2014-11-14T13:10:12-06:00 2013-12-31 366055558 GRANT THORNTON LLP 201 S COLLEGE STREET CHARLOTTE NC 28244 990 2013-01-01 226106281 HACKETTSTOWN COMMUNITY HOSPITAL HACK 9088525100 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 ROBERT PETERSON CHIEF FINANCIAL OFFICER 9088525100 2014-11-14 1 MICHELE MELCHIOR P00488037 7046323500 2013 2015-11-30 17:44:51Z HACKETTSTOWN REGIONAL MEDICAL CENTER ROBERT PETERSON 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 128807563 0 1071 X WWW.HRMCNJ.ORG X 1955 NJ WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A (SEE SCH O) MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. 15 12 995 108 159717 11649 926098 397718 85703198 83942754 630720 503863 -51628 -49229 87208388 84795106 83424 55625 0 0 44604832 44007292 0 0 31806 40613194 40577637 85301450 84640554 1906938 154552 98700100 97508598 40544857 40570791 58155243 56937807 X "WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." HRMC'S VISION IS TO BE "A LEADING RESOURCE FOR INNOVATIVE PATIENT-CENTERED HEALTHCARE." HRMC'S VALUES ARE "RESPECT, INTEGRITY, SERVICE, EXCELLENCE AND STEWARDSHIP (RISES)." 0 0 69359478 55625 83942754 HACKETTSTOWN REGIONAL MEDICAL CENTER, A NOT-FOR-PROFIT INTEGRATED HEALTH SERVICES ACUTE CARE HOSPITAL, SEEKS TO CONTRIBUTE VALUE TO THE COMMUNITY BY PROMOTING HEALTH AND WELLNESS. HRMC OFFERS ACUTE CARE INPATIENT SERVICES, PHYSICIAN-STAFFED 24-HOUR EMERGENCY SERVICES, A STATE-OF-THE-ART DIAGNOSTIC IMAGING CENTER AS WELL AS LABORATORY, PATHOLOGY, SURGICAL AND OUTPATIENT SERVICES AVAILABLE ON-AND-OFF-CAMPUS, THROUGH AFFILIATIONS AND LINKAGE AGREEMENTS. HRMC ALSO OFFERS WELLNESS PROGRAMS, INCLUDING EDUCATIONAL CLASSES AND SCREENINGS DESIGNED TO ENCOURAGE COMMUNITY MEMBERS TO ADOPT A HEALTHIER LIFESTYLE, AVOID ILLNESS AND LIVE LIFE TO ITS FULLEST.2013 YEAR IN REVIEWCHARITY CARE PROVIDED TO THE COMMUNITY $1,471,583UNREIMBURSED COSTS OF MEDICAID PROGRAM $404,148COMMUNITY HEALTH SERVICES $932,430HEALTH PROFESSIONS EDUCATION $248,399FINANCIAL AND IN-KIND CONTRIBUTIONS $46,786COMMUNITY BENEFITS OPERATIONS $1,850TOTAL $3,105,196*2013 TOTAL SERVICES PROVIDEDCOMMUNITY BENEFIT PROGRAMS INCLUDE: SCREENINGS, CLASSES, PROGRAMS, SUPPORT GROUPS, VACCINATIONS AND HEALTH PROFESSIONS EDUCATION.A TOTAL OF 10,080 PEOPLE WERE SERVED THROUGH COMMUNITY BENEFIT PROGRAMS IN 2013.*NOTE: IN 2013 HRMC PROVIDED AN ADDITIONAL $17 MILLION IN UNCOMPENSATED CARE ATTRIBUTABLE TO MEDICARE SHORTFALLS AND BAD DEBT. COMMUNITY BENEFIT ACTIVITIES INCLUDE INDIRECT COSTS FOR 2013. 69359478 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 128 0 1 995 1 1 1 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NJ X KEITH AMMANN 9089798733 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 WILLIAM G ROBERTSON CHAIRMAN 4.00 58.00 X X 0 1159920 46377 JASON C COE SECRETARY & PRESIDENT HRMC 45.00 15.00 X X 0 379726 46132 JAMES G LEE TRUSTEE 4.00 58.00 X X 0 671139 30612 JOSE CORTES TRUSTEE 2.00 X 0 0 0 MARIA DIGIOVANNI TRUSTEE 2.00 X 0 0 0 GLEN WAINEN MD TRUSTEE 2.00 X 0 0 0 BOGDEN BIENKO TRUSTEE 2.00 X 0 0 0 ERIC CROSS TRUSTEE 2.00 X 0 0 0 MICHAEL HALPIN TRUSTEE 2.00 X 0 0 0 MICHAEL B LAVERY TRUSTEE 2.00 X 0 0 0 BARBARA-JAYNE LEWTHWAITE PHD TRUSTEE 2.00 X 0 0 0 TIMOTHY C MCDONOUGH TRUSTEE 2.00 X 0 0 0 RAY NISIVOCCIA CPA TRUSTEE 2.00 X 0 0 0 JAMES J TRAVIS TRUSTEE 2.00 X 0 0 0 NORMAN WORTH JR TRUSTEE 2.00 X 0 0 0 ROBERT PETERSON CHIEF FINANCIAL OFFICER 50.00 10.00 X 258939 0 42762 STELLA VISAGGIO CHIEF OPERATING OFFICER 40.00 10.00 X 275542 0 47636 JUDITH H WIEGAND EXE DIR BUS DEVELOPMENT 40.00 10.00 X 188950 0 40629 KENNETH JANOWSKI CHIEF MEDICAL OFFICER 40.00 10.00 X 291780 0 44253 MARY ANN ANDERSON CNO 40.00 10.00 X 250399 0 23856 JOSEPH MAUGERI STAFF PHYSICIAN 40.00 10.00 X 211316 0 32225 SAMANTHA RAWLINS STAFF PHYSICIAN 40.00 10.00 X 199425 0 2962 DARA FORRESTER STAFF PHYSICIAN 40.00 10.00 X 180348 0 326 ALISSA ANDOLINO STAFF PHYSICIAN 40.00 10.00 X 148907 0 3104 ANTONELLA AUCIELLO STAFF PHYSICIAN 40.00 10.00 X 144105 0 1981 2149711 2210785 362855 30 0 1 0 SODEXO INC PO BOX 536922 ATLANTA GA 303536922 FOOD MGMT SERVICES 697185 SAINT CLARE'S HOSPITAL 400 W BLACKWELL ST DOVER NJ 07801 CLINICAL LABORATORIES 461704 ZENITH PHYSICIANS LLC PO BOX 447 HACKETTSTOWN NJ 07840 HOSPITALIST GROUP 420000 DRINKER BIDDLE & REATH LLP ONE LOGAN SQUARE SUITE 2000 PHILADELPHIA PA 191036996 LEGAL SERVICE 404539 MEDASSETS INC PO BOX 405652 ATLANTA GA 303845652 REVENUE CYCLE SERVICE 378508 27 212952 38179 146587 397718 PATIENT SERVICE REVENU 900099 79219818 79219818 ANCILLIARY SERVICE REV 900099 4722936 4722936 83942754 880637 880637 664400 1397392 -732992 -732992 -732992 42217902 42594676 -376774 -376774 -376774 13472 1189 12283 12283 24820 19200 5620 5620 CAFETERIA INCOME 900099 500152 500152 MAINTENANCE INCOME 900099 159717 159717 PHARMACY INCOME 900099 5991 5991 665860 84795106 83942754 159717 294917 49625 49625 6000 6000 1464746 1464746 33849943 29568426 4281517 666071 581823 84248 5125575 4477266 648309 2900957 2534029 366928 205432 70000 135432 77505 77505 6578474 4999372 1578999 103 343404 343404 8617270 6778959 1828879 9432 4485178 3408735 1076443 3502757 2946287 535335 21135 38154 25809 12224 121 52072 38494 12573 1005 1388122 1388122 2208776 2208776 4883542 4845759 37783 538204 538204 MEDICAL SUPPLIES 7426423 7426413 10 RECRUITMENT 232324 214359 17965 84640554 69359478 15249270 31806 1228 1228 35703092 36672150 113994 89107 8864064 9209964 981997 607833 2080791 1801874 879984 739394 124484343 81753169 45178152 42731174 2433738 2793642 1433168 1353168 867660 867660 162232 641404 98700100 97508598 6581530 6468855 473800 649670 33489527 33452266 40544857 40570791 X 56942038 55748109 1213205 1189698 58155243 56937807 98700100 97508598 X 154552 -530960 -841028 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1145121 1145121 50992800 28521580 22471220 8460503 3973174 4487329 60184727 47760062 12424665 3701192 1498353 2202839 42731174 CONSTRUCTION PAYABLE 116254 ANNUITY PAYABLE 142284 MOBII OCCUPANCY GUARANTEE LIAB 867660 OTHER LONG TERM LIABILITY 97015 DUE TO PARENT ORGANIZATION 32229053 33452266 X PART X, LINE 2: FIN 48 NOTES THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. 1 1 1 X 1 X 1 1 0 1 1 1799461 327878 1471583 0.01740 752957 348809 404148 0.00480 2552418 676687 1875731 0.02220 931799 97848 833951 0.00990 248624 225 248399 0.00290 52135 0 52135 0.00060 46786 0 46786 0.00060 1279344 98073 1181271 0.01400 3831762 774760 3057002 0.03620 43397 43397 0.00050 4797 4797 0.00010 48194 48194 0.00060 1 4624228 24946680 37495264 -12548584 X 1 1 1 HACKETTSTOWN DIAGNOSTIC ASSOCIATES LLC IMAGING CENTER 0.50000 0.50000 2 DYNAMIC IMAGING ASSOCIATES LLC EQUIPMENT HOLDING COMPANY 0.50000 0.50000 3 RADIOLOGY ASSOCIATES OF HACKETTSTOWN LLC IMAGING CENTER 0.33300 0.66700 4 HACKETTSTOWN REGIONAL MRILLC EQUIPMENT HOLDING COMPANY 0.33300 0.66700 5 MRI ASSOCIATES OF HACKETTSTOWN LLC IMAGING CENTER 0.50000 0.50000 6 GCM LLC EQUIPMENT HOLDING COMPANY 0.50000 0.50000 7 TRI MED ASSOCIATES REAL ESTATE ENTITY 0.33300 0.66700 8 GORDON HACKETTSTOWN MAB ASSOCIATES MEDICAL OFFICE BUILDING VENTURE 0.20000 0.22500 1 1 HACKETTSTOWN COMMUNITY HOSPITAL 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 X X X HACKETTSTOWN COMMUNITY HOPITAL 1 1 X X X X X X X X X 12 1 0 1 X HTTP://WWW.HRMCNJ.ORG X X X X X X X X 0 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X 1 0 X X X 1 X 0 0 HACKETTSTOWN COMMUNITY HOPITAL PART V, SECTION B, LINE 3: HACKETTSTOWN COMMUNITY HOSPITAL UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CONCLUDED IN 2012. THE PURPOSE OF THE STUDY WAS TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING OUR SERVICE MARKET RESIDENTS. LOCAL RESIDENTS WERE ASKED TO PARTICIPATE IN A SURVEY AS WELL AS FOCUS GROUPS ADDRESSING THE ISSUES OF MEN, WOMEN AND DIABETICS. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, APPROXIMATELY 25 LEADERS FROM HACKETTSTOWN COMMUNITY HOSPITAL, COMMUNITY AGENCIES AND AREA HEALTHCARE AND SOCIAL SERVICES ORGANIZATIONS MET TO REVIEW AND PRIORITIZE THE FINDINGS AND TO DEVELOP AN IMPLEMENTATION PLAN. THE FOLLOWING KEY STAKEHOLDERS PARTICIPATED IN THE PROCESS:PRESIDENT, HACKETTSTOWN REGIONAL MEDICAL CENTER;CHIEF MEDICAL OFFICER, HRMC;EXECUTIVE DIRECTOR, HRMC;CHIEF NURSING OFFICER;ADMINISTRATIVE DIRECTOR, HRMC;MANAGER, MARKETING AND PUBLIC RELATIONS, HRMC;MANAGER, EDUCATION, HRMC;MANAGER, CARE MANAGEMENT, HRMC;MANAGER, CENTER FOR HEALTHIER LIVING, HRMC;COORDINATOR, HEALTHLINK, HRMC;FINANCIAL COUNSELOR, HRMC;WARREN COUNTY HEALTH DEPARTMENT;WARREN COUNTY AGENCY ON AGING AND DISABILITY;WARREN COUNTY DEPARTMENT OF HUMAN SERVICES;KAREN ANN QUINLAN HOME CARE;KAREN ANN QUINLAN HOSPICE;HACKETTSTOWN POLICE DEPARTMENT;SUPERINTENDENT, HACKETTSTOWN PUBLIC SCHOOLS;COLONIAL MANOR, SENIOR LIVING;DOMESTIC ABUSE AND SEXUAL ASSAULT;FAMILY GUIDANCE CENTER;UNITED WAY OF NORTHERN NJ;WRNJ RADIO;ZUFALL, FEDERALLY QUALIFIED HEALTH CENTER. HACKETTSTOWN COMMUNITY HOPITAL PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED AS LOW PRIORITY TO BE CONSIDERED FOR THE FUTURE DUE TO LACK OF RESOURCES AND/OR EXPERTISE AT THIS TIME:TRANSPORTATION BARRIERS;ELDER ABUSE;LIMITED SUBSTANCE ABUSE TREATMENT AND RESOURCES (ALSO NOTING CO-MORBIDITY WITH MENTAL HEALTH ISSUES);PROMINENT MENTAL HEALTH ISSUES (NOTING CONNECTION BETWEEN PHYSICAL AND MENTAL WELL-BEING;UNCOORDINATED CARE ACROSS PROVIDERS (FOR NON-CHRONIC CONDITIONS. PART I, LINE 3C: HACKETTSTOWN COMMUNITY HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. PATIENTS BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR FREE CARE. PATIENTS BETWEEN 200% AND 300% OF THE FPG ARE ELIGIBLE FOR DISCOUNTED CARE. PART I, LINE 7: IN ORDER TO DETERMINE THE EXPENSE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST, HACKETTSTOWN COMMUNITY HOSPITAL UTILIZED COST TO CHARGE RATIOS TO DETERMINE THE COST OF THESE PROGRAMS. PART I, LN 7 COL(F): NO BAD DEBT IS INCLUDED IN THE FUNCTIONAL EXPENSES IN PART IX OF THE FORM 990 AND THEREFORE NO ADJUSTMENT WAS NECESSARY TO COMPUTE THE PERCENTAGES IN THE CHART FOR LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING:THE HACKETTSTOWN COMMUNITY HOSPITAL ADMINISTRATIVE TEAM ACTIVELY PARTICIPATES AS MEMBERS OF THE HACKETTSTOWN ROTARY AND IN THEIR EFFORTS TO IMPROVE THE HEALTH AND SAFETY OF THE HACKETTSTOWN COMMUNITY.HACKETTSTOWN COMMUNITY HOSPITAL WORKS JOINTLY WITH STATE AND COUNTY AGENCIES TO COORDINATE DISASTER PREPAREDNESS POLICIES AND PROCEDURES IN THE EVENT OF A LARGE STAGE DISASTER AFFECTING HACKETTSTOWN AND THE SURROUNDING COMMUNITIES. HACKETTSTOWN COMMUNITY HOSPITAL HAS ALSO PARTNERED WITH WARREN COUNTY COMMUNITY COLLEGE TO EXPLORE THE DEVELOPMENT OF A HEALTHCARE EDUCATION AND TRAINING CENTER ON THE HOSPITAL'S CAMPUS. THIS EDUCATION CENTER WOULD PREPARE HEALTHCARE PROFESSIONALS TO SERVE HACKETTSTOWN AND THE SURROUNDING WARREN COUNTY COMMUNITY. PART III, LINE 4: BAD DEBT EXPENSEPATIENT ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.THE COST OF BAD DEBT EXPENSE IS DETERMINED BY USING THE COST TO CHARGE RATIOS AS CALCULATED BY THE HOSPITAL'S MEDICARE COST REPORT. PART III, LINE 8: MEDICARE IN ORDER TO DETERMINE THE COST OF PROVIDING MEDICARE SERVICES, HACKETTSTOWN COMMUNITY HOSPITAL UTILIZED COST TO CHARGE RATIOS AS DETERMINED BY THE HOSPITAL'S MEDICARE COST REPORT. THE TOTAL COST WAS COMPARED TO PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. THE SHORTFALL CALCULATED REPRESENTS UNREIMBURSED COSTS UNDER THE MEDICARE PROGRAM THAT THE HOSPITAL ABSORBS ON BEHALF OF THE PATIENTS THAT IT SERVES.THE SHORTFALL ON PART III, LINE 7 IS CONSIDERED TO BE A COMMUNITY BENEFIT. PART III, LINE 9B: COLLECTION PRACTICESINDIVIDUALS THAT QUALIFY FOR 100% CHARITY CARE UNDER THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES GUIDELINES ARE NOT BILLED FOR ANY AMOUNTS. INDIVIDUALS THAT QUALIFY FOR PARTIAL CHARITY CARE UNDER THESE GUIDELINES ARE BILLED AT A REDUCED RATE. FINANCIAL COUNSELORS ARE AVAILABLE TO ALL PATIENTS TO DETERMINE WHETHER ANY PROGRAMS (E.G. CHARITY CARE, MEDICAID) ARE AVAILABLE TO ASSIST PATIENTS.FINANCIAL ASSISTANCE PROCESS AND COLLECTION PROTOCOL ARE WELL DEFINED WITH MANAGERS AVAILABLE TO GUIDE AND HANDLE EXCEPTION SITUATIONS. OUTSOURCED AGENCIES AND COLLECTIONS FIRMS ARE EXPECTED TO ADHERE TO AHC'S POLICY. BAD DEBT, CHARITY AND ADMINISTRATIVE WRITE OFF ARE CLEARLY DEFINED WITH PRE-DETERMINED AUTHORIZATION LEVELS DEPENDING ON THE MAGNITUDE GRANTED. PART VI, LINE 2: NEEDS ASSESSMENT:ALTHOUGH THE STATE OF NEW JERSEY DOES NOT REQUIRE THAT A COMMUNITY BENEFIT REPORT BE FILED, HACKETTSTOWN COMMUNITY HOSPITAL (HCH) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS POSTED ON ITS WEBSITE AND MAILED TO THE COMMUNITY UPON REQUEST.HCH HOSTS A COMMUNITY MEETING EACH YEAR. IN ADDITION, HCH COMPLETED A COMMUNITY NEEDS ASSESSMENT THE RESULTS WHICH, WERE MADE PUBLIC TO THE COMMUNITY IN NOVEMBER 2012. PART VI, LINE 3: PATIENT EDUCATION:ALL PATIENTS OF THE HOSPITAL THAT DO NOT HAVE INSURANCE ARE PROVIDED WITH INFORMATION REGARDING FINANCIAL ASSISTANCE. THE INFORMATION PROVIDES INFORMATION REGARDING THE REQUIREMENTS FOR QUALIFYING FOR CHARITY CARE AND OTHER ASSISTANCE PROGRAMS. IN ADDITION, THE HOSPITAL HAS A FULL TIME FINANCIAL COUNSELING OFFICE WITH DEDICATED FINANCIAL COUNSELORS THAT PROVIDE SCREENINGS AND INFORMATION TO ALL PATIENTS REQUESTING ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATION:HACKETTSTOWN COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA IS MADE UP OF 12 ZIP CODES THAT STRADDLE THE WESTERN PORTION OF MORRIS COUNTY AND THE CENTRAL AND EASTERN SIDE OF WARREN COUNTY, WITH ONE ADDITIONAL ZIP CODE LOCATED IN NEIGHBORING SUSSEX COUNTY TO THE NORTH. HRMC'S PSA COMPRISES A POPULATION BASE OF ALMOST 94,500.HACKETTSTOWN COMMUNITY HOSPITAL'S SECONDARY SERVICE AREA IS MADE UP OF SEVEN ZIP CODES THAT INCLUDE THE SOUTHERN TIP OF SUSSEX COUNTY AND PORTIONS OF THE SOUTH CENTRAL AND NORTHERN SECTIONS OF WARREN COUNTY. HRMC'S SSA COMPRISES A POPULATION BASE OF ALMOST 32,200. PART VI, LINE 5: COMMUNITY HEALTH PROMOTION:HACKETTSTOWN COMMUNITY HOSPITAL, DBA HACKETTSTOWN REGIONAL MEDICAL CENTER, OPENED IN 1973 AND IS A FULLY LICENSED 111 BED ACUTE CARE HOSPITAL THAT PROVIDES ACUTE CARE, EMERGENCY, DIAGNOSTIC, SURGICAL AND OUTPATIENT SERVICES TO RESIDENTS OF WARREN, MORRIS, SUSSEX AND HUNTERDON COUNTIES. HACKETTSTOWN COMMUNITY HOSPITAL IS A FAITH BASED, NOT FOR PROFIT ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF HACKETTSTOWN COMMUNITY RESIDENTS COMMITTED TO OUR MISSION OF IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. MEMBERS OF THE HACKETTSTOWN COMMUNITY HOSPITAL ADMINISTRATION AND LEADERSHIP TEAM ARE ALSO ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS AND COMMITTEES TO HELP ADDRESS HEALTH ISSUES IN THE COMMUNITY.IN KEEPING WITH OUR MISSION, HACKETTSTOWN REGIONAL MEDICAL CENTER CONTINUES TO PROMOTE GOOD HEALTH THROUGH THE PROGRAMS OFFERED BY THE CENTER FOR HEALTHIER LIVING. A TOTAL OF 10,080 COMMUNITY RESIDENTS WERE SERVED THROUGH THE VARIOUS PROGRAMS OFFERED BY THE CENTER IN 2013.AT HACKETTSTOWN REGIONAL MEDICAL CENTER WE BELIEVE THAT EDUCATION IS THE FIRST AND OFTEN THE MOST IMPORTANT STEP IN ACHIEVING GOOD HEALTH. HACKETTSTOWN REGIONAL MEDICAL CENTER PROMOTES A LIFESTYLE CHANGE THAT EMPHASIZES REGULAR EXERCISE, GOOD NUTRITION, EARLY DETECTION OF ILLNESS AND THE KNOWLEDGE TO MAKE INFORMED HEALTH RELATED DECISIONS.IN ORDER TO HELP AREA RESIDENTS ACHIEVE OPTIMAL HEATH, HACKETTSTOWN REGIONAL MEDICAL CENTER, THROUGH THE CENTER FOR HEALTHIER LIVING, OFFERED A NUMBER OF HEALTH PROMOTION AND EDUCATION CLASSES AND HEALTH SCREENINGS IN 2013 INCLUDING:> A VARIETY OF HEALTH SCREENINGS INCLUDING CANCER SCREENINGS WERE OFFERED AT THE CENTER FOR HEALTHIER LIVING, COMMUNITY HEALTH FAIRS, A SENIOR EXPO AND SCHOOL HEALTH FAIRS AND AREA BUSINESSES.> HEALTH EDUCATION PROGRAMS WERE HELD AT THE CENTER FOR HEALTHIER LIVING, SEVERAL SENIOR GROUP MEETINGS, SENIOR HOUSING AND AREA BUSINESS. SENIOR EXERCISE PROGRAMS LIKE TAI CHI AND ARTHRITIS EXERCISE KEEP SENIORS ACTIVE AND FLEXIBLE. "BACK IN TIME" HISTORY SERIES PROVIDES SENIORS THE OPPORTUNITY TO ENGAGE IN LIFELONG LEARNING, USE CRITICAL THINKING SKILLS AND TO SOCIALIZE. > SUPPORT GROUPS HELPED ADDRESS THE NEEDS OF THOSE WITH CHRONIC ILLNESS INCLUDING PULMONARY DISEASE, CARDIAC ILLNESSES AND DIABETES AND BREAST CANCER.> DIABETES PREVENTION EFFORTS INCLUDED PRE-DIABETES WORKSHOPS. > INFLUENZA VACCINES WERE GIVEN AT NO CHARGE TO THE HOMELESS AND MEDICALLY UNDERSERVED THROUGH A FOOD PANTRY AND PROJECT HOMELESS CONNECT. > PRENATAL EDUCATION CLASSES WERE OFFERED AT NO COST TO UNDERINSURED WOMEN AND FAMILIES INCLUDING CHILDBIRTH EDUCATION, BREAST FEEDING CLASSES, SIBLING CLASSES AND BABY CARE CLASSES> HACKETTSTOWN COMMUNITY HOSPITAL OFFERS A VARIETY OF CPR AND FIRST AID CLASSES TO OUR COMMUNITY. CLASSES ARE OFFERED FREE OR FOR A NOMINAL FEE TO LOCAL POLICE, FIREFIGHTERS AND EMS. OVER 300 IN OUR COMMUNITY WERE INSTRUCTED IN "HANDS-ONLY" CPR AT A NUMBER OF HEALTH FAIRS.HACKETTSTOWN REGIONAL MEDICAL CENTER IS COMMITTED TO ENSURING THAT THE COMMUNITIES IT SERVES THRIVE IN A CULTURE OF WELLNESS AND HAVE ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL AND SPIRITUAL WELLBEING. PART VI, LINE 6: AFFILIATED HEALTH CARE:HACKETTSTOWN COMMUNITY HOSPITAL IS A MEMBER OF THE ADVENTIST HEALTHCARE SYSTEM BASED IN ROCKVILLE, MARYLAND. ADVENTIST HEALTHCARE PROVIDES MANAGERIAL AND SHARED SERVICES TO HACKETTSTOWN COMMUNITY HOSPITAL IN SUPPORT OF ITS MISSION TO SERVE HACKETTSTOWN AND THE OTHER COMMUNITIES IN ITS PRIMARY AND SECONDARY SERVICE AREAS. PART VI, LINE 7, REPORTS FILED WITH STATES NJ 1 HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 222333410 501(C)(3) 15250 GENERAL SUPPORT FROM HOSPITAL AUXILIARY. CENTENARY COLLEGE 400 JEFFERSON STREET HACKETTSTOWN NJ 07840 221500484 501(C)(3) 12500 FUNDRAISING EVENT IN SUPPORT OF THE COLLEGE 2 SCHOLARSHIPS FOR TUITION 6 6000 PART I, LINE 2: IN SUPPORT OF ITS MISSION AND VISION TO BE A LEADING RESOURCE FOR INNOVATIVE PATIENT -CENTERED HEALTHCARE, THE HOSPITAL AND ITS AUXILIARY WILL PROVIDE GRANTS AND ASSISTANCE TO AFFILIATED ENTITIES SUCH AS ITS FOUNDATION AND OTHER NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. PRIOR TO PROVIDING THIS ASSISTANCE, HOSPITAL ADMINISTRATION REVIEWS AND APPROVES REQUESTS FOR NEEDS THAT FULFILL OUR MISSION AND SUPPORT THE COMMUNITY. X X X X 0 1 0 0 0 0 0 0 0 WILLIAM G ROBERTSON CHAIRMAN 0 833101 0 104704 0 222115 0 12750 0 33627 0 1206297 0 0 JASON C COE SECRETARY & PRESIDENT HRMC 0 269598 0 72901 0 37227 0 12750 0 33382 0 425858 0 0 JAMES G LEE TRUSTEE 0 477313 0 81595 0 112231 0 12750 0 17862 0 701751 0 0 ROBERT PETERSON CHIEF FINANCIAL OFFICER 196260 0 42884 0 19795 0 10110 0 32652 0 301701 0 0 0 STELLA VISAGGIO CHIEF OPERATING OFFICER 206227 0 45647 0 23668 0 10762 0 36874 0 323178 0 0 0 JUDITH H WIEGAND EXE DIR BUS DEVELOPMENT 154073 0 23162 0 11715 0 8042 0 32587 0 229579 0 0 0 KENNETH JANOWSKI CHIEF MEDICAL OFFICER 217579 0 47129 0 27072 0 11111 0 33142 0 336033 0 0 0 MARY ANN ANDERSON CNO 194057 0 17888 0 38454 0 3975 0 19881 0 274255 0 0 0 JOSEPH MAUGERI STAFF PHYSICIAN 210350 0 0 0 966 0 3461 0 28764 0 243541 0 0 0 SAMANTHA RAWLINS STAFF PHYSICIAN 153091 0 46154 0 180 0 2770 0 192 0 202387 0 0 0 DARA FORRESTER STAFF PHYSICIAN 179993 0 0 0 355 0 0 0 326 0 180674 0 0 0 ALISSA ANDOLINO STAFF PHYSICIAN 145355 0 0 0 3552 0 2778 0 326 0 152011 0 0 0 PART I, LINE 3 COMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING: -BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEE'S PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES). -INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. -OTHER REPORTABLE COMPENSATION INCLUDES CERTAIN CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARE'S CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE RELOCATION PAY, AND SEVERANCE, AS APPLICABLE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEE RETIREMENT CONTRIBUTIONS, ETC. PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE'S IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. HACKETTSTOWN FOLLOWS AHC'S PAY PRACTICE. MR. COE'S COMPENSATION AND BENEFITS ARE PAID BY ADVENTIST HEALTHCARE AND NOT CHARGED BACK TO HACKETTSTOWN COMMUNITY HOSPITAL. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. PART I, LINE 4B CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF THE ADVENTIST HEALTHCARE'S CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE WERE AS FOLLOWS: WILLIAM G. ROBERTSON: $203,855 JAMES G. LEE: $105,670 JASON C COE: $33,836 ROBERT C. PETERSON: $16,910 STELLA VISAGGIO: $18,961 KENNETH JANOWSKI: $19,847 MARY ANN ANDERSON: $34,280 JUDITH H. WIEGAND: $8,042 SCHEDULE J: PART I, LINE 3 INDEPENDENT GUIDELINES WHEN SETTING COMPENSATION FOR THE "OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES," ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE AND HACKETTSTOWN COMMUNITY HOSPITAL "OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES" IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE'S BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE NEW JERSEY-NEW YORK REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. PAY PHILOSOPHY FOR ALL HACKETTSTOWN COMMUNITY HOSPITAL EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J, THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. MAINTAINING A QUALITY, STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES. IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET. HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS. FORM 990, PART VI, SECTION A, LINE 6 BY LAWS, ARTICLE II: THERE SHALL BE A SINGLE CLASS OF CONSTITUENT MEMBERS OF THE HOSPITAL CORPORATION (INDIVIDUAL - MEMBER, COLLECTIVELY - MEMBERSHIP), WHICH SHALL CONSIST OF THE DULY ELECTED MEMBERS OF THE BOARD OF DIRECTORS OF ADVENTIST HEALTHCARE, INC., A NONPROFIT CORPORATION EXISTING UNDER AND OPERATING BY VIRTUE OF THE LAWS OF THE STATE OF MARYLAND. FORM 990, PART VI, SECTION A, LINE 7A BY LAWS, ARTICLES II AND III (VARIOUS PARTS) TRUSTEES OF THIS ORG ARE ELECTED BY THE MEMBER (I.E. MID-ATLANTIC ADVENTIST HC). FORM 990, PART VI, SECTION A, LINE 7B BY LAWS, ARTICLE II- RESERVED AUTHORITY AND RESPONSIBILITY: NOTWITHSTANDING ANY PROVISION OF THE CERTIFICATE OF INCORPORATION OR THESE BYLAWS TO THE CONTRARY, THE FOLLOWING ACTIONS ARE RESERVED TO THE MEMBERSHIP: 1. THE PURCHASE, SALE OR DISPOSITION OF REAL PROPERTY OF THE HOSPITAL CORPORATION; 2. THE ADOPTION, ALTERING, AMENDING OR REPLACING OF THE CERTIFICATE OF INCORPORATION OR THE BYLAWS OF THE HOSPITAL CORPORATION; 3. THE LIQUIDATION, DISSOLUTION, WINDING UP OR ABANDONMENT OF THE HOSPITAL CORPORATION; AND 4. THE RETENTION AND EXERCISE OR DELEGATION OF VOTING RIGHTS ASSOCIATED WITH THE OWNERSHIP OF ANY SHARES OF STOCK OR INTEREST OWNED OR HELD BY THE HOSPITAL CORPORATION OR ANY ENTITY SUBSIDIARY TO OR CONTROLLED BY THE HOSPITAL CORPORATION ("SUBSIDIARY ORGANIZATION") IN CONNECTION WITH THE FOLLOWING ACTIONS: (A) THE AMENDMENT OF THE ORGANIZATIONAL DOCUMENTS OF A SUBSIDIARY ORGANIZATION; (B) THE CONSOLIDATION OF A SUBSIDIARY ORGANIZATION WITH ONE OR MORE ENTITIES TO FORM A NEW CONSOLIDATED CORPORATION; (C) THE MERGER OF A SUBSIDIARY ORGANIZATION INTO ANOTHER ENTITY OR THE MERGER OF ONE OR MORE OTHER ENTITIES INTO A SUBSIDIARY ORGANIZATION; (D) THE SALE, LEASE, EXCHANGE OR OTHER TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF A SUBSIDIARY ORGANIZATION, INCLUDING ITS GOODWILL AND FRANCHISES; (E) THE PARTICIPATION BY A SUBSIDIARY ORGANIZATION IN A SHARE EXCHANGE AS THE ENTITY THE STOCK/INTEREST OF WHICH IS TO BE ACQUIRED; (F) THE VOLUNTARY OR INVOLUNTARY LIQUIDATION, DISSOLUTION OR WINDING-UP OF A SUBSIDIARY ORGANIZATION. 5. APPOINTMENT OF MEMBERS OF THE BOARD OF THE HOSPITAL CORPORATION FROM NOMINEES SUBMITTED BY THE BOARD OF THE HOSPITAL CORPORATION; 6. REMOVAL OF MEMBERS OF THE BOARD OF THE HOSPITAL CORPORATION. 7. AUTHORIZE AND APPROVE THE ISSUANCE OF DEBT AND THE USE OF PROCEEDS OF SUCH DEBT FOR AND ON BEHALF OF THE HOSPITAL CORPORATION; 8. DEVELOP CAPITAL INVESTMENT, CAPITAL ALLOCATION AND BORROWING POLICIES FOR THE HOSPITAL CORPORATION; 9. CEASE PROVIDING HEALTH CARE SERVICES NECESSARY FOR OPERATION AS A LICENSED GENERAL ACUTE CARE FACILITY AT ANY SITE; 10. CHANGE THE STATED PURPOSES, MISSION OR PHILOSOPHY OF THE HOSPITAL CORPORATION, OR ANY CONTROLLED ENTITY AS FOUND IN THE ARTICLES OF INCORPORATION, BYLAWS, OR OTHER GOVERNING DOCUMENTS OF THE HOSPITAL CORPORATION; 11. ADOPTING THE HOSPITAL CORPORATION'S ANNUAL AND LONG-TERM CAPITAL AND OPERATION BUDGETS; 12. MAKING ANY MAJOR CHANGES IN ANY OF THE HOSPITAL CORPORATION'S INSURANCE PROGRAM; AND 13. RECOMMENDING ANY UNBUDGETED CAPITAL EXPENDITURE OF THE HOSPITAL CORPORATION'S CAPITAL BUDGET IN EXCESS OF $500,000. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING THE FORM 990, THE FORM WAS PREPARED BY THE INTERNAL FINANCE TEAM OF THE HEALTH SYSTEM WITH INPUT FROM MANY HOSPITAL DEPARTMENTS. IT WAS REVIEWED IN DETAIL BY THE HRMC CONTROLLER AND CFO. THE FORM WAS DISCUSSED AND REVIEWED IN DETAIL WITH THE ORGANIZATION'S OUTSIDE TAX ADVISORS. THE CFO THEN CONDUCTED A HIGHER LEVEL REVIEW OF THE FORM WITH THE HRMC PRESIDENT. THE 990 WAS THEN MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PURSUANT TO THE ORGANIZATIONS CONFLICT OF INTEREST POLICY, EACH BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIERS, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. COMPLIANCE WITH POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT IN THE EVENT THERE IS A CONFLICT OF INTEREST, BOARD MEMBERS WILL RECUSE THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION FOLLOWS THE COMPENSATION GUIDELINES OF ITS SOLE MEMBER, ADVENTIST HEALTHCARE, INC. A TAX-EXEMPT AFFILIATE. INDEPENDENT GUIDELINES - WHEN SETTING COMPENSATION FOR THE CEO/PRESIDENT, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE'S CEO/PRESIDENT IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE INC.'S BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTHCARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE OF THE MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ORGANIZATION TRANSFERS -841,028. ADVENTIST HEALTHCARE INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521532556 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION 0 ADVENTIST HEALTHCARE URGENT CARE CENTERS INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 461577511 CLINIC - EMERGENCY CARE MD 501(C)(3) LINE 3 ADVENTIST HEALTHCARE INC 0 ADVENTIST HOME HEALTH SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 520986808 HOME CARE SERVICES MD 501(C)(3) LINE 9 ADVENTIST HEALTHCARE INC 0 ADVENTIST PHYSICIAN SERVICES INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 204600646 PHYSICIAN SERVICES MD 501(C)(3) LINE 9 ADVENTIST HEALTHCARE INC 0 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 201486678 REHABILITATION HOSPITAL MD 501(C)(3) LINE 3 ADVENTIST HEALTHCARE INC 0 ADVENTIST REHABILITATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 300780513 REHABILITATION HOSPITAL MD 501(C)(3) LINE 3 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC 0 HACKETTSTOWN REGIONAL MEDICAL CENTER EMERGENCY SERVICES INC 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 270820164 AMBULANCE SERVICE NJ 501(C)(3) LINE 11A, I HACKETTSTOWN COMMUNITY HOSPITAL INC 1 HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION INC 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 222333410 FUNDRAISING NJ 501(C)(3) LINE 11A, I HACKETTSTOWN COMMUNITY HOSPITAL INC 1 MEDICAL CENTER PARTNERS INC 651 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 454789273 PHYSICIAN SERVICES NJ 501(C)(3) LINE 11A, I HACKETTSTOWN COMMUNITY HOSPITAL INC 1 MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521884153 HOLDING COMPANY MD 501(C)(3) LINE 9 N/A 0 ADVENTIST BEHAVIORAL HEALTH FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 205479860 FUNDRAISING MD 501(C)(3) LINE 11A, I ADVENTIST HEALTHCARE INC 0 REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521255870 BEHAVIORAL CARE MD 501(C)(3) LINE 9 ADVENTIST HEALTHCARE INC 0 SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521216429 FUNDRAISING MD 501(C)(3) LINE 11A, I ADVENTIST HEALTHCARE INC 0 WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521692158 FUNDRAISING MD 501(C)(3) LINE 11A, I ADVENTIST HEALTHCARE INC 0 WASHINGTON ADVENTIST FITNESS CENTER 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 274758462 WELLNESS MD 501(C)(3) LINE 9 ADVENTIST HEALTHCARE INC 0 PREMIER MEDICAL NETWORK INC 820 W DIAMOND AVE SUITE 600 GAITHERSBURG MD 208781419 521952469 JOINT PHYSICIAN CONT MD ADVENTIST HEALTHCARE INC C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION C 212952 FMV HRMC EMERGENCY MEDICAL SERVICES L 60036 FMV MEDICAL CENTER PARTNERS INC L 42156 FMV HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION B 15250 FMV