2014-11-17T09:41:16-06:00 2013-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2013-01-01 221487148 CHILDREN'S SPECIALIZED HOSPITAL % JOSEPH J DOBOSH JR CHIL 9083015455 150 NEW PROVIDENCE ROAD Suite MOUNTAINSIDE NJ 07092 JOSEPH DOBOSH CFO 9083015455 2014-11-11 true Scott Mariani P00642486 9083015455 2013 2015-11-30 17:44:51Z AMY B MANSUE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 117390149 false X www.childrens-specialized.org X 1893 NJ TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. 20 16 1376 441 0 6082714 7479194 102173230 109409096 394416 60827 438891 441032 109089251 117390149 31000 3229 0 0 77952450 82316583 0 0 0 30357316 31295958 108340766 113615770 748485 3774379 162930681 169526882 74458393 75174439 88472288 94352443 X TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 37360038 0 44124528 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT REHABILITATION SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION INCURRED 19,813 PATIENT DAYS FROM THE PROVISION OF INPATIENT REHABILITATION SERVICES IN 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 16700447 0 18522624 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY LONG-TERM CARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION INCURRED 24,437 PATIENT DAYS FROM THE PROVISION OF LONG-TERM CARE SERVICES IN 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 13461839 0 9737792 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY AMBULATORY CARE CENTER PROGRAM SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 3470377 37024152 70992701 true true false true false false false false false true true false true false true true true false false true true false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 97 0 true 1376 true false true BD false false false false false false false false X 20 16 false false false false true true true true true false false true true true true true true true true false NJ X JOSEPH J DOBOSH JR 9083015455 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 X ROBIN A WALTON CHAIR - TRUSTEE 1.0 X X 0 0 0 MARGARET M PEGO 1ST VICE CHAIR - TRUSTEE 1.0 X X 0 0 0 STEVEN M ROSENBERG ESQ 2ND VICE CHAIR - TRUSTEE 1.0 X X 0 0 0 SUEANNE D KORN SECRETARY - TRUSTEE 1.0 X X 0 0 0 VICTORIA WICKS TREASURER - TRUSTEE 1.0 X X 0 0 0 KISHAN AGARWAL MD TRUSTEE 1.0 X 0 0 0 BONNIE ALTIERI PHDEFF 1713 TRUSTEE (1/1-1/31)-VP PT SVCS 55.0 X X 200978 0 6751 CELESTE ANDRIOT WOOD TRUSTEE 1.0 X 0 0 0 NICHOLAS BOCCELLA TRUSTEE 1.0 X 0 0 0 JENFU CHENG MD TRUSTEE - SECTION CHIEF PSYCH. 55.0 X 197250 0 15712 MARTIN DIAMOND MD TRUSTEE - DIRECTOR O/P SVCS 55.0 X 271696 0 14163 DAVID KOSTINAS TRUSTEE 1.0 X 0 0 0 LAWRENCE KRAMER TRUSTEE 1.0 X 0 0 0 PENELOPE E LATTIMER PHD TRUSTEE 1.0 X 0 0 0 AMY B MANSUE TRUSTEE - PRESIDENT/CEO 55.0 X X 1014487 0 173322 GLENN MORTIMER TRUSTEE 1.0 X 0 0 0 JOAN MURRAY TRUSTEE 55.0 X 0 0 0 GEOFFREY PERSELAY TRUSTEE 1.0 X 0 0 0 BARBARA ROTHMAN TRUSTEE 1.0 X 0 0 0 PHILIP SALERNO TRUSTEE - PRES/CDO FOUNDATION 55.0 X X 368659 0 38166 PATRICIA WHITLEY WILLIAMS MD TRUSTEE 1.0 X 0 0 0 MARILYN ZOCCA TERM 63013 TRUSTEE 1.0 X 0 0 0 WARREN E MOORE EVP/COO 55.0 X 455436 0 92314 JOSEPH J DOBOSH JR VP/CFO 55.0 X 391499 0 102716 CHRISTOPHER HAINESEFF 6313 CHIEF MEDICAL OFFICER 55.0 X 206423 0 359 KAREN M DEWITT EDD TERM 63013 VP PATIENT CARE 55.0 X 337165 0 10786 MICHAEL R DRIBBON PHD VP REHAB SERVICES & PROG. DEV. 55.0 X 470207 0 64122 WILLIAM DWYER VP HUMAN RESOURCES 55.0 X 285523 0 46199 PATRICIA D FOLEY EFF 7813 VP OUTPATIENT SERVICES 55.0 X 165968 0 30737 UDAY MEHTA MD SECTION CHIEF NEURO PEDIATRICS 55.0 X 321645 0 17805 KRISHAN YALAMANCHI MD DIRECTOR; BRAIN INJURY 55.0 X 234563 0 29613 YVETTE JANVIER MD DIRECTOR; MEDICAL SERVICES 55.0 X 225454 0 10127 SAM S WU MD VICE CHIEF PEDS PHYSIATRY 55.0 X 218549 0 6343 MICHELE FANTASIA MD PHYSIATRIST 55.0 X 217184 0 11127 5582686 0 670362 114 false true false MICHAEL RIESZ CO INC 588 NEW BRUNSWICK AVENUE FORDS NJ 08863 CONSTRUCTION 2268992 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 IT 350816 HEALTHCARE SERVICE GROUP 3220 TILLMAN ROAD SUITE 300 BENSALEM PA 19020 MEDICAL 316832 JOSEPH DUGAN INC 905 BETHLEHEM PIKE ERDENHEIM PA 19038 CONSTRUCTION 315749 ON TIME TRANSPORT INC 135 EAST HIGHLAND PARKWAY ROSELLE NJ 07203 TRANSPORTATION 310796 18 X 4010000 3469194 7479194 NET PATIENT SERVICE REVENUE 541900 108490649 108490649 OTHER HEALTHCARE RELATED REVENUE 541900 918447 918447 109409096 -107298 -107298 0 0 29520 29520 0 29520 29520 168125 168125 168125 168125 0 0 0 CAFETERIA & DIETARY REVENUE 411512 411512 411512 117390149 109409096 501859 0 3229 3229 0 0 4960637 4960637 0 61747682 50538894 11208788 0 1283685 1042215 241470 9128281 6948713 2179568 5196298 3949187 1247111 0 132678 132678 125710 125710 95849 95849 0 35128 35128 5354395 2331427 3022968 144339 50230 94109 4823683 2785060 2038623 1296741 1296741 0 5082547 701925 4380622 627444 528410 99034 0 175081 100440 74641 2184906 2184906 0 8282019 8282019 593424 593424 MEDICAL SUPPLIES 1118716 1107391 11325 LICENSES, DUES AND FEES 351932 196112 155820 PATIENT CAMPS & RECREATION 204336 81037 123299 OTHER EXPENSES 667030 593303 73727 113615770 70992701 42623069 0 X 8080 13714 24173553 34962103 2947686 1848610 13990673 14109822 0 0 0 0 4342929 4139211 536112 487576 694753 707877 155349151 77954114 79870575 77395037 0 0 0 0 26845438 26766726 1034330 959931 8486552 8136275 162930681 169526882 17898802 20126511 0 0 0 0 46295123 45880182 0 0 0 0 3094525 2915214 0 0 7169943 6252532 74458393 75174439 X 69859028 78867020 12180313 9036228 6432947 6449195 88472288 94352443 162930681 169526882 X 3774379 1061507 1044269 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 90000 false true 5849 95849 false SCHEDULE C, PART II-B; LINES 1G AND 1I CHILDREN'S SPECIALIZED HOSPITAL IS A MEMBER OF ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CHILDREN'S SPECIALIZED HOSPITAL PAID ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, $90,000 FOR ITS PORTION OF THE LOBBYING EXPENSES INCURRED BY THE SYSTEM. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL PAID AN OUTSIDE INDEPENDENT LOBBYING FIRM TO PROVIDE LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS WHICH both ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $5,849 IN 2013. 8731853 16248 1630528 109655 10268974 8110182 9227 722099 109655 8731853 8364523 20618 215644 490603 8110182 9145933 90772 873763 1745945 8364523 7904460 173425 1559846 491798 9145933 0.62800 0.37200 false false 156400 156400 62736426 22623306 40113120 11820666 6265944 5554722 76551728 47422452 29129276 4083931 1642412 2441519 77395037 LIMITED USE 5351589 F LIMITED USE 918345 F LIMITED USE 871068 F ORGANIZATION 14500423 F EQUIVALENTS; LIMITED USE 911792 F EQUIVALENTS; LIMITED USE 3563276 F LIMITED USE 17306 F LIMITED USE 632927 F 26766726 0 OTHER LIABILITIES 2370000 CURRENT 1345870 NON-CURRENT 2536662 6252532 X 118416528 1061507 1061507 117355021 35128 35128 117390149 113580642 113580642 35128 35128 113615770 SCHEDULE D, PART V; QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. The Foundation has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of income and growth, while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor restricted funds that the Foundation must hold in perpetuity. Under this policy, as approved by the Foundations board of trustees, the endowment assets are invested in a manner that is intended to produce moderate to high rates of return while assuming a moderate level of investment risk over the long term. SCHEDULE D, PART X THE ORGANIZATION ENGAGED AN INDEPENDENT CPA FIRM TO ISSUE AUDITED FINANCIAL STATEMENTS. OUTLINED BELOW IS THE TEXT OF THE FIN 48 (ASC 740) DISCLOSURE FOOTNOTE FROM THE ORGANIZATION'S 2013 AUDITED FINANCIAL STATEMENTS: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE ("THE CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE AND LOCAL TAXES. The Hospital follows the provisions of the authoritative guidance on accounting for uncertainty in income taxes. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate Taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. The guidance also provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, and disclosure. Management has Determined that the guidance did not have a material impact on the financial statements. true Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 352965 1 1 1 1 352965 352965 true false true false false false true true X true X 300. true X true true false true true 1241 563012 563012 0.00500 1241 563012 563012 0.00500 24 37868 1328776 1328776 0.01170 7 4447 1422625 1422625 0.01250 3 7304 927841 927841 0.00820 34 49619 3679242 3679242 0.03240 34 50860 4242254 4242254 0.03740 860 767166 767166 0.00670 765 42139 42139 0.00030 1625 809305 809305 0.00700 true 2293803 true false 1 1 PSE&G CHILDREN'S SPECIALIZED HOSPITAL 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 WWW.CHILDRENS-SPECIALIZED.ORG 22249 X X 1 PSE&G CHILDREN'S SPECIALIZED HOSPITAL true X X X X X X X 13 true false true X WWW.CHILDRENS-SPECIALIZED.ORG X X X X X false false true true 300. true 300. true X X X X true true X true false false X X false false SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 4, 5D & 6I NOT APPLICABLE. SCH H, PART V, SECTION B, QUESTION 3 WHEN CONDUCTING THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. THE HOSPITAL FACILITY CONDUCTED FOUR KEY INFORMANT INTERVIEWS. THESE INTERVIEWS PROVIDED INFORMATION REGARDING THE SUCCESSES AND CHALLENGES FACED BY THE HOSPITAL FACILITY. IN ADDITION, PHONE INTERVIEWS WERE CONDUCTED WITH VARIOUS OTHER COMMUNITY MEMBERS. THESE PHONE INTERVIEWS WERE ANALYZED FOR KEY ISSUES TO ADDRESS. THE HOSPITAL FACILITY ALSO CONDUCTED TWO FOCUS GROUPS. THE FIRST FOCUS GROUP CONSISTED OF CHILDEREN'S SPECIALIZED HOSPITAL PHYSICIANS AND THE SECOND CONSISTED OF MEMBERS OF THE CHILDREN'S SPECIALIZED HOSPITAL FAMILY ADVISORY COUNCIL. THE FEEDBACK RECIEVED FROM THESE FOCUS GROUPS WERE ANALYZED AND FORMULATED INTO RECOMMENDATIONS. LASTLY, THE HOSPITAL FACILITY ADMINISTERED TWO SURVEYS VIA THE SURVEY MONKEY ON-LINE SYSTEM. DETAILED COMMENTS RECEIVED WERE USED FOR THE DEVELOPMENT OF RECOMMENDATIONS. SCH H, PART V, SECTION B, QUESTION 7 THERE ARE FOUR NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS/WILL NOT ADDRESS: (I) CREATE PEDIATRIC NEUROLOGISTS' TRAINING PROGRAM - THE HOSPITAL BELIEVES THE DEMAND FOR SERVICES IS FOR DEVELOPMENTAL BEHAVIORAL PEDIATRICIANS TO SERVE CHILDREN WITH AUTISM. IN 2009, THE HOSPITAL RECEIVED APPROVAL FOR A FELLOWSHIP PROGRAM IN DEVELOPMENTAL PEDIATRICS AND NOW HAVE HAD THREE FELLOWS IN THE PROGRAM, (II) MENTAL HEALTH NETWORK SHOULD BE PREVENTATIVE-BASED AND PARTICIPATE IN MANAGED CARE - THE HOSPITAL PROVIDES A RANGE OF HEALTHCARE SERVICES, INCLUDING PSYCHOLOGY SERVICES FOR CHILDREN WITH SPECIAL NEEDS. PROVIDING A FULL RANGE OF MENTAL HEALTH SERVICES WOULD BE AN EXPANSION OF EXISTING SERVICES. THE HOSPITAL IS DETERMINED TO FOCUS ON ITS EXISTING SERVICES AND MEET THE CURRENT NEEDS BEFORE VENTURING INTO NEW HEALTHCARE AREAS, (III) DEVELOPMENT CURRICULUM TO BE OFFERED FOR CEUS FOR STATEWIDE CONFERENCES WITH THE MEDICAL SOCIETY OF SERVICES FOR CHILDREN WITH SPECIAL NEEDS - THE HOSPITAL PRESENTLY OFFERS MANY TRAINING PROGRAMS AND EDUCATION SESSIONS, HOWEVER, TO ATTAIN CEUS APPROVAL REQUIRES ADDITIONAL INVESTMENT AND WOULD TAKE THE HOSPITAL AWAY FROM ITS EXISTING TRAINING PROGRAMS FOR ITS PHYSICIANS, AND (IV) INCREASE OUTREACH TO CHILDREN WHO ARE ASIAN AND SEE IF THERE IS AN UNMET NEED THAT THE HOSPITAL IS NOT ADDRESSING - THE HOSPITAL CURRENTLY HAS AN 88 DAY WAIT LIST FOR SERVICES FOR DEVELOPMENTAL PEDIATRICS, AND IS FOCUSED ON IMPROVING ACCESS FOR ALL CHILDREN. SCH H, PART V, SECTION B,QUESTIONS 10,11,12I,14G,16E,17e,18e,19c,19d,21&22 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 20d THE ORGANIZATION CURRENTLY UTILIZES AMOUNTS TYPICALLY CHARGED IN THESE INSTANCES. 11 CSH LONG TERM CARE AT MOUNTAINSIDE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 LONG-TERM CARE AND OUTPATIENT CENTER CSH LONG TERM CARE AT TOMS RIVER 94 STEVENS ROAD TOMS RIVER NJ 08755 LONG-TERM CARE AND OUTPATIENT CENTER CSH OUTPATIENT CENTER AT HAMILTON 3575 QUAKERBRIDGE ROAD HAMILTON NJ 08619 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT TOMS RIVER 368 LAKEHURST ROAD TOMS RIVER NJ 08755 OUTPATIENT CENTER CSH MED DAY CARE CTR & EARLY INTERVENT 316 WEST WESTFIELD AVENUE ROSELLE PARK NJ 07204 OUTPATIENT CENTER CSH EARLY INTERVENTION TOMS RIVER 316 WASHINGTON STREET TOMS RIVER NJ 08755 EARLY INTERVENTION CSH OUTPATIENT CENTER AT EGG HARBOR 6106 BLACK HORSE PIKE EGG HARBOR TOWNSHIP NJ 08234 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT FANWOOD 313 SOUTH AVENUE FANWOOD NJ 07023 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT CLIFTON 1135 BROAD STREET CLIFTON NJ 07013 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT BAYONNE 818 BROADWAY AVENUE BAYONNE NJ 07002 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT NEWARK 182 LYONS AVENUE NEWARK NJ 07112 OUTPATIENT CENTER PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2013 FEDERAL POVERTY GUIDELINES ("FPG")(DEPARTMENT OF HEALTH AND SENIOR SERVICES) ADJUSTED TO 300% OF THE INCOME POVERTY GUIDELINE. FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7G No costs relating to subsidized healthcare services are attributable to any physician clinics. SCHEDULE H, PART I, QUESTION 7 Worksheet 2 was used for the cost to charge ratio. SCHEDULE H, PART III, SECTION A; QUESTION 4 Bad debt expense was calculated using the provider's bad debt expense from financial statements, net of accounts written off at charges. The organization issued audited financial statements. The organization's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied. Below describes it in more detail: PATIENT ACCOUNTS RECEIVABLE Patient accounts receivable are recorded at the reimbursed or contracted amount and do not bear interest. The allowance for doubtful accounts is the hospital's best estimate of the amount of probable credit losses in the hospital's existing patient accounts receivable. The hospital determines the allowance for doubtful accounts by reviewing the age of the receivables in the aggregate and then applying consistent rates to each aged bucket across major payor source. The rates applied are based on historical write-off experience, and the hospital reviews its allowance and rates periodically. Past-due balances are reviewed individually for collectability. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. CHARITY CARE The hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates and maintains records to identify and monitor the level of charity care it provides. The hospital does not pursue collection of amounts determined to qualify as charity care; therefore, these amounts are not reported as net patient service revenue. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. The hospital does not receive any distribution of state or federal subsidies for charity care services rendered. An overall cost to charge ratio was applied to arrive at the cost of charity care. As a result, the cost of providing charity care was $328,012 and $334,997 for the years ended December 31, 2012 and 2011, respectively. In addition, the hospital provides community service programs for free or below cost and provides a variety of patient care services where reimbursement under federal and state agreements is below costs. These services include, but are not limited to, health fair screenings and educational programs on a variety of topics related to the patient population it services. SCHEDULE H, PART III, SECTION B; QUESTION 8 BAD DEBT IS COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT BAD DEBT SHOULD BE A COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDED ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," 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. BAD DEBT IS COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION THAT BAD DEBT SHOULD BE COMMUNITY BENEFIT. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING BAD DEBT AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE. SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE AGAINST REVENUE. IT IS THE POLICY OF CHILDREN'S SPECIALIZED HOSPITAL TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER THE POLICY LIMIT OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. Children's Specialized Hospital ALSO HAS A CHARITY CARE POLICY TO ensure PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. iT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR CHILDREN'S SPECIALIZED HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, children's specialized hospital HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR the HOSPITAL'S ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICAID REIMBURSEMENT. SCHEDULE H, PART VI; QUESTION 2 THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST OF NEW JERSEY, KID'S COUNT, ETC.). THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. SCHEDULE H, PART VI; QUESTION 3 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 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES TO MORE AFFLUENT SUBURBAN AREAS THROUGHOUT THE STATE OF NEW JERSEY. CHILDREN'S HAS eleven LOCATIONS THROUGHOUT THE STATE AND IS COMMITTED TO SERVICE ALL OF ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 60% OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 8% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. SCHEDULE H, PART VI; QUESTION 5 COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY CHILDREN'S SPECIALIZED HOSPITAL IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS. CHILDREN'S SPECIALIZED HOSPITAL PLANS TO HOLD AN ANNUAL BOARD MEETING OPEN TO THE PUBLIC. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHOM RESIDE IN THE COMMUNITY. HOSPITAL STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THE MEDICAL STAFF OFFICE CREDENTIALING COMMITTEE. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE CHILDREN'S SPECIALIZED HOSPITAL. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK AND AFFILIATES. NOT FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HEALTH CARE CORPORATION RWJ HEALTH CARE CORPORATION ("RWJHCC") IS THE TAX-EXEMPT PARENT OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ("NETWORK"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER RWJHCC OR ANOTHER NETWORK AFFILIATE CONTROLLED BY RWJCC. NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. RWJ HEALTH CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ HEALTH CARE CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. RWJ HEALTH CARE CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ACTIVE HOSPITALS INCLUDE: CHILDREN'S SPECIALIZED HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH, WITH THE EXCEPTION OF CHILDREN'S SPECIALIZED HOSPITAL; A SPECIALTY HOSPITAL, OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ HEALTH CARE CORPORATION. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CHILDREN'S SPECIALIZED HOSPITAL CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162 BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A 265-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FRIENDS OF CHILDREN'S SPECIALIZED HOSPITAL FORMERLY THE AUXILIARY OF CHILDREN'S SPECIALIZED HOSPITAL THE FRIENDS OF CHILDREN'S SPECIALIZED HOSPITAL IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. IS AN ORGANIZATION CURRENTLY AWAITING ITS DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE. ONCE RECEIVED THE ORGANIZATION WILL BE RECOGNIZED AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THE ORGANIZATION PROVIDES CHARTIABLE AND EDUCATIONAL SERVICES AND SUPPORTS THE PROGRAMS AND STUDENTS OF LAKEVIEW CHILD CARE CENTER. THE ORGANIZATION AIMS TO IMPROVE EARLY EDUCATION AND CHILDCARE. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ORGANIZATION OF A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHICH INCLUDES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. NEW BRUNSWICK AFFILIATED HOSPITAL, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON VISITING NURSES, INC. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ MEDICAL ASSOCIATES AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL ASSOCIATES A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. RWJ HEALTH NETWORK, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A HEALTH CARE SYSTEM. RWJ KIDNEY TRANSPLANT ASSOCIATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MUTI-SPECIALTY, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ PHYSICIAN ENTERPRISE, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES SURGERY SERVICES TO INDIVIDUALS. SYSTEM AND AFFILIATE MEMBERS, LTD. A CONTROLLED FOREIGN CORPORATION BY ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. VISION HEALTHCARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY PROVIDES INVESTMENT SERVICES TO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. SCHEDULE H, PART iii, SECTION B; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. SCHEDULE H, PART VI; QUESTION 8 NOT APPLICABLE. THE HOSPITAL HAS ONLY ONE HOSPITAL FACILITY REFLECTED IN PART V, SECTION A. X true true X X X X X false true false false false false false true false BONNIE ALTIERI PHDEFF 1713 TRUSTEE (1/1-1/31)-VP PT SVCS 200653 0 0 0 325 0 0 0 6751 0 207729 0 0 0 JENFU CHENG MD TRUSTEE - SECTION CHIEF PSYCH. 195135 0 0 0 2115 0 5902 0 9810 0 212962 0 0 0 MARTIN DIAMOND MD TRUSTEE - DIRECTOR O/P SVCS 261990 0 0 0 9706 0 10200 0 3963 0 285859 0 0 0 AMY B MANSUE TRUSTEE - PRESIDENT/CEO 444195 0 139029 0 431263 0 159393 0 13929 0 1187809 0 422573 0 PHILIP SALERNO TRUSTEE - PRES/CDO FOUNDATION 301000 0 53604 0 14055 0 10200 0 27966 0 406825 0 0 0 WARREN E MOORE EVP/COO 318997 0 102126 0 34313 0 68767 0 23547 0 547750 0 25128 0 JOSEPH J DOBOSH JR VP/CFO 287076 0 71287 0 33136 0 79734 0 22982 0 494215 0 22974 0 CHRISTOPHER HAINESEFF 6313 CHIEF MEDICAL OFFICER 183666 0 20000 0 2757 0 0 0 359 0 206782 0 0 0 KAREN M DEWITT EDD TERM 63013 VP PATIENT CARE 320779 0 0 0 16386 0 6374 0 4412 0 347951 0 11261 0 MICHAEL R DRIBBON PHD VP REHAB SERVICES & PROG. DEV. 229556 0 54822 0 185829 0 53525 0 10597 0 534329 0 175924 0 WILLIAM DWYER VP HUMAN RESOURCES 214047 0 51606 0 19870 0 41787 0 4412 0 331722 0 10285 0 PATRICIA D FOLEY EFF 7813 VP OUTPATIENT SERVICES 155748 0 8267 0 1953 0 6408 0 24329 0 196705 0 0 0 UDAY MEHTA MD SECTION CHIEF NEURO PEDIATRICS 306607 0 0 0 15038 0 10200 0 7605 0 339450 0 0 0 KRISHAN YALAMANCHI MD DIRECTOR; BRAIN INJURY 230944 0 0 0 3619 0 8903 0 20710 0 264176 0 0 0 YVETTE JANVIER MD DIRECTOR; MEDICAL SERVICES 222515 0 0 0 2939 0 8906 0 1221 0 235581 0 0 0 SAM S WU MD VICE CHIEF PEDS PHYSIATRY 218016 0 0 0 533 0 4379 0 1964 0 224892 0 0 0 MICHELE FANTASIA MD PHYSIATRIST 214778 0 0 0 2406 0 8072 0 3055 0 228311 0 0 0 SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION PAID FOR HEALTH CLUB DUES FOR CERTAIN EMPLOYEES. THE HEALTH CLUB DUES ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $500; WARREN E. MOORE, $500; JOSEPH J. DOBOSH, JR.; $500; CHRISTOPHER HAINES, $500; KAREN M. DEWITT, ED.D., $335; MICHAEL R. DRIBBON PH.D., $500 AND WILLIAM DWYER, $500. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING 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. THESE AMOUNTS WERE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION, ON PRIOR YEARS FORMS 990. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $422,573; WARREN E. MOORE, $25,128; JOSEPH J. DOBOSH, JR., $22,974; KAREN M. DEWITT, ED.D., $11,261; MICHAEL R. DRIBBON, PH.D., $175,924 AND WILLIAM DWYER, $10,285. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, AS TAXABLE WAGES: AMY B. MANSUE, $149,193; WARREN E. MOORE, $58,567; JOSEPH J. DOBOSH, JR., $69,534; MICHAEL R. DRIBBON, PH.D., $44,252 AND WILLIAM DWYER, $33,093. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 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 AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F REPRESENTS AMOUNTS THAT WERE RECEIVED IN 2013 BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS WERE REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEARS FORMS 990 AND ARE NOW BEING TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AS FOLLOWS: AMY B. MANSUE, $422,573; WARREN E. MOORE, $25,128; JOSEPH J. DOBOSH, JR., $22,974; KAREN M. DEWITT, ED.D., $11,261; MICHAEL R. DRIBBON, PH.D., $175,924 AND WILLIAM DWYER, $10,285. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221487148 64579FGL1 2005-11-01 32895000 CONSTRUCTION/DEBT SVC/CAP INTEREST false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221487148 2013-08-01 10340000 DIRECT PLACEMENT REFINANCE false false false C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221487148 2013-08-01 5170000 DIRECT PLACEMENT REFINANCE false false false A 26900000 0 56895000 2474941 743756 0 1169455 0 0 56895000 0 0 2007 false false true true B 101302 0 10340000 0 0 0 190334 0 0 0 10340000 0 2013 true false true true C 39984 0 5170000 0 0 0 96803 0 0 0 5170000 0 2013 true false true true A false false false false 0 true false false true B false false false false 0 true false false true C false false false false 0 true false false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false false false true false false 0 false 0 false true A true B true C true CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Children's Specialized Hospital ("CSH"), an affiliate member of the Robert Wood Johnson Health System, is a not for-profit licensed comprehensive pediatric rehabilitation hospital which operates two pediatric long-term care facilities. CSH also operates a licensed pediatric medical day care and a pediatric practice for children with disabilities. CSH has been providing services to the children of New Jersey and surrounding states for 123 years. Our talented and caring staff provides a wide array of medical, developmental, educational and rehabilitative services for infants, children, adolescents, and young adults. CSH's healthcare professionals are committed to providing expert and compassionate care to children with chronic illnesses and disabilities. Evaluation and treatment is available for a variety of rehabilitation needs, including, but not limited to, brain injuries, spinal cord dysfunction, respiratory issues, autism, orthopedic problems, sports injuries, learning disabilities, language or hearing problems, developmental delays, and behavior or attention problems at home or in school. Comprehensive, coordinated care is provided for children with chronic illnesses and disabilities who may have multiple and complex therapy needs. Charitable purposes, charity care and community activities ========================================================== CSH provides healthcare services to all children in the tri-state area who can benefit from rehabilitative care in a non-discriminatory manner regardless of ability to pay. CSH provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates, and maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. CSH does not pursue collection of amounts determined to qualify as charity care; therefore, these amounts are not reported as net patient service revenue. CSH does not receive any distribution of federal or state subsidies for charity care services rendered. Accreditations ============== CSH is accredited by the Joint Commission of Accreditation of Healthcare Organizations. Mission Statement ================= The mission of Children's Specialized Hospital is to be the preeminent provider of specialized healthcare services for infants, children and young adults. Children's Specialized Hospital Corporate Values ================================================ The values of CSH are compassion, integrity, excellence, fun, innovation, and teamwork. Compassion: We will provide a loving, caring environment for the children, families, and each other. Integrity: We are committed to organizational and financial accountability, transparency, respect for all and ethical practices. Excellence: We will be the best at our jobs and provide the highest quality care to our children, constantly striving to improve and be the best. Fun: We will provide a child-friendly environment. If we have fun doing our jobs, it will reflect in how we deal with the children and each other. Innovation: We will be creative in providing care and problem solving. Teamwork: CSH is a team where every person is needed to provide the quality care for which we are known. We must work together to be successful. Patient-and-Family-Centered Care and Children's Specialized Hospital ================================================================== Patient-and-Family Centered Care is an approach to healthcare that shapes healthcare policies, programs, facility design, and day-to-day interactions among patients' families, physicians and other healthcare professionals. Healthcare professionals who practice Patient-and-Family Centered Care recognize the vital role that families play in ensuring the health and well-being of children and family members of all ages. These practitioners acknowledge that emotional, social and developmental supports are integral components of healthcare. They respect each child and family's innate strengths and view the healthcare experience as an opportunity to build on these strengths, and support families in their care-giving and decision-making roles. A patient-and-family centered approach leads to better health outcomes and wiser allocations of resources, as well as greater patient and family satisfaction. Patient-and-Family Centered Care in pediatrics is based on the understanding that the family is the child's primary source of strength and support, and that the child's and family's perspectives and information are important in clinical decision making. Patient-and-family centered practitioners are keenly aware that healthcare experiences can enhance parents' confidence in their roles and, over time, increase the competence of children and young adults to take responsibility for their own healthcare, particularly in anticipation of the transition to adult service systems. Patient-and-Family-Centered Care is grounded in collaboration among patients, families, and all hospital personnel for the planning, delivery, and evaluation of the delivery of healthcare to the children we serve, as well as in the education of healthcare workers. Continuing our goal to be recognized as a center of excellence in pediatric care, CSH is committed to the integration of Patient-and-Family-Centered Care principles into our healthcare policies and practices across the continuum of care provided by our institution. In placing the needs of the child and family at the center of all activities, we will fulfill our mission and embody the values of Patient-and-Family-Centered Care at CSH by: Respecting each child and his or her family as partners in care; Honoring diversity and its effect on the family's experience and the perception of care through recognizing that each family is unique in their structure, values, culture, ethnicity, orientation, spiritual beliefs, social-economics, educational, and geographic diversity; Building on the strengths of each child and family, even in difficult and challenging situations, by acknowledging each family's priorities and level of expertise; Recognizing and respecting different methods of coping; Implementing comprehensive services that provide developmental, educational, emotional, environmental, and financial supports; Supporting and facilitating choice for the child and family about approaches to care and support; Ensuring flexibility in organizational policies, procedures and provider practices to reflect diversity and meet the needs, beliefs, personalities, life experiences, spiritual and cultural values of each child and family; Providing formal and informal support for each child and family - collaborating with families at all levels of healthcare, in the care of the individual child and in professional education, policy making and program development, through the exchange of honest and unbiased information on an ongoing basis and in ways that are useful and affirming; Empowering children and families to discover their own strengths, build confidence and make choices and decisions about their health through the creation of true partnerships with healthcare professionals, and; Working with local communities, schools and health officials to ensure that community services and support systems for children and their families are flexible, accessible and comprehensive. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CSH maintains inpatient programs for brain injury, spinal cord dysfunction, infants and toddlers with prematurity and birth related disorders, chronic illness, and general rehabilitation. Outpatient programs exist at varying levels of development including the autism program and the comprehensive feeding program. Services include physician sub-specialty care, physical, occupational and speech therapies, as well as psychology. These are just a few of our many programs and specialty service areas that combine cutting-edge technology with clinical expertise and compassionate care in a patient-and-family-centered environment at facilities in New Brunswick, Mountainside, Toms River, Fanwood, Hamilton, Bayonne, Clifton, Roselle Park, Newark and Egg Harbor. Additionally, CSH's staff provides expertise at various schools, centers, and programs for children with special needs throughout New Jersey. Programs and services information ================================= Inpatient Programs ------------------ Inpatient services are licensed for 90 pediatric rehabilitation beds, 60 of which are in operation. Eight additional beds were approved which should be operational in the summer of 2014, and 72 pediatric long-term care beds are licensed. Inpatient rehabilitation care provided includes medical and nursing care, comprehensive therapy services, psychological and neuropsychological services, academics, social services, and nutritional services. Included in the therapy services are physical therapy, hydrotherapy, rehabilitation technology, augmentative communication, occupational therapy, activities of daily living, speech and hearing, respiratory therapy, recreational therapy and child life. These CSH services are provided to help the children attain their greatest potential - medically, socially, academically, and emotionally. Their families are provided with support and educational services to ensure their child can return to their home and community. Our long term care centers, located in Mountainside and Toms River, NJ, are Special Care Nursing Facilities providing 24 hour nursing care to the medically involved patient. We have 46 beds in Mountainside and 26 in Toms River. Our long term care patients receive respiratory and nutritional services, physical, speech and occupational therapies, as well as recreational and child life services. Some of the patients attend an on-site school while others are transported to community schools. Brain Injury ------------ Helping a child recover from a brain injury presents complex challenges. While the child needs help in recovering from his injuries, he also is still developing physically, emotionally, and intellectually. The Brain Injury Program at CSH meets these challenges and the unique needs of children by providing innovative, expert and loving care for the patient with a brain injury on his or her road to independence. The Brain Injury Program, which was established in 1981, is designed to meet the needs of brain-injured, age appropriate patients at all levels of cognitive awareness. The rehabilitation process is the foundation for long term recovery. Children are best treated by pediatric specialists in an environment especially geared to their needs. CSH provides specialized care for each child's unique needs during their recovery in a comprehensive medical and rehabilitation setting. A full continuum of care from coma to re-entry to the community is provided for each child. The Brain Injury Program is geared toward maximal progress through rehabilitation while emphasizing the achievement of normal pediatric developmental milestones. CSH's professional staff, who are experienced with brain injuries and the developmental needs of children, incorporate each child and family within the rehabilitation team to encourage optimal progress. Each child's individualized program focuses on their medical, physical, cognitive, and psychosocial needs. In addition to individual therapy, group therapy provides comprehensive structured stimulation sessions for patients in order to enhance and accelerate arousal, alertness, orientation, and socialization. The brain injury program addresses: - medical management - specialized nursing care - physical therapy - occupational therapy - speech therapy - auditory evaluation - cognitive status - nutritional status - family support - case management - psychological status - cortical functioning - re-entry to home, school, and community Spinal Cord Program ------------------- The Spinal Cord Program provides intensive and comprehensive rehabilitation services for children and adolescents with acquired and congenital spinal cord problems. The program treats patients with all levels of pediatric spinal cord dysfunction, from the child dependent on a ventilator to the individual with the lowest level of spinal cord injury. Patients are provided with an aggressive rehabilitation treatment program coupled with comprehensive medical and nursing care. The program's team approach results in a coordinated treatment plan designed to meet the complex needs of each patient and his or her family. While an emphasis is placed on achieving normal developmental milestones, the treatment plan takes into account the patient's level of injury, age, and developmental abilities in creating realistic expectations for performing activities. The team is adept at developing treatment plans to accommodate patients with high spinal cord injuries (tetraplegia; quadraplegia) who require a tremendous amount of support, special equipment, and ventilator assistance, as well as those patients with low level spinal cord injuries (paraplegia) who can gain virtual independence. Intensive medical needs can be safely accommodated at CSH by virtue of the extensive medical coverage provided to the patients. Patients with tracheostomies, special feeding needs, and intravenous and central lines, for example, can be managed while receiving the necessary rehabilitation therapy. Families and patients are integrally involved in the comprehensive treatment planning. Families and patients also receive instruction from the staff in overall care and the use of special equipment. The team thoroughly educates the patient and his or her family regarding the physical consequences of a spinal cord injury and the required care and treatment. Some of the diagnostic and special services available to patients in the Spinal Cord Program include: - electrodiagnostic testing - ventilator assistance program - referral for evaluation for diaphragmatic pacing - a full range of diagnostic urologic testing - referral for baclofen pump placement - orthotics and prosthetics - rehabilitation technology services including: - seating and positioning - mobility and environmental access - augmentative and alternative communication - computer access General Rehabilitation Program ------------------------------ The General Rehabilitation Program at CSH offers habilitative and rehabilitative services to patients aged 0-21 with, but not limited to, neurologic, orthopedic, developmental, cardiopulmonary disorders and/or other acquired injuries and illnesses, through an interdisciplinary team approach. The program provides assessment, treatment, and/or support to the patient and family from the acute inpatient phase of rehabilitation through the community, vocational, and educational re-entry phase. In order to offer a continuum of comprehensive trans-disciplinary service to these children and their families, in a compassionate, professional and holistic fashion, services are provided through both inpatient and outpatient phases of rehabilitative care. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Patients admitted to the program are required to meet the following criteria regarding their medical stability: initial diagnostic and surgical procedures must be completed; medication regimen, fluid and electrolyte balance, and life support services must be stabilized. The patients served may have impairments in areas including those of cognition, mobility, self-care, communication, social emotional functioning, sensory processing, academic functioning, and feeding. The program addresses the behavioral, functional, physical, cognitive, psychosocial, vocational, educational, leisure, and recreational needs of each patient. Every effort is made to accommodate the patient and family's unique cultural and spiritual needs. The goal of the program is to reduce the barriers which limit a child's ability to participate in developmentally appropriate activities of his or her life. To facilitate a smooth transition and optimize the patient's ability to fully integrate into the community, outreach and education are provided to the intended discharge environment (e.g. school, home, community organizations). In addition, patients are provided developmentally appropriate life skills' training through group and individual therapy as well as community out-trips. Some children and adolescents seen through these programs require intensive medical, nursing, and respiratory therapy support for respiratory problems. These children may have congenital or acquired respiratory problems including bronchopulmonary dysplasia, congenital muscular problems, as well as congenital and acquired airway and respiratory abnormalities. Infant/Toddler program ---------------------- The Infant/Toddler program provides intensive and comprehensive rehabilitation services for infants and young children with medical difficulties related to prematurity and a range of disorders presenting at birth. The program treats children who require all levels of neonatal care. Patients are treated with a comprehensive, therapeutic program, coupled with excellent medical and nursing care. Because of this team approach, a coordinated treatment plan can be designed to meet the complex needs of each patient and his or her family. While emphasizing age-appropriate skills, the team customizes goals based on each infant's or toddler's medical stability, age, and developmental level to maximize his or her unique potential. The multispecialty staff is highly trained in working with these children who require special equipment and ventilator assistance. The team uses special techniques to encourage the child's interaction with the environment during therapy sessions. We are able to offer this specialized treatment because our staff is committed to pursuing on-going education and training in state-of-the-art techniques that are necessary to treat this special population. Those infant and toddler patients who need special medical care can be safely accommodated with CSH's extensive medical coverage. These patients may be tracheostomy dependent, oxygen dependent, or ventilator dependent, requiring close monitoring and frequent changes in management. These patients, as well as those infants and toddlers with special feeding needs, intravenous and central lines, can be managed while receiving rehabilitation therapy. Family involvement is vital to a child's overall development. We strongly encourage family participation in treatment sessions. Our team instructs families in caring for their children and using special equipment. Families learn about therapeutic interventions that promote growth and development. Infant/Toddler medical specialties: A neonatologist/pediatrician, a physician who specializes in neonatal care and pediatrics, heads the Infant/Toddler Program team. Other multidisciplinary pediatric professionals provide medical support, rehabilitation services, and address developmental needs while aiming toward maximizing respiratory independence. While upon admission many of the children require intensive respiratory care, the goal for each is to be transitioned back to his or her home and community. Other medical specialists for the Infant/Toddler program are also available for consultation: - Ear, nose, and throat - Neurology - Ophthalmology - Orthopedics - Physiatry - Radiology - Urology Chronic Pain Management Program ------------------------------- The Chronic Pain Program at Children's Specialized Hospital promotes the wellness of children and adolescents ages 11-21 years old, with chronic pain, by teaching strategies to manage pain and encourage functional activity. The inpatient Chronic Pain Management Program at Children's Specialized Hospital is typically for children and adolescents with chronic pain who continue to have significant pain and difficulties with daily functions despite trials of consistent outpatient therapies. This evidence-based program is typically a four week period, with focus on regaining function and using one's body in normal way. The approach to treatment of chronic pain at Children's Specialized Hospital includes intense physical and occupational therapy and integrated exposure to mental health intervention. Our specialized team focuses on treating Chronic Regional Pain Syndrome (CRPS) and related forms of amplified pain such as: - Fibromyalgia - Amplified Musculoskeletal Pain Syndrome (AMPS) - Reflex Sympathetic Dystrophy (RSD) - Reflex Neuropathic Dystrophy (RND) Chronic Illness Management Program ---------------------------------- The Chronic Illness Management Program at Children's Specialized Hospital is a comprehensive inpatient program for adolescents ages 13-21 who struggle to manage their condition. It provides the teen and family with a structured, comprehensive treatment plan to address medical, nutritional, psychological, and family communication issues. Since parents and caregivers have a crucial role in supporting their child's health, we encourage parent/caregiver participation in medical education, nutritional and psychological counseling sessions to ensure the greatest success. The program is typically a four week program that follows a transdisciplinary model and behavioral approach to care, addressing the physical, emotional, and psycho-social needs of each patient. The goal for each adolescent is always to improve self-management of the disease. The Chronic Illness Management Program is especially for adolescents with conditions such as, but not limited to: - Diabetes - Post-organ transplant - Chronic respiratory disease Outpatient Programs and Services ------------------------------- CSH provides a number of outpatient services related to pediatric rehabilitation and education. Outpatient programs offered by CSH include services in assessment and therapy from pediatric medical specialists and sub-specialists, as well as various therapy departments. In addition, the following specialty programs and clinics are offered: orthopedics, neurology, physiatry, psychiatry and developmental pediatrics. In addition we provide a pediatric practice for special needs children. The Medical Daycare and the Early Intervention ("EIP") Programs are designed to meet the educational, therapeutic, social, and emotional needs of children, from birth to age five, with physical handicaps or developmental delays. The EIP program is funded by a fee schedule from the State of New Jersey and the federal government. Primary Care Practice --------------------- At Primary Care Pediatrics, we are proud to provide outstanding, family-centered care for children with special health care needs and their siblings. At Primary Care Pediatrics, our goal is for every child to reach his or her full potential. We employ a team-based approach to the healthcare. Our staff, nurses, doctors and care coordinators work together to meet the needs of our special patients. We strive to be the medical home, or center, of patient's care. Our care coordinators and medical staff help patients and families navigate through the health care system and educational system. We help patients and families interact with community organizations, insurance companies, specialists, therapists, and pharmacies while advocating for our patients along the way. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Our team at Primary Care Pediatrics consists of doctors, nurses, care coordinators, social workers, patient care techs, office coordinators, an insurance liaison and family faculty. Family faculty members are a patient or her full potential. We emplhildren's Specialized Hospital and helps advocate for our patients' and families. The team is experienced in caring for children with special needs. We take care of children affected by cerebral palsy, Down syndrome, prematurity, autism, technology dependence, uncommon medical conditions and many other special healthcare needs. We respect the great privilege it is to care for our patients and families. Various community events and outpatient programs and services are offered by CSH. Listed below is a brief list of events and programs: - Children's Regional Swim Meet for athletes with a physical disability - Guppies I and II (aquatics) - Sharks I and II (aquatics) - Interactive oral sensory - motor therapy in autism - Pediatric Traumatic Brain Injury - The Journey - Children's Invitational Track and Field Meet for athletes with a physical disability - Constraint reduced intensive therapy program - Day Camp - Pals Paradise - Overnight Camp - Camp Chatterbox - Neuro-rehabilitation Program - Pediatric Practice - Spinal Cord From A to Z - Chronic Illness Program - Autism Symposium - Hear From the Experts - Parent Resource Center - Toys-to-Go Program - "Lightning Wheels" wheelchair & ambulatory sports team for those with physical disabilities ages 5 - 22 years - "Friday Night Fever" - Mountainside and Toms River - social group for teens - Community special needs loaner car seat program - Safekids Union County Coordinator - Safekids Middlesex County - Child passenger safety program for inpatients and long term care The Autism Program ------------------ The Autism Program at CSH works with children up to 21 years of age who have an autism spectrum disorder. The program is dedicated to improving the lives of children, adolescents and families with autism spectrum disorders by providing comprehensive evaluations, treatment, community education and research. We are one of the few programs in New Jersey to provide coordinated, multidisciplinary care for children, adolescents and families affected by an autism spectrum disorder. We offer workshops in English and Spanish for families newly diagnosed with autism, as well as a comprehensive symposium where families have the opportunity to meet with the experts and interact with other families. As part of our outreach programs, we provide autism screening/diagnosis to six underserved areas in New Jersey, as well as, educational programs for schools and community organizations and groups. Comprehensive Feeding Program ----------------------------- The Comprehensive Feeding Program is an outpatient program that serves infants, toddlers, and young children who are unable or refuse to maintain an adequate oral intake of food. Problems may be medical/physiological, developmental, behavioral, psychosocial, and individual or family related. This team utilizes a multi-disciplinary approach to have children eat proper foods and improve nutritional standing. Based on a predicted incidence of 25% of infants and young children with feeding problems, there are thousands of children who can benefit from this service. Each child is provided with a comprehensive evaluation that covers medical, physiological, developmental, behavioral, and psychosocial issues. The team combines the expertise of a multidisciplinary team of professionals whose primary goal is to establish feeding patterns that can be maintained in the child's natural environment. The team includes the following: - Speech Pathologist - Child Psychologist - Pediatric Dietitian - Developmental Pediatrician - Occupational Therapist - Physical Therapist - Patient Care Coordinator The program and its team members empower parents and caregivers by providing knowledge and techniques which will allow them to engage their child in positive therapeutic feeding experiences and interactions. The program also provides support and knowledge to other professionals in the community, such as childcare providers, who participate in the child's feeding experiences. AD/HD ---- CSH is a service provider dedicated to improving the lives of children and adolescents with Attention-Deficit Hyperactivity Disorder (AD/HD) and associated disabilities. At CSH we offer comprehensive services for children with AD/HD, including a full range of evaluation and treatment options best tailored for the individual child and family. Neuro-rehabilitation -------------------- An outpatient component of the Brain Injury Program is the Neuro-Rehabilitation Program. The Neuro-Rehabilitation Group Program is an intensive treatment program for children and adolescents who have sustained a traumatic brain injury, or who are experiencing cognitive dysfunction as a result of neurological or other chronic illness. This family-centered program provides therapeutic interventions designed to help children and adolescents regain cognitive skills and learn compensatory strategies that are needed for school and social functioning. The program also addresses motor impairments that may accompany acquired brain injury or illness. The program is delivered primarily in small group settings. Individual physical, occupational, and speech therapies may also be provided as indicated. Involvement in the group program prepares the youngster for return to a larger group setting, usually school, and provides him or her with improved skills for peer interaction and socialization. Children may also be seen in an individual Neuro-Rehabilitation Program. Children in the individual program are presently involved in school and community activities, but require additional intervention to better regain or develop compensatory skills to improve or maintain age appropriate ways of thinking and behaving. Professional Training and Research ---------------------------------- CSH is committed to providing an educational setting and research initiatives which will lead to continuous advancement in professional knowledge and skills for professionals pursuing careers or expertise in pediatric rehabilitation, as well as advancements in knowledge and best practices for the populations we serve. CSH provides clinical training and experience in the field of pediatric rehabilitation and care of the disabled child for resident physicians in the areas of pediatrics and physiatry through schools, which affiliate with the hospital. In addition, the hospital trains fellows, nurses, and therapists enrolled in schools and colleges that are also affiliated with the hospital. To advance the state of pediatric rehabilitation, Children's Specialized also conducts and subsidizes programs and seminars to educate interested healthcare professionals. Accessibility Plan ================== Each year, CSH looks at how to improve access to care and the community for our patients and families. We review any barriers that may exist and how to best remove them. Our approach and outcomes are outlined below: Review plan for promoting accessibility to organization-wide services for persons served, personnel & other stakeholders. Identify & remove potential barriers to our programs & services for persons served, personnel & other stakeholders. Identify & remove existing barriers and make programs and services accessible for persons served, personnel & other stakeholders as solicited & identified through an annual accessibility survey, and monthly environment of care rounds. Initiate and implement necessary steps to decrease or remove identified barrier(s) for persons served, personnel & other stakeholders with a specified timeline. The opening of additional sites in Newark and Egg Harbor, where we provide physician services, physical, occupational and speech therapies, has made our renowned care more convenient and accessible to New Jersey's children. Integration: advocacy & education to eliminate & reduce barriers in the communities of persons served. Provide a review mechanism for "reasonable accommodation" requests made by persons served and/or personnel. On an annual basis, hospital leadership reviews the plan for promoting accessibility to organization-wide services for persons served and potential persons served, as well as the findings from the annual accessibility survey that is conducted by a rehabilitation professional & a person served. This review takes place at the hospital's Environment of Care, Operations & PI Steering Committee(s). Communication and follow through is done within the existing hospital-wide performance improvement structure. Provide a review mechanism for "reasonable accommodation" requests made by persons served and/or personnel. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS In 2013 we provided $1,145,000 of charity care charges to patients. In 2013, we provided medical education to physical medicine and rehabilitation residents from Rutgers University and with expenses versus total receipts for CHGME, we realized a shortfall of approximately $596,000. In 2013, CSH provided approximately $41,000 in housing to students in the disciplines of physical, occupational and speech therapies during their clinical training which ranged from 2 - 16 weeks. We are in the final year of a $150,000 grant from Autism Speaks which was for a three year research project. The name of the project is "Sensory Based Strategies for Improving Adaptive Behaviors in Children with Autism". Positive gain from operations, positive bottom line, raise 100% funds for new outpatient sites. Implemented Meditech which will improve consistency and timeliness of documentation, leading to correct reimbursement. Coding issues for the NPSY evaluations were resolved. NPSY CPT Codes were reconfigured according to CMS recommendations. Evaluations for 2008 up until the recoding took place in 6/09 were rebilled. The Meditech system has improved consistency and timeliness of all documentation in the medical record. Developed the tool to track billable time and census for all services. Through our foundation, CSH received $380k from Kohl's to be used to run programs for the community through Kohl's Cares Programs such as Aquatics, Friday Night Fever, Autism Community Outreach ($90k of total) Community Carnivals, including educational pieces, and Children's Lightning Wheels, the hospital's sports team for ages 5 - 22. Secured funding to cover costs of functional behavior assessment/consultation service, began (with medical) year 2 of a $1 million Clinical Expansion Grant from the Governor's Council on Medical Research and Treatment of Autism. Neuropsychology and neurorehabilitation exceeded group annual census budgeted projections. Achieved a favorable expense variance for all departments/programs combined. Eliminated the on-line enrollment process for the Autism Program which resulted in $22,000 in cost savings. Instituted on-line registration process where families can schedule an appointment on line. Upgraded Meditech application to version 5.65 to support the requirements of the American Recovery & Reinvestment Act and to meet the regulations of the electronic health record (EHR). Accounts receivable balances have been reduced since the implementation of Meditech. Total days in accounts receivable reduced by approximately 7 days by year end 2010. Over-one-year receivable dollars decreased approximately $4,500,000 since the end of 2010. Children's Specialized Hospital is the first hospital in New Jersey tested for Medicaid incentive funding for the use of a certified electronic health record. Installed an automated insurance verification system that works in conjunction with the Meditech software for improved registration process. Major build of various files that work in conjunction with the clinical modules that allow for proper billing and coding, and improved processes for notification to the therapist upon arrival of the patient via a smart board. All Children's facilities were upgraded to enable wireless communications for clinicians' use of mini laptops to document and charge during sessions. Managed the hospital's cash flow to internally maintain a fund consisting of one year of principal and interest payments on the bond payments, approximating $3.6 million, while having no draw downs on the hospital's line of credit with TD Bank. Cash collections increased by 7% over 2012 with 7 months exceeding expectation. Met all annual and quarterly reporting requirements related to our bond issue and was in full compliance with the required financial covenants in each quarter. Received notification re-affirming our bond rating with both Moody's and Fitch ratings in the 4th quarter of 2012. Conducted organizational-wide education programs for improving chart documentation, selecting proper coding for billing and compliance of all HIPAA regulations. Completed the 2014 operating and capital budget promptly for board approval in December. Developed in-house "flex pool" to staff temporary vacancies which resulted in $10,059 in cost savings. Communication: -------------- Promote full program and service access for persons served by respecting ethno-cultural diversity. Ensure that language & cultural differences are not barriers to accessing & participating in hospital programs (i.e. translation services are available & other communication resources). Measure: communication service access for persons served Data source: contracts for verbal and written translation to promote communication & administrative policy on meeting communication needs. Transportation: --------------- Provide transportation services as needed through the Patient Care Coordination Department. Measure: make available transportation access for persons served Data source: Patient Care Coordination Department Listing 2013 findings: no barriers identified. Admission to hospital program: ------------------------------ Grant admission to program services & activities to those with an identified need that is validated by meeting pre-established admission criteria/screening. Measure: patient referrals that meet pre-established admission criteria/screening are offered relevant services/admission Data source: Pre-Admission Department Log. 2013 findings: 100% of all admissions meeting criteria/screening are offered admission. If patient not offered admission, appropriate referrals made. Employment: ----------- Recruit qualified employees with "reasonable accommodations" for persons with activity limitations in order to promote equal employment/participation opportunities throughout all organizational levels. Measure: adherence to state/federal regulations re: employment without regard to activity limitations, race, color, national origin or age & participate in community efforts to promote opportunities for persons with activity limitations Data source: Human Resources Department Files. 2013 findings: 100% of all job applicants followed "standard" procedures for employment application process and ongoing employment. Other: ------ Remain actively involved in committees at the local, state & national level where policies, regulations and program planning impact pediatric services & their accessibility & delivery. Measure: continued Children's presence at local, state, federal level program planning re: service delivery for persons served, acting as an advocate for persons served. Members of Family - and - Patient Centered Care along with the President & CEO traveled to Washington, D.C. to meet with legislatures with regard to insurance coverage for individuals with disabilities. Data source: advocacy activities. 2013 findings: several advocacy activities for persons served. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Leadership ---------- - New York Magazine - top children's hospital ranking. - Hospital staff, senior leadership board representation on The Alliance for the Betterment of Citizens with Disabilities (ABCD). Involved with advocating for Early Intervention through this organization. - leadership serves on the Mayor's Advisory Council on behalf of children and young adults with developmental disabilities in the Township of Dover. - CEO serves on Children's Hospital Association National Board of Directors and serves as Secretary - CEO serves on NJ State Chamber of Commerce Board of Directors and serves as First Vice chair - NJ Life - Doctors Who Make a Difference - NJBIZ - Healthcare Heroes - Doctor of the Year - CEO Chair for the NJ Chamber a workgroup on employment of people with disabilities. - CEO, CDO, VP Human Resources and VP of Outpatient Services are graduates of Leadership NJ - EVP and COO is a member of the State Interagency Coordinating Council which oversees the delivery of early intervention services throughout the state. Members are appointed by the Governor. - VP Business & Program Development serves as Chair for the International Pediatric Rehabilitation Collaborative (IPRC), an international consortium of forty organizations with a mission to promote quality pediatric rehabilitation care - NJ Life - Best Doctor - Pediatric Developmental & Behavior Problems - Top Doctor - NJ - Castle Connelly - NJ Life Best Doctor - General Neurology - NJ Life - Best Doctor - Pediatric Physical Medicine & Rehabilitation - Modern Healthcare - largest skilled nursing company - residency, intern, student, and fellow programs for administration, medicine, nursing, pharmacy, therapies. - partnership with the Education Supervisor from The Commission of Special Education to coordinate educational and clinical rehabilitation services to ensure positive transitions to school and community. - Presidential appointee on the Interagency Autism Coordinating Council that sets the national strategic plan for the conduct of & support for autism research. - appointed to the Traumatic Brain Injury Task Force - donated equipment to the United Spinal Organization that helps distribute adaptive equipment to the needy and third world countries. - member, New Jersey Hospital Association (NJHA). - NJHA Rehabilitation Advisory Committee - Clinical Advisory Board for Sunrise Medical - advocate for change in housing with area realtors as well as section 8 housing for other families. - clinical consortium for rehabilitation technology with area hospitals, clinics and developmental centers. - Past President of the NJ Chapter of the American Academy of Pediatrics. - Board Member, New Jersey's Pediatric Council on Research and Education (PCORE) and New Jersey AAP Chapter. - National Institute on Disability and Rehabilitation Research (NJDRR) Grant with New Jersey Institute of Technology. - Medicaid physician group meetings to ensure understanding of rehabilitation technology services and equipment. - NASW-NJ Conference Committee. - Top Docs named by New Jersey Monthly. - Union County CIACC - Advisory Board for Ocean Inc. - Head Start - Ocean County YMCA - CEO, family and patient representatives presented on Capitol Hill with CHA - targeted Early Intervention Program evaluation team for Mercer County, NJ. - representation on the Division of Developmental Disabilities Committee that make recommendations to the State of NJ and federal government with regard to the idea and how laws impact children we serve. - serve on the Advocacy and Public Affairs Committee to the Brain Injury Association of New Jersey (BIANJ). - NJ Special Education & Brain Injury Task Force - member of the Governor's Commission on Recreational Opportunities for Individuals with Disabilities. - members of the Child and Adolescent Task Force of the BIANJ. - Children's Mental Health Evidence Based Practice Committee sponsored by FACT - psychology staff are members of various groups including Asperger Syndrome Education Network (ASPEN) and Center for Outreach and Services for the Autism Community (COSAC). - community agency representative to Scotch Plains-Fanwood schools as part of their self-monitoring for NJ Dept of Education. - service on Mercer County Professional Advisory Committee. - President New Jersey Neuropsychological Society. - Treasurer of the New Jersey Neuropsychological Society. - Board member of the New Jersey Neuropsychological Society. - National task force member for Family-Centered Care survey initiative. - partnered with COSAC to provide education and support services to families of children with autism. - Somerset & Hunterdon Psychological Association - Executive Board - Chair Waterworks Conservancy - Board of Ethics - Life Time Support Division of ARC - guardianship & advocacy for young adults & adults with disabilities - member of the Grants Review committee for NJDRR. - "Bridges" program to help children transition back to school. - family faculty a part of organization wide work groups and committees, as well as supports for families on inpatient units. - Lightning Wheels - international representation for our wheelchair & ambulatory sports team. - Meet Director for Invitational Track & Field Meet for athletes ages 5 - 22 with a physical disability - Chair - Union County Healthcare Emergency Management Committee - member NJHA Emergency Management Constituency Group - member Middlesex County OEM, Public Health & Hospitals Committee. - Meet Director for Tri-State Swim Meet for athletes ages 5 to adult with a physical disability - member NJ Central East North ASPR Grant Committee - member NJHA Advisory Committee for "weathering the storm" - expanded outreach to the Spanish speaking community through education on Spanish language television, radio stations and newspapers. - effect of yoga for children with Autism Spectrum Disorders - professor - Union County College PTA Program. - member Council of Hospital PT Directors. - member - APTANJ Practice Committee. - staff are members of APTA, AOTA, ASHA and APA. - Safe Kids Middlesex County member. - Secretary APTA section on pediatrics hospital based special interest group. - National Institute of Health Research Program examining regression in autism. - medication trials research - autism. - representation on the Board of COSAC. - Best Practices Taskforce - Autism, American Speech and Hearing Association (ASHA). - facilitated closure of the NJ Recycling Program for adaptive equipment program. - member, Education and Training Committee - Governor's Conference on Recreation for Individuals with Disabilities. - member, NJ Neuropsychology Board of Trustees. - Secretary, Executive Committee of Brain Injury Interdisciplinary Special Interest Group (BI-ISIG) of the American Congress of Rehabilitation Medicine (ACRM). - member National Pediatric Rehab Directors Forum - NJ State Rep APTA Region IV section on pediatrics. - member National Pediatric Rehab Directors Forum - NJ Chapter HFMA - Past Director - American Board of Physical Therapy Specialties (ABPTS) member Specialization Academy of Content Experts (SACE) writer for pediatric specialty area. - NJ Brain Injury Association - Child & Adolescent Committee - Child Passenger Safety Coalition - member - Anti-bullying Task Force, McKinley School, Westfield, NJ - Westfield Public Schools Special Education Committee - Middlesex County Safe Kids Board - NJHFMA Board - NJHFMA Advisory Council - Chair, Implementation of the Federal Health Information Technology (HIT) Committee - Chamber of Commerce Executive Committee - Medical Advisor, Stay-Focused, Inc., a program devoted to helping special needs kids become certified in scuba diving - Medical Advisor, Peak Potential Inc., an adaptive rock climbing program for special needs children and adolescents - appointed to the New Jersey State Committee on Pediatric Emergency services - Chair of the State Performance Plan Committee for the State Interagency Coordinating Council - member of the Mayor's Advisory Council on Developmental Disabilities, Toms River - Chair of Safe Kids Community Program Committee - pediatric liaison service to provide training to community pediatricians regarding developmental surveillance/screening in the medical home - appointed by the Secretary of Health and Human Services to Interagency Autism Coordinating Council (IACC) - member NJ Governor's Council on Medical Research and Treatment of Autism - Autism Family Services of NJ Award for Excellence and Dedication to Families of Kids with Autism - member, Board of Directors New Jersey Speech and Hearing Association (NJSHA) - NJSHA Board Liaison to the AAC Committee - NJSHA Clinical Forum Chair CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - representation on the leadership of the Division of Developmental Disabilities - special recognition from NACHRI for federal advocacy for children - member, Mercer County Professional Advisory Committee - member, Board of Trustees for National Association for the Mentally Ill (NAMI)-NJ - professors/lecturers at various local universities. - President of the NJ Chapter of the American Academy of Pediatrics - received grant from Kohl's Kids Abilities Program to raise autism awareness community integration internationally - sponsored three disability awareness carnivals at different locations throughout NJ, attended by over 1,500 families - member, Philanthropy Leadership Council - Association of Fundraising Professionals - appointed to the New Jersey Governor's Council for Medical Research and Treatment of Autism. - received the NJ Community Service Award presented by Autism Family Services. - Long Term Care recognized in "US News & World Report" article, "America's Best Nursing Homes" - member, U.S. Secretary of Health and Human services Interagency Autism Coordinating Council - achieved American College of Graduate Medical Education Accreditation for our Developmental-Behavior Pediatrics Fellowship (first and only one in New Jersey) - multiple presentations at national meetings - member of the United States Interagency Autism Coordinating Council - member of Educational Accreditation Survey Team, Medical Society of New Jersey - member of New Jersey Governor's Council on Traumatic Brain Injury - member of the Advisory Council, Elizabeth Boggs Center, New Brunswick - President, New Jersey Association of Neurodevelopmental Pediatricians - established research collaborations with various universities nationally - Treasurer, Tri-State Wheelchair and Ambulatory Athletics - board member of Stay-Focused, a program devoted to helping special needs kids become certified in scuba diving - member Safe Kids Union County - Secretary - Toms River Sunrise Rotary - DEVCO board member and Executive Committee member - NJ Council of Teaching Hospitals CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ROBERT WOOD JOHNSON HEALTHCARE CORPORATION IS THE SOLE MEMBER OF THIS ORGANIZATION. ROBERT WOOD JOHNSON HEALTHCARE CORPORATION 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'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") AND FOLLOWING A REVIEW BY THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE. THE CHILDREN'S SPECIALIZED HOSPITAL BOARD OF TRUSTEES HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CHILDREN'S SPECIALIZED HOSPITAL AUDIT AND COMPLIANCE COMMITTEE AND TO THE ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VICE PRESIDENT OF HUMAN RESOURCES FOR REVIEW. THEREAFTER THE VICE PRESIDENT OF HUMAN RESOURCES PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE VICE PRESIDENT OF HUMAN RESOURCES THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF THE OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE state OF NEW JERSEY department of THE treasury. CORE FORM, PART VII AND SCHEDULE J BONNIE ALTIERI, PH.D., WAS A TRUSTEE OF THE ORGANIZATION FROM 1/1/2013 THROUGH 1/31/2013. ON 1/7/2013 SHE BECAME THE VICE PRESIDENT OF PATIENT CARE SERVICES AND THE CHIEF NURSING OFFICER, AND THEREFORE AN OFFICER OF THE ORGANIZATION. SHE IS LISTED AS A TRUSTEE OF THE ORGANIZATION BUT, IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 INSTRUCTIONS, IS NOT INCLUDED IN THE NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY SHOWN ON FORM 990, CORE FORM, PART I, QUESTION 3. PHILIP SALERNO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 55 HOURS PER WEEK AS THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ADDITION, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS PART OF the robert wood johnson health network; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY network ("network"). THE network INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE 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 ROBERT WOOD JOHNSON HEALTH NETWORK; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PROPERTY AND EQUIPMENT - $4,172,106; - CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $3,513,021; - NET ASSETS RELEASED FROM TEMPORARILY RESTRICTIONS - ($6,657,106); AND - CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $16,248. CORE FORM, PART XII; QUESTION 2 An INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE TAXPAYER'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII, QUESTION 3A THIS ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN A-133 AUDIT. 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