TY 2014 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 domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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		0	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	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 ..............	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	AUTO EXPENSE	11,994	10,795	1,199
b	MISCELLANEOUS EXPENSES	200	180	20
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	12,194	10,975	1,219	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 Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	2,051	1	4,857
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	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	0	8	0
9	Prepaid expenses and deferred charges ..........	0	9	0
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 ...........	531,339	15	528,533
16	Total assets. Add lines 1 through 15 (must equal line 34)......	533,390	16	533,390
	17	Accounts payable and accrued expenses .........	0	17	0
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	Loans and other 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....................	0	25	0
26	Total liabilities. Add lines 17 through 25.........	0	26	0
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	533,390	27	533,390
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	533,390	33	533,390
34	Total liabilities and net assets/fund balances ........	533,390	34	533,390

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 described in 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. See section 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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ............................. 2

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 listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) RARITAN BAY MEDICAL CENTER	221494442	03	Yes		0	0
(B) RARITAN BAY HEALTHCARE FOUNDATION INC	222656665	07	Yes		0	0
Total 2					0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. If the organization did not check a 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Yes

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

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

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

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	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 XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	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

(A) Name and Title		(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 in column(B) reported as deferred in prior Form 990
1MICHAEL R D'AGNESTRUSTEE - PRESIDENT/CEO	(i) (ii)	0 ............................... 584,574	0 ............................... 77,792	0 ............................... 39,668	0 ............................... 2,600	0 ............................... 23,555	0 ............................... 728,189	0 ............................... 0

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 7	THE INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNT WAS INCLUDED IN COLUMN B(II) HEREIN AND IN HIS 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

RARITAN BAY HEALTH SERVICES CORPORATION

Employer identification number

22-2635626

Return Reference	Explanation
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 DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) RBMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF RBMC RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. HISTORY ======= PERTH AMBOY, THE FIRST INCORPORATED CITY IN NEW JERSEY (1718) WAS FERTILE SOIL FOR THE RAPID INDUSTRIALIZATION THAT MARKED THE 19TH CENTURY. WITH ITS HARBOR AND WATERWAYS, SHIPPING, FISHING AND FACTORIES BEGAN SPRINGING UP; AND, AS FACTORIES WERE BUILT, WORKERS WERE IN HIGH DEMAND. SINGLE MEN ENGAGED IN PERILOUS WORK IS A DANGEROUS COMBINATION. BECAUSE THERE WAS NO ONE TO CARE FOR THESE MEN AND INJURIES WERE ON THE RISE, INTERESTED CITIZENS AND CITY LEADERSHIP MET IN 1888 TO DISCUSS PLANS FOR BUILDING AN EMERGENCY HOSPITAL. FROM THIS MEETING EMERGED A TENTATIVE RESOLUTION TO SEEK FUNDS - FUNDS TO BUILD A 12-BED HOSPITAL WHICH, THOUGH PERHAPS UNIMAGINABLE AT THE TIME, WOULD LATER BECOME RBMC, A TWO-CAMPUS 501-BED HEALTHCARE FACILITY SERVING CENTRAL NEW JERSEY. AFTER FOURTEEN YEARS OF FALSE STARTS AND CAPITAL DEFICITS, PERTH AMBOY CITY HOSPITAL WAS DEDICATED ON MAY 2, 1902. YEARS OF TIRELESS FUNDRAISING AND PERSONAL SACRIFICE BY WOMEN'S GROUPS, LOCAL BENEFACTORS, ETHNIC GROUPS AND CIVIC ORGANIZATIONS BUILT AND FURNISHED WHAT WAS CONSIDERED A STATE-OF-THE-ART FACILITY AT THE TURN OF THE CENTURY. A SIX-MEMBER MEDICAL STAFF WAS APPOINTED AND A NURSE MATRON AND ASSISTANT WERE PUT IN CHARGE. FIVE WEEKS LATER PERTH AMBOY CITY HOSPITAL HAD TREATED ITS FIRST 12 PATIENTS. ONE YEAR LATER THE HOSPITAL HAD ITS OWN SCHOOL OF NURSING. BY 1913, THE BOARD OF GOVERNORS REALIZED THAT 12 BEDS COULD NO LONGER SUPPORT THE HEALTHCARE NEEDS OF THE CITY'S BURGEONING POPULATION. FROM THAT TIME UNTIL RIGHT BEFORE THE ONSLAUGHT OF THE GREAT DEPRESSION, PERTH AMBOY CITY HOSPITAL EXPERIENCED TREMENDOUS GROWTH. ADDITIONS MADE ROOM FOR MATERNITY SERVICES, AN ADVANCED LABORATORY AND X-RAY DEPARTMENT, ADDITIONAL OPERATING ROOM SPACE AND EXPANDED LIVING QUARTERS FOR THE NURSE RESIDENTS. DESPITE THE INCREASING NEED FOR ADDITIONAL TREATMENT SPACE, DECEMBER 7, 1941 HALTED PLANS FOR EXPANSION. IMMEDIATELY FOLLOWING THE WAR IN 1945, PERTH AMBOY CITY HOSPITAL TREATED ITS FIRST PATIENT USING A NEW WONDER DRUG, PENICILLIN, WHICH WAS BROUGHT TO THE HOSPITAL UNDER POLICE ESCORT. WAR-DELAYED ADDITIONS WERE THEN RAPIDLY UNDERTAKEN DURING THE NEXT 15 YEARS, SIGNIFICANTLY INCREASING BED CAPACITY AND THE SPACE NECESSARY TO OFFER ADVANCED TECHNIQUES THAT WERE ONCE ONLY AVAILABLE IN MAJOR MEDICAL CENTERS. BY THE 1960'S, THE STAGE WAS SET FOR THE HOSPITAL TO ENTER INTO AN ERA OF "FIRSTS," WHERE INNOVATION WAS FUELED BY CONTINUING RENOVATION AND EXPANSION. IN 1964, SURGEONS PERFORMED ONE OF THE FIRST SUCCESSFUL PACEMAKER IMPLANTS. BY 1968, SCIENTISTS IN THE HOSPITAL'S INSTITUTE OF LABORATORY MEDICINE HAD LINKED A SMALL REFRIGERATOR SIZED COMPUTER TO A SET OF AUTOMATIC ANALYZING MACHINES AND CAME UP WITH A COMPLETELY NEW KIND OF HOSPITAL SERVICE...COMPUTERIZED AUTOMATION. DURING THE 1970'S THE HOSPITAL FOUND ITSELF AT THE FOREFRONT OF CARDIAC MEDICINE, RECORDING NEW JERSEY'S FIRST SUCCESSFUL IMPLANT OF THE RECHARGEABLE PACEMAKER IN 1974 AND USING ONE OF THE VERY FIRST CAT SCANNERS IN MIDDLESEX COUNTY IN 1979. PATIENTS AND PHYSICIANS INCREASINGLY GAINED EXCLUSIVE ACCESS TO WORLD-CLASS HEALTHCARE RIGHT IN THEIR OWN BACKYARD. BY 1976, A NEW BUILDING PROGRAM WAS IN THE WORKS. EXTENSIVE CONSTRUCTION PLANS WERE CREATED FOR PERTH AMBOY, BUT THE MOST AMBITIOUS PART OF THE PROGRAM WAS THE BUILDING OF AN 80-BED AFFILIATE HOSPITAL ON A 41-ACRE LOT IN OLD BRIDGE TOWNSHIP. OLD BRIDGE REGIONAL HOSPITAL WAS COMPLETED IN JUST LESS THAN TWO YEARS, OPENING ITS DOORS ON JANUARY 2, 1979. THROUGH ITS AFFILIATION WITH ITS PERTH AMBOY SISTER FACILITY, FOR THE FIRST TIME RESIDENTS SOUTH OF THE RARITAN RIVER COULD TAKE ADVANTAGE OF ALL OF THE ADVANCED MEDICAL SERVICES AND TECHNIQUES USUALLY RESERVED FOR HOSPITALS IN URBAN CENTERS. RBMC HEALTH SERVICES CORPORATION, THE NEW NAME FOR THE COMBINED HOSPITALS IN OLD BRIDGE AND PERTH AMBOY (LATER CHANGED SIMPLY TO RBMC), SAW ADVANCEMENTS IN SURGERY AND NON-SURGICAL THERAPIES, DIAGNOSTIC TESTING, EDUCATION AND CONTINUED PHYSICAL EXPANSION THROUGHOUT THE 1980'S. IN FACT, OLD BRIDGE REGIONAL HOSPITAL BECAME THE HOME TO THE FIRST LASER KNEE SURGERY PERFORMED IN NEW JERSEY IN 1988. THE CONSTRUCTION OF THE OLD BRIDGE MEDICAL ARTS BUILDING THEN BROUGHT A NEW LEVEL OF CONVENIENCE TO PHYSICIANS AND PATIENTS, FURTHER UPHOLDING RBMC'S PLEDGE TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO ITS MIDDLESEX COUNTY FAMILY. NEVER RESTING ON ITS LAURELS, IN 1990 THE HOSPITAL SUBMITTED A CERTIFICATE OF NEED TO THE STATE OF NEW JERSEY DETAILING ITS PLANS FOR EXPANSION. SIGNIFICANTLY NAMED, "RENEWAL 2000," THE REQUEST OUTLINED AN AGGRESSIVE $53.6 MILLION RECONSTRUCTION PLAN THAT WOULD AFFECT MOST KEY SERVICE AREAS IN PERTH AMBOY, INCLUDING BUILDING A NEW OUTPATIENT CENTER AND ADDING A PATIENT FLOOR TO THE OLD BRIDGE CAMPUS. WHILE EXTENSIVE RECONSTRUCTION CHANGED THE FACE OF BOTH HOSPITALS, PATIENT CARE PROGRESSED AT OPTIMUM LEVELS. PARTICIPATION IN ADVANCED CLINICAL TRIALS INCREASED AND AFFILIATIONS WERE DEVELOPED WITH ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, THE CANCER INSTITUTE OF NEW JERSEY, THE EASTERN COOPERATIVE ONCOLOGY GROUP AND THE ROBERT WOOD JOHNSON HEALTH NETWORK. INCREASED SPECIALIZED SERVICES SUCH AS THE MARION TANZMAN DIABETES CENTER, THE JACQUELINE M. AND ROBERT M. WILENTZ CANCER CENTER, THE CARDIAC CATHETERIZATION LABORATORY, THE BIRTHING CENTER AND CENTER FOR WOMEN WERE BUT A FEW OF THE MANY EXCITING HAPPENINGS TO ADD TO RBMC'S GROWING LIST OF ACCOMPLISHMENTS. AFTER RENEWAL 2000 WAS COMPLETED IN 1997, POST-CONSTRUCTION RELAXATION WAS SHORT-LIVED AS THE HOSPITAL UNVEILED ITS NEW PLANS FOR IMPROVING EMERGENCY CARE, CALLED "PROJECT ER." SO AS NOT TO SACRIFICE PATIENT CARE, PROJECT ER WAS DESIGNED AS A MULTIPHASE CONSTRUCTION, RENOVATION AND REVITALIZATION OF EMERGENCY DEPARTMENT SERVICES AT BOTH HOSPITALS. 2001 SAW THE FINAL STAGES OF RENOVATIONS PROGRESSING IN PERTH AMBOY, AND THE SUCCESSFUL COMPLETION OF THE OLD BRIDGE DIVISION EXPANSION. AND, ALTHOUGH IT SHOULD BE NO SURPRISE, WITH PROJECT ER FINISHED, PLANS FOR FUTURE EXPANSION ARE ON THE DRAWING BOARD. LOOKING BACK OVER THE MORE THAN 100 YEARS THAT RBMC HAS BEEN BRINGING THE LATEST ADVANCEMENTS IN HEALTHCARE TO CENTRAL NEW JERSEY IN A SUPPORTIVE AND CARING ATMOSPHERE, IT IS NO WONDER, IN 2014READERS OF THE HOME NEWS TRIBUNE AGAIN VOTED US THE "BEST HOSPITAL IN CENTRAL NEW JERSEY."
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	TODAY RBMC IS A STATE-DESIGNATED PRIMARY STROKE CENTER AND IS RANKED AMONG THE NATION'S TOP TEN PERCENT OF HOSPITALS FOR THE CARE OF STROKE PATIENTS, A POSITION THE HOSPITAL HAS HELD FOR FIVE CONSECUTIVE YEARS. RBMC IS ALSO ONE OF LESS THAN TWO PERCENT OF HOSPITALS NATIONALLY TO ACHIEVE RE-DESIGNATION AS A MAGNET HOSPITAL, RECOGNIZING NURSING EXCELLENCE, AND HAS BEEN THE RECIPIENT OF A NEW JERSEY HORIZON BLUE CROSS BLUE SHIELD PATIENT CARE QUALITY AWARD FOR THREE YEARS. 2014 FACTS ========== STAFF SIZE: - MEDICAL STAFF OF 620 MEMBERS - PROFESSIONAL NURSING AND SERVICE STAFF OF 1,750 VITAL STATS: - JOINT COMMISSION ACCREDITED - DESIGNATION AS A MAGNET HOSPITAL FOR NURSING EXCELLENCE - MORE THAN 13,500 INPATIENT ADMISSIONS ANNUALLY - MORE THAN 73,000 EMERGENCY DEPARTMENT VISITS ANNUALLY - MORE THAN 42,000 PRIVATE REFERRED OUTPATIENT VISITS ANNUALLY - MORE THAN 1,200 BIRTHS ANNUALLY MISSION STATEMENT ================= RBMC, A NON-PROFIT HEALTHCARE ORGANIZATION, IS COMMITTED TO PROVIDING PROFESSIONAL, COMPASSIONATE AND QUALITY HEALTHCARE TO ALL PATIENTS AND TO MEETING THE CHANGING HEALTHCARE NEEDS OF ITS COMMUNITIES. 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 IS 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 THEMOST 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 ITS 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 (WE ARE IN THE PROCESS OF GETTING THIS, WE LOST IT WHEN WE CLOSED THE OLD PROGRAM) (DON'T BELIEVE WE HAVE THIS ANYMORE EITHER)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 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 HEART ASSOCIATION AMERICAN HOSPITAL ASSOCIATION 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 WOMEN'S & CHILDREN'S SERVICES ----------------------------- ON AUGUST 28, 2003, RBMC BECAME A MAJOR CLINICAL AFFILIATE OF UMDNJ - ROBERT WOOD JOHNSON MEDICAL SCHOOL (now Rutger's -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, 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 DONATIONS 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, 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 WE ARE NO LONGER WITH 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.
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 -------------------------------- 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 1,000 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. RARITAN BAY MEDICAL CENTER ROUTINELY PERFORMS THIS PROCEDURE IN LESS THAN 60 MINUTES OF A PATIENT ENTERING THE HOSPITAL, WELL BELOW THE NATIONAL BENCHMARK OF 90 MINUTES. 4) JOSLIN DIABETES CENTER AFFILIATE IN RESPONSE TO THE INCREASING EPIDEMIC OF DIABETES IN ITS SERVICE AREAS, RARITAN BAY MEDICAL HAS PARTNERED WITH THE NATIONALLY RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MA TO LAUNCH A JOSLIN DIABETES CENTER AFFILIATE AT RARITAN BAY MEDICAL CENTER'S OLD BRIDGE HOSPITAL. THE NEW 10,000 SQUARE FOOT CENTER PROVIDES COMPREHENSIVE DIAGNOSIS AND TREATMENT FOR DIABETES AND OTHER ENDOCRINE AND METABOLIC DISORDERS INCLUDING THYROID AND PITUITARY AILMENTS. EQUIPPED WITH AN ULTRAMODERN KITCHEN FOR COOKING DEMONSTRATIONS AND NUTRITIONAL PROGRAMS, THE CENTER PROVIDES TREATMENT AND EDUCATION BY WAY OF TWO BOARD CERTIFIED ENDOCRINOLOGISTS, REGISTERED DIETICIANS AND NURSE EDUCATORS. 5) LABORATORY SERVICES THE RBMC LABORATORY IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS, AND OFFERS A FULL RANGE OF OUTPATIENT LABORATORY TESTING IN THE AREAS OF BLOOD CHEMISTRY, IMMUNOLOGY, HEMATOLOGY, MICROBIOLOGY, AND PRE-NATAL BLOOD TESTING. 6) MAMMOGRAPHY RBMC OFFERS RADIOLOGICAL PROCEDURES THAT CAN ELIMINATE THE NEED FOR SURGERY. PATIENTS BENEFIT FROM THE LATEST EQUIPMENT FOR DIAGNOSIS AND TREATMENT. MAMMOGRAPHY SERVICES PROVIDE CONVENIENCE AND PRIVACY. 7) MATERNITY A NUMBER OF COMMUNITY PROGRAMS AND CLASSES ARE OFFERED BY RBMC AND ARE OUTLINED IN THE COMMUNITY BENEFIT SECTION OF THIS STATEMENT. OUR OBSTETRICS AND GYNECOLOGY SERVICES AT 466 NEW BRUNSWICK AVENUE ADDRESS THE GROWING NEEDS OF A LOWER INCOME, URBAN POPULATION PRIMARILY IN PERTH AMBOY. OUR RELATIONSHIP WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTER JEWISH RENAISSANCE MEDICAL CENTER HELPS ENSURE THAT UNINSURED AND UNDERINSURED EXPECTANT MOTHERS RECEIVE REQUIRED MATERNAL/FETAL CARE THROUGHOUT THEIR ENTIRE PRE AND POSTPARTUM EXPERIENCE. THE NUMBER OF BIRTHS AT RARITAN BAY MEDICAL CENTER CONTINUES TO GROW AND THIS SERVICE LINE IS SUPPORTED BY MONTHLY MATERNITY TOURS AND CHILD BIRTH EDUCATION CLASSES THAT HAVE ON AVERAGE 12 COUPLES PER CLASS. SERVICES PROVIDED INCLUDE NUTRITION, WELL BABY CARE AND LACTATION CONSULTATION. 8) PEDIATRICS AT RBMC, A CHILD IS A PRECIOUS PATIENT. THAT'S WHY RBMC'S PEDIATRIC UNIT IS A SPECIAL PLACE PROVIDING CARE, REASSURANCE, SUPPORT, COMFORT AND ENCOURAGEMENT TO INFANTS, CHILDREN AND ADOLESCENTS AND THEIR FAMILIES. RBMC'S SERVICES INCLUDE: - PEDIATRIC ACUTE CARE - PEDIATRIC OUTPATIENT TESTING - PEDIATRIC MODERATE SEDATION - PEDIATRIC MEDICAL DAY STAY THE PEDIATRIC UNIT STRIVES TO MEET THE NEEDS OF THE FAMILY BY PROVIDING: - 24-HOUR VISITATION FOR PARENTS AND FLEXIBLE HOURS FOR OTHER FAMILY MEMBERS - GUEST TRAYS AVAILABLE FOR EVERY MEAL - SLEEPER CHAIRS FOR PARENT OVERNIGHT STAYS - USE OF SHOWERS - USE OF THE KITCHEN - A PLAY ROOM WITH A LARGE TANK OF TROPICAL FISH AND TOYS, GAMES, BOOKS AND VIDEOTAPES APPROPRIATE FOR ALL AGES - A CLOSED CIRCUIT VIDEOTAPE LIBRARY SYSTEM OFFERING NEW RELEASES AND OLD FAVORITES - FREE TELEVISION - QUALIFIED STAFF EVERY NURSE IN THE PEDIATRIC UNIT IS A REGISTERED PROFESSIONAL WITH EXPERIENCE AND SPECIALIZED EDUCATION IN THE CARE OF NEWBORN, CHILD AND ADOLESCENT PATIENTS. RBMC'S NURSES CAN OFFER YOU A WEALTH OF ADVICE AND ASSISTANCE DURING YOUR CHILD'S HOSPITALIZATION. IN ADDITION TO YOUR CHILD'S PHYSICIAN, OTHER PEDIATRIC SPECIALISTS MAY CARE FOR YOUR CHILD DEPENDING ON THEIR NEEDS. FOR EXAMPLE, IF SEDATION FOR A PROCEDURE IS NECESSARY, A BOARD-CERTIFIED PEDIATRIC INTENSIVIST WILL CAREFULLY EXPLAIN THE PROCEDURES TO YOU AND YOUR CHILD AND REMAIN BY YOUR CHILD'S SIDE DURING THE TEST. FOR CHILDREN UNDER 18 YEARS OF AGE WHO NEED SPECIALIZED CARE, RBMC HAS TWO BOARD-CERTIFIED PEDIATRIC CARDIOLOGISTS ON STAFF. IN ADDITION, NEW PARENTS MAY NEED THE SPECIAL EXPERTISE PROVIDED BY RBMC'S NEONATOLOGISTS, WHO ARE BOARD-CERTIFIED SPECIALISTS IN THE CARE OF HIGH-RISK INFANTS. RBMC PROVIDES ROUND-THE-CLOCK SERVICES OF A HOSPITAL BASED PEDIATRICIAN TO RESPOND TO EMERGENCIES AND TO CONFER WITH YOUR PEDIATRICIAN IF NECESSARY. 9) RADIOLOGY RBMC OFFERS RADIOLOGICAL PROCEDURES THAT CAN ELIMINATE THE NEED FOR SURGERY. PATIENTS BENEFIT FROM THE LATEST EQUIPMENT FOR DIAGNOSIS AND TREATMENT. THESE SERVICES INCLUDE: DIAGNOSTIC IMAGING SERVICES --------------------------- RBMC USES STATE-OF-THE-ART DIAGNOSTIC IMAGING TECHNOLOGY PROVIDING PATIENTS AND PHYSICIANS WITH QUICK RESULTS AND COMPREHENSIVE ACCESS TO X-RAYS, CT SCANS, MRI, ULTRASOUND AND NUCLEAR MEDICINE TEST RESULTS. THIS SYSTEM, KNOWN AS PICTURE ARCHIVING AND COMMUNICATION SYSTEM AND REFERRED TO AS PACS, UTILIZES ELECTRONIC DIGITAL IMAGES RATHER THAN TRADITIONAL FILMS. THE DIGITAL IMAGES ARE AVAILABLE IMMEDIATELY ON COMPUTER SCREENS IN PATIENT CARE AREAS THROUGHOUT THE MEDICAL CENTER. PACS PROVIDES PHYSICIANS WITH AN EXCEPTIONAL TOOL TO SPEED PATIENT DIAGNOSIS, EFFICIENTLY STORE RECORDS, AND PROVIDE CONVENIENT ACCESS IN A SECURE AND CONFIDENTIAL MANNER. MRI SERVICES ------------ MAGNETIC RESONANCE IMAGING (MRI) IS AVAILABLE FOR PATIENTS AND OUTPATIENTS AT BOTH PERTH AMBOY AND OLD BRIDGE. FULLY INTEGRATED WITH THE PACS SYSTEM, PHYSICIANS HAVE THE OPPORTUNITY TO REVIEW THE DIGITAL MRI TEST RESULTS WITH THE TOUCH OF A BUTTON IN THE DIAGNOSTIC IMAGING DEPARTMENT OR ON PATIENT FLOORS. MRI TESTS ARE PERFORMED BY A RADIOLOGY TECHNOLOGIST AND CAN BE USED TO DETECT PROBLEMS IN NUMEROUS DIFFERENT AREAS OF THE BODY. INTERVENTIONAL RADIOLOGISTS, SPECIALLY TRAINED DOCTORS WHO USE X-RAYS AND OTHER IMAGING TECHNIQUES TO "SEE" INSIDE THE BODY, CAN TREAT A VARIETY OF MEDICAL DISORDERS WITHOUT SURGERY IN THE VIRC. THESE PROCEDURES ARE GENERALLY LESS COSTLY AND LESS TRAUMATIC TO THE PATIENT, INVOLVING SMALLER INCISIONS, LESS PAIN, AND SHORTER HOSPITAL STAYS. 10) REHABILITATION SERVICES THE CARING STAFF IN PHYSICAL MEDICINE AND REHABILITATIVE SERVICES IS DEDICATED TO PROMOTING INDEPENDENCE AND RESTORING THE FULLEST LEVEL OF FUNCTION FOR THE PATIENTS. TREATMENT IS PROVIDED TO THOSE DIAGNOSED WITH INJURIES RELATED TO NEUROLOGICAL, MUSCULOSKELETAL, CARDIOVASCULAR AND PULMONARY SYSTEMS OR WITH A DISABILITY. EACH PATIENT FOLLOWS A CUSTOMIZED TREATMENT PLAN THAT IS MOLDED TO HIS OR HER OWN SPECIFIC NEEDS. PHYSICAL MEDICINE AND REHABILITATIVE SERVICES OFFERS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE PATHOLOGY SERVICES, ELECTROMYOGRAPHY (EMG) / NERVE CONDUCTION STUDY (NCV) AND PHYSIATRIST CONSULTATION BY APPOINTMENT. 11) RENAL DIALYSIS RENAL DIALYSIS SERVICES ARE PROVIDED AT BOTH RBMC'S PERTH AMBOY AND OLD BRIDGE HOSPITALS BY SPECIALLY TRAINED PROFESSIONALS OF DAVITA DIALYSIS INC. LOCATED ON-SITE, PATIENTS HAVE EASY ACCESS FOR THEIR DIALYSIS NEEDS. NEEDS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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 AND VOTED AMONG THE BEST SLEEP FACILITIES IN THE COUNTRY FOR TWO CONSECUTIVE YEARS. 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 3-D MAMMOGRAPHY, ULTRASOUND, BREAST MRI, IMAGE-GUIDED BIOPSY AND BONE DENSITOMETRY, ALONG WITH VARIOUS OTHER WOMEN'S HEALTH SERVICES, FROM HOLISTIC MEDICINE TO LYMPHEDEMA THERAPY. THE CENTER IS DESIGNATED A PINK RIBBON FACILITY BY MEDICAL IMAGING COMPANY HOLOGIC. 14) BEHAVIORAL HEALTH IN RESPONSE TO THE GROWING MENTAL HEALTH NEEDS OF THE POPULATION, PARTICULARLY ADOLESCENTS, RARITAN BAY MEDICAL CENTER, IN CONJUNCTION WITH RECOMMENDATIONS NOTED IN ITS MOST RECENT COMMUNITY NEEDS ASSESSMENT, EXPANDED ITS BEHAVIORAL HEALTH SERVICES PROGRAM, RECRUITING PROVIDERS SPECIALIZING IN CHILDREN AND TEENAGERS IN ORDER TO EXPAND OUR OFFERINGS TO INCLUDE PSYCHOLOGICAL COUNSELING AND EVALUATION AS WELL AS PSYCHIATRY FOR ANXIETY, MOOD DISORDERS AND EVEN BARIATRIC SURGERY COUNSELING. 15) INSTITUTE FOR WEIGHT LOSS RBMC'S INSTITUTE FOR WEIGHT LOSS IS DESIGNED TO HELP PEOPLE WHO ARE SEVERELY OVERWEIGHT AND HAVE NOT FOUND SUCCESS WITH TRADITIONAL WEIGHT LOSS METHODS. THE INSTITUTE SPECIALIZES IN MINIMALLY INVASIVE AND HIGH-QUALITY BARIATRIC SURGICAL CARE, TAKING A MULTI-DISCIPLINARY APPROACH AND ALLOWING FOR PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR CARE TO ACHIEVE THE BEST LONG TERM OUTCOMES. AS PART OF THIS MULTI-DISCIPLINARY APPROACH SPECIALISTS INCLUDING NUTRITIONISTS, PSYCHOLOGISTS, AND EVEN A NURSE NAVIGATOR PROVIDE CARE PRE- AND POSTOPERATIVELY TO ENSURE SUCCESSFUL OUTCOMES. THE INSTITUTE PROVIDES PATIENTS WITH A COMPREHENSIVE PLAN OF CARE, INCLUDING PRE-SURGICAL EDUCATION, NUTRITION AND LIFESTYLE COUNSELING AND POST-SURGICAL SUPPORT AND GROUP MEETINGS. PATIENTS ARE TREATED WITH COMPASSION AND RESPECT BY THE MEDICAL CENTER'S CLINICIANS AND STAFF IN A COMFORTABLE ENVIRONMENT. 16) CENTER FOR WOUND HEALING THE CENTER FOR WOUND HEALING IS AVAILABLE TO TREAT NON-HEALING AND COMPLEX WOUND ISSUES BY APPLYING PROVEN WOUND CARE PRACTICES AND ADVANCED CLINICAL APPROACHES, INCLUDING WOUND CARE PRODUCTS DRESSINGS, ANTIBIOTICS, AND HYPERBARIC OXYGEN THERAPY TO HELP HEAL PATIENTS WHO SUFFER FROM CHRONIC WOUNDS. 17) HUMAN MOTION INSTITUTE THE HUMAN MOTION INSTITUTE IS A PROGRAM THAT OFFERS A COMPREHENSIVE TREATMENT OF CARE TO RETURN PATIENTS TO NORMAL FUNCTION AS QUICKLY AND SAFELY AS POSSIBLE. MEDICAL PROFESSIONALS ENLIST A COMPREHENSIVE, LEADING EDGE APPROACH TO THE PREVENTION, ASSESSMENT, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL INJURIES. 18) CENTER FOR BALANCE RBMC'S CENTER FOR BALANCE IS DESIGNED FOR DIAGNOSIS OF AND TREATMENT FOR A FULL RANGE OF BALANCE DISORDERS INCLUDING DIZZINESS, VERTIGO, AND DIFFICULTY JUDGING DISTANCE. 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, EVIDENT BY THE ABILITY TO MAINTAIN DESIGNATION AS A MAGNET HOSPITAL FOR NURSING EXCELENCE 3 TIMES CONSECUTIVELY. 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 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. LESS THAN 3 PERCENT OF THE WORLD'S HOSPITALS HOLD THIS DESIGNATION.. 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) OBSTETRICS AND GYNECOLOGY RESIDENCY 4) PROFESSIONAL EDUCATION 5) 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 HOSPITAL. OLD BRIDGE AUXILIARY - THIS AUXILIARY, FOUNDED IN 1976, SUPPORTS THE OLD BRIDGE HOSPITAL'S DELIVERY OF QUALITY AND COMPASSIONATE HEALTHCARE TO THE COMMUNITY. 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 300 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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) MARKETING 11) MEDICAL RECORDS 12) MOBILE INTENSIVE CARE UNIT 13) NURSING UNITS 14) PHARMACY 15) PHYSICAL THERAPY 16) RADIOLOGY 17) PET THERAPY 18) STAFF DEVELOPMENT 19) SLEEP CENTER 20) VOLUNTEER SERVICES COMMUNITY BENEFIT PROGRAMS AND SERVICES ======================================= SPEAKERS BUREAU --------------- RBMC PROUDLY OFFERS THE COMMUNITY ACCESS TO A WIDE VARIETY OF FREE EDUCATION PROGRAMS ON A MULTITUDE OF HEALTH AND WELLNESS TOPICS. HEALTHCARE PROFESSIONALS VOLUNTEER THEIR TIME AND VISIT AREA GROUPS 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 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
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS THE EAX-EXEMPT 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"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS GOVERNING BODY AND FILING WITH THE IRS, THE FORM 990 WAS REVIEWED BY RBMC'S FINANCE COMMITTE AT A REGULARLY HELD MEETING. 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 INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S KEY FINANCE PERSONNEL AND SENIOR MANAGEMENT FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW AND THE MEETING WITH RBMC'S FINANCE COMMITTEE, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES RARITAN BAY MEDICAL CENTER ("RBMC"). 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 RBMC'S SENIOR VICE PRESIDENT/GENERAL COUNSEL FOR REVIEW. THEREAFTER RBMC'S SENIOR VICE PRESIDENT/GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAIN INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO RBMC'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES RARITAN BAY MEDICAL CENTER ("RBMC"). RARITAN BAY HEALTH SERVICES CORPORATION IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL INCLUDING, but not limited to, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER, ARE EMPLOYED BY RBMC, THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THIS INDIVIDUAL IS SHOWN ON THIS TAX RETURN BECAUSE HE IS ALSO A BOARD MEMBER OF THIS ORGANIZATION. ACCORDINGLY, 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 AND CHIEF OPERATING OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'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. 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.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM 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.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES; A TAX-EXEMPT HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

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- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 (if applicable) 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 entity?
(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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

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 V-UBI 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 V-UBI 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
(2) RARITAN BAY SURGICAL PARTNERS LLC 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861	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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) RARITAN MANAGEMENT CORP 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 22-2209778	AMBULANCE SVCS.	NJ	RBHS	C CORP.	1,631,592	579,864	100.000 %	Yes
(2) RARITAN INSURANCE LTD 23 LIME TREE BAY AVE PO BOX 1363 GRAND CAYMAN CJ	FINANCIAL VEHICLE	CJ	NA	FOREIGN CORP.				Yes
(3) RARITAN BAY PHYSICIANS GROUP PC 530 NEW BRUNSWICK AVENUE PERTH AMBOY,NJ08861 45-3998336	HEALTHCARE SVCS.	NJ	NA	C CORP.				Yes

Schedule R (Form 990) 2014

Page 3

Part V

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

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

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, or (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 Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

Yes

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

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

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

Yes

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

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

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

s 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2014

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V

THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENITIY OF RARITAN BAY HEALTH SERVICES CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES RARITAN BAY MEDICAL CENTER ("RBMC"). RBMC ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2014

Additional Data

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Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ACT AS THE TAX-EXEMPT 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	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	5
5	Total number of individuals employed in calendar year 2014 (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

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 10,975 including grants of $ 0 ) (Revenue $ 12,194 )
	EXPENSES INCURRED IN ACTING AS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RARITAN BAY MEDICAL CENTER ("RBMC"). RBMC PROVIDES 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 expenses10,975

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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 ESQ........................................................................ CHAIRMAN - TRUSTEE	1.0 .......................0.0	X	X	0	0	0
(2) DEBORAH TRIPOD........................................................................ VICE CHAIR - TRUSTEE	1.0 .......................0.0	X	X	0	0	0
(3) DENNIS DOLL........................................................................ TREASURER/SECRETARY - TRUSTEE	1.0 .......................0.0	X	X	0	0	0
(4) RUSSELL J AZZARELLO........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(5) MICHAEL R D'AGNES........................................................................ TRUSTEE - PRESIDENT/CEO	55.0 .......................0.0	X	X	0	702,034	26,155
(6) MARK DANIELE ESQ........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(7) STEPHEN WARREN MD........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(8) KISHORE RATKALKAR MD........................................................................ TRUSTEE; EX-OFF (TERM 8/13/14)	1.0 .......................0.0	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	10,955	12,194
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)...................	10,955	12,194
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–24e)....	10,955	12,194
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,955	12,194
19	Revenue less expenses. Subtract line 18 from line 12.......		0
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	533,390	533,390
21	Total liabilities (Part X, line 26).............	0	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	533,390	533,390

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	0	702,034	26,155

(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 512-514
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		541900	12,194	12,194
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			12,194
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)	0	0
d	Net rental income or (loss).......			0
		(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......			12,194	12,194


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			2,051	1	4,857
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	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			0	8	0
9	Prepaid expenses and deferred charges ..........			0	9	0
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 ...........			531,339	15	528,533
16	Total assets. Add lines 1 through 15 (must equal line 34)......			533,390	16	533,390
17	Accounts payable and accrued expenses .........			0	17	0
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	Loans and other 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....................			0	25	0
26	Total liabilities. Add lines 17 through 25.........			0	26	0
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			533,390	27	533,390
28	Temporarily restricted net assets ...........			0	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			533,390	33	533,390
34	Total liabilities and net assets/fund balances ........			533,390	34	533,390

		(a)Current year	(b)Prior year	b (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 ......

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................	51,442	51,442
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......

(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.)

(a) Description				(b) Book value
(1) DUE FROM RELATED ORGANIZATIONS				528,533








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				528,533

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

(A) Name and Title		(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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(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)
1MICHAEL R D'AGNESTRUSTEE - PRESIDENT/CEO	(i) (ii)	0 ............................... 584,574	0 ............................... 77,792	0 ............................... 39,668	0 ............................... 2,600	0 ............................... 23,555	0 ............................... 728,189	0 ............................... 0