FORREST S CHILTON 3RD MEMORIAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FORREST S CHILTON 3RD MEMORIAL HOSPITAL (EIN 22-1559402)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201343189349305764
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T15:00:12-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	465 South St Ste 200	AddressLine1
City	Morristown	City
State	NJ	State
ZIP Code	079606497	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	221559402	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FORREST S CHILTON 3RD MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% MICHAEL A RICHETTI CPA	InCareOfName
Name Control	FORR	NameControl
Phone	9738315202	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	97 WEST PARKWAY	AddressLine1
Address Line2	Suite	AddressLine2
City	POMPTON PLAINS	City
State	NJ	State
ZIP Code	07444	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL A RICHETTI	Name
Title	CFO	Title
Phone	9738989494	Phone
Date Signed	2013-11-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Scott Mariani	Name
Phone	9738989494	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DEBORAH K ZASTOCKI FACHE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	97 WEST PARKWAY	AddressLine1
City	POMPTON PLAINS	City
State	NJ	State
ZIP Code	07444	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	169945883	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHILTONHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1947	YearFormation
State Legal Domicile	NJ	StateLegalDomicile
Activity Or Mission Description	TO PROMOTE WELLNESS AND PROVIDE COMPASSIONATE CARE AND HEALING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1762	TotalNbrEmployees
Total Nbr Volunteers	320	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2118230	ContributionsGrantsPriorYear
Contributions Grants Current Year	1498497	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	166021406	ProgramServiceRevenuePriorYear
Program Service Revenue CY	166461909	ProgramServiceRevenueCY
Investment Income Prior Year	1433566	InvestmentIncomePriorYear
Investment Income Current Year	1137927	InvestmentIncomeCurrentYear
Other Revenue Prior Year	869372	OtherRevenuePriorYear
Other Revenue Current Year	2192	OtherRevenueCurrentYear
Total Revenue Prior Year	170442574	TotalRevenuePriorYear
Total Revenue Current Year	169100525	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	15126	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	92757593	SalariesEtcPriorYear
Salaries Etc Current Year	92453404	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	76606679	OtherExpensePriorYear
Other Expenses Current Year	71128786	OtherExpensesCurrentYear
Total Expenses Prior Year	169379398	TotalExpensesPriorYear
Total Expenses Current Year	163582190	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1063176	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5518335	RevenuesLessExpensesCY
Total Assets BOY	166789864	TotalAssetsBOY
Total Assets EOY	169708974	TotalAssetsEOY
Total Liabilities BOY	123972278	TotalLiabilitiesBOY
Total Liabilities EOY	118067086	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	42817586	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	51641888	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROMOTE WELLNESS AND PROVIDE COMPASSIONATE CARE AND HEALING.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	9039561	Expense
Grants	0	Grants
Revenue	6772418	Revenue
Description	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT AND OUTPATIENT PHARMACEUTICAL SUPPLIES AND 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6485416	Expense
Grants	0	Grants
Revenue	8935973	Revenue
Description	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT AND OUTPATIENT LABORATORY 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4650289	Expense
Grants	0	Grants
Revenue	17949137	Revenue
Description	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	127048703	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	132804381	TotalOfOtherProgramServiceRev
Total Program Service Expense	147223969	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	210	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1762	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHAEL A RICHETTI CPA	NamePerson
Telephone Number	9738315202	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	97 WEST PARKWAY	AddressLine1
City	POMPTON PLAINS	City
State	NJ	State
ZIP Code	074441696	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ELIOT CHODOSH MD
CHAIRMAN - TRUSTEE	1.0	X	X	0	0	0
AARON VAN DUYNE III
VICE CHAIRMAN - TRUSTEE	1.0	X	X	0	0	0
JAMES VINCI
SECRETARY - TRUSTEE	1.0	X	X	0	0	0
MICHAEL DEBERNARDI
TREASURER - TRUSTEE	1.0	X	X	0	0	0
MICHAEL DARA MD
TRUSTEE	1.0	X		0	0	0
HENRY DRIESSE
TRUSTEE	1.0	X		0	0	0
REZA FARHANGFAR MD
TRUSTEE - MED STAFF PRESIDENT	1.0	X		25000	0	0
LAURA KELLY ESQ
TRUSTEE	1.0	X		0	0	0
JAMES KLEIN
TRUSTEE	1.0	X		0	0	0
DANNY LAM
TRUSTEE	1.0	X		0	0	0
ELLIOT PENNER
TRUSTEE	1.0	X		0	0	0
MARIO ROSELLINI
TRUSTEE	1.0	X		0	0	0
RUTH E SPELLMAN
TRUSTEE	1.0	X		0	0	0
ROBIN WARE
TRUSTEE	1.0	X		0	0	0
BEVERLY WILEN
TRUSTEE	1.0	X		0	0	0
DEBORAH K ZASTOCKI FACHE
TRUSTEE - PRESIDENT/CEO	55.0	X	X	1154787	0	62189
MICHAEL A RICHETTI
VP / CFO	55.0		X	523376	0	35566
THOMAS SCOTT
VP / COO	55.0		X	339864	0	35730
MARK LEDERMAN
VP / CIO	55.0		X	258188	0	10202
RICHARD WEINBERG MD
VP, MEDICAL AFFAIRS	55.0		X	381325	0	25921
JULIA MCGOVERN
VP, HUMAN RESOURCES	55.0		X	267074	0	11292
JOANNE REICH
VP, NURSING / CNE	55.0		X	216862	0	15603
YOLANDA C GEHRING
VP,CLINICAL SVCS & EXT AFFAIRS	55.0		X	198877	0	21864
DAWN JONES
EVP, FOUNDATION (TERM 6/25/12)	55.0		X	131546	0	12092
DONNA KIRBY
ED - ACCESS SVCS & WELLNESS	55.0			155520	0	15299	X
MARK KAVANAGH MD
PHYSICIAN	55.0			399516	0	24382		X
JOSHUA NOCHUMSON MD
PHYSICIAN	55.0			250420	0	19983		X
LAURIE S NAHUM MD
PHYSCIAN (TERM 4/15/12)	55.0			227935	0	14565		X
DHINOJ PARIKH MD
PHYSICIAN	55.0			220150	0	19558		X
RICHARD J RIGGI MD
NUCLEAR MEDICINE SECTION CHIEF	55.0			154679	0	14400		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4905119	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	338646	TotalOtherCompensation
Number Individuals GT100 K	146	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SODEXO INC AND AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	FOOD SERVICES	2664285
HOSPITAL BILLING AND COLLECTION
118 LUKENS DRIVE	NEW CASTLE	DE	19720	BILLING/COLLECTION	2129464
OA PETERSON CONSTRUCTION CO INC
78 NORTH WILLOW STREET	MONTCLAIR	NJ	07042	CONSTRUCTION	1569529
HOSPITAL MEDICINE ASSOCIATES
PO BOX 634850	CINCINNATI	OH	452634850	HOSPITALIST SERVICES	1162497
CORNERSTONE ADVISORS GROUP LLC
PO BOX 569	GEORGETOWN	CT	06829	CONSULTING	1037508

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	69	NumberOfContractorsGT100K
Info In Schedule O Part VIII	X	InfoInScheduleOPartVIII
Related Organizations	1431590	RelatedOrganizations
Government Grants	66907	GovernmentGrants
Total Contributions	1498497	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	541900	160638130	160638130
OTHER HEALTHCARE RELATED REVENUE	541900	5823779	5823779

Field	Value	IRS element (for citing)
Total Program Service Revenue	166461909	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1203314	TotalRevenueColumn
Exclusion	$1,203,314	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	15505	TotalRevenueColumn
Exclusion	$15,505	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	498332	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	764139	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-265807	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-265807	TotalRevenueColumn
Exclusion	-$265,807	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	327	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	62483	Securities
Other	18736	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-62483	Securities
Other	-18409	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-80892	TotalRevenueColumn
Exclusion	-$80,892	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
EMPLOYEE MEALS	900099	258909	$258,909
VENDING MACHINES	900099	9090	$9,090

Field	Value	IRS element (for citing)
Total Other Revenue	267999	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	169100525	TotalRevenueColumn
Related Or Exempt Function Income	166461909	RelatedOrExemptFunctionIncome
Exclusion	$1,140,119	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3898178	Total
Program Services	3508360	ProgramServices
Management And General	389818	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	70427764	Total
Program Services	63384987	ProgramServices
Management And General	7042777	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6554294	Total
Program Services	5898865	ProgramServices
Management And General	655429	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6290971	Total
Program Services	5661874	ProgramServices
Management And General	629097	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5282197	Total
Program Services	4753977	ProgramServices
Management And General	528220	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	253973	Total
Program Services	228576	ProgramServices
Management And General	25397	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	806337	Total
Program Services	725703	ProgramServices
Management And General	80634	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	62122	Total
Program Services	55910	ProgramServices
Management And General	6212	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	64316	Total
Program Services	57884	ProgramServices
Management And General	6432	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3023109	Total
Program Services	2720798	ProgramServices
Management And General	302311	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1238660	Total
Program Services	1114794	ProgramServices
Management And General	123866	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6700339	Total
Program Services	6030305	ProgramServices
Management And General	670034	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	34196	Total
Program Services	30776	ProgramServices
Management And General	3420	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	43870	Total
Program Services	39483	ProgramServices
Management And General	4387	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2156891	Total
Program Services	1941202	ProgramServices
Management And General	215689	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9835316	Total
Program Services	8851784	ProgramServices
Management And General	983532	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1760142	Total
Program Services	1584128	ProgramServices
Management And General	176014	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	23494373	21144936	2349437
CONTRACTED SERVICES	17329200	15596280	1732920
UTILITIES	2234548	2011093	223455
TEMPORARY HELP	316847	285162	31685

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1774547	Total
Program Services	1597092	ProgramServices
Management And General	177455	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	163582190	Total
Program Services	147223969	ProgramServices
Management And General	16358221	ManagementAndGeneral
Fundraising	0	Fundraising

Field	Value	IRS element (for citing)
Info In Schedule O Part X	X	InfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1653	BOY
EOY	1653	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	12387480	BOY
EOY	14000087	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	19182165	BOY
EOY	19863195	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	208093	BOY
EOY	136790	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2993999	BOY
EOY	2290734	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2022406	BOY
EOY	1542866	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	197585045	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	122257167	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	65927676	BOY
EOY	75327878	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	59677786	BOY
EOY	52291000	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	116000	BOY
EOY	116000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4272606	BOY
EOY	4138771	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	166789864	BOY
EOY	169708974	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	21894021	BOY
EOY	23474137	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	44390892	BOY
EOY	42892348	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	57687365	BOY
EOY	51700601	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	123972278	BOY
EOY	118067086	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	35572630	BOY
EOY	45308304	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5124323	BOY
EOY	4212951	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2120633	BOY
EOY	2120633	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	42817586	BOY
EOY	51641888	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	166789864	BOY
EOY	169708974	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5518335	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1871955	ReconciliationUnrealizedInvest
Reconcilation Other Changes	1434012	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$30,000	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$32,122	OtherActivitiesAmount
Total Lobbying Expenditures IIB	62122	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITY EXPLANATION	Identifier
Return Reference	SCHEDULE C, PART II-B; LINES 1G AND 1I	ReturnReference
Explanation	DURING 2012, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $30,000 TO PERFORM LOBBYING SERVICES ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION EMPLOYS A VICE PRESIDENT OF CLINICAL SERVICES & EXTERNAL AFFAIRS OF WHICH APPROXIMATELY 5% OF HER TIME AND GROSS COMPENSATION IS ALLOCATED TO LOBBYING EFFORTS ON BEHALF OF THE ORGANIZATION ON A FEDERAL AND STATE LEVEL ON MATTERS RELATED TO MEDICARE AND MEDICAID LEGISLATION AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $11,037 IN 2012. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, THE VOLUNTEER HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TOWARDS LOBBYING EFFORTS PERFORMED ON BEHALF OF THIS ORGANIZATION. THIS ALLOCATION AMOUNTED TO $21,085 IN 2012.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2120633	BeginningOfYearBalance
End Of Year Balance	2120633	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2120633	BeginningOfYearBalance
End Of Year Balance	2120633	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2120633	BeginningOfYearBalance
End Of Year Balance	2120633	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2120300	BeginningOfYearBalance
Contributions	333	Contributions
End Of Year Balance	2120633	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	104300	BeginningOfYearBalance
Contributions	2016000	Contributions
End Of Year Balance	2120300	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	725785	OtherCostOrOtherBasis
Book Value	725785	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	71585639	OtherCostOrOtherBasis
Depreciation	35433989	Depreciation
Book Value	36151650	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3445864	OtherCostOrOtherBasis
Depreciation	1907774	Depreciation
Book Value	1538090	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	114992426	OtherCostOrOtherBasis
Depreciation	81544465	Depreciation
Book Value	33447961	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6835331	OtherCostOrOtherBasis
Depreciation	3370939	Depreciation
Book Value	3464392	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	75327878	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
LIMITED USE	9725552	F
HEDGE FUNDS; LIMITED USE	1818382	F
LIMITED USE	12074164	F
MUTUAL FUNDS; LIMITED USE	22494029	F
EXEMPT ORGANIZATION	6178873	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	52291000	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
SETTLEMENTS	$4,621,169
ACCRUED PENSION COST	$41,154,731
MALPRACTICE LIABILITY	$4,625,669
ACCRUED INTEREST PAYABLE	$1,050,376
OTHER LIABILITIES	$248,656

Field	Value	IRS element (for citing)
Total Of Amounts	51700601	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS	SCHEDULE D, PART V; QUESTION 4	THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF FUNDS ESTABLISHED TO SUPPORT VARIOUS OPERATIONS OF THE HOSPITAL. THE ENDOWMENTS INCLUDE ONLY DONOR-RESTRICTED ENDOWMENT FUNDS. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED UPON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE ENDOWMENT FUNDS ARE INVESTED CONSISTENT WITH AN INVESTMENT POLICY STATEMENT THAT IS MONITORED BY THE HOSPITAL'S BOARD OF DIRECTORS. THE INVESTMENT POLICY EMPLOYED IS MEANT TO ACHIEVE LONG-TERM GROWTH WHILE PROVIDING MODEST INVESTMENT INCOME WHICH WOULD BE AVAILABLE FOR CURRENT FUNDING. FUNDS ARE PRIMARILY INVESTED IN CASH AND CASH EQUIVALENTS, FIXED INCOME SECURITIES, MUTUAL FUNDS AND EQUITIES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE	SCHEDULE D, PART X	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC. AND ITS CONTROLLED AFFILIATE, CHILTON MEMORIAL HOSPITAL FOUNDATION, INC., FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S YEAR ENDED DECEMBER 31, 2012 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5415114	TotalCommunityBenefitExpense
Direct Offsetting Revenue	706231	DirectOffsettingRevenue
Net Community Benefit Expense	4708883	NetCommunityBenefitExpense
Percent Of Total Expense	0.02880	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11447763	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7579870	DirectOffsettingRevenue
Net Community Benefit Expense	3867893	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16862877	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8286101	DirectOffsettingRevenue
Net Community Benefit Expense	8576776	NetCommunityBenefitExpense
Percent Of Total Expense	0.05240	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1077385	TotalCommunityBenefitExpense
Direct Offsetting Revenue	240037	DirectOffsettingRevenue
Net Community Benefit Expense	837348	NetCommunityBenefitExpense
Percent Of Total Expense	0.00510	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	72800	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	72800	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	277247	TotalCommunityBenefitExpense
Direct Offsetting Revenue	87626	DirectOffsettingRevenue
Net Community Benefit Expense	189621	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	175022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	175022	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1602454	TotalCommunityBenefitExpense
Direct Offsetting Revenue	327663	DirectOffsettingRevenue
Net Community Benefit Expense	1274791	NetCommunityBenefitExpense
Percent Of Total Expense	0.00780	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18465331	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8613764	DirectOffsettingRevenue
Net Community Benefit Expense	9851567	NetCommunityBenefitExpense
Percent Of Total Expense	0.06020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$4,824,293	BadDebtExpenseAmount
Amount Attributable To	2653001	AmountAttributableTo
Amount Reimbursed By Medicare	56258934	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	63600716	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7341782	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILTON HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	97 WEST PARKWAY	AddressLine1
City	POMPTON PLAINS	City
State	NJ	State
ZIP Code	07444	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.CHILTONHEALTH.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILTON HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILTON HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1 PIKES DRIVE	AddressLine1
City	WAYNE	City
State	NJ	State
ZIP Code	07470	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	OUTPATIENT PHYSICAL THERAPY	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY FOR DISCOUNTED CARE	SCHEDULE H, PART I, QUESTION 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 2011 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, QUESTION 6A	NOT APPLICABLE.
SUBSIDIZED HEALTH SERVICES	SCHEDULE H, PART I; QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST	SCHEDULE H, PART I, QUESTION 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY CHILTON IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS. CHILTON HOSPITAL OFFERS A WEALTH OF PROGRAMS, LECTURES AND SCREENINGS TO PEOPLE IN THE COMMUNITY AND THE HOSPITAL'S BROADER AREA AND ADDRESS A VARIETY OF HEALTH-RELATED ISSUES. THESE EVENTS ALSO HELP LESS-PRIVILEGED CITIZENS RECEIVE THE HEALTHCARE AND EDUCATION THAT THEY OTHERWISE WOULDN'T RECEIVE. A MAJOR COMPONENT OF COMMUNITY BENEFIT FROM CHILTON IS THE COMMUNITY OUTREACH DEPARTMENT. IT PROVIDED 1,136 PROGRAM SESSIONS FOR THE COMMUNITY IN 2012. COMMUNITY OUTREACH COMPRISES FOUR DIVISIONS: NEW VITALITY, COMMUNITY HEALTH, PARENT EDUCATION AND CORPORATE WELLNESS. THESE DIVISIONS DELIVER SPECIALIZED PROGRAMS AND SERVICES, MANY OF WHICH ARE FREE. CHILTON NEW VITALITY OFFERS MANY CLASSES FOR INDIVIDUALS OVER THE AGE OF 50. MEMBERS BENEFIT FROM NEW VITALITY'S EXTENSIVE ROSTER OF LECTURES, WORKSHOPS, CLASSES, SUPPORT GROUPS, TRIPS, HEALTH SCREENINGS AND SOCIAL EVENTS, EACH FOCUSED ON MEETING THE SOCIAL, PHYSICAL, EMOTIONAL, MENTAL AND/OR EDUCATIONAL NEEDS OF THE OLDER ADULT. MEMBERSHIP IS FREE AND INCLUDES ACCESS TO IN-HOME EMERGENCY-RESPONSE SYSTEMS, SUPPORT GROUPS AND EVEN PRESCRIPTION DRUG DISCOUNTS. CHILTON COMMUNITY HEALTH PARTNERS WITH 5 LOCAL HEALTH DEPARTMENTS TO PROVIDE COMMUNITY SCREENINGS, EXAMS AND EDUCATIONAL PROGRAMS DESIGNED TO ENCOURAGE PREVENTIVE CARE, FOSTER PARTICIPATION IN HEALTHCARE INITIATIVES AND PROMOTE GREATER AWARENESS OF COMMUNITY HEALTHCARE ISSUES. CHILTON HOSPITAL PARTNERS WITH THE FOLLOWING TOWNS TO DELIVER THESE PROGRAMS: POMPTON LAKES, RINGWOOD, WANAQUE, WAYNE AND WEST MILFORD. CHILTON PARENT EDUCATION SERVES AS A VALUABLE RESOURCE FOR FAMILY HEALTH. SEMINARS AND COURSES ARE OFFERED TO HELP NEW OR SEASONED PARENTS GAIN KNOWLEDGE AND INSIGHT ABOUT ALL ASPECTS OF PARENTING, FROM THE EARLY MONTHS OF PREGNANCY THROUGH THE CHILD'S PRE-SCHOOL YEARS. A VARIETY OF TOPICS SUCH AS DIET, SLEEP DISORDERS, DEALING WITH SIBLINGS, LIVING WITH PETS AND SAFETY LESSONS FOR BABYSITTERS CAN BE FOUND IN PARENT EDUCATION PROGRAMS FROM CHILTON.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A; QUESTION 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF TO DETERMINE BAD DEBT EXPENSE AT COST. FORREST S. CHILTON, 3RD MEMORIAL HOSPITAL AND ITS CONTROLLED AFFILIATE PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF FORREST S. CHILTON, 3RD MEMORIAL HOSPITAL, INC. AND AFFILIATE. ACCOUNTS RECEIVABLE, PATIENTS ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. 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. CHARITY CARE THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE ESTIMATED COSTS OF PROVIDING CHARITY CARE ARE BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC CHARITY CARE SERVICES PROVIDED. THE LEVEL OF CHARITY CARE PROVIDED BY THE HOSPITAL AMOUNTED TO APPROXIMATELY $6,074,000 IN 2012 AND $4,966,000 IN 2011. THE NEW JERSEY HEALTH CARE SUBSIDY FUND ("HCSF") WAS ESTABLISHED FOR VARIOUS PURPOSES, INCLUDING THE DISTRIBUTION OF CHARITY CARE PAYMENTS TO HOSPITALS STATEWIDE. NET PATIENT SERVICE REVENUES INCLUDE SUBSIDY AMOUNTS OF APPROXIMATELY $693,000 IN 2012 AND $654,000 IN 2011.
COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2012 MEDICARE COST REPORT. CH BELIEVES THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE A COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. HOWEVER, CONSISTENT WITH FORM 990, SCHEDULE H RULES AND REGULATIONS, THESE COSTS ARE NOT INCLUDED IN PART I BUT ARE PROPERLY REFLECTED IN PART III. 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 SECTION 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. CH BELIEVES THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. HOWEVER, CONSISTENT WITH FORM 990, SCHEDULE H RULES AND REGULATIONS, THESE COSTS ARE NOT INCLUDED IN PART I BUT ARE PROPERLY REFLECTED IN PART III. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "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 FIND
COLLECTION POLICY	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 FORREST S. CHILTON, 3RD MEMORIAL HOSPITAL AND ALL ITS HOSPITAL AFFILIATES 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 AND TELEPHONE CONTACT. 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; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REQUIRED BY THE STATE OF NEW JERSEY.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7	NOT APPLICABLE.
FACILITY INFORMATION	SCHEDULE H, PART V,SECTION B,QUESTIONS 10,11,12H,14G,16E,17E,18E,19D,21&22	NOT APPLICABLE.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B, QUESTION 20D	THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
NEEDS ASSESSMENT	SCHEDULE H, PART VI; QUESTION 2	THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (CARDIOLOGY, OBSTETRICS, ONCOLOGY, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY MORRIS REGIONAL PUBLIC HEALTH PARTNERSHIP, THE NEW JERSEY HOSPITAL ASSOCIATION AND THE HEALTH RESEARCH EDUCATIONAL TRUST (HRET). THIS ORGANIZATIONS CONDUCT EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. ONE FORUM IS A REGIONAL COMMUNITY ADVISORY BOARD CALLED "CHILTON NEIGHBORS FOR BETTER HEALTH" FOR THE MORRIS AND PASSAIC AREAS HOSTED BY THE HOSPITAL WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, FIRST RESPONDERS AND OTHER COMMUNITY HEALTH LEADERS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI; QUESTION 3	CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS.
COMMUNITY INFORMATION	SCHEDULE H, PART VI; QUESTION 4	LOCATED IN POMPTON PLAINS, NEW JERSEY, AT THE CROSSROADS OF MORRIS AND PASSAIC COUNTIES, CHILTON MEMORIAL HOSPITAL IS A 260-BED FULLY ACCREDITED ACUTE CARE HOSPITAL WITH 1,602 EMPLOYEES AND MORE THAN 650 PHYSICIANS REPRESENTING 60 MEDICAL SPECIALTIES.
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI; QUESTION 5	CHILTON HOSPITAL ("CH") AND ITS AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. MOREOVER, CH OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) CH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) CH OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) CH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF CH RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES.
AFFILIATED HEALTHCARE SYSTEM	SCHEDULE H, PART VI; QUESTION 6	NOT FOR-PROFIT ENTITIES: CHILTON MEMORIAL CORPORATION CHILTON MEMORIAL CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILTON FOUNDATION CHILTON 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). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILTON REALTY HOLDING, INC. CHILTON REALTY HOLDING, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION ACTS AS A REALTY HOLDING COMPANY FOR PROPERTY USED IN THE PROVISION BY FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR-PROFIT ENTITIES: CHILTON COMMUNITY CARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CMC. THE ORGANIZATION IS LOCATED IN POMPTON PLAINS, MORRIS COUNTY, NEW JERSEY. THE ORGANIZATION'S PRIMARY OPERATIONAL FUNCTION IS TO PROVIDE CHILD CARE SERVICES. CHILTON PROFESIONAL PRACTICE CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CMC. THE ORGANIZATION IS LOCATED IN POMPTON PLAINS, MORRIS COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES. CHILTON SPORTS MEDICINE & REHABILITATION MANAGEMENT, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CMC. THE ORGANIZATION IS LOCATED IN POMPTON PLAINS, MORRIS COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES.
STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY.
FACILITY REPORTING GROUP	SCHEDULE H, PART VI; QUESTION 8	NOT APPLICABLE. THE ORGANIZATION HAS ONLY ONE HOSPITAL FACILITY/FACILITY REPORTING GROUP.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DEBORAH K ZASTOCKI FACHE
TRUSTEE - PRESIDENT/CEO	707079	0	0	0	447708	0	47499	0	14690	0	1216976	0	0	0
MICHAEL A RICHETTI
VP / CFO	362807	0	0	0	160569	0	15175	0	20391	0	558942	0	0	0
THOMAS SCOTT
VP / COO	330367	0	0	0	9497	0	14169	0	21561	0	375594	0	0	0
MARK LEDERMAN
VP / CIO	256577	0	0	0	1611	0	8935	0	1267	0	268390	0	0	0
RICHARD WEINBERG MD
VP, MEDICAL AFFAIRS	377418	0	0	0	3907	0	18852	0	7069	0	407246	0	0	0
JULIA MCGOVERN
VP, HUMAN RESOURCES	246899	0	0	0	20175	0	11065	0	227	0	278366	0	0	0
JOANNE REICH
VP, NURSING / CNE	215184	0	0	0	1678	0	12948	0	2655	0	232465	0	0	0
YOLANDA C GEHRING
VP,CLINICAL SVCS & EXT AFFAIRS	196408	0	0	0	2469	0	20838	0	1026	0	220741	0	0	0
DONNA KIRBY
ED - ACCESS SVCS & WELLNESS	153649	0	0	0	1871	0	14273	0	1026	0	170819	0	0	0
MARK KAVANAGH MD
PHYSICIAN	399327	0	0	0	189	0	3750	0	20632	0	423898	0	0	0
JOSHUA NOCHUMSON MD
PHYSICIAN	248991	0	0	0	1429	0	6492	0	13491	0	270403	0	0	0
LAURIE S NAHUM MD
PHYSCIAN (TERM 4/15/12)	117664	0	0	0	110271	0	7700	0	6865	0	242500	0	0	0
DHINOJ PARIKH MD
PHYSICIAN	216907	0	0	0	3243	0	4583	0	14975	0	239708	0	0	0
RICHARD J RIGGI MD
NUCLEAR MEDICINE SECTION CHIEF	154086	0	0	0	593	0	8570	0	5830	0	169079	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMPENSATION INFORMATION	SCHEDULE J, PART I; QUESTION 4A	DAWN JONES, EXECUTIVE VICE PRESIDENT OF THE FOUNDATION AND LAURIE S. NAHUM, M.D., A PHYSICIAN OF THE ORGANIZATION, EACH RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $58,752 AND $110,271; RESPECTIVELY. THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
COMPENSATION INFORMATION	SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP"), WHICH AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DEBORAH K. ZASTOCKI, FACHE, $440,376; MICHEAEL A. RICHETTI, $159,014; THOMAS SCOTT, $8,047 AND JULIA MCGOVERN, $18,032.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	221987084	IssuerEIN
CUSIP Number	64579FZE6	CUSIPNumber
Date Issued	2009-11-01	DateIssued
Issue Price	38486520	IssuePrice
Description Of Purpose	REFUND '93/REFINANCE LOC/CAP PROJ	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	38529104	TotalProceeds
Amount In Reserve Fund	4210846	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	928625	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	31481132	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	1908501	AmountUnspent
Year Of Subst Completion	2013	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	true	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay Test	true	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	true	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SHARON VAN DUYNE
FAMILY MEMBER - TRUSTEE	76685	EMPLOYEE	false
MICHELE SLOOTMAKER
FAMILY MEMBER - TRUSTEE	44878	EMPLOYEE	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BENEFIT STATEMENT	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== CHILTON HOSPITAL ("CH") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. CH IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CH 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, CH OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) CH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) CH OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) CH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF CH RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. HISTORY ======= THE FIRST CHAPTER OF CH'S HISTORY WAS WRITTEN IN 1947. FORREST S. CHILTON III, M.D., AND HIS WIFE, ELIZABETH, DONATED A TRACT OF LAND ON NEWARK-POMPTON TURNPIKE TO BUILD A HOSPITAL IN MEMORY OF THEIR SON WHOSE LIFE WAS LOST IN WORLD WAR II. THEIR ACTION SPARKED A SUCCESSFUL DRIVE TO BUILD A FACILITY THAT WOULD SERVE THE HEALTH NEEDS OF THE COMMUNITY AND BECAME A REALITY WITH A 50-BED FACILITY IN 1954, AND EXPANDED TO 119 BEDS IN 1961. IN AUGUST 1968, A 40-ACRE TRACT WAS PURCHASED ONE MILE WEST OF THE NEWARK-POMPTON TURNPIKE SITE AND ANOTHER BUILDING, THE WEST PARKWAY FACILITY, WAS DEDICATED NOVEMBER 20, 1971. THE NEXT GOAL WAS TO COMBINE THE TWO BUILDINGS ON WEST PARKWAY AND CONSTRUCTION OF AN EXPANDED HOSPITAL BEGAN IN 1981. THIS INCLUDED A NEW PATIENT WING, NEW GROUND FLOOR FACILITY, AND A COMPLETE REMODELING OF THE ORIGINAL BUILDING. THE "NEW" CH WAS DEDICATED IN JUNE 1984. TODAY, CH IS A 260-BED, ACUTE-CARE, NON-PROFIT COMMUNITY HOSPITAL WITH APPROXIMATELY 1,450 EMPLOYEES. IT FEATURES SOME OF THE MOST SOPHISTICATED DIAGNOSTIC AND THERAPEUTIC EQUIPMENT AVAILABLE. CH'S COMPASSIONATE HEALTH-CARE PROFESSIONALS PROVIDE ADVANCED, COST-EFFECTIVE CARE, AND ALL OF ITS RESOURCES, INCLUDING THE STAFF PATIENTS WILL MEET, AS WELL AS THOSE THEY MAY NOT, ARE DEDICATED TO ONE PURPOSE - RETURNING YOU TO THE BEST POSSIBLE HEALTH. MORE THAN 650 PHYSICIANS REPRESENTING MORE THAN 60 DIFFERENT SPECIALTIES HOLD STAFF PRIVILEGES AT CH. THEY ARE SUPPORTED BY ALLIED HEALTH PROFESSIONALS WHO UTILIZE THE MOST CURRENT TECHNOLOGIES AND ON-GOING EDUCATION IN TREATMENT, WHILE NEVER LOSING SIGHT OF THE IMPORTANCE AND DIGNITY OF EACH INDIVIDUAL PATIENT. CH IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND IS A MEMBER OF THE VOLUNTARY HOSPITAL ASSOCIATION OF AMERICA, AMERICAN HOSPITAL ASSOCIATION, AND NEW JERSEY HOSPITAL ASSOCIATION. MISSION STATEMENT ================= THE MISSION OF CH IS TO PROMOTE WELLNESS AND PROVIDE COMPASSIONATE CARE AND HEALING. VISION STATEMENT ================ CH WILL BECOME THE LOCAL PREFERRED PROVIDER OF HIGH QUALITY PERSONALIZED HEALTHCARE. AWARDS AND COMMENDATIONS ======================== CH RECEIVED THREE-YEAR APPROVAL WITH COMMENDATION FROM THE COMMISSION ON CANCER. CH'S SLEEP HEALTH INSTITUTE RECEIVED ACCREDITATION FROM THE AMERICAN ACADEMY OF SLEEP MEDICINE. HEALTHGRADES STUDY FINDS PATIENT OUTCOMES AT CH AMONG NATION'S BEST FOR STROKE CARE. ACCORDING TO HEALTHGRADES HOSPITAL QUALITY IN AMERICA STUDY, CH WAS RANKED AMONG THE TOP TEN PERCENT NATIONALLY FOR STROKE CARE AND FIVE STAR RATED FOR STROKE CARE, THE HIGHEST POSSIBLE. THE STUDY, THE LARGEST OF ITS KIND, ANALYZED PATIENT OUTCOMES AT VIRTUALLY ALL OF THE NATION'S 5,000 HOSPITALS OVER THE YEARS 2006, 2007 AND 2008. THE 2010 STUDY ALSO FOUND THAT CH IS THE HIGHEST RANKED HOSPITAL IN THE NORTH WESTERN AREA FOR STROKE CARE. CH RECEIVED PRIMARY STROKE CENTER DESIGNATION FROM THE STATE OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES. CH RECEIVED CERTIFICATION AS A PRIMARY STROKE CENTER FROM THE JOINT COMMISSION FOR MEETING STRICT GUIDELINES FOR THE RAPID DIAGNOSIS AND TREATMENT OF STROKE, FROM THE EMERGENCY ROOM THROUGH REHABILITATION. PRIMARY STROKE CENTERS ADHERE TO NATIONAL STANDARDS FOR STROKE CARE THAT IMPROVE OUTCOMES FOR PATIENTS, AND HAVE ACUTE STROKE TEAMS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK, READY TO RAPIDLY ASSESS AND TREAT PATIENTS. THE PRIMARY STROKE CENTER CERTIFICATION PROGRAM WAS DEVELOPED IN COLLABORATION WITH THE AMERICAN STROKE ASSOCIATION. IN MARCH 2012, CH'S TOTAL JOINT CENTER RECEIVED JOINT COMMISSION CERTIFICATION FOR TOTAL KNEE AND TOTAL HIP REPLACEMENT SERVICES. THE TOTAL JOINT CENTER, LOCATED ON THE THIRD FLOOR, RENOVATED IN 2011, HAS 24 PRIVATE ROOMS AND A REHABILITATION GYM LOCATED WITHIN THE CENTER OF THE UNIT. THE CENTER PROVIDES A FULL SPECTRUM OF CARE BEGINNING WITH PRE-HOSPITALIZATION EDUCATION, ACUTE CARE DURING THE HOSPITALIZATION, AND POST-DISCHARGE EDUCATION AND SUPPORT. 2012 STATISTICS =============== DURING 2012 CH HAD 10,617 INPATIENT ADMISSIONS, 121,997 OUTPATIENT ADMISSIONS AND 49,132 EMERGENCY ROOM ADMISSIONS. CENTERS OF EXCELLENCE ===================== 1. CHILTON CANCER CENTER THE CANCER CENTER AT CH, AN AMERICAN COLLEGE OF SURGEONS APPROVED COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM, IS LOCATED ADJACENT TO THE HOSPITAL AT COLLINS PAVILION AND USES THE LATEST TECHNOLOGY TO DIAGNOSE, TREAT, AND PROVIDE SUPPORT TO CANCER PATIENTS. EVERY PHASE OF CANCER CARE - FROM REGISTRATION TO LAB WORK TO TREATMENT TO SUPPORT SERVICES - IS LOCATED UNDER ONE ROOF, ELIMINATING THE NEED FOR TRAVEL TO A LARGER CANCER FACILITY. THE CANCER CENTER FEATURES A CARING STAFF OF PROFESSIONALS WHO STRIVE TO PROVIDE THE HIGHEST LEVEL OF CARE AVAILABLE AND TREAT EACH PERSON AS AN INDIVIDUAL. RADIATION ONCOLOGY ------------------ RADIATION THERAPY IS ONE OF THE MOST COMMON TREATMENTS FOR CANCER AND IS USED IN MORE THAN HALF OF ALL CANCER CASES. RADIATION THERAPY USES A STREAM OF HIGH-ENERGY PARTICLES OR WAVES, SUCH AS X-RAYS, GAMMA RAYS, ELECTRONS, OR PROTONS TO DESTROY OR DAMAGE CANCER CELLS. THE CANCER CENTER AT CH FEATURES STATE-OF-THE-ART INTENSITY-MODULATED RADIATION THERAPY (IMRT), WHICH AIMS DIRECTLY AT THE TUMOR AND DELIVERS PRECISE RADIATION DOSES, SPARING ADJACENT NORMAL TISSUES. AT CH, IMRT IS USED TO TREAT PROSTATE AND HEAD AND NECK CANCER. ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY, EACH RADIATION TREATMENT TAKES APPROXIMATELY 10 MINUTES AND THE CANCER CENTER'S LOCATION ALSO AFFORDS PATIENTS THE OPPORTUNITY TO HAVE THEIR LAB WORK AND TREATMENT PLANNING ALL DONE IN THE SAME BUILDING. CHEMOTHERAPY/INFUSION THERAPY ----------------------------- THE CANCER CENTER AT CH FEATURES AN INFUSION THERAPY AREA. IN THIS AREA, CHEMOTHERAPY, BLOOD TRANSFUSIONS, ANTIBIOTICS, STEROIDS, REMICADE AND OTHER MEDICATIONS ARE ADMINISTERED TO AMBULATORY OUTPATIENTS. THIS IS AN OPEN ROOM AREA WHERE PATIENTS CAN RELAX IN RECLINERS OR IN A PRIVATE ROOM WHILE RECEIVING THEIR TREATMENT. EXPERIENCED REGISTERED NURSES WHO ARE ALSO CERTIFIED IN ONCOLOGY STAFF THE DEPARTMENT. REFRESHMENTS ARE AVAILABLE TO OUR PATIENTS, AND OUR LIBRARY HAS PATIENT EDUCATION MATERIALS AVAILABLE FOR THEIR USE. EVERY EFFORT IS MADE TO ENSURE THE EXPERIENCE AT CH'S CANCER CENTER IS A COMFORTABLE ONE. SUPPORT SERVICES ---------------- CH'S CANCER CENTER HAS AN ONCOLOGY SOCIAL WORKER ON-SITE TO PROVIDE EMOTIONAL SUPPORT, FINANCIAL ASSISTANCE AND TO ARRANGE TRANSPORTATION FOR PATIENTS. IN ADDITION, THE ONCOLOGY SOCIAL WORKER RUNS A WOMAN TO WOMAN SUPPORT GROUP DEDICATED TO THE PARTICULAR NEEDS OF WOMEN WHO ARE EXPERIENCING THE EMOTIONAL AND PHYSICAL EFFECTS OF CANCER SURGERY AND TREATMENT. THIS GROUP MEETS THE FIRST, THIRD AND FIFTH TUESDAY OF EVERY MONTH AND HELPS WOMEN TO ACQUIRE STRESS MANAGEMENT, COMMUNICATION AND COPING SKILLS, AND ACHIEVE A SENSE OF EMPOWERMENT. THIS SUPPORT GROUP PROVIDES WOMEN WITH A FORUM TO SHARE THEIR CONCERNS, STORIES, EXPERIENCES, FEELINGS AND PROBLEMS. NUTRITION --------- CH'S CANCER CENTER PROVIDES ACCESS TO A DIETITIAN WHO CONDUCTS IN-HOUSE OR PHONE SESSIONS TO PROVIDE EDUCATION ON HOW TO INCREASE CALORIC INTAKE TO PREVENT WEIGHT LOSS DURING TREATMENTS. THE DIETITIAN ALSO EDUCATES PATIENTS ON HOW TO PREVENT THE NAUSEA, VOMITING AND DIARRHEA THAT CAN SOMETIMES ACCOMPANY CHEMOTHERAPY TREATMENTS. THE DIETICIAN'S GOAL IS TO INCREASE EACH PATIENT'S OVERALL NUTRITIONAL STATUS AND HELP THE PATIENT MAINTAIN THAT STATUS DURING TREATMENTS. PARKING AND TRANSPORTATION -------------------------- CH'S CANCER CENTER OFFERS CONVENIENT, FREE PARKING AND A FREE OUTPATIENT TRANSPORTATION PROGRAM FOR THOSE WHO HAVE NO OTHER WAY TO GET TO THE CANCER CENTER.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	ADDITIONAL SERVICES ------------------- THE CANCER CENTER FEATURES PRIVATE CHANGING AREAS WITH LOCKERS TO STORE YOUR BELONGINGS. ACCESS TO A RESOURCE LIBRARY FEATURING BOOKS, A TOUCH SCREEN COMPUTER, AND A TELEVISION WITH VHS AND DVD PLAYER IS ALSO AVAILABLE. 2. EMERGENCY DEPARTMENT EXPECT THE BEST CARE FROM THE EMERGENCY DEPARTMENT AT CH. THE STATE-OF-THE-ART EMERGENCY DEPARTMENT OFFERS UNPRECEDENTED PRIVACY AND IS STAFFED 24- HOURS A DAY BY PHYSICIANS BOARD-CERTIFIED IN EMERGENCY MEDICINE. OUR CARING STAFF IS THERE TO HELP INDIVIDUALS AND THEIR FAMILIES IN THE TIME OF AN EMERGENCY. AN INDIVIDUAL'S VISIT TO THE EMERGENCY DEPARTMENT AREA MAY REQUIRE ADDITIONAL TESTING TO EVALUATE YOUR SITUATION. DEPENDING ON YOUR SITUATION, YOU MAY REQUIRE BLOOD TESTS, X-RAYS, CT SCANS OR VARIOUS OTHER TESTS TO DIAGNOSE YOUR CONDITION. AT CH, THESE ADDITIONAL SERVICES ARE LOCATED AT THE HOSPITAL SO THAT YOUR CONDITION WILL BE DIAGNOSED AS QUICKLY AS POSSIBLE AND THAT YOUR TREATMENT CAN BEGIN. FAST TRACK ---------- THE FAST TRACK OFFERS THE COMFORT OF THE HOSPITAL'S EMERGENCY DEPARTMENT WHILE TREATING PATIENTS IN A FAST AND EFFICIENT MANNER. PATIENTS WITH MINOR AILMENTS AND INJURIES ARE TREATED IN APPROXIMATELY ONE HOUR OR LESS BY EMERGENCY HEALTH-CARE PROFESSIONALS AND EMERGENCY MEDICINE BOARD CERTIFIED PHYSICIANS. FAST TRACK PATIENTS INCLUDE THOSE SUFFERING FROM INSECT BITES, SPRAINS, STRAINS, EAR ACHES, SORE THROATS, AND OTHER NON-LIFE THREATENING ILLNESSES. PEDIATRIC EMERGENCY DEPARTMENT ------------------------------ CH PEDIATRIC EMERGENCY PHYSICIANS STAFF THE EMERGENCY DEPARTMENT 24/7. CHILDREN UNDER 17 YEARS OF AGE WILL BE SEEN BY A PEDIATRIC EMERGENCY DOCTOR IN ABOUT 20 MINUTES FROM THE TIME OF REGISTRATION - SO PATIENTS DON'T HAVE TO WORRY ABOUT WAITING. BETWEEN THE HOURS OF 7:00 AM AND 11:30 PM, CHILDREN ARE SEEN IN THE PEDIATRIC EMERGENCY DEPARTMENT. AT ALL OTHER TIMES, THE CHILDREN ARE SEEN IN THE MAIN EMERGENCY DEPARTMENT. THE PEDIATRIC EMERGENCY DEPARTMENT IS EQUIPPED KID FRIENDLY TREATMENT AREAS WITH WALLS COVERED WITH CARTOON CANINES AND UNDER-THE-SEA MOTIFS, AS WELL AS A SEPARATE WAITING AREA WITH A CHILD-FRIENDLY ENVIRONMENT MAKE WHAT OTHERWISE BE A STRESSFUL VISIT TO AN EMERGENCY ROOM LESS INTIMIDATING. THE UNIT ALSO OFFERS SPECIAL EQUIPMENT THAT COMES IN ALL SIZES TO FIT THE NEEDS OF CHILDREN OF ALL SIZES. 3. MOTHER BABY CENTER THE MOTHER BABY CENTER IS OFTEN THE FIRST EXPERIENCE A FAMILY HAS WITH CH. AT THE MOTHER BABY CENTER, OVER 1,000 NEW BABIES ARE WELCOMED INTO THE WORLD EACH YEAR. THE CENTER, WHICH WAS COMPLETELY RENOVATED IN 2009, FEATURES PRIVATE LABOR/DELIVERY/RECOVERY ROOMS WITH STATE-OF-THE-ART EQUIPMENT, ANESTHESIOLOGISTS WHO ARE AVAILABLE 24 HOURS A DAY, AND TWO FULLY EQUIPPED OPERATING SUITES. ALONG WITH THE NEWBORN NURSERY, A FOUR-BED SPECIAL CARE NURSERY IS AVAILABLE. CH HAS THE STATE-OF-THE-ARE TECHNOLOGY IN ORDER TO KEEP FAMILIES TOGETHER, ALLOWING THAT IMPORTANT BOND TO FORM BETWEEN MOTHER AND BABY. THE CENTER OFFERS NUMEROUS OTHER SERVICES INCLUDING PRE-CONCEPTION COUNSELING, GENETIC COUNSELING AND PERINATOLOGY SERVICES, CHILDBIRTH EDUCATION, NEWBORN CARE, POSTPARTUM CARE, LACTATION SERVICES, AND PEDIATRICS AND AMENITIES SUCH AS MASSAGES AND FAMILY CELEBRATION MEAL. 4. HEART AND VASCULAR CARE CARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE UNITED STATES OF AMERICA. ACCORDINGLY, CH IS DEDICATED TO THE DIAGNOSIS AND TREATMENT OF ALL CARDIOVASCULAR DISORDERS. FROM CH'S EMERGENCY ROOM CARE, THROUGH ITS INPATIENT UNITS, AND IN ITS MULTITUDE OF OUTPATIENT SERVICES, CH'S TEAM OF SKILLED PROFESSIONALS DELIVERS SUPERIOR CARE AND TREATS EACH PATIENT AS AN INDIVIDUAL. CARDIOVASCULAR INTERVENTIONAL LAB --------------------------------- CARDIAC CATHETERIZATION SERVICES WERE INITIATED AT CH IN 1997. A DIAGNOSTIC CATHETERIZATION, ALSO KNOWN AS CORONARY ANGIOGRAPHY OR HEART CATHETERIZATION PROVIDES DETAILED INFORMATION ABOUT THE FUNCTION OF THE HEART AND ITS ARTERIES. CH HAS A STAFF OF PHYSICIANS WHO PERFORM THIS PROCEDURE. THE MAJORITY OF CH'S OUTPATIENTS RECEIVE CLOSURE DEVICES, WHICH ALLOW FOR AMBULATION IN 45 MINUTES AND DISCHARGE WITHIN ONE HOUR RATHER THAN THE TRADITIONAL SIX HOURS OF BED REST. PRIMARY ANGIOPLASTY ------------------- IN JUNE 2005, THE CATHETERIZATION LABORATORY AT CH WAS LICENSED TO PERFORM PRIMARY ANGIOPLASTY FOR PATIENTS SUFFERING FROM A HEART ATTACK. THIS MINIMALLY INVASIVE PROCEDURE HAS BEEN SHOWN TO BE APPROXIMATELY 25% MORE EFFECTIVE THAN TRADITIONAL MEDICATIONS AT PREVENTING DEATH FROM HEART ATTACK. CH HAS A STAFF OF INTERVENTIONAL CARDIOLOGISTS PERFORMING PRIMARY ANGIOPLASTY. THESE PHYSICIANS ALONG WITH A TEAM OF HIGHLY SKILLED NURSES AND TECHNOLOGISTS ARE AVAILABLE 24/7 TO PROVIDE LOCAL RESIDENTS WITH THE BEST AND MOST IMMEDIATE CARDIAC CARE, ELIMINATING THE NEED TO TRANSFER TO ANOTHER FACILITY. 5. OUTPATIENT SERVICES COMPREHENSIVE BREAST CENTER --------------------------- THE COMPREHENSIVE BREAST CENTER AT CH, ALSO LOCATED IN COLLINS PAVILION, IS A SPECIAL PLACE DEDICATED TO PARTNERING WITH PATIENTS FOR THEIR BREAST-CARE NEEDS. SINCE EVERY WOMAN'S NEEDS ARE DIFFERENT, THE COMPREHENSIVE BREAST CENTER CARES FOR EACH WOMAN IN A COMPLETELY PERSONAL WAY. CH'S BREAST CENTER SPECIALISTS PROVIDE VALUABLE SERVICES TO WOMEN WITH BREAST CANCER AND OFFER PREVENTATIVE SERVICES, INCLUDING DIGITAL SCREENING AND DIAGNOSTIC MAMMOGRAPHY, ULTRASOUNDS, STEREO TACTIC CORE BIOPSY AND ULTRASOUND-GUIDED CORE BIOPSY. THE BREAST CENTER ALSO OFFERS EDUCATION AND COUNSELING, INCLUDING BREAST SELF-EXAMINATION (BSE) INSTRUCTIONS, CARING, EMOTIONAL SUPPORT, AND PROMPT FOLLOW-UP WITH TEST RESULTS. IN ADDITION, THEY OFFER A FULL LINE OF BREAST PROSTHESES (SILICONE BREAST FORMS) AND BRAS FOR WOMEN WHO HAVE HAD A PARTIAL OR FULL MASTECTOMY. DIABETES EDUCATION PROGRAM -------------------------- THE DIABETES EDUCATION PROGRAM AT CH HELPS ADULTS WITH DIABETES TAKE STEPS THAT WILL MAKE THEM FEEL BETTER AND STAY HEALTHIER. THIS PROGRAM IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION FOR MEETING HIGH NATIONAL STANDARDS. THIS PROGRAM SERVES DIABETIC ADULTS AND THEIR SUPPORT GIVERS. OTHERS WHO WILL BENEFIT FROM THIS PROGRAM INCLUDE: - PEOPLE WHO WANT INFORMATION ON RECENT ADVANCES IN DIABETES MANAGEMENT, SUCH AS CARBOHYDRATE COUNTING - PEOPLE WHOSE MEDICAL THERAPY HAS CHANGED - FAMILY/SIGNIFICANT OTHERS WHO PROVIDE SUPPORT TO PEOPLE WITH DIABETES THE PROGRAM INCLUDES: - INDIVIDUAL ASSESSMENT BY CERTIFIED DIABETES EDUCATORS (A REGISTERED DIETICIAN AND REGISTERED NURSE) - HANDS-ON GROUP CLASSES WHERE INDIVIDUALS LEARN ABOUT: - DIET AND MEAL PLANNING - MEDICATIONS - IMPORTANCE OF PHYSICAL ACTIVITY - BLOOD GLUCOSE MONITORING - FOOT AND EYE CARE - DENTAL HYGIENE - HOW TO AVOID COMPLICATIONS PAIN MANAGEMENT --------------- THE PAIN MANAGEMENT CENTER AT CH IS A MULTIDISCIPLINARY PAIN CENTER DEDICATED TO TREATING INDIVIDUALS SUFFERING FROM PAIN. DESIGNED TO RESTORE PATIENTS TO A STRONGER PHYSICAL AND MENTAL STATE, CH'S PROGRAM UTILIZES DIAGNOSTIC, CURATIVE AND THERAPEUTIC STATE-OF-THE-ART PROCEDURES THAT SIGNIFICANTLY REDUCE AND ELIMINATE PAIN. WITH PHYSICIANS CREDENTIALED IN PAIN MANAGEMENT, CH'S CENTER IS HERE TO HELP INDIVIDUALS GET BACK TO A LIFE WITHOUT PAIN. SPECIALIZING IN BACK AND NECK PAIN, CH'S PHYSICIANS OFFER NUMEROUS PAIN MANAGEMENT OPTIONS: - NERVE BLOCKS - CRYO ANALGESIA - RADIO FREQUENCY RHIZOTOMY - SUBCUTANEOUS INFUSION PUMPS AND CATHETERS - TRIGGER POINT INJECTIONS - PATIENT-CONTROLLED ANALGESIA - CONTINUOUS EPIDURAL ANALGESIA TYPES OF PAIN TREATED INCLUDE: - CERVICAL, THORACIC, AND LOW BACK PAIN FROM DISK DISEASE, WHIPLASH, SCIATICA, FACET JOINT DISEASE, SPINAL CORD INJURY - NECK, SHOULDER, ARM AND HAND PAIN - MYOFASCIAL PAIN (MUSCLE, TENDON, LIGAMENT) - NEURALGIAS, POST-HERPETIC NEURALGIA (SHINGLES), DIABETIC NEUROPATHY, PAIN FOLLOWING NERVE INJURY, TRIGEMINAL NEURALGIA, - POST-SURGICAL PAIN (INCISIONAL, PHANTOM LIMB) - SYMPATHETICALLY MAINTAINED PAIN (REFLEX SYMPATHETIC DYSTROPHY, CAUSALGIA, CRPS 1 AND CRPS II) - FACIAL PAIN - PERIPHERAL VASCULAR ISCHEMIC PAIN - JOINT AND BONE PAIN - CANCER PAIN RADIOLOGY --------- THE RADIOLOGY DEPARTMENT AT CH PROVIDES A COMPREHENSIVE ARRAY OF ADVANCED STATE-OF-THE-ART IMAGING FOR INPATIENTS, OUTPATIENTS, AND EMERGENCY PATIENTS. THE IMAGING SERVICES AVAILABLE INCLUDE COMPUTED TOMOGRAPHY SCAN (CT SCAN), MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE, POSITRON-EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT), ULTRASOUND AND X-RAY. DIAGNOSTIC IMAGING CT SCANNER: CH HAS A SIXTY-FOUR (64) SLICE LIGHTSPEED CT SCANNER. A CT SCANNER IS A NON-INVASIVE TEST THAT CAPTURES ANATOMICAL IMAGES OF THE BODY. THIS EQUIPMENT CAN SCAN SPECIFIC SECTIONS OF THE BODY IN SECONDS AND THE ENTIRE BODY IN JUST MINUTES. IT IS USED FOR NUMEROUS PURPOSES, INCLUDING TRAUMA, CHEST/ABDOMEN/PELVIS EXAMS, ANGIOGRAPHY, CARDIAC, VASCULAR AND STROKE ASSESSMENT, AND MORE.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	MAGNETIC RESONANCE IMAGING: THE MAGNETIC RESONANCE IMAGING (MRI) SCANNER, WHICH SERVES BOTH INPATIENTS AND OUTPATIENTS, USES A MAGNETIC FIELD, RADIO WAVES, AND COMPUTERS TO PRODUCE DETAILED IMAGES OF THE BODY. WITH MRI, MANY DISEASES CAN NOW BE IDENTIFIED AT THEIR EARLIEST, MOST TREATABLE STAGES, RESULTING IN QUICKER TREATMENT, FASTER RECOVERY, AND, IN SOME CASES, LONGER LIFE. CH'S MAGNETOM AVANTO'S INVITING DESIGN MAKES IT ACCESSIBLE FOR MOST PATIENTS. THE SYSTEM'S FASTER SCANNING TIMES AND FEET-FIRST ENTRIES ALSO DECREASE THE ANXIETY OF PATIENTS WHO ARE UNCOMFORTABLE IN SMALL SPACES. ADDITIONALLY, THE SYSTEM FEATURES AUDIOCOMFORT, REDUCING ACOUSTICAL NOISE BY UP TO 97 PERCENT. WITH THE NEW STEREO CONNECTION, PATIENTS CAN ENJOY THE MUSIC OF THEIR CHOICE BY SUPPLYING THE TECHNICIAN WITH A CD UPON ARRIVAL. NUCLEAR MEDICINE NUCLEAR MEDICINE TESTING IS A SAFE AND PAINLESS WAY TO CAPTURE VALUABLE DIAGNOSTIC INFORMATION. THROUGH THE USE OF SMALL AMOUNTS OF RADIOACTIVE MATERIAL, CH'S DUAL HEAD NUCLEAR MEDICINE SCANNER PROVIDES IMPORTANT IMAGES OF BODY STRUCTURE AND FUNCTION. BECAUSE THE RADIOACTIVE MATERIAL IS ATTRACTED TO SPECIFIC ORGANS, BONES OR TISSUES, THE EMISSIONS THEY PRODUCE CAN PROVIDE CRUCIAL INFORMATION ABOUT A PARTICULAR TYPE OF CANCER OR DISEASE. INFORMATION GATHERED DURING A NUCLEAR MEDICINE EXAM IS MORE COMPREHENSIVE THAN OTHER IMAGING PROCEDURES BECAUSE IT DESCRIBES ORGAN FUNCTION, NOT JUST STRUCTURE. POSITRON-EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT) SCANNER PET/CT OFFERS THE COMBINATION OF ANATOMICAL IMAGES SUPPLIED BY CT AND FUNCTIONAL INFORMATION SUPPLIED BY PET ALL IN A SINGLE NON-INVASIVE DIAGNOSTIC PROCEDURE. ACCLAIMED AS ONE OF THE MOST IMPORTANT HEALTHCARE INNOVATIONS, A PET/CT IS A NON-SURGICAL MEANS TO DETERMINE WHETHER A TUMOR IS MALIGNANT OR BENIGN. IT CAN ALSO PINPOINT THE LOCATION OF CANCER AND DETERMINE IF IT HAS RETURNED TO PREVIOUSLY AFFECTED ORGANS OR ELSEWHERE IN THE BODY. A PET/CT SCAN IS ESPECIALLY BENEFICIAL IN THE DIAGNOSIS, STAGING, AND RE-STAGING OF CANCER, AS WELL AS IN THE DIAGNOSIS OF HEART DISEASE. ULTRASOUND ULTRASOUND USES ULTRA HIGH FREQUENCY SOUND WAVES TO PRODUCE IMAGES FOR DIAGNOSTIC REPORTING. IT IS MAINLY USED FOR PREGNANCY, ABDOMINAL ORGANS, BLOOD FLOW TO THE EXTREMITIES AND NEEDLE PLACEMENT DURING BIOPSIES. X-RAY X-RAYS ARE USEFUL TOOLS FOR EXAMINING THE SKELETAL SYSTEM AND CERTAIN SOFT TISSUE DISEASES. CH OFFERS BOTH DIGITAL AND NON-DIGITAL EQUIPMENT. THE EMERGENCY DEPARTMENT IS EQUIPPED WITH DIGITAL X-RAY EQUIPMENT TO REDUCE THE TURNAROUND TIME FOR PATIENT NEEDING ROUTINE EXAMS. REHABILITATION SERVICES ----------------------- CH COMBINES TRAINED, EXPERIENCED THERAPISTS WITH THE MOST ADVANCED EQUIPMENT AVAILABLE TODAY. CH'S MULTI-DISCIPLINARY TEAM PROVIDES TREATMENT FOR WORK, HOME OR SPORTS-RELATED INJURIES AS WELL AS CONDITIONS STEMMING FROM ILLNESS OR ACCIDENTS. FROM INITIAL ASSESSMENT TO RECOVERY, CH'S STAFF CONSISTENTLY SCORES WELL ABOVE NATIONAL STANDARDS FOR CARE IN A VARIETY OF AREAS. PHYSICAL THERAPY - CH'S THERAPISTS APPLY PROVEN TECHNIQUES TO ENSURE THAT INJURED WORKERS RETURN TO THE JOB QUICKLY, AND ARE TRAINED TO AVOID INJURING THEMSELVES AGAIN. FOR SPORTS INJURIES, CH CONCENTRATES ITS EFFORTS ON HELPING ATHLETES GET BACK TO COMPETITION AS SOON AS POSSIBLE. IN CASES WHERE PROBLEMS HAVE RESULTED FROM ARTHRITIS, STROKE AND HEART DISEASE, CH'S TEAM'S MAIN GOAL IS TO RESTORE FUNCTION TO EACH PATIENT. OCCUPATIONAL THERAPY - OCCUPATIONAL THERAPISTS EVALUATE AND TREAT PATIENTS TO IMPROVE THEIR PHYSICAL, DEVELOPMENTAL OR COGNITIVE ABILITIES TO PERFORM DAILY ACTIVITIES. THE FOCUS IS TO PROMOTE INDEPENDENCE IN "LIFE SKILLS". CH OCCUPATIONAL THERAPISTS HAVE ALSO COMPLETED ADDITIONAL TRAINING AS CERTIFIED HAND THERAPISTS. THEY WORK CLOSELY WITH THE REFERRING PHYSICIANS TO HELP PATIENTS RECOVER FROM COMPLEX HAND INJURIES OR SURGERY. SPEECH-LANGUAGE PATHOLOGY - CH'S SPECIALLY TRAINED TEAM USES THE MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES AVAILABLE TO HELP PEOPLE WHO HAVE LOST THE ABILITY TO SPEAK OR SWALLOW, AND THOSE WITH DIMINISHED CAPABILITIES. 6. SLEEP HEALTH INSTITUTE THE SLEEP HEALTH INSTITUTE AT CH IS A COMPREHENSIVE DIAGNOSTIC AND TREATMENT CENTER SPECIALIZING IN THE CARE OF ADULTS AND CHILDREN WITH SLEEP PROBLEMS. THE STAFF AT THE SLEEP HEALTH INSTITUTE AT CH KNOWS THE IMPORTANCE OF A RESTFUL SLEEP. SLEEP IS A BASIC NECESSITY OF LIFE, AS IMPORTANT TO HEALTH AND WELL BEING AS AIR, FOOD AND WATER. A GOOD NIGHT'S SLEEP RESULTS IN HIGH LEVELS OF ENERGY AND ALERTNESS DURING THE WAKING HOURS. UNFORTUNATELY, HALF OF ALL AMERICANS WILL LACK THE BENEFITS OF SUFFICIENT SLEEP AT SOME POINT DURING THEIR LIVES. THERE ARE 84 DOCUMENTED SLEEP DISORDERS, WHICH MAY IMPACT AN INDIVIDUAL'S ABILITY TO SLEEP. THE SLEEP HEALTH INSTITUTE AT CH IS DEVOTED TO DIAGNOSING AND TREATING A FULL RANGE OF SLEEP DISTURBANCES IN ADULTS AND CHILDREN. THE SLEEP STUDY --------------- A COMPREHENSIVE SLEEP STUDY, WHICH IS PAINLESS, INVOLVES AN OVERNIGHT STAY IN CH'S COMFORTABLE, HOME LIKE SLEEP CENTER. EACH PATIENT IS PROVIDED WITH HIS/HER OWN PRIVATE BEDROOM WHERE THEIR SLEEP EVALUATION IS CARRIED OUT IN TOTAL PRIVACY. STATE-OF-THE-ART EQUIPMENT MONITORS BRAIN WAVES, EYE MOVEMENTS, BREATHING, BLOOD-OXYGEN LEVELS, HEART RATE AND MUSCLE ACTIVITY DURING SLEEP TO DETERMINE IF A SLEEP DISORDER IS PRESENT. A BOARD CERTIFIED SLEEP PHYSICIAN WILL REVIEW THE FINDINGS AND PROVIDE A COMPLETE REPORT INCLUDING CONCLUSIONS AND THERAPEUTIC RECOMMENDATIONS. IF REQUESTED, A REPORT WILL BE SENT TO A PATIENT'S PRIVATE PHYSICIAN. SNORING AND SLEEP APNEA ----------------------- SNORING MAY BE A SYMPTOM OF A SERIOUS SLEEP DISORDER CALLED SLEEP APNEA. PEOPLE WITH SLEEP APNEA HAVE PAUSES IN BREATHING FOR 10 TO 100 SECONDS DURING SLEEP. MOST EXPERIENCE LOUD SNORING, CHOKING, AND GASPING SOUNDS WHILE STRUGGLING TO BREATHE. THE PATIENT MAY NOT HAVE ANY SYMPTOMS AND BE UNAWARE OF HIS/HER PROBLEM AND IT MAY BE ONLY BROUGHT TO THEIR ATTENTION BY THEIR SPOUSE OR BED PARTNER. UN-REFRESHING SLEEP AND, SOMETIMES DAYTIME SLEEPINESS IS A SYMPTOM. NUMEROUS THERAPIES ARE AVAILABLE TO TREAT THIS DISORDER. IF LEFT UNTREATED, THE SNORING AND SLEEP APNEA FREQUENTLY HAS SERIOUS HEALTH CONSEQUENCES. THERE IS AN INCREASE INCIDENCE OF HEART ATTACK, STROKE, AND OTHER MEDICAL DISORDERS THAT MAY BE LIFE THREATENING. SLEEP DISORDERS IN CHILDREN --------------------------- THE SLEEP HEALTH INSTITUTE AT CH PROVIDES DIAGNOSTICS AND THERAPY FOR CHILDREN OF ALL AGES. THIS INCLUDES TODDLERS, PRE-TEENS AND TEENAGERS. PEOPLE OFTEN THINK OF SNORING AS LIMITED TO ADULTS ONLY; BUT SNORING IN CHILDREN AND ADOLESCENTS IS A SERIOUS PROBLEM THAT NEEDS MEDICAL ATTENTION. EVEN A FEW EPISODES OF SLEEP APNEA IN THIS AGE GROUP COULD HAVE A PROFOUND IMPACT ON THE DAILY LIFE AND SCHOOL PERFORMANCE. UNRECOGNIZED SLEEP APNEA MAY CONTRIBUTE TO SYMPTOMS OF HYPERACTIVITY, SCHOOL PROBLEMS, AND SOMETIMES THE YOUNG CHILD HAS BEEN LABELED WITH A DIAGNOSIS OF "ATTENTION DEFICIT DISORDER." THERE ARE NUMEROUS OTHER SLEEP DISORDERS WHICH ARE MORE PROMINENT IN CHILDREN AND ADOLESCENTS. THIS INCLUDES NIGHT TERRORS, NARCOLEPSY, NIGHTMARES, SLEEPWALKING, AND DELAYED SLEEP CYCLE SYNDROME. NARCOLEPSY ---------- NARCOLEPSY IS A DISORDER THAT OCCURS IN ALL AGE GROUPS BUT MORE PROMINENTLY IN THE TEENAGE AND EARLY TWENTIES. PATIENTS FREQUENTLY ARE EXCEPTIONALLY SLEEPY DURING THE DAY AND MAY HAVE DIFFICULTY WITH STAYING AWAKE DURING THE DAY. OTHER SYMPTOMS INCLUDE SLEEP PARALYSIS AND "DREAMING DURING THE DAY". NARCOLEPSY IS A NEUROLOGIC DISORDER THAT RESPONDS WELL TO TREATMENT ONCE DIAGNOSED. INSOMNIA -------- INSOMNIA CAN OCCUR FOR A VARIETY OF REASONS, WHICH RESULTS IN AN INDIVIDUAL NOT GETTING A FULL NIGHTS REST. THOSE WITH INSOMNIA MAY HAVE MULTIPLE SYMPTOMS INCLUDING TROUBLE FALLING ASLEEP OR STAYING ASLEEP, OR MAY AWAKEN TOO EARLY.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	7. WEIGHT-LOSS SURGERY CH HAS BEEN NAMED AN AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY ("ASMBS") BARIATRIC SURGERY CENTER OF EXCELLENCE. THE ASMBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC (WEIGHT LOSS) SURGERY. TO EARN A CENTER OF EXCELLENCE DESIGNATION, THE CH BARIATRIC SURGERY PROGRAM UNDERWENT A RIGOROUS SITE INSPECTION DURING WHICH ALL ASPECTS OF CH'S SURGICAL PROCESSES WERE CLOSELY EXAMINED AND DATA ON HEALTH OUTCOMES WAS COLLECTED. SURGICAL REVIEW CORPORATION ("SRC"), A SUBSIDIARY OF ASBMS, IS AN ORGANIZATION DEDICATED TO PURSUING SURGICAL EXCELLENCE IN THE FIELD OF BARIATRIC SURGERY. SRC FORMULATES AND ESTABLISHES THE RIGOROUS STANDARDS WITH WHICH CH MUST COMPLY. THE ORGANIZATION THOROUGHLY INSPECTS AND EVALUATES EACH CANDIDATE FOR DESIGNATION, AND UPON REVIEW, RECOMMENDS APPROVAL OF DESIGNATION FOR THOSE PHYSICIANS AND FACILITIES WHOSE PRACTICES AND OUTCOMES MEET THE STRINGENT DEMANDS SET FORTH BY SRC FOR ASMBS. AS A SERVICE TO THE COMMUNITY, CH SPONSORS ONE FREE MONTHLY WEIGHT-LOSS SURGERY SEMINAR. UNDERSTANDING THE ISSUES ASSOCIATED WITH WEIGHT-LOSS SURGERY BEGINS WITH FULLY EDUCATING YOURSELF ABOUT SEVERE OBESITY, INCLUDING ITS CAUSES AND POTENTIAL EFFECTS ON YOUR HEALTH, YOUR LIFESTYLE AND THE PEOPLE AROUND YOU. FOR CH, IT'S IMPORTANT TO MAKE SURE THAT A PATIENT KNOW AS MUCH AS THEY CAN ABOUT WEIGHT-LOSS SURGERY, SO THAT THEY CAN MAKE AN INFORMED DECISION ABOUT WHETHER IT'S RIGHT FOR THEM. 8. SENIOR HEALTH CH OFFERS AN ARRAY OF SERVICES, FROM DIAGNOSIS, TREATMENT, INPATIENT AND OUTPATIENT REHABILITATION. CH WILL PARTNER WITH INDIVIDUALS TO EDUCATE AND HELP THEM PRACTICE A HEALTHY LIFESTYLE AS THEY AGE, SUCH AS REGULAR PHYSICAL ACTIVITY AND HEALTHY NUTRITION, SCREENING FOR BREAST, CERVICAL, AND COLORECTAL CANCERS, EARLY DETECTION OF DIABETES, ITS COMPLICATIONS, AND DEPRESSION. CH RESPONDS TO YOUR NEEDS IF YOU OR YOUR LOVED ONE HAS AN AGE-RELATED CHRONIC DISEASE OR CONDITION, SUCH AS ALZHEIMER'S DISEASE, ARTHRITIS, DEPRESSION, OSTEOPOROSIS, URINARY INCONTINENCE, DIABETES, AND ITS COMPLICATIONS. THE JOHN A. HARTFORD FOUNDATION INSTITUTE FOR GERIATRIC NURSING DESIGNATED CH AS A NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS SITE. THIS NATIONAL DESIGNATION MEANS THAT CH IS COMMITTED TO PUTTING INTO ACTION A SYSTEMATIC CHANGE IN NURSING PRACTICE, WHICH WOULD RESULT IN SENSITIVE AND EXEMPLARY CARE THAT WILL BENEFIT ALL HOSPITALIZED OLDER PATIENTS. CH HAS EMBARKED ON A PROCESS TO ENSURE ALL OF ITS NURSES HAVE SPECIALIZED KNOWLEDGE IN GERIATRIC NURSING, INCLUDING SPECIFIC SYNDROMES AND GERIATRIC CARE. CLOSE TO 50% OF THE POPULATION SERVED BY CH IS OVER 65 YEARS OF AGE. CH EXPECTS TO CONTINUE TO GROW. CH RECOGNIZES THE GROWING AND COMPLEX NEEDS OF ITS SENIORS AND ARE COMMITTED TO CREATING AN OPTIMAL, ENVIRONMENT FOR ITS PATIENTS, WHILE CONTINUING TO BE INSTRUMENTAL IN HELPING THEM AGE SUCCESSFULLY. COMMUNITY SERVICES ------------------ THE DEPARTMENT OF NEW VITALITY SERVICES PROVIDES EDUCATION, SUPPORT, INFORMATION AND REFERRALS FOR OLDER ADULTS AND THEIR FAMILIES, THE CLERGY, HEALTH CARE PROFESSIONALS, LONG-TERM CARE FACILITIES, ASSISTED LIVING FACILITIES, AND OTHER SENIOR RESIDENCES. IN ADDITION, INFORMATION IS PROVIDED TO CORPORATIONS, SCHOOLS, MUNICIPALITIES, AND OTHER COMMUNITY AGENCIES. GERONTOLOGY SERVICES ALSO SPONSORS A FREE HEALTH AND WELLNESS PROGRAM FOR ADULTS 50 AND OLDER CALLED NEW VITALITY. NEW VITALITY ACTS AS A RESOURCE AND REFERRAL NETWORK FOR SENIORS AND THEIR CAREGIVERS INCLUDE: - ADULT DAY CARE - ADULT EDUCATION PROGRAMS - ADULT FOSTER CARE - ADULT RETIREMENT COMMUNITIES - ALZHEIMER'S - ASSISTED LIVING-GROUP HOMES - BOARDING HOMES - CASE MANAGEMENT - CONGREGATE APARTMENTS - CONTINUING CARE RETIREMENT - COMMUNITIES - COUNSELORS - ELDER ABUSE - GERIATRIC ASSESSMENT PROGRAMS - GERIATRICIANS - GROUP HOMES - HOME EMERGENCY RESPONSE SYSTEMS - HOMECARE - HOSPICES - INCOME RESOURCES - LEGAL SERVICES - LONG TERM CARE - MULTI-LEVEL FACILITIES - NUTRITION SITES - RESIDENTIAL CARE FACILITIES - SELF HELP GROUPS - SENIOR CENTERS - SENIOR TOWN HOUSING - SERVICES FOR THE BLIND AND VISUALLY HANDICAPPED - SHARED LIVING - TOWN WELFARE DIRECTORS CH'S NEW VITALITY STAFF IS AVAILABLE FOR PUBLIC SPEAKING ENGAGEMENTS. A SAMPLE OF THE TOPICS ADDRESSED IS: "AGING SENSITIVITY" "SLEEP WELL, FEEL BETTER" "MYTHS AND FACTS ABOUT AGING" "ENCOUNTERING THE STEREOTYPE" "MEDICATION MANAGEMENT" "NUTRITION AND AGING" "MEMORY AND AGING" 9. BREAST IMAGING CENTER OF EXCELLENCE THE CHILTON BREAST CENTER HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY. IT IS AWARDED TO BREAST IMAGING CENTERS THAT ACHIEVE EXCELLENCE BY SEEKING AND EARNING ACCREDITATION IN ALL OF THE ACR'S VOLUNTARY BREAST-IMAGING ACCREDITATION PROGRAMS AND MODULES, IN ADDITION TO THE MANDATORY MAMMOGRAPHY ACCREDITATION PROGRAM. 10. AMERICAN COLLEGE OF RADIOLOGY THE IMAGING DEPARTMENT AT CHILTON HOSPITAL HAS EARNED CERTIFICATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR) IN THE AREAS OF COMPUTER TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE, RADIATION ONCOLOGY, ULTRASOUND AND BREAST IMAGING. 11. TOTAL JOINT CENTER THE TOTAL JOINT CENTER PROVIDES ACUTE CARE TO MEET THE NEEDS OF ORTHOPEDIC AND SURGICAL ADULT AND GERIATRIC PATIENTS FROM THE ONSET OF ILLNESS THROUGH ACUTE RECOVERY AND /OR RESTORATIVE PHASES PROGRESSING TO DISCHARGE OR TO TRANSFER TO SKILLED NURSING OR REHABILITATIVE FACILITIES FOR CONTINUATION OF CARE. THE CENTER CONSISTS OF 24 SINGLE ROOMS AND A REHAB GYM. TWO ROOMS HAVE NEGATIVE PRESSURE CAPABILITY AND ONE ROOM IS A BARIATRIC ROOM. PRE-OPERATIVE JOINT REPLACEMENT PATIENT EDUCATION CLASSES ARE PROVIDED BY THE CLINICAL STAFF AND EDUCATION/SUPPORT CONTINUES THROUGH THE HOSPITALIZATION AND POST-DISCHARGE PHASES OF CARE. 12. WOUND CENTER CHILTON'S WOUND CENTER OFFERS A FULL SPECTRUM OF SERVICES AIMED AT RAPIDLY TREATING THE WOUND, REDUCING COMPLICATIONS AND PROMOTING RECOVERY. OUR UNIQUE PROGRAM HIGHLIGHTS A MULTI-DISCIPLINARY TEAM OF EXPERTS, INCLUDING DOCTORS AND NURSES WHO ARE CERTIFIED IN HYPERBARIC THERAPY, ALONG WITH THE NEWEST, MOST INNOVATIVE TECHNIQUES IN WOUND CARE. SINCE 2007, THE CENTER HAS GROWN TO ACCOMMODATE ABOUT 450 VISITS EACH MONTH. FURTHERMORE, WE BOAST AN OUTSTANDING TRACK RECORD OF SUCCESS. CHILTON'S WOUND CENTER HAS CONSISTENTLY ACHIEVED NATIONAL RECOGNITION FOR OUTSTANDING OUTCOMES AND PATIENT SATISFACTION. IN FACT, WE'VE BEATEN THE NATIONAL HEALING RATE AVERAGE SINCE 1999. OVERVIEW OF SERVICES -------------------- YOUR EXPERIENCE AT THE WOUNDCENTER BEGINS WITH A THOROUGH EVALUATION BY OUR CLINICAL SPECIALISTS, FOLLOWED BY AN INDIVIDUALIZED PLAN OF CARE DESIGNED TO RELIEVE PRESSURE, CONTROL PAIN AND ODOR, ENHANCE TISSUE GROWTH, PRESERVE FUNCTION AND ULTIMATELY HEAL THE WOUND. AT THE SAME TIME, WE ADDRESS THE UNDERLYING CAUSE OF THE WOUND TO MINIMIZE THE CHANCE OF RECURRENCE. RECENTLY, WE PURCHASED STATE-OF-THE-ART EQUIPMENT TO HELP US TEST DIABETIC PATIENTS, WHO REPRESENT NEARLY HALF OF THOSE WE SERVE. THIS MACHINE, CALLED A TRANSCUTANEOUS MONITORING SYSTEM (TCOM), PROVIDES VALUABLE INFORMATION ABOUT OXYGEN FLOW TO THE LEGS AND FEET, REPLACING MORE INVASIVE DIAGNOSTIC PROCEDURES AND DIRECTING THE BEST POSSIBLE COURSE OF TREATMENT. YOUR PROGRESS IS CLOSELY MONITORED DURING EACH VISIT TO ASSESS HEALING AND THE RESULTS OF YOUR THERAPY. HYPERBARIC OXYGEN THERAPY ------------------------- AS A CENTRAL COMPONENT OF OUR PROGRAM, THE WOUND CENTER OFFERS HYPERBARIC OXYGEN (HBO) THERAPY - AN ADVANCED, NON-INVASIVE METHOD OF ACCELERATING THE HEALING PROCESS. OFTEN USED IN CONJUNCTION WITH OTHER WOUND-HEALING STRATEGIES, IT WORKS BY ENCLOSING PATIENTS IN A TRANSPARENT CHAMBER THAT ALLOWS THEM TO BREATHE 100 PERCENT OXYGEN AT INCREASED ATMOSPHERIC PRESSURE. THIS RAISES THE CONCENTRATION OF OXYGEN IN THE BLOOD, WHICH SPEEDS CELL REPAIR AND ULTIMATELY HEALS THE WOUND. HBO THERAPY IS CURRENTLY USED TO TREAT MORE THAN 35 DIFFERENT KINDS OF WOUNDS AND MEDICAL CONDITIONS, SUCH AS CARBON MONOXIDE AND CYANIDE POISONING, DECOMPRESSION SICKNESS, CIRCULATORY PROBLEMS, THERMAL BURNS AND OTHER AILMENTS. AT CHILTON HOSPITAL, WE USE THE SEACHRIST 3600E MODEL, WHICH IS CAPABLE OF SUPPORTING UP TO 700 LBS. THIS ENABLES US TO TREAT LARGER PATIENTS AS WELL AS THOSE WHO SUFFER FROM CLAUSTROPHOBIA. FURTHERMORE, ALL SESSIONS ARE CLOSELY MONITORED BY HYPERBARIC-TRAINED PHYSICIANS AND REGISTERED NURSES.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMMUNITY OUTREACH ================== CH IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION, OFFERING NUMEROUS HEATH CARE RELATED PROGRAMS AND ACTIVITIES, INCLUDING COMMUNITY HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION AND MEDICAL LECTURES AND SEMINARS ANNUALLY. CH NEIGHBORS FOR BETTER HEALTH ------------------------------- SINCE 1954, CH HAS BEEN TRULY DEVOTED TO THE COMMUNITY, CONTINUOUSLY SEEKING NEW METHODS OF IMPROVING HEALTH NEEDS. A HIGHLY EFFECTIVE PROCESS WAS ESTABLISHED WITH THE ONSET OF THE CH NEIGHBORS FOR BETTER HEALTH, AN ADVISORY BOARD COMPRISED OF: HEALTH OFFICERS, BUSINESS LEADERS, MEDICAL PROFESSIONALS, COMMUNITY AGENCY REPRESENTATIVES, EDUCATORS, CLERGY, ATTORNEYS AND RESIDENTS. BUILDING ON THE PERSONAL AND PROFESSIONAL EXPERIENCE OF THE ADVISORY BOARD MEMBERS, INNOVATIVE METHODS FOR IMPROVING COMMUNITY HEALTH HAVE RESULTED FROM THIS COLLABORATIVE. "NEIGHBORS FOR HEALTH/CH COMMUNITY COALITION" WAS THE PROJECT'S ORIGINAL NAME. IN THE BEGINNING, THE COALITION DISTRIBUTED 5,000 SURVEYS TO AREA RESIDENTS IN ORDER TO EVALUATE THE HEALTH STATUS AND NEEDS OF THE COMMUNITY. THE RESULTS LED TO THE CREATION OF PROGRAMS NOT ONLY TO ADDRESS THOSE NEEDS, BUT ALSO TO TEACH AND SUPPORT PREVENTATIVE MEASURES. BASED ON THE RESULTS OF THE TOP 10 PRIORITIES, THREE SUBCOMMITTEES WERE FORMED: PSYCHOLOGICAL HEALTH, RESPIRATORY HEALTH AND ADOLESCENT HEALTH. THESE SUBCOMMITTEES WERE RESPONSIBLE FOR DEVELOPING AT LEAST ONE PREVENTIVE HEALTH PROGRAM PER YEAR. EACH SUBCOMMITTEE'S GOAL WAS TO FIND THE BEST RESOURCE TO REACH THE MOST PEOPLE WITH A POSITIVE, EFFECTIVE MESSAGE. IN EACH AREA, GATEKEEPERS - PEOPLE IN THE COMMUNITY WHO CAN HELP OTHERS - WERE IDENTIFIED. THE THREE SUBCOMMITTEES EVOLVED OVER THE YEARS TO BECOME THE SINGLE TASK FORCE THAT CH HAS TODAY. IT MEETS ON A REGULAR BASIS TO DESIGN AND IMPLEMENT PROGRAMS TO ADDRESS VARIOUS HEALTH ISSUES. THE CURRENT TASK FORCE LOOKS AT CURRENT HEALTH PRIORITIES FACING THE COMMUNITIES. THE TASK FORCE SETS PRIORITIES FACING THE COMMUNITIES AND IT WAS DECIDED THAT THE FOLLOWING ISSUES GET ADDRESSED: CAREGIVERS SERIES, TEENAGE DEPRESSION, UNDERAGE DRINKING, INTERNET SAFETY, CYBER BULLYING AND SAFE DRIVING. ADDITIONALLY, THE TASKFORCE DEVELOPED A SERIES OF EDUCATIONAL WEBINARS THAT CAN BE ACCESSED THROUGH THE HOSPITAL WEBSITE AND CAN BE VIEWED IN THE COMFORT OF YOUR OWN HOME OR OFFICE. CH REALIZES THAT PREVENTION IS VITAL FOR MAINTAINING A HEALTHY COMMUNITY AND A HEALTHY FUTURE. EACH YEAR, THE MEMBERS SPEND COUNTLESS HOURS PLANNING, PROMOTING AND PRESENTING VARIOUS EVENTS AROUND THE AREA. EDUCATION AND COMMUNICATION ARE THE COMMON TOOLS THAT THE TASK FORCES EMPLOY TO STRENGTHEN THE COMMUNITY'S HEALTH AWARENESS. COMMUNITY HEALTH ---------------- IN PARTNERSHIP WITH CH, SEVERAL LOCAL HEALTH DEPARTMENTS IN NORTHERN NEW JERSEY OFFERS SCREENINGS, EXAMS, AND EDUCATIONAL PROGRAMS DESIGNED TO ENCOURAGE PREVENTIVE CARE, FOSTER PARTICIPATION IN HEALTH CARE INITIATIVES, AND PROMOTE GREATER AWARENESS OF COMMUNITY HEALTH CARE ISSUES. NEW VITALITY ------------ NEW VITALITY IS AN AWARD-WINNING HEALTH AND WELLNESS PROGRAM TAILORED TO MEET THE NEEDS OF TODAY'S MATURE ADULTS. MEMBERS BENEFIT SOCIALLY, PHYSICALLY, EMOTIONALLY, MENTALLY AND EDUCATIONALLY FROM NEW VITALITY'S EXTENSIVE ROSTER OF LECTURES, WORKSHOPS, CLASSES, SUPPORT GROUPS, TRIPS AND SOCIAL EVENTS. MEMBERSHIP IS FREE. NEW VITALITY OFFERS: - HEALTH SCREENINGS - EXERCISE PROGRAMS INCLUDING T'AI CHI CHIH, YOGA, BETTER BONES, AQUACISE, DANCING AND MALL WALKING - INFORMATION AND REFERRAL SERVICE - FREE, CONFIDENTIAL ASSISTANCE WITH QUESTIONS ABOUT MEDICARE AND SECONDARY INSURANCES - ACCESS TO IN-HOME EMERGENCY-RESPONSE SYSTEMS - ACCESS TO SUPPORT GROUPS - EDUCATIONAL CLASSES AND COURSES ABOUT HEALTH, PERSONAL FINANCES, INSURANCE, ART, MUSIC, NUTRITION, WRITING AND HISTORY - HOLIDAY PARTIES NEW VITALITY OFFERINGS ARE HELD AT CH IN POMPTON PLAINS AND VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. ONGOING NEW VITALITY PROGRAMS AT CH INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - ALZHEIMER'S DISEASE CAREGIVERS SUPPORT GROUP - BEREAVEMENT SUPPORT GROUP - DIABETES EDUCATION & SUPPORT GROUP - MALL WALKER'S CLUB PARENT EDUCATION ---------------- CH'S PARENT EDUCATION DEPARTMENT OFFERS MANY SEMINARS AND COURSES WHERE PARENTS HAVE THE OPPORTUNITY TO GAIN KNOWLEDGE AND INSIGHT ABOUT ALL ASPECTS OF PARENTING, FROM THE EARLY MONTHS OF PREGNANCY THROUGH THE CHILD'S PRE-SCHOOL YEARS. THE SEMINARS AND COURSES OFFERED INCLUDE: - LAMAZE CHILDBIRTH PREPARATION - BREAST-FEEDING - INFANT CARE - PRENATAL YOGA - MOMMY AND ME YOGA - JUST FOR DADS - SIBLING PREPARATION: NEW ADDITIONS - BABY'S SIBLINGS AT BIRTH - GRANDPARENTS CLASS - NEW MOMS GROUP - BABIES AND PETS - SAFE SITTER - BABY'S FIRST 6 MONTHS - BABY BASICS TRAVEL VACCINATION PROGRAM -------------------------- CH'S TRAVEL VACCINATION PROGRAM OFFERS A COMPREHENSIVE AND AFFORDABLE MEANS FOR SAFE AND CONVENIENT TRAVEL AROUND THE WORLD. AVAILABLE VACCINES INCLUDE VARICELLA (CHICKENPOX), HEPATITIS A OR HEPATITIS B IMMUNE GLOBULIN, HEPATITIS B, JAPANESE ENCEPHALITIS, MEASLES-MUMPS-RUBELLA, MENINGOCOCCAL MENINGITIS, PNEUMOVAX, POLIO, RABIES, TETANUS AND DIPHTHERIA TOXOIDS, PERTUSSIS, TYPHOID FEVER AND YELLOW FEVER. IN ADDITION, PRESCRIPTIONS FOR ANTIBIOTIC PROPHYLAXIS, WHEN INDICATED, WILL BE PROVIDED TO THOSE TRAVELING TO ENDEMIC AREAS FOR MALARIA AND TRAVELER'S DIARRHEA. CPR --- CH PROVIDES CPR TRAINING TO INDIVIDUALS IN THE COMMUNITY. THROUGHOUT THE YEARS CH'S AWARD WINNING CPR TRAINING CENTER HAS TRAINED THOUSANDS OF PEOPLE IN CPR, AED, ACLS AND PALS. CH IS A DESIGNATED COMMUNITY TRAINING CENTER THROUGH THE AMERICAN HEART ASSOCIATION. THE TRAINING OFFERED HELPS TO STRENGTHEN THE CHAIN OF SURVIVAL, ESTABLISHED BY THE AHA, IN EVERY COMMUNITY. THE CHAIN OF SURVIVAL IS INTERLOCKING LINKS OF INTERVENTIONS THAT WILL IMPROVE THE OUTCOMES FOR VICTIMS OF CARDIAC AND RESPIRATORY EMERGENCIES AND STROKE. CH'S CPR TRAINING CENTER NOT ONLY OFFERS ON-SITE CLASSES TO ITS OWN EMPLOYEES BUT ALSO TO THE GENERAL PUBLIC. CH ALSO OFFERS PRIVATE CLASSES FOR THOSE INTERESTED IN TRAINING A GROUP OF INDIVIDUALS. SINCE PUBLIC ACCESS DEFIBRILLATION (PAD) IS A NATIONAL STANDARD, CH'S CPR TRAINING CENTER OFFERS AED CLASSES AS PART OF THE CURRICULUM. CALL CENTER & WEBSITE --------------------- IMMEDIATE ACCESS TO CH IS PROVIDED THROUGH A FREE CALL CENTER, WHICH OFFERS THE PUBLIC CONTACT INFORMATION FOR OVER 600 PHYSICIANS IN MORE THAN 60 SPECIALTIES, REGISTRATION FOR COMMUNITY HEALTH PROGRAMS, DIRECTIONS, AND INFORMATION ABOUT CH PROGRAMS AND SERVICES. CH'S WEBSITE (WWW.CHILTONHEALTH.ORG) BRINGS A WEALTH OF HEALTHCARE INFORMATION TO INDIVIDUALS WITH JUST THE CLICK OF A MOUSE. THE HOMEPAGE IS DESIGNED FOR EASY NAVIGATION, AND CH OFFERS EASY ACCESS HEALTH RESOURCES, INTERACTIVE FEATURES SUCH AS QUIZZES, POLLS, AND SURVEYS, ONLINE PHYSICIAN DIRECTORY WITH PHYSICIAN PHOTOS AND BIOS, AND LINKS TO NUMEROUS PATIENT RESOURCES. OTHER COMMUNITY BENEFIT PROGRAMS, CLASSES AND SUPPORT GROUPS ============================================================ OTHER PROGRAMS, LECTURES AND COURSES OFFERED TO THE COMMUNITY BY CH INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - SMOKING CESSATION PROGRAMS - ALZHEIMER'S DISEASE CAREGIVERS SUPPORT GROUP - ARTHRITIS SUPPORT GROUP - BEREAVEMENT SUPPORT GROUP - CHOLESTEROL EDUCATION CLASS - COPD SUPPORT GROUP - CPR/EMT TRAINING CENTER - DIABETES EDUCATION & SUPPORT GROUP - DIABETES MANAGEMENT OUTPATIENT EDUCATION AND TEACHING PROGRAM - LIVING WILLS - MALL WALKERS CLUB - NEW VITALITY - NUTRITION COUNSELING - PARENT AND CHILDBIRTH EDUCATION - UNITED OSTOMATES OF NORTH JERSEY - WAYNE READS - WEIGHT LOSS SURGERY SEMINARS - WEIGHT LOSS SURGERY SUPPORT GROUP - WOMAN TO WOMAN - YOUR AGING PARENT AND YOU IN 2012, CH OFFERED 1,136 PROGRAMS, HEALTH SCREENINGS AND EDUCATIONAL CLASSES TO ALL MEMBERS OF THE COMMUNITY.
OTHER PROGRAM SERVICES	CORE FORM, PART III; LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION A; QUESTION 2	DEBORAH K. ZASTOCKI, FACHE AND AARON VAN DUYNE, III - BUSINESS RELATIONSHIP
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION THE ORGANIZATION'S AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 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 INCLUDING THE CHIEF FINANCIAL OFFICER, DIRECTOR OF ACCOUNTING AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THE ORGANIZATION'S AUDIT COMMITTEE ALSO HELD A MEETING WITH THE FORM 990 PREPARER IN ORDER TO REVIEW AND APPROVE THE TAX RETURN PRIOR TO PROVIDING A COPY TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER ("CEO") FOR REVIEW. THEREAFTER THE ORGANIZATION'S PRESIDENT/CEO PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION	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 AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE 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 ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM 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.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON A QUARTERLY BASIS, IN COMPLIANCE WITH THE DISCLOSURE REQUIREMENTS OF THE TAX-EXEMPT BONDS. 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.
COMPENSATION INFORMATION DISCLOSURE	CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THE ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF TRUSTEES.
RELATED HOURS DISCLOSURE	CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN CHILTON HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
OTHER CHANGES IN NET ASSETS	CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - CURTAILMENT GAIN - $2,122,131 - NET ASSETS RELEASED FROM RESTRICTION USED FOR PROPERTY AND EQUIPMENT - $816,473 - PENSION LIABILITY ADJUSTMENT - $488,370 - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($911,372) - CONTRIBUTION FROM CHILTON MEMORIAL HOSPITAL FOUNDATION, INC. REFLECTED IN SCHEDULE B - ($1,081,590)
AUDITED FINANCIAL STATEMENTS	CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC. AND ITS CONTROLLED AFFILIATE; CHILTON MEMORIAL HOSPITAL FOUNDATION, FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC. 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CHILTON MEMORIAL CORPORATION
97 WEST PARKWAY	POMPTON PLAINS	NJ	07444	222719339	SUPPORT CMH	NJ	501(C)(3)	509(A)(1)	NA	false
CHILTON MEMORIAL HOSPITAL FDN INC
97 WEST PARKWAY	POMPTON PLAINS	NJ	07444	223084817	SUPPORT CMH	NJ	501(C)(3)	509(A)(3)	CMH	true
CHILTON REALTY HOLDING INC
97 WEST PARKWAY	POMPTON PLAINS	NJ	07444	223067739	REAL ESTATE	NJ	501(C)(3)	N/A	CMC	false

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
CHILTON COMMUNITY CARE INC
97 WEST PARKWAY	POMPTON PLAINS	NJ	07444	222869148	CHILD CARE SVCS.	NJ	NA	C CORP.	false
CHILTON PROFESSIONAL PRACTICE CORP
97 WEST PARKWAY	POMPTON PLAINS	NJ	07444	223244165	HEALTH SVCS.	NJ	NA	C CORP.	false
CHILTON SPORTS MED& REHAB MGMT INC
97 WEST PARKWAY	POMPTON PLAINS	NJ	07444	223119481	HEALTH SVCS.	NJ	NA	C CORP.	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHILTON MEMORIAL HOSPITAL FOUNDATION
C	1081590	COST
CHILTON MEMORIAL HOSPITAL FOUNDATION
L	486434	COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	TRANSACTIONS WITH RELATED ORGANIZATIONS	Identifier
Return Reference	SCHEDULE R, PART V	ReturnReference
Explanation	FORREST S. CHILTON 3RD MEMORIAL HOSPITAL ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	Explanation