2013-11-15T10:52:35-06:00 2012-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2012-01-01 221494440 SAINT BARNABAS MEDICAL CENTER % THOMAS G SCOTT CPA SAIN 9733224032 94 OLD SHORT HILLS ROAD Suite LIVINGSTON NJ 07039 richard davis 9738989494 2013-11-12 true Scott Mariani 9738989494 2012 2016-03-07 17:11:31Z BARRY H OSTROWSKY 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 671954423 false X WWW.BARNABASHEALTH.ORG X 1867 NJ THE ORGANIZATION WILL PURSUE THE DELIVERY OF PRIMARY, SECONDARY, AND TERTIARY HEALTH SERVICES WHILE CONSISTENTLY MEETING THE HIGHEST QUALITY OF CARE AND MEETING OUR CUSTOMERS EXPECATIONS & SATISFACTION. 18 16 3939 580 0 1584809 1781254 633703879 657753726 1925361 10716950 1607503 1702493 638821552 671954423 17850 0 0 0 220767277 231787845 0 0 0 356071183 356892393 576856310 588680238 61965242 83274185 812280101 889602396 398368125 384672390 413911976 504930006 X Saint Barnabas Medical Center, a non-sectarian health care institution, will pursue the delivery of primary, secondary, and tertiary health services while consistently meeting the highest quality of care and meeting our customers' expectations and satisfaction. We will serve all of our customers regardless of race, color, creed, sex, national origin, sexual orientation, financial status or mental/physical disability. We are committed to the delivery of safe, clinically appropriate care in an environment focused on improving patient safety through a pro-active approach. We are committed to the prudent management of resources, compliance with all legal and regulatory requirements and to ethical conduct and integrity in all of our interactions. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 190290117 0 166512984 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY ACUTE CARE MEDICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2012 THE ORGANIZATION TREATED 13,697 PATIENTS FOR A TOTAL OF 78,297 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 50214368 0 42776366 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SURGICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATOR MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2012 THE ORGANIZATION PERFORMED 2,853 SURGERIES RESULTING IN 11,125 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION' COMMUNITY BENEFIT STATEMENT. 46483755 0 31681838 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY CARDIOTHORACIC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2012 THE ORGANIZATION TREATED 1,240 CARDIOTHORACIC CASES FOR A TOTAL OF 9,606 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 242823972 0 416782538 529812212 true true false true false false false false false false true false true false true false false true false true true false false false false false true true false false true false false false false false false false true false false false false false true false false false true 2063 0 true 3939 true false true BD false false false false false false false false X 18 16 false false false false true true true true true false false true true true true true true true true false NJ X THOMAS G SCOTT CPA 7329238072 2 CRESCENT PLACE OCEANPORT NJ 07757 X RICHARD J KOGAN 1.0 X X 0 0 0 KATHY BRAND 1.0 X X 0 0 0 VINCENT J APRUZZESE 1.0 X 0 0 0 LAWRENCE BUCHALTER 1.0 X 0 0 0 JOHN DEGNAN 1.0 X 0 0 0 ALBERT R GAMPER JR 1.0 X 0 0 0 STUART GEFFNER MD 50.0 X 546872 0 19395 DAVID ALLEN GRAFF 1.0 X 0 0 0 JEFFREY D MARELL 1.0 X 0 0 0 JOSEPH MAURIELLO 1.0 X 0 0 0 WILLIAM B MCGUIRE 1.0 X 0 0 0 JOSEPH J MELONE 1.0 X 0 0 0 JOHN P MEYERHOLZ 1.0 X 0 0 0 RICHARD C MILLER MD 1.0 X 0 0 0 RICHARD ONEILL 1.0 X 0 0 0 ELENA SANTORO 1.0 X 0 0 0 ROBERT SCHUMAN MD 1.0 X 0 0 0 MICHAEL SEERGY 1.0 X 0 0 0 JOHN F BONAMO MD MS 55.0 X 770861 0 129291 PATRICK M AHEARN 55.0 X 458723 0 126521 SEAN B GALLAGHER TERM 3912 55.0 X 288470 0 14732 RICHARD L DAVIS EFF 121112 55.0 X 40000 0 336 LOUIS LA SALLE 55.0 X 189319 0 25185 GREGORY ROKOSZ MD 55.0 X 405451 0 31698 SARI B KAPLON 50.0 X 269566 0 35285 ERIC W CARNEY 50.0 X 225908 0 32105 ARNOLD D MANZO 50.0 X 220297 0 33171 DEBORAH MORRONE-COLELLA 50.0 X 215925 0 28290 CEU CIRNE NEVES 50.0 X 203528 0 19028 DEBRA MORGAN 50.0 X 11402 190766 36016 RONALD S CHAMBERLAIN MD 50.0 X 773399 0 19395 MICHAEL SCOPPETUOLO MD 50.0 X 720828 0 10335 RICHARD A MICHAELSON MD 50.0 X 719776 0 8569 M MICHELE BLACKWOOD MD 50.0 X 692329 0 21894 SHYAN CHU SUN MD 50.0 X 688274 0 13548 WILLIAM CUTHILL 50.0 X 0 402824 36597 MICHAEL J MCTIGUE 55.0 X 0 268892 27510 7440928 862482 668901 414 true true false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 58604193 SODEXO INCORPORATED 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 FOOD 23339928 HEALTH CARE FACILITIES MANAGEMENT I 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 MANAGEMENT 6491170 THE LEEGIS GROUP INC 2333 US HIGHWAY 22 WEST UNION NJ 070838518 CONSTRUCTION 4762727 MEDICAL CENTER STAFFING SERVICES IN 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 STAFFING 2688047 79 X 1403106 378148 1781254 NET PATIENT SERVICE REVENUE 541900 631539960 631539960 PHYSICIAN BILLINGS INCOME 621110 17376728 17376728 OTHER HEALTHCARE RELATED REVENUE 541900 8837038 8837038 657753726 10716950 10716950 0 0 559367 559367 0 559367 559367 0 0 0 0 PARKING LOT 812930 1102301 1102301 TELEPHONE 517000 40825 40825 1143126 671954423 657753726 12419443 0 0 0 0 4347943 3913150 434793 0 180451068 162405960 18045108 0 10205857 9185271 1020586 20507969 18457172 2050797 16275008 14647507 1627501 45222099 40699889 4522210 945206 850685 94521 287698 258928 28770 55464 49918 5546 0 0 5825608 5243047 582561 3076412 2768771 307641 12425965 11183369 1242596 3088426 2779583 308843 0 1818076 1636268 181808 516669 465002 51667 0 38827 34944 3883 6857711 6171940 685771 0 21580030 19422027 2158003 11397049 10257344 1139705 MEDICAL SUPPLIES 127117884 114406096 12711788 PHYSICIAN FEES & SALARIES 45204223 40683801 4520422 CONTRACTED SERVICES 25465009 22918508 2546501 DIETARY MANAGEMENT FEES 10638931 9575038 1063893 35331106 31797994 3533112 588680238 529812212 58868026 0 X 9246 9655 242543 101509 0 0 69299273 77854696 0 0 0 0 412431228 468918326 6345490 7685935 9060222 9009566 581247192 444517149 127447547 136730043 0 0 0 0 137195697 141063302 3529083 5599658 46719772 42629706 812280101 889602396 69613289 71473392 0 0 0 0 10351702 0 0 0 0 0 40511785 40247972 0 0 277891349 272951026 398368125 384672390 X 413911976 504930006 0 0 0 0 413911976 504930006 812280101 889602396 X 83274185 4371976 3371869 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false true 55464 55464 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINE 1I BARNABAS HEALTH, INC., THE PARENT ENTITY OF BARNABAS HEALTH; WHICH INCLUDES SAINT BARNABAS MEDICAL CENTER, ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $55,464 DURING 2012. false false 579837 579837 237651236 189302897 48348339 19838094 19838094 312715324 251203282 61512042 10462701 4010970 6451731 136730043 INVESTMENTS - SEI 92791712 F 1998A; LIMITED USE 0 F ACCRUED INTEREST; LIMITED USE 0 F OTHER LIMITED USE ASSETS 3538671 F OTHER INVESTMENTS -215081 F ORGANIZATION 44948000 F STATE OF ISRAEL BONDS 0 F 141063302 0 PARTY PAYORS; CURRENT 549482 OTHER LIABILITIES 30528771 PENSION EXPENSE PAYABLE 33632488 DUE TO AFFILIATES; CURRENT 33385319 PARTY PAYORS; NON-CURRENT 25320062 DUE TO AFFILIATES; NON-CURRENT 141916041 (LEASING PROGRAM) 7618863 272951026 X TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE of BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S 2007 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN JULY 2006, FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007, THE CORPORATION ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT. true Central America and the Caribbean 1 1 Investments 188528303 1 1 1 1 188528303 188528303 false false true false false false true true X true X true X true true true false true true 12684 24205379 2003251 22202128 0.03770 23913 48086930 38836338 9250592 0.01570 3531184 0 3531184 0.00600 36597 75823493 40839589 34983904 0.05940 44432 682172 0 682172 0.00120 24725359 6375226 18350133 0.03120 1030 1497676 653239 844437 0.00140 949999 715818 234181 0.00040 44319 0 44319 0.00010 45462 27899525 7744283 20155242 0.03430 82059 103723018 48583872 55139146 0.09370 false 21200419 1242421 170497058 185688419 -15191361 X true true 1 1 SAINT BARNABAS MEDICAL CENTER

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101 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039

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FREE STANDING PRIMARY CARE CENTER OUTREACH PHLEBOTOMY

200 SOUTH ORANGE AVENUE LIVINGSTON NJ 07039

PHLEBOTOMY STATION OUTREACH PATHOLOGY - NJCA

375 MOUNT PLEASANT AVENUE WEST ORANGE NJ 07052

PHLEBOTOMY STATION OUTREACH PATHOLOGY - ROSELAND

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PHLEBOTOMY STATION INFUSION CENTER - SPRINGFIELD

385 MORRIS AVENUE SPRINGFIELD NJ 07081

INFUSION CENTER CONSULTANTS IN CARDIOLOGY - CARDIAC IMAG

741 NORTHFIELD AVENUE WEST ORANGE NJ 07052

CARDIAC IMAGING NJ CARDIOLOGY ASSOC - CARDIAC IMAGING

375 MOUNT PLEASANT AVENUE WEST ORANGE NJ 07052

CARDIAC IMAGING ELIGIBILITY FOR DISCOUNTED CARE SCHEDULE H, PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2012 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THE FACILITY IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH A WIDE ARRAY OF ACTIVITIES AND SERVICES, INCLUDING, BUT NOT LIMITED, TO: - SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, - VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, - PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE CAUSES AND TREATMENT OF HEALTH CONCERNS, - THE PROVISION OF EDUCATIONAL MATERIALS AND SPONSORING HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS [PRESENTATIONS ARE OFTEN PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS], - PARTICIPATION IN COMMUNITY HEALTH FAIRS, - SERVING ON THE BOARDS OF MANY LOCAL NOT FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION), AND - PROFESSIONAL EDUCATION PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE BARNABAS HEALTH. BAD DEBT EXPENSE AND HFMA STATEMENT #15 SCHEDULE H, PART III, SECTION A; QUESTION 1 HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 ("STATEMENT 15") PROVIDES GUIDELINES FOR DISTINGUISHING CHARITY CARE FROM BAD DEBT EXPENSE. STATEMENT 15 REQUIRES THAT CHARITY CARE IS NOT RECOGNIZED AS RECEIVABLE OR REVENUE IN THE FINANCIAL STATEMENTS. STATEMENT 15 FURTHER EXPLAINS THAT SELF-PAY PATIENTS THAT DO HAVE A REASONABLE LIKELIHOOD OF PAYMENT SHOULD BE REPORTED AS CHARITY CARE AND NOT BAD DEBT EXPENSE. THE HOSPITAL GENERALLY FOLLOWS THE GUIDELINES OUTLINED IN STATEMENT 15. IN ADDITION, THE HOSPITAL FOLLOWS THE STATE OF NEW JERSEY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. IN CERTAIN INSTANCES, IT IS UNLIKELY THAT UNINSURED PATIENTS WILL PAY FOR THE SERVICES RENDERED, BUT THEY DO NOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM BECAUSE OF LACK OF PATIENT COOPERATION OR OTHER REASONS. THE HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS AND UNPAID BALANCES ARE REPORTED AS BAD DEBT EXPENSE. UNDER STATEMENT 15, THESE AMOUNTS WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT EXPENSE AND THIS IS THE RATIONALE FOR OUR RESPONSE: "NO". BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. BARNABAS HEALTH AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. BH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE SAINT BARNABAS CORPORATION. PATIENT ACCOUNTS RECEIVABLE THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. MANAGEMENT REGULARLY REVIEWS ACCOUNTS AND CONTRACTS AND PROVIDES APPROPRIATE CONTRACTUAL ALLOWANCES AND DISCOUNTS THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. PATIENT ACCOUNTS RECEIVABLE ARE FURTHER REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE CORPORATION ANALYZES ITS PAST COLLECTION HISTORY AND IDENTIFIES TRENDS BY EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE IN EVALUATING THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE CORPORATION ANALYZES CONTRACTUAL AMOUNTS DUE FROM PATIENTS WHO HAVE THIRD-PARTY COVERAGE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAS BEEN EXHAUSTED. CHARITY CARE THE CORPORATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SINCE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS PATIENT SERVICE REVENUE. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, BARNABAS HEALTH'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEARS ENDED DECEMBER 31 IS AS FOLLOWS: 2012 2011 -------- ------- (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET COST OF CHARITY CARE PROVIDED $110,212 $91,800 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $43,476 $51,390 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 2,754 $ 2,296 - EDUCATION AND RESEARCH $48,390 $40,017 - SUBSIDIZED DEPARTMENTS $ 4,165 $ 2,710 - OTHER COMMUNITY BENEFIT $ 2,986 $ 1,968 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED, AS WELL AS A HOSPITAL RELIEF FUND, WHICH IS INTENDED TO PRIMARILY OFFSET THE COST OF SERVICES PROVIDED FOR CERTAIN DIAGNOSIS, INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE, MATERNITY AND COMPLEX NEONATAL CASES, TUBERCULOSIS, AND AIDS. THESE FUNDS ARE DISTRIBUTED TO THE CORPORATION'S HOSPITALS BASED ON THEIR LEVEL OF CHARITY CARE AND UNITS OF SERVICE IN RELATION TO ALL OTHER NEW JERSEY HOSPITALS. FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, BARNABAS HEALTH'S HOSPITALS RECEIVED DISTRIBUTIONS FROM BOTH FUNDS TOTALING $90,773 AND $90,476, RESPECTIVELY. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2012 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPE COLLECTION POLICY SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF BARNABAS HEALTH ("BH") BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-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 $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V,SECTION B, Q'S 10,11,12H,14G,16E,17E,18E,19C,19D,21&22 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 20D THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 BARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR SAINT BARNABAS MEDICAL CENTER ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (CARDIOLOGY, OBSTETRICS, GYNECOLOGY, UROLOGY, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES FOR INPATIENT AND OUTPATIENT SERVICES; ASSESSMENT OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; COMMUNITY HEALTH STATUS DATA AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST OF NEW JERSEY, KIDS COUNT, COUNTY HEALTH RANKINGS, SEER CANCER INCIDENCE AND MORTALITY, TO NAME A FEW). SAINT BARNABAS MEDICAL CENTER CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED (BY PRIMARY CARE AND PHYSICIAN 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 AND ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. SAINT BARNABAS MEDICAL CENTER ALSO PARTICIPATES AND WORKS WITH LOCAL ORGANIZATION ON HEALTH ISSUES, DISCUSSING AND PRIORITIZING NEEDS. THIS INCLUDES A QUARTERLY REGIONAL COMMUNITY ADVISORY BOARD FOR THE GREATER NEWARK AREA HOSTED BY BARNABAS HEALTH WITH REPRESENTATIVES FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY LEADERS. ANOTHER COLLABORATIVE ORGANIZATION IS THE GREATER NEWARK HEALTH CARE COALITION, WHICH INCLUDES EXECUTIVE LEADERSHIP OF HOSPITALS AND HEALTH ORGANIZATIONS IN THE GREATER NEWARK AREA. THIS COALITION MEETS MONTHLY WITH THE MISSION TO REDUCE HEALTH DISPARITIES AND TO IMPROVE HEALTH. SAINT BARNABAS MEDICAL CENTER ALSO WORKS WITH ESSEX COUNTY HEALTH DEPARTMENT TO PLAN AND IMPLEMENT A LOCAL NEEDS ASSESSMENT/HEALTH STATUS APPROXIMATELY EVERY FIVE YEARS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNAGE IS POSTED IN ALL PATIENT REGISTRATION AREAS IN ENGLISH AND SPANISH. CHARITY CARE NOTICE OF FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH THEIR GENERAL CONSENT. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR IF THEY REQUIRE ASSISTANCE. LETTERS ARE MAILED TO SELF-PAY PATIENTS ADVISING THEM OF FINANCIAL ASSISTANCE PROGRAMS. COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 SAINT BARNABAS MEDICAL CENTER IS LOCATED IN THE TOWN OF LIVINGSTON, WITHIN ESSEX COUNTY, NEW JERSEY. WITHIN THE STATE, ESSEX COUNTY IS THE SECOND MOST DENSELY POPULATED AND THE THIRD-MOST POPULOUS COUNTY; AND IS ONE OF ONLY TWO COUNTIES TO EXPERIENCE A DECLINE IN POPULATION DURING THE DECADE. THERE ARE 22 MUNICIPALITIES IN ESSEX COUNTY WITH THE WESTERN PARTS ENCOMPASSING MORE AFFLUENT AND SUBURBAN POPULATIONS, WHILE THE EASTERN REGION OF THE COUNTY CONTAINS MORE URBANIZED, IMPOVERISHED INNER CITY COMMUNITIES (FOUR DESIGNATED URBAN ENTERPRISE ZONES - NEWARK, EAST ORANGE, ORANGE AND IRVINGTON). NEWARK IS RANKED AS ONE OF THE POOREST PLACES IN THE COUNTY AND IS LOCATED LESS THAN TEN MILES FROM ESSEX FELLS WHICH HAS ONE OF THE HIGHEST PER CAPITA INCOMES IN THE STATE. LIVINGSTON, SOUTH ORANGE AND SHORT HILLS HAVE SOME OF THE HIGHEST PERCENTAGE OF JEWISH POPULATIONS FOR MUNICIPALITIES IN THE U.S., AND BELLEVILLE AND BLOOMFIELD MAINTAIN A STRONG ITALIAN-AMERICAN POPULATION. SAINT BARNABAS MEDICAL CENTER IS COMMITTED TO SERVICE FOR ITS COMMUNITIES BOTH WITHIN THE INNER CITY AND THE SUBURBAN AREAS, WITH AWARENESS TO THE GROWING ASIAN AND HISPANIC POPULATIONS, AS WELL AS COMMUNITIES OF COLOR WITHIN ITS SERVICE AREA. MINORITIES REPRESENT APPROXIMATELY 46% OF SAINT BARNABAS MEDICAL CENTER'S INPATIENTS AND ABOUT 30% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. MEDICARE REPRESENTS AN ADDITIONAL 26% OF PATIENTS. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY SAINT BARNABAS MEDICAL CENTER 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. SAINT BARNABAS MEDICAL CENTER PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. THE MAJORITY OF THE BOARD OF TRUSTEES' MEMBERS ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHO RESIDE IN THE COMMUNITY. HOSPITAL STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS OR PROVIDE OTHER FORMS OF SUPPORT SUCH AS FUNDRAISING, ACTIVITY PARTICIPATION AND PROMOTION OF THE CHARITABLE EVENTS AND MISSION. ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES. DIVERSITY IS WELCOMED AND ENCOURAGED FOR RECRUITMENT OF TRUSTEES, PHYSICIANS AND STAFF. UNDER THE DIRECTIVE OF THE SYSTEM'S FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES, TO PURCHASE EQUIPMENT, OR TO ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. ALL OF THESE PURPOSES FOR EXPENDITURE OF SURPLUS FUNDS, IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND PROVIDES A SUMMARY OF ENTITIES COMPRISING BARNABAS HEALTH. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 SBMC IS AN AFFILIATE OF BARNABAS HEALTH ("BH"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. BH STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS BY EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. BH SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED FOR PART I, PART II, AND PART III ARE REFLECTIVE OF THAT POLICY. SBMC'S SOLE CORPORATE MEMBER IS BARNABAS HEALTH, INC. ("BH"), A TAX-EXEMPT NEW JERSEY NON-PROFIT PARENT CORPORATION WHICH CONTROLS A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTING OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE INTEGRATED SYSTEM OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER BH OR ANOTHER BH AFFILIATE CONTROLLED OR OWNED BY BH. BARNABAS HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF THE LARGEST TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY, BARNABAS HEALTH, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE AND PREVENTION SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. BARNABAS HEALTH, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE BARNABAS HEALTH. ACTIVE HOSPITALS INCLUDE CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, KIMBALL MEDICAL CENTER, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH ACUTE CARE HOSPITAL OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF BARNABAS HEALTH, INC. (BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY); AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE BARNABAS HEALTH ENTITIES ARE AS FOLLOWS: CLARA MAASS MEDICAL CENTER ("CMMC") IS A 469-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 592-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. KIMBALL MEDICAL CENTER, INC. ("KMC") IS A 330-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, KMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, KMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MONMOUTH MEDICAL CENTER ("MMC") IS A 513-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 665-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., D/B/A BARNABAS HEALTH BEHAVIORAL HEALTH CENTER, IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. BARNABAS HEALTH BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS, SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF BARNABAS HEALTH, INC. AND THE BARNABAS HEALTH SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR BARNABAS HEALTH AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTER STATE PROPERTIES, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6 CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC., IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT ALSO PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS PROPERTIES, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HARVEY E. NUSSBAUM, MD RESEARCH INSTITUTE OF SAINT BARNABAS 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. THE ORGANIZATION ACTS AS A MEDICAL RESEARCH ORGANIZATION OPERATED IN CONJUNCTION WITH SAINT BARNABAS MEDICAL CENTER, A HOSPITAL DESCRIBED IN INTERNAL REVENUE CODE 170 (B)(L)(A)(III) AND RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION CONDUCTS RESEARCH IN FURTHERANCE OF SAINT BARNABAS MEDICAL CENTER'S MEDICAL EDUCATION AND TEACHING PROGRAM AND CHARITABLE PURPOSES, PROGRAMS AND SERVICES. PERIODICALLY, THE ORGANIZATION WILL ASSIST AND/OR SUPPORT FINANCIALLY SAINT BARNABAS MEDICAL CENTER IN MEDICAL RESEARCH AND DEVELOPMENT ACTIVITIES. KIMBALL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF KIMBALL MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX- EXEMPT ORGANIZATION, AND SUPPORTS THE BARNABAS HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF BARNABAS HEALTH, INC., AND WILL PROVIDE HOME HEALTH AGENCY SERVICES IN SUPPORT OF BARNABAS HEALTH, INC. AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS. MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6 BARNABAS HEALTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF THE BARNABAS HEALTH TEACHING HOSPITALS AND IS AN INTEGRAL PART OF THESE INSTITUTIONS. SAINT BARNABAS DEVELOPMENT FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF BARNABAS HEALTH. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY. OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS, CORP. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS PALLIATIVE CARE PHYSICIANS, P.A. 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 WAS FORMED TO SUPPORT SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. ("HOSPICE"), A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, BY ENGAGING IN PATIENT CARE EDUCATION, RESEARCH AT HOSPICE, PROVIDING ADMINISTRATIVE SERVICES FOR HOSPICE, PROVIDING CLINICAL SERVICES FOR THE PATIENTS OF HOSPICE AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY THE ORGANIZATION CONSTITUTES A MAJORITY OF THE ADMINISTRATIVE AND CLINICAL SERVICES PHYSICIAN PRACTICE PLANS OF HOSPICE AND IS AN INTEGRAL PART OF HOSPICE'S MEMBERSHIP WITHIN THE BARNABAS HEALTH SYSTEM. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE BARNABAS HEALTH SYSTEM. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS BURN UNIT AT SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NJ HEALTH CARE INNOVATION CENTER, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C )(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF NEWARK BETH ISRAEL MEDICAL CENTER, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE SYSTEM ALSO CONSISTS OF VARIOUS ENTITIES THAT ARE RECOGNIZED AS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS BUT ARE CURRENTLY INACTIVE. THESE ENTITIES INCLUDE THE FOLLOWING: - COUNTRY MANOR AT DOVER - IRVINGTON GENERAL HOSPITAL, INC. - IRVINGTON HOSPITAL FOUNDATION, INC. - KENSINGTON MANOR CARE CENTER - MMC AMBULATORY SURGERY CENTER, INC. - NBI HEALTH PARTNERS, P.A. - SAINT BARNABAS ASSISTED LIVING AT LAKEWOOD - UNION HOSPITAL AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6 FOR PROFIT BARNABAS HEALTH ENTITIES INCLUDE THE FOLLOWING: CENTER STATE COLLECTION SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CENTER STATE HEALTH SERVICES CORPOARTION. THE ENTITY PROVIDES COLLECTION SERVICES FOR BOTH BARNABAS HEALTH ENTITIES AND NON-BARNABAS HEALTH ENTITIES. CENTER STATE HEALTH SERVICES CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC HOLDING COMPANY, INC. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION DERIVES RENTAL INCOME AND RECEIVES FORMS K-1 INCOME FROM MEDICAL SERVICES RELATED INVESTMENT PARTNERSHIPS. CENTER STATE MANAGEMENT CORPORATION IS A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS CSHS THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY PROVIDES ADVERTISING SERVICES FOR BOTH BH ENTITIES AND NON-SBHCS ENTITIES AND PROVIDES MANAGEMENT SERVICES TO PHYSICIAN GROUPS. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD, A CONTROLLED FOREIGN CORPORATION OF SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. COMMUNITY KARE, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CENTER STATE HEALTH SERVICES CORP. THE ORGANIZATION IS LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION IS A HOME HEALTH AGENCY THAT PROVIDES NURSES AND NURSES AIDES TO THE HOMES OF INDIVIDUALS THAT REQUIRE ASSISTANCE. HEALTH CARE FACILITIES MANAGEMENT, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC MANAGEMENT CORPORATION (THE SOLE STOCKHOLDER OF WHICH IS SBC). THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO BH ENTITIES. INNOVATIVE PURCHASING CONCEPTS, L.L.C. IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY THE BARNABAS HEALTH SYSTEM HOSPITALS THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. KIMBALL HEALTH CARE AFFILIATES, INC. IS A FOR PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CENTER STATE HEALTH SERVICES CORP. THIS ENTITY IS A PARTNER IN KIM-MED ASSOCIATES AND RECEIVES A FORM K-1 ANNUALLY FROM THE PARTNERSHIP. KIM-MED ASSOCIATES IS A PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC AND KIMBALL HEALTH CARE AFFILIATES, INC. ARE THE PARTNERS IN THIS PARTNERSHIP. LIVINGSTON INFUSION CARE, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC HOLDING COMPANY, INC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES TECHNOLOGY SERVICES TO BH ENTITIES AND UNRELATED ENTITIES. IT OPERATES A "LIFELINE BEEPER" PROGRAM FOR ELDERLY INDIVIDUALS, OPERATES A PHYSICAL THERAPY PROGRAM AND CONDUCTS MEDICALLY RELATED LECTURES. LSC HOLDING COMPANY, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THIS ENTITY IS THE SOLE OWNER OF ALL THE OUTSTANDING COMMON STOCK OF LIVINGSTON SERVICES CORPORATION, CENTER STATE HEALTH SERVICES, CORP. AND SBC MANAGEMENT CORPORATION. LSC PHARMACY SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES A PHARMACY FOR BH ENTITIES. MAJOR SECURITY SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO BH ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. MEDICAL CENTER HEALTH CARE SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES AN AGENCY FOR TEMPORARY STAFFING SERVICES, SUCH AS NURSES AND ADMINISTRATION PRIMARILY TO BH ENTITIES AND OTHERS. NEW JERSEY HEALTH CARE SYSTEM, INC. IS AN INACTIVE FOR-PROFIT CORPORATION. PREMIUM HEALTH SYSTEMS, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A MRI MACHINE AND THE RECEIPT OF RENTAL INCOME. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP, IS A VERMONT BASED INSURANCE COMPANY. SAINT BARNABAS PHYSICIAN ASSOCIATES, P.A. IS A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION IS LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SBC MANAGEMENT CORPORATION IS A FOR-PROFIT ENTITY, WHOSE SOLE SHAREHOLDER IS LSC HOLDING COMPANY, INC. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO BH. IS A VERMONT BASED INSURANCE COMPANY. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. FACILITY REPORTING GROUP(S) SCH H,PT V,SCT B, Q 1J,3,4,5C,6I,7,10,11,12H,14G,16E,17E,18E,19C,20D,21&22 NOT APPLICABLE. X X X X true true X X X X X false true false false false false false true false STUART GEFFNER MD 419921 0 126041 0 910 0 0 0 19395 0 566267 0 0 0 JOHN F BONAMO MD MS 548899 0 191198 0 30764 0 111583 0 17708 0 900152 0 0 0 PATRICK M AHEARN 376897 0 79130 0 2696 0 101104 0 25417 0 585244 0 0 0 SEAN B GALLAGHER TERM 3912 75228 0 0 0 213242 0 1864 0 12868 0 303202 0 0 0 LOUIS LA SALLE 161586 0 7500 0 20233 0 12045 0 13140 0 214504 0 0 0 GREGORY ROKOSZ MD 372520 0 18475 0 14456 0 10080 0 21618 0 437149 0 0 0 SARI B KAPLON 251997 0 11939 0 5630 0 13717 0 21568 0 304851 0 0 0 ERIC W CARNEY 205742 0 19431 0 735 0 8890 0 23215 0 258013 0 0 0 ARNOLD D MANZO 185917 0 12052 0 22328 0 14861 0 18310 0 253468 0 0 0 DEBORAH MORRONE-COLELLA 208330 0 4505 0 3090 0 8316 0 19974 0 244215 0 0 0 CEU CIRNE NEVES 187911 0 14536 0 1081 0 7983 0 11045 0 222556 0 0 0 DEBRA MORGAN 10115 183137 1000 6881 287 748 6299 11666 277 17774 17978 220206 0 0 RONALD S CHAMBERLAIN MD 613843 0 158746 0 810 0 0 0 19395 0 792794 0 0 0 MICHAEL SCOPPETUOLO MD 717213 0 0 0 3615 0 7500 0 2835 0 731163 0 0 0 RICHARD A MICHAELSON MD 715847 0 0 0 3929 0 0 0 8569 0 728345 0 0 0 M MICHELE BLACKWOOD MD 575422 0 98748 0 18159 0 0 0 21894 0 714223 0 0 0 SHYAN CHU SUN MD 378921 0 290000 0 19353 0 0 0 13548 0 701822 0 0 0 WILLIAM CUTHILL 0 294846 0 90000 0 17978 0 17564 0 19033 0 439421 0 0 MICHAEL J MCTIGUE 0 222166 0 30600 0 16126 0 7500 0 20010 0 296402 0 0 COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION'S FORMER CHIEF FINANCIAL OFFICER, SEAN B. GALLAGHER, RELOCATED TO THE STATE OF NEW JERSEY FOR SAINT BARNABAS MEDICAL CENTER WORK PURPOSES. IN ORDER TO FACILITATE THE RELOCATION OF HIS PRIMARY RESIDENCE, THE ORGANIZATION PROVIDED HIM WITH A HOUSING ALLOWANCE IN THE AMOUNT OF $7,615 WHICH WAS INCLUDED IN HIS 2012 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. MR. GALLAGHER'S 2012 FORM W-2, BOX 5, TAXABLE MEDICARE WAGES ALSO INCLUDES A GROSS UP FOR TAXES IN THE AMOUNT OF $182. THE ORGANIZATION'S CURRENT CHIEF FINANCIAL OFFICER, RICHARD L. DAVIS, RELOCATED TO THE STATE OF NEW JERSEY FOR SAINT BARNABAS MEDICAL CENTER WORK PURPOSES. IN ORDER TO FACILITATE THE RELOCATION OF HIS PRIMARY RESIDENCE, THE ORGANIZATION PROVIDED HIM WITH A HOUSING ALLOWANCE IN THE AMOUNT OF $1,154 WHICH WAS INCLUDED IN HIS 2012 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. THE ORGANIZATION PAID FOR A MEMBERSHIP IN A SOCIAL/SUPPER CLUB FOR THE USE OF JOHN F. BONAMO, M.D., M.S., EXECUTIVE DIRECTOR OF THE ORGANIZATION. UTILIZATION OF THIS MEMBERSHIP WAS PRIMARILY FOR THE BENEFIT OF SAINT BARNABAS MEDICAL CENTER. STUART GEFFNER, M.D., A TRUSTEE AND PRESIDENT OF THE ORGANIZATION'S MEDICAL STAFF, TRAVELED FIRST CLASS ON AN INTERNATIONAL BUSINESS TRIP FOR SAINT BARNABAS MEDICAL CENTER WORK PURPOSES. THE EXCESS COST OVER STANDARD TRAVEL WAS APPROXIMATELY $2,316; NONE OF WHICH WAS INCLUDED IN HIS 2012 FORM W-2 AS TAXABLE WAGES. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4A SEAN B. GALLAGHER, CHIEF FINANCIAL OFFICER OF THE ORGANIZATION RECEIVED A SEVERANCE PAYMENT DURING 2012. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: SEAN B. GALLAGHER, $180,000. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN F. BONAMO, $101,583 AND PATRICK M. AHEARN, $91,104. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 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. NEW JERSEY PERINATAL ASSOCIATES LLC COMPANY - TRUSTEE 527200 MEDICAL SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV RICHARD C. MILLER, M.D., IS A TRUSTEE OF THE ORGANIZATION. SAINT BARNABAS MEDICAL CENTER AND ITS AFFILIATES UTILIZED THE SERVICES OF A COMPANY IN WHICH HE IS AN OWNER OR OFFICER, NEW JERSEY PERINATAL ASSOCIATES, LLC DURING 2012. TOTAL FEES PAID TO THIS ORGANIZATION AND ITS AFFILIATES TO NEW JERSEY PERINATAL ASSOCIATES, LLC AMOUNTED TO $527,200. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. COMMUNITY BENEFIT STATEMENT CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== FOUNDED IN 1865, SAINT BARNABAS MEDICAL CENTER IS NEW JERSEY'S OLDEST NONPROFIT, NONSECTARIAN HOSPITAL. SAINT BARNABAS BLENDS THE ESSENTIAL ELEMENTS OF COMMUNITY SERVICE WITH ADVANCED MEDICAL AND SURGICAL SPECIALTIES TO CARE FOR PATIENTS THROUGHOUT THE STATE. SAINT BARNABAS MEDICAL CENTER IS SITUATED IN THE COUNTY OF ESSEX, WITHIN THE TOWN OF LIVINGSTON, WHICH WAS RECENTLY RANKED 96TH IN NJ MONTHLY, "TOP 100 PLACES TO LIVE IN THE STATE". ESSEX COUNTY IS THE SECOND MOST DENSELY POPULATED COUNTY IN THE STATE AND HAS THE THIRD LARGEST TOTAL POPULATION IN THE STATE CONTAINING 21 COUNTIES. ESSEX, THE FINANCIAL AND INDUSTRIAL HUB OF THE STATE, CONSISTS OF URBAN AND SUBURBAN COMMUNITIES SERVICED BY SBMC, THE SECOND LARGEST HOSPITAL IN THE COUNTY. SAINT BARNABAS MEDICAL CENTER ("SBMC") IS A MAJOR TEACHING HOSPITAL. SBMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. SBMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. SBMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF SBMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF BARNABAS HEALTH, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF SBMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF SBMC IS FOR THE BENEFIT OF THE PUBLIC, AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. SBMC'S SOLE CORPORATE MEMBER IS BARNABAS HEALTH, INC. ("BH"), A TAX-EXEMPT NEW JERSEY NON-PROFIT PARENT CORPORATION WHICH CONTROLS A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTING OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THIS INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER BH OR ANOTHER BH AFFILIATE CONTROLLED OR OWNED BY BH. SBMC, LIKE ITS CORPORATE PARENT IS A NOT-FOR-PROFIT ORGANIZATION. BH IS THE LARGEST MULTI-HOSPITAL SYSTEM IN NEW JERSEY AND PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. BH CONSISTS OF FREE-STANDING ACUTE CARE HOSPITALS, A FREE-STANDING PSYCHIATRIC HOSPITAL, MEDICARE-CERTIFIED HOME HEALTHCARE AND HOSPICE PROGRAMS, MULTI-SPECIALTY AMBULATORY CARE FACILITIES, PRIMARY CARE CENTERS, OUTPATIENT BEHAVIORAL HEALTH CENTERS, AND OTHER ENTITIES. BH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, BH PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. HOSPITAL STATISTICAL INFORMATION ================================ THE 597-BED INSTITUTION CARES FOR OVER 33,000 INPATIENTS AND OVER 86,000 EMERGENCY DEPARTMENT PATIENTS EACH YEAR. THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY DELIVERS NEARLY 6,000 BABIES ANNUALLY. IN ADDITION, THE MEDICAL CENTER AND THE BARNABAS HEALTH AMBULATORY CARE CENTER PROVIDE TREATMENT AND SERVICES FOR OVER 270,000 OUTPATIENTS ANNUALLY. ABOUT 46% OF THE HOSPITAL'S INPATIENTS ARE OF MINORITY RACE/ETHNICITY AND APPROXIMATELY 29% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. THE SBMC MEDICAL STAFF IS COMPRISED OF MORE THAN 1,500 PHYSICIANS IN 92 MEDICAL AND SURGICAL SPECIALTIES AND ALL BRANCHES OF DENTISTRY AND THERE ARE OVER 3,500 EMPLOYEES (OR 2,764.69 FTES). AS A TEACHING INSTITUTION, SBMC TRAINS APPROXIMATELY 160 RESIDENTS AND FELLOWS EACH YEAR THROUGH NINE APPROVED RESIDENCY PROGRAMS. THE MEDICAL CENTER IS HOME TO A NATIONALLY RECOGNIZED BURN CENTER, THE ONLY CERTIFIED BURN TREATMENT FACILITY IN THE STATE; THE BARNABAS HEALTH RENAL AND PANCREAS TRANSPLANT DIVISION, WHICH WHEN COMBINED WITH ITS AFFILIATE, NEWARK BETH ISRAEL MEDICAL CENTER, HAS ONE OF THE HIGHEST KIDNEY TRANSPLANT VOLUME IN THE NATION; BARNABAS HEALTH HEART CENTERS, A WORLD-CLASS CARDIAC SURGERY PROGRAM IN AFFILIATION WITH ITS AFFILIATE, NEWARK BETH ISRAEL MEDICAL CENTER; THE REGIONAL PERINATAL CENTER, PROVIDING CARE FOR HIGH-RISK AND CRITICALLY ILL INFANTS IN NEW JERSEY'S WITH A 56-BED NEONATAL INTENSIVE AND INTERMEDIATE CARE UNIT; A STATE DESIGNATED COMPREHENSIVE STROKE CENTER, A CMS "CENTER OF EXCELLENCE" FOR BARIATRIC SURGERY, COMPREHENSIVE PEDIATRIC SPECIALTY AND SUB-SPECIALTY SERVICES; AND, THE COMPREHENSIVE CANCER CENTER WHICH HAS ONE OF THE LARGEST RADIATION ONCOLOGY PROGRAMS IN NORTHERN NEW JERSEY. THE STAFF OF DEDICATED PHYSICIANS, NURSES AND HEALTHCARE PROFESSIONALS IS COMMITTED TO PROVIDING THE HIGHEST QUALITY OF PATIENT CARE AND HEALTH EDUCATION TO THE COMMUNITY AND TO THE REGION. MISSION STATEMENT ================= SAINT BARNABAS MEDICAL CENTER, A NON-SECTARIAN HEALTHCARE INSTITUTION, WILL PURSUE THE DELIVERY OF PRIMARY, SECONDARY, AND TERTIARY HEALTH SERVICES WHILE CONSISTENTLY MEETING THE HIGHEST QUALITY OF CARE AND MEETING OUR CUSTOMERS' EXPECTATIONS AND SATISFACTION. SBMC SERVES ALL OF ITS CUSTOMERS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION, FINANCIAL STATUS OR MENTAL/PHYSICAL DISABILITY AND IS COMMITTED TO THE DELIVERY OF SAFE, CLINICALLY APPROPRIATE CARE IN AN ENVIRONMENT FOCUSED ON IMPROVING PATIENT SAFETY THROUGH A PRO-ACTIVE APPROACH. SAINT BARNABAS MEDICAL CENTER IS COMMITTED TO THE PRUDENT MANAGEMENT OF RESOURCES, COMPLIANCE WITH ALL LEGAL AND REGULATORY REQUIREMENTS, TO ETHICAL CONDUCT AND INTEGRITY IN ALL OF OUR INTERACTIONS. ACCOMPLISHMENTS/MILESTONES/RECOGNITIONS/AWARDS ============================================== SAINT BARNABAS MEDICAL CENTER HAS EARNED MANY CERTIFICATIONS AND ACCREDITATIONS AND HAS BEEN THE RECIPIENT OF NUMEROUS AWARDS AND HONORS INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - AS A BEST REGIONAL HOSPITAL IN THE U.S. NEWS AND WORLD REPORTS FOR 2010-2011. THE MEDICAL CENTER WAS RECOGNIZED FOR THE AREAS OF CANCER, DIABETES & ENDOCRINOLOGY, GERIATRICS, GYNECOLOGY, KIDNEY DISORDERS, NEUROLOGY & NEUROSURGERY, EAR, NOSE & THROAT AND UROLOGY. - SAINT BARNABAS MEDICAL CENTER WAS HONORED WITH AN "A" HOSPITAL SAFETY SCORESM BY THE LEAPFROG GROUP, AN INDEPENDENT NATIONAL NONPROFIT RUN BY EMPLOYERS AND OTHER LARGE PURCHASERS OF HEALTH BENEFITS. - THE BREAST CENTER RECEIVED NATIONAL ACCREDITATION BY NAPBC, NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS BY THE AMERICAN COLLEGE OF SURGEONS IN 2010. - AN EXCELLENCE IN QUALITY IMPROVEMENT AWARD FROM THE NEW JERSEY HOSPITAL ASSOCIATION IN 2011 FOR ESTABLISHING A FAMILY ADVISORY COUNCIL TO IMPROVE PATIENT AND FAMILY EXPERIENCES IN THE NEONATAL INTENSIVE CARE UNIT. - THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) AND THE INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA) AWARD FOR PROMOTING AND SUPPORTING BREASTFEEDING. - THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) CERTIFICATION OF THE CANCER CENTER AT SAINT BARNABAS MEDICAL CENTER, THE FIRST OF ONLY THREE IN NEW JERSEY. - THE SOCIETY OF THORACIC SURGEONS HAS GIVEN IT A 3 STAR RATING WHICH IS THE TOP 15% OF HOSPITALS FOR CARDIAC SURGERY. - THE JOINT COMMISSION DISEASE-SPECIFIC CERTIFICATION FOR ITS STROKE CARE, ACUTE CORONARY SYNDROME (ACS), HEART FAILURE, TOTAL HIP REPLACEMENT AND TOTAL KNEE REPLACEMENT SERVICES. - THE CANCER CENTERS OF SAINT BARNABAS MEDICAL CENTER RECEIVED A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACOS) - AN OPTUMHEALTH, COMPLEX MEDICAL CONDITIONS, "CENTERS OF EXCELLENCE" FOR KIDNEY TRANSPLANT. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - CASTLE CONNOLLY RANKED SAINT BARNABAS AS A TOP HOSPITAL IN NEW JERSEY IN 2012, FIRST FOR HOSPITALS WITH MORE THAN 350 BEDS FOR THE TREATMENT OF BREAST CANCER, PROSTATE CANCER AND HIGH RISK PREGNANCIES AND SECOND OVERALL AND FOR TREATMENT OF PEDIATRIC CANCERS, CORONARY SURGERY, HIP AND KNEE REPAIR, HEART FAILURE, TREATMENT OF STROKES AND NEUROLOGICAL DISORDERS. - DESIGNATED LEVEL 4 SPECIALIZED EPILEPSY CENTER BY THE NATIONAL ASSOCIATION OF EPILEPSY CENTERS (NAEC) FOR THE ADULT AND PEDIATRIC COMPREHENSIVE EPILEPSY CENTERS WHICH RECOGNIZES CENTERS PROVIDING THE MOST COMPLEX INTENSIVE NEURO-DIAGNOSTIC MONITORING AND TREATMENT OF EPILEPSY. CENTERS OF EXCELLENCE ===================== 1. THE CANCER CENTER THE CANCER CENTER OF SBMC, INTEGRATES MANY OF SBMC EXISTING CANCER SERVICES INTO A COMPREHENSIVE OUTPATIENT CANCER FACILITY. THE CENTER PROVIDES THE HIGHEST QUALITY CANCER CARE, AS WELL AS SUPPORT SERVICES AND EDUCATIONAL PROGRAMS FOR PATIENTS AND THEIR FAMILY MEMBERS. "CENTERS OF EXCELLENCE" INCLUDE GYNECOLOGICAL CANCER AND PELVIC SURGERY CENTER, VALERIE FUND CHILDREN'S CENTER FOR CANCER AND BLOOD DISORDERS, GASTROINTESTINAL CANCER CENTER, THE LUNG CANCER INSTITUTE AND REGIONAL BREAST CENTER. AMONG THE SERVICES OFFERED ARE: - A DEDICATED ONCOLOGY NURSE NAVIGATOR PROVIDES SUPPORT AND HELPS ONCOLOGY PATIENTS "NAVIGATE" THE MEDICAL SYSTEM. WORKING WITH THE PATIENT AND HIS OR HER FAMILIES, THE ONCOLOGY NURSE NAVIGATOR COORDINATES THE CARE OF THE CANCER PATIENT AND FACILITATES NECESSARY APPOINTMENTS. SHE SERVES AS A RESOURCE TO THE INDIVIDUAL AND HIS OR HER PHYSICIAN THROUGHOUT TREATMENT. - PSYCHOLOGICAL AND PSYCHOSOCIAL SUPPORT SERVICES ARE AVAILABLE OFFERING INDIVIDUAL COUNSELING, SUPPORT GROUPS, ART THERAPY FOR CHILDREN OF CANCER PATIENTS, WORKSHOPS ON COPING WITH CANCER, FINANCIAL COUNSELING AND NUTRITIONAL GUIDANCE. - CANCER GENETICS COUNSELING SERVICES. - INTEGRATIVE AND COMPLEMENTARY MEDICINE SERVICES. - A STATE-OF-THE-ART OUTPATIENT CHEMOTHERAPY TREATMENT FACILITY WITH PRIVATE TREATMENT ROOMS, A SATELLITE PHARMACY AND PRIVATE CONSULTATION ROOMS. - THE CANCER CENTERS OF SAINT BARNABAS MEDICAL CENTER RECENTLY BEGAN OFFERING A NEW DATABASE SERVICE CALLED CANCERHELP. UNLIKE THE INTERNET, WHERE IT IS OFTEN DIFFICULT FOR A PERSON TO DETERMINE WHICH INFORMATION IS USABLE AND CREDIBLE, CANCERHELP IS DESIGNED TO PROVIDE PATIENTS AND THEIR FAMILIES WITH ACCURATE INFORMATION. TO ENSURE VALIDITY, CANCERHELP CONTAINS A WEALTH OF INFORMATION FROM RELIABLE SOURCES SUCH AS THE NATIONAL CANCER INSTITUTE AND MICROMEDEX, A LEADER IN PROVIDING PATIENT MEDICATION INFORMATION. TO KEEP CANCERHELP CURRENT, THE INFORMATION IS UPDATED MONTHLY. THE VALERIE FUND CHILDREN'S CENTER FOR CANCER AND BLOOD DISORDERS, PROVIDES COMPREHENSIVE, COMPASSIONATE STATE-OF-THE-ART DIAGNOSTIC AND THERAPEUTIC SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH CANCER AND BLOOD DISORDERS. OUR TEAM OF FOUR PEDIATRIC HEMATOLOGISTS/ONCOLOGISTS, NURSE PRACTITIONERS, CHILD LIFE SPECIALISTS AND SOCIAL WORKERS PROVIDE MEDICAL CARE, EDUCATION, AND SUPPORT TO THE CHILDREN AND THEIR FAMILIES. THE CENTER OPERATES IN ITS OWN AMBULATORY UNIT/DAY HOSPITAL SPACE; HELPING TO PREVENT MANY OVERNIGHT HOSPITALIZATIONS. OUR PHYSICIANS ARE AVAILABLE TO OUR FAMILIES 24 HOURS A DAY. IF HOSPITALIZATION IS NECESSARY, INPATIENT CARE IS PROVIDED IN A DEDICATED AREA OF THE PEDIATRIC UNIT AT SAINT BARNABAS MEDICAL CENTER. INPATIENT NURSES AND CHILD LIFE SPECIALISTS ARE TRAINED IN THE CARE AND PSYCHOSOCIAL NEEDS OF CHILDREN WITH HEMATOLOGIC DISORDERS AND CANCER. FAMILY SUPPORT GROUPS, PROFESSIONAL SCHOOL VISITS AND OPPORTUNITIES TO ATTEND SUMMER CAMPS ARE AVAILABLE. OUR MEDICAL STAFF IS COMMITTED TO OFFERING THE MOST UP-TO-DATE TREATMENTS AVAILABLE, AS SUCH, SBMC IS ACTIVE IN CLINICAL RESEARCH PROGRAMS, INCLUDING NATIONAL CANCER INSTITUTE AND PHARMACEUTICAL-SPONSORED PROTOCOLS. 2. THE RENAL AND PANCREAS TRANSPLANT DIVISION THE BARNABAS HEALTH RENAL AND PANCREAS TRANSPLANT DIVISION, LOCATED AT SAINT BARNABAS MEDICAL CENTER IS ONE OF THE LARGEST PROGRAMS AMONG 240 IN THE UNITED STATES, WITH OVER 220 KIDNEY TRANSPLANTS PERFORMED IN 2012. SBMC HAD THE 11TH HIGHEST KIDNEY TRANSPLANT VOLUME OF CENTERS IN THE NATION AND HAD THE FOURTH HIGHEST LIVING DONOR TRANSPLANT VOLUME. WHEN COMBINED WITH ITS AFFILIATE, NEWARK BETH ISRAEL MEDICAL CENTER, THE PROGRAM HAD THE THIRD HIGHEST TRANSPLANT VOLUME. THE RENAL TRANSPLANT PROGRAM, THE MOST ACTIVE KIDNEY TRANSPLANT CENTER IN NEW JERSEY, IS THE ONLY TRANSPLANT PROGRAM IN THE STATE INVOLVED IN CLINICAL RESEARCH TRIALS FOR PATIENTS. THE PROGRAMS PROVIDES DECEASED AS WELL AS LIVING DONOR TRANSPLANTATION INCLUDING LIVING RELATED DONORS (LRD) OR EMOTIONALLY RELATED DONORS (ERD) AND ALTRUISTIC LIVING DONATION (ALD) WHEN FAMILY MEMBERS ARE UNABLE TO DONATE. IN 1995, BARNABAS HEALTH BEGAN ITS SIMULTANEOUS PANCREAS KIDNEY TRANSPLANT PROGRAM AND IN 1996 OPENED A PEDIATRIC NEPHROLOGY PROGRAM. SINCE 1968, THE RENAL TRANSPLANT CENTERS HAVE PERFORMED MEDICAL FIRST KIDNEY TRANSPLANTATION, INCLUDING TRANSPLANT IN THE YOUNGEST KIDNEY TRANSPLANT RECIPIENT IN NEW JERSEY. THE FIRST LAPAROSCOPIC KIDNEY RETRIEVAL IN A LIVING DONOR AND THE FIRST ROBOTIC KIDNEY TRANSPLANT SURGERY IN THE WORLD. THE PEDIATRIC NEPHROLOGY AND TRANSPLANTATION PROGRAM MANAGES CHILDREN AND ADOLESCENTS WITH ACUTE AND CHRONIC DISEASES AT ALL STAGES OF SEVERITY, INCLUDING NEPHRITIC SYNDROME AND HYPERTENSION UP TO AND INCLUDING END STAGE RENAL DISEASE. THE PEDIATRIC NEPHROLOGISTS WORK CLOSELY WITH PEDIATRIC UROLOGISTS TO PROVIDE TOTAL CARE FOR PATIENTS WITH UROLOGICAL AND NEPHROLOGICAL PROBLEMS. 3. THE NEUROLOGY AND NEUROSURGERY INSTITUTE AT SAINT BARNABAS MEDICAL CENTER THE NEUROLOGY AND NEUROSURGERY INSTITUTE AT SBMC, IS DEDICATED TO DIAGNOSING AND TREATING DISORDERS OF THE BRAIN AND NERVOUS SYSTEM FOR ADULTS AND CHILDREN. AN UNPRECEDENTED TEAM OF EXPERTS LEADS THE PROGRAMS OF THE INSTITUTE AND OFFER THE MOST COMPREHENSIVE PROGRAM IN NEW JERSEY DEDICATED TO THE MEDICAL, SURGICAL AND PSYCHOLOGICAL TREATMENT OF NEUROLOGIC DISORDERS. SPECIALIZED CARE IS OFFERED FOR INDIVIDUALS WITH EPILEPSY, MEMORY DISORDERS, MOVEMENT DISORDERS, AND OTHER NEUROLOGIC DISORDERS RESULTING FROM AN INJURY OR ACCIDENT. COMPREHENSIVE CARE IS ALSO PROVIDED FOR CHILDREN WITH ATTENTION DEFICIT DISORDER-HYPERACTIVITY AND LEARNING DISABILITIES, AS WELL AS FOR ADULTS WITH ATTENTION DEFICIT DISORDERS. THE INSTITUTE'S COMPREHENSIVE EPILEPSY CENTERS FOR CHILDREN AND ADULTS USES SOPHISTICATED DIAGNOSTIC TECHNIQUES TO PROVIDE COMPLETE AND ACCURATE DIAGNOSIS CRITICAL TO IMPLEMENTING EFFECTIVE TREATMENT. INNOVATIVE SURGICAL AND DRUG THERAPIES ARE OFFERED TO HELP INDIVIDUALS WITH EPILEPSY ACHIEVE THE BEST POSSIBLE SEIZURE CONTROL. THE COMPREHENSIVE EPILEPSY CENTERS HAVE BEEN NAMED A LEVEL 4 SPECIALIZED EPILEPSY CENTER BY THE NATIONAL ASSOCIATION OF EPILEPSY CENTERS (NAEC). THE LEVEL 4 DESIGNATION IS THE HIGHEST GIVEN BY THE NAEC AND IDENTIFIES THOSE CENTERS THAT OFFER THE BROADEST RANGE OF COMPLEX MEDICAL AND SURGICAL TREATMENTS FOR EPILEPSY. SBMC IS A STATE DESIGNATED COMPREHENSIVE STROKE CENTER WITH JOINT COMMISSION PROGRAM CERTIFICATION. THE STROKE CENTER OFFERS THE LATEST TREATMENT FOR STROKE INCLUDING COMPLEX NEURO INTERVENTIONS. THE CENTER, AS PART OF ITS MISSION, PROVIDES STROKE AND PREVENTION EDUCATION TO THE COMMUNITY AND TO OTHER HEALTH CARE PROVIDERS. 4. BARNABAS HEALTH HEART CENTERS AT SAINT BARNABAS MEDICAL CENTER SBMC IS A REGIONAL CARDIAC SURGERY CENTER AND PART OF THE BARNABAS HEALTH HEART CENTERS, LOCATED ACROSS NEW JERSEY, WHICH HAVE INTEGRATED DIAGNOSTIC, MEDICAL AND SURGICAL SERVICES INTO ONE COMPREHENSIVE PROGRAM THAT OFFERS A FULL RANGE OF ADVANCED CARDIAC SERVICES FOR ADULTS AND CHILDREN - DIAGNOSIS, IMAGING, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY AND THE MANAGEMENT OF HEART FAILURE. AN EXPERIENCED TEAM IS PIONEERING NEW THERAPIES AND THE CLINICAL USE OF THE LATEST MECHANICAL ASSIST DEVICES THAT IMPROVE THE QUALITY OF LIFE FOR PEOPLE WITH CONGENITAL HEART DEFECTS AND HEART DISEASE. THEY PARTICIPATE IN CARDIAC RESEARCH TRIALS THAT OFFER PATIENTS ACCESS TO BREAKTHROUGH THERAPIES. THE BARNABAS HEALTH HEART CENTERS CONTINUE TO LEAD THE WAY IN OFFERING MINIMALLY INVASIVE PROCEDURES AND CATHETER-BASED ALTERNATIVES TO OPEN HEART SURGERY INCLUDING ALL FORMS OF ANGIOPLASTY/STENT PROCEDURES. ADVANCED ELECTROPHYSIOLOGY STUDIES OFFER SOPHISTICATED DIAGNOSIS AND TREATMENT OF HEART RHYTHM DISTURBANCES IN ADULTS AND CHILDREN. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 5. REGIONAL PERINATAL CENTER EACH YEAR SBMC DELIVERS CLOSE TO 6,000 BABIES AND IS RECOGNIZED AS A TOP HOSPITAL FOR HIGH RISK PREGNANCIES. SBMC'S LEVEL III REGIONAL PERINATAL CENTER OFFERS THE MOST ADVANCED INTENSIVE CARE FOR PREMATURE AND ILL NEWBORNS. OUR 56-BED NEONATAL INTENSIVE CARE UNIT IS ONE OF ONLY A FEW IN THE NATION WITH THE LOWEST RATE OF CHRONIC LUNG DISEASE, A COMMON COMPLICATION FOR EXTREMELY LOW BIRTH-WEIGHT INFANTS. AS A LEVEL III REGIONAL PERINATAL CENTER, THE HIGHEST LEVEL POSSIBLE, THE 56-BED NICU OFFERS THE LATEST TREATMENTS AND MODALITIES IN THE FIELD TO PROVIDE THE MOST ADVANCED CARE FOR MORE THAN 1,200 PREMATURE AND ILL NEWBORNS EACH YEAR. THE SAINT BARNABAS NICU HAS ONE OF THE BEST INFANT SURVIVAL RATES AMONG NEONATAL INTENSIVE CARE UNITS IN THE NATION. THE VERMONT OXFORD NETWORK, A GROUP COMPRISED OF MORE THAN 800 HOSPITALS NATIONALLY AND INTERNATIONALLY, SHOWED THAT BABIES THAT ARE BORN AT SAINT BARNABAS MEDICAL CENTER 17 WEEKS EARLY HAVE TWICE THE SURVIVAL RATE OF THOSE BORN AT OTHER HOSPITALS IN THE NETWORK. SBMC ALSO OFFER EXTENSIVE CHILDBIRTH AND FAMILY PREPARATION CLASSES. THE MEMBERS OF THE DIVISION OF MATERNAL FETAL MEDICINE ASSIST OBSTETRICIANS IN THE TRI-STATE AREA IN THE CARE OF HIGH-RISK PATIENTS AND RECEIVE HIGH RISK TRANSFERS FROM OTHER COMMUNITY HOSPITALS. THEY ALSO EDUCATE THE MEDICAL CENTER'S MANY OBSTETRICAL RESIDENTS. OPENED IN 2011, THE REGIONAL PERINATAL SIMULATION CENTER AT SAINT BARNABAS PROVIDES VALUABLE CLINICAL TRAINING AND EDUCATION FOR PHYSICIANS, NURSES, RESIDENTS, MEDICAL STUDENTS, AND FIRST RESPONDERS (EMT'S, POLICE, AND FIREFIGHTERS). COURSES ARE OPEN TO PRACTITIONERS THROUGHOUT THE TRI-STATE AREA REGARDLESS OF AFFILIATION. THE GOAL OF THE CENTER IS TO ELEVATE PATIENT CARE, IMPROVE CLINICAL PERFORMANCE, AND ENHANCE MATERNAL/CHILD HEALTH OUTCOMES IN THE REGION BY PROVIDING ACCESS TO STATE OF THE ART EDUCATION. SIMULATION ENHANCES THE CURRENT EDUCATIONAL OFFERINGS AT SAINT BARNABAS MEDICAL CENTER BY PROVIDING AN EXPERIENTIAL LEARNING ENVIRONMENT WHERE CLINICIANS CAN PRACTICE AND LEARN A VARIETY OF TECHNICAL AND BEHAVIORAL SKILLS. 6. THE JOINT AND SPINE INSTITUTE THE JOINT & SPINE INSTITUTE OFFERS DEDICATED BEDS WITHIN THE HOSPITAL. SURGERIES ARE SCHEDULED MONDAY THROUGH FRIDAY AND PATIENTS TYPICALLY RETURN HOME AFTER A THREE-NIGHT STAY. FEATURES OF THE PROGRAM INCLUDE: NURSES, THERAPISTS AND NURSING ASSISTANTS WHO SPECIALIZE IN THE CARE OF JOINT PATIENTS; PRIVATE AND SEMI-PRIVATE ROOMS; EMPHASIS ON GROUP ACTIVITIES AS WELL AS INDIVIDUAL CARE; FAMILY AND FRIENDS EDUCATED TO PARTICIPATE AS "COACHES" IN THE RECOVERY PROCESS; GROUP LUNCHES WITH YOUR COACH AND OTHERS IN THE PROGRAM; YOUR JOINT TEAM WHO COORDINATES ALL PRE-OPERATIVE CARE AND DISCHARGE PLANNING; A COMPREHENSIVE PATIENT GUIDE FOR YOU TO FOLLOW FROM SIX WEEKS PRE-OP UNTIL THREE MONTHS POST-OP AND BEYOND; COORDINATED AFTER-CARE PROGRAM; REUNION LUNCHEONS FOR FORMER PATIENTS AND COACHES; NEWSLETTERS TO UPDATE YOU WITH NEW INFORMATION ABOUT ARTHRITIS AND JOINT CARE; AND PUBLIC EDUCATION SEMINARS ABOUT HIP AND KNEE PAIN. 7. THE SAINT BARNABAS CATERINA A, GREGORI, MD, WOMEN'S CENTER FOR GYNECOLOGICAL SURGERY SBMC OPERATES AN AMBULATORY SURGERY CENTER DESIGNED EXCLUSIVELY FOR AND DEDICATED TO WOMEN'S SURGICAL PROCEDURES. THE WOMEN'S CENTER FEATURES RESTFUL MUSIC, WARM SOOTHING COLORS AND SOFT LIGHTING TO CREATE AN ATMOSPHERE THAT IS COMFORTING AND FOSTERS HEALING. SPECIAL ATTENTION HAS BEEN GIVEN TO EVERY DETAIL - FROM ATTRACTIVE ARTWORK TO A COMFORTABLE ROBE. HIGHLY SPECIALIZED WOMEN'S SERVICES ARE AVAILABLE AT THE MEDICAL CENTER AND INCLUDE THE FIBROID CENTER, CENTER FOR UROGYNECOLOGY AND GYNECOLOGICAL CANCER AND PELVIC SURGERY. THE MEDICAL CENTER OFFERS MANY ROBOTIC PROCEDURES AND BLOODLESS SURGERY MANAGEMENT PROGRAMS SUPPORTING WOMEN'S SURGERY AS WELL AS ALL SURGICAL PROCEDURES. 8. THE BURN CENTER OF NEW JERSEY THE BURN CENTER IS THE ONLY STATE-CERTIFIED BURN TREATMENT FACILITY IN NEW JERSEY AND ONE OF THE LARGEST IN NORTH AMERICA WITH 12 INTENSIVE CARE BEDS AND AN 18-BED STEP-DOWN UNIT FOR LESS CRITICALLY INJURED PATIENTS. THE BURN CENTER PROVIDES EXPERT CARE FOR PATIENTS OF ALL AGES. THE BURN CENTER ALSO MEETS THE VERIFICATION CRITERIA OF THE AMERICAN BURN ASSOCIATION AND THE AMERICAN COLLEGE OF SURGEONS TO PROVIDE OPTIMAL CARE FOR BURN PATIENTS. THE BURN CENTER IS EQUIPPED TO TREAT PEDIATRIC THROUGH GERIATRIC BURN PATIENTS WITH A FULL RANGE OF SPECIALIZED SERVICES, INCLUDING A DEDICATED OUTPATIENT DEPARTMENT WHERE INDIVIDUALS WITH SMALL OR MINOR BURNS RECEIVE TREATMENT AND DISCHARGED PATIENTS RETURN FOR FOLLOW-UP CARE. MORE THAN 400 PATIENTS ARE TREATED ANNUALLY. MEDICAL AND COMMUNITY SERVICES ============================== SAINT BARNABAS MEDICAL CENTER'S SERVICES INCLUDE AN ARRAY OF ADDITIONAL MEDICAL SERVICES AND PROGRAMS THAT ADDRESS THE HEALTHCARE NEEDS OF ITS COMMUNITIES, FROM DIAGNOSTIC, TO PREVENTION AND TREATMENT. ADDITIONAL MEDICAL SERVICES --------------------------- SAINT BARNABAS MEDICAL CENTER PROVIDES AN EXTENSIVE ARRAY OF ADDITIONAL MEDICAL SERVICES WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - AMBULATORY SURGERY - ANESTHESIOLOGY - BARIATRIC SURGERY - BLOOD MANAGEMENT INSTITUTE - BREAST HEALTH - BURN CENTER, THE - BURN FOUNDATION, SAINT BARNABAS - CANCER PROGRAMS AND SERVICES - THE CANCER CENTER, GASTROINTESTINAL - CARDIAC SERVICES - CARDIAC REHABILITATION CENTER THE JAQUA FOUNDATION - CARDIAC SURGERY (PEDIATRICS) - CASE MANAGEMENT - CHILD ABUSE TREATMENT AND SERVICES - CHILD LIFE PROGRAM - CHILDREN'S CENTER FOR CANCER AND BLOOD DISORDERS - CHILDREN'S KIDNEY CENTER, BARNABAS HEALTH - COMMUNITY SERVICES - CRITICAL INTENSIVE CARE UNIT - EMERGENCY DEPARTMENT - EPILEPSY CENTER, ADULT AND PEDIATRIC COMPREHENSIVE* - ETHICS CONSULTATION SERVICES - FAMILY PRACTICE - FIBROID CENTER - FOODS AND NUTRITION, DEPARTMENT OF - FOUNDATION, SAINT BARNABAS MEDICAL CENTER - GASTROINTESTINAL CANCER CENTER - GERIATRIC HEALTH AND DISEASE MANAGEMENT, CENTER FOR - HEALTH SCIENCE LIBRARY - HIGH-RISK INFANT FOLLOW-UP PROGRAM - HOME HEALTHCARE - HOME INFUSION CARE - HOSPICE AND PALLIATIVE CARE SERVICES* - INFANT APNEA PROGRAM - INFECTION CONTROL - INFUSION CENTER - INPATIENT SPEECH PATHOLOGY - INPATIENT AUDIOLOGY - INTERNAL MEDICINE FACULTY PRACTICE - INSTITUTE FOR REPRODUCTIVE MEDICINE AND SCIENCE* - INTRAVENOUS THERAPY DEPARTMENT - THE JOINT INSTITUTE - THE LUNG CANCER INSTITUTE - MEDICAL ALERT/LIFELINE - MEDICAL CENTER HEALTHCARE SERVICES* - MEDICAL EDUCATION AND CLINICAL RESEARCH - MEDICINE, DEPARTMENT OF - NEONATAL INTENSIVE CARE UNIT - NEUROLOGY AND NEUROSURGICAL SERVICES - NURSING, DEPARTMENT OF - NUTRITIONAL COUNSELING SERVICES* - OBSTETRICS/GYNECOLOGY, DEPARTMENT OF* - PASTORAL CARE, DEPARTMENT OF - PATHOLOGY, DEPARTMENT OF - PATIENT REPRESENTATIVE, DEPARTMENT OF - PATIENT SATISFACTION, DEPARTMENT OF - PEDIATRICS, DEPARTMENT OF - PEDIATRIC INTENSIVE CARE UNIT - PEDIATRIC HEALTH CENTER - PEDIATRIC NEPHROLOGY AND TRANSPLANTATION - PEDIATRIC PULMONARY CENTER/PEDIATRIC PULMONARY LABORATORY - PERINATAL SIMULATION TRAINING CENTER - PHARMACY DEPARTMENT - PHYSICAL MEDICINE AND REHABILITATION - PHYSICAL THERAPY, DEPARTMENT OF - PLASTIC AND RECONSTRUCTIVE SURGERY - PRE-ADMISSION TESTING - PRENATAL HEALTH CENTER - PUBLIC RELATIONS, DEPARTMENT OF - PULMONARY LABORATORY - PULMONARY REHABILITATION, OUTPATIENT - RADIATION ONCOLOGY - RADIOLOGY DEPARTMENT - REHABILITATION SERVICES - RENAL AND PANCREAS TRANSPLANT DIVISION, - BARNABAS HEALTH - RESPIRATORY CARE, DEPARTMENT OF - ROBOTIC SURGERY - SLEEP DISORDERS, THE CENTER FOR - SMOKING CESSATION TREATMENT PROGRAM, INPATIENT - SOCIAL WORK SERVICES - STROKE CENTER, THE COMPREHENSIVE - SUPPORT GROUPS - SURGERY DEPARTMENT - SURGERY, MINIMALLY INVASIVE - THERAPY DEPARTMENT - TOBACCO TREATMENT PROGRAM - TRANSPLANT DIVISION - UROGYNECOLOGY, THE CENTER FOR - VALERIE FUND CHILDREN'S CENTER - THE VEIN CENTER - WOMEN'S CENTER FOR GYNECOLOGICAL SURGERY - WOMEN'S/PARENT HEALTH EDUCATION - WOUND AND BURN HEALING CENTER COMMUNITY SERVICE CENTERS ------------------------- THE SAINT BARNABAS MEDICAL CENTER'S EXTERNAL AFFAIRS DEPARTMENT COORDINATES MANY HEALTH AND SOCIAL SERVICES BETWEEN THE MEDICAL CENTER AND THE COMMUNITY INCLUDING, BUT NOT LIMITED TO: - GOODWILL VISITS TO OUTSIDE ORGANIZATIONS, SCHOOLS, MUSICIANS, ATHLETES, ENTERTAINERS, ETC. STAFF ARE INVITED ON A VOLUNTARY BASIS TO DONATE THEIR TIME, SKILLS AND/OR GIFTS TO PATIENTS AND VARIOUS HOSPITAL DEPARTMENTS OR COMMUNITY ORGANIZATIONS THROUGHOUT THE YEAR. - PARTICIPATION IN MULTIPLE HEALTH FAIRS ORGANIZED BY LOCAL CORPORATIONS, PUBLIC HEALTH, SCHOOLS AND COMMUNITY ORGANIZATIONS. - CONDUCTING HEALTH SCREENINGS. SBMC SPONSORS FREE COMMUNITY HEALTH SCREENINGS THROUGHOUT THE YEAR. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MEDICAL SCREENINGS ------------------ SBMC PROVIDES AND SUPPORTS NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING, BUT NOT LIMITED, TO THE FOLLOWING: 1. HEART WELLNESS 2. HIGH BLOOD PRESSURE SCREENING 3. CARDIAC SCREENING FOR YOUNG ATHLETES 4. ANNUAL HEALTH FAIRS 5. BREAST CANCER 6. BODY FAT ANALYSIS 7. DIABETES 8. SEXUALLY TRANSMITTED DISEASE TESTING 9. PROSTATE CANCER SCREENING 10. JOINT HEALTH 11. CANCER WELLNESS 12. SLEEP HYGIENE SUPPORT GROUPS -------------- SAINT BARNABAS MEDICAL CENTER IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF SERVICES TO MEET ALL THE HEALTHCARE NEEDS OF OUR COMMUNITY. IN ADDITION TO THE DIRECT PATIENT CARE PROVIDED BY OUR STAFF, THE MEDICAL CENTER MAKES AVAILABLE THE FOLLOWING HEALTHCARE EDUCATION PROGRAMS AND CLASSES, PATIENT SUPPORT GROUPS AND COMMUNITY SERVICES TO PATIENTS AND THEIR FAMILIES. THE LIST INCLUDES, BUT IS NOT LIMITED, TO: - BARIATRIC SURGERY PROGRAMS AND SUPPORT GROUPS - BEREAVEMENT SUPPORT GROUP - BREAST HEALTH EDUCATION - BREASTFEEDING SUPPORT GROUP - BURN EDUCATION AND PROGRAM - BURN PEER SUPPORT GROUP - CANCER SUPPORT GROUPS AND PROGRAMS - BEYOND PRIMARY CANCER SUPPORT GROUP - THE ART CIRCLE - LOOK GOOD...FEEL BETTER - POST-TREATMENT SUPPORT GROUP - PRIMARY BREAST CANCER SUPPORT GROUP - CAREGIVER SUPPORT GROUP - STARTING CHEMOTHERAPY - WHAT TO EXPECT? - INFERTILITY SUPPORT GROUPS - LYMPHEDEMA EDUCATION AND SUPPORT GROUP - NICU SUPPORT GROUP - NEWBORN MOM BREASTFEEDING SOLUTIONS - NEW MOM'S CIRCLE - OSTEOPOROSIS SUPPORT GROUP - OSTOMY SUPPORT GROUP - PERINATAL BEREAVEMENT SUPPORT GROUP - POSTPARTUM DEPRESSION SUPPORT GROUP - REFRACTIVE SURGERY SEMINAR - RENAL TRANSPLANT AND DIALYSIS SUPPORT GROUPS AND PROGRAMS - PARENTS' NIGHT OUT - PEDIATRIC AND ADOLESCENT NEPHROLOGY TEEN SUPPORT GROUP' - PRE-DIALYSIS PATIENT EDUCATION, - PRE-TRANSPLANT EDUCATION SEMINARS - RENAL SUPPORT GROUP - TRANSPLANT RECIPIENT AND FAMILY SUPPORT GROUP - RESOLVE - SPORTS MEDICINE PROGRAMS - WOMEN'S HEALTH AND PARENT EDUCATION COMMUNITY EDUCATION ------------------- SAINT BARNABAS OFFERS A VARIETY OF LIFESTYLE AND INSTRUCTIONAL CLASSES TO IMPROVE AN INDIVIDUAL'S OVERALL WELL-BEING. THESE INCLUDE BUT ARE NOT LIMITED TO: - CPR: CARDIOPULMONARY RESUSCITATION CLASSES - FIRST AID PROGRAMS - TOBACCO DEPENDENCE TREATMENT PROGRAM - YOGA CLASS - HEALTHY CHOICES FOR THE WHOLE FAMILY - STRESS MANAGEMENT SAINT BARNABAS MEDICAL CENTER OFFERS AN EXTENSIVE ARRAY OF PRENATAL CHILDBIRTH PREPARATION AND PARENTING CLASSES AND SERVICES. IN ADDITION, THE WOMEN'S HEALTH SERVICE DEPARTMENT OFFERS SEMINARS ON WOMEN'S HEALTH ISSUES. THE FOLLOWING COURSES AND SERVICES ARE CURRENTLY OFFERED: - WOMEN'S HEALTH/PARENT EDUCATION - ADOPTIVE PARENTS BABY CARE CONSULTATIONS - BREASTFEEDING CLASS - BREAST PUMP RENTAL SERVICE - GRANDPARENTING - INFANT AND CHILD CPR - LAMAZE REFRESHER SERIES - MARVELOUS MULTIPLES PROGRAM - NEW MOM'S CIRCLE - NEWBORN MOM BREASTFEEDING SOLUTIONS - PARENTING INSIGHTS - PETS AND BABIES SEMINAR - PREPARED CHILDBIRTH SERIES - PREPARED CHILDBIRTH/LAMAZE SERIES - RELAXED BIRTH CLASS - SIBLING CLASS - WOMEN'S HEALTH SEMINARS - WOMEN'S RESOURCE LIBRARY THE HOSPITAL'S ONGOING EFFORTS TO EDUCATE THE COMMUNITY WITH RESPECT TO GENERAL HEALTH AWARENESS, ISSUES AND PUBLIC SAFETY, HEALTHCARE ACTIVITIES, SCREENINGS, EDUCATION AND PROGRAMS IS ADVANCED THROUGH PUBLICATIONS, NEWS BULLETINS, NEWSLETTERS, WEB POSTINGS AND OTHER PUBLICATIONS PRODUCED BY THE HOSPITAL. IN ADDITION, PATIENTS PART OF AT RISK POPULATIONS ARE ASSESSED FOR INFLUENZA AND PNEUMONIA VACCINATIONS AND PROVIDED THE VACCINES UPON THEIR APPROVAL. ALL PATIENTS ARE ASKED REGARDING LIVING WILLS AND ADVANCED DIRECTIVES. PROFESSIONAL MEDICAL EDUCATION AND TRAINING ------------------------------------------- A SMALL SAMPLE OF SBMC PROFESSIONAL MEDICAL EDUCATION AND TRAINING COURSES AND COSTS INCLUDED, BUT WERE NOT LIMITED TO, THE FOLLOWING PROGRAMS, LECTURES AND COURSES DURING 2012: - OB CRISIS MANAGEMENT - ASSESSING MEDICAL IMPROVEMENT IN CONTINUITY DISABILITY REVIEWS - EVALUATING SECONDARY PSYCHIATRIC IMPAIRMENTS - OBESITY ISSUES & MANAGEMENT IN WOMEN - THE FUTURE OF EMERGENCY PRACTICE - LIGHTING THE WAY FOR NEUROLOGICAL DIAGNOSIS - TREATMENT AND MANAGEMENT OF STROKE - USING SIMULATION FOR LEARNING AND ASSESSMENT - CURRENT OPTIONS IN DIAGNOSIS & TREATMENT OF LYMPHEDEMA - DISABILITY EVALUATIONS OF MALIGNANT NEOPLASTIC DISEASE - LIFE THREATENING DRUG REACTIONS - TRANSITION FROM CARDIOVASCULAR DISEASE TO HEALTH - BRONCHIAL THERMOPLASTY FOR THE TREATMENT OF SEVERE ASTHMA - COLORECTAL CANCER MORTALITY REDUCTION WITH COLONSCOPIC POLYPECTOMY - ISSUES OF BREAST CANCER SURVIVORSHIP - HEART FAILURE & THE USE OF VENTRIVULAR ASSISTED DEVICE - RISK ASSESSMENT FOR THE PREVENTION OF SEVERE NEONATAL HYPERBILIRUBINEM - SCREENING AND MANAGEMENT - PEDIATRIC PREPAREDNESS IN GENERAL EDS - THE MODIFIED ATKINS DIET AS IT IS RELATED TO PEDIATRIC EPILEPSY OTHER PROGRAM SERVICES CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE IRS. IN ADDITION THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE 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 SYSTEM INDIVIDUALS INCLUDING IN HOUSE COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT, INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE CHAIRPERSON OF THE ORGANIZATION'S FINANCE COMMITTEE AND OTHER INDIVIDUALS FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. ("BH") IS THE PARENT ENTITY OF BARNABAS HEALTH. BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF BH'S SENIOR MANAGEMENT, INCLUDING THE RETIRED PRESIDENT/CHIEF EXECUTIVE OFFICER, CURRENT PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VICE PRESIDENT OPERATIONS AND THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE EXECUTIVE DIRECTORS OF BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE RETIRED PRESIDENT/CHIEF EXECUTIVE OFFICER, CURRENT PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VICE PRESIDENT OPERATIONS AND THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN BH SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE RETIRED PRESIDENT/CHIEF EXECUTIVE OFFICER, CURRENT PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VICE PRESIDENT OPERATIONS, THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND THE EXECUTIVE DIRECTORS OF THE BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS PART OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. FORMER OFFICER DISCLOSURE CORE FORM, PART VII AND SCHEDULE J WILLIAM CUTHILL, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN BARNABAS HEALTH AS A VICE PRESIDENT OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHAEL J. MCTIGUE, FORMER CHIEF INFORMATION OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN BARNABAS HEALTH AS THE CORPORATE VICE PRESIDENT DEPUTY CHIEF INFORMATION OFFICER OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION. OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - EQUITY TRANSFER TO INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATE; NET - ($1,545,634); - PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COST - ($8,670,983); - TRANFER FROM SAINT BARNABAS DEVELOPMENT FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $2,391,486; - TRANSFER FROM COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD. - $4,000,000; - DIVIDEND INCOME DECLARED BY COMMERCIAL PROFESSIONAL INSURANCE COMPANY LTD - $7,500,000; AND - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF COMMUNITY MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($303,000). AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. FINANCIAL STATEMENTS AND REPORTING CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS SAINT BARNABAS MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND SAINT BARNABAS MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY SAINT BARNABAS MEDICAL CENTER UTILIZING DIFFERENT FEDERAL IDENTIFICATION NUMBERS THAN 22-1494440. BELOW IS A LIST OUTLINING THE VARIOUS SAINT BARNABAS MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. NICU ASSOCIATES OF SAINT BARNABAS 22-3181029 PEDIATRIC CRITICAL CARE ASSOCIATES AT SAINT BARNABAS 22-3505416 SAINT BARNABAS MULTI SPECIALTY GROUP 22-3551005 MEDICAL ONCOLOGY ASSOCIATES AT SAINT BARNABAS 22-3403774 SBMC DEPARTMENT OF CRITICAL CARE MEDICINE 03-0498041 CANCER SURGERY SERVICES OF SAINT BARNABAS 20-1716316 ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY 20-3128758 SBMC STRESS TEST PANEL 76-0828820 SAINT BARNABAS HEART CENTER AT HACKETTSTOWN 27-0366109 CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222939956 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) BH false CENTER STATE PROPERTIES CORPORATION 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 521571939 TITLE HLDNG. NJ 501(C)(2) N/A CSHG false CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER NJ 08754 223343959 HEALTH SVCS. 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NJ 501(C)(3) 509(a)(3) MMC false MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH NJ 07740 222456079 FUNDRAISING NJ 501(C)(3) 509(a)(1) BH false BARNABAS HEALTH MEDICAL GROUP PC 300 SECOND AVENUE LONG BRANCH NJ 07740 223316007 HEALTH SVCS. NJ 501(C)(3) 509(a)(2) MMC false NBI HEALTH PARTNERS PA 201 LYONS AVENUE NEWARK NJ 07112 271694034 INACTIVE NJ 501(C)(3) N/A NBI false NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK NJ 07112 223452311 HEALTH SVCS. NJ 501(C)(3) HOSPITAL BH false SAINT BARNABAS ASSIST LIVING AT LAKEWOOD 77 WILLIAMS STREET LAKEWOOD NJ 08701 223451655 INACTIVE NJ 501(C)(3) 509(a)(2) CSHG false SAINT BARNABAS BEHAVIORAL HEALTH CENTER 1691 ROUTE 9 TOMS RIVER NJ 08754 222977312 HEALTH SVCS. NJ 501(C)(3) HOSPITAL CSHG false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222405279 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) NA false SAINT BARNABAS DEVELOPMENT FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222378422 FUNDRAISING NJ 501(C)(3) 509(a)(1) NJHCIC false SAINT BARNABAS HEALTH CARE SYSTEM FDN 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223769036 FUNDRAISING NJ 501(C)(3) 509(a)(1) BH false SAINT BARNABAS HOSPICE AND PALLIATIVE 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222354659 HEALTH SVCS. NJ 501(C)(3) 509(a)(1) BH false HARVEY E NUSSBAUM MD RESEARCH INST OF SB 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 227146916 RESEARCH NJ 501(C)(3) 170, BOX 4 NJHCIC false SAINT BARNABAS OUTPATIENT CENTERS 200 SOUTH ORANGE AVENUE LIVINGSTON NJ 07039 222458479 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) BH false SAINT BARNABAS PALLIATIVE CARE PHYS PA 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 262532578 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) HOSPICE false SAINT BARNABAS REALTY DEVELOPMENT CORP 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 222940008 TITLE HLDNG. NJ 501(C)(3) 509(a)(3) NJHCIC false NJ HEALTH CARE INNOVATION CENTER INC 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 222458481 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) BH false THE NEWARK BETH ISRAEL MEDICAL CNTR FDN 201 LYONS AVENUE NEWARK NJ 07112 222587176 FUNDRAISING NJ 501(C)(3) 509(a)(1) BH false UNION HOSPITAL 1000 GALLOPING HILL ROAD UNION NJ 07083 221413947 INACTIVE NJ 501(C)(3) HOSPITAL BH false SANDY HOOK FRNDS OF ST BARNABAS BURN FDN 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 223236202 FUNDRAISING NJ 501(C)(3) 509(A)(3) BH false INNOVATIVE PURCHASING CONCEPTS 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223786557 PURCHASING NJ BH false 0 false KIM-MED ASSOCIATES 300 SECOND AVENUE LONG BRANCH NJ 07740 222775619 REAL ESTATE NJ KHCA false 0 false LSC HOLDING COMPANY INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 223569598 HOLDING CO. NJ NA C CORP. false LIVINGSTON SERVICES CORP 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 222465402 HEALTHCARE SVCS. NJ NA C CORP. false LIVINGSTON INFUSION CARE INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 223190756 HEALTHCARE SVCS. NJ NA C CORP. false MAJOR SECURITY SERVICES INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 223040539 SECURITY SVCS. NJ NA C CORP. false MEDICAL CTR HEALTH CARE SVCS 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 223011742 HEALTHCARE SVCS. NJ NA C CORP. false CENTER STATE HEALTH SVCS 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 222592293 HEALTHCARE SVCS. NJ NA C CORP. false CENTER STATE MANAGEMENT CORP 300 SECOND AVENUE LONG BRANCH NJ 07740 222506125 MGMT SVCS. NJ NA C CORP. false CENTER STATE COLLECTION SVCS 2 CRESCENT PLACE OCEANPORT NJ 07757 222629075 COLLECTION SVCS. NJ NA C CORP. false COMMUNITY KARE INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 222993840 HEALTHCARE SVCS. NJ NA C CORP. false KIMBALL HLTH CARE AFFILIATES 300 SECOND AVENUE LONG BRANCH NJ 07740 222701213 INVESTMENT NJ NA C CORP. false HEALTH CARE FACILITIES MGT 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 223532988 MAINT. SVCS. NJ NA C CORP. false PREMIUM HEALTH SYSTEMS INC ONE FRANKLIN AVENUE BELLEVILLE NJ 07109 222779395 HEALTHCARE SVCS. NJ NA C CORP. false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223414332 MGMT SVCS. NJ NA C CORP. false PROFESSIONAL QUALITY LIAB 100 BANK STREET BURLINGTON VT 05401 205163819 INSURANCE SVCS. VT NA C CORP. false NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 223536986 INACTIVE NJ NA C CORP. false CPIC 44 CHURCH STREET HAMILTON BERMUDA BD HM11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false LSC PHARMACY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 452552776 PHARMACY SVCS. NJ NA C CORP. false SAINT BARNABAS PHYSICIAN ASSOCIATES PA 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 271259104 HEALTHCARE SVCS. NJ SBMC C CORP. 8859597 287313 1.00000 true false false true true true true false false false false false false false false true false false false true COMMERCIAL PROFESSIONAL INSURANCE COMPANY LTD F 7500000 COST COMMERCIAL PROFESSIONAL INSURANCE COMPANY LTD S 4000000 COST TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V BARNABAS HEALTH, INC. AND SBC MANAGEMENT CORPORATION ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES WITHIN BARNABAS HEALTH IN THE ORDINARY COURSE OF BUSINESS, INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.