2015-11-16T12:38:17-06:00 2014-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2014-01-01 221537688 HUNTERDON MEDICAL CENTER % GAIL KOSYLA HUNT 9087886153 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 GAIL KOSYLA CFO 9738989494 2015-11-11 true Scott J Mariani P00642486 9738989494 2014 2016-04-25 22:37:26Z ROBERT P WISE 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 287958447 false X WWW.HUNTERDONHEALTHCARE.ORG X 1948 NJ STRIVES TO PROVIDE TO THE MAXIMUM EXTENT POSSIBLE QUAL COMPR. HLTHCARE SVCS WHICH ARE REQ. BY THE PEOPLE OF THE OF THE COMMUNITY AND SURROUNDING AREAS AND APPROPRIATE TO THE ORG. 17 15 2655 512 514755 -235247 5994536 5873315 256502304 257033386 5139149 1521327 1823700 2026105 269459689 266454133 0 0 0 0 166189564 154934693 0 0 0 97976548 103415610 264166112 258350303 5293577 8103830 307729904 334614692 86293752 154013938 221436152 180600754 X PLEASE REFER TO SCHEDULE O FOR A DETAILED MISSION AND COMMUNITY BENEFIT STATEMENT. false false 28716642 0 42428793 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 25200177 0 19521155 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL/SURGICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 23832315 0 34406211 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY RADIOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 146245421 0 161157934 223994555 true true false true false false false false false true true false true false true true true true false false false false false false false false true true false false true true false false false false false true false false true true false false false false false true true true false false true 293 0 true 2655 true true true false false false false false false false false false X 17 15 true false false false true true true true true false false true true true true true true true true false NJ X GAIL KOSYLA 9087886100 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 X ROBERT J CODY MD CHAIRMAN - TRUSTEE 3.0 0.0 X X 0 0 0 BARRY GOODMAN ESQ VICE CHAIRMAN - TRUSTEE 3.0 0.0 X X 0 0 0 RENEE SELMAN SECRETARY - TRUSTEE 3.0 0.0 X X 0 0 0 WILLIAM ATWATER TRUSTEE; EX-OFFICIO 3.0 0.0 X 0 0 0 ROBERT BOGGIANO MD TRUSTEE 3.0 0.0 X 0 0 0 ANTHONY GRANATO MD TRUSTEE 40.0 0.0 X 210400 0 0 H JAMES GRIFFITH TRUSTEE 3.0 0.0 X 0 0 0 CAROL HARDING TRUSTEE 3.0 0.0 X 0 0 0 CASEY KOLLER TRUSTEE 3.0 0.0 X 0 0 0 ELLEN LOCKER TRUSTEE 3.0 0.0 X 0 0 0 JAMES LYNCH TRUSTEE 3.0 0.0 X 0 0 0 JOHN RICE TRUSTEE 3.0 0.0 X 0 0 0 ANDREW RUDNICK MD TRUSTEE 3.0 0.0 X 0 0 0 JOSEPH SCALIA DO TRUSTEE 3.0 0.0 X 0 0 0 PETER TEUBER PHD TRUSTEE 3.0 0.0 X 0 0 0 GREGORY C WATTS ESQ TRUSTEE 3.0 0.0 X 0 0 0 ROBERT P WISE TRUSTEE; EX-OFFICIO - PRES/CEO 50.0 0.0 X X 921828 0 126471 PAUL MAURA MD TRUSTEE (1/1 - 5/31) 3.0 0.0 X 4418 0 0 ROBERT MORE MD TRUSTEE (1/1 - 5/31) 3.0 0.0 X 0 0 0 GAIL KOSYLA CHIEF FINANCIAL OFFICER 50.0 0.0 X 401589 0 63174 LAWRENCE N GRAND EXECUTIVE VP/COO 50.0 0.0 X 438695 0 61606 DEBORAH L HOSKINS VP, FINANCE 50.0 0.0 X 257398 0 49449 GEORGE ROKSVAAG MD CHIEF MEDICAL OFFICER 55.0 0.0 X 430811 0 49726 RICHARD J WEBB CHIEF LEGAL OFFICER 50.0 0.0 X 354426 0 65457 GLEN A MAMARY VP, CIO (TERM 11/5) 50.0 0.0 X 268605 0 42576 WAYNE C FELLMETH MD VP, INTERIM CIO (EFF 10/15) 50.0 0.0 X 276739 0 18595 VIOLET T KOCSIS CHIEF HUMAN RESOURCES OFFICER 50.0 0.0 X 251983 0 69666 ROBERT G COATES MD VPMA 50.0 0.0 X 323243 0 70580 NEIL HUDES VP PROFESSIONAL SERVICES 50.0 0.0 X 307474 0 62172 PATRICIA STEINGALL RN VP PATIENT CARE 50.0 0.0 X 280384 0 68214 DONALD R PINNER VP, COO - HRCH 50.0 0.0 X 244001 0 41758 CHRISTOPHER E SICKELS VP FOUNDATION 50.0 0.0 X 224066 0 25437 DEBORAH PINGUE VP MARKETING 50.0 0.0 X 197075 0 40269 KEITH T GOLDSTEIN MD PHYSICIAN 50.0 0.0 X 934758 0 54902 JEFFREY D HARTFORD MD PHYSICIAN 50.0 0.0 X 762532 0 57934 SOHAIL G HADDAD MD PHYSICIAN 50.0 0.0 X 600863 0 55143 JOSEPH L GUGLIOTTA MD PHYSICIAN 50.0 0.0 X 589618 0 54759 CATHERINE E GLEASON MD PHYSICIAN 50.0 0.0 X 454805 0 12564 8735711 0 1090452 280 false true false HUNTERDON CARDIOLOGY 1100 WESCOTT DRIVE SUITE G3 FLEMINGTON NJ 08822 MEDICAL 5059311 MAYO COLLABORATIVE SERVICES INC 3050 SUPERIOR DRIVE NW ROCHESTER MN 55901 MEDICAL 726613 CDW LLC 260 INDUSTRIAL WAY W EATONTOWN NJ 07724 IT 655317 HEALTHCARE MANAGEMENT LLC 101 GROVERS MILL ROAD PO BOX 600 LAWRENCEVILLE NJ 08648 BILLING & COLLECTION 502330 HUNTERDON IMAGING ASSOCIATES PA 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 MEDICAL 391579 48 X 2034006 3673637 165672 5873315 NET PATIENT SERVICE REVENUE 541900 249829467 249829467 STATE OF NJ CHARITY SUBSIDY 541900 1659606 1659606 HEALTH AND WELLNESS 713940 3739260 3705212 34048 OTHER HEALTHCARE RELATED REVENUE 541900 1805053 1805053 257033386 1365522 1365522 3402 3402 0 990081 176174 813907 0 813907 813907 21453693 26850 21308882 19258 144811 7592 152403 152403 0 0 0 CHILD CARE 624410 795820 480707 315113 CAFETERIA 722320 395679 395679 VENDING MACHINE 722320 20699 20699 1212198 266454133 256999338 514755 3066725 0 0 0 0 6248287 5436010 812277 0 0 123431386 107385306 16046080 -1688072 -1468623 -219449 9066996 7888286 1178710 17876096 15552204 2323892 2093727 2093727 145526 145526 168004 168004 44329 44329 0 0 1043602 1043602 1365637 1365637 3833724 3335340 498384 0 0 9669680 8412622 1257058 42814 37248 5566 0 337094 293272 43822 2301085 2301085 0 13502788 13502788 3844015 3344293 499722 MEDICAL SUPPLIES 31198351 27142565 4055786 PURCHASED SERVICES 11546773 10045693 1501080 MAINTENANCE/SERVICE CONTRACT 10663222 9277003 1386219 PHYSICIAN FEES 6265646 5451112 814534 5349593 4692714 656879 258350303 223994555 34355748 0 X 7412 7612 32046724 38125253 2366538 1511184 30545288 28623254 64392 43705 0 0 0 0 1133593 1456375 2639455 3442680 306999693 177996091 106189483 129003602 0 0 0 0 110599313 117052463 0 0 22137706 15348564 307729904 334614692 25175874 31203855 0 0 0 0 46779064 73236704 0 0 0 0 729168 1869647 0 0 13609646 47703732 86293752 154013938 X 201179716 159603519 3523237 2468753 16733199 18528482 221436152 180600754 307729904 334614692 X 8103830 2040160 -50979388 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 44329 44329 false SCHEDULE C, PART II-B; LINE 1I DURING 2014, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM A TOTAL OF $30,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $14,329 DURING THE YEAR ENDED DECEMBER 31, 2014. 18392151 1200000 670449 73022 20189578 16914263 1551777 73889 18392151 15956024 1065759 107520 16914263 16050078 29719 123773 15956024 15223818 1011759 185499 16050078 0.91770 0.08230 false false 6796849 6796849 106845225 44944859 61900366 3389139 2483036 906103 159902126 126100780 33801346 30066354 4467416 25598938 129003602 SHORT-TERM INVESTMENTS 41144213 F ASSETS WHOSE USE IS LIMITED 0 F FUNDS HELD BY TRUSTEE 6073897 F BOARD DESIGNATED FUNDS 42457199 F DONOR RESTRICTED ASSETS 17434118 F BENEFICIAL INTEREST IN TRUSTS 2201575 F INVESTMENTS - LAND 213099 F ASSETS OF HMC FOUNDATION 7528362 F 117052463 0 ACCRUED INTEREST PAYABLE 24317 OTHER LIABILITIES 3248708 THIRD-PARTY PAYORS; CURRENT 1176419 THIRD-PARTY PAYORS; NON-CURR 4251376 MALPRACTICE LIABILITY 1343000 PENSION BENEFIT LIABILITY 37543554 DUE TO AFFILIATES 116358 47703732 X 268670467 2040160 176174 2216334 266454133 266454133 258526477 176174 176174 258350303 258350303 SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS HUNTERDON HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF HUNTERDON MEDICAL CENTER FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2014 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48 (ASC 740): The Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on its exempt income under Section 501(a) of the Code. The Medical Center accounts for uncertainty in income taxes by prescribing a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2014 or 2013. The Medical Centers federal tax-exempt organization business income tax returns are no longer subject to examination by the Internal Revenue Service for years before 2011. SCHEDULE D, PART XI; LINE 2D OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: - RENTAL EXPENSES - $176,174. SCHEDULE D, PART XII; LINE 2D OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 INCLUDE: - RENTAL EXPENSES - $176,174. true true X true X 300. true X 500. true true false true true 1740 5994512 1551369 4443143 0.01720 2601 22914967 20628613 2286354 0.00880 4341 28909479 22179982 6729497 0.02600 67 1108 3307328 3307328 0.01280 6 413 3243249 1745137 1498112 0.00580 9 6569690 5018773 1550917 0.00600 82 1521 13120267 6763910 6356357 0.02460 82 5862 42029746 28943892 13085854 0.05060 1 0 469712 93427 376285 0.00150 0 0 0 0 0.00000 2 0 3741 0 3741 0.00000 1 0 800 0 800 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 1 0 971 0 971 0.00000 0 0 0 0 0.00000 5 0 475224 93427 381797 0.00150 true 13420545 3355136 59175102 66275414 -7100312 X true true 1 1 HUNTERDON MEDICAL CENTER 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 WWW.HUNTERDONHEALTHCARE.ORG 11001 X X X X HUNTERDON MEDICAL CENTER 1 false false true X X X X X X X X X 13 true false true true X www.hunterdonhealthcare.org X see schedule h, part v, section c X true 13 true www.hunterdonhealthcare.org false false true X 300. 500. X X X true true X X X true X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 5 THE HUNTERDON COUNTY PARTNERSHIP FOR HEALTH IS A COUNTY-WIDE INITIATIVE THAT INVOLVES MORE THAN 30 COMMUNITY SERVICE PROVIDERS, AGENCIES AND ORGANIZATIONS SHARING A COMMON INTEREST IN PROMOTING AND IMPROVING THE HEALTH, WELL-BEING AND QUALITY OF LIFE OF HUNTERDON COUNTY RESIDENTS. SINCE ITS INCEPTION IN 1995, THIS HEALTHIER COMMUNITY INITIATIVE HAS LED THE COMPLETION OF 4 COUNTY-LEVEL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEYS AND THE DEVELOPMENT OF A 2007 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MEMBERS OF THE HUNTERDON COUNTY PARTNERSHIP FOR HEALTH INCLUDE: - CANCER COALITION OF HUNTERDON AND MERCER - CENTRAL JERSEY FAMILY HEALTH CONSORTIUM - DELAWARE VALLEY FAMILY HEALTH CENTER - FLEMINGTON JEWISH COMMUNITY CENTER - FRANCIS DESMARES ELEMENTARY SCHOOL - HART COMMUTER INFORMATION SERVICES - HUNTERDON CARE CENTER - HUNTERDON COUNTY CHAMBER OF COMMERCE - HUNTERDON COUNTY RESIDENT - HUNTERDON COUNTY DIVISION OF HEALTH - HUNTERDON COUNTY DIVISION OF SENIOR, DISABILITIES AND VETERANS SERVICES - HUNTERDON COUNTY OFFICE OF THE PROSECUTOR - HUNTERDON COUNTY PUBLIC HEALTH NURSING AND EDUCATION - HUNTERDON COUNTY SUPERINTENDENT OF SCHOOLS - HUNTERDON COUNTY YMCA - HUNTERDON DRUG AWARENESS PROGRAM - HUNTERDON HELPLINE - HUNTERDON HEALTHCARE PARTNERS - HUNTERDON MEDICAL CENTER - CENTER FOR HEALTHY AGING - CENTER FOR NUTRITION AND DIABETES MANAGEMENT - HUNTERDON BEHAVIORAL HEALTH - HUNTERDON PEDIATRIC ASSOCIATES - HUNTERDON REGIONAL CANCER CENTER - HUNTERDON REGIONAL COMMUNITY HEALTH - HUNTERDON AND MERCER COUNTY REGIONAL CHRONIC DISEASE COALITION - HUNTERDON PREVENTION RESOURCES - LATINO HEALTHCARE ACCESS COMMITTEE - PHILLIPS BARBER FAMILY HEALTH CENTER - READINGTON TOWNSHIP BOARD OF HEALTH - RUTGERS COOPERATIVE EXTENSION SERVICES - SAFE COMMUNITIES COALITION OF HUNTERDON AND SOMERSET COUNTY - UNITED WAY OF HUNTERDON COUNTY IN ADDITION, WE CONSULTED WITH A UNIVERSITY PROFESSOR, WHO IS AN MPH AND PH.D., TO FACILITATE OUR FOCUS GROUPS. WE ALSO UTILIZED THE FORMER HUNTERDON COUNTY HEALTH DEPARTMENT DIRECTOR TO ASSIST US WITH MUCH OF THE PROCESS. SCHEDULE H, PART V, SECTION B, QUESTION 7B THE CHNA IS LISTED ON THE HOSPITAL'S WEBSITE. IN ADDITION, THE HOSPITAL FACILITY MAKES ITS CHNA REPORT AVAILABLE TO THE PUBLIC VIA THE FOLLOWING WEBSITES: - http://partnershipforhealth.hunterdonhealthcare.org - http://www.co.hunterdon.nj.us/health.htm SCHEDULE H, PART V, SECTION B, QUESTION 8 THE FACILITY, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS IDENTIFIED AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THESE PRIORITY HEALTH NEED AREAS. THE CHNA INFORMS THE FACILITY'S STRATEGIC PLANNING WHICH INCORPORATES ELEMENTS FROM THE CHNA IMPLEMENTATION PLAN IN ITS STRATEGIES TO MEET ITS GOAL OF IMPROVED COMMUNITY HEALTH. THE CHNA IMPLEMENTATION PLAN ALSO INCLUDES RESOURCES, ACTIONS AND GOALS (MEASURABLE). SCHEDULE H, PART V, SECTION B, QUESTION 11 AS DISCUSSED ABOVE, THE FACILITY CONDUCTED A COMPREHENSIVE ASSESSMENT AND A MYRIAD OF HEALTH NEEDS WERE IDENTIFIED. GIVEN LIMITED RESOURCES, NEEDS WERE PRIORITIZED WITH CONSIDERATION OF SERVICE ARRAY OFFERED BY THE FACILITY AND ABILITY TO COLLABORATE. Obesity: -------- Goal: Reduce the prevalence of obesity among Hunterdon County residents. Measure: 1. Stop and eventually reverse the rising obesity trend. 2. Increase number of participants in wellness and weight and diabetes management programs by 10%. Data Source: 1. Percentage of adults who have a BMI within the normal range (between 18.5 and 24.9) in Hunterdon Healthcare physician practices electronic health records (NextGen). 2. Number of adults participating in wellness and weight and diabetes management programs. To support community efforts we tracked the percentage of patients that have a BMI within a healthy weight range (adults and children). These numbers are shared quarterly with system administrative leadership, Boards, the Clinical Management Committee and the Population Health Committee. As part of a CMS CPCI (Comprehensive Primary Care Initiative) innovation project, seven primary care practices conducted nutrition education classes at their sites for patients identified as pre-diabetic in 2014. Ten Care Coordinators also assisted patients in addressing weight management as part of our Accountable Care programs. Static percentages across quarters in 2014 provided evidence that efforts may need to be refocused and/or expanded in 2015. The Hunterdon Healthcare System supports the Partnership for Health (PFH), a county-wide initiative that involves more than 30 community service providers, agencies and organizations sharing a common interest in promoting and improving the health, well-being and quality of life of Hunterdon County residents. The PFH has four action teams, one concentrating on obesity. In 2014 the obesity action team participated in the Community Transformation Grant. A nutrition program was provided at 17 worksites, to approximately 200 employees throughout the county. The presentation improved awareness of healthy behaviors including portion size, increasing fruit and vegetable intake, increasing hydration, and preparing healthy lunches. In 2014 Hunterdon Healthcare System offered employee wellness rewards to those who attended a 2 part Healthy Plate, Healthy Weight program that provided information on healthy eating strategies to approximately 150 employees. All employees can also take advantage of discount gym memberships and an on-site weight management program. A salad bar and healthy options are offered in the employee cafeteria. The Center for Nutrition and Diabetes Management, part of the Hunterdon Healthcare System, provides nutrition education to patients with diabetes. Eighty percent of patients with diabetes are obese. In 2014, the number of individual counseling sessions increased for pediatric and adult obesity while the number of diabetes patients decreased. Although we did not reach our goal of a 10% increase in participants of the wellness and weight and diabetes management programs, we did have more people participate in 2014 than in 2013. Patient's issues with insurance coverage, and high deductibles affect our patient volumes. We also experienced a decrease in our diabetes educator staff. The number of pre-diabetes patients counseled was relatively stable. We have established group education classes to meet the needs of diabetic patients with less nursing staff, making these services more affordable and accessible to all. Obesity/overweight continues to be a challenge in Hunterdon County and throughout New Jersey, and the nation. Moving forward into 2015 the obesity action team is addressing four areas to make an impact on the obesity rates in Hunterdon County: worksite wellness, school wellness, food access, and breastfeeding. They will address policy change and changes in environment that they hope will provide sustainable models for reducing obesity through these venues and the county. Substance Abuse: Goal: Reduce the prevalence and incidence of substance abuse among Hunterdon County residents. Measure: Reduce Substance Abuse by 5%. Data Source: Increase number of completed inpatient Addiction Treatment Consults The number of inpatient consults conducted by Hunterdon Medical Center's Behavioral Health Practitioners was slightly lower in 2014(330 consults) as compared to 2013 (346 consults). This result is directly related to a decrease in the number of Addiction Treatment Staff during the third quarter. The staff vacancy was filled and changes made to the current staff's schedules allowed for more consult time. The 2015 numbers are on target to exceed the 2013 baseline. Latino Health Disparity & Prenatal Care: Goal: Reduce health disparities among the Latino population in Hunterdon County. Measure: 1. Increase number of Latino mothers attending group prenatal care program. 2. Increase the proportion of Latino mothers receiving early and adequate prenatal care. 3. Increase the number of Latinos participating in health education workshops. 4. Increase percentage of Latinos receiving age-appropriate cancer screening. Data Source: 1. Number of Latino mothers attending the group prenatal care program at Phillips Barber. 2. Percentage of pregnant Latino women receiving prenatal care in their first trimester. 3. Number of adult Latinos participating in health education workshops. 4. Percentage of Latinos who have had a mammogram in the past 2 years. The Latino Prenatal Group Visit program was successful this past year in providing access to care for prenatal care. The program provided transportation to Phillips Barber physician practice at no cost (grant funded) to the participants. The number of participants nearly doubled from 2013 to 2014, from 31 to 60 mothers attending the program. In 2014 the number of Latino women receiving prenatal care during their first trimester and delivering at Hunterdon Medical Center was 70% compared to 82% in 2013. There are many factors that may have been the reason for this decrease. One of the factors is the increase of Latino mothers arriving to the country and our area later in their pregnancies. This is a general shift in the demographics of the Latino population in our area. The designation of Phillips Barber as a Centering Pregnancy site and the diligent work of our Public Health Nurses, Social Services, WIC, and the medical director of this program and her staff have made tremendous strides in this area. Their services are well known throughout the community. However, the current trend of pregnant Latino women arriving to the community later in their pregnancies is a factor that has and will decrease our percentages. The Hunterdon Regional Cancer Center at Hunterdon Medical Center facilitates the Hunterdon NJ CEED (Cancer Education and Early Detection) program. The successes of this program were achieved due to the commitment of CEED staff to provide Breast, Cervical, Colorectal, and Prostate Cancer education and screening enrollment to Hunterdon County's uninsured and underinsured Latino residents. The CEED staff is linguistically and culturally competent providing bilingual education programs. Through collaboration with local businesses, non-profit organizations, healthcare providers, local government agencies and faith-based organizations they were able to increase participation in the Latino health education workshops to 303 people in 2014 compared with 198 in 2013. They will continue to work with many community organizations in order to further engage the Latino community. Aging Related Issues: --------------------- Goal: Improve the health, function and quality of life of seniors living in Hunterdon County. Measures: 1. Increase the percentage of seniors who seek preventive care. 2. Increase the percentage of seniors who have completed an Advanced Directive. 3. Increase hospice utilization. 4. Increase average daily census of Briteside Adult Day Center. Data Source: 1. Percentage of adults 65 years and older who receive an Annual Wellness Visit or Annual Physical Exam. 2. Percentage of adults 65 years and older who have a scanned Advanced Directive in their EHR. 3. Number of completed hospice consults. 4. Number of enrolled Briteside clients. Adult Wellness Exams/Annual Physicals ------------------------------------- In 2014 all primary care practices were using our CareSentry population management technology. This software enabled physicians to receive status reminders real-time during the patient appointment. For example, if they were due for an annual physical or a flu shot this would come up as an alert. Patients age 65 and above were encouraged to schedule wellness visits and address preventative care. Pre-visit planners reached out to patients prior to those visits to stimulate patient engagement. While in the waiting room, patients are provided a Pre-visit Health Review that incl SCH H,PART V,SECT B,QS2,3J,6A,6B,13B,13H,15E,16I,18D,19D,20E,21C,21D,23&24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 22D THE MEDICAL CENTER DETERMINES, DURING THE TAX YEAR, THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE BY USING THE "LOOK-BACK" METHOD DESCRIBED IN THE IRS AND TREASURY'S RULES ON THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE MEDICAL CENTER USED MEDICAL CLAIMS DATA FROM THE PAST YEAR TO DETERMINE WHAT PORTION OF GROSS CHARGES ARE TYPICALLY PAID FOR CLAIMS FOR EMERGENCY AND MEDICALLY NECESSARY CARE WHERE THE PRIMARY PAYER WAS A PRIVATE COMMERCIAL INSURER. THIS ANALYSIS RESULTED IN A REDUCTION TO THE GROSS CHARGE WHICH WAS THEN OFFERED THROUGH THE HOSPITAL SPONSORED ASSISTANCE PROGRAM TO THOSE INDIVIDUALS WITH INCOME GREATER THAN 500% OF THE POVERTY LEVEL. THE MEDICAL CENTER RE-CALCULATES THIS DISCOUNT PERCENTAGE EACH YEAR. 22 HUNTERDON H & W CENTER AT CLINTON 1738 ROUTE 31 NORTH CLINTON NJ 08809 PEDIATRICS, PHYSICAL THERAPY, SLEEP CENTER, HEALTH & WELLNESS CENTER, LAB, FHC SANDHILL MEDICAL OFFICE BUILDING 6 SAND HILL ROAD FLEMINGTON NJ 08822 PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PEDIATRICS & LAB WESCOTT MEDICAL ARTS BUILDING 9100 WESCOTT DRIVE FLEMINGTON NJ 08822 NUTRITION & DIABETES MGMT., WOUND HEALING CENTER, ENDOCRINOLOGY HMC PAVILION 190 HIGHWAY 31 SUITE 100 FLEMINGTON NJ 08822 BEHAVIORAL HEALTH, FAMILY MEDICINE, PHYSICAL THERAPY, PSYCHIATRY HUNTERDON DOCTORS OFFICE BUILDING 1100 WESCOTT DRIVE FLEMINGTON NJ 08822 INFECTIOUS DISEASE, GASTROENTEROLOGY & NUTRItIoN HUNTERDON WOMEN'S IMAGING CENTER 121 ROUTE 31 SOUTH FLEMINGTON NJ 08822 HMC HOME HEALTH SERVICES HMC HOME HEALTH SERVICES 315 ROUTE 31 FLEMINGTON NJ 08822 HOME HEALTH SERVICES SSB BUILDING 1 WESCOTT DRIVE FLEMINGTON NJ 08822 DERMATOLOGY & PULMONARY CARE PHILLIPS BARBER FAMILY HEALTH CENTER 73 ALEXANDER AVENUE LAMBERTVILLE NJ 08530 FAMILY HEALTH CENTER, MICU, EMS DEL VAL FAMILY HEALTH CENTER 200 FRENCHTOWN ROAD MILFORD NJ 08848 FAMILY HEALTH CENTER HUNTERDON H & W CENTER - WHITEHOUSE 537 ROUTE 22 EAST WHITEHOUSE STATION NJ 08889 HEALTH & WELLNESS CENTER, CARDIAC REHAB, PHYSICAL THERAPY & PEDIATRICS HMC AT WASHINGTON 140 BOULEVARD WASHINGTON NJ 07882 FAMILY HEALTH CENTER, PHYSICAL & OCCUPATIONAL THERAPY HIGHLANDS FAMILY HEALTH CENTER 61 FRONTAGE ROAD HAMPTON NJ 08827 FAMILY HEALTH CENTER MOBILE INTENS CARE SVCS AT GLEN GARDNER 2168 ROUTE 31 GLEN GARDNER NJ 08826 MICU, EMS HOI BUILDING 8100 WESCOTT DRIVE FLEMINGTON NJ 08822 PHYSICAL THERAPY HUNTERDON PEDIATRICS ASSOCIATES 8 READING ROAD FLEMINGTON NJ 08822 PEDIATRICS HUNTERDON UROLOGICAL ASSOCIATES 121 ROUTE 31 SUITE 1200 FLEMINGTON NJ 08822 UROLOGICAL PRACTICE HUNTERDON BREAST SURGERY CENTER 121 ROUTE 31 SUITE 1000 FLEMINGTON NJ 08822 BREAST SURGERY PRACTICE BRANCHBURG FAMILY HEALTH CENTER 2143 SOUTH BRANCH ROAD SOMERVILLE NJ 08876 FAMILY HEALTH CENTER HOPEWELL FAMILY PRACTICE 84 EAST BROAD STREET HOPEWELL NJ 08525 FAMILY PRACTICE COUNTY LINE FAMILY PRACTICE 3461 US ROUTE 22 EAST BRANCHBURG NJ 08876 FAMILY PRACTICE HMC MOBILE INTENSIVE CARE SERVICES 130 BELVIDERE ROAD PHILLIPSBURG NJ 08865 MICU PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2014 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II THE PRIMARY ACTIVITY IS SUBSIDIZED HOUSING FOR THE MEDICAL RESIDENTS OF HUNTERDON MEDICAL CENTER. SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 AND 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION ISSUED AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED. BELOW DESCRIBES IT IN MORE DETAIL: PATIENT ACCOUNTS RECEIVABLE Patient accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. In evaluating the collectability of patient accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractual amounts due and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, the Medical Center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that 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 accounts. The Medical Center's allowance for doubtful accounts for self-pay patients was 97% and 91% of self-pay accounts receivable at December 31, 2014 and December 31, 2013, respectively. In addition, the Medical Center's self-pay account write-offs (net of recoveries) decreased to $9,560,465 in 2014 from $12,105,060 in 2013. The decrease is primarily due to the Medical Center implementing a new policy in May 2014 to apply a discount to self-pay accounts and recording the adjustment as a contractual allowance. CHARITY CARE AND UNCOMPENSATED CARE IN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE MEDICAL CENTER PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY-BASED PROGRAMS, SUCH AS LIFELINE, HEALTH SCREENINGS, TRAINING FOR EMERGENCY SERVICE PERSONNEL, SOCIAL SERVICE, SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, AND CRISIS INTERVENTION. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, AND TELEPHONE INFORMATION SERVICES DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. THE MEDICAL CENTER ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY WHO MEET THE CRITERIA UNDER STATE REGULATION FOR CHARITY CARE. THE MEDICAL CENTER'S DEFINITION OF CHARITY CARE INCLUDES SERVICES PROVIDED AT NO CHARGE OR AT A REDUCED CHARGE TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. THE MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. AN OVERALL COST TO CHARGE RATIO WAS APPLIED TO ARRIVE AT THE COST OF CHARITY CARE, AND AS A RESULT THE COST OF CHARITY CARE AMOUNTED TO $5,434,595 AND $9,654,590 IN 2014 AND 2013, RESPECTIVELY. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE STATE PROVIDES CERTAIN SUBSIDY PAYMENTS TO QUALIFIED HOSPITALS TO PARTIALLY FUND UNCOMPENSATED CARE AND CERTAIN OTHER COSTS. SUBSIDY PAYMENTS RECOGNIZED AS REVENUE AMOUNTED TO $1,551,369 AND $1,557,787 AND 2014 AND 2013, RESPECTIVELY, AND ARE INCLUDED IN OTHER REVENUE IN THE ACCOMPANYING STATEMENT OF OPERATIONS. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2014 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION DID NOT INCLUDE MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT IN THE CALCULATION OF THEIR COMMUNITY BENEFIT PERCENTAGE. HOWEVER THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF T SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF HUNTERDON MEDICAL CENTER, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5.000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; - FINANCIAL COUNSELING FOR A HOSPITAL INITIATED DISCOUNT PROGRAM FOR THOSE WITH NO INSURANCE OR WHO ARE UNDERINSURED AND DON'T MEET THE STATEMENT REQUIREMENTS FOR FREE CARE. THE HOSPITAL-INITIATED DISCOUNT PROGRAM RATES ARE REFLECTIVE OF 200% OF MEDICAID; AND -FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. SCHEDULE H, PART VI; QUESTION 2 UNDER THE BYLAWS OF HMC, THE HOSPITAL HAS A NEEDS COMMITTEE WHICH ANALYZES THE HEALTHCARE SERVICES THAT ARE CONSIDERED NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. THE COMMITTEE IS COMPRISED OF HEALTHCARE ADMINISTRATION, PHYSICIANS AND COMMUNITY MEMBERS. THIS COMMITTEE WORKS TOWARD ENSURING THERE IS AN APPROPRIATE SUPPLY OF PHYSICIANS TO MEET THE NEEDS OF THE POPULATION. HUNTERDON MEDICAL CENTER ALSO CONTINUES TO WORK WITH THE "PARTNERSHIP FOR HEALTH", WHICH IS A GROUP OF ORGANIZATIONS IN THE COUNTY INCLUDING THE HUNTERDON COUNTY DEPARTMENT OF HEALTH, THE UNITED WAY OF HUNTERDON COUNTY AND MANY OTHER ORGANIZATIONS. THE EFFORTS OF THIS ORGANIZATION ARE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND FOCUS ON SUCH ISSUES AS DIABETES, BEHAVIORAL HEALTH AND WEIGHT MANAGEMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS BEGUN IN OCTOBER 2011 WHEN QUANTITATIVE AND QUALITATIVE DATA WAS COLLECTED. SIX FOCUS GROUPS WERE CREATED TO IDENTIFY COMMUNITY THEMES AND STRENGTHS. THE LOCAL PUBLIC HEALTH SYSTEM WAS ASSESSED. A GROUP OF COMMUNITY MEMBERS INCLUDING HIGH SCHOOL SUPERINTENDENTS, THE MAYOR, PHYSICIANS, PROSECUTOR, FAITH LEADERS AND BUSINESS LEADERS ASSESSED THE COMMUNITY'S HEALTH AND IDENTIFIED FIVE FORCES OF CHANGE OCCURRING IN THE COUNTY THAT WAS IMPACTING THE HEALTH OF THE COMMUNITY MEMBERS. FINALLY STATEWIDE DATA SOURCES WERE USED AS BENCHMARKS TO COMPARE THE RESULTS OF HUNTERDON COUNTY IN PARTICULAR. THE ASSESSMENT WAS COMPLETED IN FEBRUARY 2013 AND IDENTIFIED FOUR PRIORITY HEALTH ISSUES TO BE ADDRESSED BY HUNTERDON HEALTHCARE SYSTEM: OBESITY/OVERWEIGHT, SUBSTANCE ABUSE, LATINO HEALTH DISPARITIES & AGE RELATED ISSUES. SCHEDULE H, PART VI; QUESTION 3 THE MEDICAL CENTER PROVIDES FINANCIAL COUNSELING TO ALL PATIENTS REGARDLESS OF INSURANCE STATUS. THEY RECEIVE A WRITTEN NOTICE IN ENGLISH OR SPANISH FORMAT OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AT THE TIME OF ADMISSION OR DURING THE OUTPATIENT REGISTRATION PROCESS. FINANCIAL COUNSELING SERVICES ARE AVAILABLE TO ALL PATIENTS THROUGH THE PATIENT ACCOUNTS DEPARTMENT DURING OR AFTER THE PROVISION OF SERVICES. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. VERBIAGE STATING FINANCIAL ASSISTANCE IS AVAILABLE IS INCLUDED ON EACH PATIENT'S BILLING STATEMENT. THE MESSAGE READS AS FOLLOWS: "IF YOU CANNOT PAY THIS BILL AND REQUIRE FINANCIAL ASSISTANCE OR PAYMENT ARRANGEMENTS, PLEASE CONTACT OUR PATIENT ACCOUNTS DEPARTMENT." CHARITY CARE SIGNS ARE ALSO POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. SCHEDULE H, PART VI; QUESTION 4 HUNTERDON MEDICAL CENTER'S PRIMARY SERVICE AREA IS HUNTERDON COUNTY, NEW JERSEY, BUT ALSO SERVES PART OF SOMERSET, WARREN AND MERCER COUNTIES. THE CENSUS FOR HUNTERDON COUNTY AS OF 2010 WAS 128,349. IT IS PART OF THE NY METROPOLITAN AREA AND THE COUNTY SEAT IS FLEMINGTON. THE RACIAL MAKE-UP OF THE COUNTY IS 91.4% CAUCASIAN, 2.7% AFRICAN AMERICAN, 0.1% NATIVE AMERICAN, 3.3% ASIAN AND 5.2% HISPANIC/LATINO. HUNTERDON COUNTY HAS BEEN RANKED AS HAVING THE 4TH HIGHEST INCOME PER CAPITA IN THE U.S. SCHEDULE H, PART VI; QUESTION 5 HUNTERDON MEDICAL CENTER HAS FURTHERED ITS EXEMPT PURPOSE IN SUCH PROGRAMS AS 1) LATINO HEALTH INITIATIVE FOCUSED ON LOW-INCOME IMMIGRANTS HEALTH NEEDS, 2) CREATION OF A MEDICATION ACCESS PROGRAM IN COLLABORATION WITH THE PHARMACEUTICAL INDUSTRY TO DISTRIBUTE FREE PRESCRIPTION DRUGS TO PATIENTS UNABLE TO PAY, AND 3) ANNUAL FREE HEALTH SCREENING PROGRAMS FOR THE ENTIRE COUNTY FOR BREAST CANCER, PROSTATE CANCER, COLON CANCER, HEARING LOSS, ALZHEIMER'S DISEASE, PRE-NATAL AND DIABETES CARE, AMONG OTHERS. THE FOUR PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS PROCESS HAVE BEGUN TO BE ADDRESSED IN 2013 THROUGH THE 2013 IMPLEMENTATION PLAN ADOPTED BY THE MEDICAL CENTER BOARD AT ITS SEPTEMBER 2013 MEETING. THE GOALS INCLUDED: 1) REDUCE THE PREVALENCE OF OBESITY AMONG HUNTERDON COUNTY RESIDENTS THROUGH A VARIETY OF COMMUNITY PROGRAMS AND EDUCATIONAL SESSIONS. 2) REDUCE THE PREVALENCE OF SUBSTANCE ABUSE OF HUNTERDON COUNTY RESIDENTS THROUGH THE STRENGTHENING OF EXISTING PROGRAMS AND THE ENHANCEMENT OF TRAINING AMONG PHYSICIANS TO EFFECTIVELY IDENTIFY THE USE OF SUBSTANCES AMONG THE COMMUNITY'S MEMBERS. 3) REDUCE LATINO HEALTH DISPARITY BY PROVIDING BROCHURES, INFORMATION MATERIALS, AND EDUCATIONAL SESSIONS IN SPANISH AND BY IMPROVING ACCESS TO PRENATAL CARE THROUGH THE MEDICAL CENTER'S FAMILY HEALTH CENTER IN LAMBERTVILLE. 4) IMPROVING QUALITY OF LIFE OF SENIORS (65 YEARS AND OVER) LIVING IN HUNTERDON COUNTY BY OFFERING SUPPORT GROUPS, INCREASING THE UTILIZATION OF HOSPICE SERVICES TO COMMUNITY MEMBERS, AND EDUCATING NURSES TO PROPERLY ASSESS AND ADDRESS SENIOR HEALTH ISSUES. SCHEDULE H, PART VI; QUESTION 6 THIS ORGANIZATION IS AN AFFILIATE OF THE HUNTERDON HEALTHCARE SYSTEM. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE HUNTERDON HEALTHCARE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE HUNTERDON HEALTHCARE SYSTEM, INC. NOT FOR PROFIT HUNTERDON HEALTHCARE SYSTEM ENTITIES HUNTERDON HEALTHCARE SYSTEM, INC. HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS") IS THE TAX-EXEMPT PARENT OF THE HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER HHS OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY HHS. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. HUNTERDON HEALTHCARE SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). HUNTERDON HEALTHCARE SYSTEM, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. HUNTERDON HEALTHCARE SYSTEM, INC. ENSURES THAT HUNTERDON MEDICAL CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. HUNTERDON MEDICAL CENTER OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS A CLOSED MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF HUNTERDON HEALTHCARE SYSTEM, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. HUNTERDON MEDICAL CENTER HUNTERDON MEDICAL CENTER ("HMC") IS A 178-BED LICENSED NON-PROFIT COMMUNITY HOSPITAL LOCATED IN FLEMINGTON, NEW JERSEY. HMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, HMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, HMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BRITESIDE ADULT DAY CENTERS, INC. BRITESIDE ADULT DAY CENTERS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES ADULT DAY CARE SERVICES TO INDIVIDUALS. HUNTERDON MEDICAL CENTER FOUNDATION HUNTERDON MEDICAL CENTER FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HUNTERDON REGIONAL COMMUNITY HEALTH, INC. HUNTERDON REGIONAL COMMUNITY HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HUNTERDON HOSPICE HUNTERDON HOSPICE IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HUNTERDON HOSPICE HAS PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES. WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY, THEIR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. VISITING HEALTH & SUPPORTIVE SERVICES VISITING HEALTH & SUPPORTIVE SERVICES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR PROFIT HUNTERDON HEALTHCARE SYSTEM ENTITIES MIDJERSEY HEALTH CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS"). THIS ENTITY PROVIDES OVERSIGHT TO VARIOUS ENTITIES IN THE HHS. DEL VALLEY OFFICE ASSOCIATION A PARTNERSHIP WHICH PROVIDES PROPERTY MANAGEMENT SERVICES FOR BOTH HHS ENTITIES AND NON-HHS ENTITIES. HUNTERDON MEDICAL OFFICE ASSOCIATES A PARTNERSHIP WHICH PROVIDES PROPERTY MANAGEMENT SERVICES FOR BOTH HHS ENTITIES AND NON-HHS ENTITIES. NORTH HUNTERDON MEDICAL ASSOCIATES A PARTNERSHIP WHICH PROVIDES PROPERTY MANAGEMENT SERVICES FOR BOTH HHS ENTITIES AND NON-HHS ENTITIES. HUNTERDON CENTER FOR SURGERY LLC A PARTNERSHIP WHICH PROVIDES SURGERY SERVICES TO INDIVIDUALS. HUNTERDON IMAGING ASSOCIATES A PARTNERSHIP WHICH PROVIDES IMAGING SERVICES TO INDIVIDUALS. HUNTERDON COMMUNITY CARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS HUNTERDON REGIONAL COMMUNITY HEALTH, INC. ("HRCH"). THIS ENTITY PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. HUNTERDON REGIONAL PHARMACY, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS HRCH. THIS ENTITY OPERATES A PHARMACY AT THE HUNTERDON MEDICAL CENTER, FLEMINGTON, HUNTERDON COUNTY, NEW JERSEY. HUNTERDON HEALTHCARE PARTNERS A PARTNERSHIP WHICH PROVIDES INTEGRATED HEALTHCARE DELIVERY SYSTEM SERVICES. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. X true true X X X X X false true false false false false false true false ANTHONY GRANATO MD TRUSTEE 0 0 0 0 210400 0 0 0 0 0 210400 0 0 0 ROBERT P WISE TRUSTEE; EX-OFFICIO - PRES/CEO 514887 0 78137 0 328804 0 15600 0 110871 0 1048299 0 0 0 GAIL KOSYLA CHIEF FINANCIAL OFFICER 342070 0 44758 0 14761 0 38694 0 24480 0 464763 0 0 0 LAWRENCE N GRAND EXECUTIVE VP/COO 333401 0 34916 0 70378 0 58991 0 2615 0 500301 0 45180 0 DEBORAH L HOSKINS VP, FINANCE 216884 0 16863 0 23651 0 31390 0 18059 0 306847 0 22297 0 GEORGE ROKSVAAG MD CHIEF MEDICAL OFFICER 350029 0 46796 0 33986 0 47892 0 1834 0 480537 0 25707 0 RICHARD J WEBB CHIEF LEGAL OFFICER 308521 0 33108 0 12797 0 38620 0 26837 0 419883 0 0 0 GLEN A MAMARY VP, CIO (TERM 11/5) 179712 0 24558 0 64335 0 14904 0 27672 0 311181 0 59301 0 WAYNE C FELLMETH MD VP, INTERIM CIO (EFF 10/15) 275739 0 1000 0 0 0 14264 0 4331 0 295334 0 0 0 VIOLET T KOCSIS CHIEF HUMAN RESOURCES OFFICER 210668 0 21034 0 20281 0 37059 0 32607 0 321649 0 19453 0 ROBERT G COATES MD VPMA 237262 0 22365 0 63616 0 38506 0 32074 0 393823 0 35443 0 NEIL HUDES VP PROFESSIONAL SERVICES 245862 0 29401 0 32211 0 34823 0 27349 0 369646 0 20699 0 PATRICIA STEINGALL RN VP PATIENT CARE 219678 0 27481 0 33225 0 45243 0 22971 0 348598 0 25942 0 DONALD R PINNER VP, COO - HRCH 183895 0 24811 0 35295 0 31325 0 10433 0 285759 0 16164 0 CHRISTOPHER E SICKELS VP FOUNDATION 189628 0 18648 0 15790 0 24633 0 804 0 249503 0 14650 0 DEBORAH PINGUE VP MARKETING 161874 0 14529 0 20672 0 21129 0 19140 0 237344 0 18445 0 KEITH T GOLDSTEIN MD PHYSICIAN 653673 0 263585 0 17500 0 27900 0 27002 0 989660 0 0 0 JEFFREY D HARTFORD MD PHYSICIAN 745032 0 0 0 17500 0 27900 0 30034 0 820466 0 0 0 SOHAIL G HADDAD MD PHYSICIAN 234529 0 348834 0 17500 0 22397 0 32746 0 656006 0 0 0 JOSEPH L GUGLIOTTA MD PHYSICIAN 409232 0 162886 0 17500 0 27438 0 27321 0 644377 0 0 0 CATHERINE E GLEASON MD PHYSICIAN 297853 0 156952 0 0 0 1005 0 11559 0 467369 0 0 0 SCHEDULE J, PART I; QUESTION 1B THE ORGANIZATION PAID ROTARY CLUB DUES FOR ROBERT P. WISE, PRESIDENT/CEO OF THE ORGANIZATION. UTILIZATION OF THIS MEMBERSHIP WAS PRIMARILY FOR THE BENEFIT OF HUNTERDON MEDICAL CENTER. SCHEDULE J, PART I; QUESTION 4B THE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT P. WISE, $278,897; LAWRENCE N. GRAND, $45,180; DEBORAH L. HOSKINS, $22,297; GLEN A. MAMARY, $59,301; GEORGE ROKSVAAG, M.D., $25,707; VIOLET T. KOCSIS, $19,453; ROBERT G. COATES, M.D., $35,443; NEIL HUDES, $20,699; PATRICIA STEINGALL, RN, $25,942; DONALD R. PINNER, $16,164; CHRISTOPHER E. SICKELS, $14,650 AND DEBORAH PINGUE, $18,445. 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 2014 FORM W-2, AS TAXABLE WAGES: GAIL KOSYLA, $28,294; RICHARD J. WEBB, $28,667; LAWRENCE N. GRAND, $43,391; DEBORAH L. HOSKINS, $19,296; GLEN A. MAMARY, $14,904; GEORGE ROKSVAAG, M.D., $33,592; VIOLET T. KOCSIS, $25,487; ROBERT G. COATES, M.D., $26,912; NEIL HUDES, $19,750; PATRICIA STEINGALL, RN, $32,204; DONALD R. PINNER, $20,456; CHRISTOPHER E. SICKELS, $17,066 AND DEBORAH PINGUE, $14,640. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDE VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A substantial RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: LAWRENCE N. GRAND, $45,180; DEBORAH L. HOSKINS, $22,297; GLEN A. MAMARY, $59,301; GEORGE ROKSVAAG, M.D., $25,707; VIOLET T. KOCSIS, $19,453; ROBERT G.COATES, M.D., $35,443; NEIL HUDES, $20,699; PATRICIA STEINGALL, RN, $25,942; DONALD R. PINNER, $16,164; CHRISTOPHER E. SICKELS, $14,650 AND DEBORAH PINGUE, $18,445. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 42735000 REPAY 2006A BOND SERIES & CONST. false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 16260000 REPAY 2006A BOND SERIES & CONST. false false false C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 6360000 REPAY 2006A BOND SERIES & CONST. false false false D NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-01 4935000 REPAY 2006A BOND SERIES & CONST. false false false A 0 0 45681704 0 0 0 33306 0 0 0 0 6020409 2015 true false false true B 0 0 16260000 0 0 0 6457 0 0 0 0 0 2008 true false true true C 0 0 5155162 0 0 0 1883 0 0 0 0 0 2011 true false true true D 0 0 4751432 0 0 0 11262 0 0 0 0 0 2014 true false true true A false false false false 0.00000 0.00000 0.00000 true false false true B false false false false 0.00000 0.00000 0.00000 true false false true C false false false false 0.00000 0.00000 0.00000 true false false true D false true true true false 0.02060 0.00000 0.02060 true false false true A true false false 0 false 0 false true B true false false 0 false 0 false true C true false false 0 false 0 false true D true false false 0 false 0 false true A true B true C true D true JEFFREY D HARTFORD MD PHYSICIAN PRACTICE X 65167 43705 false true true 43705 REBECCA WISE TRUSTEE - FAMILY MEMBER 25767 EMPLOYEE false CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Hunterdon medical center ("HMC") is a general acute care teaching hospital. Hmc provides a full range of preventive, diagnostic, and therapeutic inpatient and outpatient hospital & community services. HMC is recognized by the irs as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, HMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, HMC operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. HMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self- pay, medicare and medicaid patients; 2. HMC operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. HMC maintains a closed medical staff, with privileges available based on community need; 4. Control of HMC rests with its board of trustees and the board of trustees of Hunterdon Healthcare System, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. The operations of HMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of HMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. HMC's sole corporate member is hunterdon healthcare system, inc. (HHS). HHS is the tax-exempt parent of Hunterdon Medical Center. This tax-exempt integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either HHS or another system affiliate controlled by HHS. Mission ======= Hunterdon medical center strives to provide to the maximum extent possible comprehensive quality healthcare services which are required by the people of hunterdon county and surrounding areas and appropriate to the medical center organization. Hmc will assume an appropriate role in the education of physicians and other healthcare professionals. Care and treatment will be equally accessible to all persons. Vision ====== Hunterdon healthcare system is recognized as a national model for providing community focused healthcare that is patient-centered and driven by a passion for clinical excellence. Hunterdon Medical Center ======================== Hunterdon medical center was created in 1953 with the vision of an integrated healthcare delivery system in mind: namely, that primary care would be delivered by family physicians in the community, that consultative and specialty care would be hospital-based with patients returned to their personal physicians and finally, that the hospital would be a training center for family physicians. This system has worked remarkably well with Hunterdon medical center currently enjoying one of the best quality care outcomes in the country, as well as having one of the lowest per capita costs for hospitalization in the nation. Family medicine is real in hunterdon county. The centerpiece of the Hunterdon Healthcare System is Hunterdon Medical Center. The medical center has 178 beds, including advanced medical and surgical units, a 12 bed intensive care/coronary care unit, a 20-bed same day surgery center, a 20-bed maternity and newborn care center which was one of the first single-room maternity centers in new jersey, a 10-bed pediatric unit and a 14-bed behavioral health wing. Hunterdon led the nation by implementing the first, year-round night float system for family medicine residency programs. This system alleviates resident fatigue and eliminates the exhaustion which can be detrimental to residents, their families and patient care. This has become the national norm for residency scheduling with the implementation of new work hour regulations. Senior residents cover the hospital from 7:00 pm to 7:00 am in a designed night float rotation. They then have a 12 hour duty free period to rest and rejuvenate in the comfort of their own homes. First year residents also work a 12 hour shift from 7 pm to 7am in a similar rotation. They function to help with admissions in conjunction with the senior residents and the nocturnist from 7pm to 10 pm thus allowing them to get supervised instruction in this important skills set. From 10 pm to 7am the first year resident works in an emergency department rotation under the supervision of a board certified emergency medicine physician where they learn important triage and treatment skills in this setting. First year residents are in a true call situation only to cover weekend shifts with senior resident supervision. Second and third year residents average call one night in six this guarantees an adequate volume and experience to develop mastery in common problem management. They also have a longitudinal experience in the nursing home setting with full time geriatrician faculty supervising their patient care. Third year residents also cover outpatient call for the family health centers on average one night in six. The combination of night float and the appropriate frequency of night call combine to create the best possible call schedule. Radiology and lab services are state-of-the-art. Most of the members of the specialty medical staff have offices in the Hunterdon doctors' office building adjacent to the medical center or within close vicinity to the hospital. Hunterdon Medical Center has achieved widespread recognition for its role as a provider of community health services beyond those normally associated with a hospital. Patient and community health education programs, public health screening and detection services, a certified home health agency, behavioral health services, and end of life services complement the medical center's comprehensive in-hospital services. On the grounds of the medical center is a child care facility available to children of employees and staff as well as to other members of the community. Geriatrics is one of its major initiatives of the Hunterdon Medical Center, with a full time director and comprehensive hospital and ambulatory services. Four of our faculty physicians hold the certificate of added qualifications in geriatrics and all have completed a fellowship. Three of these geriatricians are also certified Medical Directors. Hunterdon medical center has received accreditation and national recognition that verifies our position as a leading provider of quality healthcare. The administration and staff of Hunterdon Medical Center is extremely proud of the many awards the community hospital has earned. Each one is recognition that HMC ranks within the top 10% of national and New Jersey hospitals in many performance indicators for quality healthcare. Hunterdon Medical Center has achieved numerous awards including: Magnet re-designation - the magnet recognition program recognizes healthcare organizations that provide nursing excellence. Recognizing quality patient care, nursing excellence and innovations in professional nursing practice, the magnet recognition program provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive. The program is administered by the american nurses credentialing center. Being a Magnet organization helps distinguish Hunterdon Medical Center as an organization marked by quality inpatient care. Magnet re-designation - the magnet recognition program recognizes healthcare organizations that provide nursing excellence. Recognizing quality patient care, nursing excellence and innovations in professional nursing practice, the magnet recognition program provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive. The program is administered by the american nurses credentialing center. Being a Magnet organization helps distinguish Hunterdon Medical Center as an organization marked by quality inpatient care. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Named one of the "100 Most Wired" hospitals & health networks twelve out of the last fourteen years. Being a "most wired" hospital confirms that an organization uses information technology to benefit its quality, customer service, public health and safety, business processes and workforce. Because our medical records are linked electronically, patients can be confident that, with consent, any physician who needs to access patient records can do so throughout the Hunterdon Healthcare System. For the fifth year in a row, Hunterdon was ranked the healthiest county in New Jersey based on a study conducted by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Niche designation - nurses improving care to health system elders (niche) is a national geriatric nursing program. The program's vision is for all patients 65 and over to be given sensitive and exemplary care. The mission of niche is to raise awareness of principles and tools that can achieve patient-centered care for older adults. Accreditation by the joint commission for the accreditation of healthcare organizations - the joint commission for the accreditation of healthcare organizations sets the standards by which healthcare quality is measured in america and around the world. It is an independent, not-for-profit organization that accredits and certifies over 17,000 healthcare organizations and programs. To maintain and earn accreditation, organizations must have an extensive on-site review by a team of tjc healthcare professionals, at least once every three years. HMC was ranked among the top five hospitals in New Jersey for patient safety in Consumer Reports magazine and was named one of the 100 Great Community Hospitals in the nation by Becker's Hospital Review. HMC was also recently named a recipient of the Women's Choice Award as one of America's Best Breast Centers, acknowledging its dedication to providing exceptional patient care and treatment. HMC received three-year full accreditation by The National Accreditation Program for Breast Centers (NAPBC). Website transparency excellence award with honors - URAC announced today the recipients of the 2012 acknowledgement of excellence in hospital website transparency, presented in conjunction with the leapfrog group. The acknowledgement comes as part of an overall excellence in hospital website transparency awards program, which identifies outstanding hospital websites promoting transparency of safety and quality measures in a manner that is useful and user-friendly for consumers. All hospitals who publically report their leapfrog hospital survey results were eligible. "these awards are a unique celebration of hospitals that show initiative in protecting consumers through transparency and quality reporting. It is encouraging to see so many hospitals that have implemented leading initiatives in an effort to make a difference in the lives of the consumers they serve," said john d. Jones, urac chairman of the board. The acknowledgement of excellence in hospital website transparency is an evaluation of a hospital's overall website transparency including elements related to design, credibility, literacy and connectivity. This acknowledgement is based on a set of objective criteria established in accordance with the national quality forum's guidelines for consumer-focused, internet-based public reporting of health performance data as well as the model public report elements prepared for the agency for healthcare research and quality ("ahrq") and other research-based criteria. All hospitals applying and qualifying for the acknowledgement were eligible to apply for the best practices in hospital website transparency award. Winners of this award will be announced at a later date. Seven hospitals received the 2012 acknowledgement of excellence in hospital website transparency, with two of those hospitals also receiving a distinction with honors for their outstanding work in hospital website transparency. Clinical service lines ====================== Heart and vascular care ----------------------- Heart and vascular care at HMC combines a knowledgeable staff of physicians and specialists with state-of-the-art technology to bring the patient the best cardiovascular care in hunterdon and its surrounding counties. Our superior staff and technological support enables us to diagnose heart and vascular disease and perform interventional procedures on patients suspected of heart and/or vascular disease. The Emergency PTCA door to balloon time is under sixty minutes. Cancer care ----------- Hunterdon regional cancer center is accredited by the american college of surgeons' commission on cancer as a community hospital cancer program. The commission has recognized the cancer program at hunterdon medical center as offering high quality cancer care. Only one in four hospitals that treat cancer receives this special approval. The recognition of this quality and commitment allows the patient access to the expert medical specialists who are involved in diagnosing and treating cancer. Approval by the commission is given only to those facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancer. To meet the standards necessary for commission approval, each cancer program, and the organization that controls it, must undergo a rigorous evaluation process and a review of its performance. In order to maintain approval, facilities with approved cancer programs must undergo an on-site review every three years. Receiving care at an approved cancer program ensures that the patient will receive: - quality care close to home - comprehensive care offering a range of state-of-the art services and equipment - a multidisciplinary team approach to coordinate the best treatment options available - access to cancer-related information, education, and support - a cancer registry that collects data on type and stage of cancers and treatment results, and offers lifelong patient follow-up - ongoing monitoring and improvement of care - information about ongoing cancer clinical research studies and new treatment options Surgical care ------------- Hunterdon medical center provides the patient access to the most advanced technology, expert surgeons and personalized patient care in a comforting environment. Skilled professional staff work as a team with the physician to individualize patient care and recovery with the goal to improve bodily function and return the patient to daily activities as safely and quickly as possible. Hunterdon medical center's surgery department performs slightly more than 5,000 surgeries per year. Types of surgery include, among others: - abdominal surgery - appendectomy - arthroscopy - bariatric surgery - breast surgery - cataract surgery - dilation & cutellage (d&c) - gallbladder surgery - hernia surgery - hysterectomy - laminectomy - neurosurgery - plastic surgery - spine surgery - total joint replacement surgery - vascular surgery - urologic surgery The center for bone and joint health offers a comprehensive approach that revolves around health and wellness. The center offers preventive therapies, nutrition counseling and a full spectrum of non-invasive treatments that may completely eliminate the need for surgical options. But if surgery is ultimately needed, the center's wellness approach gets you back to a normal quality of life weeks sooner than with traditional options. The circle of care refers to the coordinated, comprehensive services that the center for bone and joint health offers to patients. The program coordinator can guide patients through all of their options and help coordinate these services. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Neurosciences ------------- The neurosciences clinical service line's main focus is to evaluate and stage strategic initiatives related to stroke care, sleep medicine, spine care, neurological disorders, and behavioral health. The service line's stroke subcommittee has fully implemented the primary stroke center designation, including staff and community education programs. A spine care program has been developed. Steps needed for inception of a concussion care program are being addressed. They will continue to identify programs and services which are most in alignment with the system's overall mission and meet the needs of our patients, address patient care efficiencies and enhance the patient care experience. Primary care ------------ At the heart of the primary care service line is the patient centered medical home which aims to give the right care in the right place the first time. Medical home certification is granted to practices that go through a voluntary recognition process by a non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model. The National Committee for Quality Assurance (NCQA) has granted patient centered medical home certification at the highest level to certain Hunterdon Healthcare physician practices In a patient centered medical home certified practice, a team headed by the patient's personal physician delivers care. The personal physician tracks and coordinates the patient's care over time. The physician and the patient create a partnership and make decisions about healthcare together. Quality and safety drive the decisions, using guidelines based on evidence rather than tradition. Of course, this may mean that more care is not always better care. Hunterdon Healthcare Partners has worked hard to ensure that evidence-based guidelines are used in our system. Hunterdon healthcare is committed to care that is coordinated and integrated across all elements of the complex healthcare system (subspecialty care, hospitals, home health agencies, nursing homes) and the patient's community (family, public and private community-based services). Hunterdon healthcare's collaboration guideline and agreement among primary care and specialty care physicians is integral to this, recognizing the importance of transitions of care in the outpatient setting, the emergency department, and during hospitalization. Hunterdon healthcare's medical home practices provide distinctly different options for their patients to support their personal health goals. We emphasize self-management support. The patient, with support from a team of physician, nurses, social workers, care managers, dietitians, pharmacists, physical and occupational therapists, and other healthcare professionals, becomes engaged in his healthcare. Women's & children's service line --------------------------------- Hunterdon healthcare's women's circle of care is a comprehensive approach to women's needs. We offer resources related to a woman's reproductive, gynecological and overall health; support for growing families, prevention and treatment for diseases and conditions; emotional support; and resources for menopause and healthy aging. As primary caregivers, women often assume responsibility for making healthcare decisions for themselves and their families. Hunterdon healthcare offers a full range of healthcare services and educational programs to support women in this critical role. The Hunterdon Healthcare System offers services to meet the needs of the growing family from a child's birth through college graduation. Offerings include: well visits, sick care, sports medicine, behavioral health services and emergency care to meet all of your child's growing needs. The full circle of care means comprehensive, coordinated, seamless services that offer the best patient experience possible. Other services ============== Behavioral health ----------------- Hunterdon behavioral health ("HBH") provides high-quality, comprehensive mental health and addiction services. HBH diagnoses, treats and cares for adolescents and adults with mental illness, emotional difficulties or addiction. Expert clinical staff is highly trained in treating individuals in need of psychiatric and psychological support or addiction treatment. Hunterdon behavioral health offers: - evaluation, medication monitoring and therapy for individuals with mental health issues. - counseling for families in crisis to help provide a stable home environment - support for adolescents and adults struggling with alcohol or drug addiction - employee assistance to work with employers to resolve personal issues Hunterdon behavioral health provides treatment for children, adolescents and adults who experience: - mental illness - drug or alcohol addiction - family crises - difficulties in their work or school environment - depression - anxiety disorders - attention disorders - sleep disorders - eating disorders - emotional and behavioral issues - peer pressure Cardiopulmonary rehabilitation & cardiac catheterization lab ------------------------------------------------------------ Cardiopulmonary rehabilitation is a medically supervised program of health education and physical activity for women and men of any age. Their mission is to treat the body, mind, and spirit of people with heart or lung disease so they may lead satisfying, productive, and healthy lives. Their professional team includes physicians, respiratory therapists, registered nurses, and exercise physiologists specially trained in exercise therapy and disease management. National recognition: Both the cardiac and pulmonary rehabilitation program are nationally certified by the american association of cardiovascular and pulmonary rehabilitation. This certification process is designed to review and monitor adherence to the high standards and guidelines developed by the american association of cardiovascular and pulmonary rehabilitation and other professional societies to best serve the patients. Programs include: - phase ii cardiac rehabilitation - phase ii pulmonary rehabilitation - phase iii cardiopulmonary rehabilitation The cardiac catheterization laboratory offers state-of-the-art technology to bring you the best cardiovascular care in hunterdon county and its surrounding counties. Superior staff and technological support enable the diagnosis of heart and vascular disease. The lab performs interventional procedures on patients suspected of heart or vascular disease. Hunterdon medical center has been designated a primary stroke center by the new jersey state department of health and senior services. Sleep disorders --------------- Sleep disorders are associated with a long list of medical problems, including: - heart attack - stroke - irregular heartbeat - high blood pressure - heart failure - obesity - diabetes The sleep disorders center at Hunterdon Medical Center and Clinton health & wellness center treats many types of sleep disorders, including: - sleep apnea which is a medical disorder in which a person, usually a loud snorer, experiences an obstruction in the throat during sleep. Lack of sufficient air causes the individual to awaken, usually with a cough or a gasp that opens the airway. Airflow is re-established and breathing resumes during the next episode. People with sleep apnea have to wake up briefly to breathe, sometimes hundreds of times during the night, although there is no memory of these brief awakenings. - periodic limb movement syndrome may coexist with obstructive sleep apnea. Multiple jerking movements, typically of the legs, awaken those with the disorder repeatedly through the night. - restless legs syndrome is a condition involving sensations in the legs, and sometimes arms, while the individual is awake. The sensations usually occur when the individual is lying down and the only relief is to move the limbs, keeping the individual awake. - narcolepsy is a neurological disorder characterized by excessive daytime sleepiness. Individuals with narcolepsy fall asleep at inappropriate, and occasionally, dangerous times. - insomnia refers to a chronic inability to initiate or sustain sleep, resulting in sleep deprivation and daytime fatigue. There are numerous causes for insomnia, including stress, anxiety, depression, chronic illness, medications, poor sleep habits and circadian rhythm disorders. Occasionally, a sleep study may be part of the evaluation, especially if obstructive sleep apnea is contributing. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Hospital owned physician specialty services =========================================== - endocrinology - gastroenterology - infectious disease - dermatology - psychiatry - center for health aging - pulmonary & critical care - cardiology - urology - breast surgery Community care services ======================= The hunterdon health and wellness center ---------------------------------------- The hunterdon health and wellness center has two premier fitness facilities located in whitehouse station and clinton, new jersey in hunterdon county. Members benefit from access to hunterdon healthcare staff for guidance in attaining their optimal health. Access to health education staff and wellness classrooms for programs which focus on a variety of topics designed to improve lifestyle is also a community benefit. Bright tomorrows child care center ---------------------------------- The center provides care and early childhood education for children ages 6 weeks to 6 years. Multi-sensory disciplines are utilized to facilitate growth in the areas of social, emotional, physical and cognitive development. Programming includes: - age appropriate thematic curriculum - daily nutritious lunch and snacks - diapers and wipes for infants and toddlers - monthly themes, class trips and special guests - enrichment programs - parental education - an annual back to school night and other family events A preventative approach to discipline teaches positive behaviors, rather than punishing for misbehaviors. The goal is to provide children with motivation and an opportunity to make positive choices. Learning social skills through gentle encouragement, the children learn to respect the needs of others, adapt to routines and simple rules, and become responsible. Parent and family involvement is an integral part of the program. an "open door" policy is maintained to allow parents to visit and observe their child at any time. Parents are always welcome to participate in educational opportunities and special events. Bright tomorrows strives to maintain competent staff by providing competitive wages and ensuring each staff member is actively engaged in ongoing professional development. All staff maintain adult and pediatric CPR and First Aid certification and all receive a child abus record of incident and criminal history record of incident background checks. Home health services -------------------- Home health services is a non-profit home health agency certified by the federal government, licensed by the new jersey department of health, and accredited by the joint commission on accreditation of healthcare organizations. At home health services, each patient's program is carefully guided and planned so that all care is integrated for maximum benefit. The team includes: - home care nurses - physical therapists - occupational therapists - speech pathologists - medical social worker - home health aides Physician patient educator In order to be eligible for admission to home health services, patients: - must be homebound (unable to leave home without assistance) - have ongoing medical supervision and orders from a physician - require periodic visits from at least one of four primary services 1. Skilled nursing 2. Physical therapy 3. Occupational therapy 4. Speech language therapy If home health services are not indicated, a referral may be made to another community agency or service through Hunterdon Regional Community Health (HRCH), a wholly owned subsidiary of Hunterdon Healthcare. They can provide the following services to the community: - home health aides - home infusion - hospice - respite care - companion service - lifeline personal emergency response service HRCH is an alliance of professional, caring home care service providers. Their specialty is in identifying, planning and providing the best care to meet the special needs of their patients. HRCH may have the help that is needed if: - an aging parent requires help with the activities of daily living - employees are concerned with an elderly family member who is home alone - a family is exploring the options in end-of-life care. Whether it's an assessment of physical capability, blood testing, or a personal emergency response system, HRCH has the skill and the staff to provide the in-home support that care givers family members are looking for. Hunterdon family medicine residency =================================== The primary mission of the hunterdon medical center family medicine residency program is to educate residents utilizing the values and precepts which are fundamental to the way medicine is practiced by family physicians in hunterdon county, new jersey, so that they themselves may graduate as family physicians who can provide this model of exemplary primary care to their patients, their patients' families and the communities which they serve. Because of the respect that family medicine enjoys in hunterdon county, residents have a unique opportunity to see how effective a family physician can be. Every facet of hunterdon's integrated delivery system is utilized to enhance the resident's understanding of the full impact of family practice in this country. Our mission allows us to move toward our ultimate vision in family medicine education. This vision is to create a humanistic and compassionate form of education which models completely the humanism and compassion that we teach in the doctor-patient relationship. Our competency-based curriculum is central to both our mission and our vision. It is recognized that every resident has unique educational styles and needs. Our educational system is designed to create a "core" curriculum for every resident and a unique educational experience based on their passions and interests. Residents can develop an area of concentration and focus during their third year with a range of opportunities including sports medicine, global health, geriatrics, palliative care, and others. University affiliation ---------------------- Hunterdon medical center has enjoyed a major teaching affiliation with the university of medicine and dentistry of new jersey-robert wood johnson medical school since 1972 and has been involved with the teaching of medical students in physical diagnosis, office preceptorships, third-year clinical rotations and fourth-year electives and sub-internships. This affiliation allows extended learning beyond hunterdon, including a variety of exceptional programs such as advanced lifesaving in obstetrics, conferences on professionalism, career development, medical-legal issues, contracting and negotiations, research and other scholarly activities. Community support and education =============================== - alcoholics anonymous meetings - alzheimers support group - arthritis & osteoporosis support group - bereavement support group - brain injury support group - breastfeeding support group - caregiver support groups - celiac disease support group - children of divorce - depression support group - diabetes support group - family cancer risk assessment program - family support group - look good... Feel better educational group - mental illness family support groups - narcotics anonymous meetings - overeaters anonymous - "smart" recovery discussion group - social skills group - mom time support group (postpartum adjustment/depression support - baby steps, family support group - toddler steps, for families of toddlers - alzheimer's group - anger management group - anger management group for adolescents - multifamily support group , addictions treatment - new beginnings support group for post bariatric surgery patients - bariatric surgery support group for potential clients considering bariatric surgery - weigh to go, weight management program for kids - why can't i lose weight, weight management program for adults - monthly health education series at the hunterdon health and wellness centers - living with a medical condition for adolescents - hospice art bereavement program - adult bereavement program through hunterdon hospice - living with a medical condition for adolescents - hospice art bereavement program - adult bereavement program through hunterdon hospice - living with a medical condition for adolescents - hospice art bereavement program - adult bereavement program through hunterdon hospice CORE FORM, PART III; QUESTION 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, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTION 2 PAUL MADURA, M.D. AND ROBERT COATES, M.D. - BUSINESS RELATIONSHIP CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 HUNTERDON HEALTHCARE SYSTEM, INC. ("HHS") IS THE SOLE MEMBER OF THIS ORGANIZATION. HHS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY THE ORGANIZATION'S AUDIT COMMITTEE. 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 OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW. AFTER THIS REVIEW THE FORM 990 WAS PRESENTED TO THE MEMBERS OF THE ORGANIZATION'S AUDIT COMMITTEE FOR REVIEW AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS OBTAINED ANNUALLY FROM ALL TRUSTEES, SENIOR STAFF, AND OTHER KEY EMPLOYEES WHO ARE CURRENTLY SERVING THE ORGANIZATION. A REPORT SUMMARIZING THE DISCLOSURE STATEMENT RESPONSES IS PROVIDED TO THE BOARD OF TRUSTEES ANNUALLY. IT IS THE ORGANIZATION'S POLICY THAT IN THE EVENT OF A CONFLICT THEY DO THE FOLLOWING: IF THERE IS A CONFLICT RELEVANT TO A MATTER REQUIRING ACTION BY tHE BOARD OF TRUSTEES, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE BOARD OF TRUSTEES, AND THE TRUSTEE CONCERNED SHALL NOT VOTE ON THE MATTER. MOREOVER, THE PERSON HAVING A CONFLICT SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD IS MEETING AND SHALL NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE MATTER UNDER CONSIDERATION. WHEN THERE IS DOUBT AS TO WHETHER A CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE RESOLVED BY VOTE OF THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF, EXCLUDING FROM THE ROOM AND THE VOTE of THE PERSON WHOSE SITUATION WILL BE DISCUSSED. WHEN A CONFLICT OF INTEREST ARISES FOR ANY STAFF MEMBER EXCEPT THE PRESIDENT, THAT STAFF MEMBER SHALL REPORT IT TO THE PRESIDENT IN WRITING. A CONFLICT OF INTEREST RELATING TO THE PRESIDENT SHALL BE REPORTED IN WRITING TO THE CHAIRMAN OF THE BOARD. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. IN 2014, THE EXECUTIVE COMPENSATION COMMITTEE REPORTED TO THE FULL BOARD FOR RATIFICATION. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. IN ADDITION, THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION ADJUSTMENTS BASED ON MARKET SURVEYS DEVELOPED BY INDEPENDENT CONSULTANTS, INDUSTRY AVERAGE COMPARISON, YEARS OF SERVICE AND OTHER EXEMPT ORGANIZATIONS IN THE GEOGRAPHIC AREA. AFTER A REVIEW OF THE INDIVIDUAL'S PERFORMANCE FOR THE YEAR AND RELYING ON COMPARABLE INFORMATION AND OTHER OBJECTIVE DATA, THE EXECUTIVE COMMITTEE WILL RECOMMEND AN ADJUSTMENT TO THE INDIVIDUAL'S COMPENSATION. ANY DETERMINATIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE EXECUTIVE COMMITTEE MINUTES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE HUNTERDON HEALTHCARE SYSTEM, INC.'S PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND IS AVAILABLE ONLINE AT WWW.DACBOND.COM. THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF HUNTERDON HEALTHCARE SYSTEM, INC. AND AFFILIATES; INCLUDING HUNTERDON MEDICAL CENTER, AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THE BOARD OF TRUSTEES OF THIS ORGANIZATION. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS PART OF HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND KEY EMPLOYEES LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THREE HOURS. 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 HUNTERDON HEALTHCARE SYSTEM, INC. AND ALL AFFILIATES AND NOT TOTAL HOURS WORKED PER WEEK ON BEHALF OF ONLY HUNTERDON MEDICAL CENTER. CORE FORM, PART X CERTAIN AMOUNTS IN THE 2013 BALANCE SHEET HAVE BEEN RECLASSIFIED TO CONFORM TO THE CURRENT YEAR'S PRESENTATION. CORE FORM, PART XI; LINE 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - LOSS ON EXTINGUISHMENT OF DEBT; ($2,819,101); - TRANSFER TO HUNTERDON MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; ($2,458,114); - PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST; ($48,090,522); - NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS; $1,647,550; - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS; ($1,054,484); AND - NET CHANGE IN PERMANENTLY RESTRICTED NET ASSETS; $1,795,283. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE HUNTERDON HEALTHCARE SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS HUNTERDON HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF HUNTERDON MEDICAL CENTER FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE HUNTERDON MEDICAL CENTER'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN A-133 AUDIT. HUNTERDON HEALTHCARE SYSTEM INC 2100 WESTCOTT DRIVE FLEMINGTON NJ 08822 222537411 HEALTHCARE NJ 501(C)(3) 509(A)(3) NA false HUNTERDON HOSPICE 2100 WESTCOTT DRIVE FLEMINGTON NJ 08822 222276083 HEALTHCARE NJ 501(C)(3) 509(A)(1) HRCH false VISITING HEALTH & SUPPORTIVE SERVICES 2100 WESTCOTT DRIVE FLEMINGTON NJ 08822 221636709 HEALTHCARE NJ 501(C)(3) 509(A)(1) HRCH false HUNTERDON MEDICAL CENTER FOUNDATION 2100 WESTCOTT DRIVE FLEMINGTON NJ 08822 222526895 FUNDRAISING NJ 501(C)(3) 509(A)(1) HHS false HUNTERDON REGIONAL COMMUNITY HEALTH INC 2100 WESTCOTT DRIVE FLEMINGTON NJ 08822 223453318 HEALTHCARE NJ 501(C)(3) 509(A)(3) HHS false BRITESIDE ADULT DAY CENTERS INC 2100 WESTCOTT DRIVE FLEMINGTON NJ 08822 222113056 ADLT DAY CARE NJ 501(C)(3) 509(A)(2) HRCH false HUNT IMAGING ASSOC 2100 WESCOTT DR FLEMINGTON NJ 08822 223126699 HEALTHCARE NJ NA DELVALLEY OFF ASSOC 2100 WESCOTT DR FLEMINGTON NJ 08822 222878037 PROPERTY MGMT NJ NA HUNT HEALTHCARE LLC 2100 WESCOTT DR FLEMINGTON NJ 08822 223642089 HEALTHCARE NJ NA HC FOR SURGERY LLC 2100 WESCOTT DR FLEMINGTON NJ 08822 223401213 HEALTHCARE NJ NA HUNT CARDVSC HEALTH 1100 WESTCOTT DRIVE SUITE G3 FLEMINGTON NJ 08822 223665435 HEALTHCARE NJ NA MIDJERSEY HEALTH CORPORATION 2110 WESCOTT DRIVE FLEMINGTON NJ 08822 222713664 HEALTHCARE NJ HHS C CORP. false HUNTERDON COMMUNITY CARE INC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 223453281 HEALTHCARE NJ HRCH C CORP. false HUNTERDON REGIONAL PHARMACY INC 2100 WESCOTT DRIVE FLEMINGTON NJ 08822 743055633 HEALTHCARE NJ HRCH C CORP. false false false true true false false false false false true true true true false true false false false false HUNTERDON HEALTHCARE SYSTEM INC D 696085 cost HUNTERDON HEALTHCARE SYSTEM INC O 2839218 COST SCHEDULE R, PART V HUNTERDON MEDICAL CENTER ROUTINELY PAYS EXPENSES FOR ITS 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.