2011-11-15T16:34:21-05:00 2010-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2010-01-01 221500556 CLARA MAASS MEDICAL CENTER CLAR 7329238072 ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 THERESA M COLOGIE 2011-11-15 true Scott Mariani 9738989494 2010 2016-02-24 21:20:13Z RONALD J DEL MAURO 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 276180700 false X www.sbhcs.com X 1946 NJ THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OR RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. X 10 8 2935 354 155337 1115049 30617 264403174 274089207 384251 502409 1782811 1558467 267685285 276180700 3057 0 0 0 140662967 133979332 0 0 0 128804971 130702481 269470995 264681813 -1785710 11498887 148283333 145587521 193600907 168964006 -45317574 -23376485 X THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF AN INDIVIDUAL'S RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 21646841 0 21895488 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SURGICAL SERVICES TO THE SURROUNDING COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF AN INDIVIDUAL'S RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION TREATED 1,258 SURGICAL CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 14900566 0 14653756 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY CARDIOLOGY SERVICES TO THE SURROUNDING COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF AN INDIVIDUAL'S RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION TREATED 2,330 CARDIOLOGY CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 12685410 0 12434631 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PULMONARY SERVICES TO THE SURROUNDING COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF AN INDIVIDUAL'S RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION TREATED 1,251 PULMONARY CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 188980976 0 225166777 238213793 true true false true false false false false false true false true false true false false true false false false false false false false false true false false false true true false false false false false false false false true false false false false true false true false false false false true 1091 0 true 2935 true true true false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true true true true true false NJ X THOMAS G SCOTT CPA 7329238072 2 CRESCENT PLACE OCEANPORT NJ 07757 X JOHN HOPKINS 3.0 X X 0 0 0 JOSEPH MELONE 3.0 X X 0 0 0 PETER NORCIA 3.0 X X 0 0 0 MICHAEL PONTORIERO MD 3.0 X X 0 0 0 EDWIN AMIRATA MD 3.0 X 0 0 0 ROBERT GACCIONE 3.0 X 0 0 0 MICHAEL GENTILE MD 3.0 X 2341 0 0 ARTHUR LESTER MD 3.0 X 0 0 0 JAMES ORSINI MD 3.0 X 30000 0 0 BRENT RUDNICK 3.0 X 0 0 0 MARY ELLEN CLYNE 55.0 X 324219 0 6202 THOMAS BIGA 3.0 X 97113 539096 123805 THERESA M COLOGIE CPA 55.0 X 261800 0 16386 LEA RODRIGUEZ 55.0 X 211092 0 196 JAMES ROLEK 55.0 X 151520 0 14105 JANE NEWMAN KESSLER 3.0 X 112824 0 15132 FRANK J MAZZARELLA MD 55.0 X 329265 0 12823 ALEXANDER BABAYANTS 55.0 X 260664 0 15434 FADI CHAABAN 55.0 X 198600 0 0 SUSAN LANZA 3.0 X 92496 0 3956 ROBERT BENEDETTI MD 55.0 X 297665 0 15354 PHILIP PRINCIPE 55.0 X 249687 0 232 ROLANDO HERNANDEZ 55.0 X 232120 0 16672 ELIE Y CHAKHTOURA MD 55.0 X 214541 0 0 SENTHMARAI GANDHI 55.0 X 211126 0 6355 3277073 539096 246652 121 false true false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 17003338 CLARA MAASS HEALTH SYSTEM ONE CLARA MAASS DRIVE BELLEVILLE NJ 07108 MEDICAL 1947925 LIVINGSTON SERVICES CORPORATION 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 IT 1989065 PREMIUM HEALTH SYSTEMS ONE CLARA MAASS DRIVE BELLEVILLE NJ 07108 MEDICAL 1491529 SB NNA ACUTE PO BOX 404221 ATLANTA GA 30384 MEDICAL 1460413 44 30617 30617 NET PATIENT SERVICE REVENUE 541900 237284433 237284433 OTHER HEALTHCARE RELATED REVENUE 541900 3429723 3429723 LABORATORY REVENUE 621500 93892 93892 NURSING HOMES NET PATIENT SERVICE REV. 541900 33281159 33281159 274089207 502409 502409 0 0 130624 130624 130624 130624 0 0 0 0 CAFETERIA/MEALS 900099 501226 501226 PARKING 812930 482661 482661 TELEVISION 900099 217892 217892 226064 61445 164619 1427843 276180700 273995315 155337 1999431 0 0 0 0 2158144 1942329 215815 0 0 104686076 94217468 10468608 2323974 2091577 232397 15616967 14055270 1561697 9194171 8274754 919417 13626006 12263405 1362601 254277 228849 25428 153302 137972 15330 15803 14223 1580 0 0 0 948677 853809 94868 47147786 42433007 4714779 39196 35276 3920 0 725004 652504 72500 178086 160277 17809 0 27368 24631 2737 4177779 3760001 417778 0 7282818 6554536 728282 2933959 2640563 293396 PROVISION FOR BAD DEBTS 14877982 13390184 1487798 0 CONTRACTED SERVICES 9412952 8471657 941295 0 REPAIRS AND MAINTENANCE 6709079 6038171 670908 0 PURCHASED SERVICES 5764957 5188461 576496 0 UTILITIES 5694256 5124830 569426 0 10733194 9660039 1073155 0 264681813 238213793 26468020 0 6500 5300 -1061465 15894274 24156139 22735494 40344535 36571443 2929925 3279664 2027986 2515757 201364685 148243491 56886472 53121194 11805396 10172180 934881 618429 10252964 673786 148283333 145587521 26844563 31131672 1597276 893879 40177690 26977515 878433 807984 124102945 109152956 193600907 168964006 X -45317574 -23376485 -45317574 -23376485 148283333 145587521 X 11498887 10442202 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false true 0 true 15803 false 15803 false LOBBYING ELECTING CORPORATION SCHEDULE C, PART II-A; LOBBYING EXPENDITURES BY ELECTING PUBLIC CHARITIES THE ELECTING CORPORATION IS CLARA MAASS MEDICAL CENTER. SAINT BARNABAS CORPORATION, THE PARENT ENTITY OF THE SAINT BARNABAS HEALTH CARE SYSTEM, ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. PLEASE REFER TO THAT ORGANIZATION'S FORM 990 (FEID: 22-2405279) FOR THE RESPECTIVE AMOUNT. IN ADDITION, THE HOSPITAL IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $15,803. 458886 458886 95674034 61157058 34516976 346240 242486 103754 100329103 84412216 15916887 4556422 2431731 2124691 53121194 LIMITED USE ASSETS 795675 F BOND INDENTURE AGREEMENTS 2238904 F LIMITED USE 0 F OTHER INVESTMENTS 323738 F SEI INVESTMENTS; LIMITED USE 5788863 F FOUNDATION 1025000 F 10172180 0 DUE TO AFFILIATES; CURRENT 44742399 OTHER LIABILITIES; CURRENT 1216004 OTHER LIABILITIES; NON-CURRENT 792924 PARTY PAYORS; CURRENT 3306545 PARTY PAYORS; NON-CURRENT 7031270 DUE TO AFFILIATES; NON-CURRENT 52063814 NON-CURRENT 0 109152956 TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S 2007 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN JULY 2006, FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007, THE CORPORATION ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT. true true X true X true X true true true false true true 1 8593 19549038 3640474 15908564 0.06370 1 36984 46294753 46111685 183068 0.00070 1 0 765754 0 765754 0.00310 3 45577 66609545 49752159 16857386 0.06750 29 10049 236519 0 236519 0.00090 1 220 215887 55176 160711 0.00060 1 641 3969186 3900053 69133 0.00030 0 0 0 0 0.00000 0 0 0 0 0.00000 31 10910 4421592 3955229 466363 0.00180 34 56487 71031137 53707388 17323749 0.06930 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 false 15237329 0 103330196 89810095 13520101 X true true 1 1 CLARA MAASS MEDICAL CENTER

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X X X CLARA MAASS MEDICAL CENTER 1 6 CLARA MAASS AMBULATORY CARE AT W HUDSON

206 BERGEN AVENUE KEARNY NJ 07032

HOSPITAL BASED OFF-SITE AMBULATORY CARE FACILITY CLARA MAASS CONT CARE CTR AT BELLEVILLE

ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109

LONG TERM CARE FACILITY CLARA MAAS CONTINUING CARE - KEARNY

195 BELGROVE DRIVE KEARNY NJ 07032

LONG TERM CARE FACILITY CLARA MAASS CONTINUING CARE AT W HUDSON

206 BERGEN AVENUE KEARNY NJ 07032

LONG TERM CARE FACILITY CLARA MAASS TRANSITIONAL CARE UNIT

ONE CLARA MAAS DRIVE BELLEVILLE NJ 07109

LONG TERM CARE SUB-ACUTE FACILITY JERSEY CARE HOME HEALTH PROGRAM

80 MAIN STREET WEST ORANGE NJ 07052

HOME HEALTH AGENCY ELIGIBILITY FOR DISCOUNTED CARE PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2010 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I; QUESTION 7 COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $14,877,982. CHARITY CARE AND CERTIAN OTHER COMMUNITY BENEFIT COST SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. BAD DEBT EXPENSE AND HFMA STATEMENT #15 SCHEDULE H, PART III, SECTION A; QUESTION 1 HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO 15 ("STATEMENT 15") PROVIDES GUIDELINES FOR DISTINGUISHING CHARITY CARE FROM BAD DEBT EXPENSE. STATEMENT 15 REQUIRES THAT CHARITY CARE IS NOT RECOGNIZED AS RECEIVABLE OR REVENUE IN THE FINANCIAL STATEMENTS. STATEMENT 15 FURTHER EXPLAINS THAT SELF PAY PATIENTS THAT DO HAVE A REASONABLE LIKELIHOOD OF PAYMENT SHOULD BE REPORTED AS CHARITY CARE AND NOT BAD DEBT EXPENSE. THE HOSPITAL GENERALLY FOLLOWS THE GUIDELINES OUTLINED IN STATEMENT 15. IN ADDITION, THE HOSPITAL FOLLOWS THE STATE OF NEW JERSEY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. IN CERTAIN INSTANCES, IT IS UNLIKELY THAT UNINSURED PATIENTS WILL PAY FOR THE SERVICES RENDERED, BUT THEY DO NOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM BECAUSE OF LACK OF PATIENT COOPERATION OR OTHER REASONS. THE HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS AND UNPAID BALANCES ARE REPORTED AS BAD DEBT EXPENSE. UNDER STATEMENT 15, THESE AMOUNTS WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT EXPENSE AND THIS IS THE RATIONALE FOR OUR RESPONSE: "NO". BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE SAINT BARNABAS CORPORATION AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE SAINT BARNABAS CORPORATION. PATIENT ACCOUNTS RECEIVABLE 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 SYSTEM'S BEST ESTIMATE OF PROBABLE CREDIT LOSSES IN THE SYSTEM'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE SYSTEM 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 HEALTH CARE 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 YEARS ENDED DECEMBER 31, 2010 AND 2009, BASED ON THE CORPORATION'S ESTABLISHED CHARGES, WAS APPROXIMATELY $718,000,000 AND $571,000,000, RESPECTIVELY. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2010 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDBALE ON THE FORM 990, SCHEUDLE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; COLLECTION POLICY SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE SAINT BARNABAS HEALTH CARE SYSTEM BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE 'SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. FACILITY INFORMATION SCHEDULE H, PART V NOT APPLICABLE. NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 CMMC 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, NEWARK HEALTH DEPARTMENT, ETC.). CMMC 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, CMMC WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. ONE FORUM IS A QUARTERLY REGIONAL COMMUNITY ADVISORY BOARD FOR THE GREATER NEWARK AREA HOSTED BY THE HEALTH CARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 PATIENTS ARE INFORMED OF AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID AND CHARITY CARE AND RECEIVE ASSISTANCE WITH THE QUALIFICATION AND APPLICATION PROCESS. 1. PATIENTS ARE PROVIDED SUMMARY FACTS SHEETS AS PART OF THE INTAKE PROCESS. 2. PATIENTS ADMITTED ARE VISITED BY A FINANCIAL COUNSELOR, ER PATIENTS ARE PROVIDED WITH A SUMMARY FACT SHEET AND OUT PATIENTS MUST APPLY FOR CHARITY CARE PRIOR TO SERVICES BEING RENDERED. 3. PATIENTS ARE SENT A LETTER WITH THEIR STATEMENTS FOR BALANCES, AFTER INSURANCE PAYMENTS ARE RECEIVED, INFORMING THEM IF THEY FEEL THAT THEY MAY BE ELIGIBLE FOR SATE OR FEDERAL ASSISTANCE TO CALL A TOLL FREE NUMBER. COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 CMMC IS LOCATED IN THE TOWN OF BELLEVILLE, ESSEX COUNTY. CMMC SERVES A BROAD RANGE OF COMMUNITIES IN URBAN AND SUBURBAN SETTINGS WITH CULTURALLY AND ETHNICALLY DIVERSE POPULATIONS. THE MOST COMMON ANCESTRIES ARE ITALIAN, IRISH, GERMAN, POLISH AND ENGLISH. LOCATED IN NORTHWEST ESSEX COUNTY, CMMC'S SERVICE AREA EXTENDS TO NEIGHBORING HUDSON, PASSAIC AND BERGEN COUNTIES. CMMC'S SERVICE AREA INCLUDES BELLEVILLE ANS THE NORTH WARD AND IRONBOUND SECTION OF NEWARK, WHICH CONTAINS A LARGE MIX OF LATINO AND ITALIAN-AMERCAN POPULATIONS. NEWARK IS THE SEAT OF ESSEX COUNTY AND THE LARGEST CITY IN NEW JERSEY AND THE 68TH LARGEST CITY IN THE UNITED STATES AND IS NEW JERSEY'S SECOND-MOST DIVERSE CITY. NEWARK IS SURROUNDED BY RESIDENTIAL SUBURBS TO THE WEST, DENSE URBAN AREAS TO BOTH THE SOUTH AND EAST, AND MIDDLE-CLASS RESIDENTIAL SUBURBS AND INDUSTRIAL AREAS TO THE NORTH. AS A HEALTHCARE PROVIDER TO THE GREATER NEWARK COMMUNITIES, NEW JERSEY'S LARGEST AND SECOND-MOST DIVERSE CITY, CMMC IS COMMITTED TO PROVIDING QUALITY AND COMPASSIONATE CARE TO ITS INNER CITY COMMUNTIES; SERVING AN INPATIENT POPUATION COMPRISED OF MORE THAN 54% MINORITY POPULATIONS AND NEARLY 23% OF UNDERINSURED AND UNINSURED PATIENTS. MEDICARE IS THE PAYOR CLASSIFICATION OF AN ADDITIONAL 33% OF PATIENTS. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY CMMC IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. CMMC PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. CLARA MAASS MEDICAL CENTER HOLDS AN ANNUAL BOARD MEETING OPEN TO THE PUBLIC. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR 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 THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE SBHCS' 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 THE SAINT BARNABAS HEALTH CARE SYSTEM. THE HOSPITAL'S SCHEDULE H COMMUNITY BENEFIT PERCENTAGE REFLECTED IN PART I, LINE 7K, COLUMN (F) INCLUDE EXPENSES RELATING TO ITS NURSING HOME AND HOME CARE DIVISIONS. THE HOSPITAL'S COMMUNITY BENEFIT PERCENTAGE AND NET COMMUNITY BENEFIT COSTS WOULD BE SIGNIFICANTLY HIGHER FOR 2010 IF THESE NON-ACUTE CARE DIVISIONS WERE EXCLUDED FROM THE SCHEDULE H. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE SAINT BARNABAS HEALTH CARE SYSTEM. NOT FOR PROFIT SAINT BARNABAS HEALTH CARE SYSTEM ENTITIES SAINT BARNABAS CORPORATION SAINT BARNABAS CORPORATION ("SBC") IS THE TAX-EXEMPT PARENT OF THE SAINT BARNABAS HEALTH CARE SYSTEM ("SBHCS"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTH CARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SBC OR ANOTHER SBHCS AFFILIATE CONTROLLED BY SBC. SBHCS IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. SAINT BARNABAS 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). AS THE PARENT ORGANIZATION OF THE LARGEST TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY. SAINT BARNABAS CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTH CARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. SAINT BARNABAS CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. SAINT BARNABAS HEALTH CARE SYSTEM ACTIVE HOSPITALS INCLUDE: CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, KIMBALL MEDICAL CENTER, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH 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 SAINT BARNABAS 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. CLARA MAASS MEDICAL CENTER CLARA MAASS MEDICAL CENTER ("CMMC") IS A 472-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 COMMUNITY MEDICAL CENTER COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 601-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 IRVINGTON GENERAL HOSPITAL IRVINGTON GENERAL HOSPITAL ("IGH") WAS A 157-BED NON-PROFIT ACUTE CARE COMMUNITY HOSPITAL LOCATED IN IRVINGTON, ESSEX COUNTY, NEW JERSEY. IGH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IGH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PRIOR TO ITS RECENT CLOSING, IGH OPERATED CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. KIMBALL MEDICAL CENTER KIMBALL MEDICAL CENTER, INC. ("KMC") IS A 355-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, KMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, KMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 MONMOUTH MEDICAL CENTER MONMOUTH MEDICAL CENTER ("MMC") IS A 536-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 NEWARK BETH ISRAEL MEDICAL CENTER NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 671-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. SAINT BARNABAS BEHAVIORAL HEALTH CENTER IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS AND OLDER ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. SAINT BARNABAS BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS. SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 UNION HOSPITAL UNION HOSPITAL ("UH") WAS A 201-BED, NON-PROFIT, OSTEOPATHIC TEACHING HOSPITAL LOCATED IN UNION, UNION COUNTY, NEW JERSEY. UH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, UH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PRIOR TO ITS RECENT CLOSING, UH OPERATED CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6 CENTER STATE HEALTH GROUP, INC. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS CORPORATION AND THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS AND MEDICAL CENTERS AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTER STATE PROPERTIES, INC. CENTER STATE PROPERTIES, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC. CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS HEALTH SYSTEM, INC. CLARA MAASS HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS PROPERTIES, INC. CLARA MAASS PROPERTIES, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). COMMUNITY MEDICAL CENTER FOUNDATION, INC. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. COUNTRY MANOR AT DOVER, INC. COUNTRY MANOR AT DOVER, 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). COUNTRY MANOR AT DOVER, INC. WAS A NURSING HOME THAT PROVIDED MEDICALLY NECESSARY NURSING HOME CARE AND HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION IS CURRENTLY INACTIVE. EMTAC, INC. EMTAC, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION WAS CREATED TO PROVIDE EMERGENCY AMBULATORY TRANSPORT AND COACH SERVICES IN SUPPORT OF ALL AFFILIATES WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM. HARVEY E. NUSSBAUM, M.D. RESEARCH INSTITUTE OF SAINT BARNABAS HARVEY E. NUSSBAUM, M.D. RESEARCH INSTITUTE OF SAINT BARNABAS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION. THE ORGANIZATION ACTS AS A MEDICAL RESEARCH ORGANIZATION OPERATED IN CONJUNCTION WITH SAINT BARNABAS MEDICAL CENTER; A HOSPITAL DESCRIBED IN INTERNAL REVENUE CODE 170 (B)(1)(A)(III) AND RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION CONDUCTS RESEARCH IN FURTHERANCE OF SAINT BARNABAS MEDICAL CENTER'S MEDICAL EDUCATION AND TEACHING PROGRAM AND CHARITABLE PURPOSES, PROGRAMS AND SERVICES. PERIODICALLY, THE ORGANIZATION WILL ASSIST AND/OR SUPPORT FINANCIALLY SAINT BARNABAS MEDICAL CENTER IN MEDICAL RESEARCH AND DEVELOPMENT ACTIVITIES. IRVINGTON HOSPITAL FOUNDATION, INC. IRVINGTON 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). THE ORGANIZATION SUPPORTED THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF IRVINGTON GENERAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDED 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 PRIOR TO CLOSING. THE ORGANIZATION IS CURRENTLY INACTIVE. KENSINGTON MANOR CARE CENTER, INC. KENSINGTON MANOR CARE CENTER 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 206-BED KENSINGTON MANOR CARE CENTER OFFERS LONG- AND SHORT-TERM CARE, SPECIALIZING IN IV THERAPY, WOUND CARE, POST-ACUTE CARDIAC CARE AND JOINT SURGERY REHABILITATION. THE FACILITY HAS A SEPARATE 26-BED NEWLY RENOVATED REHABILITATION SUITE CALLED NOTTINGHAM HOUSE. KIMBALL MEDICAL CENTER FOUNDATION, INC. KIMBALL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF KIMBALL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6 MEDICAL CENTER STAFFING SERVICES, INC. MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, AND SUPPORTS THE SAINT BARNABAS HEALTH CARE SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. MEGA CARE, INC. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY NURSING HOME CARE AND HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY THROUGH THE OPERATION OF (1) GREENBROOK MANOR, IN GREENBROOK, NEW JERSEY; (2) LLANFAIR HOUSE, IN WAYNE, NEW JERSEY; (3) CORNELL HALL, IN UNION, NEW JERSEY; AND (4) ASHBROOK, IN SCOTCH PLAINS, NEW JERSEY. MMC AMBULATORY SURGERY CENTER, INC. MMC AMBULATORY SURGERY CENTER, INC. IS AN INACTIVE ORGANIZATION INCORPORATED AS A NOT FOR PROFIT ORGANIZATION. MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC. MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MONMOUTH MEDICAL GROUP, P.C. MONMOUTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF MONMOUTH MEDICAL CENTER AND IS AN INTEGRAL PART OF MONMOUTH MEDICAL CENTER. NBI HEALTH PARTNERS, P.A. NBI HEALTH PARTNERS, P.A. IS AN INACTIVE ORGANIZATION INCORPORATED AS A NOT-FOR-PROFIT ORGANIZATION. SAINT BARNABAS ASSISTED LIVING AT LAKEWOOD, INC. SAINT BARNABAS ASSISTED LIVING AT LAKEWOOD, 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). SAINT BARNABAS ASSISTED LIVING AT LAKEWOOD IS FULLY LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES AND OFFERS RESIDENTS AND FAMILIES PERSONALIZED CARE AND FREEDOM FROM WORRY. THE FACILITY HAS 39 LIVING SUITES INCLUDING 25 STUDIOS, 8 DELUXE STUDIOS, AND 6 ONE-BEDROOM APARTMENTS - ALL OF WHICH AFFORD EACH TENANT'S NEED FOR PRIVACY AND CHOICE. SAINT BARNABAS DEVELOPMENT FOUNDATION, INC. SAINT BARNABAS DEVELOPMENT FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS HEALTH CARE SYSTEM. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY-RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES. WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY, OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS SAINT BARNABAS OUTPATIENT CENTERS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6 SAINT BARNABAS PALLIATIVE CARE PHYSICIANS, P.A. SAINT BARNABAS PALLIATIVE CARE PHYSICIANS, P.A. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION WAS FORMED TO SUPPORT SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. ("HOSPICE"); A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, BY ENGAGING IN PATIENT CARE EDUCATION, RESEARCH AT HOSPICE, PROVIDING ADMINISTRATIVE SERVICES FOR HOSPICE, PROVIDING CLINICAL SERVICES FOR THE PATIENTS OF HOSPICE AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. THE ORGANIZATION CONSTITUTES A MAJORITY OF THE ADMINISTRATIVE AND CLINICAL SERVICES PHYSICIAN PRACTICE PLANS OF HOSPICE AND IS AN INTEGRAL PART OF HOSPICE'S MEMBERSHIP WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM. SAINT BARNABAS PHYSICIAN ASSOCIATES, P.A. SAINT BARNABAS PHYSICIAN ASSOCIATES, P.A. IS AN INACTIVE ORGANIZATION INCORPORATED AS A NOT FOR PROFIT ORGANIZATION. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE SAINT BARNABAS HEALTH CARE SYSTEM. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BURN FOUNDATION; 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. SBHCS RESEARCH INSTITUTE, INC. SBHCS RESEARCH INSTITUTE, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION, INC. THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF NEWARK BETH ISRAEL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. UNION HOSPITAL FOUNDATION, INC. UNION 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)(2). THE ORGANIZATION SUPPORTED THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF UNION HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDED 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 PRIOR TO CLOSING. THE ORGANIZATION IS CURRENTLY INACTIVE. FOR PROFIT SAINT BARNABAS HEALTH CARE SYSTEM ENTITIES A.C.C. PHARMACY, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION ("LSC"). THIS ENTITY OPERATES A PHARMACY AT THE SAINT BARNABAS AMBULATORY CARE CENTER, LIVINGSTON, ESSEX COUNTY, NEW JERSEY AND VARIOUS OTHER LOCATIONS. CENTER STATE COLLECTION SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CENTER STATE HEALTH SERVICES, CORP. ("CSHS"). THE ENTITY PROVIDES COLLECTION SERVICES FOR BOTH SBHCS ENTITIES AND NON-SBHCS ENTITIES. CENTER STATE HEALTH SERVICES CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC HOLDING COMPANY, INC. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION DERIVES RENTAL INCOME AND RECEIVES FORMS K-1 INCOME FROM MEDICAL SERVICES RELATED INVESTMENT PARTNERSHIPS. CENTER STATE MANAGEMENT CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CSHS. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY PROVIDES ADVERTISING SERVICES FOR BOTH SBHCS ENTITIES AND NON-SBHCS ENTITIES AND PROVIDES MANAGEMENT SERVICES TO PHYSICIAN GROUPS. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD. A CONTROLLED FOREIGN CORPORATION BY SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. COMMUNITY KARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CSHS. THE ORGANIZATION IS LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION IS A HOME HEALTH AGENCY THAT PROVIDES NURSES AND NURSES AIDES TO THE HOMES OF INDIVIDUALS THAT REQUIRE ASSISTANCE. HEALTH CARE FACILITIES MANAGEMENT, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC MANAGEMENT CORPORATION (THE SOLE STOCKHOLDER OF WHICH IS SBC). THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO SBHCS ENTITIES. HEALTHCARE SYSTEMS MANAGEMENT, INC. AN INACTIVE FOR-PROFIT CORPORATION. INNOVATIVE PURCHASING CONCEPTS, L.L.C. A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS. THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. KIMBALL HEALTH CARE AFFILIATES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CSHS. THIS ENTITY IS A PARTNER IN KIM-MED ASSOCIATES AND RECEIVES A FORM K-1 ANNUALLY FROM THE PARTNERSHIP. KIM-MED ASSOCIATES A PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC AND KIMBALL HEALTH CARE AFFILIATES, INC. ARE THE PARTNERS IN THIS PARTNERSHIP WITH 5.073% AND 80.808% OWNERSHIP INTERESTS, RESPECTIVELY. AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6 LIVINGSTON INFUSION CARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC HOLDING COMPANY, INC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES TECHNOLOGY SERVICES TO SBHCS ENTITIES AND UNRELATED ENTITIES, OPERATES A "LIFELINE BEEPER" PROGRAM FOR ELDERLY INDIVIDUALS, OPERATES A PHYSICAL THERAPY PROGRAM AND CONDUCTS MEDICALLY RELATED LECTURES. LSC HOLDING COMPANY, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THIS ENTITY IS THE SOLE OWNER OF ALL THE OUTSTANDING COMMON STOCK OF LIVINGSTON SERVICES CORPORATION, CENTER STATE HEALTH SERVICES, CORP. AND SBC MANAGEMENT CORPORATION. MAJOR SECURITY SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO SBHCS ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. MEDICAL CENTER HEALTH CARE SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES AN AGENCY FOR TEMPORARY STAFFING SERVICES, SUCH AS NURSES AND ADMINISTRATION PRIMARILY TO SBHCS ENTITIES AND OTHERS. NEW JERSEY HEALTH CARE SYSTEM, INC. AN INACTIVE FOR-PROFIT CORPORATION. PREMIUM HEALTH SYSTEMS, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A MRI MACHINE AND THE RECEIPT OF RENTAL INCOME. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP A VERMONT BASED INSURANCE COMPANY. SBC MANAGEMENT CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO THE SBHCS. COMMUNITY BENEFIT SCHEDULE H, PART VI; QUESTION 7 COMMUNITY BENEFIT SCHEDULE H, PART VI; QUESTION 8 X X X X X false true false false false false false true false MARY ELLEN CLYNE 306274 0 9291 0 8654 0 0 0 6202 0 330421 0 0 0 THOMAS BIGA 35229 534426 0 0 61884 4670 0 100000 1976 21829 99089 660925 0 0 THERESA M COLOGIE CPA 251839 0 0 0 9961 0 0 0 16386 0 278186 0 0 0 LEA RODRIGUEZ 205584 0 5375 0 133 0 0 0 196 0 211288 0 0 0 JAMES ROLEK 142400 0 5691 0 3429 0 0 0 14105 0 165625 0 0 0 FRANK J MAZZARELLA MD 308783 0 11902 0 8580 0 0 0 12823 0 342088 0 0 0 ALEXANDER BABAYANTS 258818 0 600 0 1246 0 0 0 15434 0 276098 0 0 0 FADI CHAABAN 198600 0 0 0 0 0 0 0 0 0 198600 0 0 0 ROBERT BENEDETTI MD 294149 0 0 0 3516 0 0 0 15354 0 313019 0 0 0 PHILIP PRINCIPE 249339 0 0 0 348 0 0 0 232 0 249919 0 0 0 ROLANDO HERNANDEZ 211493 0 20600 0 27 0 0 0 16672 0 248792 0 0 0 ELIE Y CHAKHTOURA MD 214541 0 0 0 0 0 0 0 0 0 214541 0 0 0 SENTHMARAI GANDHI 208999 0 100 0 2027 0 0 0 6355 0 217481 0 0 0 COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, AS TAXABLE WAGES: THOMAS A. BIGA, $100,000. COMPENSATION INFORMATION CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 THE 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: MARY ELLEN CLYNE, $9,291; LEA RODRIGUEZ, $5,375; JAMES ROLEK, $5,691; JANE KESSLER, $4,871; FRANK J. MAZZARELLA, M.D., $11,902; ALEXANDER BABAYANTS, $600; SUSAN LANZA, $250; ROLANDO HERNANDEZ, $20,600 AND SENTHMARAI GANDHI, $100. NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FKX0 2006-12-19 199960047 EQUIP/CONSTRUCTION/RENOV/REFUND false false true NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579ERM0 2010-03-12 7432296 EQUIPMENT/CONSTRUCTION/RENOVATION false false true NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579E2T2 2010-03-12 638085 EQUIPMENT/CONSTRUCTION/RENOVATION false false true NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FKX0 2010-03-12 391618 EQUIPMENT/CONSTRUCTION/RENOVATION false false true 0 0 199960047 19711965 0 63069859 3854079 0 0 100298388 13025756 0 2008 true true true true 0 0 7432296 0 0 0 0 0 0 7432296 0 0 2009 false false true true 0 0 638085 0 0 0 0 0 0 638085 0 0 2009 false false true true 0 0 391618 0 0 0 0 0 0 391618 0 0 2009 false false true true false true true false true 0.01555 0.00000 0.01555 true false true true false true 0.00000 0.00000 0.00000 true false true true false true 0.00000 0.00000 0.00000 true false true true false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false true false true false false false true false false false false false true TAX-EXEMPT BOND ISSUES SCHEDULE K, PART I The tax-exempt bond issuanceS reflected in Schedule K, Part I ARE issued on behalf of the Saint Barnabas Health Care System obligated group WHICH includES this organization. Please note that Schedule K, Parts II, III and IV have been completed based upon the total amount of the tax-exempt bond issuance for the obligated group; not by each individual institution or entity. PLEASE ALSO NOTE THAT THE MARCH 12, 2010 ISSUE IN THE AMOUNT OF $638,085 INCLUDES MULITPLE CUSIP NUMBERS. THE CUSIP NUMBER REFLECTED IN PART I, 64579E2T2, REPRESENTS THE SERIES A PORTION. 64579E2U9 IS THE CUSIP NUMBER FOR THE SERIES B PORTION. PLEASE ALSO NOTE THAT THE MARCH 12, 2010 ISSUE IN THE AMOUNT OF $1,774,980 INCLUDES MULITPLE CUSIP NUMBERS. THE CUSIP NUMBER REFLECTED IN PART I, 64579E2T2, REPRESENTS THE SERIES A PORTION. 64579E2U9 IS THE CUSIP NUMBER FOR THE SERIES B PORTION. JERALD M MAZZARELLA FAMILY MEMBER OF OFFICER 30629 CLARA MAASS MED CTR EMPLOYEE false SKILLED NURSING FACILITY 2010-12-09 2003628 FMV 273212973 WEST HUDSON SUBACUTE CARE CENTER 170 53RD STREET BROOKLYN NY 11232 LLC SKILLED NURSING FACILITY 2010-12-09 7131539 FMV 273212807 SUBACUTE REHABILITATION CENTER AT K 170 53RD STREET BROOKLYN NY 11232 LLC false false false false COMMUNITY BENEFIT STATEMENT CORE FORM, PART III BACKGROUND ========== CLARA MAASS MEDICAL CENTER ("CMMC") IS A GENERAL MEDICAL AND ACUTE-CARE SERVICE HOSPITAL. CMMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. CMMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. CMMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF CMMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF SAINT BARNABAS 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. THE OPERATIONS OF CMMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF CMMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. CMMC'S SOLE CORPORATE MEMBER IS SAINT BARNABAS CORPORATION ("SBC"). SBC IS THE TAX-EXEMPT PARENT OF THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"). THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SBC OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY SBC. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY PROVIDING SUBSTANTIAL COMMUNITY BENEFIT. SYSTEM IS CURRENTLY ONE OF THE LARGEST MULTI-HOSPITAL SYSTEMS IN NEW JERSEY PROVIDING SUBSTANTIAL COMMUNITY BENEFIT. SYSTEM CONSISTS OF FREE-STANDING HOSPITALS, A FREE-STANDING PSYCHIATRIC HOSPITAL, LONG-TERM CARE AND ASSISTED LIVING FACILITIES, MEDICARE-CERTIFIED HOME HEALTHCARE AND HOSPICE PROGRAMS, MULTI-SPECIALTY AMBULATORY CARE FACILITIES, OUTPATIENT BEHAVIORAL HEALTH CENTERS, AND OTHER ENTITIES. SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, SYSTEM PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SBC 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. PATIENT STATISTICAL INFORMATION/ACCOMPLISHMENTS/MILESTONES ========================================================== CMMC IS A 445-BED NON-PROFIT, LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THE INSTITUTION PROVIDES A COMPLETE CONTINUUM OF CARE TO RESIDENTS OF ESSEX, HUDSON BERGEN AND PASSAIC COUNTIES. CMMC SERVES A BROAD COMMUNITY OF URBAN AND SUBURBAN POPULATIONS ALL DEMONSTRATING CULTURAL AND ETHNICAL DIVERSITY. CMMC SERVES MORE THAN 54% MINORITY POPULATIONS AND NEARLY 23% OF UNDERINSURED AND UNINSURED PATIENTS. CLARA MAASS PROVIDES SERVICES TO APPROXIMATELY 20,379 INPATIENTS AND MORE THAN 70,000 EMERGENCY ROOM VISITS. THE MEDICAL CENTER IS STAFFED BY APPROXIMATELY 2,000 EMPLOYEES. MORE THAN 650 PHYSICIANS ARE ON THE MEDICAL STAFF OF WHICH 80% ARE BOARD- CERTIFIED. CMMC HAS AN ACTIVE VOLUNTEER PROGRAM WITH OVER 200 ADULT AND TEEN VOLUNTEERS, WITH APPROXIMATELY 40,000 HOURS DONATED ANNUALLY. MISSION STATEMENT ================= CMMC IS COMMITTED TO PROVIDING EXCEPTIONAL SERVICES AND QUALITY TO THE COMMUNITIES THEY SERVE THROUGH THEIR PASSION FOR EXCELLENCE AND PERFECTION. CMMC PRIDES ITSELF ON COMMITMENT AND COMPASSION, LEADERSHIP AND LOYALTY, ACCOUNTABILITY, RESPECT, RECOGNITION AND AGILITY WHILE FOCUSING ON SAFETY AND SATISFACTION. AWARDS AND RECOGNITIONS ======================= CLARA MAASS MEDICAL CENTER IS THE RECIPIENT OF NUMEROUS AWARDS AND HONORS INCLUDING THE FOLLOWING: HEALTHGRADES - 2011 SPECIALTY EXCELLENCE: RANKED IN THE TOP 5 PERCENT IN THE NATION FOR EMERGENCY MEDICINE - 2011 SPECIALTY EXCELLENCE: RANKED IN THE TOP 5 PERCENT IN THE NATION FOR CRITICAL CARE - 2010, 2009, 2008, AND 2007: DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE (RANKED AMONG THE TOP 5% IN THE NATION) - 2010 SPECIALTY EXCELLENCE FOR GASTROINTESTINAL CARE (RANKED AMONG THE TOP 10% IN THE NATION) - 2010 FIVE STAR RATING IN: BOWEL OBSTRUCTION DIABETIC ACIDOSIS & COMA HEART FAILURE HIP FRACTURE REPAIR PNEUMONIA SEPSIS VASCULAR BYPASS SURGERY - US NEWS AND WORLD REPORT ONE OF 50 BEST HOSPITALS IN THE NY METRO AREA 2010-2011 FOR CANCER, DIABETES & ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRICS, NEUROLOGY & NEUROSURGERY, AND UROLOGY. - NJHDSS HOSPITAL PERFORMANCE REPORT 2010 AND 2009: RANKED TOP IN THE STATE FOR THE TREATMENT OF CONGESTIVE HEART FAILURE, HEART ATTACK AND PNEUMONIA. ACHIEVED THE TOP 10TH PERCENTILE RATING CMMC WAS ONE OF ONLY 4 NJ HOSPITALS TO MEET THIS STANDARD 2010: ACHIEVED HIGHEST PERFORMANCE REPORT IN SURGICAL CARE IMPROVEMENT SCORES - PRESS GANEY 2008: BEHAVIORAL HEALTH AT CMMC WAS THE RECIPIENT OF THE SUMMIT AWARD FOR PATIENT SATISFACTION ACCREDITATIONS ============== - THE CANCER CENTER - THE AMERICAN COLLEGE OF SURGEONS - THE RADIATION ONCOLOGY DEPARTMENT - AMERICAN COLLEGE OF RADIOLOGY - DESIGNATED PAIN CHEST CENTER - THE SOCIETY OF CHEST PAIN CENTERS ACCREDITATION - DESIGNATED PRIMARY STROKE CENTER - NJDHSS - THE CENTER FOR SLEEP DISORDERS - THE AMERICAN ACADEMY OF SLEEP MEDICINE - DIABETES PATIENT PROGRAM - AMERICAN ASSOCIATION OF DIABETES EDUCATORS CLARA MAASS IS ALSO COMMITTED TO COMMUNITY WELLNESS. A VARIETY OF HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS ARE OFFERED THROUGHOUT THE YEAR TO COMMUNITY RESIDENTS AND EMPLOYEES. FOR MORE THAN 100 YEARS, CMMC HAS BEEN A LEADER IN NORTHERN NEW JERSEY IN PROVIDING THE BEST IN HEALTHCARE AND THE LATEST IN MEDICAL TECHNOLOGY TO THE NEARLY 1 MILLION RESIDENTS THAT COMPRISE ITS PRIMARY SERVICE AREA OF ESSEX, HUDSON, BERGEN, AND PASSAIC COUNTIES. CLARA MAASS CENTERS AND SERVICES INCLUDE THE HEALTH AND WELLNESS CENTER, NUCLEAR MEDICINE, THE CANCER CENTER AT CLARA MAASS, DIAGNOSTIC CARDIAC SERVICES INCLUDING CARDIAC CATHETERIZATION, EMERGENCY AND ELECTIVE ANGIOPLASTY AND REHABILITATION, THE PAIN MANAGEMENT CENTER, THE JOINT & SPINE INSTITUTE, SAME DAY SURGERY, THE WOUND CENTER AT CLARA MAASS, THE CENTER FOR SLEEP DISORDERS, THE WEIGHT LOSS INSTITUTE OF NEW JERSEY AT CLARA MAASS MEDICAL CENTER, REHABILITATION SERVICES, THE EYE SURGERY CENTER, MATERNITY SERVICES AND PARENT EDUCATION, AS WELL AS PEDIATRICS. PROGRESSIVE IMAGING CENTER -------------------------- THE PROGRESSIVE IMAGING CENTER IS A COMPLETE OUTPATIENT DIAGNOSTIC FACILITY OFFERING THE MOST SOPHISTICATED IMAGING TECHNOLOGY AVAILABLE. THE PROCEDURES INCLUDE MRI, CT SCAN, PET/CT SCAN, BONE DENSITOMETRY, STEREOTACTIC BREAST BIOPSY, VOXEL Q WORKSTATION, DIAGNOSTIC X-RAY, FLUOROSCOPY, MAMMOGRAPHY AND ULTRASOUND. THE WOUND CENTER ---------------- THE WOUND CENTER AT CLARA MAASS IS A UNIQUE SERVICE DEDICATED TO CARING FOR PEOPLE WITH WOUNDS THAT HAVE RESISTED HEALING. THE WOUND CENTER BRINGS TOGETHER A TEAM OF EXPERIENCED PHYSICIANS AND NURSES WHO COMBINE KNOWLEDGE IN ALL AREAS OF WOUND MANAGEMENT. THESE SPECIALISTS MANAGE NON-HEALING WOUNDS-A MAJOR PROBLEM FACING MANY WITH POOR CIRCULATION OR DIABETES. TREATMENTS AVAILABLE INCLUDE HYPERBARIC OXYGEN THERAPY, COMPRESSION THERAPY AND HUMAN SKIN EQUIVALENTS. THE HEALTH AND WELLNESS CENTER ------------------------------ THE HEALTH AND WELLNESS CENTER AT CLARA MAASS WAS DESIGNED TO DELIVER A WIDE RANGE OF SERVICES MOST FREQUENTLY REQUESTED BY WOMEN OF ALL AGES. THESE SERVICES INCLUDE BREAST HEALTH, GENETIC COUNSELING, OSTEOPOROSIS, PERINATOLOGY, OBSTETRICS, AND UROGYNECOLOGY FOR INCONTINENCE. CLARA MAASS ALSO OFFERS SCREENINGS, PREVENTATIVE PROGRAMS AND A RESOURCE CENTER WHERE INDIVIDUALS CAN FIND OUT MORE ABOUT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. COMMUNITY BENEFIT STATEMENT; CONTINUED CORE FORM, PART III THE CANCER CENTER ----------------- THE CANCER CENTER AT CLARA MAASS MEDICAL CENTER IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM. THE CENTER'S MULTIDISCIPLINARY APPROACH TO THE TREATMENT OF CANCER PATIENTS USES THE EXPERTISE OF MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, SURGICAL ONCOLOGISTS, SPECIALIZED NURSES, DIETICIANS, SOCIAL WORKERS AND PATHOLOGISTS. OUR BOARD-CERTIFIED ONCOLOGISTS AND SUB-SPECIALISTS HAVE EXTENSIVE TRAINING AND CREDENTIALS FROM DISTINGUISHED FACILITIES ACROSS THE COUNTRY AND OFFER OUR PATIENTS ACCESS TO THE LATEST DRUGS, RESEARCH AND CLINICAL TRIALS. THE DEDICATED INPATIENT ONCOLOGY UNIT AND OUTPATIENT INFUSION CENTER IS STAFFED BY AN EXPERIENCED AND COMPASSIONATE TEAM OF ONCOLOGY NURSES, SOCIAL WORKERS AND SUPPORT STAFF. IN ADDITION, A SPECIALIZED NURSE EDUCATOR IS ON STAFF TO PROVIDE ASSISTANCE TO PATIENTS AND THEIR FAMILIES. THE UNIT HAS A PRIVATE VIP SUITE AS WELL AS A SOLARIUM AND EDUCATION RESOURCE AREA FOR PATIENTS AND THEIR FAMILIES. AS A 2010 GRANT RECIPIENT OF THE SUSAN G.KOMEN FOR THE CURE NORTH JERSEY BREAST HEALTH OUTREACH AND NAVIGATION PROGRAM, CMMC PROVIDES VITAL EDUCATION AND SUPPORT TO HELP 3,500 UNDERSERVED AFRICAN AMERICAN AND HISPANIC WOMEN IN ESSEX, HUDSON AND BERGEN COUNTIES TO ELIMINATE BARRIERS TO TIMELY DIAGNOSIS AND TREATMENT OF BREAST CANCER. THE CLARA MAASS RADIATION ONCOLOGY DEPARTMENT OFFERS PATIENTS A FULL ARRAY OF SERVICES INCLUDING INTENSITY MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT), MAMMOSITE BRACHYTHERAPY FOR BREAST CANCER, HIGH DOSE RATE RADIOTHERAPY AND RADIOACTIVE SEED IMPLANTS FOR PROSTATE CANCER. STATE-OF-THE-ART EQUIPMENT ENABLES PHYSICIANS TO MAP OUT PRECISE TREATMENT SITES WITH MILLIMETER ACCURACY, TREATING THE CANCER WHILE SPARING NORMAL TISSUE. THE RADIATION ONCOLOGY DEPARTMENT WAS THE FIRST FACILITY IN NEW JERSEY TO OBTAIN NATIONAL ACCREDITATION BY THE AMERICAN COLLEGE OF RADIATION ONCOLOGY. DIAGNOSTIC ONCOLOGY SERVICES INCLUDE DIGITAL MAMMOGRAPHY, CLOSED AND OPEN MRI, CT SCAN, PET/CT, ULTRASONOGRAPHY, EARLY DETECTION SCREENINGS, AND STEREOTACTIC AND CT-GUIDED BIOPSY. DIAGNOSTIC CARDIAC SERVICES --------------------------- THE MOST TECHNOLOGICALLY ADVANCED EQUIPMENT IS USED TO ACCURATELY AND QUICKLY DIAGNOSE AND CONFIRM SUSPECTED CORONARY DISEASE. CLARA MAASS IS A LICENSED ADULT CARDIAC CATHETERIZATION FACILITY, WHICH ALLOWS CARDIOLOGISTS TO COORDINATE ALL ASPECTS OF TESTING THAT MAY CONTRIBUTE TO DECISIONS REGARDING MEDICAL MANAGEMENT OR CARDIOVASCULAR SURGERY REFERRAL FOR HEART DISEASE. TESTS INCLUDE ROUTINE EKGS, 24-HOUR HOLTER MONITORING, VASCULAR STUDIES, 2D ECHO WITH DOPPLER & COLOR FLOW, STRESS ECHOCARDIOGRAMS, NUCLEAR STRESS TESTING AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY. CMMC IS HOME TO A STATE-OF-THE-ART CARDIOVASCULAR INTERVENTIONAL SUITE WHICH INCLUDES TWO PROCEDURE ROOMS. BOTH EMERGENT AND ELECTIVE ANGIOPLASTY ARE OFFERED. (ONE OF 12 HOSPITALS IN THE STATE APPROVED TO PERFORM ELECTIVE ANGIOPLASTY C-PORT-E STUDY LED BY JOHN HOPKINS UNIVERSITY). A SUPERVISED EXERCISE/EDUCATION PROGRAM ASSISTING INDIVIDUALS WHO HAVE OR HAVE HAD HEART ATTACK, STABLE ANGINA, VALVE SURGERY, CORONARY ARTERY BYPASS, CONGESTIVE HEART FAILURE, PACEMAKER, OR HEART TRANSPLANT IS ALSO OFFERED. THE PROGRAM STRIVES TO PROVIDE EACH PARTICIPANT WITH IMPROVEMENT IN CARDIOVASCULAR FITNESS, RISK FACTOR REDUCTION, LIFESTYLE MODIFICATION AND INCREASED CONFIDENCE TO PARTICIPATE IN SAFE DAILY ACTIVITIES. PATIENTS AND FAMILIES ARE PROVIDED WITH EDUCATION REGARDING RECOGNITION, PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASE. NUCLEAR MEDICINE ---------------- A DIVISION OF THE DEPARTMENT OF RADIOLOGY, NUCLEAR MEDICINE ENABLES CLARA MAASS TO OFFER SOME OF THE LATEST TECHNOLOGY. CLARA MAASS HAS FIVE CAMERAS, TWO OF WHICH ARE SIEMANS E-CAM GAMMA CAMERAS, WHICH BENEFITS PATIENTS AND PHYSICIANS ALIKE. THE PARTNERSHIP WITH SIEMANS ALLOWS CLARA MAASS TO OFFER THE BEST IN NUCLEAR IMAGING NOW AND IN THE FUTURE. THE JOINT & SPINE INSTITUTE --------------------------- THE JOINT & SPINE INSTITUTE IS LOCATED ON A DEDICATED UNIT WITHIN THE HOSPITAL. SURGERIES ARE SCHEDULED MONDAY THROUGH FRIDAY AND PATIENTS TYPICALLY RETURN HOME AFTER A THREE-NIGHT STAY. FEATURES OF THE PROGRAM INCLUDE: NURSES, THERAPISTS AND NURSING ASSISTANTS WHO SPECIALIZE IN THE CARE OF JOINT PATIENTS; PRIVATE AND SEMI-PRIVATE ROOMS; EMPHASIS ON GROUP ACTIVITIES AS WELL AS INDIVIDUAL CARE; FAMILY AND FRIENDS EDUCATED TO PARTICIPATE AS "COACHES" IN THE RECOVERY PROCESS; A JOINT TEAM WHO COORDINATES ALL PRE-OPERATIVE CARE AND DISCHARGE PLANNING; A COMPREHENSIVE PATIENT GUIDE TO FOLLOW FROM SIX WEEKS PRE-OP UNTIL THREE MONTHS POST-OP AND BEYOND; COORDINATED AFTER-CARE PROGRAM; REUNION LUNCHEONS FOR FORMER PATIENTS AND COACHES; NEWSLETTERS TO PROVIDE PATIENTS WITH NEW INFORMATION ABOUT ARTHRITIS AND JOINT CARE; AND PUBLIC EDUCATION SEMINARS ABOUT HIP AND KNEE PAIN. PAIN MANAGEMENT CENTER ---------------------- PATIENTS EXPERIENCING CHRONIC PAIN CAN FIND RELIEF AT THE PAIN MANAGEMENT CENTER AT CLARA MAASS MEDICAL CENTER. THE PAIN CENTER, HOUSED WITHIN THE HEALTH AND WELLNESS CENTER AT CLARA MAASS, OFFERS PATIENTS THE OPPORTUNITY TO ALLEVIATE THEMSELVES OF UNRESOLVED, PERSISTENT PAIN THAT HAS LASTED FOR MORE THAN THREE MONTHS. THE PAIN MANAGEMENT CENTER UTILIZES A MULTIDISCIPLINARY APPROACH IN ESTABLISHING A PROTOCOL FOR PATIENTS THAT INCLUDES MEDICAL, PSYCHOLOGICAL, PHYSICAL, AND PHARMACOLOGICAL TREATMENTS. SAME DAY SURGERY ---------------- THE SAME DAY SURGERY CENTER IS EASILY ACCESSIBLE AND OFFERS THE BENEFITS OF A PRIVATE OUTPATIENT FACILITY WITH THE COMFORT AND SUPPORT OF A FULL-SERVICE MEDICAL CENTER. A WIDE VARIETY OF SURGICAL TECHNIQUES ARE AVAILABLE, IN SPECIALTIES INCLUDING OPHTHALMOLOGY, EAR, NOSE AND THROAT, PODIATRY, PLASTIC AND RECONSTRUCTIVE SURGERY, ORTHOPEDICS, GYNECOLOGY, GENERAL SURGERY, GASTROENTEROLOGY, BARIATRIC, UROLOGY, ORAL SURGERY, AND THE CARDIAC INTERVENTION SUITES. THE 8,700 SQUARE-FOOT ENDOSCOPY CENTER IS USED FOR PREVENTATIVE DIAGNOSTIC PROCEDURES THAT EXAMINE AREAS OF THE BODY SUCH AS THE COLON, GASTROINTESTINAL SYSTEM, OR THE BRONCHI (WHICH SERVE AS PASSAGEWAYS TO THE LUNGS). THE ENDOSCOPY CENTER INCLUDES A PRE-OPERATIVE AND POST-OPERATIVE AREA FOR PATIENTS, THREE PROCEDURE ROOMS, FAMILY WAITING ROOMS, AND CONCIERGE SERVICE TO ASSIST PATIENTS AND FAMILIES. MATERNAL/CHILD HEALTH --------------------- IN THE STATE-OF-THE-ART LABOR, DELIVERY, AND RECOVERY (LDR) UNIT, PATIENTS HAVE THE LUXURY OF LABORING, DELIVERING AND RECOVERING IN A SPACIOUS, RICHLY DECORATED LDR SUITE. THE UNIT HOUSES SIX CONTEMPORARY SUITES WITH AMENITIES INCLUDING CENTRAL MONITORING AND A CHOICE OF RELAXING WHIRLPOOL TUB OR A SHOWER WITH SHOWER MASSAGE. COMPLICATED DELIVERIES AND CESAREAN BIRTHS CAN BE HANDLED IN ONE OF TWO OPERATING SUITES, WHICH ARE ALSO LOCATED WITHIN THE LDR WING. FOLLOWING RECOVERY, PATIENTS WILL STAY IN PRIVATE POSTPARTUM ROOMS. IN ADDITION TO THE NEWBORN NURSERY, CLARA MAASS MEDICAL CENTER MAINTAINS A LEVEL II SPECIAL CARE NURSERY FOR PREMATURE NEWBORNS BORN AT 32 WEEKS OR GREATER, AND NEWBORNS IN NEED OF SPECIALIZED MEDICAL TREATMENT. WITH A NEONATOLOGIST IN HOUSE/AVAILABLE 24-HOURS A DAY, AND A HIGHLY SKILLED TEAM OF NEONATAL NURSES, CMMC PROVIDES COMPREHENSIVE EXPERT MEDICAL CARE UTILIZING THE LATEST TECHNOLOGY. PREPARATION FOR CHILDBIRTH IS CENTRAL TO THE PHILOSOPHY OF TOTAL CARE. A NUMBER OF CLASSES ARE HELD TO HELP EDUCATE THE NEW MOTHER AND FAMILY ABOUT THE IMPENDING BIRTH. CLASSES INCLUDE PREPARED CHILDBIRTH, WEEKEND CHILDBIRTH SERIES, SIBLING CLASS, BREASTFEEDING, AND BABY SHOWER INFANT CLASS. ALL EXPECTANT MOTHERS ARE INVITED TO A MATERNITY TEA. A DEDICATED PEDIATRIC UNIT WITH THE AVAILABILITY OF A CHILD LIFE SPECIALIST IS ANOTHER ATTRIBUTE PROVIDED WITHIN THE MATERNAL/CHILD HEALTH CENTER OF EXCELLENCE. COMMUNITY BENEFIT STATEMENT; CONTINUED CORE FORM, PART III EMERGENCY DEPARTMENT -------------------- THE EMERGENCY DEPARTMENT AT CLARA MAASS MEDICAL CENTER CARES FOR MORE THAN 70,000 PATIENTS EACH YEAR. THE DEPARTMENT IS STAFFED 24-HOURS A DAY BY A DEDICATED TEAM OF NURSES, DOCTORS AND SUPPORT STAFF, READY TO PROVIDE IMMEDIATE MEDICAL CARE IN YOUR EMERGENCY SITUATIONS. 100 PERCENT OF ED PHYSICIANS ARE BOARD-CERTIFIED IN EMERGENCY MEDICINE. THE 52-BED EMERGENCY DEPARTMENT INCLUDES STATE-OF-THE-ART ELECTRONIC MEDICAL RECORD LINKED TO A HEALTH INFORMATION EXCHANGE THAT INSTANTLY SEES YOUR OLD RECORD AND TRANSMITS YOUR ELECTRONIC RECORD TO YOUR PRIVATE DOCTOR; MOBILE COMPUTERS TO PROVIDE INSTANT ACCESS TO A PATIENT'S PRIOR ED VISITS; A RAPID TRIAGE TREATMENT AREA FOR MINOR ILLNESS AND INJURIES; EXPRESS CARE FOR RAPID DIAGNOSTIC EVALUATION; A PEDIATRIC EMERGENCY DEPARTMENT AND CHILD LIFE SPECIALIST;A CHEST PAIN CENTER ACCREDITED BY THE SOCIETY OF CHEST PAIN CENTERS, FOR HEART-RELATED DIAGNOSIS AND TREATMENT; MOBILE TELEMETRY UNITS FOR HEART MONITORING; RAPID DIAGNOSTIC UNIT FOR OBSERVATION PATIENTS; A PRIMARY STROKE CENTER DESIGNATED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES, FOR THE EARLY DIAGNOSIS, INTERVENTION AND TREATMENT OF STROKES; 24-HOUR FULL-SERVICE LABORATORY DIAGNOSTIC TESTING; AND 24-HOUR FULL-SERVICE RADIOLOGY. SLEEP DISORDERS (THE CENTER FOR) -------------------------------- ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE, THE CENTER FOR SLEEP DISORDERS CAN HELP IMPROVE THE LIVES OF THOSE SUFFERING FROM ANY NUMBER OF CONDITIONS, SUCH AS INSOMNIA, SLEEP APNEA, NARCOLEPSY, RESTLESS LEGS SYNDROME AND OTHER DISORDERS. AT THE CENTER, FIVE TYPES OF NON-INVASIVE STUDIES ARE CONDUCTED AND COMPREHENSIVE EVALUATIONS ARE PERFORMED BY SLEEP SPECIALISTS. PATIENTS MAY PARTICIPATE IN AN OVERNIGHT SLEEP STUDY AND/OR A SERIES OF NAP STUDIES DURING THE DAYTIME. THE STUDIES INCLUDE NOCTURNAL POLYSOMNOGRAM, NASAL CPAP (CONTINUOUS POSITIVE AIRWAY PRESSURE) TITRATION, MULTIPLE SLEEP LATENCY AND A SPLIT NIGHT STUDY, WHICH UTILIZE SOPHISTICATED DIAGNOSTIC EQUIPMENT TO MONITOR BRAIN, HEART, RESPIRATORY AND MUSCLE ACTIVITY DURING SLEEP. THE EYE SURGERY CENTER ---------------------- ALL OPHTHALMOLOGISTS AND SURGEONS AT THE EYE SURGERY CENTER ARE BOARD-CERTIFIED AND SPECIALIZE IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF EYE PROBLEMS, DISEASES AND INJURIES. CLARA MAASS EYE CARE EXPERTS WORK TOGETHER TO PROVIDE COMPREHENSIVE OPHTHALMIC CARE IN EVERY AREA OF EYE DISORDERS AND TREAT PATIENTS OF ALL AGES-FROM INFANTS TO SENIORS. STATE-OF-THE ART EQUIPMENT AND DEDICATED OPHTHALMOLOGY SUITES ENSURE THE DELIVERANCE OF THE MOST ADVANCED QUALITY EYE CARE. CLARA MAASS MEDICAL CENTER PERFORMS THE MOST EYE PROCEDURES IN THE STATE OF NEW JERSEY AND IS ALSO THE FIRST AND ONLY HOSPITAL IN NJ TO OFFER TRABECTOME-A LEADING-EDGE TREATMENT FOR GLAUCOMA. THE WEIGHT LOSS INSTITUTE OF NEW JERSEY AT CLARA MAASS MEDICAL CENTER --------------------------------------------------------------------- THE WEIGHT LOSS INSTITUTE OF NEW JERSEY AT CLARA MAASS MEDICAL CENTER OFFERS A MULTIDISCIPLINARY APPROACH TO WEIGHT LOSS THAT INCLUDES PRE- AND POST-SURGERY EDUCATION AND COUNSELING. THE BARIATRIC TEAM, CONSISTING OF A BOARD-CERTIFIED SURGEON, SPECIALIZED NURSES, DIETICIANS, BEHAVORIAL HEALTH SPECIALISTS, AND A BARIATRIC NAVIGATOR, ARE ALL DEDICATED TO HELPING EVERY PATIENT ACHIEVE OPTIMAL RESULTS. SERVICES INCLUDE LAPAROSCOPIC REALIZE BAND, SLEEVE GASTRECTOMY, AND LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS SURGERY. FREE COMMUNITY HEALTH SEMINARS AND A SUPPORT GROUP FOR POST-BARIATRIC SURGERY PATIENTS IS HELD THE THIRD WEDNESDAY OF EVERY MONTH IN THE BELLEVILLE FOUNDERS ROOM AT THE MEDICAL CENTER. CMMC IS COMMITTED TO COMMUNITY WELLNESS. A VARIETY OF HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS ARE OFFERED THROUGHOUT THE YEAR TO COMMUNITY RESIDENTS AND EMPLOYEES. BREAST CANCER, PROSTATE CANCER, ORAL CANCER, CERVICAL CANCER (PAP SMEAR), SKIN CANCER, VISION, BLOOD PRESSURE, CHOLESTEROL, CARDIAC RISK, FOOT DISORDERS AND COMPREHENSIVE BLOOD SCREENINGS ARE SOME OF THE SCREENINGS OFFERED. PRESENTATIONS ON VARIOUS HEALTH TOPICS ARE AVAILABLE TO COMMUNITY GROUPS, ORGANIZATIONS AND CLUBS. ADDITIONAL PROGRAMS SUCH AS EDUCATION PROGRAMS FOR SENIORS AND A SMOKING PREVENTION PROGRAM ARE HELD IN COLLABORATION WITH LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY AGENCIES. TRANSITIONAL CARE UNIT ---------------------- THE TRANSITIONAL CARE UNIT AT CLARA MAASS MEDICAL CENTER OFFERS A SPECIAL CARING ENVIRONMENT FOR PATIENTS WHO NO LONGER REQUIRE ALL THE RESOURCES OF AN ACUTE CARE HOSPITAL, BUT WHO ARE STILL TOO SICK TO BE CARED FOR AT HOME. THE TCU IS A 20-BED UNIT WHICH PROVIDES A SUB-ACUTE LEVEL OF CARE WITHIN THE ACUTE CARE HOSPITAL, AN OPTION IN THE CONTINUUM OF CARE. TYPICALLY, PATIENTS ARE ADMITTED TO THE TCU FOR THE FOLLOWING TYPES OF CARE: CARDIAC RECOVERY, POST SURGICAL RECOVERY, ONCOLOGY AND PAIN MANAGEMENT, PULMONARY MANAGEMENT, SKIN AND WOUND CARE, AND COMPLEX MEDICAL MANAGEMENT. A FEW EXTRA DAYS FOR RECOVERY IN THE TCU CAN GIVE PATIENTS JUST THE TIME THEY NEED TO REGAIN STRENGTH AND FUNCTION NEEDED TO SUCCESSFULLY BE DISCHARGED HOME. PATIENTS MAY STAY IN THE TCU FOR UP TO EIGHT DAYS OF CARE. THE TCU IS STAFFED BY PHYSICIANS, NURSES, SOCIAL WORKERS, REHABILITATION THERAPISTS, AND DIETICIANS WHO FOLLOW AN INTERDISCIPLINARY TEAM APPROACH TO HELP PATIENTS TRANSITION TO HOME SO THEY MAY LIVE INDEPENDENTLY OR WITH SOME ASSISTANCE. OTHER PROGRAM SERVICES CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE SURROUNDING COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF AN INDIVIDUAL'S RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 SAINT BARNABAS CORPORATION ("SBC") IS THE SOLE MEMBER OF THIS ORGANIZATION. SBC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11A THE ORGANIZATION IS AN AFFILIATE IN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT BARNABAS CORPORATION IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE IRS. IN ADDITION THE SAINT BARNABAS CORPORATION AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF SAINT BARNABAS CORPORATION. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S IN HOUSE COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT, INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE CHAIRPERSON OF THE ORGANIZATION'S FINANCE COMMITTEE AND OTHER INDIVIDUALS FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN WITH THE IRS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE OF THE SAINT BARNABAS HEALTH CARE SYSTEM, WHOSE PARENT ORGANIZATION IS SAINT BARNABAS CORPORATION ("SBC"). SBC'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF SBC'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER AND EXECUTIVE VP OPERATIONS. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF THE SAINT BARNABAS HEALTH CARE SYSTEM; INCLUDING, WITHOUT LIMITATION, THE EXECUTIVE DIRECTORS OF THE SAINT BARNABAS HEALTH CARE SYSTEM'S HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION COMMITTEE, WHICH IS REQUIRED BY SBC'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER AND EXECUTIVE VP OPERATIONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER, EXECUTIVE VP OPERATIONS AND THE EXECUTIVE DIRECTORS OF THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE SAINT BARNABAS HEALTH CARE SYSTEM'S CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION 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. 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 INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET CHANGE IN UNREALIZED GAINS ON INVESTMENTS - $321,887 - PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COST - $2,233,519 - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF PROPERTY AND EQUIPMENT - $47,000 - OTHER INCREASES IN NET ASSETS - $7,839,796 AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS SAINT BARNABAS CORPORATION. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT BARNABAS CORPORATION AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE SAINT BARNABAS CORPORATION AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. FINANCIAL STATEMENTS AND REPORTING CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE IN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED A BIG FOUR INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY WEST HUDSON AMBULATORY SURGERY CENTER, LLC (FEIN: 26-3594348); A CLARA MAASS MEDICAL CENTER HEALTH CARE RELATED PROGRAM. REVENUE EARNED FROM THIS PROGRAM WAS RECEIVED BY CLARA MAASS MEDICAL CENTER UTILIZING A DIFFERENT FEDERAL IDENTIFICATION NUMBERS THAN 22-1500556. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN HOPKINS TITLE:CHAIRMAN - TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH MELONE TITLE:VICE CHAIRMAN - TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PETER NORCIA TITLE:TREASURER - TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL PONTORIERO MD TITLE:SECRETARY - TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWIN AMIRATA MD TITLE:TRUSTEE - MEDICAL STAFF PRES. HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT GACCIONE TITLE:TRUSTEE HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL GENTILE MD TITLE:TRUSTEE HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR LESTER MD TITLE:TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES ORSINI MD TITLE:TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRENT RUDNICK TITLE:TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARY ELLEN CLYNE TITLE:EXECUTIVE DIRECTOR (2/1-12/31) HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS BIGA TITLE:EXECUTIVE DIRECTOR (1/1-1/31) HOURS:52 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THERESA M COLOGIE CPA TITLE:CFO, VP FINANCE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LEA RODRIGUEZ TITLE:VP PATIENT CARE SERVICES HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES ROLEK TITLE:VP HUMAN RESOURCES HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JANE NEWMAN KESSLER TITLE:VP FOUNDATION HOURS:52 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FRANK J MAZZARELLA MD TITLE:VPMA HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALEXANDER BABAYANTS TITLE:MEDICAL DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FADI CHAABAN TITLE:MEDICAL DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN LANZA TITLE:ADMINISTRATOR, NURSING HOMES HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT BENEDETTI MD TITLE:PATHOLOGIST HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILIP PRINCIPE TITLE:PHYSICIAN RELATIONS LIAISON HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROLANDO HERNANDEZ TITLE:SURGICAL TECHNICIAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ELIE Y CHAKHTOURA MD TITLE:HOUSE PHYSICIAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SENTHMARAI GANDHI TITLE:PHYSICIAN RELATIONS LIAISON HOURS: CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222939956 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) SBC CENTER STATE PROPERTIES CORPORATION 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 521571939 TITLE HLDNG. NJ 501(C)(2) N/A CSHG CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER NJ 08754 223343959 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) SBBH CLARA MAASS FOUNDATION ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 222132516 FUNDRAISING NJ 501(C)(3) 509(a)(1) SBC CLARA MAASS HEALTH SYSTEM INC ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 222802778 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) SBC CLARA MAASS PROPERTIES INC ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 521855420 INACTIVE NJ 501(C)(2) N/A SBC COMMUNITY MEDICAL CENTER 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 223452306 HEALTH SVCS. NJ 501(C)(3) HOSPITAL SBC COMMUNITY MEDICAL CENTER FOUNDATION 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 222597592 FUNDRAISING NJ 501(C)(3) 509(a)(1) SBC COUNTRY MANOR AT DOVER 16 WHITESVILLE ROAD TOMS RIVER NJ 08753 222462909 INACTIVE NJ 501(C)(3) 509(A)(2) CSHG EMTAC INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222549945 INACTIVE NJ 501(C)(3) 509(a)(2) SBC IRVINGTON GENERAL HOSPITAL 832 CHANCELLOR AVENUE IRVINGTON NJ 07111 223452411 INACTIVE NJ 501(C)(3) HOSPITAL SBC IRVINGTON HOSPITAL FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 237025428 INACTIVE NJ 501(C)(3) 509(a)(3) SBC KENSINGTON MANOR CARE CENTER 16 WHITESVILLE ROAD TOMS RIVER NJ 08753 521571883 NURSING LTC NJ 501(C)(3) 509(a)(2) CSHG KIMBALL MEDICAL CENTER 600 RIVER AVENUE LAKEWOOD NJ 08701 223452413 HEALTH SVCS. NJ 501(C)(3) HOSPITAL SBC KIMBALL MEDICAL CENTER FOUNDATION 600 RIVER AVE ANNEX BLDG E LAKEWOOD NJ 08701 222630076 FUNDRAISING NJ 501(C)(3) 509(a)(1) SBC MEDICAL CENTER STAFFING SERVICES INC 1 CRAGWOOD ROAD SUITE 3D SOUTH PLAINFIELD NJ 07080 352219655 STAFFING SVCS NJ 501(C)(3) 509(a)(3) CSHG MEGA CARE INC 1020 GALLOPING HILL ROAD UNION NJ 07083 222578561 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) CSHG MMC AMBULATORY SURGERY CENTER INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 753166377 INACTIVE NJ 501(C)(3) N/A MMC MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH NJ 07740 223452412 HEALTH SVCS. NJ 501(C)(3) HOSPITAL SBC MONMOUTH MEDICAL CENTER - FACULTY PRACT 100 STATE HIGHWAY 36 WEST LONG BRANCH NJ 07764 223357053 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) MMC MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH NJ 07740 222456079 FUNDRAISING NJ 501(C)(3) 509(a)(1) SBC MONMOUTH MEDICAL GROUP PC 300 SECOND AVENUE LONG BRANCH NJ 07740 223316007 HEALTH SVCS. NJ 501(C)(3) 509(a)(2) MMC NBI HEALTH PARTNERS PA 201 LYONS AVENUE NEWARK NJ 07112 271694034 INACTIVE NJ 501(C)(3) N/A NBI NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK NJ 07112 223452311 HEALTH SVCS. NJ 501(C)(3) HOSPITAL SBC SAINT BARNABAS ASSIST LIVING AT LAKEWOOD 77 WILLIAMS STREET LAKEWOOD NJ 08701 223451655 NURSING LTC NJ 501(C)(3) 509(a)(2) CSHG SAINT BARNABAS BEHAVIORAL HEALTH CENTER 1691 ROUTE 9 TOMS RIVER NJ 08754 222977312 HEALTH SVCS. NJ 501(C)(3) HOSPITAL CSHG SAINT BARNABAS CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222405279 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) NA SAINT BARNABAS DEVELOPMENT FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222378422 FUNDRAISING NJ 501(C)(3) 509(a)(2) SBHCSRI SAINT BARNABAS HEALTH CARE SYSTEM FDN 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223769036 FUNDRAISING NJ 501(C)(3) 509(a)(1) SBC SAINT BARNABAS HOSPICE AND PALLIATIVE 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222354659 HEALTH SVCS. 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