2013-11-14T15:48:19-06:00 2012-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2012-01-01 221494442 RARITAN BAY MEDICAL CENTER % THOMAS G SHANAHAN FHFMA CP RARI 7323245401 530 NEW BRUNSWICK AVENUE Suite PERTH AMBOY NJ 08861 THOMAS G SHANAHAN 9738989494 2013-11-04 true Anthony J Panico 9738989494 2012 2016-02-25 16:41:14Z MICHAEL R D'AGNES 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861 226834222 false X WWW.RBMC.ORG X 1902 NJ RARITAN BAY MEDICAL CENTER, A NON-PROFIT HEALTH CARE ORGANIZATION, IS COMMITTED TO PROVIDING PROFESSIONAL, COMPASSIONATE AND QUALITY HEALTH CARE TO ALL PATIENTS AND MEETING THE NEEDS OF THE COMMUNITY. 18 14 2266 339 316702 -242266 3324929 1338873 230650596 221977897 642355 1763977 1603559 1442425 236221439 226523172 6100 5800 0 0 129071928 133896418 0 0 0 108592431 94064768 237670459 227966986 -1449020 -1443814 142638274 143071980 157181770 162013704 -14543496 -18941724 X RARITAN BAY MEDICAL CENTER, A NON-PROFIT HEALTH CARE ORGANIZATION, IS COMMITTED TO PROVIDING PROFESSIONAL, COMPASSIONATE AND QUALITY HEALTH CARE TO ALL PATIENTS AND TO MEETING THE CHANGING HEALTH CARE NEEDS OF OUR COMMUNITIES. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 31041728 0 29515715 EXPENSES INCURRED IN PROVIDING VARIOUS 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. THE ORGANIZATION TREATED 76,699 EMERGENCY DEPARTMENT PATIENTS DURING 2012. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 14020648 0 17598356 EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED 10,411 OPERATING ROOM PROCEDURES DURING 2012. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 3795725 0 7122860 EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY LABOR, DELIVERY, RECOVERY AND POSTPARTUM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION HAD 6,899 LABOR, DELIVERY, RECOVERY AND POSTPARTUM VISITS AND ADMISSIONS DURING 2012. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 156312763 5800 168057668 205170864 true true false true false false false false false true true false true true true false false true false true true false false false false false true true true false true false false false false false false true true false false false false false true true true false false true 324 0 true 2266 true true true true CJ false false false false false false false false X 18 14 false false false false true true true true true false false true true true true true true true true true true NJ X THOMAS G SHANAHAN FHFMA CP 7323245401 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861 X JOSEPH J JANKOWSKI 1.0 X X 0 0 0 DEBORAH L TRIPOD 1.0 X X 0 0 0 DENNIS DOLL 1.0 X X 0 0 0 RUSSELL AZZARELLO 1.0 X 0 0 0 ROBERT J CHALFIN CPA JD 1.0 X 0 0 0 ANTONIO CRUZ ESQ 1.0 X 0 0 0 MICHAEL R DAGNES 55.0 X X 3002922 0 20296 MARK A DANIELE 1.0 X 0 0 0 KUMAR DASMAHAPATRA MD 1.0 X 40000 0 0 AL HOLCOMB 1.0 X 0 0 0 JOANN LA PERLA MORALES MD 1.0 X 0 0 0 TIMOTHY OBRIEN 1.0 X 0 0 0 KISHORE RATKALKAR MD 1.0 X 0 0 0 JIT RENJEN 1.0 X 0 0 0 BARRY ROSENGARTEN 1.0 X 0 0 0 GREGORY SHYPULA MD 1.0 X 4000 0 0 STEPHEN WARREN MD 1.0 X 0 0 0 JAMES WOLLER 1.0 X 0 0 0 THOMAS G SHANAHAN FHFMA CPA 55.0 X 362937 0 89514 NANCY BARONE 55.0 X 169801 0 10374 MICHAEL CIENCEWICKI MD 55.0 X 330916 0 20296 VINCENT COSTANTINO 55.0 X 286108 0 25947 JOAN HAREWOOD 55.0 X 261249 0 20296 ERICH KREHER 55.0 X 241761 0 20137 LYNETTE KING DAVIS 55.0 X 160085 0 20296 ARUNESH K MISHRA MD 55.0 X 391813 0 23542 NANDITHA KRISHNAMSETTY MD 55.0 X 220122 0 0 KIRTIKUMAR PATEL MD 55.0 X 206167 0 19024 AJIT B DESAI MD 55.0 X 203288 0 18681 KUMUD JOSHI MD 55.0 X 200120 0 0 6081289 0 288403 13 false true false SIEMENS MEDICAL SOLUTIONS PO BOX 12001 DALLAS TX 753120733 IT 9071735 SODEXO INC PO BOX 306170 PITTSBURGH PA 152516170 FOOD/MANAGEMENT 3668622 UMDNJ 335 GEORGE STREET SUITE 3700 3RD NEW BRUNSWICK NJ 08901 MEDICAL 2834604 PERTH AMBOY ANESTHESIOLOGY PC 530 NEW BRUNSWICK AVENUE PERTH AMBOY NJ 08861 MEDICAL 1522542 DVA RENAL HEALTHCARE INC 601 HAWAII STREET EL SEGUNDO CA 90245 MEDICAL 981640 66 X 100709 1238164 1338873 NET PATIENT SERVICE REVENUE 541900 214456887 214456887 OTHER HEALTHCARE RELATED REVENUE 541900 7521010 7521010 221977897 1399606 1399606 5421 5421 0 1005189 1005189 0 1005189 1005189 670000 311050 358950 358950 358950 0 0 0 ANSWERING SERVICE 517000 316702 316702 TELEVISION 517000 65813 65813 PARKING 517000 54721 54721 437236 226523172 221977897 316702 2889700 5800 5800 0 0 0 5086936 4578244 508692 0 0 98662637 88796372 9866265 9013444 8112100 901344 13025323 11722790 1302533 8108078 7297270 810808 0 546808 492127 54681 192000 172800 19200 24574 22117 2457 0 0 6322308 5690076 632232 1323958 1191562 132396 7556107 6800496 755611 221504 199354 22150 0 1702410 1532169 170241 292747 263472 29275 0 89589 80630 8959 3267406 2940665 326741 0 8973370 8076033 897337 1715970 1544373 171597 MEDICAL SUPPLIES 26036844 23433160 2603684 0 CONTRACTED SERVICES 23492709 21143438 2349271 0 UTILITIES 3664278 3297850 366428 0 REPAIRS & MAINTENANCE 841717 757544 84173 0 7800469 7020422 780047 227966986 205170864 22796122 0 X 5875 5925 301081 1574160 363851 312482 23223384 22539142 0 0 0 0 0 0 4279002 4159283 937806 975545 213690372 141207860 77222639 72482512 0 0 0 0 28524736 30146848 466398 419034 7313502 10457049 142638274 143071980 37542544 35769826 0 0 0 0 40893911 39437332 0 0 0 0 2388494 2070188 0 0 76356821 84736358 157181770 162013704 X -17089637 -22664691 703394 1825124 1842747 1897843 -14543496 -18941724 142638274 143071980 X -1443814 798786 -3753200 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 24574 24574 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $24,574 DURING 2012. 2546141 2453014 7589 1823777 3182967 2806923 1566126 6660 1833568 2546141 5920577 1824235 8801 4946690 2806923 5316686 1925330 262374 1583813 5920577 3202908 3859345 94426 1839993 5316686 0.50980 0.49020 false false 1980370 1980370 129831792 75077297 54754495 0 0 0 79498283 64867714 14630569 2379927 1262849 1117078 72482512 EQUITIES; LIMITED USE 12779301 F INVESTMENT IN SUBSIDIARIES 1745767 F RESTRICTED CASH 53963 F CASH ; LIMITED USE 1695489 F FIXED INCOME; LIMITED USE 13693070 F CERTIFICATES OF DEPOSIT 179258 F 30146848 OTHER RECEIVABLES 3349750 OTHER ASSETS 1938090 DUE FROM RELATED ORGANIZATIONS 5169209 10457049 0 SETTLEMENTS; CURRENT 5850441 SETTLEMENTS; NON-CURRENT 9550888 ACCRUED PENSION LIABILITY 67535077 ACCRUED INTEREST PAYABLE 1440517 DUE TO RELATED ORGANIZATIONS 0 OTHER LIABILITIES 359435 84736358 ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS FO THE ORGANIZATION AND ITS AFFILIATES. true Central America and the Caribbean 0 1 Program Services FINANCIAL VEHICLE 710581 Central America and the Caribbean 0 1 Investments 764344 0 2 0 2 1474925 1474925 true false true false false false true true X true X true X true true true false true true 22943095 12544114 10398981 0.04560 36489994 27900494 8589500 0.03770 59433089 40444608 18988481 0.08330 59761 2750 57011 0.00030 1840676 1507850 332826 0.00150 12225121 9223979 3001142 0.01320 14125558 10734579 3390979 0.01500 73558647 51179187 22379460 0.09830 true 20154912 3416765 72750917 78989045 -6238128 X true true OLD BRIDGE MEDICAL ASSOCIATES LLC MEDICAL SERVICES 0.79862 0.20138 2 1 RARITAN BAY MEDICAL CENTER

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OB/GYN ELIGIBILITY FOR DISCOUNTED CARE SCHEDULE H, PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2012 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG 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 THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS. RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"), INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE RARITAN BAY MEDICAL CENTER. PATIENT ACCOUNTS RECEIVABLE/ALLOWANCE FOR DOUBTFUL ACCOUNTS PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTHCARE SERVICES PROVIDED BY THE MEDICAL CENTER. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH COVERAGE AND OTHER COLLECTION INDICATORS. CHARITY CARE THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH (DOH) WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE MEDICAL CENTER'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED. THE AMOUNT OF CHARITY CARE PROVIDED UNDER DOH GUIDELINES DURING THE YEARS ENDED DECEMBER 31, 2012 AND 2011, BASED ON AN ESTIMATE OF THE MEDICAL CENTER'S COSTS, WAS APPROXIMATELY $24,418,000 AND $24,473,000, RESPECTIVELY. THE COSTS OF CHARITY CARE ARE DERIVED FROM BOTH ESTIMATED AND ACTUAL DATA. THE ESTIMATED COST OF CHARITY CARE INCLUDES THE DIRECT AND INDIRECT COST OF PROVIDING SUCH SERVICES AND IS ESTIMATED UTILIZING THE MEDICAL CENTER'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE HEALTH CARE REFORM ACT OF 1992 (THE ACT) ESTABLISHED HEALTH CARE SUBSIDY FUNDS TO PROVIDE CERTAIN HOSPITALS WITH FUNDING TO PROVIDE CHARITY CARE AND OTHER FORMS OF UNCOMPENSATED CARE. THE MEDICAL CENTER HAS RECORDED THE FOLLOWING AMOUNTS FROM THE HEALTH CARE SUBSIDY FUNDS AND THE HOSPITAL STABILIZATION PROGRAM IN NET PATIENT SERVICE REVENUE DURING 2012 AND 2011: 2012 2011 ---- ---- CHARITY CARE SUBSIDY $11,573,935 $10,310,191 HOSPITAL RELIEF SUBSIDY $ 2,487,638 $ 2,278,434 HOSPITAL STABILIZATION $ 1,000,000 $ 4,000,000 ----------- ----------- $15,061,573 $16,588,625 THE MEDICAL CENTER EXPECTS TO RECEIVE APPROXIMATELY $7.1 MILLION IN SUBSIDIES FOR DISTRIBUTIONS SCHEDULED THROUGH JUNE 30, 2013. THE AMOUNTS OF SUBSIDIES AND DISTRIBUTIONS SUBSEQUENT TO JUNE 30, 2013 ARE PRESENTLY NOT DETERMINED. EFFECTIVE JULY 1, 2013, THE STATE IS PREPARING TO REPLACE THE HOSPITAL RELIEF SUBSIDY FUND WITH A NEW PAYMENT MECHANISM REFERRED TO AS THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT POOL (THE POOL). THE POOL WILL BE AVAILABLE TO CERTAIN HOSPITALS THAT ARE ABLE TO ESTABLISH PERFORMANCE IMPROVEMENT ACTIVITIES IN ONE OF EIGHT SPECIFIED CLINICAL IMPROVEMENT AREAS. THE MEDICAL CENTER IS PLANNING TO SUBMIT AN APPLICATION WITH THE STATE OF NEW JERSEY TO PARTICIPATE IN THE POOL. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2012 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL 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. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; 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 RARITAN BAY MEDICAL CENTER, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. 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 REFERRED 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,Q'S 9,10,11,12H,14G,16E,17E,18E,20D,21&22 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 19D THE FACILITY USES NJ MEDICAID RATES 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 (UROLOGY, CARDIOLOGY, OBSTETRICS, 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 EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST IN PARTNERSHIP WITH THE AMERICAN HOSPITAL ASSOCIATION). THIS ORGANIZATION CONDUCTS AN 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. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. ONE FORUM IS A QUARTERLY REGIONAL COMMUNITY ADVISORY BOARD HOSTED BY A LOCAL HEALTHCARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS 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 THIS ORGANIZATION IS LOCATED IN PERTH AMBOY AND OLD BRIDGE, IN MIDDLESEX COUNTY, NJ WHICH CONTAINS 25 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. APPROXIMATELY 10% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES COMMUNITY HEALTH. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES. NOT FOR-PROFIT RARITAN BAY HEALTH SERVICES CORPORATION SYSTEM AND AFFILIATES ENTITIES: RARITAN BAY HEALTH SERVICES CORPORATION RARITAN BAY HEALTH SERVICES CORPORATION ("RBHSC") IS THE TAX-EXEMPT PARENT OF RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER RBHSC OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY RBHSC. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. RARITAN BAY HEALTH SERVICES CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RARITAN BAY MEDICAL CENTER RARITAN BAY MEDICAL CENTER ("RBMC") IS A 501 BED ACUTE CARE FACILITY LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY. RBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, RBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1. RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. RBMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. RBMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF RBMC RESTS WITH ITS BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, MEMBERS OF THE COMMUNITY AND MEDICAL STAFF REPRESENTATION; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. RARITAN BAY HEALTHCARE FOUNDATION, INC. RARITAN BAY HEALTHCARE FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RARITAN BAY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. RARITAN BAY MEDICAL CENTER OLD BRIDGE AUXILIARY, INC. RARITAN BAY MEDICAL CENTER OLD BRIDGE AUXILIARY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RARITAN BAY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. RARITAN BAY MEDICAL CENTER PERTH AMBOY AUXILIARY, INC. RARITAN BAY MEDICAL CENTER PERTH AMBOY AUXILIARY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RARITAN BAY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR-PROFIT RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ENTITIES: RARITAN INSURANCE, LTD. A CONTROLLED FOREIGN CORPORATION BY RARITAN BAY MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN THE CAYMAN ISLANDS. RARITAN BAY PHYSICIAN'S GROUP, P.C. A FOR PROFIT PHYSICIAN PRACTICE PROFESSIONAL CORPORATION CONTROLLED BY RARITAN BAY MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. RARITAN MANAGEMENT CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RBHSC. THE ORGANIZATION IS LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY. IN ADDITION, THE ORGANIZATION PROVIDES (1) AMBULANCE SERVICES TO INDIVIDUALS AND (2) PROPERTY MANAGEMENT SERVICES. RARITAN BAY MANAGEMENT SERVICE ORGANIZATION, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RARITAN BAY HEALTH SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY. PRIMARY CARE NETWORK AT RARITAN BAY, P.C. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RARITAN BAY HEALTH SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY. 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. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 THE ORGANIZATION HAS TWO HOSPITAL FACILITIES INCLUDED IN ONE FACILITY REPORTING GROUP. PLEASE REFER TO OUR RESPONSES ABOVE FOR SCHEDULE H, PART VI, QUESTION #1. true GRANT FUND MONITORING SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENATION AND RECEIPTS. X true true X X X X X false true false false false false false true false MICHAEL R DAGNES 546175 0 102859 0 2353888 0 0 0 20296 0 3023218 0 2199935 0 THOMAS G SHANAHAN FHFMA CPA 299073 0 39359 0 24505 0 65621 0 23893 0 452451 0 0 0 NANCY BARONE 169285 0 0 0 516 0 0 0 10374 0 180175 0 0 0 MICHAEL CIENCEWICKI MD 288651 0 34986 0 7279 0 0 0 20296 0 351212 0 0 0 VINCENT COSTANTINO 248165 0 29363 0 8580 0 4086 0 21861 0 312055 0 0 0 JOAN HAREWOOD 231786 0 28739 0 724 0 0 0 20296 0 281545 0 0 0 ERICH KREHER 214798 0 26239 0 724 0 0 0 20137 0 261898 0 0 0 LYNETTE KING DAVIS 145848 0 14057 0 180 0 0 0 20296 0 180381 0 0 0 ARUNESH K MISHRA MD 355537 0 36000 0 276 0 0 0 23542 0 415355 0 0 0 NANDITHA KRISHNAMSETTY MD 220002 0 0 0 120 0 0 0 0 0 220122 0 0 0 KIRTIKUMAR PATEL MD 204193 0 450 0 1524 0 0 0 19024 0 225191 0 0 0 AJIT B DESAI MD 201664 0 450 0 1174 0 0 0 18681 0 221969 0 0 0 KUMUD JOSHI MD 200000 0 0 0 120 0 0 0 0 0 200120 0 0 0 COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION PAID FOR COUNTRY CLUB DUES FOR MICHAEL R. D'AGNES FOR RARITAN BAY MEDICAL CENTER WORK PURPOSES. THE PERSONAL USAGE FOR THE COUNTRY CLUB DUES IN THE AMOUNT OF $10,386 WAS INCLUDED IN HIS 2012 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AND IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL R. D'AGNES, $2,315,591. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS G. SHANAHAN, FHFMA, CPA, $65,621 AND VINCENT COSTANTINO, $4,086. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. COMPENSATION INFORMATION SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL R. D'AGNES, $2,199,935. THE DIFFERENCE BETWEEN THIS AMOUNT AND THE AMOUNT REPORTED IN COLUMN B(III) AS VESTED AND NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE; $2,315,591, INCLUDES SERP AMOUNTS BOTH ACCRUED AND VESTED IN 2012 OF $115,656. LINDA S KREHER FAMILY MEMBER - KREHER 52678 EMPLOYEE false UNIVERSITY RADIOLOGY GROUP COMPANY - WARREN 343833 MEDICAL SERVICES false MIDDLESEX THROCKMORTON LANE COMPANY - RATKALKAR 104000 MEDICAL SERVICES false COMPREHENSIVE SURGICAL ASSOCIATES COMPANY - DASMAHAPATRA 169244 MEDICAL SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV STEPHEN WARREN, M.D. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, UNIVERSITY RADIOLOGY GROUP, DURING 2012. TOTAL FEES PAID TO UNIVERSITY RADIOLOGY GROUP DURING 2012 WERE $343,833. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. KISHORE RATKALKAR, M.D. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, MIDDLESEX THROCKMORTON LANE, DURING 2012. TOTAL FEES PAID TO MIDDLESEX THROCKMORTON LANE DURING 2012 WERE $104,000. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. KUMAR DASMAHAPATRA, M.D. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, COMPREHENSIVE SURGICAL ASSOCIATES, DURING 2012. TOTAL FEES PAID TO COMPREHENSIVE SURGICAL ASSOCIATES DURING 2012 WERE $169,244. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== RARITAN BAY MEDICAL CENTER ("RBMC") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. RBMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN RELIGION OR ABILITY TO PAY. MOREOVER, RBMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) RBMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) RBMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF RBMC 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 ======= PERTH AMBOY, THE FIRST INCORPORATED CITY IN NEW JERSEY (1718) WAS FERTILE SOIL FOR THE RAPID INDUSTRIALIZATION THAT MARKED THE 19TH CENTURY. WITH ITS HARBOR AND WATERWAYS, SHIPPING, FISHING AND FACTORIES BEGAN SPRINGING UP; AND, AS FACTORIES WERE BUILT, WORKERS WERE IN HIGH DEMAND. SINGLE MEN ENGAGED IN PERILOUS WORK IS A DANGEROUS COMBINATION. BECAUSE THERE WAS NO ONE TO CARE FOR THESE MEN AND INJURIES WERE ON THE RISE, INTERESTED CITIZENS AND CITY LEADERSHIP MET IN 1888 TO DISCUSS PLANS FOR BUILDING AN EMERGENCY HOSPITAL. FROM THIS MEETING EMERGED A TENTATIVE RESOLUTION TO SEEK FUNDS - FUNDS TO BUILD A 12-BED HOSPITAL WHICH, THOUGH PERHAPS UNIMAGINABLE AT THE TIME, WOULD LATER BECOME RBMC, A TWO-CAMPUS 501-BED HEALTHCARE FACILITY SERVING CENTRAL NEW JERSEY. AFTER FOURTEEN YEARS OF FALSE STARTS AND CAPITAL DEFICITS, PERTH AMBOY CITY HOSPITAL WAS DEDICATED ON MAY 2, 1902. YEARS OF TIRELESS FUNDRAISING AND PERSONAL SACRIFICE BY WOMEN'S GROUPS, LOCAL BENEFACTORS, ETHNIC GROUPS AND CIVIC ORGANIZATIONS BUILT AND FURNISHED WHAT WAS CONSIDERED A STATE-OF-THE-ART FACILITY AT THE TURN OF THE CENTURY. A SIX-MEMBER MEDICAL STAFF WAS APPOINTED AND A NURSE MATRON AND ASSISTANT WERE PUT IN CHARGE. FIVE WEEKS LATER PERTH AMBOY CITY HOSPITAL HAD TREATED ITS FIRST 12 PATIENTS. ONE YEAR LATER THE HOSPITAL HAD ITS OWN SCHOOL OF NURSING. BY 1913, THE BOARD OF GOVERNORS REALIZED THAT 12 BEDS COULD NO LONGER SUPPORT THE HEALTHCARE NEEDS OF THE CITY'S BURGEONING POPULATION. FROM THAT TIME UNTIL RIGHT BEFORE THE ONSLAUGHT OF THE GREAT DEPRESSION, PERTH AMBOY CITY HOSPITAL EXPERIENCED TREMENDOUS GROWTH. ADDITIONS MADE ROOM FOR MATERNITY SERVICES, AN ADVANCED LABORATORY AND X-RAY DEPARTMENT, ADDITIONAL OPERATING ROOM SPACE AND EXPANDED LIVING QUARTERS FOR THE NURSE RESIDENTS. DESPITE THE INCREASING NEED FOR ADDITIONAL TREATMENT SPACE, DECEMBER 7, 1941 HALTED PLANS FOR EXPANSION. IMMEDIATELY FOLLOWING THE WAR IN 1945, PERTH AMBOY CITY HOSPITAL TREATED ITS FIRST PATIENT USING A NEW WONDER DRUG, PENICILLIN, WHICH WAS BROUGHT TO THE HOSPITAL UNDER POLICE ESCORT. WAR-DELAYED ADDITIONS WERE THEN RAPIDLY UNDERTAKEN DURING THE NEXT 15 YEARS, SIGNIFICANTLY INCREASING BED CAPACITY AND THE SPACE NECESSARY TO OFFER ADVANCED TECHNIQUES THAT WERE ONCE ONLY AVAILABLE IN MAJOR MEDICAL CENTERS. BY THE 1960'S, THE STAGE WAS SET FOR THE HOSPITAL TO ENTER INTO AN ERA OF "FIRSTS," WHERE INNOVATION WAS FUELED BY CONTINUING RENOVATION AND EXPANSION. IN 1964, SURGEONS PERFORMED ONE OF THE FIRST SUCCESSFUL PACEMAKER IMPLANTS. BY 1968, SCIENTISTS IN THE HOSPITAL'S INSTITUTE OF LABORATORY MEDICINE HAD LINKED A SMALL REFRIGERATOR SIZED COMPUTER TO A SET OF AUTOMATIC ANALYZING MACHINES AND CAME UP WITH A COMPLETELY NEW KIND OF HOSPITAL SERVICE...COMPUTERIZED AUTOMATION. DURING THE 1970'S THE HOSPITAL FOUND ITSELF AT THE FOREFRONT OF CARDIAC MEDICINE, RECORDING NEW JERSEY'S FIRST SUCCESSFUL IMPLANT OF THE RECHARGEABLE PACEMAKER IN 1974 AND USING ONE OF THE VERY FIRST CAT SCANNERS IN MIDDLESEX COUNTY IN 1979. PATIENTS AND PHYSICIANS INCREASINGLY GAINED EXCLUSIVE ACCESS TO WORLD-CLASS HEALTHCARE RIGHT IN THEIR OWN BACKYARD. BY 1976, A NEW BUILDING PROGRAM WAS IN THE WORKS. EXTENSIVE CONSTRUCTION PLANS WERE CREATED FOR PERTH AMBOY, BUT THE MOST AMBITIOUS PART OF THE PROGRAM WAS THE BUILDING OF AN 80-BED AFFILIATE HOSPITAL ON A 41-ACRE LOT IN OLD BRIDGE TOWNSHIP. OLD BRIDGE REGIONAL HOSPITAL WAS COMPLETED IN JUST LESS THAN TWO YEARS, OPENING ITS DOORS ON JANUARY 2, 1979. THROUGH ITS AFFILIATION WITH ITS PERTH AMBOY SISTER FACILITY, FOR THE FIRST TIME RESIDENTS SOUTH OF THE RARITAN RIVER COULD TAKE ADVANTAGE OF ALL OF THE ADVANCED MEDICAL SERVICES AND TECHNIQUES USUALLY RESERVED FOR HOSPITALS IN URBAN CENTERS. RBMC HEALTH SERVICES CORPORATION, THE NEW NAME FOR THE COMBINED HOSPITALS IN OLD BRIDGE AND PERTH AMBOY (LATER CHANGED SIMPLY TO RBMC), SAW ADVANCEMENTS IN SURGERY AND NON-SURGICAL THERAPIES, DIAGNOSTIC TESTING, EDUCATION AND CONTINUED PHYSICAL EXPANSION THROUGHOUT THE 1980'S. IN FACT, OLD BRIDGE REGIONAL HOSPITAL BECAME THE HOME TO THE FIRST LASER KNEE SURGERY PERFORMED IN NEW JERSEY IN 1988. THE CONSTRUCTION OF THE OLD BRIDGE MEDICAL ARTS BUILDING THEN BROUGHT A NEW LEVEL OF CONVENIENCE TO PHYSICIANS AND PATIENTS, FURTHER UPHOLDING RBMC'S PLEDGE TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO ITS MIDDLESEX COUNTY FAMILY. NEVER RESTING ON ITS LAURELS, IN 1990 THE HOSPITAL SUBMITTED A CERTIFICATE OF NEED TO THE STATE OF NEW JERSEY DETAILING ITS PLANS FOR EXPANSION. SIGNIFICANTLY NAMED, "RENEWAL 2000," THE REQUEST OUTLINED AN AGGRESSIVE $53.6 MILLION RECONSTRUCTION PLAN THAT WOULD AFFECT MOST KEY SERVICE AREAS IN PERTH AMBOY, INCLUDING BUILDING A NEW OUTPATIENT CENTER AND ADDING A PATIENT FLOOR TO THE OLD BRIDGE CAMPUS. WHILE EXTENSIVE RECONSTRUCTION CHANGED THE FACE OF BOTH HOSPITALS, PATIENT CARE PROGRESSED AT OPTIMUM LEVELS. PARTICIPATION IN ADVANCED CLINICAL TRIALS INCREASED AND AFFILIATIONS WERE DEVELOPED WITH ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, THE CANCER INSTITUTE OF NEW JERSEY, THE EASTERN COOPERATIVE ONCOLOGY GROUP AND THE ROBERT WOOD JOHNSON HEALTH NETWORK. INCREASED SPECIALIZED SERVICES SUCH AS THE MARION TANZMAN DIABETES CENTER, THE JACQUELINE M. AND ROBERT M. WILENTZ CANCER CENTER, THE CARDIAC CATHETERIZATION LABORATORY, THE BIRTHING CENTER AND CENTER FOR WOMEN WERE BUT A FEW OF THE MANY EXCITING HAPPENINGS TO ADD TO RBMC'S GROWING LIST OF ACCOMPLISHMENTS. AFTER RENEWAL 2000 WAS COMPLETED IN 1997, POST-CONSTRUCTION RELAXATION WAS SHORT-LIVED AS THE HOSPITAL UNVEILED ITS NEW PLANS FOR IMPROVING EMERGENCY CARE, CALLED "PROJECT ER." SO AS NOT TO SACRIFICE PATIENT CARE, PROJECT ER WAS DESIGNED AS A MULTIPHASE CONSTRUCTION, RENOVATION AND REVITALIZATION OF EMERGENCY DEPARTMENT SERVICES AT BOTH HOSPITALS. 2001 SAW THE FINAL STAGES OF RENOVATIONS PROGRESSING IN PERTH AMBOY, AND THE SUCCESSFUL COMPLETION OF THE OLD BRIDGE DIVISION EXPANSION. AND, ALTHOUGH IT SHOULD BE NO SURPRISE, WITH PROJECT ER FINISHED, PLANS FOR FUTURE EXPANSION ARE ON THE DRAWING BOARD. LOOKING BACK OVER THE MORE THAN 100 YEARS THAT RBMC HAS BEEN BRINGING THE LATEST ADVANCEMENTS IN HEALTHCARE TO CENTRAL NEW JERSEY IN A SUPPORTIVE AND CARING ATMOSPHERE, IT IS NO WONDER WHY, IN 2001, READERS OF THE HOME NEWS TRIBUNE VOTED US THE "BEST HOSPITAL IN CENTRAL NEW JERSEY." TODAY RBMC IS A STATE-DESIGNATED PRIMARY STROKE CENTER AND IS RANKED AMONG THE NATION'S TOP TEN PERCENT OF HOSPITALS IN THE CARE OF STROKE PATIENTS, A POSITION THE HOSPITAL HAS HELD FOR THE PAST FIVE CONSECUTIVE YEARS. RBMC IS ALSO ONE OF LESS THAN TWO PERCENT OF HOSPITALS NATIONALLY TO ACHIEVE RE-DESIGNATION AS A MAGNET HOSPITAL, RECOGNIZING NURSING EXCELLENCE, AND HAS BEEN THE RECIPIENT OF A NEW JERSEY HORIZON BLUE CROSS BLUE SHIELD PATIENT CARE QUALITY AWARD FOR THE PAST THREE YEARS. 2012 FACTS ========== STAFF SIZE: - MEDICAL STAFF OF 600 MEMBERS - PROFESSIONAL NURSING AND SERVICE STAFF OF 1,700 VITAL STATS: - JOINT COMMISSION ACCREDITED - DESIGNATION AS A MAGNET HOSPITAL FOR NURSING EXCELLENCE - MORE THAN 14,000 INPATIENT ADMISSIONS ANNUALLY - MORE THAN 76,000 EMERGENCY DEPARTMENT VISITS ANNUALLY - MORE THAN 42,000 PRIVATE REFERRED OUTPATIENT VISITS ANNUALLY - MORE THAN 1,200 BIRTHS ANNUALLY MISSION STATEMENT ================= RBMC, A NON-PROFIT HEALTHCARE ORGANIZATION, IS COMMITTED TO PROVIDING PROFESSIONAL, COMPASSIONATE AND QUALITY HEALTHCARE TO ALL PATIENTS AND TO MEETING THE CHANGING HEALTHCARE NEEDS OF ITS COMMUNITIES. COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS VISION STATEMENT ================ BELIEVING IN ITS FUTURE, RBMC STRIVES TO BE THE REGION'S BEST MEDICAL CENTER. THROUGH THE DEDICATED EFFORTS OF ITS BOARD OF DIRECTORS, MEDICAL STAFF, ADMINISTRATION AND EMPLOYEES, RBMC IS COMMITTED TO DEVELOPING AND PROVIDING THE FINEST HEALTH SERVICES FOR ITS PATIENTS, FAMILIES, PHYSICIANS AND COMMUNITIES. RBMC WILL ASSESS, PLAN AND PROVIDE SERVICES BASED ON CHANGING NEEDS. VALUES ====== RBMC TAKES "PRIDE IN CARING" AS ITS COMMITMENT TO PROVIDE THE HIGHEST QUALITY CARE FOR ITS PATIENTS. RBMC STRIVES TO PROVIDE SERVICES WITH A FOCUS ON CONVENIENCE THAT MEET PATIENT, FAMILY AND PHYSICIAN NEEDS. RBMC BELIEVES IN A STRONG AND COMMITTED RELATIONSHIP WITH ITS MEDICAL STAFF TO ENHANCE AND ENSURE QUALITY, STATE-OF-THE-ART CARE AND SERVICE. RBMC REMAINS COMMITTED TO MEDICAL EDUCATION, RESIDENCY TRAINING, NURSING EDUCATION AND CONTINUING CLINICAL EDUCATION FOR ALL PROFESSIONALS. RBMC IS A LEADER IN COMMUNITY HEALTH SERVICES AND ARE COMMITTED TO WORKING TOWARD ENHANCED COMMUNITY HEALTH AND COMMUNITY HEALTH EDUCATION. RBMC APPRECIATES THE WORK, COMMITMENT AND LOYALTY OF ITS EMPLOYEES WHOSE SKILL AND CARING ENHANCE ITS SERVICE AND FOSTER THE GOALS OF "PRIDE IN CARING". RBMC RECOGNIZES THAT THEY ARE A MOST IMPORTANT ASSET IN THE HISTORY AND FUTURE OF RBMC. RBMC BUILDS ON ITS LONGEVITY AND STRENGTH, CONTINUING TO MONITOR, ADAPT AND PLAN FOR A CHANGING FUTURE TO MEET THE NEEDS OF ITS COMMUNITIES AND ITS PATIENTS. RBMC WILL MAINTAIN A STABLE FINANCIAL POSITION. RBMC WILL RESPECT AND PROTECT THE RIGHTS OF ALL PATIENTS AS OUTLINED IN THEIR PATIENT'S RIGHTS STATEMENT. UPON ADMISSION, PATIENTS RECEIVE A COPY OF THE BILL OF RIGHTS. PATIENTS ARE ENCOURAGED TO READ THROUGH THIS DOCUMENT AND REFER ANY QUESTIONS ABOUT PATIENT RIGHTS TO THE PATIENT REPRESENTATIVE. CORPORATE PHILOSOPHY ==================== RBMC IS COMMITTED TO PROVIDING EXCELLENCE IN SERVICE IN ADDITION TO QUALITY HEALTHCARE. TOWARD THAT GOAL, A PHILOSOPHY WAS FORMALIZED IN 1986 CALLED "PRIDE IN CARING." EVERYTHING DONE AT RBMC -- PREPARING ITS MEDICAL RESIDENTS, PERFORMING ROUTINE SCREENINGS, EXPLAINING DIAGNOSES TO PATIENTS -- IS GUIDED BY THE PHILOSOPHY THAT IT SHOULD GO THE EXTRA MILE TO TREAT PATIENTS WITH KINDNESS AND CONCERN, AND TO MEET THEIR INDIVIDUAL NEEDS. ACCREDITATIONS AND AFFILIATIONS =============================== RBMC IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH, STATE OF NEW JERSEY. RBMC'S PROFESSIONAL ASSOCIATIONS INCLUDING: ACCREDITATIONS: ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AMERICAN ASSOCIATION OF BLOOD BANKS AMERICAN COLLEGE OF RADIOLOGY/ACR-FDA AMERICAN DIABETES ASSOCIATION, PROGRAM RECOGNITION COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS COMMITTEE ON MEDICAL EDUCATION MEDICAL SOCIETY OF NEW JERSEY AMERICAN HEART ASSOCIATION/BLS TRAINING CENTER COLLEGE OF AMERICAN PATHOLOGISTS JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS WITH COMMENDATION LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH & SENIOR SERVICES, STATE OF NEW JERSEY NATIONAL LEAGUE OF NURSING (SCHOOL OF NURSING) NEW JERSEY BOARD OF NURSING (SCHOOL OF NURSING) VETERANS ADMINISTRATION (SCHOOL OF NURSING) MEMBERSHIPS & AFFILIATIONS AMERICAN ASSOCIATION OF BLOOD BANKS AMERICAN CANCER SOCIETY AMERICAN DIETETIC ASSOCIATION AMERICAN HEART ASSOCIATION AMERICAN HOSPITAL ASSOCIATION AMERICAN STROKE ASSOCIATION CANCER INSTITUTE OF NEW JERSEY CHAMBER OF COMMERCE OF OLD BRIDGE, SAYREVILLE, AND SOUTH AMBOY COALITION OF METHADONE PROVIDERS COUNCIL OF HOSPITAL PT DIRECTORS OF NEW JERSEY EAST BRUNSWICK CHAMBER OF COMMERCE FRIENDS' HEALTH CONNECTION CENTRAL NEW JERSEY MATERNAL AND CHILD HEALTH CONSORTIUM HOME HEALTH ASSEMBLY OF NEW JERSEY, INC. NEW JERSEY ASSOCIATED TREATMENT PROVIDERS, INC. NEW JERSEY CHAPTER OF THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION NEW JERSEY TASK FORCE ON WOMEN & ALCOHOL NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION NEW JERSEY HOSPITAL ASSOCIATION PERTH AMBOY CHAMBER OF COMMERCE PERTH AMBOY KIWANIS CLUB PERTH AMBOY MUNICIPAL ALLIANCE TO PREVENT ALCOHOL AND DRUG ABUSE PERTH AMBOY/WOODBRIDGE ROTARY QUALCARE WOODBRIDGE METRO CHAMBER OF COMMERCE ROBERT WOOD JOHNSON HEALTH NETWORK WOMEN'S & CHILDREN'S SERVICES ----------------------------- ON AUGUST 28, 2003, RBMC BECAME A MAJOR CLINICAL AFFILIATE OF UMDNJ - ROBERT WOOD JOHNSON MEDICAL SCHOOL. THIS NEW STATUS AFFIRMED RBMC'S COMMITMENT TO BRING EXCEPTIONAL CARE TO THE LOCAL COMMUNITY THROUGH THE DEVELOPMENT OF NEW SPECIALTY SERVICES. HAVING ALREADY ESTABLISHED ITSELF AS A STRONG AND COMMITTED COMMUNITY TEACHING HOSPITAL THROUGH ITS INTERNAL MEDICINE RESIDENCY PROGRAM, THIS NEW AFFILIATION CREATED EXCITING OPPORTUNITIES TO ENHANCE THE HOSPITAL'S OBSTETRICS, GYNECOLOGY AND PEDIATRICS PROGRAM. THE EXPERTISE AND ABUNDANCE OF RESOURCES NOW AVAILABLE AT RBMC TRULY BENEFIT THE PATIENT, WITH EXCEPTIONAL SERVICE AND ACCESSIBLE PATIENT CARE AT THE HEART OF ONGOING INITIATIVES, RBMC REMAINS COMMITTED TO DEVELOPING ADDITIONAL PROGRAMS THAT WILL BENEFIT THE LOCAL COMMUNITY. MEDICAL STAFF ============= RBMC IS PROUD TO HAVE AN OUTSTANDING MEDICAL STAFF OF OVER 600 PHYSICIANS, ACTIVE IN APPROXIMATELY FORTY MEDICAL SPECIALTIES. THE STAFF IS COMPRISED OF PRIMARY CARE PHYSICIANS AND SUBSPECIALISTS WHO WORK COLLABORATIVELY TO MEET THE VARIOUS NEEDS OF THE PATIENTS. THEIR DEDICATION TO THE HEALTHCARE PROFESSION BRINGS THE HIGHEST LEVEL OF CARE TO THE MEMBERS OF THE COMMUNITY. MEDICAL SERVICES ================ 1) BLOOD DONATIONS RBMC MAINTAINS ITS BLOOD SUPPLY THROUGH COMMUNITY AND EMPLOYEE DONATION AND BY PURCHASING BLOOD FROM NEW JERSEY BLOOD CENTERS. TRADITIONALLY, BLOOD SUPPLY IS AT ITS LOWEST POINT DURING THE FIRST FEW MONTHS OF THE NEW YEAR BECAUSE PEOPLE DON'T GIVE BLOOD DURING THE HOLIDAYS OR DURING FLU SEASON. 2) CANCER SERVICES JACQUELINE M. & ROBERT N. WILENTZ CANCER CENTER ----------------------------------------------- RBMC'S ONCOLOGY PROGRAM, APPROVED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS, PROVIDES CENTRAL JERSEY RESIDENTS WITH CONVENIENT, QUALITY CANCER SERVICES RIGHT IN THEIR OWN NEIGHBORHOOD, ELIMINATING THE NEED TO TRAVEL TO DISTANT LOCATIONS. RBMC'S COMPREHENSIVE ONCOLOGY PROGRAM IS DESIGNED TO MEET THE COMPLEX MEDICAL NEEDS OF PATIENTS DIAGNOSED WITH MALIGNANT DISEASES. SERVICES ADDRESS THE ENTIRE SPECTRUM OF CANCER, FROM PREVENTION, TREATMENT AND REHABILITATION TO ANNUAL PATIENT FOLLOW-UP, AND THEY ARE PROVIDED UNDER THE HIGHEST STANDARDS ESTABLISHED THROUGH RBMC'S ROLE AS A CLINICAL RESEARCH AFFILIATE OF THE CANCER INSTITUTE OF NEW JERSEY (CINJ). THE CENTER HAS ADOPTED A PROACTIVE APPROACH TO PATIENT CARE MANAGEMENT AND IS INVOLVED WITH MANY ASPECTS OF CARE INCLUDING COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS, REFLECTING RBMC'S EMPHASIS ON PREVENTIVE SERVICES AND EARLY DIAGNOSIS OF CANCER. 3) CARDIOLOGY ALTHOUGH HEART DISEASE REMAINS THE NUMBER-ONE KILLER IN AMERICA, TREMENDOUS ADVANCES IN PREVENTION, DIAGNOSIS AND TREATMENT HAVE DRAMATICALLY INCREASED SURVIVAL RATES. SINCE 1983, RARITAN BAY'S CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER HAS GAINED A REPUTATION FOR EXCELLENCE IN THE CARE AND TREATMENT OF HEART DISEASE. ADVANCED TREATMENT AND CARE --------------------------- LOOKING AFTER YOUR HEART IS A COMPLEX ISSUE. KNOWING WHAT TO LOOK FOR AND HOW TO EVALUATE AND REHABILITATE HEART DISEASE ARE THE KEYS TO A SUCCESSFUL CARDIAC CARE PROGRAM. THE PHYSICIANS, NURSES, TECHNICIANS AND STAFF AT THE CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER OFFER YOU AND YOUR PRIMARY CARE PHYSICIAN AN EXPERIENCED TEAM OF CARDIAC CARE SPECIALISTS. PATIENT COMFORT AND CARE ARE THE FOCUS. DIAGNOSIS AND TREATMENT ARE ENHANCED THROUGH TECHNICALLY ADVANCED EQUIPMENT AND PROCEDURES. CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER - CARDIAC ---------------------------------------------------- RBMC HAS OPENED A CARDIAC CATHETERIZATION LABORATORY, ENABLING PATIENTS TO HAVE THIS VISUAL HEART TEST PERFORMED AT THEIR COMMUNITY MEDICAL CENTER RATHER THAN TRAVELING TO DISTANT FACILITIES TO HAVE THIS PROCEDURE PERFORMED. CARDIAC CATHETERIZATION ENABLES THE CARDIOLOGIST TO OBSERVE THE HEART'S BLOOD FLOW AND STUDY THE CONDITION OF BLOOD VESSELS AND THE PRESENCE OR ABSENCE OF OBSTRUCTIONS. THE CATHETERIZATION LAB IS JUST ONE PART OF THE MEDICAL CENTER'S CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER SERVICES. COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CARDIAC CATHETERIZATION SERVICES -------------------------------- THE NEW CARDIAC CATHETERIZATION LABORATORY IS THE LATEST ADDITION TO THE CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER AT RARITAN BAY. A CARDIAC CATHETERIZATION IS A VISUAL HEART TEST CONDUCTED BY A CARDIOLOGIST. IT ENABLES THE PHYSICIAN TO OBSERVE THE HEART'S BLOOD FLOW AND STUDY THE CONDITION OF BLOOD VESSELS AND THE PRESENCE OR ABSENCE OF OBSTRUCTIONS. THIS ASSISTS THE PHYSICIAN IN MAKING APPROPRIATE TREATMENT RECOMMENDATIONS. ONCE SCHEDULED BY YOUR PHYSICIAN, CARDIAC CATHETERIZATIONS ARE PERFORMED ON A SAME-DAY BASIS. THE PROCEDURE TAKES PLACE IN A SPECIAL SURGICAL ENVIRONMENT DESIGNED SPECIFICALLY FOR CARDIAC CATHETERIZATIONS. PATIENT RECOVERY TAKES PLACE WITHIN THE SAME AREA UNDER THE CARE OF CARDIAC SPECIALISTS. FAMILY AND FRIENDS MONITOR YOUR RECOVERY FROM A NEARBY LOUNGE. OVER 1,200 CASES ARE PERFORMED ANNUALLY. ANGIOPLASTY ----------- RARITAN BAY MEDICAL CENTER IS AMONG A SELECT GROUP OF NEW JERSEY HOSPITALS APPROVED BY THE STATE HEALTH COMMISSIONER TO PERFORM BOTH PRIMARY AND ELECTIVE ANGIOPLASTY. PRIMARY ANGIOPLASTY, REGARDED AS THE GOLD STANDARD, MOST EFFECTIVE INTERVENTION FOR HEART ATTACKS, IS USED TO OPEN CLOGGED ARTERIES AND RESTORE BLOOD FLOW WITHIN 90 MINUTES OF A PATIENT'S ARRIVAL AT THE HOSPITAL. THIS IS ACCOMPLISHED BY INSERTING A BALLOON INTO THE BLOCKED ARTERIES FOLLOWED BY A STENT, IN SOME CASES, TO KEEP THE ARTERIES CLEAR. THE TECHNIQUE HALTS OR PREVENTS THE POTENTIALLY DEADLY CONSEQUENCES OF HEART ATTACK WHILE FACILITATING THE BEST POSSIBLE PATIENT OUTCOMES. 4) HIV SERVICES AND EDUCATION EARLY INTERVENTION PROGRAM -------------------------- INDIVIDUALS WITH HIV CAN RECEIVE COMPREHENSIVE MEDICAL CARE AND TREATMENT, INCLUDING SPECIALIZED HEALTH EDUCATION AND CASE MANAGEMENT SERVICES, THROUGH THE MEDICAL CENTER'S EARLY INTERVENTION PROGRAM. COMPREHENSIVE HIV SERVICES INCLUDE THE AIDS OUTREACH & SUPPORT PROGRAM AND FREE AND CONFIDENTIAL HIV COUNSELING AND TESTING. COUNSELING AND TESTING ---------------------- RBMC OFFERS A FREE AND CONFIDENTIAL HIV TESTING PROGRAM. PREVENTION WITH POSITIVES ------------------------- RBMC OFFERS INTENSE PREVENTION CASE MANAGEMENT AND A RISK-REDUCTION PROGRAM FOR INDIVIDUALS WHO ARE HIV POSITIVE. L.U.P.E. -------- LATINOS UNITED FOR PREVENTION AND EDUCATION ("LUPE") PROVIDES HEALTH EDUCATION, RISK-REDUCTION, AND COMMUNITY OUTREACH TARGETING HISPANIC YOUTH, YOUNG ADULTS, AND WOMEN. L.U.P.E. IS A COLLABORATIVE HIV PREVENTION PROJECT BETWEEN RBMC AND THE PUERTO RICAN ASSOCIATION FOR HUMAN DEVELOPMENT (PRAHD). THIS GRASS-ROOTS LEVEL PROGRAM TARGETS WOMEN AND YOUTH AND THOSE WHO ARE SIGNIFICANTLY MORE AT RISK FOR PROBLEMS ASSOCIATED WITH POVERTY SUCH AS SUBSTANCE ABUSE, ADOLESCENT PREGNANCY, SEXUALLY TRANSMITTED INFECTIONS, HIV AND AIDS. SERVICES PROVIDED INCLUDE: - OUTREACH TO COMMUNITY - HEALTH EDUCATION AND RISK-REDUCTION CLASSES - SINGLE SESSION HEALTH EDUCATION PROGRAMS - PREVENTION CASE MANAGEMENT 5) LABORATORY SERVICES THE RBMC LABORATORY IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS, AND OFFERS A FULL RANGE OF OUTPATIENT LABORATORY TESTING IN THE AREAS OF BLOOD CHEMISTRY, IMMUNOLOGY, HEMATOLOGY, MICROBIOLOGY, AND PRE-NATAL BLOOD TESTING. 6) MAMMOGRAPHY RBMC OFFERS RADIOLOGICAL PROCEDURES THAT CAN ELIMINATE THE NEED FOR SURGERY. PATIENTS BENEFIT FROM THE LATEST EQUIPMENT FOR DIAGNOSIS AND TREATMENT. MAMMOGRAPHY SERVICES PROVIDE CONVENIENCE AND PRIVACY. 7) MATERNITY A NUMBER OF COMMUNITY PROGRAMS AND CLASSES ARE OFFERED BY RBMC AND ARE OUTLINED IN THE COMMUNITY BENEFIT SECTION OF THIS STATEMENT. OUR OBSTETRICS AND GYNECOLOGY SERVICES AT 466 NEW BRUNSWICK AVENUE ADDRESS THE GROWING NEEDS OF A LOWER INCOME, URBAN POPULATION PRIMARILY IN PERTH AMBOY. OUR RELATIONSHIP WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTER JEWISH RENAISSANCE MEDICAL CENTER HELPS ENSURE THAT UNINSURED AND UNDERINSURED EXPECTANT MOTHERS RECEIVE REQUIRED MATERNAL/FETAL CARE THROUGHOUT THEIR ENTIRE PRE AND POSTPARTUM EXPERIENCE. THE NUMBER OF BIRTHS AT RARITAN BAY MEDICAL CENTER CONTINUES TO GROW AND THIS SERVICE LINE IS SUPPORTED BY MONTHLY MATERNITY TOURS AND CHILD BIRTH EDUCATION CLASSES THAT HAVE ON AVERAGE 12 COUPLES PER CLASS. SERVICES PROVIDED INCLUDE NUTRITION, WELL BABY CARE AND LACTATION CONSULTATION. 8) PEDIATRICS AT RBMC, A CHILD IS A PRECIOUS PATIENT. THAT'S WHY RBMC'S PEDIATRIC UNIT IS A SPECIAL PLACE PROVIDING CARE, REASSURANCE, SUPPORT, COMFORT AND ENCOURAGEMENT TO INFANTS, CHILDREN AND ADOLESCENTS AND THEIR FAMILIES. RBMC'S SERVICES INCLUDE: - PEDIATRIC ACUTE CARE - PEDIATRIC OUTPATIENT TESTING - PEDIATRIC MODERATE SEDATION - PEDIATRIC MEDICAL DAY STAY THE PEDIATRIC UNIT STRIVES TO MEET THE NEEDS OF THE FAMILY BY PROVIDING: - 24-HOUR VISITATION FOR PARENTS AND FLEXIBLE HOURS FOR OTHER FAMILY MEMBERS - GUEST TRAYS AVAILABLE FOR EVERY MEAL - SLEEPER CHAIRS FOR PARENT OVERNIGHT STAYS - USE OF SHOWERS - USE OF THE KITCHEN - A PLAY ROOM WITH A LARGE TANK OF TROPICAL FISH AND TOYS, GAMES, BOOKS AND VIDEOTAPES APPROPRIATE FOR ALL AGES - A CLOSED CIRCUIT VIDEOTAPE LIBRARY SYSTEM OFFERING NEW RELEASES AND OLD FAVORITES - FREE TELEVISION - QUALIFIED STAFF EVERY NURSE IN THE PEDIATRIC UNIT IS A REGISTERED PROFESSIONAL WITH EXPERIENCE AND SPECIALIZED EDUCATION IN THE CARE OF NEWBORN, CHILD AND ADOLESCENT PATIENTS. RBMC'S NURSES CAN OFFER YOU A WEALTH OF ADVICE AND ASSISTANCE DURING YOUR CHILD'S HOSPITALIZATION. IN ADDITION TO YOUR CHILD'S PHYSICIAN, OTHER PEDIATRIC SPECIALISTS MAY CARE FOR YOUR CHILD DEPENDING ON THEIR NEEDS. FOR EXAMPLE, IF SEDATION FOR A PROCEDURE IS NECESSARY, A BOARD-CERTIFIED PEDIATRIC INTENSIVIST WILL CAREFULLY EXPLAIN THE PROCEDURES TO YOU AND YOUR CHILD AND REMAIN BY YOUR CHILD'S SIDE DURING THE TEST. FOR CHILDREN UNDER 18 YEARS OF AGE WHO NEED SPECIALIZED CARE, RBMC HAS TWO BOARD-CERTIFIED PEDIATRIC CARDIOLOGISTS ON STAFF. IN ADDITION, NEW PARENTS MAY NEED THE SPECIAL EXPERTISE PROVIDED BY RBMC'S NEONATOLOGISTS, WHO ARE BOARD-CERTIFIED SPECIALISTS IN THE CARE OF HIGH-RISK INFANTS. RBMC PROVIDES ROUND-THE-CLOCK SERVICES OF A HOSPITAL BASED PEDIATRICIAN TO RESPOND TO EMERGENCIES AND TO CONFER WITH YOUR PEDIATRICIAN IF NECESSARY. OTHER PROGRAMS GEARED TO CHILDREN --------------------------------- RBMC ALSO OFFERS PROKIDS, A FREE HEALTH EDUCATION PROGRAM FOR STUDENTS IN GRADES K-12 PROVIDED TO SCHOOLS, COMMUNITY YOUTH-BASED ORGANIZATIONS AND PARENT GROUPS. 9) RADIOLOGY RBMC OFFERS RADIOLOGICAL PROCEDURES THAT CAN ELIMINATE THE NEED FOR SURGERY. PATIENTS BENEFIT FROM THE LATEST EQUIPMENT FOR DIAGNOSIS AND TREATMENT. THESE SERVICES INCLUDE: DIAGNOSTIC IMAGING SERVICES --------------------------- RBMC USES STATE-OF-THE-ART DIAGNOSTIC IMAGING TECHNOLOGY PROVIDING PATIENTS AND PHYSICIANS WITH QUICK RESULTS AND COMPREHENSIVE ACCESS TO X-RAYS, CT SCANS, MRI, ULTRASOUND AND NUCLEAR MEDICINE TEST RESULTS. THIS SYSTEM, KNOWN AS PICTURE ARCHIVING AND COMMUNICATION SYSTEM AND REFERRED TO AS PACS, UTILIZES ELECTRONIC DIGITAL IMAGES RATHER THAN TRADITIONAL FILMS. THE DIGITAL IMAGES ARE AVAILABLE IMMEDIATELY ON COMPUTER SCREENS IN PATIENT CARE AREAS THROUGHOUT THE MEDICAL CENTER. PACS PROVIDES PHYSICIANS WITH AN EXCEPTIONAL TOOL TO SPEED PATIENT DIAGNOSIS, EFFICIENTLY STORE RECORDS, AND PROVIDE CONVENIENT ACCESS IN A SECURE AND CONFIDENTIAL MANNER. MRI SERVICES ------------ MAGNETIC RESONANCE IMAGING (MRI) IS AVAILABLE FOR PATIENTS AND OUTPATIENTS AT THE PERTH AMBOY AND OLD BRIDGE DIVISIONS. FULLY INTEGRATED WITH THE PACS SYSTEM, PHYSICIANS HAVE THE OPPORTUNITY TO REVIEW THE DIGITAL MRI TEST RESULTS WITH THE TOUCH OF A BUTTON IN THE DIAGNOSTIC IMAGING DEPARTMENT OR ON PATIENT FLOORS. MRI TESTS ARE PERFORMED BY A RADIOLOGY TECHNOLOGIST AND CAN BE USED TO DETECT PROBLEMS IN NUMEROUS DIFFERENT AREAS OF THE BODY. INTERVENTIONAL RADIOLOGISTS, SPECIALLY TRAINED DOCTORS WHO USE X-RAYS AND OTHER IMAGING TECHNIQUES TO "SEE" INSIDE THE BODY, CAN TREAT A VARIETY OF MEDICAL DISORDERS WITHOUT SURGERY IN THE VIRC. THESE PROCEDURES ARE GENERALLY LESS COSTLY AND LESS TRAUMATIC TO THE PATIENT, INVOLVING SMALLER INCISIONS, LESS PAIN, AND SHORTER HOSPITAL STAYS. COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 10) REHABILITATION SERVICES THE CARING STAFF IN PHYSICAL MEDICINE AND REHABILITATIVE SERVICES IS DEDICATED TO PROMOTING INDEPENDENCE AND RESTORING THE FULLEST LEVEL OF FUNCTION FOR THE PATIENTS. TREATMENT IS PROVIDED TO THOSE DIAGNOSED WITH INJURIES RELATED TO NEUROLOGICAL, MUSCULOSKELETAL, CARDIOVASCULAR AND PULMONARY SYSTEMS OR WITH A DISABILITY. EACH PATIENT FOLLOWS A CUSTOMIZED TREATMENT PLAN THAT IS MOLDED TO HIS OR HER OWN SPECIFIC NEEDS. PHYSICAL MEDICINE AND REHABILITATIVE SERVICES OFFERS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE PATHOLOGY SERVICES, ELECTROMYOGRAPHY (EMG) / NERVE CONDUCTION STUDY (NCV) AND PHYSIATRIST CONSULTATION BY APPOINTMENT. 11) RENAL DIALYSIS RENAL DIALYSIS SERVICES ARE PROVIDED AT RBMC'S PERTH AMBOY AND OLD BRIDGE DIVISIONS BY SPECIALLY TRAINED PROFESSIONALS OF DAVITA DIALYSIS INC. LOCATED ON-SITE AT BOTH HOSPITALS, PATIENTS HAVE EASY ACCESS FOR THEIR DIALYSIS NEEDS. 12) SLEEP DISORDERS THE CENTER FOR SLEEP MEDICINE IS A STATE OF THE ART FACILITY, WHICH PROVIDES DIAGNOSIS AND TREATMENT FOR A VARIETY OF SLEEP DISORDERS AND AILMENTS. A SLEEP STUDY IS A NON-INVASIVE TEST WHICH RECORDS A PATIENT'S SLEEP PATTERN, BREATHING, OXYGEN LEVEL, HEART RATE AND RHYTHM, AND MUSCLE TONE WHILE THEY SLEEP OVERNIGHT IN A PRIVATE HOTEL-LIKE ROOM AT THE CENTER. TYPES OF STUDIES ---------------- SEVERAL TYPES OF STUDIES CAN BE CONDUCTED AT THE CENTER. SOME OF THE MOST COMMON DISORDERS THAT MAY BE STUDIED INCLUDE SLEEP APNEA, EXCESSIVE SNORING, LEG MOVEMENTS, AND NIGHT TERRORS. ONCE DIAGNOSED, PATIENTS MAY BE PRESCRIBED MEDICATION OR RESPIRATORY ADJUNCTS. IN RARE CASES, SURGERY MAY BE NEEDED TO CORRECT A CONDITION. ALL ASPECTS OF THE TESTING PROCESS ARE HANDLED AT THE CENTER, AND TEST RESULTS ARE FORWARDED TO THE PATIENT'S PERSONAL PHYSICIAN TO ENSURE A COMPREHENSIVE TREATMENT PLAN. MOST PATIENTS REQUIRE ONLY ONE NIGHT OF MONITORING WHILE THEY SLEEP AT THE CENTER. SPECIALLY TRAINED TECHNICIANS ARE LOCATED IN A SEPARATE ROOM, WHERE THEY MONITOR THE PATIENTS' CONDITION. IN SOME CASES PATIENTS ARE REQUIRED TO VISIT DURING THE DAY FOR A NAP, WHERE STAFF FOLLOW UP ON A PARTICULAR DIAGNOSIS. COMFORT AND CONVENIENCE ----------------------- THE CENTER FOR SLEEP MEDICINE APPEARS TO BE ANYTHING BUT A CLINICAL EXPERIENCE. FOUR PRIVATE ROOMS BOAST EXTRA LONG, FULL SIZE BEDS, WALL TO WALL CARPETING, LAY-Z-BOY RECLINERS, TV / VCR'S AND A BEAUTIFUL VIEW OF THE SURROUNDING LANDSCAPE. CAREGIVERS OR A PARENT MAY STAY OVERNIGHT IF THE PATIENT REQUIRES ASSISTANCE OR IS A MINOR. PRIVATE SHOWERS MAKE IT CONVENIENT FOR THOSE PATIENTS WHO NEED TO BE UP EARLY AND PREPARED FOR WORK. WITH AN EVENING SNACK AND CONTINENTAL BREAKFAST PROVIDED, ALL EFFORTS HAVE BEEN MADE TO MAKE THE PATIENT'S EXPERIENCE AS COMFORTABLE AND HOME-LIKE AS POSSIBLE. 13) WOMEN'S HEALTH CENTER FOR WOMEN ---------------- RBMC'S CENTER FOR WOMEN IS DEDICATED TO THE SPECIAL NEEDS OF WOMEN, OFFERING A COMPREHENSIVE APPROACH TO BREAST HEALTH, WELLNESS AND DISEASE PREVENTION. WITH LOCATIONS IN OLD BRIDGE AND PERTH AMBOY, OUR NEWLY RENOVATED FACILITIES COMBINE THE HIGHEST QUALITY IMAGING TECHNOLOGY WITH COMFORTABLE, SPA-LIKE SURROUNDINGS AND A UNIQUELY PERSONALIZED LEVEL OF CARE. WE MAKE IT EASY AND CONVENIENT FOR WOMEN TO RECEIVE STATE-OF-THE-ART TESTING, INCLUDING MAMMOGRAPHY, ULTRASOUND, BREAST MRI, IMAGE-GUIDED BIOPSY AND BONE DENSITOMETRY, ALONG WITH VARIOUS OTHER WOMEN'S HEALTH SERVICES, FROM HOLISTIC MEDICINE TO LYMPHEDEMA THERAPY. BEHAVIORAL HEALTH IN RESPONSE TO THE GROWING MENTAL HEALTH NEEDS OF THE POPULATION, PARTICULARLY ADOLESCENTS, RARITAN BAY MEDICAL CENTER, IN CONJUNCTION WITH RECOMMENDATIONS NOTED IN ITS MOST RECENT COMMUNITY NEEDS ASSESSMENT, EXPANDED ITS BEHAVIORAL HEALTH SERVICES PROGRAM, RECRUITING PROVIDERS SPECIALIZING IN CHILDREN AND TEENAGERS IN ORDER TO EXPAND OUR OFFERINGS TO INCLUDE PSYCHOLOGICAL COUNSELING AND EVALUATION AS WELL AS PSYCHIATRY FOR ANXIETY, MOOD DISORDERS AND EVEN BARIATRIC SURGERY COUNSELING. 14) INSTITUTE FOR WEIGHT LOSS RBMC'S INSTITUTE FOR WEIGHT LOSS IS DESIGNED TO HELP PEOPLE WHO ARE SEVERELY OVERWEIGHT AND HAVE NOT FOUND SUCCESS WITH TRADITIONAL WEIGHT LOSS METHODS. THE INSTITUTE SPECIALIZES IN MINIMALLY INVASIVE AND HIGH-QUALITY BARIATRIC SURGICAL CARE, TAKING A MULTI-DISCIPLINARY APPROACH AND ALLOWING FOR PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR CARE TO ACHIEVE THE BEST LONG TERM OUTCOMES. AS PART OF THIS MULTI-DISCIPLINARY APPROACH SPECIALISTS INCLUDING NUTRITIONISTS, PSYCHOLOGISTS, AND EVEN A NURSE NAVIGATOR PROVIDE CARE PRE- AND POSTOPERATIVELY TO ENSURE SUCCESSFUL OUTCOMES. THE INSTITUTE PROVIDES PATIENTS WITH A COMPREHENSIVE PLAN OF CARE, INCLUDING PRE-SURGICAL EDUCATION, NUTRITION AND LIFESTYLE COUNSELING AND POST-SURGICAL SUPPORT AND GROUP MEETINGS. PATIENTS ARE TREATED WITH COMPASSION AND RESPECT BY THE MEDICAL CENTER'S CLINICIANS AND STAFF IN A COMFORTABLE ENVIRONMENT. NURSING ======= RBMC'S NURSING STAFF EXEMPLIFIES THE PRINCIPLES OF "PRIDE IN CARING." COMPRISED OF OVER 550 NURSES, THE NURSING STAFF IS COMMITTED TO PROVIDING THE COMMUNITY WITH THE BEST HEALTHCARE SERVICES DELIVERED WITH COMPASSION AND CLINICAL EXCELLENCE. NURSING SPECIALTIES AT RBMC INCLUDE, BUT ARE NOT LIMITED TO: EMERGENCY INFECTIOUS DISEASE SURGERY DIALYSIS CRITICAL CARE OBSTETRICS/NURSERY ORTHOPEDIC CARDIOLOGY RBMC AND MIDDLESEX COUNTY COLLEGE NURSING PROGRAM ------------------------------------------------- RBMC, IN COLLABORATION WITH MIDDLESEX COUNTY COLLEGE, OFFERS AN ASSOCIATE SCIENCE DEGREE IN THE NURSING PROGRAM. IN THIS TWO-YEAR PROGRAM STUDENTS COMPLETE 35 CREDITS IN GENERAL EDUCATION AND SCIENCE TAUGHT BY MIDDLESEX COUNTY COLLEGE FACULTY AND 35 CREDITS IN NURSING EDUCATION TAUGHT BY RBMC FACULTY. THE CURRICULUM INCLUDES BASICS OF NURSING, MEDICAL-SURGICAL NURSING; A COMBINATION OF OBSTETRICS, PEDIATRICS AND PSYCHIATRY; AND THEN ADVANCED MEDICAL-SURGICAL, WITH AN EMPHASIS ON CRITICAL CARE AND NURSING LEADERSHIP AND MANAGEMENT. STUDENTS RECEIVE THEIR CLINICAL EXPERIENCES AT RBMC, WHICH IS DESIGNATED A MAGNET HOSPITAL FOR NURSING EXCELLENCE BY THE AMERICAN NURSES CREDENTIALING CENTER FOR NURSING EXCELLENCE. THIS DESIGNATION IS GRANTED TO LESS THAN THREE PERCENT OF AMERICA'S HOSPITALS. DISTINGUISHED DINER'S CLUB -------------------------- RBMC'S DISTINGUISHED DINER CLUB IS A SOCIAL GROUP FOR AREA SENIOR CITIZENS THAT MEETS DAILY FOR A WHOLESOME, NUTRITIOUS AND AFFORDABLE DINNER. COMPLETE DINNERS ARE SERVED MONDAY THROUGH FRIDAY AT A SPECIAL LOW COST FOR MEMBERS. SOCIAL INTERACTION AND HEALTH EDUCATION ARE ALSO PART OF THE PROGRAM. THE DISTINGUISHED DINER CLUB IS OFFERED AT BOTH THE PERTH AMBOY AND OLD BRIDGE DIVISIONS OF RBMC. EDUCATION ========= A COMMITMENT TO ONGOING EDUCATION --------------------------------- RBMC'S PERTH AMBOY DIVISION HAS BEEN A TEACHING HOSPITAL AND TRAINING CENTER SINCE 1903, MAINTAINING THE PHILOSOPHY THAT EXCELLENCE IN HEALTH EDUCATION IS THE KEYSTONE TO EXCELLENCE IN HEALTHCARE. RBMC OFFERS EDUCATION PROGRAMS FOR BOTH MEDICAL PROFESSIONALS AND THE GENERAL PUBLIC. HEALTHCARE PROFESSIONALS ------------------------- 1) RBMC AND MIDDLESEX COUNTY COLLEGE NURSING PROGRAM 2) INTERNAL MEDICINE RESIDENCY PROGRAM 3) PROFESSIONAL EDUCATION 4) STAFF EDUCATION COMMUNITY EDUCATION ------------------- 1) CPR TRAINING 2) CHILDBIRTH CLASSES 3) FAMILY CENTER 4) SPEAKER'S BUREAU AUXILIARIES AND VOLUNTEERS ========================== AUXILIARIES ----------- ANOTHER OPPORTUNITY TO HELP THROUGH A VARIETY OF FUNDRAISING EVENTS AND SERVICE PROJECTS, THE MEN AND WOMEN OF RBMC'S AUXILIARIES SUPPORT RBMC IN ITS MISSION TO PROVIDE PERSONALIZED, QUALITY, HEALTHCARE TO THE RESIDENTS OF CENTRAL NEW JERSEY. RBMC BENEFITS FROM THE SUPPORT OF SIX AUXILIARY GROUPS, EACH WITH ITS OWN UNIQUE PROJECTS. THESE INCLUDED FASHION SHOWS, VENDOR SALES, 50/50 RAFFLES AND PARTICIPATION IN COMMUNITY FAIRS. PERTH AMBOY AUXILIARY - ESTABLISHED IN 1888, THE PERTH AMBOY AUXILIARY IS ONE OF THE OLDEST AND MOST DISTINGUISHED AUXILIARIES IN NEW JERSEY, AND HAS RAISED MILLIONS OF DOLLARS IN SUPPORT OF THE PERTH AMBOY DIVISION. OLD BRIDGE AUXILIARY - THIS AUXILIARY, FOUNDED IN 1976, SUPPORTS THE OLD BRIDGE DIVISION'S DELIVERY OF QUALITY AND COMPASSIONATE HEALTHCARE TO THE COMMUNITY. PERTH AMBOY AND OLD BRIDGE JUNIOR CHAPTERS - 13 TO 18 YEAR OLD HIGH SCHOOL STUDENTS ARE GIVEN THE OPPORTUNITY TO LEARN MORE ABOUT HEALTHCARE PROFESSIONS AS THEY SUPPORT RBMC THROUGH SERVICE PROJECTS IN THESE CHAPTERS OF THE PERTH AMBOY AND OLD BRIDGE AUXILIARIES. COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS VOLUNTEERS ---------- RBMC VOLUNTEERS ARE GENEROUS INDIVIDUALS WHO BRING COMFORT, CARING AND ASSISTANCE TO PATIENTS AND STAFF AT RBMC'S PERTH AMBOY AND OLD BRIDGE DIVISIONS. MORE THAN 500 VOLUNTEERS SHARE THEIR TIME AND TALENTS EACH YEAR. AS A VOLUNTEER, YOU ARE SURE TO FIND PERSONAL SATISFACTION IN KNOWING THAT YOU ARE MAKING A DIFFERENCE TO OTHERS. IN ADDITION, YOU MAY FORM NEW FRIENDSHIPS, ACQUIRE JOB EXPERIENCE AND PERHAPS EXPLORE A HEALTHCARE CAREER. RBMC VOLUNTEERS ASSIST AND ENHANCE THE DAILY ACTIVITIES OF RBMC. WHILE DUTIES AND RESPONSIBILITIES VARY, EVERY VOLUNTEER ASSIGNMENT IS AN IMPORTANT AND KEENLY APPRECIATED SERVICE. VOLUNTEERS ASSIST IN THE FOLLOWING AREAS: 1) CENTER FOR WOMEN 2) DIETARY 3) EMERGENCY ROOM 4) GIFT SHOP 5) GOLDEN SPOONS: PATIENT FEEDING PROGRAM 6) HEALTHCARE FOUNDATION 7) HUMAN RESOURCES 8) INFORMATION DESK 9) LIBRARY CHART 10) MEDICAL RECORDS 11) MOBILE INTENSIVE CARE UNIT 12) NURSING UNITS 13) PHARMACY 14) PHYSICAL THERAPY 15) RADIOLOGY 16) PET THERAPY 17) STAFF DEVELOPMENT 18) SLEEP CENTER 19) VOLUNTEER SERVICES COMMUNITY BENEFIT PROGRAMS AND SERVICES ======================================= SPEAKERS BUREAU --------------- RBMC PROUDLY OFFERS THE COMMUNITY ACCESS TO A WIDE VARIETY OF FREE EDUCATION PROGRAMS ON A MULTITUDE OF HEALTH AND WELLNESS TOPICS. HEALTHCARE PROFESSIONALS VOLUNTEER THEIR TIME AND VISIT YOUR GROUP TO SHARE INFORMATION AND EDUCATE. SOME OF THE TOPICS INCLUDE: 1) BIOTERRORISM 2) FIRST AID 3) EMERGENCY CARE 4) LIVING WILLS AND ADVANCE DIRECTIVES 5) DEPRESSION 6) CRISIS: WHAT IS IT? HOW TO SURVIVE IT 7) SUBSTANCE ABUSE 8) SENIOR SERVICES 9) MAMMOGRAPHY 10) CRITICAL CARE 11) ASSERTION TECHNIQUES 12) RELAXATION TECHNIQUES 13) AIDS 14) SEXUALLY TRANSMITTED DISEASES 15) CHOKING/HEIMLICH 16) CPR 17) STRESS MANAGEMENT 18) DRUG ADDICTION 19) DIABETES 20) EFFECTS OF AGING 21) BEHAVIOR PROBLEMS 22) ABUSE 23) DEATH AND DYING 24) ALCOHOLISM 25) CHILD ABUSE 26) LYME DISEASE 27) CARDIAC DISEASE 28) AGGRESSION 29) ADVANCED CARDIAC LIFE SUPPORT 30) CHOLESTEROL 31) EATING RIGHT 32) ANXIETY DISORDERS 33) NEWBORN CARE 34) SIDS 35) HYPERTENSION 36) HEPATITIS C SUPPORT GROUPS ============== - CANCER - CARDIAC CLUB - CPAP (SLEEP APNEA) SUPPORT GROUP - HIV BREAST CANCER SUPPORT GROUPS ---------------------------- THE JACQUELINE M. & ROBERT N. WILENTZ CANCER CENTER AT RBMC SPONSORS A SERIES OF BREAST CANCER SUPPORT GROUPS. THE PURPOSE OF THE GROUP IS TO EDUCATE AND INTERACT WITH WOMEN LIVING WITH BREAST CANCER, VIA COMMUNICATIONS AND THE SHARING OF EXPERIENCES. ISSUES DISCUSSED WILL INCLUDE NUTRITION AND EXERCISE, CURRENT TREATMENT MODALITIES AND SPIRITUALITY. CARDIAC CLUB ------------ CARDIAC CLUB IS A FREE MONTHLY SUPPORT GROUP FOR THOSE DIAGNOSED WITH HEART DISEASE. A RBMC PROFESSIONAL WILL LECTURE ON CARDIAC-RELATED TOPICS. SOME TOPICS THAT WILL BE EXPLORED THIS YEAR INCLUDE CONGESTIVE HEART FAILURE, ANGINA, HEART ATTACK, PACEMAKER, WEIGHT LOSS, ANXIETY AND STRESS, HERBAL AND CARDIAC DRUGS AND LOW FAT DIET. A CARDIAC NURSE EDUCATOR WHO TEACHES HOSPITALIZED PATIENTS RUNS THE SUPPORT GROUP. THE GROUP PROVIDES CONTINUING SUPPORT TO FORMER PATIENTS AND THEIR FAMILIES, AND ANYONE IN THE COMMUNITY WITH A CARDIAC CONDITION. CPAP (SLEEP APNEA) SUPPORT GROUP -------------------------------- THE CENTER FOR SLEEP MEDICINE AT RBMC SPONSORS A CPAP SUPPORT GROUP. CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICES ARE BECOMING INCREASINGLY COMMON FOR THE RELIEF OF THOSE SUFFERING FROM SLEEP APNEA. THE PURPOSE OF THIS GROUP IS TO PROVIDE SUPPORT, EDUCATION, AND UNDERSTANDING FOR USERS AND THEIR FAMILIES. THE GROUP WILL MEET QUARTERLY AND EXPERTS WILL BE ON HAND TO RESPOND TO YOUR QUESTIONS AND CONCERNS. REPRESENTATIVES FROM DEVICE MANUFACTURERS WILL BE AVAILABLE TO GIVE ADVICE ON THE USE AND ADJUSTMENTS OF THE CPAP MACHINES. EARLY INTERVENTION & SUPPORT PROGRAM ------------------------------------ INDIVIDUALS WITH HIV CAN RECEIVE COMPREHENSIVE MEDICAL CARE AND TREATMENT, INCLUDING SPECIALIZED HEALTH EDUCATION AND CASE MANAGEMENT SERVICES, THROUGH RBMC'S EARLY INTERVENTION PROGRAM. COMPREHENSIVE HIV SERVICES INCLUDE THE AIDS OUTREACH & SUPPORT PROGRAM AND FREE AND CONFIDENTIAL HIV COUNSELING AND TESTING. OTHER SUPPORT GROUPS INCLUDE, BUT ARE NOT LIMITED TO: ----------------------------------------------------- - HIV SUPPORT GROUP MEETING - ALZHEIMER'S DISEASE AND DEMENTIA CAREGIVERS SUPPORT GROUP MEETING - BARIATRIC WEIGHT LOSS SUPPORT GROUP MEETING - CHILDBIRTH EDUCATION / LAMAZE CLASS OTHER COMMUNITY BENEFIT PROGRAMS/CLASSES ======================================== - CHILDBIRTH PREPARATION CLASS - MATERNITY TOUR - DOCTOR DAD - CAR SEAT SAFETY CHECKS - SIBLING CLASSES - BREAST FEEDING 101 - SAFE - SITTER TRAINING - BREAST FEEDING 101 - SAFE - SITTER TRAINING 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; QUESTIONS 6 & 7 RARITAN BAY HEALTH SERVICES CORPORATION ("RBHSC") IS THE SOLE MEMBER OF THIS ORGANIZATION. RBHSC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RARITAN BAY HEALTH SERVICES CORPORATION IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS 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, PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS GOVERNING BODY AND FILING WITH THE IRS, THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTE OF RBMC AT A REGULARLY HELD MEETING FOR REVIEW BY ITS MEMBERS. THE ORGANIZATION'S FINANCE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS 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 KEY FINANCE PERSONNEL AND SENIOR MANAGEMENT FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW AND THE MEETING WITH THE ORGANIZATION'S FINANCE COMMITTEE, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL FOR REVIEW. THEREAFTER THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR 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 AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE 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 AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTIAN 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. 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 THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/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: - CHANGE IN PENSION LIABILITY TO BE RECOGNIZED IN FUTURE YEARS - ($4,922,437); - TEMPORARILY RESTRICTED GIFTS, GRANTS AND BEQUESTS - $2,453,014; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED IN OPERATIONS - ($1,238,164); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED FOR PURCHASE OF PROPERTY, PLANT AND EQUIPMENT - ($100,709); AND - CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - $55,096. AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RARITAN BAY MEDICAL CENTER AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS EACH YEAR. THE RARITAN BAY MEDICAL CENTER 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. RARITAN BAY HEALTHCARE FOUNDATION 471 LAWRIE STREET PERTH AMBOY NJ 08661 222656665 SUPPORT RBMC NJ 501(C)(3) 509(A)(1) RB HS CORP false RARITAN BAY HEALTH SERVICES CORP 530 NEW BRUNSWICK AVENUE PERTH AMBOY NJ 08861 222635626 HOLDING CO. NJ 501(C)(3) 509(A)(3) NA false RARITAN BAY MED CTR OLD BRIDGE AUXINC ONE HOSPITAL PLAZA OLD BRIDGE NJ 08857 222230979 SUPPORT RBMC NJ 501(C)(3) 509(A)(3) RB HS CORP false RBMC PERTH AMBOY AUX INC 530 NEW BRUNSWICK AVENUE PERTH AMBOY NJ 08861 222142491 SUPPORT RBMC NJ 501(C)(3) 509(A)(3) RB HS CORP false OLD BRDGE MED ASSOC 1 HOSPITAL PLAZA OLD BRIDGE NJ 08861 222894388 HEALTH SVCS. NJ RBMC RELATED 1404885 4344590 false 0 true 0.79860 RARITAN BAY MGMT SVC ORGANIZATION INC 530 NEW BRUNSWICK AVENUE PERTH AMBOY NJ 08861 223469753 MGMT SVCS. NJ NA C CORP. false PRIMARY CARE NETWORK AT RARITAN BAYPC 530 NEW BRUNSWICK AVENUE PERTH AMBOY NJ 08861 223442277 HEALTH SVCS. NJ RBMC C CORP. 0 0 1.00000 true RARITAN MANAGEMENT CORP 530 NEW BRUNSWICK AVENUE PERTH AMBOY NJ 08861 222209778 AMBULANCE SVCS. NJ NA C CORP. false RARITAN INSURANCE LTD 23 LIME TREE BAY AVE PO BOX 1363 GRAND CAYMAN CJ FINANCIAL VEHICLE CJ RBMC FOREIGN CORP. 710581 6801759 1.00000 true RARITAN BAY PHYSICIANS GROUP PC 530 NEW BRUNSWICK AVENUE PERTH AMBOY NJ 08861 453998336 HEALTHCARE SVCS. NJ NA C CORP. false false false true true false false false false false false false false false false true false true false false RARITAN MANAGEMENT CORPORATION D 155627 COST RARITAN BAY HEALTH SERVICES CORPORATION D 85087 COST RARITAN BAY HEALTHCARE FOUNDATION D 161627 COST RARITAN BAY HEALTHCARE FOUNDATION C 100709 COST RARITAN BAY HEALTHCARE FOUNDATION O 350674 COST TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RARITAN BAY MEDICAL CENTER 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.