TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JOSEPH J JANKOWSKI CHAIRMAN - TRUSTEE	1.0	X	X	0	0
(2) DEBORAH L TRIPOD VICE CHAIR - TRUSTEE	1.0	X	X	0	0
(3) DENNIS DOLL SECRETARY - TRUSTEE	1.0	X	X	0	0
(4) MICHAEL LOSCH TREASURER - TRUSTEE	1.0	X	X	0	0
(5) RUSSELL AZZARELLO TRUSTEE	1.0	X		0	0
(6) ROBERT J CHALFIN TRUSTEE	1.0	X		0	0
(7) MICHAEL R DAGNES TRUSTEE;EX-OFFICIO - PRES./CEO	55.0	X	X	554,898	196,132
(8) MARK A DANIELE TRUSTEE	1.0	X		0	0
(9) AL HOLCOMB TRUSTEE	1.0	X		0	0
(10) JOANN LA PERLA MORALES TRUSTEE	1.0	X		0	0
(11) JOHN P MULKERIN TRUSTEE	1.0	X		0	0
(12) TIMOTHY OBRIEN TRUSTEE	1.0	X		0	0
(13) KISHORE RATKALKAR MD TRUSTEE	1.0	X		0	0
(14) BARRY ROSENGARTEN TRUSTEE	1.0	X		0	0
(15) JEFFRIES SHEIN TRUSTEE	1.0	X		0	0
(16) GREGORY SHYPULA MD TRUSTEE; EX-OFFICIO	1.0	X		5,500	0
(17) ANANGUR P SWAMINATHAN MD TRUSTEE	1.0	X		0	0

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) STEPHEN WARREN MD TRUSTEE	1.0	X			0	0
(19) THOMAS G SHANAHAN FHFMA CPA ASSISTANT TREASURER - SVP, CFO	55.0		X		310,068	83,960
(20) NANCY BARONE EVP FOUNDATION	55.0		X		142,830	9,031
(21) MICHAEL CIENCEWICKI MD SVP, MEDICAL AFFAIRS	55.0		X		278,760	20,693
(22) VINCENT COSTANTINO SVP, OPERATIONS/VP, HR	55.0		X		233,423	18,977
(23) JOAN HAREWOOD SVP, CNO	55.0		X		226,996	21,099
(24) ERICH KREHER SVP, GENERAL COUNSEL	55.0		X		203,123	20,389
(25) LYNETTE KING DAVIS VP, MARKETING AND BUS DEVELOP.	55.0		X		137,306	20,693
(26) ARUNESH K MISHRA MD PHYSICIAN	55.0			X	327,908	20,559
(27) KUMUD JOSHI MD PHYSICIAN	55.0			X	216,112	0
(28) NANDITHA KRISHNAMSETTY MD PHYSICIAN	55.0			X	215,722	0
(29) KIRTIKUMAR PATEL MD ASSISTANT SURGEON	55.0			X	202,007	19,343
(30) AJIT B DESAI MD ASSISTANT SURGEON	55.0			X	199,605	18,899

(A) Name and business address	(B) Description of services	(C) Compensation
SIEMENS MEDICAL SOLUTIONS PO BOX 12001 DALLAS,TX753120733	INFORMATION TECH.	5,516,919
SODEXO INC PO BOX 306170 PITTSBURGH,PA152516170	FOOD/MANAGEMENT	3,179,072
UMDNJ 335 GEORGE STREET SUITE 3700 3RD NEW BRUNSWICK,NJ08901	MEDICAL	2,683,265
MID JERSEY ANESTHESIA 20 RIMWOOD DRIVE LINCROFT,NJ07738	MEDICAL	1,067,490
GE HEALTHCARE PO BOX 640944 PITTSBURGH,PA152640944	MAINTENANCE	1,050,922
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 68

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	6,100	6,100
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	2,483,877	2,235,490	248,387	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	101,817,772	91,635,995	10,181,777
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,629,242	4,166,318	462,924
9	Other employee benefits .......	12,158,733	10,942,859	1,215,874
10	Payroll taxes ...........	7,982,304	7,184,074	798,230
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	456,379	410,741	45,638
c	Accounting ...........	180,000	162,000	18,000
d	Lobbying ...........	20,097	18,087	2,010
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	0
12	Advertising and promotion ....	1,127,166	1,014,449	112,717
13	Office expenses .......	6,988,324	6,289,492	698,832
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	1,760,612	1,584,551	176,061
17	Travel ............	214,476	193,028	21,448
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	100,453	90,408	10,045
20	Interest ...........	3,431,935	3,088,741	343,194
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	8,365,678	7,529,110	836,568
23	Insurance ..............	2,571,147	2,314,032	257,115
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	MEDICAL SUPPLIES	26,200,784	23,580,706	2,620,078	0
b	PURCHASED & CONTRACTED SVCS.	24,131,938	21,718,744	2,413,194	0
c	PROVISION FOR BAD DEBTS, NET	20,018,884	18,016,996	2,001,888	0
d	PHYSICIAN FEES	7,125,500	6,412,950	712,550	0
e
f	All other expenses	5,899,058	5,309,152	589,906
25	Total functional expenses. Add lines 1 through 24f	237,670,459	213,904,023	23,766,436	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	5,875	1	5,875
2	Savings and temporary cash investments .......	339,125	2	301,081
3	Pledges and grants receivable, net .........	445,125	3	363,851
4	Accounts receivable, net .........	21,768,749	4	23,223,384
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........	0	6	0
7	Notes and loans receivable, net .............	3,612,063	7	3,430,999
8	Inventories for sale or use ..............	3,751,877	8	4,279,002
9	Prepaid expenses and deferred charges ............	676,683	9	937,806
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	209,847,220
b	Less: accumulated depreciation. .....	10b	132,624,581	77,932,458	10c	77,222,639
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 ......	0	12	0
13	Investments—program-related. See Part IV, line 11 ..	29,858,763	13	28,524,736
14	Intangible assets .........	515,557	14	466,398
15	Other assets. See Part IV, line 11 ...........	3,007,756	15	3,882,503
16	Total assets. Add lines 1 through 15 (must equal line 34)...	141,914,031	16	142,638,274
	17	Accounts payable and accrued expenses .	31,977,398	17	37,542,544
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	42,249,311	20	40,893,911
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	1,333,500	23	2,388,494
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	55,266,738	25	76,356,821
26	Total liabilities. Add lines 17 through 25.....	130,826,947	26	157,181,770
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	8,280,161	27	-17,089,637
28	Temporarily restricted net assets .....	889,411	28	703,394
29	Permanently restricted net assets .....	1,917,512	29	1,842,747
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	11,087,084	33	-14,543,496
34	Total liabilities and net assets/fund balances .....	141,914,031	34	142,638,274

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization RARITAN BAY MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization RARITAN BAY MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

$ 0

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

$ 0

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

20,097

Total. Add lines 1c through 1i ...............................

20,097

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
LOBBYING ACTIVITIES	SCHEDULE C, PART II-B; LINE 1I	THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $20,097.

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back
1a	Beginning of year balance ....	2,806,923	5,920,577	5,316,686	3,202,908
b	Contributions ........	1,566,126	1,824,235	1,925,330	3,859,345
c	Net investment earnings, gains, and losses ...	6,660	8,801	262,374	94,426
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	1,833,568	4,946,690	1,583,813	1,839,993
f	Administrative expenses ....
g	End of year balance ......	2,546,141	2,806,923	5,920,577	5,316,686

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

27.630 %

Permanent endowment SchDMd Bullet

72.370 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,980,370		1,980,370
b	Buildings ................	129,227,811	71,012,893	58,214,918
c	Leasehold improvements ............	0	0	0
d	Equipment ................	76,142,625	60,380,926	15,761,699
e	Other .................	2,496,414	1,230,762	1,265,652
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				77,222,639

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) EQUITIES; LIMITED USE	12,683,976	F
(2) INVESTMENT IN SUBSIDIARIES	1,296,686	F
(3) RESTRICTED CASH	53,926	F
(4) CASH ; LIMITED USE	775,912	F
(5) FIXED INCOME; LIMITED USE	13,536,292	F
(6) CERTIFICATES OF DEPOSIT	177,944	F



Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	28,524,736

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
SETTLEMENTS; CURRENT		4,621,745
SETTLEMENTS; NON-CURRENT		9,579,584
ACCRUED PENSION LIABILITY		59,834,331
ACCRUED INTEREST PAYABLE		1,494,892
CURRENT		122,000
OTHER LIABILITIES		704,269



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		76,356,821
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
ENDOWMENT FUNDS	SCHEDULE D, PART V, QUESTION 4	RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS FO THE ORGANIZATION AND ITS AFFILIATES.

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ..............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	693,303
















3a	Sub-total .....	1	1			693,303
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			693,303

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2011

Schedule F (Form 990) 2011Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	22,174,986	11,198,780	10,976,206	5.040 %
b Medicaid (from Worksheet 3, column a) .....	34,671,527	26,789,743	7,881,784	3.620 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	56,846,513	37,988,523	18,857,990	8.660 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....
f Health professions education (from Worksheet 5) ..	1,830,464	1,484,195	346,269	0.160 %
g Subsidized health services (from Worksheet 6) ..	17,546,729	12,239,229	5,307,500	2.440 %
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....
jTotal Other Benefits ...	19,377,193	13,723,424	5,653,769	2.600 %
kTotal. Add lines 7d and 7j. ..	76,223,706	51,711,947	24,511,759	11.260 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

20,018,884

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

3,446,069

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

77,769,090

Enter Medicare allowable costs of care relating to payments on line 5.....

81,249,142

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-3,480,052

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1OLD BRIDGE MEDICAL
2ASSOCIATES LLC	MEDICAL SERVICES	78.411 %	21.589 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	RARITAN BAY MEDICAL CENTER 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861	X	X	X
2	RARITAN BAY MEDICAL CENTER ONE HOSPITAL PLAZA OLD BRIDGE,NJ08857	X	X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

RARITAN BAY MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

RARITAN BAY MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address		Type of Facility (describe)
1	THE MEDICAL PAVILION AT WOODBRIDGE 740 ROUTE 1 NORTH ISELIN,NJ08830	OB/GYN AND PHYSICAL THERAPY
2	JOSEPH S YEWAISIS OUTPATIENT CENTER 466 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861	OUTPATIENT CLINIC
3	BAY BEHAVIORAL HEALTH 26 THROCKMORTON LANE OLD BRIDGE,NJ08857	BEHAVIORAL HEALTH
4	OLD BRIDGE FAMILY MEDICINE 26 THROCKMORTON LANE OLD BRIDGE,NJ08857	FAMILY MEDICINE
5	PHYSICAL THERAPY MATAWAN 38 FRENEAU AVENUE MATAWAN,NJ07747	PHYSICAL THERAPY
6	PHYSICAL THERAPY MAY STREET 225 MAY STREET SUITE D2 EDISON,NJ08837	PHYSICAL THERAPY
7	OBGYN SAYREVILLE 2045 NEW JERSEY ROUTE 35 SOUTH AMBOY,NJ08859	OB/GYN
8	WOMEN'S HEALTH CENTER & ORTHO CLINIC 466 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861	OUTPATIENT CLINIC
9	BEHAVIORAL HEALTH OP PRACTICE 516 LAWRIE STREET PERTH AMBOY,NJ08861	BEHAVIORAL HEALTH
10

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
ELIGIBILITY FOR DISCOUNTED CARE	SCHEDULE H, PART I, LINE 3C	THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2011 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SUBSIDIZED HEALTH SERVICES	SCHEDULE H, PART I; QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
PERCENT OF TOTAL EXPENSE	SCHEDULE H, PART I; QUESTION 7 COLUMN (F)	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $20,018,884.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST	SCHEDULE H, PART I, QUESTION 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A; QUESTION 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS. RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"), INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE RARITAN BAY MEDICAL CENTER. PATIENT ACCOUNTS RECEIVABLE/ALLOWANCE FOR DOUBTFUL ACCOUNTS PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTHCARE SERVICES PROVIDED BY THE MEDICAL CENTER. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH COVERAGE AND OTHER COLLECTION INDICATORS. CHARITY CARE THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES ("DOHSS") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE MEDICAL CENTER'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND INCLUDES THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. THE AMOUNT OF CHARITY CARE PROVIDED UNDER DOHSS GUIDELINES DURING THE YEARS ENDED DECEMBER 31, 2011 AND 2010, BASED ON AN ESTIMATE OF THE MEDICAL CENTER'S COSTS, WAS APPROXIMATELY $24,473,000 AND $16,292,000, RESPECTIVELY. THE COSTS OF CHARITY CARE ARE DERIVED FROM BOTH ESTIMATED AND ACTUAL DATA. THE ESTIMATED COST OF CHARITY CARE INCLUDES THE DIRECT AND INDIRECT COST OF PROVIDING SUCH SERVICES AND IS ESTIMATED UTILIZING THE MEDICAL CENTER'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE HEALTH CARE REFORM ACT OF 1992 (THE "ACT") ESTABLISHED HEALTHCARE SUBSIDY FUNDS TO PROVIDE CERTAIN HOSPITALS WITH FUNDING TO PROVIDE CHARITY CARE AND OTHER FORMS OF UNCOMPENSATED CARE. THE MEDICAL CENTER HAS RECORDED THE FOLLOWING AMOUNTS FROM THE HEALTHCARE SUBSIDY FUNDS AND THE HOSPITAL STABILIZATION FUND IN NET PATIENT SERVICE REVENUE DURING 2011 AND 2010: 2011 2010 ---- ---- CHARITY CARE SUBSIDY $10,310,191 $10,507,296 HOSPITAL RELIEF SUBSIDY $ 2,278,434 $ 2,302,407 HOSPITAL STABILIZATION $ 4,000,000 $ 857,141 ----------- ----------- $16,588,625 $13,666,844 THE MEDICAL CENTER EXPECTS TO RECEIVE APPROXIMATELY $7.0, MILLION IN SUBSIDIES FOR DISTRIBUTIONS SCHEDULED THROUGH JUNE 30, 2012 AND $1.0 MILLION FROM THE HOSPITAL STABILIZATION FUND THROUGH JUNE 30, 2011. THE AMOUNTS OF SUBSIDIES AND DISTRIBUTIONS SUBSEQUENT TO JUNE 30, 2012 ARE PRESENTLY NOT DETERMINED.
COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2011 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE;
COLLECTION POLICY	SCHEDULE H, PART III, SECTION B; QUESTION 9B	ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF RARITAN BAY MEDICAL CENTER, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7	NOT APPLICABLE.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B,QUESTIONS 9,10,11H,13G,15E,16E,17E,18D,20&21	NOT APPLICABLE.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B, QUESTION 19D	THE FACILITY USES NJ MEDICAID RATES AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
NEEDS ASSESSMENT	SCHEDULE H, PART VI; QUESTION 2	THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST IN PARTNERSHIP WITH THE AMERICAN HOSPITAL ASSOCIATION). THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. ONE FORUM IS A QUARTERLY REGIONAL COMMUNITY ADVISORY BOARD HOSTED BY A LOCAL HEALTHCARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI; QUESTION 3	CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS.
COMMUNITY INFORMATION	SCHEDULE H, PART VI; QUESTION 4	THIS ORGANIZATION IS LOCATED IN PERTH AMBOY AND OLD BRIDGE, IN MIDDLESEX COUNTY N.J. WHICH CONTAINS 25 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. APPROXIMATELY 10% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES.
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI; QUESTION 5	THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES COMMUNITY HEALTH.
AFFILIATED HEALTHCARE SYSTEM	SCHEDULE H, PART VI; QUESTION 6	OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES. NOT FOR-PROFIT RARITAN BAY HEALTH SERVICES CORPORATION SYSTEM AND AFFILIATES ENTITIES: RARITAN BAY HEALTH SERVICES CORPORATION RARITAN BAY HEALTH SERVICES CORPORATION ("RBHSC") IS THE TAX-EXEMPT PARENT OF RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER RBHSC OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY RBHSC. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. RARITAN BAY HEALTH SERVICES CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RARITAN BAY MEDICAL CENTER RARITAN BAY MEDICAL CENTER ("RBMC") IS A 501 BED ACUTE CARE FACILITY LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY. RBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, RBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1. RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. RBMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. RBMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF RBMC RESTS WITH ITS BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, MEMBERS OF THE COMMUNITY AND MEDICAL STAFF REPRESENTATION; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. RARITAN BAY HEALTHCARE FOUNDATION, INC. RARITAN BAY HEALTHCARE FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RARITAN BAY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. RARITAN BAY MEDICAL CENTER OLD BRIDGE AUXILIARY, INC. RARITAN BAY MEDICAL CENTER OLD BRIDGE AUXILIARY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RARITAN BAY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. RARITAN BAY MEDICAL CENTER PERTH AMBOY AUXILIARY, INC. RARITAN BAY MEDICAL CENTER PERTH AMBOY AUXILIARY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF RARITAN BAY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR-PROFIT RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ENTITIES: RARITAN INSURANCE, LTD. A CONTROLLED FOREIGN CORPORATION BY RARITAN BAY MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN THE CAYMAN ISLANDS. RARITAN MANAGEMENT CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RBHSC. THE ORGANIZATION IS LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY. IN ADDITION, THE ORGANIZATION PROVIDES (1) AMBULANCE SERVICES TO INDIVIDUALS AND (2) PROPERTY MANAGEMENT SERVICES. RARITAN BAY MANAGEMENT SERVICE ORGANIZATION, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RARITAN BAY HEALTH SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY. PRIMARY CARE NETWORK AT RARITAN BAY, P.C. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RARITAN BAY HEALTH SERVICES CORPORATION. THE ORGANIZATION IS LOCATED IN PERTH AMBOY, MIDDLESEX COUNTY, NEW JERSEY.
STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
RARITAN BAY MEDICAL CENTER

Employer identification number
22-1494442

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
GRANT FUND MONITORING	SCHEDULE I, PART I; QUESTION 2	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENATION AND RECEIPTS.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) MICHAEL R DAGNES	(i) (ii)	519,195 0	0 0	35,703 0	175,439 0	20,693 0	751,030 0	0 0
(2) THOMAS G SHANAHAN FHFMA CPA	(i) (ii)	285,921 0	0 0	24,147 0	63,094 0	20,866 0	394,028 0	0 0
(3) NANCY BARONE	(i) (ii)	142,314 0	0 0	516 0	0 0	9,031 0	151,861 0	0 0
(4) MICHAEL CIENCEWICKI MD	(i) (ii)	270,898 0	0 0	7,862 0	0 0	20,693 0	299,453 0	0 0
(5) VINCENT COSTANTINO	(i) (ii)	226,173 0	0 0	7,250 0	0 0	18,977 0	252,400 0	0 0
(6) JOAN HAREWOOD	(i) (ii)	226,139 0	0 0	857 0	406 0	20,693 0	248,095 0	0 0
(7) ERICH KREHER	(i) (ii)	202,399 0	0 0	724 0	0 0	20,389 0	223,512 0	0 0
(8) LYNETTE KING DAVIS	(i) (ii)	137,126 0	0 0	180 0	0 0	20,693 0	157,999 0	0 0
(9) ARUNESH K MISHRA MD	(i) (ii)	327,632 0	0 0	276 0	0 0	20,559 0	348,467 0	0 0
(10) KUMUD JOSHI MD	(i) (ii)	195,992 0	20,000 0	120 0	0 0	0 0	216,112 0	0 0
(11) NANDITHA KRISHNAMSETTY MD	(i) (ii)	215,602 0	0 0	120 0	0 0	0 0	215,722 0	0 0
(12) KIRTIKUMAR PATEL MD	(i) (ii)	201,215 0	0 0	792 0	0 0	19,343 0	221,350 0	0 0
(13) AJIT B DESAI MD	(i) (ii)	198,881 0	0 0	724 0	0 0	18,899 0	218,504 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
COMPENSATION INFORMATION	SCHEDULE J, PART I; QUESTION 1A	THE ORGANIZATION PAID FOR COUNTRY CLUB DUES FOR THE FOLLOWING INDIVIDUAL. THE COUNTRY CLUB DUES AMOUNT OUTLINED HEREIN WAS INCLUDED IN THIS INDIVIDUAL'S 2011 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: MICHAEL R. D'AGNES, $8,696.
COMPENSATION INFORMATION	SCHEDULE J, PART I; QUESTION 4B	THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL R. D'AGNES, $175,439; THOMAS G. SHANAHAN, FHFMA, CPA, $63,094 AND JOAN HAREWOOD, $406.
COMPENSATION INFORMATION	SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII	AN INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNT WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) LINDA S KREHER	FAMILY MEMBER - KREHER	53,786	EMPLOYEE		No
(2) UNIVERSITY RADIOLOGY GROUP	COMPANY - WARREN	457,016	MEDICAL SERVICES		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	SCHEDULE L, PART IV	STEPHEN WARREN, M.D. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, UNIVERSITY RADIOLOGY GROUP, DURING 2011. TOTAL FEES PAID TO UNIVERSITY RADIOLOGY GROUP WERE $457,016. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Identifier	Return Reference	Explanation
COMMUNITY BENEFIT STATEMENT	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== RARITAN BAY MEDICAL CENTER ("RBMC") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. RBMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN RELIGION OR ABILITY TO PAY. MOREOVER, RBMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) RBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) RBMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) RBMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF RBMC RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. HISTORY ======= PERTH AMBOY, THE FIRST INCORPORATED CITY IN NEW JERSEY (1718) WAS FERTILE SOIL FOR THE RAPID INDUSTRIALIZATION THAT MARKED THE 19TH CENTURY. WITH ITS HARBOR AND WATERWAYS, SHIPPING, FISHING AND FACTORIES BEGAN SPRINGING UP; AND, AS FACTORIES WERE BUILT, WORKERS WERE IN HIGH DEMAND. SINGLE MEN ENGAGED IN PERILOUS WORK IS A DANGEROUS COMBINATION. BECAUSE THERE WAS NO ONE TO CARE FOR THESE MEN AND INJURIES WERE ON THE RISE, INTERESTED CITIZENS AND CITY LEADERSHIP MET IN 1888 TO DISCUSS PLANS FOR BUILDING AN EMERGENCY HOSPITAL. FROM THIS MEETING EMERGED A TENTATIVE RESOLUTION TO SEEK FUNDS - FUNDS TO BUILD A 12-BED HOSPITAL WHICH, THOUGH PERHAPS UNIMAGINABLE AT THE TIME, WOULD LATER BECOME RBMC, A TWO-CAMPUS 501-BED HEALTHCARE FACILITY SERVING CENTRAL NEW JERSEY. AFTER FOURTEEN YEARS OF FALSE STARTS AND CAPITAL DEFICITS, PERTH AMBOY CITY HOSPITAL WAS DEDICATED ON MAY 2, 1902. YEARS OF TIRELESS FUNDRAISING AND PERSONAL SACRIFICE BY WOMEN'S GROUPS, LOCAL BENEFACTORS, ETHNIC GROUPS AND CIVIC ORGANIZATIONS BUILT AND FURNISHED WHAT WAS CONSIDERED A STATE-OF-THE-ART FACILITY AT THE TURN OF THE CENTURY. A SIX-MEMBER MEDICAL STAFF WAS APPOINTED AND A NURSE MATRON AND ASSISTANT WERE PUT IN CHARGE. FIVE WEEKS LATER PERTH AMBOY CITY HOSPITAL HAD TREATED ITS FIRST 12 PATIENTS. ONE YEAR LATER THE HOSPITAL HAD ITS OWN SCHOOL OF NURSING! BY 1913, THE BOARD OF GOVERNORS REALIZED THAT 12 BEDS COULD NO LONGER SUPPORT THE HEALTHCARE NEEDS OF THE CITY'S BURGEONING POPULATION. FROM THAT TIME UNTIL RIGHT BEFORE THE ONSLAUGHT OF THE GREAT DEPRESSION, PERTH AMBOY CITY HOSPITAL EXPERIENCED TREMENDOUS GROWTH. ADDITIONS MADE ROOM FOR MATERNITY SERVICES, AN ADVANCED LABORATORY AND X-RAY DEPARTMENT, ADDITIONAL OPERATING ROOM SPACE AND EXPANDED LIVING QUARTERS FOR THE NURSE RESIDENTS. DESPITE THE INCREASING NEED FOR ADDITIONAL TREATMENT SPACE, DECEMBER 7, 1941 HALTED PLANS FOR EXPANSION. IMMEDIATELY FOLLOWING THE WAR IN 1945, PERTH AMBOY CITY HOSPITAL TREATED ITS FIRST PATIENT USING A NEW WONDER DRUG, PENICILLIN, WHICH WAS BROUGHT TO THE HOSPITAL UNDER POLICE ESCORT. WAR-DELAYED ADDITIONS WERE THEN RAPIDLY UNDERTAKEN DURING THE NEXT 15 YEARS, SIGNIFICANTLY INCREASING BED CAPACITY AND THE SPACE NECESSARY TO OFFER ADVANCED TECHNIQUES THAT WERE ONCE ONLY AVAILABLE IN MAJOR MEDICAL CENTERS. BY THE 1960'S, THE STAGE WAS SET FOR THE HOSPITAL TO ENTER INTO AN ERA OF "FIRSTS," WHERE INNOVATION WAS FUELED BY CONTINUING RENOVATION AND EXPANSION. IN 1964, SURGEONS PERFORMED ONE OF THE FIRST SUCCESSFUL PACEMAKER IMPLANTS. BY 1968, SCIENTISTS IN THE HOSPITAL'S INSTITUTE OF LABORATORY MEDICINE HAD LINKED A SMALL REFRIGERATOR SIZED COMPUTER TO A SET OF AUTOMATIC ANALYZING MACHINES AND CAME UP WITH A COMPLETELY NEW KIND OF HOSPITAL SERVICECOMPUTERIZED AUTOMATION. DURING THE 1970'S THE HOSPITAL FOUND ITSELF AT THE FOREFRONT OF CARDIAC MEDICINE, RECORDING NEW JERSEY'S FIRST SUCCESSFUL IMPLANT OF THE RECHARGEABLE PACEMAKER IN 1974 AND USING ONE OF THE VERY FIRST CAT SCANNERS IN MIDDLESEX COUNTY IN 1979. PATIENTS AND PHYSICIANS INCREASINGLY GAINED EXCLUSIVE ACCESS TO WORLD-CLASS HEALTHCARE RIGHT IN THEIR OWN BACKYARD. BY 1976, A NEW BUILDING PROGRAM WAS IN THE WORKS. EXTENSIVE CONSTRUCTION PLANS WERE CREATED FOR PERTH AMBOY, BUT THE MOST AMBITIOUS PART OF THE PROGRAM WAS THE BUILDING OF AN 80-BED AFFILIATE HOSPITAL ON A 41-ACRE LOT IN OLD BRIDGE TOWNSHIP. OLD BRIDGE REGIONAL HOSPITAL WAS COMPLETED IN JUST LESS THAN TWO YEARS, OPENING ITS DOORS ON JANUARY 2, 1979! THROUGH ITS AFFILIATION WITH ITS PERTH AMBOY SISTER FACILITY, FOR THE FIRST TIME RESIDENTS SOUTH OF THE RARITAN RIVER COULD TAKE ADVANTAGE OF ALL OF THE ADVANCED MEDICAL SERVICES AND TECHNIQUES USUALLY RESERVED FOR HOSPITALS IN URBAN CENTERS. RBMC HEALTH SERVICES CORPORATION, THE NEW NAME FOR THE COMBINED HOSPITALS IN OLD BRIDGE AND PERTH AMBOY (LATER CHANGED SIMPLY TO RBMC), SAW ADVANCEMENTS IN SURGERY AND NON-SURGICAL THERAPIES, DIAGNOSTIC TESTING, EDUCATION AND CONTINUED PHYSICAL EXPANSION THROUGHOUT THE 1980'S. IN FACT, OLD BRIDGE REGIONAL HOSPITAL BECAME THE HOME TO THE FIRST LASER KNEE SURGERY PERFORMED IN NEW JERSEY IN 1988! THE CONSTRUCTION OF THE OLD BRIDGE MEDICAL ARTS BUILDING THEN BROUGHT A NEW LEVEL OF CONVENIENCE TO PHYSICIANS AND PATIENTS, FURTHER UPHOLDING RBMC'S PLEDGE TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO ITS MIDDLESEX COUNTY FAMILY. NEVER RESTING ON ITS LAURELS, IN 1990 THE HOSPITAL SUBMITTED A CERTIFICATE OF NEED TO THE STATE OF NEW JERSEY DETAILING ITS PLANS FOR EXPANSION. SIGNIFICANTLY NAMED, "RENEWAL 2000," THE REQUEST OUTLINED AN AGGRESSIVE $53.6 MILLION RECONSTRUCTION PLAN THAT WOULD AFFECT MOST KEY SERVICE AREAS IN PERTH AMBOY, INCLUDING BUILDING A NEW OUTPATIENT CENTER AND ADDING A PATIENT FLOOR TO THE OLD BRIDGE CAMPUS. WHILE EXTENSIVE RECONSTRUCTION CHANGED THE FACE OF BOTH HOSPITALS, PATIENT CARE PROGRESSED AT OPTIMUM LEVELS. PARTICIPATION IN ADVANCED CLINICAL TRIALS INCREASED AND AFFILIATIONS WERE DEVELOPED WITH ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, THE CANCER INSTITUTE OF NEW JERSEY, THE EASTERN COOPERATIVE ONCOLOGY GROUP AND THE ROBERT WOOD JOHNSON HEALTH NETWORK. INCREASED SPECIALIZED SERVICES SUCH AS THE MARION TANZMAN DIABETES CENTER, THE JACQUELINE M. AND ROBERT M. WILENTZ CANCER CENTER, THE CARDIAC CATHETERIZATION LABORATORY, THE BIRTHING CENTER AND CENTER FOR WOMEN WERE BUT A FEW OF THE MANY EXCITING HAPPENINGS TO ADD TO RBMC'S GROWING LIST OF ACCOMPLISHMENTS. AFTER RENEWAL 2000 WAS COMPLETED IN 1997, POST-CONSTRUCTION RELAXATION WAS SHORT-LIVED AS THE HOSPITAL UNVEILED ITS NEW PLANS FOR IMPROVING EMERGENCY CARE, CALLED "PROJECT ER." SO AS NOT TO SACRIFICE PATIENT CARE, PROJECT ER WAS DESIGNED AS A MULTIPHASE CONSTRUCTION, RENOVATION AND REVITALIZATION OF EMERGENCY DEPARTMENT SERVICES AT BOTH HOSPITALS. 2001 SAW THE FINAL STAGES OF RENOVATIONS PROGRESSING IN PERTH AMBOY, AND THE SUCCESSFUL COMPLETION OF THE OLD BRIDGE DIVISION EXPANSION. AND, ALTHOUGH IT SHOULD BE NO SURPRISE, WITH PROJECT ER FINISHED, PLANS FOR FUTURE EXPANSION ARE ON THE DRAWING BOARD! LOOKING BACK OVER THE MORE THAN 100 YEARS THAT RBMC HAS BEEN BRINGING THE LATEST ADVANCEMENTS IN HEALTHCARE TO CENTRAL NEW JERSEY IN A SUPPORTIVE AND CARING ATMOSPHERE, IT IS NO WONDER WHY, IN 2001, READERS OF THE HOME NEWS TRIBUNE VOTED US THE "BEST HOSPITAL IN CENTRAL NEW JERSEY." 2011 FACTS ========== STAFF SIZE: - MEDICAL STAFF OF 600 MEMBERS - PROFESSIONAL NURSING AND SERVICE STAFF OF 1,700 VITAL STATS: - JOINT COMMISSION ACCREDITED - DESIGNATION AS A MAGNET HOSPITAL FOR NURSING EXCELLENCE - MORE THAN 15,000 INPATIENT ADMISSIONS ANNUALLY - MORE THAN 75,000 EMERGENCY DEPARTMENT VISITS ANNUALLY - MORE THAN 45,000 PRIVATE REFERRED OUTPATIENT VISITS ANNUALLY - MORE THAN 1,200 BIRTHS ANNUALLY MISSION STATEMENT ================= RBMC, A NON-PROFIT HEALTHCARE ORGANIZATION, IS COMMITTED TO PROVIDING PROFESSIONAL, COMPASSIONATE AND QUALITY HEALTHCARE TO ALL PATIENTS AND TO MEETING THE CHANGING HEALTHCARE NEEDS OF ITS COMMUNITIES. VISION STATEMENT ================ BELIEVING IN ITS FUTURE, RBMC STRIVES TO BE THE REGION'S BEST MEDICAL CENTER. THROUGH THE DEDICATED EFFORTS OF ITS BOARD OF DIRECTORS, MEDICAL STAFF, ADMINISTRATION AND EMPLOYEES, RBMC IS COMMITTED TO DEVELOPING AND PROVIDING THE FINEST HEALTH SERVICES FOR ITS PATIENTS, FAMILIES, PHYSICIANS AND COMMUNITIES. RBMC WILL ASSESS, PLAN AND PROVIDE SERVICES BASED ON CHANGING NEEDS.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	VALUES ====== RBMC TAKES "PRIDE IN CARING" AS ITS COMMITMENT TO PROVIDE THE HIGHEST QUALITY CARE FOR ITS PATIENTS. RBMC STRIVES TO PROVIDE SERVICES WITH A FOCUS ON CONVENIENCE THAT MEET PATIENT, FAMILY AND PHYSICIAN NEEDS. RBMC BELIEVES IN A STRONG AND COMMITTED RELATIONSHIP WITH ITS MEDICAL STAFF TO ENHANCE AND ENSURE QUALITY, STATE-OF-THE-ART CARE AND SERVICE. RBMC REMAINS COMMITTED TO MEDICAL EDUCATION, RESIDENCY TRAINING, NURSING EDUCATION AND CONTINUING CLINICAL EDUCATION FOR ALL PROFESSIONALS. RBMC IS A LEADER IN COMMUNITY HEALTH SERVICES AND ARE COMMITTED TO WORKING TOWARD ENHANCED COMMUNITY HEALTH AND COMMUNITY HEALTH EDUCATION. RBMC APPRECIATES THE WORK, COMMITMENT AND LOYALTY OF ITS EMPLOYEES WHOSE SKILL AND CARING ENHANCE ITS SERVICE AND FOSTER THE GOALS OF "PRIDE IN CARING". RBMC RECOGNIZES THAT THEY ARE A MOST IMPORTANT ASSET IN THE HISTORY AND FUTURE OF RBMC. RBMC BUILDS ON ITS LONGEVITY AND STRENGTH, CONTINUING TO MONITOR, ADAPT AND PLAN FOR A CHANGING FUTURE TO MEET THE NEEDS OF ITS COMMUNITIES AND ITS PATIENTS. RBMC WILL MAINTAIN A STABLE FINANCIAL POSITION. RBMC WILL RESPECT AND PROTECT THE RIGHTS OF ALL PATIENTS AS OUTLINED IN THEIR PATIENT'S RIGHTS STATEMENT. UPON ADMISSION, PATIENTS RECEIVE A COPY OF THE BILL OF RIGHTS. PATIENTS ARE ENCOURAGED TO READ THROUGH THIS DOCUMENT AND REFER ANY QUESTIONS ABOUT PATIENT RIGHTS TO THE PATIENT REPRESENTATIVE. CORPORATE PHILOSOPHY ==================== RBMC IS COMMITTED TO PROVIDING EXCELLENCE IN SERVICE IN ADDITION TO QUALITY HEALTHCARE. TOWARD THAT GOAL, A PHILOSOPHY WAS FORMALIZED IN 1986 CALLED "PRIDE IN CARING." EVERYTHING DONE AT RBMC -- PREPARING ITS MEDICAL RESIDENTS, PERFORMING ROUTINE SCREENINGS, EXPLAINING DIAGNOSES TO PATIENTS -- IS GUIDED BY THE PHILOSOPHY THAT IT SHOULD GO THE EXTRA MILE TO TREAT PATIENTS WITH KINDNESS AND CONCERN, AND TO MEET THEIR INDIVIDUAL NEEDS. ACCREDITATIONS AND AFFILIATIONS =============================== RBMC IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH, STATE OF NEW JERSEY. RBMC'S PROFESSIONAL ASSOCIATIONS INCLUDING: ACCREDITATIONS: ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AMERICAN ASSOCIATION OF BLOOD BANKS AMERICAN COLLEGE OF RADIOLOGY/ACR-FDA AMERICAN DIABETES ASSOCIATION, PROGRAM RECOGNITION COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS COMMITTEE ON MEDICAL EDUCATION MEDICAL SOCIETY OF NEW JERSEY AMERICAN HEART ASSOCIATION/BLS TRAINING CENTER COLLEGE OF AMERICAN PATHOLOGISTS JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS WITH COMMENDATION LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH & SENIOR SERVICES, STATE OF NEW JERSEY NATIONAL LEAGUE OF NURSING (SCHOOL OF NURSING) NEW JERSEY BOARD OF NURSING (SCHOOL OF NURSING) VETERANS ADMINISTRATION (SCHOOL OF NURSING) MEMBERSHIPS & AFFILIATIONS AMERICAN ASSOCIATION OF BLOOD BANKS AMERICAN CANCER SOCIETY AMERICAN DIETETIC ASSOCIATION AMERICAN HEART ASSOCIATION AMERICAN HOSPITAL ASSOCIATION AMERICAN STROKE ASSOCIATION CANCER INSTITUTE OF NEW JERSEY CHAMBER OF COMMERCE OF OLD BRIDGE, SAYREVILLE, AND SOUTH AMBOY COALITION OF METHADONE PROVIDERS COUNCIL OF HOSPITAL PT DIRECTORS OF NEW JERSEY EAST BRUNSWICK CHAMBER OF COMMERCE FRIENDS' HEALTH CONNECTION CENTRAL NEW JERSEY MATERNAL AND CHILD HEALTH CONSORTIUM HOME HEALTH ASSEMBLY OF NEW JERSEY, INC. NEW JERSEY ASSOCIATED TREATMENT PROVIDERS, INC. NEW JERSEY CHAPTER OF THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION NEW JERSEY TASK FORCE ON WOMEN & ALCOHOL NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION NEW JERSEY HOSPITAL ASSOCIATION PERTH AMBOY CHAMBER OF COMMERCE PERTH AMBOY KIWANIS CLUB PERTH AMBOY MUNICIPAL ALLIANCE TO PREVENT ALCOHOL AND DRUG ABUSE PERTH AMBOY/WOODBRIDGE ROTARY QUALCARE WOODBRIDGE METRO CHAMBER OF COMMERCE ROBERT WOOD JOHNSON HEALTH NETWORK WOMEN'S & CHILDREN'S SERVICES ----------------------------- ON AUGUST 28, 2003, RBMC BECAME A MAJOR CLINICAL AFFILIATE OF UMDNJ - ROBERT WOOD JOHNSON MEDICAL SCHOOL. THIS NEW STATUS AFFIRMED RBMC'S COMMITMENT TO BRING EXCEPTIONAL CARE TO THE LOCAL COMMUNITY THROUGH THE DEVELOPMENT OF NEW SPECIALTY SERVICES. HAVING ALREADY ESTABLISHED ITSELF AS A STRONG AND COMMITTED COMMUNITY TEACHING HOSPITAL THROUGH ITS INTERNAL MEDICINE RESIDENCY PROGRAM, THIS NEW AFFILIATION CREATED EXCITING OPPORTUNITIES TO ENHANCE THE HOSPITAL'S OBSTETRICS, GYNECOLOGY AND PEDIATRICS PROGRAM. THE EXPERTISE AND ABUNDANCE OF RESOURCES NOW AVAILABLE AT RBMC TRULY BENEFIT THE PATIENT, WITH EXCEPTIONAL SERVICE AND ACCESSIBLE PATIENT CARE AT THE HEART OF ONGOING INITIATIVES, RBMC REMAINS COMMITTED TO DEVELOPING ADDITIONAL PROGRAMS THAT WILL BENEFIT THE LOCAL COMMUNITY. MEDICAL STAFF ============= RBMC IS PROUD TO HAVE AN OUTSTANDING MEDICAL STAFF OF OVER 600 PHYSICIANS, ACTIVE IN APPROXIMATELY FORTY MEDICAL SPECIALTIES. THE STAFF IS COMPRISED OF PRIMARY CARE PHYSICIANS AND SUBSPECIALISTS WHO WORK COLLABORATIVELY TO MEET THE VARIOUS NEEDS OF THE PATIENTS. THEIR DEDICATION TO THE HEALTHCARE PROFESSION BRINGS THE HIGHEST LEVEL OF CARE TO THE MEMBERS OF THE COMMUNITY. MEDICAL SERVICES ================ 1) BLOOD DONATIONS RBMC MAINTAINS ITS BLOOD SUPPLY THROUGH COMMUNITY AND EMPLOYEE DONATION AND BY PURCHASING BLOOD FROM NEW JERSEY BLOOD CENTERS. TRADITIONALLY, BLOOD SUPPLY IS AT ITS LOWEST POINT DURING THE FIRST FEW MONTHS OF THE NEW YEAR BECAUSE PEOPLE DON'T GIVE BLOOD DURING THE HOLIDAYS OR DURING FLU SEASON. 2) CANCER SERVICES JACQUELINE M. & ROBERT N. WILENTZ CANCER CENTER ----------------------------------------------- RBMC'S ONCOLOGY PROGRAM, APPROVED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS, PROVIDES CENTRAL JERSEY RESIDENTS WITH CONVENIENT, QUALITY CANCER SERVICES RIGHT IN THEIR OWN NEIGHBORHOOD, ELIMINATING THE NEED TO TRAVEL TO DISTANT LOCATIONS. RBMC'S COMPREHENSIVE ONCOLOGY PROGRAM IS DESIGNED TO MEET THE COMPLEX MEDICAL NEEDS OF PATIENTS DIAGNOSED WITH MALIGNANT DISEASES. SERVICES ADDRESS THE ENTIRE SPECTRUM OF CANCER, FROM PREVENTION, TREATMENT AND REHABILITATION TO ANNUAL PATIENT FOLLOW-UP, AND THEY ARE PROVIDED UNDER THE HIGHEST STANDARDS ESTABLISHED THROUGH RBMC'S ROLE AS A CLINICAL RESEARCH AFFILIATE OF THE CANCER INSTITUTE OF NEW JERSEY (CINJ). THE CENTER HAS ADOPTED A PROACTIVE APPROACH TO PATIENT CARE MANAGEMENT AND IS INVOLVED WITH MANY ASPECTS OF CARE INCLUDING COMMUNITY OUTREACH AND HEALTH EDUCATION PROGRAMS, REFLECTING RBMC'S EMPHASIS ON PREVENTIVE SERVICES AND EARLY DIAGNOSIS OF CANCER. 3) CARDIOLOGY ALTHOUGH HEART DISEASE REMAINS THE NUMBER-ONE KILLER IN AMERICA, TREMENDOUS ADVANCES IN PREVENTION, DIAGNOSIS AND TREATMENT HAVE DRAMATICALLY INCREASED SURVIVAL RATES. SINCE 1983, RARITAN BAY'S CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER HAS GAINED A REPUTATION FOR EXCELLENCE IN THE CARE AND TREATMENT OF HEART DISEASE. ADVANCED TREATMENT AND CARE --------------------------- LOOKING AFTER YOUR HEART IS A COMPLEX ISSUE. KNOWING WHAT TO LOOK FOR AND HOW TO EVALUATE AND REHABILITATE HEART DISEASE ARE THE KEYS TO A SUCCESSFUL CARDIAC CARE PROGRAM. THE PHYSICIANS, NURSES, TECHNICIANS AND STAFF AT THE CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER OFFER YOU AND YOUR PRIMARY CARE PHYSICIAN AN EXPERIENCED TEAM OF CARDIAC CARE SPECIALISTS. PATIENT COMFORT AND CARE ARE THE FOCUS. DIAGNOSIS AND TREATMENT ARE ENHANCED THROUGH TECHNICALLY ADVANCED EQUIPMENT AND PROCEDURES. CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER - CARDIAC ---------------------------------------------------- RBMC HAS OPENED A CARDIAC CATHETERIZATION LABORATORY, ENABLING PATIENTS TO HAVE THIS VISUAL HEART TEST PERFORMED AT THEIR COMMUNITY MEDICAL CENTER RATHER THAN TRAVELING TO DISTANT FACILITIES TO HAVE THIS PROCEDURE PERFORMED. CARDIAC CATHETERIZATION ENABLES THE CARDIOLOGIST TO OBSERVE THE HEART'S BLOOD FLOW AND STUDY THE CONDITION OF BLOOD VESSELS AND THE PRESENCE OR ABSENCE OF OBSTRUCTIONS. THE CATHETERIZATION LAB IS JUST ONE PART OF THE MEDICAL CENTER'S CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER SERVICES. CARDIAC CATHETERIZATION SERVICES -------------------------------- THE NEW CARDIAC CATHETERIZATION LABORATORY IS THE LATEST ADDITION TO THE CARDIOLOGY DIAGNOSTIC AND TREATMENT CENTER AT RARITAN BAY. A CARDIAC CATHETERIZATION IS A VISUAL HEART TEST CONDUCTED BY A CARDIOLOGIST. IT ENABLES THE PHYSICIAN TO OBSERVE THE HEART'S BLOOD FLOW AND STUDY THE CONDITION OF BLOOD VESSELS AND THE PRESENCE OR ABSENCE OF OBSTRUCTIONS. THIS ASSISTS THE PHYSICIAN IN MAKING APPROPRIATE TREATMENT RECOMMENDATIONS. ONCE SCHEDULED BY YOUR PHYSICIAN, CARDIAC CATHETERIZATIONS ARE PERFORMED ON A SAME-DAY BASIS. THE PROCEDURE TAKES PLACE IN A SPECIAL SURGICAL ENVIRONMENT DESIGNED SPECIFICALLY FOR CARDIAC CATHETERIZATIONS. PATIENT RECOVERY TAKES PLACE WITHIN THE SAME AREA UNDER THE CARE OF CARDIAC SPECIALISTS. FAMILY AND FRIENDS MONITOR YOUR RECOVERY FROM A NEARBY LOUNGE. OVER 1,100 CASES ARE PERFORMED ANNUALLY.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	ANGIOPLASTY ----------- RARITAN BAY MEDICAL CENTER IS AMONG A SELECT GROUP OF NEW JERSEY HOSPITALS APPROVED BY THE STATE HEALTH COMMISSIONER TO PERFORM BOTH PRIMARY AND ELECTIVE ANGIOPLASTY. PRIMARY ANGIOPLASTY, REGARDED AS THE GOLD STANDARD, MOST EFFECTIVE INTERVENTION FOR HEART ATTACKS, IS USED TO OPEN CLOGGED ARTERIES AND RESTORE BLOOD FLOW WITHIN 90 MINUTES OF A PATIENT'S ARRIVAL AT THE HOSPITAL. THIS IS ACCOMPLISHED BY INSERTING A BALLOON INTO THE BLOCKED ARTERIES FOLLOWED BY A STENT, IN SOME CASES, TO KEEP THE ARTERIES CLEAR. THE TECHNIQUE HALTS OR PREVENTS THE POTENTIALLY DEADLY CONSEQUENCES OF HEART ATTACK WHILE FACILITATING THE BEST POSSIBLE PATIENT OUTCOMES. 4) HIV SERVICES AND EDUCATION EARLY INTERVENTION PROGRAM -------------------------- INDIVIDUALS WITH HIV CAN RECEIVE COMPREHENSIVE MEDICAL CARE AND TREATMENT, INCLUDING SPECIALIZED HEALTH EDUCATION AND CASE MANAGEMENT SERVICES, THROUGH THE MEDICAL CENTER'S EARLY INTERVENTION PROGRAM. COMPREHENSIVE HIV SERVICES INCLUDE THE AIDS OUTREACH & SUPPORT PROGRAM AND FREE AND CONFIDENTIAL HIV COUNSELING AND TESTING. COUNSELING AND TESTING ---------------------- RBMC OFFERS A FREE AND CONFIDENTIAL HIV TESTING PROGRAM. PREVENTION WITH POSITIVES ------------------------- RBMC OFFERS INTENSE PREVENTION CASE MANAGEMENT AND A RISK-REDUCTION PROGRAM FOR INDIVIDUALS WHO ARE HIV POSITIVE. L.U.P.E. -------- LATINOS UNITED FOR PREVENTION AND EDUCATION ("LUPE") PROVIDES HEALTH EDUCATION, RISK-REDUCTION, AND COMMUNITY OUTREACH TARGETING HISPANIC YOUTH, YOUNG ADULTS, AND WOMEN. L.U.P.E. IS A COLLABORATIVE HIV PREVENTION PROJECT BETWEEN RBMC AND THE PUERTO RICAN ASSOCIATION FOR HUMAN DEVELOPMENT (PRAHD). THIS GRASS-ROOTS LEVEL PROGRAM TARGETS WOMEN AND YOUTH AND THOSE WHO ARE SIGNIFICANTLY MORE AT RISK FOR PROBLEMS ASSOCIATED WITH POVERTY SUCH AS SUBSTANCE ABUSE, ADOLESCENT PREGNANCY, SEXUALLY TRANSMITTED INFECTIONS, HIV AND AIDS. SERVICES PROVIDED INCLUDE: - OUTREACH TO COMMUNITY - HEALTH EDUCATION AND RISK-REDUCTION CLASSES - SINGLE SESSION HEALTH EDUCATION PROGRAMS - PREVENTION CASE MANAGEMENT 5) LABORATORY SERVICES THE RBMC LABORATORY IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS, AND OFFERS A FULL RANGE OF OUTPATIENT LABORATORY TESTING IN THE AREAS OF BLOOD CHEMISTRY, IMMUNOLOGY, HEMATOLOGY, MICROBIOLOGY, AND PRE-NATAL BLOOD TESTING. 6) MAMMOGRAPHY RBMC OFFERS RADIOLOGICAL PROCEDURES THAT CAN ELIMINATE THE NEED FOR SURGERY. PATIENTS BENEFIT FROM THE LATEST EQUIPMENT FOR DIAGNOSIS AND TREATMENT. MAMMOGRAPHY SERVICES PROVIDE CONVENIENCE AND PRIVACY. 7) MATERNITY A NUMBER OF COMMUNITY PROGRAMS AND CLASSES ARE OFFERED BY RBMC AND ARE OUTLINED IN THE COMMUNITY BENEFIT SECTION OF THIS STATEMENT. 8) PEDIATRICS AT RBMC, A CHILD IS A PRECIOUS PATIENT. THAT'S WHY RBMC'S PEDIATRIC UNIT IS A SPECIAL PLACE PROVIDING CARE, REASSURANCE, SUPPORT, COMFORT AND ENCOURAGEMENT TO INFANTS, CHILDREN AND ADOLESCENTS AND THEIR FAMILIES. RBMC'S SERVICES INCLUDE: - PEDIATRIC ACUTE CARE - PEDIATRIC OUTPATIENT TESTING - PEDIATRIC MODERATE SEDATION - PEDIATRIC MEDICAL DAY STAY THE PEDIATRIC UNIT STRIVES TO MEET THE NEEDS OF THE FAMILY BY PROVIDING: - 24-HOUR VISITATION FOR PARENTS AND FLEXIBLE HOURS FOR OTHER FAMILY MEMBERS - GUEST TRAYS AVAILABLE FOR EVERY MEAL - SLEEPER CHAIRS FOR PARENT OVERNIGHT STAYS - USE OF SHOWERS - USE OF THE KITCHEN - A PLAY ROOM WITH A LARGE TANK OF TROPICAL FISH AND TOYS, GAMES, BOOKS AND VIDEOTAPES APPROPRIATE FOR ALL AGES - A CLOSED CIRCUIT VIDEOTAPE LIBRARY SYSTEM OFFERING NEW RELEASES AND OLD FAVORITES - FREE TELEVISION - QUALIFIED STAFF EVERY NURSE IN THE PEDIATRIC UNIT IS A REGISTERED PROFESSIONAL WITH EXPERIENCE AND SPECIALIZED EDUCATION IN THE CARE OF NEWBORN, CHILD AND ADOLESCENT PATIENTS. RBMC'S NURSES CAN OFFER YOU A WEALTH OF ADVICE AND ASSISTANCE DURING YOUR CHILD'S HOSPITALIZATION. IN ADDITION TO YOUR CHILD'S PHYSICIAN, OTHER PEDIATRIC SPECIALISTS MAY CARE FOR YOUR CHILD DEPENDING ON THEIR NEEDS. FOR EXAMPLE, IF SEDATION FOR A PROCEDURE IS NECESSARY, A BOARD-CERTIFIED PEDIATRIC INTENSIVIST WILL CAREFULLY EXPLAIN THE PROCEDURES TO YOU AND YOUR CHILD AND REMAIN BY YOUR CHILD'S SIDE DURING THE TEST. FOR CHILDREN UNDER 18 YEARS OF AGE WHO NEED SPECIALIZED CARE, RBMC HAS TWO BOARD-CERTIFIED PEDIATRIC CARDIOLOGISTS ON STAFF. IN ADDITION, NEW PARENTS MAY NEED THE SPECIAL EXPERTISE PROVIDED BY RBMC'S NEONATOLOGISTS, WHO ARE BOARD-CERTIFIED SPECIALISTS IN THE CARE OF HIGH-RISK INFANTS. RBMC PROVIDES ROUND-THE-CLOCK SERVICES OF A HOSPITAL BASED PEDIATRICIAN TO RESPOND TO EMERGENCIES AND TO CONFER WITH YOUR PEDIATRICIAN IF NECESSARY. OTHER PROGRAMS GEARED TO CHILDREN --------------------------------- RBMC ALSO OFFERS PROKIDS, A FREE HEALTH EDUCATION PROGRAM FOR STUDENTS IN GRADES K-12 PROVIDED TO SCHOOLS, COMMUNITY YOUTH-BASED ORGANIZATIONS AND PARENT GROUPS. 9) RADIOLOGY RBMC OFFERS RADIOLOGICAL PROCEDURES THAT CAN ELIMINATE THE NEED FOR SURGERY. PATIENTS BENEFIT FROM THE LATEST EQUIPMENT FOR DIAGNOSIS AND TREATMENT. THESE SERVICES INCLUDE: DIAGNOSTIC IMAGING SERVICES --------------------------- RBMC USES STATE-OF-THE-ART DIAGNOSTIC IMAGING TECHNOLOGY. AS ONE OF THE ONLY HOSPITALS IN THE STATE FULLY CONVERTED TO A FILMLESS INFORMATION SYSTEM, RARITAN BAY PROVIDES PATIENTS AND PHYSICIANS WITH QUICK RESULTS AND COMPREHENSIVE ACCESS TO X-RAYS, CT SCANS, MRI, ULTRASOUND AND NUCLEAR MEDICINE TEST RESULTS. THIS SYSTEM, KNOWN AS PICTURE ARCHIVING AND COMMUNICATION SYSTEM AND REFERRED TO AS PACS, UTILIZES ELECTRONIC DIGITAL IMAGES RATHER THAN TRADITIONAL FILMS. THE DIGITAL IMAGES ARE AVAILABLE IMMEDIATELY ON COMPUTER SCREENS IN PATIENT CARE AREAS THROUGHOUT THE MEDICAL CENTER. PACS PROVIDES PHYSICIANS WITH AN EXCEPTIONAL TOOL TO SPEED PATIENT DIAGNOSIS, EFFICIENTLY STORE RECORDS, AND PROVIDE CONVENIENT ACCESS IN A SECURE AND CONFIDENTIAL MANNER. MRI SERVICES ------------ MAGNETIC RESONANCE IMAGING (MRI) IS AVAILABLE FOR PATIENTS AND OUTPATIENTS AT THE PERTH AMBOY AND OLD BRIDGE DIVISIONS. FULLY INTEGRATED WITH THE PACS SYSTEM, PHYSICIANS HAVE THE OPPORTUNITY TO REVIEW THE DIGITAL MRI TEST RESULTS WITH THE TOUCH OF A BUTTON IN THE DIAGNOSTIC IMAGING DEPARTMENT OR ON PATIENT FLOORS. MRI TESTS ARE PERFORMED BY A RADIOLOGY TECHNOLOGIST AND CAN BE USED TO DETECT PROBLEMS IN NUMEROUS DIFFERENT AREAS OF THE BODY. INTERVENTIONAL RADIOLOGISTS, SPECIALLY TRAINED DOCTORS WHO USE X-RAYS AND OTHER IMAGING TECHNIQUES TO "SEE" INSIDE THE BODY, CAN TREAT A VARIETY OF MEDICAL DISORDERS WITHOUT SURGERY IN THE VIRC. THESE PROCEDURES ARE GENERALLY LESS COSTLY AND LESS TRAUMATIC TO THE PATIENT, INVOLVING SMALLER INCISIONS, LESS PAIN, AND SHORTER HOSPITAL STAYS. 10) REHABILITATION SERVICES THE CARING STAFF IN PHYSICAL MEDICINE AND REHABILITATIVE SERVICES IS DEDICATED TO PROMOTING INDEPENDENCE AND RESTORING THE FULLEST LEVEL OF FUNCTION FOR THE PATIENTS. TREATMENT IS PROVIDED TO THOSE DIAGNOSED WITH INJURIES RELATED TO NEUROLOGICAL, MUSCULOSKELETAL, CARDIOVASCULAR AND PULMONARY SYSTEMS OR WITH A DISABILITY. EACH PATIENT FOLLOWS A CUSTOMIZED TREATMENT PLAN THAT IS MOLDED TO HIS OR HER OWN SPECIFIC NEEDS. PHYSICAL MEDICINE AND REHABILITATIVE SERVICES OFFERS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE PATHOLOGY SERVICES, ELECTROMYOGRAPHY (EMG) / NERVE CONDUCTION STUDY (NCV) AND PHYSIATRIST CONSULTATION BY APPOINTMENT. 11) RENAL DIALYSIS RENAL DIALYSIS SERVICES ARE PROVIDED AT RBMC'S PERTH AMBOY AND OLD BRIDGE DIVISIONS BY SPECIALLY TRAINED PROFESSIONALS OF DAVITA DIALYSIS INC. LOCATED ON-SITE AT BOTH HOSPITALS, PATIENTS HAVE EASY ACCESS FOR THEIR DIALYSIS NEEDS. 12) SLEEP DISORDERS THE CENTER FOR SLEEP MEDICINE IS A STATE OF THE ART FACILITY, WHICH PROVIDES DIAGNOSIS AND TREATMENT FOR A VARIETY OF SLEEP DISORDERS AND AILMENTS. A SLEEP STUDY IS A NON-INVASIVE TEST WHICH RECORDS A PATIENT'S SLEEP PATTERN, BREATHING, OXYGEN LEVEL, HEART RATE AND RHYTHM, AND MUSCLE TONE WHILE THEY SLEEP OVERNIGHT IN A PRIVATE HOTEL-LIKE ROOM AT THE CENTER. TYPES OF STUDIES ---------------- SEVERAL TYPES OF STUDIES CAN BE CONDUCTED AT THE CENTER. SOME OF THE MOST COMMON DISORDERS THAT MAY BE STUDIED INCLUDE SLEEP APNEA, EXCESSIVE SNORING, LEG MOVEMENTS, AND NIGHT TERRORS. ONCE DIAGNOSED, PATIENTS MAY BE PRESCRIBED MEDICATION OR RESPIRATORY ADJUNCTS. IN RARE CASES, SURGERY MAY BE NEEDED TO CORRECT A CONDITION. ALL ASPECTS OF THE TESTING PROCESS ARE HANDLED AT THE CENTER, AND TEST RESULTS ARE FORWARDED TO THE PATIENT'S PERSONAL PHYSICIAN TO ENSURE A COMPREHENSIVE TREATMENT PLAN. MOST PATIENTS REQUIRE ONLY ONE NIGHT OF MONITORING WHILE THEY SLEEP AT THE CENTER. SPECIALLY TRAINED TECHNICIANS ARE LOCATED IN A SEPARATE ROOM, WHERE THEY MONITOR THE PATIENTS' CONDITION. IN SOME CASES PATIENTS ARE REQUIRED TO VISIT DURING THE DAY FOR A NAP, WHERE STAFF FOLLOW UP ON A PARTICULAR DIAGNOSIS.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMFORT AND CONVENIENCE ----------------------- THE CENTER FOR SLEEP MEDICINE APPEARS TO BE ANYTHING BUT A CLINICAL EXPERIENCE. FOUR PRIVATE ROOMS BOAST EXTRA LONG, FULL SIZE BEDS, WALL TO WALL CARPETING, LAY-Z-BOY RECLINERS, TV / VCR'S AND A BEAUTIFUL VIEW OF THE SURROUNDING LANDSCAPE. CAREGIVERS OR A PARENT MAY STAY OVERNIGHT IF THE PATIENT REQUIRES ASSISTANCE OR IS A MINOR. PRIVATE SHOWERS MAKE IT CONVENIENT FOR THOSE PATIENTS WHO NEED TO BE UP EARLY AND PREPARED FOR WORK. WITH AN EVENING SNACK AND CONTINENTAL BREAKFAST PROVIDED, ALL EFFORTS HAVE BEEN MADE TO MAKE THE PATIENT'S EXPERIENCE AS COMFORTABLE AND HOME-LIKE AS POSSIBLE. 13) WOMEN'S HEALTH CENTER FOR WOMEN ---------------- RBMC'S CENTER FOR WOMEN IS DEDICATED TO THE SPECIAL NEEDS OF WOMEN, OFFERING A COMPREHENSIVE APPROACH TO BREAST HEALTH, WELLNESS AND DISEASE PREVENTION. WITH LOCATIONS IN OLD BRIDGE AND PERTH AMBOY, OUR NEWLY RENOVATED FACILITIES COMBINE THE HIGHEST QUALITY IMAGING TECHNOLOGY WITH COMFORTABLE, SPA-LIKE SURROUNDINGS AND A UNIQUELY PERSONALIZED LEVEL OF CARE. WE MAKE IT EASY AND CONVENIENT FOR WOMEN TO RECEIVE STATE-OF-THE-ART TESTING, INCLUDING MAMMOGRAPHY, ULTRASOUND, BREAST MRI, IMAGE-GUIDED BIOPSY AND BONE DENSITOMETRY, ALONG WITH VARIOUS OTHER WOMEN'S HEALTH SERVICES, FROM HOLISTIC MEDICINE TO LYMPHEDEMA THERAPY. 14) INSTITUTE FOR WEIGHT LOSS RBMC'S INSTITUTE FOR WEIGHT LOSS IS DESIGNED TO HELP PEOPLE WHO ARE SEVERELY OVERWEIGHT AND HAVE NOT FOUND SUCCESS WITH TRADITIONAL WEIGHT LOSS METHODS. THE INSTITUTE SPECIALIZES IN MINIMALLY INVASIVE AND HIGH-QUALITY BARIATRIC SURGICAL CARE, TAKING A MULTI-DISCIPLINARY APPROACH AND ALLOWING FOR PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR CARE TO ACHIEVE THE BEST LONG TERM OUTCOMES. THE INSTITUTE PROVIDES PATIENTS WITH A COMPREHENSIVE PLAN OF CARE, INCLUDING PRE-SURGICAL EDUCATION, NUTRITION AND LIFESTYLE COUNSELING AND POST-SURGICAL SUPPORT AND GROUP MEETINGS. PATIENTS ARE TREATED WITH COMPASSION AND RESPECT BY THE MEDICAL CENTER'S CLINICIANS AND STAFF IN A COMFORTABLE ENVIRONMENT. NURSING ======= RBMC'S NURSING STAFF EXEMPLIFIES THE PRINCIPLES OF "PRIDE IN CARING." COMPRISED OF OVER 550 NURSES, THE NURSING STAFF IS COMMITTED TO PROVIDING THE COMMUNITY WITH THE BEST HEALTHCARE SERVICES DELIVERED WITH COMPASSION AND CLINICAL EXCELLENCE. NURSING SPECIALTIES AT RBMC INCLUDE, BUT ARE NOT LIMITED TO: EMERGENCY INFECTIOUS DISEASE SURGERY DIALYSIS CRITICAL CARE OBSTETRICS/NURSERY ORTHOPEDIC CARDIOLOGY RBMC AND MIDDLESEX COUNTY COLLEGE NURSING PROGRAM ------------------------------------------------- RBMC, IN COLLABORATION WITH MIDDLESEX COUNTY COLLEGE, OFFERS AN ASSOCIATE SCIENCE DEGREE IN THE NURSING PROGRAM. IN THIS TWO-YEAR PROGRAM STUDENTS COMPLETE 35 CREDITS IN GENERAL EDUCATION AND SCIENCE TAUGHT BY MIDDLESEX COUNTY COLLEGE FACULTY AND 35 CREDITS IN NURSING EDUCATION TAUGHT BY RBMC FACULTY. THE CURRICULUM INCLUDES BASICS OF NURSING, MEDICAL-SURGICAL NURSING; A COMBINATION OF OBSTETRICS, PEDIATRICS AND PSYCHIATRY; AND THEN ADVANCED MEDICAL-SURGICAL, WITH AN EMPHASIS ON CRITICAL CARE AND NURSING LEADERSHIP AND MANAGEMENT. STUDENTS RECEIVE THEIR CLINICAL EXPERIENCES AT RBMC, WHICH IS DESIGNATED A MAGNET HOSPITAL FOR NURSING EXCELLENCE BY THE AMERICAN NURSES CREDENTIALING CENTER FOR NURSING EXCELLENCE. THIS DESIGNATION IS GRANTED TO LESS THAN THREE PERCENT OF AMERICA'S HOSPITALS. DISTINGUISHED DINER'S CLUB -------------------------- RBMC'S DISTINGUISHED DINER CLUB IS A SOCIAL GROUP FOR AREA SENIOR CITIZENS THAT MEETS DAILY FOR A WHOLESOME, NUTRITIOUS AND AFFORDABLE DINNER. COMPLETE DINNERS ARE SERVED MONDAY THROUGH FRIDAY AT A SPECIAL LOW COST FOR MEMBERS. SOCIAL INTERACTION AND HEALTH EDUCATION ARE ALSO PART OF THE PROGRAM. THE DISTINGUISHED DINER CLUB IS OFFERED AT BOTH THE PERTH AMBOY AND OLD BRIDGE DIVISIONS OF RBMC. EDUCATION ========= A COMMITMENT TO ONGOING EDUCATION --------------------------------- RBMC'S PERTH AMBOY DIVISION HAS BEEN A TEACHING HOSPITAL AND TRAINING CENTER SINCE 1903, MAINTAINING THE PHILOSOPHY THAT EXCELLENCE IN HEALTH EDUCATION IS THE KEYSTONE TO EXCELLENCE IN HEALTHCARE. RBMC OFFERS EDUCATION PROGRAMS FOR BOTH MEDICAL PROFESSIONALS AND THE GENERAL PUBLIC. HEALTHCARE PROFESSIONALS ------------------------- 1) RBMC AND MIDDLESEX COUNTY COLLEGE NURSING PROGRAM 2) INTERNAL MEDICINE RESIDENCY PROGRAM 3) PROFESSIONAL EDUCATION 4) STAFF EDUCATION COMMUNITY EDUCATION ------------------- 1) CPR TRAINING 2) CHILDBIRTH CLASSES 3) FAMILY CENTER 4) SPEAKER'S BUREAU AUXILIARIES AND VOLUNTEERS ========================== AUXILIARIES ----------- ANOTHER OPPORTUNITY TO HELP THROUGH A VARIETY OF FUNDRAISING EVENTS AND SERVICE PROJECTS, THE MEN AND WOMEN OF RBMC'S AUXILIARIES SUPPORT RBMC IN ITS MISSION TO PROVIDE PERSONALIZED, QUALITY, HEALTHCARE TO THE RESIDENTS OF CENTRAL NEW JERSEY. RBMC BENEFITS FROM THE SUPPORT OF SIX AUXILIARY GROUPS, EACH WITH ITS OWN UNIQUE PROJECTS. THESE INCLUDED FASHION SHOWS, VENDOR SALES, 50/50 RAFFLES AND PARTICIPATION IN COMMUNITY FAIRS. PERTH AMBOY AUXILIARY - ESTABLISHED IN 1888, THE PERTH AMBOY AUXILIARY IS ONE OF THE OLDEST AND MOST DISTINGUISHED AUXILIARIES IN NEW JERSEY, AND HAS RAISED MILLIONS OF DOLLARS IN SUPPORT OF THE PERTH AMBOY DIVISION. OLD BRIDGE AUXILIARY - THIS AUXILIARY, FOUNDED IN 1976, SUPPORTS THE OLD BRIDGE DIVISION'S DELIVERY OF QUALITY AND COMPASSIONATE HEALTHCARE TO THE COMMUNITY. PERTH AMBOY AND OLD BRIDGE JUNIOR CHAPTERS - 13 TO 18 YEAR OLD HIGH SCHOOL STUDENTS ARE GIVEN THE OPPORTUNITY TO LEARN MORE ABOUT HEALTHCARE PROFESSIONS AS THEY SUPPORT RBMC THROUGH SERVICE PROJECTS IN THESE CHAPTERS OF THE PERTH AMBOY AND OLD BRIDGE AUXILIARIES. VOLUNTEERS ---------- RBMC VOLUNTEERS ARE GENEROUS INDIVIDUALS WHO BRING COMFORT, CARING AND ASSISTANCE TO PATIENTS AND STAFF AT RBMC'S PERTH AMBOY AND OLD BRIDGE DIVISIONS. MORE THAN 540 VOLUNTEERS SHARE THEIR TIME AND TALENTS EACH YEAR. AS A VOLUNTEER, YOU ARE SURE TO FIND PERSONAL SATISFACTION IN KNOWING THAT YOU ARE MAKING A DIFFERENCE TO OTHERS. IN ADDITION, YOU MAY FORM NEW FRIENDSHIPS, ACQUIRE JOB EXPERIENCE AND PERHAPS EXPLORE A HEALTHCARE CAREER. RBMC VOLUNTEERS ASSIST AND ENHANCE THE DAILY ACTIVITIES OF RBMC. WHILE DUTIES AND RESPONSIBILITIES VARY, EVERY VOLUNTEER ASSIGNMENT IS AN IMPORTANT AND KEENLY APPRECIATED SERVICE. VOLUNTEERS ASSIST IN THE FOLLOWING AREAS: 1) CENTER FOR WOMEN 2) DIETARY 3) EMERGENCY ROOM 4) GIFT SHOP 5) GOLDEN SPOONS: PATIENT FEEDING PROGRAM 6) HEALTHCARE FOUNDATION 7) HUMAN RESOURCES 8) INFORMATION DESK 9) LIBRARY CHART 10) MEDICAL RECORDS 11) MOBILE INTENSIVE CARE UNIT 12) NURSING UNITS 13) PHARMACY 14) PHYSICAL THERAPY 15) RADIOLOGY 16) PET THERAPY 17) STAFF DEVELOPMENT 18) SLEEP CENTER 19) VOLUNTEER SERVICES COMMUNITY BENEFIT PROGRAMS AND SERVICES ======================================= SPEAKERS BUREAU --------------- RBMC PROUDLY OFFERS THE COMMUNITY ACCESS TO A WIDE VARIETY OF FREE EDUCATION PROGRAMS ON A MULTITUDE OF HEALTH AND WELLNESS TOPICS. HEALTHCARE PROFESSIONALS VOLUNTEER THEIR TIME AND VISIT YOUR GROUP TO SHARE INFORMATION AND EDUCATE. SOME OF THE TOPICS INCLUDE: 1) BIOTERRORISM 2) FIRST AID 3) EMERGENCY CARE 4) LIVING WILLS AND ADVANCE DIRECTIVES 5) DEPRESSION 6) CRISIS: WHAT IS IT? HOW TO SURVIVE IT 7) SUBSTANCE ABUSE 8) SENIOR SERVICES 9) MAMMOGRAPHY 10) CRITICAL CARE 11) ASSERTION TECHNIQUES 12) RELAXATION TECHNIQUES 13) AIDS 14) SEXUALLY TRANSMITTED DISEASES 15) CHOKING/HEIMLICH 16) CPR 17) STRESS MANAGEMENT 18) DRUG ADDICTION 19) DIABETES 20) EFFECTS OF AGING 21) BEHAVIOR PROBLEMS 22) ABUSE 23) DEATH AND DYING 24) ALCOHOLISM 25) CHILD ABUSE 26) LYME DISEASE 27) CARDIAC DISEASE 28) AGGRESSION 29) ADVANCED CARDIAC LIFE SUPPORT 30) CHOLESTEROL 31) EATING RIGHT 32) ANXIETY DISORDERS 33) NEWBORN CARE 34) SIDS 35) HYPERTENSION 36) HEPATITIS C SUPPORT GROUPS ============== - CANCER - CARDIAC CLUB - CPAP (SLEEP APNEA) SUPPORT GROUP - HIV BREAST CANCER SUPPORT GROUPS ---------------------------- THE JACQUELINE M. & ROBERT N. WILENTZ CANCER CENTER AT RBMC SPONSORS A SERIES OF BREAST CANCER SUPPORT GROUPS. THE PURPOSE OF THE GROUP IS TO EDUCATE AND INTERACT WITH WOMEN LIVING WITH BREAST CANCER, VIA COMMUNICATIONS AND THE SHARING OF EXPERIENCES. ISSUES DISCUSSED WILL INCLUDE NUTRITION AND EXERCISE, CURRENT TREATMENT MODALITIES AND SPIRITUALITY. CARDIAC CLUB ------------ CARDIAC CLUB IS A FREE MONTHLY SUPPORT GROUP FOR THOSE DIAGNOSED WITH HEART DISEASE. A RBMC PROFESSIONAL WILL LECTURE ON CARDIAC-RELATED TOPICS. SOME TOPICS THAT WILL BE EXPLORED THIS YEAR INCLUDE CONGESTIVE HEART FAILURE, ANGINA, HEART ATTACK, PACEMAKER, WEIGHT LOSS, ANXIETY AND STRESS, HERBAL AND CARDIAC DRUGS AND LOW FAT DIET. A CARDIAC NURSE EDUCATOR WHO TEACHES HOSPITALIZED PATIENTS RUNS THE SUPPORT GROUP. THE GROUP PROVIDES CONTINUING SUPPORT TO FORMER PATIENTS AND THEIR FAMILIES, AND ANYONE IN THE COMMUNITY WITH A CARDIAC CONDITION.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	CPAP (SLEEP APNEA) SUPPORT GROUP -------------------------------- THE CENTER FOR SLEEP MEDICINE AT RBMC SPONSORS A CPAP SUPPORT GROUP. CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICES ARE BECOMING INCREASINGLY COMMON FOR THE RELIEF OF THOSE SUFFERING FROM SLEEP APNEA. THE PURPOSE OF THIS GROUP IS TO PROVIDE SUPPORT, EDUCATION, AND UNDERSTANDING FOR USERS AND THEIR FAMILIES. THE GROUP WILL MEET QUARTERLY AND EXPERTS WILL BE ON HAND TO RESPOND TO YOUR QUESTIONS AND CONCERNS. REPRESENTATIVES FROM DEVICE MANUFACTURERS WILL BE AVAILABLE TO GIVE ADVICE ON THE USE AND ADJUSTMENTS OF THE CPAP MACHINES. EARLY INTERVENTION & SUPPORT PROGRAM ------------------------------------ INDIVIDUALS WITH HIV CAN RECEIVE COMPREHENSIVE MEDICAL CARE AND TREATMENT, INCLUDING SPECIALIZED HEALTH EDUCATION AND CASE MANAGEMENT SERVICES, THROUGH RBMC'S EARLY INTERVENTION PROGRAM. COMPREHENSIVE HIV SERVICES INCLUDE THE AIDS OUTREACH & SUPPORT PROGRAM AND FREE AND CONFIDENTIAL HIV COUNSELING AND TESTING. OTHER SUPPORT GROUPS INCLUDE, BUT ARE NOT LIMITED TO: ----------------------------------------------------- - HIV SUPPORT GROUP MEETING - ALZHEIMER'S DISEASE AND DEMENTIA CAREGIVERS SUPPORT GROUP MEETING - BARIATRIC WEIGHT LOSS SUPPORT GROUP MEETING - CHILDBIRTH EDUCATION / LAMAZE CLASS OTHER COMMUNITY BENEFIT PROGRAMS/CLASSES ======================================== - CHILDBIRTH PREPARATION CLASS - MATERNITY TOUR - DOCTOR DAD - CAR SEAT SAFETY CHECKS - SIBLING CLASSES - BREAST FEEDING 101 - SAFE - SITTER TRAINING
OTHER PROGRAM SERVICES	CORE FORM, PART III; LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	RARITAN BAY HEALTH SERVICES CORPORATION ("RBHSC") IS THE SOLE MEMBER OF THIS ORGANIZATION. RBHSC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE IN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RARITAN BAY HEALTH SERVICES CORPORATION IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S FINANCE COMMITTEE REVIEWED THE FORM 990 AND A MEETING WAS HELD WITH THE FINANCE COMMITTEE TO DISCUSS AND FINALIZE THE RETURN PRIOR TO MAKING IT AVAILABLE TO THE ORGANIZATION'S GOVERNING BODY. THE ORGANIZATION'S FINANCE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S KEY FINANCE PERSONNEL AND SENIOR MANAGEMENT FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW AND THE MEETING WITH THE ORGANIZATION'S FINANCE COMMITTEE, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE IN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL FOR REVIEW. THEREAFTER THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE SYSTEM'S SENIOR VICE PRESIDENT/GENERAL COUNSEL THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTIAN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
COMPENSATION INFORMATION DISCLOSURE	CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
RELATED HOURS DISCLOSURE	CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE IN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
OTHER CHANGES IN NET ASSETS	CORE FORM, PART XI; QUESTION 5	OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - CHANGE IN NET UNREALIZED GAINS AND LOSSES ON INVESTMENTS - ($870,167) - CHANGE IN PENSION LIABILITY TO BE RECOGNIZED IN FUTURE YEARS - ($21,477,825) - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED IN OPERATIONS - ($1,450,254) - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED FOR PURCHASE OF PLANT AND EQUIPMENT - ($308,549) - CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - ($74,765)
AUDITED FINANCIAL STATEMENTS	CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RARITAN BAY MEDICAL CENTER AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS EACH YEAR. THE RARITAN BAY MEDICAL CENTER AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

RARITAN BAY MEDICAL CENTER

Employer identification number

22-1494442

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) RARITAN BAY HEALTHCARE FOUNDATION 471 LAWRIE STREET PERTH AMBOY,NJ08661 22-2656665	SUPPORT RBMC	NJ	501(C)(3)	509(A)(1)	RB HS CORP		No
(2) RARITAN BAY HEALTH SERVICES CORP 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-2635626	HOLDING CO.	NJ	501(C)(3)	509(A)(3)	NA		No
(3) RARITAN BAY MED CTR OLD BRIDGE AUXINC ONE HOSPITAL PLAZA OLD BRIDGE,NJ08857 22-2230979	SUPPORT RBMC	NJ	501(C)(3)	509(A)(3)	RB HS CORP		No
(4) RBMC PERTH AMBOY AUX INC 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-2142491	SUPPORT RBMC	NJ	501(C)(3)	509(A)(3)	RB HS CORP		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) OLD BRDGE MED ASSOC 1 HOSPITAL PLAZA OLD BRIDGE,NJ08861 22-2894388	HEALTH SVCS.	NJ	RBMC	RELATED	1,409,970	4,418,576		No	0		No	78.411 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) RARITAN BAY MGMT SVC ORGANIZATION INC 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-3469753	MGMT SVCS.	NJ	NA	C CORP.
(2) PRIMARY CARE NETWORK AT RARITAN BAYPC 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-3442277	HEALTH SVCS.	NJ	RBMC	C CORP.	618	3,860	100.000 %
(3) RARITAN MANAGEMENT CORP 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-2209778	AMBULANCE SVCS.	NJ	NA	C CORP.
(4) RARITAN INSURANCE LTD 23 LIME TREE BAY AVE PO BOX 1363 GRAND CAYMAN CJ	FINANCIAL VEHICLE	CJ	RBMC	FOREIGN CORP.	693,303	6,575,634	100.000 %

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: RARITAN BAY MEDICAL CENTER, A NON-PROFIT HEALTHCARE ORGANIZATION, IS COMMITTED TO PROVIDING PROFESSIONAL, COMPASSIONATE AND QUALITY HEALTHCARE TO ALL PATIENTS AND MEETING THE NEEDS OF THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	16
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	2,280
6	Total number of volunteers (estimate if necessary) ....	6	309
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,448,501	3,324,929
9	Program service revenue (Part VIII, line 2g) .........	227,833,154	230,650,596
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	449,143	642,355
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,220,739	1,603,559
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	233,951,537	236,221,439
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	6,100
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	129,072,989	129,071,928
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	108,157,856	108,592,431
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	237,230,845	237,670,459
19	Revenue less expenses. Subtract line 18 from line 12.......	-3,279,308	-1,449,020
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	141,914,031	142,638,274
21	Total liabilities (Part X, line 26).............	130,826,947	157,181,770
22	Net assets or fund balances. Subtract line 21 from line 20.....	11,087,084	-14,543,496

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 34,621,145 including grants of $ 0 ) (Revenue $ 24,339,761 )
	EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED MORE THAN 75,746 EMERGENCY ROOM PATIENTS DURING 2011. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4b	(Code: ) (Expenses $ 13,216,612 including grants of $ 0 ) (Revenue $ 15,876,432 )
	EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED OVER 10,262 OPERATING ROOM PROCEDURES DURING 2011. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4c	(Code: ) (Expenses $ 3,485,088 including grants of $ 0 ) (Revenue $ 6,328,683 )
	EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY LABOR, DELIVERY, RECOVERY AND POSTPARTUM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION HAD APPROXIMATELY 6,051 LABOR, DELIVERY, RECOVERY AND POSTPARTUM VISITS AND ADMISSIONS DURING 2011. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 162,581,178 including grants of $ 6,100 ) (Revenue $ 184,105,720 )
4e	Total program service expenses$ 213,904,023

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,254,258	0	449,775

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		308,549
e	Government grants (contributions)1e		1,450,254

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,566,126
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			3,324,929
			Business Code
2a	NET PATIENT SERVICE REVENUE		541,900	227,992,880	227,992,880
b	OTHER HEALTHCARE RELATED REVENUE		541,900	2,657,716	2,657,716
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			230,650,596
3	Investment income (including dividends, interest
	and other similar amounts).....			554,562			554,562
4	Income from investment of tax-exempt bond proceeds..			7,363			7,363
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents	1,160,866
b	Less: rental expenses
c	Rental income or (loss)	1,160,866
d	Net rental income or (loss).......			1,160,866			1,160,866
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		138,721
b	Less: cost or other basis and sales expenses		58,291
c	Gain or (loss)		80,430
d	Net gain or (loss)..........			80,430			80,430
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	ANSWERING SERVICE		517,000	313,639			313,639
b	TELEVISION		812,930	70,903			70,903
c	PARKING		517,000	58,151			58,151
d	All other revenue ....
e	Total. Add lines 11a–11d ......			442,693
12	Total revenue. See Instructions....			236,221,439	230,650,596		2,245,914


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			5,875	1	5,875
2	Savings and temporary cash investments .......			339,125	2	301,081
3	Pledges and grants receivable, net .........			445,125	3	363,851
4	Accounts receivable, net .........			21,768,749	4	23,223,384
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........			0	6	0
7	Notes and loans receivable, net .............			3,612,063	7	3,430,999
8	Inventories for sale or use ..............			3,751,877	8	4,279,002
9	Prepaid expenses and deferred charges ............			676,683	9	937,806
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	209,847,220
b	Less: accumulated depreciation. .....	10b	132,624,581	77,932,458	10c	77,222,639
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 ......			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			29,858,763	13	28,524,736
14	Intangible assets .........			515,557	14	466,398
15	Other assets. See Part IV, line 11 ...........			3,007,756	15	3,882,503
16	Total assets. Add lines 1 through 15 (must equal line 34)...			141,914,031	16	142,638,274
17	Accounts payable and accrued expenses .			31,977,398	17	37,542,544
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			42,249,311	20	40,893,911
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			1,333,500	23	2,388,494
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			55,266,738	25	76,356,821
26	Total liabilities. Add lines 17 through 25.....			130,826,947	26	157,181,770
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			8,280,161	27	-17,089,637
28	Temporarily restricted net assets .....			889,411	28	703,394
29	Permanently restricted net assets .....			1,917,512	29	1,842,747
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			11,087,084	33	-14,543,496
34	Total liabilities and net assets/fund balances .....			141,914,031	34	142,638,274

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No