HUNTERDON MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: HUNTERDON MEDICAL CENTER (EIN 22-1537688)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202433199349312883
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T15:08:41-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 Jefferson Park Suite 400	AddressLine1Txt
City	Whippany	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	079811070	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	221537688	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTERDON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% HERBERT WHITE	InCareOfNm
Business Name Control	HUNT	BusinessNameControlTxt
Phone	9087886153	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 WESCOTT DRIVE	AddressLine1Txt
City	FLEMINGTON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08822	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	HERBERT WHITE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9087886100	PhoneNum
Signature	2024-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Scott J Mariani	PreparerPersonNm
PTIN	P00642486	PTIN
Phone	9738989494	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PATRICK J GAVIN MPH MBA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 WESCOTT DRIVE	AddressLine1Txt
City	FLEMINGTON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08822	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$356,189,037	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HUNTERDONHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	TO RESTORE, PRESERVE & ENHANCE THE HEALTH OF THE COMMUNITY BY PROVIDING A FULL RANGE OF PREVENTIVE, DIAGNOSTIC, HOLISTIC & THERAPEUTIC IP & OP HOSPITAL & COMMUNITY HEALTH SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2893	TotalEmployeeCnt
Total Volunteers	139	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,696,963	PYContributionsGrantsAmt
CY Contributions Grants	$10,548,249	CYContributionsGrantsAmt
PY Program Service Revenue	$308,696,532	PYProgramServiceRevenueAmt
CY Program Service Revenue	$342,624,280	CYProgramServiceRevenueAmt
PY Investment Income	$22,430,471	PYInvestmentIncomeAmt
CY Investment Income	$1,146,082	CYInvestmentIncomeAmt
PY Other Revenue	$1,067,682	PYOtherRevenueAmt
CY Other Revenue	$1,625,684	CYOtherRevenueAmt
PY Total Revenue	$335,891,648	PYTotalRevenueAmt
CY Total Revenue	$355,944,295	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$189,813,343	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$212,029,543	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$135,192,483	PYOtherExpensesAmt
CY Other Expenses	$136,693,256	CYOtherExpensesAmt
PY Total Expenses	$325,005,826	PYTotalExpensesAmt
CY Total Expenses	$348,722,799	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,885,822	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,221,496	CYRevenuesLessExpensesAmt
Total Assets BOY	$466,465,776	TotalAssetsBOYAmt
Total Assets EOY	$500,670,040	TotalAssetsEOYAmt
Total Liabilities BOY	$222,363,715	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$225,133,935	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$244,102,061	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$275,536,105	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO RESTORE, PRESERVE, AND ENHANCE THE HEALTH OF THE COMMUNITY BY PROVIDING A FULL RANGE OF PREVENTIVE, DIAGNOSTIC, HOLISTIC AND THERAPEUTIC INPATIENT AND OUTPATIENT HOSPITAL AND COMMUNITY HEALTH SERVICES. PLEASE REFER TO SCHEDULE O FOR A DETAILED MISSION AND COMMUNITY BENEFIT STATEMENT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$280,721,852	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$342,624,280	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT, EMERGENCY AND VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES. PLEASE REFER TO THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O.	Desc
Total Program Service Expenses	$280,721,852	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	300	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2893	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	HERBERT WHITE	PersonNm
Phone	9087886100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 WESCOTT DRIVE	AddressLine1Txt
City	FLEMINGTON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08822	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PATRICK J GAVIN MPH MBA
TRUSTEE - PRESIDENT/CEO	50.0	0.0	Yes (X)	Yes (X)	$1,378,987	$0	$32,673
HERBERT WHITE
CFO	50.0	0.0		Yes (X)	$612,750	$0	$97,870
VIOLET T KOCSIS
CHIEF HUMAN RESOURCES OFFICER	50.0	0.0			$604,318	$0	$69,762	Yes (X)
DAVID D SKILLINGE MD
VP, MEDICAL PRACTICES	50.0	0.0			$596,030	$0	$68,938		Yes (X)
EDMUND SIY
CHIEF INFORMATION OFFICER	50.0	0.0			$448,677	$0	$69,431	Yes (X)
SHEHZANA ASHRAF MD
PHYSICIAN	50.0	0.0			$475,335	$0	$31,117		Yes (X)
MARY JO LOUGHLIN RN
SVP PATIENT CARE/CNO	50.0	0.0			$395,418	$0	$67,197	Yes (X)
MUHAMMAD S YUSUF MD
PHYSICIAN	50.0	0.0			$411,816	$0	$34,672		Yes (X)
LAN CAO MD
PHYSICIAN	50.0	0.0			$401,188	$0	$31,734		Yes (X)
NICOLENE M KUSHNER
COO HMG	50.0	0.0			$341,009	$0	$66,702	Yes (X)
JATINDER GAHLA MD
PHYSICIAN	50.0	0.0			$385,152	$0	$5,884		Yes (X)
KRISTY ALFANO MSN RN
EVP/COO (EFF 2/23)	50.0	0.0		Yes (X)	$333,210	$0	$31,890
ROBERT G COATES MD
CMO	50.0	0.0			$209,175	$0	$0	Yes (X)
PATRICIA STEINGALL RN
FORMER KEY EMPLOYEE	0.0	0.0			$122,691	$0	$0			Yes (X)
ELLEN F LOCKER
CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KC RONDELLO MD MPH
VICE CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ROSEANN PELUSO NGUYEN
SECRETARY - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SUZANNE SCHWANDA
TREASURER - TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DEIRDRE ANDREWS MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
TERESIA BOST
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
CAROL HARDING
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
GREG MISCHKE
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JACK NAHAMA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RICK ROSENTHAL
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ANDREW RUDNICK MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
CHARLES SCAMMELL
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RUBEN DARIOS TABORDA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ANNA WALZ
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,715,756	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$607,870	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	360	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HUNTERDON CARDIOVASCULAR ASSOCIATES
1100 WESCOTT DRIVE SUITE G3	FLEMINGTON	NJ	08822	MEDICAL	$9,216,825
MCKESSON CORPORATION
1 JOHN HENRY DRIVE	ROBBINSVILLE	NJ	08691	MEDICAL	$8,872,208
SYMMETRY WORKFORCE SOLUTIONS LLC
1530 CORNERSTONE COURT W 300	SAN DIEGO	CA	92121	STAFFING	$7,245,459
MARSH USA INC
1166 AVENUE OF THE AMERICAS	NEW YORK	NY	10036	CONSULTING	$4,801,418
OWENS MINOR INC
7437 INDUSTRIAL BLVD	ALLENTOWN	PA	18106	CONSULTING	$4,674,738

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	335	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,857,179	RelatedOrganizationsAmt
Government Grants	$715,480	GovernmentGrantsAmt
All Other Contributions	$6,975,590	AllOtherContributionsAmt
Total Contributions	$10,548,249	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	541900	$320,961,076	$320,961,076
STATE OF NJ CHARITY SUBSIDY	541900	$985,945	$985,945
OTHER HEALTHCARE RELATED REVENUE	541900	$20,677,259	$20,677,259

Field	Value	IRS element (for citing)
Total Program Service Revenue	$342,624,280	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,390,824	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,390,824	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$393,021	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$393,021	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$393,021	TotalRevenueColumnAmt
Exclusion	$393,021	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$197,851	SecuritiesAmt
Other	$46,891	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$197,851	SecuritiesAmt
Other	-$46,891	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$244,742	TotalRevenueColumnAmt
Exclusion	-$244,742	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CHILD CARE	624410	$567,423	$567,423
CAFETERIA	722320	$633,409	$633,409
VENDING MACHINE	722320	$31,831	$31,831

Field	Value	IRS element (for citing)
Other Revenue Total	$1,232,663	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$355,944,295	TotalRevenueColumnAmt
Related Or Exempt Func Income	$342,624,280	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,771,766	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,770,654	TotalAmt
Program Services	$3,840,376	ProgramServicesAmt
Management And General	$930,278	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$171,250,461	TotalAmt
Program Services	$137,856,621	ProgramServicesAmt
Management And General	$33,393,840	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,438,397	TotalAmt
Program Services	$5,182,910	ProgramServicesAmt
Management And General	$1,255,487	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,210,427	TotalAmt
Program Services	$9,829,394	ProgramServicesAmt
Management And General	$2,381,033	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,359,604	TotalAmt
Program Services	$13,974,481	ProgramServicesAmt
Management And General	$3,385,123	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$865,451	TotalAmt
Program Services	$696,688	ProgramServicesAmt
Management And General	$168,763	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,392,205	TotalAmt
Program Services	$1,925,725	ProgramServicesAmt
Management And General	$466,480	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$86,383	TotalAmt
Program Services	$69,538	ProgramServicesAmt
Management And General	$16,845	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,008,354	TotalAmt
Program Services	$10,471,725	ProgramServicesAmt
Management And General	$2,536,629	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,455,492	TotalAmt
Program Services	$1,171,671	ProgramServicesAmt
Management And General	$283,821	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,356,354	TotalAmt
Program Services	$4,311,865	ProgramServicesAmt
Management And General	$1,044,489	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,645,009	TotalAmt
Program Services	$10,179,232	ProgramServicesAmt
Management And General	$2,465,777	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$668,116	TotalAmt
Program Services	$537,833	ProgramServicesAmt
Management And General	$130,283	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,662,413	TotalAmt
Program Services	$2,948,243	ProgramServicesAmt
Management And General	$714,170	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,066,842	TotalAmt
Program Services	$11,323,808	ProgramServicesAmt
Management And General	$2,743,034	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,833,314	TotalAmt
Program Services	$3,890,818	ProgramServicesAmt
Management And General	$942,496	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$48,429,475	$38,985,727	$9,443,748	$0
PHYSICIAN FEES	$18,260,401	$14,699,623	$3,560,778	$0
MAINTENANCE/SERVICE CONTRACT	$10,062,753	$8,100,516	$1,962,237	$0
OTHER EXPENSES	$900,694	$725,058	$175,636	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$348,722,799	TotalAmt
Program Services	$280,721,852	ProgramServicesAmt
Management And General	$68,000,947	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,459	BOYAmt
EOY	$10,247	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$46,824,829	BOYAmt
EOY	$40,338,557	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,462,640	BOYAmt
EOY	$2,635,254	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,791,503	BOYAmt
EOY	$34,948,035	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,629,511	BOYAmt
EOY	$3,731,886	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,127,582	BOYAmt
EOY	$6,458,245	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$423,264,792	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$286,205,583	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$133,318,286	BOYAmt
EOY	$137,059,209	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$176,171,787	BOYAmt
EOY	$204,494,520	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,617,040	BOYAmt
EOY	$7,867,040	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$54,512,139	BOYAmt
EOY	$63,127,047	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$466,465,776	BOYAmt
EOY	$500,670,040	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,047,567	BOYAmt
EOY	$64,282,264	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$7,628,252	BOYAmt
EOY	$3,489,301	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,437,869	BOYAmt
EOY	$104,349,974	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,343,800	BOYAmt
EOY	$10,168,834	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,906,227	BOYAmt
EOY	$42,843,562	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$222,363,715	BOYAmt
EOY	$225,133,935	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$218,286,322	BOYAmt
EOY	$247,689,193	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,815,739	BOYAmt
EOY	$27,846,912	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$244,102,061	BOYAmt
EOY	$275,536,105	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$466,465,776	BOYAmt
EOY	$500,670,040	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,221,496	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$16,783,377	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$7,429,171	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$86,383	OtherActivitiesAmt
Total Lobbying Expenditures	$86,383	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B; LINE 1I	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $6,383 DURING THE YEAR ENDED DECEMBER 31, 2023. IN ADDITION, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM TO PERFORM LOBBYING EFFORTS ON BEHALF OF THE ORGANIZATION IN THE AMOUNT OF $80,000 DURING THE YEAR ENDED DECEMBER 31, 2023.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,365,440	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,442,000	InvestmentEarningsOrLossesAmt
End Year Balance	$27,807,440	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,680,440	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$3,315,000	InvestmentEarningsOrLossesAmt
End Year Balance	$25,365,440	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,171,783	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,508,657	InvestmentEarningsOrLossesAmt
End Year Balance	$28,680,440	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,750,504	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,421,249	InvestmentEarningsOrLossesAmt
End Year Balance	$26,171,753	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,463,213	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,287,291	InvestmentEarningsOrLossesAmt
End Year Balance	$24,750,504	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.98840	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01160	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,796,849	OtherCostOrOtherBasisAmt
Book Value	$6,796,849	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$180,977,542	OtherCostOrOtherBasisAmt
Depreciation	$89,101,681	DepreciationAmt
Book Value	$91,875,861	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,205,203	OtherCostOrOtherBasisAmt
Depreciation	$5,812,431	DepreciationAmt
Book Value	$4,392,772	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$209,330,030	OtherCostOrOtherBasisAmt
Depreciation	$184,069,564	DepreciationAmt
Book Value	$25,260,466	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,955,168	OtherCostOrOtherBasisAmt
Depreciation	$7,221,907	DepreciationAmt
Book Value	$8,733,261	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$137,059,209	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BOARD DESIGNATED FUNDS	$128,815,840	F
SHORT TERM INVESTMENTS	$42,717,680	F
BENEFICIAL INTEREST IN TRUSTS	$2,551,275	F
BEN INT IN HH FOUNDATION	$9,595,220	F
REAL ESTATE HELD INVESTMENT	$213,098	F
INVESTMENT IN JOINT VENTURES	$748,285	F
ASSETS WHOSE USE IS LIMITED	$19,239	F
DONOR RESTRICTED ASSETS	$19,833,883	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$204,494,520	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$15,686,860
OTHER RECEIVABLES	$14,189,950
RIGHT-OF-USE ASSETS	$17,857,270
OTHER ASSETS	$15,392,967

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$63,127,047	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYABLE	$517,656
OTHER LIABILITIES	$16,254,958
EST AMTS DUE TO 3RD PARTY; NC	$5,777,694
MALPRACTICE LIABILITY	$1,008,000
PENSION BENEFIT LIABILITY	$19,285,254

Field	Value	IRS element (for citing)
Total Liability	$42,843,562	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, QUESTION 4

RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.

SCHEDULE D, PART X

The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. The System's parent entity is hunterdon healthcare system, inc. Hunterdon Healthcare system, inc. Issues audited consolidated financial statements Which include all related entities; including this organization. The Audited consolidated financial statements contain consolidating schedules On an entity by entity basis. The independent cpa firm issued an Unmodified opinion with respect to the audited consolidated financial Statements. The following footnote is included in the audited 2023 Consolidated financial statements that reports the consolidated liability For uncertain tax provisions under fin 48 (asc 740). HHS, the Medical Center, HRCH and the Foundation, except for the affiliates mentioned below, are tax exempt not-for-profit organizations under Section 501(c)(3) of the IRC. Accordingly, these organizations are not subject to income taxes on income generating activities that are substantially related to their tax-exempt purposes or that are statutorily excluded from income tax for organizations exempt under Section 501(c)(3). Therefore, no provision for federal and state income taxes is required. The federal tax exempt organization business income tax returns are no longer subject to examination by the Internal Revenue Service (IRS) for years before 2019. The System recognizes income tax positions when it is more-likely-than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,212,318	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$560,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,652,131	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,165,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,891,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,274,526	NetCommunityBenefitExpnsAmt
Total Expense	0.04090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,377,865	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,451,208	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,926,657	NetCommunityBenefitExpnsAmt
Total Expense	0.05420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,277,849	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,277,849	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,750,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,506,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,243,468	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,079,549	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,486,649	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,592,900	NetCommunityBenefitExpnsAmt
Total Expense	0.07050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,107,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,993,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,114,217	NetCommunityBenefitExpnsAmt
Total Expense	0.07780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,485,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,444,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,040,874	NetCommunityBenefitExpnsAmt
Total Expense	0.13200	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,712,821	BadDebtExpenseAmt
Bad Debt Expense Attributable	$771,282	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$61,825,065	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$71,849,617	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,024,552	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTERDON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 WESCOTT DRIVE	AddressLine1Txt
City	FLEMINGTON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08822	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HUNTERDONHEALTH.ORG	WebsiteAddressTxt
State License	11001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTERDON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.hunterdonhealth.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	see schedule h, part v, section c	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.hunterdonhealth.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.hunterdonhealth.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.hunterdonhealth.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.hunterdonhealthcare.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTIONS 5 AND 6B	THE HUNTERDON COUNTY PARTNERSHIP FOR HEALTH IS A COUNTY-WIDE INITIATIVE THAT INVOLVES MORE THAN 70 COMMUNITY SERVICE PROVIDERS, AGENCIES AND ORGANIZATIONS SHARING A COMMON INTEREST IN PROMOTING AND IMPROVING THE HEALTH, WELL-BEING AND QUALITY OF LIFE OF HUNTERDON COUNTY RESIDENTS. SINCE ITS INCEPTION IN 1995, THIS HEALTHIER COMMUNITY INITIATIVE HAS LED THE COMPLETION OF 4 COUNTY-LEVEL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEYS. THEY HAVE GIVEN VITAL INPUT INTO THE 2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) which will be in effect from 2023-2025. THE MEMBERS OF THE HUNTERDON COUNTY PARTNERSHIP FOR HEALTH INCLUDE: - america's grow a row - anita's angels - alzheimer's association - calvary episcopal church - center for healthy aging - center for nutrition and diabetes management - central jersey family health consortium - certified fitness for special needs - clinton public school - delaware valley family health center - easter seals- new jersey - family promise - fisherman's mark - flemington jewish community center - francis desmares elementary school - flemington area food pantry - foothill acres - go hunterdon - habitat for humanity - hampton public school - healthy lifestyles action team - high point partial care - hunterdon care center - hunterdon cardiovascular associates - hunterdon central regional high school - hunterdon county chamber of commerce - hunterdon county residents - hunterdon county department of human services - hunterdon county division of health - hunterdon county division of senior, disabilities and veterans services - hunterdon county economic development - hunterdon county medication access partnership - hunterdon county medical reserve corps - hunterdon county office of the prosecutor - hunterdon county parks and recreation - hunterdon county public health nursing and education - hunterdon county school nurses association - hunterdon county superintendent's association - hunterdon county superintendent office - hunterdon county vocational school district - hunterdon county ymca - hunterdon helpline - hunterdon health - hunterdon healthcare partners - home health services - hunterdon behavioral health - hunterdon health foundation - hunterdon/mercer chronic disease coalition - hunterdon pediatric associates - hunterdon preparatory school - hunterdon prevention resources - hunterdon regional cancer center - hunterdon hospice - hunterdon and mercer county regional chronic disease coalition - hunterdon prevention resources - kingwood school - latino health coalition - mental health action team - nightingale nj - nj cancer education and early detection (njceed) - nj snap- ed - new jersey department of health - new jersey health initiatives - north hunterdon high school - norwescap - oceans family success center - one voice of hunterdon - open door recovery center - phillips barber family health center - polytech technical high school - raritan valley community college - readington township board of health - right at home - rutgers cooperative extension services - safe communities coalition of hunterdon and somerset county - safe in hunterdon - the salvation army of flemington - senior health coalition - sharing the hope family support center - state of new jersey-department of education - shoprite of hunterdon county - templo internacional de restauracin - town of clinton - united way of hunterdon county - valley crest farm - voorhees high school - wakefern food corporation - zufall health In addition, our director community relations, a bs, bsn prepared registered nurse who has worked in community health improvement for over 15 years facilitated our focus groups and stakeholder meetings to discuss trends affecting the health of our residents over the next three to five years. We utilized our population health team and the hunterdon county health officer for some of the process as well as the many organizations represented in the partnership for health. Surveys extended into somerset, warren and mercer counties as our service footprint has expanded.
SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7B	THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.hunterdonhealth.org/community-health-needs-assessment THE CHNA IS LISTED ON THE HOSPITAL'S WEBSITE. IN ADDITION, THE HOSPITAL FACILITY MAKES ITS CHNA REPORT AVAILABLE TO THE PUBLIC VIA THE PARTNERSHIP FOR HEALTH WEBSITE. https://partnershipforhealth.hunterdonhealthcare.org/reports/
SCHEDULE H, PART V, SECTION B, QUESTION 8	THE FACILITY, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS IDENTIFIED AND DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) TO ADDRESS THESE PRIORITY HEALTH NEED AREAS. THE CHNA INFORMS THE FACILITY'S STRATEGIC PLANNING WHICH INCORPORATES ELEMENTS FROM THE CHIP IN ITS STRATEGIES TO MEET ITS GOAL OF IMPROVED COMMUNITY HEALTH. THE CHIP ALSO INCLUDES RESOURCES, ACTIONS AND GOALS (MEASURABLE).
SCHEDULE H, PART V, SECTION B, QUESTION 10	THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.hunterdonhealth.org/community-health-improvement-plan
SCHEDULE H, PART V, SECTION B, QUESTION 11	As discussed above, the facility conducted a comprehensive assessment and a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of the service array offered by the facility and ability to collaborate. Focus on Healthy Weight: Goal: Increase the number of Hunterdon County residents within a healthy weight range as defined by the Center for Disease Control and Prevention. Measure: 1. Increase the percentage of patients in NextGen, ages 40-60 in our primary care practices, who move from no physical activity ("none") to a higher level of activity and have it documented in NextGen, as low, medium or high by 3 percentage points from 2023 to 2025. Excludes hospice patients. 2. Increase awareness and screening for "food insecurity" documented at least once in the past 12 months in NextGen, in the primary care setting, for patients 65 and above by 4 percentage points from 2023-2025. 3. Increase the percentage of Hispanic adults in NextGen, ages 35-50 in our primary care practices, with a BMI in the healthy weight range within the past 12 months by 2.25 percentage points from 2023 to 2025. Data Source: 1. Percentage of adults, ages 40-60 with activity level reported in (NextGen) 2. Food Insecurity assessment documented in electronic health record (NextGen), for patients 65 and above. 3. Percentage of Hispanic adults (35-50) with a BMI within the normal range (between 18.5 and 24.9) in Hunterdon Healthcare primary care physician practices electronic health records (NextGen) Outcome Data: 1. Percentage of adults age 40-60 in our primary care practices, who move from no physical activity ("none") to a higher level of activity. 2022- 40.23%, 2023 65.49% 2. Percentage of adults age 65+ in our primary care practices with documented screening for food insecurity. 2022- 46.85%, 2023 49.42% 3. Percentage of Hispanic adults ages 35-50 in our primary care practices with a BMI in the healthy weight range 2022- 19.88%, 2023- 18.05% In our 2023-2025 CHIP we continue to track metrics related to healthy weight and food insecurity as these measures directly relate to health outcomes. According to the National Institutes of Health, obesity is a national problem affecting every one in three adults and one in six children in the United States. The reality is that obesity is the greatest health crisis in this country, increasing the risk for chronic diseases such as heart disease, diabetes and certain cancers. Unfortunately, the impact of obesity does not stop there. According to the National Council on Aging, one study found that adults with excess weight had a 55% higher risk of developing depression than those not struggling with obesity. Obesity negatively impacts health in so many ways. This is the reason we have put forth many efforts to move our patients toward healthy lifestyle choices and healthy weight. Tracking data is one way that we do this. The LGBTQ+ and Hispanic/Latino population health dashboards include data on food insecurity and healthy weight to help inform the identification of projects to address disparities. Although our third metric in this category went down, we have improved our data collection of race and ethnicity within our EHR. Now we are capturing a larger number of our Latino population and it is bringing light to an even bigger problem with unhealthy weight in the community. This is something we will continue working on in 2024. The more we can connect all of our residents to primary care, the more we can bring light to health behaviors and mitigate chronic disease. Starting in 2022 and continuing in 2023, Hunterdon Medical Group, part of Hunterdon Health, was selected to take part in the CMS innovation project called Primary Care First (PCF). PCF is an alternative payment model offering innovative payment structures to support the delivery of advanced primary care. It is intended for those ready to accept financial risk in exchange for greater flexibility, increased transparency and performance based payments that reward outcomes. Payments can be increased or decreased based on performance. In Primary Care First, CMS uses a focused set of clinical quality and patient experience measures to assess quality of care delivered at the practice. A PCF practice must meet standards that reflect quality care in order to be eligible for a positive performance-based adjustment to their primary care model payments. These measures were selected to be actionable, clinically meaningful, and aligned with CMS's broader quality measurement strategy. Measures include a patient experience of care survey, controlling high blood pressure, diabetes hemoglobin A1c poor control, colorectal cancer screening, and advance care planning. CMS assesses quality of care based on a separate, focused set of measures that are clinically meaningful for patients with complex, chronic needs, and the serious illness population. The Center for Nutrition and Diabetes Management, part of the Hunterdon Healthcare System, provides diabetes and nutrition education to patients with any type of diabetes (type 1, type 2, LADA, MODY, gestational diabetes). Approximately 85-90% of people with diabetes are overweight or obese. In 2023, 749 patients with diabetes attended at least 1 but up to 5 appointments with a diabetes nurse educator and/or a registered dietitian. Of these patients 69% lost or maintained weight: lost (57%), maintained (12%) post education. The Center for Nutrition and Diabetes also provides nutrition education for patients with a diagnosis of pre-diabetes. In 2023, 75 people with pre-diabetes were educated on lifestyle modification to manage weight and increase physical activity. Additionally, our center provides nutrition education for weight management to adults and children without diabetes who are overweight or obese. In 2023, 197 adults worked with a registered dietitian one on one for weight management and 35 children received nutrition counseling for pediatric weight management with a registered dietitian. Barriers to increasing usage of our diabetes and nutrition experts continue, including: lack of insurance, high deductibles and the use of the internet versus educators for information. We have continued to offer virtual visits in 2023 for those patients unable to come to the office. Throughout 2023 approximately 25% of our patients needed to use virtual visits. We continue to collaborate with Hunterdon Health and Wellness Centers and Hunterdon Behavioral Health, through the Mental Health and Wellness Program. We resumed in-person diabetes classes in 2023. Food insecurity is a social determinant of health that affects many of our low-income residents. Our local food pantries have seen a 30% increase in their use since Covid and the numbers for 2023 have only gone up. Hunterdon Health continues to make supporting food insecurity a priority. Our physician practices assess for food insecurity as part of the pre-visit planning worksheet. If a patient triggers this assessment they are given local food resources. Discharge Planners can assist in-need patients they are discharging with Shoprite gift cards if they feel they don't have access to food resources immediately upon discharge. This gives them "real-time" access to food while getting established with our local pantries and SNAP if applicable. Our Hunterdon Health Foundation has secured several grants that help fund healthy food purchases at our area pantries. Our bilingual community health workers regularly attend the pantries to provide health information, connection to primary care and cancer screening options for people without health insurance. The Center for Diabetes has continued their Food Prescription Program in 2023. This program provides produce, free of charge to people who have diabetes, pre-diabetes or who are at risk of becoming diabetic and who are also having economic hardships. The program distributes health information along with the produce to encourage healthy lifestyle choices. Participants' weight and A1C's are monitored. This program has been successful for several years and patients have seen reductions in both their weight and A1C. The Partnership for Health's Healthy Lifestyle Action Team also works to reduce obesity in our service area. Our Family Meals program focuses on the benefits of regularly sitting down to eat with family or loved ones and has grown to over 75 families. The positive impact goes beyond healthy eating and includes mental health benefits as well. Although this message is shared across the population, a concerted effort has taken place to reach those experiencing food insecurity. We have partnered with the Flemington Area Food Pantry, America's Grow A Row and Shoprite of Hunterdon County to design a program that distributes all the ingredients for a healthy family meal in one bag. Children are encouraged to cook alongside their caregivers and learn how to prepare a healthy meal. Conversation start
SCH H,PART V,SECTB,2,3J,6A,7D,13B,13H,15E,16J,18E,19E,20E,21C,21D,23&24	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 16A, 16B & 16C	THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16B AND 16C, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: https://www.hunterdonhealth.org/patients-and-visitors/financial-assistance

Field	Value	IRS element (for citing)
Facility	50	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HUNTERDON FAMILY MEDICINE AT RIVERFIELD
1738 ROUTE 31 NORTH SUITE 203	CLINTON	NJ	08809	FAMILY PRACTICE PHYSICIAN
HUNTERDON FAMILY PRACTICE & OBSTETRICS
1100 WESCOTT DRIVE SUITE 101	FLEMINGTON	NJ	08822	FAMILY PRACTICE PHYSICIAN
HUNTERDON INTERNAL MEDICINE ASSOCIATES
6 SAND HILL ROAD SUITE 201	FLEMINGTON	NJ	08822	INTERNAL MEDICINE
HUNTERDON PEDIATRIC ASSOCIATES
1738 ROUTE 31 NORTH SUITE 201	CLINTON	NJ	08809	PEDIATICS
HUNTERDON FAMILY MEDICINE AT CORNERSTONE
9100 WESCOTT DRIVE SUITE 103	FLEMINGTON	NJ	08822	FAMILY PRACTICE
HUNTERDON PEDIATRIC ASSOCIATES
6 CLUBHOUSE DRIVE SUITE 202	WASHINGTON	NJ	07882	PREDIATRICS
HUNTERDON ADULT HOSPITALIST SERVICES
2100 WESTCOTT DRIVE	FLEMINGTON	NJ	08822	PHYSICIAN OFFICE
HUNTERDON UROLOGICAL ASSOCIATES
1 WESCOTT DRIVE SUITE 101	FLEMINGTON	NJ	08822	UROLOGIST
HUNTERDON URGENT CARE
63 CHURCH STREET	FLEMINGTON	NJ	08822	URGENT CARE CENTER
HUNTERDON FAMILY MEDICINE PHILIPS-BARBER
72 ALEXANDER AVENUE	LAMBERTVILLE	NJ	08530	FAMILY PRACTICE
HUNTERDON FAMILY MEDICINE AT DEL VALLEY
200 FRENCHTOWN ROAD	MILFORD	NJ	08848	FAMILY HEALTH CENTER
CENTER FOR ADVANCED WEIGHT LOSS (CAWL)
1738 ROUTE 31 N SUITE 214	CLINTON	NJ	08809	WEIGHT LOSS
ADVANCED GASTROENTEROLOGY & NUTRITION
1100 WESCOTT DRIVE SUITE 304	FLEMINGTON	NJ	08822	GASTROENTEROLOGIST
HAWK POINTE
6 CLUBHOUSE DRIVE SUITE 102	WASHINGTON	NJ	07882	PHYSICIAL THERAPY
CLINTON HEALTH CAMPUS
1738 ROUTE 31 N SUITE 108	CLINTON	NJ	08809	WELLNESS CENTER
BRIDGEWATER HEALTH CAMPUS
1121 ROUTE 22 W SUITE 202	BRIDGEWATER	NJ	08807	MICU, EMS
HUNTERDON F & S MEDICINE HOPEWELL VALLEY
84 route 31 suite 103	PENNINGTON	NJ	08534	FAMILY PRACTICE
HUNTERDON BREAST SURGERY CENTER
121 ROUTE 31 SUITE 1200	FLEMINGTON	NJ	08822	BREAST SURGERY PRACTICE
HUNTERDON PEDIATRICS ASSOCIATES
8 READING ROAD	FLEMINGTON	NJ	08822	PEDIATRICS
HUNTERDON FAMILY MEDICINE AT HIGHLANDS
61 FRONTAGE ROAD	HAMPTON	NJ	08827	FAMILY HEALTH CENTER
CENTER FOR ENDOCRINE HEALTH
1738 ROUTE 31 N SUITE 108	CLINTON	NJ	08809	ENDOCRINOLOGIST
DIABETES & ENDOCRINE ASSOCIATES
9100 WESCOTT DRIVE SUITE 101	FLEMINGTON	NJ	08822	ENDOCRINOLOGIST
BRIDGEWATER HEALTH CAMPUS
1121 ROUTE 22 WEST SUITE 204	BRIDGEWATER	NJ	08807	PHYSICIAN OFFICE
BRIDGEWATER HEALTH CAMPUS
1121 ROUTE 22 WEST SUITE 205	BRIDGEWATER	NJ	08807	PHYSICIAN OFFICE
HUNTERDON FAMILY MEDICINE AT BRIDGEWATER
250 STATE ROUTE 28 SUITE 100	BRIDGEWATER	NJ	08807	FAMILY PRACTICE
HUNTERDON URGENT CARE
45 ROUTE 206 SOUTH SUITE F	RARITAN	NJ	08869	URGENT CARE CENTER
HUNTERDON MEDICAL ASSOC AT WHITEHOUSE
537 US HWY 22 EAST THIRD FLOOR	WHITEHOUSE STATION	NJ	08889	FAMILY PRACTICE
HUNTERDON FAMILY PRACTICE AT HICKORY RUN
384 COUNTY ROAD SUITE 513	CALIFON	NJ	07830	FAMILY PRACTICE
HUNTERDON PEDIATRIC ASSOCIATES
286 ROUTE 206	HILLSBOROUGH	NJ	08844	PEDIATRICS
HUNTERDON CENTER FOR DERMATOLOGY
63 CHURCH STREET	FLEMINGTON	NJ	08822	DERMATOLOGIST
HUNTERDON INFECTIOUS DISEASE SPECIALISTS
121 HIGHWAY 31 SOUTH SUITE 300	FLEMINGTON	NJ	08822	INFECTIOUS DISEASE PHYSICIAN
HUNTERDON PODIATRIC MEDICINE
1100 WESCOTT DRIVE SUITE 303	FLEMINGTON	NJ	08822	PODIATRIST
HAWK POINTE HEALTH CAMPUS
6 CLUBHOUSE DRIVE SUITE 204	WASHINGTON	NJ	07882	PHYSICIAN OFFICE
BRIDGEWATER HEALTH CAMPUS
1121 ROUTE 22 W SUITE 206	BRIDGEWATER	NJ	08807	PHYSICIAN OFFICE
HUNTERDON PLASTIC SURGERY
63 CHURCH STREET	FLEMINGTON	NJ	08822	PLASTIC SURGEON
HUNTERDON PULMONARY & CRITICAL CARE
6 SAND HILL ROAD SUITE 202	FLEMINGTON	NJ	08822	PULMONOLOGIST
HUNTERDON UROLOGICAL ASSOCIATES
1121 ROUTE 22 W SUITE 202	BRIDGETWATER	NJ	08807	UROLOGIST
CENTER FOR HEALTH AGING
121 ROUTE 31 SUITE 1000	FLEMINGTON	NJ	08822	INTERNAL MEDICINE
HUNTERDON PALLIATIVE CARE
121 ROUTE 31 SUITE 1000	FLEMINGTON	NJ	08822	PAIN MANAGEMENT PHYSICIAN
HUNTERDON FAMILY MEDICINE AT BRIDGEWATER
1251 US HIGHWAY 22	BRIDGEWATER	NJ	08807	FAMILY PRACTICE
HUNTERDON PEDIATRICS ASSOCIATES
6 SAND HILL ROAD SUITE 102	FLEMINGTON	NJ	08822	PEDIATRICS
CENTER FOR NUTRITION AND DIABETES
9100 WESCOTT DRIVE SUITE 102	FLEMINGTON	NJ	08822	MANAGEMENT
HUNTERDON FAMILY MEDICINE AT RIVERFIELD
6 CLUBHOUSE DRIVE SUITE 102	WASHINGTON	NJ	07882	FAMILY PRACTICE PHYSICIAN
HUNTERDON PEDIATRICS HAWK POINTE
6 CLUBHOUSE DRIVE SUITE 202	WASHINGTON	NJ	07882	PEDIATRICS
ADVANCED GASTROENTEROLOGY & NUTRITION
1738 ROUTE 31N SUITE 108	CLINTON	NJ	088092014	GASTROENTEROLOGIST
ADVANCED GASTROENTEROLOGY & NUTRITION
1121 ROUTE 22 WEST SUITE 202	BRIDGEWATER	NJ	08807	GASTROENTEROLOGIST
CENTER FOR ENDOCRINE HEALTH BRIDGEWATER
1121 ROUTE 22 WEST SUITE 205	BRIDGEWATER	NJ	08807	ENDOCRINOLOGIST
HUNTERDON BREAST SURGERY CENTER
1121 ROUTE 22 WEST SUITE 204	BRIDGEWATER	NJ	08807	BREAST SURGERY PRACTICE
HUNTERDON PODIATRIC MEDICINE HAWK POINTE
6 CLUBHOUSE DRIVE SUITE 204	WASHINGTON	NJ	07882	PODIATRIST
HUNTERDON PODIATRIC MEDICINE BRIDGEWATER
1121 ROUTE 22 WEST SUITE 206	BRIDGEWATER	NJ	08807	PODIATRIST

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2021 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
SCHEDULE H, PART I, QUESTION 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART II	THE PRIMARY ACTIVITY IS SUBSIDIZED HOUSING FOR THE MEDICAL RESIDENTS OF HUNTERDON MEDICAL CENTER.
SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 AND 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS INTERNAL FINANCIAL STATEMENTS. THE ORGANIZATION ISSUED AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED. BELOW DESCRIBES IT IN MORE DETAIL: Patient accounts receivable are recorded when there is an unconditional right to payment, subject only to the passage of time. Patient accounts receivable, including billed accounts and unbilled accounts, which have the unconditional right to payment, and estimated amounts due from third-party payors for retroactive adjustments, are recorded as receivables since the right to consideration is unconditional and only the passage of time is required before payment of that consideration is due. The estimated uncollectible amounts are generally considered implicit price concessions that are recorded as a direct reduction to patient accounts receivable. Charity care and uncompensated care In furtherance of its charitable purpose, the System provides a wide variety of benefits to the community, including offering various community-based social service programs, such as health screenings, training for emergency service personnel, social service and support counseling for patients and families, pastoral care and crisis intervention. Additionally, a large number of health-related educational programs are provided for the benefit of the community, including health enhancements and wellness, classes on specific conditions, telephone information services and costs related to programs designed to improve the general standards of the health of the community. The System provides medical care without charge or at reduced costs to residents of its community who meet the criteria under the state regulation for charity care. The definition of charity care includes services provided at no charge or at a reduced charge to patients who are uninsured or underinsured. The System maintain records to identify and monitor the level of charity care it provides. These records support the amount of charges foregone from services and supplies furnished under its charity care policy. Because the System does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenues. An overall cost to charge ratio was applied to arrive at the cost of charity care. As a result, the cost of providing charity care was $3,758,000 and $4,749,000 for the years ended December 31, 2023 and 2022, respectively. The State of New Jersey provides certain subsidy payments to qualified hospitals to partially fund uncompensated care and certain other costs. Subsidy payments recognized as revenues amounted to $560,000 and $330,000 for the years ended December 31, 2023 and 2022, respectively, and are included in other revenue in the accompanying consolidated statements of operations and changes in net assets.
SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2023 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 DID NOT INCLUDE MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT IN THE CALCULATION OF THEIR COMMUNITY BENEFIT PERCENTAGE. HOWEVER THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED 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 T
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 HUNTERDON MEDICAL CENTER, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR 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 NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; - FINANCIAL COUNSELING FOR A HOSPITAL INITIATED DISCOUNT PROGRAM FOR THOSE WITH NO INSURANCE OR WHO ARE UNDERINSURED AND DON'T MEET THE STATEMENT REQUIREMENTS FOR FREE CARE. THE HOSPITAL-INITIATED DISCOUNT PROGRAM RATES ARE REFLECTIVE OF 200% OF MEDICAID; AND -FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS.
SCHEDULE H, PART VI; QUESTION 2	UNDER THE BYLAWS OF HMC, THE HOSPITAL HAS A NEEDS COMMITTEE WHICH ANALYZES THE HEALTHCARE SERVICES THAT ARE CONSIDERED NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. THE COMMITTEE IS COMPRISED OF HEALTHCARE ADMINISTRATION, PHYSICIANS AND COMMUNITY MEMBERS. THIS COMMITTEE WORKS TOWARD ENSURING THERE IS AN APPROPRIATE SUPPLY OF PHYSICIANS TO MEET THE NEEDS OF THE POPULATION. HUNTERDON MEDICAL CENTER ALSO CONTINUES TO WORK WITH THE "PARTNERSHIP FOR HEALTH", WHICH IS A GROUP OF OVER 70 ORGANIZATIONS IN THE COUNTY INCLUDING THE HUNTERDON COUNTY DEPARTMENT OF HEALTH, THE UNITED WAY OF HUNTERDON COUNTY AS WELL AS MANY OTHERS. THE EFFORTS OF THIS ORGANIZATION ARE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND FOCUS ON SUCH ISSUES AS CHRONIC DISEASE, MENTAL HEALTH, SUBSTANCE MISUSE, OBESITY AND LATINO HEALTH DISPARITIES. Data collection for the 2022 Community Health Needs Assessment began in 2021 when quantitative and qualitative data was collected. Focus groups were created to identify community themes and strengths. The local public health system was assessed. A group of community stakeholders including schools, faith leaders, businesses, healthcare, social services, county employees, government, non-profit organizations, teens, senior citizens and both english and spanish speaking residents assessed the community's health and identified forces of change occurring in the county that was impacting the health of the community members. Finally statewide data sources were used as benchmarks to compare the results of Hunterdon County in particular. This data was reported in the 2022 CHNA and CHIP and is published on our hospital website. The 2022 CHNA identified five priority health needs to be addressed by Hunterdon Healthcare System in the 2023-2025 CHIP: healthy weight, substance misuse, mental health, age related issues and access to care/social determinants of health.
SCHEDULE H, PART VI; QUESTION 3	THE MEDICAL CENTER PROVIDES FINANCIAL COUNSELING TO ALL PATIENTS REGARDLESS OF INSURANCE STATUS. THEY RECEIVE A WRITTEN NOTICE IN ENGLISH OR SPANISH FORMAT OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AT THE TIME OF ADMISSION OR DURING THE OUTPATIENT REGISTRATION PROCESS. FINANCIAL COUNSELING SERVICES ARE AVAILABLE TO ALL PATIENTS THROUGH THE PATIENT ACCOUNTS DEPARTMENT DURING OR AFTER THE PROVISION OF SERVICES. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. VERBIAGE STATING FINANCIAL ASSISTANCE IS AVAILABLE IS INCLUDED ON EACH PATIENT'S BILLING STATEMENT. THE MESSAGE READS AS FOLLOWS: "IF YOU CANNOT PAY THIS BILL AND REQUIRE FINANCIAL ASSISTANCE OR PAYMENT ARRANGEMENTS, PLEASE CONTACT OUR PATIENT ACCOUNTS DEPARTMENT." CHARITY CARE SIGNS ARE ALSO POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH.
SCHEDULE H, PART VI; QUESTION 4	Hunterdon Medical Center's primary service area is Hunterdon County, New Jersey, but also serves part of Somerset, Warren and Mercer counties. The census for Hunterdon County as of 2010 was 128,349, however more recent estimates are 124,714 (2108 Census estimate). It is part of the NY metropolitan area and the county seat is Flemington. The racial make-up of the county is 85.1% White/non-Hispanic, 2.9% African American, 0.2% Native American, 4.2% Asian and 6.8% Hispanic/Latino, and .8% other. Hunterdon County has been ranked as having the 4th highest income per capita in the U.S.
SCHEDULE H, PART VI; QUESTION 5	HUNTERDON MEDICAL CENTER HAS FURTHERED ITS EXEMPT PURPOSE IN SUCH PROGRAMS AS 1) LATINO HEALTH INITIATIVE FOCUSED ON LOW-INCOME IMMIGRANTS HEALTH NEEDS, 2) CREATION OF A MEDICATION ACCESS PROGRAM IN COLLABORATION WITH THE PHARMACEUTICAL INDUSTRY TO DISTRIBUTE FREE PRESCRIPTION DRUGS TO PATIENTS UNABLE TO PAY, AND 3) ANNUAL FREE HEALTH SCREENING PROGRAMS FOR THE ENTIRE COUNTY FOR BREAST CANCER, PROSTATE CANCER, COLON CANCER, HEARING LOSS, ALZHEIMER'S DISEASE, PRE-NATAL AND DIABETES CARE, AMONG OTHERS. The five priority health issues identified through the 2022 Community Health Needs Assessment process have been addressed in 2023 through the 2025 CHIP adopted by the medical center board at its September 2022 meeting. The goals included: 1) focus on healthy weight among Hunterdon County residents through the increase of the number of adults participating in wellness and weight and diabetes management programs. 2) reduce the prevalence of substance abuse of Hunterdon County residents through the strengthening of existing programs, the enhancement of training among physicians to effectively identify the use of substances among the community's members, and with the increase in the number of completed inpatient addiction treatment consults. 3) increased the number of residents in our service area being assessed, and if necessary, treated for behavioral health treatment services. 4) reduce barriers and increase the number of senior (age 65+) residents in our service area receiving preventive care. 5) collect data to inform strategies to reduce barriers to care for residents in our service area.
SCHEDULE H, PART VI; QUESTION 6	THIS ORGANIZATION IS AN AFFILIATE OF THE HUNTERDON HEALTHCARE SYSTEM. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE HUNTERDON HEALTHCARE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE HUNTERDON HEALTHCARE SYSTEM, INC. NOT FOR PROFIT HUNTERDON HEALTHCARE SYSTEM ENTITIES HUNTERDON HEALTHCARE SYSTEM, INC. HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS") IS THE TAX-EXEMPT PARENT OF THE HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER HHS OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY HHS. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. HUNTERDON HEALTHCARE 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 SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). HUNTERDON HEALTHCARE SYSTEM, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. HUNTERDON HEALTHCARE SYSTEM, INC. ENSURES THAT HUNTERDON MEDICAL CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. HUNTERDON MEDICAL CENTER OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS A CLOSED MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF HUNTERDON HEALTHCARE SYSTEM, INC. 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. HUNTERDON MEDICAL CENTER HUNTERDON MEDICAL CENTER ("HMC") IS A 178-BED LICENSED NON-PROFIT COMMUNITY HOSPITAL LOCATED IN FLEMINGTON, NEW JERSEY. HMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, HMC 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, HMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BRITESIDE ADULT DAY CENTERS, INC. BRITESIDE ADULT DAY CENTERS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES ADULT DAY CARE SERVICES TO INDIVIDUALS. HUNTERDON HEALTHCARE FOUNDATION HUNTERDON HEALTHCARE FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON 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 OR ABILITY TO PAY. HUNTERDON REGIONAL COMMUNITY HEALTH, INC. HUNTERDON REGIONAL COMMUNITY HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON 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 OR ABILITY TO PAY. HUNTERDON HOSPICE HUNTERDON HOSPICE 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 OR ABILITY TO PAY. HUNTERDON HOSPICE HAS 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, THEIR 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. VISITING HEALTH & SUPPORTIVE SERVICES VISITING HEALTH & SUPPORTIVE SERVICES 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 SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON 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 OR ABILITY TO PAY. HUNTERDON PRIMARY CARE, P.C. HUNTERDON PRIMARY CARE, 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)(3). THE ORGANIZATION SUPPORTS HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATING MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. HUNTERDON SPECIALTY CARE, P.C. HUNTERDON SPECIALTY CARE, 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)(3). THE ORGANIZATION SUPPORTS HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATING MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. HUNTERDON URGENT CARE, P.C. HUNTERDON URGENT CARE, 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)(3). THE ORGANIZATION SUPPORTS HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATING MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. OTHER HUNTERDON HEALTHCARE SYSTEM ENTITIES HUNTERDON IMAGING ASSOCIATES, LLC A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTH CARE SYSTEM. HUNTERDON HEALTHCARE PARTNERS, LLC A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTH CARE SYSTEM. HUNTERDON CENTER FOR SURGERY LLC A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP FOR TAX PURPOSES. THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTH CARE SYSTEM. MIDJERSEY HEALTH ALLIANCE, LLC A LIMITED LIABILITY COMPANY TREATED AS A PARTNERSHIP
SCHEDULE H, PART VI; QUESTION 7	THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK J GAVIN MPH MBA
TRUSTEE - PRESIDENT/CEO	$984,061	$0	$358,878	$0	$36,048	$0	$13,200	$0	$19,473	$0	$1,411,660	$0	$0	$0
HERBERT WHITE
CFO	$450,329	$0	$128,545	$0	$33,876	$0	$69,180	$0	$28,690	$0	$710,620	$0	$0	$0
VIOLET T KOCSIS
CHIEF HUMAN RESOURCES OFFICER	$440,903	$0	$129,539	$0	$33,876	$0	$51,395	$0	$18,367	$0	$674,080	$0	$0	$0
DAVID D SKILLINGE MD
VP, MEDICAL PRACTICES	$500,921	$0	$85,281	$0	$9,828	$0	$53,359	$0	$15,579	$0	$664,968	$0	$0	$0
EDMUND SIY
CHIEF INFORMATION OFFICER	$438,724	$0	$125	$0	$9,828	$0	$45,446	$0	$23,985	$0	$518,108	$0	$0	$0
SHEHZANA ASHRAF MD
PHYSICIAN	$402,110	$0	$72,709	$0	$516	$0	$14,850	$0	$16,267	$0	$506,452	$0	$0	$0
MARY JO LOUGHLIN RN
SVP PATIENT CARE/CNO	$310,259	$0	$74,915	$0	$10,244	$0	$47,724	$0	$19,473	$0	$462,615	$0	$0	$0
MUHAMMAD S YUSUF MD
PHYSICIAN	$327,968	$0	$83,728	$0	$120	$0	$10,896	$0	$23,776	$0	$446,488	$0	$0	$0
LAN CAO MD
PHYSICIAN	$283,309	$0	$97,185	$0	$20,694	$0	$13,894	$0	$17,840	$0	$432,922	$0	$0	$0
NICOLENE M KUSHNER
COO HMG	$302,018	$0	$29,195	$0	$9,796	$0	$42,715	$0	$23,987	$0	$407,711	$0	$0	$0
JATINDER GAHLA MD
PHYSICIAN	$336,293	$0	$48,679	$0	$180	$0	$5,884	$0	$0	$0	$391,036	$0	$0	$0
KRISTY ALFANO MSN RN
EVP/COO (EFF 2/23)	$295,403	$0	$30,120	$0	$7,687	$0	$13,200	$0	$18,690	$0	$365,100	$0	$0	$0
ROBERT G COATES MD
CMO	$209,050	$0	$125	$0	$0	$0	$0	$0	$0	$0	$209,175	$0	$0	$0
PATRICIA STEINGALL RN
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$122,691	$0	$0	$0	$0	$0	$122,691	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 4A	The following individual received severance during calendar year 2023 which was included in her 2023 Form W-2, Box 5, as taxable Medicare wages: Patricia Steingall, RN, $122,691.
SCHEDULE J, PART I, QUESTION 4B	THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, AS TAXABLE WAGES: HERBERT WHITE, $55,980; VIOLET T. KOCSIS, $31,595; DAVID D. SKILLINGE, M.D., $38,509; EDMUND SIY, $32,246; MARY JO LOUGHLIN, RN, $27,924 AND NICOLENE M. KUSHNER, $36,000.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
A	221987084	2014-12-01	$42,735,000	REPAY 2006A BOND SERIES & CONST.	false	false	false
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
B	221987084	2014-12-01	$16,260,000	REPAY 2006A BOND SERIES & CONST.	false	false	false
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
C	221987084	2014-12-01	$4,935,000	REPAY 2006A BOND SERIES & CONST.	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$45,681,704	$0	$0	$0	$33,306	$0	$0	$0	$0	$0	2015	Yes (true)	false	false	Yes (true)
B	$0	$0	$16,260,000	$0	$0	$0	$6,457	$0	$0	$0	$0	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$4,751,432	$0	$0	$0	$11,262	$0	$0	$0	$0	$0	2014	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	0	Yes (true)	false	false	Yes (true)
B	false	false	false	false	0	Yes (true)	false	false	Yes (true)
C	false	false	false	false	0.02060	Yes (true)	false	false	Yes (true)	0.02060

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	Yes (true)	false	false	false	0	false	Yes (true)
0
B	Yes (true)	false	false	false	0	false	Yes (true)
0
C	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
A	221987084	2020-12-23	$34,097,000	REPAY 2014A SERIES BONDS	false	false	false
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
B	221987084	2020-12-23	$44,460,000	CAPITAL IMPROVEMENTS & EQUIP.	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$33,880,697	$0	$0	$0	$216,303	$0	$0	$0	$0	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$43,851,483	$0	$0	$0	$353,784	$0	$0	$0	$0	$0		false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	Yes (true)	false	false	Yes (true)
B	false	false	false	false	0	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Hunterdon Medical Center ("hmc") is an acute care teaching hospital. HMC provides a full range of preventive, diagnostic, and therapeutic inpatient and outpatient hospital and community services. HMC is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, HMC 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, HMC operates consistently within the following criteria outlined in IRS revenue ruling 69-545: 1. HMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. HMC operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. HMC maintains a closed medical staff, with privileges available based on community need; 4. Control of HMC rests with its board of trustees and the board of trustees of Hunterdon Healthcare System, inc. 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 HMC, 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 HMC 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. HMC's sole corporate member is hunterdon healthcare system, inc. ("hhs"). Hhs is the tax-exempt parent of Hunterdon Medical Center. 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 hhs or another system affiliate controlled by HHS. Mission ------- Embrace people, elevate care, and cultivate healthier communities. Vision ------ To be distinguished for clinical excellence and seamless, personalized care. Hunterdon Medical Center ------------------------ Hunterdon Medical Center was created in 1953 with the vision of an integrated healthcare delivery system in mind: namely, that primary care would be delivered by family physicians in the community, that consultative and specialty care would be hospital-based with patients returned to their personal physicians and finally, that the hospital would be a training center for family physicians. This system has worked remarkably well with Hunterdon Medical Center currently enjoying one of the best quality care outcomes in the country, as well as having one of the lowest per capita costs for hospitalization in the nation. Family medicine is real in Hunterdon county. The centerpiece of the Hunterdon Healthcare System is Hunterdon Medical Center. The medical center has 178-beds, including advanced medical and surgical units, a 12-bed intensive care unit, a 4-bed coronary care unit, a 20-bed same day surgery center, a 20-bed maternity and newborn care center which was one of the first single-room maternity centers in new jersey, a 10-bed pediatric unit and a 14-bed behavioral health wing. Hunterdon led the nation by implementing the first, year-round night float system for family medicine residency programs. This system alleviates resident fatigue and eliminates the exhaustion which can be detrimental to residents, their families and patient care. This has become the national norm for residency scheduling with the implementation of new work hour regulations. Senior residents cover the hospital from 7:00pm to 7:00am in a designed night float rotation. They then have a 12-hour duty free period to rest and rejuvenate in the comfort of their own homes. First year residents also work a 12-hour shift from 7pm to 7am in a similar rotation. They function to help with admissions in conjunction with the senior residents and the nocturnist from 7pm to 10pm thus allowing them to get supervised instruction in this important skills set. From 10pm to 7am the first year resident works in an emergency department rotation under the supervision of a board certified emergency medicine physician where they learn important triage and treatment skills in this setting. First year residents are in a true call situation only to cover weekend shifts with senior resident supervision. Second and third year residents average call one night in six this guarantees an adequate volume and experience to develop mastery in common problem management. They also have a longitudinal experience in the nursing home setting with full time geriatrician faculty supervising their patient care. Third year residents also cover outpatient call for the family health centers on average one night in six. The combination of night float and the appropriate frequency of night call combine to create the best possible call schedule. Radiology and lab services are state-of-the-art. Many members of the specialty medical staff have offices in the Hunterdon doctors' office building adjacent to the medical center or within close vicinity to the hospital. Most of our physician offices are in Hunterdon county, but also in somerset, warren and mercer counties. Hunterdon Medical Center has achieved widespread recognition for its role as a provider of community health services beyond those normally associated with a hospital. Patient and community health education programs, public health screening and detection services, a certified home health agency, integrated behavioral health services, integrated nutrition and integrated pharmacy services within the physician practices operated by Hunterdon Healthcare System, and end of life services complement the medical center's comprehensive in-hospital services. On the grounds of Hunterdon Medical Center is a child care facility available to children of employees and staff as well as to other members of the community. Hunterdon Medical Center has received accreditation and national recognition that verifies our position as a leading provider of quality healthcare. The administration and staff of Hunterdon Medical Center are extremely proud of the many awards the community hospital has earned. Each one is recognition that HMC ranks within the top 10% of national and New Jersey hospitals in many performance indicators for quality healthcare. Hunterdon Medical Center has achieved numerous awards including: Magnet re-designation - the magnet recognition program recognizes healthcare organizations that provide nursing excellence. Recognizing quality patient care, nursing excellence and innovations in professional nursing practice, the magnet recognition program provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive. The program is administered by the American Nurses Credentialing Center. Being a magnet organization helps distinguish Hunterdon Medical Center as an organization marked by quality inpatient care. Hunterdon has been ranked one of the healthiest county in new jersey based on a study conducted by the Robert Wood Johnson foundation and the university of Wisconsin population health institute. Niche designation - nurses improving care to health system elders (niche) is a national geriatric nursing program. The program's vision is for all patients 65 and over to be given sensitive and exemplary care. The mission of niche is to raise awareness of principles and tools that can achieve patient-centered care for older adults. Accreditation by the joint commission for the accreditation of healthcare organizations (jcaho) - the jcaho sets the standards by which healthcare quality is measured in America and around the world. It is an independent, not-for-profit organization that accredits and certifies over 17,000 healthcare organizations and programs. To maintain and earn accreditation, organizations must have an extensive on-site review by a team of jcaho healthcare professionals, at least once every three years. HMC was also recently named a recipient of the women's choice award as one of america's best breast centers, acknowledging its dedication to providing exceptional patient care and treatment. Hunterdon Medical Center attracts some of the best doctors with training at the nation's finest institutions and healthcare organizations. New jersey monthly, new jersey best and nj family magazines have recognized our "top docs" in many specialties year after year.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Heart and vascular care ----------------------- Heart and vascular care at HMC combines a knowledgeable staff of physicians and specialists with state-of-the-art technology to bring the patient the best cardiovascular care in Hunterdon and its surrounding counties. Our superior staff and technological support enables us to diagnose heart and vascular disease and perform interventional procedures on patients suspected of heart and/or vascular disease. The emergency ptca door to balloon time is under sixty minutes. The service line also includes: Cardiopulmonary rehabilitation which is a medically supervised program of health education and physical activity for women and men of any age. Their mission is to treat the body, mind, and spirit of people with heart or lung disease so they may lead satisfying, productive, and healthy lives. Their professional team includes physicians, respiratory therapists, registered nurses, and exercise physiologists specially trained in exercise therapy and disease management. The department also runs the Ornish reversal program, a lifestyle management program to reverse heart disease. National recognition: Both the cardiac and pulmonary rehabilitation program are nationally certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. This certification process is designed to review and monitor adherence to the high standards and guidelines developed by the American Association of Cardiovascular and Pulmonary Rehabilitation and other professional societies to best serve the patients. Programs include: - phase ii cardiac rehabilitation. - phase ii pulmonary rehabilitation. - phase iii cardiopulmonary rehabilitation. The cardiac catheterization laboratory offers state-of-the-art technology to bring you the best cardiovascular care in Hunterdon county and its surrounding counties. Superior staff and technological support enable the diagnosis of heart and vascular disease. The lab performs interventional procedures on patients suspected of heart or vascular disease. Hunterdon healthcare was approved in 2021 to offer elective angioplasty to patients. Hunterdon medical center has been designated a primary stroke center by the new jersey state department of health and senior services. Cancer care ----------- Hunterdon Regional Cancer center is accredited by the American College of Surgeons' Commission on Cancer as a community hospital cancer program. The commission has recognized the cancer program at Hunterdon Medical Center as offering high quality cancer care. The recognition of this quality and commitment allows the patient access to the expert medical specialists who are involved in diagnosing and treating cancer. Approval by the commission is given only to those facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancer. To meet the standards necessary for commission approval, each cancer program, and the organization that controls it, must undergo a rigorous evaluation process and a review of its performance. In order to maintain approval, facilities with approved cancer programs must undergo an on-site review every three years. Receiving care at an approved cancer program ensures that the patient will receive: - quality care close to home. - comprehensive care offering a range of state-of-the art services and equipment. - a multidisciplinary team approach to coordinate the best treatment options available. - access to cancer-related information, education, and support. - a cancer registry that collects data on type and stage of cancers and treatment results, and offers lifelong patient follow-up. - ongoing monitoring and improvement of care. - information about ongoing cancer clinical research studies and new treatment options. Orthopedics ----------- The center for bone and joint health offers a comprehensive approach that revolves around health and wellness. The center offers preventive therapies, nutrition counseling and a full spectrum of non-invasive treatments that may completely eliminate the need for surgical options. But if surgery is ultimately needed, the center's wellness approach gets you back to a normal quality of life weeks sooner than with traditional options. The coordinated, comprehensive services that the center for bone and joint health offers to patients. The program coordinator can guide patients through all of their options and help coordinate these services. Behavioral health ----------------- Hunterdon Behavioral Health ("hbh") provides high-quality, comprehensive mental health and addiction services. Hbh diagnoses, treats and cares for adolescents and adults with mental illness, emotional difficulties or addiction. Expert clinical staff is highly trained in treating individuals in need of psychiatric and psychological support or addiction treatment. Hunterdon behavioral health offers: - evaluation, medication monitoring and therapy for individuals with mental health issues. - counseling for families in crisis to help provide a stable home environment. - support for adolescents and adults struggling with alcohol or drug addiction. - employee assistance to work with employers to resolve personal issues. Hunterdon Behavioral Health provides treatment for children, adolescents and adults who experience: - mental illness. - drug or alcohol addiction. - family crises. - difficulties in their work or school environment. - depression. - anxiety disorders. - attention disorders. - sleep disorders. - eating disorders. - emotional and behavioral issues. - peer pressure. Obstetrics & Gynecology ----------------------- Hunterdon Health offers resources related to a woman's reproductive, gynecological and overall health; support for growing families, prevention and treatment for diseases and conditions; emotional support; and resources for menopause and healthy aging. As primary caregivers, women often assume responsibility for making healthcare decisions for themselves and their families. Hunterdon health offers a full range of healthcare services and educational programs to support women in this critical role. Our maternity and newborn care center's experienced staff provides expert care for moms and babies alike. We offer technically advanced birthing suites that are private, spacious and comfortable. Our experienced physicians and nurses deliver nearly 900 babies annually. Highlights of the Hunterdon Medical Center maternity and newborn care center: - 20 private patient rooms. Patients deliver in one suite and receive post-partum care in another suite. - a level ii special care nursery, available for early deliveries, emergency situations, or for newborns with a medical problem. - a wide range of childbirth education classes and attentive staff who welcome your questions and concerns. - a staff of board-certified lactation consultants are on hand to teach and assist you learn how to breastfeed your baby. They are also available prior to your baby's arrival, and after you go home. Insurance often covers outpatient lactation visits. - after-baby support, including a courtesy follow-up phone call to all new moms after discharge, as well as numerous supportive groups and ongoing telephone support. Primary care ------------ At the heart of the primary care service line is the patient centered medical home which aims to give the right care in the right place the first time. In a patient centered medical home certified practice, a team headed by the patient's personal physician delivers care. The personal physician tracks and coordinates the patient's care over time. The physician and the patient create a partnership and make decisions about healthcare together. Quality and safety drive the decisions, using guidelines based on evidence rather than tradition. Of course, this may mean that more care is not always better care. Hunterdon Healthcare Partners has worked hard to ensure that evidence-based guidelines are used in our system. Hunterdon Health is committed to care that is coordinated and integrated across all elements of the complex healthcare system (subspecialty care, hospitals, home health agencies, nursing homes) and the patient's community (family, public and private community-based services). Hunterdon health's collaboration guideline and agreement among primary care and specialty care physicians is integral to this, recognizing the importance of transitions of care in the outpatient setting, the emergency department, and during hospitalization. Hunterdon Health's medical home practices provide distinctly different options for their patients to support their personal health goals. We emphasize self-management support. The patient, with support from a team of physician, nurses, social workers, care managers, dietitians, pharmacists, physical and occupational therapists, and other healthcare professionals, becomes engaged in their healthcare.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Home health services -------------------- Home health services is a non-profit home health agency certified by the federal government, licensed by the new jersey department of health, and accredited by the joint commission on accreditation of healthcare organizations. At home health services, each patient's program is carefully guided and planned so that all care is integrated for maximum benefit. The team includes: - home care nurses. - physical therapists. - occupational therapists. - speech pathologists. - medical social worker. - home health aides physician patient educator. In order to be eligible for admission to home health services, patients: - must be homebound (unable to leave home without assistance). - have ongoing medical supervision and orders from a physician. - require periodic visits from at least one of four primary services. 1. Skilled nursing 2. Physical therapy 3. Occupational therapy 4. Speech language therapy If home health services are not indicated, a referral may be made to another community agency or service through home health. They can provide the following services to the community: - home infusion. - hospice. - respite care. Other services -------------- Surgical services ----------------- Hunterdon Medical Center provides the patient access to the most advanced technology, expert surgeons and personalized patient care in a comforting environment. Skilled professional staff work as a team with the physician to individualize patient care and recovery with the goal to improve bodily function and return the patient to daily activities as safely and quickly as possible. Hunterdon Medical Center's surgery department performs slightly more than 5,000 surgeries per year. Types of surgery include, among others: - abdominal surgery. - appendectomy. - arthroscopy. - bariatric surgery. - breast surgery. - cataract surgery. - dilation & cutellage (d&c). - gallbladder surgery. - hernia surgery. - hysterectomy. - laminectomy. - neurosurgery. - plastic surgery. - spine surgery. - podiatric surgery. - total joint replacement surgery. - vascular surgery. - urologic surgery. Sleep disorders --------------- Sleep disorders are associated with a long list of medical problems, including: - heart attack. - stroke. - irregular heartbeat. - high blood pressure. - heart failure. - obesity. - diabetes. The sleep disorders center at Hunterdon Medical Center treats many types of sleep disorders, including: - sleep apnea which is a medical disorder in which a person, usually a loud snorer, experiences an obstruction in the throat during sleep. Lack of sufficient air causes the individual to awaken, usually with a cough or a gasp that opens the airway. Airflow is re-established and breathing resumes during the next episode. People with sleep apnea have to wake up briefly to breathe, sometimes hundreds of times during the night, although there is no memory of these brief awakenings. - periodic limb movement syndrome may coexist with obstructive sleep apnea. Multiple jerking movements, typically of the legs, awaken those with the disorder repeatedly through the night. - restless legs syndrome is a condition involving sensations in the legs, and sometimes arms, while the individual is awake. The sensations usually occur when the individual is lying down and the only relief is to move the limbs, keeping the individual awake. - narcolepsy is a neurological disorder characterized by excessive daytime sleepiness. Individuals with narcolepsy fall asleep at inappropriate, and occasionally, dangerous times. - insomnia refers to a chronic inability to initiate or sustain sleep, resulting in sleep deprivation and daytime fatigue. There are numerous causes for insomnia, including stress, anxiety, depression, chronic illness, medications, poor sleep habits and circadian rhythm disorders. Occasionally, a sleep study may be part of the evaluation, especially if obstructive sleep apnea is contributing. Hospital owned physician specialty services ------------------------------------------- - endocrinology. - gastroenterology. - infectious disease. - dermatology. - psychiatry. - podiatry. - center for healthy aging. - pulmonary & critical care. - urology. - breast surgery. - neonatology. - neurology. Community care services ----------------------- The Hunterdon Health and Wellness Center ---------------------------------------- The Hunterdon Health and Wellness Center has two premier fitness facilities located in Whitehouse Station and Clinton, New Jersey in Hunterdon county. Members benefit from access to hunterdon healthcare staff for guidance in attaining their optimal health. Access to health education staff and wellness classrooms for programs which focus on a variety of topics designed to improve lifestyle is also a community benefit. Bright Tomorrows Child Care Center ---------------------------------- The center provides care and early childhood education for children ages 6 weeks to 6 years. Multi-sensory disciplines are utilized to facilitate growth in the areas of social, emotional, physical and cognitive development. Programming includes: - age appropriate thematic curriculum. - daily nutritious lunch and snacks. - diapers and wipes for infants and toddlers. - monthly themes, class trips and special guests. - enrichment programs. - parental education. - an annual back to school night and other family events. A preventative approach to discipline teaches positive behaviors, rather than punishing for misbehaviors. The goal is to provide children with motivation and an opportunity to make positive choices. Learning social skills through gentle encouragement, the children learn to respect the needs of others, adapt to routines and simple rules, and become responsible. Parent and family involvement is an integral part of the program. An "open door" policy is maintained to allow parents to visit and observe their child at any time. Parents are always welcome to participate in educational opportunities and special events. Bright Tomorrows strives to maintain competent staff by providing competitive wages and ensuring each staff member is actively engaged in ongoing professional development. All staff maintain adult and pediatric cpr and first aid certification and all receive a child abuse record of incident and criminal history record of incident background checks. Hunterdon Family Medicine Residency ----------------------------------- The primary mission of the Hunterdon Medical Center family medicine residency program is to educate residents utilizing the values and precepts which are fundamental to the way medicine is practiced by family physicians in Hunterdon county, new jersey, so that they themselves may graduate as family physicians who can provide this model of exemplary primary care to their patients, their patients' families and the communities which they serve. Because of the respect that family medicine enjoys in Hunterdon county, residents have a unique opportunity to see how effective a family physician can be. Every facet of Hunterdon's integrated delivery system is utilized to enhance the resident's understanding of the full impact of family practice in this country. Our mission allows us to move toward our ultimate vision in family medicine education. This vision is to create a humanistic and compassionate form of education which models completely the humanism and compassion that we teach in the doctor-patient relationship. Our competency-based curriculum is central to both our mission and our vision. It is recognized that every resident has unique educational styles and needs. Our educational system is designed to create a "core" curriculum for every resident and a unique educational experience based on their passions and interests. Residents can develop an area of concentration and focus during their third year with a range of opportunities including sports medicine, global health, geriatrics, palliative care, and others. University affiliation ---------------------- Hunterdon Medical Center has enjoyed a major teaching affiliation with the Robert Wood Johnson medical school since 1972 and has been involved with the teaching of medical students in physical diagnosis, office preceptorships, third-year clinical rotations and fourth-year electives and sub-internships. This affiliation allows extended learning beyond Hunterdon, including a variety of exceptional programs such as advanced lifesaving in obstetrics, conferences on professionalism, career development, medical-legal issues, contracting and negotiations, research and other scholarly activities.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Community support and education ------------------------------- - alzheimers support group. - bereavement support group. - breastfeeding support group. - caregiver support groups. - depression support group. - family cancer risk assessment program. - family support group. - mental illness family support groups. - baby step, family support group. - toddler steps, for families of toddlers. - anger management group. - anger management group for adolescents. - multifamily support group, addictions treatment. - health education series at the hunterdon health and wellness centers. - hospice art bereavement program. - adult bereavement program through hunterdon hospice.
CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII; SECTION B	THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM, INC.; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION PAYS ALL OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF MOST OTHER AFFILIATES WITHIN THE SYSTEM. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATES WITHIN THE SYSTEM VIA AN INTERCOMPANY ACCOUNT.
CORE FORM, PART V; QUESTION 15	PATRICK J. GAVIN, MPH, MBA IS AN OFFICER OF THIS ORGANIZATION AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF HUNTERDON MEDICAL CENTER ON A FULL TIME BASIS. MR. GAVIN IS EMPLOYED BY THIS ORGANIZATION AND RECEIVES A FEDERAL FORM W-2. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH HUNTERDON MEDICAL CENTER (EIN: 22-1537688). HUNTERDON MEDICAL CENTER FILED A 2023 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. GAVIN'S COMPENSATION IN EXCESS OF $1M.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS") IS THE SOLE MEMBER OF THIS ORGANIZATION. HHS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HUNTERDON HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY HUNTERDON HEALTHCARE SYSTEM, INC.'S FINANCE AND INVESTMENT COMMITTEE. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND 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 FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS PRESENTED TO THE MEMBERS OF HUNTERDON HEALTHCARE SYSTEM, INC.'S FINANCE AND INVESTMENT COMMITTEE FOR REVIEW AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS OBTAINED ANNUALLY FROM ALL TRUSTEES, SENIOR STAFF, AND OTHER KEY EMPLOYEES WHO ARE CURRENTLY SERVING THE ORGANIZATION. IT IS THE ORGANIZATION'S POLICY THAT IN THE EVENT OF A CONFLICT THEY DO THE FOLLOWING: IF THERE IS A CONFLICT RELEVANT TO A MATTER REQUIRING ACTION BY THE BOARD OF TRUSTEES, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE BOARD OF TRUSTEES, AND THE TRUSTEE CONCERNED SHALL NOT VOTE ON THE MATTER. MOREOVER, THE PERSON HAVING A CONFLICT SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD IS MEETING AND SHALL NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE MATTER UNDER CONSIDERATION. WHEN THERE IS DOUBT AS TO WHETHER A CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE RESOLVED BY VOTE OF THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF, EXCLUDING FROM THE ROOM AND THE VOTE of THE PERSON WHOSE SITUATION WILL BE DISCUSSED. WHEN A CONFLICT OF INTEREST ARISES FOR ANY STAFF MEMBER EXCEPT THE PRESIDENT, THAT STAFF MEMBER SHALL REPORT IT TO THE PRESIDENT IN WRITING. A CONFLICT OF INTEREST RELATING TO THE PRESIDENT SHALL BE REPORTED IN WRITING TO THE CHAIRMAN OF THE BOARD.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. IN 2023, THE EXECUTIVE COMPENSATION COMMITTEE REPORTED TO THE FULL BOARD FOR RATIFICATION. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. 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. IN ADDITION, THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION ADJUSTMENTS BASED ON MARKET SURVEYS DEVELOPED BY INDEPENDENT CONSULTANTS, INDUSTRY AVERAGE COMPARISON, YEARS OF SERVICE AND OTHER EXEMPT ORGANIZATIONS IN THE GEOGRAPHIC AREA. AFTER A REVIEW OF THE INDIVIDUAL'S PERFORMANCE FOR THE YEAR AND RELYING ON COMPARABLE INFORMATION AND OTHER OBJECTIVE DATA, THE EXECUTIVE COMMITTEE WILL RECOMMEND AN ADJUSTMENT TO THE INDIVIDUAL'S COMPENSATION. ANY DETERMINATIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE EXECUTIVE COMMITTEE MINUTES. 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 PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE HUNTERDON HEALTHCARE SYSTEM, INC.'S PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 18	Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND IS AVAILABLE ONLINE AT WWW.DACBOND.COM. THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF HUNTERDON HEALTHCARE SYSTEM, INC. AND AFFILIATES; INCLUDING HUNTERDON MEDICAL CENTER, AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THE BOARD OF TRUSTEES OF THIS ORGANIZATION.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN THE HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND KEY EMPLOYEES LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF HUNTERDON HEALTHCARE SYSTEM, INC. AND ALL AFFILIATES AND NOT TOTAL HOURS WORKED PER WEEK ON BEHALF OF ONLY HUNTERDON MEDICAL CENTER.
CORE FORM, PART XI; LINE 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST - $9,828,000; - NET TRANSFERS TO RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS - ($5,063,000); - Net Assets relased from restrictions for capital acquisitions - $1,352,000; - CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS - $2,031,171; AND - OTHER CHANGES IN NET ASSETS WITHOUT DONOR RESTRICTIONS - ($719,000).
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HUNTERDON HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HUNTERDON HEALTHCARE SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION IS AN AFFILIATE WITHIN HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HUNTERDON HEALTHCARE SYSTEM INC
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	222537411	HEALTHCARE	NJ	501(C)(3)	12A	NA	false
HUNTERDON HOSPICE
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	222276083	HEALTHCARE	NJ	501(C)(3)	7	HRCH	false
VISITING HEALTH & SUPPORTIVE SERVICES
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	221636709	HEALTHCARE	NJ	501(C)(3)	7	HRCH	false
HUNTERDON HEALTHCARE FOUNDATION
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	222526895	FUNDRAISING	NJ	501(C)(3)	7	HHS	false
HUNTERDON REGIONAL COMMUNITY HEALTH INC
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	223453318	HEALTHCARE	NJ	501(C)(3)	12A	HHS	false
BRITESIDE ADULT DAY CENTERS INC
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	222113056	ADLT DAY CARE	NJ	501(C)(3)	10	HRCH	false
HUNTERDON PRIMARY CARE PC
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	474931969	HEALTHCARE	NJ	501(C)(3)	12A	HMC	Yes (true)
HUNTERDON SPECIALTY CARE PC
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	474913206	HEALTHCARE	NJ	501(C)(3)	12A	HMC	Yes (true)
HUNTERDON URGENT CARE PC
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	474901532	HEALTHCARE	NJ	501(C)(3)	12A	HMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HUNT IMAGING ASSOC
2100 WESCOTT DR	FLEMINGTON	NJ	08822	223126699	HEALTHCARE	NJ	NA
HUNT HEALTHCARE LLC
2100 WESCOTT DR	FLEMINGTON	NJ	08822	223642089	HEALTHCARE	NJ	NA
HC FOR SURGERY LLC
2100 WESCOTT DR	FLEMINGTON	NJ	08822	223401213	HEALTHCARE	NJ	NA
MIDJERSEY HLTH ALLI
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	815198825	HEALTHCARE	NJ	NA
BRIDGEWATER AM SURG
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	820860675	HEALTHCARE	NJ	NA
HUNTERDON AMB SVCS
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	812462115	HEALTHCARE	NJ	HMC	RELATED	-$68,010	$1,944,539	false	$0	Yes (true)	0.50000
BRIDGEWATER ADV IMG
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	854242128	HEALTHCARE	NJ	HMC	RELATED	$0	$0	false	$0	Yes (true)	0.50000
RARITAN FAM HEALTH
901 US HIGHWAY 202	RARITAN	NJ	08869	223741339	HEALTHCARE	NJ	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MIDJERSEY HEALTH CORPORATION
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	222713664	HEALTHCARE	NJ	NA	C CORP.	false
HUNTERDON REGIONAL PHARMACY INC
2100 WESCOTT DRIVE	FLEMINGTON	NJ	08822	743055633	HEALTHCARE	NJ	NA	C CORP.	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HUNTERDON PRIMARY CARE PC
L	$27,420,924	COST
HUNTERDON SPECIALTY CARE PC
L	$21,576,774	COST
HUNTERDON URGENT CARE PC
L	$2,042,043	COST
HUNTERDON URGENT CARE PC
O	$1,474,532	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THIS ORGANIZATION IS A MEMBER OF HUNTERDON HEALTHCARE SYSTEM, INC.; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.	ExplanationTxt