medicaid and SSI. - financial counseling to evaluate eligibility for a reduced payment rate when coverage is not available under charity care, Medicaid, or new jersey's hospital care payment assistance programs (liberty's compassionate care program). - Other financial arrangements we offer including: 1. Cash/credit card (American express, discover, visa, MasterCard), 2. Flexible payment plans. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, Barnabas Health conducts a review of key market factors for JCMC annually which includes: - a review of health care utilization of its service area population by services (cardiology, obstetrics, gynecology, urology, etc.) for determining increased or decreased health needs; - health care service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data and, - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). Barnabas Health conducts an extensive service area population physician need study (by primary care and physician specialty) every three to five years. The study uses generally accepted physician to population ratios to identify gaps in service. These studies inform medical staff development and recruitment needs at the Medical Center and assure responsiveness to identified community physician needs. JCMC reviews patient surveys and comments to understand patient and family concerns. Further, JCMC participates and works with many local organizations on health issues including: - discussing and prioritizing needs, - coordinating services, - providing education and specialty knowledge, and - supporting local health promotions. JCMC also participates with a collaborative organization is the Greater Newark Health Care Coalition, which includes executive leadership of hospitals and health organizations in the greater Newark area. This coalition meets monthly with the mission to reduce health disparities and to improve health. JCMC also works with the Hudson County Health Department to plan and implement a local needs assessment/health status approximately every five years. These community touch points provide the hospital with valuable external insights regarding community need. SCHEDULE H, PART VI; QUESTION 3 Charity care signs are posted throughout the facility, mainly in patient registration areas. Signs are posted in both English and Spanish. All patients deemed self-pay are screened for financial assistance by a resource advisor according to the federal poverty guidelines and referred to appropriate agencies or programs. SCHEDULE H, PART VI; QUESTION 4 JCMC is located in Jersey City, the population center of Hudson County, New Jersey. Across the river from New York City, Jersey City has a fast-expanding skyline and rapid revitalization of the city supported by an integrated transportation system. Jersey City's economic sphere is one of the fastest-growing as more Fortune-500 corporations continue to bring their businesses to the area. It has one of the most diverse populations in the United States, and is host to an array of ethnicities and cultures including communities of Jewish, Italian, Cuban, Filipino, Polish, Indian, Irish, Puerto Rican, Dominican, African, Arab, and Asian descent. JCMC serves areas that include MUA/MUP designations and state designation as medically underinsured. JCMC has high unemployment and poverty ratios compared to state and local averages. Households in the economic census reflect lower median and mean household incomes. JCMC is committed to providing quality and compassionate care to its inner city communities; serving an inpatient population, excluding newborns) comprised of nearly 80% minority representation and over 38% underinsured and uninsured payer classifications in 2014. Medicare represents an additional 32% of the inpatients by payer classification. SCHEDULE H, PART VI; QUESTION 5 Community building activities are undertaken by JCMC to improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. JCMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. The majority of JCMC Board of Trustee members are individuals with local businesses or who reside in the community. Hospital staff members serve on the Boards of many local not-for-profit organizations or provide other forms of support such as fundraising, activity participation and promotion of the charitable events and mission. All qualified physicians are extended privileges at JCMC. Diversity is welcomed and encouraged for recruitment of Trustees, physicians and staff. Under the directive of the Barnabas Health's Finance Office, surplus funds are utilized for capital projects to improve services, to purchase equipment, or to advance medical care, programs and activities. All of these purposes for expenditure of surplus funds, in turn, benefit the community. Please also refer to Form 990, Schedule O, which contains the organization's community benefit statement and provides a summary of entities comprising Barnabas Health; a tax-exempt integrated healthcare delivery system. SCHEDULE H, PART VI; QUESTION 6 JCMC IS AN AFFILIATE OF BARNABAS HEALTH ("BH"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. BH STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS BY EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. BH SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED FOR PART I, PART II, AND PART III ARE REFLECTIVE OF THAT POLICY. JCMC'S SOLE CORPORATE MEMBER IS BARNABAS HEALTH, INC. ("BH"), A TAX-EXEMPT NEW JERSEY NON-PROFIT PARENT CORPORATION WHICH CONTROLS A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTING OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE INTEGRATED SYSTEM OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER BH OR ANOTHER BH AFFILIATE CONTROLLED OR OWNED BY BH. BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF THE LARGEST TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY, BARNABAS HEALTH, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE AND PREVENTION SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE BARNABAS HEALTH. ACTIVE HOSPITALS INCLUDE CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, KIMBALL MEDICAL CENTER, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., SAINT BARNABAS MEDICAL CENTER, AND JERSEY CITY MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH ACUTE CARE HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF BARNABAS HEALTH, INC. (BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY); AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE BARNABAS HEALTH ENTITIES ARE AS FOLLOWS: CLARA MAASS MEDICAL CENTER ("CMMC") IS A 469-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 592-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. KIMBALL MEDICAL CENTER, INC. ("KMC") IS A 330-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, KMC 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, KMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ON MAY 1, 2015 KMC WAS STATUTORILY MERGED INTO MONMOUTH MEDICAL CENTER ("MMC"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. KMC STILL OPERATES AS AN ACUTE CARE MEDICAL CENTER AS A DIVISION OF MMC WITH THE NAME OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS. MONMOUTH MEDICAL CENTER ("MMC") IS A 513-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 665-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., D/B/A BARNABAS HEALTH BEHAVIORAL HEALTH CENTER, IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. BARNABAS HEALTH BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS, SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. JERSEY CITY MEDICAL CENTER ("JCMC") IS A REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE, LOCATED IN JERSEY CITY, HUDSON COUNTY, NEW JERSEY. JCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, JCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, JCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF BARNABAS HEALTH, INC. AND THE BARNABAS HEALTH SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR BARNABAS HEALTH AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. SCHEDULE H, PART VI; QUESTION 6 CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC., IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT ALSO PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. KIMBALL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF KIMBALL MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX- EXEMPT ORGANIZATION, AND SUPPORTS THE BARNABAS HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF BARNABAS HEALTH, INC., AND WILL PROVIDE HOME HEALTH AGENCY SERVICES IN SUPPORT OF BARNABAS HEALTH, INC. AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS. MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SCHEDULE H, PART VI; QUESTION 6 BARNABAS HEALTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. SAINT BARNABAS DEVELOPMENT 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)(2). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS DEVELOPMENT FOUNDATION, INC., for tax purposes, WAS STATUTORILY MERGED INTO SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, EFFECTIVE DECEMBER 31, 2014. SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF BARNABAS HEALTH. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY. OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS, CORP. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE BARNABAS HEALTH SYSTEM. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS BURN UNIT AT SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NJ HEALTH CARE INNOVATION CENTER, INC. IS AN INACTIVE 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 NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF NEWARK BETH ISRAEL MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. LIBERTY HEALTHCARE SYSTEM, INC. PRIOR TO BECOMING PART OF BARNABAS HEALTH AS A RESULT OF AN AGREEMENT AND PLAN OF MERGER AND ACQUISITION, LIBERTY HEALTHCARE SYSTEM, INC. WAS THE TAX-EXEMPT PARENT OF THE LIBERTY HEALTH CARE SYSTEM ("LHCS"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTED OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. BARNABAS HEALTH, INC. IS THE SOLE MEMEBER OF LHCS. LHCS 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). LIBERTY BEHAVIORAL HEALTH ASSOCIATES LIBERTY BEHAVIORAL HEALTH ASSOCIATES 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 WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY PROFESSIONAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. LIBERTY CHILD HEALTH SERVICES LIBERTY CHILD HEALTH SERVICES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION CEASED OPERATIONS DURING 2009 AND IS IN THE PROCESS OF FINALIZING ALL OUTSTANDING TRANSACTIONS. LIBERTY HEALTHCARE SYSTEM FOUNDATION LIBERTY HEALTHCARE SYSTEM FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE LIBERTY HEALTHCARE SYSTEM. LIBERTY SURGICAL ASSOCIATES LIBERTY SURGICAL ASSOCIATES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PROFESSIONAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY SERVED BY ITS NOT FOR-PROFIT AFFILIATE, JERSEY CITY MEDICAL CENTER. PATIENTS ARE SEEN SCHEDULE H, PART VI; QUESTION 6 FOR PROFIT BARNABAS HEALTH ENTITIES INCLUDE THE FOLLOWING: CENTER STATE MANAGEMENT CORPORATION IS A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS CSHS THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY PROVIDES ADVERTISING SERVICES FOR BOTH BH ENTITIES AND NON-SBHCS ENTITIES AND PROVIDES MANAGEMENT SERVICES TO PHYSICIAN GROUPS. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD, A CONTROLLED FOREIGN CORPORATION OF SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. HEALTH CARE FACILITIES MANAGEMENT, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC MANAGEMENT CORPORATION (THE SOLE STOCKHOLDER OF WHICH IS SBC). THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO BH ENTITIES. INNOVATIVE PURCHASING CONCEPTS, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY THE BARNABAS HEALTH SYSTEM HOSPITALS THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. KIMBALL HEALTH CARE AFFILIATES, INC. IS A FOR PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CENTER STATE HEALTH SERVICES CORP. THIS ENTITY IS A PARTNER IN KIM-MED ASSOCIATES AND RECEIVES A FORM K-1 ANNUALLY FROM THE PARTNERSHIP. KIM-MED ASSOCIATES IS A PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC AND KIMBALL HEALTH CARE AFFILIATES, INC. ARE THE PARTNERS IN THIS PARTNERSHIP. LIVINGSTON INFUSION CARE, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LSC PHARMACY SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES A PHARMACY FOR BH ENTITIES. MAJOR SECURITY SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO BH ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. NEW JERSEY HEALTH CARE SYSTEM, INC. IS AN INACTIVE FOR-PROFIT CORPORATION. LIVINGSTON SERVICES CORPORATION IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS BH. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A MRI MACHINE AND THE RECEIPT OF RENTAL INCOME. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, IS A VERMONT BASED INSURANCE COMPANY. SBC MANAGEMENT CORPORATION IS A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS BH. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO BH. LIBERTY HEALTHCARE MANAGEMENT, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY WHICH PROVIDES MANAGEMENT SERVICES. LIBERTY HEALTHCARE SYSTEM, INC. AND LIBERTY HEALTHCARE CAPITAL, INC. ARE THE PARTNERS IN THIS PARTNERSHIP WITH 99% AND 1% OWNERSHIP INTERESTS, RESPECTIVELY. LIBERTY HEALTHCARE CAPITAL IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LHCS. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO LIBERTY HEALTHCARE SYSTEM. LIBERTY/USP SURGERY CENTERS, LLC IS A PARTNERSHIP WHICH PROVIDES SURGERY SERVICES TO INDIVIDUALS. JERSEY CITY MEDICAL CENTER PHYSICIAN ASSOCIATES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. 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 statement with the state of New Jersey. X X X X X true true false false false false false true false THOMAS A BIGA TRUSTEE 0 798214 0 477000 0 433380 0 21918 0 23341 0 1753853 0 0 JOSEPH F SCOTT FACHE TRUSTEE - PRESIDENT/CEO 0 821041 0 275000 0 203432 0 122275 0 31011 0 1452759 0 181425 RITA V SMITH DNP TRUSTEE - SVP PAT CARE/CNO 317183 0 48348 0 14470 0 34557 0 23191 0 437749 0 0 0 PAUL GOLDBERG CFO (TERM 06/30/14) 0 303440 0 76912 0 618613 0 61644 0 10965 0 1071574 0 356236 DOMENIC SEGALLA CFO (EFFECTIVE 7/1/14) 0 381560 0 97256 0 900 0 62052 0 7681 0 549449 0 0 KENNETH GARAY MD CHIEF MEDICAL OFFICER 0 660579 0 66940 0 6729 0 66649 0 20221 0 821118 0 0 STEPHEN LI CIO (TERM 11/01/14) 0 295551 0 46263 0 33240 0 1275 0 11228 0 387557 0 0 PAUL R MURPHY ESQ SVP, GEN COUNS (TERM 05/31/14) 0 191864 0 50568 0 367275 0 1275 0 19752 0 630734 0 190466 BRENDA HALL SVP, PATIENT SAFETY 0 245981 0 35704 0 30384 0 1275 0 21066 0 334410 0 23847 DOUGLAS RATNER MD VP, CHAIRMAN MEDICAL 332493 0 51662 0 4911 0 1275 0 23206 0 413547 0 0 0 MARY CATAUDELLA VP, HUMAN RESOURCES 0 298753 0 43021 0 1456 0 30008 0 16929 0 390167 0 0 SUSAN M WALSH MD VP, ACCOUNT CARE ORG. 240538 0 43178 0 2631 0 1275 0 19156 0 306778 0 0 0 KIRAT Y KHARODE VP, CLINICAL OPERATIONS 239222 0 35624 0 395 0 1275 0 9654 0 286170 0 0 0 HENRY C IRVING MD VP, CHAIRMAN ORTHOPEDICS 258914 0 0 0 11569 0 1275 0 2833 0 274591 0 0 0 ANDREW T SUKALA VP, INT AUDIT (TERM 10/01/14) 0 143304 0 24891 0 22462 0 0 0 16892 0 207549 0 0 BARRY A MALTZMAN MD VP, OPTHAMOLOGY 154899 0 0 0 3810 0 0 0 17362 0 176071 0 0 0 RITU CHANDAK MD CHAIRMAN DEPT OF PSYCHIATRY 317606 0 40374 0 568 0 1275 0 22968 0 382791 0 0 0 ROBERT VALENTINE CORPORATE CONTROLLER 0 264506 0 36856 0 2293 0 1275 0 439 0 305369 0 0 WILLIAM J COOK EXEC. DIR., FACILITIES & ENV. 167542 0 24288 0 1367 0 959 0 289 0 194445 0 0 0 SRINIVAS GONGIGREDDY MD CHIEF, HOSPITALIST 326251 0 20000 0 432 0 1275 0 21890 0 369848 0 0 0 INCI BIJAN MD STAFF PSYCHIATRIST 253762 0 1500 0 372 0 1275 0 9649 0 266558 0 0 0 ADRIANA GRIGORIU MD CHIEF DIR, INFECT DISEASE 236642 0 0 0 3211 0 1198 0 21658 0 262709 0 0 0 NIRMALA RAJAKUMAR MD STAFF PSYCHIATRIST 229212 0 3165 0 5029 0 1166 0 9461 0 248033 0 0 0 KHURRAM S MALIK MD HOSPITALIST 215387 0 20000 0 400 0 121 0 20454 0 256362 0 0 0 SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIEVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2014 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: PAUL GOLDBERG, $254,873; STEPHEN LI, $31,838; PAUL R. MURPHY, ESQ., $167,576 AND ANDREW T. SUKALA, $18,624. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING AND DISTRIBUTIONS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. A PORTION OF THESE AMOUNTS WERE REPORTED AS EMPLOYEE BENEFIT PLAN CONTRIBUTIONS OF THE ORGANIZATION'S PRIOR YEARS' FORM 990. THE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOSEPH F. SCOTT, FACHE, $181,425; PAUL GOLDBERG, $356,236; PAUL R. MURPHY, ESQ., $190,466 AND BRENDA HALL, $23,847. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS A. BIGA, $427,197. THE DEFERRED COMPENSATION AMOUNTS IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE 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 2014 FORM W-2, AS TAXABLE WAGES: JOSEPH F. SCOTT, FACHE, $121,000; RITA V. SMITH, DNP, $33,282; PAUL GOLDBERG, $61,644; DOMENIC SEGALLA, $52,302; KENNETH GARAY, M.D., $66,649 AND MARY CATAUDELLA, $28,733. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDE VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED ON PRIOR YEARS' FORMS 990, SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOSEPH F. SCOTT, FACHE, $181,425; PAUL GOLDBERG, $356,236; PAUL R. MURPHY, ESQ., $190,466 AND BRENDA HALL, $23,847. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Jersey City Medical Center ("JCMC") is a regional referral teaching hospital and a major teaching affiliate of the Mount Sinai School of Medicine. JCMC is recognized by the IRS as an internal revenue code section 501 (c)(3) tax-exempt organization. Pursuant to its charitable purposes, JCMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, or ability to pay. Moreover, JCMC operates consistently with the following criteria outlined in revenue ruling 69-545. 1. JCMC provides medically necessary healthcare services are provided to all individuals regardless of ability to pay, including charity care, self-pay, Medicare, and Medicaid patients; 2. JCMC operates an active emergency room department which is open 24 hours a day, seven days a week, 365 days a year; 3. JCMC maintains an open medical staff with privileges available to all qualified physicians; 4. Control of JCMC rests with its Board of Trustees and the Board of Trustees of Barnabas Health, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patients care, expand and renovate facilities and advance medical care, programs and activities. The operations of JCMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of JCMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private interest being served other than incidentally. As of June 2014, JCMC's sole corporate member is Barnabas Health, Inc. ("BH"), a tax-exempt New Jersey TAX-EXEMPT parent corporation. BH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. This integrated network of healthcare providers throughout the state of New Jersey provides substantial community benefit. The sole member of each entity is either BH or another BH affiliate controlled or owned by BH. JCMC, like its corporate parent, is a not-for-profit organization. Hospital Statistics =================== JCMC treats all adults and children regardless of age or their ability to pay for services rendered. JCMC is one of the largest providers of charity care services in the state of New Jersey. In 2014, JCMC admitted over 17,600 patients providing approximately 90,000 days of inpatient care. The emergency department delivered emergency medical care to over 85,000 individuals and our outpatient programs serviced nearly 200,000 visits. Mission Statement ================= JCMC's mission is Enhancing Life. These two words are our commitment to provide patients, their families and all in need, excellence in hospital and healthcare services and programs to enhance community health. JCMC collaborates with its physicians, nurses and staff to provide a full range of clinical services for all regardless of race, color, creed, sex national origin, religion or ability to pay. Our clinical services include regional specialty and subspecialty care; well-established academic and clinical affiliations; educational programs for medical students, physicians in residency training, nurses, and EMT's-Paramedics and other healthcare professionals; and innovative relationships with hospitals, FQHCs and other providers. Accomplishments/Milestones/Recognition/Awards ============================================= JCMC has been recognized for its excellence in providing care and support for the health and wellness of our community. The following is a listing of awards and designations recently received by the Jersey City Medical Center in recognition of its service to the community. - Recognized on the American Hospital Association's Equity of Care National Listing as "National Best in Class Hospital for Diversity in Leadership and Governance" - DNV fully accredited hospital - Seven consecutive "A" ratings in hospital safety from the independent Leapfrog Group - US News & World Report - best regional hospital listing (high performance in nephrology 2012 - 2013) - Magnet designation and re-designation (2014) for excellence in patient care by the American Nurses Credentialing Center - Recognized by the American College of Surgeons for "Excellence in Trauma" 2013 - State designated regional trauma center - First emergency medical service ("EMS") in the US to earn triple accreditation in dispatch, education, and emergency medical service - CEO Cancer Round Table - Gold standard - Gold Plus achievement award in stroke quality care form the American Heart and Stroke Association, four consecutive years (2012 - 2015) - State designated Regional Heart Center - 100 Best Places to Work in Healthcare, ranked nationally by Modern Healthcare Magazine 2011 - 100 Best Places to Work in the Healthcare Field by Becker's Hospital Review, 2012-2013 - Castle Connolly "Top Hospital in NJ" under 350 beds, 2010 , 2011 and 2015 - CHF Gold Award from American Heart and Stroke Association - American Heath Association Named JCMC a "Gold Fit-Friendly" Company in 2013 & 2014 - State Designated Regional Neonatal Intensive Care ("NICU") Center for Diagnosis and Treatment of most critically ill newborns - Cristie Kerr Women's Health Center is located in our medical office building on the JCMC Campus - Primary Stroke Center approved by the NJ Department of Health Centers of Excellence ===================== 1. The Cristie Kerr Women's Health Center The Cristie Kerr Women's Health center opened in 2010 offering imaging and other diagnostic services to women in our community. The center offers breast cancer screening programs including mammograms and education to women in the community regardless of ability to pay. The center is the first full-service facility in Hudson County to provide detection, healing, support, and recovery services. 2. The Epilepsy Center at Jersey City Medical Center The Epilepsy Center at Jersey City Medical Center opened in 2010 offering comprehensive outpatient and inpatient diagnostic services, including evaluation and treatment plans, as well as state-of-the-art therapy for children and adults with seizures and epilepsy. 3. Fannie E. Rippel Foundation Heart Institute ("The Institute") The Institute features state-of-the-art diagnostic technology to provide exemplary outpatient cardiac care. The Institute provides two high-risk cardiac catheterization laboratories, a single plane and a three-dimensional bi-plane along with other critically important diagnostic technology. The medical center is the region's "high-risk" destination for patients with the most comprehensive cardiac center in Hudson County. JCMC is Hudson County's only full-service heart hospital. Cardiac services provided include angioplasty, diagnostic cardiac catheterization, intravascular ultrasound, pacemaker & implantable cardioverter defibrillator therapy, minimally invasive vein harvesting and cardiac artery bypass graft, thoracic and abdominal aortic aneurysm repair, mitral and aortic valve repair and replacement, electrophysiology, peripheral vascular procedures, including endovascular procedures and cardiac ablation. 4. Port Authority Heroes of September 11 Trauma Center This Regional Trauma Center is the state-designated level II trauma center for Hudson County. In addition to serving the growing communities of Jersey City, the service covers Hudson County, New Jersey Waterways, New Jersey Turnpike, the Holland and Lincoln Tunnels, and Liberty State Park. The Trauma Center provides 24 hour trauma surgery for adults and children. The Center has been active in all regional disasters including the 1993 and 2001 World Trade Center bombings, the "miracle on the Hudson" plane landing, several train derailments, and various hazmat incidents. 5. Outpatient Services JCMC operates an ambulatory care center adjacent to the hospital as well as two satellite clinics to ensure access for those most in need. Our outpatient services offerings include obstetrics and gynecology, ophthalmology, dental, physical and speech therapy, and audiology. We provide needed outpatients services to special needs populations in our community including the homeless and adults and children requiring behavioral health services, HIV/AIDS patients, and those in need of dialysis. JCMC is the regional psychiatric referral center providing crisis intervention and evaluation, voluntary and involuntary inpatient services, community psychiatric outreach services, and a full spectrum of outpatient psychiatric and addiction services. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Medical and Community Services ============================== JCMC's services include an array of medical services and programs that address the healthcare needs of its communities, from diagnostic to prevention and treatment. These services include, but are not limited to, the following: - Athlete Screenings, Matthew J. Morahan III Health Assessment Center for Athletes - Bariatric Surgery - Behavioral Health - Breastfeeding Educational Network - Cardiac Care - Child and Adolescent Behavioral Health Services - Children with Special Needs, Center for - Comprehensive Care, Center for - Critical Care - Diabetes Education Program - Emergency Medical Service (EMS) - Emergency Services - Endocrinology - Epilepsy Center - Eyecare Center - Gastroenterology - Geriatrics and Palliative Care - Health Stops - Hematology/Oncology - Imaging Center - Infectious Diseases - Lung Cancer Screening Program - Medical and Social Services for the Homeless (M.A.S.S.H.) - Ryan White Program - Midwifery - Neonatal Intensive Care Unit (NICU) - Nephrology - Nursing - Orthopedic Institute - Pediatrics - Perinatal Center, Family Regional - Pulmonary Medicine - Rehabilitation, Inpatient Services - Rehabilitation, Outpatient Services - Smoking Cessation Program - Special Child Health Services - Speech/Audiology Services - Stroke Center - Trauma Center - Uncompensated Care Program - Urgent Care Centers (Health Stops) - Vascular Testing Service, Outpatient - Weight Loss - Wellness - Women's Health - Wound Prevention Volunteer Services ------------------ JCMC has an active and diverse volunteer program providing companionship and support to patients of all ages hospitalized on our nursing floors, the Emergency Department, and other patient areas. JCMC volunteer advocate for patient families and provide them with information and support. They also provide clerical and other support to our staff community. JCMC is actively engaged in community education including outreach to schools, churches, and community groups to address targeted, appropriate education needs. Health fairs are held annually in conjunction with businesses and community groups to provide a wide range of screening and education. A dinner with the doctor program was implemented in 2009 and over the past five years physicians have addressed the community on various health issues and the prevention of disease. We also provide recurring safety programs in our community schools to educate children on wellness, trauma prevention and safety. We also visit senior centers to educate seniors on fall prevention, and our EMS service provides medical care at community events during the year. We supported a turkey drop program in Jersey City to provide Thanksgiving meals for those in need in our community. Community Service Centers and Community Partnerships ---------------------------------------------------- Jersey City Medical Center has created a free, voluntary program called Wealth from Health ("WFH") to assist patients who suffer from chronic disease to be able to better self-manage through the support of physicians and support staff working in this program, as well as provide access to JCMC physicians and partnering FQHCs in the community. The Wealth from Health navigator team has become an integral part of the JCMC community activity calendar; there are biweekly or monthly health screenings at churches and joint events with the Jersey City Department of Health. In addition, the team participates with ShopRite to schedule nutritional oriented visits for members of the Wealth from Health program. The Wealth from Health team also met with school nurses at an area high school to implement a blood pressure screening event for staff and adolescents. For JCMC staff, WFH navigators have implemented in-house weight loss teams. WFH has also provided free of charge environmental home reviews for asthma triggers. As JCMC employees, members of the WFH program have also participated as volunteers for community half marathons, assembled teams for Walk-A-Thons for breast cancer, heart disease, epilepsy, and infant health awards and designations. In 2014, JCMC joined with the Boys and Girls Club of Hudson County, in welcoming the first class of 125 freshmen to the new Great Futures High School for the Health Sciences - Jersey City's first academic institution dedicated exclusively to the health sciences. The school, which is a collaborative effort between the Boys and Girls Club of Hudson County and the Jersey City Medical Center, is a state-designated charter school providing students a foundation for post-secondary education or workforce readiness in certified health-related professions. Students will learn through integrated projects, case studies and online learning. Graduating students will be certified as emergency medical technicians or patient care technicians, and also encouraged to attend college in a health-related field. The idea for a health-oriented charter high school began to take shape about five years ago when the Boys and Girls Club of Hudson County formed an alliance with JCMC that allowed students to do internships with the hospital's staff. Those short-term educational opportunities have now been expanded into the Great Futures' curriculum. In each of the coming four years, the school will add a new class with total enrollment to reach 500 students. Jersey City Medical Center also conducts a special summer internship to immerse college and high school students in the world of health care while affording them a "real life" work experience. The program, in its third year in 2014, provided 22 young people living in Jersey City, in addition to the children of hospital staff, a six-week paid internship in a specific hospital department, where they work under the direction of a dedicated manager. Students were assigned at the beginning of the program to an individual department based, if possible, on their interests - including behavioral health, human resources, emergency department, emergency medical services, dietary, case management, pharmacy, patient access, speech pathology, dental staffing, same day surgery, physical therapy, operating room, physician practices, revenue management, public affairs and volunteer services. Additionally, they participate in weekly meetings with their peers to learn about other hospital services to broaden their experiences and future choices. Additional Community Building Activities undertaken by JCMC improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. JCMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. We also provide to schools, senior centers and other community organizations programs about safety and trauma prevention including proper use of car seats, bicycle safety, and fall prevention for seniors. Several times a year working with local police departments, we provide this free educational service at local shopping centers, libraries and police department headquarters. The hospital holds an annual community meeting as required by the NJ Department of Health where the community can ask questions and give comments to the hospital leadership and board of trustees. Events & Classes ---------------- - Diabetes Self-Management Education for the Community - Join us for a Conversation about Managing your Diabetes - Prenatal Yoga - Family & Friends CPR - Family & Friends First Aid for Children - A Day of Wellness - Breast Cancer - Car Seat Inspections & Education - COPD Educational Program - Baby Fair for New Parents - "Dinner with the Doctor" - Diabetes Fair - Role of Nutrition in Chronic Disease Management Support Groups & Screenings --------------------------- - Cancer Support Group - Breast Cancer Survivors Support Group - Healing Hearts and Connecting Hands - The Mommy's Club for New Mothers - Cardiac & Concussion Screening - Wellness Screenings - HIV testing The hospital's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients part of at risk populations, are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTION 4 ON MAY 16, 2013, BARNABAS HEALTH, Inc., LIBERTY HEALTHCARE SYSTEM, INC. (LIBERTY) AND JERSEY CITY MEDICAL CENTER (JCMC) ENTERED INTO AN AGREEMENT AND PLAN OF MERGER AND ACQUISITION (THE TRANSACTION). EFFECTIVE JUNE 1, 2014 (ACQUISITION DATE), LIBERTY AND ITS (FORMER) WHOLLY OWNED SUBSIDARY JCMC, BECAME PART OF BARNABAS HEALTH WHEREBY BARNABAS HEALTH, INC. BECAME THE SOLE MEMBER OF EACH OF LIBERTY AND JCMC. JCMC IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WITH 316 LICENSED BEDS LOCATED IN JERSEY CITY, NEW JERSEY. JCMC PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF JERSEY CITY, NEW JERSEY, AND SURROUNDING COMMUNITIES. NO CASH CONSIDERATION WAS EXCHANGED AT THE CLOSING OF THE TRANSACTION. Barnabas Health, Inc. ACCOUNTED FOR THIS BUSINESS COMBINATION BY APPLYING THE ACQUISITION METHOD, AND ACCORDINGLY, THE INHERENT CONTRIBUTION RECEIVED WAS VALUED AS THE EXCESS OF THE FAIR VALUE OF THE ASSETS ACQUIRED OVER THE FAIR VALUE OF THE LIABILITIES ASSUMED. THE RESULTS OF LIBERTY'S OPERATIONS HAVE BEEN INCLUDED IN THE BARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS COMMENCING ON THE ACQUISITION DATE. CORE FORM, PART IV, SECTION A; QUESTIONS 6 & 7 BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. BH 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 BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUTNING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS 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, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATIONS'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION, THE SYSTEM'S VICE PRESIDENT OF INTERNAL AUDIT AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. CORE FORM, PART VI, SECTION B; QUESTION 15 PRIOR TO BECOMING AN AFFILIATE WITHIN BARNABAS HEALTH, JERSEY CITY MEDICAL CENTER WAS AN AFFILIATE of Liberty HealthCare System, Inc. ("Liberty"). LIBERTY'S Board of Trustees maintains a Compensation and Performance Committee (the "Committee") consisting entirely of independent trustees. The Committee has a written executive compensation philosophy which it follows when it reviews the compensation and benefits of senior management and key employees. The Committee approves the compensation of the Chief Executive Officer. The Chief Executive Officer, in consultation with the Committee, approves the compensation of the Senior Vice-President and General Counsel, and the Chief Financial Officer. The Committee relies upon comparison data provided by a nationally recognized independent benefits consulting firm to determine fair market value. The Committee also reviews the compensation of other senior management and key employees as recommended by the Chief Executive Officer in consultation with the human resources department on the basis of comparison data provided by independent sources to determine fair market value. In performing these reviews, the Committee takes into account the total compensation payable to each individual, including both current and deferred compensation and all employee benefits, both qualified and non-qualified. The Committee's review is done annually. 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, SENIOR VICE PRESIDENT/GENERAL COUNSEL AND 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 ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN Liberty SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - LOSS ON EARLY EXTINGUISMENT OF DEBT - ($2,046,500); - PENSION LIABILITY ADJUSTMENT - ($10,966,952); - POSTRETIREMENT LIABILITY ADJUSTMENT - $15,119,687; - ASSETS ACQUIRED OVER LIABILITIES ASSUMED AS A RESULT OF THE TRANSACTION WHEREIN JERSEY CITY MEDICAL CENTER BECAME AN AFFILIATE WITHIN BARNABAS HEALTH - $60,030,000; AND - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $1,858,641. CORE FORM, PART XII; QUESTION 2B THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE FINANCIAL INFORMATION FOR JERSEY CITY MEDICAL CENTER FROM JUNE 1, 2014 (DATE OF ACQUISITION) THROUGH DECEMBER 31, 2014. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE BARNABAS HEALTH HOSPITALS AND CERTAIN OTHER BARNABAS HEALTH AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS JERSEY CITY MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND JERSEY CITY MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY JERSEY CITY MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-2783298. THE FOLLOWING IS A LIST OUTLINING THE VARIOUS JERSEY CITY MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. LIBERTY HOSPITALISTS/LIBERTY OBSERVATION 22-2783298 PLEASE NOTE THAT THERE ARE VARIOUS EMPLOYED PHYSICIANS THAT REMIT BILLINGS UNDER THEIR SEPARATE EIN'S DIRECTLY TO JERSEY CITY MEDICAL CENTER. SUCH PHYSICIAN'S RESPECTIVE NAME AND EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER IS NOT OUTLINED ABOVE BUT MAY BE OBTAINED UPON REQUEST. 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NJ NA C CORP. false MAJOR SECURITY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223040539 SECURITY SVCS. NJ NA C CORP. false CENTER STATE MANAGEMENT CORP 300 SECOND AVENUE LONG BRANCH NJ 07740 222506125 MGMT SVCS. NJ NA C CORP. false KIMBALL HLTH CARE AFFILIATES 300 SECOND AVENUE LONG BRANCH NJ 07740 222701213 INVESTMENT NJ NA C CORP. false HEALTH CARE FACILITIES MGT 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223532988 MAINT. SVCS. NJ NA C CORP. false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223414332 MGMT SVCS. NJ NA C CORP. false PROFESSIONAL QUALITY LIAB 100 BANK STREET BURLINGTON VT 05401 205163819 INSURANCE SVCS. VT NA C CORP. false NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 223536986 INACTIVE NJ NA C CORP. false CPIC 44 CHURCH STREET HAMILTON BERMUDA BD HM11 FINANCIAL VECHILE BD NA FOREIGN CORP. false LSC PHARMACY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 452552776 PHARMACY SVCS. NJ NA C CORP. false JCMC PHYSICIANS ASSOCIATES PC 355 GRANT STREET JERSEY CITY NJ 07302 465329974 INACTIVE NJ NA C CORP. false false false true true false false false false false false false false false false true true true true true SCHEDULE R, PART V BARNABAS HEALTH, INC. AND SBC MANAGEMENT CORPORATION, BOTH RELATED ORGANIZATIONS, ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES WITHIN BARNABAS HEALTH IN THE ORDINARY COURSE OF BUSINESS, INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.