| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Background ========== Founded in 1865, saint barnabas medical center ("sbmc") is new jersey's oldest non-profit, nonsectarian hospital. Sbmc blends the essential elements of community service with advanced medical and surgical specialties to care for patients throughout the state. Sbmc is situated in the county of essex, within the town of livingston, which was recently ranked 96th in new jersey monthly magazine "top 100 places to live in the state". Essex county is the second most densely populated county in the state and has the third largest total population in the state containing 21 counties. Essex, the financial and industrial hub of the state, consists of urban and suburban communities serviced by sbmc, the second largest hospital in the county. Sbmc is a major teaching hospital. Sbmc is recognized by the internal revenue service ("irs") as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, sbmc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, gender identity, sexual orientation, national origin or ability to pay. Moreover, sbmc operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Sbmc provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Sbmc operates an active emergency department for all persons which is open 24 hours a day, 7 days a week, 365 days per year; 3. Sbmc maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of sbmc rests with its board of trustees and the board of trustees of RWJ barnabas health, inc. Both boards are 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. The operations of sbmc, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of sbmc is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. Barnabas health inc. ("bh"), the parent of barnabas health ("barnabas health"), and robert wood johnson health care corporation ("rwjhcc"), the parent of robert wood johnson health system ("rwjhs"), signed a definitive agreement on july 14, 2015 outlining the combination of these two leading health systems creating the largest and most comprehensive healthcare delivery system in the state of new jersey and one of the largest in the nation rwjbarnabas health ("rwjbhthe "system"). The transaction (hereinafter referred to as the "merger") successfully completed federal and state review in march 2016, and the transaction closed operationally on april 1, 2016. RWJBarnabas health is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. Sbmc's sole corporate member is RWJ barnabas health, inc. ("RWJ bh"). RWJ Bh is also the tax-exempt new jersey non-profit parent corporation of an integrated healthcare delivery system. The sole member of each entity is either RWJ bh or another RWJBH affiliate controlled or owned by RWJ bh. Sbmc, like its corporate parent, is a not-for-profit organization. RWJBh is the largest multi-hospital system in new jersey and provides substantial community benefit. RWJBh consists of free-standing acute care hospitals, a free-standing psychiatric hospital, medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, outpatient behavioral health centers and other entities. RWJBh entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJbh entities provide healthcare services to patients who meet certain criteria defined by the new jersey department of health without charge or at amounts less than established rates. RWJBh maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Rwjbh is new jerseys second largest private employer with more than 32,300 employees, nearly 9,000 physicians on the combined medical staffs (of which in excess of 1,200 are employed) and 1,000 residents and interns and routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in of $4.5 billion and treats over three million patients each year with over 198,600 inpatient admissions, over two million outpatient visits (including around 740,000 emergency department visits) and more than 23,500 newborn deliveries. Rwjbh is comprised of 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. Rwjbh created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout new jersey. The systems geographic coverage spans the greater hudson, essex, union, middlesex, mercer, somerset, monmouth and ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of barnabas health and rwjhs promotes the highest quality health care delivery and greater levels of efficiency. Once consummated, our planned partnership with rutgers university will create the states largest academic healthcare system dedicated to providing high-quality patient care, leading-edge research, and world-class health and medical education, further advancing our mission of providing high-quality healthcare in new jersey. In 2017, rwjbh announced with rutgers, the state university of new jersey, their intent to launch a public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform health care in new jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the rutgers cancer institute of new jersey and rutgers university behavioral health care. Barnabas health was formed in june 1996 when six new jersey hospitals and their affiliates joined saint barnabas medical center and union hospital (), which had affiliated in 1993. The six hospitals included: community medical center, inc. And kimball medical center, inc., which had affiliated in 1993 to form the community/kimball health care system; newark beth israel medical center, inc. And irvington general hospital, inc. ("Irvington"), affiliates of each other since 1991; monmouth medical center, inc.; and wayne general hospital corp. ("wayne"). In january 1997, west hudson hospital association, inc. ("west Hudson") joined barnabas health, followed by clara maass medical center in december 1997. Barnabas health subsequently divested wayne, closed west hudson, irvington, and union and consolidated their operations into other system facilities, and sold all of its long-term care facilities, allowing barnabas health to concentrate on its core services and facilities. Most recently, jersey city medical center joined barnabas health in 2014. Rwjhcc was formed in 1984 to promote, support and further the charitable purposes of the robert wood johnson university hospital and other affiliated and related non-profit health care organizations. Since that time rwjhs expanded to include robert wood johnson university hospital at hamilton, robert wood johnson university hospital rahway, childrens specialized hospital, somerset medical center, and other health care related ventures. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Mission statement/vision/values =============================== Mission statement ================= Sbmc's mission is to provide compassionate care, healthcare excellence and superior service to our patients and their families. Our vision is to advance the health and quality of life in our community. We ensure the safety of our patients, community and each other by consistently demonstrating our values of exceptional communication, outstanding teamwork, professional integrity, accountability, innovation and resilience as we strive towards becoming a high reliability organization. Hospital statistical information ================================ The 597-bed institution cared for nearly 33,000 inpatients and 99,000 emergency department adult and pediatric patients. The hospital delivered over 5,800 babies for mothers coming from nearly every county in the state. Sbmc and the RWJbarnabas health ambulatory care center also provided treatment, lab and other diagnostic services for over 350,000 outpatient visits in 2017. About 50% of the hospital's inpatients are of minority race/ethnicity and approximately 15% of its patients are of underinsured and uninsured payer categories. An additional 31% are medicare patients. There are over 4,200 employees at the medical center. The sbmc medical staff is comprised of more than 1,700 physicians and dentists representing approximately 100 specialties. Sbmc is a major teaching affiliate of rutgers new jersey medical school, a major clinical campus for the new york college of osteopathic medicine and affiliated with the st. George's university school of medicine. Sbmc, a teaching institution, trains approximately 171 residents and fellows each year through eleven approved residency programs and two fellowship programs. Sbmc is home to nationally recognized programs including: - the burn center: the only certified burn treatment facility in the state; - the RWJbarnabas health renal and pancreas transplant division: one of the most active transplant programs in the country; - RWJbarnabas health heart centers: a world-class cardiac surgery program in affiliation with newark beth israel medical center; - neurology and neurosurgical services at sbmc: an unprecedented team of experts dedicated to diagnosing and treating disorders of the brain and nervous system; - the regional perinatal center: providing care for high-risk and critically ill infants in new jerseys leading level iii, a 56-bed neonatal intensive care unit; - comprehensive pediatric services including a dedicated intensive care unit; - the center for sleep disorders; - the comprehensive stroke center at sbmc; - extensive services in robotic and minimally-invasive surgery; - the institute for reproductive medicine and science at sbmc: the widely recognized assisted reproductive technology program; and - comprehensive cancer programs and services that includes one of the largest radiation oncology programs in northern new jersey. The staff of dedicated physicians, nurses and healthcare professionals is committed to providing the highest quality of patient care and health education to the community and to the region. Accomplishments/milestones/recognitions/awards ============================================== Sbmc is accredited by the joint commission and the american medical association accreditation council for graduate medical education. Sbmc has earned many certifications and accreditations and has been the recipient of numerous awards and honors including, but not limited to, the following: - Sbmc received its 13th consecutive hospital safety grade a; the only hospital in the tri-state area and one of only 49 hospitals in the nation to earn consecutive "as" from the leapfrog group since the programs inception; - Received the leapfrog groups top hospital award 2014 - 2017; one of only 36 teaching hospitals recognized in the u.s.; - The breast center received national accreditation by national accreditation program for breast centers by the american college of surgeons; - The quality oncology practice initiative (qopi) certification program, an affiliate of the american society of clinical oncology (asco) certification of the cancer center at sbmc; - The cancer centers of sbmc received a three-year accreditation from the commission on cancer of the american college of surgeons; - Designated level 4 specialized epilepsy center by the national association of epilepsy centers for the adult and pediatric comprehensive epilepsy centers which recognizes centers providing the most complex intensive neuro-diagnostic monitoring and treatment of epilepsy; - The american hospital association awarded sbmc as most wired hospital 2015 2017; - Joint commission gold seal of approval for acute coronary syndrome (asc), heart failure, cardiac rehabilitation, primary stroke, total hip replacement and total knee replacement; - Top performer on key quality measures from the joint commission which is the top 15% national performance for heart attack, heart failure, pneumonia and surgical care from academic center of excellence in womens health (first in new jersey) core measures; - Designated a comprehensive stroke center by the new jersey department of health and senior services; - Awarded top hospital 2017 by nj biz healthcare heroes award; - Academic center of excellence in womens health (the first in nj); - Mid-Atlantic alliance for performance excellence 2017 award; - Recognized as a 2016 leader in lgbt healthcare equality by the human rights campaign (hrc) foundation, the educational arm of the nations largest lesbian, gay, bisexual and transgender civil rights organization; - New jersey hospital association awarded sbmc the excellence in quality improvement award 2011; - Received the award for promoting and supporting breastfeeding from the international board of lactation consultant examiners (iblce) and international lactation consultant association (ilca); - National patient safety goal compliant based upon most recent accreditation award; - Accredited/certified center by the american society of metabolic and bariatric surgery; - Qrcr certified by the american association for respiratory care; - Cardiac rehabilitation program accredited/certified by the american association of cardiovascular and pulmonary rehabilitation; - Nuclear cardiology laboratory services and general nuclear medicine services accredited/certified by the intersocietal commission for the accreditation of nuclear medicine laboratories; - Adult transesophageal and adult transthoracic services accredited/certified by the intersocietal commission for the accreditation of echocardiography laboratories; - Visceral vascular testing, extracranial cerebrovascular testing, and peripheral arterial testing accredited/certified by the intersocietal commission for the accreditation of vascular laboratories; - Laboratory and pathology services accredited/certified by the college of american pathologists; - Laboratory transfusion services accredited/certified by the american association of blood banks; - Radiation oncology services accredited/certified by the american college of radiology and the american college of radiation oncology; - Received the get with the guidelines heart failure bronze quality achievement award from the american heart association; and - Received the wave excellence award- cms recognition of outstanding achievement for promotion of hand hygiene. Centers of excellence ===================== 1. the cancer center The cancer center at sbmc integrates many existing cancer services into a comprehensive outpatient cancer facility. The center provides the highest quality cancer care, as well as support services and educational programs for patients and their family members. "center of excellence" include gynecological cancer and pelvic surgery center, the melanoma center, the lung cancer institute and regional breast center. Among the services offered are: - A dedicated oncology nurse navigator provides support and helps oncology patients "navigate" the medical center. Working with the patient and his or her families, the oncology nurse navigator coordinates the care of the cancer patient and facilitates necessary appointments. They serve as a resource to the individual and his or her physician throughout treatment; - Psychological and psychosocial support services are available offering individual counseling, support groups, art therapy, workshops on coping with cancer, financial counseling and nutritional guidance; - Cancer genetics counseling services; - The joint commission disease specific certifications for heart failure, acute coronary syndrome, hip and knee replacement, cardiac rehabilitation and stroke; - Integrative and complementary medicine; - Pet therapy; |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
- A state-of-the-art outpatient chemotherapy treatment facility with private treatment rooms, a satellite pharmacy and private consultation rooms and numerous other amenities; - Distress screening program: the diagnosis of cancer brings chaos to patients' lives. Fears for their physical health naturally top the list but starting treatment prompts a variety of daunting questions. In the past, these patient concerns took time for healthcare professionals to detect and tackle. The cancer center is leading the way to identify patients needing psychosocial intervention through the use of a real-time on-line questionnaire. Patients in the cancer center complete this assessment at their second visit after diagnosis. Staff is immediately notified if patients are in crisis or in distress so resources can be provided before the patient leaves the center. For others in need or resources but not in an emergent fashion, the concerns are triaged to physicians, nursing and the psychosocial team to identify the individual and the area that can best provide the assistance; and - The lung cancer institute at sbmc partners with our community to offer education, screening and diagnostic tools to detect and treat lung cancer. According to the american cancer society, approximately 234,000 new cases of lung cancer will be diagnosed in 2018 and approximately 154,000 people will die from lung cancer. Each year, more people die of lung cancer than colon, breast and prostate cancer combined. As the leading cause of cancer death in us, lung cancer is most curable when diagnosed at an early stage. In high risk people, lung cancer deaths drop by 20 percent when cancer is identified early using a low-dose spiral ct compared with individuals receiving a chest x-ray. The lung cancer institute joined the international early lung cancer action program to provide a free low-dose ct screening program for individuals who are at high risk for developing lung cancer to identify abnormalities earlier. In 2017, the lung cancer early detection institute served 221 individuals and the lung cancer screenings program served 613 people. Our medical staff is committed to offering the most up-to-date treatments available; as such, sbmc is active in clinical research programs, including national cancer institute and pharmaceutical-sponsored protocols. 2. the renal and pancreas transplant division The RWJ barnabas health renal and pancreas transplant division, located at sbmc is one of the largest programs among 239 in the united states, with over 330 kidney transplants performed in 2017. Sbmc had the 3rd highest adult kidney transplant volume of centers in the nation, and had the highest living donor transplant volume in the country. The renal transplant program, the most active kidney transplant center in new jersey, is the only transplant program in the state involved in clinical research trials for patients. The programs provide deceased as well as living donor transplantation including living related donors or emotionally related donors and altruistic living donation when family members are unable to donate. In 1995, bh began its simultaneous pancreas kidney transplant program and in 1996 opened a pediatric nephrology program. Since 1968, the renal transplant centers have performed medical first kidney transplantation, including transplant in the youngest kidney transplant recipient in new jersey and the first laparoscopic kidney retrieval in a living donor and the first robotic kidney transplant surgery in the world. The pediatric nephrology and transplantation program manages children and adolescents with acute and chronic diseases at all stages of severity, including nephritic syndrome and hypertension up to and including end stage renal disease. The pediatric nephrologists work closely with pediatric urologists to provide total care for patients with urological and nephrological problems. 3. the neurology and neurosurgery institute at sbmc The neurology and neurosurgery institute at sbmc is dedicated to diagnosing and treating disorders of the brain and nervous system for adults and children. An unprecedented team of experts leads the programs of the institute and offer the most comprehensive program in new jersey dedicated to the medical, surgical and psychological treatment of neurologic disorders. Specialized care is offered for individuals with epilepsy, memory disorders, movement disorders and other neurologic disorders resulting from an injury or accident. Comprehensive care is also provided for children with attention deficit disorder-hyperactivity and learning disabilities, as well as for adults with attention deficit disorders. The institute's comprehensive epilepsy centers for children and adults use sophisticated diagnostic techniques to provide complete and accurate diagnosis critical to implementing effective treatment. Innovative surgical and drug therapies are offered to help individuals with epilepsy achieve the best possible seizure control. This includes the participation in clinical trials to identify cutting edge therapies that can improve the lives of our patients. the comprehensive epilepsy centers have been named a level 4 specialized epilepsy center by the national association of epilepsy centers ("naec"), the level 4 designation is the highest given by the naec and identifies those centers that offer the broadest range of complex medical and surgical treatments for epilepsy. sbmc is a state designated comprehensive stroke center and joint commission certified for primary stroke. The stroke center offers the latest treatment for stroke including complex neuro interventions. The center, as part of its mission, provides stroke and prevention education to the community and to other healthcare providers stroke education and outreach continues to take place at community health fairs, corporate health fairs, community health centers, community events, senior housing and within sbmc to increase awareness of stroke risk factors and symptoms. The clinical coordinator transitions nurse practitioner has become the public "face" of the stroke program. Community leaders increasingly reach out to her to tailor educational programs to meet their constituents' health needs. The clinical coordinator transitions nurse practitioners outreach programs target populations at high-risk of stroke and educates clinicians likely to treat patients at risk of stroke. Outreach and education activities occur monthly and focus on populations at higher-risk of stroke. Education programs review and reinforce stroke warning signs and the importance of calling for immediate medical help at the first sign of stroke. The clinical coordinator nurse practitioner encourages program attendees to take a stroke risk awareness survey and to undergo on-site blood pressure and cholesterol screening. The clinical coordinator nurse practitioner can facilitate referrals for care for those whose risk awareness survey and blood pressure/cholesterol readings suggest higher-than-average chance of stoke. A notable "win" occurred following a stroke awareness program at a pharmaceutical company (held as a webinar to maximize employee attendance). An employee of the company experienced stroke symptoms. Due to greater awareness following the presentation, his/her colleagues acted quickly to get help. The individual did well following treatment and the organization continues to reinforce the importance of prevention, early detection and treatment of stroke. In addition to community-based programs, the clinical coordinator nurse practitioner conducts stroke education. Curriculum has been designed for nurses; non-clinical employees with patient contact such as security guards who may be the first employee a patient encounters; patients and families. 4. RWJbarnabas health heart centers at sbmc Sbmc is a regional cardiac surgery center and part of the RWJbarnabas health heart centers, located across new jersey, which have integrated diagnostic, medical and surgical services into one comprehensive program that offers a full range of advanced cardiac services for adults and children including diagnosis, imaging, interventional cardiology, electrophysiology and the management of heart failure. An experienced team is pioneering new therapies and the clinical use of the latest mechanical assist devices that improve the quality of life for people with congenital heart defects and heart disease. They participate in cardiac research trials that offer patients access to breakthrough therapies. The RWJBH heart centers continue to lead the way in offering minimally invasive procedures and catheter-based alternatives to open heart surgery including transcatheter aortic valve replacement ("tavr") procedures, all forms of angioplasty/stent procedures. Advanced electrophysiology studies offer sophisticated diagnosis and treatment of heart rhythm disturbances in adults and children. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
5. regional perinatal center Each year sbmc delivers close to 6,000 babies and is recognized as a top hospital for high-risk pregnancies. Sbmc's level iii regional perinatal center, the highest designation in the state, offers the most advanced intensive care for premature and ill newborns. Our 56-bed neonatal intensive/intermediate care unit ("nicu") is one of only a few in the nation with the lowest rate of chronic lung disease, a common complication for extremely low birth-weight infants. The nicu offers the latest treatments and modalities in the field to provide the most advanced care for more than 1,200 premature and ill newborns each year. The sbmc nicu has one of the best infant survival rates among neonatal intensive care units in the nation. Sbmc also offers extensive childbirth and family preparation classes. The members of the division of maternal fetal medicine assist obstetricians in the tri-state area in the care of high-risk patients and receive high risk transfers from other community hospitals. They also educate the medical center's many obstetrical residents. Opened in 2011, the regional perinatal simulation center at SBMC provides valuable clinical training and education for physicians, nurses, residents, medical students and first responders (emt's, police, and firefighters). Courses are open to practitioners throughout the tri-state area regardless of affiliation. The goal of the center is to elevate patient care, improve clinical performance and enhance maternal/child health outcomes in the region by providing access to state of the art education. Simulation enhances the current educational offerings at sbmc by providing an experiential learning environment where clinicians can practice and learn a variety of technical and behavioral skills. 6. the joint and spine institute The joint and spine institute offers dedicated beds within the hospital. Surgeries are scheduled monday through friday and patients typically return home after a three-night stay. Features of the program include: - Nurses, therapists and nursing assistants who specialize in the care of joint patients; - Private and semi-private rooms; - Emphasis on group activities as well as individual care; - Family and friends educated to participate as "coaches" in the recovery process; - Group lunches with patients, their coaches and others in the program; - A joint team that coordinates all pre-operative care and discharge planning; - A comprehensive patient guide for patients follow from six weeks pre-op until three months post-op and beyond; - Coordinated after-care program; - Reunion luncheons for former patients and coaches; - Newsletters to update patients with new information about arthritis and joint care; and - Public education seminars about hip and knee pain. This past year, the joint institute began offering a same day hip replacement option for appropriate patients. These patients receive their surgery in the morning and are discharged home later that evening after receiving physical therapy. 7. the burn center of new jersey The burn center is the only state-certified burn treatment facility in new jersey and one of the largest in north america with 12 intensive care beds and an 18-bed step-down unit for less critically injured patients. The burn center provides expert care for patients of all ages. The burn center also meets the verification criteria of the american burn association and the american college of surgeons to provide optimal care for burn patients. The burn center is equipped to treat pediatric through geriatric burn patients with a full range of specialized services, including a dedicated outpatient department where individuals with small or minor burns receive treatment and discharged patients return for follow-up care. More than 400 patients are treated annually. Medical and community services ============================== Sbmc's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic to prevention and treatment. Medical staff ============= Sbmc medical staff is comprised of more than 100 medical and surgical specialties. Sbmc, its medical staff and/or our partners provided an extensive array of medical services during 2017 which include, but are not limited to, the following: - ambulatory surgery; - anesthesiology; - balance center; - bariatric surgery; - blood management institute; - breast health and disease management; - the burn center; - saint barnabas burn foundation; - cancer programs and services; - cardiac services; - cardiac rehabilitation center the jaqua foundation; - cardiac surgery (pediatrics); - case management; - center for asian health; - child abuse treatment and services; - child life program; - children's center for cancer and blood disorders; - RWJbarnabas health children's kidney center; - community services; - critical intensive care unit; - development department; - emergency department; - adult and pediatric comprehensive epilepsy center; - ethics consultation services; - family practice; - fibroid center; - department of foods and nutrition; - center for geriatric health and disease management; - health science library; - high-risk infant follow-up program; - home health care; - home infusion care; - hospice and palliative care services; - infant apnea program; - infection control; - infusion center; - inpatient speech pathology; - inpatient audiology; - internal medicine faculty practice; - institute for reproductive medicine and science; - intravenous therapy department; - the joint institute; - the lung cancer institute; - system - medical center health care services; - medical education and clinical research; - department of medicine; - melanoma center; - neonatal intensive care unit; - neurology and neurosurgical services; - department of nursing; - nutritional counseling services; - department of obstetrics/gynecology; - department of pastoral care; - department of pathology; - department of patient representative; - department of patient satisfaction; - department of pediatrics; - pediatric intensive care unit; - pediatric health center; - pediatric nephrology and transplantation; - pediatric pulmonary center/pediatric pulmonary laboratory; - pediatric specialty center; - perinatal simulation training center; - pharmacy department; - physical medicine and rehabilitation; - department of physical therapy; - plastic and reconstructive surgery; - pre-admission testing; - prenatal health center; - department of public relations and marketing; - pulmonary laboratory; - outpatient pulmonary rehabilitation; - radiation oncology; - radiology department; - rehabilitation services; - RWJbarnabas health renal and pancreas transplant division; - department of respiratory care; - robotic surgery; - the center for sleep disorders; - inpatient smoking cessation treatment program; - social work services; - the comprehensive stroke center; - support groups; - surgery department; - minimally invasive surgery; - therapy department; - thyroid, head and neck cancer institute; - tobacco treatment program; - transplant division; - valerie fund children's center; - the vein center; - women's/parent health education; and - wound and burn healing center. Community service centers ========================= Sbmc's community health & outreach department coordinates many health and social services between sbmc and the community. In 2017, the community health & outreach department was involved in numerous events throughout the community reaching over 137,000 people with nearly 934 programs. These events include health fairs, walks, 5ks, health education lectures or screenings. Our involvement doesn't end there. Additionally, we are working with towns, businesses, civic organizations, and chambers of commerce in the community to provide on-site lectures, health programing and screenings for their residents, members and employees. Community partnerships ====================== For our community members living in assisted living facilities and skilled nursing facilities, we further the continuum of care through our transitions of care program, physician relationships, health screenings, educational services and on-site lab services. Together, through many avenues, both in the hospital and in the community, utilizing a variety of approaches. We are working to not only care for our residents when they are sick but to also help keep them healthy. Sbmc works with other care providers to assure effortless care transitions and to promote health and wellness. Such partnerships include connections with local skilled nursing facilities, other hospitals and specialized outpatient centers, such as local federally qualified health |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
centers. Further, members of our team participate with community organizations to support care improvement. One example is the outreach of asthma educators into local schools and day care centers in an effort to reduce ed visits and admissions for uncontrolled asthma. Sbmc has recognized the need to also build better bridges to the diverse communities it serves. For example, sbmc created the center for asian health to serve a growing population segment. The center for asian health offers bilingual primary care and patient navigation services. New jersey has the fourth-largest concentration of asian people in the us, which increased 33% in the past 10 years. The program boasts a mandarin-speaking patient navigator who coordinates patients health services. One of the programs goals is to increase awareness about asian health issues to both the public and medical providers. There are many diseases more prevalent in asians, including gastrointestinal and liver cancers, hepatitis b, diabetes, and lupus. We believe if we can remove cultural and language barriers to healthcare, patients become more engaged and have better health outcomes. The center for asian health and charles b. Wang community health center in new york city was one of three programs selected nationally to receive a $300,000 grant from the centers for disease control and prevention to improve hepatitis b screening and care. The program "building bridges to liver health" provides free hepatitis b screening and care to individuals who are at high risk for the disease. The center held a chinese wellness day, partnering with the tzu chi foundation, to provide attendees with access to numerous physician specialists (internal medicine, ophthalmology, cardiology, gastroenterology, breast surgery, colorectal surgery, family practice, hepatology and more), lectures, cooking demonstrations, physical therapy demonstrations and screenings. Medical screenings ================== Sbmc, along with the RWJbarnabas health ambulatory care center, provides and supports numerous medical screening programs to the community in furtherance of its tax-exempt purposes including, but not limited, to the following: - heart wellness; - high blood pressure screening; - body fat analysis; - bone density heel screening - breast cancer; - calcium scoring; - cancer wellness; - cardiac screening for young athletes; - concussion screening; - diabetes; - hepatitis b screening. - joint health; - lung cancer screening and early detection initiative; - prostate cancer screening; - sexually transmitted disease testing; - skin cancer; - sleep hygiene; - stroke assessment; and - vision screening. Support groups and programs --------------------------- Sbmc is dedicated to providing the highest quality of services to meet all the healthcare needs of our community. In addition to the direct patient care provided by our staff, sbmc makes available the following healthcare education programs and classes, patient support groups and community services to patients and their families. The list includes, but is not limited, to: - awake support group; - bariatric surgery programs and support groups; - bereavement support group; - bike livingston outreach; - breast health education; - breastfeeding support group; - burn community outreach; - cancer support groups and programs (survivor day, chi kung, look good...feel better, psychosocial support, reiki/massage); - caregiver overload; - diabetes support group; - feeling stronger - feeling better parkinsons support group and caregiver support group; - "go red" american health association womens cv program outreach; - infertility support groups; - livingston night out; - memory help; - nicu support group; - newborn mom breastfeeding solutions; - new mom's circle; - sharing network walk (organ donation) - osteoporosis support group; - pastorial care; - perinatal bereavement support group; - postpartum depression support group; - parents' night out (for parents of children with kidney disease); - teen support group (for adolescents with chronic kidney disease; - pre-dialysis patient education; - pre-transplant education seminars; - womens health and parent education; - refractive surgery seminar; - pre-dialysis patient education; and - sports medicine programs. Community education =================== SBMC offers a variety of lifestyle and instructional classes to improve an individual's overall well-being. These include but are not limited to: - Alzheimers and dementia education; - Asthma and copd education; - Balance education; - Breast cancer symposium; - Burn community and prevention education; - Concussion education; - Consumer health education; - Diabetes education and management; - Falls prevention and balance community education; - Family fit lifestyle cardiac program; - Get smart on antibiotics; - Health science library mentoring program; - Healthy aging-women's health education; - Healthy living-celiac program; - Healthy eating - Joint institute community education; - Melanoma education; - Nutrition education; - Pt and speech/hearing therapy education; - Safe medication use; - Sleep and sleep apnea education; - Speech pathology education; - Stress management - Stroke prevention education; - Transplant patient education; and - Women's health education. Sbmc offers an extensive array of prenatal childbirth preparation and parenting classes and services. In addition, the women's health department offers seminars on women's health issues. The following courses and services are currently offered: - women's health/parent education; - adoptive parents baby care consultations; - breastfeeding class; - breast pump rental service; - grandparenting; - infant and child cpr; - marvelous multiples program; - new mom's circle; - newborn mom breastfeeding solutions; - post-partum depression assistance; - prepared childbirth series; - prepared childbirth; - prenatal tours; - relaxed birth class; and - sibling class Sbmc's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients who are part of at-risk populations are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives. Wills and advanced directives. further, sbmc recognizes the impact of social determinants of health and the value of community investment and addressing disparities in health status. During 2017, sbmc worked on job creation and training for minorities and provided volunteer internships. Professional medical education and training =========================================== As a major teaching hospital, supporting residency training programs and medical student education, sbmc reaches hundreds in advancing professional knowledge through its regular cme programs. There was over 8,350 physicians and 2,500 non-physician attendees at all the courses. A sample of sbmc professional medical education and training courses spanning a broad range of pediatric and adult clinical topics include, but are not limited to, the following programs, lectures and courses: - 18th annual barbara echikson palliative care symposium; - Advances in neurosurgery; - being mortal: improving quality care for patients with advanced illness; - Cardio-oncology symposium; - coding & compliance in the medical practice; - End of life care in nj; - joy of practicing medicine; - Law, medicine and the pursuit of justice; - Macra/mips: are you ready?; - Medical grand rounds a series of topics; - Neck lift, body contouring & reverse abdominoplasty; - Neurosurgical grand rounds- a series of topics; - Nj american cardiology society; - nj academy of ophthalmology annual meeting; - Nj ob/gyn society annual and semi-annual meetings; - Nj society of pathologists annual meeting; - Nj state society of anesthesiologists annual meeting; - Ob/gyn grand rounds a series of topics; - Ob/gyn research day; - Pediatric grand rounds a series of topics; - Physician leadership development; - Precision medicine; - prevention and treatment of kidney disease in children; - Radiological society of nj musculoskeletal symposium; - revision breast surgery; - Schwartz rounds a series of topics; - Simwars; - Surgery grand rounds a series of topics; - Surgery qi; - The graying rainbow caring for the aging lgbtq patient; - Transplant conference a series of topics; and - Tumor boards a series of topics. |
| CORE FORM, PART III; QUESTION 4D |
EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 |
RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B |
THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("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 SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 |
THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 |
THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS 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 RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF the RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. 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. 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 REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN RWJ BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 |
THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J |
PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B |
THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, 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 RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART VII AND SCHEDULE J |
PATRICK M. AHEARN, FORMER CHIEF OPERATING OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE CHIEF OPERATING OFFICER OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. JOHN F. BONAMO, M.D., M.S., FORMER CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS An EXECUTIVE VICE PRESIDENT AND CHIEF MEDICAL OFFICER OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. DEBRA MORGAN, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A VICE PRESIDENT OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION. SARI B. KAPLON, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A director of cardiac services OF NEWARK BETH ISRAEL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION. |
| CORE FORM, PART X; LINE 25 |
The organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. |
| CORE FORM, PART XI; QUESTION 9 |
OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - PENSION ADMINISTRATION COSTS - ($1,612,888); - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $22,854,724; - CAPITAL ASSET TRANSFER FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $667,559; AND - CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS of saint barnabas development foundation; a division of this organization - $10,487,000. |
| CORE FORM, PART XII; QUESTION 2 |
THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2017 AND DECEMBER 31, 2016; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 |
THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
| DEPARTMENTAL EIN LISTING |
THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS SAINT BARNABAS MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND SAINT BARNABAS MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY SAINT BARNABAS MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-1494440. BELOW IS A LIST OUTLINING THE VARIOUS SAINT BARNABAS MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. NICU ASSOCIATES AT SAINT BARNABAS 22-3181029 PEDIATRIC CRITICAL CARE ASSOCIATES AT SAINT BARNABAS 22-3258938 SAINT BARNABAS MULTI SPECIALTY GROUP 22-3551005 MEDICAL ONCOLOGY ASSOCIATES AT SAINT BARNABAS 22-3403774 SBMC DEPARTMENT OF CRITICAL CARE MEDICINE 03-0498041 CANCER SURGERY SERVICES OF SAINT BARNABAS 20-1716316 ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY 20-3128758 SBMC STRESS TEST PANEL 76-0828820 RADIATION ONCOLOGY GROUP AT SBMC 81-2497757 SBMC PROVIDER SERVICES 81-4786011 |
Attach to Form 990 or 990-EZ.