R W J BARNABAS HEALTH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
R W J BARNABAS HEALTH INC (EIN 22-1487148)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201113139349300331
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-09T14:35:18-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN221487148EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S SPECIALIZED HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone9083015455Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 NEW PROVIDENCE ROADAddressLine1
CityMOUNTAINSIDECity
StateNJState
ZIP Code07092ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH J DOBOSH JRName
TitleSENIOR VP/CFOTitle
Date Signed2011-11-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAMY B MANSUENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1150 NEW PROVIDENCE ROADAddressLine1
CityMOUNTAINSIDECity
StateNJState
ZIP Code07092ZIPCode
FieldValueIRS element (for citing)
Gross Receipts107272456GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.childrens-specialized.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1893YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees1478TotalNbrEmployees
Total Nbr Volunteers414TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4944483ContributionsGrantsPriorYear
Contributions Grants Current Year7385914ContributionsGrantsCurrentYear
Program Service Revenue Prior Year97351091ProgramServiceRevenuePriorYear
Program Service Revenue CY98463142ProgramServiceRevenueCY
Investment Income Prior Year1133981InvestmentIncomePriorYear
Investment Income Current Year178696InvestmentIncomeCurrentYear
Other Revenue Prior Year742250OtherRevenuePriorYear
Other Revenue Current Year487339OtherRevenueCurrentYear
Total Revenue Prior Year104171805TotalRevenuePriorYear
Total Revenue Current Year106515091TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year70439535SalariesEtcPriorYear
Salaries Etc Current Year71691175SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year33481707OtherExpensePriorYear
Other Expenses Current Year34440852OtherExpensesCurrentYear
Total Expenses Prior Year103921242TotalExpensesPriorYear
Total Expenses Current Year106132027TotalExpensesCurrentYear
Revenues Less Expenses Prior Year250563RevenuesLessExpensesPriorYear
Revenues Less Expenses CY383064RevenuesLessExpensesCY
Total Assets BOY161794386TotalAssetsBOY
Total Assets EOY159003635TotalAssetsEOY
Total Liabilities BOY80430830TotalLiabilitiesBOY
Total Liabilities EOY76682916TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY81363556NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY82320719NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense35072000Expense
Grants0Grants
Revenue37845000Revenue
DescriptionEXPENSES 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 TREATED 478 CHILDREN FOR INPATIENT REHABILITATION FOR A TOTAL OF 365 PATIENT DAYS IN 2010. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense18680000Expense
Grants0Grants
Revenue19457000Revenue
DescriptionEXPENSES 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 TREATED 87 CHILDREN FOR LONG TERM CARE FOR A TOTAL OF 365 PATIENT DAYS IN 2010. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense9011000Expense
Grants0Grants
Revenue8032000Revenue
DescriptionEXPENSES INCURRED IN PROVIDING EARLY INTERVENTION PROGRAM SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 3,550 CHILDREN FOR EARLY INTERVENTION FOR A TOTAL OF 250 PATIENT DAYS IN 2010. PLEASE REFER TO SCHEDULE OF FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4914077TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev33129142TotalOfOtherProgramServiceRev
Total Program Service Expense67677077TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096113NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1478NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOSEPH J DOBOSH JRNamePerson
Telephone Number9083015455TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 NEW PROVIDENCE ROADAddressLine1
CityMOUNTAINSIDECity
StateNJState
ZIP Code07092ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID KOSTINAS
CHAIRMAN - TRUSTEE3.0XX000
SISTER JANE FRANCES BRADY
1ST VICE CHAIR - TRUSTEE3.0XX000
ROBIN A WALTON
TREASURER - TRUSTEE3.0XX000
KISHAN AGARWAL MD
TRUSTEE3.0X000
BONNIE BALOGA ALTIERI MSN RN
TRUSTEE3.0X000
FRANK CASTELLO MD
TRUSTEE - MEDICAL DIRECTOR55.0X8927700
SCOTT CHESNEY
TRUSTEE3.0X000
TERRANCE FARLEY
TRUSTEE3.0X000
LAWRENCE GARINELLO
TRUSTEE3.0X022644717495
SAVERIO GARRUTO CPA
TRUSTEE3.0X000
ALEXANDER R GIAQUINTO PHD
TRUSTEE3.0X000
ELIZABETH HANCE
TRUSTEE3.0X000
NANCY JACKSON
TRUSTEE3.0X000
AMY B MANSUE
TRUSTEE - PRESIDENT/CEO52.0XX5497540127268
PETER W METZ
TRUSTEE3.0X000
NANCI D MORRIS
TRUSTEE3.0X000
GLENN MORTIMER
TRUSTEE3.0X000
MARGARET M PEGO
TRUSTEE3.0X000
STEVEN M ROSENBERG ESQ
TRUSTEE3.0X000
BARBARA ROTHMAN
TRUSTEE3.0X000
PHILIP SALERNO
TRUSTEE - PRES/CDO FOUNDATION3.0XX360348034308
VINCENT SERPICO
TRUSTEE3.0X000
ARVIND SHAH MD
TRUSTEE3.0X000
GAIL SLOAN
TRUSTEE3.0X000
VICTORIA WICKS
TRUSTEE3.0X000
PATRICIA WHITLEY WILLIAMS MD
TRUSTEE3.0X000
WARREN E MOORE
EVP/COO55.0X466607072139
JOSEPH J DOBOSH JR
SENIOR VP/CFO52.0X553139089993
KAREN M DEWITT EDD
VP PATIENT CARE55.0X385501049463
WILLIAM DWYER
VP HUMAN RESOURCES55.0X356902043796
MICHAEL R DRIBBON PHD
VP REHAB SERVICES & PROG. DEV.55.0X286439054947
UDAY MEHTA MD
ASSOCIATE MEDICAL DIRECTOR55.0264063030956X
MARTIN DIAMOND MD
DIRECTOR; O/P SERVICES55.0262128028824X
KRISHAN YALAMANCHI MD
DIRECTOR; BRAIN INJURY55.0223051033295X
YVETTE JANVIER MD
DIRECTOR; MEDICAL SERVICES55.0207423010179X
THOMAS A RUGINO MD
PHYSIATRIST55.0191415038315X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4196047TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs226447TotalReportableCompFrmRltdOrgs
Total Other Compensation630978TotalOtherCompensation
Number Individuals GT100 K91NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
QUALCARE INC
30 KNIGHTSBRIDGE ROADPISCATAWAYNJ08854CLAIMS ADMIN.580014
MICHAEL REISZ AND COMPANY INC
871 KING GEORGES ROADFORDSNJ08863CONSTRUCTION458823
WM BLANCHARD COMPANY
199 MOUNTAIN AVENUESPRINGFIELDNJ07081CONSTRUCTION433241
ON TIME TRANSPORT INC
111 EAST HIGHLAND PARKWAYROSELLENJ07203PATIENT TRANSPORT.299967
HEALTHCARE SERVICE GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020CLEANING233913
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations4708799RelatedOrganizations
Government Grants2412166GovernmentGrants
All Other Contributions264949AllOtherContributions
Total Contributions7385914TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE5419009740969497409694
OTHER HEALTHCARE RELATED REVENUE54190010534481053448
FieldValueIRS element (for citing)
Total Program Service Revenue98463142TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column91107TotalRevenueColumn
Exclusion$91,107ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real28620Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real28620Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column28620TotalRevenueColumn
Exclusion$28,620ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities844954Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities757365Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities87589Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column87589TotalRevenueColumn
Exclusion$87,589ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA & DIETARY REVENUEDescription
Business Code722210BusinessCode
Total Revenue Column458719TotalRevenueColumn
Exclusion$458,719ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue458719TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column106515091TotalRevenueColumn
Related Or Exempt Function Income98463142RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$666,035ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3519881Total
Program Services0ProgramServices
Management And General3519881ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total55484838Total
Program Services45400089ProgramServices
Management And General10084749ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1186363Total
Program Services925363ProgramServices
Management And General261000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6860856Total
Program Services5666081ProgramServices
Management And General1194775ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4639237Total
Program Services3618605ProgramServices
Management And General1020632ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total107206Total
Management And General107206ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total95321Total
Management And General95321ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4701051Total
Program Services2125597ProgramServices
Management And General2575454ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total85429Total
Program Services3337ProgramServices
Management And General82092ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5918296Total
Program Services3685099ProgramServices
Management And General2233197ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5307823Total
Program Services342367ProgramServices
Management And General4965456ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total414905Total
Program Services315414ProgramServices
Management And General99491ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total151625Total
Program Services132327ProgramServices
Management And General19298ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2333916Total
Management And General2333916ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7325320Total
Management And General7325320ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total651666Total
Management And General651666ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBTS, NET4391132439113200
SOFTWARE MAINTENANCE1261330012613300
CONTRACTED SERVICES6799554740412059140
OTHER EXPENSES10158775976254182520

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total106132027Total
Program Services67677077ProgramServices
Management And General38454950ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2869918BOY
EOY640410EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6820161BOY
EOY10205929EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2453823BOY
EOY2101537EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19322462BOY
EOY18241123EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3864556BOY
EOY5529198EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY435118BOY
EOY418240EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3319527BOY
EOY3587821EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis140689245LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec54917270LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY88433719BOY
EOY85771975EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY26979868BOY
EOY25432033EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1180421BOY
EOY1131724EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6114813BOY
EOY5943645EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY161794386BOY
EOY159003635EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16631994BOY
EOY16857309EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY51491088BOY
EOY48347432EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5749730BOY
EOY4911949EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6558018BOY
EOY6566226EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80430830BOY
EOY76682916EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY60134793BOY
EOY62560251EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14916433BOY
EOY13357366EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6312330BOY
EOY6403102EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81363556BOY
EOY82320719EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY161794386BOY
EOY159003635EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses383064ReconcilationRevenueExpenses
Reconcilation Other Changes574099ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$90,000DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$5,321RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB95321TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITY EXPLANATIONIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINES 1G AND 1HReturnReference
ExplanationCHILDREN'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. 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 $5,321 IN 2010.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9145933BeginningOfYearBalance
Contributions90772Contributions
Investment Earnings Or Losses873763InvestmentEarningsOrLosses
Other Expenditures1745945OtherExpenditures
End Of Year Balance8364523EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7904460BeginningOfYearBalance
Contributions173425Contributions
Investment Earnings Or Losses1559846InvestmentEarningsOrLosses
Other Expenditures491798OtherExpenditures
End Of Year Balance9145933EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9312477BeginningOfYearBalance
Contributions174322Contributions
Investment Earnings Or Losses-1562339InvestmentEarningsOrLosses
Other Expenditures20000OtherExpenditures
End Of Year Balance7904460EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.76550PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.23450TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis156400OtherCostOrOtherBasis
Book Value156400BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis67081801OtherCostOrOtherBasis
Depreciation19996092Depreciation
Book Value47085709BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis69819996OtherCostOrOtherBasis
Depreciation33592685Depreciation
Book Value36227311BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3631048OtherCostOrOtherBasis
Depreciation1328493Depreciation
Book Value2302555BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings85771975TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED USE3451361F
LIMITED USE423686F
LIMITED USE693980F
FOUNDATION, INC.16779699F
EQUIVALENTS; LIMITED USE407976F
EQUIVALENTS; LIMITED USE3562035F
LIMITED USE113296F
FieldValueIRS element (for citing)
Total Of Book Value Program Related25432033TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$1,717,000
CURRENT$288,360
NON-CURRENT$4,560,866
FieldValueIRS element (for citing)
Total Of Amounts6566226TotalOfAmounts
Total Revenue106515091TotalRevenue
Total Expenses106132027TotalExpenses
Excess Or Deficit For Year383064ExcessOrDeficitForYear
Net Unrealized GL On Investments317394NetUnrealizedGLOnInvestments
Other$256,705OtherAmount
Total Adjustments574099TotalAdjustments
Excess Or Deficit Per FS957163ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt106832485TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments317394NetUnrealizedGainsInvestments
Revenue Not Rptd F990317394RevenueNotRptdF990
Revenue Subtotal106515091RevenueSubtotal
Total Revenue Per Form990106515091TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt106132027TotExpensesEtcAuditedFinclStmt
Expenses Subtotal106132027ExpensesSubtotal
Total Expenses Per Form990106132027TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V; QUESTION 4ENDOWMENT 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 FOOTNOTESCHEDULE D, PART XTHE ORGANIZATION ENGAGED AN INDEPENDENT BIG FOUR CPA FIRM TO ISSUE AUDITED FINANCIAL STATEMENTS. OUTLINED BELOW IS THE TEXT OF THE FIN 48 DISCLOSURE FOOTNOTE FROM THE ORGANIZATION'S 2010 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 STATEMENTSSCHEDULE D, PART XI; LINE 8OTHER CHANGES IN FUND BALANCE INCLUDE: - CHANGE IN INTEREST IN RESTRICTED NET ASSETS OF FOUNDATION - $3,460,136 - NET ASSETS RELEASED FROM RESTRICTIONS - ($3,203,431)

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees1NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedFINANCIAL VEHICLESpecificServicesProvided
Total Expenditures317470TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent317470SubtotalAmountSpent
Total Amount Spent317470TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served828PersonsServed
Total Community Benefit Expense674266TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense674266NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served828PersonsServed
Total Community Benefit Expense674266TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense674266NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served35416PersonsServed
Total Community Benefit Expense674568TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense674568NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served8204PersonsServed
Total Community Benefit Expense353265TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense353265NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served2567PersonsServed
Total Community Benefit Expense957039TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense957039NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served46187PersonsServed
Total Community Benefit Expense1984872TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1984872NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served47015PersonsServed
Total Community Benefit Expense2659138TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2659138NetCommunityBenefitExpense
Percent Of Total Expense0.02610PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served78PersonsServed
Total Community Building Expense397TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense397NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served250PersonsServed
Total Community Building Expense307124TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense307124NetCommunityBuildingExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense54024TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense54024NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served328PersonsServed
Total Community Building Expense361545TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense361545NetCommunityBuildingExpense
Percent Of Total Expense0.00350PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,391,131BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare0AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare0CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall0MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PSE&G CHILDREN'S SPECIALIZED HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 SOMERSET STREETAddressLine1
CityNEW BRUNSWICKCity
StateNJState
ZIP Code08901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PSE&G CHILDREN'S SPECIALIZED HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CHILDREN'S SPECIALIZED HOSPITAL
150 NEW PROVIDENCE ROADMOUNTAINSIDENJ07092LONG-TERM CARE AND OUTPATIENT CENTER
CHILDREN'S SPEC HOSP AT TOMS RIVER
94 STEVENS ROADTOMS RIVERNJ08755LONG-TERM CARE AND OUTPATIENT CENTER
CSH OUTPATIENT CENTER AT FANWOOD
313 SOUTH AVENUEFANWOODNJ07023OUTPATIENT CENTER
CSH OUTPATIENT CENTER AT HAMILTON
3575 QUAKERBRIDGE PLAZAHAMILTONNJ08619OUTPATIENT CENTER
CSH OUTPATIENT CENTER AT TOMS RIVER
310 MAIN STREETTOMS RIVERNJ08755OUTPATIENT CENTER
CSH PEDIATRIC PRACTICE
316 WEST WESTFIELD AVENUEROSELLE PARKNJ07204OUTPATIENT CENTER
CSH EARLY INTERVENTION TOMS RIVER
616 WASHINGTON STREETTOMS RIVERNJ08755OUTPATIENT CENTER
CSH OUTPATIENT CENTER AT BAYONNE
818 BROADWAYBAYONNENJ07002OUTPATIENT CENTER
CSH OUT PATIENT CENTER AT CLIFTON
1135 BROAD STREETCLIFTONNJ07013OUTPATIENT CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELIGIBILITY FOR DISCOUNTED CAREPART I, LINE 3CTHE 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 2010 FEDERAL POVERTY GUIDELINES ("FPG")(DEPARTMENT OF HEALTH AND SENIOR SERVICES) ADJUSTED TO 300% OF THE INCOME PROVERTY GUIDELINE. FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
COMMUNITY BENEFIT REPORTSCHEDULE H, PART I; QUESTION 6ANOT APPLICABLE.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I; QUESTION 7GNO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
PERCENT OF TOTAL EXPENSESCHEDULE 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 $4,391,132.
CHARITY CARE AND CERTIAN OTHER COMMUNITY BENEFIT COSTSCHEDULE H, PART I, QUESTION 7WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A; QUESTION 4BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION ISSUE AUDITED FINANCIAL STATEMENTS. THE ORGANIZAITON'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 AMOUNTS AND DO NOT BEAR INTEREST. THE CORPORATION GRANTS CREDIT TO PATIENTS AND GENERALLY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE HOSPITAL'S BEST ESTIMATE OF PROBABLE CREDIT LOSSES IN THE HOSPITAL'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE HOSPITAL DETERMINES THE ALLOWANCE BASED ON HISTORICAL COLLECTION EXPERIENCE. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED. CHARITY CARE THE CORPORATION PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE CORPORATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THE AMOUNT OF CHARITY CARE PROVIDED DURING THE YEAR ENDED DECEMBER 31, 2009, BASED ON THE CORPORATION'S ESTABLISHED CHARGES, WAS APPROXIMATELY $560,286.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B; QUESTION 8BAD 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 POLICYSCHEDULE H, PART III, SECTION B; QUESTION 9BACCOUNTS 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 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 CHILDRENS 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 INFORMATIONSCHEDULE H, PART VNOT APPLICABLE.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 1THIS 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 ASSISTANCESCHEDULE H, PART VI; QUESTION 3CHARITY 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 INFORMATIONSCHEDULE H, PART VI; QUESTION 4THIS 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 HEALTHSCHEDULE H, PART VI; QUESTION 5COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY CHILDRENS 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. CHILDRENS 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 CHILDRENS SPECIALIZED HOSPITAL.
AFFILIATED HEALTHCARE SYSTEMSCHEDULE H, PART VI; QUESTION 6THIS ORGANIZATION IS AN AFFILIATE OF THE ROBERT WOOD JOHNSON HEALTH SYSTEM. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE ROBERT WOOD JOHNSON HEALTH SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. THIS ORGANIZATION SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED BELOW FOR PART I, LINE 3C; PART I, LINE 6A; PART I, LINE 7G; PART I, LINE 7, COLUMN (F); PART I, LINE 7; PART III, LINE 4; PART III, LINE 8; PART III, LINE 9B ARE REFLECTED OF THAT POLICY. 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 214-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. 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. 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 W
AFFILIATED HEALTHCARE SYSTEM CONTINUEDSCHEDULE H, PART VI; QUESTION 6Robert 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 RWJUHH. 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 RWJUHH. 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 RWJUHH. 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 RWJUH. 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 Mutli-Specialty, P.A. A for-profit entity whose sole shareholder is Robert Wood 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 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 REPORTSCHEDULE H, PART VI; QUESTION 7NOT 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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LAWRENCE GARINELLO
0194321029117030090775209743024394200
AMY B MANSUE
395943011916703464401173910987706770220259540
PHILIP SALERNO
284974062500012874098000245080394656000
WARREN E MOORE
2784360701270118044052301019838053874601093800
JOSEPH J DOBOSH JR
2687530599490224437069968020025064313202154930
KAREN M DEWITT EDD
211037049452012501204304606417043496401163190
WILLIAM DWYER
191030042560012331203666507131040069801153820
MICHAEL R DRIBBON PHD
219856049816016767049594053530341386083660
UDAY MEHTA MD
23796800026095098000211560295019000
MARTIN DIAMOND MD
2525400009588098000190240290952000
KRISHAN YALAMANCHI MD
20374100019310085920247030256346000
YVETTE JANVIER MD
1903150001710808269019100217602000
THOMAS A RUGINO MD
17498900016426060190322960229730000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 1ATHE 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 2010 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE; WARREN E. MOORE; AND JOSEPH J. DOBOSH, JR.; $500 EACH; RESPECTIVELY, AND KAREN M. DEWITT, ED. D., $420.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE 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 2010 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $25,954; WARREN E. MOORE, $109,380; JOSEPH J. DOBOSH, JR., $215,493; KAREN M. DEWITT, ED.D., $116,319; WILLIAM DWYER, $115,382 AND MICHAEL R. DRIBBON, PH.D., $8,366. 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 2010 FORM W-2, AS TAXABLE WAGES: AMY B. MANSUE, $110,041; WARREN E. MOORE, $42,501; JOSEPH J. DOBOSH, JR., $62,618; KAREN M. DEWITT, ED.D., $34,446; WILLIAM DWYER, $28,856 AND MICHAEL R. DRIBBON, PH.D., $40,699.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 7THE FOLLOWING INDIVIDUALS RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH BONUS AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LAWRENCE GARINELLO, $29,117; AMY B. MANSUE, $119,167; PHILIP SALERNO, $62,500; WARREN E. MOORE, $70,127; JOSEPH J. DOBOSH, JR., $59,949; KAREN M. DEWITT, ED.D., $49,452; WILLIAM DWYER, $42,560; AND MICHAEL R. DRIBBON, PH.D., $49,816.
COMPENSATION INFORMATIONSCHEDULE J, PART II, COLUMN FTHE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F REPRESENTS AMOUNTS THAT WERE RECEIVED IN 2010 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 2010 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AS FOLLOWS: AMY B. MANSUE, $25,954; WARREN E. MOORE, $109,380; JOSEPH J. DOBOSH, JR., $215,493; KAREN M. DEWITT, ED.D., $116,319; WILLIAM DWYER, $115,382 AND MICHAEL R. DRIBBON, PH.D., $8,366.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NJ HEALTH CARE FACILITIES FINANCING AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN221487148IssuerEIN
CUSIP Number64579FGL1CUSIPNumber
Date Issued2005-11-01DateIssued
Issue Price56895000IssuePrice
Description Of PurposeCONSTRUCTIONDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuertrueOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired9135000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds56895000TotalProceeds
Amount In Reserve Fund2474925AmountInReserveFund
Capitalized Interest743756CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1169455IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures56895000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierTAX-EXEMPT BOND ISSUESIdentifier
Return ReferenceSCHEDULE K, PART IReturnReference
ExplanationTHE 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 & 64579FGV9Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonUMDNJNamePerson
FieldValueIRS element (for citing)
RelationshipFRANK CASTELLO,MD-TRUSTEERelationship
Amount Of Transaction417971AmountOfTransaction
Description Of TransactionREIMB.OF PHYS. COMP & MALPR.DescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L; PART IVReturnReference
ExplanationAS REFLECTED IN CORE FORM, PART VII, THE ORGANIZATION PAID DR. CASTELLO $89,277 DIRECTLY FOR SERVICES RENDERED. IN ADDITION, THE ORGANIZATION PAID UMDNJ $417,971 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 (51 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSBACKGROUND ========== CHILDREN'S SPECIALIZED HOSPITAL ("CSH"), AN AFFILIATE MEMBER OF THE ROBERT WOOD JOHNSON HEALTH SYSTEM, IS A NOT FOR-PROFIT LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY. CSH IS ALSO LICENSED AND OPERATES A 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 120 YEARS. OUR TALENTED AND CARING STAFF PROVIDES A WIDE ARRAY OF MEDICAL, DEVELOPMENTAL, EDUCATIONAL AND REHABILITATIVE SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS. CSH'S HEALTHCARE PROFESSIONALS ARE COMMITTED TO PROVIDING EXPERT AND COMPASSIONATE CARE TO CHILDREN WITH CHRONIC ILLNESSES AND DISABILITIES. EVALUATION AND TREATMENT IS AVAILABLE FOR A VARIETY OF REHABILITATION NEEDS, INCLUDING BUT NOT LIMITED TO BRAIN INJURIES, SPINAL CORD DYSFUNCTION, RESPIRATORY ISSUES, AUTISM, ORTHOPEDIC PROBLEMS, SPORTS INJURIES, LEARNING, 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 HEALTH CARE SERVICES TO ALL NJ CHILDREN WHO CAN BENEFIT FROM REHABILITATIVE CARE AND WHO ARE LEGAL RESIDENTS OF NEW JERSEY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF ABILITY TO PAY. CSH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN IT'S ESTABLISHED RATES AND MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. CSH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CSH DOES NOT RECEIVE ANY DISTRIBUTION OF FEDERAL OR STATE SUBSIDIES FOR CHARITY CARE SERVICES RENDERED. AWARDS AND ACKNOWLEDGEMENTS =========================== 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 AND THEIR 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. PATIENTAND FAMILY CENTERED APPROACHES LEAD 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 HEALTH CARE TO THE CHILDREN WE SERVE, AS WELL AS IN THE EDUCATION OF HEALTH CARE WORKERS. CONTINUING OUR GOAL TO BE RECOGNIZED AS A CENTER OF EXCELLENCE IN PEDIATRIC CARE, CSH IS COMMITTED TO THE INTEGRATION OF PATIENT-AND-FAMILY-CENTERED PRINCIPLES INTO OUR HEALTH CARE POLICIES AND PRACTICES ACROSS THE CONTINUUM OF CARE PROVIDED BY OUR INSTITUTION. IN PLACING THE NEEDS OF THE CHILD AND FAMILY AT THE CENTER OF ALL ACTIVITIES, WE WILL FULFILL OUR MISSION AND EMBODY THE VALUES OF PATIENT-AND-FAMILY-CENTERED CARE AND CHILDREN'S SPECIALIZED HOSPITAL BY: RESPECTING EACH CHILD AND HIS OR HER FAMILY AS PARTNERS IN CARE, HONORING DIVERSITY AND ITS EFFECT ON THE FAMILY'S EXPERIENCE AND THE PERCEPTION OF CARE THROUGH RECOGNIZING THAT EACH FAMILY IS UNIQUE IN THEIR STRUCTURE, VALUES, CULTURE, ETHNIC, 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. 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, INFANTS WITH PULMONARY AND CONGENITAL DISORDERS, AND GENERAL REHABILITATION. OUTPATIENT PROGRAMS EXIST AT VARYING LEVELS OF DEVELOPMENT INCLUDING THE AUTISM PROGRAM AND THE COMPREHENSIVE FEEDING PROGRAM. THESE ARE JUST A FEW OF OUR MANY PROGRAMS AND SPECIALTY SERVICE AREAS THAT COMBINE CUTTING-EDGE TECHNOLOGY WITH CLINICAL EXPERTISE AND COMPASSIONATE CARE IN A PATIENT-AND-FAMILY-CENTERED ENVIRONMENT AT FACILITIES IN NEW BRUNSWICK, MOUNTAINSIDE, TOMS RIVER, FANWOOD, HAMILTON, BAYONNE, CLIFTON AND ROSELLE PARK. ADDITIONALLY, CSH'S STAFF PROVIDES EXPERTISE AT VARIOUS SCHOOLS, CENTERS, AND PROGRAMS FOR CHILDREN WITH SPECIAL NEEDS THROUGHOUT NEW JERSEY. 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.
COMMUNITY BENEFIT STATEMENT; CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSTHE 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 HIS OR HER 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 AN ACQUIRED OR 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 (TETRA(QUADRA)PLEGIA) 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 TRACHEOTOMIES, 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 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 SKILL 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. 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 CHILDREN'S INTERACTION WITH THEIR ENVIRONMENT DURING THERAPY DAYS. TO OFFER THIS SPECIALIZED TREATMENT, OUR STAFF IS COMMITTED TO PURSUING ONGOING EDUCATION AND TRAINING IN STATE-OF-THE-ART TECHNIQUES USED TO TREAT THIS SPECIAL POPULATION.
COMMUNITY BENEFIT STATEMENT; CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSTHOSE INFANT TODDLER PATIENTS WHO NEED SPECIAL MEDICAL CARE CAN BE SAFELY ACCOMMODATED WITH CHILDREN'S SPECIALIZED HOSPITAL'S EXTENSIVE MEDICAL COVERAGE. THESE PATIENTS MAY BE TRACHEOTOMY 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. INFANTS WHO ARE RECOVERING FROM NEONATAL ABSTINENCE ARE TREATED WITH A MEDICATION AND A HOLISTIC APPROACH, WHICH ALLOWS THEIR SAFE TRANSITION TO HOME. 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 (AUTISM, ASPERGER'S SYNDROME, PERVASIVE DEVELOPMENTAL DISORDER, CHILDHOOD DISINTEGRATIVE DISORDER OR RETT'S SYNDROME). 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 COMPREHENSIVE FEEDING PROGRAM ----------------------------- THE COMPREHENSIVE FEEDING PROGRAM IS AN OUTPATIENT PROGRAM THAT SERVICES 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, 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. ATTENTION-DEFICIT HYPERACTIVITY DISORDERS (AD/HD) ------------------------------------------------- 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. 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, EDUCATIONAL 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. THERE ARE TWO LICENSED LONG-TERM CARE FACILITIES. A 42 BED UNIT IN MOUNTAINSIDE WITH THE CAPACITY TO EXPAND AN ADDITIONAL 8 WAIVER BEDS AND A 26 BED FACILITY IN TOMS RIVER. 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, UROLOGY, OPHTHALMOLOGY, NEUROLOGY, PHYSIATRY AND DEVELOPMENTAL PEDIATRICS. THE EARLY INTERVENTION IS DESIGNED TO MEET THE EDUCATIONAL, THERAPEUTIC, SOCIAL, AND EMOTIONAL NEEDS OF CHILDREN FROM BIRTH TO AGE FIVE WITH PHYSICAL HANDICAPS OR DEVELOPMENTAL DELAYS. THE EIP PROGRAM IS FUNDED BY A FEE SCHEDULE FROM THE STATE OF NEW JERSEY. 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 + INVITATIONAL TRACK AND FIELD MEET CLUB SIB GUPPIES I AND II SHARKS I AND II INTERACTIVE ORAL SENSORY - MOTOR THERAPY IN AUTISM? PEDIATRIC TRAUMATIC BRAIN INJURY - THE JOURNEY CAMP OPEN ARMS DAY CAMP PALS PARADISE OVERNIGHT CAMP CAMP CHATTERBOX NEURO-REHABILITATION PROGRAM PEDIATRIC PRACTICE PARENT RESOURCE CENTER TOYS-TO-GO PROGRAM "LIGHTNING WHEELS" WHEELCHAIR & AMBULATORY SPORTS TEAM FOR INDIVIDUALS WITH PHYSICAL DISABILITIES "FRIDAY NIGHT FEVER - MOUNTAINSIDE AND TOMS RIVER" 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, AS WELL AS 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. 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.
COMMUNITY BENEFIT STATEMENT; CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSTHIS REVIEW TAKES PLACE AT THE HOSPITAL'S ENVIRONMENT OF CARE, OPERATIONS, AND PI STEERING COMMITTEE(S). COMMUNICATION AND FOLLOW THROUGH IS DONE WITHIN THE EXISTING HOSPITAL-WIDE PERFORMANCE IMPROVEMENT STRUCTURE. BELOW IS THE 2010 ACCESSIBILITY SURVEY FINDINGS: 2010 ACCESSIBILITY SURVEY FACILITY SUMMARY STEVENS ROAD - MICHELLE TOMAINO - 12/08/2010 -------------------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: - GYM: MULTIPLE ACTIVITIES IN THE GYM BLOCKING FIRE EXIT PATH AND LIMITING WHEELCHAIR ACCESS TO THE MATS. THERE IS A MAT IN FRONT OF BREAKOUT ROOM 5 WHICH WOULD RESTRICT WHEELCHAIR ACCESS. - STAFF BATHROOM: SEVERAL SHEETS OF TOILET PAPER ON THE FLOOR AS A RESULT TOILET PAPER DISPENSER. - ALL AREAS: PAPER TOWEL DISPENSERS DIFFICULT FOR OUR PATIENTS WITH HEMI-PARESIS TO UTILIZE. ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: ONGOING ISSUE FOR FAMILIES WHO CANNOT QUALIFY FOR STATE FUNDING TO SUPPLEMENT NEEDS FOR SERVICES. EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: NONE CITED DURING SURVEY TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: - PARKING LOT: FIRE LANE BLOCKED, DUE TO CONSTRUCTION/WATER MAIN DIG. - PARKING LOT: RESTRICTED ACCESS TO PARKING BECAUSE OF BLOCKED AREA OVER WATER MAIN: IF NO SPACES ARE AVAILABLE AT OUR MAIN ENTRANCE, FAMILIES HAVE TO TURN AROUND TO GO TO THE PARKING AVAILABLE AT THE BACK OF THE BUILDING NEW BRUNSWICK - PAT O'HANLON - 12/15/10 --------------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: NONE CITED DURING SURVEY ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: NONE CITED DURING SURVEY TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: NONE CITED DURING SURVEY MOUNTAINSIDE - PAT O'HANLON - 12/15/10 -------------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: NONE CITED DURING SURVEY ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: NONE CITED DURING SURVEY TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: NONE CITED DURING SURVEY 310 MAIN STREET - MICHELLE TOMAINO - 12/08/10 --------------------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: NONE CITED DURING SURVEY ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: NONE CITED DURING SURVEY TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: NONE CITED DURING SURVEY HAMILTON - MEGAN FENNELLY - 12/10/10 ------------------------------------ BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: NONE CITED DURING SURVEY ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: NONE CITED DURING SURVEY TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: NONE CITED DURING SURVEY FANWOOD PLAZA - PAT O'HANLON - 12/15/10 --------------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: - IN THE PROCESS OF MOVING ACROSS THE HALL, DID THE BEST I COULD. - BUMP IN THE FLOOR IN LOBBY AREA OUTSIDE OF FAMILY WAITING AREA. ENVIRONMENTAL: EXTREME "CLUTTER" THROUGHOUT SITE. EX: CLASSROOM ALTERNATES USING DESKS AND TABLES. DESKS NOT IN USE ARE PILED IN THE MIDDLE OF ROOM. WAITING AREAS HAVE CHAIRS STACKED, VERY MESSY LOOKING FOR FAMILIES WHO MAY BE CONSIDERING PROGRAM FOR CHILD. DOES NOT REPRESENT THE GREAT WORK DONE BY STAFF AT SITE ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: - LACK OF APPROVED RESOURCES IN LOBBY FOR FAMILIES. - NO LOBBY MONITOR. - NO COMPUTER ACCESS FOR FAMILIES TRANSPORTATION: 70-80% OF CHILDREN ARE BUSED UNDER MEDICAID/LOGISTICS CARE WHO IN MOST CASES WILL NOT ESCORT CHILDREN TO LOBBY UPON ARRIVAL ACCORDING TO CSH POLICYARRANGING TRANSPORTATION FOR CHILDREN IS A NIGHTMARE CURRENT PROCESS TAKES MAJOR TIME AND PATIENCE, CAN DELAY CHILDREN IN RECEIVING SERVICES COMMUNITY INTEGRATION: LACK OF CHILDREN'S SPECIALIZED HOSPITAL RESOURCES IE: OUTPATIENT GUIDE, AQUATIC PROGRAM, POCKET PAL, (THE APPROVED LIST) FOR CLIENTS. OTHER BARRIERS: NONE CITED DURING SURVEY ROSELLE - PAT O'HANLON - 12/08/10 --------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: - LITTLE GATED AREAS DO NOT ALLOW ACCESS OF STROLLERS. CRIBS, ETC, IN THE EVENT OF A FIRE ACCESS WOULD BE DIFFICULT. - AREA BEFORE ENTRANCE TO DECK PLAY AREA, CLUTTERED WITH BIGGER, NECESSARY EQUIPMENT (I.E.: STANDER) AND TOYS. NEED STORAGE SHED ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: - LACK OF RESOURCES (APPROVED), FOR DISTRIBUTION TO FAMILIES. - LACK OF APPROVED RESOURCES AVAILABLE TO FAMILIES IN AREA WHERE THEY DROP OFF CHILDREN TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: NONE CITED DURING SURVEY CLIFTON - PAT O'HANLON - 12/08/10 --------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: NO DESIGNATED PRIVATE AREA WHERE OLDER, BIGGER CHILD COULD BE CHANGED, CATHETERIZED, ETC ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: LACK OF APPROVED RESOURCE MATERIAL AVAILABLE IN LOBBY/WAITING AREA TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: - SIGNAGE IN PARKING LOT AND/OR ON ROAD LEADING TO LOCATION. - COMPUTER AVAILABLE FOR FAMILY USE TO ACCESS RESOURCES OUR WEBSITE, LIBRARIAN, ETC. - NO PRIVACY AT REGISTRATION DESK. BAYONNE - PAT O'HANLON - 12/08/10 --------------------------------- BARRIER: DESCRIPTION ARCHITECTURAL: NONE CITED DURING SURVEY ENVIRONMENTAL: NONE CITED DURING SURVEY ATTITUDINAL: NONE CITED DURING SURVEY FINANCIAL: NONE CITED DURING SURVEY EMPLOYMENT: NONE CITED DURING SURVEY COMMUNICATION: LACK OF APPROVED RESOURCES IN LOBBY/WAITING AREAS TRANSPORTATION: NONE CITED DURING SURVEY COMMUNITY INTEGRATION: NONE CITED DURING SURVEY OTHER BARRIERS: - LACK OF COMPUTER AND WIRELESS ACCESS FOR FAMILIES 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. 2010 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. 2010 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. DATA SOURCE: ADVOCACY ACTIVITIES. 2010 FINDINGS: SEVERAL ADVOCACY ACTIVITIES FOR PERSONS SERVED. LEADERSHIP ---------- - 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 APPOINTED TO NACHRI BOARD OF DIRECTORS AND PUBLIC POLICY COUNCIL
COMMUNITY BENEFIT STATEMENT; CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS- 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. - CEO ON VITALE WORKGROUP - CHAIRMAN OF STATE SENATE HEALTH COMMITTEE ESTABLISHED A TASK FORCE TO EXAMINE WAYS TO EXPAND MEDICAID AND A YEARLONG PROGRAM ON CRITICAL ISSUES IN NJ - PRESENTED ON THE NEEDS OF CHILDREN, AND KIDCARE TO COVER ALL CHILDREN IN NJ. - CEO CHAIRS 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 AND CURRENTLY SERVES AS THE VICE CHAIR AND ACTING CHAIRMAN OF THIS COUNCIL - 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. -FOUNDING MEMBER OF THE INTERNATIONAL PEDIATRIC REHABILITATION COLLABORATIVE - A GROUP TO ADVANCE BEST PRACTICES IN PEDIATRIC REHABILITATION. - 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). - ADMINISTER A LIST SERVE FOR THE SIG (SPECIAL INTEREST GROUP)-17 OF RESNA REGARDING INTERNATIONAL APPROPRIATE TECHNOLOGY. THIS IS A FORUM FOR PEOPLE AROUND THE WORLD TO DISCUSS VARIOUS ADAPTIVE EQUIPMENT ISSUES. - COMMUNITY POLICING ALLIANCE IN FANWOOD - WORKS TO IMPROVE THE SAFETY OF INDIVIDUALS IN TOWN. - CLINICAL CONSORTIUM FOR REHABILITATION TECHNOLOGY WITH AREA HOSPITALS, CLINICS AND DEVELOPMENTAL CENTERS. - PAST PRESIDENT OF THE NJ CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS. - BOARD MEMBER, NEW JERSEY'S PEDIATRIC COUNCIL ON RESEARCH AND EDUCATION (PCORE) AND NEW JERSEY AAP CHAPTER. - NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH (NIDRR) GRANT WITH NEW JERSEY INSTITUTE OF TECHNOLOGY. - MEDICAID PHYSICIAN GROUP MEETINGS TO ENSURE UNDERSTANDING OF REHABILITATION TECHNOLOGY SERVICES AND EQUIPMENT. - HUMANISM IN HEALTHCARE AWARD RECIPIENTS - HEALTHCARE FOUNDATION OF NEW JERSEY. - NASW-NJ CONFERENCE AND BY-LAWS REVISION COMMITTEES. - TOP DOCS NAMED BY NEW JERSEY MONTHLY. - ONE OF TOP 5 CHILDREN'S HOSPITALS IN NATIONAL EMPLOYEE OPINION SURVEY. - SECOND PLACE - TRAILBLAZER AWARD FOR INNOVATION PRACTICE (HOSPITAL DIVISION). - 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). - PARTNERED WITH YMCA TO PROVIDE AQUATICS PROGRAM TO CHILDREN WITH DISABILITIES. - MEMBER OF THE GOVERNOR'S COMMISSION ON RECREATIONAL OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES. - MEMBERS OF THE CHILD AND ADOLESCENT TASK FORCE OF THE BIANJ. - RECREATION FOR INDIVIDUALS WITH DISABILITIES GRANT TO IMPLEMENT ADAPTIVE AQUATICS PROGRAM. - ADJUNCT PROFESSOR - DOMINICAN COLLEGE. - 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. - OFFICERS NEW JERSEY NEUROPSYCHOLOGICAL SOCIETY. - NATIONAL TASK FORCE MEMBER FOR FAMILY-CENTERED CARE SURVEY INITIATIVE. - FULL ACCREDITATION THROUGH THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) AND THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). -PARTNER WITH THE COSAC TO PROVIDE EDUCATION AND SUPPORT SERVICES TO FAMILIES OF CHILDREN WITH AUTISM. - 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 SPORTS TEAM. - EXPANDED OUTREACH TO THE SPANISH SPEAKING COMMUNITY THROUGH EDUCATION ON SPANISH LANGUAGE TELEVISION, RADIO STATIONS AND NEWSPAPERS. - PROFESSOR - UNION COUNTY COLLEGE PTA PROGRAM. - ORGANIZED A VISION CLINIC MODEL FOR "THE COMMISSION FOR THE BLIND". - HOSTED NEW JERSEY SPEECH AND HEARING ASSOCIATION (NJSHA) 50TH ANNIVERSARY CONFERENCE. - 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. - FAMILY-CENTERED CARE NATIONAL TASK FORCE TO DEVELOP QUESTIONS FOR PRESS, GANEY. - CARF PARENT LIAISON FOR ACCREDITATION SURVEY TEAM. - SECRETARY, EXECUTIVE COMMITTEE OF BRAIN INJURY INTERDISCIPLINARY SPECIAL INTEREST GROUP (BI-ISIG) OF THE AMERICAN CONGRESS OF REHABILITATION MEDICINE (ACRM). - CFO IS A PAST PRESIDENT IN THE NEW JERSEY CHAPTER OF HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA). CURRENTLY SERVES ON THE ADVISORY COUNCIL OF THE NJ CHAPTER. -CFO IS A MEMBER OF THE HFMA NATIONAL ADVISORY COUNCIL-REIMBURSEMENT AND PAYMENT GROUP - 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 - "SPECIAL RECOGNITION AWARD" FROM THE AAP FOR SERVICE AND ADVOCACY FOR CHILDREN AND PEDIATRICIANS - RECEIVED GOVERNOR'S COUNCIL ON AUTISM GRANT - PAST CHAIR OF THE STATE PERFORMANCE PLAN COMMITTEE FOR THE STATE INTERAGENCY COORDINATING COUNCIL - VOLUNTEER WAS RECIPIENT OF THE "NJ BIZ HEALTHCARE HEROES AWARD" - STEERING COMMITTEE - INTERNATIONAL PEDIATRIC REHABILITATION COLLABORATIVE - MEMBER OF THE MAYOR'S ADVISORY COUNCIL ON DEVELOPMENTAL DISABILITIES, TOMS RIVER - MEMBER 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 - GOVERNOR'S WYNONA LIPMAN AWARD FOR ACHIEVEMENTS ON BEHALF OF WOMEN AND FAMILIES - NJ ADVISORY COMMISSION ON THE STATUS OF WOMEN AWARD - ESTABLISHED AND PARTICIPATED IN RESNA OCCUPATIONAL THERAPY ASSISTIVE TECHNOLOGY COMPETENCY TASK FORCE. - PRESIDENT OF THE SOMERSET AND HUNTERDON COUNTY PSYCHOLOGICAL ASSOCIATION - MEMBER, PLANNING COMMITTEE FOR NATIONAL SUMMIT ON VIOLENCE AND ABUSE IN RELATIONSHIPS - MEMBER - REVIEW TEAM FOR WHITE PAPER FOR SIBLING LEADERSHIP NETWORK -RECOMMENDATIONS FOR RESEARCH, ADVOCACY AND SUPPORT RELATED TO SIBLINGS OF PEOPLE WITH DEVELOPMENTAL DISABILITIES - PARTNERSHIP WITH RUTGERS UNIVERSITY FOR NEW JERSEY SIBLING LEADERSHIP NETWORK - SERVED ON THE CHILD LIFE NATIONAL PROFESSIONAL RESOURCE COUNCIL - MEMBER, BOARD OF DIRECTORS NEW JERSEY SPEECH AND HEARING ASSOCIATION (NJSHA) - NJSHA BOARD LIAISON TO THE AAC COMMITTEE - NJSHA CLINICAL FORUM CHAIR - NJSHA AAC WEBSITE DESIGN COORDINATOR - MEMBER, INTERNATIONAL COMMITTEE EUROPEAN SEATING SYMPOSIUM - REPRESENTATION ON THE LEADERSHIP OF THE DIVISION OF DEVELOPMENTAL DISABILITIES - SPECIAL RECOGNITION FROM NACHRI FOR FEDERAL ADVOCACY FOR CHILDREN - CO-CHAIR OF THE UNION COUNTY HEALTHCARE EMERGENCY MANAGEMENT COMMITTEE - MEMBER, MERCER COUNTY PROFESSIONAL ADVISORY COMMITTEE - MEMBER, BOARD OF TRUSTEES FOR NATIONAL ASSOCIATION FOR THE MENTALLY ILL (NAMI)-NJ - REVIEWER FOR THE SOCIETY OF PEDIATRIC PSYCHOLOGY STUDENT RESEARCH AWARDS - MEMBER, PLANNING COMMITTEE FOR NATIONAL SUMMIT ON VIOLENCE AND
COMMUNITY BENEFIT STATEMENT; CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS- 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 FOUR 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 THE OCTOBER 5TH "US NEWS & WORLD REPORT" ARTICLE, "AMERICA'S BEST NURSING HOMES" - RECEIVED HEALTHCARE FACILITY EMERGENCY PREPAREDNESS GRANT FOR FIRST TIME (ALSO APPROVED FOR 2010 GRANT) - FOUNDATION PRESIDENT IS TRUSTEE, LEADERSHIP NJ - 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 - VICE CHAIR OF THE OCCUPATIONAL THERAPY SPECIAL INTEREST GROUP AT REHABILITATION ENGINEERING SOCIETY OF NORTH AMERICA - MEMBER, NATIONAL TASK FORCE FOR DEVELOPING OCCUPATIONAL THERAPY COMPETENCIES - INITIALLY ACCEPTED BY THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION (AOTA) AS STANDARDS OF PRACTICE NATIONALLY - ESTABLISHED RESEARCH COLLABORATIONS WITH VARIOUS UNIVERSITIES NATIONALLY -PARTICIPATE ON STATEWIDE EVIDENCE BASED PRACTICE IN CHILDREN'S MENTAL HEALTH TASK FORCE -PROVIDED TRAINING WORKSHOPS FOR EARLY CHILDHOOD EDUCATORS ON RED FLAGS FOR AUTISM FAMILY REPRESENTATIVE ON NJ BRAIN INJURY ASSOCIATION CHILD AND ADOLESCENT COMMITTEE - MEMBER APTANJ PRACTICE COMMITTEE; NJ REPRESENTATIVE TO NATIONAL - SECRETARY APTA PEDIATRIC SECTION HOSPITAL BASED SPECIAL INTEREST GROUP - APPOINTED INCOMING NJ STATE REPRESENTATIVE FOR THE REGION OF APTA SECTION ON PEDIATRICS
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTCORE FORM, PART III; QUESTION 4DEXPENSES 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 INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7ROBERT 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11ATHE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO ITS FILING WITH THE IRS AFTER REVIEW BY THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE. THE ORGANIZATION'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE 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. THE CHILDREN'S SPECIALIZED HOSPITAL BOARD OF TRUSTEES HAS DELEGATED TO THE AUDIT COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE 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. THEREAFTER, THE CHIEF COMPLIANCE OFFICER OF THE ORGANIZATION PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE 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 INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE 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 SECRETARY OF STATE.
COMPENSATION INFORMATIONCORE FORM, PART VII AND SCHEDULE JLAWRENCE GARINELLO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 50 HOURS PER WEEK AS THE VICE PRESIDENT OF PLANNING FOR ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PHILIP SALERNO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 50 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.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET CHANGE IN UNREALIZED GAINS ON INVESTMENTS OTHER THAN TRADING SECURITIES - $317,394 - CHANGE IN INTEREST IN RESTRICTED NET ASSETS OF FOUNDATION - $3,460,136 - NET ASSETS RELEASED FROM RESTRICTIONS - ($3,203,431)
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2A BIG FOUR INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE BIG FOUR 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.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID KOSTINAS TITLE:CHAIRMAN - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER JANE FRANCES BRADY TITLE:1ST VICE CHAIR - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBIN A WALTON TITLE:TREASURER - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KISHAN AGARWAL MD TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BONNIE BALOGA ALTIERI MSN RN TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:FRANK CASTELLO MD TITLE:TRUSTEE - MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SCOTT CHESNEY TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TERRANCE FARLEY TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LAWRENCE GARINELLO TITLE:TRUSTEE HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SAVERIO GARRUTO CPA TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALEXANDER R GIAQUINTO PHD TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ELIZABETH HANCE TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCY JACKSON TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:AMY B MANSUE TITLE:TRUSTEE - PRESIDENT/CEO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PETER W METZ TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCI D MORRIS TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GLENN MORTIMER TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARGARET M PEGO TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEVEN M ROSENBERG ESQ TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BARBARA ROTHMAN TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHILIP SALERNO TITLE:TRUSTEE - PRES/CDO FOUNDATION HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:VINCENT SERPICO TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARVIND SHAH MD TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GAIL SLOAN TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:VICTORIA WICKS TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICIA WHITLEY WILLIAMS MD TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WARREN E MOORE TITLE:EVP/COO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH J DOBOSH JR TITLE:SENIOR VP/CFO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KAREN M DEWITT EDD TITLE:VP PATIENT CARE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM DWYER TITLE:VP HUMAN RESOURCES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL R DRIBBON PHD TITLE:VP REHAB SERVICES & PROG. DEV. HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:UDAY MEHTA MD TITLE:ASSOCIATE MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARTIN DIAMOND MD TITLE:DIRECTOR; O/P SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KRISHAN YALAMANCHI MD TITLE:DIRECTOR; BRAIN INJURY HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:YVETTE JANVIER MD TITLE:DIRECTOR; MEDICAL SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:THOMAS A RUGINO MD TITLE:PHYSIATRIST HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDRENS SPECIALIZED HOSPITAL FDN
150 NEW PROVIDENCE ROADMOUNTAINSIDENJ07092136844298FUNDRAISINGNJ501(C)(3)509(A)(1)RWJHCC
LAKEVIEW CHILD CARE CENTER INC
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690222627639CHILD CARENJ501(C)(3)509(A)(2)RWJHCCH
RWJ UNIV HOSPITAL HAMILTON
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690210634572HLTHCARE SVCNJ501(C)(3)HOSPITALRWJHCCH
RWJ UNIV HOSP HAMILTON FDN INC
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690222552329FUNDRAISINGNJ501(C)(3)509(A)(1)RWJHCCH
RWJ HEALTH CARE CORPORATION AT HAMILTON
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690222566863HOLDING CO.NJ501(C)(3)509(A)(3)RWJHCC
RWJ UNIV HOSP AT RAHWAY AUXILIARY
865 STONE STREETRAHWAYNJ07065220012205SUPPORTINGNJ501(C)(3)509(A)(3)RWJUHR
RWJ UNIV HOSP AT RAHWAY FOUNDATION
865 STONE STREETRAHWAYNJ07065222405094FUNDRAISINGNJ501(C)(3)509(A)(3)RWJUHR
RWJ UNIVERSITY HOSPITAL AT RAHWAY
865 STONE STREETRAHWAYNJ07065221487305HLTHCARE SVCNJ501(C)(3)HOSPITALRWJHCC
NEW BRUNSWICK AFFILIATED HOSPITALS INC
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901221946837HLTHCARE SVCNJ501(C)(3)509(A)(3)RWJHCC
RWJ PROPERTY HOLDING CORPORATION
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901222474955PROPERTYNJ501(C)(3)509(A)(3)RWJHCC
RWJ HEALTH CARE CORPORATION
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901222568905HOLDING CO.NJ501(C)(3)509(A)(3)NA
RWJ UNIV HOSPITAL FOUNDATION INC
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901222378007FUNDRAISINGNJ501(C)(3)509(A)(3)RWJHCC
RWJ UNIVERSITY HOSPITAL
ONE ROBERT WOOD JOHNSON PLACENEW BRUNSWICKNJ08903221487243HLTHCARE SVCNJ501(C)(3)HOSPITALRWJHCC
AUXILIARY OF RWJ UNIVERSITY HOSPITAL
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901226014339SUPPORTINGNJ501(C)(3)509(A)(2)RWJUH

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
HAMILTON OB GYN PA
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690200218248HEALTHCARE SVCS.NJNAC CORP.
RWJ DIABETES & ENDOCRINOLOGY
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690261447574HEALTHCARE SVCS.NJNAC CORP.
RWJ MED ASSOC AT HAMILTON
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690223454267PROF. SVCS.NJNAC CORP.
RWJ MED SVCS ORG AT HAMILTON
ONE HAMILTON HEALTH PLACEHAMILTONNJ08690223454270RENTAL REAL EST.NJNAC CORP.
VISION HEALTHCARE INC
865 STONE STREETRAHWAYNJ07065204285005INVESTMENTNJNAC CORP.
RWJ HEALTH NETWORK INC
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901223420314HEALTHCARE SVCS.NJNAC CORP.
RWJ KIDNEY TRANSPLANT ASSOC
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901030382501HEALTHCARE SVCS.NJNAC CORP.
RWJ MULTI-SPECIALTY PA
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901030382492HEALTHCARE SVCS.NJNAC CORP.
RWJ MEDICAL ASSOCIATES PA
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901223586872HEALTHCARE SVCS.NJNAC CORP.
RWJ SURGERY CENTER INC
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901223698431HEALTHCARE SVCS.NJNAC CORP.
SYSTEM AND AFFILIATE MEMBERS
980656382FINANCIAL VEHICLENAFOREIGN CORP.CRAIG APPIN HOUSE 8 WESLEY STREETHAMILTONBDBDHM JXBD
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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