R W J BARNABAS HEALTH INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- R W J BARNABAS HEALTH INC (EIN 22-1487148)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-12-19
- IRS object ID
- 201233549349300748
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-12-19T15:42:10-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221487148 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S SPECIALIZED HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JOSEPH J DOBOSH JR | InCareOfName |
| Name Control | CHIL | NameControl |
| Phone | 9083015455 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 NEW PROVIDENCE ROAD | AddressLine1 |
| City | MOUNTAINSIDE | City |
| State | NJ | State |
| ZIP Code | 07092 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | joseph dobosh | Name |
| Title | vp/cfo | Title |
| Date Signed | 2012-12-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9738989494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | AMY B MANSUE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 NEW PROVIDENCE ROAD | AddressLine1 |
| City | MOUNTAINSIDE | City |
| State | NJ | State |
| ZIP Code | 07092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 110297822 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.childrens-specialized.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1893 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1323 | TotalNbrEmployees |
| Total Nbr Volunteers | 537 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7385914 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7757709 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 98463142 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 101614857 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 178696 | InvestmentIncomePriorYear |
| Investment Income Current Year | 445780 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 487339 | OtherRevenuePriorYear |
| Other Revenue Current Year | 453926 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 106515091 | TotalRevenuePriorYear |
| Total Revenue Current Year | 110272272 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 71691175 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 75370976 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 34440852 | OtherExpensePriorYear |
| Other Expenses Current Year | 32595235 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 106132027 | TotalExpensesPriorYear |
| Total Expenses Current Year | 107966211 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 383064 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2306061 | RevenuesLessExpensesCY |
| Total Assets BOY | 159003635 | TotalAssetsBOY |
| Total Assets EOY | 161795254 | TotalAssetsEOY |
| Total Liabilities BOY | 76682916 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 76010335 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 82320719 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 85784919 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 36875036 | Expense |
| Grants | 0 | Grants |
| Revenue | 36964300 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING INPATIENT REHABILITATION SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION INCURRED 18,176 PATIENT DAYS FROM THE PROVISION OF INPATIENT REHABILITATION SERVICES IN 2011. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 19577484 | Expense |
| Grants | 0 | Grants |
| Revenue | 20393211 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING LONG-TERM CARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION INCURRED 25,088 PATIENT DAYS FROM THE PROVISION OF LONG-TERM CARE SERVICES IN 2011. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8574816 | Expense |
| Grants | 0 | Grants |
| Revenue | 6110924 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING AMBULATORY CARE CENTER PROGRAM SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2545553 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 38146422 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 67572889 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | true | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 113 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1323 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOSEPH J DOBOSH JR | NamePerson |
| Telephone Number | 9083015455 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 NEW PROVIDENCE ROAD | AddressLine1 |
| City | MOUNTAINSIDE | City |
| State | NJ | State |
| ZIP Code | 07092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DAVID KOSTINAS | |||||||
| CHAIRMAN - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | |
| ROBIN A WALTON | |||||||
| 1ST VICE CHAIR - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | |
| SUEANNE D KORN | |||||||
| 2ND VICE CHAIR - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | |
| STEVEN M ROSENBERG ESQ | |||||||
| SECRETARY - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | |
| MARGARET M PEGO | |||||||
| TREASURER - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | |
| KISHAN AGARWAL MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| BONNIE BALOGA ALTIERI PHD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| FRANK CASTELLO MD | |||||||
| TRUSTEE - MEDICAL DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| SCOTT CHESNEY | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MARTIN DIAMOND MD | |||||||
| TRUSTEE - DIRECTOR O/P SRVCS | 55.0 | X | 264128 | 0 | 25824 | ||
| SAVERIO GARRUTO CPA | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| ALEXANDER R GIAQUINTO PHD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| ELIZABETH HANCE | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| HEATHER HOWARD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| NANCY JACKSON | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| AMY B MANSUE | |||||||
| TRUSTEE - PRESIDENT/CEO | 55.0 | X | X | 589991 | 0 | 132333 | |
| NANCI D MORRIS | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| GLENN MORTIMER | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| BARBARA ROTHMAN | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| PHILIP SALERNO | |||||||
| TRUSTEE - PRES/CDO FOUNDATION | 55.0 | X | X | 348863 | 0 | 35812 | |
| VINCENT SERPICO | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| VICTORIA WICKS | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| PATRICIA WHITLEY WILLIAMS MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MARILYN ZOCCA | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| WARREN E MOORE | |||||||
| EVP/COO | 55.0 | X | 395162 | 0 | 85479 | ||
| JOSEPH J DOBOSH JR | |||||||
| VP/CFO | 55.0 | X | 369069 | 0 | 90493 | ||
| KAREN M DEWITT EDD | |||||||
| VP PATIENT CARE | 55.0 | X | 284917 | 0 | 57719 | ||
| MICHAEL R DRIBBON PHD | |||||||
| VP REHAB SERVICES & PROG. DEV. | 55.0 | X | 281604 | 0 | 55031 | ||
| WILLIAM DWYER | |||||||
| VP HUMAN RESOURCES | 55.0 | X | 261676 | 0 | 52076 | ||
| UDAY MEHTA MD | |||||||
| ASSOCIATE MEDICAL DIRECTOR | 55.0 | 275403 | 0 | 29862 | X | ||
| KRISHAN YALAMANCHI MD | |||||||
| DIRECTOR; BRAIN INJURY | 55.0 | 221506 | 0 | 34320 | X | ||
| YVETTE JANVIER MD | |||||||
| DIRECTOR; MEDICAL SERVICES | 55.0 | 208292 | 0 | 10139 | X | ||
| MICHELE FANTASIA MD | |||||||
| PHYSIATRIST | 55.0 | 202945 | 0 | 24895 | X | ||
| THOMAS A RUGINO MD | |||||||
| PHYSIATRIST | 55.0 | 194850 | 0 | 29406 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3898406 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 663389 | TotalOtherCompensation |
| Number Individuals GT100 K | 87 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MICHAEL REISZ AND COMPANY INC | |||||
| 588 NEW BRUNSWICK AVENUE | FORDS | NJ | 08863 | CONSTRUCTION | 628582 |
| QUALCARE INC | |||||
| 30 KNIGHTSBRIDGE ROAD | PISCATAWAY | NJ | 08854 | CLAIMS ADMIN | 544590 |
| SCHOLES ELECTRIC COMMUNICATION | |||||
| 1021 CENTENNIAL AVENUE | PISCATAWAY | NJ | 08854 | IT | 375458 |
| MICROSOFT | |||||
| 1950 NORTH STEMMONS FWY SUITE 5010 | DALLAS | TX | 75207 | IT | 245823 |
| MEDIX STAFFING SOLUTION | |||||
| DEPT 16548 | PALATINE | IL | 60055 | STAFFING | 222346 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 47 | NumberOfContractorsGT100K |
| Related Organizations | 4436053 | RelatedOrganizations |
| Government Grants | 3224184 | GovernmentGrants |
| All Other Contributions | 97472 | AllOtherContributions |
| Total Contributions | 7757709 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | 99899107 | 99899107 |
| OTHER HEALTHCARE RELATED REVENUE | 541900 | 1715750 | 1715750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 101614857 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 249745 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $249,745 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 29531 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 29531 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29531 | TotalRevenueColumn |
| Exclusion | $29,531 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 91066 | Securities |
| Other | 130519 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 25550 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 91066 | Securities |
| Other | 104969 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 196035 | TotalRevenueColumn |
| Exclusion | $196,035 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA & DIETARY REVENUE | Description |
| Business Code | 722210 | BusinessCode |
| Total Revenue Column | 424395 | TotalRevenueColumn |
| Exclusion | $424,395 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 424395 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 110272272 | TotalRevenueColumn |
| Related Or Exempt Function Income | 101614857 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $899,706 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3330177 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 3330177 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58057431 | Total |
| Program Services | 46769943 | ProgramServices |
| Management And General | 11287488 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1149167 | Total |
| Program Services | 943250 | ProgramServices |
| Management And General | 205917 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7891679 | Total |
| Program Services | 6263147 | ProgramServices |
| Management And General | 1628532 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4942522 | Total |
| Program Services | 3805742 | ProgramServices |
| Management And General | 1136780 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146643 | Total |
| Management And General | 146643 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155000 | Total |
| Management And General | 155000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95879 | Total |
| Management And General | 95879 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4988483 | Total |
| Program Services | 1998340 | ProgramServices |
| Management And General | 2990143 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166365 | Total |
| Program Services | 152170 | ProgramServices |
| Management And General | 14195 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5814961 | Total |
| Program Services | 3762404 | ProgramServices |
| Management And General | 2052557 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5170142 | Total |
| Program Services | 255115 | ProgramServices |
| Management And General | 4915027 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 478375 | Total |
| Program Services | 397811 | ProgramServices |
| Management And General | 80564 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110745 | Total |
| Program Services | 63107 | ProgramServices |
| Management And General | 47638 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2175642 | Total |
| Management And General | 2175642 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7776501 | Total |
| Management And General | 7776501 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 768419 | Total |
| Management And General | 768419 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PROVISION FOR BAD DEBTS, NET | 2245184 | 2245184 | 0 | 0 |
| SOFTWARE MAINTENANCE | 845688 | 0 | 845688 | 0 |
| LICENSES, DUES AND FEES | 427466 | 131705 | 295761 | 0 |
| CONTRACTED SERVICES | 377413 | 179313 | 198100 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 852329 | Total |
| Program Services | 605658 | ProgramServices |
| Management And General | 246671 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107966211 | Total |
| Program Services | 67572889 | ProgramServices |
| Management And General | 40393322 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 640410 | BOY |
| EOY | 363808 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10205929 | BOY |
| EOY | 16384635 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2101537 | BOY |
| EOY | 4405084 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18241123 | BOY |
| EOY | 16506178 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5529198 | BOY |
| EOY | 4369110 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 418240 | BOY |
| EOY | 450296 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3587821 | BOY |
| EOY | 643132 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 146006136 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 61981465 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85771975 | BOY |
| EOY | 84024671 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25432033 | BOY |
| EOY | 24198893 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1131724 | BOY |
| EOY | 1083027 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5943645 | BOY |
| EOY | 9366420 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159003635 | BOY |
| EOY | 161795254 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16857309 | BOY |
| EOY | 18092822 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48347432 | BOY |
| EOY | 46833778 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4911949 | BOY |
| EOY | 4028274 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6566226 | BOY |
| EOY | 7055461 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76682916 | BOY |
| EOY | 76010335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62560251 | BOY |
| EOY | 67435285 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13357366 | BOY |
| EOY | 11925914 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6403102 | BOY |
| EOY | 6423720 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82320719 | BOY |
| EOY | 85784919 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159003635 | BOY |
| EOY | 161795254 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2306061 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1158139 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $90,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $5,879 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 95879 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY EXPLANATION | Identifier |
| Return Reference | SCHEDULE C, PART II-B; LINES 1G AND 1I | ReturnReference |
| Explanation | CHILDREN'S SPECIALIZED HOSPITAL IS A MEMBER OF THE ROBERT WOOD JOHNSON HEALTH CARE CORPORATION HEALTH SYSTEM ("SYSTEM"). CHILDREN'S SPECIALIZED HOSPITAL PAID ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, $90,000 FOR ITS PORTION OF THE LOBBYING EXPENSES INCURRED BY THE SYSTEM. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL PAID AN OUTSIDE INDEPENDENT LOBBYING FIRM TO PROVIDE LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND THE NEW JERSEY STATE CHAMBER OF COMMERCE WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $5,879 IN 2011. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8364523 | BeginningOfYearBalance |
| Contributions | 20618 | Contributions |
| Investment Earnings Or Losses | 215644 | InvestmentEarningsOrLosses |
| Other Expenditures | 490603 | OtherExpenditures |
| End Of Year Balance | 8110182 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9145933 | BeginningOfYearBalance |
| Contributions | 90772 | Contributions |
| Investment Earnings Or Losses | 873763 | InvestmentEarningsOrLosses |
| Other Expenditures | 1745945 | OtherExpenditures |
| End Of Year Balance | 8364523 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7904460 | BeginningOfYearBalance |
| Contributions | 173425 | Contributions |
| Investment Earnings Or Losses | 1559846 | InvestmentEarningsOrLosses |
| Other Expenditures | 491798 | OtherExpenditures |
| End Of Year Balance | 9145933 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9312477 | BeginningOfYearBalance |
| Contributions | 174322 | Contributions |
| Investment Earnings Or Losses | -1562339 | InvestmentEarningsOrLosses |
| Other Expenditures | 20000 | OtherExpenditures |
| End Of Year Balance | 7904460 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.79200 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.20800 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 156400 | OtherCostOrOtherBasis |
| Book Value | 156400 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70610388 | OtherCostOrOtherBasis |
| Depreciation | 22580382 | Depreciation |
| Book Value | 48030006 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71561657 | OtherCostOrOtherBasis |
| Depreciation | 38111425 | Depreciation |
| Book Value | 33450232 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3677691 | OtherCostOrOtherBasis |
| Depreciation | 1289658 | Depreciation |
| Book Value | 2388033 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 84024671 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (7 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LIMITED USE | 3295285 | F |
| LIMITED USE | 524791 | F |
| LIMITED USE | 839591 | F |
| FOUNDATION, INC. | 15349634 | F |
| EQUIVALENTS; LIMITED USE | 584942 | F |
| EQUIVALENTS; LIMITED USE | 3562106 | F |
| LIMITED USE | 42544 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 24198893 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 5502454 |
| NB BUILDING CONSTRUCTION COSTS | 2936055 |
| THIRD-PARTY PAYORS | 927911 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9366420 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LIABILITIES | $2,009,000 |
| CURRENT | $1,630,158 |
| NON-CURRENT | $3,416,303 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7055461 | TotalOfAmounts |
| Total Revenue | 110272272 | TotalRevenue |
| Total Expenses | 107966211 | TotalExpenses |
| Excess Or Deficit For Year | 2306061 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -223394 | NetUnrealizedGLOnInvestments |
| Other | $1,381,533 | OtherAmount |
| Total Adjustments | 1158139 | TotalAdjustments |
| Excess Or Deficit Per FS | 3464200 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 110048878 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -223394 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -223394 | RevenueNotRptdF990 |
| Revenue Subtotal | 110272272 | RevenueSubtotal |
| Total Revenue Per Form990 | 110272272 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 107966211 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 107966211 | ExpensesSubtotal |
| Total Expenses Per Form990 | 107966211 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | SCHEDULE D, PART V; QUESTION 4 | ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. |
| TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE | SCHEDULE D, PART X | THE ORGANIZATION ENGAGED AN INDEPENDENT CPA FIRM TO ISSUE AUDITED FINANCIAL STATEMENTS. OUTLINED BELOW IS THE TEXT OF THE FIN 48 DISCLOSURE FOOTNOTE FROM THE ORGANIZATION'S 2011 AUDITED FINANCIAL STATEMENTS: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FORM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTIONS 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. |
| RECON. OF CHANGE IN NET ASSETS FROM 990 TO AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XI; LINE 8 | OTHER CHANGES IN FUND BALANCE INCLUDE: - CHANGE IN INTEREST IN RESTRICTED NET ASSETS OF FOUNDATION - $3,055,192 - NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES - ($1,673,659) |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Offices | 1 | NumberOfOffices |
| Number Of Employees | 1 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | FINANCIAL VEHICLE | SpecificServicesProvided |
| Total Expenditures | 442844 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 1 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 1 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 1 | TotalNumberOfOffices |
| Total Number Of Employees | 1 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 442844 | SubtotalAmountSpent |
| Total Amount Spent | 442844 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 738 | PersonsServed |
| Total Community Benefit Expense | 600990 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 600990 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 738 | PersonsServed |
| Total Community Benefit Expense | 600990 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 600990 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 63 | NumberOfActivitiesOrPrograms |
| Persons Served | 58808 | PersonsServed |
| Total Community Benefit Expense | 998011 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 998011 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 8649 | PersonsServed |
| Total Community Benefit Expense | 372445 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 372445 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 6325 | PersonsServed |
| Total Community Benefit Expense | 1118257 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1118257 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 82 | NumberOfActivitiesOrPrograms |
| Persons Served | 73782 | PersonsServed |
| Total Community Benefit Expense | 2488713 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2488713 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02350 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 82 | NumberOfActivitiesOrPrograms |
| Persons Served | 74520 | PersonsServed |
| Total Community Benefit Expense | 3089703 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3089703 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02920 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 275 | PersonsServed |
| Total Community Building Expense | 1704 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1704 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 2241 | PersonsServed |
| Total Community Building Expense | 331386 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 331386 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 255 | PersonsServed |
| Total Community Building Expense | 47274 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 47274 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 2771 | PersonsServed |
| Total Community Building Expense | 380364 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 380364 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,245,184 | BadDebtExpenseAmount |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PSE&G CHILDREN'S SPECIALIZED HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOMERSET STREET | AddressLine1 |
| City | NEW BRUNSWICK | City |
| State | NJ | State |
| ZIP Code | 08901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Childrens Hospital | X | ChildrensHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PSE&G CHILDREN'S SPECIALIZED HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | false | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CSH LONG TERM CARE AT MOUNTAINSIDE | ||||
| 150 NEW PROVIDENCE ROAD | MOUNTAINSIDE | NJ | 07092 | LONG-TERM CARE AND OUTPATIENT CENTER |
| CSH LONG TERM CARE AT TOMS RIVER | ||||
| 94 STEVENS ROAD | TOMS RIVER | NJ | 08755 | LONG-TERM CARE AND OUTPATIENT CENTER |
| CSH OUTPATIENT CENTER AT HAMILTON | ||||
| 3575 QUAKERBRIDGE ROAD | HAMILTON | NJ | 08619 | OUTPATIENT CENTER |
| CSH OUTPATIENT CENTER AT LAKEHURST ROAD | ||||
| 368 LAKEHURST ROAD | TOMS RIVER | NJ | 08755 | OUTPATIENT CENTER |
| CSH MED DAY CARE CTR & EARLY INT | ||||
| 316 WEST WESTFIELD AVENUE | ROSELLE PARK | NJ | 07204 | OUTPATIENT CENTER |
| CSH EARLY INTERVENTION TOMS RIVER | ||||
| 316 WASHINGTON STREET | TOMS RIVER | NJ | 08755 | EARLY INTERVENTION |
| CSH OUTPATIENT CENTER AT FANWOOD | ||||
| 313 SOUTH AVENUE | FANWOOD | NJ | 07023 | OUTPATIENT CENTER |
| CSH OUTPATIENT CENTER AT CLIFTON | ||||
| 1135 BROAD STREET | CLIFTON | NJ | 07013 | OUTPATIENT CENTER |
| CSH OUTPATIENT CENTER AT BAYONNE | ||||
| 818 BROADWAY AVENUE | BAYONNE | NJ | 07002 | OUTPATIENT CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ELIGIBILITY FOR DISCOUNTED CARE | 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 2011 FEDERAL POVERTY GUIDELINES ("FPG")(DEPARTMENT OF HEALTH AND SENIOR SERVICES) ADJUSTED TO 300% OF THE INCOME POVERTY GUIDELINE. FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. |
| 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. |
| PERCENT OF TOTAL EXPENSE | SCHEDULE H, PART I; QUESTION 7 COLUMN (F) | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,245,184. |
| CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST | SCHEDULE H, PART I, QUESTION 7 | WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. |
| 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. THE ORGANIZATION ISSUED AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED. BELOW DESCRIBES IT IN MORE DETAIL: PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE REIMBURSED OR CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE HOSPITAL'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE HOSPITAL'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE HOSPITAL DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE HOSPITAL REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST-DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTABILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. CHARITY CARE THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES AND MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THE HOSPITAL DOES NOT RECEIVE ANY DISTRIBUTION OF STATE OR FEDERAL SUBSIDIES FOR CHARITY CARE SERVICES RENDERED. AN OVERALL COST TO CHARGE RATIO WAS APPLIED TO ARRIVE AT THE COST OF CHARITY CARE. AS A RESULT, THE COST OF PROVIDING CHARITY CARE WAS $600,990 AND $674,266 FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. |
| COMMUNITY BENEFIT | SCHEDULE H, PART III, SECTION B; QUESTION 8 | BAD DEBT IS COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT BAD DEBT SHOULD BE A COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDED ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. BAD DEBT IS COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION THAT BAD DEBT SHOULD BE COMMUNITY BENEFIT. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING BAD DEBT AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE. |
| 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 AGAINST REVENUE. IT IS THE POLICY OF CHILDREN'S SPECIALIZED HOSPITAL TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER THE POLICY LIMIT OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR CHILDREN'S SPECIALIZED HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR HOSPITAL'S ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICAID REIMBURSEMENT. |
| 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,QUESTIONS 9,10,11H,13G,15E,16E,17E,18D,20&21 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 19D | THE ORGANIZATION CURRENTLY UTILIZES AMOUNTS TYPICALLY CHARGED IN THESE INSTANCES. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI; QUESTION 2 | THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST OF NEW JERSEY, KID'S COUNT, ETC.). THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCHEDULE H, PART VI; QUESTION 3 | CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. |
| COMMUNITY INFORMATION | SCHEDULE H, PART VI; QUESTION 4 | THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES TO MORE AFFLUENT SUBURBAN AREAS THROUGHOUT THE STATE OF NEW JERSEY. CHILDREN'S HAS NINE LOCATIONS THROUGHOUT THE STATE AND IS COMMITTED TO SERVICE ALL OF ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 60% OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 8% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI; QUESTION 5 | COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY CHILDREN'S SPECIALIZED HOSPITAL IMPROVES THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS. CHILDREN'S SPECIALIZED HOSPITAL PLANS TO HOLD AN ANNUAL BOARD MEETING OPEN TO THE PUBLIC. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHOM RESIDE IN THE COMMUNITY. HOSPITAL STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THE MEDICAL STAFF OFFICE CREDENTIALING COMMITTEE. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE CHILDREN'S SPECIALIZED HOSPITAL. |
| AFFILIATED HEALTHCARE SYSTEM | SCHEDULE H, PART VI; QUESTION 6 | OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK AND AFFILIATES. NOT FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HEALTH CARE CORPORATION RWJ HEALTH CARE CORPORATION ("RWJHCC") IS THE TAX-EXEMPT PARENT OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ("NETWORK"). THIS INTEGRATED HEALTH CARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTH CARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER RWJHCC OR ANOTHER NETWORK AFFILIATE CONTROLLED BY RWJCC. NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. RWJ HEALTH CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ HEALTH CARE CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTH CARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTH CARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. RWJ HEALTH CARE CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ACTIVE HOSPITALS INCLUDE: CHILDREN'S SPECIALIZED HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATE AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ HEALTH CARE CORPORATION. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CHILDREN'S SPECIALIZED HOSPITAL CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 158 BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY ("RWJUHR") IS A 265-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FRIENDS OF CHILDREN'S SPECIALIZED HOSPITAL FORMERLY THE AUXILIARY OF CHILDREN'S SPECIALIZED HOSPITAL THE FRIENDS OF CHILDREN'S SPECIALIZED HOSPITAL IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. |
| AFFILIATED HEALTHCARE SYSTEM CONTINUED | SCHEDULE H, PART VI; QUESTION 6 | ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ORGANIZATION OF A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHICH INCLUDES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY AUXILIARY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY AUXILIARY IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. NEW BRUNSWICK AFFILIATED HOSPITAL, INC.. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES HAMILTON O/B GYN, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ DIABETES & ENDOCRINOLOGY A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL ASSOCIATES AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL ASSOCIATES A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. RWJ HEALTH NETWORK, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A HEALTH CARE SYSTEM. RWJ KIDNEY TRANSPLANT ASSOCIATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MUTI-SPECIALTY, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ PHYSICIAN ENTERPRISE, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ SURGERY CENTER, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES SURGERY SERVICES TO INDIVIDUALS. SYSTEM AND AFFILIATE MEMBERS, LTD. A CONTROLLED FOREIGN CORPORATION BY ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. VISION HEALTHCARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY PROVIDES INVESTMENT SERVICES TO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | SCHEDULE H, PART III, SECTION B; QUESTION 7 | NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARTIN DIAMOND MD | |||||||||||||
| 254540 | 0 | 0 | 0 | 9588 | 0 | 9800 | 0 | 16024 | 0 | 289952 | 0 | 0 | 0 |
| AMY B MANSUE | |||||||||||||
| 395669 | 0 | 160333 | 0 | 33989 | 0 | 122291 | 0 | 10042 | 0 | 722324 | 0 | 25299 | 0 |
| PHILIP SALERNO | |||||||||||||
| 291161 | 0 | 43800 | 0 | 13902 | 0 | 9800 | 0 | 26012 | 0 | 384675 | 0 | 0 | 0 |
| WARREN E MOORE | |||||||||||||
| 313250 | 0 | 46997 | 0 | 34915 | 0 | 65335 | 0 | 20144 | 0 | 480641 | 0 | 25838 | 0 |
| JOSEPH J DOBOSH JR | |||||||||||||
| 285170 | 0 | 47924 | 0 | 35975 | 0 | 73264 | 0 | 17229 | 0 | 459562 | 0 | 25946 | 0 |
| KAREN M DEWITT EDD | |||||||||||||
| 227460 | 0 | 31442 | 0 | 26015 | 0 | 51052 | 0 | 6667 | 0 | 342636 | 0 | 18653 | 0 |
| MICHAEL R DRIBBON PHD | |||||||||||||
| 225811 | 0 | 38538 | 0 | 17255 | 0 | 51323 | 0 | 3708 | 0 | 336635 | 0 | 7785 | 0 |
| WILLIAM DWYER | |||||||||||||
| 210920 | 0 | 27543 | 0 | 23213 | 0 | 45423 | 0 | 6653 | 0 | 313752 | 0 | 14981 | 0 |
| UDAY MEHTA MD | |||||||||||||
| 261237 | 0 | 0 | 0 | 14166 | 0 | 9800 | 0 | 20062 | 0 | 305265 | 0 | 0 | 0 |
| KRISHAN YALAMANCHI MD | |||||||||||||
| 218696 | 0 | 0 | 0 | 2810 | 0 | 8572 | 0 | 25748 | 0 | 255826 | 0 | 0 | 0 |
| YVETTE JANVIER MD | |||||||||||||
| 205600 | 0 | 0 | 0 | 2692 | 0 | 8229 | 0 | 1910 | 0 | 218431 | 0 | 0 | 0 |
| MICHELE FANTASIA MD | |||||||||||||
| 200642 | 0 | 0 | 0 | 2303 | 0 | 7843 | 0 | 17052 | 0 | 227840 | 0 | 0 | 0 |
| THOMAS A RUGINO MD | |||||||||||||
| 192242 | 0 | 0 | 0 | 2608 | 0 | 5989 | 0 | 23417 | 0 | 224256 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 1A | THE ORGANIZATION PAID FOR HEALTH CLUB DUES FOR CERTAIN EMPLOYEES. THE HEALTH CLUB DUES ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2011 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $500; WARREN E. MOORE, $500; JOSEPH J. DOBOSH, JR.; $500; KAREN M. DEWITT, ED. D., $256 AND MICHAEL R. DRIBBON, PH.D., $1,000. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 4B | THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED AS EMPLOYEE BENEFIT PLAN CONTRIBUTIONS ON PRIOR YEARS FORMS 990. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $25,299; WARREN E. MOORE, $25,838; JOSEPH J. DOBOSH, JR., $25,946; KAREN M. DEWITT, ED.D., $18,653; MICHAEL R. DRIBBON, PH.D., $7,785 AND WILLIAM DWYER, $14,981. 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 2011 FORM W-2, AS TAXABLE WAGES: AMY B. MANSUE, $114,941; WARREN E. MOORE, $55,535; JOSEPH J. DOBOSH, JR., $63,464; KAREN M. DEWITT, ED.D., $41,252; MICHAEL R. DRIBBON, PH.D., $41,523 AND WILLIAM DWYER, $35,740. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 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. |
| COMPENSATION INFORMATION | SCHEDULE J, PART II, COLUMN F | THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F REPRESENTS AMOUNTS THAT WERE RECEIVED IN 2011 AND REPORTED ON PRIOR FORMS 990 AS NOT CURRENTLY TAXABLE DEFERRED COMPENSATION BECAUSE THE AMOUNTS WERE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AS FOLLOWS: AMY B. MANSUE, $25,299; WARREN E. MOORE, $25,838; JOSEPH J. DOBOSH, JR., $25,946; KAREN M. DEWITT, ED.D., $18,653; MICHAEL R. DRIBBON, PH.D., $7,785 AND WILLIAM DWYER, $14,981. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 221487148 | IssuerEIN |
| CUSIP Number | 64579FGL1 | CUSIPNumber |
| Date Issued | 2005-11-01 | DateIssued |
| Issue Price | 56895000 | IssuePrice |
| Description Of Purpose | CONSTRUCTION | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | true | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 10625000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 56895000 | TotalProceeds |
| Amount In Reserve Fund | 2474925 | AmountInReserveFund |
| Capitalized Interest | 743756 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 1169455 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 56895000 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART I | Identifier |
| Return Reference | TAX-EXEMPT BOND ISSUES | ReturnReference |
| Explanation | THE TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES CUSIP NUMBERS IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I, COLUMN (C). THESE ARE THE FOLLOWING: 64579FGM9; 64579FGN7; 64579FGP2; 64579FGQ0; 64579FGR8; 64579FGS6; 64579FGT4; 64579FGU1 & 64579FGV9 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | UMDNJ | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FRANK CASTELLO,MD-TRUSTEE | Relationship |
| Amount Of Transaction | 373445 | AmountOfTransaction |
| Description Of Transaction | REIMB. OF COMP & BENEFITS | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L; PART IV | ReturnReference |
| Explanation | THE ORGANIZATION PAID UMDNJ $373,445 WHICH REPRESENTED REIMBURSEMENT ATTRIBUTABLE TO DR. CASTELLO'S EMPLOYEE COMPENSATION, BENEFITS AND MALPRACTICE INSURANCE RECEIVED BY DR. CASTELLO AS A UMDNJ EMPLOYEE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMMUNITY BENEFIT STATEMENT | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BACKGROUND ========== CHILDREN'S SPECIALIZED HOSPITAL ("CSH"), AN AFFILIATE MEMBER OF THE ROBERT WOOD JOHNSON HEALTH SYSTEM, IS A NOT FOR-PROFIT LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITIES. CSH ALSO OPERATES A LICENSED PEDIATRIC MEDICAL DAY CARE, AND A PEDIATRIC PRACTICE FOR CHILDREN WITH DISABILITIES. CSH HAS BEEN PROVIDING SERVICES TO THE CHILDREN OF NEW JERSEY AND SURROUNDING STATES FOR 122 YEARS. OUR TALENTED AND CARING STAFF PROVIDE A WIDE ARRAY OF MEDICAL, DEVELOPMENTAL, EDUCATIONAL AND REHABILITATIVE SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS. CSH'S HEALTHCARE PROFESSIONALS ARE COMMITTED TO PROVIDING EXPERT AND COMPASSIONATE CARE TO CHILDREN WITH CHRONIC ILLNESSES AND DISABILITIES. EVALUATION AND TREATMENT IS AVAILABLE FOR A VARIETY OF REHABILITATION NEEDS, INCLUDING, BUT NOT LIMITED TO, BRAIN INJURIES, SPINAL CORD DYSFUNCTION, RESPIRATORY ISSUES, AUTISM, ORTHOPEDIC PROBLEMS, SPORTS INJURIES, LEARNING DISABILITIES, LANGUAGE OR HEARING PROBLEMS, DEVELOPMENTAL DELAYS, AND BEHAVIOR OR ATTENTION PROBLEMS AT HOME OR IN SCHOOL. COMPREHENSIVE, COORDINATED CARE IS PROVIDED FOR CHILDREN WITH CHRONIC ILLNESSES AND DISABILITIES WHO MAY HAVE MULTIPLE AND COMPLEX THERAPY NEEDS. CHARITABLE PURPOSES, CHARITY CARE AND COMMUNITY ACTIVITIES ========================================================== CSH PROVIDES HEALTHCARE SERVICES TO ALL CHILDREN IN THE TRI-STATE AREA WHO CAN BENEFIT FROM REHABILITATIVE CARE AND WHO ARE LEGAL RESIDENTS OF NEW JERSEY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF ABILITY TO PAY. CSH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN IT'S ESTABLISHED RATES AND MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. CSH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CSH DOES NOT RECEIVE ANY DISTRIBUTION OF FEDERAL OR STATE SUBSIDIES FOR CHARITY CARE SERVICES RENDERED. ACCREDITATIONS ============== CSH IS ACCREDITED BY THE JOINT COMMISSION OF ACCREDITATION OF HEALTHCARE ORGANIZATIONS. MISSION STATEMENT ================= THE MISSION OF CHILDREN'S SPECIALIZED HOSPITAL IS TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. CHILDREN'S SPECIALIZED HOSPITAL CORPORATE VALUES ================================================ THE VALUES OF CSH ARE COMPASSION, INTEGRITY, EXCELLENCE, FUN, INNOVATION, AND TEAMWORK. COMPASSION: WE WILL PROVIDE A LOVING, CARING ENVIRONMENT FOR THE CHILDREN, FAMILIES, AND EACH OTHER. INTEGRITY: WE ARE COMMITTED TO ORGANIZATIONAL AND FINANCIAL ACCOUNTABILITY, TRANSPARENCY, RESPECT FOR ALL AND ETHICAL PRACTICES. EXCELLENCE: WE WILL BE THE BEST AT OUR JOBS AND PROVIDE THE HIGHEST QUALITY CARE TO OUR CHILDREN, CONSTANTLY STRIVING TO IMPROVE AND BE THE BEST. FUN: WE WILL PROVIDE A CHILD-FRIENDLY ENVIRONMENT. IF WE HAVE FUN DOING OUR JOBS, IT WILL REFLECT IN HOW WE DEAL WITH THE CHILDREN AND EACH OTHER. INNOVATION: WE WILL BE CREATIVE IN PROVIDING CARE AND PROBLEM SOLVING. TEAMWORK: CSH IS A TEAM WHERE EVERY PERSON IS NEEDED TO PROVIDE THE QUALITY CARE FOR WHICH WE ARE KNOWN. WE MUST WORK TOGETHER TO BE SUCCESSFUL. PATIENT-AND-FAMILY-CENTERED CARE AND CHILDREN'S SPECIALIZED HOSPITAL ==================================================================== PATIENT-AND-FAMILY CENTERED CARE IS AN APPROACH TO HEALTHCARE THAT SHAPES HEALTHCARE POLICIES, PROGRAMS, FACILITY DESIGN, AND DAY TO DAY INTERACTIONS AMONG PATIENTS FAMILIES, PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. HEALTHCARE PROFESSIONALS, WHO PRACTICE PATIENT-AND-FAMILY CENTERED CARE, RECOGNIZE THE VITAL ROLE THAT FAMILIES PLAY IN ENSURING THE HEALTH AND WELL-BEING OF CHILDREN AND FAMILY MEMBERS OF ALL AGES. THESE PRACTITIONERS ACKNOWLEDGE THAT EMOTIONAL, SOCIAL AND DEVELOPMENTAL SUPPORTS ARE INTEGRAL COMPONENTS OF HEALTHCARE. THEY RESPECT EACH CHILD AND FAMILY'S INNATE STRENGTHS AND VIEW THE HEALTHCARE EXPERIENCE AS AN OPPORTUNITY TO BUILD ON THESE STRENGTHS AND SUPPORT FAMILIES IN THEIR CARE-GIVING AND DECISION-MAKING ROLES. A PATIENT-AND-FAMILY CENTERED APPROACH LEADS TO BETTER HEALTH OUTCOMES AND WISER ALLOCATIONS OF RESOURCES, AS WELL AS GREATER PATIENT AND FAMILY SATISFACTION. PATIENT-AND-FAMILY CENTERED CARE IN PEDIATRICS IS BASED ON THE UNDERSTANDING THAT THE FAMILY IS THE CHILD'S PRIMARY SOURCE OF STRENGTH AND SUPPORT AND THAT THE CHILD'S AND FAMILY'S PERSPECTIVES AND INFORMATION ARE IMPORTANT IN CLINICAL DECISION MAKING. PATIENT-AND-FAMILY CENTERED PRACTITIONERS ARE KEENLY AWARE THAT HEALTHCARE EXPERIENCES CAN ENHANCE PARENTS' CONFIDENCE IN THEIR ROLES AND, OVER TIME INCREASE THE COMPETENCE OF CHILDREN AND YOUNG ADULTS TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTHCARE, PARTICULARLY IN ANTICIPATION OF THE TRANSITION TO ADULT SERVICE SYSTEMS. PATIENT-AND-FAMILY-CENTERED CARE IS GROUNDED IN COLLABORATION AMONG PATIENTS, FAMILIES, AND ALL HOSPITAL PERSONNEL FOR THE PLANNING, DELIVERY, AND EVALUATION OF THE DELIVERY OF HEALTHCARE TO THE CHILDREN WE SERVE, AS WELL AS IN THE EDUCATION OF HEALTHCARE WORKERS. CONTINUING OUR GOAL TO BE RECOGNIZED AS A CENTER OF EXCELLENCE IN PEDIATRIC CARE, CSH IS COMMITTED TO THE INTEGRATION OF PATIENT-AND-FAMILY-CENTERED PRINCIPLES INTO OUR HEALTHCARE POLICIES AND PRACTICES ACROSS THE CONTINUUM OF CARE PROVIDED BY OUR INSTITUTION. IN PLACING THE NEEDS OF THE CHILD AND FAMILY AT THE CENTER OF ALL ACTIVITIES WE WILL FULFILL OUR MISSION AND EMBODY THE VALUES OF PATIENT-AND-FAMILY-CENTERED CARE AND CHILDREN'S SPECIALIZED HOSPITAL BY: RESPECTING EACH CHILD AND HIS OR HER FAMILY AS PARTNERS IN CARE; HONORING DIVERSITY AND ITS EFFECT ON THE FAMILY'S EXPERIENCE AND THE PERCEPTION OF CARE THROUGH RECOGNIZING THAT EACH FAMILY IS UNIQUE IN THEIR STRUCTURE, VALUES, CULTURE, ETHNICITY, ORIENTATION, SPIRITUAL BELIEFS, SOCIAL-ECONOMICS, EDUCATIONAL, AND GEOGRAPHIC DIVERSITY; BUILDING ON THE STRENGTHS OF EACH CHILD AND FAMILY, EVEN IN DIFFICULT AND CHALLENGING SITUATIONS, BY ACKNOWLEDGING EACH FAMILY'S PRIORITIES AND LEVEL OF EXPERTISE; RECOGNIZING AND RESPECTING DIFFERENT METHODS OF COPING; IMPLEMENTING COMPREHENSIVE SERVICES THAT PROVIDE DEVELOPMENTAL, EDUCATIONAL, EMOTIONAL, ENVIRONMENTAL, AND FINANCIAL SUPPORTS; SUPPORTING AND FACILITATING CHOICE FOR THE CHILD AND FAMILY ABOUT APPROACHES TO CARE AND SUPPORT; ENSURING FLEXIBILITY IN ORGANIZATIONAL POLICIES, PROCEDURES AND PROVIDER PRACTICES TO REFLECT DIVERSITY AND MEET THE NEEDS, BELIEFS, PERSONALITIES, LIFE EXPERIENCES, SPIRITUAL AND CULTURAL VALUES OF EACH CHILD AND FAMILY; PROVIDING FORMAL AND INFORMAL SUPPORT FOR EACH CHILD AND FAMILY - COLLABORATING WITH FAMILIES AT ALL LEVELS OF HEALTHCARE, IN THE CARE OF THE INDIVIDUAL CHILD AND IN PROFESSIONAL EDUCATION, POLICY MAKING AND PROGRAM DEVELOPMENT, THROUGH THE EXCHANGE OF HONEST AND UNBIASED INFORMATION ON AN ONGOING BASIS AND IN WAYS THAT ARE USEFUL AND AFFIRMING; EMPOWERING CHILDREN AND FAMILIES TO DISCOVER THEIR OWN STRENGTHS, BUILD CONFIDENCE AND MAKE CHOICES AND DECISIONS ABOUT THEIR HEALTH THROUGH THE CREATION OF TRUE PARTNERSHIPS WITH HEALTHCARE PROFESSIONALS, AND; WORKING WITH LOCAL COMMUNITIES, SCHOOLS AND HEALTH OFFICIALS TO ENSURE THAT COMMUNITY SERVICES AND SUPPORT SYSTEMS FOR CHILDREN AND THEIR FAMILIES ARE FLEXIBLE, ACCESSIBLE AND COMPREHENSIVE. CSH MAINTAINS INPATIENT PROGRAMS FOR BRAIN INJURY, SPINAL CORD DYSFUNCTION, INFANT-TODDLERS WITH PREMATURITY AND BIRTH RELATED DISORDERS, CHRONIC ILLNESS, AND GENERAL REHABILITATION. OUTPATIENT PROGRAMS EXIST AT VARYING LEVELS OF DEVELOPMENT INCLUDING THE AUTISM PROGRAM AND THE COMPREHENSIVE FEEDING PROGRAM. SERVICES INCLUDE PHYSICIAN SUB-SPECIALTY CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AS WELL AS PSYCHOLOGY. THESE ARE JUST A FEW OF OUR MANY PROGRAMS AND SPECIALTY SERVICE AREAS THAT COMBINE CUTTING-EDGE TECHNOLOGY WITH CLINICAL EXPERTISE AND COMPASSIONATE CARE IN A PATIENT-AND-FAMILY-CENTERED ENVIRONMENT AT FACILITIES IN NEW BRUNSWICK, MOUNTAINSIDE, TOMS RIVER, FANWOOD, HAMILTON, BAYONNE, CLIFTON AND ROSELLE PARK. ADDITIONALLY, CSH'S STAFF PROVIDES EXPERTISE AT VARIOUS SCHOOLS, CENTERS, AND PROGRAMS FOR CHILDREN WITH SPECIAL NEEDS THROUGHOUT NEW JERSEY. |
| COMMUNITY BENEFIT STATEMENT; CONT'D | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BRAIN INJURY ------------ HELPING A CHILD RECOVER FROM A BRAIN INJURY PRESENTS COMPLEX CHALLENGES. WHILE THE CHILD NEEDS HELP IN RECOVERING FROM HIS INJURIES, HE ALSO IS STILL DEVELOPING PHYSICALLY, EMOTIONALLY, AND INTELLECTUALLY. THE BRAIN INJURY PROGRAM AT CSH MEETS THESE CHALLENGES AND THE UNIQUE NEEDS OF CHILDREN BY PROVIDING INNOVATIVE, EXPERT AND LOVING CARE FOR THE PATIENT WITH A BRAIN INJURY ON HIS OR HER ROAD TO INDEPENDENCE. THE BRAIN INJURY PROGRAM, WHICH WAS ESTABLISHED IN 1981, IS DESIGNED TO MEET THE NEEDS OF BRAIN-INJURED, AGE APPROPRIATE PATIENTS AT ALL LEVELS OF COGNITIVE AWARENESS. THE REHABILITATION PROCESS IS THE FOUNDATION FOR LONG TERM RECOVERY. CHILDREN ARE BEST TREATED BY PEDIATRIC SPECIALISTS IN AN ENVIRONMENT ESPECIALLY GEARED TO THEIR NEEDS. CSH PROVIDES SPECIALIZED CARE FOR EACH CHILD'S UNIQUE NEEDS DURING THEIR RECOVERY IN A COMPREHENSIVE MEDICAL AND REHABILITATION SETTING. A FULL CONTINUUM OF CARE FROM COMA TO RE-ENTRY TO THE COMMUNITY IS PROVIDED FOR EACH CHILD. THE BRAIN INJURY PROGRAM IS GEARED TOWARD MAXIMAL PROGRESS THROUGH REHABILITATION WHILE EMPHASIZING THE ACHIEVEMENT OF NORMAL PEDIATRIC DEVELOPMENTAL MILESTONES. CSH'S PROFESSIONAL STAFF, WHO ARE EXPERIENCED WITH BRAIN INJURIES AND THE DEVELOPMENTAL NEEDS OF CHILDREN, INCORPORATE EACH CHILD AND FAMILY WITHIN THE REHABILITATION TEAM TO ENCOURAGE OPTIMAL PROGRESS. EACH CHILD'S INDIVIDUALIZED PROGRAM FOCUSES ON THEIR MEDICAL, PHYSICAL, COGNITIVE, AND PSYCHOSOCIAL NEEDS. IN ADDITION TO INDIVIDUAL THERAPY, GROUP THERAPY PROVIDES COMPREHENSIVE STRUCTURED STIMULATION SESSIONS FOR PATIENTS IN ORDER TO ENHANCE AND ACCELERATE AROUSAL, ALERTNESS, ORIENTATION, AND SOCIALIZATION. THE BRAIN INJURY PROGRAM ADDRESSES: - MEDICAL MANAGEMENT - SPECIALIZED NURSING CARE - PHYSICAL THERAPY - OCCUPATIONAL THERAPY - SPEECH THERAPY - AUDITORY EVALUATION - COGNITIVE STATUS - NUTRITIONAL STATUS - FAMILY SUPPORT - CASE MANAGEMENT - PSYCHOLOGICAL STATUS - CORTICAL FUNCTIONING - RE-ENTRY TO HOME, SCHOOL, AND COMMUNITY ONE OUTPATIENT COMPONENT OF THE BRAIN INJURY PROGRAM IS THE NEURO-REHABILITATION PROGRAM. THE NEURO-REHABILITATION GROUP PROGRAM IS AN INTENSIVE TREATMENT PROGRAM FOR CHILDREN AND ADOLESCENTS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY, OR WHO ARE EXPERIENCING COGNITIVE DYSFUNCTION AS A RESULT OF NEUROLOGICAL OR OTHER CHRONIC ILLNESS. THIS FAMILY-CENTERED PROGRAM PROVIDES THERAPEUTIC INTERVENTIONS DESIGNED TO HELP CHILDREN AND ADOLESCENTS REGAIN COGNITIVE SKILLS AND LEARN COMPENSATORY STRATEGIES THAT ARE NEEDED FOR SCHOOL AND SOCIAL FUNCTIONING. THE PROGRAM ALSO ADDRESSES MOTOR IMPAIRMENTS THAT MAY ACCOMPANY ACQUIRED BRAIN INJURY OR ILLNESS. THE GROUP PROGRAM IS DELIVERED PRIMARILY IN SMALL GROUP SETTINGS. INDIVIDUAL PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES MAY ALSO BE PROVIDED AS INDICATED. INVOLVEMENT IN THE GROUP PROGRAM PREPARES THE YOUNGSTER FOR RETURN TO A LARGER GROUP SETTING, USUALLY SCHOOL, AND PROVIDES HIM OR HER WITH IMPROVED SKILLS FOR PEER INTERACTION AND SOCIALIZATION. CHILDREN MAY ALSO BE SEEN THROUGH THE NEURO-REHABILITATION INDIVIDUAL PROGRAM. CHILDREN IN THE INDIVIDUAL PROGRAM ARE PRESENTLY INVOLVED IN SCHOOL AND COMMUNITY ACTIVITIES BUT REQUIRE ADDITIONAL INTERVENTION TO BETTER REGAIN OR DEVELOP COMPENSATORY SKILLS TO IMPROVE OR MAINTAIN AGE APPROPRIATE WAYS OF THINKING AND BEHAVING. SPINAL CORD PROGRAM ------------------- THE SPINAL CORD PROGRAM PROVIDES INTENSIVE AND COMPREHENSIVE REHABILITATION SERVICES FOR CHILDREN AND ADOLESCENTS WITH ACQUIRED AND CONGENITAL SPINAL CORD PROBLEMS. THE PROGRAM TREATS PATIENTS WITH ALL LEVELS OF PEDIATRIC SPINAL CORD DYSFUNCTION, FROM THE CHILD DEPENDENT ON A VENTILATOR TO THE INDIVIDUAL WITH THE LOWEST LEVEL OF SPINAL CORD INJURY. PATIENTS ARE PROVIDED WITH AN AGGRESSIVE REHABILITATION TREATMENT PROGRAM COUPLED WITH COMPREHENSIVE MEDICAL AND NURSING CARE. THE PROGRAM'S TEAM APPROACH RESULTS IN A COORDINATED TREATMENT PLAN DESIGNED TO MEET THE COMPLEX NEEDS OF EACH PATIENT AND HIS OR HER FAMILY. WHILE AN EMPHASIS IS PLACED ON ACHIEVING NORMAL DEVELOPMENTAL MILESTONES, THE TREATMENT PLAN TAKES INTO ACCOUNT THE PATIENT'S LEVEL OF INJURY, AGE, AND DEVELOPMENTAL ABILITIES IN CREATING REALISTIC EXPECTATIONS FOR PERFORMING ACTIVITIES. THE TEAM IS ADEPT AT DEVELOPING TREATMENT PLANS TO ACCOMMODATE PATIENTS WITH HIGH SPINAL CORD INJURIES (TETRAPLEGIA; QUADRAPLEGIA) WHO REQUIRE A TREMENDOUS AMOUNT OF SUPPORT, SPECIAL EQUIPMENT, AND VENTILATOR ASSISTANCE, AS WELL AS THOSE PATIENTS WITH LOW LEVEL SPINAL CORD INJURIES (PARAPLEGIA) WHO CAN GAIN VIRTUAL INDEPENDENCE. INTENSIVE MEDICAL NEEDS CAN BE SAFELY ACCOMMODATED AT CSH BY VIRTUE OF THE EXTENSIVE MEDICAL COVERAGE PROVIDED TO THE PATIENTS. PATIENTS WITH TRACHEOSTOMIES, SPECIAL FEEDING NEEDS, AND INTRAVENOUS AND CENTRAL LINES, FOR EXAMPLE, CAN BE MANAGED WHILE RECEIVING THE NECESSARY REHABILITATION THERAPY. FAMILIES AND PATIENTS ARE INTEGRALLY INVOLVED IN THE COMPREHENSIVE TREATMENT PLANNING. FAMILIES AND PATIENTS ALSO RECEIVE INSTRUCTION FROM THE STAFF IN OVERALL CARE AND THE USE OF SPECIAL EQUIPMENT. THE TEAM THOROUGHLY EDUCATES THE PATIENT AND HIS OR HER FAMILY REGARDING THE PHYSICAL CONSEQUENCES OF A SPINAL CORD INJURY AND THE REQUIRED CARE AND TREATMENT. SOME OF THE DIAGNOSTIC AND SPECIAL SERVICES AVAILABLE TO PATIENTS IN THE SPINAL CORD PROGRAM INCLUDE: - ELECTRODIAGNOSTIC TESTING - VENTILATOR ASSISTANCE PROGRAM - REFERRALS FOR EVALUATIONS FOR DIAPHRAGMATIC PACING - A FULL RANGE OF DIAGNOSTIC UROLOGIC TESTING - REFERRAL FOR BACLOFEN PUMP PLACEMENT - ORTHOTICS AND PROSTHETICS - REHABILITATION TECHNOLOGY SERVICES INCLUDING: - SEATING AND POSITIONING - MOBILITY AND ENVIRONMENTAL ACCESS - AUGMENTATIVE AND ALTERNATIVE COMMUNICATION - COMPUTER ACCESS GENERAL REHABILITATION PROGRAM ------------------------------ THE GENERAL REHABILITATION PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL OFFERS HABILITATIVE AND REHABILITATIVE SERVICES TO PATIENTS AGED 0-21 WITH, BUT NOT LIMITED TO, NEUROLOGIC, ORTHOPEDIC, DEVELOPMENTAL, CARDIOPULMONARY DISORDERS AND/OR OTHER ACQUIRED INJURIES AND ILLNESSES, THROUGH AN INTERDISCIPLINARY TEAM APPROACH. THE PROGRAM PROVIDES ASSESSMENT, TREATMENT, AND/OR SUPPORT TO THE PATIENT AND FAMILY FROM THE ACUTE INPATIENT PHASE OF REHABILITATION THROUGH THE COMMUNITY, VOCATIONAL, AND EDUCATIONAL RE-ENTRY PHASE. IN ORDER TO OFFER A CONTINUUM OF COMPREHENSIVE TRANSDISCIPLINARY SERVICE TO THESE CHILDREN AND THEIR FAMILIES, IN A COMPASSIONATE, PROFESSIONAL AND HOLISTIC FASHION, SERVICES ARE PROVIDED THROUGH BOTH INPATIENT AND OUTPATIENT PHASES OF REHABILITATIVE CARE. PATIENTS ADMITTED TO THE PROGRAM INCLUDE CHILDREN THROUGH YOUNG ADULTS 0-21 YEARS OF AGE. THEY ARE REQUIRED TO MEET THE FOLLOWING CRITERIA REGARDING THEIR MEDICAL STABILITY: INITIAL DIAGNOSTIC AND SURGICAL PROCEDURES MUST BE COMPLETED; MEDICATION REGIMEN, FLUID AND ELECTROLYTE BALANCE, AND LIFE SUPPORT SERVICES MUST BE STABILIZED. THE PATIENTS SERVED MAY HAVE IMPAIRMENTS IN AREAS INCLUDING THOSE OF, COGNITION, MOBILITY, SELF-CARE, COMMUNICATION, SOCIAL EMOTIONAL FUNCTIONING, SENSORY PROCESSING, ACADEMIC FUNCTIONING, AND FEEDING. THE PROGRAM ADDRESSES THE BEHAVIORAL, FUNCTIONAL, PHYSICAL, COGNITIVE, PSYCHOSOCIAL, VOCATIONAL, EDUCATIONAL, LEISURE, AND RECREATIONAL NEEDS OF EACH PATIENT. EVERY EFFORT IS MADE TO ACCOMMODATE THE PATIENT AND FAMILIES UNIQUE CULTURAL AND SPIRITUAL NEEDS. THE GOAL OF THE PROGRAM IS TO REDUCE THE BARRIERS, WHICH LIMIT A CHILD'S ABILITY TO PARTICIPATE IN DEVELOPMENTALLY APPROPRIATE ACTIVITIES OF HIS OR HER LIFE. TO FACILITATE A SMOOTH TRANSITION AND OPTIMIZE THE PATIENT'S ABILITY TO FULLY INTEGRATE INTO THE COMMUNITY, OUTREACH, AND EDUCATION ARE PROVIDED TO THE INTENDED DISCHARGE ENVIRONMENT (E.G. SCHOOL, HOME, COMMUNITY ORGANIZATIONS). IN ADDITION, PATIENTS ARE PROVIDED DEVELOPMENTALLY APPROPRIATE LIFE SKILLS TRAINING THROUGH GROUP AND INDIVIDUAL THERAPY AS WELL AS COMMUNITY OUT-TRIPS. SOME CHILDREN AND ADOLESCENTS SEEN THROUGH THESE PROGRAMS REQUIRE INTENSIVE MEDICAL, NURSING, AND RESPIRATORY THERAPY SUPPORT FOR RESPIRATORY PROBLEMS. THESE CHILDREN MAY HAVE CONGENITAL OR ACQUIRED RESPIRATORY PROBLEMS INCLUDING BRONCHOPULMONARY DYSPLASIA, CONGENITAL MUSCULAR PROBLEMS, AND CONGENITAL AND ACQUIRED AIRWAY AND RESPIRATORY ABNORMALITIES. INFANT/TODDLER PROGRAM ---------------------- THE INFANT TODDLER PROGRAM PROVIDES INTENSIVE AND COMPREHENSIVE REHABILITATION SERVICES FOR INFANTS AND YOUNG CHILDREN WITH MEDICAL DIFFICULTIES RELATED TO PREMATURITY AND A RANGE OF DISORDERS PRESENTING AT BIRTH. THE PROGRAM TREATS CHILDREN WHO REQUIRE ALL LEVELS OF NEONATAL CARE. |
| COMMUNITY BENEFIT STATEMENT; CONT'D | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | PATIENTS ARE TREATED WITH A COMPREHENSIVE, THERAPEUTIC PROGRAM, COUPLED WITH EXCELLENT MEDICAL AND NURSING CARE. BECAUSE OF THIS TEAM APPROACH, A COORDINATED TREATMENT PLAN CAN BE DESIGNED TO MEET THE COMPLEX NEEDS OF EACH PATIENT AND HIS OR HER FAMILY. WHILE EMPHASIZING AGE-APPROPRIATE SKILLS, THE TEAM CUSTOMIZES GOALS BASED ON EACH INFANT'S OR TODDLER'S MEDICAL STABILITY, AGE, AND DEVELOPMENTAL LEVEL TO MAXIMIZE HIS OR HER UNIQUE POTENTIAL. THE MULTISPECIALTY STAFF IS HIGHLY TRAINED IN WORKING WITH THESE CHILDREN WHO REQUIRE SPECIAL EQUIPMENT AND VENTILATOR ASSISTANCE. THE TEAM USES SPECIAL TECHNIQUES TO ENCOURAGE THE CHILD'S INTERACTION WITH THE ENVIRONMENT DURING THERAPY SESSIONS. WE ARE ABLE TO OFFER THIS SPECIALIZED TREATMENT BECAUSE OUR STAFF IS COMMITTED TO PURSUING ON-GOING EDUCATION AND TRAINING IN STATE-OF-THE-ART TECHNIQUES THAT ARE NECESSARY TO TREAT THIS SPECIAL POPULATION. THOSE INFANT AND TODDLER PATIENTS WHO NEED SPECIAL MEDICAL CARE CAN BE SAFELY ACCOMMODATED WITH CHILDREN'S SPECIALIZED HOSPITAL'S EXTENSIVE MEDICAL COVERAGE. THESE PATIENTS MAY BE TRACHEOSTOMY DEPENDENT, OXYGEN DEPENDENT, OR VENTILATOR DEPENDENT, REQUIRING CLOSE MONITORING AND FREQUENT CHANGES IN MANAGEMENT. THESE PATIENTS, AS WELL AS THOSE INFANTS AND TODDLERS WITH SPECIAL FEEDING NEEDS, INTRAVENOUS AND CENTRAL LINES, CAN BE MANAGED WHILE RECEIVING REHABILITATION THERAPY. FAMILY INVOLVEMENT IS VITAL TO A CHILD'S OVERALL DEVELOPMENT. WE STRONGLY ENCOURAGE FAMILY PARTICIPATION IN TREATMENT SESSIONS. OUR TEAM INSTRUCTS FAMILIES IN CARING FOR THEIR CHILDREN AND USING SPECIAL EQUIPMENT. FAMILIES LEARN ABOUT THERAPEUTIC INTERVENTIONS THAT PROMOTE GROWTH AND DEVELOPMENT. INFANT TODDLER MEDICAL SPECIALTIES: A NEONATOLOGIST/PEDIATRICIAN, A PHYSICIAN WHO SPECIALIZES IN NEONATAL CARE AND PEDIATRICS, HEADS THE INFANT TODDLER PROGRAM TEAM. OTHER MULTIDISCIPLINARY PEDIATRIC PROFESSIONALS PROVIDE MEDICAL SUPPORT, REHABILITATION SERVICES, AND ADDRESS DEVELOPMENTAL NEEDS WHILE AIMING TOWARD MAXIMIZING RESPIRATORY INDEPENDENCE. WHILE UPON ADMISSION MANY OF THE CHILDREN REQUIRE INTENSIVE RESPIRATORY CARE, THE GOAL FOR EACH IS TO BE TRANSITIONED BACK TO HIS OR HER HOME AND COMMUNITY. OTHER MEDICAL SPECIALISTS FOR THE INFANT TODDLER PROGRAM ARE ALSO AVAILABLE FOR CONSULTATION: EAR, NOSE, AND THROAT NEUROLOGY OPHTHALMOLOGY ORTHOPEDICS PHYSIATRY RADIOLOGY UROLOGY THE AUTISM PROGRAM ------------------ THE AUTISM PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL WORKS WITH CHILDREN THROUGH 21 YEARS OF AGE, WHO HAVE AN AUTISM SPECTRUM DISORDER. THE PROGRAM IS DEDICATED TO IMPROVING THE LIVES OF CHILDREN, ADOLESCENTS AND FAMILIES WITH AUTISM SPECTRUM DISORDERS BY PROVIDING COMPREHENSIVE EVALUATIONS, TREATMENT, COMMUNITY EDUCATION AND RESEARCH. WE ARE ONE OF THE FEW PROGRAMS IN NEW JERSEY TO PROVIDE COORDINATED, MULTIDISCIPLINARY CARE FOR CHILDREN, ADOLESCENTS AND FAMILIES AFFECTED BY AN AUTISM SPECTRUM DISORDER. WE OFFER WORKSHOPS IN ENGLISH AND SPANISH FOR FAMILIES NEWLY DIAGNOSED WITH AUTISM AS WELL AS A COMPREHENSIVE SYMPOSIUM WHERE FAMILIES HAVE THE OPPORTUNITY TO MEET WITH THE EXPERTS AND INTERACT WITH OTHER FAMILIES. AS PART OF OUR OUTREACH PROGRAMS WE PROVIDE AUTISM SCREENING/DIAGNOSIS TO SIX UNDERSERVED AREAS IN NEW JERSEY AS WELL AS EDUCATIONAL PROGRAMS FOR SCHOOLS AND COMMUNITY ORGANIZATIONS AND GROUPS. COMPREHENSIVE FEEDING PROGRAM ----------------------------- THE COMPREHENSIVE FEEDING PROGRAM IS AN OUTPATIENT PROGRAM THAT SERVES INFANTS, TODDLERS, AND YOUNG CHILDREN WHO ARE UNABLE OR REFUSE TO MAINTAIN AN ADEQUATE ORAL INTAKE OF FOOD. PROBLEMS MAY BE MEDICAL/PHYSIOLOGICAL, DEVELOPMENTAL, BEHAVIORAL, PSYCHOSOCIAL, AND INDIVIDUAL OR FAMILY RELATED. THIS TEAM UTILIZES A MULTIDISCIPLINARY APPROACH TO HAVE CHILDREN EAT PROPER FOODS AND IMPROVE NUTRITIONAL STANDING. BASED ON A PREDICTED INCIDENCE OF 25% OF INFANTS AND YOUNG CHILDREN WITH FEEDING PROBLEMS, THERE ARE THOUSANDS OF CHILDREN WHO CAN BENEFIT FROM THIS SERVICE. EACH CHILD IS PROVIDED WITH A COMPREHENSIVE EVALUATION THAT COVERS MEDICAL, PHYSIOLOGICAL, DEVELOPMENTAL, BEHAVIORAL, AND PSYCHOSOCIAL ISSUES. THE TEAM COMBINES THE EXPERTISE OF A MULTIDISCIPLINARY TEAM OF PROFESSIONALS WHOSE PRIMARY GOAL IS TO ESTABLISH FEEDING PATTERNS THAT CAN BE MAINTAINED IN THE CHILD'S NATURAL ENVIRONMENT. THE TEAM INCLUDES THE FOLLOWING: - SPEECH PATHOLOGIST - CHILD PSYCHOLOGIST - PEDIATRIC DIETITIAN - DEVELOPMENTAL PEDIATRICIAN - OCCUPATIONAL THERAPIST - PHYSICAL THERAPIST - PATIENT CARE COORDINATOR THE PROGRAM AND ITS TEAM MEMBERS EMPOWER PARENTS AND CAREGIVERS BY PROVIDING KNOWLEDGE AND TECHNIQUES, WHICH WILL ALLOW THEM TO ENGAGE THEIR CHILD IN POSITIVE THERAPEUTIC FEEDING EXPERIENCES AND INTERACTIONS. THE PROGRAM ALSO PROVIDES SUPPORT AND KNOWLEDGE TO OTHER PROFESSIONALS IN THE COMMUNITY, SUCH AS CHILDCARE PROVIDERS, WHO PARTICIPATE IN THE CHILD'S FEEDING EXPERIENCES. ADHD ---- CHILDREN'S SPECIALIZED HOSPITAL ALSO PROVIDES COMPREHENSIVE SERVICES FOR CHILDREN WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDERS (AD/HD). CSH IS A SERVICE PROVIDER DEDICATED TO IMPROVING THE LIVES OF CHILDREN AND ADOLESCENTS WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER AND ASSOCIATED DISABILITIES. PROGRAMS AND SERVICES INFORMATION ================================= INPATIENT PROGRAMS ------------------ INPATIENT SERVICES ARE LICENSED FOR 90 PEDIATRIC REHABILITATION BEDS, 60 BEDS IN OPERATION AND 68 PEDIATRIC LONG-TERM CARE BEDS. INPATIENT REHABILITATION CARE PROVIDED INCLUDES MEDICAL AND NURSING CARE, COMPREHENSIVE THERAPY SERVICES, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL SERVICES, ACADEMICS, SOCIAL SERVICES, AND NUTRITIONAL SERVICES. INCLUDED IN THE THERAPY SERVICES ARE PHYSICAL THERAPY, HYDROTHERAPY, REHABILITATION TECHNOLOGY, AUGMENTATIVE COMMUNICATION, OCCUPATIONAL THERAPY, ACTIVITIES OF DAILY LIVING, SPEECH AND HEARING, RESPIRATORY THERAPY, RECREATIONAL THERAPY AND CHILD LIFE. THESE CSH SERVICES ARE PROVIDED TO ALLOW THE CHILDREN TO ATTAIN THEIR GREATEST POTENTIAL - MEDICALLY, SOCIALLY, ACADEMICALLY, AND EMOTIONALLY. THEIR FAMILIES ARE PROVIDED WITH SUPPORT AND EDUCATIONAL SERVICES TO ENSURE THEIR CHILD CAN RETURN TO THEIR HOME AND COMMUNITY. OUR LONG TERM CARE CENTERS, LOCATED IN MOUNTAINSIDE AND TOMS RIVER, NJ ARE SKILLED NURSING FACILITIES PROVIDING 24 HOUR NURSING CARE TO THE MEDICALLY INVOLVED PATIENT. WE HAVE 42 BEDS IN MOUNTAINSIDE AND 26 IN TOMS RIVER AND HAVE 8 WAIVER BEDS IN MOUNTAINSIDE IF THE NEED ARISES. OUR LONG TERM CARE PATIENTS RECEIVE RESPIRATORY AND NUTRITIONAL SERVICES, PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY, AS WELL AS RECREATIONAL AND CHILD LIFE SERVICES. SOME OF THE PATIENTS ATTEND AN ON-SITE SCHOOL WHILE OTHERS ARE TRANSPORTED TO COMMUNITY SCHOOLS. OUTPATIENT PROGRAMS AND SERVICES -------------------------------- CSH PROVIDES A NUMBER OF OUTPATIENT SERVICES RELATED TO PEDIATRIC REHABILITATION AND EDUCATION. OUTPATIENT PROGRAMS OFFERED BY CSH INCLUDE SERVICES IN ASSESSMENT AND THERAPY FROM PEDIATRIC MEDICAL SPECIALISTS AND SUB-SPECIALISTS, AS WELL AS VARIOUS THERAPY DEPARTMENTS. IN ADDITION, THE FOLLOWING SPECIALTY PROGRAMS AND CLINICS ARE OFFERED: ORTHOPEDICS, NEUROLOGY, PHYSIATRY, PSYCIATRY AND DEVELOPMENTAL PEDIATRICS. IN ADDITION WE PROVIDE A PEDIATRIC PRACTICE FOR SPECIAL NEEDS CHILDREN. THE MEDICAL DAYCARE AND THE EARLY INTERVENTION PROGRAMS ARE DESIGNED TO MEET THE EDUCATIONAL, THERAPEUTIC, SOCIAL, AND EMOTIONAL NEEDS OF CHILDREN FROM BIRTH TO AGE FIVE WITH PHYSICAL HANDICAPS OR DEVELOPMENTAL DELAYS. THE EIP PROGRAM IS FUNDED BY GRANTS OR A FEE SCHEDULE FROM THE STATE OF NEW JERSEY AND THE FEDERAL GOVERNMENT. VARIOUS COMMUNITY EVENTS AND OUTPATIENT PROGRAMS AND SERVICES ARE OFFERED BY CSH. LISTED BELOW IS A BRIEF LIST OF EVENTS AND PROGRAMS: CHILDREN'S REGIONAL SWIM MEET FOR ATHLETES WITH A PHYSICAL DISABILITY GUPPIES I AND II(AQUATICS) SHARKS I AND II (AQUATICS) INTERACTIVE ORAL SENSORY - MOTOR THERAPY IN AUTISM PEDIATRIC TRAUMATIC BRAIN INJURY - THE JOURNEY CHILDREN'S INVITATIONAL TRACK AND FIELD MEET FOR ATHLETES WITH A PHYSICAL DISABILITY CAMP OPEN ARMS DAY CAMP PALS PARADISE OVERNIGHT CAMP CAMP CHATTERBOX NEURO-REHABILITATION PROGRAM PEDIATRIC PRACTICE SPINAL CORD FROM A T0 Z CHRONIC ILLNESS PROGRAM AUTISM SYMPOSIUM - HEAR FROM THE EXPERTS PARENT RESOURCE CENTER TOYS-TO-GO PROGRAM "LIGHTNING WHEELS" WHEELCHAIR & AMBULATORY SPORTS TEAM FOR THOSE WITH PHYSICAL DISABILITIES AGES 5 - 22 YEARS "FRIDAY NIGHT FEVER - MOUNTAINSIDE AND TOMS RIVER - SOCIAL GROUP FOR TEENS" |
| COMMUNITY BENEFIT STATEMENT; CONT'D | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | PROFESSIONAL TRAINING --------------------- CSH IS COMMITTED TO PROVIDING AN EDUCATIONAL SETTING WHICH WILL LEAD TO CONTINUOUS ADVANCEMENT IN PROFESSIONAL KNOWLEDGE AND SKILLS FOR THOSE INTERESTED IN PEDIATRIC REHABILITATION. CSH PROVIDES CLINICAL TRAINING AND EXPERIENCE IN THE FIELD OF PEDIATRIC REHABILITATION AND CARE OF THE DISABLED CHILD FOR RESIDENT PHYSICIANS IN THE AREAS OF PEDIATRICS AND PHYSIATRY THROUGH SCHOOLS, WHICH AFFILIATE WITH THE HOSPITAL. IN ADDITION, THE HOSPITAL TRAINS FELLOWS, NURSES, AND THERAPISTS ENROLLED IN SCHOOLS AND COLLEGES THAT ARE ALSO AFFILIATED WITH THE HOSPITAL. TO ADVANCE THE STATE OF PEDIATRIC REHABILITATION, CHILDREN'S SPECIALIZED ALSO CONDUCTS AND SUBSIDIZES PROGRAMS AND SEMINARS TO EDUCATE INTERESTED HEALTHCARE PROFESSIONALS. ACCESSIBILITY PLAN ================== EACH YEAR CHILDREN'S SPECIALIZED HOSPITAL LOOKS AT HOW TO IMPROVE ACCESS TO CARE AND THE COMMUNITY FOR OUR PATIENTS AND FAMILIES. WE REVIEW ANY BARRIERS THAT MAY EXIST AND HOW TO BEST REMOVE THEM. OUR APPROACH AND OUTCOMES ARE OUTLINED BELOW: REVIEW PLAN FOR PROMOTING ACCESSIBILITY TO ORGANIZATION-WIDE SERVICES FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS. IDENTIFY & REMOVE POTENTIAL BARRIERS TO OUR PROGRAMS & SERVICES FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS. IDENTIFY & REMOVE EXISTING BARRIERS AND MAKE PROGRAMS AND SERVICES ACCESSIBLE FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS AS SOLICITED & IDENTIFIED THROUGH AN ANNUAL ACCESSIBILITY SURVEY, AND MONTHLY ENVIRONMENT OF CARE ROUNDS. INITIATE AND IMPLEMENT NECESSARY STEPS TO DECREASE OR REMOVE IDENTIFIED BARRIER(S) FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS WITH A SPECIFIED TIMELINE. THE OPENING OF TWO NEW SITES IN BAYONNE AND CLIFTON WHERE WE PROVIDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES HAVE MADE OUR RENOWNED CARE MORE CONVENIENT AND ACCESSIBLE TO NEW JERSEY'S CHILDREN. INTEGRATION: ADVOCACY & EDUCATION TO ELIMINATE & REDUCE BARRIERS IN THE COMMUNITIES OF PERSONS SERVED. PROVIDE A REVIEW MECHANISM FOR "REASONABLE ACCOMMODATION" REQUESTS MADE BY PERSONS SERVED AND/OR PERSONNEL. ON AN ANNUAL BASIS, HOSPITAL LEADERSHIP REVIEWS THE PLAN FOR PROMOTING ACCESSIBILITY TO ORGANIZATION-WIDE SERVICES FOR PERSONS SERVED AND POTENTIAL PERSONS SERVED, AS WELL AS THE FINDINGS FROM THE ANNUAL ACCESSIBILITY SURVEY THAT IS CONDUCTED BY A REHABILITATION PROFESSIONAL & A PERSON SERVED. THIS REVIEW TAKES PLACE AT THE HOSPITAL'S ENVIRONMENT OF CARE, OPERATIONS & PI STEERING COMMITTEE(S). COMMUNICATION AND FOLLOW THROUGH IS DONE WITHIN THE EXISTING HOSPITAL-WIDE PERFORMANCE IMPROVEMENT STRUCTURE. BARRIERS ADDRESSED: ------------------- ACCESSIBILITY BARRIERS N=7 ARCHITECTURE 4 ENVIRONMENTAL 3 ATTITUDINAL 0 FINANCIAL 0 EMPLOYMENT 0 COMMUNICATION 0 TRANSPORTATION 0 OTHER 0 ARCHITECTURAL/ENVIRONMENTAL: ---------------------------- ENSURE THAT ALL HOSPITAL ENVIRONMENTS (INTERNAL & EXTERNAL)/NEWLY DESIGNED CONSTRUCTION AREAS ADHERE TO ADA STANDARDS. MEASURE: SERVICE ACCESS FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS DATA SOURCE: CONSTRUCTION DOCUMENTS, ENVIRONMENT OF CARE ROUNDS LOG 2011 FINDINGS: 100% OF ALL CONSTRUCTION MEETS ADA STANDARDS. SOME INITIAL BARRIERS WERE IDENTIFIED AT THE TIME OF THE SURVEY (I.E.1. REPAIR OF AN UNEVEN SURFACE IN A SIDEWALK LEADING TO A PARKING LOT; 2. AN NFPA DESIGNATED EXIT HALLWAY WITH PATIENT EQUIPMENT IN AREAS NOT DESIGNATED FOR THEM. THESE ISSUES WERE ADDRESSED BY THE 4TH QUARTER 2011. CONSISTENT MONTHLY MONITORING CONTINUES TO ENSURE COMPLIANCE. ATTITUDINAL: ------------ PROVIDE COMMUNITY STAFF EDUCATION PROGRAMS THAT AIM TO HEIGHTEN THE AWARENESS OF CAREGIVERS AND COMMUNITY MEMBERS TO THE SPECIAL NEEDS OF PERSONS SERVED. MEASURE: PROVISION OF COMMUNITY/STAFF EDUCATION TO HEIGHTEN AWARENESS OF SPECIAL NEEDS OF PERSONS SERVED. DATA SOURCE: EDUCATION DEPT. LISTING & ADVOCACY ACTIVITIES (SEE LAST SECTION) IN 2011 WE CONTINUED TO OFFER PROGRAMS TO THE COMMUNITY IN THE AREAS OF TRAUMATIC BRAIN INJURY, AUTISM SPECTRUM DISORDERS, SPINAL CORD INJURY, AND CHRONIC ILLNESS IN CHILDREN. THESE PROGRAMS ARE DAYLONG PROGRAMS AND ARE OPEN TO PARENTS AS WELL AS PROFESSIONALS WHO RECEIVE CEU'S. FINANCIAL: ---------- PROVIDE PERSONS SERVED WITH REFERRAL TO SOCIAL, LEGAL OR ECONOMIC ADVOCACY RESOURCES. CONTINUE TO OFFER "HOSPITAL ASSISTANCE PROGRAM" (CHARITY CARE PROGRAM REFERRED TO EARLIER IN THE DOCUMENT) IN ADDITION TO CUSTOMIZED PAYMENT PLANS. MEASURE: IMPROVE FINANCIAL REIMBURSEMENT FOR SERVICES DELIVERED TO PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS DATA SOURCE: ADVOCACY ACTIVITIES (SEE LAST SECTION) & PATIENT ACCESS SERVICE DEPT. MATERIALS & POLICIES 2011 FINDINGS: SEVERAL ADVOCACY ACTIVITIES HAVE FOCUSED ON IMPROVING REIMBURSEMENT FOR PERSONS SERVED, AS WELL AS MODIFICATIONS TO "HOSPITAL ASSISTANCE PROGRAMS". IN 2011 PROVIDED $601,000 OF CHARITY CARE CHARGES TO PATIENTS WHO NEEDED CARE. IN 2011 WE PROVIDED MEDICAL EDUCATION TO PHYSICAL MEDICINE AND REHABILITATION RESIDENTS FROM UMDNJ AND WITH EXPENSES VERSUS TOTAL RECEIPTS FOR CHGME WE REALIZED A SHORTFALL OF $439,832 IN 2011 CSH PROVIDED $31,800 IN HOUSING TO STUDENTS IN THE DISCIPLINES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES DURING THEIR CLINICAL TRAINING WHICH RANGED FROM 2 - 16 WEEKS. WE ARE IN THE FINAL YEAR OF A $150,000 GRANT FROM AUTISM SPEAKS WHICH WAS FOR A THREE YEAR RESEARCH PROJECT. THE NAME OF THE PROJECT IS "SENSORY BASED STRATEGIES FOR IMPROVING ADAPTIVE BEHAVIORS IN CHILDREN WITH AUTISM". POSITIVE GAIN FROM OPERATIONS, POSITIVE BOTTOM LINE, RAISE 100% FUNDS FOR NEW OUTPATIENT SITE. SIGNIFICANTLY IMPROVED FINANCIAL VIABILITY OF REHABILITATION TECHNOLOGY (OVER 90%). IMPLEMENTED MEDITECH WHICH WILL IMPROVE CONSISTENCY AND TIMELINESS OF DOCUMENTATION, LEADING TO CORRECT REIMBURSEMENT. CODING ISSUES FOR THE NPSY EVALUATIONS WERE RESOLVED. NPSY CPT CODES WERE RECONFIGURED ACCORDING TO CMS RECOMMENDATIONS. EVALUATIONS FOR 2008 UP UNTIL THE RECODING TOOK PLACE IN 6/09 WERE RE BILLED. THE MEDITECH SYSTEM HAS IMPROVED CONSISTENCY AND TIMELINESS OF ALL DOCUMENTATION IN THE MEDICAL RECORD. DEVELOPED THE TOOL TO TRACK BILLABLE TIME AND CENSUS FOR ALL SERVICES. THROUGH OUR FOUNDATION RECEIVED $380K FROM KOHL'S TO BE USED TO RUN PROGRAMS FOR THE COMMUNITY THROUGH KOHL'S CARES PROGRAMS SUCH AS AQUATICS, FRIDAY NIGHT FEVER, AUTISM COMMUNITY OUTREACH ($90K OF TOTAL) COMMUNITY CARNIVALS, INCLUDING EDUCATIONAL PIECES, AND CHILDREN'S LIGHTNING WHEELS, HOSPITAL'S SPORTS TEAM FOR AGES 5 - 22. SECURED FUNDING TO COVER COSTS OF FUNCTIONAL BEHAVIOR ASSESSMENT/CONSULTATION SERVICE. BEGAN (WITH MEDICAL) YEAR 2 OF $1 MILLION CLINICAL EXPANSION GRANT FROM THE GOVERNOR'S COUNCIL ON MEDICAL RESEARCH AND TREATMENT OF AUTISM. NEUROPSYCHOLOGY AND NEUROREHABILITATION EXCEEDED GROUP ANNUAL CENSUS BUDGETED PROJECTIONS. ACHIEVED A FAVORABLE EXPENSE VARIANCE FOR ALL DEPARTMENTS/PROGRAMS COMBINED. ELIMINATED ON-LINE ENROLLMENT PROCESS FOR THE AUTISM PROGRAM WHICH RESULTED IN $22,000 IN COST SAVINGS. INSTITUTED ON-LINE REGISTRATION PROCESS WHERE FAMILIES CAN SCHEDULE AN APPOINTMENT ON LINE. UPGRADED MEDITECH APPLICATION TO VERSION 5.65 TO SUPPORT THE REQUIREMENTS OF THE AMERICAN RECOVERY & REINVESTMENT ACT AND TO MEET THE REGULATIONS OF THE ELECTRONIC HEALTH RECORD(EHR). ACCOUNTS RECEIVABLE BALANCES HAVE BEEN REDUCED SINCE THE IMPLEMENTATION OF MEDITECH. TOTAL DAYS IN ACCOUNTS RECEIVABLE REDUCED BY APPROXIMATELY 7 DAYS YEAR END 2010. OVER ONE YEAR RECEIVABLE DOLLARS DECREASED APPROXIMATELY $4M SINCE THE END OF 2010. CHILDREN'S SPECIALIZED HOSPITAL IS THE FIRST HOSPITAL IN NEW JERSEY TESTED FOR MEDICAID INCENTIVE FUNDING FOR THE USE OF A CERTIFIED ELECTRONIC HEALTH RECORD. INSTALLED AN AUTOMATED INSURANCE VERIFICATION SYSTEM WORKING IN CONJUNCTION WITH THE MEDITECH SOFTWARE FOR IMPROVED REGISTRATION PROCESS. MAJOR BUILD OF VARIOUS FILES THAT WORK IN CONJUNCTION WITH THE CLINICAL MODULES FOR PROPER BILLING AND CODING AND IMPROVED PROCESSES FOR NOTIFICATION TO THERAPIST UPON ARRIVAL OF THE PATIENT VIA A SMART BOARD. ALL CHILDREN'S FACILITIES WERE UPGRADED TO ENABLE WIRELESS COMMUNICATIONS FOR CLINICIANS' USE OF MINI LAPTOPS TO DOCUMENT AND CHARGE DURING SESSIONS. MANAGED THE HOSPITAL'S CASH FLOW TO INTERNALLY MAINTAIN A FUND CONSISTING OF ONE YEAR PRINCIPAL AND INTEREST PAYMENTS ON THE BOND PAYMENTS APPROXIMATING $3.6 MILLION WHILE HAVING NO DRAW DOWNS ON THE HOSPITAL'S LINE OF CREDIT WITH TD BANK. CASH COLLECTIONS INCREASED BY 6% OVER 2010 WITH 3 MONTHS EXCEEDING EXPECTATION. MET ALL ANNUAL AND QUARTERLY REPORTING REQUIREMENTS RELATED TO OUR BOND ISSUE AND WAS IN FULL COMPLIANCE WITH THE REQUIRED FINANCIAL COVENANTS IN EACH QUARTER. |
| COMMUNITY BENEFIT STATEMENT; CONT'D | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | RE-NEGOTIATED SEVEN (7) MANAGED CARE CONTRACTS DURING THE YEAR RESULTING IN INCREASED REIMBURSEMENT. RECEIVED NOTIFICATION RE-AFFIRMING OUR BOND RATING WITH BOTH MOODY'S AND FITCH RATINGS IN THE 4TH QUARTER OF 2011. CONDUCTED ORGANIZATIONAL-WIDE EDUCATION PROGRAMS FOR IMPROVING CHART DOCUMENTATION, SELECTING PROPER CODING FOR BILLING AND COMPLIANCE OF ALL HIPAA REGULATIONS. COMPLETED THE 2011 OPERATING AND CAPITAL BUDGET PROMPTLY FOR BOARD APPROVAL IN DECEMBER. DEVELOPED IN-HOUSE "FLEX POOL" TO STAFF TEMPORARY VACANCIES WHICH RESULTED IN $10,059 IN COST SAVINGS. THE CASE MANAGEMENT AND SERVICE COORDINATION DEPARTMENT INCREASED REFERRALS OVER 2010 BY 16% AND 12% RESPECTFULLY. COMMUNICATION: -------------- PROMOTE FULL PROGRAM AND SERVICE ACCESS FOR PERSONS SERVED BY RESPECTING ETHNO-CULTURAL DIVERSITY. ENSURE THAT LANGUAGE & CULTURAL DIFFERENCES ARE NOT BARRIERS TO ACCESSING & PARTICIPATING IN HOSPITAL PROGRAMS (I.E. TRANSLATION SERVICES ARE AVAILABLE & OTHER COMMUNICATION RESOURCES). MEASURE: COMMUNICATION SERVICE ACCESS FOR PERSONS SERVED DATA SOURCE: CONTRACTS FOR VERBAL AND WRITTEN TRANSLATION TO PROMOTE COMMUNICATION & ADMINISTRATIVE POLICY ON MEETING COMMUNICATION NEEDS. TRANSPORTATION: --------------- PROVIDE TRANSPORTATION SERVICES AS NEEDED THROUGH THE PATIENT CARE COORDINATION DEPARTMENT. MEASURE: MAKE AVAILABLE TRANSPORTATION ACCESS FOR PERSONS SERVED DATA SOURCE: PATIENT CARE COORDINATION DEPT. LISTING 2011 FINDINGS: NO BARRIERS IDENTIFIED. ADMISSION TO HOSPITAL PROGRAM: ------------------------------ GRANT ADMISSION TO PROGRAM SERVICES & ACTIVITIES TO THOSE WITH AN IDENTIFIED NEED THAT IS VALIDATED BY MEETING PRE-ESTABLISHED ADMISSION CRITERIA/SCREENING. MEASURE: PATIENT REFERRALS THAT MEET PRE-ESTABLISHED ADMISSION CRITERIA/SCREENING ARE OFFERED RELEVANT SERVICES/ADMISSION DATA SOURCE: PRE-ADMISSION DEPT. LOG. 2011 FINDINGS: 100% OF ALL ADMISSIONS MEETING CRITERIA/SCREENING ARE OFFERED ADMISSION. IF PATIENT NOT OFFERED ADMISSION, APPROPRIATE REFERRALS MADE. EMPLOYMENT: ----------- RECRUIT QUALIFIED EMPLOYEES WITH "REASONABLE ACCOMMODATIONS" FOR PERSONS WITH ACTIVITY LIMITATIONS IN ORDER TO PROMOTE EQUAL EMPLOYMENT/PARTICIPATION OPPORTUNITIES THROUGHOUT ALL ORGANIZATIONAL LEVELS. MEASURE: ADHERENCE TO STATE/FEDERAL REGULATIONS RE: EMPLOYMENT WITHOUT REGARD TO ACTIVITY LIMITATIONS, RACE, COLOR, NATIONAL ORIGIN OR AGE & PARTICIPATE IN COMMUNITY EFFORTS TO PROMOTE OPPORTUNITIES FOR PERSONS WITH ACTIVITY LIMITATIONS DATA SOURCE: HUMAN RESOURCE DEPT. FILES. 2011 FINDINGS: 100% OF ALL JOB APPLICANTS FOLLOWED "STANDARD" PROCEDURES FOR EMPLOYMENT APPLICATION PROCESS AND ONGOING EMPLOYMENT. OTHER: ------ REMAIN ACTIVELY INVOLVED IN COMMITTEES AT THE LOCAL, STATE & NATIONAL LEVEL WHERE POLICIES, REGULATIONS AND PROGRAM PLANNING IMPACT PEDIATRIC SERVICES & THEIR ACCESSIBILITY & DELIVERY. MEASURE: CONTINUED CHILDREN'S PRESENCE AT LOCAL, STATE, FEDERAL LEVEL PROGRAM PLANNING RE: SERVICE DELIVERY FOR PERSONS SERVED, ACTING AS AN ADVOCATE FOR PERSONS SERVED. MEMBERS OF FAMILY AND PATIENT CENTERED CARE ALONG WITH PRESIDENT & CEO TRAVELED TO WASHINGTON, DC TO MEET WITH LEGISLATURES WITH REGARD TO INSURANCE COVERAGE FOR INDIVIDUALS WITH DISABILITIES. DATA SOURCE: ADVOCACY ACTIVITIES. 2011 FINDINGS: SEVERAL ADVOCACY ACTIVITIES FOR PERSONS SERVED. LEADERSHIP - NEW YORK MAGAZINE - TOP CHILDREN'S HOSPITAL RANKING. - HOSPITAL STAFF, SENIOR LEADERSHIP BOARD REPRESENTATION ON THE ALLIANCE FOR THE BETTERMENT OF CITIZENS WITH DISABILITIES (ABCD). INVOLVED WITH ADVOCATING FOR EARLY INTERVENTION THROUGH THIS ORGANIZATION. - LEADERSHIP SERVES ON THE MAYOR'S ADVISORY COUNCIL ON BEHALF OF CHILDREN AND YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES IN THE TOWNSHIP OF DOVER. - CEO APPOINTED NJHA BOARD OF DIRECTORS - CEO SERVES ON NACH BOARD OF DIRECTORS AND PUBLIC POLICY COUNCIL - CEO SERVES ON NJ STATE CHAMBER OF COMMERCE BOARD OF DIRECTORS - PARTICIPANT IN THE HEALTH CARE TASK FORCE THAT IS DEVELOPING A PLAN TO ADDRESS CRITICAL HEALTH CARE ISSUES IN THE STATE INCLUDING COST OF HEALTH INSURANCE, EXPANSION OF MEDICAID, AND THE NEED FOR WORKFORCE TO BE TRAINED TO BE ABLE TO MEET OUR NEEDS. - NJ LIFE - DOCTORS WHO MAKE A DIFFERENCE - NJBIZ - HEALTHCARE HEROES - DOCTOR OF THE YEAR - CEO CHAIR FOR THE NJ CHAMBER A WORKGROUP ON EMPLOYMENT OF PEOPLE WITH DISABILITIES. - CEO, CDO AND VP-HUMAN RESOURCES ARE GRADUATES OF LEADERSHIP NJ - COO IS A MEMBER OF THE STATE INTERAGENCY COORDINATING COUNCIL WHICH OVERSEES THE DELIVERY OF EARLY INTERVENTION SERVICES THROUGHOUT THE STATE. MEMBERS ARE APPOINTED BY THE GOVERNOR. - MEDICAL DIRECTOR IS MEMBER OF THE DEPARTMENT OF HEALTH CARDIAC TASK FORCE - VP BUSINESS & PROGRAM DEVELOPMENT SERVES AS CHAIR FOR THE INTERNATIONAL PEDIATRIC REHABILITATION COLLABORATIVE (IPRC), AN INTERNATIONAL CONSORTIUM OF FORTY ORGANIZATIONS WITH A MISSION TO PROMOTE QUALITY PEDIATRIC REHABILITATION CARE - NJ LIFE - BEST DOCTOR - PEDIATRIC DEVELOPMENTAL & BEHAVIOR PROBLEMS - TOP DOCTOR - NJ - CASTLE CONNELLY - NJ LIFE BEST DOCTOR - GENERAL NEUROLOGY - NJ LIFE - BEST DOCTOR - PEDIATRIC PHYSICAL MEDICINE & REHABILITATION - MODERN HEALTHCARE - LARGEST SKILLED NURSING COMPANY - RESIDENCY, INTERN, STUDENT, AND FELLOW PROGRAMS FOR ADMINISTRATION, MEDICINE, NURSING, PHARMACY, THERAPIES. - PARTNERSHIP WITH THE EDUCATION SUPERVISOR FROM THE COMMISSION OF SPECIAL EDUCATION TO COORDINATE EDUCATIONAL AND CLINICAL REHABILITATION SERVICES TO ENSURE POSITIVE TRANSITIONS TO SCHOOL AND COMMUNITY. - PRESIDENTIAL APPOINTEE ON THE INTERAGENCY AUTISM COORDINATING COUNCIL THAT SETS THE NATIONAL STRATEGIC PLAN FOR THE CONDUCT OF & SUPPORT FOR AUTISM RESEARCH. - APPOINTED TO THE TRAUMATIC BRAIN INJURY TASK FORCE - DONATE EQUIPMENT TO THE UNITED SPINAL ORGANIZATION THAT HELPS DISTRIBUTE ADAPTIVE EQUIPMENT TO THE NEEDY AND THIRD WORLD COUNTRIES. - MEMBER, NEW JERSEY HOSPITAL ASSOCIATION (NJHA). - NJHA REHABILITATION ADVISORY COMMITTEE - CLINICAL ADVISORY BOARD FOR SUNRISE MEDICAL - ADVOCATE FOR CHANGE IN HOUSING WITH AREA REALTORS AS WELL AS SECTION 8 HOUSING FOR OTHER FAMILIES. - CLINICAL CONSORTIUM FOR REHABILITATION TECHNOLOGY WITH AREA HOSPITALS, CLINICS AND DEVELOPMENTAL CENTERS. - OPENED NEUROREHABILITATION PROGRAM IN NEW BRUNSWICK. - PAST PRESIDENT OF THE NJ CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS. - BOARD MEMBER, NEW JERSEY'S PEDIATRIC COUNCIL ON RESEARCH AND EDUCATION (PCORE) AND NEW JERSEY AAP CHAPTER. - NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH (NIDRR) GRANT WITH NEW JERSEY INSTITUTE OF TECHNOLOGY. - MEDICAID PHYSICIAN GROUP MEETINGS TO ENSURE UNDERSTANDING OF REHABILITATION TECHNOLOGY SERVICES AND EQUIPMENT. - NASW-NJ CONFERENCE COMMITTEE. - TOP DOCS NAMED BY NEW JERSEY MONTHLY. - UNION COUNTY CIACC - ADVISORY BOARD FOR OCEAN INC. - HEAD START - OCEAN COUNTY YMCA - CEO, FAMILY AND PATIENT REPRESENTATIVES PRESENTED ON CAPITOL HILL WITH NACHRI. - TARGETED EARLY INTERVENTION PROGRAM EVALUATION TEAM FOR MERCER COUNTY, NJ. - REPRESENTATION ON THE DIVISION OF DEVELOPMENTAL DISABILITIES COMMITTEE THAT MAKE RECOMMENDATIONS TO THE STATE OF NJ AND FEDERAL GOVERNMENT WITH REGARD TO THE IDEA AND HOW LAWS IMPACT CHILDREN WE SERVE. - SERVE ON THE ADVOCACY AND PUBLIC AFFAIRS COMMITTEE TO THE BRAIN INJURY ASSOCIATION OF NEW JERSEY (BIANJ). - NJ SPECIAL EDUCATION & BRAIN INJURY TASK FORCE - MEMBER OF THE GOVERNOR'S COMMISSION ON RECREATIONAL OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES. - MEMBERS OF THE CHILD AND ADOLESCENT TASK FORCE OF THE BIANJ. - CHILDREN'S MENTAL HEALTH EVIDENCE BASED PRACTICE COMMITTEE SPONSORED BY FACT - PSYCHOLOGY STAFF ARE MEMBERS OF VARIOUS GROUPS INCLUDING ASPERGER SYNDROME EDUCATION NETWORK (ASPEN) AND CENTER FOR OUTREACH AND SERVICES FOR THE AUTISM COMMUNITY (COSAC). - COMMUNITY AGENCY REPRESENTATIVE TO SCOTCH PLAINS-FANWOOD SCHOOLS AS PART OF THEIR SELF-MONITORING FOR NJ DEPT OF EDUCATION. - SERVICE ON MERCER COUNTY PROFESSIONAL ADVISORY COMMITTEE. - PRESIDENT NEW JERSEY NEUROPSYCHOLOGICAL SOCIETY. - TREASURER OF THE NEW JERSEY NEUROPSYCHOLOGICAL SOCIETY. - BOARD MEMBER OF THE NEW JERSEY NEUROPSYCHOLOGICAL SOCIETY. - NATIONAL TASK FORCE MEMBER FOR FAMILY-CENTERED CARE SURVEY INITIATIVE. - PARTNER WITH COSAC TO PROVIDE EDUCATION AND SUPPORT SERVICES TO FAMILIES OF CHILDREN WITH AUTISM. - SOMERSET & HUNTERDON PSYCHOLOGICAL ASSOCIATION - EXECUTIVE BOARD - CHAIR LEADERSHIP NEW JERSEY - CHAIR WATERWORKS CONSERVANCY - BOARD OF ETHICS - LIFE TIME SUPPORT DIVISION OF ARC - GUARDIANSHIP & ADVOCACY FOR YOUNG ADULTS & ADULTS WITH DISABILITIES - MEMBER OF THE GRANTS REVIEW COMMITTEE FOR NIDRR. - "BRIDGES" PROGRAM TO HELP CHILDREN TRANSITION BACK TO SCHOOL. - FAMILY FACULTY A PART OF ORGANIZATION WIDE WORK GROUPS AND COMMITTEES, AS WELL AS SUPPORTS FOR FAMILIES ON INPATIENT UNITS. - LIGHTNING WHEELS - INTERNATIONAL REPRESENTATION FOR OUR WHEELCHAIR & AMBULATORY SPORTS TEAM. |
| COMMUNITY BENEFIT STATEMENT; CONT'D | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - MEET DIRECTOR FOR INVITATIONAL TRACK & FIELD MEET FOR ATHLETES AGES 5 - 22 WITH A PHYSICAL DISABILITY CHAIR - UNION COUNTY HEALTHCARE EMERGENCY MANAGEMENT COMMITTEE - MEMBER NJHA EMERGENCY MANAGEMENT CONSTITUENCY GROUP - MEMBER MIDDLESEX COUNTY OEM, PUBLIC HEALTH & HOSPITALS COMMITTEE. - MEET DIRECTOR FOR TRI-STATE SWIM MEET FOR ATHLETES AGES 5 TO ADULT WITH A PHYSICAL DISABILITY - MEMBER NJ CENTRAL EAST NORTH ASPR GRANT COMMITTEE - MEMBER NJHA ADVISORY COMMITTEE FOR "WEATHERING THE STORM" - EXPANDED OUTREACH TO THE SPANISH SPEAKING COMMUNITY THROUGH EDUCATION ON SPANISH LANGUAGE TELEVISION, RADIO STATIONS AND NEWSPAPERS. - EFFECT OF YOGA FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS - - PROFESSOR - UNION COUNTY COLLEGE PTA PROGRAM. - MEMBER COUNCIL OF HOSPITAL PT DIRECTORS. - MEMBER - APTANJ PRACTICE COMMITTEE. - STAFF ARE MEMBERS OF APTA,AOTA,ASHA AND APA. - SAFE KIDS MIDDLESEX COUNTY MEMBER. - SECRETARY APTA SECTION ON PEDIATRICS HOSPITAL BASED SPECIAL INTEREST GROUP. - NATIONAL INSTITUTE OF HEALTH RESEARCH PROGRAM EXAMINING REGRESSION IN AUTISM. - MEDICATION TRIALS RESEARCH - AUTISM. - REPRESENTATION ON THE BOARD OF COSAC. - BEST PRACTICES TASKFORCE - AUTISM, AMERICAN SPEECH AND HEARING ASSOCIATION (ASHA). - FACILITATED CLOSURE OF THE NJ RECYCLING PROGRAM FOR ADAPTIVE EQUIPMENT PROGRAM. - MEMBER, EDUCATION AND TRAINING COMMITTEE - GOVERNOR'S CONFERENCE ON RECREATION FOR INDIVIDUALS WITH DISABILITIES. - MEMBER, NJ NEUROPSYCHOLOGY BOARD OF TRUSTEES. - SECRETARY, EXECUTIVE COMMITTEE OF BRAIN INJURY INTERDISCIPLINARY SPECIAL INTEREST GROUP (BI-ISIG) OF THE AMERICAN CONGRESS OF REHABILITATION MEDICINE (ACRM). - MEMBER NATIONAL PEDIATRIC REHAB DIRECTORS FORUM - NJ STATE REP APTA REGION IV SECTION ON PEDIATRICS. - MEMBER NATIONAL PEDIATRIC REHAB DIRECTORS FORUM - NJ CHAPTER HFMA - DIRECTOR - NJ CHAPTER HFMA ANNUAL INSTITUTE COMMITTEE CO-CHAIR - AMERICAN BOARD OF PHYSICAL THERAPY SPECIALTIES (ABPTS) MEMBER SPECIALIZATION ACADEMY OF CONTENT EXPERTS (SACE) WRITER FOR PEDIATRIC SPECIALTY AREA. - NJ BRAIN INJURY ASSOCIATION - CHILD & ADOLESCENT COMMITTEE - CHILD PASSENGER SAFETY COALITION - MEMBER - ANTI-BULLYING TASK FORCE, MCKINLEY SCHOOL, WESTFIELD, NJ - WESTFIELD PUBLIC SCHOOLS SPECIAL EDUCATION COMMITTEE - MIDDLESEX COUNTY SAFE KIDS BOARD - NJHFMA BOARD - NJHFMA ADVISORY COUNCIL - NATIONAL HFMA NAC COMMITTEE - CHAIR, IMPLEMENTATION OF THE FEDERAL HEALTH INFORMATION TECHNOLOGY (HIT) COMMITTEE - CHAMBER OF COMMERCE EXECUTIVE COMMITTEE - MEDICAL ADVISOR, STAY FOCUSED INC., A PROGRAM DEVOTED TO HELPING SPECIAL NEEDS KIDS BECOME CERTIFIED IN SCUBA DIVING - MEDICAL ADVISOR, PEAK POTENTIAL INC., AN ADAPTIVE ROCK CLIMBING PROGRAM FOR SPECIAL NEEDS CHILDREN AND ADOLESCENTS - APPOINTED TO THE NEW JERSEY STATE COMMITTEE ON PEDIATRIC EMERGENCY SERVICES - RECEIVED $1 MILLION GOVERNOR'S COUNCIL ON AUTISM GRANT - CHAIR OF THE STATE PERFORMANCE PLAN COMMITTEE FOR THE STATE INTERAGENCY COORDINATING COUNCIL - MEMBER OF THE MAYOR'S ADVISORY COUNCIL ON DEVELOPMENTAL DISABILITIES, TOMS RIVER - CHAIR OF SAFE KIDS COMMUNITY PROGRAM COMMITTEE - PEDIATRIC LIAISON SERVICE TO PROVIDE TRAINING TO COMMUNITY PEDIATRICIANS REGARDING DEVELOPMENTAL SURVEILLANCE/SCREENING IN THE MEDICAL HOME - APPOINTED BY THE SECRETARY OF HEALTH AND HUMAN SERVICES TO INTERAGENCY AUTISM COORDINATING COUNCIL (IACC) - MEMBER, NJ GOVERNOR'S COUNCIL ON MEDICAL RESEARCH AND TREATMENT OF AUTISM - AUTISM FAMILY SERVICES OF NJ AWARD FOR EXCELLENCE AND DEDICATION TO FAMILIES OF KIDS WITH AUTISM - MEMBER, BOARD OF DIRECTORS NEW JERSEY SPEECH AND HEARING ASSOCIATION (NJSHA) - NJSHA BOARD LIAISON TO THE AAC COMMITTEE - NJSHA CLINICAL FORUM CHAIR - REPRESENTATION ON THE LEADERSHIP OF THE DIVISION OF DEVELOPMENTAL DISABILITIES - SPECIAL RECOGNITION FROM NACHRI FOR FEDERAL ADVOCACY FOR CHILDREN - MEMBER, MERCER COUNTY PROFESSIONAL ADVISORY COMMITTEE - MEMBER, BOARD OF TRUSTEES FOR NATIONAL ASSOCIATION FOR THE MENTALLY ILL (NAMI)-NJ - PROFESSORS/LECTURERS AT VARIOUS LOCAL UNIVERSITIES. - PRESIDENT OF THE NJ CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS - RECEIVED GRANT FROM KOHL'S KIDS ABILITIES PROGRAM TO RAISE AUTISM AWARENESS COMMUNITY INTEGRATION INTERNATIONALLY - SPONSORED THREE DISABILITY AWARENESS CARNIVALS AT DIFFERENT LOCATIONS THROUGHOUT NJ, ATTENDED BY OVER 1,500 FAMILIES - MEMBER, PHILANTHROPY LEADERSHIP COUNCIL - ASSOCIATION OF FUNDRAISING PROFESSIONALS - APPOINTED TO THE NEW JERSEY GOVERNOR'S COUNCIL FOR MEDICAL RESEARCH AND TREATMENT OF AUTISM. - RECEIVED THE NJ COMMUNITY SERVICE AWARD PRESENTED BY AUTISM FAMILY SERVICES. - LONG TERM CARE RECOGNIZED IN "US NEWS & WORLD REPORT" ARTICLE, "AMERICA'S BEST NURSING HOMES" - MEMBER, U.S. SECRETARY OF HEALTH AND HUMAN SERVICES INTERAGENCY AUTISM COORDINATING COUNCIL - ACHIEVED AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION ACCREDITATION FOR OUR DEVELOPMENTAL-BEHAVIOR PEDIATRICS FELLOWSHIP (FIRST AND ONLY ONE IN NEW JERSEY) - MULTIPLE PRESENTATIONS AT NATIONAL MEETINGS - MEMBER OF THE UNITED STATES INTERAGENCY AUTISM COORDINATING COUNCIL - MEMBER OF EDUCATIONAL ACCREDITATION SURVEY TEAM, MEDICAL SOCIETY OF NEW JERSEY - MEMBER OF NEW JERSEY GOVERNOR'S COUNCIL ON TRAUMATIC BRAIN INJURY - MEMBER OF THE ADVISORY COUNCIL, ELIZABETH BOGGS CENTER, NEW BRUNSWICK - PRESIDENT, NEW JERSEY ASSOCIATION OF NEURODEVELOPMENTAL PEDIATRICIANS - VICE CHAIR FOR NEW JERSEY'S CATASTROPHIC RELIEF FUND FOR CHILDREN - COMPLETED TENURE AS PRESIDENT OF THE NEW JERSEY CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS AND SERVES ON THE EXECUTIVE BOARD AS IMMEDIATE PAST PRESIDENT - ESTABLISHED RESEARCH COLLABORATIONS WITH VARIOUS UNIVERSITIES NATIONALLY - TREASURER, TRI-STATE WHEELCHAIR AND AMBULATORY ATHLETICS - BOARD MEMBER OF STAY-FOCUSED, A PROGRAM DEVOTED TO HELPING SPECIAL NEEDS KIDS BECOME CERTIFIED IN SCUBA DIVING - MEMBER SAFE KIDS UNION COUNTY - SECRETARY - TOMS RIVER SUNRISE ROTARY - DEVCO BOARD MEMBER - CAUCUS CEC OF NJ - NJ COUNCIL OF TEACHING HOSPITALS |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT | CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | ROBERT WOOD JOHNSON HEALTHCARE CORPORATION IS THE SOLE MEMBER OF THIS ORGANIZATION. ROBERT WOOD JOHNSON HEALTHCARE CORPORATION HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 11b | THE ORGANIZATION'S FEDERAL FORM 990 WAS provided TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER REVIEW BY THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE. THE CHILDREN'S SPECIALIZED HOSPITAL BOARD OF TRUSTEES HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CHILDREN'S SPECIALIZED HOSPITAL AUDIT AND COMPLIANCE COMMITTEE. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE CHIEF COMPLIANCE OFFICER THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF THE OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE state OF NEW JERSEY department of the treasury. |
| COMPENSATION INFORMATION | CORE FORM, PART VII AND SCHEDULE J | PHILIP SALERNO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 55 HOURS PER WEEK AS THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. |
| RELATED HOURS DISCLOSURE | CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS PART OF the robert wood johnson health network; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY network ("network"). THE network INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF ROBERT WOOD JOHNSON HEALTH NETWORK; NOT SOLELY THIS ORGANIZATION. |
| OTHER CHANGES IN NET ASSETS | CORE FORM, PART XI; QUESTION 5 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET CHANGE IN UNREALIZED losses ON INVESTMENTS OTHER THAN TRADING SECURITIES - ($223,394); - CHANGE IN INTEREST IN RESTRICTED NET ASSETS OF FOUNDATION - $3,055,192; and - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS FOR CAPITAL PURPOSES - ($1,673,659). |
| AUDITED FINANCIAL STATEMENTS | CORE FORM, PART XII; QUESTION 2 | An INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE TAXPAYER'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILDRENS SPECIALIZED HOSPITAL FDN | ||||||||||
| 150 NEW PROVIDENCE ROAD | MOUNTAINSIDE | NJ | 07092 | 136844298 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | RWJHCC | false |
| LAKEVIEW CHILD CARE CENTER INC | ||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 222627639 | CHILD CARE | NJ | 501(C)(3) | 509(A)(2) | RWJHCCH | false |
| RWJ UNIV HOSPITAL AT HAMILTON | ||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 210634572 | HLTHCARE SVC | NJ | 501(C)(3) | HOSPITAL | RWJHCCH | false |
| RWJ UNIV HOSP AT HAMILTON FDN INC | ||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 222552329 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | RWJHCCH | false |
| RWJ HEALTH CARE CORPORATION AT HAMILTON | ||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 222566863 | HOLDING CO. | NJ | 501(C)(3) | 509(A)(3) | RWJHCC | false |
| RWJ UNIV HOSP RAHWAY AUXILIARY | ||||||||||
| 865 STONE STREET | RAHWAY | NJ | 07065 | 220012205 | SUPPORTING | NJ | 501(C)(3) | 509(A)(3) | RWJUHR | false |
| RWJ UNIV HOSP RAHWAY FOUNDATION | ||||||||||
| 865 STONE STREET | RAHWAY | NJ | 07065 | 222405094 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(3) | RWJUHR | false |
| RWJ UNIVERSITY HOSPITAL RAHWAY | ||||||||||
| 865 STONE STREET | RAHWAY | NJ | 07065 | 221487305 | HLTHCARE SVC | NJ | 501(C)(3) | HOSPITAL | RWJHCC | false |
| NEW BRUNSWICK AFFILIATED HOSPITALS INC | ||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 221946837 | HLTHCARE SVC | NJ | 501(C)(3) | 509(A)(3) | RWJHCC | false |
| RWJ PROPERTY HOLDING CORPORATION | ||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 222474955 | PROPERTY | NJ | 501(C)(3) | 509(A)(3) | RWJHCC | false |
| RWJ HEALTH CARE CORPORATION | ||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 222568905 | HOLDING CO. | NJ | 501(C)(3) | 509(A)(3) | NA | false |
| RWJ UNIV HOSPITAL FOUNDATION INC | ||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 222378007 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(3) | RWJHCC | false |
| RWJ UNIVERSITY HOSPITAL | ||||||||||
| ONE ROBERT WOOD JOHNSON PLACE | NEW BRUNSWICK | NJ | 08903 | 221487243 | HLTHCARE SVC | NJ | 501(C)(3) | HOSPITAL | RWJHCC | false |
| AUXILIARY OF RWJ UNIVERSITY HOSPITAL | ||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 226014339 | SUPPORTING | NJ | 501(C)(3) | 509(A)(2) | RWJUH | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAMILTON OB GYN PA | ||||||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 200218248 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| RWJ DIABETES & ENDOCRINOLOGY | ||||||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 261447574 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| RWJ MED ASSOC AT HAMILTON | ||||||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 223454267 | PROF. SVCS. | NJ | NA | C CORP. | ||||||
| RWJ MED SVCS ORG AT HAMILTON | ||||||||||||||
| ONE HAMILTON HEALTH PLACE | HAMILTON | NJ | 08690 | 223454270 | RENTAL REAL EST. | NJ | NA | C CORP. | ||||||
| VISION HEALTHCARE INC | ||||||||||||||
| 865 STONE STREET | RAHWAY | NJ | 07065 | 204285005 | INVESTMENT | NJ | NA | C CORP. | ||||||
| RWJ HEALTH NETWORK INC | ||||||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 223420314 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| RWJ KIDNEY TRANSPLANT ASSOC | ||||||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 030382501 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| RWJ MULTI-SPECIALTY PA | ||||||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 030382492 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| RWJ MEDICAL ASSOCIATES PA | ||||||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 223586872 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| RWJ SURGERY CENTER INC | ||||||||||||||
| 120 ALBANY STREET SUITE 750 | NEW BRUNSWICK | NJ | 08901 | 223698431 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| RWJ PHYSICIAN ENTERPRISE PA | ||||||||||||||
| 120 ALBANY STREET TOWER 2 FLOOR 3 | NEW BRUNSWICK | NJ | 08901 | 453967414 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| SYSTEM AND AFFILIATE MEMBERS | ||||||||||||||
| 980656382 | FINANCIAL VEHICLE | NA | FOREIGN CORP. | CRAIG APPIN HOUSE 8 WESLEY STREET | HAMILTON | BD | BD | HM JX | BD | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
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