2019-11-15T12:03:26-06:00 2018-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2018-01-01 221487148 CHILDREN'S SPECIALIZED HOSPITAL % CATHERINE DOWDY CPA CHIL 9733224032 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 CATHERINE A DOWDY SVP FINANCE 7329238929 2019-11-11 true Scott J Mariani P00642486 9738989494 65.124.179.218 22006220193195000128 2019-11-15 P 0E7AA6D09474FC827FC900BEE833A570B2ABBB6B E926C70AB8A2860FCD2544200DB02949754B0C60 2018 2020-03-31 21:24:44Z WARREN E MOORE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 148126429 false X WWW.RWJBH.ORG X 1893 NJ TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. 23 17 1592 672 0 0 19377149 21082403 121431910 127026169 788510 -13239 277003 31096 141874572 148126429 0 0 0 0 85522397 92238793 0 0 0 48445407 49846230 133967804 142085023 7906768 6041406 183734158 192429420 60239164 63836297 123494994 128593123 X TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 40708809 0 54405571 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT REHABILITATION SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 19,425 PATIENT DAYS FROM THE PROVISION OF INPATIENT REHABILITATION SERVICES IN 2018. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 22082657 0 15210201 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY AMBULATORY CARE CENTER PROGRAM SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 20346567 0 20193448 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY LONG-TERM CARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 23,980 PATIENT DAYS FROM THE PROVISION OF LONG-TERM CARE SERVICES IN 2018. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 44738488 0 37216949 127876521 true true false true false false false false false true true false true true true true false true false false true false false false false false true true false false true false false false false false false false false false false false false false true false false false true 210 0 true 1592 true false false false false false false false false false false false false X 23 17 false false false false true true true true true false false true true true true true true true true false NJ X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X CELESTE ANDRIOT WOOD CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 DAVID KOSTINAS 1ST VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 CHRISTIANA FOGLIO SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 LAWRENCE KRAMER TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 BARBARA ROTHMAN TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JOHN R BLASI ESQ TRUSTEE 1.0 0.0 X 0 0 0 JENFU CHENG MD TRUSTEE - PRESIDENT MED STAFF 55.0 0.0 X 268264 0 39713 JOHN CRISAN ESQ TRUSTEE 1.0 0.0 X 0 0 0 SANDRA DESAPIO TRUSTEE 1.0 0.0 X 0 0 0 KIM HANEMANN TRUSTEE 1.0 0.0 X 0 0 0 SUEANNA D KORN TRUSTEE 1.0 0.0 X 0 0 0 PENELOPE E LATTIMER PHD TRUSTEE 1.0 0.0 X 0 0 0 AMY B MANSUE TRUSTEE - RWJBH PRES. S. DIV. 55.0 0.0 X 0 1788064 89800 DANA N MAURO TRUSTEE 1.0 0.0 X 0 0 0 MATTHEW MCDONALD MD TRUSTEE - VP/CMO 55.0 0.0 X X 360562 0 59165 WARREN E MOORE TRUSTEE - PRESIDENT/CEO 55.0 0.0 X X 899158 0 452235 GLENN MORTIMER TRUSTEE 1.0 0.0 X 0 0 0 GEOFFREY PERSELAY TRUSTEE 1.0 0.0 X 0 0 0 STEVEN M ROSENBERG ESQ TRUSTEE 1.0 0.0 X 0 0 0 PHILIP SALERNO III TRUSTEE - PRES/CDO FOUNDATION 55.0 0.0 X 430344 0 38324 ROBERT L SMARTT TRUSTEE 1.0 0.0 X 0 0 0 FRED TEWELL TRUSTEE 1.0 0.0 X 0 0 0 VICTORIA WICKS TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH J DOBOSH JR MBA VP/CFO 55.0 0.0 X 415013 0 88774 CHARLES CHIANESE MBA VP/COO 55.0 0.0 X 403570 0 128722 CHRISTOPHER HAINES DO FACEP VP/CMO (TERMED 6/12/18) 55.0 0.0 X 850888 0 5362 MICHAEL R DRIBBON PHD VP/BUS DEVELOP/CRO 55.0 0.0 X 416250 0 120755 BONNIE ALTIERI PHD RN VP PATIENT CARE SERVICES/CNO 55.0 0.0 X 333975 0 124112 WILLIAM J DWYER VP/CHIEF HR OFF.(TERM 3/11/18) 55.0 0.0 X 310937 0 1176 RUTH K BASH VP/CHIEF CULTURE/CHIEF HR OFF 55.0 0.0 X 255533 0 60948 COLIN R O'REILLY MD SECTION CHIEF IP PEDIATRICS 50.0 0.0 X 331144 0 29340 KRISHAN YALAMANCHI MD DIRECTOR BRAIN INJURY PROGRAM 50.0 0.0 X 264787 0 26894 ELVIRA DOWNS MD SECTION CHIEF PSYCHIATRY 50.0 0.0 X 264430 0 18725 PATRICIA D FOLEY PT FACHE VP OUTPATIENT SERVICES 50.0 0.0 X 248308 0 86797 ANNA MALIA BECKWITH MD SECTION CHIEF NEURODEVELOPMENT 50.0 0.0 X 246622 0 36889 6299785 1788064 1407731 176 false true false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MANAGEMENT 6000392 NEW BRUNSWICK PARKING AUTHORITY 106 SOMERSET STREET 6TH FLOOR NEW BRUNSWICK NJ 08901 PARKING 1036058 SCRIBE AMERICA PO BOX 417756 BOSTON MA 022417756 TRANSCRIPTION 817490 RUTGERS ROBERT WOOD JOHNSON MED SC 675 HOES LANE WEST PISCATAWAY NJ 08854 MEDICAL 810658 GE HEALTHCARE PO BOX 640944 PITTSBURGH PA 152640944 IT 808496 62 7595523 13486880 21082403 NET PATIENT SERVICE REVENUE 541900 126042354 126042354 OTHER HEALTHCARE RELATED REVENUE 541900 983815 983815 127026169 18520 18520 0 0 31096 31096 0 31096 31096 -31759 -31759 -31759 -31759 0 0 0 0 0 0 0 0 0 0 148126429 127026169 17857 0 0 0 0 6129004 5516104 612900 0 69379485 62441536 6937949 985815 887234 98581 9162493 8246244 916249 6581996 5923796 658200 6666818 6000137 666681 0 0 4156 3740 416 0 0 5475155 4927640 547515 0 38019 34217 3802 3661850 3295665 366185 1350606 1215546 135060 0 4611319 4150187 461132 584215 525794 58421 0 470547 423492 47055 1484210 1335789 148421 0 7974218 7176796 797422 578785 520906 57879 PHYSICIAN FEES & SALARIES 11372291 10235062 1137229 0 MEDICAL SUPPLIES 2283832 2055448 228384 0 REPAIRS & MAINTENANCE 1782344 1604109 178235 0 LICENSES, DUES & FEES 111670 100503 11167 0 1396195 1256576 139619 142085023 127876521 14208502 0 X 8939 8105 5275825 2045428 2362106 3442283 13600601 13019081 0 0 0 0 0 0 631293 737017 703048 1110869 182733790 119202489 67538241 63531301 0 0 0 0 24603180 25320426 0 0 69010925 83214910 183734158 192429420 15243786 16070189 0 0 125923 94442 0 0 0 0 0 0 1892539 1536451 0 0 42976916 46135215 60239164 63836297 X 101607933 107649339 15416056 14472119 6471005 6471665 123494994 128593123 183734158 192429420 X 6041406 -943277 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4156 4156 false SCHEDULE C, PART II-B; LINES 1I THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF BARNABAS HEALTH, INC. AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION AND THE NEW JERSEY HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $4,156 IN 2018. 11513000 1000 172000 1166000 10520000 10600000 1334000 421000 11513000 10397393 3000 616000 416393 10600000 10638632 6020 10609 257868 10397393 10268974 12982 613584 256908 10638632 0.61520 0.38480 false true true 390710 390710 68581659 34603248 33978411 16285668 12664290 3621378 92735710 69620919 23114791 4740043 2314032 2426011 63531301 RESTRICTED INVESTMENTS 4376642 F ORGANIZATION 20943784 F 25320426 SPECIALIZED HOSPITAL FDN 3421299 OTHER ASSETS; NON-CURRENT 7781511 DUE FROM AFFILIATES; CURRENT 72012100 83214910 0 OTHER LIABILITIES 9533644 CURRENT 336802 DUE TO AFFILIATES; CURRENT 101813 RWJBH HOSPITAL OBLIGATED GROUP 36162956 46135215 X SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. The Hospitals endowment consists of funds that have been established by the Foundation to support the Hospital in providing healthcare services. These funds are invested by the Foundation. The Foundation has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of income and growth, while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor restricted funds that the Foundation must hold in perpetuity. Under this policy, as approved by the Foundations board of trustees, the endowment assets are invested in a manner that is intended to produce moderate to high rates of return while assuming a moderate level of investment risk over the long term. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH 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 FOR THE RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 AND 2017. Central America and the Caribbean Program Services FINANCIAL VEHICLE 0 0 0 false false false false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES PAYMENTS TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $514,956; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X 400. true X 500. true true true false false 864146 0 864146 0.00610 864146 0 864146 0.00610 6555 3111373 0 3111373 0.02190 1590947 0 1590947 0.01120 473548 0 473548 0.00330 26760 0 26760 0.00020 6555 5202628 0 5202628 0.03660 6555 6066774 0 6066774 0.04270 true 2189996 219000 true true 1 1 PSE&G CHILDREN'S SPECIALIZED HOSPITAL 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 WWW.RWJBH.ORG 22249 X X 1 PSE&G CHILDREN'S SPECIALIZED HOSPITAL 1 false false true X X X X X X X X X X 16 true false false true X WWW.RWJBH.ORG X X true 16 true WWW.RWJBH.ORG false true X 400. 500. X X X true true X X X true X WWW.RWJBH.ORG X WWW.RWJBH.ORG X WWW.RWJBH.ORG X X X X X X true X false X X X X false X X false false SCH H,PART V,SECT B,Q'S: 2,13B,13H,15E,16J,18E,19E,20E,21C&D,23&24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 3J THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") REVIEWED SPECIAL HEALTHCARE SERVICE GAPS FOR ITS DEFINED POPULATION OF CHILDREN WITH SPECIAL NEEDS. SCHEDULE H, PART V, SECTION B, QUESTION 5 WHEN CONDUCTING THE MOST RECENT CHNA, CHILDREN'S SPECIALIZED HOSPITAL ("CSH") UTILIZED AN ONLINE SURVEY WITH PARENTS, AND INTERVIEWS WITH KEY STAKEHOLDERS AT CSH AND IN THE COMMUNITY. KEY STAKEHOLDERS INTERVIEWED INCLUDED CSH CLINICIANS, BOARD MEMBERS AND FAMILY ADVISORS, AS WELL AS A COMMUNITY PHYSICIAN, A RESEARCHER, AND REPRESENTATIVES FROM THE EDUCATION, PUBLIC HEALTH, AND PAYER SECTORS. TWO OF THE INTERVIEWEES HAD DIRECT EXPERIENCE WORKING WITH SPANISH-SPEAKING POPULATIONS. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B WHILE CHILDREN'S SPECIALIZED HOSPITAL ("CSH") HAD ITS OWN CHNA, CSH PARTICIPATES IN A SYSTEM WIDE COMMUNITY HEALTH NEEDS STEERING COMMITTEE FOR ALL MEMBER HOSPITALS. STRATEGIES AND BEST PRACTICES ARE IDENTIFIED AND SHARED AS WELL AS PROGRAM SUPPORT. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7D THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; 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.CHILDRENS-SPECIALIZED.ORG/CONTENT/UPLOADS/CHILDRENS%20SPECIALI ZED/FILES/CSH%202016%20CHNA_FINAL%20REPORT_5%2026%2016.PDF COPIES OF THE CHNA WERE SHARED WITH KEY STAKEHOLDERS AND SYSTEM PARTNERS. SCHEDULE H, PART V, SECTION B, QUESTION 8 CSH, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA AND DEVELOPED STRATEGIES TO ADDRESS AND COLLABORATE IN STRATEGY EXECUTION. PRIORITIES WERE DEVELOPED WITH INPUT FROM KEY STAKEHOLDERS. SCHEDULE H, PART V, SECTION B, QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; 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.CHILDRENS-SPECIALIZED.ORG/CONTENT/UPLOADS/CHILDRENS%20SPECIALI ZED/IMAGES/UPDATED%20IMPLEMENTATION%20PLAN%20WITH%202017%20ACHIEVEMENTS(1) .PDF SCHEDULE H, PART V, SECTION B, QUESTION 11 As discussed above, CSH conducted a comprehensive CHNA in which a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by CSH and ability to have an impact either as a hospital or in collaboration with community partners. SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 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.childrens-specialized.org/for-patients-and-families/billing-fi nancial-and-insurance-information/hospital-benefit-fund-and-application 14 CSH LONG TERM CARE AT MOUNTAINSIDE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 LONG-TERM CARE AND OUTPATIENT CENTER CSH LONG TERM CARE AT TOMS RIVER 94 STEVENS ROAD TOMS RIVER NJ 08755 LONG-TERM CARE AND OUTPATIENT CENTER CSH OUTPATIENT CENTER AT HAMILTON 3575 QUAKERBRIDGE ROAD HAMILTON NJ 08619 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT TOMS RIVER 368 LAKEHURST ROAD TOMS RIVER NJ 08755 OUTPATIENT CENTER CSH EARLY INTERVENTION TOMS RIVER 316 WASHINGTON STREET TOMS RIVER NJ 08755 EARLY INTERVENTION CSH OUTPATIENT CENTER AT NEWARK 182 LYONS AVE NEWARK NJ 07112 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT CLIFTON 1135 BROAD STREET CLIFTON NJ 07013 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT EGG HARBOR 6106 BLACK HORSE PIKE EGG HARBOR TOWNSHIP NJ 08234 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT NEW BRUNSWICK 10 PLUM STREET 6TH FLOOR NEW BRUNSWICK NJ 08901 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT WARREN 266 KING GEORGE ROAD WARREN NJ 07059 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT BAYONNE 815 BROADWAY AVENUE BAYONNE NJ 07002 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT FANWOOD 313 SOUTH AVENUE FANWOOD NJ 07023 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT EAST BRUNSWICK 629 CRANBURY ROAD EAST BRUNSWICK NJ 08816 OUTPATIENT CENTER CSH OUTPATIENT CENTER AT JERSEY CITY 1825 JOHN F KENNEDY BOULEVARD JERSEY CITY NJ 07305 OUTPATIENT CENTER SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART I, QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. RWJBARNABAS HEALTH ("RWJBH") AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RWJBH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(E) AND 2(P) ON PAGES 9 AND 15; RESPECTIVELY, OF THE RWJBARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH THE CORPORATIONS MISSION AND PHILOSOPHY, THE CORPORATION'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEAR'S ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017 IS AS FOLLOWS: 2018 2017 -------- -------- (IN THOUSANDS) (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED, LESS STATE SUBSIDY FUNDING $ 98,632 $ 83,563 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $233,193 $201,584 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 3,200 $ 4,675 - EDUCATION AND RESEARCH $ 88,758 $ 83,717 - SUBSIDIZED DEPARTMENTS $ 59,762 $ 53,593 - OTHER COMMUNITY BENEFIT $ 10,150 $ 9,914 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM OR FILED COST REPORTS. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $27,981,000 AND $35,412,000, RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW. SCHEDULE H, PART III, SECTION B; QUESTION 8 Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The organization feels that bad debt should be a community benefit and associated costs should be included on the form 990, schedule h, part i. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay, and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The american hospital association ("aha") feels that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position that bad debt should be community benefit. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting bad debt as quantifiable community benefit for the following reasons: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospitals' best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance. SCHEDULE H, PART III, SECTION B; QUESTION 9B Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance against revenue. It is the policy of children's specialized hospital to treat all patients equally regardless of insurance and their ability to pay. Childrens Specialized Hospital WILL exhaust all opportunities for insurance payments before billing any patient ("guarantor") for services provided by the Hospital. The exceptions to that policy are patient responsibility amounts that are known at the time of service. Payments for those amounts are expected to be paid by the patient at the time of service assuming there is no secondary insurance coverage. In the event a patient responsibility is identified by the patients insurance carrier after the services are provided, the patient will be billed the amount identified as the patients responsibility by the carrier. Again, in situations where secondary or tertiary coverage exists those amounts will be billed prior to the guarantor. All identified insurance carriers will be billed (electronically if possible) and payments pursued from those carriers. FINANCIAL ASSISTANCE will be offered to patients consistent with the FINANCIAL ASSISTANCE policy. Patient's accounts will be updated to reflect FINANCIAL ASSISTANCE eligibility. Patients will not be billed any balances until the point at which all insurance opportunities have been exhausted. The amount billed to the patient (guarantor) should be consistent with the insurance explanation of benefits "patient responsibilitybe net of any FINANCIAL ASSISTANCE AWARDED. Billing statements will be sent out every 21 days for no less than 120 days from the first such statement. Bills that remain unpaid after 120 days will be referred to a collection agency. Normal collections efforts will be pursued but FURTHER COLLECTION ACTIONS WILL BE SUBJECT TO APPROVAL BY THE Director of Patient Accounts on a case by case basis. Any patient overpayments recognized by the hospital resultant from retrospective FINANCIAL ASSISTANCE eligibility will be refunded as soon as reasonably possible. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR CSH ANNUALLY WHICH INCLUDES: - a review of health care utilization of its service area population by services (CARDIOLOGY, OBSTETRICS, GYNECOLOGY, UROLOGY, ETC.) for determining increased or decreased health needs; - health care service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data; and - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). RWJBARNABAS HEALTH CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY CARE AND PHYSICIAN SPECIALTY) EVERY THREE TO FIVE YEARS. THE 2017 STUDY USED GENERALLY ACCEPTED PHYSICIAN TO POPULATION RATIOS ADJUSTED FOR LOCAL COMMUNITY POPULATION TO IDENTIFY GAPS IN SERVICE. THESE STUDIES INFORM MEDICAL STAFF DEVELOPMENT AND RECRUITMENT NEEDS AT THE HOSPITALS TO ASSURE RESPONSIVENESS TO THE SPECIFIC IDENTIFIED NEEDS OF THE COMMUNITY AND TO ASSURE ACCESS TO PHYSICIAN PROVIDER SERVICES. CSH reviews patient surveys and comments to understand patient and family concerns. Further, CSH participates and works with many local organizations on health issues including: discussing and prioritizing needs, coordinating services, providing education and specialty knowledge, and supporting local health promotions. As part of RWJBarnabas Health, CSH works with an array of service providers to support a full service continuum of care for its communities. CSH is active in their respective communities with local municipalities and community-based organizations. For example, CSH Camp Chatterbox, works with Camp Oakhurst in Monmouth County, New Jersey to sponsor a weeklong overnight camp for children and young adults, ages 5-22, who use synthesized Augmentative and Alternative Communication (AAC) devices. Chatterbox offers two unique programs - a Family Program for children ages 5-14 and an Independence and Self-Advocacy Program for teens and young adults ages 15-22. All campers must be able to participate in the program without requiring one-on-one behavioral support. Camp Chatterbox uses the facilities of Camp Oakhurst in Monmouth County, NJ. CSH also partners with the Wilkes-Barre Family YMCA partner to provide a fully main-streamed, overnight camp experience at Camp Kresge in White Haven, PA near the Pocono Mountains. These community touch points provide the hospital with valuable external insights regarding community need. SCHEDULE H, PART VI; QUESTION 3 THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: - THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION ARE available on-line at the following website: https://www.childrens-specialized.org/for-patients-And-families/billing-fi nancial-and-insurance-information/hospital-benefit-fund-and-application - Paper copies of THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION are available upon request without charge by mail and are available AT THE PATIENT ACCESS SERVICES DEPARTMENT WITHIN THE HOSPITAL; AND - Signs or displays informing patientS about the availability of financial assistance ARE conspicuously posted in public locations OF THE HOSPITAL. SCHEDULE H, PART VI; QUESTION 4 CSH draws patients across the region and operates at 13 different locations in 9 counties in New Jersey. Its inpatient hospital for comprehensive rehab services is located in New Brunswick, NJ. Long term care services are provided in Toms River, NJ. New Brunswick is the population center of Middlesex County. According to Census Bureau estimates, Middlesex County is the second largest county in New Jersey and is estimated to have had the third largest growth in residents from 2010 to 2018. New Brunswick is the 27th largest place in the state. Despite the vibrancy of City culture, many challenges exist for residents residing in New Brunswick. The 2018 census ESTIMATES 36% of families to have incomes under the poverty level in the last 12 months, 29.6% are covered by public health insurance, 24% with no insurance and 20.9% of the population receiving food stamps/SNAP assistance. There are 12 Designated Comprehensive Health Centers in Middlesex County and a number of census tracts with MUA/MUP designation. Toms River is the county seat of Ocean County. Ocean County is one of the fastest growing counties in the state since 1940 and Toms River is ranked the 8th most populous CDP in the state in the 2018 census ESTIMATES. Ocean County is considered part of the NY metropolitan area; however, it is actually home to one-third of the Jersey Shore, bordering the Atlantic Ocean in the southern part of New Jersey, a prime destination for large beach populations, fisherman and boaters, which places additional seasonal demands on the hospitals emergency department. While there was a 12.8% population growth between the 2000 and 2010 census, hurricane Sandy limited future growth. The 2018 census estimates Toms River to have a 17% minority presence and 6.6% of families living below the poverty level. Approximately 8% do not have health insurance, 35% have public health insurance and 5.9% of households receive food stamps/SNAP assistance. The contrast of New Brunswick and Toms River reflects the diverse communities served by CSH. CSH is committed to providing quality and compassionate care to its communities. Its pay mix was comprised of approximately 60% underinsured and uninsured payer classifications in 2018. SCHEDULE H, PART VI; QUESTION 5 Community building activities are undertaken by CSH to improve the medical and socioeconomic well-being of the communities and special needs children in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. CSH conducts research and provides educational materials, conducts special programming (special camps) and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. The majority of the Board of Trustees members are individuals with local businesses or who reside in the community. Hospital staff members serve on the Boards of many local not-for-profit organizations or provide other forms of support such as fundraising, activity participation and promotion of the charitable events and mission. All qualified physicians are extended privileges. Diversity is welcomed and encouraged for recruitment of Trustees, physicians and staff. Under the directive of the Systems Finance Office, surplus funds are utilized for capital projects to improve services, to purchase equipment, or to advance medical care, programs and activities. All of these purposes for expenditure of surplus funds, in turn, benefit the community. Please also refer to Form 990, Schedule O, which contains the organizations community benefit statement and provides a summary of entities comprising RWJBarnabas Health. SCHEDULE H, PART VI; QUESTION 6 The organization is an affiliate of rwjbarnabas health ("rwjbh"). All affiliates are committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services. Rwjbh strives to exceed the patients' expectations by emphasizing commitment, competence, collaboration, communication, and compassion. Rwjbh sets overall policy regarding billing and collections and the facility responses provided for part i, part ii, and part iii are reflective of that policy. Rwj barnabas health, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). Rwj barnabas health, inc. Operates as the parent entity of a multi-corporate healthcare system, which includes all of the tax-exempt hospitals of the former separate barnabas health and the robert wood johnson health systems. It was created to coordinate, supervise and ensure the continuation and improvement of the quality of healthcare services provided by its qualifying affiliates to the community. Rwj barnabas health, inc. Ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin or ability to pay. The sole member or stockholder of each entity within the system is either rwj barnabas health, inc. Or another rwjbh affiliate controlled or owned by rwj barnabas health, inc. Outlined below is a summary of the entities which comprise rwjbh. Active hospitals include childrens specialized hospital, clara maass medical center, community medical center, jersey city medical center, monmouth medical center - southern campus, monmouth medical center, newark beth israel medical center, robert wood johnson university hospital, robert wood johnson university hospital at hamilton, robert wood johnson university hospital rahway, saint barnabas behavioral health center, inc. And saint barnabas medical center. Each of these hospitals operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Each provide medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Each acute care hospital operates an active emergency department for all persons, which is open 24 hours a day, 7 days a week, 365 days per year (saint barnabas behavioral health center, inc. Is a behavioral health specialty hospital facility and, accordingly, does not operate an emergency room); 3. Each maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of each rests with its board of trustees and the board of trustees of rwj barnabas health, inc. (both boards are comprised of independent civic leaders and other prominent members of the community); and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. Affiliated rwjbh entities are as follows: Children's specialized hospital ("csh") is a 162-bed licensed comprehensive pediatric rehabilitation hospital and pediatric long-term care facility with locations in new brunswick, mountainside and toms river new jersey. Csh is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, csh provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, csh operates consistently with the criteria outlined in irs revenue ruling 69-545. Clara maass medical center ("cmmc") is a 469-bed non-profit acute care medical center located in belleville, essex county, new jersey. Cmmc is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, cmmc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, cmmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Community medical center, inc. ("cmc") is a 592-bed non-profit hospital located in toms river, ocean county, new jersey. Cmc is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, cmc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, cmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Jersey city medical center ("jcmc") is a 316-bed regional referral teaching hospital and a major teaching affiliate of the mount sinai school of medicine, located in jersey city, hudson county, new jersey. Jcmc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, jcmc 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, jcmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Monmouth medical center ("mmc") is comprised of the following hospitals: monmouth medical center, a 513-bed non-profit community teaching hospital located in long branch, monmouth county, new jersey and monmouth medical center-southern campus, a 330-bed non-profit medical center located in lakewood, ocean county, new jersey. Mmc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, mmc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, mmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Newark beth israel medical center ("nbimc") is a 665-bed non-profit, fully accredited regional care teaching hospital located in newark, essex county, new jersey. Nbimc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, nbimc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, nbimc operates consistently with the criteria outlined in irs revenue ruling 69-545. Robert wood johnson university hospital ("rwjuh") is comprised of the following hospitals: robert wood johnson university hospital, a 610-bed non-profit academic medical center located in new brunswick, middlesex county, new jersey and robert wood johnson university hospital somerset, a 355-bed acute care and teaching hospital located in somerville, somerset county, new jersey. Rwjuh is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, rwjuh provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, rwjuh operates consistently with the criteria outlined in irs revenue ruling 69-545. Robert wood johnson university hospital at hamilton ("rwjuhh") is a 280-bed non-profit acute care medical center located in hamilton, mercer county, new jersey. Rwjuhh is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, rwjuhh provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, rwjuhh operates consistently with the criteria outlined in irs revenue ruling 69-545. SCHEDULE H, PART VI; QUESTION 6 Robert wood johnson university hospital rahway ("rwjuhr") is a licensed 251-bed non-profit acute care medical center located in rahway, union county, new jersey. Rwjuhr is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, rwjuhr provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, rwjuhr operates consistently with the criteria outlined in irs revenue ruling 69-545. Saint barnabas behavioral health center, inc., d/b/a barnabas health behavioral health center, is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3). The organization provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Saint barnabas behavioral health center (with kimball behavioral health services) constitutes a freestanding 100-bed acute care psychiatric facility in ocean county, new jersey. The organization provides inpatient, partial hospitalization, and intensive outpatient programs for adults diagnosed with psychiatric and dual disorders. Barnabas health behavioral health center is accredited by the joint commission on accreditation for healthcare organizations. Saint barnabas medical center ("sbmc") is new jersey's oldest non-profit, non-sectarian acute care hospital, located in livingston, essex county, new jersey. With 645 licensed beds, sbmc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, sbmc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, sbmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Barnabas bayonne development urban renewal corporation f/k/a medical center staffing services, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization supports the charitable purposes, programs and services of center state health group, inc., a related internal revenue code 501(c)(3) tax-exempt organization, and supports the barnabas health system by providing temporary staffing services to various affiliates. Barnabas health, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). The organization is the tax-exempt parent entity of the legacy barnabas health affiliates; pre robert wood johnson health system affiliation; a tax-exempt integrated healthcare delivery system. Barnabas health, inc. Strives to continually develop and operate a multi-hospital health system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare and prevention services to the residents of new jersey and surrounding communities. Barnabas health, inc. Ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origins or ability to pay. Barnabas health medical group, p.c. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization supports barnabas health, inc., a related internal revenue code 501(c)(3) tax-exempt organization and its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, by practicing medicine, engaging in medical education and working to improve the welfare of individuals in new jersey, the organization comprises a component of the clinical service physician practice plans of the barnabas health teaching hospitals and is an integral part of these institutions. Center state health group, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization is a supporting organization of rwj barnabas health, inc. And the rwjbarnabas health system hospitals and medical centers. It acts as the centralized business office for rwjbarnabas health and assists them with billing and collecting of revenue for medical services provided by these organizations. Central jersey behavioral health associates, inc., is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay and supports the charitable purposes, programs and services of saint barnabas behavioral health center, inc., a related internal revenue code 501(c)(3) tax-exempt organization, that also provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Children's specialized hospital foundation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of children's specialized hospital; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Clara maass foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities, the organization supports the charitable purposes, programs and services of clara maass medical center, a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Community medical center foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of community medical center, a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Lakeview child care center, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization provides high-quality care operating under the montessori method and philosophy for the employees of robert wood johnson university hospital at hamilton and to the general public. In addition, the center has a drop off program and baby-sitting program used by parents who must go to the hospital for outpatient procedures. Liberty health care system ("lhcs") was recognized by the internal revenue service as an internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3) until its statutory merger into jersey city medical center during 2018. The jersey city medical center 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)(2). The organization solicits and maintains gifts, grants and other contributions for the promotion of health and overall wellness in the hudson county, new jersey community served by the jersey city medical center. SCHEDULE H, PART VI; QUESTION 6 Liberty riverside healthcare is an organization recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. The organizations mission was to provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay prior to the sale of the hospital and its assets on december 7, 2010. Monmouth medical center - southern campus 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 monmouth medical center - southern campus, 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. Mega care, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization is located in union, union county, new jersey. The organization is acting as a member of vna health group of new jersey, llc which provides medically necessary home health and hospice care to all individuals. Monmouth medical center-faculty practice plan, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization supports the charitable purposes, programs and services of monmouth medical center, a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. The organization provides clinical services, education and training in conjunction with monmouth medical center's medical residency teaching program. Monmouth medical center foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of monmouth medical center, a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. New brunswick affiliated hospitals, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization is a joint venture between robert wood johnson university hospital and saint peter's university hospital; an internal revenue code section 501(c)(3) tax-exempt organization. The organization supports the charitable purposes, programs and services of robert wood johnson university hospital, inc.; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Robert wood johnson visiting nurses, 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 supports the charitable purposes, programs and services of robert wood johnson university hospital, inc.; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Rwj health care corporation was 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) until its statutory merger into RWJ Barnabas Health, Inc. during 2018. Robert wood johnson health care corporation at hamilton was 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) until its statutory merger into RWJ Barnabas Health, Inc. during 2018. Robert wood johnson health network, 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 robert wood johnson university hospital; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Robert wood johnson property holding corporation was 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) until its statutory merger into Saint Barnabas Realty Development Corporation during 2018. Robert wood johnson university hospital at hamilton foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of robert wood johnson university hospital at hamilton; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Robert wood johnson university hospital rahway foundation, inc. was 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) until its statutory merger into Robert Wood Johnson University Hospital Rahway during 2018. Robert wood johnson university hospital foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of robert wood johnson university hospital; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. SCHEDULE H, PART VI; QUESTION 6 Saint barnabas health care system foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of rwjbarnabas health. Saint barnabas hospice and palliative care center, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). The organization provides care and support for terminally ill patients and their families in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. For more than 25 years the caring, compassionate professionals of the nationally renowned saint barnabas hospice and palliative care center, inc. Have provided exceptional physical, emotional and spiritual support to patients and their families during life's final stages whether at home, in the hospital, or in a long-term care or assisted living facility. Our dedicated, highly skilled team strives to improve quality of life while providing comfort, preserving dignity, and honoring the unique wishes of each patient and family. Saint barnabas outpatient centers, corp. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). Saint barnabas outpatient centers is one of the nation's most sophisticated ambulatory healthcare facilities--providing the highest quality medical care in an environment designed to set a new standard for patient satisfaction. The organization provides various types of medically necessary outpatient medical and surgical specialty services, including ambulatory surgery and women's gynecological surgery, renal dialysis services, imaging services, diabetes services and endocrinology services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Saint barnabas realty development corporation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization is a supporting organization of saint barnabas medical center, a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay, and is primarily responsible for the management and operation of rental space for various affiliates of rwjbarnabas health. Sandy hook friends of saint barnabas burn foundation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization supports the charitable purposes, programs and services of the saint barnabas burn unit at saint barnabas medical center; a related internal revenue code 501(c)(3) tax-exempt organization that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. United rescue at jersey city, 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). Vna health group of new jersey, llc is an organization recognized by the internal revenue service as a 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 system also includes additional not-for-profit entities that are recognized as internal revenue code 501(c)(3) tax-exempt organizations but are currently inactive. These entities include the following: - greenville hospital; - irvington hospital foundation, inc.; - lakeview child care center foundation, inc.; - liberty behavioral health associates; - liberty surgical associates; - new margaret hague center women's jersey medical center ob/gyn; - somerset community care corporation; and - somerset health care affiliates, inc. For profit rwjbarnabas health entities include the following: Acucare physicians, p.c. is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Central jersey aco, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is barnabas health, inc. This organization engages in healthcare services. Center state management corporation is an entity whose sole shareholder is livingston services corporation. The organization is located in toms river, ocean county, new jersey. This entity engages in various healthcare related business activities. Commercial professional insurance company, ltd, a controlled foreign corporation of saint barnabas medical center. The organization was formed and operates solely in bermuda. Csh ventures, inc. Is an entity whose sole member is children's specialized hospital. The organization was formed to provide pediatric rehabilitation consulting and training services internationally. Eos, inc. was an inactive entity until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Hamilton endoscopy & surgery center, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is rwj medical services organization at hamilton. This organization engages in healthcare services. Health care facilities management, inc. Is an entity whose sole shareholder is Livingston Services Corporation. The organization is located in south plainfield, middlesex county, new jersey. The organization provides engineering, plant operations and materials management services primarily to rwjbh entities. Innovative purchasing concepts, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh members are the rwjbh hospitals. This organization engages in group purchasing activity. Jersey asc ventures, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is barnabas health, inc. This organization engages in healthcare services. Kimball health care affiliates, inc. was an entity whose sole shareholder was livingston services corporation until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Liberty healthcare capital is an entity whose sole shareholder is jersey city medical center. The organization is located in secaucus, hudson county, new jersey. This entity provides leasing and financing support to jersey city medical center. Liberty healthcare management, llc was a limited liability company treated as a partnership for tax purposes until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Livingston infusion care, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in south plainfield, middlesex county, new jersey. The organization provides home infusion and dialysis services to individuals. Livingston services corporation is an entity whose sole shareholder is barnabas health, inc. The organization is located in belleville, essex county, new jersey. This entity engages in various healthcare business activities. Lsc pharmacy services, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in west orange, essex county, new jersey. The organization operates a pharmacy for rwjbh entities. SCHEDULE H, PART VI; QUESTION 6 Major security services, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in south plainfield, middlesex county, new jersey. The organization provides security services primarily to rwjbh entities and others. The organization conducts background checks and other investigatory services. New jersey health care system, inc. is an inactive entity. New jersey health, inc. was an inactive entity until its statutory merger into Liberty Behavioral Health Associates Faculty Practice Plan, Inc. during 2018. New jersey healthcare associates is an inactive entity. New jersey imaging network, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is center state management corporation. This organization engages in healthcare services. New jersey management services organization was an inactive entity until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Professional quality liability insurance company, a risk retention group, was a vermont based insurance company until being dissolved during 2018. Rwj hamilton physician enterprise, p.a. is an inactive entity. Rwj kidney transplant association is an inactive entity. Rwj medical associates at hamilton is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital at hamilton. The organization is located in hamilton, mercer county, new jersey. The organization provides medical services to individuals. Rwj medical services organization at hamilton is an entity whose sole shareholder is livingston services corporation. The organization is located in hamilton, mercer county, new jersey. This entity derives income from the receipt of rental income. R.w.j. medical associates, p.a., is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital. The organization is located in new brunswick, middlesex county, new jersey. The organization provides medical services to individuals. Rwj multi-specialty group, p.a. is an inactive entity. Rwj physician enterprise, p.a. is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital. The organization is located in new brunswick, middlesex county, new jersey. This entity provides medical services to individuals. Rwj-regent, l.l.c. is a limited liability company treated as a partnership for tax purposes, formed in the state of new jersey and operates an ambulatory surgery center. Rwj-regent ii, l.l.c. is a limited liability company treated as a partnership for tax purposes, formed in the state of new jersey and operates an ambulatory surgery center. Rwj surgery center, inc. Is an entity whose sole shareholder is robert wood johnson university hospital. The organization is located in new brunswick, middlesex county, new jersey. This entity provides medical services to individuals. Sbc management corporation is an entity, whose sole shareholder is livingston services corporation. The organization is located in west orange, essex county, new jersey. This entity provides managerial administration and support to rwjbh. Shc enterprises, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in somerville, somerset county, new jersey. This entity provides management services. Shrewsbury diagnostic imaging, l.l.c. is a limited liability company treated as a partnership for tax purposes. This organization engages in healthcare services. Somerset cardiology group, p.c. is an inactive entity. Somerset cardiology partners, p.c. is an inactive entity. Somerset realty group, inc. is an entity whose sole shareholder is shc enterprises, inc. The organization is located in somerville, somerset county, new jersey. This entity provides real estate services. Somerset staffing corporation was an inactive entity until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Vision healthcare, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in rahway, union county, new jersey. This entity conducts various healthcare business activities. Warren internal medicine, p.c. is an inactive entity. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. X true true X X X X X true true false false false false false true false JENFU CHENG MD TRUSTEE - PRESIDENT MED STAFF 222321 0 27010 0 18933 0 10045 0 29668 0 307977 0 0 0 AMY B MANSUE TRUSTEE - RWJBH PRES. S. DIV. 0 753384 0 547037 0 487643 65224 15125 0 9451 65224 1812640 0 95618 MATTHEW MCDONALD MD TRUSTEE - VP/CMO 319242 0 38475 0 2845 0 32125 0 27040 0 419727 0 0 0 WARREN E MOORE TRUSTEE - PRESIDENT/CEO 460241 0 268486 0 170431 0 428991 0 23244 0 1351393 0 0 0 PHILIP SALERNO III TRUSTEE - PRES/CDO FOUNDATION 355897 0 58548 0 15899 0 11000 0 27324 0 468668 0 0 0 JOSEPH J DOBOSH JR MBA VP/CFO 258171 0 80090 0 76752 0 71262 0 17512 0 503787 0 0 0 CHARLES CHIANESE MBA VP/COO 308298 0 78435 0 16837 0 127470 0 1252 0 532292 0 0 0 CHRISTOPHER HAINES DO FACEP VP/CMO (TERMED 6/12/18) 184004 0 94050 0 572834 0 3690 0 1672 0 856250 0 96630 0 MICHAEL R DRIBBON PHD VP/BUS DEVELOP/CRO 306185 0 63266 0 46799 0 101862 0 18893 0 537005 0 909 0 BONNIE ALTIERI PHD RN VP PATIENT CARE SERVICES/CNO 261087 0 65797 0 7091 0 109259 0 14853 0 458087 0 0 0 WILLIAM J DWYER VP/CHIEF HR OFF.(TERM 3/11/18) 47538 0 24580 0 238819 0 0 0 1176 0 312113 0 0 0 RUTH K BASH VP/CHIEF CULTURE/CHIEF HR OFF 200000 0 49800 0 5733 0 59928 0 1020 0 316481 0 0 0 COLIN R O'REILLY MD SECTION CHIEF IP PEDIATRICS 273031 0 55121 0 2992 0 5500 0 23840 0 360484 0 0 0 KRISHAN YALAMANCHI MD DIRECTOR BRAIN INJURY PROGRAM 240620 0 0 0 24167 0 10364 0 16530 0 291681 0 0 0 ELVIRA DOWNS MD SECTION CHIEF PSYCHIATRY 240264 0 20502 0 3664 0 9759 0 8966 0 283155 0 0 0 PATRICIA D FOLEY PT FACHE VP OUTPATIENT SERVICES 194310 0 49386 0 4612 0 61733 0 25064 0 335105 0 0 0 ANNA MALIA BECKWITH MD SECTION CHIEF NEURODEVELOPMENT 213318 0 30691 0 2613 0 4606 0 32283 0 283511 0 0 0 SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION PAID FOR HEALTH CLUB DUES FOR CERTAIN EMPLOYEES. THE HEALTH CLUB DUES ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: WARREN E. MOORE, $500; JOSEPH J. DOBOSH, JR., MBA, $500; CHARLES CHIANESE, MBA, $500; CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $500; MICHAEL R. DRIBBON, PH.D., $500; BONNIE ALTIERI, PH.D., RN, $500; RUTH K. BASH, $500 AND PATRICIA D. FOLEY, PT, FACHE, $500. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2018 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $193,214 AND WILLIAM J. DWYER, $189,073. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $95,618; WARREN E. MOORE, $155,697; JOSEPH J. DOBOSH, JR., MBA, $65,495; CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $325,206; MICHAEL R. DRIBBON, PH.D., $33,387 AND WILLIAM J. DWYER, $48,207. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FOREFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HER 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $335,000. 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 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MATTHEW MCDONALD, M.D., $26,625; WARREN E. MOORE, $417,991; JOSEPH J. DOBOSH, JR., MBA, $60,262; CHARLES CHIANESE, MBA, $119,220; MICHAEL R. DRIBBON, PH.D., $90,862; BONNIE ALTIERI, PH.D., RN, $101,331; RUTH K. BASH, $55,928 AND PATRICIA D. FOLEY, PT, FACHE, $53,745. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES INTEREST CREDITS ON AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) FROM HER FORMER EMPLOYER; CHILDRENS SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HER 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $65,224. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 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 J, PART II, COLUMN F THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THOSE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEARS FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $95,618; CHRISTOPHER J. HAINES, D.O., FAAP, FACEP, $96,630 AND MICHAEL R. DRIBBON, PH.D., $909. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Children's Specialized Hospital ("CSH"), a member of the RWJBarnabas Health system ("rwjbh"), is a not for-profit licensed comprehensive pediatric rehabilitation hospital providing pediatric inpatient, outpatient, long-term, and primary care. CSH also operates a licensed pediatric medical day care and two pediatric practices for children with disabilities. The hospital also provides early intervention services for children ages birth to three years old. CSH has developed a web portal that provides better access to the patients medical information, the ability to handle more aspects of care remotely, and regular follow-up visits. CSH has been providing services to the children of New Jersey and surrounding states for over 125 years. Our talented and caring staff provide a wide array of medical, developmental, educational and rehabilitative services for infants, children, adolescents, and young adults. CSHs healthcare professionals are committed to providing comprehensive, coordinated and compassionate care to children with chronic illnesses and disabilities who have multiple and complex therapy needs. Evaluation and treatment is available for a variety of rehabilitation needs, including, but not limited to, brain injuries, spinal cord dysfunction, respiratory issues, autism, orthopedic problems, sports injuries, chronic pain syndromes, chronic illnesses, learning disabilities, language or hearing problems, developmental delays, and behavior or attention problems at home or in school. CSH is recognized by the internal revenue service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, CSH 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, CSH operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. CSH provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. CSH maintains an open medical staff, with privileges available to all qualified physicians; 3. Control of CSH rests with its board of trustees and the board of trustees of RWJ Barnabas Health, inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 4. 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 CSH, 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 CSH 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. CSH's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of an integrated healthcare delivery system. The sole member of each entity is either RWJ BH or another RWJBH affiliate controlled or owned by RWJ BH. CSH, like its corporate parent, is a not-for-profit organization. RWJBH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. RWJBH was formed with the merger of Barnabas Health Inc. ("BH"), the parent of the Barnabas Health System ("Barnabas Health"), and Robert Wood Johnson Health Care Corporation ("RWJHCC"), the parent of the former Robert Wood Johnson Health System ("RWJHS"). The definitive agreement signed on July 14, 2015, outlined the combination of these two leading health systems and created the largest and most comprehensive healthcare delivery system in the state of New Jersey and one of the largest in the nation RWJBH. The transaction (hereinafter referred to as the "merger") successfully completed federal and state review in March 2016, and the transaction closed operationally on April 1, 2016. The background of BH includes its formation in June 1996 when six New Jersey hospitals and their affiliates joined Saint Barnabas Medical Center and Union Hospital (), which had affiliated in 1993. The six hospitals included: Community Medical Center, Inc. and Kimball Medical Center, Inc., which had affiliated in 1993 to form the Community/Kimball Health Care System; Newark Beth Israel Medical Center, Inc. and Irvington General Hospital, Inc. ("Irvington"), affiliates of each other since 1991; Monmouth Medical Center, Inc.; and Wayne General Hospital Corp. ("Wayne"). In January 1997, West Hudson Hospital Association, Inc. ("West Hudson") joined Barnabas Health, followed by Clara Maass Medical Center in December 1997. Barnabas Health subsequently divested Wayne, closed West Hudson, Irvington, and Union and consolidated their operations into other system facilities. Most recently, Jersey City Medical Center joined Barnabas Health in 2014. The background of RWJHCC includes its formation in 1984 to promote, support and further the charitable purposes of the Robert Wood Johnson University Hospital and other affiliated and related non-profit health care organizations. RWJHS then expanded to include Robert Wood Johnson University Hospital at Hamilton, Robert Wood Johnson University Hospital Rahway, Childrens Specialized Hospital, Somerset Medical Center, and other health care related ventures. RWJBH is the largest multi-hospital system in New Jersey and continues to provide substantial community benefit as was previously provided by its formative health systems, BH and RWJHCC. RWJBH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJBH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey department of health without charge or at amounts less than established rates. RWJBH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. RWJBH is New Jerseys second largest private employer with approximately 32,000 employees, nearly 7,300 individual physicians on the combined medical staffs (of which, in excess of 1,600 are employed), and over 1,000 residents and interns. RWJBH routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in excess of $5 billion and treats over three million patients each year with nearly 198,000 inpatient admissions, over two million outpatient visits (including over 742,000 emergency department visits) and nearly 24,000 newborn and neonatal admissions. RWJBHs composition includes 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. RWJBH created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout New Jersey. The systems geographic coverage spans the greater Hudson, Essex, Union, Middlesex, Mercer, Somerset, Monmouth and Ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of BH and RWJHS promotes the highest quality healthcare delivery and greater levels of efficiency. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform health care in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. Mission Statement/Vision/Values =============================== Vision ------ The vision of CSH is a world where all children can reach their full potential. Mission ------- The mission of CSH is to be the preeminent provider of specialized healthcare services for infants, children and young adults. Values ------ Our trustees, employees and volunteers will embody our values in every interaction with patients, their families, each other and all other stakeholders. Safety: We are committed to zero incidents of preventable harm for our patients, families, visitors and each other. We speak up for safety, accurately communicate, focus on the task, exercise and accept a questioning attitude, and thoughtfully interact. Compassion: We provide a loving, caring, family-centered environment for the children, their families, and each other. We advocate for children and their families. Excellence: we will be the best at our work and provide the highest quality family-centered care to our children. We are committed to ethical practices and transparency. We will be creative in providing care and solving problems. Teamwork: We seek to collaborate and partner in all that we do. Every person on our team is needed to provide the safe and exceptional care for which we are known. We work together and communicate respectfully. Fun: We will provide a positive and friendly environment. Hospital Statistical Information ================================ CSH is a regional provider of specialized children's services and cared for over 37,000 unduplicated patients in 2018, a 6.9% increase over the previous year. In 2018, CSH provided inpatient care for 584 children and long-term care residential services for 88 children. CSH provided more than 676,883 half hours of outpatient units of services during 2018; the outpatient services include over 31,133 children visiting our physicians and therapists, over 5,625 children served in our early intervention program. CSH is committed to providing quality and compassionate care to its communities. Its pay mix was comprised of approximately 60% underinsured and uninsured payer classifications in 2018. During 2018, 672 volunteers dedicated their time, talent and efforts to patients and their families. Around 36,058 hours of service was provided. Accomplishments/Milestones/Recognitions/Awards ============================================== Accreditations/licensures ------------------------- CSH holds the following: 1. Accredited by The Joint Commission of Accreditation of Healthcare Organizations; 2. Licensed by the New Jersey Department of Health as a Comprehensive Rehabilitation Hospital; 3. Licensed by New Jersey Department of Human Services for Outpatient Mental Health Services; 4. Licensed by New Jersey Department of Health for multiple hospital-based, off-site ambulatory care facility primary care and physical therapy; 5. Licensed by New Jersey Department of Health as Pediatric Long Term Care Facility. 6. Certified by Medicaid, Medicare, and Special Child Health Services. Accomplishments, awards and recognitions ---------------------------------------- - Special needs primary care at CSH was the first special needs pediatric practice in New Jersey to receive a patient-centered medical home (PCMH) designation by the national committee for quality assurance (NCQA), the most widely adopted model for recognizing PCMH standards. - First pediatric hospital in New Jersey to have a full-time therapy dog. - Awarded a $600K grant from SPARK (Simons Foundation Powering Autism Research for Knowledge) which is a landmark autism research initiative focused on advancing the understanding of autism to help improve lives. Through this grant, we will be recruiting, engaging, and retaining a community of individuals affected by autism and their families, asking them to share medical and genetic information with scientists. This data will help our researchers to advance the genetic understanding of autism and provide meaningful information and resources to participants. - Launched the New Jersey Autism Center of Excellence (NJACE) along with Rutgers University. This is a statewide innovative, comprehensive and collaborative network to promote quality research, professional training and build public awareness aimed to improve the lives of individuals with ASD across the lifespan. - CSH Chief Medical Officer, Matthew McDonald, was nominated and selected as an NJBIZ Forty Under 40 Winner in the Healthcare Category. - CSH President and Chief Executive Officer, Warren Moore, was awarded with the Harold L. Conover Leadership Award from Rider University. - CSH President and Chief Executive Officer, Warren Moore, was awarded with the Infantry Inspiration Award from Izzys Infantry Fighting Pediatric Cancer & Spinal Trauma at their second annual Rally Around Hope reception. Charitable purposes, charity care and community activities ---------------------------------------------------------- CSH provides healthcare services to all NJ children who can benefit from rehabilitative in a non-discriminatory manner regardless of ability to pay. CSH provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates and maintains records to identify and monitor the level of charity care it provides. CSH does not pursue collection of amounts determined to qualify as charity care; therefore, these amounts are not reported as net patient service revenue. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. CSH does not receive any distribution of federal or state subsidies for charity care services rendered. Patient-and-Family-Centered Care and CSH ---------------------------------------- Patient-and-family-centered care is an approach to healthcare that shapes healthcare policies, programs, facility design, and day to day interactions among patients, families, physicians and other healthcare professionals. Healthcare professionals, who practice patient-and-family-centered care, recognize the vital role that families play in ensuring the health and well-being of children and family members of all ages. These practitioners acknowledge that emotional, social and developmental supports are integral components of healthcare. They respect each child and family's innate strengths and view the healthcare experience as an opportunity to build on these strengths and support families in their care-giving and decision-making roles. A patient-and- family centered approach leads to better health outcomes and wiser allocations of resources, as well as greater patient and family satisfaction. Care-giving and decision-making roles. A patient-and-family centered approach leads to better health outcomes and wiser allocations of resources, as well as greater patient and family satisfaction. Patient-and-family centered care in pediatrics is based on the understanding that the family is the child's primary source of strength and support and that the child's and family's perspectives and information are important in clinical decision making. Patient-and-family-centered practitioners are keenly aware that healthcare experiences can enhance parents' confidence in their roles and, over time increase the competence of children and young adults to take responsibility for their own healthcare, particularly in anticipation of the transition to adult service systems. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Patient-and-family-centered care is grounded in collaboration among patients, families, and all hospital personnel for the planning, delivery, and evaluation of healthcare to the children we serve, as well as in the education of healthcare workers. Continuing our goal to be recognized as a center of excellence in pediatric care, CSH is committed to the integration of patient-and-family-centered principles into our health care policies and practices across the continuum of care provided by our institution. In placing the needs of the child and family at the center of all activities we will fulfill our mission and embody the values of patient-and-family-centered care and CSH by: - Respecting each child and his or her family as partners in care; - Honoring diversity and its effect on the family's experience and the perception of care through recognizing that each family is unique in their structure, values, culture, ethnicity, orientation, spiritual beliefs, social, economics, educational, and geographic diversity; - Building on the strengths of each child and family, even in difficult and challenging situations, by acknowledging each family's priorities and level of expertise; - Recognizing and respecting different methods of coping; - Implementing comprehensive services that provide developmental, educational, emotional, environmental and financial supports; - Supporting and facilitating choice for the child and family about approaches to care and support; - Ensuring flexibility in organizational policies, procedures and provider practices to reflect diversity and meet the needs, beliefs, personalities, life experiences, spiritual and cultural values of each child and family; - Providing formal and informal support for each child and family. Collaborating with families at all levels of healthcare, in the care of the individual child and in professional education, policy making and program development, through the exchange of honest and unbiased information on an ongoing basis and in ways that are useful and affirming; - Empowering children and families to discover their own strengths, build confidence and make choices and decisions about their health through the creation of true partnerships with healthcare professionals; and - Working with local communities, schools and health officials to ensure that community services and support systems for children and their families are flexible, accessible and comprehensive. CSH maintains inpatient programs for brain injury, spinal cord dysfunction, infant and toddlers with prematurity and birth related disorders, chronic pain, chronic illness, and general rehabilitation. Outpatient programs exist at varying levels of development including the autism program and the comprehensive feeding program. These are just a few of our many programs and specialty service areas that combine cutting-edge technology with clinical expertise and compassionate care in a patient-and-family-centered environment at facilities in Bayonne, Clifton, East Brunswick, Egg Harbor Township, Hamilton, Jersey City, Mountainside, Newark, New Brunswick, Toms River, and Warren. Additionally, CSHs staff provides expertise at various schools, centers, and programs for children with special needs throughout New Jersey. Centers of Excellence ===================== CSHs recognized medical services centers of excellence include, but are not limited to, the following: Inpatient Programs ------------------ Inpatient services are licensed for 90 pediatric rehabilitation beds, 68 comprehensive rehabilitation beds and 73 pediatric long-term care beds that are in operation. Inpatient rehabilitation care provided includes medical and nursing care, comprehensive therapy services, psychological and neuropsychological services, academics, social services, and nutritional services. Included in the therapy services are physical therapy, hydrotherapy, rehabilitation technology, augmentative communication, occupational therapy, activities of daily living, speech and audiology, respiratory therapy, recreational therapy and child life. These CSH services are provided to allow the children to attain their greatest potential - medically, socially, academically, and emotionally. Their families are provided with support and educational services to ensure their child can return to their home and community. Our long-term care centers, located in Mountainside and Toms River, NJ are skilled nursing facilities providing 24-hour nursing care to the medically involved patient. We have 46 licensed beds in mountainside and one waiver bed and 26 licensed beds in Toms River. Our long-term care patients receive respiratory and nutritional services, physical and occupational therapy, as well as recreational and child life services. Some of the patients attend an on-site school while others are transported to community schools. Brain Injury ------------ Helping a child recover from a brain injury presents complex challenges. While the child needs help in recovering from his injuries, he also is still developing physically, emotionally, and intellectually. The brain injury program at CSH meets these challenges and the unique needs of children by providing innovative, expert and loving care for the patient with a brain injury on his or her road to independence. The brain injury program, which was established in 1981, is designed to meet the needs of brain-injured, age appropriate patients, at all levels of cognitive awareness. The rehabilitation process is the foundation for long term recovery. Children are best treated by pediatric specialists in an environment especially geared to their needs. CSH provides specialized care for each child's unique needs during their recovery in a comprehensive medical and rehabilitation setting. A full continuum of care from coma to re-entry to the community is provided for each child. The brain injury program is geared toward maximal progress through rehabilitation while emphasizing the achievement of normal pediatric developmental milestones. CSHs professional staff, who are experienced with brain injuries and the developmental needs of children, incorporate each child and family within the rehabilitation team to encourage optimal progress. Each child's individualized program focuses on their medical, physical, cognitive, and psychosocial needs. In addition to individual therapy, group therapy provides comprehensive structured stimulation sessions for patients in order to enhance and accelerate arousal, alertness, orientation and socialization. The brain injury program addresses: - Medical management; - Specialized nursing care; - Physical therapy; - Occupational therapy; - Speech therapy; - Auditory evaluation; - Cognitive status; - Nutritional status; - Family support; - Case management; - Psychological status; - Cortical functioning; and - Re-entry to home, school, and community. One outpatient component of the brain injury program is the neuro-rehabilitation program. The neuro-rehabilitation group program is an intensive treatment program for children and adolescents who have sustained a traumatic brain injury, or who are experiencing cognitive dysfunction as a result of neurological or other chronic illness. This family-centered program provides therapeutic interventions designed to help children and adolescents regain cognitive skills and learn compensatory strategies that are needed for school and social functioning. The program also addresses motor impairments that may accompany acquired brain injury or illness. The group program is delivered primarily in small group settings. Individual physical, occupational, speech therapies and neuropsychology may also be provided as indicated. Involvement in the group program prepares the youngster for return to a larger group setting, usually school, and provides him or her with improved skills for peer interaction and socialization. Children may also be seen through the neuro-rehabilitation individual program. Children in the individual program are involved in school and community activities but require additional intervention to better regain or develop compensatory skills to improve or maintain age appropriate ways of thinking and behaving. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Spinal Cord Program ------------------- The spinal cord program provides intensive and comprehensive rehabilitation services for children and adolescents with acquired and congenital spinal cord problems. The program treats patients with all levels of pediatric spinal cord dysfunction, from the child dependent on a ventilator to the individual with the lowest level of spinal cord injury. Patients are provided with an aggressive rehabilitation treatment program coupled with comprehensive medical and nursing care. The program's team approach results in a coordinated treatment plan designed to meet the complex needs of each patient and his or her family. While an emphasis is placed on achieving normal developmental milestones, the treatment plan takes into account the patient's level of injury, age, and developmental abilities in creating realistic expectations for performing activities. The team is adept at developing treatment plans to accommodate patients with high spinal cord injuries (tetraplegia & quadriplegia) who require a tremendous amount of support, special equipment and ventilator assistance, as well as those patients with low level spinal cord injuries (paraplegia) who can gain virtual independence. Intensive medical needs can be safely accommodated at CSH by virtue of the extensive medical coverage provided to the patients. Patients with tracheostomies, special feeding needs, and intravenous and central lines, for example, can be managed while receiving the necessary rehabilitation therapy. Families and patients are integrally involved in the comprehensive treatment planning. Families and patients also receive instruction from the staff in overall care and the use of special equipment. The team thoroughly educates the patient and his or her family regarding the physical consequences of a spinal cord injury and the required care and treatment. Some of the diagnostic and special services available to patients in the spinal cord program include: - Electrodiagnostic testing; - Ventilator assistance program; - A full range of diagnostic urologic testing; - Referral for baclofen pump placement; - Orthotics and prosthetics; - Rehabilitation technology services including: - Seating and positioning; - Mobility and environmental access; - Augmentative and alternative communication; and - Computer access. Medical and Community Services ============================== General Rehabilitation Program ------------------------------ The general rehabilitation program at CSH offers habilitation and rehabilitative services to patients ages birth to 21 with, but not limited to, neurologic, orthopedic, developmental, cardiopulmonary disorders and/or other acquired injuries and illnesses, through an interdisciplinary team approach. The program provides assessment, treatment, and/or support to the patient and family from the acute inpatient phase of rehabilitation through the community, vocational, and educational re-entry phase. In order to offer a continuum of comprehensive transdisciplinary service to these children and their families, in a compassionate, professional and holistic fashion, services are provided through both inpatient and outpatient phases of rehabilitative care. Patients admitted to the program are required to meet the following criteria regarding their medical stability: initial diagnostic and surgical procedures must be completed; medication regimen, fluid and electrolyte balance and life support services must be stabilized. The patients served may have impairments in areas including those of, cognition, mobility, self-care, communication, social emotional functioning, sensory processing, academic functioning, and feeding. The program addresses the behavioral, functional, physical, cognitive, psychosocial, vocational, educational, leisure, and recreational needs of each patient. Every effort is made to accommodate the patient and families unique cultural and spiritual needs. The goal of the program is to reduce the barriers, which limit a child's ability to participate in developmentally appropriate activities of his or her life. To facilitate a smooth transition and optimize the patient's ability to fully integrate into the community, outreach and education are provided to the intended discharge environment (e.g. school, home, community organizations). In addition, patients are provided developmentally appropriate life skills training through group and individual therapy as well as community out-trips. Some children and adolescents seen through these programs require intensive medical, nursing, and respiratory therapy support for respiratory problems. These children may have congenital or acquired respiratory problems including bronchopulmonary dysplasia, congenital muscular problems, and congenital and acquired airway and respiratory abnormalities. Infant and Toddler Program -------------------------- The Infant Toddler Program provides intensive and comprehensive rehabilitation services for infants and young children with medical difficulties related to prematurity and a range of disorders presenting at birth including drug-exposed newborns who are treated in our neonatal withdrawal and rehabilitation program. The program treats children who require all levels of neonatal care. Patients are treated with a comprehensive, therapeutic program, coupled with excellent medical and nursing care. Because of this team approach, a coordinated treatment plan can be designed to meet the complex needs of each patient and his or her family. While emphasizing age-appropriate skills, the team customizes goals based on each infant's or toddler's medical stability, age, and developmental level to maximize his or her unique potential. The multispecialty staff is highly trained in working with these children who require special equipment and ventilator assistance. The team uses special techniques to encourage the childs interaction with the environment during therapy sessions. We are able to offer this specialized treatment because our staff is committed to pursuing on-going education and training in state-of-the-art techniques that are necessary to treat this special population. Those infant and toddler patients who need special medical care can be safely accommodated with CSHs extensive medical coverage. These patients may be tracheostomy dependent, oxygen dependent, or ventilator dependent, requiring close monitoring and frequent changes in management. These patients, as well as those infants and toddlers with special feeding needs, intravenous and central lines, can be managed while receiving rehabilitation therapy. Family involvement is vital to a child's overall development. We strongly encourage family participation in treatment sessions. Our team instructs families in caring for their children and using special equipment. Families learn about therapeutic interventions that promote growth and development. Infant toddler medical specialties: A neonatologist/pediatrician, a physician who specializes in neonatal care and pediatrics, heads the infant toddler program team. Other multidisciplinary pediatric professionals provide medical support, rehabilitation services, and address developmental needs while aiming toward maximizing respiratory independence. While upon admission many of the children require intensive respiratory care, the goal for each is to be transitioned back to his or her home and community. Other medical specialists for the infant toddler program are also available for consultation: - Ear, nose, and throat; - Neurology; - Ophthalmology; - Orthopedics; - Physiatry; - Radiology; and - Urology. Chronic Pain Management Program ------------------------------- The Chronic Pain Management Program at CSH promotes the wellness of children and adolescents ages 11-21 years old, with chronic pain, by teaching strategies to manage pain and encourage functional activity. The inpatient chronic pain management program at CSH is typically for children and adolescents with chronic pain who continue to have significant pain and difficulties with daily functions despite trials of consistent outpatient therapies. This evidence-based program is typically a four-week period, with focus on regaining function and using one's body in a normal way. The approach to treatment of chronic pain at CSH includes intense physical and occupational therapy and integrated exposure to mental health intervention. Our specialized team focuses on treating Chronic Regional Pain Syndrome (CRPS) and related forms of amplified pain such as: - Fibromyalgia; - Amplified Musculoskeletal Pain Syndrome (AMPS); - Reflex Sympathetic Dystrophy (RSD); and - Reflex Neuropathic Dystrophy (RND). CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Chronic Illness Management Program ---------------------------------- Launched in 2006, the chronic illness management program at CSH is a comprehensive inpatient program for adolescents who struggle to manage their condition. It provides the child/teen and family with a structured, comprehensive treatment plan to address medical, nutritional, psychological, social and family communication issues. Since parents and caregivers have a crucial role in supporting their child's health, we encourage parent/caregiver participation in medical education, nutritional and psychological counseling sessions to ensure the greatest success. The program is typically a four-week program that follows a trans disciplinary model and behavioral approach to care, addressing the physical, emotional, and psycho-social needs of each patient. The goal for each adolescent is always to improve self-management of the disease. The chronic illness management program is especially for children with conditions such as, but not limited to: - Diabetes and other metabolic syndrome; - Sickle cell anemia; - Post-organ transplant; and - Cystic fibrosis and other chronic respiratory disease. The Autism Program ------------------ The autism program at CSH works with children through 21 years of age, who have autism spectrum disorder (ASD). The program is dedicated to improving the lives of children, adolescents and families with autism spectrum disorders by providing comprehensive evaluations, treatment, community education and research. We are one of the few programs in New Jersey to provide coordinated, multidisciplinary care for children, adolescents and families affected by ASD. We offer workshops for families newly diagnosed with autism where they have the opportunity to meet with the experts and interact with other families. As part of our outreach programs we provide autism screening/diagnosis as well as educational programs for schools, community organizations and groups. In 2017 our autism educator continued to work with emergency response and law enforcement groups, disaster response crisis counselors, court administrators, educational and community groups providing them with specifics on dealing with an individual with ASD in an emergency situation and integrating them into community programs. Comprehensive Feeding Program ----------------------------- The Comprehensive Feeding Program is an outpatient program that serves infants, toddlers, and young children who are unable or refuse to maintain an adequate oral intake of food. Problems may be medical/physiological, developmental, behavioral, psychosocial, and individual or family related. This team utilizes a multidisciplinary approach to have children eat proper foods and improve nutritional standing. Based on a predicted incidence of 25% of infants and young children with feeding problems, there are thousands of children who can benefit from this service. Each child is provided with a comprehensive evaluation that covers medical, physiological, developmental, behavioral, and psychosocial issues. The team combines the expertise of a multidisciplinary team of professionals whose primary goal is to establish feeding patterns that can be maintained in the child's natural environment. The team includes the following: - Speech pathologist; - Child psychologist; - Pediatric dietitian; - Developmental pediatrician; - Occupational therapist; and - Care coordinator. The program and its team members empower parents and caregivers by providing knowledge and techniques, which will allow them to engage their child in positive therapeutic feeding experiences and interactions. The program also provides support and knowledge to other professionals in the community, such as childcare providers, who participate in the child's feeding experiences. ADHD ---- CSH also provides comprehensive services for children with attention-deficit hyperactivity disorders (AD/HD). CSH is a service provider dedicated to improving the lives of children and adolescents with attention-deficit hyperactivity disorder and associated disabilities. Outpatient Programs and Services -------------------------------- CSH provides a number of outpatient services related to pediatric rehabilitation and education. Outpatient programs offered by CSH include services in assessment and therapy from pediatric medical specialists and sub-specialists, as well as various therapy departments. Therapy services include physical therapy, occupational therapy, speech therapy, psychological counseling and testing, and audiology. In addition, the following medical specialty programs and clinics are offered: neurology, physiatry, psychiatry and developmental & behavioral pediatrics. In addition, we provide primary care pediatric practices for children with special healthcare needs. The Early Intervention Program (EIP) provides early identification, evaluation and intervention that impairs or is likely to impair normal development and/or who have measurable developmental delays. Services are provided in the childs home or in a community setting where the child is comfortable. EIP is funded from the state of New Jersey and the federal government. CSH is a provider of early intervention services for the state of New Jersey for children. Special Needs Primary Care Pediatrics ------------------------------------- In special needs primary care pediatrics, we are proud to provide outstanding, family-centered care for children with special healthcare needs and their siblings. Our goal is for every child to reach his or her full potential. We employ a team-based approach to their healthcare. Our staff, nurses, doctors and care coordinators work together to meet the needs of our special patients. We strive to be the medical home, or center, for the patient's care. Our care coordinators and medical staff help patients and families navigate through the health care system and education system. We help patients and families interact with community organizations, insurance companies, specialists, therapists, and pharmacies while advocating for our patients along the way. Our team in special needs primary care consists of doctors, advanced nurse practitioners, nurses, care coordinators, patient navigators, social workers, patient care techs, office coordinators, insurance liaison and family faculty. Family Faculty Members are the parent or caregiver of a previous or current CSH patient. They help advocate for our patientsfamilies. The team is experienced in caring for children with special needs. We take care of children affected by cerebral palsy, Down syndrome, prematurity, autism, technology dependence, uncommon medical conditions and many other special healthcare needs. We respect the great privilege it is to care for our patients and families. Special needs primary care services are available at our Hamilton and Mountainside facilities. Accessibility plan ------------------ Each year CSH looks at how to improve access to care and the community for our patients and families. We review any barriers that may exist and how to best remove them. Our approach and outcomes are outlined below: - Review plan for promoting accessibility to organization-wide services for persons served, personnel and other stakeholders. - Identify and remove potential barriers to our programs & services for persons served, personnel and other stakeholders. - Identify and remove existing barriers and make programs and services accessible for persons served, personnel and other stakeholders as solicited & identified through an annual accessibility survey, and monthly environment of care rounds. - Initiate and implement necessary steps to decrease or remove identified barrier(s) for persons served, personnel and other stakeholders with a specified timeline. Our sites throughout the state have made our renowned care more convenient and accessible to New Jerseys children. CSH undertakes advocacy and education to eliminate & reduce barriers in the communities of persons served. On an annual basis, hospital leadership reviews the plan for promoting accessibility to organization-wide services for persons served and potential persons served, as well as the findings from the annual accessibility survey that is conducted by a rehabilitation professional & a person served. This review takes place at the hospital's environment of care, operations and performance improvement steering committee(s). Communication and follow through is done within the existing hospital-wide performance improvement structure. Architectural/environmental --------------------------- CSH ensures that all hospital environments (internal and external) newly designed construction areas adhere to ADA standards. CSH measures service access for persons served, personnel and other stakeholders using construction documents and environment of care rounds log. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Attitudinal ----------- CSH provides community staff education programs that aim to heighten the awareness of caregivers and community members to the special needs of persons served. CSH measures the provision of community/staff education to heighten awareness of special needs of persons served through education department listing and advocacy activities (see last section). In 2018, we continued to offer programs to the community in a variety of areas including traumatic brain injury, autism spectrum disorders, spinal cord injury, chronic illness in children and special needs car seat safety and installation. These programs are day long programs and are open to parents as well as professionals who receive CEUs. In addition, our research center offers a distinguished lectures series where experts from around the world are brought in to share their knowledge and research. Financial --------- CSH provides persons served with referral to social, legal or economic advocacy resources. Continue to offer "hospital assistance" (charity care program referred to earlier in the document) named the CSH Benefit Fund in addition to customized payment plans. CSH measures improved financial reimbursement for services delivered to persons served, personnel and other stakeholders through advocacy activities, and patient access service department materials and policies. A positive gain from operations enables CSH to provide services and programs beyond reimbursed clinical care. Several advocacy activities have focused on improving reimbursement for persons served, as well as modifications to "hospital assistance programs". Utilization of Meditech improved consistency and timeliness of documentation, leading to improved reimbursement. In 2018 CSH provided over $860,000 worth of charity care at cost to our patients. Past improvements and benefits include: - Offered scholarships for the adaptive aquatics program for children with autism spectrum disorder. - Expanded outpatient therapy services in Clifton in December 2018. Opened outpatient services in Jersey City in May 2018. - Secured NJ ACE Sub Award for Childrens Specialized Hospital to provide activities to support the Rutgers New Jersey Autism Center of Excellence $964,000 over five years. - Secured sub award from Rutgers for Childrens Specialized Hospital to support the efforts of a bi-lingual research assistant experienced with community-based research in underserved communities to support this effort. - The on-line registration process has worked well where families can schedule an appointment on line. The patient portal where families can now ask for prescription renewals and pay their bills securely on line has made the bill paying process easier and smoother. Tablets are being used in registration to expedite the process for pre-registered/cleared families. - Installed system which enables an automated online process to verify insurance eligibility and benefits. It has decreased the number of phone calls to the health plans. - Installed a process improvement system which allows an automated process to create and assign worklists to the Insurance Verification & Authorization team members. - Application installed that allows Payer Services to request the addition/update to the Childrens Specialized Hospital charge master. - Major build of systems that work with the clinical modules for proper billing and coding and improved the process for notification to therapist upon arrival of the patient via a smart board. - Conducted ongoing organizational-wide education programs for improving chart documentation, selecting proper coding for billing and compliance of all HIPAA regulations. Communication ------------- CSH promotes full program and service access for persons served by respecting ethno-cultural diversity. Ensure that language and cultural differences are not barriers to accessing and participating in hospital programs (i.e. translation services are available and other communication resources). CSH measures communication service access for persons served through contracts for verbal and written translation to promote communication and administrative policy on meeting communication needs. Transportation -------------- CSH provides transportation services as needed through the patient care coordination department for inpatient families. CSH measures transportation access for persons served through patient care coordination department. Admission to hospital program ----------------------------- CSH grants admission to program services and activities to those with an identified need that is validated by meeting pre-established admission criteria/screening. All admissions meeting criteria/screening are offered admission. If patient was not offered admission, referrals were made to appropriate services. Employment ---------- CSH recruits qualified employees with "reasonable accommodations" for persons with activity limitations in order to promote equal employment/participation opportunities throughout all organizational levels. CSH measures adherence to state/federal regulations re: employment without regard to activity limitations, race, color, national origin or age and participate in community efforts to promote opportunities for persons with activity limitations through human resource departments files. Other ----- CSH remains actively involved in committees at the local, state and national level where policies, regulations and program planning impact pediatric services and their accessibility and delivery. CSH measures continued children's advocacy presence at local, state, federal level. For example, in June 2018, CSH leadership along with a patient and family, advocated for childrens health with Senator Bob Menendez, Congressmen Leonard Lance, Congressman Frank Pallone, Jr., and Congressman Bill Pascrell, Jr., at Speak Now for Kids Family Advocacy Day. CSH launched a new family-to-family online communication forum to provide a secure place where families can share ideas, resources, and experiences related to their childs healthcare journey with other families in similar situations. For medically complex and fragile children undergoing pediatric rehabilitation following hospital discharge, telemedicine is helping to improve both patient safety and patient satisfaction while reducing readmissions and the cost of care. One innovative technology enabling physicians to interact remotely with their patients is VGO. We began pioneering VGO in 2014 in our inpatient pediatric rehabilitation hospital in New Brunswick, focusing on our infant-toddler, brain-injury and spinal cord injury programs, and setting up telemedicine "visits" for the first week of follow-up post-discharge. We also are now using VGO in our long-term care center and at night for emergencies, and we have begun partnering with home care nursing companies. Medical staff ============= CSH has 99 physicians, advanced practitioners and specialists on its staff, comprised of the following specialties: - Special needs primary care; - Developmental & behavioral pediatrics; - Neurology; - Neurorehabilitation; - Orthopedics; - Pediatric complex and specialty care; - Physiatry; and - Psychiatry and psychology. Medical Screenings ================== CSH provides medical screening programs to the community in furtherance of its tax-exempt purposes including, but not limited, to the following: - Autism screening clinics held on a regular schedule; and - Early developmental screenings Community Education, Programs and Partnerships ============================================== CSH recognizes that true change comes with collaboration and partnerships, with community stakeholders, other providers and member organizations. CSH holds special memberships with the childrens hospital association, the New Jersey Hospital Association, the Brain Injury Association of New Jersey, American Academy of Pediatrics, International Pediatric Rehabilitation Collaborative and the Pediatric Complex Care Association. These relationships help CSH improve clinical services and address other factors to improve health status. CSH coordinates many health and social services as previously described and other common activities between the medical center and the community, including the provision of numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes. Various community events and outpatient programs and services are offered by CSH. Over 40 community recreation programs are offered such as teens nights, martial arts, gardening and more. Below is a brief list of events and programs offered in 2018 including, but not limited to, the following: CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Partnered with Kohls Cares to develop free early developmental screening; funding and special gifts from Kohls to support programs for our patients and families including the community hub, a centralized resource that promotes awareness and understanding of people living with autism spectrum disorder in our communities; - Held webinars for autism spectrum disorder and provided tips and resources for transitioning the child into adulthood; - Children's regional swim and track meets for athletes with a physical disability; - Adaptive aquatics programs; - Martial arts; - Community recreation programs, teens, nutrition; - Annual beach party for long term care patients and their families; - Free workshop on helping children with disabilities change negative behaviors into positive ones; - Free monthly support groups at Toms River, Hamilton, and Mountainside locations for parents and caregivers; - The community recreation program hosted free cooking classes; - Partnered with RWJ University Hospital and Safe Kids Middlesex County injury prevention coalition to educate and inform the community regarding the dangers of leaving children in a car during warm weather; - Expressive arts connection; - Social connections and workshops; - Various classes and workshops; - Recreational therapy and child life services; - Peer mentor program; - Camp, sports and activities; - Camp chatterbox; - Neuro-rehabilitation program; - Pediatric practice; - Workshops for families newly diagnosed with autism; - Chronic illness program; - Chronic pain program; - Parent resource center; - "Lightning Wheels" wheelchair & ambulatory sports team for those with physical disabilities; - Car seat checks and child passenger safety education; - Managing your childs behavior psychological workshops for parents; - Safe Kids programs; - Annual Walk 'n Roll event; - CSH hosts an "Ask the Experts Gateway" which is an online service where people can submit questions to our pediatric specialists who have extensive experience treating children with a multitude of complex medical and behavioral healthcare needs; - Childs play and adapted sports; - 95.5 WPLJ, 94.7 NASH-FM and 92.7 WOBM provided holiday radiothons to raise awareness and funds to support programs at cash; - Friday night fever Mountainside & Toms River held monthly activities for over 265 participants including a graduation dance, spring prom, boating and movie nights; In addition, leadership and staff members participated in many local, regional, national, international boards & committees including, but not limited to: - Pediatric Complex Care Committee; - Devco; - New Jersey Hospital Association; - Peak Potential; - American Academy of Cerebral Palsy & Developmental Medicine; - Healthcare Financial Management Association; - Ronald McDonald House; - Multiple boards & committees of the Childrens Hospital Association; - New Jersey Chamber of Commerce; - Rutgers University; - International Pediatric Rehabilitation Collaborative; - Tri-state Wheelchair & Ambulatory Athletics; - National Center for Substance Abuse & Child Welfare; - Sunrise Medical Pediatric Advisory Board; - Toms River mayors advisory committee; - Morris Plains board of health; - New Jersey commission on recreation for individuals with disabilities; - Autism speaks NJ; - Adaptive sports USA junior committee; - New Jersey society for respiratory care; - New Jersey physical therapy association; and - Toms River Rotary. Professional medical education, training and research ===================================================== Professional training --------------------- CSH is committed to providing an educational setting which will lead to continuous advancement in professional knowledge and skills for those interested in pediatric rehabilitation. CSH provides clinical training and experience in the field of pediatric rehabilitation and care of the disabled child for resident physicians in the areas of pediatrics and physiatry through schools, which affiliate with the hospital. In addition, the hospital trains fellows, nurses, and therapists enrolled in schools and colleges that are affiliated with the hospital to advance the state of pediatric rehabilitation. CSH also conducts and subsidizes programs and seminars to educate interested healthcare professionals. CSH received some funding from the Childrens Hospitals Graduate Medical Education (CHGME) payment program administered by the Bureau of Health Professions (BHPR), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS). In 2018, we provided medical education to physical medicine and rehabilitation residents with expenses versus total receipts for CHGME we realized a shortfall of approximately $909,003. A few examples include: - Dr. Connie Kasari: "Engaging Autism: Interventions for improving social communication in ASD." Held April 2018. - Dr. Roy Wade: "Childhood Stress and Urban Poverty: The impact of adverse childhood experiences on health." Held September 2018. - Dr. Alex Fiks: "What Health Information Technology Can (and Can't) Do for Pediatric Care." Held October 2018. CSHs Research Center is home to a growing list of innovative trials and collaborative projects with research institutes, hospitals, and universities across the country. CSH and Kessler foundation renewed their research collaboration agreement, that began in 2013, to continue research for children with disabilities. The organizations have collaborated on several successful projects from developing grants and research studies, to implementing exoskeletal technology for children with brain injuries. CSH and Kessler foundation currently offer the following fellowships and internships: - Pediatric Rehabilitation and Neuropsychology Postdoctoral Fellowship: This two-year program, offered jointly through CSH and Kessler Foundation, focuses on clinical research within the specialty area of pediatric neuropsychological rehabilitation. Training opportunities are provided across multiple departments at CSH and Kessler Foundation, capitalizing on unique opportunities throughout both organizations to pursue key clinical research training goals. All fellows participate in an extensive training curriculum and didactic offerings. Multidisciplinary mentored training opportunities are individually tailored to achieve specific goals considering the fellows prior background and interests. - Postdoctoral Research Fellowship in Pediatric Mobility Rehabilitation: This two year program, offered jointly through CSH and Kessler Foundation, prepare biomedical scientists, including engineers (e.g., biomedical, mechanical, rehabilitation), biomechanics, kinesiologists, and those in related fields, for a career in rehabilitation research within the specialty area of pediatric mobility. Training opportunities are provided across multiple departments, capitalizing on unique opportunities throughout both organizations to pursue key research training goals. All fellows participate in an extensive training curriculum and didactic offerings. Multidisciplinary mentored training opportunities are individually tailored to achieve specific goals considering the fellows prior background and interests. Fellows assist in ongoing endeavors as well as develop his/her own mentored research project at CSH and Kessler Foundation. Fellows will work on various aspects of research projects from inception (e.g., study formulation, grant-writing, etc.), through dissemination (manuscript publication). - Childrens Specialized Hospital Research Internship Program hosts 3-4 undergraduate and graduate students during the Fall, Spring, and Summer semesters. During the internship, students: learn how to analyze research articles and summarize key literature participating in our Bi-Monthly Journal Club; Establish an understanding of CSHs 5 core areas by engaging in program-specific projects. Based on skillsets and research needs, each intern is paired with an active project in one of our five research areas (Autism, Brian Injury, Chronic Health Conditions, Cognition, and Mobility); Interact with CSH clinical staff and scientific collaborators by conducting clinician interviews, as well as attending local events or clinical team meetings taking place at CSH, Rutgers, and across the RWJBarnabas Health campus, as well as visit research labs at collaborating institutions including Kessler Foundation. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ROBERT WOOD JOHNSON HEALTHCARE CORPORATION ("RWJHCC") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BARNABAS HEALTH ("RWJ BH") IS THE SOLE MEMBER OF RWJHCC. RWJ BH HAS THE ULTIMATE AUTHORITY AND 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 RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM 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 SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF the RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. 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 REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE 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 RWJ BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PHILIP SALERNO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 55 HOURS PER WEEK AS THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ADDITION, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS A FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART X; LINE 25 The organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($943,937); AND - CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $660. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("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. BARNABAS BAYONNE DEV URBAN RENEWAL CORP 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 352219655 STAFFING SVCS NJ 501(C)(3) 509(a)(3) SBRDC false BARNABAS HEALTH MEDICAL GROUP PC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223316007 HEALTH SVCS. NJ 501(C)(3) 509(a)(2) RWJ BH false Barnabas Health Inc 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222405279 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH false CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222939956 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH false CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER NJ 08754 223343959 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) SBBH false CHILDRENS SPECIALIZED HOSPITAL FDN 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 136844298 FUNDRAISING NJ 501(C)(3) 509(A)(1) CSH true CLARA MAASS FOUNDATION ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 222132516 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false CLARA MAASS MEDICAL CENTER ONE CLARA MAASS DRIVE BELLEVILLE NJ 07109 221500556 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false COMMUNITY MEDICAL CENTER 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 223452306 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false COMMUNITY MEDICAL CENTER FOUNDATION 99 HIGHWAY 37 WEST TOMS RIVER NJ 08755 222597592 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false GREENVILLE HOSPITAL 355 GRAND STREET JERSEY CITY NJ 07302 220963805 INACTIVE NJ 501(c)(3) HOSPITAL RWJ BH false IRVINGTON HOSPITAL FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 237025428 INACTIVE NJ 501(C)(3) 509(a)(3) RWJ BH false JERSEY CITY MEDICAL CENTER 355 GRAND STREET JERSEY CITY NJ 07302 222783298 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false LAKEVIEW CHILD CARE CENTER INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 222627639 CHILD CARE NJ 501(C)(3) 509(A)(2) RWJ BH false LAKEVIEW CHILD CENTER FOUNDATION INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 462038300 FUNDRASING NJ 501(C)(3) 509(A)(3) LCCC false LIBERTY BEHAVIORAL HEALTH ASSOCIATES 355 GRAND STREET JERSEY CITY NJ 07302 223506358 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC false LIBERTY HEALTHCARE SYSTEM INC 355 GRAND STREET JERSEY CITY NJ 07302 223113960 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) RWJ BH false LIBERTY RIVERSIDE HEALTHCARE 355 GRAND STREET JERSEY CITY NJ 07302 223284894 INACTIVE NJ 501(C)(3) HOSPITAL RWJ BH false LIBERTY SURGICAL ASSOCIATES 355 GRAND STREET JERSEY CITY NJ 07302 223386850 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC false MEGA CARE INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222578561 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) CSHG false MONMOUTH MED CNTR - SOUTHERN CAMPUS FDN 600 RIVER AVE ANNEX BLDG E LAKEWOOD NJ 08701 222630076 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH NJ 07740 223452412 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false MONMOUTH MEDICAL CENTER - FACULTY PRACT 100 STATE HIGHWAY 36 WEST LONG BRANCH NJ 07764 223357053 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) MMC false MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH NJ 07740 222456079 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false NEW BRUNSWICK AFFILIATED HOSPITALS INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 221946837 HLTHCARE SVCS NJ 501(C)(3) 509(A)(3) RWJ BH false NEW MARGARET HAGUE CTR WOMENS JCM OBGYN 355 GRAND STREET JERSEY CITY NJ 07302 223363012 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JCMC false NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK NJ 07112 223452311 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false ROBERT WOOD JOHNSON VISITING NURSES INC 972 SHOPPES BOULEVARD NORTH BRUNSWICK NJ 08902 263659270 HLTHCARE SVCS NJ 501(C)(3) 509(A)(2) NA false RWJ BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 810682747 INACTIVE NJ 501(C)(3) 509(A)(3) NA false RWJ HEALTH CARE CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 222568905 HOLDING CO. NJ 501(C)(3) 509(A)(3) RWJ BH false RWJ HEALTH CARE CORPORATION AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 222566863 HOLDING CO. NJ 501(C)(3) 509(A)(3) RWJHCC false RWJ HEALTH NETWORK INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223420314 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) RWJ BH false RWJ PROPERTY HOLDING CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 222474955 PROPERTY NJ 501(C)(3) 509(A)(3) RWJHCC false RWJ UNIVERSITY HOSPITAL ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 221487243 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false RWJ UNIV HOSP AT HAMILTON FDN INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 222552329 FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJ BH false RWJ UNIV HOSP RAHWAY FOUNDATION 865 STONE STREET RAHWAY NJ 07065 222405094 FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJUHR false RWJ UNIV HOSPITAL AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 210634572 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false RWJ UNIV HOSPITAL FOUNDATION INC 10 PLUM STREET NO 910 NEW BRUNSWICK NJ 08901 222378007 FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJ BH false RWJ UNIVERSITY HOSPITAL RAHWAY 865 STONE STREET RAHWAY NJ 07065 221487305 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false SAINT BARNABAS BEHAVIORAL HEALTH CENTER 1691 ROUTE 9 TOMS RIVER NJ 08754 222977312 HEALTH SVCS. NJ 501(C)(3) HOSPITAL CSHG false SAINT BARNABAS HEALTH CARE SYSTEM FDN 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223769036 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false SAINT BARNABAS HOSPICE AND PALLIATIVE 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222354659 HEALTH SVCS. NJ 501(C)(3) 509(a)(1) RWJ BH false SAINT BARNABAS MEDICAL CENTER 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 221494440 HEALTH SVCS. NJ 501(C)(3) HOSPITAL RWJ BH false SAINT BARNABAS OUTPATIENT CENTERS 200 SOUTH ORANGE AVENUE LIVINGSTON NJ 07039 222458479 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) RWJ BH false SAINT BARNABAS REALTY DEVELOPMENT CORP 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 222940008 TITLE HLDNG. NJ 501(C)(3) 509(a)(3) RWJ BH false SANDY HOOK FRNDS OF ST BARNABAS BURN FDN 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 223236202 FUNDRAISING NJ 501(C)(3) 509(A)(3) RWJ BH false SOMERSET COMMUNITY CARE CORP 110 REHILL AVENUE SOMERVILLE NJ 08876 223295495 INACTIVE NJ 501(C)(3) 509(A)(2) RWJUH false SOMERSET HEALTH CARE AFFILIATES INC 110 REHILL AVENUE SOMERVILLE NJ 08876 222665685 INACTIVE NJ 501(C)(3) 509(A)(2) RWJUH false SOMERSET HEALTH CARE FOUNDATION INC 110 REHILL AVENUE SOMERVILLE NJ 08876 223294408 FUNDRAISING NJ 501(C)(3) 509(a)(1) RWJ BH false THE JERSEY CITY MEDICAL CENTER FDN 355 GRAND STREET JERSEY CITY NJ 07302 223113911 FUNDRAISING NJ 501(C)(3) 509(a)(2) RWJ BH false UNITED RESCUE AT JERSEY CITY INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222458481 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) JCMC false VNA HEALTH GROUP OF NEW JERSEY LLC 176 RIVERSIDE AVENUE RED BANK NJ 07701 474841103 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MEGA CARE false CENTRAL JERSEY ACO LLC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 455460713 HEALTHCARE SVCS. NJ NA INNOVATIVE PURCHASING CONCEPTS 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223786557 inactive NJ NA JERSEY ASC VENTURES LLC 1A BURTON HILLS BLVD NASHVILLE TN 37215 473368037 MEDICAL TN NA LIBERTY HEALTHCARE MANAGEMENT 355 GRAND STREET JERSEY CITY NJ 07302 223597891 MANAGEMENT NJ NA LIBERTYUSP SURGERY CENTERS LLC 15305 DALLAS PKWY SUITE 1600 LB 28 ADDISON TX 75001 264756962 HEALTHCARE SVCS. TX NA NEW JERSEY IMAGING NTWKLLC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 460623701 HEALTHCARE SVCS. NJ NA RWJ-REGENT II LLC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08903 800878969 HEALTHCARE SVCS. NJ NA RWJ-REGENT LLC 10 PLUM STREET 4TH FLOOR NEW BRUNSWICK NJ 08901 453853994 HEALTHCARE SVCS. NJ NA SHREWSBURY DIAGNOSTIC IMAGING LLC 1131 BROAD STREET SUITE 110 SHREWSBURY NJ 07702 203833246 HEALTHCARE SVCS. NJ NA HAMILTON ENDO & SURG LLC 1235 WHITEHORSE-MERCERVILLE RD STE HAMILTON NJ 08619 223837967 HEALTHCARE SVCS. NJ NA ACUCARE PHYSICIANS PC 110 REHILL AVENUE SOMERVILLE NJ 08876 223566010 MEDICAL SVCS. NJ NA C CORP. false CENTER STATE MANAGEMENT CORP 300 SECOND AVENUE LONG BRANCH NJ 07740 222506125 MGMT SVCS. NJ NA C CORP. false CSH VENTURES INC 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 472729885 MED. CONSULTING NJ CSH C CORP. 250000 109015 1.00000 true EOS INC 110 REHILL AVENUE SOMERVILLE NJ 08876 300382075 INACTIVE NJ NA C CORP. false HEALTH CARE FACILITIES MGT 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223532988 MAINT. SVCS. NJ NA C CORP. false KIMBALL HLTH CARE AFFILIATES 300 SECOND AVENUE LONG BRANCH NJ 07740 222701213 INVESTMENT NJ NA C CORP. false LIBERTY HEALTHCARE CAPITAL 355 GRAND STREET JERSEY CITY NJ 07302 223444345 LEASE/FINANCE NJ NA C CORP. false LIVINGSTON INFUSION CARE INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223190756 HEALTHCARE SVCS. NJ NA C CORP. false LIVINGSTON SERVICES CORP 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222779395 HEALTHCARE SVCS. NJ NA C CORP. false LSC PHARMACY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 452552776 PHARMACY SVCS. NJ NA C CORP. false MAJOR SECURITY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223040539 SECURITY SVCS. NJ NA C CORP. false NEW JERSEY HEALTH INC 110 REHILL AVENUE SOMERVILLE NJ 08876 223339824 INACTIVE NJ NA C CORP. false NEW JERSEY HEALTHCARE ASSOC PC 110 REHILL AVENUE SOMERVILLE NJ 08876 223339827 INACTIVE NJ NA C CORP. false NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 223536986 INACTIVE NJ NA C CORP. false NJ MGT SERVICES ORGANIZATION 110 REHILL AVENUE SOMERVILLE NJ 08876 223339486 INACTIVE NJ NA C CORP. false PROFESSIONAL QUALITY LIAB 100 BANK STREET BURLINGTON VT 05401 205163819 INSURANCE SVCS. VT NA C CORP. false RWJ HAMILTON PHYSICIAN ENTERPRISE PA ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 460765254 HEALTHCARE SVCS. NJ NA C CORP. false RWJ KIDNEY TRANSPLANT ASSOC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 030382501 HEALTHCARE SVCS. NJ NA C CORP. false RWJ MED ASSOC AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 223454267 PROF. SVCS. NJ NA C CORP. false RWJ MED SVCS ORG AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 223454270 HEALTHCARE SVCS. NJ NA C CORP. false RWJ MEDICAL ASSOCIATES PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223586872 HEALTHCARE SVCS. NJ NA C CORP. false RWJ MULTI-SPECIALTY GROUP PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 030382492 HEALTHCARE SVCS. NJ NA C CORP. false RWJ PHYSICIAN ENTERPRISE PA 3 EXECUTIVE DRIVE SUITE 400 SOMERSET NJ 08873 453967414 HEALTHCARE SVCS. NJ NA C CORP. false RWJ SURGERY CENTER INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223698431 HEALTHCARE SVCS. NJ NA C CORP. false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223414332 MGMT SVCS. NJ NA C CORP. false SHC ENTERPRISES INC 110 REHILL AVENUE SOMERVILLE NJ 08876 222665595 MANAGEMENT NJ NA C CORP. false SOMERSET CARDIOLOGY GROUP PC 110 REHILL AVENUE SOMERVILLE NJ 08876 371640531 MEDICAL SVCS. NJ NA C CORP. false SOMERSET CARDIOLOGY PARTNERS PC 110 REHILL AVENUE SOMERVILLE NJ 08876 900668649 MEDICAL SVCS. NJ NA C CORP. false SOMERSET REALTY GROUP INC 110 REHILL AVENUE SOMERVILLE NJ 08876 223269525 REAL ESTATE NJ NA C CORP. false SOMERSET STAFFING CORP 110 REHILL AVENUE SOMERVILLE NJ 08876 113829651 INACTIVE NJ NA C CORP. false VISION HEALTHCARE INC 865 STONE STREET RAHWAY NJ 07065 204285005 INVESTMENT NJ NA C CORP. false WARREN INTERNAL MEDICINE PC 110 REHILL AVENUE SOMERVILLE NJ 08876 352366107 MEDICAL SVCS. NJ NA C CORP. false CPIC 44 CHURCH STREET HAMILTON BERMUDA BD hm11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false false false true true true false false false false false false false false true true true true true true CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION E 403928 COST CSH VENTURES INC E 135537 COST CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION C 6004857 COST SCHEDULE R, PART V THE ORGANIZATION IS A MEMBER OF RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC., SBC MANAGEMENT CORPORATION AND CENTER STATE HEALTH GROUP, INC.; ALL RELATED ORGANIZATIONS, ROUTINELY TRANSFER FUNDS AND ENGAGE IN BUSINESS ACTIVITIES 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 ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.