2017-11-13T14:33:51-06:00 2016-12-31 EISNERAMPER LLP 111 WOOD AVE SO STE 600 ISELIN NJ 088302700 990 2016-01-01 226019101 THE COMMUNITY HOSPITAL GROUP INC % RICHARD C SMITH COMM 7323217747 98 JAMES STREET EDISON NJ 08820 RICHARD C SMITH CFO 7323217747 2017-11-15 true RICHARD A SACKIN P00184276 7322437000 64.238.150.11 20870020173175000007 2017-11-13 P C0EEDA2444A110224212900A902B450F2B2E607C C0EEDA2444A110224212900A902B450F2B2E607C 2016 2017-02-10 21:41:12Z JFK Medical Center RAYMOND F FREDERICKS 80 JAMES STREET EDISON NJ 08820 560712085 false X jfkhealthsystem.org X 1962 NJ WE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES. 18 15 4870 516759 -17000 5264150 979337 495555277 534444264 1461145 1761750 15319298 14941339 517599870 552126690 0 0 0 0 270455886 288059375 0 0 0 214505423 224641228 484961309 512700603 32638561 39426087 285166570 309103297 272373213 268100151 12793357 41003146 X WE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES. false false 67276597 76529000 JFK JOHNSON REHABILITATION INSTITUTE - During 2016, the JFK Johnson Rehabilitation Institute had 1,981 admissions resulting in 28,229 patient days. Please refer to Schedule O, JFK Medical Center Background and History for more information. 125869880 130980324 INPATIENT SERVICE - During 2016, JFK Medical Center had 17,640 admissions resulting in 88,655 patient days. Please refer to Schedule O, JFK Medical Center Background and History for more information. 99051069 114944008 OPERATING ROOM AND SAME DAY SURGERIES - During 2016, JFK Medical Center performed 3,910 inpatient surgeries, 4,618 same day stay surgical procedures and 2,317 surgical procedures at the Mediplex Surgery Center. Please refer to Schedule O, JFK Medical Center Background and History for more information. 179921945 229774845 472119491 true true false true false false true false false true true false false true true true true true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 363 0 true 4870 true true true false false false false false false false false false X 18 15 false true false false true false true true true false false true true true true true true true true true true NJ X RICHARD C SMITH 7323217747 80 JAMES STREET EDISON NJ 08820 X PRAFUL RAJA CHAIRMAN 0.0 0.0 X 0 0 0 MICHAEL A KLEIMAN DMD VICE CHAIRMAN 0.0 0.0 X 0 0 0 JAY M JENEY SECRETARY & TREASURER 0.0 0.0 X 0 0 0 DAVID A BELOWICH BOARD MEMBER 0.0 0.0 X 0 0 0 RICHARD BULLOCK MD BOARD MEMBER 0.0 0.0 X 0 0 0 SIMPSON YT CHOI BOARD MEMBER-Resigned 10/16 0.0 0.0 X 0 0 0 KIMBERLY GALEOTA BOARD MEMBER 0.0 0.0 X 0 0 0 JOHN O GRUN BOARD MEMBER 0.0 0.0 X 0 0 0 DONALD KLINE MD BOARD MEMBER 0.0 0.0 X 0 0 0 JOHN G MCDONOUGH DMD BOARD MEMBER 0.0 0.0 X 0 0 0 PARAG P PATEL ESQ BOARD MEMBER 0.0 0.0 X 0 0 0 PETER A POGANY BOARD MEMBER 0.0 0.0 X 0 0 0 ELAINE SANTOWASSO BOARD MEMBER 0.0 0.0 X 0 0 0 FRANKLIN SPIRN BOARD MEMBER 0.0 0.0 X 0 0 0 RAYMOND F FREDERICKS CEO/PRESIDENT/EX-OFFICIO 40.0 0.0 X X 1189397 0 329342 JASBIR S SARKARIA MD EX-OFFICIO 0.0 0.0 X 0 0 0 BHUDEV SHARMA EX-OFFICIO 0.0 0.0 X 0 0 0 PRADIP SHAH EX-OFFICIO 0.0 0.0 X 0 0 0 JUDITH SPIEGEL EX-OFFICIO 0.0 0.0 X 0 0 0 FRAN YOREY EX-OFFICIO 0.0 0.0 X 0 0 0 RICHARD C SMITH SENIOR VP & CFO 40.0 0.0 X 669427 0 113057 SCOTT GEBHARD COO 40.0 0.0 X 679800 0 119509 AMIE THORNTON VP OPERATIONS 40.0 0.0 X 427291 0 45881 WILLIAM OSER SVP MEDICAL AFFAIR 40.0 0.0 X 688162 0 106746 SHIRLEY HIGGINS BOWERS SVP HUMAN RESOURCES 40.0 0.0 X 397831 0 72471 JAMES LINDQUIST Chief Nursing Officer 40.0 0.0 X 353696 0 51501 INDRANIL GANGULY CIO 40.0 0.0 X 378893 0 56886 SARA JEAN CUCCURULLO MED DIRECTOR EXEC. 40.0 0.0 X 486625 0 69671 ASIF BASHIR HIGHEST COMPENSATED 40.0 0.0 X 717670 0 7000 STEPHEN BLOOMFIELD MD HIGHEST COMPENSATED 40.0 0.0 X 646371 0 21884 JAWAD F KIRMANI HIGHEST COMPENSATED 40.0 0.0 X 641628 0 20184 THOMAS STEINEKE MD HIGHEST COMPENSATED 40.0 0.0 X 776151 0 24876 Gregory Przybylski HIGHEST COMPENSATED 40.0 0.0 X 566067 0 21949 8619009 0 1060957 14 false true false GE HEALTHCARE 3000 North Grandview Blvd WAUKESHA WI 53188 various equip. serv. 4511220 MCKESSON TECHNOLOGIES INC 5995 Windward PARKWAY ALPHARETTA GA 30005 SOFTWARE SVCS. 6264911 Key Equipment Finance 1000 SOUTH MCCASLIN BLVD SUPERIOR CO 80027 EQUIPMENT LEASE 3988094 Adickman Communications LLC 356 Bloomfield Avenue MONTCLAIR NJ 07042 MEDIA & ADVERTISTING 2419502 Intensive Care Consortium Inc 1875 NW Corporate Blvd BOCA ROTON FL 33431 PROF. SERVICES 1747022 188 271194 708143 979337 PATIENT SERVICE REVENUE 900099 533707609 533707609 MEDICAL RECORDS 900099 237581 237581 NEURO DRUG STUDY 900099 415352 415352 LAMAZE 900099 21707 21707 CPR COURSE 900099 62015 62015 534444264 1663106 1663106 0 0 464974 101486 363488 0 363488 241690 121798 8582553 8483909 98644 98644 0 0 0 0 0 0 0 0 0 SCHOOL OF NURSING 900099 4853429 4853429 MEDICAID STIMULUS 900099 53885 53885 CHILDCARE 900099 1262876 1262876 8407661 8012700 394961 14577851 552126690 548868844 516759 1663106 0 0 0 0 0 0 0 0 0 242088017 217879215 24208802 0 141599 127439 14160 0 26514646 23863181 2651465 0 19315113 17383602 1931511 0 0 1894656 1705190 189466 0 184893 166404 18489 0 0 0 0 0 2124671 1912204 212467 0 2628358 2365522 262836 0 8733281 7859953 873328 0 0 3836556 3452900 383656 0 0 0 1018251 916426 101825 0 6620808 5958727 662081 0 0 13304492 11974043 1330449 0 8003538 7203184 800354 0 MEDICAL SUPPLIES 75081640 75081640 0 BAD DEBT 20657185 20657185 0 PURCHASE SERVICES 39378452 35531944 3846508 0 EQUIPMENT RENTAL & MAINT. 12065271 10858744 1206527 0 29109176 27221988 1887188 512700603 472119491 40581112 0 X 38198122 51883601 0 0 0 0 63828044 65040245 0 0 0 0 0 0 7051897 7405920 8386239 7709237 461740296 322908673 132017624 138831623 17516395 18078193 0 0 0 0 0 0 18168249 20154478 285166570 309103297 79848176 77896200 0 0 2922762 2450220 106630260 104606900 0 0 0 0 0 0 0 0 82972015 83146831 272373213 268100151 X 6931509 34079058 4615222 5679462 1246626 1244626 12793357 41003146 285166570 309103297 X 39426087 109127 -11325425 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true false true 180040 180040 false Part II-B, Line 1(I) OTHER LOBBYING ACTIVITIES RETAINER WITH WASHINGTON STRATEGIC CONSULTING, TRAVEL & CONVENTIONS, MEALS & SPECIAL FUNCTIONS AND PAID STAFF OR MANAGEMENT. Also the hospital is a member of the New Jersey Hospital Association, the American Hospital Association, the AMERICAN MEDICAL REHAB PROVIDERS ASSOCIATION, AND THE FAIR SHARE HOSPITAL COLLABORATIVE. ALL FOUR engage in lobbying efforts on behalf of their member hospitals AND A portion of the dues paid to these organizations has been allocated to lobbying activities performed on behalf of the organization. This allocation amounted to $51,666 X 1 3.00 1 false false 1246626 2000 1244626 1244626 2000 1246626 1217626 27000 1244626 1217626 1217626 1217626 1217626 1.00000 true false 8709847 8709847 196814122 121184817 75629305 1082156 799655 282501 223408231 200924201 22484030 31725940 31725940 138831623 OTHER ASSETS 7850629 BENEFICIAL INT IN NET ASSETS 6924088 NOTE REC. HARTWYCK AT OAK TREE 2685913 DUE FROM JFK FOUNDATION 537348 DUE FROM ATLANTIC INSURANCE EX 883112 DUE FROM RWJ JR LIFESTYLE INST 28555 DUE FROM MUHLENBERG FOUNDATION 688680 NOTE REC FROM JFK HEALTHSHARE 51984 DUE FROM HARTWYCK WEST NURSING 504169 20154478 0 OTHER LONG TERM LIABILITIES 10554610 AMOUNTS DUE 3RD PARTY PAYORS 29654489 ACCRUED PENSION LIABILITY 24278723 ACCRUED POST RETIREMENT BENEFI 4057 CAPITAL LEASE OBLIGATIONS 13326031 CURRENT PORTION OF CAP LEASE O 5239754 DUE TO JFK MEDICAL ASSOCIATES, 48410 JFK HEALTHSHARE 250 MEDIXPLEX SURGICAL CENTER ASSO 220 ACCRUED POST RETIREMENT BENEFI 40287 83146831 X 532104432 -19240986 -19240986 551345418 781272 781272 552126690 492144903 492144903 20555700 20555700 512700603 PART II, LINE 5 JFK MEDICAL CENTER CREATED THE CONSERVATION EASEMENT. THE LAND WAS NOT CONTRIBUTED TO JFK MEDICAL CENTER. PART II, QUESTIONS 6 AND 7 THE ONLY STAFF HOURS AND EXPENSES INCURRED FOR THE PROPERTY AND EASEMENT WOULD BE FOR ORDINARY LAND UPKEEP. PART II, LINE 8 THE EASEMENT IS UNDEVELOPABLE RAW LAND. PART II, LINE 9 JFK MEDICAL CENTER REPORTS CONSERVATION EASEMENTS WITHIN PROPERTY PLANT AND EQUIPMENT ON THE BALANCE SHEET. PART X, QUESTION 2 JFK Medical Center accounts for uncertainty in income taxes by prescribing a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2016 or 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS PROVISION FOR DOUBTFUL COLLECTIONS: -19,240,986 PART XI, LINE 4B - OTHER ADJUSTMENTS INVESTMENT INCOME: 679,324 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURCHASES: 203,434 REAL ESTATE EXPENSE RECLASS: (101,486) TOTAL PART XI, LINE 4B: 781,272 PART XII, LINE 4B - OTHER ADJUSTMENTS PROVISION FOR DOUBTFUL COLLECTIONS: 19,240,986 RECOVERY OF DOUBTFUL COLLECTIONS ON RELATED PARTY RECEIVABLES: 1,416,200 REAL ESTATE EXPENSE RECLASS: (101,486) TOTAL PART XII, LINE 4B: 20,555,700 true true X true X true X 500. true true true false true true 16214602 4168498 12046104 0.02450 53562682 42579685 10982997 0.02230 0 0 0 0.00000 69777284 46748183 23029101 0.04680 681511 0 681511 0.00140 19131442 10815254 8316188 0.01690 46247685 35548711 10698974 0.02170 1862908 1862908 0.00380 0 0 0 0.00000 67923546 46363965 21559581 0.04380 137700830 93112148 44588682 0.09060 true 20657185 11063582 129210310 171151457 -41941147 X true true 2 1 JFK Acute Care Hospital 65 James Street Edison NJ 08820 WWW.JFKMC.ORG 11201 X X X X X SEE ATTACHMENT ON PART V A 2 JRI Rehabiliation Hospital 65 JAMES STREET EDISON NJ 08820 WWW.JFKMC.ORG 22293 X X X X SEE ATTACHMENT ON PART V B A 1 false false true X X X X X X X X X 16 true true false true X JFKMC.ORG/Community-health-needs-assess X true 17 false true false true X 200. 500. X X X X X true true X X X true X JFKMC.ORG **SEE STMT V X JFKMC.ORG **SEE STMT V X X X X X X true X false X true X false false B 2 false false true X X X X X X X X X 16 true true false true X JFKMC.ORG/Community-health-needs-assess X true 17 false true false true X 200. 500. X X X X X true true X X X true X JFKMC.ORG **SEE STMT V X JFKMC.ORG **SEE STMT V X X X X X X true X false X false X X false false PART V, SECTION A ALL PROGRAMS LISTED IN THIS SECTION OPERATE UNDER TWO LICENSES: A) THE COMMUNITY HOSPITAL GROUP, INC JFK MEDICAL CENTER, WHICH IS HEREBY LICENSED TO OPERATE ANTHONY M. YELENCSICS COMMUNITY HOSPITAL A GENERAL ACUTE CARE HOSPITAL LICENSE #: 11201 B) THE COMMUNITY HOSPITAL GROUP, INC JFK MEDICAL CENTER, WHICH IS HEREBY LICENSED TO OPERATE ROBERT WOOD JOHNSON, JR. REHABILITATION INSTITUTE A COMPREHENSIVE REHABILITATION HOSPITAL LICENSE #: 22293 Part V, Section C PLEASE NOTE THE ORGANIZATION INCLUDES TWO HOSPITAL FACILITIES AS OUTLINED WITHIN SCHDULE H, PART V, SECTION A. THE NARRATIVES INCLUDED BELOW AND WITHIN SCHEDULE H, PART VI APPLY TO BOTH HOSPITAL FACILITIES ACCORDINGLY. Part V, Section B, Question 5 AS PART OF THE CHNA PROCESS, THE ORGANIZATION CONTRACTED WITH SETON HALL UNIVERSITY'S SETON CENTER FOR COMMUNITY AND POPULATION HEALTH ("SCCPH") TO CONDUCT A RIGOROUS COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS THAT PRODUCED AN ACCURATE AND REPRESENTATIVE SNAPSHOT FOR PRIMARY SERVICE AREAS AND REFLECTED THE VOICE OF THE COMMUNITY. ADDITIONALLY, SCCPH COLLABORATED WITH THE HEALTHY COMMUNITIES INSTITUTE ("HCI") TO DEVELOPE A WEB-BASED PLATFORM, WHICH INCLUDED 132 HEALTH AND QUALITY OF LIFE INDICATORS FOR ANY COMMUNITY OR COUNTY. PRIMARY DATA COLLECTION ------------------------------------------- IN AN EFFORT TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, THE ORGANIZATION COMPLETED A COMPREHENSIVE REVIEW OF BACKGROUND MATERIALS, INCLUDING BUT NOT LIMITED TO PAST REPORTS, EVALUATIONS, DATA, AND STRATEGIC IMPLEMENTATION OUTCOMES. THE ORGANIZATION AND SCCPH DEVELOPED A DETAILED PLAN FOR PRIMARY DATA COLLECTION. THIS ACTIVITY INVOLVED OUTREACH AND CONSULTATION WITH COMMUNITY REPRESENTATIVES, MUNICIPAL ORGANIZATIONS, HEALTH AGENCIES, AND OTHER INTERESTED STAKEHOLDERS. THIS PLAN ENSURED ADEQUATE REPRESENTATION AND ENGAGEMENT. AS PART OF THE CHNA PROCESS, THE ORGANIZATION COMPLETED A PRIMARY DATA STRATEGY, WHICH INCLUDED: - A PERSONALIZED/TAILORED CHNA QUESTIONNAIRE; - COMMUNITY-BASED FOCUS GROUPS; AND - KEY INFORMANT INTERVIEWS. JFK CHNA QUESTIONNAIRE/SURVEY ----------------------------------------------------- BASED ON BEST PRACTICE MODELS IDENTIFIED BY THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENTS COMMUNITY HEALTH ASSESSMENT TOOLKIT, SCCPH DEVELOPED A 23 ITEM CHNA SURVEY FOR THE ORGANIZATION. SURVEY ITEMS INCLUDED BASIC POPULATION PROFILE QUESTIONS, HEALTH STATUS UPDATES, ASSESSMENT OF COMMUNITY HEALTH NEEDS AND CHALLENGES, AND A PRIORITIZATION OF POTENTIAL COMMUNITY HEALTH ISSUES. RESPONDENTS WERE ALSO GIVEN SEVERAL OPPORTUNITIES TO SHARE THEIR PERSPECTIVES AND PRIMARY HEALTH CONCERNS. THE SURVEYS WERE DISTRIBUTED DURING THE SUMMER OF 2016 VIA EMAIL AND WEB LINKS. PAPER COPIES WERE ALSO DISTRIBUTED WITHIN THE FOLLOWING REPRESENTATIVE SERVICE AREA LOCATIONS: - EDISON SENIOR SERVICES; - LINCOLN TECHNICAL INSTITUTE ISELIN CAMPUS (LPN NURSING STUDENTS); - PLAINFIELD HEALTH CONNECTIONS PROGRAM (RUN THROUGH JFK HEALTH); - JFK HEALTH FAMILY MEDICINE CENTER; - JFK RADIATION ONCOLOGY DEPARTMENT; - JFK MEDICAL CENTER OUTPATIENT WAITING ROOM; AND - JFK HEALTH VOLUNTEER SERVICES. THE ORGANIZATION ADVERTISED THE SURVEY THROUGH THE WEBSITE, PRINTED MEDIA (NEWSLETTERS) AND ACCESSIBILITY VIA AN E-SURVEY. THE JFK CHNA QUESTIONNAIRES WERE MADE AVAILABLE IN ENGLISH, SPANISH, MANDARIN AND GUJARATI. ALL RESPONSES WERE KEPT STRICTLY CONFIDENTIAL. COMMUNITY-BASED FOCUS GROUPS ------------------------------------------------------- ON BEHALF OF THE ORGANIZATION, SCCPH CONDUCTED THREE TARGETED FOCUS GROUPS DURING THE SUMMER OF 2016 TO OBTAIN COMMENTS AND SUGGESTIONS FROM INTERESTED AND KNOWLEDGEABLE COMMUNITY OFFICIALS AND REPRESENTATIVES. THE FIRST FOCUS GROUP INCLUDED MUNICIPAL REPRESENTATIVES FROM THE ORGANIZATIONS PRIMARY SERVICE AREA INCLUDING PUBLIC HEALTH AND ENVIRONMENTAL DIRECTORS AND OTHER LOCAL AND COUNTY REPRESENTATIVES.THESE REPRESENTATIVES INCLUDED PARTICIPANTS FROM THE FOLLOWING STAKEHOLDER GROUPS: - EDISON SENIOR SERVICES; - EDISON HEALTH DEPARTMENT; - MIDDLESEX COUNTY OFFICE OF PLANNING; - BOROUGH OF METUCHEN BUSINESS ADMINISTRATOR; - SOUTH PLAINFIELD MAYORS WELLNESS COMMITTEE; - MIDDLESEX COUNTY REGIONAL CHRONIC DISEASE COORDINATOR; - MIDDLESEX COUNTY HEALTH EDUCATORS; AND - MIDDLESEX COUNTY INTERNS. THE SECOND FOCUS GROUP ENGAGED INTERESTED INDIVIDUALS FROM VARIOUS LOCAL COMMUNITY ORGANIZATIONS INCLUDING: - EDISON GREENWAYS GROUP INC; - YMCA OF METUCHEN; - YMCA OF EDISON; AND - YMCA OF WOODBRIDGE. THE THIRD FOCUS GROUP CONSISTED OF JFKMC AND JRI EMPLOYEES WHO WERE INVITED TO ATTEND AND CONTRIBUTE THEIR PERSPECTIVES ON THE COMMUNITY HEALTH NEEDS OF THEIR PATIENTS AND CONSUMERS. THESE EMPLOYEES REPRESENTED INPUT FROM THE FOLLOWING HOSPITAL DEPARTMENTS: - VOLUNTEER SERVICES; - QUALITY & ACCREDITATION; - DIAGNOSTIC IMAGING; - NEUROSCIENCE; - ENDOCRINOLOGY; - Critical Care Unit; - JFK @ HOME; - REHABILITATION; - CENTER FOR BEHAVIORAL HEALTH; - FITNESS; - ADMITTING; - NUCLEAR MEDICINE; - MATERIALS MANAGEMENT; - ACCOUNTS PAYABLE; - BARIATRIC SURGERY; - NURSING; - HEALTH INFORMATION SERVICES; - MRI CENTER; - NURSING ADMINISTRATION; - HOSPITALITY SERVICES; - DIAGNOSTIC IMAGINING; - CASE MANAGEMENT; - SOCIAL WORK; AND - BREAST SURGERY ASSOCIATES. A FINAL FOCUS GROUP WAS CONDUCTED WITH REPRESENTATIVES FROM THE PLAINFIELD HEALTH COALITION. INVITATION LETTERS WERE SENT TO ALL DESIGNATED COMMUNITY PARTICIPANTS. ALL FOCUS GROUPS WERE HELD AT THE ORGANIZATIONS HEADQUARTERS IN EDISON, NEW JERSEY EXCEPT FOR THE PLAINFIELD FOCUS GROUP SESSION. EACH FOCUS GROUP FOLLOWED A PRE-SET LIST OF QUESTIONS IN ORDER TO ENSURE CONSISTENCY ACROSS EACH FOCUS GROUP SESSION. FOCUS GROUPS WERE RECORDED AND TRANSCRIBED. MAJOR THEMES WERE IDENTIFIED AND COLLATED. FINDINGS ARE PRESENTED BY GROUP. FOCUS GROUP MEMBERS INTRODUCED THEMSELVES AND THEN RESPONDED TO THESE CORE SET OF QUESTIONS. THESE INCLUDED: - HOW WELL DO JFKMC AND JRI SERVE THE COMMUNITY? ARE THERE ANY WEAKNESSES? - ARE THERE COMMUNITY HEALTH SERVICES THAT JFK SHOULD CONTINUE TO EXPAND? - ARE THERE OPPORTUNITIES FOR THE JFKMC AND JRI TO BETTER MEET THE COMMUNITYS HEALTH NEEDS? EACH FOCUS GROUP LASTED A MINIMUM OF ONE AND ONE HALF HOURS. SCCPH FACILITATORS ENCOURAGED PARTICIPANTS TO EXPAND ON COMMENTS AND PROPOSED SOLUTIONS. ALL PARTICIPANTS WERE ENGAGED AND PROVIDED CLEAR RECOMMENDATIONS BASED ON THEIR PERCEPTIONS OF COMMUNITY HEALTHCARE PROBLEMS. IN ADDITION TO THE TAPED RECORDING, A JFK-MHA STUDENT INTERN TOOK NOTES AND A FLIPCHART WAS USED TO HELP COLLATE IDEAS AND SOLUTIONS. ALL FOCUS GROUP MEMBERS WERE ENCOURAGED TO COMPLETE THE JFKMC AND JRI QUESTIONNAIRE IF THEY HAD NOT ALREADY DONE SO. WHILE THE DISCUSSION FOCUSED ON MANY ISSUES, SEVERAL THEMES WERE APPARENT ACROSS THE DIFFERENT GROUPS. ALL PARTICIPATING STAKEHOLDERS OFFERED OPINIONS AND CONTEXT FOR COMMUNITY HEALTH NEEDS. THE COMMUNITY STAKEHOLDER GROUP IDENTIFIED SEVERAL ISSUES THAT ARE BEING ADDRESSED BY THE ORGANIZATION. KEY INFORMANT INTERVIEWS -------------------------------------------- THE ORGANIZATION WORKED WITH SCCPH TO COMPLETE A PERSONAL INTERVIEW WITH THE JFKMC AND JRI COMMUNITY OUTREACH COORDINATOR. OTHER KEY INFORMANTS WERE IDENTIFIED USING RECOMMENDATIONS FROM JFKMC AND JRI SENIOR STAFF AND COMMUNITY LEADERS. THESE ACTIVITIES ENSURED THAT ALL DATA WERE GROUNDED IN THE REALITIES OF THE COMMUNITIES THAT JFKMC AND JRI SERVES. THE KEY INFORMANTS INCLUDED A LOCAL PUBLIC HEALTH OFFICER, AN EXECUTIVE MANAGER FROM JOHNSON REHABILITATION INSTITUTE AND A JFKMC AND JRI REPRESENTATIVE. TOGETHER, THEIR INPUT HELPED PROVIDE ADDITIONAL DETAIL AND CONTEXT FOR UNDERSTANDING THE COMMUNITY STAKEHOLDERS AND THEIR RELATIONSHIP TO JFKMC AND JRI. KEY INFORMANTS PROVIDED SIGNIFICANT DETAIL ON PREVIOUSLY INDICATED AREAS OF COMMUNITY HEALTH NEEDS. DETAILS INCLUDED A CLARIFICATION OF RISK FACTORS, ISSUES RELATED TO CONTINUITY AND DELIVERY OF CARE AND A DESCRIPTION OF THE MOST VULNERABLE POPULATIONS AND THE BARRIERS THEY ENCOUNTER. THE KEY INFORMANTS PROVIDE SEVERAL RELEVANT RECOMMENDATIONS ALONG WITH PROPOSED ACTIVITIES TO SUPPORT POSITIVE OUTCOMES. ALL KEY INFORMANTS HIGHLIGHTED THE NEED FOR TRUE PARTNERSHIP AND ENGAGEMENT WITH COMMUNITY LEADERS AND HEALTH ORGANIZATIONS. IN ADDITION, REPRESENTATIVES ATTENDED SEVERAL CENTRAL NEW JERSEY COALITION MEETINGS AND OTHER PLANNING EVENTS TO OBTAIN CONTEXTUAL EVIDENCE. THESE EVENTS INCLUDED THE FOLLOWING: - HANDS OF HOPE; - EDISON FAMILY DAY; - METUCHEN LIBRARY; - THE BAPS TEMPLE HEALTH FAIR; - MIDDLESEX COUNTY FAITH HEALTH INITIATIVE CONFERENCE; - COMMUNITY HEALTH CONSORTIUM FOR CENTRAL JERSEY; AND - MIDDLESEX COUNTY WELLNESS COUNCIL. CONCLUSION -------------------- USING THE FINDINGS FROM THE JFK-CHNA SURVEY QUESTIONNAIRE, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS PROVIDED A CLEAR REPRESENTATION OF THE COMMUNITYS VOICE AND THEIR PERCEPTION OF CURRENT HEALTH NEEDS AND HEALTH STATUS. THESE METHODS PROVIDED SIGNIFICANT COMMUNITY INPUT FOR THE CHNA PROCESS. Part V, Section B, Questions 6A & 6B THE COMMUNITY HOSPITAL GROUP, INC. IS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH OPERATES TWO HOSPITAL FACILITIES, (1) ANTHONY M. YELENCSICS COMMUNITY HOSPITAL, AN ACUTE CARE HOSPITAL FACILITY AND (2) JFK JOHNSON REHABILITATION INSTITUTE (FORMERLY KNOWN AS ROBERT WOOD JOHNSON, JR. REHABILITATION INSTITUTE), A REHABILITATION FACILITY. THE TWO HOSPITAL FACILITIES ARE COLLECTIVELY REFERRED TO AS "JFK MEDICAL CENTER". THESE HOSPITAL FACILITIES ARE BOTH LOCATED AT 65 JAMES STREET EDISON, NJ 08820. THE TWO HOSPITAL FACILITIES HAVE THE SAME PRIMARY SERVICE AREA AND DEFINE THEIR COMMUNITIES TO BE THE SAME, AS REQUIRED BY IRC 501(R)(3). GIVEN THESE FACTS AND CIRCUMSTANCES, THE HOSPITAL FACILITIES COLLABORATED TO FILE A JOINT CHNA FOR THE YEAR ENDED DECEMBER 31, 2016. IN ADDITION, THE HOSPITAL FACILITIES WORKED IN COLLABORATION WITH THE SETON CENTER FOR COMMUNITY AND POPULATION HEALTH AND THE HEALTHY COMMUNITIES INSTITUTE TO COMPLETE ITS 2016 CHNA. THE SETON CENTER FOR COMMUNITY AND POPULATION HEALTH WAS ESTABLISHED IN 2004 AS AN ACADEMIC RESOURCE FOR COLLABORATION, LEARNING, AND RESEARCH TO ENHANCE THE QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES IN NEED. THE ORGANIZATION IS LOCATED IN THE DEPARTMENT OF INTERPROFESSIONAL HEALTH SCIENCES AND HEALTH ADMINISTRATION IN THE SCHOOL OF HEALTH AND MEDICAL SCIENCES WITHIN SETON HALL UNIVERSITY. SINCE ITS INCEPTION THE ORGANIZATION HAS PARTNERED WITH MULTIPLE COMMUNITY ORGANIZATIONS ON GRANTS INVOLVING MHA STUDENTS FROM SETON HALL UNIVERSITY. THE HEALTHY COMMUNITIES INSTITUTE ("HCI") OFFERS A WEB-BASED DASHBOARD SYSTEM THAT ALLOWS DATA TO BE EASILY VISUALIZED AND COMPREHENDED BY ITS USERS. THE WEB PORTAL ALLOWS COMMUNITY STAKEHOLDERS TO UNDERSTAND THE VARIETY OF DATA, AND TO BE ABLE TO TAKE CONCRETE ACTION AND IMPROVE TARGET AREAS OF INTEREST. HCI HAS OVER 100 IMPLEMENTATIONS OF ITS DASHBOARD FOR CLIENTS IN 35+ STATES. THE HCI MISSION IS TO IMPROVE THE HEALTH, ENVIRONMENTAL SUSTAINABILITY, AND ECONOMIC VITALITY OF CITIES, COUNTIES, AND COMMUNITIES WORLDWIDE. THE COMPANY IS ROOTED IN WORK STARTED IN 2002 IN CONCERT WITH THE HEALTHY CITIES MOVEMENT AT THE UNIVERSITY OF CALIFORNIA AT BERKELEY. HCI STAFF ARE EXPERTS IN MANAGING AND PRESENTING DATA WITH EXTENSIVE EXPERIENCE IN DATA VISUALIZATION AND DATA MAPPING. HCI HAS RECENTLY BECOME PART OF THE XEROX COMPANY. Part V, Section B, Question 7A DUE TO CHARACTER LIMITATIONS WITHIN THE TAXPAYERS CPA TAX PREPARATION FIRMS SOFTWARE, THE WEBSITE LISTED IN RESPONSE TO SCHEDULE H, PART V, SECTION B, SECTION 7A IS THE ORGANIZATIONS HOMEPAGE. THE TAXPAYERS CHNA FOR THE YEAR ENDED DECEMBER 31, 2016 WAS MADE WIDELY AVAILABLE ON THE ORGANIZATIONS WEBSITE AT THE FOLLOWING URL ADDRESS: HTTP://JFKMC.ORG/COMMUNITY-HEALTH-NEEDS-ASSESS Part V, Section B, Question 11 THE 2016 CHNA IDENTIFIED 29 HEALTH NEEDS IN THE ORGANIZATIONS PRIMARY SERVICE AREA. THE FINAL PRIORITIZATION PROCESS WAS BASED ON RECOGNIZING THE IMPORTANT ROLE OF JFKS NOT-FOR-PROFIT MISSION AND THE ABILITY TO IMPACT COMMUNITY HEALTH NEEDS. ALL 29 OF THE HEALTH NEEDS IDENTIFIED BY THE COMMUNITY ARE CATEGORIZED AND PRIORITIZED BY THE BELOW MISSION RATING CRITERIA: (A) CORE RELATIONSHIP TO THE HOSPITALS MISSION; (B) CONTINUATION OF THE PRIORITIES IDENTIFIED IN ITS 2013 CHNA; (C) SIGNIFICANT DISPARITIES WITH BENCHMARK COMPARISONS; (D) TOP HEALTH CONCERNS IDENTIFIED IN THE JFKMC AND JRI CHNA QUESTIONNAIRE FINDINGS; AND (E) RELEVANCE FOR BOTH JFKMC AND JRI POPULATIONS. PRIORITIZATION OF COMMUNITY HEALTH NEEDS USING MISSION CRITERIA ----------------------------------------------------------------- THE FINAL HEALTH NEEDS PRIORITIZATION STEP INVOLVED ADDITIONAL JFK STRATEGIC CRITERIA: (A) RELATIONSHIP TO EXISTING PROGRAMS; (B) THE ABILITY TO MAKE AN IMPACT WITHIN A REASONABLE TIME FRAME; (C) THE FINANCIAL AND HUMAN RESOURCES REQUIRED; AND (D) WHETHER THERE WOULD BE A MEASURABLE OUTCOME TO GAUGE IMPROVEMENT. THE PROCESS ALSO INCLUDED A REVIEW OF OTHER COMMUNITY RESOURCES THAT MIGHT BE CURRENTLY PROVIDING SIMILAR SERVICES OR ARE BETTER SUITED TO PROVIDE SERVICES TO MEET THE COMMUNITYS NEEDS. THESE CRITERIA WERE USED TO SELECT THE TOP COMMUNITY HEALTH NEEDS PRIORITIES THAT ALIGN THE ORGANIZATIONS COMMITMENT TO THE COMMUNITY. THE JFK CHNA POPULATION HEALTH MATRIX SHOWS THE FINAL COMMUNITY HEALTH NEEDS PRIORITY AREAS PLACED UNDER THE THREE POPULATION HEALTH AREAS OF FOCUS. THIS ANALYSIS PERMITTED THE ORGANIZATION TO REVIEW ANY ADDITIONAL NEEDS AND IDENTIFY ANY RESOURCES THAT WOULD BE REQUIRED TO ADDRESS ISSUES THAT ARE OUTSIDE OF JFKMC AND JRIS MISSION. POPULATION HEALTH FOCUS #1: HEALTH PROMOTION AND WELLNESS FOR ALL POPULATIONS ========================================================================= THE GOAL OF THIS FOCUS IS TO IMPROVE ACCESS TO PRIMARY CARE AND DELIVER PREVENTIVE CARE OPPORTUNITIES FOR ALL JFK SERVICE AREA POPULATIONS BY HIGHLIGHTING HEALTH PROMOTION AND WELLNESS INITIATIVES. COMMUNITY OUTREACH/AWARENESS/PHYSICIAN AVAILABILITY ----------------------------------------------------------------------- JFK MEDICAL CENTER FEATURES A ROBUST COMMUNITY OUTREACH PROGRAM, WITH A DEDICATED PART-TIME COORDINATOR AND STAFFED BY PAID CLINICIANS AND VOLUNTEERS. JFK PROVIDES WELLNESS SEMINARS AT THE JFK CAMPUS. IN ADDITION, JFK STAFF MEMBERS PARTICIPATE IN COMMUNITY HEALTH FAIRS THAT ARE HELD YEAR-ROUND AND ARE HOSTED BY COMMUNITY ORGANIZATIONS, SUCH AS LOCAL CHURCHES AND SENIOR CITIZEN CENTERS. JFK/JRI PARTICIPATES IN DOZENS OF COMMUNITY EVENTS EACH YEAR, AS WELL AS SUPPORT GROUPS, EDUCATIONAL SEMINARS AND OTHER WELLNESS EVENTS. HOWEVER, ITS 2016 CHNA FOUND THAT THE COMMUNITY IS UNDER-AWARE OF THESE ACTIVITIES AND HOW TO ACCESS THEM. GOALS: (1) CONTINUE TO MAINTAIN THE JFK COMMUNITY OUTREACH PROGRAM. IN 2016, JFK ASSESSED THE FREQUENCY AND LOCATION OF WELLNESS EVENTS. IN 2017-2018, JFK WILL SEEK TO INCREASE THE FREQUENCY OF WELLNESS EVENTS BY TEN PERCENT. (2) JFK WILL ACTIVELY PROMOTE WELLNESS EVENTS IN ITS MONTHLY EMPLOYEE NEWSLETTER "SPOTLIGHT" TO PUBLICIZE COMMUNITY OUTREACH AND WELLNESS RELATED ACTIVITIES TO INTERNAL AUDIENCES. (3) JFK WILL INCLUDE COMMUNITY OUTREACH AND WELLNESS RELATED EVENTS IN ITS PATIENT AND COMMUNITY E-NEWSLETTER TO HIGHLIGHT EVENTS THAT JFK HAS IN THE COMMUNITY TO EXTERNAL AUDIENCES. PHYSICAL ACTIVITY/WEIGHT CONTROL ---------------------------------------------------------------------- JFK SPONSORS SEVERAL COMMUNITY 5K RUNS AND OPERATES A FITNESS CENTER AT 70 JAMES STREET IN EDISON. THE JFK FOR LIFE WEIGHT LOSS PROGRAM FEATURES FITNESS, DIET AND SURGICAL WEIGHT LOSS SERVICES. THE ORGANIZATION ALSO OFFERS AN EMPLOYEE WELLNESS PROGRAM THAT INCENTIVIZES THOUSANDS OF EMPLOYEE COMMUNITY MEMBERS TO LOSE WEIGHT AND ADOPT HEALTHY BEHAVIORS. GOALS: (1) IMPROVE COMMUNITY PARTICIPATION IN JFK SPONSORED FITNESS AND WELLNESS PROGRAMS - 2017: ASSESS COMMUNITY PARTICIPATION IN 5K RUNS, FITNESS CENTER AND JFK FOR LIFE WEIGHT LOSS PROGRAM AND DEVELOP PLANS TO IMPROVE PARTICIPATION BY FIVE PERCENT BY 2019. - 2018: IMPROVE COMMUNITY PARTICIPATION IN 5K RUNS, FITNESS CENTER AND JFK FOR LIFE WEIGHT LOSS PROGRAM BY TWO PERCENT OVER BASE YEAR. - 2019: IMPROVE COMMUNITY PARTICIPATION IN 5K RUNS, FITNESS CENTER AND JFK FOR LIFE WEIGHT LOSS PROGRAM BY FIVE PERCENT OVER BASE YEAR. (2) IMPROVE EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAM - 2017: ASSESS EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAMS AND DEVELOP PLANS TO IMPROVE OUTCOMES BY FIVE PERCENT BY 2019. - 2018: IMPROVE EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAMS AND DEVELOP PLANS TO IMPROVE OUTCOMES BY TWO PERCENT OVER BASE YEAR. - 2019: IMPROVE EMPLOYEE AND FAMILY PARTICIPATION IN EMPLOYEE WELLNESS PROGRAMS AND DEVELOP PLANS TO IMPROVE OUTCOMES BY FIVE PERCENT OVER BASE YEAR. POPULATION HEALTH FOCUS #2: DISEASE MANAGEMENT FOR ALL POPULATIONS ===================================================================== THE GOAL OF THIS FOCUS IS TO IMPLEMENT TARGETED INITIATIVES FOR AT-RISK POPULATIONS THAT REFLECT A STRATEGY OF "RIGHT CARE, RIGHT PLACE, RIGHT TIME" DIABETES --------------- JFK MEDICAL CENTER IS WORKING TO IMPROVE HEALTH FOR PATIENTS WITH DIABETES THROUGH PROGRAMS SUCH AS THE JFK MEDICARE ACCOUNTABLE CARE ORGANIZATION ("ACO"), JFK DIABETES CENTER, FAMILY PRACTICE, ETC. THE JFK ACO HAS PROVIDED A PLATFORM FOR THE HOSPITAL TO WORK WITH PARTICIPATING PHYSICIANS AND TRACK THE IMPACT THAT THESE PROGRAMS HAVE HAD IN THE COMMUNITY. THE ACO TRACKS ALL DIABETIC PATIENTS ENSURING LAB WORK AND EYE EXAMS ARE PERFORMED YEARLY AS REQUIRED. PROCESSES WERE PUT IN PLACE TO ENSURE THAT THE PRIMARY CARE PHYSICIANS RECEIVE THE RESULTS OF THEIR PATIENTS LABS AND WRITTEN REPORTS OF THEIR PATIENTS EYE EXAMS. GOALS: (1) TO PROVIDE NUTRITION AND DIABETES EDUCATION TO THOSE PATIENTS WHO PRESENT WITH DIABETES TO THE DIABETES TREATMENT CENTER AS WELL AS INDIVIDUALS WHO ARE IDENTIFIED AT RISK FOR DIABETES AT HEALTH FAIRS OR OTHER COMMUNITY WELLNESS EVENTS. (2) MEET 60TH PERCENTILE FOR JFK ACO (AKA MEDICARE SHARED SAVINGS PROGRAM) DIABETES CARE QUALITY MEASURERS FOR JFK MEDICAL CENTER MEDICARE SHARED SAVINGS PLAN PARTICIPANTS. CURRENT VALUE: BELOW 30TH PERCENTILE (BASED ON 2015 DATA). - 2017: MEET OR EXCEED 40TH PERCENTILE FOR JFK MSSP DIABETES QUALITY MEASURES BASED ON 2016 DATA. - 2018: MEET OR EXCEED 50TH PERCENTILE FOR JFK MSSP DIABETES QUALITY MEASURES BASED ON 2017 DATA. - 2019: MEET OR EXCEED 60TH PERCENTILE FOR JFK MSSP DIABETES QUALITY MEASURES BASED ON 2018 DATA. CANCER/MAMMOGRAPHY SCREENING --------------------------------------------------------- JFK CANCER CARE PROGRAM IS ACCREDITED THROUGH THE COMMISSION ON CANCER. JFK BREAST CENTER EMPLOYS A PART-TIME OUTREACH COORDINATOR TO PROVIDE MAMMOGRAPHY AWARENESS AND PROMOTE ACCESS. THE CENTER PROVIDES ACCESS TO SCREENING SERVICES FROM 7 A.M. TO 8 P.M. DURING THE WEEK, AND ON SATURDAY MORNINGS. JFK OFFERS FREE MEDICAL TRANSPORTATION SERVICES FOR UNION COUNTY RESIDENTS TO ACCESS PRESCHEDULED MAMMOGRAPHY SCREENINGS AT JFK. UNION COUNTY RESIDENTS RATES OF MAMMOGRAM ACCESS ARE LOWER THAN THE STATE AVERAGE. GOALS: (1) IMPROVE MAMMOGRAPHY SCREENING AWARENESS FOR UNION COUNTY RESIDENTS BY INCREASING OUTREACH AND COMMUNITY EDUCATION. - 2017: ASSESS JFK MAMMOGRAPHY SCREENING OUTREACH IN UNION COUNTY AND DEVELOP PLANS TO IMPROVE OUTREACH AND COMMUNITY EDUCATION ABOUT MAMMOGRAPHY SCREENING BY FIVE PERCENT BY 2019. - 2018: IMPROVE UNION COUNTY OUTREACH AND COMMUNITY EDUCATION ABOUT MAMMOGRAPHY SCREENING BY TWO PERCENT OVER BASE YEAR. - 2019: IMPROVE UNION COUNTY OUTREACH AND COMMUNITY EDUCATION ABOUT MAMMOGRAPHY SCREENING BY FIVE PERCENT OVER BASE YEAR. CARDIAC/HEART DISEASE -------------------------------------- IN THE MEDICARE POPULATION, THE HEART FAILURE RATES ARE HIGHER IN THE JFK PSA THAN IN THE STATE AND US. JFK HAS INSTITUTED A PROGRAM TO PROVIDE HEART FAILURE PATIENTS WITH INDIVIDUALIZED TAILORED DISEASE SPECIFIC EDUCATION THAT PROMOTES HEALTHIER PATIENTS. THIS JFK RE-ENGINEERED DISCHARGE PROGRAMS GOAL IS TO EDUCATE AND EMPOWER PATIENTS AND THEIR FAMILIES TO BE ABLE TO MANAGE THEIR MEDICAL CONDITION AT HOME BY LEARNING TO IDENTIFY EARLY SIGNS AND SYMPTOMS AND KNOWING WHAT TO DO OR WHEN TO CONTACT A PHYSICIAN. DURING AND AFTER A PATIENTS HOSPITAL STAY, A MULTIDISCIPLINARY TEAM WILL ENSURE THAT PATIENTS HAVE THE TOOLS FOR A SMOOTH, HIGH QUALITY, SAFE AND EFFECTIVE TRANSITION FROM DISCHARGE TO HOME. THE PROCESS INCLUDES EDUCATION OF DIAGNOSIS, TREATMENTS, MEDICATIONS, DIETARY AND LIFESTYLE MODIFICATIONS, DISCHARGE PLANNING, ASSISTANCE WITH FOLLOW UP APPOINTMENTS, AS WELL AS POST DISCHARGE TELEPHONIC REINFORCEMENT AND TROUBLESHOOTING. GOALS: (1) REDUCE HOSPITAL HEART FAILURE READMISSIONS BY TEN PERCENT BY 2019 POPULATION HEALTH FOCUS #3: CONTINUITY OF CARE FOR VULNERABLE POPULATIONS ============== Part V, Section B, Question 16 THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATIONS WEBSITE AT THE FOLLOWING URL: HTTP://JFKMC.ORG/PATIENTS-VISITORS/FINANCIAL-RESOURCES. Part V, Section B, Question 22 FOR INTERNAL REVENUE CODE SECTION 501(4), (5) AND (6) PURPOSES, THE ORGANIZATIONS AUDIT AND COMPLIANCE COMMITTEE APPROVED THE REVISED AND FINALIZED POLICIES IN SEPTEMBER 2016. THESE POLICIES HAD AN EFFECTIVE DATE OF JANUARY 1, 2016. TO ENSURE FULL COMPLIANCE WITH RESPECT TO THE FINAL REGULATIONS, THE ORGANIZATION PERFORMED DUE DILIGENCE TO CONFIRM ALL FAP-ELIGIBLE INDIVIDUALS WERE CHARGED THE LESSOR OF AGB OR THE AMOUNT REFLECTING ANY DISCOUNTS OFFERED UNDER THE ORGANIZATIONS FAP. 22 JFK-Muhlenberg SateLlite Emergency Dept Park Randolph Roads Plainfield NJ 07061 Plainfield SED and Imaging JFK IMAGING CENTER 60 James Street Edison NJ 08820 Image/Woman Center JFK Mediplex Surgery Center 98 James Street Edison NJ 08820 Surgery Center JFK Johnson Rehabilitation Institute 2048 OAKTREE Road edison NJ 08818 cognitive rehab JFK Johnson Rehabilitation Institute 2050 Oaktree road edison NJ 08818 PEDIATRIC REHAB jfk FAMILY MEDICINE CENTER 65 jAMES STREET EDISON NJ 08820 fAMILY MEDICINE JFK BEHAVIOR HEALTH 65 jAMES STREET EDISON NJ 08820 BEHAV/OCCUPATIONAL/HEALTH JFK JOHNSON REHABILITATION INSTITUTE 308 TALMADGE ROAD EDISON NJ 08817 PROSTHETIC AND ORTHOTIC LAB outpatient center of metuchen 481 memorial parkway metuchen NJ 08840 outpatient rehab facility outpatient center of monroe 300 overlook drive monroe township NJ 08831 outpatient rehab facility Keith Wold Child Care Center 2050 oaktree road edison NJ 08818 childcare hartwyck adult day care 3 progress street edison NJ 08817 adult day care JFK Diagnostic Cardiology Center 4 ethel road suite 406A Edison NJ 08817 DIagnostic Cardiology Center JFK Diagnostic Cardiology Center 225 May Street Suite F Edison NJ 08837 Diagnostic Cardiology Center JFK Diagnostic Cardiology Center 1314 Park Ave Suite 9 Plainfield NJ 07060 diagnostic cardiology center JFK Diagnostic Cardiology Center 530 Green Street Iselin NJ 08830 DIAGNOSTIC cARDIOLOGY cENTER JFK Diagnostic Cardiology Center 98 JAMES STEET EDISON NJ 08820 DIAGNOSTIC CARDIOLOGY CENTER EDISON NEUROLOGIC ASSOCIATES 34-46 PREGRESS STREET SUITE B-3 EDISON NJ 08820 OUTPATIENT REHAB FACILITY JFK OUTPATIENT INFUSION CENTER 1030 ST GEORGE AVE AVENEL NJ 07001 OUTPATIENT INFUSION CENTER JFK DIAGNOSTIC CARDIOLOGY CENTER 26 THROCKMORTON LANE OLD BRIDGE NJ 08857 DIAGNOSTIC CARDIOLOGY CENTER JFK OUTPATIENT CENTER AT PROGRESS ST 5 PROGRESS STREET EDISON NJ 08820 OUTPATIENT REHAB FACILITY JFK BREAST SURGERY ASSOCIATES 98 JAMES STREET SUITE 202 EDISON NJ 08820 WOMAN CENTER PART I, LN 7 COL(F)A The bad debt expense included on form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentage in this column is $20,657,185. Part I, Line 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. PART 1, LINE 3C JFK OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS TO HELP UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE PROGRAMS INCLUDED BELOW PROVIDE FREE OR DISCOUNTED EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO INDIVIDUALS IF THEY MEET THE ESTABLISHED CRITERIA AND ARE DETERMINED TO BE ELIGIBLE. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO THE ORGANIZATIONS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM (CHARITY CARE) ====================================================================== CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. JOHNSON REHABILITATION INSTITUTE PATIENTS ARE NOT ELIGIBLE TO RECEIVE CHARITY CARE FOR OUTPATIENT REHABILITATION SERVICES. THE STATE OF NEW JERSEY DOES NOT REIMBURSE REHABILITATION FACILITIES FOR THOSE SERVICES. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1)HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2)ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3)MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME ELIGIBILITY CRITERIA --------------------------------------------- PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY LEVEL ("FPL") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 500% OF FPL ARE ELIGIBLE FOR DISCOUNTED CARE. ASSET CRITERIA --------------------------------------------- CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. RESIDENCY CRITERIA --------------------------------- CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. CHARITY CARE ELIGIBILITY GUIDELINES ARE SET BY THE STATE OF NEW JERSEY AND ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTP://WWW.STATE.NJ.US/HEALTH/CHARITYCARE/DOCUMENTS/CHARITYCARE_FACTSHEET_ EN.PDF. NEW JERSEY UNINSURED DISCOUNT PUBLIC LAW 2008, C. 60 (UNINSURED DISCOUNT) ========================================================================= THE NEW JERSEY UNINSURED DISCOUNT IS AVAILABLE TO UNINSURED PATIENTS. COMPASSIONATE CARE DISCOUNT ============================== ALL POTENTIALLY ELIGIBLE PATIENTS MUST BE SCREENED AND APPLY FOR CHARITY CARE ASSISTANCE BEFORE CONSIDERATION OF THE COMPASSIONATE CARE DISCOUNT. THE JFK COMPASSIONATE CARE DISCOUNT IS AVAILABLE TO UNINSURED OR UNDERINSURED NEW JERSEY RESIDENTS WHO ARE ELIGIBLE FOR PARTIAL CHARITY CARE ASSISTANCE. IF AN INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE, BUT DOES NOT RECEIVE 100% CHARITY CARE COVERAGE THE COMPASSIONATE CARE DISCOUNT WILL BE APPLIED TO REMAINING BALANCE. UNINSURED INDIVIDUALS WHO HAVE BEEN SCREENED FOR CHARITY CARE AND THE UNINSURED DISCOUNT, BUT DO NOT QUALIFY, ARE ELIGIBLE FOR THE COMPASSIONATE CARE DISCOUNT PART 1, LINE 7G Subsidized health services represent clinical patient care services that are provided, despite operating expenses in excess of revenue, because they are needed in the community. During 2016 the organization provided family practice, dental, adult day care, peds rehabilitation and cognitive rehabilitation services programs. The net community benefit expenses represents the total expenses offset by any patient and grant revenue. PART III, LINE 4 Accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payor classifications and application of historical write-off percentages. The costing methodology used is the ratio of the cost to charges as described in Worksheet #2 instructions. PART III, LINE 8 Medicare costs were derived from the 2016 Medicare cost report. The organization's position is that Medicare underpayments and bad debt are community benefits and associated costs should be includable on Form 990, Schedule H, Part I as outlined more fully below. The organization believes that these services and related costs promote health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purpose 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 the Internal Revenue Code (IRC) 501(c)(3). The organization is recognized as a tax-exempt and charitable organization under the Internal Revenue Code (IRC) 501(c)(3). 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 the term charitable is used in section 501(c)(3) in its generally accepted legal sense, and provides examples of charitable purposes, including the relief of the poor or underprivileged, the promotion of social welfare, and the advancement of education 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 an IRC 501(c)(3) charitable organization. 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 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. 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 a publically supported community hospital would normally qualify as a charitable organization because it serves the entire community, and a low level of charity care would not affect a hospitals exempt status if it was due to the surrounding community lack of charitable demands. In 1969, the IRS issued revenue ruling 69-545 which removed from ruling 56-185 the requirements relating to caring for patients without charge or at rates below costs. Under the standard developed in ruling 69-545, which is know as the "Community Benefit Standard", hospitals are judged on whether they promote 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 Treasury Regulation 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: 1). Its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research. 2). It was controlled by a Board of Trustees that consisted of independent civic leaders. 3). Hospital medical staff privileges were available to all qualified physicians. The organization believes that Medicare underpayments and bad debt are community benefits and associated costs should be includable on Form 990, Schedule H, Part I. The American Hospital Association's (AHA) position is that Medicare underpayments and bad debt are community benefits and associated costs should be includable on Form 990, Schedule H, Part I. This organization agrees with the AHA position as outlined in the AHA letter to the IRS dated August 21, 2007. With respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments as quantifiable community benefit for the following reasons; 1). Providing care for the elderly and serving Medicare patients is an essential part of the Community Benefit Standard. 2). Medicare, like Medicaid, does not pay the full cost of care. Medicare reimburses the hospital only 89 cents for every dollar they spend to take care of Medicare patients. 3). Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 46 percent of Medicare spending is for beneficiaries whose income is below 200 percent Federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid, so called dual eligibles. There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for the purposes of a hospital's community benefit and include the costs on Form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on Form 990, Schedule H, Part I. Like Medicare underpayment, there also are compelling reasons that patient bad debt should be counted as a quantifiable community benefit. 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 the hospital's Charity Care or Financial Assistance programs. A 2006 Congressional Budget Office 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 percent 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 their ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by auditing industry standards on reporting Charity Care, many patients cannot or do not provide the necessary extensive documentation required to be deemed Charity Care by the auditors. As a result, roughly 40% of bad debt is pending Charity Care. PART III, LINE 9B IT IS THE POLICY OF JFK TO BE COMPLIANT AND ACCURATE WITH BILLING AND COLLECTION ACTIVITIES. THE GOAL OF MEETING ALL THE CRITERIA IN THIS POLICY CAN BE ACCOMPLISHED BY FOLLOWING THE PROCEDURES SET FORTH IN THIS DOCUMENT. THE COMPLETE COOPERATION AND TEAMWORK OF THE BUSINESS OFFICE, FINANCE, INFORMATION SYSTEMS AND VENDOR MANAGEMENT ARE IMPERATIVE TO OUR GOAL. BILLING AND COLLECTION PROCEDURES ------------------------------------------------------------- ONCE A PATIENTS CLAIM IS PROCESSED BY THEIR INSURANCE, JFK WILL SEND THE PATIENT A BILL INDICATING THE PATIENT RESPONSIBILITY. ADDITIONALLY, IF A PATIENT HAS NO THIRD-PARTY COVERAGE THEY WILL RECEIVE A BILL INDICATING THEIR PATIENT RESPONSIBILITY. THIS WILL BE THE PATIENTS FIRST POST DISCHARGE BILLING STATEMENT. THE DATE ON THIS STATEMENT WILL BEGIN THE APPLICATION AND NOTIFICATION PERIODS. AFTER THE PATIENT RECEIVES THEIR FIRST POST DISCHARGE BILLING STATEMENT, JFK SENDS OUT 3 ADDITIONAL STATEMENTS (4 TOTAL BILLING STATEMENTS, IN 28 DAY INTERVALS) AND 2 LETTERS. IF PAYMENT HAS NOT BEEN RECEIVED AFTER 4 BILLING STATEMENTS, JFK WILL SEND OUT A LETTER INFORMING THE PATIENT IN WRITING THAT THE ACCOUNT WILL BE SENT TO COLLECTIONS IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS. ADDITIONALLY, THE LETTER WILL INCLUDE THE EXTRAORDINARY COLLECTION ACTIONS ("ECAS") THAT MAY TAKE PLACE AFTER THE PATIENT ACCOUNT HAS BEEN PLACED IN COLLECTIONS. THE WRITTEN NOTICE WILL ALSO INCLUDE A COPY OF THE ORGANIZATIONS PLAIN LANGUAGE SUMMARY. WHEN BILLING INVOICES ARE RETURNED STATING THE PATIENT EXPIRED OR ARE UNDELIVERABLE AND NO OTHER ADDRESS IS FOUND THE ACCOUNTS GO TO A PRE-COLLECT STATUS FOR FOLLOW-UP AND VALIDATION. COLLECTIONS WITHIN THE BILLING CYCLE JFK MAY SEND ACCOUNTS TO PRE-COLLECT. DURING THIS TIME, THIRD PARTIES ACTING ON BEHALF OF JFK MAY CONTACT THE PATIENTS VIA TELEPHONE TO COLLECT PAYMENT. NO ECAS WILL BE TAKEN AGAINST THE PATIENT WHILE THE ACCOUNT IS IN THE PRE-COLLECTION CYCLE. AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD, JFK WILL SEND THE PATIENT ACCOUNT TO COLLECTIONS. COLLECTION AGENCY TECHNIQUES TO COLLECT PAYMENT WILL INCLUDE TELEPHONE CALLS, LETTERS AND CERTAIN ECAS. ALL OF THEIR ACTIVITIES WILL BE COMPLETELY DOCUMENTED WITHIN THE BILLING SYSTEM AND WILL FOLLOW ALL GUIDELINES OF STATE REGULATIONS GOVERNING COLLECTION AGENCIES. IF COLLECTION AGENCIES ARE THEREAFTER UNSUCCESSFUL (FOR A PERIOD NOT TO EXCEED 180 DAYS) THE PATIENT ACCOUNT WILL BE RETURNED TO JFK. AT THE TIME THE ACCOUNT IS RETURNED, THE COLLECTION AGENCY WILL INCLUDE COMPLETE DOCUMENTATION OF THEIR ACTIVITIES AND FINDINGS WHEN COMMUNICATION IS MADE WITH THE PATIENT AS WELL AS THE DATE THE ACCOUNT IS RETURNED BACK TO JFK. COMPLIANCE WITH IRC 501(R)(6) -------------------------------------------------- IN ACCORDANCE WITH IRC 501(R)(6), JFK DOES NOT ENGAGE IN ANY ECAS PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. SUBSEQUENT TO THE NOTIFICATION PERIOD JFK, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF A FAP-ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE: - REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; - PLACING A LIEN ON AN INDIVIDUALS PROPERTY; - FORECLOSING ON AN INDIVIDUALS REAL PROPERTY; - ATTACHING OR SEIZING AN INDIVIDUALS BANK ACCOUNT OR OTHER PERSONAL PROPERTY; - COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; AND - GARNISHING AN INDIVIDUALS WAGES. JFK MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THEY WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FAP AND WILL TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECAS: 1. THE PATIENT WILL BE PROVIDED WITH WRITTEN NOTICE WHICH: (A) INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; (B) IDENTIFIES THE ECAS THAT JFK INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND (C) STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2. THE PATIENT HAS RECEIVED A COPY OF THE PLS WITH THIS WRITTEN NOTIFICATION; AND 3. REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. JFK, AND THIRD PARTY VENDORS ACTING ON THEIR BEHALF, WILL ACCEPT AND PROCESS ALL APPLICATIONS FOR FINANCIAL ASSISTANCE AVAILABLE UNDER THIS POLICY SUBMITTED DURING THE APPLICATION PERIOD. PART VI, NO. 2 IN ACCORDANCE WITH PROVISIONS OF THE AFFORDABLE CARE ACT, ENACTED MARCH 23, 2010, THE ORGANIZATION BEGAN A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ORGANIZATIONS 1ST CHNA WAS COMPLETED IN 2013 AND ITS 2ND WAS COMPLETED IN 2016. A COMPLETE NEEDS ASSESSMENT IS PERFORMED EVERY THREE YEARS AND IS MADE WIDELY AVAILABLE ON THE ORGANIZATIONS WEBSITE. THE NEEDS ASSESSMENT PROCESS INCLUDED A TAILORED CHNA QUESTIONNAIRE COMPLETED BY 745 RESPONDENTS REPRESENTING A DIVERSE CONTINGENT OF JFKMC AND JRI STAKEHOLDERS. DATA OBTAINED FROM A 23-ITEM SURVEY SUPPLIED AMPLE EVIDENCE OF STAKEHOLDER INPUT. ADDITIONAL HEALTH INFORMATION WAS COLLECTED VIA FOCUS INTERVIEWS WITH COMMUNITY MEMBERS WHO PROVIDED A FUNDAMENTAL UNDERSTANDING OF THE AREAS HEALTH NEEDS AND REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. KEY INFORMANTS SHARED VALUABLE INSIGHTS AND INPUT ON THE COUNTYS HEALTH CHALLENGES, THE SUB-POPULATIONS MOST IN NEED, AND EXISTING RESOURCES FOR THE PRIMARY SERVICE AREA. JFKMC AND JRI REMAIN COMMITTED TO THEIR VITAL ROLE IN CARING FOR THE HEALTH OF OUR COMMUNITY. AS PART OF THE CHNA PROCESS, JFKMC AND JRI CONTRACTED WITH THE SETON CENTER FOR COMMUNITY AND POPULATION HEALTH (SCCPH) TO CONDUCT A RIGOROUS CHNA PROCESS THAT PRODUCED AN ACCURATE AND REPRESENTATIVE SNAPSHOT FOR PRIMARY SERVICE AREAS AND REFLECTED THE VOICE OF THE COMMUNITY VIA A TAILORED SURVEY. SCCPH COLLABORATED WITH THE HEALTHY COMMUNITIES INSTITUTE (HCI) TO DEVELOP A WEB-BASED PLATFORM, WHICH INCLUDED 132 HEALTH AND QUALITY OF LIFE INDICATORS FOR ANY COMMUNITY OR COUNTY. IN ADDITION TO THE ABOVE AND THE CHNA PROCESS DESCRIBED ABOVE AND IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THE ORGANIZATION UTILIZES A VARIETY OF MEANS BY WHICH IT IDENTIFIES AND ANALYZES PATIENT CARE NEEDS. AMONG THEM ARE: SECONDARY DATA COLLECTION ------------------------------------------------ SECONDARY DATA WAS OBTAINED FROM THE HCI WEB-BASED PLATFORM WHICH OFFERED A PORTAL TO OBTAIN REAL-TIME DATA AND ANALYSIS. THE HCI PLATFORM PROVIDES INFORMATION ON 132 COMMUNITY HEALTH INDICATORS. THE HCI DATABASE INCLUDES RELEVANT DATA AT THE COUNTY LEVEL FROM A VARIETY OF SOURCES, SUCH AS THE COUNTY HEALTH RANKINGS, CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, NJ STATE HEALTH, US CENSUS DATA AND CDC WONDER DATABASES. CENSUS TRACT AND ZIP CODE DATA ARE OFFERED, IF AVAILABLE, FOR A PARTICULAR INDICATOR. SCCPH ALSO ADDED PRIMARY DATA FROM THE JFK QUESTIONNAIRES TO THE HCI PLATFORM FOR ADDITIONAL COMPARISONS. ZIP CODE HOSPITAL USAGE DATA WAS OBTAINED FROM NEW SOLUTIONS, INC. AND INTEGRATED WITH THE STANDARD HCI DATA TO ENSURE CUSTOM AND VALID ANALYSIS AND REPORTING. SECONDARY DATA ANALYSIS ------------------------------------------- SECONDARY DATA USED FOR THIS ASSESSMENT WAS COLLECTED AND ANALYZED WITH THE JFKMC AND JRI/SCCPH COMMUNITY DASHBOARD. A WEB-BASED COMMUNITY HEALTH DATA PLATFORM DEVELOPED BY HEALTHY COMMUNITIES INSTITUTE AND SCCPH. THE COMMUNITY DASHBOARD BRINGS NON-BIASED DATA, LOCAL RESOURCES AND A WEALTH OF INFORMATION TO ONE ACCESSIBLE, USER-FRIENDLY LOCATION. IT INCLUDES A COMPREHENSIVE DASHBOARD OF OVER 132 COMMUNITY INDICATORS COVERING OVER 20 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA IS PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. IN ORDER TO MAKE THE AVAILABLE DATA ACTIONABLE, THE HCI DASHBOARD WAS USED IN CONJUNCTION WITH PRIMARY DATA TO IDENTIFY PRIORITY HEALTH NEEDS. A DETAILED PROCESS IS DESCRIBED IN THE RESULTS/FINDINGS SECTION. THE DATA FROM THIS CHNA CAN BE MADE AVAILABLE IN ELECTRONIC FORMAT THROUGH THE WEB-BASED PORTAL OF THE HCI PLATFORM. THIS PORTAL INCLUDES A VARIETY OF LINKAGES TO SOCIAL MEDIA. IN ADDITION, PAPER FORMATS OF THE KEY HIGHLIGHTS FROM THIS CHNA WILL BE DEVELOPED FOR FURTHER DISSEMINATION. OF PRIMARY IMPORTANCE WAS THE SUMMARY OF SELECTED HEALTH AND HEALTH STATUS INDICATORS THAT DID NOT MEET ANY OF THE COMPARISON BENCHMARKS. ALL INDICATORS WERE REVIEWED FOR COMPARISONS (WHERE APPROPRIATE) TO HP 2020, US BENCHMARK, OR THE NJ BENCHMARK. DATA FOR BOTH MIDDLESEX AND UNION COUNTIES WERE ASSESSED. SUMMARY SLIDES FROM THE HCI PLATFORM SHOW ONLY SEVENTEEN (17) PRIMARY AREAS OF INTEREST WHERE THERE WAS A DISCREPANCY BETWEEN COUNTY DATA AND ONE OF THE BENCHMARK INDICATORS. IN ADDITION TO THE COMBINED PRIMARY AND SECONDARY ANALYSIS FINDINGS, JFK ALSO REVIEWED THREE ADDITIONAL REPORTS TO FURTHER CLARIFY CHNA FINDINGS. ANALYSIS WAS COMPLETED USING THE CHI PLATFORM TO ASSESS THESE ADDITIONAL CATEGORIES OF INTEREST: - SOCIONEEDS INDEX - HEALTH DISPARITIES AND - DEMOGRAPHIC ISSUES. SOCIONEEDS INDEX ------------------------------ THE 2016 SOCIONEEDS INDEX, CREATED BY HEALTHY COMMUNITIES INSTITUTE, IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. ALL ZIP CODES, COUNTIES, AND COUNTY EQUIVALENTS IN THE UNITED STATES ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP YOU FIND THE AREAS OF HIGHEST NEED IN YOUR COMMUNITY, THE SELECTED LOCATIONS ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. PART VI, NO. 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED IN THE FOLLOWING WAYS: THE FAP, APPLICATION AND PLS ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: HTTPS://WWW.JFKMC.ORG PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE WITHIN VARIOUS AREAS THROUGHOUT JFKS FACILITIES. THIS INCLUDES, BUT IS NOT LIMITED TO, EMERGENCY ROOMS, PATIENT REGISTRATION CHECK-IN AREAS AND THE BUSINESS OFFICE. ALL PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE INTAKE PROCESS. IN THE EVENT OF AN EMERGENT SITUATION, THE PATIENT WILL BE OFFERED THE PLS DURING THE REGISTRATION PROCESS, AFTER THE PATIENT RECEIVES THE REQUIRED MEDICAL ATTENTION. SIGNS OR DISPLAYS INFORMING PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE CONSPICUOUSLY POSTED IN PUBLIC LOCATIONS INCLUDING THE EMERGENCY ROOMS, PATIENT REGISTRATION CHECK-IN AREAS, ADMITTING AND THE BUSINESS OFFICE. JFK MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE BY SPEAKING TO COMMUNITY MEMBERS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AT JFK DURING COMMUNITY EVENTS HELD THROUGHOUT THE YEAR (I.E HEALTH FAIRS, SCREENINGS, EDUCATION SESSIONS, ETC.). JFKS FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH (LEP) THAT CONSTITUTES THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED WITHIN JFK'S PRIMARY SERVICE AREA. JFK MEDICAL CENTER PROVIDES FREE INTERPRETATION, TRANSLATION AND SIGN LANGUAGE SERVICES FOR (LEP) INDIVIDUALS AND DEAF PATIENTS. WE ENCOURAGE PATIENTS TO USE AVAILABLE INTERPRETATION SERVICES FOR IMPORTANT MEDICAL DISCUSSIONS. PATIENT CARE TREATMENT INVOLVES MEDICAL TERMINOLOGY THAT MAY BE COMPLICATED IN ANY LANGUAGE. THE INTERPRETATION SERVICES AVAILABLE THROUGH JFK MEDICAL CENTER INCLUDE PHONE INTERPRETATION IN MOST LANGUAGES. TRANSLATION OF CRITICAL DOCUMENTS AND PATIENT EDUCATION MATERIAL FOR COMMON PATIENT CONDITIONS IS ALSO AVAILABLE. IF A PATIENT REQUIRES AN INTERPRETER, SIGN LANGUAGE INTERPRETER OR A TRANSLATOR, THE PATIENT IS DIRECTED TO CONTACT THE PATIENT REPRESENTATIVE OFFICE AT (732) 321-7566 OR ASK THE ADMITTING CLERK OR NURSE FOR ASSISTANCE. IN AN EMERGENCY, THE ASL REFERRAL SERVICE (800) 275-7551 CAN PROVIDE A SIGN LANGUAGE INTERPRETER WITHIN THREE HOURS 24 HOURS A DAY, SEVEN DAYS PER WEEK. SERVICES UTILIZED THROUGH ASL ARE PROVIDED AT NO CHARGE TO THE PATIENT. HOWEVER, WE ASK THAT THE PATIENT NOTIFY THE PATIENT REPRESENTATIVE OFFICE AS TO THE NAME OF THE PATIENT AND THE INTERPRETER SO THAT THE JFK MEDICAL CENTER CAN MAKE THE NECESSARY PAYMENT ARRANGEMENTS FOR SERVICES RENDERED. PART VI, NO. 4 THE PRIMARY SERVICE AREA (PSA) OF JFKMC AND JRI INCLUDES 21 OF 36 ZIP CODES IN MIDDLESEX COUNTY, 8 OF 26 ZIP CODES IN UNION COUNTY AND ONE ZIP CODE IN SOMERSET COUNTY, NEW JERSEY. THE PSA IS DEFINED AS ZIP CODES WHICH PROVIDE 65% OF THE MARKET SHARE. JFKMCS AND JRIS PSA OVERLAP IN 50% (15 ZIP CODES) OF THE 30 ZIP CODES IN THEIR COMBINED PSA, 43% (13) ARE ONLY JRIS PSA WITH THE REMAINING 7% (2) BEING EXCLUSIVELY JFKMCS PSA. IN THE CHNA CONDUCTED IN 2016, THE ORGANIZATION REPORTED THE FOLLOWING DEMOGRAPHICS FOR THE COMMUNITY THE ORGANIZATION SERVES: POPULATION ------------------- ACCORDING TO THE DATA IN THE CHNA, THE PSA SERVED AN ESTIMATED 657,500 PEOPLE MIDDLESEX COUNTY, 52,999 IN SOMERSET COUNTY AND 207,853 IN UNION COUNTY WHICH INCLUDED 74,216 IN THE CITY OF PLAINFIELD DURING 2015. THE POPULATION DENSITY IS MUCH HIGHER (2,621.0 PEOPLE PER SQUARE MILE) IN THE PSA THAN IN NEW JERSEY (1,195.5 PEOPLE PER SQUARE MILE). OVERALL, MIDDLESEX COUNTY RESIDENTS IN THE PSA ARE SLIGHTLY YOUNGER COMPARED TO THE STATE AVERAGE. WHILE THE PROPORTION OF RESIDENTS BELOW 18 YEARS OF AGE IS APPROXIMATELY EQUAL TO THE STATE AVERAGE. BOTH UNION (13.7%) AND MIDDLESEX COUNTY (13.7%) HAVE SIMILAR PERCENTAGES OF RESIDENTS OVER THE AGE OF 65 WITHIN THE PSA. ORIGIN AND RACE/ETHNICITY ------------------------------------------- A SIGNIFICANT PERCENTAGE OF BOTH MIDDLESEX AND UNION COUNTIES IDENTIFY AS FOREIGN BORN. AT LEAST 42% OF MIDDLESEX AND 42.6 % OF UNION COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, VERSUS 30.3% STATEWIDE. AMONG PEOPLE REPORTING A SINGLE RACE, BOTH COUNTIES HAVE A SIMILAR PROPORTION OF RESIDENTS WHO IDENTIFIED AS WHITE (61.5%, 58.92%) AS COMPARED TO THE NEW JERSEY AVERAGE (72.6%). THE MAJORITY OF NON-WHITE RESIDENTS IN MIDDLESEX ARE ASIAN (24.5%), AND IN UNION ARE BLACK/AFRICAN AMERICAN (22.26%). INCOME ------------ THE MEDIAN HOUSEHOLD INCOME IN MIDDLESEX COUNTY IS $80,118 WHICH IS HIGHER THAN THE MEDIUM UNION COUNTY HOUSEHOLD INCOME OF$67,257. THE STATE AVERAGE IS $72,062. POVERTY -------------- THE PERCENT OF FAMILIES IN POVERTY IN NEW JERSEY IS 8.5%. A LOWER PERCENT OF MIDDLESEX COUNTY FAMILIES (6.1%) LIVE IN POVERTY COMPARED TO UNION COUNTY (8.8%). EDUCATION ------------------ FINDINGS INDICATE THAT 88.8% OF PEOPLES AGE 25+ OR OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER IN MIDDLESEX COUNTY. FOR UNION COUNTY, 14% OF PEOPLES OVER 25+ HAD LESS THAN HIGH SCHOOL GRADUATION, WHICH IS SLIGHTLY LESS THAN MIDDLESEX COUNTY AND STATE BENCHMARKS. PART VI, NO. 5 Community building activities undertaken by this organization are focused on improving both the well-being of our PRIMARY SERVICE AREA and SECONDARY SERVICE AREA and improving access to health care. We accomplish this through partnerships with local organizations like the YMCA, FEDERALLY QUALIFIED HEALTH CENTER, Religious and Cultural organizations and individuals who reside in the community. We participate in conferences, lectures, seminars, health fairs and sponsorships. We provide materials, professional and medical personnel, classrooms and social halls for the community benefit. PART VI, NO. 6 JFK MEDICAL CENTER IS A NOT-FOR-PROFIT ENTITY OF JFK HEALTH SYSYTEM, INC. JFK HEALTH SYSTEM, INC (SYSTEM) IS THE TAX-EXEMPT PARENT OF THE JFK HEALTH SYSTEM NETWORK. THE SYSTEM IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO THE REVENUE CODE 501(C)(3). OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE SYSTEM. JFK MEDICAL CENTER -------------------------------- JFK MEDICAL CENTER (JFKMC) IS A 405-BED ACUTE CARE HOSPITAL ESTABLISHED AND OPERATED FOR THE PROMOTION OF HEALTH AND TO SERVE THE PUBLIC RATHER THAN PRIVATE INTERESTS. JFKMC PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING HOSPICE AND MENTAL HEALTH. JFKMC ALSO OPERATES THE JOHNSON REHABILITATION INSTITUTE WHICH IS A 94 BED COMPREHENSIVE REHABILITATION HOSPITAL PROVIDING INPATIENT AND OUTPATIENT CARE TO ADULTS AND CHILDREN DISABLED BY ILLNESS OR DISEASE, INCLUDING SPECIALIZED PEDIATRIC REHABILITATION PROGRAM, HEAD TRAMA TREATMENT AND THERAPY PROGRAM, AND CLINICS SPECIALIZING IN A NUMBER OF DISABLING DISORDERS SUCH AS MUSCULAR DYSTROPHY AND SPINA BIFIDA. JFKMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). MUHLENBERG REGIONAL MEDICAL CENTER ----------------------------------------------------------------- MUHLENBERG REGIONAL MEDICAL CENTER (MRMC) IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. MRMC PROVIDES HOME HEALTH SERVICES THRU ITS INTEREST IN THE JOINT VENTURE JFK AT HOME. MRMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). JFK MEDICAL CENTER FOUNDATION ------------------------------------------------------ JFK MEDICAL CENTER FOUNDATION (JFK FOUNDATION) IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. JFK FOUNDATION WAS ESTABLISHED TO RECEIVE CONTRIBUTIONS AND OTHER GIFTS ON BEHALF OF JFKMC AND TO ENGAGE IN PROGRAMS OR ACTIVITIES FOR THE BENEFIT AND SUPPORT OF JFKMC AND ITS AFFILIATES. JFK FOUNDATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). MUHLENBERG FOUNDATION ----------------------------------------- MUHLENBERG FOUNDATION IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. MUHLENBERG FOUNDATION IS A FUNDRAISING ENTITY OPERATED PRIMARILY FOR THE BENEFIT OF MUHLENBERG REGIONAL MEDICAL CENTER. MUHLENBERG FOUNDATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). HARTWYCK AT OAKTREE ------------------------------------- HARTWYCK AT OAKTREE (OAKTREE) IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. OAKTREE OPERATES A LICENSED 120-BED SKILLED NURSING, CONVALESCENT AND REHABILITATION FACILITY AND A LICENSED 60-BED RESIDENTIAL FACILITY. IN ADDITION, OAKTREE OPERATES HARTWYCK AT EDISON ESTATES, A LICENSED 280-BED FACILITY THAT PROVIDES SUB-ACUTE AND CONVENTIONAL LONG-TERM CARE, AS WELL AS PROVIDING SPECIFIC UNITS DEDICATED TO THE CARE OF ALZHEIMER AND DEMENTIA CARE PATIENTS. OAKTREE IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). HARTWYCK WEST NURSING HOME -------------------------------------------------- HARTWYCK WEST NURSING HOME (WEST) IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. WEST OPERATES HARTWYCK AT CEDAR BROOK, A 106-BED SKILLED NURSING FACILITY, JFK ASSISTED LIVING, INC D/B/A WHISPERING KNOLL, A 118-UNIT ASSISTED-LIVING FACILITY AND JFK HARTWYCK MANAGEMENT AND CONSULTING, INC., A FOR-PROFIT HEALTHCARE MANAGEMENT CONSULTING FIRM. WEST IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). HARTWYCK AT JFK ---------------------------- HARTWYCK AT JFK IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. THE PLAN FOR HARTWYCK AT JFK IS TO BUILD A NEW NURSING HOME FACILITY TO COORDINATE WITH AND PROVIDE HEALTHCARE SERVICES IN CONJUNCTION WITH JFKMC. HARTWYCK AT JFK IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). JFK MEDICAL ASSOCIATES --------------------------------------- JFK MEDICAL ASSOCIATES (JFKMA) IS A NOT-FOR-PROFIT ENTITY OF THE SYSTEM. JFKMA ENGAGES IN THE PRACTICE OF MEDICINE. JFKMA PROVIDES PRIMARY MEDICAL SERVICES AS WELL AS SPECIALTY MEDICAL SERVICES INCLUDING INTERNAL MEDICINE, PULMONOLOGY, CARDIOLOGY, VASCULAROLOGY, GASTROENTEROLOGY, ENDOCRINOLOGY, HEMATOLOGY, ONCOLOGY, AND OBSTETRICS AND GYNECOLOGY. JFKMA PROVIDES ITS MEDICAL CARE SERVICES TO THE SERVICE AREA OF JFKMC AND OPERATES TO FURTHER THE CHARITABLE PURPOSES OF THE SYSTEM. JFKMA IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). ROBERT WOOD JOHNSON, JR. LIFESTYLE INSTITUTE -------------------------------------------------------------- ROBERT WOOD JOHNSON, JR. LIFESTYLE INSTITUTE (LIFESTYLE) IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. LIFESTYLE PROVIDES SPEECH AND HEARING SERVICES. LIFESTYLE IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). JFK REALTY ------------------ JFK REALTY IS A NOT-FOR-PROFIT CONTROLLED ENTITY OF THE SYSTEM. JFK REALTY IS INACTIVE AT THIS TIME. JFK REALTY IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(25). FOR PROFIT JFK HEALTH SYSTEM AFFILIATES ---------------------------------------------------------------- JFK MEDICAL GROUP, PA ------------------------------------ JFK MEDICAL GROUP IS A PROFESSIONAL ASSOCIATION CONTROLLED BY JFKMC. THE PURPOSE OF JFK MEDICAL GROUP IS TO ASSIST THE SYSTEM ACHIEVE ITS MISSION TO PROVIDE QUALITY AND COMPASSIONATE HEALTHCARE TO THE SYSTEM'S DIVERSE COMMUNITIES. JFK HEALTHSHARE, INC ----------------------------------- JFK HEALTHSHARE IS A CORPORATION CONTROLLED BY THE SYSTEM. THE PURPOSE OF JFK HEALTHSHARE IS TO ASSIST THE SYSTEM ACHIEVE ITS MISSION TO PROVIDE QUALITY AND COMPASSIONATE HEALTHCARE TO THE SYSTEM'S DIVERSE COMMUNITIES. JFK AMBULATORY CARE, PA ----------------------------------------- JFK AMBULATORY CARE IS A PROFESSIONAL ASSOCIATION CONTROLLED BY THE SYSTEM. THE PURPOSE OF JFK AMBULATORY CARE IS TO ASSIST THE SYSTEM ACHIEVE ITS MISSION TO PROVIDE QUALITY AND COMPASSIONATE HEALTHCARE TO THE SYSTEM'S DIVERSE COMMUNITIES. ATLANTIC INSURANCE EXCHANGE, LTD --------------------------------------------------------- ATLANTIC INSURANCE EXCHANGE (AIE) IS A FOREIGN CORPORATION CONTROLLED BY THE SYSTEM. AIE IS AN INSURANCE CAPTIVE FORMED AND OPERATED IN BERMUDA. MEDIPLEX SURGICAL ASSOCIATION, LP --------------------------------------------------------- MEDIPLEX SURGICAL ASSOCIATES IS AN INACTIVE FOR-PROFIT ENTITY CONTROLLED BY JFK HEALTHSHARE. JFK HARTWYCK MANAGEMENT AND CONSULTING, INC ----------------------------------------------------------------- JFK HARTWYCK MANAGEMENT AND CONSULTING IS AN INACTIVE FOR-PROFIT ENTITY CONTROLLED BY WEST. MANAGEMENT SERVICES ORGANIZATION OF CENTRAL JERSEY, LLC ----------------------------------------------------------------- MANAGEMENT SERVICES ORGANIZATION OF CENTRAL JERSEY IS AN INACTIVE FOR-PROFIT ENTITY CONTROLLED BY THE SYSTEM. CENTRAL JERSEY MEDICAL GROUP, PA ---------------------------------------------------------- CENTRAL JERSEY MEDICAL GROUP IS AN INACTIVE FOR-PROFIT ENTITY CONTROLLED BY MRMC. MIDTOWN SHOPS, INC -------------------------------- MIDTOWN SHOPS IS AN INACTIVE FOR-PROFIT ENTITY CONTROLLED BY MRMC. PRIMARY CARE NETWORK, INC --------------------------------------------- PRIMARY CARE NETWORK IS AN INACTIVE FOR-PROFIT ENTITY CONTROLLED BY JFKMC. PART VI, NO. 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. Part III, Line 2 Accounts that reach the end of the billing cycle without payments or financial assistance approval are transferred to bad debt. Part I, Line 6a THE ORGANIZATION IS NOT REQUIRED TO PREPARE A COMMUNITY BENEFIT REPORT. HOWEVER, THE ORGANIZATION DOES RELEASE AN ANNUAL REPORT ON AN ANNUAL BASIS. THE ANNUAL REPORT INCLUDES INFORMATION REGARDING COMMUNITY HEALTH AND DESCRIBES SOME OF THE COMMUNITY PROGRAMS AND SERVICES COMPLETED THROUGHOUT THE YEAR. THIS REPORT IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. PART V, LINE 16 A & C, GROUP A & B THE FULL WEBSITE ADDRESS FOR THE FAP IS: JFKMC.ORG/PATIENT-VISITORS/FINANCIAL-RESOURCES X X X X X false true true false false true false true false AMIE THORNTON VP OPERATIONS 337146 0 58800 0 31345 0 42165 0 3716 0 473172 0 31345 0 WILLIAM OSER SVP MEDICAL AFFAIR 509852 0 89200 0 89110 0 85637 0 21109 0 794908 0 87470 0 RICHARD C SMITH SENIOR VP & CFO 525742 0 91100 0 52585 0 94064 0 18993 0 782484 0 50945 0 ASIF BASHIR HIGHEST COMPENSATED 650110 0 31500 0 36060 0 5300 0 1700 0 724670 0 0 0 STEPHEN BLOOMFIELD MD HIGHEST COMPENSATED 644821 0 400 0 1150 0 7000 0 14884 0 668255 0 0 0 JAWAD F KIRMANI HIGHEST COMPENSATED 541140 0 26378 0 74110 0 5300 0 14884 0 661812 0 0 0 THOMAS STEINEKE MD HIGHEST COMPENSATED 665841 0 83450 0 26860 0 6168 0 18708 0 801027 0 0 RAYMOND F FREDERICKS CEO/PRESIDENT/EX-OFFICIO 833926 0 196640 0 158831 0 311911 0 17431 0 1518739 0 147591 0 SCOTT GEBHARD COO 526077 0 90100 0 63623 0 101992 0 17517 0 799309 0 61983 0 SHIRLEY HIGGINS BOWERS SVP HUMAN RESOURCES 315593 0 50800 0 31438 0 54251 0 18220 0 470302 0 30170 0 JAMES LINDQUIST Chief Nursing Officer 293196 0 60500 0 0 0 33692 0 17809 0 405197 0 0 0 INDRANIL GANGULY CIO 323693 0 55200 0 0 0 38110 0 18776 0 435779 0 0 0 SARA JEAN CUCCURULLO MED DIRECTOR EXEC. 431965 0 54600 0 60 0 54787 0 14884 0 556296 0 0 0 Gregory Przybylski HIGHEST COMPENSATED 489411 0 75156 0 1500 0 7146 0 14803 0 588016 0 0 0 SCHEDULE J, PART II OTHER REPORTABLE COMPENSATION CONSISTS OF 457(F) PLAN EARNED IN 2015, BUT PAID IN 2016, LONG TERM DISABILITY, AUTO ALLOWANCE AND CALL STIPENDS, TAXABLE MOVING, AND TIME BANK PAYOUT. THE REPORTABLE AMOUNT FOR 457(F) PLAN IS $147,591 FOR RAYMOND FREDERICKS, $50,945 FOR RICHARD SMITH, $61,983 FOR SCOTT GEBHARD, $87,470 FOR WILLIAM OSER, $30,170 FOR SHIRLEY HIGGINS BOWERS, AND $31,345 FOR AMIE THORNTON. THE REPORTABLE AMOUNTS FOR LONG TERM DISABILITY CONSIST OF $1,640 FOR WILLIAM OSER, $1,640 FOR RICHARD C. SMITH, $60 FOR ASIF BASHIR, $60 FOR Thomas Steineke, $1,640 FOR RAYMOND FREDERICKS, $1,640 FOR SCOTT GEBHARD, $1,268 FOR SHIRLEY HIGGINS BOWERS, and $60 FOR SARA JEAN CUCCURULLO. THE REPORTABLE AMOUNT FOR AUTO ALLOWANCE IS $9,600 FOR RAYMOND FREDERICKS. THE REPORTABLE AMOUNT FOR ON CALL CONSIST OF $74,110 FOR JAWAD F. KIRMANI, $1,150 FOR STEPHEN BLOOMFIELD, $26,800 FOR THOMAS STEINEKE, AND $36,000 FOR ASIF BASHIR. THE REPORTABLE AMOUNT FOR IME STIPEND IS $1,500 FOR GREGORY PRZYBYLSKI. SCHEDULE J, PART I, QUESTION 4B THIS QUESTION WAS ANSWERED YES DUE TO THE TWO BENEFIT PLANS THAT SEVERAL KEY EXECUTIVES ARE PARTICIPANTS IN: A) A 457(F) plan that was established but not funded in 2010, service credits for 2014, 2015 and 2016 were funded in 2015, 2016 and 2017 respectively. B) A KESOP PLAN THAT WAS FROZEN TO NEW CONTRIBUTIONS SUBSEQUENT TO 2002. SCHEDULE J, PART I, QUESTIONS 6A AND 7. The purpose of the Incentive Plan is to provide financial incentives for the achievement of performance objectives that are most important to JFKs mission and financial, quality and operational success. The Executive Compensation Committee makes a recommendation to the Board of Trustees the overall funding as well as the performance measures and the goals in each of the following areas. The performance measures, goals and weights are intended to reflect objectives for the current fiscal year in areas of financial, patient care and quality outcomes and patient satisfaction. A NJ HEALTHCARE FACILITIES FINANCING AUTHORITY 221987084 64580AAT8 2009-06-01 119623712 SEE SCHEDULE O false false false A 0 0 119745700 0 0 0 1946274 0 0 21892468 0 0 2013 true false true true A false true false false 0 false false false true A false false false true false false 0 false 0 false true A true SCHEDULE K, PART IV, QUESTION 2C THE 2009 ISSUE WAS A MULTIPURPOSE ISSUE. SEE SCHEDULE O. NO REBATE WAS DUE FOR THE REFUNDING OF THE NEW MONEY BONDS. THE REBATE REPORT WAS CALCULATED AS OF MAY 31, 2014. FORM 990, PART VI, SECTION A, LINE 3 The organization uses outside management services for the following departments: Pharmacy, BIOMED SERVICES, Hemodialysis, Housekeeping management (Includes housekeeping, linen & patient transport), MRI SERVICES AND WOUND CARE. FORM 990, PART VI, SECTION A, LINE 6 The organization has JFK HEALTH SYSTEM, INC. AS ITS SOLE member. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN decisions of the governing body of the organization are subject to approval by the member. FORM 990, PART VI, SECTION B, LINE 11 An Ad-hoc Committee, which includes the Chairman of the Audit and Compliance Committee and a selected designee of the Audit and Compliance Committee as well as designees from the Finance, Legal, Audit and Compliance departments, review the IRS 990 Tax Returns with EisnerAmper LLP, the tax accountant for JFK Health System, Inc. During this review, all comments and recommendations that are made are addressed by the Finance, Legal, and Audit and Compliance departments along with EisnerAmper. The final revised drafts are reviewed by the Ad-hoc Committee to ensure all comments and recommendations were addressed in the final drafts. The Audit and Compliance committee has given the Ad-hoc Committee the authority to approve the IRS 990 Tax Returns. Once the IRS 990 Tax Returns are approved by the Ad-hoc Committee, all Board members are sent an e-mail with instructions on how to access the respective IRS 990 Tax Returns for their review and comments for 4 days on a secure website provided by EisnerAmper LLP. At the end of the 4 day review period, and after any comments have been addressed, the IRS 990 Tax Returns are finalized and filed. Also, after the IRS 990 Tax Returns are filed, the returns are posted on the JFK Health System Board Portal. FORM 990, PART VI, SECTION B, LINE 12C On an annual basis, Conflict of Interest Disclosure Statements are distributed to all Board Members and employees that are department head and higher levels. All disclosures are reviewed by the Compliance Officer and the Chair of the JFK Audit and Compliance Committee. Any potential conflict of interest is brought to the said Committee for review and consideration and any appropriate action deemed necessary pursuant to the Conflict of Interest policy. FORM 990, PART VI, SECTION B, LINE 15 THE JFK BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") THAT IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE MANAGEMENT OF THE ORGANIZATION. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE TOTAL COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION. THE COMMITTEE CONSISTS ENTIRELY OF INDEPENDENT MEMBERS OF THE JFK HEALTH SYSTEM BOARD, THE COMMITTEE REVIEWS IN ADVANCE INDEPENDENT DATA SHOWING THE COMPENSATION PROVIDED BY NON-PROFIT ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS, AND THE COMMITTEE PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. ASSISTING THE COMMITTEE IS AN OUTSIDE COMPENSATION CONSULTANT ALONG WITH OUTSIDE LEGAL COUNSEL. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS ARE POSTED ON THE JFK HEALTH SYSTEM WEBSITE; ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS PENSION/POST RETIREMENT LIABILITY ADJUSTMENT 7,070,704 TRANSFERS TO AFFILIATES -16,291,198 CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF JFK FOUNDATION -1,062,240 PROVISION SETTLEMENT CHARGE 3,167,171 TOTAL TO FORM 990, PART XI, LINE 9 11,325,425 FORM 990, PART XII, QUESTION 2C THE PROCESS HAS NOT CHANGED SINCE LAST YEAR. JFK HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. JFK MEDICAL CENTER BACKGROUND JFK MEDICAL CENTER ("JFK") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. JFK IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PURSUANT TO ITS CHARITABLE PURPOSES, JFK PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, MOREOVER, JFK OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1) JFK PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS. 2) JFK OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR. 3) JFK MAINTAINS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4) CONTROL OF JFK RESTS WITH ITS BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. THE OPERATIONS OF JFK AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF JFK 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. JFK MEDICAL CENTER HISTORY JFK BEGAN IN THE 1960'S IN RESPONSE TO THE INCREASING DEMAND FOR HEALTH CARE SERVICES CREATED BY RAPID POPULATION GROWTH IN EDISON TOWNSHIP AND ITS SURROUNDING COMMUNITIES. THE LATE EDISON MAYOR ANTHONY M. YELENCSICS, FOR WHOM THE ORIGINAL COMMUNITY HOSPITAL WAS NAMED, LED A GRASSROOTS EFFORT TO OPEN A HOSPITAL TO MEET THIS DEMAND. FOLLOWING A FUNDRAISING CAMPAIGN PIONEERED BY TRUSTEES, PHYSICIANS, AUXILIANS AND COMMUNITY RESIDENTS, THE ORIGINAL 205-BED HOSPITAL OPENED ITS DOORS AND ADMITTED ITS FIRST PATIENT IN 1967. THE 1970'S REPRESENTED A PERIOD OF SIGNIFICANT GROWTH FOR JFK. ONE OF THE MOST IMPORTANT HIGHLIGHTS IN ITS HISTORY WAS THE OPENING OF THE JFK JOHNSON REHABILITATION INSTITUTE ("JRI") IN 1974 FOLLOWING A MERGER WITH MIDDLESEX REHABILITATION HOSPITAL. SINCE THAT TIME, JRI HAS FORGED A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND HAS BECOME A NATIONAL LEADER IN PHYSICAL REHABILITATION MEDICINE. JRI WAS ONE OF THE FIRST REHABILITATION CENTERS IN THE NATION TO RECOGNIZE THAT INDIVIDUALS WITH ACQUIRED TRAUMATIC BRAIN INJURY REQUIRE A SPECIALIZED TREATMENT ENVIRONMENT. WITH ITS UNPRECEDENTED, COMPREHENSIVE APPROACH TO CARE, JRI'S CENTER FOR HEAD INJURIES IS REGARDED AS PIONEERING IN HEAD TRAUMA EVALUATION AND TREATMENT. IN ADDITION, JRI'S PEDIATRIC REHABILITATION DEPARTMENT PROVIDES CHILDREN WITH THE ADAPTIVE AND COPING SKILLS THEY NEED TO ACHIEVE SUCCESS IN EVERYDAY LIFE THROUGH PHYSICAL AND OCCUPATIONAL THERAPY. JRI ALSO OFFERS INPATIENT AND DAY REHABILITATION, OUTPATIENT THERAPIES, AND PROSTHETICS AND ORTHOTICS. JFK ALSO OPENED ITS RADIATION THERAPY CENTER AND ITS FAMILY PRACTICE CENTER DURING THIS DECADE. JFK REACHED A SIGNIFICANT MILESTONE IN 1992 WHEN IT OPENED THE NEW JERSEY NEUROSCIENCE INSTITUTE ("INSTITUTE"), WHICH IS A NATIONALLY RECOGNIZED COMPREHENSIVE CENTER FOR THE DIAGNOSIS, TREATMENT, AND STUDY OF NEUROLOGICAL DISEASE. THE INSTITUTE CONTINUES TO ATTRACT TOP NEUROSCIENCE EXPERTS FROM ACROSS THE UNITED STATES. IT ALSO WORKS TO PROMOTE INVESTIGATIVE EFFORTS IN BASIC AND CLINICAL RESEARCH. OTHER SIGNIFICANT ADDITIONS THAT OCCURRED OVER THE PAST THREE DECADES INCLUDED JFK'S CANCER CENTER, WHICH FEATURES STATE-OF-THE-ART CANCER DIAGNOSIS AND TREATMENT CAPABILITIES, HOSPICE CARE AND PARTICIPATION IN NATIONWIDE CANCER RESEARCH NETWORKS; JFK'S OUTPATIENT MEDIPLEX SURGERY CENTER WHICH PROVIDES SAME-DAY PROCEDURES, INCLUDING LASER, ENDOSCOPIC AND ARTHROSCOPIC SURGERY, JFK'S IMAGING CENTER AND BREAST CENTER. BOTH OFFER A FULL RANGE OF DIAGNOSTIC EXAMINATIONS, INCLUDING CAT SCAN AND MRI SERVICES. JFK MEDICAL CENTER CURRENT INFORMATION JFK MEDICAL CENTER ("JFK") IS a 498-BED HOSPITAL CONSISTING OF THE 404-acute care BED ANTHONY M. YELENCSICS COMMUNITY HOSPITAL AND THE ADJACENT 94-BED JFK JOHNSON REHABILITATION INSTITUTE. JFK FEATURES A COMPLETE ARRAY OF SERVICES, INCLUDING GENERAL SURGERY, EMERGENCY MEDICINE, BEHAVIORAL HEALTH, ORTHOPEDICS, MATERNITY AND PEDIATRIC CARE PROGRAMS. SPECIAL SERVICES AT THE MEDICAL CENTER INCLUDE THE NEW JERSEY NEUROSCIENCE INSTITUTE, A DIAGNOSTIC, TREATMENT, TEACHING AND RESEARCH CENTER FOR THE STUDY OF COMPLEX NEUROLOGICAL DISORDERS; THE REGIONAL CANCER CENTER, OFFERING COMPREHENSIVE MEDICAL, SURGICAL AND RADIATION ONCOLOGY SERVICES; THE JFK DIAGNOSTIC IMAGING CENTER WHICH HOUSES TRADITIONAL AND OPEN AIR MRI CAPABILITIES, HIGH SPEED COMPUTER TOMOGRAPHY (CT), ADVANCED BONE DENSITY TECHNOLOGY, AND THE BREAST CENTER, PROVIDING COMPLETE MAMMOGRAPHY SERVICES INCLUDING FULL-FIELD DIGITAL AND THE R2 IMAGE CHECKER TECHNOLOGY. OTHER SERVICES INCLUDE THE JFK FITNESS CENTER, OCCUPATIONAL HEALTH PROGRAM AND FAMILY MEDICINE CENTER. THE FAMILY MEDICINE CENTER WAS ESTABLISHED IN 1976 AND HAS SERVED THE SURROUNDING COMMUNITIES TO PROVIDE PRIMARY CARE SERVICES TO INSURED AND UNINSURED PATIENTS IN THE SERVICE AREA. STAFFED BY FACULTY AND RESIDENT PHYSICIANS, IT PROVIDES SERVICES WHICH INCLUDE: GENERAL MEDICINE, OB/GYN CARE, PEDIATRIC AND MINOR SURGERY. IN ADDITION, HEALTH EDUCATION/PROMOTION, NUTRITIONAL COUNSELING AND EMOTIONAL SUPPORT PROGRAMS ARE OFFERED. IN 2016 JFK RECORDED 21,838 ADMISSIONS AND 2,194 BIRTHS, AND MORE THAN 90,000 EMERGENCY ROOM VISITS. JFK IS AN AFFILIATE OF JFK HEALTH SYSTEM, A NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE RESIDENTS OF CENTRAL NEW JERSEY WITH STRONG TIES TO THE LOCAL COMMUNITY, ESTABLISHED REGIONAL REPUTATION, EXCEPTIONAL EMPLOYEES, A COMMITMENT TO PATIENT SATISFACTION AND QUALITY MEDICAL STAFF TO PROVIDE HIGH QUALITY, COST-EFFECTIVE CARE. SPECIAL SUPPORT SERVICES ARE ALSO AVAILABLE SUCH AS DIAGNOSTIC IMAGING, GERIATRIC CARE AND COMMUNITY HEALTH AND FITNESS PROGRAMS. THROUGH COMMUNITY OUTREACH, JFK OFFERS HEALTH AND WELLNESS PROGRAMS, SCREENINGS, LECTURES AND EDUCATIONAL SEMINARS TO MORE THAN 31,200 AREA RESIDENTS ANNUALLY. THE HAROLD B. AND DOROTHY A. SNYDER SCHOOLS OF NURSING, RADIOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND DIAGNOSTIC MEDICAL SONOGRAPHY ARE OPERATED BY AND FOR PURPOSES OF ACADEMIC ACCREDITATION, SPONSORED BY JFK. THE SCHOOLS CARRY ON A LONG TRADITION OF EDUCATING FUTURE HEALTH CARE PROFESSIONALS WITH MORE THAN 380 STUDENTS ENROLLED IN THE FIVE SCHOOLS ANNUALLY. THE SCHOOL OFFERS STUDENTS ACCESS TO JFK HEALTH SYSTEM'S STATE-OF-THE-ART EQUIPMENT AND EXPANSIVE CLINICAL FACILITIES. JFK MEDICAL CENTER VISION WE WILL BE RECOGNIZED FOR BEING RESPONSIVE AND SENSITIVE TO COMMUNITY NEEDS, EXTENDING BEYOND OUR TRADITIONAL BOUNDARIES, IN ORDER TO ACHIEVE HIGHER LEVELS OF COMMUNITY HEALTH AND ACCESS. WE WILL BE RECOGNIZED FOR A CULTURE DRIVEN BY TRUST, IN WHICH DEDICATED, CARING AND COMPASSIONATE INDIVIDUALS WORK TOGETHER WITH FAMILIES TO OVERCOME HEALTH CARE CHALLENGES. WE WILL BE RECOGNIZED FOR HIGH QUALITY SERVICES AND OUTSTANDING SAFETY PERFORMANCE BASED UPON NATIONAL STANDARDS. WE WILL BE RECOGNIZED AS AN EMPLOYER THAT EMPHASIZES PROFESSIONAL AND PERSONAL DEVELOPMENT IN ORDER TO MAXIMIZE THE POTENTIAL OF EVERY INDIVIDUAL. WE WILL BE RECOGNIZED FOR CLINICAL SUPERIORITY THROUGH THE EXPERTISE OF OUR MEDICAL STAFF AND THE CONTINUED APPLICATION OF CUTTING-EDGE TECHNOLOGIES. JFK MEDICAL CENTER DEMOGRAPHICS JFK MEDICAL CENTER IS LOCATED IN EDISON - AN URBAN/SUBURBAN AREA OF MIDDLESEX COUNTY. ONE OF THE FASTEST GROWING COUNTIES IN THE STATE, MIDDLESEX COUNTY IS THE THIRD LARGEST COUNTY IN NEW JERSEY WITH MORE THAN 837,000 RESIDENTS. EXTENSION DESCRIPTION ON WHY THE RETURN WAS NOT TIMELY FILED AWAITING INFORMATION FROM THIRD PARTIES NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN. FORM 990, PART VII METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK. DURING THE ANNUAL BUDGET PROCESS, THE FINANCE DEPARTMENT PERFORMS AN ANALYSIS OF THE EXECUTIVE LEVEL EMPLOYEES' TIME ALLOCATION FROM TIME KEEPING RECORDS. THE APPROPRIATE ADJUSTMENTS ARE MADE TO THE TIME ALLOCATIONS AT THAT TIME. The officers and key employees of JFK Health System hours per week are allocated among many of the related organizations. SCHEDULE R, PART V, LINE 1O JFK HEALTH system maintains a master employee leasing agreement that provides for the leasing of personnel to and from various JFK HEALTH SYSTEM entities. SCHEDULE K, PART I New money -- $21,892,468.25 for various capital improvements to JFK Medical Center, including, but not limited to, expansion of inpatient bed capacity and unit renovations, emergency room expansion, operating room renovations and expansion, relocation of support departments, conversion of HVAC system and other necessary expansions, renovations and improvements, and the refinancing of various series of bonds issued on behalf of, and other indebtedness of, JFK Medical Center, Hartwyck at Oak Tree and Muhlenberg Regional Medical Center, as described below, all in connection with the termination of the provision of hospital acute care services at Muhlenberg Regional Medical Center and pursuant to the State's Hospital Asset Transformation Program. Current Refundings: 1995 Bonds $17,670,697 1998 Bonds $36,114,765 2003 Bonds $33,137,809 2005 Bonds $17,935,000 Line of credit $6,571,000 Capitalized Interest -- 1,761,145 Costs of issuance- -- 1,946,274 FORM 990, PART VI, SECTION A, LINE 7A While the member cannot elect or appoint one or more members of the governing body, all board appointments are subject to approval by the member. THE DIRECTORS, OTHER THAN EX-OFFICIO DIRECTORS, ARE ELECTED BY A VOTE OF THE BOARD AT THE ANNUAL MEETING OF THE CORPORATION. THE DIRECTOR MEMBERSHIP COMMITTEE SHALL NOMINATE A SLATE OF DIRECTORS TO SERVE AS OFFICERS TO REPLACE OR REELECT THOSE OFFICERS WHOSE TERMS ARE ENDING. FORM 990, PART VII DEFINITION OF EX-OFFICIO: People who hold a position by virtue of their office FORM 990, PART VII FOR DR. RICHARD B. BULLOCK, THE COMPENSATION REPRESENTS SERVICES AS ACLS - MEDICAL DIRECTOR Plainfield Health Connections Plainfield Health Connections (PHC) is a JFK Medical Center initiative serving the Plainfield community. The program's mission is to improve healthcare of the un- and underinsured residents of the community and reduce healthcare costs through innovative community healthcare with a goal of reducing avoidable utilization of high-cost hospital and Emergency Department services. The funding for the program's first year was supported in part by a grant. The program's purpose is to improve patient's health by focusing on community development, health literacy education and coordination of existing health and social service programs to address the needs of the sickest members of the community. PHC staff feature Advance Practice Nurses with a community nursing background and outreach workers to guide patients to appropriate community-based healthcare and social service resources available. Some of the resources available include Federally Qualified Health Centers and other primary care providers, pharmacies, housing and transportation resources and religious and civic organizations. Health literacy education is provided along with individualized and group visits to improve patients' understanding of their particular chronic condition and how to manage the condition. PHC works with community based resources noted above to coordinate care and TO develop individualized care plans for each patient. PHC seeks to identify barriers to care that impede each patient's wellness, and to develop a care plan that will remove those barriers. Examples of these barriers include: cost, transportation, language and cultural barriers, lack of awareness of available resources, lack of knowledge of their chronic condition and how to manage the condition, and lack of trust in the traditional healthcare system. JFK POPULATION HEALTH COMPANY LLC 98 JAMES STREET EDISON NJ 08820 422866956 HOSPITAL NJ 0 JFKMC JFK HEALTH SYSTEM INC 98 JAMES STREET EDISON NJ 08820 222421432 HEALTHCARE NJ 501(C)(3) 12a N/A false MUHLENBERG REGIONAL MEDICAL CENTER INC 98 JAMES STREET EDISON NJ 08820 221487258 HEALTHCARE NJ 501(C)(3) 10 JFKHS false MUHLENBERG FOUNDATION INC 98 JAMES STREET EDISON NJ 08820 510212678 FUNDRAISING NJ 501(C)(3) 12a MRMC false JFK MEDICAL CENTER FOUNDATION INC 98 JAMES STREET EDISON NJ 08820 222315044 FUNDRAISING NJ 501(C)(3) 12a JFKHS false JFK HEALTH SYSTEM REALTY CORPORATION 98 JAMES STREET EDISON NJ 08820 521703518 INACTIVE NJ 501(C)(25) JFKHS false ROBERT WOOD JOHNSON JR INC LIFESTYLE 98 JAMES STREET EDISON NJ 08820 222421433 HEALTHCARE NJ 501(C)(3) 10 JFKHS false HARTWYCK WEST NURSING HOME INC 98 JAMES STREET EDISON NJ 08820 221802017 HEALTHCARE NJ 501(C)(3) 10 JFKHS false JFK ASSISTED LIVING INC 98 JAMES STREET EDISON NJ 08820 223715324 HEALTHCARE NJ 501(C)(3) 10 HARTWYCK WES false HARTWYCK AT OAK TREE INC 98 JAMES STREET EDISON NJ 08820 222666023 HEALTHCARE NJ 501(C)(3) 10 JFKHS false HARTWYCK AT JFK INC 98 JAMES STREET EDISON NJ 08820 204144804 HEALTHCARE NJ 501(C)(3) 12b JFKHS false JFK MEDICAL ASSOCIATES PA 98 JAMES STREET EDISON NJ 08820 462219798 PHYS PRACTICE NJ 501(C)(3) 10 JFKHS false MSO - SEE PART VII 98 JAMES STREET EDISON NJ 08820 INACTIVE NJ JFKHS RElATED false false MEDIPLEX - SEE PART VII 98 JAMES STREET EDISON NJ 08820 REAL ESTATE NJ JFK HEALTHSHARE Excluded false false ATLANTIC INSURANCE EXCHANGE LTD 98 JAMES STREET EDISON NJ 08820 999999999 INSURANCE CAP BD JFKHS C CORP false CENTRAL JERSEY MEDICAL GROUP PA 98 JAMES STREET EDISON NJ 08820 223477610 INACTIVE NJ MRMC C CORP false JFK MEDICAL GROUP PC 98 JAMES STREET EDISON NJ 08820 223482637 MEDICAL SERVI NJ JFKMC C CORP 0 12416 1.00000 true JFK HARTWYCK MGT & CONSULTING INC 98 JAMES STREET EDISON NJ 08820 223812130 INACTIVE NJ HARTWYCK WEST C CORP false JFK HEALTHSHARE INC 98 JAMES STREET EDISON NJ 08820 222528967 MANAGEMENT SV NJ JFKHS C CORP false MIDTOWN SHOPS INC 98 JAMES STREET EDISON NJ 08820 221536954 REAL ESTATE NJ MRMC C CORP false PRIMARY CARE NETWORK 98 JAMES STREET EDISON NJ 08820 522069919 HEALTH ORG. 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NJ JFKHS C-Corp false true false true false false false false false false false true false false false true true true false false HARTWYCK AT OAK TREE INC A 980486 SEE PART VII JOHN F KENNEDY MEDICAL CENTER FOUNDATION INC C 241214 SEE PART VII MUHLENBERG REGIONAL MEDICAL CENTER INC K 240443 SEE PART VII JFK HEALTH SYSTEM INC P 17328000 SEE PART VII HARTWYCK AT OAK TREE INC Q 3100968 SEE PART VII HARTWYCK WEST NURSING HOME INC Q 575000 SEE PART VII JFK HEALTH SYSTEM INC Q 1816667 SEE PART VII ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE Q 394469 SEE PART VII JFK Medical Associates PA Q 50000 SEE PART VII JFK ASSISTED LIVING INC Q 1050000 SEE PART VII MUHLENBERG REGIONAL MEDICAL CENTER INC A 336195 SEE PART VII ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE C 348338 SEE PART VII MUHLENBERG FOUNDATION INC C 29980 SEE PART VII JFK AMBULATORY CARE P 896267 SEE PART VII JFK HealthShare Inc P 2477 SEE PART VII SCHEDULE R, PART IV DR. WILLIAM OSER IS THE LEGAL OWNER OF JFK MEDICAL GROUP. JFK HEALTH SYSTEMS IS THE BENEFICIAL OWNER. SCHEDULE R, PART III LINE 1 INFORMATION: MANAGEMENT SERVICES ORGANIZATION OF CENTRAL JERSEY, LLC 98 JAMES STREET EDISON, NJ 08820 EIN: 22-3489091 LINE 2 INFORMATION: MEDIPLEX SURGICAL CENTER ASSOCIATES, LP 98 JAMES STREET EDISON, NJ 08820 EIN: 22-2846980 SCHEDULE R, PART V, LINE 2 ALL TRANSACTIONS WITH RELATED ORGANIZATIONS ARE VALUED AT ACTUAL AMOUNTS.