Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
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| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
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| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
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| 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. | ||||||
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.) | ||||||
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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
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2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
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| 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. | ||
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8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 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 |
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1
Distributable amount for 2015 from Section C, line 6 |
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2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 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 | ||||
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i
Carryover from 2010 not applied (see instructions) |
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| 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. | ||||
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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) |
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6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Background ========== Monmouth Medical Center ("MMC") is a general medical and surgical hospital. MMC is recognized by the Internal Revenue Service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. On May 1, 2014, Kimball Medical Center ("KMC"), a nonprofit corporation, merged with and into MMC, so that the two facilities would be under common ownership to better coordinate health delivery for a shared service area. The separate existence of KMC ceased and MMC continues as the "surviving corporation". Barnabas Health, Inc. continues to be the sole member (i.e. owner) of MMC following the Merger. MMC, as the surviving corporation, operates two separately licensed hospital facilities, Monmouth Medical Center, located in Long Branch, NJ and the former KMC facility, which now operates under its new name, Monmouth Medical Center Southern Campus ("MMCSC"). Pursuant to its charitable purposes, MMC and MMCSC provide 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, MMC and MMCSC operate consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. MMC/MMCSC provide medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. MMC/MMCSC operate active emergency departments for all persons and are open 24 hours a day, 7 days a week, 365 days per year; 3. MMC/MMCSC maintain open medical staff, with privileges available to all qualified physicians; 4. Control of MMC/MMCSC rests with its board of trustees and the board of trustees of Barnabas Health, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of MMC/MMCSC, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of MMC/MMCSC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. Barnabas Health is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. MMC's sole corporate member is Barnabas Health, Inc. ("BH"). BH is also the tax-exempt New Jersey non-profit parent corporation of the integrated healthcare delivery system. The sole member of each entity is either BH or another BH affiliate controlled or owned by BH. MMC, like its corporate parent, is a not-for-profit organization. This integrated network of healthcare providers provides substantial community benefit throughout the state of New Jersey. BH is the largest multi-hospital system in New Jersey and provides substantial community benefit. BH consists of free-standing acute care hospitals, a free-standing psychiatric hospital, Medicare-certified home healthcare and hospice programs, multi-specialty ambulatory care facilities, primary care centers, outpatient behavioral health centers and other entities. BH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, BH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health without charge or at amounts less than established rates. BH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Hospital Statistical Information ================================ For over 125 years, MMC has been a leader in central New Jersey providing the best in healthcare and the latest in medical technology to the nearly one million residents that comprise its service area of Monmouth County, and portions of Ocean and Middlesex Counties. MMC is one of New Jersey's largest teaching hospitals and a teaching affiliate of Philadelphia's Drexel University College of Medicine for more than 40 years. MMC is a 514-bed non-profit, regional tertiary care teaching hospital located in Long Branch, Monmouth County, New Jersey. The institution provides a full spectrum of services, ranging from high-risk neonatology to geriatric care. Admissions total over 21,200 annually, including over 5,000 births, and approximately 51,000 emergency visits and nearly 184,000 outpatient visits in 2015. MMC serves a diverse community with over 23% of its patients comprised of minority groups and approximately 33% of patients in underinsured and uninsured payer groups. It has a JCAHO certified chest pain center and is state designated as a primary stroke center. MMCSC is a 241-bed fully accredited non-profit acute care hospital dedicated to providing the finest medical and healthcare services to the residents of Ocean County and the surrounding areas. MMCSC is located in Lakewood, Ocean County, New Jersey. MMCSC serves a diverse urban population including a proportionately higher mix of elderly and uninsured/underinsured communities. During 2015, MMCSC serviced over 5,700 inpatients including 2,600 psychiatry admissions, and 35,000 emergency visits and over 46,000 outpatient visits. Over 19% of patients are minority and approximately 35% were of underinsured or charity/self-pay categories. Mission Statement ================= MMCs vision, as a part of BH, is to be a leader in designing unparalleled new ways for delivering healthcare. MMC provides quality-driven, safe, efficient, cost-effective and responsive healthcare services that meet the needs and exceed the expectations of our community. Our Mission: - To meet the healthcare needs of our community by providing cost-effective quality care; - To educate present and future generations of healthcare providers; and - To provide a continuum of regional tertiary care. MMC Accomplishments/Milestones/Recognitions/Awards ================================================== MMC is the recipient of numerous awards and honors including, but not limited to, the following: - Received an "A" Hospital Safety Score by The Leapfrog Group, an independent national non-profit organization of employer purchasers of healthcare and the nation's leading experts on patient safety. Among only 251 hospitals in the entire nation to have achieved an "A" grade in all five score releases of the hospital safety scores; - The Leapfrog Group also ranked MMC as the safest hospital for maternity care in the region, with Monmouth scoring well above the standard of care in key areas of maternity care; - MMC has been consistently recognized on Key Quality Measures by The Joint Commission, the leading accreditor of health care organizations in America, since the Top Performer on Key Quality Measures program was introduced in 2011; - Successfully passed seven Disease Specific Joint Commission Surveys: Stroke, Cardiac Rehab, ACS, Total Knee, Total Hip, Spine and Breast Cancer; - The Jacqueline M. Wilentz Breast Center is a recipient of the Womans Choice Award for Americas Best Breast Center for three consecutive years; - Successful recertification from National Quality Metrics for Breast Center programs as Certified Quality Breast Center of Excellence; - The Jacqueline M. Wilentz Comprehensive Breast Center at MMC is New Jersey's only certified quality breast center of excellence, the highest certification level offered by the National Quality Measures for Breast Centers; - Holds certification for MQSA (Mammography Quality Standards Act and Program) by FDA for all JMWBC sites (Long Branch, Colts Neck, Howell, Lakewood); - Recognized by the New Jersey State Cancer Registry ("NJSCR") Award for Excellence in timely Cancer Case Reporting; - Certified by the American Heart Association - Get with the Guidelines Heart Failure Gold Quality Achievement Award; - The Pain Care Service at MMC recognized by HCAHPS for outstanding scores well above state and national rankings in the area of pain management. MMC was ranked in the 99th percentile in the state and the 90th percentile nationally for pain management; - Named a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery. This is a prominent designation recognizing surgical programs with a demonstrated track record of exceptional patient outcomes. MMC was the first hospital in New Jersey to perform laparoscopic gastric bypass and is among the most highly experienced centers in the tri-state area; |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - MMC holds the Gold Seal of Accreditation from the American College of Radiology for its advanced imaging systems, and was the first in New Jersey and the 20th in the nation to achieve this status for magnetic resonance imaging ("MRI") of the breast; - MMC joined a select group of 13 U.S. hospitals chosen to participate in the Radiologic Society of North America Image Share Network. MMC was the first facility in New Jersey to be chosen for this project; - The Unterberg Children's Hospital at MMC was the first hospital in New Jersey to open a level III neonatal intensive care unit. It has one of the highest survival rates among neonatal intensive care units in the country and ranks in the top one-third for survival among such units that participated in Vermont/Oxford Network's international database for benchmarking; - Monmouth has one of only three cystic fibrosis ("CF") centers in the state and has earned a prestigious distinction as a comprehensive CF center. It is the oldest and largest of the centers in New Jersey; - MMC received CT accreditation from the American College of Radiology ("ACR") with zero deficiencies. MMC has been granted ultrasound accreditation by the ACR ultrasound committee; - MMC is Drexel University's largest major academic medical affiliate in New Jersey and is the only area academic medical center to achieve regional medical campus status; - MMC is recognized as a distinguished academic medical center among an elite group of the nation's nine leading teaching hospitals by Press Ganey; - MMC established the first comprehensive Sleep Disorders Center in Monmouth and Ocean counties, and was the first to receive accreditation by the American Academy of Sleep Medicine; - The prestigious American Diabetes Association education recognition certificate for a quality diabetes self-management education program was awarded to the pediatric endocrinology program of the Unterberg Children's Hospital at MMC as well as the Center for Diabetes Education at MMC - an honor originally bestowed on the medical center in 2007. With this recognition, the center was re-certified by the ADA as offering high quality diabetes self-management education that is an essential component of effective diabetes treatment; - The Joel Opatut Cardiopulmonary Rehabilitation Program was the first in Monmouth County to be certified for both cardiac and pulmonary rehabilitation by the American Association of Cardiovascular and Pulmonary Rehabilitation; - MMC received Cultural Diversity Partnership Award from the Lakewood Orthodox Jewish community for sensitive leadership in all matters of patient care; - The NJHA Board of Trustees approved MMC as one of 17 hospitals chosen to participate in the NJHA HEN Patient Flow Collaborative, an initiative that has gained the attention of many of the nations most prominent health care leaders; and - MMC is the only Hospital on the Eastern seaboard to be recognized with the Crimson Physician Partnership Award, presented to administrator-physician leadership teams at organizations that are members of the Crimson physician performance technologies cohort. MMCSC Accomplishments/Milestones/Recognitions/Awards ==================================================== MMCSCs Lakewood campus has also been recognized with distinguished awards for clinical excellence including, but not limited to, the following: - Successful tri-annual Joint Commission Survey in June with specific acclamations for nursing excellence; - Heart Failure Disease Specific Recertification awarded; - NICHE (Nurses Improving Care of Healthsystem Elders) re-designation achieved; - Leapfrog Safety Rating Grade "A" sustained through 2015; - Gold Level recognition in Federal Effort to Increase Organ and Tissue Donor Registry through NJ Sharing Network; and - Press Ganey scores for the Emergency Department and Ambulatory Care continue to be above the 90th percentile with the ED leading the system. MMC Centers of Excellence ========================= MMC's recognized medical services Centers of Excellence include, but are not limited to, the following: (1) The Unterberg Children's Hospital at MMC ("Children's Hospital") The Children's Hospital offers the community renowned medical expertise in the care of children that only a leading academic medical center can provide. The Childrens Hospital has 140 pediatric specialists who concentrate in 26 fields of medicine. The organization provides specialized pediatric care, offering a 54-bassinet regional newborn center, a 23-bed level III neonatal intensive care unit, the region's only program in Children's Crisis Intervention Services and subspecialty pediatric care in areas such as cardiology, gastroenterology, surgery and orthopedics. In addition, a host of outpatient services for children are offered, including: a Pediatric Neurology Program, Pediatric Medical Day Stay Unit, The Regional Cleft Palate Center, and a Pediatric Subspecialty Center in Ocean County for children who require specialty care in the areas of gastroenterology, endocrinology and pulmonology. (2) Psychiatric Centers/Program MMC has the largest psychiatric program in Monmouth County, with a total of 44 beds within voluntary and involuntary adult inpatient units and 19 beds in its inpatient Children's Crisis Intervention Service, where children and adolescents with acute emotional, behavioral or psychiatric problems are treated. In addition, its Psychiatric Emergency Screening Service ("PESS") is the state-designated service for Monmouth County. MMC also offers partial hospitalization, intensive outpatient programs, traditional outpatient care and an Early Intervention Support Services Program ("Eiss"). (3) The Jacqueline M. Wilentz Comprehensive Breast Center Committed to meeting the breast health care needs of all women, the breast center is the region's leader in providing the most advanced array of breast health services through a multidisciplinary team dedicated to the breast health needs of all women. MMC provides a comfortable and supportive setting in which all outpatient breast healthcare services are found in one convenient location. MMC takes a coordinated approach to breast care including both well care and cancer care. MMC is here for women who seek annual breast evaluation and for those women diagnosed with breast cancer or benign breast disease. Several of MMC's services are specifically for women diagnosed with breast cancer, including: an outpatient chemotherapy suite, psychosocial counseling and rehabilitation services, breast cancer support groups, breast conservation surgery and patient navigators. These qualified experts represent many medical disciplines, working together to provide women with diagnostic, treatment, surgical, psychosocial support, and education and rehabilitation services. MMC's state-of-the-art facility offers the latest in medical equipment, technology and services, including: - Annual physical breast examinations, mammography and diagnostic service, headed by a dedicated breast radiologist who oversees a staff of highly trained technologists; - Consultations and second opinions (surgery, medical oncology, pathology, mammography, plastic surgery and radiation therapy), breast cancer high risk program, stereotactic biopsy system, Tomosynthesis, computer-aided detection ("iCAD") mammography, breast-specific gamma imaging, breast MRI, automated whole-breast ultrasound, high-resolution breast ultrasound, ultrasound-guided fine-needle biopsy, dexa scanning, clinical research and a breast information center; and - Satellite locations in Colts Neck, Howell and Lakewood to offer women convenient access to screening mammography and bone density testing. (4) Leon Hess Cancer Center MMC stands at the forefront of providing the most extensive array of highly advanced cancer services, delivered by a multidisciplinary team of specialists in a caring and supportive environment. For decades, MMC's leadership role in oncology services has been broadened through the ongoing expansion of state-of-the-art programs and technologies offered in all areas of cancer prevention, detection and treatment. The Leon Hess Cancer Center at MMC brings together a host of specialists and a vast array of services under one roof, making care more convenient, efficient and effective. It features comprehensive multidisciplinary medical services that are led by teams of major physician specialists including medical, surgical and radiation oncology. Together, these cancer specialists, in consultation with each patients primary care physician and in conjunction with the hospitals Cancer Care Management Team, work to create the most appropriate and effective plan of treatment. MMC is accredited by the Commission on Cancer of the American College of Surgeons as a "teaching hospital and cancer center" - the group's highest designation. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | (5) The Cranmer Ambulatory Surgery Center The center provides a full spectrum of same-day surgical services using the most modern technology available. The facility includes four full-service operating rooms, three minor procedure rooms and a three-tiered graduated recovery area, respecting the individual needs of adult and pediatric patients. The one-story, 19,000-square-foot building is equipped to perform all types of same-day surgical procedures, including arthroscopic, laparoscopic and laser techniques. Every aspect of the center has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. (6) The Eisenberg Family Center MMC delivers 5,000 babies annually - the most in Monmouth and Ocean counties and has built one of the safest obstetrical programs in the nation, maintaining one of the lowest C-section rates in the nation. The vast majority of the more than 50 obstetrician/gynecologists who serve as attending physicians on MMCs medical staff are board certified or eligible in the discipline. Many also hold certification in such specialties as maternal-fetal medicine (perinatology), reproductive endocrinology and infertility, uro-gynecology and gynecologic oncology. In addition, MMCs skilled and dedicated nursing staff is trained to assist mothers and their childbirth partners during labor and delivery and to instruct new parents and other family members in newborn care. (7) The Valerie Fund Children's Center for Cancer and Blood Disorders The center provides comprehensive medical services to children with childhood cancers such as leukemia, lymphomas and neuroblastomas, and blood disorders such as sickle cell anemia and white cell abnormalities. Children and young adults (birth to 21 years of age) with leukemia and other cancers are treated according to the most advanced therapeutic protocols. Patients receive treatment on an outpatient basis from a team of specialists, including pediatric hematologists/oncologists, surgeons, radiologists, nurses, social workers, counselors and child life specialists. Among the Valerie Fund's services is red blood cell apheresis - a sophisticated exchange/transfusion of red blood cells for patients with sickle cell disease. MMC is one of eight hospitals in the tri-state area that is part of the Valerie Fund, one of the largest and most advanced pediatric oncology/hematology networks in the country. (8) Robotic Surgery Program MMC created the regions first robotic surgery program with the da Vinci S Surgical System, the most advanced of the robotic platforms. The system combines computer and robotic technologies with the skills of MMC's surgeons to create a new category of surgical treatment, making it possible to perform more technically demanding surgeries, such as prostatectomy, using a minimally invasive approach. MMC offers robotic surgery for the removal of a variety of cancerous tumors as well as for benign conditions. The robotic surgery system offers patients better outcomes, less pain, less scarring, less blood loss, shorter hospital stays and a quicker return to normal activities than conventional surgery. MMCSC Centers of Excellence =========================== MMCSC's recognized medical services and Centers of Excellence include, but are not limited to, the following: (1) The Emergency Department at MMCSC The emergency department treats approximately 35,000 patients annually, utilizing the latest in cardiac monitoring equipment, including special rooms for trauma, orthopedics, ear/nose/throat, obstetrics/gynecology, pediatrics, suturing and psychiatric emergencies. The main emergency department includes 30 treatment bays and has revolutionized how patients are treated in modern healthcare settings by expediting the process which patients must undergo prior to receiving medical treatment. The staff is focused on respecting the individual needs of all adult and pediatric patients. MMCSC is a state-designated primary stroke center and Joint Commission certified chest pain center and has Ocean County's only psychiatric emergency screening program. As part of MMCSCs commitment to the aging population in our geographical area, the Geriatric Emergency Medicine ("GEM") unit was created, resulting in efficient, safe, specialized medical care for older adults. The GEM unit provides an atmosphere to meet the unique health care needs of our aging patients in a variety of ways, including: an interdisciplinary team of caregivers specially trained in Geriatric Medicine; a dedicated pharmacist who focuses on medications commonly prescribed for seniors with special attention to issues that can result from dangerous interactions; lowered beds equipped with safety alarms to prevent patient falls; and consultations with a Board-certified Geriatrician. MMCSCs Pediatric Emergency Services program is staffed full time by highly experienced, board-certified emergency medicine physicians with access to pediatric consultations 24 hours a day with on-site double board certified neonatologists/pediatricians and an on-call board certified pediatrician. When necessary, consultations with pediatric subspecialists are coordinated with the medical staff at The Unterberg Childrens Hospital at Monmouth Medical Center. Additionally, infants and children requiring more specialized care are transported to The Childrens Hospital, if and when necessary. MMCSCs child-friendly pediatric-designated treatment area in the Emergency Department offers a pediatric playroom with games, toys and books and colorfully decorated treatment rooms equipped with TV and DVD player. Every aspect of MMCSCs emergency department has been designed to provide the ultimate in efficiency and comfort for patients and their families, while offering the highest quality medical care. This has led to numerous recognitions and awards for patient satisfaction and quality medical care, including exceptional turnaround time. (2) The Center for Wound Healing The Wound Care Center at MMCSC provides diagnosis, treatment and healing of chronic and hard-to-heal wounds caused by a variety of medical conditions including diabetes, trauma, poor circulation, bedridden, surgical complications, vascular diseases, etc. The Center for Wound Healing and hyperbaric medicine applies proven wound care practices and advanced clinical approaches including hyperbaric oxygen therapy to help heal patients suffering from chronic wounds. Additionally, our center frequently participates in clinical trials utilizing the latest wound care products available. (3) Better Health A Wellness Program Just for Seniors MMCSCs Better Health program is a free membership program available to seniors who want to improve their health and well-being. MMCSC invites people age 55+ to become a member of the Better Health program to help maintain good health. Members take advantage of many exclusive benefits designed to help take charge of their health and wellness. Aside from taking steps toward living a more productive and fulfilling life, specific benefits include: - Preferred physician scheduling with appointments guaranteed within 48 hours of placing the call; - Preferred parking at MMCSC Outpatient Pavilion; - A simplified pre-registration process for laboratory and radiology services resulting in no-wait times; - Special visits from a Patient Resource Representative should one be admitted for an overnight stay; - Home safety assessments; - A copy of a special calendar for club members; - A copy of our Healthy Aging newsletter sent to the home; and - Access to a special web site that provides advance notice of: Free screening locations, Physician lectures and topics, Daily health and wellness tips and Videos on living a healthier life. Each month cardholders are invited to educational lunch and learns that are offered at MMCSC or, in some cases, brought to the communities in which members live. The lectures are provided by physicians from MMC in Long Branch and/or MMCSC in Lakewood or other members of our educational team. Topics include: - Healthy nutrition with an introductory cooking class; - Know your medications (and those of your loved ones); - The benefits of exercise; - Stress management; - How to get the most from your doctors visit; and - Are you vaccinated properly. MMCSC provides a variety of community social events in or around Lakewood or at senior communities throughout the area. Focused on arts, entertainment and competition, our events are truly unique and enable members to meet new people while improving their health. Medical and Community Services ============================== MMC's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic, to prevention and treatment. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Additional Medical Services --------------------------- MMC offers many specialized programs including robotic surgery, minimally invasive surgery, regional perinatal center, sleep center, hyperbaric treatment, and integrative medicine. MMC provides comprehensive behavioral health services including psychiatric emergency services, mobile outreach, children's crisis intervention and intensive outpatient services. Consistent with revenue ruling 69-545 all qualified physicians are eligible for medical staff privileges at MMC. MMC had nearly 1,000 physicians on its medical staff in 2015 and other health professionals, comprised of the following specialties: - Adult Psychiatry; - Allergy, Med.; - Allergy, Ped.; - Anatomic & Clinical, Path; - Anesthesiology; - Cardiology, Med.; - Cardiology, Ped.; - Child Development, Ped.; - Child Psychiatry; - Colon & Rectal Surgery; - Critical Care, Ped.; - Dentistry, Out; - Dermatology, Med.; - Emergency Medicine; - Endocrinology, Med.; - Endocrinology, Ped.; - Endodontics, Outpt Dent; - Endoscopy, Med.; - Family Practice; - Foot & Ankle; - Gastroenterology, Med.; - Gastroenterology, Ped.; - General Dent, Inpt Dent; - General Dent, Outpt Dent; - General Pediatrics; - General Surgery; - General/Sports; - Geriatrics; - Gynecologic Oncology; - Hand Surgery; - Hand/Sports; - Hematology/Oncology, Med.; - Hematology/Oncology, Ped.; - Hospitalist; - Infectious Disease, Med.; - Infectious Diseases, Ped.; - Internal Medicine; - Joints; - Joints/Sports; - Maternal Fetal Med.; - Medical Genetics, Ped.; - Neonatology; - Nephology, Ped.; - Nephrology; - Neurology; - Neurology, Ped.; - Neurosurgery; - Ob/Gyn; - Ophthalmology; - Oral Surgery, Inpt Dent; - Orthodontics, Outpt Dent; - Orthopedic Surgery; - Otolaryngology; - Pain Management; - Pathology; - Pediatric Surgery; - Pediatric, Inpt Dent; - Peds; - Periodontics, Outpt Dent; - Physical Med. & Rehab.; - Plastic & Recon. Surgery; - Podiatric Medicine; - Prosthodontics/Outpt Dent; - Psychiatry; - Psychiatry & Neurology; - Pulmonary Med.; - Pulmonary, Ped.; - Radiation Oncology; - Radiology; - Reproductive Endo & Infert.; - Reproductive Endocrinology; - Rheumatology, Med.; - Spine; - Sports; - Thoracic Surgery; - Total Joints; - Urogynecology; - Urology; and - Vascular Surgery. MMCSC had approximately 360 physicians on its medical staff during 2015 comprised of the following specialties: - Allergy/Immunology; - Anesthesiology; - Cardiology; - Colon-Rectal Surgery; - Dentistry; - Dermatology; - Emergency Medicine; - Endocrinology, Diabetes & Metabolism; - Family Practice; - Gastroenterology; - General Surgery; - Geriatrics; - Gynecology; - Hematology/Oncology; - Infectious Disease; - Internal Medicine; - Internal Medicine/Pediatrics; - Nephrology; - Neurology; - Neurosurgery; - Ophthalmology; - Orthopedic Surgery; - Otolaryngology; - Pain Management; - Pathology; - Physical Medicine/Rehab; - Plastic Surgery; - Podiatry; - Psychiatry; - Pulmonary Medicine; - Pulmonology/Critical Care; - Radiation Oncology; - Radiology; - Repro Endo; - Rheumatology; - Thoracic Surgery; - Urology; and - Vascular Surgery. MMC Community Service Centers ----------------------------- MMC is committed to keeping its community healthy and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. MMC operates the Department of Community Health & Wellness which is designed to promote health and health awareness for the community. The Department of Community Health & Wellness has a philosophy and way of life that allows individuals to reach their full potential for optimal well-being. Recognizing that individuals have become increasingly health conscious and are seeking new ways to improve their health and prevent illness, MMC's Department of Community Health Education has developed multiple programs to assist the community in fulfilling their health goals. Community Benefit Programs -------------------------- (1) Monmouth Medical Center's annual 'Roll Out the Ribbons' Campaign Supports the Fight Against All Cancers To raise awareness of cancer in all its forms and educate the public about the importance of early detection and prevention, MMC created a unique summertime awareness campaign designed to unify the community in the fight against cancer and honor courageous individuals who have and are fighting the battle. MMC, along with our local residents, is dedicated to a long-term awareness campaign designed to bring together the surrounding communities in the fight against all types of cancer. Together, we are striving to educate the community about the risk factors associated with cancer and preventive approaches to the disease, and help those affected cope with the challenges ahead. We all know that there is strength in numbers and one unified voice speaks louder and more clearly than many different ones. The Roll out the Ribbons campaign is designed to do just that - bring together surrounding communities for a strong fight against a single enemy, Cancer. The Roll Out the Ribbons' "Ribbon of Honor" was designed to represent all types of cancer, as symbolized by its color: lavender, the official color of awareness of all cancers. The colored stripes represent the 12 most common types of cancer: thyroid, prostate, pancreatic, bladder, breast, colorectal, endometrial, kidney, leukemia, lung, melanoma and lymphoma. Local businesses and the community are encouraged to participate in the campaign. Funds raised go to patient and family programs of the Leon Hess Cancer Center and the Valerie Fund Children's Center for Cancer and Blood Disorders at MMC. (2) MMC and Social Community Activates Network Partner on Services for Active Adult Community For more than 25 years, MMC has partnered with the Social Community Activates Network ("SCAN") (formerly the Senior Community Activities Network), located in the Monmouth Mall in Eatontown, in service to the active adult community. Like SCAN, which promotes a culture of lifelong learning, healthy lifestyles and independent living by offering programs that make the community "Healthy, Wealthy & Wise", MMC believes that "Life is Better Healthyis dedicated to helping seniors live healthy lifestyles. Throughout the year, MMC provides a host of health lectures, screenings and classes led by the hospital's doctors and healthcare professionals. These free programs, which MMC advertises monthly in the Asbury Park Press, focus on topics such as heart health, stroke prevention, brain health, cancer awareness, nutrition and stress relief. MMC teams with SCAN to offer Take Control of Your Health, a free, six-week workshop to teach strategies for managing daily life when living with chronic conditions such as arthritis, heart and lung conditions, anxiety, diabetes and high blood pressure. Created by Stanford University, the evidence-based Take Control of Your Health workshop teaches individuals how to: - Manage stress; - Improve communication; - Cope with depression and fatigue; - Increase energy levels; - Eat healthy and maintain weight; and - Get more out of life. MMCSC Community Service Centers ------------------------------- MMCSC in Lakewood is equally committed to keeping its community healthy, and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. As a BH facility, MMCSC prides itself on recognizing the growing needs of the community and fulfilling those needs by providing new, specialized programs and services. MMCSC operates the following centers designed to promote health and health awareness for the community. (1) The Center for Health Living The Center for Healthy Living offers an array of programs designed to keep the community healthy through education and screenings. Among its award winning programs is the Caregivers Education & Support Group facilitated by a licensed clinical social worker to provide counseling and support to anyone caring for a person age 60 or older in Ocean County. The center also offers an American Diabetes Association recognized diabetes education and support program which is designed for newly diagnosed diabetes and provides self-management education through a 9-hour program which is divided into three separate 3-hour classes. Participants in all of the programs at the Center for Healthy Living experience enhanced physical, emotional and spiritual healing through individual and group programs in an environment where they can join with others to learn and share experiences, strength and hope. Popular programs at the Center for Healthy Living include yoga and self-defense. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | (2) The Center for Healthy Aging The Center for Healthy Aging addresses the unique needs of the region's aging population by offering healthcare programs that promote healthy lifestyles and enhance seniors' quality of life. The Center for Healthy Aging offers a variety of unique services dedicated to improving the health and well-being of seniors, including providing them with access to health coaches. These healthcare professionals act as liaisons, assisting seniors with talking to their doctors or finding a physician; scheduling appointments and arranging transportation; and navigating through the MMCSC health system to ensure they receive the best, most comprehensive care possible. The goal of the Center for Healthy Aging is to provide older adults with easy and convenient access to a variety of healthcare services in their own community and to encourage them to live independently, confidently and happily. In keeping with the new Center for Healthy Aging's mission, MMCSC continues to offer a variety of educational, screening and support programs which include diabetes management/support, nutritional counseling, fall prevention and balance testing. Approximately 16,000 individuals participated in medical screenings, support groups and educational programs at MMCSC in 2015. Screening Programs ------------------ MMC provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes. Approximately 97,000 individuals participated in MMC's medical screenings, health fairs and educational programs in 2015. These include, but are not limited to, the following: - Blood Pressure; - Body Composition/BMI; - Derma View Facial Scan & Skin Cancer (Choose Your Cover); - Cholesterol; - Glucose; - Breast Health/Mammograms; - High-Risk Lung Cancer; - Peripheral Artery Disease; - Complete InBody Analysis; - Cardiac and Concussion for Young Athletes; - Cardiac Risk Assessments; and - Community Events/Health Fairs. Medical screening programs provided by the MMCSC Lakewood campus in furtherance of its tax-exempt purposes include the following: - Skin Cancer screenings (Choose Your Cover); - Glucose screenings; - Blood Pressure screenings; - Cardiac Screening & Concussion Testing for young athletes; - Mental Health screening; and - Bone Density screenings. Community Education ------------------- MMCs and MMCSCs ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients, part of at risk populations, are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives. MMC provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: (1) CPR and First Aid Instruction - Heartsaver CPR/AED program; and - Heartsaver First Aid. (2) Wellness Programs/Health Fairs - The Rewards of Getting Rid of Stress Workshop; - Mindfulness Meditation stress reduction; - Qi-Gong, reduce stress, build stamina and increase vitality; - Great American Smoke-out Informational Session; - Babysitting/Safe Sitter; - Ladies Night Out, Empowering Women to Live Healthy; - Strategies for Health Aging; - Creating Health: How to Identify and Overcome 10 Hidden Obstacles To Living A Healthy Lifestyle; - Habits of Healthy People; - Community Health Fair with the Monmouth County Park System; - Take Control of Your Health Fair; - Tinton Falls Health Fair; - Howell Township Health Fair; - Health Fair at Peter Cooper Village; - Minority and Multicultural Health Fair; - Tu Sello Latino Fest; - Day of Dance for Heart Health; - Community Health Fair featuring Story Pirates for Kids Health; - Annual Oceanport Summers End Festival, offering safe child safety info; - Acupuncture Benefits; - Belmar Chase; - Oceanfest; - Blood Drives; - Physicians Night at The Lakewood BlueClaws (education and lectures); - FinnFest Music Therapy Program; - Nutrition and Brain Fitness Fair; and - Spirit of Women Ladies Night Out: excellence in women's health, education and community outreach. (3) Various Educational Sessions - Conversations with the Pharmacist; - Total Joint Replacement Information Session; - Skin Cancer Awareness; - DermaView Facial Scans; - Physician Lecture: Break Free From Pelvic Floor Disorders; - Choose Your Cover - Free Skin Cancer Screenings and Education; - 4-week Diabetes Self-Management Series; - Eating Heart Healthy with Diabetes; - Heart Health As We Age; - Heart Health Fair and Wear Red Day; - Chinese and Russian Medical Program Information Sessions; - Living with Alzheimer's Disease for the Caregiver: Late Stage; - Parkinson's Disease; - Insomnia Educational Session; - Health Information on the Internet; - Heart Health and Updates on Cancer Screenings Your Heart and Electrical Disturbances; - Free Art Workshop for Those Impacted by Brain Tumors; - Camp Jinka for kids and teens with a loved one diagnosed with a brain tumor; - Stroke Awareness Educational Sessions; - Living Smoke-Free: 5-week series Lung Cancer Education and Screening Event; - Natural Ways to Manage Depression; - Pediatric Pre-Operative Tours; - Power of Pink Luncheon; - Hip and Knee Pain Information Session at Marlboro Recreation Center; - Understanding Your Options for Rehab; - Womens Health: Perimenopause; - New Patients Weight Loss Surgery Educational Lecture; - Breast Cancer Awareness; - Fall Prevention; - Bipolar Disorder; - 2015 Jersey Shore Undy 5000 Colon Cancer Alliance; - Living Well With Diabetes; - Assisting Those in Emotional or Mental Health Crises; - Irritable Bowel Syndrome Lecture; - Antibiotics and Your Immune System; - Seasonal Affective Disorder (SAD); - Make Some Noise: Cure Kids Cancer Foundation Event; - Peripheral Vascular Disease (PVD) Education; - Palliative Care: What is it and when is it appropriate?; - Restorative Yoga for Cancer Survivors; - Gluten Intolerance and Celiac Disease; - Ask the Oncology Nurse; - GERD Education at Keyport and Howell Senior Centers; - Cancer Survivor Party and Survivorship Day; - Eye Care As We Age; and - Geriatric Emergency Medicine Information Session. (4) Childbirth Preparation and Parenting Programs - Baby Fair; - The Eisenberg Family Center Tours; - Breastfeeding Today; - Preparation for Childbirth - 5 week series; - One-Day Preparation for Childbirth; - Two-Day Preparation for Childbirth - One-Day Marvelous Multiples; - Childbirth Update / VBAC; - Cesarean Birth Education; - Baby Care Basics; - Make Room for Baby (Children ages 2 and up); - Grandparents Program; - Adoptive Parenting; - Moms of Multiples Support Group; - Mother to Mother Support Group; - Postpartum Depression (PPD)/Anxiety Support Group; - Breastfeeding Support Group; - Happiest Baby on the Block; - Daddy Knows Best; - Gestational Diabetes Education Program; - Understanding your Toddler; and - Climb Out of the Darkness: Awareness of Maternal Mental Illnesses. (5) Support Groups - Individual Bereavement Counseling; - General Bereavement Drop-In Support Group; - Living with Breast Cancer Support Group; - Early-Stage Breast Cancer Support Group; - Ovarian Cancer Support Group; - Support for People with Oral, Head and Neck Cancer; - US TOO: Prostate Cancer Support Group; - Weight Loss Support Group; - Diabetes Support Group; - Children/Adolescents Experiencing Loss; - Kids Need Support, Too; - Alzheimer's Caregivers Support Group; - Grandparents Raising Grandchildren Support Group; - Kogan Celiac Center Support Group; - Inflammatory Bowel Disease Support Group; - Pediatric Diabetes Support Group; - Adult Attention Deficit Disorder (ADD) Support Group; - Family Support Group; - Cleft Palate Support Group; - Shore Area Stroke Survivors; - Look Good, Feel Better; - New Babies, New Emotions Support Group; - Voices Sickle Cell Support Group; - Adult Pulmonary Support Group/Better Breathers Club; - Living Smoke-Free Support Group; - Trigeminal Neuralgia (TNA)/Facial Pain Support Group; - Caregiver Support Group; - Cardiac Support Group; - Survivors of Suicide Support Group; - Transitioning Through Loss Support Group; - Healing Ourselves Together; - Relaxation and Guided Imagery; - Weekly Cancer Support Group; - Blood Cancer Support Group; - Nutrition and Oncology Support Group; and - Amputee Support Group. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | (6) MMC's Speakers Bureau MMC's Speakers Bureau brings an extensive range of healthcare programs to businesses, religious establishments or community sites such as senior centers. Our highly training physicians, nurses and other health professionals share their knowledge on a variety of interesting and stimulating subjects concerning healthcare and hospital services. The MMCSC Lakewood campus also offers a full array of wellness programs, including numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: (1) Older Adults - Senior Health & Fitness Day; - Aging Eyes Physician Lecture; - Audiology Program Physician Lecture; - Age-Related Hearing Loss Program; - Brain Health As You Age; - Talking With Your Doctor; - Build Your Brain; - SCAN: Brain Health Fair; - Balance Presentation; - Tai Chi for Seniors; - Health & Education Program for Seniors, out in Senior Communities; - Fall Prevention Workshop: Staying Falls Free; - Mobile Phlebotomy Units to increase access for lab work at Senior Communities; - Osteoporosis Lunch and Learn; - Lunch & Learn: Understanding Medicare & Your Options For Comprehensive Coverage; - Health Screenings for Seniors at YMCA Open House; - Silverwoods Expo; and - Staying Safe After 60. (2) Support Groups - Caregiver's Support Group; - Diabetes Support Group; - Bereavement Support Group; - Grandparents Raising Grandchildren Support Group; - Smoking Cessation Support Group & 6-week Tobacco Quit Program; - All cancers support group; and - Finding Rainbows children & families impacted by a Cancer diagnosis. (3) Various Seminars and Physician Lectures - Colorectal Cancer Awareness Education Session; - Weight Loss Surgery - Educational Physician Lecture; - Choose Your Cover - skin cancer education and prevention; - Look Good Feel Better by the American Cancer Society Lunch & Learn: Heart Health; - Lung Cancer Education & Screening Event; - Living Heart Healthy; - Top Tests That Can Save Your Life; - The Joy of Positive Thinking; - Family Ties: Why Your Family History and Genetics Matter; - Living With Alzheimers Disease for the Caregiver: Middle and Late Stages; - Lunch & Learn: Solutions for Better Pelvic Health; - Lunch & Learn: Under Pressure Healing Problematic Wounds with Oxygen; - Wholehearted Health: Recipes for a Healthy Lifestyle; - Dont Miss a Beat; - Living Well with Diabetes; - Online Health Information: Can You Trust It?; - Basics of Diabetes; - "Take Control of Your Health" - a chronic disease self-management program; - Breaking Down Nutrition Labels; - Ask the Oncology Nurse; - Get Heart Healthy Luncheon; - Coffee and a Craft for those affected by cancer; - Exploring the Web: Useful Sites for Cancer Patients; and - Joint Replacement Lecture. (4) Instructional Classes and Programs - HealthEASE Move Today Program; - Qigong for Health, Longevity, Weight Loss & Stress Reduction; - Classic Yoga, Gentle Yoga, Chair Yoga and All Levels Yoga; - Defensive Driving, sponsored by The Ocean County Department of Safety; - Diabetes Education & Self-Management 4-week series; - Pet Therapy to promote healing and reduce stress of hospitalization; - Self Defense & Exercise; - Lunch & Learn: The Health Benefits of Tai Chi; - Relaxation & Guided Imagery; - Benefits of Exercise; - Complimentary Consults with a Registered Dietician; and - Meditation & Relaxation. |
| CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | ROBERT M. GERARD AND JOSEPH A. TORCIVIA - BUSINESS RELATIONSHIP. FRANK CIESLA, ESQ. AND STEVEN J. CORODEMUS, ESQ. - BUSINESS RELATIONSHIP. DAVID SICKEL AND RAYMOND F. SHEA, JR. ESQ. - BUSINESS RELATIONSHIP. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS 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, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION, THE SYSTEM'S VICE PRESIDENT OF INTERNAL AUDIT AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. ("BH") IS THE TAX-EXEMPT PARENT ENTITY OF BARNABAS HEALTH. BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART VII AND SCHEDULE J | GERALD L. TOFANI, CPA, FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN BARNABAS HEALTH AS VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER OF OUTPATIENT SERVICES. |
| CORE FORM, PART XII; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $770,817; - NET EQUITY TRANSFER TO INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES - ($782,008); AND - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $983,000. - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - $781,000. |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM 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 THE BARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 | THIS ORGANIZATION IS AN AFFILIATE WITHIN BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
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