TY 2011 Form 990

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	0
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 ....	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	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	0
12	Advertising and promotion ....	0
13	Office expenses .......	0
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	0
23	Insurance ..............	45,280	40,752	4,528
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	MISCELLANEOUS EXPENSES	27,611	24,850	2,761	0
b	AUTO EXPENSE	8,460	7,614	846	0
c
d
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	81,351	73,216	8,135	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 ..........	26,807	1	12,747
2	Savings and temporary cash investments .......	0	2	0
3	Pledges and grants receivable, net .........	0	3	0
4	Accounts receivable, net .........	0	4	0
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 .............	476,274	7	480,057
8	Inventories for sale or use ..............	0	8	0
9	Prepaid expenses and deferred charges ............	1,371,359	9	1,343,837
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	51,442
b	Less: accumulated depreciation. .....	10b	51,442		10c
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 ..	0	13	0
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	0	15	243,986
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,874,440	16	2,080,627
	17	Accounts payable and accrued expenses .	21,598	17	11,320
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	0	20	0
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 ..	0	23	0
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.....	1,680,739	25	1,680,739
26	Total liabilities. Add lines 17 through 25.....	1,702,337	26	1,692,059
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	172,103	27	388,568
28	Temporarily restricted net assets .....	0	28	0
29	Permanently restricted net assets .....	0	29	0
	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 .....	172,103	33	388,568
34	Total liabilities and net assets/fund balances .....	1,874,440	34	2,080,627

- 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 HEALTH SERVICES CORPORATION

Employer identification number

22-2635626

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	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(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?
(1) RARITAN BAY MEDICAL CENTER	221494442	0	Yes		Yes		Yes		0
(2) RARITAN BAY HEALTHCARE FOUNDATION INC	222656665	0	Yes		Yes		Yes		0
Total									0

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 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 HEALTH SERVICES CORPORATION

Employer identification number

22-2635626

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	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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 .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................	51,442	51,442	0
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				0

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









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

Part IX

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

(a) Description				(b) Book value
(1) INSURANCE				243,986








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				243,986

Part X

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

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
ACCRUED PENSION PAYABLE		1,680,739








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		1,680,739
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

Schedule D (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 HEALTH SERVICES CORPORATION

Employer identification number

22-2635626

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....

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? ....

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 ............

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)	0 519,195	0 0	0 35,703	0 175,439	0 20,693	0 751,030	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 4B	THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL R. D'AGNES, $175,439.

Schedule J (Form 990) 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 HEALTH SERVICES CORPORATION

Employer identification number

22-2635626

Identifier	Return Reference	Explanation
COMMUNITY BENEFIT STATEMENT	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	RARITAN BAY HEALTH SERVICES CORPORATION IS A NOT FOR PROFIT TAX-EXEMPT HOLDING COMPANY BASED IN PERTH AMBOY, NEW JERSEY. RARITAN BAY HEALTH SERVICES CORPORATION IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES INCLUDING RARITAN BAY MEDICAL CENTER AND THE SOLE SHAREHOLDER OF VARIOUS OTHER FOR-PROFIT ENTITIES. THE IRS HAS RECOGNIZED RARITAN BAY HEALTH SERVICES CORPORATION AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, RARITAN BAY HEALTH SERVICES CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY. RARITAN BAY HEALTH SERVICES CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 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."
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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. 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.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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. 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.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	11) RENAL DIALYSIS RENAL DIALYSIS SERVICES ARE PROVIDED AT RBMC'S PERTH AMBOY AND OLD BRIDGE DIVISIONS BY SPECIALLY TRAINED PROFESSIONALS OF DAVITA DIALYSIS INC. LOCATED ON-SITE AT BOTH HOSPITALS, PATIENTS HAVE EASY ACCESS FOR THEIR DIALYSIS NEEDS. 12) SLEEP DISORDERS THE CENTER FOR SLEEP MEDICINE IS A STATE OF THE ART FACILITY, WHICH PROVIDES DIAGNOSIS AND TREATMENT FOR A VARIETY OF SLEEP DISORDERS AND AILMENTS. A SLEEP STUDY IS A NON-INVASIVE TEST WHICH RECORDS A PATIENT'S SLEEP PATTERN, BREATHING, OXYGEN LEVEL, HEART RATE AND RHYTHM, AND MUSCLE TONE WHILE THEY SLEEP OVERNIGHT IN A PRIVATE HOTEL-LIKE ROOM AT THE CENTER. TYPES OF STUDIES ---------------- SEVERAL TYPES OF STUDIES CAN BE CONDUCTED AT THE CENTER. SOME OF THE MOST COMMON DISORDERS THAT MAY BE STUDIED INCLUDE SLEEP APNEA, EXCESSIVE SNORING, LEG MOVEMENTS, AND NIGHT TERRORS. ONCE DIAGNOSED, PATIENTS MAY BE PRESCRIBED MEDICATION OR RESPIRATORY ADJUNCTS. IN RARE CASES, SURGERY MAY BE NEEDED TO CORRECT A CONDITION. ALL ASPECTS OF THE TESTING PROCESS ARE HANDLED AT THE CENTER, AND TEST RESULTS ARE FORWARDED TO THE PATIENT'S PERSONAL PHYSICIAN TO ENSURE A COMPREHENSIVE TREATMENT PLAN. MOST PATIENTS REQUIRE ONLY ONE NIGHT OF MONITORING WHILE THEY SLEEP AT THE CENTER. SPECIALLY TRAINED TECHNICIANS ARE LOCATED IN A SEPARATE ROOM, WHERE THEY MONITOR THE PATIENTS' CONDITION. IN SOME CASES PATIENTS ARE REQUIRED TO VISIT DURING THE DAY FOR A NAP, WHERE STAFF FOLLOW UP ON A PARTICULAR DIAGNOSIS. COMFORT AND CONVENIENCE ----------------------- THE CENTER FOR SLEEP MEDICINE APPEARS TO BE ANYTHING BUT A CLINICAL EXPERIENCE. FOUR PRIVATE ROOMS BOAST EXTRA LONG, FULL SIZE BEDS, WALL TO WALL CARPETING, LAY-Z-BOY RECLINERS, TV / VCR'S AND A BEAUTIFUL VIEW OF THE SURROUNDING LANDSCAPE. CAREGIVERS OR A PARENT MAY STAY OVERNIGHT IF THE PATIENT REQUIRES ASSISTANCE OR IS A MINOR. PRIVATE SHOWERS MAKE IT CONVENIENT FOR THOSE PATIENTS WHO NEED TO BE UP EARLY AND PREPARED FOR WORK. WITH AN EVENING SNACK AND CONTINENTAL BREAKFAST PROVIDED, ALL EFFORTS HAVE BEEN MADE TO MAKE THE PATIENT'S EXPERIENCE AS COMFORTABLE AND HOME-LIKE AS POSSIBLE. 13) WOMEN'S HEALTH CENTER FOR WOMEN ---------------- RBMC'S CENTER FOR WOMEN IS DEDICATED TO THE SPECIAL NEEDS OF WOMEN, OFFERING A COMPREHENSIVE APPROACH TO BREAST HEALTH, WELLNESS AND DISEASE PREVENTION. WITH LOCATIONS IN OLD BRIDGE AND PERTH AMBOY, OUR NEWLY RENOVATED FACILITIES COMBINE THE HIGHEST QUALITY IMAGING TECHNOLOGY WITH COMFORTABLE, SPA-LIKE SURROUNDINGS AND A UNIQUELY PERSONALIZED LEVEL OF CARE. WE MAKE IT EASY AND CONVENIENT FOR WOMEN TO RECEIVE STATE-OF-THE-ART TESTING, INCLUDING MAMMOGRAPHY, ULTRASOUND, BREAST MRI, IMAGE-GUIDED BIOPSY AND BONE DENSITOMETRY, ALONG WITH VARIOUS OTHER WOMEN'S HEALTH SERVICES, FROM HOLISTIC MEDICINE TO LYMPHEDEMA THERAPY. 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 STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMMUNITY BENEFIT PROGRAMS AND SERVICES ======================================= SPEAKERS BUREAU --------------- RBMC PROUDLY OFFERS THE COMMUNITY ACCESS TO A WIDE VARIETY OF FREE EDUCATION PROGRAMS ON A MULTITUDE OF HEALTH AND WELLNESS TOPICS. HEALTHCARE PROFESSIONALS VOLUNTEER THEIR TIME AND VISIT YOUR GROUP TO SHARE INFORMATION AND EDUCATE. SOME OF THE TOPICS INCLUDE: 1) BIOTERRORISM 2) FIRST AID 3) EMERGENCY CARE 4) LIVING WILLS AND ADVANCE DIRECTIVES 5) DEPRESSION 6) CRISIS: WHAT IS IT? HOW TO SURVIVE IT 7) SUBSTANCE ABUSE 8) SENIOR SERVICES 9) MAMMOGRAPHY 10) CRITICAL CARE 11) ASSERTION TECHNIQUES 12) RELAXATION TECHNIQUES 13) AIDS 14) SEXUALLY TRANSMITTED DISEASES 15) CHOKING/HEIMLICH 16) CPR 17) STRESS MANAGEMENT 18) DRUG ADDICTION 19) DIABETES 20) EFFECTS OF AGING 21) BEHAVIOR PROBLEMS 22) ABUSE 23) DEATH AND DYING 24) ALCOHOLISM 25) CHILD ABUSE 26) LYME DISEASE 27) CARDIAC DISEASE 28) AGGRESSION 29) ADVANCED CARDIAC LIFE SUPPORT 30) CHOLESTEROL 31) EATING RIGHT 32) ANXIETY DISORDERS 33) NEWBORN CARE 34) SIDS 35) HYPERTENSION 36) HEPATITIS C SUPPORT GROUPS ============== - CANCER - CARDIAC CLUB - CPAP (SLEEP APNEA) SUPPORT GROUP - HIV BREAST CANCER SUPPORT GROUPS ---------------------------- THE JACQUELINE M. & ROBERT N. WILENTZ CANCER CENTER AT RBMC SPONSORS A SERIES OF BREAST CANCER SUPPORT GROUPS. THE PURPOSE OF THE GROUP IS TO EDUCATE AND INTERACT WITH WOMEN LIVING WITH BREAST CANCER, VIA COMMUNICATIONS AND THE SHARING OF EXPERIENCES. ISSUES DISCUSSED WILL INCLUDE NUTRITION AND EXERCISE, CURRENT TREATMENT MODALITIES AND SPIRITUALITY. CARDIAC CLUB ------------ CARDIAC CLUB IS A FREE MONTHLY SUPPORT GROUP FOR THOSE DIAGNOSED WITH HEART DISEASE. A RBMC PROFESSIONAL WILL LECTURE ON CARDIAC-RELATED TOPICS. SOME TOPICS THAT WILL BE EXPLORED THIS YEAR INCLUDE CONGESTIVE HEART FAILURE, ANGINA, HEART ATTACK, PACEMAKER, WEIGHT LOSS, ANXIETY AND STRESS, HERBAL AND CARDIAC DRUGS AND LOW FAT DIET. A CARDIAC NURSE EDUCATOR WHO TEACHES HOSPITALIZED PATIENTS RUNS THE SUPPORT GROUP. THE GROUP PROVIDES CONTINUING SUPPORT TO FORMER PATIENTS AND THEIR FAMILIES, AND ANYONE IN THE COMMUNITY WITH A CARDIAC CONDITION. CPAP (SLEEP APNEA) SUPPORT GROUP -------------------------------- THE CENTER FOR SLEEP MEDICINE AT RBMC SPONSORS A CPAP SUPPORT GROUP. CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICES ARE BECOMING INCREASINGLY COMMON FOR THE RELIEF OF THOSE SUFFERING FROM SLEEP APNEA. THE PURPOSE OF THIS GROUP IS TO PROVIDE SUPPORT, EDUCATION, AND UNDERSTANDING FOR USERS AND THEIR FAMILIES. THE GROUP WILL MEET QUARTERLY AND EXPERTS WILL BE ON HAND TO RESPOND TO YOUR QUESTIONS AND CONCERNS. REPRESENTATIVES FROM DEVICE MANUFACTURERS WILL BE AVAILABLE TO GIVE ADVICE ON THE USE AND ADJUSTMENTS OF THE CPAP MACHINES. EARLY INTERVENTION & SUPPORT PROGRAM ------------------------------------ INDIVIDUALS WITH HIV CAN RECEIVE COMPREHENSIVE MEDICAL CARE AND TREATMENT, INCLUDING SPECIALIZED HEALTH EDUCATION AND CASE MANAGEMENT SERVICES, THROUGH RBMC'S EARLY INTERVENTION PROGRAM. COMPREHENSIVE HIV SERVICES INCLUDE THE AIDS OUTREACH & SUPPORT PROGRAM AND FREE AND CONFIDENTIAL HIV COUNSELING AND TESTING. OTHER SUPPORT GROUPS INCLUDE, BUT ARE NOT LIMITED TO: ----------------------------------------------------- - HIV SUPPORT GROUP MEETING - ALZHEIMER'S DISEASE AND DEMENTIA CAREGIVERS SUPPORT GROUP MEETING - BARIATRIC WEIGHT LOSS SUPPORT GROUP MEETING - CHILDBIRTH EDUCATION / LAMAZE CLASS OTHER COMMUNITY BENEFIT PROGRAMS/CLASSES ======================================== - CHILDBIRTH PREPARATION CLASS - MATERNITY TOUR - DOCTOR DAD - CAR SEAT SAFETY CHECKS - SIBLING CLASSES - BREAST FEEDING 101 - SAFE - SITTER TRAINING
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS THE PARENT ENTITY OF RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RARITAN BAY MEDICAL CENTER ("RBMC").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"). RBMC'S FINANCE COMMITTEE REVIEWED THE FORM 990 AND A MEETING WAS HELD WITH THE FINANCE COMMITTEE TO DISCUSS AND FINALIZE THE RETURN PRIOR TO PROVIDING IT TO THE ORGANIZATION'S GOVERNING BODY. RBMC'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 PRIOR TO REVIEW BY RBMC'S FINANCE COMITTEE.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS THE PARENT ENTITY OF THE 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 SENIOR VICE PRESIDENT/GENERAL COUNSEL FOR REVIEW. THEREAFTER THE SENIOR VICE PRESIDENT/GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF THE ORGANIZATION THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS THE PARENT ENTITY OF THE RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RARITAN BAY MEDICAL CENTER ("RBMC"). RARITAN BAY HEALTH SERVICES CORPORATION IS THE PARENT ENTITY OF THE SYSTEM. RBMC'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. 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 RBMC IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE RBMC 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. 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. 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'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 A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED 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 THE PARENT ENTITY OF RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES ("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: - CASH SURRENDER VALUE OF LIFE INSURANCE - $243,986

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 HEALTH SERVICES CORPORATION

Employer identification number

22-2635626

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,NJ08861 22-2656665	SUPPORT RBMC	NJ	501(C)(3)	509(A)(3)	RB HS CORP	Yes
(2) RARITAN BAY MEDICAL CENTER 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-1494442	HLTHCARE SVC	NJ	501(C)(3)	HOSPITAL	RB HS CORP	Yes
(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	Yes
(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	Yes

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	(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 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	NA

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	RBHS	C CORP.	169	2,936	100.000 %
(2) PRIMARY CARE NETWORK AT RARITAN BAYPC 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-3442277	HEALTH SVCS.	NJ	NA	C CORP.
(3) RARITAN MANAGEMENT CORP 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-2209778	AMBULANCE SVCS.	NJ	RBHS	C CORP.	2,499,379	1,007,771	100.000 %
(4) RARITAN INSURANCE LTD 23 LIME TREE BAY AVE PO BOX 1363 GRAND CAYMAN CJ	FINANCIAL VEHICLE	CJ	NA	FOREIGN CORP.

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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: TO ACT AS THE PARENT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHOSE PRIMARY PURPOSE IS TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	9
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	0
6	Total number of volunteers (estimate if necessary) ....	6	0
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	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	690,970	53,830
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	690,970	53,830
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	0	0
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)....	690,970	81,351
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	690,970	81,351
19	Revenue less expenses. Subtract line 18 from line 12.......		-27,521
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,874,440	2,080,627
21	Total liabilities (Part X, line 26).............	1,702,337	1,692,059
22	Net assets or fund balances. Subtract line 21 from line 20.....	172,103	388,568

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 73,216 including grants of $ 0 ) (Revenue $ 53,830 )
	EXPENSES INCURRED IN ACTING AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHOSE PRIMARY PURPOSE IS TO PROVIDE MEDICALLY NECESSAY 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 SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 73,216

(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)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) JOSEPH J JANKOWSKI CHAIRMAN - TRUSTEE	1.0	X	X	0	0	0
(2) MARK A DANIELE VICE CHAIRMAN - TRUSTEE	1.0	X	X	0	0	0
(3) ROBERT J CHALFIN CPA JD SECRETARY - TRUSTEE	1.0	X	X	0	0	0
(4) MICHAEL LOSCH TREASURER - TRUSTEE	1.0	X	X	0	0	0
(5) MICHAEL R DAGNES ASST SEC/TRUSTEE;EX-OFF - PRES	55.0	X	X	0	554,898	196,132
(6) RUSSELL AZZARELLO TRUSTEE	1.0	X		0	0	0
(7) DENNIS DOLL TRUSTEE	1.0	X		0	0	0
(8) JEFFRIES SHEIN TRUSTEE	1.0	X		0	0	0
(9) ANANGUR P SWAMINATHAN MD TRUSTEE	1.0	X		0	0	0
(10) DEBORAH TRIPOD TRUSTEE	1.0	X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	0	554,898	196,132

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

				(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
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	MANAGEMENT FEES		541,900	53,830	53,830
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			53,830
3	Investment income (including dividends, interest
	and other similar amounts).....			0
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........			0
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
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions....			53,830	53,830


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			26,807	1	12,747
2	Savings and temporary cash investments .......			0	2	0
3	Pledges and grants receivable, net .........			0	3	0
4	Accounts receivable, net .........			0	4	0
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 .............			476,274	7	480,057
8	Inventories for sale or use ..............			0	8	0
9	Prepaid expenses and deferred charges ............			1,371,359	9	1,343,837
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	51,442
b	Less: accumulated depreciation. .....	10b	51,442		10c
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 ..			0	13	0
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			0	15	243,986
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,874,440	16	2,080,627
17	Accounts payable and accrued expenses .			21,598	17	11,320
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			0	20	0
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 ..			0	23	0
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.....			1,680,739	25	1,680,739
26	Total liabilities. Add lines 17 through 25.....			1,702,337	26	1,692,059
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			172,103	27	388,568
28	Temporarily restricted net assets .....			0	28	0
29	Permanently restricted net assets .....			0	29	0
	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 .....			172,103	33	388,568
34	Total liabilities and net assets/fund balances .....			1,874,440	34	2,080,627