TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MARGARET M PEGO...................................................................... CHAIRWOMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(2) STEVEN M ROSENBERG ESQ...................................................................... 1ST VICE CHAIR - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(3) SUEANNE D KORN...................................................................... 2ND VICE CHAIRWOMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(4) CELESTE ANDRIOT WOOD...................................................................... SECRETARY - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(5) BARBARA ROTHMAN...................................................................... TREASURER - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(6) JENFU CHENG MD...................................................................... TRUSTEE - PRESIDENT MED STAFF	55.0 ................. 0.0	X		265,331	31,370
(7) JOHN CRISAN ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(8) MARTIN DIAMOND MD...................................................................... TRUSTEE - PHYSIATRIST	55.0 ................. 0.0	X		246,456	13,114
(9) DAVID KOSTINAS...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(10) LAWRENCE KRAMER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(11) PENELOPE E LATTIMER PHD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(12) AMY B MANSUE...................................................................... TRUSTEE - PRESIDENT/CEO	55.0 ................. 0.0	X	X	737,722	116,725
(13) GLENN MORTIMER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(14) JOAN MURRAY...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(15) GEOFFREY PERSELAY...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(16) PHILIP SALERNO...................................................................... TRUSTEE - PRES/CDO FOUNDATION	55.0 ................. 0.0	X		425,548	37,784
(17) ROBIN A WALTON...................................................................... TRUSTEE	1.0 ................. 0.0	X		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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) VICTORIA WICKS........................................................................ TRUSTEE	1.0 .......................0.0	X			0	0
(19) PATRICIA WHITLEY-WILLIAMS MD........................................................................ TRUSTEE	1.0 .......................0.0	X			0	0
(20) WARREN E MOORE........................................................................ EVP/COO	55.0 .......................0.0		X		552,464	57,080
(21) JOSEPH J DOBOSH JR MBA........................................................................ VP/CFO	55.0 .......................0.0		X		415,972	68,328
(22) CHRISTOPHER HAINES DO FACEP........................................................................ CHIEF MEDICAL OFFICER	55.0 .......................0.0		X		457,056	5,500
(23) MICHAEL R DRIBBON PHD........................................................................ VP REHAB SERVICES & PROG. DEV.	55.0 .......................0.0		X		325,794	54,061
(24) WILLIAM J DWYER........................................................................ VP HUMAN RESOURCES	55.0 .......................0.0		X		319,280	33,575
(25) BONNIE ALTIERI PHD RN........................................................................ VP PATIENT CARE SERVICES/CNO	55.0 .......................0.0		X		314,380	70,774
(26) CHARLES CHIANESE........................................................................ VP OP'S/CHIEF PERFORMANCE OFF.	55.0 .......................0.0		X		296,239	39,522
(27) PATRICIA D FOLEY PT FACHE........................................................................ VP OUTPATIENT SERVICES	55.0 .......................0.0		X		232,920	59,710
(28) UDAY MEHTA MD........................................................................ DEVELOPMENTAL PEDIATRICIAN	55.0 .......................0.0			X	415,133	13,675
(29) MATT B MCDONALD III MD........................................................................ SEC CHIEF SPECIAL NEEDS PEDS.	55.0 .......................0.0			X	263,308	25,057
(30) YVETTE JANVIER MD........................................................................ DIRECTOR; MEDICAL SERVICES	55.0 .......................0.0			X	259,283	11,095
(31) COLIN R O'REILLY MD........................................................................ SECTION CHIEF IP PEDIATRICS	55.0 .......................0.0			X	253,873	20,631
(32) THOMAS A RUGINO MD........................................................................ PHYSIATRIST	55.0 .......................0.0			X	248,721	13,680

(A) Name and business address	(B) Description of services	(C) Compensation
MICHAEL RIESZ CO INC, 588 NEW BRUNSWICK AVENUE FORDS,NJ08863	CONSTRUCTION	1,264,268
RUTGERS BUSINESS OFFICE, PO BOX 2685 NEW BRUNSWICK,NJ08903	MEDICAL	1,088,918
NEW BRUNSWICK PARKING AUTHORITY, 106 SOMERSET STREET 6TH FLOOR NEW BRUNSWICK,NJ08901	PARKING	930,998
HARMELIN MEDIA, 525 RIGHTS FERRY ROAD BALA CYNWYD,PA19004	ADVERTISING	631,627
BLUE PRINT HEALTHCARE IT, 1249 SOUTH RIVER ROAD SUITE 106 CRANBURY,NJ08512	IT	629,306
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 58

- 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

2015

Open to Public
Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

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 (Form 990 or 990-EZ))

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

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

(i)Name of supported organization	(ii) EIN	(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)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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—2014. 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

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.

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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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.

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2015

Page 6

Part V

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

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2015

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization CHILDREN'S SPECIALIZED HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization CHILDREN'S SPECIALIZED HOSPITAL		Employer identification number 22-1487148

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization CHILDREN'S SPECIALIZED HOSPITAL			Employer identification number 22-1487148
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

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

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

Yes

90,000

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

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

Yes

9,164

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

99,164

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1G AND 1I	CHILDREN'S SPECIALIZED HOSPITAL IS A MEMBER OF ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CHILDREN'S SPECIALIZED HOSPITAL PAID ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, $90,000 FOR ITS PORTION OF THE LOBBYING EXPENSES INCURRED BY THE SYSTEM. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL PAID AN OUTSIDE INDEPENDENT LOBBYING FIRM TO PROVIDE LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION AND THE NEW JERSEY CHAMBER OF COMMERCE WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $9,164 IN 2015.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1G AND 1I

CHILDREN'S SPECIALIZED HOSPITAL IS A MEMBER OF ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CHILDREN'S SPECIALIZED HOSPITAL PAID ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, $90,000 FOR ITS PORTION OF THE LOBBYING EXPENSES INCURRED BY THE SYSTEM. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL PAID AN OUTSIDE INDEPENDENT LOBBYING FIRM TO PROVIDE LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION AND THE NEW JERSEY CHAMBER OF COMMERCE WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $9,164 IN 2015.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

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

			(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 ....

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

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

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	10,638,632	10,268,974	8,731,853	8,110,182	8,364,523
b	Contributions ...	6,020	12,982	16,248	9,227	20,618
c	Net investment earnings, gains, and losses	10,609	613,584	1,630,528	722,099	215,644
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	257,868	256,908	109,655	109,655	490,603
f	Administrative expenses ....
g	End of year balance ......	10,397,393	10,638,632	10,268,974	8,731,853	8,110,182

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

62.210 %

Temporarily restricted endowment SchDMd Bullet

37.790 %

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

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	156,400		156,400
b	Buildings	66,942,181	27,550,016	39,392,165
c	Leasehold improvements	13,358,882	8,559,231	4,799,651
d	Equipment ...	83,106,312	56,074,529	27,031,783
e	Other ...	6,020,246	1,929,942	4,090,304
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				75,470,303

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)LIMITED USE	523,650	F
(2)LIMITED USE	571,451	F
(3)LIMITED USE	2,127,071	F
(4)LIMITED USE	5,133,132	F
(5)EQUIVALENTS; LIMITED USE	1,218,501	F
(6)MONEY MARKET FUNDS	546,087	F
(7)U.S. CORPORATE BONDS	790,444	F
(8)U.S. GOVERNMENT BONDS	2,942,212	F
(9)U.S. EQUITY SECURITIES	7,100,261	F
(10)ORGANIZATION	21,425,772	F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	42,378,581

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
OTHER LIABILITIES	3,779,981
CURRENT	1,636,935
NON-CURRENT	2,536,662
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,953,578
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

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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

Part XIII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE D, PART V, QUESTION 4

ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. The Hospitals endowment consists of funds that have been established by the Foundation to support the Hospital in providing healthcare services. These funds are invested by the Foundation. The Foundation has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of income and growth, while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor restricted funds that the Foundation must hold in perpetuity. Under this policy, as approved by the Foundations board of trustees, the endowment assets are invested in a manner that is intended to produce moderate to high rates of return while assuming a moderate level of investment risk over the long term.

SCHEDULE D, PART X

THE ORGANIZATION ENGAGED AN INDEPENDENT CPA FIRM TO ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. OUTLINED BELOW IS THE TEXT OF THE FIN 48 (ASC 740) DISCLOSURE FOOTNOTE FROM THE ORGANIZATION'S 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE ("THE CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE AND LOCAL TAXES. The Hospital follows the provisions of the authoritative guidance on accounting for uncertainty in income taxes. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate Taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. The guidance also provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, and disclosure.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

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

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

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

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

Yes

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

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	332,651
	Central America and the Caribbean			Investments		1,218,501















3a	Sub-total .....	1	1			1,551,152
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			1,551,152

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

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

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

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

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

ReturnReference	Explanation

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other 400 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

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

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

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

Yes

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

Yes

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

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

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

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

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,562,257	1,562,257	1.190 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,562,257	1,562,257	1.190 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	444,245	444,245	0.340 %
f	Health professions education (from Worksheet 5) . . .	2,410,860	2,410,860	1.830 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,886,486	1,886,486	1.430 %
j	Total. Other Benefits . .	4,741,591	4,741,591	3.600 %
k	Total. Add lines 7d and 7j .	6,303,848	6,303,848	4.790 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

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

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	32,089	32,089	0.020 %
8	Workforce development
9	Other
10	Total	32,089	32,089	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,828,589

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

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

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

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Facility reporting group
1	PSE&G CHILDREN'S SPECIALIZED HOSPITAL 200 SOMERSET STREET NEW BRUNSWICK,NJ08901 WWW.CHILDRENS-SPECIALIZED.ORG 22249	X	X	1

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	PSE&G CHILDREN'S SPECIALIZED HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CHILDRENS-SPECIALIZED.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CHILDRENS-SPECIALIZED.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PSE&G CHILDREN'S SPECIALIZED HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SCH H, QUESTION 16 SUPP.

The FAP application form was widely available on a website (list url):

SEE SCH H, QUESTION 16 SUPP.

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PSE&G CHILDREN'S SPECIALIZED HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

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Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCH H,PT V,SECTION B,Q'S: 2,3J,6A&B,7D,13B,13H,16I,18D,19D,20E,21C&D,23&24	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 5	When conducting the most recent community health needs assessment ("chna"), CHILDREN'S SPECIALIZED HOSPITAL ("CSH") took into account input from persons who represent the broad interests of the community served by CSH. CSH conducted four key informant interviews WHICH provided information regarding the successes and challenges faced by CSH. In addition, phone interviews were conducted with various other community members AND were analyzed TO DETERMINE key issues WHICH NEEDED to BE addressED. CSH also conducted two focus groups. The first focus group consisted of CSH physicians and the second consisted of members of the CSH family advisory council. The feedback received from these focus groups were analyzed and formulated into recommendations. Lastly, CSH administered two surveys via the survey monkey on-line system. Detailed comments received were used for the development of recommendations.
SCHEDULE H, PART V, SECTION B, QUESTION 11	CHILDREN'S SPECIALIZED HOSPITAL ("CSH") CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING 2013. THROUGH THAT CHNA, CSH IDENTIFIED SEVERAL NEEDS WITHIN THE COMMUNITY THAT NEEDED TO BE ADDRESSED. AS A RESULT OF THOSE SIGNIFICANT NEEDS CSH CREATED AN IMPLEMENTATION STRATEGY WHICH EXPLAINS THE SIGNIFICANT NEEDS IDENTIFIED AND HOW CSH PLANS TO ADDRESS THEM. ON AN ANNUAL BASIS CSH ACTIVELY WORKS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2013 CHNA. FOR EXTENSIVE DETAIL REGARDING THE SIGNIFICANT STRATEGIC ACHIEVEMENTS MADE TO ADDRESS THESE NEEDS PLEASE REFER TO CSH'S MOST RECENTLY ADOPTED STRATEGIC PLAN LOCATED ON THE FOLLOWING WEBSITE: https://www.childrens-specialized.org/about-us/who-we-are/strategic-plan OUTLINED BELOW ARE four needs identified in the chna that HAVE NOT BEEN AND WILL NOT BE ADDRESSED BY CSH AND THE REASONS WHY: (i) create pediatric neurologists' training program - CSH believes the demand for services is for developmental behavioral pediatricians to serve children with autism. In 2009, CSH received approval for a fellowship program in developmental pediatrics and now HAS four fellows in the program. (ii) mental health network should be preventative-based and participate in managed care - CSH provides a range of healthcare services, including psychology services for children with special needs. Providing a full range of mental health services would be an expansion of existing services. CSH BELIEVES THE COMMUNITY WOULD BE BETTER SERVED IF CSH CONTINUES TO focus on its existing services and meet the current needs OF THE COMMUNITY before venturing into new healthcare areas. (iii) development curriculum to be offered for CONTINUING EDUCATION UNIT ("CEU") for statewide conferences with the medical society of services for children with special needs - CSH presently offers many training programs and education sessions, however, to attain CEU approval requires additional investment and would take CSH away from its existing training programs for its physicians. (iv) increase outreach to children who are asian and see if there is an unmet need that the hospital is not addressing - CSH currently has a 65-day wait list for services for developmental pediatrics, and is focused on improving access for all children.
SCHEDULE H, PART V, SECTION B, QUESTION 15E	CSH'S WEBSITE PROVIDES THE CONTACT INFORMATION OF THE CSH DEPARTMENT THAT CAN PROVIDE AN INDIVIDUAL WITH INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY ("FAP") AND FAP APPLICATION PROCESS. IF INDIVIDUALS NEED ASSISTANCE WITH THE FINANCIAL ASSISTANCE PROCESS THEY ARE ENCOURAGED TO SPEAK WITH A MEMBER OF THE CSH PATIENT ACCESS SERVICES DEPTARTMENT WHICH CAN BE REACHED AT 908-233-3720 ext.5193.
SCHEDULE H, PART V, SECTION B, QUESTIONS 16A, 16B & 16C	THE ORGANIZATION'S FAP (CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND) AND THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND APPLICATION ARE AVAILABLE ON THE FOLLOWING WEBSITE: http://www.childrens-specialized.org/for-patients-and-families/billing-fin ancial-and-insurance-information/hospital-benefit-fund-and-application
SCHEDULE H, PART V, SECTION B, QUESTION 22D	THE ORGANIZATION CURRENTLY UTILIZES AMOUNTS TYPICALLY CHARGED IN THESE INSTANCES.

Schedule H (Form 990) 2015

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?13
Name and address		Type of Facility (describe)
1	CSH LONG TERM CARE AT MOUNTAINSIDE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE,NJ07092	LONG-TERM CARE AND OUTPATIENT CENTER
2	CSH LONG TERM CARE AT TOMS RIVER 94 STEVENS ROAD TOMS RIVER,NJ08755	LONG-TERM CARE AND OUTPATIENT CENTER
3	CSH OUTPATIENT CENTER AT HAMILTON 3575 QUAKERBRIDGE ROAD HAMILTON,NJ08619	OUTPATIENT CENTER
4	CSH OUTPATIENT CENTER AT TOMS RIVER 368 LAKEHURST ROAD TOMS RIVER,NJ08755	OUTPATIENT CENTER
5	CSH MED DAY CARE CTR & EARLY INTERVENT 316 WEST WESTFIELD AVENUE ROSELLE PARK,NJ07204	OUTPATIENT CENTER
6	CSH EARLY INTERVENTION TOMS RIVER 316 WASHINGTON STREET TOMS RIVER,NJ08755	EARLY INTERVENTION
7	CSH OUTPATIENT CENTER AT EGG HARBOR 6106 BLACK HORSE PIKE EGG HARBOR TOWNSHIP,NJ08234	OUTPATIENT CENTER
8	CSH OUTPATIENT CENTER AT FANWOOD 313 SOUTH AVENUE FANWOOD,NJ07023	OUTPATIENT CENTER
9	CSH OUTPATIENT CENTER AT CLIFTON 1135 BROAD STREET CLIFTON,NJ07013	OUTPATIENT CENTER
10	CSH OUTPATIENT CENTER AT BAYONNE 815 BROADWAY AVENUE BAYONNE,NJ07002	OUTPATIENT CENTER
11	CSH OUTPATIENT CENTER AT NEWARK 182 LYONS AVENUE NEWARK,NJ07112	OUTPATIENT CENTER
12	CSH OUTPATIENT CENTER AT WARREN 266 KING GEORGE ROAD WARREN,NJ07059	OUTPATIENT CENTER
13	CSH OUTPATIENT CENTER AT NEW BRUNSWICK 10 PLUM STREET 6TH FLOOR NEW BRUNSWICK,NJ08901	OUTPATIENT CENTER

Schedule H (Form 990) 2015

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Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE FOLLOWING CRITERIA IS USED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY.
SCHEDULE H, PART I; QUESTION 6A	Not applicable.
SCHEDULE H, PART I; QUESTION 7	Worksheet 2 was used for the cost to charge ratio.
SCHEDULE H, PART I, QUESTION 7G	No costs relating to subsidized healthcare services are attributable to any physician clinics.
SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 & 4	Bad debt expense was calculated using the provider's bad debt expense from financial statements, net of accounts written off at charges. The organization issued audited financial statements. The organization's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied. Below describes it in more detail: Patient accounts receivable --------------------------- Patient accounts receivable are recorded at the reimbursed or contracted amount and do not bear interest. The allowance for doubtful accounts is the hospital's best estimate of the amount of probable credit losses in the hospital's existing patient accounts receivable. The hospital determines the allowance for doubtful accounts by reviewing the age of the receivables in the aggregate and then applying consistent rates to each aged bucket across major payor source. The rates applied are based on historical write-off experience, and the hospital reviews its allowance and rates periodically. Past-due balances are reviewed individually for collectability. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. The Hospitals allowance for doubtful accounts for self-pay patients increased to 22.1% of self-pay accounts receivable at December 31, 2015 from 13.7% of self-pay accounts receivable at December 31, 2014. In addition, the Hospitals self-pay account write-offs (net of recoveries) decreased to $2,294,583 in 2015 from $2,410,441 in 2014. Charity And Other Uncompensated Services Care --------------------------------------------- The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates and maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. The Hospital does not pursue collection of amounts determined to qualify as charity care; therefore, these amounts are not reported as net patient service revenue. The Hospital does not receive any distribution of state or federal subsidies for charity care services rendered. An overall cost to charge ratio was applied to arrive at the cost of charity care. As a result, the cost of providing charity care was $1,562,257 and $1,018,697 for the years ended December 31, 2015 and 2014, respectively. In addition, the Hospital provides community service programs for free or below cost and provides a variety of patient care services where reimbursement under federal and state agreements is below costs. These services include, but are not limited to, health fair screenings and educational programs on a variety of topics related to the patient population the Hospital services.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The organization feels that bad debt should be a community benefit and associated costs should be included on the form 990, schedule h, part i. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay, and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The american hospital association ("aha") feels that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position that bad debt should be community benefit. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting bad debt as quantifiable community benefit for the following reasons: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospitals' best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance.
SCHEDULE H, PART III, SECTION B; QUESTION 9B	Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance against revenue. It is the policy of children's specialized hospital to treat all patients equally regardless of insurance and their ability to pay. Childrens Specialized Hospital WILL exhaust all opportunities for insurance payments before billing any patient ("guarantor") for services provided by the Hospital. The exceptions to that policy are patient responsibility amounts that are known at the time of service. Payments for those amounts are expected to be paid by the patient at the time of service assuming there is no secondary insurance coverage. In the event a patient responsibility is identified by the patients insurance carrier after the services are provided, the patient will be billed the amount identified as the patients responsibility by the carrier. Again, in situations where secondary or tertiary coverage exists those amounts will be billed prior to the guarantor. All identified insurance carriers will be billed (electronically if possible) and payments pursued from those carriers. FINANCIAL ASSISTANCE will be offered to patients consistent with the FINANCIAL ASSISTANCE policy. Patient's accounts will be updated to reflect FINANCIAL ASSISTANCE eligibility. Patients will not be billed any balances until the point at which all insurance opportunities have been exhausted. The amount billed to the patient (guarantor) should be consistent with the insurance explanation of benefits "patient responsibilitybe net of any FINANCIAL ASSISTANCE AWARDED. Billing statements will be sent out every 21 days for no less than 120 days from the first such statement. Bills that remain unpaid after 120 days will be referred to a collection agency. Normal collections efforts will be pursued but FURTHER COLLECTION ACTIONS WILL BE SUBJECT TO APPROVAL BY THE Director of Patient Accounts on a case by case basis. Any patient overpayments recognized by the hospital resultant from retrospective FINANCIAL ASSISTANCE eligibility will be refunded as soon as reasonably possible.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE INTERNAL REVENUE CODE SECTION 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN THE FORM 990, SCHEDULE H, PART V, SECTION B, CHILDREN'S SPECIALIZED HOSPITAL CONDUCTS A REVIEW OF KEY MARKET FACTORS ANNUALLY WHICH INCLUDES: - a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; - healthcare service estimates and forecasts (both inpatient and outpatient); - assessments of local demographic and socioeconomic information; and - a review of health status/needs assessments and studies conducted by external parties (health research and education trust of new jersey, kid's count, etc.). This organization conducts an extensive service area population physician need study (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. In addition, this organization works with local providers to plan and discuss health needs of the population.
SCHEDULE H, PART VI; QUESTION 3	THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: - THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION ARE available on-line at the following website: https://www.childrens-specialized.org/for-patients-And-families/billing-fi nancial-and-insurance-information/hospital-benefit-fund-and-application - Paper copies of THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION are available upon request without charge by mail and are available AT THE PATIENT ACCESS SERVICES DEPARTMENT WITHIN THE HOSPITAL; AND - Signs or displays informing patientS about the availability of financial assistance ARE conspicuously posted in public locations OF THE HOSPITAL.
SCHEDULE H, PART VI; QUESTION 4	This organization is in a diverse suburban location serving diverse communities ranging from inner city communities to more affluent suburban areas throughout the state of new jersey. Children's has twelve locations throughout the state and is committed to service all of its communities and serves both inner city and suburban areas. About 60% of its inpatients are of minority race/ethnicity. In addition, approximately 8% of its patients are of underinsured and uninsured payer categories.
SCHEDULE H, PART VI; QUESTION 5	Community building activities undertaken by children's specialized hospital improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other health care professionals. Children's specialized hospital plans to hold an annual board meeting open to the public. The majority of the board of trustees are individuals with local businesses or whom reside in the community. Hospital staff members serve on the boards of many local not-for-profit organizations and provide other forms of support (fundraising, activity participation). All qualified physicians are extended privileges by the medical staff office credentialing committee. Under the directive of the organization's corporate finance office, surplus funds are utilized for capital projects to improve services or purchase equipment which in turn, benefit the community. Please also refer to form 990, schedule o, which contains the organization's community benefit statement and summary of all entities which comprise children's specialized hospital.
SCHEDULE H, PART VI; QUESTION 6	OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK AND AFFILIATES. NOT FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HEALTH CARE CORPORATION RWJ HEALTH CARE CORPORATION ("RWJHCC") IS THE TAX-EXEMPT PARENT OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ("NETWORK"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER RWJHCC OR ANOTHER NETWORK AFFILIATE CONTROLLED BY RWJCC. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. RWJ HEALTH CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). RWJ HEALTH CARE CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. RWJ HEALTH CARE CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ACTIVE HOSPITALS INCLUDE: CHILDREN'S SPECIALIZED HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH, WITH THE EXCEPTION OF CHILDREN'S SPECIALIZED HOSPITAL; A SPECIALTY HOSPITAL, OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF RWJ HEALTH CARE CORPORATION. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CHILDREN'S SPECIALIZED HOSPITAL CHILDREN'S SPECIALIZED HOSPITAL ("CSH") IS A 162 BED LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY WITH LOCATIONS IN NEW BRUNSWICK, MOUNTAINSIDE AND TOMS RIVER NEW JERSEY. CSH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CSH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CSH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ("RWJUH") IS COMPRISED OF THE FOLLOWING HOSPITALS: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, A 610-BED NON-PROFIT ACADEMIC MEDICAL CENTER LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, A 355-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. RWJUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ("RWJUHH") IS A 280-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. RWJUHH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY ("RWJUHR") IS A 265-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. RWJUHR IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RWJUHR PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RWJUHR OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION, INC. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CHILDREN'S SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. LAKEVIEW CHILD CARE CENTER, INC. LAKEVIEW CHILD CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HIGH-QUALITY CARE OPERATING UNDER THE MONTESSORI METHOD AND PHILOSOPHY FOR THE EMPLOYEES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON AND TO THE GENERAL PUBLIC. IN ADDITION, THE CENTER HAS A DROP OFF PROGRAM AND BABY-SITTING PROGRAM USED BY PARENTS WHO MUST GO TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. LAKEVIEW CHILD CARE CENTER FOUNDATION, INC. IS AN ORGANIZATION CURRENTLY AWAITING ITS DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE. ONCE RECEIVED THE ORGANIZATION WILL BE RECOGNIZED AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION PROVIDES CHARTIABLE AND EDUCATIONAL SERVICES AND SUPPORTS THE PROGRAMS AND STUDENTS OF LAKEVIEW CHILD CARE CENTER. THE ORGANIZATION AIMS TO IMPROVE EARLY EDUCATION AND CHILDCARE. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.
SCHEDULE H, PART VI; QUESTION 6	ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ORGANIZATION OF A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHICH INCLUDES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY AUXILIARY IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NEW BRUNSWICK AFFILIATED HOSPITALS, INC. NEW BRUNSWICK AFFILIATED HOSPITAL, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A JOINT VENTURE BETWEEN ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AND SAINT PETER'S UNIVERSITY HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION ROBERT WOOD JOHNSON PROPERTY HOLDING CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ROBERT WOOD JOHNSON VISITING NURSES, INC. ROBERT WOOD JOHNSON VISITING NURSES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SOMERSET COMMUNITY CARE CORPORATION SOMERSET COMMUNITY CARE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SOMERSET HEALTH CARE AFFILIATES, INC. SOMERSET HEALTH CARE AFFILIATES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SOMERSET MEDICAL CENTER FOUNDATION, INC. SOMERSET MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS SOMERSET MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND ITS AFFILIATES IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR PROFIT ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ENTITIES RWJ HAMILTON PHYSICIAN ENTERPRISE, P.A. AN INACTIVE FOR-PROFIT ENTITY. RWJ MEDICAL ASSOCIATES AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. R.W.J. MEDICAL ASSOCIATES, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MEDICAL SERVICES ORGANIZATION AT HAMILTON A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION AT HAMILTON. THE ORGANIZATION IS LOCATED IN HAMILTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE RECEIPT OF RENTAL INCOME. RWJ HEALTH NETWORK, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A HEALTH CARE SYSTEM. RWJ KIDNEY TRANSPLANT ASSOCIATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ MULTI-SPECIALTY, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS.
SCHEDULE H, PART VI; QUESTION 6	RWJ PHYSICIAN ENTERPRISE, P.A. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS. RWJ-REGENT, L.L.C. RWJ-REGENT, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ-REGENT II, L.L.C. RWJ-REGENT II, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND OPERATES AN AMBULATORY SURGERY CENTER. RWJ SURGERY CENTER, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES SURGERY SERVICES TO INDIVIDUALS. SYSTEM AND AFFILIATE MEMBERS, LTD. A CONTROLLED FOREIGN CORPORATION BY ROBERT WOOD JOHNSON HEALTH CARE CORPORATION. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. VISION HEALTHCARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. THE ORGANIZATION IS LOCATED IN RAHWAY, UNION COUNTY, NEW JERSEY. THIS ENTITY PROVIDES INVESTMENT SERVICES TO ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY. EOS, INC. - AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTH, INC. - AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY HEALTHCARE ASSOCIATES - AN INACTIVE FOR-PROFIT CORPORATION. NEW JERSEY MANAGEMENT SERVICES ORGANIZATION - AN INACTIVE FOR-PROFIT CORPORATION. SHC ENTERPRISES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGEMENT SERVICES. SOMERSET REALTY GROUP, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SHC ENTERPRISES, INC. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES REAL ESTATE SERVICES. SOMERSET STAFFING CORPORATION - AN INACTIVE FOR-PROFIT CORPORATION. WARREN INTERNAL MEDICINE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. FRANKLIN MEDICAL GROUP, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. ACUCARE PHYSICIANS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET MEDICAL CARE PARTNERS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY PARTNERS, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CARDIOLOGY GROUP, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET CHEST AND INTENSIVE CARE MEDICINE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. SOMERSET MEDICAL CENTER URGENT CARE, P.C. A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS RWJUH. THE ORGANIZATION IS LOCATED IN SOMERVILLE, SOMERSET COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES. CSH VENTURES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CHILDREN'S SPECIALIZED HOSPITAL. THE ORGANIZATION WAS FORMED TO PROVIDE PEDIATRIC REHABILITATION CONSULTING AND TRAINING SERVICES INTERNATIONALLY.
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule H (Form 990) 2015

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number
22-1487148

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

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

(1) THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET SUITE 305 PHILADELPHIA,PA191046284	23-1352685	501(C)(3)	38,555	PROGRAM SUPPORT
(2) EMERSON COLLEGE 120 BOYLSTON STREET BOSTON,MA021164624	04-1286950	501(C)(3)	19,911	PROGRAM SUPPORT
(3) BOGGS CENTER C/O RUTGERS ROBERT WOOD JOHNSON MED 65 DAVIDSON ROAD ROOM 306 PISCATAWAY,NJ088545602	46-2354111		41,806	PROGRAM SUPPORT
(4) RONALD MCDONALD HOUSE OF LONG BRANCH NJ INC 131 BATH AVENUE LONG BRANCH,NJ07740	22-2715544	501(C)(3)	20,000	PROGRAM SUPPORT
(5) EDWARD J ILL EXCELLENCE IN MEDICINE FDN INC 100 FRANKLIN CORNER ROAD LAWRENCEVILLE,NJ08648	20-8498347	501(C)(3)	10,000	PROGRAM SUPPORT
(6) THE RWJ UNIVERSITY HOSPITAL FOUNDATION INC 10 PLUM STREET NO 910 NEW BRUNSWICK,NJ08901	22-2378007	501(C)(3)	10,000	PROGRAM SUPPORT
(7) AUXILIARY OF ROBERT WOOD JOHNSON UNIVERSITY 120 ALBANY STREET SUITE 720 NEW BRUNSWICK,NJ08901	22-6014339	501(C)(3)	10,000	PROGRAM SUPPORT
(8) GEORGE STREET PLAYHOUSE INC 9 LIVINGSTON AVENUE NEW BRUNSWICK,NJ08901	23-7361588	501(C)(3)	7,000	PROGRAM SUPPORT
(9) RWJ UNIVERSITY HOSPITAL HAMILTON FOUNDATION INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ086903599	22-2552329	501(C)(3)	6,165	PROGRAM SUPPORT
(10) AUTISM NEW JERSEY INC 500 HORIZON DRIVE 530 ROBBINSVILLE,NJ08691	22-2129739	501(C)(3)	6,000	PROGRAM SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

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

Schedule I (Form 990) 2015

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

Any related organization?

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

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

The organization?

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

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

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(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 on 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)
1JENFU CHENG MDTRUSTEE - PRESIDENT MED STAFF	(i) (ii)	233,607 ------------- 0	31,424 ------------- 0	300 ------------- 0	7,101 ------------- 0	24,269 ------------- 0	296,701 ------------- 0	0 ------------- 0
2MARTIN DIAMOND MDTRUSTEE - PHYSIATRIST	(i) (ii)	221,147 ------------- 0	10,199 ------------- 0	15,110 ------------- 0	9,098 ------------- 0	4,016 ------------- 0	259,570 ------------- 0	0 ------------- 0
3AMY B MANSUETRUSTEE - PRESIDENT/CEO	(i) (ii)	563,550 ------------- 0	155,303 ------------- 0	18,869 ------------- 0	96,927 ------------- 0	19,798 ------------- 0	854,447 ------------- 0	0 ------------- 0
4PHILIP SALERNOTRUSTEE - PRES/CDO FOUNDATION	(i) (ii)	343,527 ------------- 0	65,000 ------------- 0	17,021 ------------- 0	10,600 ------------- 0	27,184 ------------- 0	463,332 ------------- 0	0 ------------- 0
5WARREN E MOOREEVP/COO	(i) (ii)	445,307 ------------- 0	93,080 ------------- 0	14,077 ------------- 0	33,158 ------------- 0	23,922 ------------- 0	609,544 ------------- 0	0 ------------- 0
6JOSEPH J DOBOSH JR MBAVP/CFO	(i) (ii)	337,341 ------------- 0	66,006 ------------- 0	12,625 ------------- 0	49,141 ------------- 0	19,187 ------------- 0	484,300 ------------- 0	0 ------------- 0
7CHRISTOPHER HAINES DO FACEPCHIEF MEDICAL OFFICER	(i) (ii)	366,192 ------------- 0	78,177 ------------- 0	12,687 ------------- 0	2,650 ------------- 0	2,850 ------------- 0	462,556 ------------- 0	0 ------------- 0
8MICHAEL R DRIBBON PHDVP REHAB SERVICES & PROG. DEV.	(i) (ii)	265,614 ------------- 0	48,133 ------------- 0	12,047 ------------- 0	42,496 ------------- 0	11,565 ------------- 0	379,855 ------------- 0	0 ------------- 0
9WILLIAM J DWYERVP HUMAN RESOURCES	(i) (ii)	254,214 ------------- 0	50,574 ------------- 0	14,492 ------------- 0	30,176 ------------- 0	3,399 ------------- 0	352,855 ------------- 0	0 ------------- 0
10BONNIE ALTIERI PHD RNVP PATIENT CARE SERVICES/CNO	(i) (ii)	255,087 ------------- 0	53,303 ------------- 0	5,990 ------------- 0	52,912 ------------- 0	17,862 ------------- 0	385,154 ------------- 0	0 ------------- 0
11CHARLES CHIANESEVP OP'S/CHIEF PERFORMANCE OFF.	(i) (ii)	240,313 ------------- 0	44,686 ------------- 0	11,240 ------------- 0	38,489 ------------- 0	1,033 ------------- 0	335,761 ------------- 0	0 ------------- 0
12PATRICIA D FOLEY PT FACHEVP OUTPATIENT SERVICES	(i) (ii)	187,249 ------------- 0	36,226 ------------- 0	9,445 ------------- 0	32,775 ------------- 0	26,935 ------------- 0	292,630 ------------- 0	0 ------------- 0
13UDAY MEHTA MDDEVELOPMENTAL PEDIATRICIAN	(i) (ii)	230,287 ------------- 0	0 ------------- 0	184,846 ------------- 0	8,424 ------------- 0	5,251 ------------- 0	428,808 ------------- 0	0 ------------- 0
14MATT B MCDONALD III MDSEC CHIEF SPECIAL NEEDS PEDS.	(i) (ii)	241,438 ------------- 0	21,600 ------------- 0	270 ------------- 0	0 ------------- 0	25,057 ------------- 0	288,365 ------------- 0	0 ------------- 0
15YVETTE JANVIER MDDIRECTOR; MEDICAL SERVICES	(i) (ii)	227,143 ------------- 0	20,450 ------------- 0	11,690 ------------- 0	9,559 ------------- 0	1,536 ------------- 0	270,378 ------------- 0	0 ------------- 0
16COLIN R O'REILLY MDSECTION CHIEF IP PEDIATRICS	(i) (ii)	238,759 ------------- 0	15,000 ------------- 0	114 ------------- 0	0 ------------- 0	20,631 ------------- 0	274,504 ------------- 0	0 ------------- 0
17THOMAS A RUGINO MDPHYSIATRIST	(i) (ii)	202,930 ------------- 0	23,680 ------------- 0	22,111 ------------- 0	8,958 ------------- 0	4,722 ------------- 0	262,401 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 1A	THE ORGANIZATION PAID FOR HEALTH CLUB DUES FOR CERTAIN EMPLOYEES. THE HEALTH CLUB DUES ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $500; WARREN E. MOORE, $500; JOSEPH J. DOBOSH, JR., MBA, $500; CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $500; MICHAEL R. DRIBBON PH.D., $500; WILLIAM J. DWYER, $500; BONNIE ALTIERI, PH.D., RN, $500; CHARLES CHIANESE, MBA, $500 AND PATRICIA D. FOLEY, PT, FACHE, $500.
SCHEDULE J, PART I; QUESTION 4B	THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, AS TAXABLE WAGES: AMY B. MANSUE, $86,327; WARREN E. MOORE, $22,558; JOSEPH J. DOBOSH, JR., MBA, $38,541; MICHAEL R. DRIBBON PH.D., $32,512; WILLIAM J. DWYER, $20,528; BONNIE ALTIERI, PH.D., RN, $47,762; CHARLES CHIANESE, MBA, $31,241 AND PATRICIA D. FOLEY, PT, FACHE, $25,050.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number
22-1487148

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084		08-01-2013	10,340,000	DIRECT PLACEMENT REFINANCE		X		X		X
B	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084		08-01-2013	5,170,000	DIRECT PLACEMENT REFINANCE		X		X		X
C	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084		04-02-2015	27,200,000	REDEEM 2005 BONDS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	744,747		296,134		26,895,748
2 Amount of bonds legally defeased ..............	0		0		0
3 Total proceeds of issue ..................	10,340,000		5,170,000		27,200,000
4 Gross proceeds in reserve funds .............	0		0		0
5 Capitalized interest from proceeds .............	0		0		0
6 Proceeds in refunding escrows ...............	0		0		0
7 Issuance costs from proceeds ...............	190,334		96,803		304,252
8 Credit enhancement from proceeds .............	0		0		0
9 Working capital expenditures from proceeds .............	0		0		0
10 Capital expenditures from proceeds .............	0		0		0
11 Other spent proceeds .............	10,340,000		5,170,000		0
12 Other unspent proceeds .............	0		0		0
13 Year of substantial completion .............	2013		2013		2015
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...	X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........	0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........	0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

2015

Open to Public
Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== CHILDREN'S SPECIALIZED HOSPITAL ("CSH"), AN AFFILIATE MEMBER OF THE ROBERT WOOD JOHNSON HEALTH SYSTEM, IS A NOT FOR-PROFIT LICENSED COMPREHENSIVE PEDIATRIC REHABILITATION HOSPITAL AND PEDIATRIC LONG-TERM CARE FACILITY. CSH ALSO OPERATES A LICENSED PEDIATRIC MEDICAL DAY CARE AND A PEDIATRIC PRACTICE FOR CHILDREN WITH DISABILITIES. THE PEDIATRIC PRIMARY CARE AT MOUNTAINSIDE, WHICH OPENED IN DECEMBER 2014, CARED FOR A TOTAL OF 1,577 CHILDREN WITH SPECIAL AND COMPLEX MEDICAL NEEDS IN 2015. THIS REPRESENTED AN INCREASE OF 5.8%. THE SERVICE OFFERS SAME DAY APPOINTMENTS, A WEB PORTAL THAT PROVIDES BETTER ACCESS TO THE PATIENTS MEDICAL INFORMATION, THE ABILITY TO HANDLE MORE ASPECTS OF CARE REMOTELY, AND REGULAR FOLLOW-UP VISITS. CSH HAS BEEN PROVIDING SERVICES TO THE CHILDREN OF NEW JERSEY AND SURROUNDING STATES FOR 124 YEARS. OUR TALENTED AND CARING STAFF PROVIDE A WIDE ARRAY OF MEDICAL, DEVELOPMENTAL, EDUCATIONAL AND REHABILITATIVE SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS. CSH'S HEALTHCARE PROFESSIONALS ARE COMMITTED TO PROVIDING EXPERT AND COMPASSIONATE CARE TO CHILDREN WITH CHRONIC ILLNESSES AND DISABILITIES. EVALUATION AND TREATMENT IS AVAILABLE FOR A VARIETY OF REHABILITATION NEEDS, INCLUDING, BUT NOT LIMITED TO, BRAIN INJURIES, SPINAL CORD DYSFUNCTION, RESPIRATORY ISSUES, AUTISM, ORTHOPEDIC PROBLEMS, SPORTS INJURIES, LEARNING DISABILITIES, LANGUAGE OR HEARING PROBLEMS, DEVELOPMENTAL DELAYS, AND BEHAVIOR OR ATTENTION PROBLEMS AT HOME OR IN SCHOOL. COMPREHENSIVE, COORDINATED CARE IS PROVIDED FOR CHILDREN WITH CHRONIC ILLNESSES AND DISABILITIES WHO MAY HAVE MULTIPLE AND COMPLEX THERAPY NEEDS. CHARITABLE PURPOSES, CHARITY CARE AND COMMUNITY ACTIVITES ========================================================= CSH PROVIDES HEALTHCARE SERVICES TO ALL NJ CHILDREN WHO CAN BENEFIT FROM REHABILITATIVE CARE AND WHO ARE LEGAL RESIDENTS OF NEW JERSEY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF ABILITY TO PAY. CSH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN IT'S ESTABLISHED RATES AND MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. CSH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CSH DOES NOT RECEIVE ANY DISTRIBUTION OF FEDERAL OR STATE SUBSIDIES FOR CHARITY CARE SERVICES RENDERED. ACCREDITATIONS/LICENSURES ========================= 1) CSH IS ACCREDITED BY THE JOINT COMMISSION OF ACCREDITATION OF HEALTHCARE ORGANIZATIONS; 2) CSH IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AS A COMPREHENSIVE REHABILITATION HOSPITAL; 3) NURSING HOME ADMINISTRATROS LICENSING BOARD NEW JERSEY DEPARTMENT OF HEALTH; 4) NEW JERSEY DEPARTMENT OF HUMAN SERVICES OUTPATIENT MENTAL HEALTH SERVICES; 5) NEW JERSEY DEPARTMENT OF HEALTH HOSPITAL-BASED, OFF-SITE AMBULATORY CARE FACILITY PRIMARY CARE; and 6) NEW JERSEY DEPARTMENT OF HEALTH HOSPITAL BASED LONG TERM CARE FACILITY. MISSION STATEMENT ================= THE MISSION OF CHILDREN'S SPECIALIZED HOSPITAL IS TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS. CHILDREN'S SPECIALIZED HOSPITAL CORPORATE VALUES ================================================ THE VALUES OF CSH ARE COMPASSION, INTEGRITY, EXCELLENCE, FUN, INNOVATION, AND TEAMWORK. COMPASSION: WE WILL PROVIDE A LOVING, CARING ENVIRONMENT FOR THE CHILDREN, FAMILIES, AND EACH OTHER. INTEGRITY: WE ARE COMMITTED TO ORGANIZATIONAL AND FINANCIAL ACCOUNTABILITY, TRANSPARENCY, RESPECT FOR ALL AND ETHICAL PRACTICES. EXCELLENCE: WE WILL BE THE BEST AT OUR JOBS AND PROVIDE THE HIGHEST QUALITY CARE TO OUR CHILDREN, CONSTANTLY STRIVING TO IMPROVE AND BE THE BEST. FUN: WE WILL PROVIDE A CHILD-FRIENDLY ENVIRONMENT. IF WE HAVE FUN DOING OUR JOBS, IT WILL REFLECT IN HOW WE DEAL WITH THE CHILDREN AND EACH OTHER. INNOVATION: WE WILL BE CREATIVE IN PROVIDING CARE AND PROBLEM SOLVING. TEAMWORK: CSH IS A TEAM WHERE EVERY PERSON IS NEEDED TO PROVIDE THE QUALITY CARE FOR WHICH WE ARE KNOWN. WE MUST WORK TOGETHER TO BE SUCCESSFUL. PATIENT-AND-FAMILY-CENTERED CARE AND CSH ======================================== PATIENT-AND-FAMILY CENTERED CARE IS AN APPROACH TO HEALTHCARE THAT SHAPES HEALTHCARE POLICIES, PROGRAMS, FACILITY DESIGN, AND DAY TO DAY INTERACTIONS AMONG PATIENTS FAMILIES, PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. HEALTHCARE PROFESSIONALS, WHO PRACTICE PATIENT-AND-FAMILY CENTERED CARE, RECOGNIZE THE VITAL ROLE THAT FAMILIES PLAY IN ENSURING THE HEALTH AND WELL-BEING OF CHILDREN AND FAMILY MEMBERS OF ALL AGES. THESE PRACTITIONERS ACKNOWLEDGE THAT EMOTIONAL, SOCIAL AND DEVELOPMENTAL SUPPORTS ARE INTEGRAL COMPONENTS OF HEALTHCARE. THEY RESPECT EACH CHILD AND FAMILY'S INNATE STRENGTHS AND VIEW THE HEALTHCARE EXPERIENCE AS AN OPPORTUINITY TO BUILD ON THESE STRENGTHS AND SUPPORT FAMILIES IN THEIR CARE-GIVING AND DECISION-MAKING ROLES. A PATIENT-AND- FAMILY CENTERED APPROACH LEADS TO BETTER HEALTH OUTCOMES AND WISER ALLOCATIONS OF RESOURCES, AS WELL AS GREATER PATIENT AND FAMILY SATISFACTION. PATIENT-AND-FAMILY CENTERED CARE IN PEDIATRICS IS BASED ON THE UNDERSTANDING THAT THE FAMILY IS THE CHILD'S PRIMARY SOURCE OF STRENGTH AND SUPPORT AND THAT THE CHILD'S AND FAMILY'S PERSPECTIVES AND INFORMATION ARE IMPORTANT IN CLINICAL DECISION MAKING. PATIENT-AND-FAMILY CENTERED PRACTITIONERS ARE KEENLY AWARE THAT HEALTHCARE EXPERIENCES CAN ENHANCE PARENTS' CONFIDENCE IN THEIR ROLES AND, OVER TIME INCREASE THE COMPETENCE OF CHILDREN AND YOUNG ADULTS TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTHCARE, PARTICULARILY IN ANTICIPATION OF THE TRANSITION TO ADULT SERVICE SYSTEMS. PATIENT-AND-FAMILY-CENTERED CARE IS GROUNDED IN COLLABORATION AMONG PATIENTS, FAMILIES, AND ALL HOSPITAL PERSONNEL FOR THE PLANNING, DELIVERY, AND EVALUATION OF THE DELIVERY OF HEALTH CARE TO THE CHILDREN WE SERVE, AS WELL AS IN THE EDUCATION OF HEALTH CARE WORKERS. CONTINUING OUR GOAL TO BE RECOGNIZED AS A CENTER OF EXCELLENCE IN PEDIATRIC CARE, CSH IS COMMITTED TO THE INTEGRATION OF PATIENT-AND-FAMILY-CENTERED PRINCIPLES INTO OUR HEALTH CARE POLICIES AND PRACTICES ACROSS THE CONTINUUM OF CARE PROVIDED BY OUR INSTITUTION. IN PLACING THE NEEDS OF THE CHILD AND FAMILY AT THE CENTER OF ALL ACTIVITIES WE WILL FULFILL OUR MISSION AND EMBODY THE VALUES OF PATIENT-AND-FAMILY-CENTERED CARE AND CHILDREN'S SPECIALIZED HOSPITAL BY: - RESPECTING EACH CHILD AND HIS OR HER FAMILY AS PARTNERS IN CARE; - HONORING DIVERSITY AND ITS EFFECT ON THE FAMILY'S EXPERIENCE AND THE PERCEPTION OF CARE THROUGH RECOGNIZING THAT EACH FAMILY IS UNIQUE IN THEIR STRUCTURE, VALUES, CULTURE, ETHNICITY, ORIENTATION, SPIRITUAL BELIEFS, SOCIAL, ECONOMICS, EDUCATIONAL, AND GEOGRAPHIC DIVERSITY; - BUILDING ON THE STRENGTHS OF EACH CHILD AND FAMILY, EVEN IN DIFFICULT AND CHALLENGING SITUATIONS, BY ACKNOWLEDGING EACH FAMILY'S PRIORTIES AND LEVEL OF EXPERTISE; - RECOGNIZING AND RESPECTING DIFFERENT METHODS OF COPING; - IMPLEMENTING COMPREHENSIVE SERVICES THAT PROVIDE DEVELOPMENTAL, EDUATIONAL, EMOTIONAL, ENVIRONMENTAL AND FINANCIAL SUPPORTS; - SUPPORTING AND FACILITATING CHOICE FOR THE CHILD AND FAMILY ABOUT APPROACHES TO CARE AND SUPPORT; - ENSURING FLEXIBILITY IN ORGANIZATIONAL POLICIES, PROCEDURES AND PROVIDER PRACTICES TO REFLECT DIVERSITY AND MEET THE NEEDS, BELIEFS, PERSONALITIES, LIFE EXPERIENCES, SPIRITUAL AND CULTURAL VALUES OF EACH CHILD AND FAMILY; - PROVIDING FORMAL AND INFORMAL SUPPORT FOR EACH CHILD AND FAMILY. COLLABORATING WITH FAMILIES AT ALL LEVELS OF HEALTHCARE, IN THE CARE OF THE INDIVIDUAL CHILD AND IN PROFESSIONAL EDUCATION, POLICY MAKING AND PROGRAM DEVELOPMENT, THROUGH THE EXCHANGE OF HONEST AND UNBIASED INFORMATION ON AN ONGOING BASIS AND IN WAYS THAT ARE USEFUL AND AFFIRMING; - EMPOWERING CHILDREN AND FAMILES TO DISCOVER THEIR OWN STRENGTHS, BUILD CONFIDENCE AND MAKE CHOICES AND DECISIONS ABOUT THEIR HEALTH THROUGH THE CREATION OF TRUE PARTNERSHIPS WITH HEALTHCARE PROFESSSIONALS; AND - WORKING WITH LOCAL COMMUNITIES, SCHOOLS AND HEALTH OFFICIALS TO ENSURE THAT COMMUNITY SERVICES AND SUPPORT SYSTEMS FOR CHILDREN AND THEIR FAMILIES ARE FLEXIBLE, ACCESSIBLE AND COMPREHENSIVE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	CSH MAINTAINS INPATIENT PROGRAMS FOR BRAIN INJURY, SPINAL CORD DYSFUNCTION, INFANT AND TODDLERS WITH PREMATURITY AND BIRTH RELATED DISORDERS, CHRONIC PAIN, CHRONIC ILLNESS, AND GENERAL REHABILITATION. OUTPATIENT PROGRAMS EXIST AT VARYING LEVELS OF DEVELOPMENT INCLUDING THE AUTISM PROGRAM AND THE COMPREHENSIVE FEEDING PROGRAM. THESE ARE JUST A FEW OF OUR MANY PROGRAMS AND SPECIALTY SERVICE AREAS THAT COMBINE CUTTING-EDGE TECHNOLOGY WITH CLINICAL EXPERTISE AND COMPASSIONATE CARE IN A PATIENT-AND-FAMILY-CENTERED ENVIRONMENT AT FACILITIES IN NEW BRUNSWICK, MOUNTAINSIDE, TOMS RIVER, FANWOOD, HAMILTON, BAYONNE, CLIFTON, EGG HARBOR TOWNSHIP, NEWARK, WARREN, AND ROSELLE PARK. ADDITIONALLY, CSH'S STAFF PROVIDES EXPERTISE AT VARIOUS SCHOOLS, CENTERS, AND PROGRAMS FOR CHILDREN WITH SPECIAL NEEDS THROUGHOUT NEW JERSEY. PROGRAMS AND SERVICES INFORMATION ================================= INPATIENT PROGRAMS ------------------ INPATIENT SERVICES ARE LICENSED FOR 90 PEDIATRIC REHABILITATION BEDS, 68 COMPREHENSIVE REHABILITATION BEDS AND 73 PEDIATRIC LONG-TERM CARE BEDS THAT ARE IN OPERATION. INPATIENT REHABILITATION CARE PROVIDED INCLUDES MEDICAL AND NURSING CARE, COMPREHENSIVE THERAPY SERVICES, PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL SERVICES, ACADEMICS, SOCIAL SERVICES, AND NUTRITIONAL SERVICES. INCLUDED IN THE THERAPY SERVICES ARE PHYSICAL THERAPY, HYDROTHERAPY, REHABILITATION TECHNOLOGY, AUGMENTATIVE COMMUNICATION, OCCUPATIONAL THERAPY, ACTIVITIES OF DAILY LIVING, SPEECH AND HEARING, RESPIRATORY THERAPY, RECREATIONAL THERAPY AND CHILD LIFE. THESE CSH SERVICES ARE PROVIDED TO ALLOW THE CHILDREN TO ATTAIN THEIR GREATEST POTENTIAL - MEDICALLY, SOCIALLY, ACADEMICALLY, AND EMOTIONALLY. THEIR FAMILIES ARE PROVIDED WITH SUPPORT AND EDUCATIONAL SERVICES TO ENSURE THEIR CHILD CAN RETURN TO THEIR HOME AND COMMUNITY. OUR LONG TERM CARE CENTERS, LOCATED IN MOUNTAINSIDE AND TOMS RIVER, NJ ARE SKILLED NURSING FACILITIES PROVIDING 24 HOUR NURSING CARE TO THE MEDICALLY INVOLVED PATIENT. WE HAVE 46 LICENSED BEDS IN MOUNTAINSIDE AND ONE WAIVER BED AND 26 LICENSED BEDS IN TOMS RIVER. OUR LONG TERM CARE PATIENTS RECEIVE RESPIRATORY AND NUTRITIONAL SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, AS WELL AS RECREATIONAL AND CHILD LIFE SERVICES. SOME OF THE PATIENTS ATTEND AN ON-SITE SCHOOL WHILE OTHERS ARE TRANSPORTED TO COMMUNITY SCHOOLS. BRAIN INJURY ------------ HELPING A CHILD RECOVER FROM A BRAIN INJURY PRESENTS COMPLEX CHALLENGES. WHILE THE CHILD NEEDS HELP IN RECOVERING FROM HIS INJURIES, HE ALSO IS STILL DEVELOPING PHYSICALLY, EMOTIONALLY, AND INTELLECTUALLY. THE BRAIN INJURY PROGRAM AT CSH MEETS THESE CHALLENGES AND THE UNIQUE NEEDS OF CHILDREN BY PROVIDING INNOVATIVE, EXPERT AND LOVING CARE FOR THE PATIENT WITH A BRAIN INJURY ON HIS OR HER ROAD TO INDEPENDENCE. THE BRAIN INJURY PROGRAM, WHICH WAS ESTABLISHED IN 1981, IS DESIGNED TO MEET THE NEEDS OF BRAIN-INJURED, AGE APPROPRIATE PATIENTS, AT ALL LEVELS OF COGNITIVE AWARENESS. THE REHABILITATION PROCESS IS THE FOUNDATION FOR LONG TERM RECOVERY. CHILDREN ARE BEST TREATED BY PEDIATRIC SPECIALISTS IN AN ENVIRONMENT ESPECIALLY GEARED TO THEIR NEEDS. CSH PROVIDES SPECIALIZED CARE FOR EACH CHILD'S UNIQUE NEEDS DURING THEIR RECOVERY IN A COMPREHENSIVE MEDICAL AND REHABILITATION SETTING. A FULL CONTINUUM OF CARE FROM COMA TO RE-ENTRY TO THE COMMUNITY IS PROVIDED FOR EACH CHILD. THE BRAIN INJURY PROGRAM IS GEARED TOWARD MAXIMAL PROGRESS THROUGH REHABILITATION WHILE EMPHASIZING THE ACHIEVEMENT OF NORMAL PEDIATRIC DEVELOPMENTAL MILESTONES. CSH'S PROFESSIONAL STAFF, WHO ARE EXPERIENCED WITH BRAIN INJURIES AND THE DEVELOPMENTAL NEEDS OF CHILDREN, INCORPORATE EACH CHILD AND FAMILY WITHIN THE REHABILITATION TEAM TO ENCOURAGE OPTIMAL PROGRESS. EACH CHILD'S INDIVIDUALIZED PROGRAM FOCUSES ON THEIR MEDICAL, PHYSICAL, COGNITIVE, AND PSYCHOSOCIAL NEEDS. IN ADDITION TO INDIVIDUAL THERAPY, GROUP THERAPY PROVIDES COMPREHENSIVE STRUCTURED STIMULATION SESSIONS FOR PATIENTS IN ORDER TO ENHANCE AND ACCELERATE AROUSAL, ALERTNESS, ORIENTATION AND SOCIALIZATION. THE BRAIN INJURY PROGRAM ADDRESSES: - MEDICAL MANAGEMENT; - SPECIALIZED NURSING CARE; - PHYSICAL THERAPY; - OCCUPATIONAL THERAPY; - SPEECH THERAPY; - AUDITORY EVALUATION; - COGNITIVE STATUS; - NUTRITIONAL STATUS; - FAMILY SUPPORT; - CASE MANAGEMENT; - PSYCHOLOGICAL STATUS; - CORTICAL FUNCTIONING; and - RE-ENTRY TO HOME, SCHOOL, AND COMMUNITY. ONE OUTPATIENT COMPONENT OF THE BRAIN INJURY PROGRAM IS THE NEURO-REHABILITATION PROGRAM. THE NEURO-REHABILITATION GROUP PROGRAM IS AN INTENSIVE TREATMENT PROGRAM FOR CHILDREN AND ADOLESCENTS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY, OR WHO ARE EXPERIENCING COGNITIVE DYSFUNCTION AS A RESULT OF NEUROLOGICAL OR OTHER CHRONIC ILLNESS. THIS FAMILY-CENTERED PROGRAM PROVIDES THERAPEUTIC INTERVENTIONS DESIGNED TO HELP CHILDREN AND ADOLESCENTS REGAIN COGNITIVE SKILLS AND LEARN COMPENSATORY STRATEGIES THAT ARE NEEDED FOR SCHOOL AND SOCIAL FUNCTIONING. THE PROGRAM ALSO ADDRESSES MOTOR IMPAIRMENTS THAT MAY ACCOMPANY ACQUIRED BRAIN INJURY OR ILLNESS. THE GROUP PROGRAM IS DELIVERED PRIMARILY IN SMALL GROUP SETTINGS. INDIVIDUAL PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES MAY ALSO BE PROVIDED AS INDICATED. INVOLVEMENT IN THE GROUP PROGRAM PREPARES THE YOUNGSTER FOR RETURN TO A LARGER GROUP SETTING, USUALLY SCHOOL, AND PROVIDES HIM OR HER WITH IMPROVED SKILLS FOR PEER INTERACTION AND SOCIALIZATION. CHILDREN MAY ALSO BE SEEN THROUGH THE NEURO-REHABILITATION INDIVIDUAL PROGRAM. CHILDREN IN THE INDIVIDUAL PROGRAM ARE INVOLVED IN SCHOOL AND COMMUNITY ACTIVITIES BUT REQUIRE ADDITIONAL INTERVENTION TO BETTER REGAIN OR DEVELOP COMPENSATORY SKILLS TO IMPROVE OR MAINTAIN AGE APPROPRIATE WAYS OF THINKING AND BEHAVING. SPINAL CORD PROGRAM ------------------- THE SPINAL CORD PROGRAM PROVIDES INTENSIVE AND COMPREHENSIVE REHABILITATION SERVICES FOR CHILDREN AND ADOLESCENTS WITH ACQUIRED AND CONGENITAL SPINAL CORD PROBLEMS. THE PROGRAM TREATS PATIENTS WITH ALL LEVELS OF PEDIATRIC SPINAL CORD DYSFUNCTION, FROM THE CHILD DEPENDENT ON A VENTILATOR TO THE INDIVIDUAL WITH THE LOWEST LEVEL OF SPINAL CORD INJURY. PATIENTS ARE PROVIDED WITH AN AGGRESSIVE REHABILITATION TREATMENT PROGRAM COUPLED WITH COMPREHENSIVE MEDICAL AND NURSING CARE. THE PROGRAM'S TEAM APPROACH RESULTS IN A COORDINATED TREATMENT PLAN DESIGNED TO MEET THE COMPLEX NEEDS OF EACH PATIENT AND HIS OR HER FAMILY. WHILE AN EMPHASIS IS PLACED ON ACHIEVING NORMAL DEVELOPMENTAL MILESTONES, THE TREATMENT PLAN TAKES INTO ACCOUNT THE PATIENT'S LEVEL OF INJURY, AGE, AND DEVELOPMENTAL ABILITIES IN CREATING REALISTIC EXPECTATIONS FOR PERFORMING ACTIVITIES. THE TEAM IS ADEPT AT DEVELOPING TREATMENT PLANS TO ACCOMMODATE PATIENTS WITH HIGH SPINAL CORD INJURIES (TETRAPLEGIA & QUADRAPLEGIA) WHO REQUIRE A TREMENDOUS AMOUNT OF SUPPORT, SPECIAL EQUIPMENT AND VENTILATOR ASSISTANCE, AS WELL AS THOSE PATIENTS WITH LOW LEVEL SPINAL CORD INJURIES (PARAPLEGIA) WHO CAN GAIN VIRTUAL INDEPENDENCE. INTENSIVE MEDICAL NEEDS CAN BE SAFELY ACCOMMODATED AT CSH BY VIRTUE OF THE EXTENSIVE MEDICAL COVERAGE PROVIDED TO THE PATIENTS. PATIENTS WITH TRACHEOSTOMIES, SPECIAL FEEDING NEEDS, AND INTRAVENOUS AND CENTRAL LINES, FOR EXAMPLE, CAN BE MANAGED WHILE RECEIVING THE NECESSARY REHABILITATION THERAPY. FAMILIES AND PATIENTS ARE INTEGRALLY INVOLVED IN THE COMPREHENSIVE TREATMENT PLANNING. FAMILIES AND PATIENTS ALSO RECEIVE INSTRUCTION FROM THE STAFF IN OVERALL CARE AND THE USE OF SPECIAL EQUIPMENT. THE TEAM THOROUGHLY EDUCATES THE PATIENT AND HIS OR HER FAMILY REGARDING THE PHYSICAL CONSEQUENCES OF A SPINAL CORD INJURY AND THE REQUIRED CARE AND TREATMENT. SOME OF THE DIAGNOSTIC AND SPECIAL SERVICES AVAILABLE TO PATIENTS IN THE SPINAL CORD PROGRAM INCLUDE: - ELECTRODIAGNOSTIC TESTING; - VENTILATOR ASSISTANCE PROGRAM; - A FULL RANGE OF DIAGNOSTIC UROLOGIC TESTING; - REFERRAL FOR BACLOFEN PUMP PLACEMENT; - ORTHOTICS AND PROSTHETICS; - REHABILITATION TECHNOLOGY SERVICES INCLUDING: * SEATING AND POSITIONING; * MOBILITY AND ENVIRONMENTAL ACCESS; * AUGMENTATIVE AND ALTERNATIVE COMMUNICATION; and * COMPUTER ACCESS. GENERAL REHABILITATION PROGRAM ------------------------------ THE GENERAL REHABILITATION PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL OFFERS HABILITATIVE AND REHABILITATIVE SERVICES TO PATIENTS AGES Birth to 21 WITH, BUT NOT LIMITED TO, NEUROLOGIC, ORTHOPEDIC, DEVELOPMENTAL, CARDIOPULMONARY DISORDERS AND/OR OTHER ACQUIRED INJURIES AND ILLNESSES, THROUGH AN INTERDISCIPLINARY TEAM APPROACH. THE PROGRAM PROVIDES ASSESSMENT, TREATMENT, AND/OR SUPPORT TO THE PATIENT AND FAMILY FROM THE ACUTE INPATIENT PHASE OF REHABILITATION THROUGH THE COMMUNITY, VOCATIONAL, AND EDUCATIONAL RE-ENTRY PHASE. IN ORDER TO OFFER A CONTINUUM OF COMPREHENSIVE TRANSDISCIPLINARY SERVICE TO THESE CHILDREN AND THEIR FAMILIES, IN A COMPASSIONATE, PROFESSIONAL AND HOLISTIC FASHION, SERVICES ARE PROVIDED THROUGH BOTH INPATIENT AND OUTPATIENT PHASES OF REHABILITATIVE CARE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PATIENTS ADMITTED TO THE PROGRAM ARE REQUIRED TO MEET THE FOLLOWING CRITERIA REGARDING THEIR MEDICAL STABILITY: INITIAL DIAGNOSTIC AND SURGICAL PROCEDURES MUST BE COMPLETED; MEDICATION REGIMEN, FLUID AND ELECTROLYTE BALANCE AND LIFE SUPPORT SERVICES MUST BE STABILIZED. THE PATIENTS SERVED MAY HAVE IMPAIRMENTS IN AREAS INCLUDING THOSE OF, COGNITION, MOBILITY, SELF-CARE, COMMUNICATION, SOCIAL EMOTIONAL FUNCTIONING, SENSORY PROCESSING, ACADEMIC FUNCTIONING, AND FEEDING. THE PROGRAM ADDRESSES THE BEHAVIORAL, FUNCTIONAL, PHYSICAL, COGNITIVE, PSYCHOSOCIAL, VOCATIONAL, EDUCATIONAL, LEISURE, AND RECREATIONAL NEEDS OF EACH PATIENT. EVERY EFFORT IS MADE TO ACCOMMODATE THE PATIENT AND FAMILIES UNIQUE CULTURAL AND SPIRITUAL NEEDS. THE GOAL OF THE PROGRAM IS TO REDUCE THE BARRIERS, WHICH LIMIT A CHILD'S ABILITY TO PARTICIPATE IN DEVELOPMENTALLY APPROPRIATE ACTIVITIES OF HIS OR HER LIFE. TO FACILITATE A SMOOTH TRANSITION AND OPTIMIZE THE PATIENT'S ABILITY TO FULLY INTEGRATE INTO THE COMMUNITY, OUTREACH AND EDUCATION ARE PROVIDED TO THE INTENDED DISCHARGE ENVIRONMENT (E.G. SCHOOL, HOME, COMMUNITY ORGANIZATIONS). IN ADDITION, PATIENTS ARE PROVIDED DEVELOPMENTALLY APPROPRIATE LIFE SKILLS TRAINING THROUGH GROUP AND INDIVIDUAL THERAPY AS WELL AS COMMUNITY OUT-TRIPS. SOME CHILDREN AND ADOLESCENTS SEEN THROUGH THESE PROGRAMS REQUIRE INTENSIVE MEDICAL, NURSING, AND RESPIRATORY THERAPY SUPPORT FOR RESPIRATORY PROBLEMS. THESE CHILDREN MAY HAVE CONGENITAL OR ACQUIRED RESPIRATORY PROBLEMS INCLUDING BRONCHOPULMONARY DYSPLASIA, CONGENITAL MUSCULAR PROBLEMS, AND CONGENITAL AND ACQUIRED AIRWAY AND RESPIRATORY ABNORMALITIES. INFANT/TODDLER PROGRAM ---------------------- THE INFANT TODDLER PROGRAM PROVIDES INTENSIVE AND COMPREHENSIVE REHABILITATION SERVICES FOR INFANTS AND YOUNG CHILDREN WITH MEDICAL DIFFICULTIES RELATED TO PREMATURITY AND A RANGE OF DISORDERS PRESENTING AT BIRTH INCLUDING DRUG-EXPOSED NEWBORNS WHO ARE TREATED IN OUR NEONATAL WITHDRAWAL AND REHABILITATION PROGRAM. THE PROGRAM TREATS CHILDREN WHO REQUIRE ALL LEVELS OF NEONATAL CARE. PATIENTS ARE TREATED WITH A COMPREHENSIVE, THERAPEUTIC PROGRAM, COUPLED WITH EXCELLENT MEDICAL AND NURSING CARE. BECAUSE OF THIS TEAM APPROACH, A COORDINATED TREATMENT PLAN CAN BE DESIGNED TO MEET THE COMPLEX NEEDS OF EACH PATIENT AND HIS OR HER FAMILY. WHILE EMPHASIZING AGE-APPROPRIATE SKILLS, THE TEAM CUSTOMIZES GOALS BASED ON EACH INFANT'S OR TODDLER'S MEDICAL STABILITY, AGE, AND DEVELOPMENTAL LEVEL TO MAXIMIZE HIS OR HER UNIQUE POTENTIAL. THE MULTISPECIALTY STAFF IS HIGHLY TRAINED IN WORKING WITH THESE CHILDREN WHO REQUIRE SPECIAL EQUIPMENT AND VENTILATOR ASSISTANCE. THE TEAM USES SPECIAL TECHNIQUES TO ENCOURAGE THE CHILDS INTERACTION WITH THE ENVIRONMENT DURING THERAPY SESSIONS. WE ARE ABLE TO OFFER THIS SPECIALIZED TREATMENT BECAUSE OUR STAFF IS COMMITTED TO PURSUING ON-GOING EDUCATION AND TRAINING IN STATE-OF-THE-ART TECHNIQUES THAT ARE NECESSARY TO TREAT THIS SPECIAL POPULATION. THOSE INFANT AND TODDLER PATIENTS WHO NEED SPECIAL MEDICAL CARE CAN BE SAFELY ACCOMMODATED WITH CHILDREN'S SPECIALIZED HOSPITAL'S EXTENSIVE MEDICAL COVERAGE. THESE PATIENTS MAY BE TRACHEOSTOMY DEPENDENT, OXYGEN DEPENDENT, OR VENTILATOR DEPENDENT, REQUIRING CLOSE MONITORING AND FREQUENT CHANGES IN MANAGEMENT. THESE PATIENTS, AS WELL AS THOSE INFANTS AND TODDLERS WITH SPECIAL FEEDING NEEDS, INTRAVENOUS AND CENTRAL LINES, CAN BE MANAGED WHILE RECEIVING REHABILITATION THERAPY. FAMILY INVOLVEMENT IS VITAL TO A CHILD'S OVERALL DEVELOPMENT. WE STRONGLY ENCOURAGE FAMILY PARTICIPATION IN TREATMENT SESSIONS. OUR TEAM INSTRUCTS FAMILIES IN CARING FOR THEIR CHILDREN AND USING SPECIAL EQUIPMENT. FAMILIES LEARN ABOUT THERAPEUTIC INTERVENTIONS THAT PROMOTE GROWTH AND DEVELOPMENT. INFANT TODDLER MEDICAL SPECIALTIES: A NEONATOLOGIST/PEDIATRICIAN, A PHYSICIAN WHO SPECIALIZES IN NEONATAL CARE AND PEDIATRICS, HEADS THE INFANT TODDLER PROGRAM TEAM. OTHER MULTIDISCIPLINARY PEDIATRIC PROFESSIONALS PROVIDE MEDICAL SUPPORT, REHABILITATION SERVICES, AND ADDRESS DEVELOPMENTAL NEEDS WHILE AIMING TOWARD MAXIMIZING RESPIRATORY INDEPENDENCE. WHILE UPON ADMISSION MANY OF THE CHILDREN REQUIRE INTENSIVE RESPIRATORY CARE, THE GOAL FOR EACH IS TO BE TRANSITIONED BACK TO HIS OR HER HOME AND COMMUNITY. OTHER MEDICAL SPECIALISTS FOR THE INFANT TODDLER PROGRAM ARE ALSO AVAILABLE FOR CONSULTATION: - EAR, NOSE, AND THROAT; - NEUROLOGY; - OPHTHALMOLOGY; - ORTHOPEDICS; - PHYSIATRY; - RADIOLOGY; and - UROLOGY. CHRONIC PAIN MANAGEMENT PROGRAM ------------------------------- THE CHRONIC PAIN PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL PROMOTES THE WELLNESS OF CHILDREN AND ADOLESCENTS AGES 11-21 YEARS OLD, WITH CHRONIC PAIN, BY TEACHING STRATEGIES TO MANAGE PAIN AND ENCOURAGE FUNCTIONAL ACTIVITY. THE INPATIENT CHRONIC PAIN MANAGEMENT PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL IS TYPICALLY FOR CHILDREN AND ADOLESCENTS WITH CHRONIC PAIN WHO CONTINUE TO HAVE SIGNIFICANT PAIN AND DIFFICULTIES WITH DAILY FUNCTIONS DESPITE TRIALS OF CONSISTENT OUTPATIENT THERAPIES. THIS EVIDENCE-BASED PROGRAM IS TYPICALLY A FOUR WEEK PERIOD, WITH FOCUS ON REGAINING FUNCTION AND USING ONE'S BODY IN A NORMAL WAY. THE APPROACH TO TREATMENT OF CHRONIC PAIN AT CHILDREN'S SPECIALIZED HOSPITAL INCLUDES INTENSE PHYSICAL AND OCCUPATIONAL THERAPY AND INTEGRATED EXPOSURE TO MENTAL HEALTH INTERVENTION. OUR SPECIALIZED TEAM FOCUSES ON TREATING CHRONIC REGIONAL PAIN SYNDROME (CRPS) AND RELATED FORMS OF AMPLIFIED PAIN SUCH AS: - FIBROMYALGIA; - AMPLIFIED MUSCULOSKELETAL PAIN SYNDROME (AMPS); - REFLEX SYMPATHETIC DYSTROPHY (RSD); and - REFLEX NEUROPATHIC DYSTROPHY (RND). CHRONIC ILLNESS MANAGEMENT PROGRAM ---------------------------------- THE CHRONIC ILLNESS MANAGEMENT PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL IS A COMPREHENSIVE INPATIENT PROGRAM FOR ADOLESCENTS AGES 13-21 WHO STRUGGLE TO MANAGE THEIR CONDITION. IT PROVIDES THE TEEN AND FAMILY WITH A STRUCTURED, COMPREHENSIVE TREATMENT PLAN TO ADDRESS MEDICAL, NUTRITIONAL, PSYCHOLOGICAL, AND FAMILY COMMUNICATION ISSUES. SINCE PARENTS AND CAREGIVERS HAVE A CRUCIAL ROLE IN SUPPORTING THEIR CHILD'S HEALTH, WE ENCOURAGE PARENT/CAREGIVER PARTICIPATION IN MEDICAL EDUCATION, NUTRITIONAL AND PSYCHOLOGICAL COUNSELING SESSIONS TO ENSURE THE GREATEST SUCCESS. THE PROGRAM IS TYPICALLY A FOUR WEEK PROGRAM THAT FOLLOWS A TRANS DISCIPLINARY MODEL AND BEHAVIORAL APPROACH TO CARE, ADDRESSING THE PHYSICAL, EMOTIONAL, AND PSYCHO-SOCIAL NEEDS OF EACH PATIENT. THE GOAL FOR EACH ADOLESCENT IS ALWAYS TO IMPROVE SELF-MANAGEMENT OF THE DISEASE. THE CHRONIC ILLNESS MANAGEMENT PROGRAM IS ESPECIALLY FOR ADOLESCENTS WITH CONDITIONS SUCH AS, BUT NOT LIMITED TO: - DIABETES; - POST-ORGAN TRANSPLANT; and - CHRONIC RESPIRATORY DISEASE. THE AUTISM PROGRAM ------------------ THE AUTISM PROGRAM AT CHILDREN'S SPECIALIZED HOSPITAL WORKS WITH CHILDREN THROUGH 21 YEARS OF AGE, WHO HAVE AN AUTISM SPECTRUM DISORDER. THE PROGRAM IS DEDICATED TO IMPROVING THE LIVES OF CHILDREN, ADOLESCENTS AND FAMILIES WITH AUTISM SPECTRUM DISORDERS BY PROVIDING COMPREHENSIVE EVALUATIONS, TREATMENT, COMMUNITY EDUCATION AND RESEARCH. WE ARE ONE OF THE FEW PROGRAMS IN NEW JERSEY TO PROVIDE COORDINATED, MULTIDISCIPLINARY CARE FOR CHILDREN, ADOLESCENTS AND FAMILIES AFFECTED BY AN AUTISM SPECTRUM DISORDER. WE OFFER WORKSHOPS FOR FAMILIES NEWLY DIAGNOSED WITH AUTISM AS WELL AS A COMPREHENSIVE SYMPOSIUM WHERE FAMILIES HAVE THE OPPORTUNITY TO MEET WITH THE EXPERTS AND INTERACT WITH OTHER FAMILIES. AS PART OF OUR OUTREACH PROGRAMS WE PROVIDE AUTISM SCREENING/DIAGNOSIS AS WELL AS EDUCATIONAL PROGRAMS FOR SCHOOLS, COMMUNITY ORGANIZATIONS AND GROUPS. IN 2015 OUR AUTISM EDUCATOR CONTINUED TO WORK WITH EMERGENCY RESPONSE AND LAW ENFORCEMENT GROUPS, DISASTER RESPONSE CRISIS COUNSELORS, COURT ADMINISTRATORS, EDUCATIONAL AND COMMUNITY GROUPS PROVIDING THEM WITH SPECIFICS ON DEALING WITH AN INDIVIDUAL WITH ASD IN AN EMERGENCY SITUATION AND INTEGRATING THEM INTO COMMUNITY PROGRAMS. COMPREHENSIVE FEEDING PROGRAM ----------------------------- THE COMPREHENSIVE FEEDING PROGRAM IS AN OUTPATIENT PROGRAM THAT SERVES INFANTS, TODDLERS, AND YOUNG CHILDREN WHO ARE UNABLE OR REFUSE TO MAINTAIN AN ADEQUATE ORAL INTAKE OF FOOD. PROBLEMS MAY BE MEDICAL/PHYSIOLOGICAL, DEVELOPMENTAL, BEHAVIORAL, PSYCHOSOCIAL, AND INDIVIDUAL OR FAMILY RELATED. THIS TEAM UTILIZES A MULTIDISCIPLINARY APPROACH TO HAVE CHILDREN EAT PROPER FOODS AND IMPROVE NUTRITIONAL STANDING. BASED ON A PREDICTED INCIDENCE OF 25% OF INFANTS AND YOUNG CHILDREN WITH FEEDING PROBLEMS, THERE ARE THOUSANDS OF CHILDREN WHO CAN BENEFIT FROM THIS SERVICE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	EACH CHILD IS PROVIDED WITH A COMPREHENSIVE EVALUATION THAT COVERS MEDICAL, PHYSIOLOGICAL, DEVELOPMENTAL, BEHAVIORAL, AND PSYCHOSOCIAL ISSUES. THE TEAM COMBINES THE EXPERTISE OF A MULTIDISCIPLINARY TEAM OF PROFESSIONALS WHOS PRIMARY GOAL IS TO ESTABLISH FEEDING PATTERNS THAT CAN BE MAINTAINED IN THE CHILD'S NATURAL ENVIRONMENT. THE TEAM INCLUDES THE FOLLOWING: - SPEECH PATHOLOGIST; - CHILD PSYCHOLOGIST; - PEDIATRIC DIETITIAN; - DEVELOPMENTAL PEDIATRICIAN; - OCCUPATIONAL THERAPIST; - PHYSICAL THERAPIST; and - PATIENT CARE COORDINATOR. THE PROGRAM AND ITS TEAM MEMBERS EMPOWER PARENTS AND CAREGIVERS BY PROVIDING KNOWLEDGE AND TECHNIQUES, WHICH WILL ALLOW THEM TO ENGAGE THEIR CHILD IN POSITIVE THERAPEUTIC FEEDING EXPERIENCES AND INTERACTIONS. THE PROGRAM ALSO PROVIDES SUPPORT AND KNOWLEDGE TO OTHER PROFESSIONALS IN THE COMMUNITY, SUCH AS CHILDCARE PROVIDERS, WHO PARTICIPATE IN THE CHILD'S FEEDING EXPERIENCES. ADHD ---- CHILDREN'S SPECIALIZED HOSPITAL ALSO PROVIDES COMPREHENSIVE SERVICES FOR CHILDREN WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDERS (AD/HD). CSH IS A SERVICE PROVIDER DEDICATED TO IMPROVING THE LIVES OF CHILDREN AND ADOLESCENTS WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER AND ASSOCIATED DISABILITIES. NEURO-REHABILITATION -------------------- AN OUTPATIENT COMPONENT OF THE BRAIN INJURY PROGRAM IS THE NEURO-REHABILITATION PROGRAM. THE NEURO-REHABILITATION GROUP PROGRAM IS AN INTENSIVE TREATMENT PROGRAM FOR CHILDREN AND ADOLESCENTS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY, OR WHO ARE EXPERIENCING COGNITIVE DYSFUNCTION AS A RESULT OF NEUROLOGICAL OR OTHER CHRONIC ILLNESS. THIS FAMILY-CENTERED PROGRAM PROVIDES THERAPEUTIC INTERVENTIONS DESIGNED TO HELP CHILDREN AND ADOLESCENTS REGAIN COGNITIVE SKILLS AND LEARN COMPENSATORY STRATEGIES THAT ARE NEEDED FOR SCHOOL AND SOCIAL FUNCTIONING. THE PROGRAM ALSO ADDRESSES MOTOR IMPAIRMENTS THAT MAY ACCOMPANY ACQUIRED BRAIN INJURY OR ILLNESS. THE PROGRAM IS DELIVERED PRIMARILY IN SMALL GROUP SETTINGS, THOUGH INDIVIDUAL PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES MAY ALSO BE PROVIDED AS INDICATED. INVOLVEMENT IN THE GROUP PROGRAM PREPARES THE YOUNGSTER FOR RETURN TO A LARGER GROUP SETTING, USUALLY SCHOOL, AND PROVIDES HIM OR HER WITH IMPROVED SKILLS FOR PEER INTERACTION AND SOCIALIZATION. CHILDREN IN THE INDIVIDUAL PROGRAM ARE PRESENTLY INVOLVED IN SCHOOL AND COMMUNITY ACTIVITIES, BUT REQUIRE ADDITIONAL INTERVENTION TO BETTER REGAIN OR DEVELOP COMPENSATORY SKILLS TO IMPROVE OR MAINTAIN AGE APPROPRIATE WAYS OF THINKING AND BEHAVING. OUTPATIENT PROGRAMS AND SERVICES -------------------------------- CSH PROVIDES A NUMBER OF OUTPATIENT SERVICES RELATED TO PEDIATRIC REHABILITATION AND EDUCATION. OUTPATIENT PROGRAMS OFFERED BY CSH INCLUDE SERVICES IN ASSESSMENT AND THERAPY FROM PEDIATRIC MEDICAL SPECIALISTS AND SUB-SPECIALISTS, AS WELL AS VARIOUS THERAPY DEPARTMENTS. Therapy services include physical therapy, occupational therapy, speech therapy, psychological counseling and testing, audiology and Applied Behvior Analysis. IN ADDITION, THE FOLLOWING Medical SPECIALTY PROGRAMS AND CLINICS ARE OFFERED: ORTHOPEDICS, NEUROLOGY, PHYSIATRY, PSCHIATRY AND BEHAVIORAL DEVELOPMENTAL PEDIATRICS. IN ADDITION WE PROVIDE A PEDIATRIC PRACTICE FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS. THE MEDICAL DAYCARE AND THE EARLY INTERVENTION PROGRAMS (EIP) ARE DESIGNED TO MEET THE EDUCATIONAL, THERAPEUTIC, SOCIAL, AND EMOTIONAL NEEDS OF CHILDREN FROM BIRTH TO AGE FIVE WITH PHYSICAL DISABILITIES OR DEVELOPMENTAL DELAYS. THE EIP PROGRAM IS FUNDED BY GRANTS OR A FEE SCHEDULE FROM THE STATE OF NEW JERSEY AND THE FEDERAL GOVERNMENT. SPECIAL NEEDS PRIMARY CARE PEDIATRICS ------------------------------------- IN SPECIAL NEEDSPRIMARY CARE PEDIATRICS, WE ARE PROUD TO PROVIDE OUTSTANDING, FAMILY-CENTERED CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR SIBLINGS. AT PRIMARY CARE PEDIATRICS, OUR GOAL IS FOR EVERY CHILD TO REACH HIS OR HER FULL POTENTIAL. WE EMPLOY A TEAM-BASED APPROACH TO THE HEALTHCARE. OUR STAFF, NURSES, DOCTORS AND CARE COORDINATORS WORK TOGETHER TO MEET THE NEEDS OF OUR SPECIAL PATIENTS. WE STRIVE TO BE THE MEDICAL HOME, OR CENTER, FOR THE PATIENT'S CARE. OUR CARE COORDINATORS AND MEDICAL STAFF HELP PATIENTS AND FAMILIES NAVIGATE THROUGH THE HEALTH CARE SYSTEM AND EDUCATIONAL SYSTEM. WE HELP PATIENTS AND FAMILIES INTERACT WITH COMMUNITY ORGANIZATIONS, INSURANCE COMPANIES, SPECIALISTS, THERAPISTS, AND PHARMACIES WHILE ADVOCATING FOR OUR PATIENTS ALONG THE WAY. OUR TEAM AT PRIMARY CARE PEDIATRICS CONSISTS OF DOCTORS, NURSES, CARE COORDINATORS, SOCIAL WORKERS, PATIENT CARE TECHS, OFFICE COORDINATORS, AN INSURANCE LIAISON AND FAMILY FACULTY. FAMILY FACULTY MEMBERS ARE A PATIENTS FAMILY MEMBER WHO WORKS AT CSH AND HELPS ADVOCATE FOR OUR PATIENTSFAMILIES. THE TEAM IS EXPERIENCED IN CARING FOR CHILDREN WITH SPECIAL NEEDS. WE TAKE CARE OF CHILDREN AFFECTED BY CEREBRAL PALSY, DOWN SYNDROME, PREMATURITY, AUTISM, TECHNOLOGY DEPENDENCE, UNCOMMON MEDICAL CONDITIONS AND MANY OTHER SPECIAL HEALTHCARE NEEDS. WE RESPECT THE GREAT PRIVILEGE IT IS TO CARE FOR OUR PATIENTS AND FAMILIES. VARIOUS COMMUNITY EVENTS AND OUTPATIENT PROGRAMS AND SERVICES ARE OFFERED BY CSH. LISTED BELOW IS A BRIEF LIST OF EVENTS AND PROGRAMS OFFERED IN 2015: - CHILDREN'S REGIONAL SWIM MEET FOR ATHLETES WITH A PHYSICAL DISABILITY ADAPTIVE AQUATICS PROGRAMS; - MARTIAL ARTS; - INTERACTIVE ORAL SENSORY - MOTOR THERAPY IN AUTISM; - PEDIATRIC TRAUMATIC BRAIN INJURY - THE JOURNEY; - CHILDRENS INVITATIONAL TRACK AND FIELD MEET FOR ATHLETES WITH A PHYSICAL DISABILITY; - CAMP OPEN ARMS; - EXPANDED DAY CAMP WITH WESTFIELD YMCA; - PALS PARADISE; - OVERNIGHT CAMP; - CAMP CHATTERBOX; - NEURO-REHABILITATION PROGRAM; - PEDIATRIC PRACTICE; - WORKSHOPS FOR FAMILIES NEWLY DIAGNOSED WITH AUTISM; - CHRONIC ILLNESS PROGRAM; - AUTISM SYMPOSIUM HEAR FROM THE EXPERTS; - PARENT RESOURCE CENTER; - "LIGHTNING WHEELS" WHEELCHAIR & AMBULATORY SPORTS TEAM FOR THOSE WITH PHYSICAL DISABILITIES AGES 5 22 YEARS; - "FRIDAY NIGHT FEVER" - MOUNTAINSIDE AND TOMS RIVER SOCIAL GROUP FOR TEENS; - CAR SEAT CHECKS AND CHILD PASSENGER SAFETY EDUCATION; - SOCIAL SKILLS GROUPS; - SAFEKIDS UNION COUNTY; and - NJDC2015NJ - THE NATIONAL JUNIOR DISABILITIES CHAMPIONSHIPS FOR ATHLETES 7-22 YEARS OF AGE FROM ACROSS THE U.S. WHO PARTICIPATED IN A WEEK-LONG PARALYMPIC STYLE GAMES FEATURING TRACK, FIELD, SWIMMING, ARCHERY AND POWERLIFTING. PROFESSIONAL TRAINING --------------------- CSH IS COMMITTED TO PROVIDING AN EDUCATIONAL SETTING WHICH WILL LEAD TO CONTINUOUS ADVANCEMENT IN PROFESSIONAL KNOWLEDGE AND SKILLS FOR THOSE INTERESTED IN PEDIATRIC REHABILITATION. CSH PROVIDES CLINICAL TRAINING AND EXPERIENCE IN THE FIELD OF PEDIATRIC REHABILITATION AND CARE OF THE DISABLED CHILD FOR RESIDENT PHYSICIANS IN THE AREAS OF PEDIATRICS AND PHYSIATRY THROUGH SCHOOLS, WHICH AFFILIATE WITH THE HOSPITAL. IN ADDITION, THE HOSPITAL TRAINS FELLOWS, NURSES, AND THERAPISTS ENROLLED IN SCHOOLS AND COLLEGES THAT ARE AFFILIATED WITH THE HOSPITAL TO ADVANCE THE STATE OF PEDIATRIC REHABILITATION. CHILDREN'S SPECIALIZED ALSO CONDUCTS AND SUBSIDIZES PROGRAMS AND SEMINARS TO EDUCATE INTERESTED HEALTHCARE PROFESSIONALS. ACCESSIBILITY PLAN ================== EACH YEAR CHILDREN'S SPECIALIZED HOSPITAL LOOKS AT HOW TO IMPROVE ACCESS TO CARE AND THE COMMUNITY FOR OUR PATIENTS AND FAMILIES. WE REVIEW ANY BARRIERS THAT MAY EXIST AND HOW TO BEST REMOVE THEM. OUR APPROACH AND OUTCOMES ARE OUTLINED BELOW: REVIEW PLAN FOR PROMOTING ACCESSIBILITY TO ORGANIZATION-WIDE SERVICES FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS. IDENTIFY & REMOVE POTENTIAL BARRIERS TO OUR PROGRAMS & SERVICES FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS. IDENTIFY & REMOVE EXISTING BARRIERS AND MAKE PROGRAMS AND SERVICES ACCESSIBLE FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS AS SOLICITED & IDENTIFIED THROUGH AN ANNUAL ACCESSIBILITY SURVEY, AND MONTHLY ENVIRONMENT OF CARE ROUNDS. INITIATE AND IMPLEMENT NECESSARY STEPS TO DECREASE OR REMOVE IDENTIFIED BARRIER(S) FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS WITH A SPECIFIED TIMELINE. OUR THIRTEEN SITES THROUGHOUT THE STATE HAVE MADE OUR RENOWNED CARE MORE CONVENIENT AND ACCESSIBLE TO NEW JERSEYS CHILDREN. INTEGRATION: ADVOCACY & EDUCATION TO ELIMINATE & REDUCE BARRIERS IN THE COMMUNITIES OF PERSONS SERVED. PROVIDE A REVIEW MECHANISM FOR "REASONABLE ACCOMMODATION" REQUESTS MADE BY PERSONS SERVED AND/OR PERSONNEL. ON AN ANNUAL BASIS, HOSPITAL LEADERSHIP REVIEWS THE PLAN FOR PROMOTING ACCESSIBILITY TO ORGANIZATION-WIDE SERVICES FOR PERSONS SERVED AND POTENTIAL PERSONS SERVED, AS WELL AS THE FINDINGS FROM THE ANNUAL ACCESSIBILITY SURVEY THAT IS CONDUCTED BY A REHABILITATION PROFESSIONAL & A PERSON SERVED. THIS REVIEW TAKES PLACE AT THE HOSPITAL'S ENVIRONMENT OF CARE, OPERATIONS & PI STEERING COMMITTEE(S). COMMUNICATION AND FOLLOW THROUGH IS DONE WITHIN THE EXISTING HOSPITAL-WIDE PERFORMANCE IMPROVEMENT STRUCTURE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	ARCHITECTURAL/ENVIRONMENTAL --------------------------- ENSURE THAT ALL HOSPITAL ENVIRONMENTS (INTERNAL & EXTERNAL) NEWLY DESIGNED CONSTRUCTION AREAS ADHERE TO ADA STANDARDS. MEASURE: SERVICE ACCESS FOR PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS DATA SOURCE: CONSTRUCTION DOCUMENTS, ENVIRONMENT OF CARE ROUNDS LOG ATTITUDINAL ----------- PROVIDE COMMUNITY STAFF EDUCATION PROGRAMS THAT AIM TO HEIGHTEN THE AWARENESS OF CAREGIVERS AND COMMUNITY MEMBERS TO THE SPECIAL NEEDS OF PERSONS SERVED. MEASURE: PROVISION OF COMMUNITY/STAFF EDUCATION TO HEIGHTEN AWARENESS OF SPECIAL NEEDS OF PERSONS SERVED. DATA SOURCE: EDUCATION DEPT. LISTING & ADVOCACY ACTIVITIES (SEE LAST SECTION) IN 2015, WE CONTINUED TO OFFER PROGRAMS TO THE COMMUNITY IN A VARIETY OF AREAS INCLUDING TRAUMATIC BRAIN INJURY, AUTISM SPECTRUM DISORDERS, SPINAL CORD INJURY, CHRONIC ILLNESS IN CHILDREN AND SPECIAL NEEDS CAR SEAT SAFETY AND INSTALLATION. THESE PROGRAMS ARE DAY LONG PROGRAMS AND ARE OPEN TO PARENTS AS WELL AS PROFESSIONALS WHO RECEIVE CEUS. OUR NEWLY EXPANDED RESEARCH CENTER OFFERS A DISTINGUISHED LECTURES SERIES WHERE EXPERTS FROM AROUND THE WORLD ARE BROUGHT IN TO SHARE THEIR KNOWLEDGE AND RESEARCH. FINANCIAL --------- PROVIDE PERSONS SERVED WITH REFERRAL TO SOCIAL, LEGAL OR ECONOMIC ADVOCACY RESOURCES. CONTINUE TO OFFER "HOSPITAL ASSISTANCE PROGRAM" (CHARITY CARE PROGRAM REFERRED TO EARLIER IN THE DOCUMENT) IN ADDITION TO CUSTOMIZED PAYMENT PLANS. MEASURE: IMPROVE FINANCIAL REIMBURSEMENT FOR SERVICES DELIVERED TO PERSONS SERVED, PERSONNEL & OTHER STAKEHOLDERS DATA SOURCE: ADVOCACY ACTIVITIES (SEE LAST SECTION) & PATIENT ACCESS SERVICE DEPT. MATERIALS & POLICIES SEVERAL ADVOCACY ACTIVITIES HAVE FOCUSED ON IMPROVING REIMBURSEMENT FOR PERSONS SERVED, AS WELL AS MODIFICATIONS TO "HOSPITAL ASSISTANCE PROGRAMS". IN 2015 CSH PROVIDED $1,562,257 WORTH OF CHARITY CARE AT COST TO OUR PATIENTS. IN 2015 WE PROVIDED MEDICAL EDUCATION TO PHYSICAL MEDICINE AND REHABILITATION RESIDENTS FROM UMDNJ AND WITH EXPENSES VERSUS TOTAL RECEIPTS FOR CHGME WE REALIZED A SHORTFALL OF $568,536. IN 2015 CSH PROVIDED $28,200 IN HOUSING TO STUDENTS IN THE DISCIPLINES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES DURING THEIR CLINICAL TRAINING WHICH RANGED FROM 2 - 16 WEEKS. A POSITIVE GAIN FROM OPERATIONS, ENABLES US TO RAISE 100% FUNDS FOR NEW OUTPATIENT SITE. UTILIZATION OF MEDITCH IMPROVED CONSISTENCY AND TIMELINESS OF DOCUMENTATION, LEADING TO IMPROVED REIMBURSEMENT. DEVELOPED A TOOL TO TRACK BILLABLE TIME AND CENSUS FOR ALL SERVICES. THROUGH OUR FOUNDATION CSH RECEIVED FUNDING FROM KOHLS TO BE USED TOFUND OUR AUTISM COMMUNITY OUTREACH PROGRAMS INCLUDING "QUICK PEEK" AN EVALUATION MECHANISM USED TO FIND THOSE AT RISK OR ALREADY ON THE ASD SPECTRUM AND VARIOUS EDUCATIONAL PROGRAMS FOR COMMUNITY LEADERS AND ORGANIZATIONS. SECURED FUNDING TO COVER COSTS OF FUNCTIONAL BEHAVIOR ASSESSMENT/CONSULTATION SERVICE. BEGAN (WITH MEDICAL) YEAR 3 OF $1 MILLION CLINICAL EXPANSION GRANT FROM THE GOVERNOR'S COUNCIL ON MEDICAL RESEARCH AND TREATMENT OF AUTISM. THE ON-LINE REGISTRATION PROCESS HAS WORKED WELL WHERE FAMILIES CAN SCHEDULE AN APPOINTMENT ON LINE. THE PATIENT PORTAL WHERE FAMILIES CAN NOW ASK FOR PRESCRIPTION RENEWALS AND PAY THEIR BILLS SECURELY ON LINE HAS MADE THE BILL PAYING PROCESS EASIER AND SMOOTHER. TABLETS ARE BEING USED IN REGISTRATION TO EXPEDITE THE PROCESS FOR PRE-REGISTERED/CLEARED FAMILIES. INSTALLED AN AUTOMATED INSURANCE VERIFICATION SYSTEM THAT WORKS IN CONJUNCTION WITH THE MEDITECH SOFTWARE FOR AN IMPROVED REGISTRATION PROCESS. MAJOR BUILD OF VARIOUS FILES THAT WORK IN CONJUNCTION WITH THE CLINICAL MODULES FOR PROPER BILLING AND CODING AND IMPROVED THE PROCESS FOR NOTIFICATION TO THERAPIST UPON ARRIVAL OF THE PATIENT VIA A SMART BOARD. ALL CHILDREN'S FACILITIES WERE UPGRADED TO ENABLE WIRELESS COMMUNICATIONS FOR CLINICIANS' USE OF MINI LAPTOPS TO DOCUMENT AND CHARGE DURING SESSIONS. THE HOSPTIALS SUCCESSFUL EFFORTS TO INCREASE ITS COMMUNITY BENEFIT WERE FACILITATED BY ITS ABILITY TO MAINTAIN STRONG CASH COLLECTIONS IN 2015. COLLECTIONS EXCEEDED BOTH THE TARGETED GOAL AND WAS HIGHER THAN 2014. MET ALL ANNUAL AND QUARTERLY REPORTING REQUIREMENTS RELATED TO OUR BOND ISSUE AND WAS IN FULL COMPLIANCE WITH THE REQUIRED FINANCIAL COVENANTS IN EACH QUARTER. RE-NEGOTIATED MANAGED CARE CONTRACTS DURING THE YEAR RESULTING IN INCREASED REIMBURSEMENT. RECEIVED NOTIFICATION IMPROVING OUR BOND RATING WITH FITCH IN THE FIRST HALF OF 2016. CONDUCTED ONGOING ORGANIZATIONAL-WIDE EDUCATION PROGRAMS FOR IMPROVING CHART DOCUMENTATION, SELECTING PROPER CODING FOR BILLING AND COMPLIANCE OF ALL HIPAA REGULATIONS. COMPLETED THE 2016 OPERATING AND CAPITAL BUDGET PROMPTLY FOR BOARD APPROVAL IN DECEMBER. COMMUNICATION ------------- PROMOTE FULL PROGRAM AND SERVICE ACCESS FOR PERSONS SERVED BY RESPECTING ETHNO-CULTURAL DIVERSITY. ENSURE THAT LANGUAGE & CULTURAL DIFFERENCES ARE NOT BARRIERS TO ACCESSING & PARTICIPATING IN HOSPITAL PROGRAMS (I.E. TRANSLATION SERVICES ARE AVAILABLE & OTHER COMMUNICATION RESOURCES) MEASURE: COMMUNICATION SERVICE ACCESS FOR PERSONS SERVED DATA SOURCE: CONTRACTS FOR VERBAL AND WRITTEN TRANSLATION TO PROMOTE COMMUNICATION & ADMINISTRATIVE POLICY ON MEETING COMMUNICATION NEEDS. TRANSPORTATION -------------- PROVIDE TRANSPORTATION SERVICES AS NEEDED THROUGH THE PATIENT CARE COORDINATION DEPARTMENT FOR INPATIENT FAMILIES. MEASURE: MAKE AVAILABLE TRANSPORTATION ACCESS FOR PERSONS SERVED DATA SOURCE: PATIENT CARE COORDINATION DEPT. LISTING 2015 FINDINGS: NO BARRIERS IDENTIFIED. ADMISSION TO HOSPITAL PROGRAM ----------------------------- GRANT ADMISSION TO PROGRAM SERVICES & ACTIVITIES TO THOSE WITH AN IDENTIFIED NEED THAT IS VALIDATED BY MEETING PRE-ESTABLISHED ADMISSION CRITERIA/SCREENING. MEASURE: PATIENT REFERRALS THAT MEET PRE-ESTABLISHED ADMISSION CRITERIA/SCREENING ARE OFFERED RELEVANT SERVICES/ADMISSION DATA SOURCE: PRE-ADMISSION DEPT. LOG. 2015 FINDINGS: 100% OF ALL ADMISSIONS MEETING CRITERIA/SCREENING ARE OFFERED ADMISSION. IF PATIENT NOT OFFERED ADMISSION, APPROPRIATE REFERRALS MADE. EMPLOYMENT ---------- RECRUIT QUALIFIED EMPLOYEES WITH "REASONABLE ACCOMMODATIONS" FOR PERSONS WITH ACTIVITY LIMITATIONS IN ORDER TO PROMOTE EQUAL EMPLOYMENT/PARTICIPATION OPPORTUNITIES THROUGHOUT ALL ORGANIZATIONAL LEVELS. MEASURE: ADHERENCE TO STATE/FEDERAL REGULATIONS RE: EMPLOYMENT WITHOUT REGARD TO ACTIVITY LIMITATIONS, RACE, COLOR, NATIONAL ORIGIN OR AGE & PARTICIPATE IN COMMUNITY EFFORTS TO PROMOTE OPPORTUNITIES FOR PERSONS WITH ACTIVITY LIMITATIONS DATA SOURCE: HUMAN RESOURCE DEPT. FILES. 2015 FINDINGS: 100% OF ALL JOB APPLICANTS FOLLOWED "STANDARD" PROCEDURES FOR EMPLOYMENT APPLICATION PROCESS AND ONGOING EMPLOYMENT. OTHER ----- REMAIN ACTIVELY INVOLVED IN COMMITTEES AT THE LOCAL, STATE & NATIONAL LEVEL WHERE POLICIES, REGULATIONS AND PROGRAM PLANNING IMPACT PEDIATRIC SERVICES & THEIR ACCESSIBILITY & DELIVERY. MEASURE: CONTINUED CHILDREN'S PRESENCE AT LOCAL, STATE, FEDERAL LEVEL PROGRAM PLANNING RE: SERVICE DELIVERY FOR PERSONS SERVED, ACTING AS AN ADVOCATE FOR PERSONS SERVED. MEMBERS OF FAMILY AND PATIENT CENTERED CARE ALONG WITH PRESIDENT & CEO TRAVELED TO WASHINGTON, DC TO MEET WITH LEGISLATURES WITH REGARD TO INSURANCE COVERAGE FOR INDIVIDUALS WITH DISABILITIES. DATA SOURCE: ADVOCACY ACTIVITIES. 2015 FINDINGS: SEVERAL ADVOCACY ACTIVITIES FOR PERSONS SERVED. LEADERSHIP: - PRESIDENT & CEO NAMED CHAIR OF THE NEW JERSEY CHAMBER OF COMMERCE BOARD OF DIRECTORS; - AUTISM SCREENING CLINICS HELD ON A REGULAR SCHEDULE; ARTICLE ON CLINICS FEATURED IN NEW BRUNSWICK TODAY; - CSH IS LICENSED BY THE NJDOH AS THE FOLLOWING: COMPREHENSIVE REHABILITATION HOSPITAL (INPATIENT, NEW BRUNSWICK); HOSPITAL -BASED, OFF-SITE AMBULATORY CARE FACILITY (OUTPATIENT); LONG TERM CARE FACILITY (LTC, MOUNTAINSIDE & TOMS RIVER STEVENS RD); - STUDY ON THE IMPACT/BENEFITS OF USING PASSIVE VS. DYNAMIC STANDERS WITH CHILDREN IN OUR CARE DONE IN COLLABORATION WITH NJ INSTITUTE OF TECHNOLOGY AND FEATURED IN PHYSICAL THERAPY & REHAB MEDICINCE, A NATIONAL JOURNAL; - PRESENTATION AT THE GETWELL NETWORKS "GET CONNECTED CONFERENCE" AS PART OF THE BEST PRACTICE TRACK. PRESENTATION ON DISCHARGE PLANNING SOLUTION THAT WE DESIGNED & IMPLEMENTED FOR OUR INPATIENT UNIT; - CONGRESSMAN FRANK PALLONE, MINORITY CHAIRMAN OF THE CONGRESSIONAL COMMITTEE THAT CONTROLS WHAT HAPPENS TO MEDICAID & STATE SENATE PRESIDENT STEPHEN SWEENEY & STATE SENATOR JOE VITALE, CHAIRMAN OF THE HEALTH COMMITTEE VISITED THE HOSPITAL TO DISCUSS FUTURE FUNDING OF THE CHILDRENS HEALTH INSURANCE PROGRAM (FAMILY CARE IN NJ); - RETRIEVAL PRACTICE AS AN EFFECTIVE MEMORY STRATEGY IN CHILDREN & ADOLESCENTS WITH TRAUMATIC BRAIN INJURY PUBLISHED IN ARCHIVES OF PHYSICAL MEDICINE & REHABILITATION THE TOP REHABILITATION JOURNAL;
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- CHIEF OF PHYSIATRY WAS NOMINATED BY THE STUDENTS AT NEW JERSEY MEDICAL SCHOOL FOR THE GOLDEN APPLE TEACHING AWARD; - OVERVIEW OF PEDIATRIC BRAIN INJURY FOR LAWYERS PEDIATRIC BIANJ FOR JUSTICE EDCUATIONAL FOUNDATION, INC.; - PRESENTATION AT THE CHILDRENS HOSPITAL ASSOCIATIONS NATIONAL QUALITY SUMMIT ON THE TOOLS THAT WE HAVE CREATED TO TRACK & MANAGE OUR OUTPATIENT PRODUCTIVITY; - TWO SEGMENTS ABOUT OUR NEONATAL ABSTINENCE SYNDROME PROGRAM AIRED ON NEW JERSEY 101.5; - TESTIFIED FOR THE WOMENS/CHILDRENS COMMITTEE ON THE IMPORTANCE OF EXPANDING THE HELMET LAW TO APPLY TO NON-MOTORIZED SCOOTERS; - HOSTED THE ANNUAL TRI-STATE REGIONAL SWIM MEET FOR JUNIOR & ADULT ATHLETES WITH A PHYSICAL DISBILITY AT RUTGERS 35 ATHLETES FROM NJ, NY, CT, VA, MD, PA PARTICIPATED; - CSH HOSTED THE NJ/EASTERN PENNSYLVANIA THERAPEUTIC RECREATION SPRING WORKSHOP PARTNERING WITH FAMILIES TO INTEGRATE PATIENT AND FAMILY-CENTERED CARE APPROXIMATELY 65 ATTENDEES; OUR EXPERTS WERE SOME OF THE SPEAKERS THAT SHARED THEIR KNOWLEDGE WITH THE ATTENDEES; - PRESENTED WITH AN AWARD AT THE 2015 HIMSS ANNUAL CONFERENCE & EXHIBITION WHICH RECOGNIZED THE NAVIGATION TOOL THAT WE CREATED AS PART OF OUR MEDICAL HOME INITIATIVE. THE AWARD LOOKS AT HOW ORGANIZATIONS USE MICROSOFT DEVICES & SERVICES IN INNOVATIVE WAYS THAT HELP ENHANCE THE QUALITY OF PATIENT CARE, IMPROVE CLINICIAN PRODUCTIVITY, EMR OPTIMIZATION & STREAMLINE CLINICAL & BUSINESS PROCESSES; - ARTICLE ENTITLED "SCREENING FOR ASD IN UNDERSERVED COMMUNITIES: EARLY CHILDCARE PROVIDERS AS REPORTERS" WAS PUBLISHED IN THE NATIONAL JOURNAL ON AUTISM RESEARCH AUTISM; - LED A SPANISH SPEAKING WORKSHOP FOR THE SPANISH PARENT SUPPORT GROUP "WINNING ANGELS" FOR THOSE WITH SPECIAL NEEDS CHILDREN; - "NEUROPSYCHOLOGICAL SCORES AND WEEFIM COGNITIVE RATINGS OF CHILDREN WITH TRAUMATIC BRAIN INJURY: A BRIEF REPORT" WAS PUBLISHED IN THE JOURNAL BRAIN INJURY; - PARTICIPATED IN MANY SAFE KIDS DAYS AT BOTH COMMUNITY EVENTS & THOSE SPECIFICALLY FOR THE AUTISM COMMUNITY PROGRAMS DEALT WITH SAFE PLAY; - PRESENTATION AT THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATIONS NATIONAL CONFERENCE ON THE PROCESS THAT WE CREATED TO DEVELOP A PROTOCOL FOR REPLICABILITY IN PRACTICE WITH IMPLICATION OF IMPROVING PATIENT OUTCOMES FOR PATIENTS WITH SENSORY INTEGRATION (SI) ISSUES. THE RESULTS EVOLVED INTO A BOOK ENTITLED: THE CLINICIANS GUIDE FOR IMPELENTING AYRES SENSORY INTEGRATION (ASI) PROMOTING PARTICIPATION FOR CHILDREN WITH AUTISM THE 3 CLINICIANS THAT WERE VERY HELPFUL WITH THIS STUDY ALONG WITH CSH & OUR FAMILIES WHO PARTCIPATED IN THE "PIVOTAL STUDY" THAT LED TO THIS WORK WERE ACKNOWLEDGED AS WELL; - WPLJ RADIO STATION REQUESTED A PATIENT INTERVIEW WHICH WAS ACCOMMODATED BY MAKING THE TRIP INTO NYC PART OF HIS CARE PLAN; - ARTICLE ENTITLED "LANGUAGE DEVELOPMENT IN CHILDREN: AGES 3 TO 4" WAS INCLUDED IN CARE.COM AN INTERNATIONAL RESOURCE FOR HIRING CARE PROVIDERS FOR CHILDREN & SENIORS THAT INCLUDES USEFUL CONTENT FOR ITS 14.1 MILLION MEMBERS IN 16 COUNTRIES; - NEW JERSEY FAMILY MAGAZINE RECOGNIZED TWO DOCS (A NEUROLOGIST & A PHYSIATRY) BASED ON FAMILY TESTAMONIALS; - DURING THE FIRST QUARTER OF 2015 WE SERVED 13,939 CHILDREN WHICH EQUALS 12.1% MORE THAN LAST YEAR DURING THE SAME TIME PERIOD; - PSYCHOLOGIST INTERVIEWED FOR FRONT PAGE STORY OF THE HOME NEWS TRIBUNE & COURIER NEWS WITH REGARD TO AUTISM; AUTISM EDUCATOR & DIRECTOR OF PROGRAM DEVELOPMENT & COORDINATOR FOR AUTISM PROGRAM INTERVIEWED ON NASH-FM RADIO STATION; - PRESIDENT & CEO MET WITH THE SECRETARY OF HEALTH & HUMAN SERVICES THANKING HER FOR SUPPORT OF "CHIP" BUT ALSO TO LET HER KNOW WE NEED TO BE ABLE TO HAVE THE FLEXIBILITY WITNIN MEDICAID TO PROVIDE TELEMEDICINE & OTHER OPPORTUNITIES TO INCREASE ACCESS FOR OUR KIDS; - HOSTED THE ANNUAL INVITATIONAL TRACK & FIELD MEET FOR ATHLETES WITH A PHYSICAL DISABILITY WITH 41 REGISTERED JUNIOR & ADULT ATHLETES REPRESENTING NJ, NY, CT & PA; - EXPANDED PHYSICIAN SERVICES (ACC) AT OUR WARREN FACILITY - BRINGING OUR OUTPATIENT SERVICES CLOSER TO OUR FAMILIES; - ANNUAL WALK 'N ROLL EVENT HELD WITH OVER 2000 PARTICIPANTS, THE LARGEST NUMBER TO DATE; - REPRESENTATION AT THE ABILITIES EXPO; - PRESENTATION BY DIRECTOR OF INFANT/TODDLER PROGRAM TO A NATIONAL TASK FORCE ON OUR WORK ON THE PROBLEM OF MATERNAL SUBSTANCE ABUSE & INFANT EXPOSURE. NJ IS ONE OF ONLY SIX STATES THAT HAVE RECEIVED A GRANT TO WORK ON THIS PROBLEM; - EXHIBITION GIVEN AT THE ECAC (EASTERN COLLEGIATE ATHLETIC CONFERENCE) TRACK & FIELD MEET AT PRINCTON UNIVERSITY TO HELP CONFERENCE PARTICIPANTS WITH INTEGRATING SPORTS FOR THE DISABLED INTO THEIR COLLEGIATE PROGRAMS BY 2016; - RECEIVED TWO GRANTS FROM THE NJ GOVERNORS COMMISSION ON AUTISM ONE FOR THE AUTISM MEDICAL HOME PILOT PROJECT & A QUALITATIVE STUDY (INTERVIEWS & FOCUS GROUPS) WITH HISPANIC FAMILIES OF CHILDREN NEWLY DIAGNOSED WITH ASD REACTIONS TO THE DIAGNOSIS & EXPERIENCES LINKING TO SERVICES. STUDY TO DETERMINE IF THERE ARE CULTURAL DIFFERENCES AND HOW TO BETTER UNDERSTAND THOSE DIFFERENCES; - PHYSIATRIST INTERVIEWED BY THE ASSOCIATION OF ACADEMIC PHYSIATRISTS FOR A PODCAST ABOUT PREDIATRIC REHAB FELLOWHSIP OPPORTUNITIES; - FAMILY FEATURED IN THE NATIONAL JOURNAL HEALTH AFFAIRS TO HELP MOVE FORWARD A PIECE OF FEDERAL LEGISLATION THAT WOULD BETTER COORDINATE HEALTH SERVICES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS; - THREE PROJECTS ACCEPTED FOR THE PEDIATRIC SECTION OF THE AMERICAN PHYSICAL THERAPY ASSOCIATIONS MEETING: "SURGICAL & REHABILITATIVE TREATMENT OF PHRENIC NERVE CRUSH INJURY", "CASE STUDY: AN 8-WEEK TREADMILL TRAINING PROGRAM FOR AN 18 MONTH OLD TODDLER WITH WILLIAMS SYNDROME" & "CHILDRENS SPECIALIZED HOSPITAL INTEGRATION OF THE TORTICOLLIS CLINICAL PRACTICE GUIDELINE INTO OUR PRACTICE - PSYCHOLOGIST RECIPIENT OF THE LESTER Z. LIEBERMAN HUMANISM IN HEALTHCARE AWARD AN AWARD THAT RECOGNIZES FRONT LINE STAFF WHO IN ADDITION TO BEING A SKILLED CLINICIAN DEMONSTRATES AND LIVES THE VALUE OF ALWAYS TREATING PATIENTS WITH RESPECT; - LONG TERM CARE AT TOMS RIVER PASSED THE DEPARTMENT OF HEALTHS UNANNOUNCED SURVEY WITH FLYING COLORS THE DOH WAS EXTREMELY COMPLIMENTARY OF OUR CSH QUALITY OF CARE & LIFE STANDARDS OF PRACTICE & THERE WERE NO CLINICAL DEFICIENCIES; - HOSTED THE 32ND ANNUAL NATIONAL JUNIOR DISABILITY CHAMPIONSHIPS ATTENDED BY OVER 200 ATHLETES WITH A PHYSICAL DISABILITY FROM ALL ACROSS THE US. ATHLETES PARTICIPATED IN TRACK, FIELD, PENTATHLON, SWIMMING, ARCHERY AND POWERLIFTING DURING THE WEEK-LONG PARALYMPIC STYLE EVENT; - BY THE END OF JUNE, 20,506 CHILDREN WERE SERVED AN INCREASE OF 11% FROM THE PREVIOUS YEAR AT THE SAME TIME; - RECIPIENT OF THE NJ STATE TRAINING GRANT FOR PROVIDING TRAINING TO CHILD CARE PROVIDERS IN ALL 21 NJ COUNTIES ON DEVELOPMENTAL SCREENING; - HOSPITAL FIGHT VIDEO BASED ON THE POPULAR SONG BY RACHAEL PLATTEN WAS FEATURED ON "THE VIEW", IN THE STAR LEDGER & ON CHANNEL 9; - NEW TRAINING PROGRAM ESTABLISHED WITH CHINA; CEO PRESENTED GRAND ROUNDS AT BEIJING CHILDRENS HOSPITAL; PRESIDENT & CEO & VP BUSINESS DEVELOPMENT GAVE A PRESENTATION TO GOVERNMENT OFFICIALS; - PARTICIPATION IN ELIZABETH, NJS NATIONAL NIGHT OUT; - SAFE KIDS COORDINATOR PARTICPATED IN NEW PROVIDENCE, NJS NIGHT OUT WITH OVER 500 PEOPLE COMING TO BOOTH FOR INFORMATION; - DIRECTOR INFANT/TODDLER PROGRAM PRESENTED A WEBINAR SPONSORED BY THE NATIONAL CENTER FOR SUBSTANCE ABUSE & CHILD WELFARE & THE SUBSTANCE EXPOSED INFANT TASK FORCE OF THE NJ DEPARTMENT OF HUMAN SERVICES ON OUR PROGRAMS & HOW SUCCESSFUL WE HAVE BEEN WEANING CHILDREN OFF OF METHADONE; - SEPTEMBER 9TH, FETAL ALCOHOL AWARENESS DAY CSH CONSIDERED A LEADER IN NJ FOR THE IDENTIFICATION & CARE FOR CHILDREN IMPACTED BY THIS DISEASE; - HELD VERY SUCCESSFUL CAMPS FOR KIDS WITH SPECIAL NEEDS A WEEK-LONG SLEEPAWAY CAMP IN PENNSYLVANIA WHERE CAMPERS WERE FULLY INTEGRATED WITH NON-DISABLED PEERS & PARTICIPATED IN A FULL CAMP EXPERIENCE; 2 WEEK-LONG DAY CAMPS (TOMS RIVER & UNION) WHERE SPECIAL NEEDS KIDS & A FRIEND/SIBLING COULD ATTEND WITH THEM & EXPERIENCE A VARIETY OF UNIQUE ACTIVITIES; - RECEIVED A CLINICAL PARTNERSHIP EDUCATION & RESEARCH GRANT FROM SETON HALL UNIVERSITY TO FUND OUR GO BABY GO PROGRAM WHICH IS AN INTER-PROFESSIONAL COLLABORATIVE PROJECT THAT WILL PROVIDE EARLY POWER MOBILITY EQUIPMENT TO YOUNG CHILDREN WHO ARE NOT INDEPENDENTLY MOBILE BY ADAPTING RIDE-ON-TOYS; - PRESENTATION ON OUR R.E.S.T. PROTOCOL PROGRAM AT THE NEW JERSEY STATE NURSES CONVENTION. PRESENTATION FOCUSED ON OUR LOW COMA STIM PORGRAM FOCUSING ON RESTFUL RECOVERY, EMPHASIS ON EDUCATION, SENSORY STIMULATION & THERAPEUTIC INTERVENTIONS SHOWED HOW OUR NURSING & THERAPY DEPARTMENTS COLLABORATE FOR THE GOOD OF OUR PATIENTS; - STUDENTS FROM TORO UNIVERSITY HAD THE OPPORTUNITY TO SEE REAL-TIME WHAT IT MEANS TO WORK IN PEDIATRIC REHABILITATION; WHAT IT MEANS TO WORK IN PEDIATRIC REHABILITATION;
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- DIRECTOR OF MEDICAL SERVICES TOMS RIVER FEATURED AT A STATE-WIDE CONFERENCE HOSTED BY THE NJ AUTISM CENTER OF EXCELLENCE COORDINATING CENTER & WAS QUOTED IN NJ SPOTLIGHT ABOUT NEW JERSEYS RESEARCH PROGRAM SPECIFICALLY OUR WORK AROUND DEVELOPING A NEW AUTISM SCREENING TOOL FOR TRADITIONALLY UNDERSERVED CHILDREN; - SPONSORED TWO WEBINARS MEDICATIONS USED TO TREAT SYMPTOMS ASSOCIATED WITH AUTISM SPECTRUM DISORDER AND STRATEGIC PLANNING FOR RECREATION PROGRAMMING FOR CHILDREN WITH AUTISM SPECTRUM DISORDER; - AS OF SEPTEMBER 24, 2015 WE SERVED 22,536 UNDUPLICATED PATIENTS WHICH WAS 2,252 MORE PATIENTS OR 10.6% MORE THAN THE SAME PERIOD THE PREVIOUS YEAR; - PHYSIATRIST APPOINTED AS ASSISTANT CLINICAL PROFESSOR AT RUTGERS-NEW JERSEY MEDICAL SCHOOL; - CHILDRENS LIGHTNING WHEELS RECOGNIZED AS THE SECOND BEST LARGE TEAM IN THE COUNTRY AT THE 2015 NATIONAL JUNIOR DISABILITY CHAMPIONSHIPS; - A MEMBER OF THE CHILDRENS LIGHTNING WHEELS PARTICIPATED ON TEAM USA FOR THE JUNIOR INTERNATIONAL WHEELCHAIR & AMBULATORY SPORTS COMPETITION; - MEMBERS OF CHILDRENS LIGHTNING WHEELS RECEIVED AWARDS IN RECOGNITION OF THEIR ABILITIES AT THE LAST MEET OF THE SEASON; - ITS CHILDS PLAY AND ADAPTED SPORTS THINKING OUTSIDE THE BOX WERE PRESENTED AT THE NJ COMMISSION ON RECREATION FOR INDIVIDUALS WITH DISABILITIES CONFERENCE ENTITLED "GOING THE EXTRA MILE - WE HOSTED A MEETING FOR THE GOVERNORS OFFICE ON VOLUNTEERISM AT OUR NEW BRUNSWICK SITE; - 26,265 UNDUPLICATED PATIENTS SERVED BY END OF NOVEMBER; 2,245 OR 9.3% MORE THAN SAME PERIOD IN PREVIOUS YEAR; - CSH REPRESENTED IN NYC MARATHON WITH A TEAM OF EIGHT RUNNERS; - CREATED AN APN DEVELOPMENTAL BEHAVIORAL PEDIATIC FELLOWSHIP TO HELP ADDRESS THE HUGE DEMAND FOR DEVELOPMENTAL SCREENING SERVICES; - LONG TERM CARE BOY SCOUT TROOOP 6651 AWARDED THE SHINING STAR AWARD ACKNOWLEDGES THE WORK PUT IN BY THE RECREATION STAFF IN ADAPTING A TYPICAL BOY SCOUT CURRICULUM TO BETTER FIT THE NEEDS OF OUR TROOP THAT PROVIDE TYPICAL EXPERIENCES IN THE COMMUNITY & THE EDUCATION OF THE COMMUNITY BOY SCOUTS. THE TROOP ATTENDED THE ANNUAL FISHING TRIP TO CAMP CITTA; - HEALTHCARE PLANNERS & MARKETING ASSOCIATION AWARDED CSH WITH THE PERCY AWARD FOR OUR #FIGHTFACE VIDEO; - UNION COUNTY SAFE KIDS COALITION RECEIVED GENEROUS GIFT OF 10 YEAR SMOKE ALARMS FROM KIDDE; - PRESENTATION AT THE NEW JERSEY YOUTH FIRESETTER INTERVENTION CONFERENCE ON "UNDERSTANDING THE SPECTRUM OF THE AUTISM DIAGNOSIS & SERVICES". IN ATTENDANCE WERE 90 SCHOOL PROFESSIONAL SUPPORT STAFF OF THE NEW JERSEY DEPARTMENT OF CHILDREN & FAMILIES; - WOBM, WPLJ AND NASH RADIO DID RADIOTHONS FOR US; - ARTICLE AUTISM & SAFETY ITS UNPREDICTABLE APPEARED IN AUTISM SPECTRUM NEWS; - CHILDRENS SPECIALIZED PARTNERED WITH A LOCAL YMCA TO OFFER TWO ONE WEEK SLEEP AWAY CAMP EXPERIENCES; - CHILDRENS OFFERED SEVERAL OTHER DAY CAMP EXPERIENCES SOME FOR "FUN" OTHERS MORE THERAPEUTIC IN NATURE; - UNION COUNTY NEW JERSEY SAFE KIDS COALITION CHAIR IS CSH EMPLOYEE PARTICIPATED IN "PITCH YOUR PROJECT" AT THE 2015 PREVCON CONFERENCE AND WAS AWARDED THE GRAND PRIZE TO DEVELOP SAFETY TOOLS TO BE UTILITIZED BY THE CHILD WITH AUTISM, PARENTS/CAREGIVERS AND THE COMMUNITY AT LARGE. THE COALITION WILL BE COLLABORATNG WITH SAFEKIDS WORLD WIDE ON THE PROJECT; - ADMINISTRATIVE DIRECTOR OF LONG TERM CARE SERVED AS OUR EXPERT BEFORE THE NJ LEGISLATURE TESTIFYING AGAINST A BILL THEAT WOULD MANDATE CERTAIN STAFFING RATIOS WITHIN LONG TERM CARE UNITS. WE OPPOSED THE BILL BECAUSE WE NEED TO HAVE THE FLEXIBILITY TO STAFF BASED ON THE CHILDREN WE SERVE UNIQUE NEEDS; - FRIDAY NIGHT FEVER MOUNTAINSIDE & TOMS RIVER HELD MONTHLY ACTIVITIES FOR OVER 75 UNIQUE PARTICIPANTS INCLUDING A GRADUATION DANCE, SPRING PROM, BOATING AND MOVIE NIGHTS; - AUTISM ACTIVITIES & AWARENESS INCLUDED COMMUNITY RESOURCE FAIRS; WALKS FOR AUTISM IN VARIOUS PARTS OF THE STATE; SHOPPING EVENT AT KOHLS SPECIFICALLY FOR PARENTS OF CHILDREN WITH ASD; and - FINAL 2015 NUMBERS FOR UNDUPLICATED PATIENTS SEEN 28,735; 2,562 MORE PATIENTS OR 9.8% MORE THAN THE FINAL NUMBER FOR 2014; STAFF MEMBERS PARTICIPATED IN MANY LOCAL, REGIONAL, NATIONAL, INTERNATIONAL BOARDS & COMMITTEES INCLUDING: - PEDIATRIC COMPLEX CARE COMMITTEE; - DEVCO; - NEW JERSEY HOSPITAL ASSOCIATION; - PEAK POTENTIAL; - STAY-FOCUSES A PROGRAM DEVOTED TO HELPING KIDS WITH SPECIAL NEEDS BECOME CERTIFIED IN SCUBA DIVING; - AMERICAN ACADEMY OF CEREBRAL PALSY & DEVELOPMENTAL MEDICINE; - Healthcare Financial Management Association CFO served on a national committee and was elected Regional Executive for Region 3 for the 2016-17 year; - RONALD MCDONALD HOUSE COO/EVP; - MULTIPLE BOARDS & COMMITTEES OF THE CHILDRENS HOSPITAL ASSOCIATION; - NEW JERSEY CHAMBER OF COMMERCE; - RUTGERS UNIVERSITY; - INTERNATIONAL PEDIATRIC REHABILITATION COLLABORATIVE; - TREASURER - TRI-STATE WHEELCHAIR & AMBULATORY ATHLETICS; - NATIONAL CENTER FOR SUBSTANCE ABUSE & CHILD WELFARE; - SUNRISE MEDICAL PEDIATRIC ADVISORY BOARD; - PARALYMPIC EXPERIENCE DAY CUNY GATEWAY TO GOLD ADVISORY COMMITTEE; - SUBSTANCE EXPOSED INFANT TASK FORCE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES; - TOMS RIVER MAYORS ADVISORY COMMITTEE; - 2015 NATIONAL JUNIOR DISABILITY CHAMPIONSHIPS EXECUTIVE DIRECTOR; - MORRIS PLAINS BOARD OF HEALTH; - NEW JERSEY COMMISSION ON RECREATION FOR INDIVIDUALS WITH DISABILITIES; - AUTISM SPEAKS NJ; - ADAPTIVE SPORTS USA JUNIOR COMMITTEE; - NEW JERSEY SOCIETY FOR RESPIRATORY CARE; - NEW JERSEY PHYSICAL THERAPY ASSOCIATION; and - TOMS RIVER ROTARY.
CORE FORM, PART III; QUESTION 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	ROBERT WOOD JOHNSON HEALTHCARE CORPORATION ("RWJHCC") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJHCC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE ORGANIZATIONS FEDERAL FORM 990 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 ORGANIZATIONS FINANCE PERSONNEL INCLUDING, BUT NOT LIMITED TO, THE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCE, ACCOUNTING MANAGER AND VARIOUS OTHER INDIVIDUALS WITHIN THE ORGANIZATION ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATIONS INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF THE ORGANIZATIONS GOVERNING BODY AND FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES 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'S VICE PRESIDENT OF HUMAN RESOURCES FOR REVIEW. THEREAFTER THE VICE PRESIDENT OF HUMAN RESOURCES PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE VICE PRESIDENT OF HUMAN RESOURCES THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHOM ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF THE OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, 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	PHILIP SALERNO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 55 HOURS PER WEEK AS THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ADDITION, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS 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 AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE NETWORK 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 NETWORK. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART X	CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION. THIS RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY AND EQUIPMENT - $1,200,000; - CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $3,298,993; - NET ASSETS RELEASED FROM RESTRICTION (TEMPORARILY RESTRICTED) - ($3,692,480); AND - CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $6,020.
CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THIS ORGANIZATION AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR CHILDRENS SPECIALIZED HOSPITAL AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII, QUESTION 3A	THIS ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	1,494
6	Total number of volunteers (estimate if necessary) .............	6	637
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,982,373	7,776,962
9	Program service revenue (Part VIII, line 2g) .........	117,157,819	127,352,728
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	701,256	422,376
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	412,631	390,010
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	126,254,079	135,942,076
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	127,640	542,463
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)	88,656,176	94,689,311
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)....	34,402,266	36,579,909
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	123,186,082	131,811,683
19	Revenue less expenses. Subtract line 18 from line 12.......	3,067,997	4,130,393
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	178,980,852	181,359,649
21	Total liabilities (Part X, line 26).............	73,563,274	71,329,142
22	Net assets or fund balances. Subtract line 21 from line 20.....	105,417,578	110,030,507

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	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 39,539,002 including grants of $ ) (Revenue $ 53,713,741 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT REHABILITATION SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 20,846 PATIENT DAYS FROM THE PROVISION OF INPATIENT REHABILITATION SERVICES IN 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 17,696,042 including grants of $ ) (Revenue $ 21,729,518 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY LONG-TERM CARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 26,234 PATIENT DAYS FROM THE PROVISION OF LONG-TERM CARE SERVICES IN 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 17,396,836 including grants of $ ) (Revenue $ 11,989,799 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY AMBULATORY CARE CENTER PROGRAM SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 9,864,930 including grants of $ 542,463 ) (Revenue $ 39,919,670 )
4e	Total program service expenses84,496,810

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,029,480	0	671,681

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,924,755
e	Government grants (contributions)		1e	3,852,207

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		7,776,962

			Business Code
2a	NET PATIENT SERVICE REVENUE	541900	125,929,280	125,929,280
b	OTHER HEALTHCARE RELATED REVENUE	541900	1,423,448	1,423,448
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			127,352,728

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			454,997			454,997
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		29,520
b	Less: rental expenses
c	Rental income or (loss)	0	29,520
d	Net rental income or (loss)......			29,520			29,520
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		-32,621
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		-32,621
d	Net gain or (loss).....			-32,621			-32,621
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
Business Code			Miscellaneous Revenue
11a	CAFETERIA & DIETARY REVENUE			360,490			360,490
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			360,490
12	Total revenue. See Instructions......			135,942,076	127,352,728		812,386

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	542,463	542,463
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	5,176,701	4,659,031	517,670
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	71,517,426	54,951,872	16,565,554	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,084,520	797,263	287,257
9	Other employee benefits .......	10,866,260	8,253,769	2,612,491	0
10	Payroll taxes ...........	6,044,404	4,714,635	1,329,769
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	59,418		59,418
c	Accounting ...........	198,248		198,248
d	Lobbying ...........	99,164		99,164
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	79,264		79,264
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	7,811,744	3,875,301	3,936,443
12	Advertising and promotion ....	157,341	43,151	114,190
13	Office expenses .......	4,939,335	2,815,903	2,123,432
14	Information technology ......	1,537,103		1,537,103
15	Royalties ..	0
16	Occupancy ...........	7,148,852	844,569	6,304,283
17	Travel ............	940,868	785,746	155,122
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	236,085	182,145	53,940
20	Interest ...........	2,028,522		2,028,522	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	7,955,322		7,955,322	0
23	Insurance ...	771,677		771,677
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	MEDICAL SUPPLIES	1,183,037	1,162,084	20,953
b	LICENSES, DUES AND FEES	460,318	133,985	326,333
c	EXTINGUISHMENT OF DEBT	153,385		153,385
d	PATIENT CAMPS & RECREATION	79,906	76,009	3,897
e	All other expenses	740,320	658,884	81,436
25	Total functional expenses. Add lines 1 through 24e	131,811,683	84,496,810	47,314,873	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).

1	Cash–non-interest-bearing ........			14,316	1	8,801
2	Savings and temporary cash investments .........			25,019,960	2	31,800,861
3	Pledges and grants receivable, net ......			1,028,042	3	1,758,473
4	Accounts receivable, net .............			16,070,488	4	17,143,030
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 ........			471,875	8	563,321
9	Prepaid expenses and deferred charges ......			8,886,144	9	8,635,255
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	169,584,021
b	Less: accumulated depreciation	10b	94,113,718	77,445,585	10c	75,470,303
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 ..			46,249,109	13	42,378,581
14	Intangible assets ...............			897,622	14	505,693
15	Other assets. See Part IV, line 11 ...........			2,897,711	15	3,095,331
16	Total assets. Add lines 1 through 15 (must equal line 34)...			178,980,852	16	181,359,649

17	Accounts payable and accrued expenses .....	18,497,743	17	20,121,480
18	Grants payable ...	0	18	0
19	Deferred revenue .........	217,623	19	187,514
20	Tax-exempt bond liabilities .........	44,850,110	20	40,592,968
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 ..	2,709,533	23	2,473,602
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	7,288,265	25	7,953,578
26	Total liabilities. Add lines 17 through 25..	73,563,274	26	71,329,142

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	83,604,339	27	88,604,735
28	Temporarily restricted net assets ...........	15,351,062	28	14,957,575
29	Permanently restricted net assets	6,462,177	29	6,468,197
	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 ...........	105,417,578	33	110,030,507
34	Total liabilities and net assets/fund balances ........	178,980,852	34	181,359,649

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

(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)CHILDRENS SPECIALIZED HOSPITAL FDN 150 NEW PROVIDENCE ROAD MOUNTAINSIDE,NJ07092 13-6844298	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJHCC		No
(2)LAKEVIEW CHILD CARE CENTER INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-2627639	CHILD CARE	NJ	501(C)(3)	509(A)(2)	RWJHCCH		No
(3)RWJ UNIV HOSPITAL AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 21-0634572	HLTHCARE SVC	NJ	501(C)(3)	HOSPITAL	RWJHCCH		No
(4)RWJ UNIV HOSP AT HAMILTON FDN INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-2552329	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJHCCH		No
(5)RWJ HEALTH CARE CORPORATION AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-2566863	HOLDING CO.	NJ	501(C)(3)	509(A)(3)	RWJHCC		No
(6)RWJ UNIV HOSP RAHWAY AUXILIARY 865 STONE STREET RAHWAY,NJ07065 22-0012205	SUPPORTING	NJ	501(C)(3)	509(A)(2)	RWJUHR		No
(7)RWJ UNIV HOSP RAHWAY FOUNDATION 865 STONE STREET RAHWAY,NJ07065 22-2405094	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJUHR		No
(8)RWJ UNIVERSITY HOSPITAL RAHWAY 865 STONE STREET RAHWAY,NJ07065 22-1487305	HLTHCARE SVC	NJ	501(C)(3)	HOSPITAL	RWJHCC		No
(9)NEW BRUNSWICK AFFILIATED HOSPITALS INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-1946837	HLTHCARE SVC	NJ	501(C)(3)	509(A)(3)	RWJHCC		No
(10)RWJ PROPERTY HOLDING CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-2474955	PROPERTY	NJ	501(C)(3)	509(A)(3)	RWJHCC		No
(11)RWJ HEALTH CARE CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-2568905	HOLDING CO.	NJ	501(C)(3)	509(A)(3)	NA		No
(12)RWJ UNIV HOSPITAL FOUNDATION INC 10 PLUM STREET NO 910 NEW BRUNSWICK,NJ08901 22-2378007	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJHCC		No
(13)RWJ UNIVERSITY HOSPITAL ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08903 22-1487243	HLTHCARE SVC	NJ	501(C)(3)	HOSPITAL	RWJHCC		No
(14)AUXILIARY OF RWJ UNIVERSITY HOSPITAL ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-6014339	SUPPORTING	NJ	501(C)(3)	509(A)(2)	RWJUH		No
(15)ROBERT WOOD JOHNSON VISITING NURSES INC 972 SHOPPES BOULEVARD NORTH BRUNSWICK,NJ08902 26-3659270	HLTHCARE SVC	NJ	501(C)(3)	509(A)(2)	N/A		No
(16)LAKEVIEW CHILD CARE CENTER FDN INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 46-2038300	FUNDRAISING	NJ	501(C)(3)		LCCC		No
(17)SOMERSET COMMUNITY CARE CORP 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3295495	INACTIVE	NJ	501(C)(3)	509(A)(2)	RWJUH		No
(18)SOMERSET HEALTH CARE AFFILIATES INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-2665685	SUPPORT RWJUH	NJ	501(C)(3)	509(A)(2)	RWJUH		No
(19)SOMERSET MEDICAL CENTER FOUNDATION INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3294408	SUPPORT RWJUH	NJ	501(C)(3)	509(A)(1)	RWJUH		No
(20)RWJ BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 81-0682747	INACTIVE	NJ	501(C)(3)	509(A)(3)	N/A		No

(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) RWJ-REGENT LLC 10 PLUM STREET 4TH FLOOR NEW BRUNSWICK,NJ08901 45-3853994	HEALTHCARE SVCS.	NJ	NA
(2) RWJ-REGENT II LLC 120 ALBANY STREET NEW BRUNSWICK,NJ08901 80-0878969	HEALTHCARE SVCS.	NJ	NA

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION	O	1,989,000	COST
(2) CSH VENTURES INC	D	419,883	COST
(3) CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION	C	3,924,755	COST
(4) RWJ HEALTH CARE CORPORATION	K	88,943	COST

(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