2016-11-14T16:27:14-06:00 2015-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2015-01-01 221487305 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY % PETER P BIHUNIAK ROBE 7324996085 865 STONE STREET RAHWAY NJ 07065 PETER P BIHUNIAK CFO 7324996085 2016-11-14 true Anthony J Panico P00365556 9738989494 2015 2017-02-10 21:41:12Z KIRK C TICE 865 STONE STREET RAHWAY NJ 07065 120235410 false X WWW.RWJUHR.COM X 1917 NJ TO DELIVER SAFE, QUALITY, COST EFFECTIVE HEALTHCARE SVCS PROVIDING ACCESS AND VALUE TO THE COMMUNITY THROUGH A UNIFIED EFFORT THAT MEETS INDIVIDUAL NEEDS WITH DIGNITY AND RESPECT. 23 18 1040 134 0 94319 2204204 106101694 115402457 96111 1886021 639451 665278 106931575 120157960 0 107423 0 0 52906538 54814448 0 0 0 51023556 57283636 103930094 112205507 3001481 7952453 85925708 95543362 68795605 68606942 17130103 26936420 X TO DELIVER SAFE, QUALITY, COST EFFECTIVE HEALTHCARE SERVICES, PROVIDING ACCESS AND VALUE TO THE COMMUNITY THROUGH A UNIFIED EFFORT THAT MEETS INDIVIDUAL NEEDS WITH DIGNITY AND RESPECT. THROUGH ITS DYNAMIC, STRATEGIC PARTNERSHIPS, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY IS DEDICATED TO THE DELIVERY OF A SAFE CONTINUUM DESIGNED TO MEET COMMUNITY NEEDS FOR PREVENTATIVE SERVICE, ACUTE CARE AND CHRONIC CARE. THE CONTINUUM SHALL PROVIDE ACCESSIBILITY, QUALITY AND VALUE TO ITS CUSTOMERS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 61677701 0 60449203 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 27213546 0 28830864 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 9724025 0 15099836 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 2380425 107423 11022554 100995697 true true false true false false false false false true true false true true true true false true false true true 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 false true true true false false true 166 0 true 1040 true false true BD false false false false false false false false X 23 18 true false false false true true true true true false false true true true true true true true true false NJ X PETER P BIHUNIAK 7324996085 865 STONE STREET RAHWAY NJ 07065 X STEPHEN A TIMONI CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 G ALLEN GEYER VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 NICHOLAS F DELMONACO SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 DONNA I MUGAVERO TREASURER/ASST SEC - TRUSTEE 1.0 0.0 X X 0 0 0 FARZIN M ALIASGHARPOUR MD TRUSTEE - VP MEDICAL STAFF 20.0 0.0 X 33800 0 0 JUAN C BAEZ MD TRUSTEE - PRESIDENT MED STAFF 20.0 0.0 X 35000 0 0 MICHAEL CHEN MD TRUSTEE 20.0 0.0 X 64200 0 0 JOHN L COLAIZZI PHD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 JOSEPH GIBILSICO TRUSTEE 1.0 0.0 X 0 0 0 ROGER C GORE TRUSTEE 1.0 0.0 X 0 0 0 STEPHEN K JONES TRUSTEE-PRESIDENT/CEO RWJHCC 60.0 0.0 X 0 1679288 44389 CHRISTINE KLINE TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 JOHN KLINE MD TRUSTEE 1.0 0.0 X 0 0 0 RONALD C KOWALCZYK TRUSTEE 1.0 0.0 X 0 0 0 BRIAN P LEDDY TRUSTEE 1.0 0.0 X 0 0 0 DANIEL B LEPRI TRUSTEE 1.0 0.0 X 0 0 0 BARBARA MARTIN TRUSTEE 1.0 0.0 X 0 0 0 LAWRENCE J NALDI TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL NUDO TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL P THIEN TRUSTEE 1.0 0.0 X 0 0 0 KIRK C TICE TRUSTEE - PRESIDENT & CEO 55.0 0.0 X X 548311 0 149862 DAVID WEXLER MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 MICHAEL WIDMER TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 HARRY W MCDOWELL TRUSTEE (1/1/15 - 10/14/15) 1.0 0.0 X 0 0 0 RADHA VINNAKOTA TRUSTEE (1/1/15 - 12/14/15) 20.0 0.0 X 23700 0 0 PETER P BIHUNIAK CHIEF FINANCIAL OFFICER 55.0 0.0 X 314146 0 74815 Kevin M Kramer Esq VP Legal Affairs 55.0 0.0 X 298307 0 52617 BARBARA M MULLERY PHR VP Administration 55.0 0.0 X 245632 0 57373 ANN MARIE SHEARS CNO/VP PATIENT CARE SVCS 55.0 0.0 X 234996 0 78245 CATHERINE GOODHEART VP CLINICAL EFFectiveness 55.0 0.0 X 205886 0 6838 MICHAEL MAIALE TERM 101515 VP OF MKTG DEVELOP. & STRATEGY 55.0 0.0 X 151033 0 683 JIM KARAMAN EFF 101615 VP OF MKTG DEVELOP. & STRATEGY 55.0 0.0 X 62673 0 8267 MARLENE H LUBINGER FOUNDATION PRESIDENT 55.0 0.0 X 138610 0 31063 DENINE IZZI DIRECTOR INFORMATION SVCS 55.0 0.0 X 172174 0 25038 SHUI W CHAN RN REGISTERED NURSE 55.0 0.0 X 152549 0 2225 CARON M VERY DIRECTOR FINANCE 55.0 0.0 X 151116 0 1654 SHEILA BUTHE SPHR DIRECTOR HUMAN RESOURCES 55.0 0.0 X 148934 0 4028 MARLENE GAMO RN REGISTERED NURSE 55.0 0.0 X 145188 0 4476 3126255 1679288 541573 73 false true false CARE CONNECTIONS RAHWAY LLC 865 STONE STREET RAHWAY NJ 07065 MEDICAL 2917138 SODEXO INC AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD/MANAGEMENT 1674100 BINSKY SNYDER LLC 281 Centennial AVENUE PISCATAWAY TOWNSHIP NJ 08854 CONSULTING 1563487 GE HEALTHCARE 500 WEST MONROE STREET CHICAGO IL 60661 MEDICAL IT 1533632 NTI WESTLAB - NEW JERSEY INC 801 NORTH Parkcenter Drive Suite 2 SANTA ANA CA 92705 LABORATORY 1366653 66 X 94319 2109885 2204204 NET PATIENT SERVICE REVENUES 541900 109762297 109762297 OTHER HEALTHCARE RELATED REVENUE 541900 5640160 5640160 115402457 181338 181338 0 0 97173 77450 19723 0 19723 19723 1060 1703623 1060 1703623 1704683 1704683 0 0 0 CAFETERIA 722320 573728 573728 PARKING REVENUE 812930 66787 66787 PUBLIC TELEPHONE 517000 5040 5040 645555 120157960 115402457 2551299 107423 107423 0 0 0 2792356 2513120 279236 0 0 42936560 38642904 4293656 408583 367725 40858 5097833 4588050 509783 3579116 3221204 357912 0 81681 73513 8168 227147 204432 22715 39411 35470 3941 0 0 8303254 7472928 830326 986513 887862 98651 2151122 1936010 215112 2926041 2633437 292604 0 2005540 1804986 200554 28567 25710 2857 0 71458 64312 7146 165860 149274 16586 0 4813575 4332218 481357 1386067 1247460 138607 MEDICAL SUPPLIES 16646650 14981985 1664665 PURCHASED SERVICES 14071477 12664329 1407148 REPAIRS & MAINTENANCE 1092051 982845 109206 DUES LICENSES & SUBSCRIPTIONS 905403 814863 90540 1381819 1243637 138182 112205507 100995697 11209810 0 X 3150 3150 17593498 23769425 0 0 12059343 11672778 0 0 0 0 0 0 1903186 2105569 1247243 1499477 122318616 95389803 25509753 26928813 0 0 0 0 22919052 25037343 62550 49932 4627933 4476875 85925708 95543362 14837801 17252175 0 0 0 0 11000000 9900000 0 0 0 0 0 0 0 1347312 42957804 40107455 68795605 68606942 X 15435792 25221595 1164311 1184825 530000 530000 17130103 26936420 85925708 95543362 X 7952453 -162271 2016135 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 39411 39411 false SCHEDULE C, PART II-B; LINE 1I ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY IS A MEMBER OF ROBERT WOOD JOHNSON HEALTHCARE CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY PAID ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, $30,000 FOR ITS PORTION OF THE LOBBYING EXPENSES INCURRED BY THE SYSTEM. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL PAID AN OUTSIDE INDEPENDENT LOBBYING FIRM TO PROVIDE LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE NEW JERSEY HOSPITAL ASSOCIATION and the new jersey business and industry association WHICH all ENGAGE IN LOBBYING EFFORTS ON BEHALF OF their MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAs BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $9,411 DURING 2015. 1164311 253879 233365 1184825 1505946 424818 236453 1694311 1239550 293688 27292 1505946 1034951 228038 0 23439 1239550 1009020 245656 1 219726 1034951 1.00000 false false 1016273 1016273 62379475 47946844 14432631 56460588 45958059 10502529 2462280 1484900 977380 26928813 INVESTMENTS; LIMITED AS TO USE 22783359 F INVESTMENT IN QUALCARE, INC. 0 F HEALTHCARE, INC. 510000 F INVESTMENT IN SAAML, LTD. 1743984 F 25037343 0 SETTLEMENTS; CURRENT 6186280 DUE TO AFFILIATES 325748 ACCRUED PENSION COST 23954187 SETTLEMENTS; NON-CURRENT 7137636 OTHER LIABILITIES 2503604 40107455 X SCHEDULE D, PART V ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AND ITS AFFILIATES, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY, for the years ended december 31, 2015 and december 31, 2014; respectively. THE FIN 48 (ASC 740) FOOTNOTE BELOW IS FROM THE 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS: THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING 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 IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015 AND 2014. Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 671158 Central America and the Caribbean 1 1 Investments 1743984 2 2 2 2 2415142 2415142 true false true false false false true true X true X true X 500. true true false true true 2259489 927783 1331706 0.01190 14086474 8443560 5642914 0.05030 16345963 9371343 6974620 0.06220 122854 122854 0.00110 227500 227500 0.00200 107939 107939 0.00100 458293 458293 0.00410 16804256 9371343 7432913 0.06630 true 21047786 2105000 39200386 48882904 -9682518 X true true 1 1 RWJ UNIVERSITY HOSPITAL RAHWAY 865 STONE STREET RAHWAY NJ 07065 www.rwjuhr.com 12006 X X X 1 RWJ UNIVERSITY HOSPITAL RAHWAY 1 false false true X X X X X X X X X 13 true true true true X WWW.RWJUH.COM/COMMUNITYNEEDS.HTM X true 13 false true false true X 200. 500. X X X X X true true X X X X X true X X X true X false X X true X false false SCH H, PT V, SECT B, Q'S 2,3J,7D,13B,13H,15E,16I,18D,19D,20E,21C,21D,23&24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTIONS 5, 6a & 6b RWJ-RAHWAY ALONG WITH THE OTHER UNION COUNTY COMMUNITY HOSPITALS, CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA, TO CONDUCT RESEARCH IN SUPPORT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). HOLLERAN HAS 21 YEARS OF EXPERIENCE IN CONDUCTING PUBLIC HEALTH RESEARCH AND COMMUNITY HEALTH NEEDS ASSESSMENTS. THE CHNA WAS COMPRISED OF BOTH QUANTITATIVE AND QUALITATIVE RESEARCH. Holleran provided the following assistance: 1) Interpreted Secondary Data from HRETNJ; 2) Conducted, analyzed, and interpreted data from Household Telephone Survey; and 3) Facilitated a prioritization and implementation planning session. One of the initial undertakings of the CHNA was to create a "Secondary Data Profile". Data that is obtained from existing resources is considered "secondary". Demographic and health indicator statistics were gathered and integrated into a report to portray the current health status of the hospital service area. Data was available at the county-level for Union County. STATISTICAL DATA DEPICTING POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES AND OTHER HEALTH STATISTICS FOR UNION COUNTY WAS COMPILED AND REVIEWED ALONG WITH PRIMARY RESEARCH. RWJ-Rahway, in partnership with the Community Health Alliance of North Central New Jersey, requested that Holleran conduct a Household Telephone Survey among its adult community based on the Behavioral Risk Factor Surveillance System ("BRFSS"). The BRFSS is a national initiative, headed by the Centers for Disease Control and Prevention that assesses health status and risk factors among U.S. citizens. Interviews were conducted by Hollerans teleresearch center between the dates of April 18, 2012 and August 3, 2012. Trained interviewers contacted respondents via land-line telephone numbers generated from a random call list. 874 individuals who reside within 18 specific ZIP codes within the New Jersey counties of Union, Middlesex, and Essex were interviewed by telephone to assess their health behaviors, preventive practices, and access to healthcare. Participants were randomly selected for participation based on a statistically valid sampling frame developed by Holleran. Community engagement and feedback were an integral part of the CHNA process. RWJ-Rahway sought community input through inclusion of community partners in the prioritization and implementation planning process. Public health and healthcare professionals shared knowledge and expertise about health issues, and leaders and representatives of non-profit and community-based organizations provided insight on the community served by RWJ-Rahway including medically underserved, low income and minority populations. Twenty representatives from Union County healthcare organizations, health departments, community agencies, and area and social service organizations, gathered to review the results of the Community Health Needs Assessment. The planning meeting was initiated by three county hospitals: RWJ-Rahway, Overlook Medical Center, and Trinitas Regional Medical Center. The goal of the session was to discuss and prioritize key findings from the community health needs assessment in regard to Union County. A list of participants is included below: - Westfield YMCA; - RWJ-Rahway; - Trinitas Medical Center (Elizabeth, NJ); - Five Points Branch YMCA; - Atlantic Health (Overlook Medical Center, Summit, NJ); - United Way; - YMCA; - Contact We Care; - Overlook Medical Center; - Kean University Health Services; - Clark Township Health Department; - Bridgeway; - Rahway Police; - Proceed; - Overlook Medical Center - Behavioral Health; - Family & Child Services; and - Holleran Consulting. SCHEDULE H, PART V, SECTION B, QUESTION 11 RWJUH RAHWAY CONDUCTED CHNA DURING 2013. The following list outlines key health issues that were identified: Access to HealthCare --------------------- Access to HealthCare is a national health issue that can make it difficult to address other community health problems. Secondary data revealed that there were higher percentages of uninsured individuals and individuals with Medicaid and Medicare in the community. The Household Telephone Survey results revealed that there were significant disparities in access to health care based on gender and race/ethnicity. Chronic Diseases and Risk Factors for Chronic Disease ------------------------------------------------------ According to secondary data, Heart Disease, Cerebrovascular Disease (Stroke), Chronic Respiratory Disease, and Diabetes are the leading causes of death in Union County. The Household Telephone Survey results indicated that residents are slightly more likely to have diabetes. In addition, residents were less likely to practice proper diabetes management. Secondary data and Household Telephone Survey results also indicated that certain risk factors for chronic disease (obesity/overweight, alcohol consumption, etc.) are issues for local residents. On November 16, 2012, 20 individuals from Union County healthcare organizations, health departments, community agencies, and area and social service organizations, gathered to review the results of the Community Health Assessment. The community assessment and planning meeting was initiated by three county hospitals: Overlook Medical Center, RWJ-Rahway and Trinitas Regional Medical Center. The goal of the meeting was to discuss and prioritize key findings from the community health needs assessment in regards to Union County. Each hospital planned to use the county priorities to guide the development of their hospital implementation plan. Following the facilitated discussion, the attendees adopted five priority area for Union County: - Obesity with focus on prevention of Chronic Diseases/Metabolic Syndrome Illnesses including Diabetes & Cardiovascular Disease; - Mental Health & Substance Abuse; - Cancer; - Access to Care for Uninsured & Underinsured; and - Hispanic/Latino Health Disparities. RWJ-Rahway representatives reviewed feedback from the Prioritization Session, along with its current services and programs, resources and areas of expertise, and other existing community assets to determine health priority areas. The following needs were identified by RWJ-Rahway as its priority areas for the following three-year cycle: 1) Obesity with a focus on prevention of Chronic Diseases/Metabolic Syndrome Illnesses including Diabetes & Cardiovascular Disease; and 2) Access to Care for Uninsured & Underinsured. Below describes the goals and straegies of RWJ-Rahway to address these needs: Obesity with a Focus on Prevention of Chronic Diseases/Metabolic Syndrome Illnesses --------------------------------------------------------------------- GOAL: Promote health and reduce chronic disease through healthy eating, physical activity and regular well visits with a physician. OBJECTIVES: - Increase number of residents who access educational resources and specialized programs for obesity and chronic disease prevention programming; and - Increase participation in weight management, healthy eating, activity and health and wellness programs. STRATEGIES: - Continue to offer the "Adolescent and Child Obesity Program" two times a year (8 week program) to provide education to healthy lifestyles and nutritional options for children and young adults; - Increase number of families participating in program; - Continue to offer the "Lighter Lifestyle" adult weight loss program through the hospital and physician offices; - Continue to host more than 25 healthy cooking programs per year; - Sustain or increase number of screening programs for diabetes and cholesterol offered at local health fairs; - Continue to offer speaking engagements to community groups, AARP, employers on healthy lifestyle topics with special focus on diabetes, diabetes risk, heart disease and weight loss; - Continue to offer support groups for overeaters at RWJ-Rahway as well as the RWJ Rahway Fitness & Wellness Center in Scotch Plains and Carteret; - Potentially partner with local group to expand diabetes and weight loss support group and/or educational programming; - Use community publication to improve outreach for targeted programs; and - Create collateral that actively engages patients in the control of their disease or condition which would include frequently asked questions, resource guides, medication cards, blood pressure cards and food diaries. Access to Care -------------- GOAL: Maintain access to quality healthcare for Union County residents. OBJECTIVES: - Increase awareness of health care services; - Maintain awareness of available specialty services for stroke and heart disease; and - Maintain awareness of risks for stroke/heart disease/diabetes in underserved communities. STRATEGIES: - Continue to participate in health fairs, screenings in the Union/Middlesex County Areas; - Continue to assist clinic patients by coordinating appropriate referrals to specialists and social services when needed; - Continue to offer bilingual interpreters for Spanish and Hindi in the clinic; - Continue to offer support groups at the RWJUH Rahway locations including diabetes, caregiving, breast cancer, fibromyalgia, Parkinsons, overeaters, bariatric, heart disease; - Continue to provide transportation for medical appointments to qualified patients; - Continue to provide medical staff to educate community groups, faith-based groups and fraternal organizations; - Continue to operate on-site clinic; - RWJ-Rahway is currently pursuing additional resources to expand services to uninsured and at risk patients; - Currently seeking appropriate grants such as New Jersey Cancer Education & Early Detection (NJ CEED) to enhance cancer care for uninsured patients; - Seeking grant funding for eye exams, glaucoma and at risk patients. RWJ-RAHWAY RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES. THE FOLLOWING ARE NEEDS THAT RWJUH RAHWAY HAS CHOOSEN NOT TO ADDRESS AT THIS TIME: - MENTAL HEALTH & SUBSTANCE ABUSE: SINCE MENTAL HEALTH AND SUBSTANCE ABUSE REQUIRES SPECIALIZED CARE AND TREATMENT, OTHER ORGANIZATIONS WITH DEDICATED STAFF AND PROGRAMMING, MAY HAVE THE EXPERTISE AND RESOURCES NEEDED TO BETTER ADDRESS THIS NEED. HOWEVER, RWJ-RAHWAY EXPECTS TO PLAY A SUPPORT ROLE IN IMPROVING THE ACCESS TO APPROPRIATE MENTAL HEALTHCARE AND RESOURCES FOR AREA RESIDENTS. - CANCER: WHILE RWJ-RAHWAY WILL CONTINUE TO PROVIDE QUALITY CARE IN THE DIAGNOSIS AND TREATMENT OF CANCER, RESOURCES ARE LIMITED TO COMPREHENSIVELY ADDRESS THIS COMMUNITY NEED. RWJ-RAHWAY WILL PROVIDE APPROPRIATE SUPPORT TO THE SPECIALIZED PROVIDERS WHO HAVE THE EXPERTISE AND RESOURCES TO IMPROVE COMMUNITY HEALTH IN REGARDS TO CANCER. - HISPANIC/LATINO HEALTH DISPARITIES: RWJ-RAHWAY WILL WORK TO ADDRESS THESE DISPARITIES THROUGH THE STRATEGIES WITHIN ACCESS TO CARE BY OFFERING BILINGUAL STAFF AND CULTURALLY SENSITIVE EDUCATIONAL MATERIALS THROUGH THE HOSPITAL AND CLINIC. SCHEDULE H, PART V, SECTION B, QUESTION 15E RWJ-RAHWAY HAS A UNION COUNTY SOCIAL WORKER WHO WORKS IN THE HOSPITAL FACILITY TO PROCESS MEDICAID APPLICATIONS. RWJ-RAHWAY PAYS UNION COUNTY A STIPEND FOR THESE SERVICES. 2 RWJUH RAHWAY FITNESS & WELLNESS CENTER 2120 LAMBERTS MILL ROAD SCOTCH PLAINS NJ 07076 PHYSICAL THERAPY RWJUH RAHWAY FITNESS & WELLNESS CENTER 60 COOKE AVENUE CARTERET NJ 07008 PHYSICAL THERAPY SCHEDULE H, PART I, LINE 3C INCOME-BASED CRITERIA USED TO DETERMINE ELIGIBILITY ARE IN ACCORDANCE WITH THE NJ ADMINISTRATIVE CODE 10:52 SUB-CHAPTERS 11, 12 AND 13. FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE FOLLOWING CRITERIA ARE USED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. SCHEDULE H, PART I; QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART I, QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. SCHEDULE H, PART III, SECTION A; QUESTION 2, 3 & 4 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY IS A MEMBER OF THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AND AFFILIATES. PATIENT ACCOUNTS RECEIVABLE --------------------------- ACCOUNTS RECEIVABLE, PATIENTS 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. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS AND A PROVISION FOR DOUBTFUL COLLECTIONS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL COLLECTIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL COLLECTIONS. THE HOSPITALS ALLOWANCE FOR DOUBTFUL COLLECTIONS FOR SELF-PAY PATIENTS HAD A SLIGHT INCREASE TO 92% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2015, FROM 91% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2014. THE INCREASE IN THE ALLOWANCE PERCENTAGE WAS DUE TO AN INCREASE IN THE OUTPATIENT SELF-PAY CATEGORY. THE IMPACT OF THE INCREASE IN THE RESERVE PERCENTAGE REDUCED BAD DEBT EXPENSE BY APPROXIMATELY $100,000. CHARITY CARE ------------ THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITALS RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED. THE ESTIMATED COSTS OF PROVIDING CHARITY CARE ARE BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC CHARITY CARE SERVICES PROVIDED. THE LEVEL OF CHARITY CARE PROVIDED BY THE HOSPITAL AMOUNTED TO APPROXIMATELY $2,252,000 IN 2015 AND $3,473,000 IN 2014. CHARGES FOR SERVICES RENDERED TO PATIENTS WHO MEET GUIDELINES FOR CHARITY CARE HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. IN ADDITION TO THE STATE CHARITY CARE PLAN, RWJUH RAHWAY ALSO HAS ITS OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM FOR ALL PATIENTS WHO WOULD NOT OTHERWISE MEET THE STATE CRITERIA. THE HOSPITAL PROVIDED FINANCIAL ASSISTANCE OF APPROXIMATELY $126,000 IN 2015 AND $133,000 IN 2014 FOR THIS PROGRAM. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2015 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID - SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITAL'S CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. All patients are notified of the RWJUHR Financial Assistance Policy (FAP) at time of registration and through signs posted in the Emergency Rooms and Registration areas of the hospital facilities and in the Credit and Collection offices of the hospital campuses. All self-pay patients who have not been approved for financial assistance will be sent a bill shortly after discharge (for inpatients) or date of service (for outpatients). The bill will include a summary of charges by department, any payments previously made and any adjustments made to the account. All insured patients who have a self-pay balance after the insurance carrier has made payment will be sent a bill for this balance shortly after the insurance payment has been received. The bill will include a summary of charges by department and payments made by the patients or insurance carrier and any insurance adjustments made to the account. At approximately 20 to 30 day intervals, four additional statements will be sent to the patient/guarantor. During the period in which statements are being sent to the patient/guarantor, telephone calls advising the individual of the debt will also be made. Any unpaid account will be referred to a collection agency 120 days after the first bill is sent to the patient/guarantor if no Financial Assistance Application has been filed or if no attempt to arrange a payment plan has been made. In limited circumstances a lawsuit may be filed when all efforts to collect a debt have failed. THE FINANCIAL ASSISTANCE POLICY ASSURES PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE OR FNANCIAL ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. IN ADDITION TO THE ABOVE OPTIONS, Adheres to the rules set forth in Public Law 2008, Chapter 60, THE HOSPITAL ADHERES TO THE RULES SET FOR IN New Jersey Uninsured Discount, wherein all uninsured patients with family gross income less than 500% of FPG will be eligible for discounted care under this program. Under this program an eligible patient will be charged an amount no greater than 115% of the applicable payment rate under the Federal Medicare program for the healthcare services rendered. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C; THE HOSPITAL CONDUCTS AN ANNUAL REVIEW OF KEY INFORMATION WHICH IS THEN INCORPORATED INTO THE HOSPITAL'S PLANNING EFFORTS TO ENSURE IT MEETS THE HEALTHCARE NEEDS OF THE COMMUNITY. THIS REVIEW HAS INCLUDED IN THE PAST: A REVIEW OF THE MAJOR DIAGNOSTIC CATEGORIES OF ITS SERVICE AREA POPULATION WHICH IS DEFINED AS A 6-MILE RADIUS OF THE HOSPITAL; A REVIEW OF PHYSICIAN SPECIALTY IN THE SERVICE AREA, AND A REVIEW OF PHYSICIAN SHORTAGE/SURPLUS ESTIMATES BY SPECIALTY. THESE SPECIFIC ANALYSES INFORM THE HOSPITAL OF THE GAPS OF PHYSICIAN SERVICE IN THE COMMUNITY AND SPECIALTY AREAS OF NEED TO MEET COMMUNITY DEMAND. THE HOSPITAL CONDUCTS A MEETING WITH THE COMMUNITY WHERE INDIVIDUAL COMMUNITY MEMBERS ARE INVITED TO ATTEND. THE MEETING IS ADVERTISED IN THE LOCAL COMMUNITY NEWSPAPERS, AS WELL AS THE HOSPITAL'S OWN COMMUNITY NEWSLETTER, WHICH IS DISTRIBUTED TO 104,000 HOUSEHOLDS AS WELLS AS POSTING IN THE VARIOUS HOSPITAL FACILITIES AND ON ITS WEBSITE. THE MEETING'S PURPOSE IS TO EDUCATE THE PUBLIC ABOUT THE SERVICES AND THE FINANCIAL PERFORMANCE OF THE ORGANIZATION. A PORTION OF THE MEETING IS DEDICATED TO QUESTIONS FROM THE COMMUNITY. THE COMMUNITY MEMBERS ARE ENCOURAGED TO ASK QUESTIONS RELATED TO THE SERVICES OF THE HOSPITAL. THE CLINICAL DIRECTOR IN CHARGE OF EMERGENCY MANAGEMENT SERVICES IS AN ACTIVE PARTICIPANT IN SEVERAL STATE AND COUNTY EMERGENCY MANAGEMENT COMMITTEES. THE PURPOSE OF THESE COMMITTEES IS TO EVALUATE THE NEEDS OF EMERGENCY SERVICES THROUGH OUT THE COUNTY AT ALL LEVELS OF THE HEALTHCARE DELIVERY SYSTEM. IN ADDITION AT EACH COMMUNITY HEALTH PROGRAM AT HELD AT THE RWJUH RAHWAY FITNESS CENTER, WE GIVE OUT AN EVALUATION CARD THAT INCLUDES TOPICS YOU NEED ADDRESSED BY OUR MEDICAL ADVISORY PANEL. AS A RESULT OF THE INPUT RECEIVED FROM THESE CARDS,WE HAVE CREATED A NUMBER OF LECTURES/PROGRAMS SUCH AS: PULMONARY SMACKDOWN. DIABETES SMACKDOWN. INDIVIDUAL PROGRAMS ON THYROID, MENOPAUSE, HEEL PAIN AND BACK PAIN FINALLY AS PART OF THE HOSPITAL'S CAPITAL BUDGET PROCESS THE ORGANIZATION'S MANAGEMENT TEAMS SEEKS OUT AND RECEIVES INPUT FROM THE VOLUNTARY MEDICAL STAFF AS TO WHAT EQUIPMENT NEEDS TO BE UPDATED OR IMPROVED. THE INPUT OF THE VOLUNTEER MEDICAL STAFF IS A KEY DRIVER IN THE CAPITAL BUDGET PROCESS. SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. IF THE PATIENT WAS NOT SEEN DURING HIS INPATIENT HOSPITALIZATION A PATIENT REPRESENTATIVE ATTEMPTS TO CONTACT THE PATIENT VIA PHONE TO DISCUSS THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS. SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN RAHWAY, LINDEN AND ELIZABETH TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN RAHWAY NJ, IN UNION COUNTY. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. APPROXIMATELY 14% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. SCHEDULE H, PART VI; QUESTION 5 THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY department FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES COMMUNITY HEALTH. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK AND AFFILIATES. NOT FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HEALTH CARE CORPORATION RWJ HEALTH CARE CORPORATION ("RWJHCC") IS THE TAX-EXEMPT PARENT OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ("NETWORK"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER RWJHCC OR ANOTHER NETWORK AFFILIATE CONTROLLED BY RWJCC. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. RWJ HEALTH CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ HEALTH CARE CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. RWJ HEALTH CARE CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ACTIVE HOSPITALS INCLUDE: CHILDREN'S SPECIALIZED HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH, WITH THE EXCEPTION OF CHILDREN'S SPECIALIZED HOSPITAL; A SPECIALTY HOSPITAL, OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ HEALTH CARE CORPORATION. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CHILDREN'S SPECIALIZED HOSPITAL CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162 BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A LICENSED 265-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. IS AN ORGANIZATION CURRENTLY AWAITING ITS DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE. ONCE RECEIVED THE ORGANIZATION WILL BE RECOGNIZED AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THE ORGANIZATION PROVIDES CHARTIABLE AND EDUCATIONAL SERVICES AND SUPPORTS THE PROGRAMS AND STUDENTS OF LAKEVIEW CHILD CARE CENTER. THE ORGANIZATION AIMS TO IMPROVE EARLY EDUCATION AND CHILDCARE. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SCHEDULE H, PART VI; QUESTION 6 ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ORGANIZATION OF A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHICH INCLUDES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. NEW BRUNSWICK AFFILIATED HOSPITAL, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ROBERT WOOD JOHNSON VISITING NURSES, INC. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SOMERSET COMMUNITY CARE CORPORATION SOMERSET COMMUNITY CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SOMERSET HEALTH CARE AFFILIATES, INC. SOMERSET HEALTH CARE AFFILIATES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SOMERSET HEALTH CARE FOUNDATION, INC. SOMERSET HEALTH CARE FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR-PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. AN INACTIVE FOR-PROFIT ENTITY. RWJ MEDICAL ASSOCIATES AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. R.W.J. MEDICAL ASSOCIATES, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. RWJ HEALTH NETWORK, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A HEALTH CARE SYSTEM. RWJ KIDNEY TRANSPLANT ASSOCIATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. SCHEDULE H, PART VI; QUESTION 6 RWJ PHYSICIAN ENTERPRISE, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES SURGERY SERVICES TO INDIVIDUALS. SYSTEM AND AFFILIATE MEMBERS, LTD. A CONTROLLED FOREIGN CORPORATION BY ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. VISION HEALTHCARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY PROVIDES INVESTMENT SERVICES TO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. EOS, INC. AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTH, INC. AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTHCARE ASSOCIATES AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION AN INACTIVE FOR-PROFIT CORPORATION. SHC ENTERPRISES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SOMERSET REALTY GROUP, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION AN INACTIVE FOR-PROFIT CORPORATION. WARREN INTERNAL MEDICINE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. FRANKLIN MEDICAL GROUP, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. ACUCARE PHYSICIANS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET MEDICAL CARE PARTNERS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY PARTNERS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CHEST AND INTENSIVE CARE MEDICINE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET MEDICAL CENTER URGENT CARE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CSH VENTURES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. X true true X X X X X false true false false false false false true false STEPHEN K JONES TRUSTEE-PRESIDENT/CEO RWJHCC 0 1071294 0 445896 0 162098 0 15600 0 28789 0 1723677 0 0 KIRK C TICE TRUSTEE - PRESIDENT & CEO 531957 0 0 0 16354 0 112640 0 37222 0 698173 0 0 0 PETER P BIHUNIAK CHIEF FINANCIAL OFFICER 312856 0 0 0 1290 0 46406 0 28409 0 388961 0 0 0 Kevin M Kramer Esq VP Legal Affairs 298069 0 0 0 238 0 44865 0 7752 0 350924 0 0 0 BARBARA M MULLERY PHR VP Administration 244342 0 0 0 1290 0 37191 0 20182 0 303005 0 0 0 ANN MARIE SHEARS CNO/VP PATIENT CARE SVCS 233016 0 0 0 1980 0 34347 0 43898 0 313241 0 0 0 CATHERINE GOODHEART VP CLINICAL EFFectiveness 180415 0 0 0 25471 0 3615 0 3223 0 212724 0 0 0 MICHAEL MAIALE TERM 101515 VP OF MKTG DEVELOP. & STRATEGY 150877 0 0 0 156 0 0 0 683 0 151716 0 0 0 MARLENE H LUBINGER FOUNDATION PRESIDENT 138077 0 0 0 533 0 2688 0 28375 0 169673 0 0 0 DENINE IZZI DIRECTOR INFORMATION SVCS 171484 0 0 0 690 0 3501 0 21537 0 197212 0 0 0 SHUI W CHAN RN REGISTERED NURSE 152379 0 0 0 170 0 1760 0 465 0 154774 0 0 0 CARON M VERY DIRECTOR FINANCE 149826 0 0 0 1290 0 231 0 1423 0 152770 0 0 0 SHEILA BUTHE SPHR DIRECTOR HUMAN RESOURCES 148410 0 0 0 524 0 2971 0 1057 0 152962 0 0 0 SCHEDULE J, PART I; QUESTION 1 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY PROVIDES A MEMBERSHIP IN A COUNTRY CLUB FOR THE PRESIDENT/CEO, KIRK C. TICE, FOR CONVENIENCE OF WORK PURPOSES. THE PERSONAL USAGE OF THESE COUNTRY CLUB DUES AMOUNTED TO $4,989 IN 2015. THIS AMOUNT WAS INCLUDED IN HIS 2015 FOR W-2, BOX 5, AS TAXABLE MEDICARE WAGES. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN THE INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEPHEN K. JONES, $131,950 AND CATHERINE GOODHEART, RN, MPA, CIC, $23,491. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE WAGES: KIRK C. TICE, $107,340; PETER P. BIHUNIAK, $41,106; KEVIN M. KRAMER, ESQ., $39,565; BARBARA M. MULLERY, PHR, $32,383; ANN M. SHEARS, RN, MA, BE-BC, $30,647 AND JIM KARAMAN, $8,144. SCHEDULE J, PART I; QUESTION 7 AN INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 which AMOUNT was INCLUDED IN COLUMN B(II) HEREIN AND IN the INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221487126 64579FAP8 2003-08-28 11000000 NEW ER, EQUIP & 2003 Issue costs false false false A 0 0 11000000 0 0 0 52800 0 0 10947200 0 0 2005 false false true true A false false false false 0 true false false true A true true false 0 false 0 false true A true SCHEDULE K THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. The written policies referred to above are adopted AND IN PLACE at the network level. The organization follows the network policies when it comes to tax-exempt bond issues. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== Robert Wood Johnson University Hospital Rahway (the "hospital") is an acute-care, general medical and surgical hospital located in Rahway, New Jersey. The hospital is recognized by the IRS as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the hospital provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, sexual orientation or ability to pay. Moreover, the hospital operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1) The hospital provides medically necessary healthcare services to all individuals regardless of their ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2) The hospital operates an active emergency department for all persons, open 24 hours a day, seven days a week, 365 days per year; 3) The hospital maintains an open medical staff with privileges available to all qualified physicians; 4) Control of the hospital rests with its board of trustees, comprised of independent civic leaders and other prominent members of the community; and 5) Surplus funds are used to improve the quality of patient care, expand and renovate facilities; and advance medical care, programs and activities. The operations of the hospital, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of the hospital is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Moreover, the hospital provides substantial community benefit as outlined herein. Mission Statement ================= The hospital's mission is to deliver safe, quality, cost-effective healthcare services providing access and value to the community through a unified effort that meets individual needs with dignity and respect. Vision Statement ================ The hospital is a combination of dynamic, strategic partnerships dedicated to the delivery of a safe continuum designed to meet community needs for preventive service, acute care and chronic care. The continuum shall provide accessibility, quality and value to members of its community. Values ====== Access: The hospital assures access to care or appropriate referral for all, regardless of ability to pay. Community: The hospital strives to meet the healthcare needs of the patients, families, businesses, industries and community members who reside or work within its service area. Dignity and Respect: The hospital affirms the unique and intrinsic worth of each individual and treats all those we serve with compassion, kindness, dignity and respect recognizing confidentiality and patient rights in its daily practice. Dynamic Services: The hospital continually strives to identify community need and to implement services which meet the ever-changing environment. Partnerships: The hospital forges strong partnerships with those who share its values and service to its community. Quality: The hospital is committed to excellence, which is characterized by high performance, innovation, stewardship of resources, teamwork and regular evaluation of the outcome of service. Teamwork: The hospital trusts its colleagues and physicians as valuable members of its healthcare team and pledges to treat one another with loyalty, dignity and respect. Value: The hospital believes that value is a balance of access, quality and cost and strives to meet the patient's perception of value. Safety: The hospital is committed to delivering its services in a safe environment that protects patients, staff and visitors. Overview of Program Services ============================ Founded in 1917, Robert Wood Johnson University Hospital Rahway is an acute-care community hospital providing a healthcare continuum to communities in central and northern New Jersey, primarily from Union and Middlesex counties. The hospital provides an extensive array of medical services, which include but are not limited to: 24-hour emergency care; a Mobile Intensive Care Unit; critical care services; telemetry services; surgical services, including joint replacements and bariatric surgery; same-day surgical services; hematology-oncology services; transfusion services; cardiac care, including cardiac catheterization and emergency angioplasty; and cardiac and pulmonary rehabilitation, stress testing and diagnostic imaging. The hospital has the full range of laboratory and radiology diagnostic services as well as neurology, surgery, psychiatric and pediatric emergency services. The hospital is a NJ State-designated primary stroke center. Outpatient services also include wound care with hyperbaric oxygen therapy; balance testing; and cardiac and pulmonary rehabilitation, stress testing and diagnostics. The hospital maintains a lab for sleep studies and runs a diabetes management program, as well as a weight management program for adults and children. The hospital offers physical, occupational and speech therapies, to include physical and aquatic therapy at its two RWJ Rahway Fitness & Wellness Centers, located in Scotch Plains and Carteret. A more detailed description of these services is provided below. The hospital provides community education at the hospital, as well as at its fitness centers in Scotch Plains and Carteret, as well as within the community. A more detailed description of these services is provided below. The hospital is home to both a sub-acute, rehabilitation unit and a long-term acute-care hospital (LTACH), allowing for a full spectrum of care for its patients in one location. Subacute care ------------- There is a specialized subacute care unit located on the hospital premises, which is now owned and operated by AlarisHealth and is called Care Connection Rahway. This unit is designed to bridge the gap between the hospital and home for the patient who is over the acute phase of illness, but still needs medical care and rehabilitation. Long Term Acute Care Hospital (LTACH) ------------------------------------- There is an LTACH unit located on the hospital premises, which is owned and operated by Kindred Hospital Rahway. Kindred is a specialty care hospital providing intense specialized treatment for extended periods of time to patients with serious medical problems, who cannot receive these services in an regular acute care setting. The Joint Replacement Center ---------------------------- The center offers total knee replacement, minimally invasive partial knee replacement, and total and partial hip replacement. All surgeons are board certified and have extensive experience in joint replacement and minimally invasive techniques. The experienced staff consists of a joint care coordinator, specialized nursing care, licensed occupational and physical therapists, and case managers to help each patient make the transition from the hospital to a pain free, active life. The Center for Wound Healing and Hyperbaric Medicine ---------------------------------------------------- The hospital has partnered with Restorix Health to provide hyperbaric medicine. The center provides patients with treatment for chronic, non-healing wounds associated with inadequate circulation, poorly functioning veins and immobility. Non-healing wounds occur most frequently in people with diabetes and poor circulation. The Sleepcare Center -------------------- The center, in partnership with Persante Inc., performs patient sleep studies, both at home and in the hospital, designed to help physicians diagnose and treat patient sleep problems. The test provides a comprehensive record of patient sleep patterns, leg movements, blood oxygen levels, breathing, heart rhythm, and snoring. Results are evaluated by a sleep specialist, who forwards them to the patient's personal physician, along with a diagnosis and recommendation for treatment. Rehabilitation Services ------------------------ Rehabilitation Services include comprehensive inpatient and outpatient rehabilitation for a variety of impairments. The focus is on restoring and improving function in mobility, self-care, independence and quality of life. Services include physical therapy, occupational therapy, speech/language therapy for children and adults, aquatic therapy, audiology, dysphasia and swallowing disorders, as well as urinary incontinence treatment. Pulmonary Rehabilitation helps people with asthma, emphysema and chronic bronchitis regain function. The Nicholas Quadrel Healthy Heart Center provides cardiac rehabilitation and maintenance programs, education and counseling for heart disease patients. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS The Balance Center ------------------ For patients with balance disorders, vertigo and dizziness, the Balance Center diagnoses and treats using a specialized team made up of a physician, audiologist and physical therapists. The Center for Healthy Lifestyles --------------------------------- This center features the Diabetes Self-management Program, an American Diabetes Association-recognized program that helps people control their disease by giving them the skills, knowledge and motivation to stay healthy. The center also offers group or customized weight-loss programs, open to all who would like to lose weight. The program is especially beneficial for people who are obese, those with an immediate family member with diabetes, members of high-risk ethnic populations, as well as those with high blood pressure, elevated cholesterol, or impaired glucose tolerance. The center also runs a weight management program for children and adolescents. Medical Clinic -------------- The hospital operates a medical clinic to treat uninsured patients. The clinic is staffed by a hospital-employed nurse, nurse practitioner and volunteer physicians from the hospital's medical staff. New Jersey Charity Care Program ------------------------------- The hospital provides care to patients who meet certain criteria defined by the New Jersey Department of Health without charge or at amounts less than its established rates. Enhanced Charity Care program ----------------------------- This program provides free or reduced fee care to patients whose income exceeds the state's Charity Care program but is less than 500% of the poverty level. The hospital receives no reimbursement on these patients, other than reduced fees paid by the patient. Community Outreach and Education --------------------------------- RWJ Rahway identifies healthcare needs in the community through its outreach, partnerships and the Community Needs Assessment. Through its Community Education Department, the hospital participates in health fairs, clinics, and educational programs, both at the hospital and in the community. The hospital provides free monthly support groups at the hospital and in the community at its RWJ Rahway Fitness & Wellness Center in Scotch Plains, which also provides meeting space for nonprofit organization meetings. The RWJ Rahway Employee Activities Committee spearheads several philanthropic projects throughout the year to serve the community. The following is a list of community benefits activities conducted by the hospital on a routine basis. 1. RWJ Rahway provides free educational programing each month at its two fitness centers in Carteret and Scotch Plains. These programs include talks on various health and wellness topics delivered by RWJ Rahway Medical and Dental Staff, in addition to dietitians, exercise physiologists, nurses and mental health experts affiliated with RWJ Rahway or its affiliated hospitals. 2. RWJ Rahway provides monthly healthy cooking programs, led by a Registered Dietitian, at its Scotch Plains center. Programs are free, including recipes and samples. 3. RWJ Rahway diabetes educators volunteer at a local food pantry to counsel people with diabetes and their families on a monthly basis. 4. RWJ Rahway runs a medical education program for students at the Abraham Clark High School in Roselle. The program is free of charge and is run by a Registered Nurse. Students are exposed to various clinical and non clinical areas in the hospital, such as Housekeeping, Lab, Radiology, Physical Therapy/Rehabilitation and the Hospitals Health Heart Program. 5. RWJ Rahway employees conduct college fairs for high school students in the community to make them aware of career opportunities in the medical field. 6. RWJ Rahway employee serves on the Education Council for Union County College, promoting healthcare careers. 7. RWJ Rahway employees conduct job fairs for colleges and universities in Union and Middlesex Counties. 8. RWJ Rahway has affiliations with community high schools to allow students to do their clinical requirements and earn credits, as well as explore opportunities for careers in health care. There are 13-15 students who are at the hospital four days a week during the months February through June. The hospital provides time and material at no expense to the students. 9. The RWJ Rahway scholarship fund donates five $1,000 scholarships annually to first year college students. 10. Community Education runs monthly support groups for patients and caregivers. These support groups include: - Diabetes support group; - Cardiac support group; - Parkinson's support group; - Fibromyalgia support group; - Bereavement support group; - Spousal Bereavement support group; - Breast cancer support group; - Caregiver support group; - Bariatric support group; - Overeaters Anonymous; - Stress management; and - Smoking cessation. 11. RWJ Rahway provides senior dining at discounted rates nightly in the Hospital Cafeteria, which is regularly attended by local seniors. 12. RWJ Rahway provides free flu shots to volunteers. 13. RWJ Rahway is an active member in Food Pantry for Rahway. The committee members conducted the annual food drive raising 3,000 pounds of food, which was donated to the Food Pantry. 14. The hospital hosts quarterly blood drives in conjunction with local blood banks to donate live-saving blood and blood products. 15. The hospital runs a program for employees and community members to both donate supplies and create blankets for the homeless, which are in-turn donated to homeless members of the community. 16. The RWJ Rahway Employee Activities Committee philanthropic projects include: - Diaper Drive: The Employee Activities Committee collects disposable diapers, wipes, clothes and toys for Homefirst Interfaith Housing and Family Services, an organization dedicated to homeless families and those at risk of homelessness. These items are provided in their emergency shelter to the families who need them for their infants and toddlers. - Thanksgiving Drive: Employees donate food for Thanksgiving baskets to allow needy families in the area to enjoy hearty Thanksgiving dinners. In 2015, there were twelve baskets. - School Supplies/Backpacks: We collect school supplies and back packs for the Saint John the Apostle Food Pantry to distribute to area students in need. - Fall/Winter Coat Drive: Each year, the Employee Activities Committee collects and donates both new and gently used coats to an organization that can distribute the items to community members in need. In 2015, donations were made to the YWCA of Union County, which were delivered to battered women and their children. - Santa Breakfast: This is an annual winter celebration at the Applebees on Route 1 for community children and families, sponsored by the hospital Employee Activities Committee. - Angels Project: Employees coordinate and contribute winter holiday gifts for children in the community. Affiliations ------------ Since 2003, RWJ Rahway has been part of the Robert Wood Johnson Health System. The system is comprised of Robert Wood Johnson University Hospital in New Brunswick, an academic medical center; RWJ Somerset; RWJ Hamilton; RWJ Rahway; Children's Specialized Hospital; and The Bristol-Myers Squibb Children's Hospital. Robert Wood Johnson University Hospital in New Brunswick is the flagship hospital for Rutgers Robert Wood Johnson Medical School. This affiliation has provided RWJ Rahway patients with access to the latest medical innovations and the expertise of outstanding physicians in every specialty. Robert Wood Johnson Health Network, Inc. is a New Jersey non-profit corporation, whose sole member is RWJHCC. It provides medical transportation services for the communities served by RWJ hospitals. CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI; GOVERNANCE, MANAGEMENT, AND DISCLOSURE; QUESTION 2 CHRISTINE KLINE AND JOHN A. KLINE, M.D. - FAMILY RELATIONSHIP CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ROBERT WOOD JOHNSON HEALTH CARE CORP. ("RWJHCC") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJHCC MAINTAINS AUTHORIZATION FOR KEY DECISIONS OF THIS ORGANIZATION INCLUDING, BUT NOT LIMITED TO, APPROVAL OF ANNUAL BUDGETS, ENTERING INTO BORROWING ARRANGEMENTS, STRATEGIC PLANNING AND THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THis ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO providing it to each voting member of ITS governing body. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION AND THE NETWORK REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. THEREAFTER THE PRESIDENT/CHIEF EXECUTIVE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THIS ORGANIZATION'S BOARD OF TRUSTEES HAS A GOVERNANCE COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE GOVERNANCE COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH IS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS an affiliate within ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS and OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION or a related organization. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION or a related organization AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION LIABILITY ADJUSTMENT - $1,961,595; - NET ASSETS RELEASED FROM RESTRICTION USED FOR PROPERTY AND EQUIPMENT - $96,786; - NET UNRESTRICTED LOSS IN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION & AUXILIARY; BOTH RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS - ($62,760); AND - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $20,514. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE ORGANIZATION AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM each year. THE ORGANIZATION'S LEGAL AND AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CHILDRENS SPECIALIZED HOSPITAL 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 221487148 PED. CARE NJ 501(C)(3) HOSPITAL RWJHCC false CHILDRENS SPECIALIZED HOSPITAL FDN 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 136844298 FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJHCC false LAKEVIEW CHILD CARE CENTER INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 222627639 CHILD CARE NJ 501(C)(3) 509(A)(2) RWJHCCH false RWJ UNIV HOSPITAL AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 210634572 HLTHCARE SVCS NJ 501(C)(3) HOSPITAL RWJHCCH false RWJ UNIV HOSP AT HAMILTON FDN INC ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 222552329 FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJHCCH false RWJ HEALTH CARE CORPORATION AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 222566863 HOLDING CO. NJ 501(C)(3) 509(A)(3) RWJHCC false RWJ UNIV HOSP RAHWAY AUXILIARY 865 STONE STREET RAHWAY NJ 07065 220012205 SUPPORTING NJ 501(C)(3) 509(A)(2) RWJUHR true RWJ UNIV HOSP RAHWAY FOUNDATION 865 STONE STREET RAHWAY NJ 07065 222405094 FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJUHR true NEW BRUNSWICK AFFILIATED HOSPITALS INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 221946837 HLTHCARE SVCS NJ 501(C)(3) 509(A)(3) RWJHCC false RWJ PROPERTY HOLDING CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 222474955 PROPERTY NJ 501(C)(3) 509(A)(3) RWJHCC false RWJ HEALTH CARE CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 222568905 HOLDING CO. 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NJ N/A C CORP. false false false false true false false false false false false false false false true true false true true true RWJ UNIVERSITY HOSPITAL RAHWAY FOUNDATION O,Q 331001 COST RWJ UNIVERSITY HOSPITAL RAHWAY AUXILIARY O,Q 64224 COST RWJ UNIVERSITY HOSPITAL RAHWAY FOUNDATION D 106761 COST SCHEDULE R THE ORGANIZATION IS AN AFFILIATE WITHIN ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THIS ORGANIZATION ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED. SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.