| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Hackensack university medical center (the "medical center"hackensackumc") is a not-for-profit new jersey corporation exempt from federal income taxes under section 501(c)(3) of the internal revenue code of 1986, as amended (the "code"). Hackensackumc owns and operates a 775 licensed bed acute care teaching hospital located at 30 prospect avenue in the city of hackensack, bergen county, new jersey. Bergen county is the largest county by population in the state of New Jersey (the "state"), with a 2013 population of 918,888. According to the u.s. census bureau 2013 population estimates, it has the sixteenth highest per capita income in the united states. The medical center is located near major highways in northeastern new jersey, including interstate 80, the new jersey turnpike, the garden state parkway, state routes 4, 17, and 46 and is approximately 12 miles from new york city. Hackensackumc was founded in 1888 as a 12-bed hospital to provide acute care for the residents of the city of hackensack. The medical center has evolved from a community hospital offering patients a secondary level of healthcare services to a teaching hospital affiliated with Georgetown University School of Medicine, Rutgers New Jersey Medical School, Seton Hall University, St. Georges University, and Stevens Institute of Technology, offering an increasing array of tertiary and quaternary patient services. Hackensackumc provides these services primarily to residents of bergen, hudson and passaic counties, but also to patients from throughout the state and adjacent counties in southeastern new york and eastern pennsylvania. To learn more, visit hackensackumc.org. Hackensackumc is a regional leader in many service programs and its management believes that patients whose primary physicians are not on the hackensackumc medical staff are referred to hackensackumc because of its reputation for high-quality care and its array of specialized services, such as: cardiac services; oncology (which includes one of the largest bone marrow/stem cell transplantation programs in the country); transplantation services; and women's and children's services. Since 1999, the medical center's bed complement has increased from 579 licensed beds to the present licensed complement of 775 beds. Adult and pediatric occupancy has consistently approximated 90% soon after each bed capacity expansion of 30 beds in 2000, 68 beds in 2001, and 98 beds in 2006, which further supports the necessity of the medical center within its community. Hackensackumc is bergen county's largest employer with a work force in 2015 of 8,697 employees. Hackensackumc has a volunteer population of approximately 1,800 men, women, and teenagers, who donate their time to hackensackumc each year. Hackensackumc offers one of the region's most modern campuses, which is continually updated and expanded to incorporate emerging clinical approaches, medicine, and technologies. The medical center consists of seventeen buildings and five freestanding parking garages, located on its main campus in the city of hackensack. Seven of the buildings are used for inpatient services and six are used for outpatient services. On this campus, hundreds of specialized programs and services are delivered. Hackensack university health network: Hackensack University Health Network ("hackensackuHN") is the New Jersey-based parent company of HackensackUMC, HackensackUMC Palisades, the HackensackUMC Foundation, Hackensack University Medical Group, and corporate joint venture partners with LHP Hospital Group in ownership of two hospitals: HackensackUMC at Pascack Valley and HackensackUMC Mountainside. In 2015, HackensackUHN welcomed Englewood Hospital and Medical Center as an affiliate hospital. In May 2015, HackensackUHN signed a definitive agreement to merge with Meridian Health; creating one, integrated healthcare delivery system, known as Hackensack Meridian Health. In June 2015, HackensackUHN and Seton Hall University announced a definitive agreement to form a new, four-year school of medicine the only private medical school in New Jersey. HackensackUHN also enjoys clinical and academic affiliations with some of the nations most well-renowned health systems, hospitals and universities, including: Aetna, AllSpire Health Partners, CityMD, Georgetown Lombardi Comprehensive Cancer Center, Good Samaritan Regional Medical Center, Horizon Blue Cross and Blue Shield of New Jersey; MedStar Georgetown University Hospital, MinuteClinic, NYU Langone Medical Centers Division of Pediatric Surgery, OMNIA Health Alliance; Rutgers Medical School, St. Georges University, Stevens Institute of Technology, Summit Medical Group, The Statesir Cancer Center at CentraState, and United Surgical Partners International. With more than 10,800 employees, 3,300 credentialed medical staff members and 1,717 hospital and nursing home beds at hospitals within the Network, Hackensack University Health Network is one of the largest healthcare systems in New Jersey. World-class cardiac care: Hackensackumc is home to the heart & vascular hospital, one of america's most comprehensive cardiac and vascular care centers. This "hospital within a hospital" provides a full-range of state-of-the-art invasive and non-invasive services, including electrophysiology studies, a state-designated cardiac catheterization center, and one of the largest cardiac surgery programs in the state. The care at the heart & vascular hospital has garnered national recognition by ranked in u.s. news & world report's 2015-16 best hospitals list for cardiology & heart surgery, and listed on becker's hospital review 2015 "100 hospitals with great heart programs" list. Led by breakthrough research, the heart & vascular hospital integrates preventive, diagnostic, and treatment services with a special focus on cardiovascular disease management. Inpatients and outpatients are treated for all types of cardiac and vascular diseases by an array of specialists-all from one central location. This collaborative, multidisciplinary model allows for more efficient and effective care. One of the nation's largest cancer centers: At 155,000 square-feet, the john theurer cancer center at hackensackumc is one of the nation's largest and most comprehensive cancer centers, and ranks in the top 10 for patient volume. Opened in december of 2010, the cancer center has quickly established a reputation of excellence. Becker's hospital review listed the john theurer cancer center on its "100 hospitals and health systems with great oncology programs" list. The cancer center houses outpatient cancer services and incorporates diagnostic facilities, chemotherapy preparation and infusion areas, pharmacy and laboratory resources, as well as a full spectrum of radiation oncology services. We have 14 specialized teams on-site who are fully engaged in the medical and emotional care of patients and their loved ones. Each of the 14 divisions features teams of physicians, nurses, technologists, and support staff with clinical and research expertise in a specific type of cancer, allowing for advanced, focused care. The john theurer cancer center was built following eco-friendly guidelines outlined by the leadership in energy and environmental design and developed by the u.S. Green building council, making it an institution devoted to life-sustaining practices from the inside out. Nationally-renowned children's hospital: As a state-designated children's hospital, the joseph m. Sanzari children's hospital provides comprehensive medical and surgical pediatric care in more than 30 specialties, all integrated within a state-of-the-art child-focused facility. The 300,000 square-foot facility offers 24-hour access to leading physicians, nurses, staff and a pediatric emergency department. This facility is one of the country's first environmentally-responsible and sustainable healthcare facilities, and has been ranked as one of the top 10 green hospitals by the green guide. Environmentally-friendly hospital designed just for women: The donna a. Sanzari women's hospital is dedicated to providing superior care to its patients. The hospital is part of the 300,000 square-foot sarkis and siran gabrellian women's and children's pavilion. The pavilion was carefully planned and developed with the Deirdre Imus Environmental Health Center to provide exceptional patient satisfaction and services within an environmentally healthy facility. Its design, energy systems, cleaning supplies, linens, medical equipment, and even the food prepared for patient/staff/visitor consumption are environmentally friendly in keeping with the values of the deirdre imus environmental center for pediatric oncology, an award-winning non-profit organization at hackensackumc. |
| CORE FORM, PART III |
In 2015, we welcomed more than 6,358 babies - more than any other hospital in new jersey - a true testament to our long history of trusted care in the community. In 2015, hackensackumc was named one of the "100 Hospitals with Great Women's Health Programs" by Beckers Hospital Review, and was named one of 2015 Americas Best Hospitals for Obstetrics by WomenCertified Inc. Quality & accreditations: Hackensackumc is continuing to prove that "impossible" is just an opinion. We've created an environment that encourages medical innovation to flourish by recruiting top doctors and giving them freedom to push research and treatments beyond traditional thinking. Some of hackensackumc's awards include: - HackensackUMC was listed as the number one hospital in New Jersey and ranked among the top four New York Metro Area hospitals by U.S. News & World Report in its 2015-16 Best Hospitals list. - Received 5 national rankings in: Cardiology & Heart Surgery; Geriatrics; Neurology & Neurosurgery; Orthopedics; and Urology. - Also listed as high-performing in the New York metro area in six specialties: Gynecology; Nephrology; Cancer; Ear, Nose & Throat; Gastroenterology & GI Surgery; and Pulmonology. - 2015 Healthgrades Americas 50 Best Hospitals the only hospital in NJ, NY and New England to receive nine years in a row. - The first hospital nationwide recognized by the U.S. Department of Health and Human Services (HHS) for reaching Phase IV Gold level achievement in the Workplace Partnership for Life Hospital Campaign. - HackensackUMCs Bariatric Surgery program (including Gastric Stapling and Gastric Banding) for being recognized as a Blue Distinction Center (BDC) and a Blue Distinction Center+ (BDC+) by the Blue Cross Blue Shield Association. - Healthgrades Distinguished Hospital Award - Clinical Excellence Award - 13 years in a row (2003-2015), placing the hospital among the Top 5% of the nations hospitals for overall quality for more than a decade. HackensackUMC is the only hospital in NJ, NY and New England to receive this award for 13 consecutive years. - 23 Joint Commission Gold Seals of Approval the most in the country: Abdominal Aortic Aneurysm, Acute Myocardial Infarction, Asthma, Asthma (Pediatrics), Bone Marrow Transplant, Breast Cancer, Carotid Stenosis, Chronic Obstructive Pulmonary Disease, Colorectal Cancer, Coronary Artery Bypass Graft, Depression, Geriatrics Delirium, Heart Failure, Inpatient Diabetes, Joint Replacement Hip, Joint Replacement Knee, Multi-System Trauma, Palliative Care, Peripheral Vascular Disease, Pneumonia, Prostate Cancer, Stroke (Primary Stroke Center), and Uterine-Ovarian Cancer. - 2015/2016 National Research Corporation Consumer Choice Award 20th consecutive year and every year since the awards inception. - 2014 NJBIA Award for Excellence in Environmental Quality. - 2015 Beckers Hospital Review Awards: 100 Hospitals With Great Orthopedic Programs, 100 Hospitals With Great Heart Programs, 150 Great Places to Work in Healthcare, 100 Hospitals with Great Womens Health Programs, 100 Great Hospitals, 100 Hospitals and Health Systems With Great Oncology Programs; 50 Top-Grossing Nonprofit Hospitals in America, 125 Hospitals and Health Systems with Great Orthopedic Programs, 100 ACOs to Know, 50 of the Greenest Hospitals in America. - CEO Cancer Gold Standard Re-designation. - Radiology successfully achieved American College of Radiology accreditation, and The American College of Radiology (ACR) recognized HackensackUMC as the first-ever Diagnostic Imaging Centers of Excellence Award recipient, recognizing a distinctive level of excellence in diagnostic imaging. - First nonprofit hospital in the state to sign MOU with EPA for Green/Sustainability Initiative. - Awarded Practice Greenhealths highest honor as a 2015 Environmental Excellence Award winner, earning recognition as one of the Top 25 green hospitals in the country two years in a row. - NJBIZ Hospital of the Year 2015. - New York Corporate Culture Award winner by SmartCEO. Centers of excellence: - Don imus/wfan pediatric center for tomorrows children - Sarkis and siran gabrellian women's and children's pavilion - John theurer cancer center - Heart & vascular hospital - Joseph m. Sanzari children's hospital - Pediatric emergency department - Gregory m. Hirsch hypertrophic cardiomyopathy center - David joseph jurist research center for tomorrows children - Jeffrey m. Creamer emergency and trauma center - Donna a. Sanzari women's hospital - Sarkis & siran gabrellian child care and learning center - Audrey hepburn children's house - Hekemian conference center - Center for asthma, allergy, and immune disorders - Beyond day spa - Bloodless medicine - Betty torricelli institute for breast care - Executive health program - Institute for sleep-wake disorders - Deirdre imus environmental health center - Center for abnormal placentation - The comprehensive stroke center - Molly diabetes education/management center for adults & children - Dave winfield nutrition center Patient care Magnet status: Nursing, the largest group at the forefront of care delivery, is the backbone of HackensackUMCs frontline of care. Its 1,931 nurses are renowned for achieving Magnet recognition for Nursing Excellence, the highest honor that can be bestowed by the American Nurses Credentialing Center. The medical center was the first in New Jersey and the second in the country to receive this designation a-true testament to the quality of care delivered at HackensackUMC. In January 2014, HackensackUMC received its fifth Magnet designation by the American Nurses Credentialing Center-making the medical center just one of two hospitals in the entire nation to achieve this feat. After a rigorous three-day site visit by the Magnet Appraisal Team in December, they unanimously re-designated HackensackUMC as a Magnet hospital for its 20th consecutive year. Every organization has its honors and awards to recognize excellence in the field, the pursuit of the highest values, and the attainment of goals to which all others aspire. In nursing, the highest recognition that a hospital or hackensackumc can attain is the american nurses credentialing center's magnet award - an affirmation that an institution attracts and retains well-qualified nurses, upholds stringent standards for nursing practice, and promotes exceptional patient care. To be a magnet hospital means that a never-ending culture of excellence exists at hackensackumc. It is evident in the way we care for patients and their families, recognizing that each patient has individual needs, concerns, and ways of coping with illness. To be a magnet hospital means that hackensackumc values the contributions of its nurses and seeks their input in all administrative and patient care decisions. To be a magnet hospital means that other leading hospitals - such as massachusetts general hospital, the cleveland clinic, and johns hopkins hospital - turn to them for extensive mentoring. In September 2015, HackensackUMCs Coronary Care Unit (CCU) and Medical Intensive Care Unit (MICU) received the Silver Beacon Award for Excellence. The Beacon Award is a prestigious honor given by the American Association of Critical-Care Nurses (AACN) to adult critical care units that achieve high-quality outcomes exemplifying excellence in professional practice, patient care and outcomes. HackensackUMC joins only 14 other units in New Jersey to achieve Beacon designation, which indicates to patients and their families high levels of care, satisfaction and exceptional clinical outcomes. HackensackUMC was named one of the 30 Most Nurse-Friendly Hospitals in the United States by Top RN to BSN, a leading online information source for current and prospective nursing students, in 2015. |
| CORE FORM, PART III |
Hackensackumc is proud of its many innovations, technologies, research projects, and medical expertise. But at the top of the list is the entity that often means the most to the patients - unparalleled nursing excellence that makes hackensackumc stand tall over all others. Hackensackumc purpose, goal, and beliefs: Purpose - hackensackumc is a team committed to providing an exceptional patient experience through quality patient-centered care, education, research, and community outreach. Goal - quality continues to evolve as the number one, non-negotiable value that drives hackensackumc's mission and actions. Hackensackumc incorporates emerging business management operations to reflect a vision that puts patients in charge. Beliefs - hackensackumc is guided by the following beliefs: - quality - achieving excellence in patient-centered care and service. - service - committing to anticipate and fulfill the needs, requests, and wishes of the customers. - patient - centered care - providing care that is compassionate, empathic, and responsive to the needs, values, and preference of individual patients and the families of patients. - innovation - advancing the delivery of healthcare through the use of cutting-edge technology, research, education, and processes that achieve desired outcomes. - communication - providing timely, reliable information which results in understanding. - integrity - acting in a responsible and ethical manner. - professionalism - accepting individual responsibility and accountability within our roles, as defined by the standards of the profession. - respect - listening to, and valuing, diverse opinions. - satisfaction - creating a safe, supportive, and healing environment that inspires us to exceed the needs and expectations of patients, the families of patients, physicians, and employees. Medical specialties/services: In addition to providing a comprehensive array of secondary level patient care, the medical center provides tertiary and quaternary services to a wide referral area. These services include: Cardiac care: The medical center is one of the largest and most comprehensive providers of cardiac care in the state offering a full-range of state-of-the-art invasive and non-invasive diagnostic and treatment services including preventive cardiology with ultra fast computerized electron beam tomography, non-invasive cardiology laboratory, pacemaker center, congestive heart failure and pulmonary hypertension program, cardiac catheterization laboratory, electrophysiology program, cardiac surgery, and cardiac rehabilitation. Hackensackumc's eight cardiac catheterization laboratories are using radio-frequency for totally blocked arteries, intracoronary ultrasound, and neuro-intravascular procedures. Recently the ability to temporarily place a catheter-based heart assist device allows the performance of interventional procedures even in the highest-risk patients. Electrophysiology includes atrial fibrillation ablations, lead extractions, and electro anatomical mapping with cardiomerge technology. The heart center is an outpatient cardiac department that offers stress testing, echocardiograms, halter monitor services, a pacemaker center, electron-beam tomography, enhanced external counter pulsation, and outpatient diagnostic services. A new picture archiving communication system and report-generating system has recently been installed. The new heart & vascular hospital is charting the future of cardiovascular care in new jersey. Hackensackumc has embarked on a mission to recruit the very best cardiologists in the community to enhance the state-of-the-art diagnostic and treatment services offered at the new, cutting-edge heart & vascular hospital. This "hospital within a hospital" provides additional space, superior patient care, and access to leading technology. Cancer care: The john theurer cancer center at hackensackumc is new jersey's largest and most comprehensive center dedicated to the diagnosis, treatment, management, research, screenings and preventive care of patients with all types of cancer, and is among the nation's top providers in patient volume. There were 2,776 blood and marrow stem cell transplants performed in 2015. Housed within hackensackumc, the cancer center provides state-of-the-art technological advances, compassionate care, research innovations, medical expertise, and a full range of after care services that distinguish the cancer center from other facilities. The cancer center has experienced steady growth in its cancer care programs. It offers patients access to one of fourteen specialized divisions: bone marrow transplantation, breast, gastrointestinal, genitourinary, gynecological, head and neck, leukemia, lymphoproliferative, multiple myeloma, neuro-oncology, skin and sarcoma, supplementary care and pain management, thoracic, and research. In addition, it is one of only 50 programs in the nation designated as a community clinical oncology program (ccop) by the national cancer institute (nci) of the national institutes of health. A ccop is a group of community hospitals and physicians funded by a peer-reviewed cooperative agreement to participate in nci-sponsored cancer treatment, prevention, and controlled clinical trials. The cancer center encompasses the entire range of advanced diagnostic and treatment capabilities that are available only at major hospitals such as hackensackumc. These include all types of imaging studies, including pet scanning, mri, ct scanning, and nuclear medicine; advanced minimally invasive surgical diagnostics, such as stereotactic biopsies and sentinel lymph node mapping; robotic and minimally invasive surgical procedures; state-of-the-art radiation therapy, including intensity modulated radiation therapy (imrt), tomotherapy, implant and high-dose-rate brachytherapy, and stereotactic radiosurgery; non-surgical treatments, including radiofrequency ablation; advanced chemotherapy using new medications and combinations; hormonal therapy; stem cell transplantation; and highly promising immunotherapy using vaccines to destroy cancer cells. However, at the cancer center, hackensackumc is not satisfied to provide the most advanced, state-of-the-art services and technology available today. Nor is it satisfied to provide cutting-edge basic research, clinical trials, and innovative treatment methods that are not found anywhere else in new jersey. When it comes to helping people face the biggest challenge of their lives - a diagnosis of cancer - hackensackumc reaches beyond its facilities, its equipment, and its treatments and offers patients the best of hackensackumc, the cancer care team of dedicated individuals. No treatment can work without the skills, expertise, and compassion of hackensackumc's extraordinary team of cancer care experts. Its mission to provide extraordinary care starts with each member of its team. Hackensackumc pledges to partner with patients in the fight of their lives, and to make every effort to support them during their experiences with hackensackumc. Hackensackumc cares for patients with dignity and respect as hackensackumc makes this journey together with patients. The cancer center works closely with several centers of excellence that offer diagnostic and treatment capabilities that are not readily available at other cancer facilities in new jersey. These include the world-renowned adult blood and marrow stem cell transplantation program; the prostate cancer institute of new jersey; the betty torricelli institute for breast care; the institute for radiosurgery; the colon cancer prevention center; and the department of radiation oncology. The cancer center is the first cancer center in new jersey to acquire a new, cutting edge radiotherapy system that enables a radically different approach to treating cancer with image-guided radiotherapy (igrt) known as the truebeam system. This state-of-the-art radiotherapy system allows the john theurer cancer center to offer even faster treatments, enhanced accuracy, and quicker imaging at lower doses. Basic research/CANCER CARE: Basic research studies at the cancer center and hackensackumc's on-site david joseph jurist research center for tomorrows children are currently looking into the origins of cancer at the molecular level, how and why cells progress into cancer, and the basic biology of graft-versus-host disease, a common and potentially fatal side effect of stem cell transplantation. Stem cell transplantation is used to treat hematological (blood) cancers, such as leukemia and lymphoma; cancers that involve solid tumors, such as breast and ovarian cancer; serious blood disorders; and immune system deficiencies. |
| CORE FORM, PART III |
Clinical trials offer innovative treatments: As a world-class facility and academic hospital, the cancer center is actively involved in clinical trials that bring research advances directly to patients. The cancer center participates in more than 100 international and national cancer clinical trials that give patients access to promising investigational medications, treatment protocols, and surgical techniques that are often not available at other facilities in new jersey. Key areas of cancer research that are currently taking place include targeted therapies that pinpoint cancer cells and spare normal cells, gene therapy to mutate cancer, advances in stem cell transplantation, new combinations of chemotherapy, new radiation oncology cancer cells and safe viruses to make vaccines that combat cancer. Bone marrow transplantation program: The adult blood and marrow stem cell transplantation program provides autologous and allogeneic hematopoietic stem cell transplantation in the treatment of malignant and non-malignant diseases including use of bone marrow, peripheral blood stem cells, and umbilical cord blood stem cells. This program also serves as a collection facility for national marrow donor program donor centers. The adult blood and marrow stem cell transplantation program, was the first center in the country to receive a bone marrow transplant disease specific recognition by the joint commission (formerly the joint commission on accreditation of healthcare organizations, the "joint commission") a non-profit organization that accredits and certifies over 15,000 healthcare organizations and programs in the united states. An affiliation has been formed with the transplant program at the national cancer institute of the national institutes of health, which enables sharing of protocols. This program has over twenty-one open transplant protocols in use at this time and eight more awaiting approval. The institute for breast care: Staffed by radiologists, pathologists, nurses and technologists specially trained in breast care, the institute for breast care offers comprehensive breast diagnostic services. These services include screening and diagnostic mammography, breast ultrasound, breast magnetic resonance imaging ("mri"), stereotactic guided core biopsies, ultrasound guided procedures (fine needle aspiration and core biopsy), needle localizations for excisional biopsies, and radiologic second opinions. The onsite pathology laboratory permits immediate evaluation of the specimens when needed. The institute for breast care also conducts breast cancer research, including prevention, and provides patient and community education and support. Specialized pediatric care: The medical center is the only hospital in its service area that offers a comprehensive range of pediatric specialty and subspecialty services at one location. As a result of its extensive range of services, the medical center has been designated as an institutional member of the national association of children's hospitals and related institutions, as a children's hospital by the new jersey department of health and senior services (njdhss), as a regional perinatal center by njdhss and as a regional diagnostic and treatment center for abused children by the legislature of new jersey. The medical center's pediatric services and programs include, but are not limited to, neonatology and pediatric pulmonology, neurosciences, rheumatology, hematology/oncology, infectious diseases, renal transplantation, nephrology, gastroenterology, cardiology, immunology, dermatology, endocrinology, child development (autism), and the only bone marrow transplant program in new jersey. The medical center is the only hospital in bergen county that is designated as a regional perinatal center. A regional perinatal center provides all levels of pre- and post-natal medical, surgical, and subspecialty services for mothers and babies. The medical center is equipped and staffed to handle high-risk pregnancies and complications of full-term and premature newborns. The program provides 24-hour, seven-day-a-week coverage by perinatologists, neonatologists, and pediatricians. The medical center operates a neonatal intensive care unit (nicu) which provides 24-hour coverage by board-certified neonatologists. The medical center also operates a pediatric intensive care unit (picu), which provides care for children who require critical monitoring and intensive medical intervention. Transport services are provided for children from outlying hospitals who are referred to both the picu and the nicu. An adjacent pediatric epilepsy monitoring unit to the picu is the only level 4 (the highest level) epilepsy center in the state accredited by the national association of epilepsy centers. The pediatric emergency and trauma program provides emergency care for children with acute illnesses and traumatic injuries. It is physically separate from the adult emergency department and is staffed by trained pediatric physicians and nurses. The Childrens Cancer Institute provides specialized care to children with hematology/oncology disorders. The institute for child development provides diagnostic and therapeutic services for infants, children and adolescents with developmental and behavioral problems. It is also a state-funded center of excellence for autism spectrum disorders. The pediatric rheumatology program is the largest in the new york metropolitan area. The program primarily receives referrals from physicians in bergen, hudson, and passaic counties but also attracts patients throughout the united states and internationally. The medical center is a regional diagnostic and treatment center for abused children, and is one of three such centers in the state. This center is housed in its own facility, known as audrey hepburn children's house, located adjacent to the medical center. While at audrey hepburn children's house, children and adolescents who are suspected victims of abuse and/or neglect receive diagnostic and therapeutic services, and undergo evaluation by a multi-disciplinary team in a supportive environment rather than undergoing a traumatic process of multiple evaluations in a hospital setting. The medical center's other associated/supportive services for children include the cj foundation for sudden infant death syndrome ("sids") and the new jersey sids center, dedicated to funding research into and counseling families stricken by sids; the molly foundation for diabetes research, which funds research in the treatment and possible cure for juvenile diabetes; the steven and richard bader immunological center, which provides a multi-disciplinary approach to the diagnosis and management of children with suspected or proven difficulties in fighting infection because of immune deficiency disorders; and the judy center for down's syndrome, which provides comprehensive care for children and adults with this genetic disorder. Geriatric care: Given the need to provide person-specific rather than site-specific care, the geriatric service cares for elders at the geriatric center, in the hospital, in post-acute care and long term care settings and at assisted living facilities. Organ transplantation: The medical center performs adult kidney transplants, pediatric kidney transplants and pancreas transplants (in conjunction with kidney transplants). The kidney and pancreas transplant programs at the medical center are the only such programs in bergen, passaic or hudson county. The center for allergy, asthma and immune diseases: The center offers a multi-disciplinary approach to the diagnosis, treatment, and management of disorders and illnesses of the immune system. Staffed by a team of board-certified allergy/immunology specialists, the center provides expert care in respiratory allergies, food and drug allergies, asthma, persistent sinusitis and other recurrent infections in one location. Services also include patient education provided by clinical nurse educators and licensed nutritionists; the ability to participate in clinical research trials; double blind oral food challenges, aspirin challenges and desensitization; and assessment of medication reactions. Urology and urologic oncology: The department of urology offers comprehensive diagnostic, therapeutic and preventive services for patients with both malignant and nonmalignant genitourinary disorders. Centers for bladder, prostate and pelvic floor health, male reproductive medicine and human sexuality, endourology and stone disease, cryosurgery, pediatric urology, and minimally invasive urologic surgery are established to treat both inpatient and outpatient populations. The davinci robotic surgical system is used for urologic surgery and for training of surgeons from across the country. |
| CORE FORM, PART III |
Research activities include prostate high intensity focused ultrasound and fluorescence based cystoscopy for bladder cancer. The department participated in clinical trials with provenge, a newly approved drug for the treatment of prostate cancer, and is using new radiation based technology with true beam software and wireless radiation sensors known as dvs. Diagnostic imaging services: The diagnostic imaging department provides a full spectrum of imaging services. These include 3t (magnet strength) mri, 64-slice computed tomography ("ct"), positron emission tomography ("pet/ct"), breast mri, nuclear medicine, interventional radiology, ultrasound, and digital x-ray. The department operates in a fully integrated picture archiving and communication system ("pacs"), a film-less environment. Physicians can log into the pacs remotely to view imaging studies anywhere there is internet access. The staff performs complex advanced procedures such as cardiac computed tomography angiography, cardiac mri, and advanced pet/ct applications. All radiologists are fellowship trained in various subspecialties and an attending radiologist (not a resident in training) is on site at all times for interpretation and consultation, producing very rapid report turn-around times. Emergency services/trauma: The Emergency and Trauma Center (ETC) is open 24 hours a day, seven days a week and treats all ages and all medical conditions. In 2015, 117,150 patients visited the ETC. There is also a separate pediatric emergency department. The pediatric emergency department is staffed by physicians and nurses specialty-trained in pediatric emergency medicine. The take-a-break program now seems like an obvious idea. The family members who accompany their loved ones to emergency departments can almost always benefit from a short break - whether to pick kids up at school, make a few phone calls or just grab a cup of coffee. When the proposal was first made to set up a network of volunteers who could support family members in the emergency department and represent them in their absence, there was nothing like it anywhere in the country. Today 50 volunteers cover each of the emergency trauma center's three shifts, seven days a week. The etc is designated by the state of new jersey and the u.s. department of health and human services as a level ii trauma center. The etc is also certified by the american college of surgeons and is an accredited chest pain center as per the society of chest pain centers. The NJ-MSED vehicles are one of only a few mobile medical assets of their kind in the nation, originally funded through a unique partnership with the U.S. Department of Defense and the Urban Areas Security Initiative. UASI Funding substantially ended after the UASI Mobile ER was built and DOD funding ended in 2012, but in early 2015, HackensackUMC obtained state funding and a group of 16 hospitals and systems came together to form the Advanced Medical Emergency Resource Coalition (AMERCO). The nonprofit corporation selected HackensackUMC as the Host Hospital. The MSED assets are ready to deploy to non-emergency events and we expect the MSED teams to be trained and ready to deploy for emergencies by the end of 2016. The core of the NJ-MSED complex exists in the form of two 43-foot trailers and a 48-foot trailer with expandable sides. Two are fully outfitted with critical care beds, and one is outfitted as a mobile operating room. They are fully functional mobile medical assets able to respond to large-scale incidents that result in the need for on-site Emergency Department services and can be pre-deployed to expected events like hurricanes or other potential incidents based on intelligence. Ambulatory surgery: The medical center provides same day surgery services on its main campus in three distinct locations; the center for ambulatory surgery, the pediatric surgical suite, and the center for plastic and reconstructive surgery. Specialties include dental, general, plastic, orthopedic, pediatric, vascular, gynecological, urological and podiatric surgery; neurosurgery; otolaryngology; and ophthalmology. Research: Research is what distinguishes hackensackumc from other area community hospitals. Research gives hackensackumc's staff the ability to explore the newest and most promising medical treatments and comprehensive medical and support services. This pursuit gives hackensackumc and other allied staff the extraordinary ability to explore new and better approaches to medicine - to uncover and deliver novel treatment breakthroughs. Research centers attract gifted physicians and scientists who collaborate with leading investigators in their field. This is true of researchers at hackensackumc. The david joseph jurist research center for tomorrow's children is a five-story, 55,000-square-foot building which houses the david and alice jurist institute for research. The research center consolidates all of hackensackumc's ongoing research activities into one location. The facility enhances the tireless work that the hackensackumc's scientists and physician-investigators are pursuing as partners in national and international multi-center trials. Hackensackumc partnered with the university of miami diabetes research institute, one of the world's leading centers for research on the disease. Hackensackumc patients with type 1, or juvenile diabetes will take part in a trial in which insulin-producing islet cells are transplanted to their abdomens. This trial has the promise of being an important step on the way to a cure for this disease. The research center is also home to the deirdre imus environmental center for pediatric oncology. The jurist institute is named for david joseph jurist, co-president of the tomorrow's children's fund for pediatric cancer and the father of eileen jurist, who was treated for hodgkin's disease at hackensackumc's tomorrow's children's institute for cancer and blood disorders. Mr. Jurist and his wife, alice, are active participants in all of the tomorrow's children's fund initiatives. Highlights of the david joseph jurist research center for tomorrow's children include laboratories for basic and clinical research; administrative offices; a "vivarium state-of-the-art operating rooms; and a lecture hall equipped with audio-visual technology and a telecommunications system. Scientists and physicians at hackensackumc frequently contribute to the body of knowledge about diseases, medical conditions, treatment advances, technological breakthroughs, quality-of-life issues, and other pertinent research issues through publication of research findings, abstracts, book chapters, and other written materials. Scientific discovery is a major component of the hackensackumc's mission and a vital component of the world-class care available at hackensackumc. Hackensackumc's clinical, translational, and basic science research programs have grown tremendously, especially since the opening in 2000 of the david joseph jurist research center for tomorrow's children. Research studies grew from 75 in 1987 to today's 466 open protocols. Hackensackumc protocols are supported by some of the nation's top funding sources, including the national institutes of health, the national science foundation, and the american cancer society, and from private foundations and corporations such as pharmaceutical and biotechnology companies. In 2015, HackensackUMC received the highest amount of funding in New Jersey from the National Institutes of Health. Research administration: The department of research consolidates all basic and clinical research that is under way at hackensackumc. The department centralizes the administrative aspects of research, including financial, legal, and professional oversight, and guides the investigator through the maze of internal and external regulation. Research partners: Scientific discovery through research is a major component of hackensackumc's mission. Research at hackensackumc is conducted in nearly every field, with an emphasis on pediatric and adult cancers, childhood diseases, cardiology, allergy and immunology, orthopedics, urology, pulmonary medicine, neurology, and infectious diseases. |
| CORE FORM, PART III |
Investigators at hackensackumc collaborate with their counterparts at other healthcare institutions and research facilities, including the u.s. department of energy, city university of new york ("cuny") memorial sloan-kettering cancer center, and rockefeller university. Outstanding research collaborations also arise from hackensackumc's role as a major teaching affiliate of umdnj-njms. Hackensackumc is designated by the national cancer institute and the national institutes of health as a community clinical oncology program site, one of only 50 in the nation and the only such program in new jersey. Clinical trials, protocol studies, and cancer control group research are conducted through the eastern cooperative oncology group, the southwest oncology group, the children's oncology group, the university of rochester cancer center, and the national surgical adjuvant breast and bowel project. Outlook: Hackensackumc, a nonprofit academic, research and medical center, is the largest provider of inpatient and outpatient services in new jersey. It was the first hospital in new jersey and second in the nation to become a magnet recognized hospital for nursing excellence. Hackensackumc is the hometown hospital of the new york giants and the new york red bulls, and remains committed to its community through fundraising and community events. hackensackumc ranks among the best hospitals in the nation and enjoys numerous clinical, research and academic affiliations with world-renowned partners. Founded in 1888 as the countys first hospital, it is a member of Hackensack University Health Network, one of the largest health networks in the state comprised of 1,250 beds, more than 10,000 employees and more than 3,000 credentialed physicians. HackensackUMC was listed as the number one hospital in New Jersey in the U.S. News & World Reports Best Hospital rankings for 2015-16. The joseph m. Sanzari childrens hospital is housed with the Donna A. Sanzari Womens Hospital in the Sarkis and Siran Gabrellian Womens and Childrens Pavilion, which was designed with The Deirdre Imus Environmental Health Center, and was included on the Green Guides list of Top 10 Green Hospitals in the U.S. HackensackUMC is one of Healthgrades America's 50 Best Hospitals for nine years in a row, and received the Healthgrades Distinguished Hospital Award for Clinical Excellence 13 years in a row. The medical center has also been named a Leapfrog Top Hospital, and received 23 Gold Seals of Approval by the Joint Commission more than any other hospital in the country. It was the first hospital in New Jersey and second in the nation to become a Magnet recognized hospital for nursing excellence; receiving its fifth consecutive designation in 2014. HackensackUMC is the Hometown Hospital of the New York Giants and the New York Red Bulls and was Official Medical Services Provider to The Barclays PGA Golf Tournament and the NY/NJ Super Bowl XLV111 Host Committee. It remains committed to its community through fundraising and community events. Tax-exempt organization: Hackensackumc is recognized by the irs as an internal revenue code section 501(c) (3) tax-exempt organization. Pursuant to its charitable purposes, hackensackumc 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, hackensackumc operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Hackensackumc provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients. 2. Hackensackumc operates an active emergency department trauma center for all persons, which is open 24 hours a day, 7 days a week, 365 days per year. 3. Hackensackumc maintains an open medical staff, with privileges available to all qualified physicians. 4. Control of hackensackumc rests with its board of governors which is comprised of independent civic leaders and other prominent members of the community. 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities, and advance medical care, programs and activities. Hackensackumc's standing as one of new jersey's and the nation's healthcare leaders is driven by a commitment to quality. At hackensackumc, quality means always striving to deliver the best medicine to its patients. It means always re-evaluating the delivery of healthcare to ensure that high standards are achieved. It means never turning away from a community need, but instead redoubling efforts and commitment to respond to those needs. Tax-exempt purposes, free care and community benefit: Consistent with revenue ruling 69-545 and providing medically necessary healthcare services to all individuals as outlined above and in furtherance of its exempt purposes, hackensackumc provides a wide array of services to the community, including various community-based social service programs, such as free clinics, health screenings, trauma services, training for emergency service personnel, social services and support counseling for patients and families, pastoral care, crisis intervention, and transportation to and from hackensackumcumc. Additionally, a large number of health-related educational programs are provided for the benefit of the community, including health enhancements and wellness, classes on specific conditions, medical education, telephone information services, and programs designed to improve the general standards of the health of the community. Hackensackumc also provides medical care without charge or at reduced costs to residents of its community who meet the criteria under the state of new jersey public law 1992 (chapter 160) system for charity care and also incurs bad debts. Included in hackensackumc's definition of charity care are the following: (a) services provided at no charge to the uninsured and underinsured and (b) services provided to patients expressing willingness to pay but who are determined to be unable to pay because of socioeconomic factors. Hackensackumc maintains records to identify and monitor the level of charity care it provides. Such forgone charges amounted to approximately $89,054,051 in 2015. The new jersey health care reform act of 1992 provided for certain subsidy payments from the state to qualified hospitals to partially fund uncompensated care and certain other costs. Subsidy payments recognized as revenue amounted to approximately $4,825,099 in 2015; however as more fully outlined below estimated costs relating to providing medical care to individuals without insurance totaled approximately $32,810,041; for a net deficit of approximately $27,984,942. Based upon these statistics hackensackumc had approximately the fifth largest charity care program in the state in terms of charity care dollars stated at medicaid rates and the largest net loss of all new jersey hospitals from the charity program in the state of new jersey with a loss of $57,459,775. In addition, hackensackumc paid the highest hospital provider taxes to the state of new jersey for the funding of charity care programs throughout the state; in 2015 hackensackumcumc's payments totaled $8,726,045. During 2015 hackensackumc, through its affiliation with umdnj, also had the one of the largest graduate medical education programs in the state of new jersey with 168 medical and dental residents in various medical specialties. Community benefit continued: Hackensackumc's operations and activities are designed to benefit a wide cross section of the community, including those individuals with no insurance or ability to pay for the necessary medical services and treatment. Hackensackumc also has a program for individuals with no insurance which limits the amounts to be billed to no more than the medicare fee schedule for inpatient services and two times the medicare fee schedule for outpatient services. This discount program is offered to all individuals with no insurance. There is no application or means testing. For individuals who cannot afford these fees, there are means tested discounts which can reduce bills to zero. Community benefit - costs: For purposes of form 990, schedule h reporting and in accordance with current irs rules and regulations, hackensackumc utilized the catholic health association ("cha") model when quantifying community benefit costs. Under the cha methodology for quantifying community benefit costs, hackensackumc's 2015 net community benefit costs were approximately $106,561,318 or approximately 8.50% of its total 2015 expenses. The cha methodology does not include medicare shortfalls and certain costs related to bad debt. |
| CORE FORM, PART III |
Utilizing the model adopted by the american hospital association ("aha"), which hackensackumc believes more clearly represents actual community benefit, when quantifying its estimated total community benefit costs for the 2015 year would result in a significantly higher community benefit percentage. Under the aha model, a hospital may include both medicare shortfalls (the amount by which the costs exceed reimbursements) and costs related to bad debt. Under the aha model during calendar year 2015, hackensackumc incurred net community benefit costs of approximately $215,388,788; which accounted for approximately 17.17% of its total 2015 expenses. Net costs means costs after all associated reimbursements. Hackensackumc also paid $6,357,782 in real estate taxes during 2015. Community benefit programs: Building a strong community: Hackensack university medical center helps to build a strong, safe community by investing in a number of community benefits to improve housing and the environment, develop businesses, support community enhancements, mentor children, build coalitions, and increase the workforce. The impact of community benefits: Hackensackumc university medical center believes we are all part of one larger community - one dedicated to progressing even further in our missions of healthcare, community service, and research, one that brings healthcare directly into the community if needed. Promoting a healthy community: Hackensackumc is committed to our community's education and wellness. Through our speakers bureau and health awareness regional program (harp), we work with local city agencies, schools and civic organizations. Speakers topics included: nutrition, grandparenting, aids awareness, heart health, stress, diabetes, keeping your mind sharp, cancer prevention, food allergies and medication interactions. (referenced in schedule h). Many health fair booths were related to: blood pressure screenings, fitness & nutrition, run health, flu shoots and sun safety. (referenced in schedule h). MELANOMA AWARENESS PREVENTION Skin cancer is the most common form of cancer in the United States. Melanoma is the third most common skin cancer, but is more dangerous and more likely to cause death than other skin cancers. Through collaborative efforts, the John Theurer Cancer Center, the Promise Foundation of Ridgewood, New Jersey, physicians and the Health Awareness Regional Program (HARP) of HackensackUMC, a skin cancer screening was provided to the community serving more than 50 participants. This partnership includes an ongoing educational initiative to teach youth sun safe behaviors. In collaboration with schools and teachers skin cancer awareness programs educated more than 5,000 students on sun safe behaviors. PROJECT HEALTHY BONES Project Healthy Bones is a 24-week exercise and education program for older women and men at risk for, or who have osteoporosis. The program is offered in partnership with the New Jersey Department of Health. In 2014, HARP collaborated with Montvale and Ramsey to provide this program to their communities. Currently, there are more than 100 participants. MATTER OF BALANCE In 2015, HARP was awarded a New Jersey Department of Human Services grant for delivery of the evidence-based fall prevention program: A Matter of Balance: Managing Concerns About Falls (MOB). HARP will provide this program throughout Bergen County, serve as Master Trainers for others interested in providing this program, and participate in the NJs Fall Prevention Workgroup. On an average day in NJ, 201 older adults are treated in NJ ERs due to falls. Falls among New Jerseys seniors and adults with disabilities result in physical, psychological and financial hardships for individuals and place a significant burden on caregivers, social services and healthcare agencies. CORPORATIONS In 2015, HARP provided on-site workplace wellness programs to corporations of all sizes throughout Bergen County. Worksite wellness programs are designed to empower employees to better manage their health. We partner with corporations to create and support a healthy workforce by providing physical examinations, mandated tests, Health Risk Assessments, health fairs, American Heart Association Heartsaver CPR classes, biometric screening, and on-site screenings, trainings, and seminars. - HARP conducted 26 onsite flu immunization programs that vaccinated 1,159 employees against influenza. - Three corporate health fairs were conducted that included screenings such as: comprehensive metabolic blood profile, blood pressure, body mass index (BMI), and body fat. The age range for participants was 19 to 68 years old. One hundred and ninety-eight were screened for total cholesterol, 36 men for prostate specific antigen, and 142 screened for blood pressure. Education was distributed to increase the awareness of risk factors for hypertension, sodium and high blood pressure, high cholesterol, healthy nutrition, and the benefits of physical activity. - Three bloodborne pathogen classes were presented to 182 participants. - One hundred twenty-two tuberculin skin tests were given along with education on prevention, and recognizing the signs and symptoms of Tuberculosis. - Educational programs were provided onsite that highlighted: mens health, nutrition and physical activity, and cardiac education which focused on prevention, early detection, testing and diagnosis, and treatment. HEALTH PROMOTION PROGRAMS In 2015, HARP presented 283 health promotion programs to 14,681 participants throughout Bergen County. Health education programs focused on the prevention of chronic illness by teaching the community to eat healthy, be active, and avoid tobacco. HARP also provided 2,349 adult health screenings that included education on blood pressure, stroke risk assessment, diabetes risk assessment, osteoporosis, and body fat/BMI assessment. HARP administered childhood immunization clinics across Bergen County that provided 1,400 free immunizations to uninsured children through the New Jersey Vaccine for Children program. LOCAL HEALTH AGENCY PARTNERSHIP The Health Awareness Regional Program of HackensackUMC (HARP) has been committed to providing the highest quality of health promotion and illness prevention services in Bergen County since 1977. We are proud of the strong collaborative relationships with community organizations and local health agency partners to provide high quality, professional health education and public health services to 25 Bergen County municipalities. |
| CORE FORM, PART III |
TOWNS SERVED Bogota, City of Hackensack, Closter, Dumont, East Rutherford, Emerson, Englewood Cliffs, Fairview, Fort Lee, Garfield, Hasbrouck Heights, Leonia , Lodi, Mahwah, Montvale, New Milford, Palisades Park, Ramsey, Ridgefield, Ridgefield Park, River Edge, South Hackensack, Tenafly, Township of Washington, and Wallington. COMMUNITY PARTNERSHIPS Health Officers, Schools, the American Diabetes Association, the American Cancer Society, Bergen County Office On Aging, Community Health Improvement Partnership of Bergen County, Nutrition and Physical Activity Task Force, Bergen County Diabetes Collaborative, Pascack Valley Meals on Wheels, Bergen County Department of Health Services, Bergen-Hudson Chronic Disease Coalition, Bergen County Municipal Nurse Association and School Nurses Association, Partnership for Maternal and Child Health of Northern New Jersey: New Jersey Office of Cancer Control and Prevention: Melanoma Cancer Taskforce Work Group, New Jersey Immunization Network. BERGEN SENIOR COALITION In 2014-2015 HARP collaborated with Brightside Manor, Chore Service, Pascack Valley Meals, The Henry and Marilyn Taub Foundation, and Visiting Homemakers, to form a coalition to address the needs of our growing older adult population. The mission of this group is to The Senior Coalition will be a forum for education and advocacy around the needs and resources to help seniors age in place. There are 40 non- profit agencies participating. HAVE F.U.N. IN GARFIELD Through our partnership with the City of Garfield, HARP was able to collaborate on an initiative to combat childhood obesity in the City of Garfield. In 2015, community gardens were planted throughout the city providing fresh vegetables to residents and teaching gardening skills to the youth. This program has been focused on families in order to form a foundation of healthful habits, combat the rising epidemic of child obesity and ensure that future New Jersey residents will be a more vital and energetic population. FLU IMMUNIZATION PROGRAMS As part of the public health response to the influenza virus in the community, HARP partnered with communities to provide education and vaccinations. Educational materials were distributed to at-risk populations. HARP worked with health officers, public health nurses, health departments, municipalities, and child care centers. Through this partnership, HARP assisted in vaccinating more than 2,000 individuals and continues to work to achieve maximum immunization rates. |
| CORE FORM, PART III; LINE 4D |
EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 |
J. FLETCHER CREAMER, JR. AND JOSEPH M. SANZARI - BUSINESS RELATIONSHIP. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B |
DURING 2015 HACKENSACKUMC WAS AN AFFILIATE OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AND ITS SUBSIDIARIES AND CONTROLLED ENTITIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HACKENSACK UNIVERSITY HEALTH NETWORK ("NETWORK") WAS THE TAX-EXEMPT PARENT OF THE SYSTEM. In May 2015, the Network signed a definitive agreement with Meridian Health System ("Meridian Health") to merge both parent organizations; creating one integrated healthcare delivery system known as Hackensack Meridian Health, inc., to better meet the needs of many New Jersey communities. The merger became effective upon the receipt of regulatory approvals on JULY 1, 2016. THE NAME OF THIS NEW INTEGRATED HEALTHCARE DELIVERY SYSTEM IS HACKENSACK MERIDIAN HEALTH, INC. HACKENSACKUMC'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING OF MEMBER HACKENSACK MERIDIAN HEALTH, INC'S. GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") AND FOLLOWING A REVIEW BY HACKENSACK MERIDIAN HEALTH, INC'S. COMPLIANCE AND AUDIT COMMITTEE. HACKENSACK MERIDIAN HEALTH, INC'S. BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE THIS FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS HACKENSACKUMC 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 HACKENSACKUMC'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP (WHICH INCLUDED, BUT WAS NOT LIMITED TO, THE CHIEF FINANCIAL OFFICER, CONTROLLER, ACCOUNTING MANAGER AND CHIEF COMPLIANCE OFFICER) 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 HACKENSACKUMC'S INTERNAL WORKING GROUP FOR REVIEW. HACKENSACKUMC'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 HACKENSACKUMC'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF HACKENSACK MERIDIAN HEALTH, INC'S. COMPLIANCE AND AUDIT COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF HACKENSACK MERIDIAN HEALTH, INC'S. GOVERNING BODY PRIOR TO FILING WITH IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 |
HACKENSACKUMC REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF HACKENSACKUMC'S BOARD OF GOVERNORS, 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 HACKENSACKUMC'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BASIS WHICH IS PRESENTED TO HACKENSACKUMC'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION AND IMPLEMENTATION OF ANY NECESSARY MITIGATING ACTIONS. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 |
HACKENSACKUMC IS AN AFFILIATE WITHIN HACKENSACK UNIVERSITY HEALTH NETWORK AND SUBSIDIARIES AND CONTROLLED ENTITIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HACKENSACK UNIVERSITY HEALTH NETWORK ("NETWORK") IS THE TAX-EXEMPT PARENT OF THE SYSTEM AND THE SOLE MEMBER OF HACKENSACKUMC. NETWORK'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 SYSTEM'S SENIOR MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF OPERATING OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY OVER SEVERAL MEETINGS, AND APPROVES ONLY "TOTAL COMPENSATION" THAT THE COMMITTEE HAS CONCLUDED DOES NOT EXCEED WHAT THE COMMITTEE CONSIDERS TO BE REASONABLE COMPENSATION. THE COMMITTEE STRUCTURES AND CONDUCTS ITS REVIEW AND APPROVAL PROCESS SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL INCOME TAX LAW. THIS REVIEW AND APPROVAL PROCESS APPLIES TO ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO ALL MEMBERS OF THE SENIOR MANAGEMENT TEAM. 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 WHOM IS "DISINTERESTED" AS DEFINED BY THE IRS IN ITS REGULATIONS DESCRIBING THIS STANDARD. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS DETAILED STUDY USES COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA FOR TAX-EXEMPT HOSPITALS AND HEALTHCARE SYSTEMS OF A SIMILAR LEVEL OF NET ANNUAL OPERATING REVENUE IN THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES IS USED. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE REVIEW AND APPROVAL PROCESS USED BY THE COMMITTEE, INCLUDING ALL ACTIONS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, IS APPLIED TO ALL MEMBERS OF THE SENIOR MANAGEMENT TEAM OF THE SYSTEM, WHETHER OR NOT THEY WOULD BE CONSIDERED 'DISQUALIFIED PERSONS' UNDER THE INTERMEDIATE SANCTIONS RULES. IN ADDITION TO RELYING ON MARKET DATA, THE COMMITTEE APPLIES A WIDE RANGE OF BUSINESS JUDGMENT FACTORS INCLUDING, BUT NOT LIMITED TO, INDIVIDUAL PERFORMANCE, INDIVIDUAL EXPERIENCE, RECRUITMENT AND RETENTION FACTORS, AND THE UNIQUE DEMANDS OF PARTICULAR POSITIONS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 |
HACKENSACKUMC HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT AND TO REFUND EXISTING TAX-EXEMPT BONDS. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, HACKENSACKUMC'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS AND ARE, ON AN ANNUAL BASIS, MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, HACKENSACKUMC'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. HACKENSACKUMC ALSO MAKES AVAILABLE TO THE PUBLIC VIA ITS WEBSITE, WWW.HACKENSACKUMC.ORG, ITS COMPLIANCE PLAN DOCUMENTS, CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY. |
| CORE FORM, PART VII, SECTION A |
HACKENSACKUMC is AN AFFILIATE WITHIN HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AND SUBSIDIARIES AND CONTROLLED ENTITIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("NETWORK"). THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF GOVERNOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH HACKENSACKUMC AND OTHER SUBSIDIARIES AND CONTROLLED ENTITIES WITHIN THE NETWORK. 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 HACKENSACKUMC. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED SUBSIDIARIES AND CONTROLLED ENTITIES IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY HACKENSACKUMC. |
| CORE FORM, PART VII AND SCHEDULE J |
PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM HACKENSACKUMC OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF HACKENSACKUMC OR OF A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF HACKENSACKUMC'S BOARD OF GOVERNORS. |
| CORE FORM, PART XI; QUESTION 9 |
OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION-RELATED ADJUSTMENTS - ($17,233,248); - NET EQUITY TRANSFERS TO RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONs - ($218,274,216); - NET EQUITY TRANSFERS TO OTHER RELATED ORGANIZATIONS - ($19,344,003); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($2,282,843); - CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $8,131,232; and - SUPPORT TO CONTROLLED ENTITIES; NET, REFLECTED IN CORE FORM, PART VIII, LINE 2C - $96,644,123. |
| CORE FORM, PART XII; QUESTION 2 |
HACKENSACKUMC'S SOLE CORPORATE MEMBER IS HACKENSACK UNIVERSITY HEALTH NETWORK ("NETWORK"). AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE NETWORK AND ITS SUBSIDIARIES AND CONTROLLED ENTITIES, FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THESE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE NETWORK'S AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE HACKENSACK UNIVERSITY HEALTH NETWORK AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| STATEMENT PURSUANT TO REGULATION SECTION 1.351-3(A) |
BY HACKENSACK UNIVERSITY MEDICAL CENTER (EIN: 22-1487576), A SIGNIFICANT TRANSFEROR This statement is made pursuant to Regulation Section 1.351-3(a) by the following entity, a significant transferor: HACKENSACK UNIVERSITY MEDICAL CENTER EIN: 22-1487576 30 PROSPECT AVENUE, HACKENSACK, NJ 07601 HACKENSACK UNIVERSITY MEDICAL CENTER (EIN: 22-1487576), a U.S. tax-exempt corporation and a significant transferor, made A constructive transfer of $2,000,000 IN cash on 2/1/2015 to HACKENSACK UNIVERSITY MEDICAL CENTER CASUALTY COMPANY, LTD., its wholly-owned subsidiary formed in Bermuda. The good faith estimate of the aggregate fair market value and tax basis of the assets transferred by HACKENSACK UNIVERSITY MEDICAL CENTER (as determined immediately before the exchanges) was $2,000,000. No private letter rulings were issued by the Internal Revenue Service in connection with these Internal Revenue Code 351 exchanges. |
Attach to Form 990 or 990-EZ.