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) WILLIAM M RUE...................................................................... CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0	0
(2) WILLIAM J WALSH JR...................................................................... VICE CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0	0
(3) SHARIQ A AFRIDI MD...................................................................... TRUSTEE	10.0 ................. 0.0	X		42,875	0	0
(4) GREGORY BLAIR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(5) LYNNE J CANNON...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(6) RICHARD FREEMAN...................................................................... TRUSTEE - PRESIDENT/CEO	55.0 ................. 0.0	X	X	0	564,754	124,433
(7) RICHARD GREGG MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(8) CAROL HOLLOWAY...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(9) SHING FU HSUEH PHD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(10) PETER INVERSO...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(11) STEPHEN K JONES...................................................................... TRUSTEE - PRESIDENT/CEO RWJUH	60.0 ................. 0.0	X		0	1,679,288	44,389
(12) SHARON LAMONT...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(13) NINA MELKER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(14) PHILLIP S MILLER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(15) MICHAEL PRATICO JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(16) BRIAN M REILLY...................................................................... TRUSTEE - EVP/CFO RWJUH	55.0 ................. 0.0	X		0	719,238	253,930
(17) SHERISE RITTER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) PATRICK RYAN........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(19) CYNTHIA E VONA DDS MD........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(20) EILEEN MARTINSON........................................................................ TRUSTEE (1/1 - 6/1)	1.0 .......................0.0	X				0	0	0
(21) LESTER G COTTLE........................................................................ CFO	55.0 .......................0.0		X			0	398,983	21,280
(22) ROBERT M PICKOFF MD........................................................................ SR VP - CHIEF MEDICAL OFFICER	55.0 .......................0.0		X			423,557	0	45,648
(23) FREDERICK JACOBS ESQ........................................................................ SR VP - CORP. COUNSEL	55.0 .......................0.0		X			380,134	0	5,943
(24) LISA A BREZA........................................................................ SR VP - CNO	55.0 .......................0.0		X			262,762	0	76,619
(25) DIANE M GRILLO........................................................................ SR VP-CHIEF LEARN & COMM OFF.	55.0 .......................0.0		X			235,628	0	15,646
(26) JOYCE M SCHWARZ........................................................................ VP - QUALITY	55.0 .......................0.0		X			242,699	0	6,421
(27) HONESTO M POBLETE MD........................................................................ VASCULAR PHYSICIAN	55.0 .......................0.0			X		426,696	0	29,024
(28) ROBERT MAYSON MD........................................................................ PHYSICIAN	55.0 .......................0.0			X		372,052	0	35,417
(29) KHALAF RABADI MD........................................................................ PHYSICIAN	55.0 .......................0.0			X		365,146	0	17,652
(30) CHRISTIAN T HOFFMAN MD........................................................................ PHYSICIAN	55.0 .......................0.0			X		357,370	0	5,410
(31) Lubna Ahmed MD........................................................................ PHYSICIAN	55.0 .......................0.0			X		354,267	0	20,299
(32) ANTHONY J CIMINO........................................................................ FORMER OFFICER	0.0 .......................0.0				X	899,552	0	22,385

(A) Name and business address	(B) Description of services	(C) Compensation
ARAMARK CORPORATION, 27310 Network Place CHICAGO,IL60673	FOOD/MANAGEMENT	5,815,153
RESTORIX HEALTH INC, 155 WHITE PLAINS ROAD TARRYTOWN,NY10591	MEDICAL	1,665,070
UNIVERISAL HOSPITAL SERVICES, PO Box 86 MINNEAPOLIS,MN55486	CLINICAL ENGINEERING	1,386,013
HAMILTON ANESTHESIA ASSOCIATES, 1245 WHITEHORSE MERCERVILLE ROAD MERCERVILLE,NJ08619	MEDICAL	1,291,378
NOTTINGHAM PHYSICIAN ASSOCIATION, 66 WEST GILBERT STREET SUITE 100 RED BANK,NJ07719	MEDICAL	1,122,712
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 59

- 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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

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 Robert Wood Johnson University Hospital at HAMILTON

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 Robert Wood Johnson University Hospital at HAMILTON		Employer identification number 21-0634572

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 Robert Wood Johnson University Hospital at HAMILTON			Employer identification number 21-0634572
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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

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.)		(a) Filing organization's totals	(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) ...........................................	132,236	132,236
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	132,236	132,236
d	Other exempt purpose expenditures .........................................................................................	183,210,948	190,527,861
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	183,343,184	190,660,097
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	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) ..........................................................................	250,000	250,000
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	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	91,427	136,022	134,409	132,236	494,094

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

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? .......................

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

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

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

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 (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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

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 ....	1,805,390	1,777,505	2,225,131	1,595,335	836,570
b	Contributions ...
c	Net investment earnings, gains, and losses	361,055	262,558	196,426	1,484,794	885,386
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	301,540	234,673	644,052	854,998	126,621
f	Administrative expenses ....
g	End of year balance ......	1,864,905	1,805,390	1,777,505	2,225,131	1,595,335

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

Temporarily restricted endowment SchDMd Bullet

100.000 %

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)

Yes

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

3a(ii)

Yes

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

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 ...	87,255		87,255
b	Buildings	130,721,511	55,002,200	75,719,311
c	Leasehold improvements
d	Equipment ...	108,466,995	91,584,207	16,882,788
e	Other ...	6,366,312	4,926,297	1,440,015
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				94,129,369

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	20,572,282	F
(2)USE	9,728,912	F
(3)USE	5,668,410	F
(4)LIMITED USE	3,747,774	F
(5)LIMITED USE	689,051	F
(6)USE	7,068,357	F
(7)LIMITED USE	7,448,916	F
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	54,923,702

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) OTHER RECEIVABLES				809,599
(2) ORGANIZATIONS				1,864,905
(3) DUE FROM AFFILIATES; CURRENT				22,747,053
(4) NON-CURRENT				4,640,802
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				30,062,359

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
EST. AMOUNTS DUE TO THIRD PARTY	6,040,690
INSURANCE LIABILITY	4,024,226
DUE TO AFFILIATES; NET	8,350,321
DUE TO AFFILIATE	34,263,603
ACCRUED INTEREST	2,673,276
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	55,352,116
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.

SCHEDULE D, PART X

THE ORGANIZATION IS AN AFFILIATE OF ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON ("RWJHCCH") IS THE PARENT OF THE SYSTEM. THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE ASC 740 FOOTNOTE BELOW IS FROM THE SYSTEM'S 2015 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. RWJHCCH, THE HOSPITAL, THE FOUNDATION, AND LAKEVIEW ARE ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. IN ADDITION, RWJHCCH, THE HOSPITAL, THE FOUNDATION AND LAKEVIEW ARE EXEMPT FROM STATE INCOME TAXES AND ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2012. THESE ENTITIES ACCOUNT FOR UNCERTAINTY IN INCOME TAXES USING 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 IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015 AND 2014. RWJHCCH'S FEDERAL INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2012.

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
Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

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	2,992,289
	Central America and the Caribbean			Investments		6,308,639















3a	Sub-total .....	1	1			9,300,928
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			9,300,928

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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

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 %

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? . . . . . . . . . . . . . . . . . . . . . . .

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? . . . . . . . . .

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			5,117,334	2,221,157	2,896,177	1.580 %
b	Medicaid (from Worksheet 3, column a) . . . . .			23,916,151	15,643,925	8,272,226	4.510 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			29,033,485	17,865,082	11,168,403	6.090 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,965	19,054	3,533,762	30,000	3,503,762	1.910 %
f	Health professions education (from Worksheet 5) . . .	100	1,977	1,677,887		1,677,887	0.920 %
g	Subsidized health services (from Worksheet 6) . . . .	3	205	220,991		220,991	0.120 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			77,469		77,469	0.040 %
j	Total. Other Benefits . .	2,068	21,236	5,510,109	30,000	5,480,109	2.990 %
k	Total. Add lines 7d and 7j .	2,068	21,236	34,543,594	17,895,082	16,648,512	9.080 %

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.

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

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

7,537,733

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. ......

326,621

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).....

58,120,952

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

49,041,666

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

9,079,286

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)
1	RWJ UNIVERSITY HOSPITAL HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 WWW.RWJHAMILTON.ORG 11101	X	X	X

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)

	RWJ UNIVERSITY HOSPITAL HAMILTON
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 15

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

Yes

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

Yes

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.RWJHAMILTON.ORG

Other website (list url): SEE SCHEDULE H, PART V, SECTION C

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.RWJHAMILTON.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)

	RWJ UNIVERSITY HOSPITAL HAMILTON
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 200.% 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):

WWW.RWJHAMILTON.ORG

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

WWW.RWJHAMILTON.ORG

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

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)

	RWJ UNIVERSITY HOSPITAL HAMILTON
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?..................

Yes

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

Page 7

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
SCHEDULE H, PART V, SECTION B, QUESTION 5	Robert Wood Johnson University Hospital at Hamilton (RWJHH) is committed to serving the vast array of neighborhoods comprising its service area and recognizes the importance of preserving a local community focus to effectively meet community needs. RWJHH adheres to a single standard for assessing and meeting community needs, while retaining a geographically focused approach for soliciting community participation and involvement, and providing important community outreach. The hospital fosters continued community participation and outreach activities through linkages with the Greater Mercer Public Health Partnership (GMPHP) which serves as a critical conduit for bringing the needs and concerns of the community forward to RWJHH and serves as the hospital's Community Advisory Board (CAB). The leadership and financial support for this Board, is a collaborative of all three hospitals in Mercer County, New Jersey RWJHH, Capital Health System/Hopewell and St. Francis Medical Center, St. Lawrence Rehab, an acute rehabilitation center and eight local health departments. This group leads comprehensive community health planning efforts to measurably improve the health of the greater Mercer County, which includes our primary and secondary service areas. This group feeds information to the hospital and is the way for community members to share important information about community needs with hospital leadership, public health officials and the community at large. All nonprofit agencies within Mercer County are invited to participate in the Community Advisory Board created to address the health needs of the County. This group conducts periodic community health assessments (CHA) of community health needs, as well as developing strategic goals for community health improvement plans (CHIP).
SCHEDULE H, PART V, SECTION B, QUESTIONs 6A & 6b	The organization conducted a community health needs assessment with Capital Health System/Hopewell, St. Francis Medical Center, St. Lawrence Rehabilitation Center and the county health departments both in 2012 and 2015.
SCHEDULE H, PART V, SECTION B, QUESTION 7B	THE CHNA IS LISTED ON THE HOSPITAL'S WEBSITE. IN ADDITION, THE HOSPITAL FACILITY MAKES ITS CHNA REPORT AVAILABLE TO THE PUBLIC VIA THE FOLLOWING WEBSITE: WWW.UWGMC.ORG/.../GREATER-MERCER-PUBLIC-HEALTH-PARTNERSHIP
SCHEDULE H, PART V, SECTION B, QUESTION 8	THE FACILITY, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS IDENTIFIED AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THESE PRIORITY HEALTH NEED AREAS. THE CHNA INFORMS THE FACILITY'S STRATEGIC PLANNING WHICH INCORPORATES ELEMENTS FROM THE CHNA IMPLEMENTATION PLAN IN ITS STRATEGIES TO MEET ITS GOAL OF IMPROVED COMMUNITY HEALTH. THE CHNA IMPLEMENTATION PLAN ALSO INCLUDES RESOURCES, ACTIONS AND GOALS (MEASURABLE).
SCHEDULE H, PART V, SECTION B, QUESTION 11	AS DISCUSSED ABOVE, THE FACILITY CONDUCTED A COMPREHENSIVE ASSESSMENT AND A MYRIAD OF HEALTH NEEDS WERE IDENTIFIED. GIVEN LIMITED RESOURCES, NEEDS WERE PRIORITIZED WITH CONSIDERATION OF SERVICE ARRAY OFFERED BY THE FACILITY AND ABILITY TO COLLABORATE.
SCH H, PART V, SECT B,Q'S 2,3J,13B,13H,15E,16I,18D,19D,20E,21C,21D,23,24	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 22D	THE FACILITY USES THE MEDICAID RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE.

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?7
Name and address		Type of Facility (describe)
1	CANCER INSTITUTE NEW JERSEY HAMILTON 2525 KLOCKNER ROAD HAMILTON,NJ08690	ONCOLOGY SERVICES
2	RWJ HAMILTON CTR FOR HEALTH & WELLNESS 3100 QUAKERBRIDGE ROAD HAMILTON,NJ08619	REHAB., COMMUNITY EDUCATION & FITNESS CENTER
3	RWJ HAMILTON SLEEP CARE CENTER 1 UNION STREET ROBBINSVILLE,NJ08691	SLEEP CENTER
4	RWJ HAMILTON OCCUPATIONAL HEALTH 2 HAMILTON HEALTH PLACE HAMILTON,NJ08690	OCCUPATIONAL FACILITY
5	RWJ HAMILTON DIAGNOSTIC CTR AT COLUMBUS 1 SHEFFIELD DRIVE MANSFIELD TOWNSHIP,NJ08691	DIAGNOSTIC FACILITY
6	RWJ HAMILTON AT EWING 1440 LOWER FERRY ROAD EWING,NJ08618	REHABILITATION FACILITY
7	RWJ REHABILITATION AT LAWRENCEVILLE 4152 QUAKERBRIDGE ROAD LAWRENCEVILLE,NJ08648	REHABILITATION FACILITY
8
9
10

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	THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2010 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 6A	NOT APPLICABLE.
SCHEDULE H, PART I, LINE 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES.
SCHEDULE H, PART III, LINES 2, 3 & 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION PREPARES AND ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED. THE FOLLOWING TEXT WAS OBTAINED FROM THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTHCARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO ONGOING AND FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS AND ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS AT AMOUNTS DIFFERENT FROM THEIR ESTABLISHED RATES. A SUMMARY OF THE PAYMENT ARRANGEMENTS WITH MAJOR THIRD-PARTY PAYORS INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING: - MEDICARE - INPATIENT ACUTE CARE SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID UNDER THE PROSPECTIVE PAYMENT SYSTEM AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. OUTPATIENT SERVICES ARE PAID UNDER THE OUTPATIENT PROSPECTIVE PAYMENT SYSTEM AT PROSPECTIVELY DETERMINED RATES PER AMBULATORY PAYMENT CLASSIFICATION. THE HOSPITAL IS REIMBURSED FOR CAPITAL-RELATED COSTS UNDER THE FULLY PROSPECTIVE PAYMENT METHODOLOGY. - MEDICAID - INPATIENT ACUTE CARE SERVICES RENDERED TO MEDICAID PROGRAM BENEFICIARIES ARE PAID UNDER A PROSPECTIVE METHODOLOGY WHICH, SIMILAR TO MEDICARE, IS BASED ON PREDETERMINED RATES PER DISCHARGE. OUTPATIENT SERVICES ARE PAID BASED UPON A COST REIMBURSEMENT METHODOLOGY. THE HOSPITAL IS REIMBURSED AT A TENTATIVE RATE WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS AND AUDITS THEREOF BY THE MEDICAID FISCAL INTERMEDIARY. - COMMERCIAL INSURANCE - THE HOSPITAL HAS ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS, AND PREFERRED PROVIDER ORGANIZATIONS WHICH COVER HEALTH BENEFITS AND WORKERS' COMPENSATION FOR COMMERCIAL, MEDICARE AND MEDICAID MEMBERS. THE BASIS FOR PAYMENT TO THE HOSPITAL UNDER THESE AGREEMENTS VARIES BY PAYOR, BUT TYPICALLY INCLUDES PROSPECTIVELY DETERMINED RATES PER DISCHARGE, DISCOUNTS FROM ESTABLISHED CHARGES, PROSPECTIVELY DETERMINED DAILY RATES, AND/OR COST PASS-THROUGH REIMBURSEMENT FOR CERTAIN HIGH COST ITEMS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL COLLECTIONS FOR SELF-PAY PATIENTS WAS 90% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2015 AND DECEMBER 31, 2014, RESPECTIVELY. THE HOSPITAL'S SELF-PAY ACCOUNT WRITE-OFFS (NET OF RECOVERIES) DECREASED TO $6,299,515 IN 2015 FROM $10,769,415 IN 2014. THE DECREASE FROM PRIOR YEAR IS THE RESULT OF FEWER UNINSURED PATIENTS IN 2015 DUE TO THE AFFORDABLE CARE ACT. THE HOSPITAL HAS NOT CHANGED ITS FINANCIAL ASSISTANCE POLICY IN 2015 OR 2014 except for FINANCIAL ASSISTANCE POLICY CHANGES AS REQUIRED BY THE INTERNAL REVENUE SERVICE. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUES ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED IN ACCORDANCE WITH THE HOSPITAL'S POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION OF BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT SERVICE REVENUES, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS (BUT BEFORE THE PROVISION OF BAD DEBTS), RECOGNIZED IN 2015 AND 2014 FROM THESE MAJOR PAYOR SOURCES, ARE AS FOLLOWS: PATIENT SERVICE REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) - DECEMBER 31, 2015; THIRD-PARTY GOVERNMENT PAYORS - $100,240,521; THIRD-PARTY COMMERCIAL PAYORS - $95,955,671; SELF-PAY - $1,271,114; TOTAL - $197,467,306. - DECEMBER 31, 2014; THIRD-PARTY GOVERNMENT PAYORS - $93,818,963; THIRD-PARTY COMMERCIAL PAYORS - $83,017,683; SELF-PAY - $8,744,286; TOTAL - $185,580,923. CHARITY 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. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.
SCHEDULE H, PART III, LINE 8	MEDICARE COSTS WERE DERIVED FROM THE 2015 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL 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. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; TH
SCHEDULE H, PART III, LINE 9B	ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE RWJ HAMILTON BUSINESS OFFICE, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, AND FOLLOW-UP TELEPHONE CONTACT. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY.
SCHEDULE H, PART VI; QUESTION 2	In fiscal year 2012, RWJ Hamilton provided community benefit programs and services to the greater Mercer County residents including the five counties in our primary and secondary service area which are: Mercer, Monmouth, Burlington, Middlesex, NJ and Bucks County, PA. The provision of these services represents RWJ Hamiltons long-standing commitment to meet the health needs of individuals and families, to provide services to a diverse population, assure access to medical care broadly and importantly provide quality healthcare for our region's most vulnerable residents. RWJ Hamilton has a longstanding history, in advance of the community benefits statute, of working collaboratively with other organizations to assess and address community needs. Regular partners in our educational outreach include national groups such as the American Heart Association, the American Cancer Society and the American Diabetes Association. As far back as 1998, RWJ Hamilton recognized the importance of community outreach and health promotion to distinguish itself from its competitors as well as to help community members become more active participants in their own health decisions and in a full continuum of care model, plan the education alongside healthcare professionals, including board certified physicians and to find appropriate and adequate space to house many of the screenings, support groups and lectures. In 2005, we opened the RWJ Fitness & Wellness Center, with 86,000 square feet of space for one stop shopping concept for wellness and prevention specialists. We understand it is our responsibility to assist medical consumers in becoming more informed - ultimately a more informed consumer will be a better steward of his or her own health. The hospital seeks to serve as the community's source of health information and healthy living opportunities. They actively seek out community partners and other providers. In 2015, over 100,000 direct contacts were made with our community by our health educators and 35,000 individuals attended community education lectures, led by health experts in every field of medicine. Methodology In 2015, RWJ Hamilton with support from the Greater Mercer County Public Health Partnership which includes RWJH, Capital Health System/Hopewell, St. Francis Medical Center, St. Lawrence Rehabilitation Center, 8 local health departments representing all 13 municipalities in Mercer County. This planning process included two major components, a community health assessment (CHA) to identify the health-related needs and strengths of greater Mercer County, and a community health improvement plan (CHIP), which was developed using the key findings from the CHA to inform discussions and select the following data drive priority health issues, goals and objectives. Four key priorities were identified and incorporated into the RWJH 2015 strategic plan and will be tracked and monitored appropriately. In 2015 the CHA was repeated and the previous four key priority areas were modified to meet the newly identified needs. While they were primarily the same, minor differences were identified that connected with the changing landscape of the community. The revised priorities have been accepted into the RWJ updated strategic plan. Additionally, in depth assessments of our community are completed annually through data analysis and input from the hospital's Medical Advisory Panel (MAP), which includes physicians from 28 specialties who are experts in their individual fields. They meet to develop programs based on their knowledge in their individual specialties and their collective expertise in advancing medicine, prevention and early detection. The MAP physicians are also, in effect, at the frontline of delivering services and providing care to meet the needs of patients and residents in the greater Mercer County area. Their engagement with the assessment process is vital because each member brings a direct knowledge of the populations served, their needs, and the programs currently available to address needs. Results of patient satisfaction surveys, both inpatient and outpatient are analyzed for trends and patient input. A patient collaborative model is now incorporated into the evaluation of patient satisfaction. Through the CHIP model (community health improvement process), data sources including healthy people 2020 are assessed and programming implemented. We examine hospital inpatient and outpatient data through our strategic planning process to identify key diagnoses and develop programs according to the data. A detailed assessment of our patient demographics, inpatient and outpatient diagnosis also fit into the determinants of the plan. Through this process we regularly examine both primary and secondary data. An annual public meeting, our report to our community, is held to share and discuss hospital accomplishments and welcome feedback from community members. Process for Collaborating with Community Leaders RWJH recognizes the importance of working with community members and leaders that represent various sectors of the community in establishing priorities and in identifying organizations and agencies that can best meet the identified healthcare needs. In view of this, RWJH has extensive experience in being an active participant, facilitator or collaborator with multiple health departments, social service agencies and nonprofits in our service area. Community outreach efforts and plans are identified and developed based on customer's disease specific requirements. For example, community diabetes education needs were identified through customer listening as well as analysis of inpatient diabetes volume and national trends. The hospital developed a comprehensive diabetes education program in partnership with physicians and clinical staff and developed a program that was nationally recognized as a source for diabetes self-management education. Our call center, named the health connection, interacts with over 80,000 people annually and coordinates a comprehensive schedule of community education classes. Community listening through this call center resulted in identifying a need for integrative therapy programs and increased coordination of services for women. Consistent with our approach to promote the health of seniors, we identified an opportunity to reduce cholesterol and blood pressure in this population. From this, we set an objective to improve cholesterol and blood pressure for our seniors, compared to national standards and aha guidelines. Our model was successful in improving cholesterol and blood pressure for over 3,800 seniors. We specifically broadened our reach to seniors by hiring a senior health coordinator, licensed professional counselor, to complement the services and increase hours of availability, number of programs and deliver more programs in senior centers and in locations that seniors frequent to increase access to care and information. We similarly established an innovative, role model program to address obesity in children, teens and their families. This program, shapedown, has received national attention for replication in other communities. The opening of the RWJ Fitness and Wellness Center in the fall of 2004 affords the growth and further development of innovative community education programs and screenings, while incorporating all the benefits associated with exercise. Listed below are just a few of the 2,000 programs offered annually to the community at RWJ Hamilton: - Cancer education & treatment - Cardiac services - Corporate wellness - CPR - Diabetes - Education - partnership with Thomas Edison, college of NJ & mercer county community college - Comprehensive heart disease education & prevention program - Healthy cooking kitchen - Integrative therapy - Lakeview child centers - Mini med school - Partnership with the school districts - RWJ Hamilton center for health & wellness - Shapedown, a childhood obesity program - Seniors - Screenings - Youth programming - Smoking cessation - Certified stroke center - Weight management - Womens health Raising awareness and helping educate interested community members is one of the first steps in producing change - whether that change occurs in healthcare services, individual health behaviors, or any other facet of the community and reflects the mission, vision and values of RWJ Hamilton.
SCHEDULE H, PART VI; QUESTION 3	CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS.
SCHEDULE H, PART VI; QUESTION 4	THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN TRENTON TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN HAMILTON, IN MERCER COUNTY. MERCER COUNTY IS THE TWELFTH MOST POPULOUS COUNTY IN THE STATE WITH 13 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS.
SCHEDULE H, PART VI; QUESTION 5	THIS ORGANIZATION HOLDS AN ANNUAL BOARD MEETING OPEN TO THE PUBLIC. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHO 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 THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON'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 RWJ HEALTH CARE CORP HAMILTON.
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 ORIGIN 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 OR ABILITY TO PAY. CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION 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 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 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 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 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 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 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 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 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 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 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; 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 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 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; 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 OR ABILITY TO PAY. SOMERSET HEALTH CARE FOUNDATION, INC. SOMERSET HEALTH CARE 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 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL; 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 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. 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. 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.
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

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" 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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

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 .........

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? ..

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? ................

Yes

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?

Yes

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

Yes

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)
1RICHARD FREEMANTRUSTEE - PRESIDENT/CEO	(i) (ii)	0 ------------- 510,959	0 ------------- 27,250	0 ------------- 26,545	0 ------------- 102,385	0 ------------- 22,048	0 ------------- 689,187	0 ------------- 0
2STEPHEN K JONESTRUSTEE - PRESIDENT/CEO RWJUH	(i) (ii)	0 ------------- 1,071,294	0 ------------- 445,896	0 ------------- 162,098	0 ------------- 15,600	0 ------------- 28,789	0 ------------- 1,723,677	0 ------------- 0
3BRIAN M REILLYTRUSTEE - EVP/CFO RWJUH	(i) (ii)	0 ------------- 548,949	0 ------------- 143,905	0 ------------- 26,384	0 ------------- 228,155	0 ------------- 25,775	0 ------------- 973,168	0 ------------- 0
4LESTER G COTTLECFO	(i) (ii)	0 ------------- 319,347	0 ------------- 25,804	0 ------------- 53,832	0 ------------- 0	0 ------------- 21,280	0 ------------- 420,263	0 ------------- 0
5ROBERT M PICKOFF MDSR VP - CHIEF MEDICAL OFFICER	(i) (ii)	307,260 ------------- 0	30,155 ------------- 0	86,142 ------------- 0	23,992 ------------- 0	21,656 ------------- 0	469,205 ------------- 0	37,179 ------------- 0
6FREDERICK JACOBS ESQSR VP - CORP. COUNSEL	(i) (ii)	284,601 ------------- 0	16,574 ------------- 0	78,959 ------------- 0	3,026 ------------- 0	2,917 ------------- 0	386,077 ------------- 0	64,740 ------------- 0
7LISA A BREZASR VP - CNO	(i) (ii)	236,861 ------------- 0	21,611 ------------- 0	4,290 ------------- 0	50,604 ------------- 0	26,015 ------------- 0	339,381 ------------- 0	0 ------------- 0
8DIANE M GRILLOSR VP-CHIEF LEARN & COMM OFF.	(i) (ii)	192,542 ------------- 0	16,464 ------------- 0	26,622 ------------- 0	4,132 ------------- 0	11,514 ------------- 0	251,274 ------------- 0	0 ------------- 0
9JOYCE M SCHWARZVP - QUALITY	(i) (ii)	196,932 ------------- 0	18,180 ------------- 0	27,587 ------------- 0	4,045 ------------- 0	2,376 ------------- 0	249,120 ------------- 0	0 ------------- 0
10HONESTO M POBLETE MDVASCULAR PHYSICIAN	(i) (ii)	426,540 ------------- 0	0 ------------- 0	156 ------------- 0	3,509 ------------- 0	25,515 ------------- 0	455,720 ------------- 0	0 ------------- 0
11ROBERT MAYSON MDPHYSICIAN	(i) (ii)	369,641 ------------- 0	0 ------------- 0	2,411 ------------- 0	4,245 ------------- 0	31,172 ------------- 0	407,469 ------------- 0	0 ------------- 0
12KHALAF RABADI MDPHYSICIAN	(i) (ii)	362,735 ------------- 0	0 ------------- 0	2,411 ------------- 0	0 ------------- 0	17,652 ------------- 0	382,798 ------------- 0	0 ------------- 0
13CHRISTIAN T HOFFMAN MDPHYSICIAN	(i) (ii)	356,080 ------------- 0	0 ------------- 0	1,290 ------------- 0	4,050 ------------- 0	1,360 ------------- 0	362,780 ------------- 0	0 ------------- 0
14Lubna Ahmed MDPHYSICIAN	(i) (ii)	347,145 ------------- 0	0 ------------- 0	7,122 ------------- 0	2,647 ------------- 0	17,652 ------------- 0	374,566 ------------- 0	0 ------------- 0
15ANTHONY J CIMINOFORMER OFFICER	(i) (ii)	24,766 ------------- 0	49,419 ------------- 0	825,367 ------------- 0	0 ------------- 0	22,385 ------------- 0	921,937 ------------- 0	127,858 ------------- 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 4A	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2015 WHICH WAS INCLUDED IN HIS 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ANTHONY J. CIMINO, $488,488.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDE CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEPHEN K. JONES, $131,950; LESTER G. COTTLE, $21,653; ROBERT M. PICKOFF, M.D, $58,941; FREDERICK JACOBS, ESQ., $75,048 AND ANTHONY J. CIMINO, $330,765. THE DEFERRED COMPENSATION AMOUNTS IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE 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: RICHARD FREEMAN, $102,385; BRIAN M. REILLY, $225,396; ROBERT M. PICKOFF, M.D., $20,875; AND LISA A. BREZA, $46,130.
SCHEDULE J, PART I; QUESTIONS 6A AND 6B	THE EXECUTIVE COMPENSATION PACKAGE FOR THE ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON SYSTEM CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS.
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. PLEASE NOTE THAT ANTHONY J. CIMINO, FORMER PRESIDENT/CHIEF EXECUTIVE OFFICER RECEIVED A BONUS DURING 2015. THIS BONUS REPORTED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN, $49,419, REPRESENTS A BONUS THAT WAS EARNED DURING 2014 BUT PAID OUT AND REPORTED ON HIS FORM W-2 AS TAXABLE WAGES IN 2015.
SCHEDULE J, PART II, COLUMN F	THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FOREITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: ROBERT M. PICKOFF, M.D., $37,179; FREDERICK JACOBS, ESQ., $64,740 AND ANTHONY J. CIMINO, $127,858.

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
Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number
21-0634572

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	64579FGD9	07-01-2005	65,375,000	CONSTRUCT 4-STORY HOSPITAL TOWER		X		X		X
B	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084		08-08-2013	27,038,036	REFUND SERIES 2005A & PART 2005B		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	65,375,000		27,038,036
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	0		0
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	0		0
11 Other spent proceeds .............	0		0
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		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
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
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 %
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 .........	0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %
7 Does the bond issue meet the private security or payment test? ...
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
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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........	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
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........	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
b Name of provider ..........	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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

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 L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

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

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

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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










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

Part III

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) RUE INSURANCE COMPANY	PLEASE REFER TO PART V	376,803	INSURANCE/FEE		No
(2) MARYLYN I CAMPANELLA	FAMILY MEMBER OF TRUSTEE	56,868	RWJUHH EMPLOYEE		No

Part V

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

Return Reference

Explanation

SCHEDULE L, PART IV

WILLIAM M. RUE IS THE OWNER OF RUE INSURANCE COMPANY AND VOTING MEMBER OF THE BOARD OF TRUSTEES OF THIS ORGANIZATION. THIS ORGANIZATION PAID RUE INSURANCE COMPANY A TOTAL OF $376,803 FOR INSURANCE AND RELATED SERVICES. THE INSURANCE PAYMENT AMOUNT TOTALED $361,803 AND THE SERVICES FEE RETAINED BY RUE INSURANCE COMPANY WAS $15,000. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.

Schedule L (Form 990 or 990-EZ) 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

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

Return Reference	Explanation
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Background ========== Robert Wood Johnson University Hospital at Hamilton ("RWJ Hamilton") is a general medical and surgical hospital recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, RWJ Hamilton 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, the hospital operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. RWJ Hamilton provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients. 2. RWJ Hamilton operates an active emergency department that is open 24 hours a day, seven days a week, 365 days per year. RWJ Hamilton's pediatric emergency center opened in fall 2011, and answered a need to support families and this vulnerable population - our children - who require immediate access to pediatric emergency care. Treating over 12,000 children annually in one of the busiest emergency departments in the region, RWJ Hamilton is invested in this dedicated service which created a family-centered approach to emergency care, just down the hall from the main emergency department. 3. RWJ Hamilton maintains an open medical staff with privileges available to all qualified physicians; 4. Control of RWJ Hamilton rests with its board of directors. The board is comprised of independent civic leaders and other prominent community members. 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. RWJ Hamilton is guided by its dedication to attending to the healthcare needs of the community it serves. The hospital provides medically necessary healthcare services to patients who meet certain criteria under its charity care policy as defined by the New Jersey state attorney general, without charge or at amounts less than established rates. RWJ Hamilton 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. In 2012 and again in 2015 RWJ Hamilton in cooperation with the Greater Mercer Public Health Partnership (GMPHP) a community based coalition, conducted a Community HEALTH Needs Assessment. The GMPHP consists of three hospitals in Mercer County (RWJ Hamilton, Capital Health System/Hopewell and St. Francis Medical Center, St. Lawrence Rehabilitation Center, 9 local health departments, including Mercer County. This coalition represents all the hospitals in Mercer County and all 12 municipalities. This planning process included two major components, a community health assessment (CHA) to identify the health related needs and strengths of greater Mercer County, and a community health improvement plan (CHIP) which was developed using the key findings from the CHA which allowed us to engage in informed discussion and review the appropriate data to drive change in the priority health issues, goals and objectives. The community health assessment utilized a participatory, collaborative approach to look at health in its broadest context. The assessment process included synthesizing existing data on social, economic, and health indicators in the region as well as information from 28 focus groups conducted with community residents, 15 interviews with community stakeholders, and one "forces of change" session examining larger external factors that affect health. Focus groups and interviews were conducted with individuals from across the twelve municipalities that comprise Mercer County, the hospitals' primary service and secondary service area, and with a range of individuals representing different audiences, including youth, seniors, government officials, educational leaders, social service and healthcare providers, people living with disabilities and their families. Ultimately, the qualitative research engaged over 400 individuals. Four key priorities were identified and incorporated into the RWJ Hamilton 2015 strategic plan and will be tracked and monitored appropriately. They are: improve access to quality mental health and substance abuse prevention, treatment and recovery services, improve health and well-being of the community by advocating for sustainable healthy lifestyle choices, engage the community to prevent and reduce chronic disease incidence and morbidity, and increase the overall health and well-being of residents by enhancing safe, affordable options for people to move easily within communities. RWJ Hamilton serves communities within a five-county area and includes: - Robert Wood Johnson University Hospital at Hamilton, an acute care hospital in Hamilton Township, New Jersey, located on a 67-acre campus adjacent to Hamilton's Veterans Park - the Rutgers Cancer Institute of New Jersey Hamilton, the hospital's oncology program of excellence - outpatient services in Columbus and Ewing - Lakeview Child Centers in five locations - RWJ Fitness & Wellness Center, an 86,000 square foot medically based Fitness and Wellness Center, conference center, rehabilitation center and community education space for programming, and healthy eating demonstration kitchen - RWJ University Hospital at Hamilton Foundation, which receives philanthropic gifts to support RWJ Hamilton Initiatives The following medical groups are affiliated with RWJ Hamilton: - RWJ Hamilton womens health group - RWJ Hamilton vascular surgery group - RWJ Medical Associates at Hamilton, a family and internal medicine practice -- And a Primary Care Express and Express Lab located in Mercerville, NJ Each year, RWJ Hamilton touches hundreds of thousands of lives: - 284 inpatient beds (licensed) - 615 active staff physicians - more than 200,000 patients treated - averaging over 45,000 emergency visits, making RWJ Hamilton one of the busiest emergency departments in Mercer County - Approximately 10,930 admissions - Approximately 1,300 hospital employees (includes Lakeview CHILD CARE CENTER, INC.) - 100,000 people participate in RWJ Hamilton community education programs and health screenings Mission statement ================= RWJ Hamilton is committed to excellence through service and quality. The hospital exists to promote, preserve, and restore the health of the community. Vision ======= RWJ Hamilton will be recognized as the premier, trusted healthcare partner serving our community by promoting health, wellness and enriching lives. RWJ Hamilton's Principles ======================== RWJ Hamilton is guided by the following principles in performing its charitable tax-exempt purposes: 1. We believe that community health improvement is essential to our mission. 2. We believe community-based coalitions are uniquely qualified to achieve community health goals and we value partnerships with them. 3. We value evidence-based practices and seek to model excellence in community health practice based on evidence-based medicine. 4. We believe in applying continuous quality improvement to community health, measuring need, matching resources to need, measuring outcomes and making adjustments in THE process. We participate in a county wide community wide needs assessment with the other hospitals in Mercer County to further validate our commitment to our community. RWJ Hamilton Employee's Values - Teamwork ========================================== Trust: we are responsible for and committed to those who place their trust in us for healthcare. Ethical behavior: we perform our daily work in a manner which is right and good and benefits our patients, families and one another. Accountability: we are responsible for all of our interactions with the lives that we touch. Make an impact: we provide the highest quality care and service, maintain operational efficiency and seek out innovative methods to improve care. We: we are proud to be employees of Robert Wood Johnson University Hospital at Hamilton and its affiliates. Openness: we foster an environment of collaboration, camaraderie, transparency, and communication. Respect: we treat everyone in our diverse community with dignity, sensitivity, and integrity. Kindness: we demonstrate compassion, empathy and understanding in our daily encounters with all. Recognition and awards ====================== RWJ Hamilton is passionate about providing our patients with the highest quality of care. The commitment to patients begins at the top levels of hospital administration and is demonstrated in the caring and professional manner of RWJ Hamilton's physicians, nurses, hospital employees and volunteers.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	"we are always challenging ourselves on ways to make the healthcare experience better for our patients, physicians and staff by exploring all options for pursuing the best ways to treat the physical, emotional and spiritual needs of our community" states Richard Freeman, President and CEO RWJ Hamilton. Recognition for RWJ Hamilton A proud recipient of awards and recognition at the local, state, and national levels. National Recognition The joint commission - hospital accreditation Joint commission accreditation is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting performance standards, accrediting more than 16,000 U.S. Healthcare organizations. In its most recent survey, the joint commission once again found RWJ Hamilton in compliance with all standards and awarded the hospital full accreditation for the maximum three years. The joint commission - certification for stroke (Gold Plus Award) First hospital primary stroke center in Mercer County to achieve national certification for stroke care. 2007 - present The joint commission - certification for outpatient diabetes Second hospital in the state to achieve national certification for outpatient diabetes self-management program. 2009 - present The joint commission - certification for total hip and total knee and spine United States department of commerce - Malcolm Baldrige National Quality Award The first of two New Jersey hospitals to receive this award -- America's highest honor for quality and performance excellence -- presented by the president of the United States. 2004 National research corporation - consumer choice award Chosen as the area's most-preferred hospital for quality care and public image. 2004 - present Health Stream To ensure that RWJ Hamilton remains at peak performance levels, the hospital works with Health Stream, Inc. one of the healthcare industrys leading provider of measurement and improvement services. They send use a telephone survey model to ensure they get feedback directly from our patients. American Heart Association Gold Plus Award for Heart Failure State Recognition American society for metabolic and bariatric surgery (ASMBS) - bariatric surgery center of excellence. The ASMBS bariatric surgery center of excellence designation recognizes surgical programs with a demonstrated track record of favorable outcomes in bariatric surgery, two years in a row. State of New Jersey - primary stroke center designation First hospital in Mercer County to achieve national certification and state designation for stroke care. 2007 - present Local Recognition American Heart Association - start! Fit-friendly gold award Recognizes our efforts to promote a wellness culture for our employees, support physical activity and offer healthy eating options at work. 2007 present Affiliations ============ In 1994, RWJ Hamilton began an exciting partnership with Robert Wood Johnson University Hospital in New Brunswick, NJ, the principle Hospital for the University of Medicine and Dentistry- Robert Wood Johnson Medical School. This affiliation has led to significant growth in every area of the hospital and has provided RWJ Hamilton's patients with the latest medical innovations and the expertise of outstanding physicians in every specialty. Together, RWJ Hamilton and Robert Wood Johnson University Hospital provide the community with access to every medical advancement at all levels of patient care. In March of 2016, the RWJ Health System merged with the Barnabas Health System to become the RWJBarnabas Health System. Now part of this 11 hospital system, RWJ Hamilton will continue to offer quality healthcare services as a community hospital. RWJ Hamilton is affiliated with the Rutgers Cancer Institute of New Jersey ("CINJ"), the state's only national cancer institute-designated cancer center. The Cancer Institute of New Jersey Hamilton provides local access to leading academic physicians and research initiatives. The RWJ Hamilton Health Care Corporation serves communities within a five-county area and includes an acute care hospital, the Cancer Institute of New Jersey Hamilton, three affiliated medical groups, five Lakeview Child Centers and the RWJ Fitness & Wellness Center, home of a medically-based Fitness Center, the hospital's extensive community education program and rehabilitation center. Over 1,300 hospital employees and 615 medical staff physicians share RWJ Hamilton's passion for excellence through service and quality. Lakeview Child Center is an autonomous affiliate of Robert Wood Johnson University Hospital Hamilton. Lakeview Child Center, which opened in 1985, operates a network of five Childcare Centers throughout central New Jersey. Lakeview Child Center is required by the state of New Jersey child care licensing law to be licensed by the Department of Children and Families (DCF), office of licensing and is accredited by the National Association for the Education of Young Children (NAEYC). Comprehensive Medical Services ============================== Bariatric surgery: the bariatric surgery program at RWJ Hamilton offers patients advanced clinical treatment for weight loss, enabling them to overcome the most damaging health effects of being overweight. Through a team approach, candidates are evaluated and pre-existing conditions are taken into consideration. Patients receive education on procedure options, risks, outcomes, potential side effects, and lifestyle modifications. Progress is monitored and strict dietary and exercise regimens are instituted. Patients are paired with clinical professionals, exercise specialists, nutritionists and support staff to provide a full continuum of services and counseling. Continuum of services and counseling. Cancer care: the Rutgers Cancer Institute of New Jersey ("RUTGERS CINJ") Hamilton-RWJ Hamilton's oncology program-integrates a medical and radiation oncology practice with leading oncology specialists, outpatient treatment, and support services. As an affiliate of the Cancer Institute of New Jersey in New Brunswick-the only national cancer institute-designated cancer center in New Jersey-we provide access to cancer research and leading edge scientific advances for the treatment of all types of malignancies and blood disorders. Located on the hospital campus to provide added convenience and comfort to our patients, Rutgers CINJ Hamilton's cancer center is a modern 18,500-square-foot building integrating all of the services needed to care for someone with cancer: - dedicated support services and resource library - through a partnership with the American Cancer Society, access to a look good feel better salon is offered to our cancer patients - genetic testing and counseling - infusion and radiation treatment areas - laboratory services - on-site medical services - oncology medical practice - research program/clinical trials - dedicated breast cancer navigator to help our patients navigate appropriately through the complex treatment of breast cancer. Diabetes and endocrinology care: our diabetes self-management program offers one-on-one education to our patients about the importance of self-management and how to apply the basic principles to their everyday lives. To do this, we communicate with patients through inpatient care, on an outpatient level and through support and continued education. Our diabetes support group is a free service for those living with diabetes and their loved ones. We also offer community education programs held at the RWJ Fitness & Wellness Center. A diabetes nurse practitioner is assigned to manage the inpatient and outpatient care of our patients. A special emphasis is given to our obstetric population, where her expertise has been incorporated into the ob practice. Our outpatient diabetes program is certified by the American Diabetes Association as a Center of Excellence since 2002. Diagnostics & imaging: the hospital offers picture archiving and communication system ("pacs") a state-of-the-art imaging technology. Pacs is a diagnostic imaging system that eliminates the use of imaging film by providing patient imaging records and profiles on a computer terminal. This imaging technology eliminates the need for bulk storage of films, provides a higher level of patient confidentiality, expedites the viewing of patient records and medical images, provides 24-hour access for physicians and is more cost efficient. Radiology services include: - pet/ct - MRI - interventional radiology - cardiovascular system - central nervous system - digestive, urinary and respiratory systems - musculoskeletal system - reproductive system and mammography
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Emergency services: the emergency department ("ed") delivers prompt, quality care 24 hours a day, 365 days a year. The ed is staffed by specially trained emergency physicians, nurse practitioners, physician assistants, registered nurses ("rns"), emergency department technicians, and unit secretaries. Serving over 45,000 patients per year, the department offers advanced technologic equipment and therapies available, including: - computerized radiography - emergency angioplasty for heart attack patients. - hypothermia for cardiac arrest patients with return of circulation - certified stroke program - bedside registration - mid-level triage providers during peak times H.H. Tuchman pediatric emergency center which is a family-focused pediatric emergency center staffed with certified and trained pediatric specialists, catering to the pediatric population treated over 12,000 children in its first year of operation demonstrating a need in this community. Split Flow model to improve the "time seen" for care of our patients with lower acuity. While all our patients can be cared for in this area, the split flow section provides timely care for those patients who present with moderate to minimal injuries or illnesses that do not require extensive diagnostic testing. Split flow is operational during the peak hours of daily activity. Emergency cardiac care: in conjunction with our state-of-the-art cardiac catheterization lab and our emergent angioplasty program, we provide the highest quality of care to cardiac patients. The department is also equipped with an advanced computerized patient tracking and documentation system that connects with existing hospital information systems to find your prior hospital health history and keep track of your care every step of the way. Heart care: we are dedicated to preventive care and offer a comprehensive program that includes education, prevention, diagnosis, treatment, and rehabilitation. Patients have access to emergent angioplasty, cardiac catheterization, cardiac rehabilitation, and cardiopulmonary diagnostic services. Our heart care services are highly rated by patients-we score in the 95th percentile and above in patient satisfaction for cardiac catheterization, telemetry nursing and cardiac rehabilitation. We also offer minimally-invasive cardiovascular procedures with state-of-the-art catheterization technology that fosters quicker recovery. Our cardiac team includes cardiologists, telemetry nurses, cardiovascular technologists, imaging technologists, respiratory therapists, exercise physiologists, dietitians, and social workers. Outpatient rehabilitation services: a multidisciplinary team of therapists and healthcare professionals work together to evaluate each patient and develop an individualized treatment program. At each step along the way, treatment and progress are carefully reviewed so that the program can be adjusted to fit the patient's evolving condition. The rehabilitation department offers a number of therapeutic services, including physical therapy, occupational therapy, speech and language therapies, audiology, cardiac rehab and two balance centers, which use a multidisciplinary program to diagnose and treat symptoms that impact balance. Our patients can also be offered aqua therapy in the warm therapy pool located adjacent to the rehabilitation department at the RWJ Fitness & Wellness Center. Our services are offered at several locations: - RWJ Hamilton's main hospital campus, outpatient services, One Hamilton Health Place, Hamilton, NJ - RWJ Fitness & Wellness Center, 3100 Quakerbridge Road, Hamilton, NJ - Pennington-Ewing Athletic Club, 1400 Lower Ferry Road, Ewing, NJ - RWJ Columbus Diagnostic & Treatment Center, SHEFFIELD DRIVE, Columbus, NJ Audiology & hearing aids: RWJ Hamilton offers on-site audiology testing. Our audiology services include: - testing and diagnosing hearing loss and other hearing related disorders, including balance disorders - treating infants, children and adults - comprehensive testing of central auditory processing - auditory processing therapy - newborn infant hearing screening - pre-school hearing screenings - hearing aid evaluations and fittings - hearing conservation - custom noise protectors - custom made ear molds and swim molds - digital hearing aid fittings with 30-day trial The balance centers: the balance centers, located in rehabilitation services department at the RWJ Fitness & Wellness Center and the RWJ Hamilton Diagnostic & Treatment Center in Columbus, use a multidisciplinary program to diagnose and treat symptoms that impact balance. Physical therapy: physical therapy is designed to strengthen the body and improve balance, coordination, movement, and function. It benefits patients with many types of injuries, impairments and conditions, such as those caused by accidents, strokes, trauma, sports, burns and arthritis. Each patient is given a comprehensive evaluation and treatment plan. Our services also include: - aquatic therapy - lymphedema treatment - neurological therapy - spinal care - general orthopedics - foot and ankle care - stroke - geriatrics - industrial rehabilitation Speech/language therapy: RWJ Hamilton provides services for people of all ages who have difficulty with speech, language or swallowing. These services include treatment for language, swallowing, articulation and voice disorders. Vitalstim therapy is available. Outpatient specialty services Diabetes care Nutrition counseling: schedule a visit with the outpatient nutrition counseling service where you can count on sound nutritional guidance from dietitians who are trained in disease specific medical nutrition therapy for children and adults. They are skilled at separating nutrition facts from fads and are trained in translating the latest medical information on diet and nutrition into practical use. During the counseling session, your lifestyle, physical condition and food preferences will be considered in order to create a healthy, realistic eating plan. Typically, the nutritionist, a registered dietitian, will spend one hour with you during the initial visit. The need for follow-up appointments will be determined on an individual basis. Nutrition counseling includes: - expert nutrition information - an individualized meal plan - individually tailored educational materials - information on nutrition labeling - healthy recipes - tips for eating away from home - food shopping tips - nutrition needs for appropriate growth of infants/children and adolescents Nutrition counseling is provided for a variety of health needs including: - food allergies - cancer - celiac disease - diabetes-type 1, type 2, gestational - heart disease - high cholesterol - kidney disease - pre-diabetes - pre-and post-weight loss surgery - pregnancy - weight management Occupational & corporate health: the occupational and corporate health department provides comprehensive medical services to over 800 employers in our local community (central and northern New Jersey, greater Mercer County and Burlington County). Services are available in building 2 on the hospital campus. Our mobile team also offers on-site services at employer locations throughout the state. Services are designed to meet the needs of the corporate client to improve work force health and lower health costs, as well as the individual seeking medical advice for international travel. The practice is experienced in delivering physical examinations with multiple components. RWJ Hamilton performs firefighter physical examinations (per nfpa guidelines), dot physical examinations (per federal motor carrier safety regulations, 49 cfr 391.41), hazARDOUS WASTE OPERATIONS AND EMERGENCY RESPONSE medical surveillance examinations (per osha 29 cfr 1910.120) and asbestos medical surveillance examinations. The department provides initial and follow-up treatment for work-related injuries along with case management services. The program provides a unique focus on reducing these injuries and their severity, reducing lost work time and optimizing clinical outcomes while reducing associated costs. RWJ Hamilton is also a certified yellow fever vaccination site. Consultations may be scheduled to discuss all health concerns while traveling abroad. Influenza vaccine is also available to the public, including medicare recipients. The department offers a travel medicine program and provides consultations to discuss all health concerns for traveling abroad. Other services offered by the department include pre-employment physicals, executive physicals, pulmonary function testing, respiratory fit testing, audiogram testing, urine drug screen testing and breath alcohol testing.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Outpatient diagnostic: RWJ Hamilton's outpatient services building was created with our patients' comfort in mind. All procedures are accomplished in a central testing area designed for patient privacy and comfort. Every patient is assigned a dedicated team of healthcare providers. We offer ample and convenient free parking and hours to fit your needs. Our outpatient services building is open monday through saturday. Sleepcare center: the state-of-the-art RWJ Hamilton Sleepcare Center can diagnose and treat the full range of sleep disorders. We have more board certified sleep specialists on staff than any other hospital in Mercer County. The sleep study is painless and designed for your comfort. Most major insurance carriers should cover your test. We perform all pre-authorization tasks that may be required. Pharmacy services: the RWJ Hamilton department of pharmacy provides pharmaceutical care to patients throughout RWJ Hamilton and is open 24-hours a day, 365 days a year. The pharmacy is staffed by registered pharmacists, certified pharmacy technicians, and support staff. The pharmacy provides all sterile intravenous product preparations, oral medications, drug information, and reviews all medication orders for safety and appropriateness. The pharmacy is completely computerized and has a state-of-the-art iv room to prepare sterile medications. The pharmacy staff is dedicated to patient safety and to empowering our patients to optimum medication use. Patient care pharmacists educate our patients daily on their medications while here at the hospital. Many of our pharmacists participate in outpatient outreach programs like brown bag sessions and health fairs to bring medication information and screening to our community. Our nationally certified shapedown program is offered free of charge to students and the families of any student in mercer and burlington county, our primary and secondary service areas. Additionally, we provide space for weekly Weight Watchers meetings for the convenience of our community. Senior services: RWJ Hamilton proudly serves the health, educational and social needs of our senior community. Our mission is to promote health via wide-ranging activities such as the 50+ club; preserve health with screenings and social activities; and restore health by providing excellent care focused on the unique needs of seniors. Some of the senior programs offered include: - comprehensive health resources integrated with senior housing: clinical services are offered at Hamilton senior citizen housing. - community educators provide classes and screenings at centers in Hamilton, Lawrence, Robbinsville, East Windsor and West Windsor and Columbus/Florence, NJ. - senior programs/wired seniors: classes explore topics from mental health to medical conditions affecting older adults. Regularly scheduled favorites include medication brown bag, aarp driving class, caregiver support and education, grief and loss support groups, navigating retirement, and a wired seniors program to teach seniors computer basics in a small-group setting. We also offer an evidence-based chronic disease self-management program called "take control of your health," a similar program for diabetes self-management, and "a matter of balance," which helps participants overcome the fear of falling and stay safe in their home. - screenings measure hearing loss; cholesterol, glucose and blood pressure levels; and look for the onset of medical conditions such as osteoporosis and cancer. - medicare counseling: free, objective, confidential medicare counseling is available to seniors. - membership in the 50+ club is free and open to anyone at least 50 years old. Free activities include bridge and knitting. There is also a discount for dinner in the hospital's cafe when a loved one is in our hospital. Stroke care: designated by the state of New Jersey department of health and senior services and the joint commission as a primary stroke center, RWJ Hamilton's certified primary stroke center serves as a model for other community hospitals seeking to improve stroke care. Additional certifications include: - get with the guidelines heart failure Gold Plus Award. - certification for primary stroke centers, state of New Jersey and joint commission, re-certified in 2011 to present. RWJ Hamilton's continuum of stroke care includes on-the-scene care; skilled emergency personnel gather essential information; communicate with RWJ Hamilton; and begin treatment even before the patient reaches the hospital. Care is coordinated by a dedicated nurse who acts as the stroke coordinator. - emergency care high-speed diagnostics and the most current treatments available give physicians a better chance to treat a stroke. - affiliation with RWJ New Brunswick neuroscience telemedicine program. - inpatient care: the critical care and dedicated stroke unit provide specially trained staff and equipment for stroke care. The stroke program coordinator-a neuroscience nurse practitioner-works with patients, families, physicians and hospital staff, assuring that each patient receives the highest standard of care. - immediate therapy: physical therapists and other members of the rehabilitation team assess each patient within 24 hours of arrival and therapy is provided directly in the stroke unit. Arrival and therapy is provided directly in the stroke unit. - outpatient rehabilitation: our rehabilitation centers help patients continue to improve after leaving RWJ Hamilton and a rehabilitation hospital. - preventive care: classes and screenings, including stroke risk assessments, are regularly offered. Nutritional counseling and fitness programs promote healthy lifestyles and reduce the risk of stroke and other cardiovascular diseases. - stroke support group meets monthly to provide discussion, support and resource awareness for patients who have previously suffered a stroke. Surgical services: - bariatric (weight loss) surgery - gastrointestinal endoscopy - gynecologic surgery - orthopedic surgery - plastic surgery - spine surgery - urologic surgery - vascular surgery RWJ Hamilton surgical services provide access to: - board certified surgeons and endoscopists - advanced technology - specially trained surgical staff A team highly skilled in medical-surgical and anesthesia medicine allow our patients to benefit from the latest surgical and endoscopic procedures. These minimally-invasive procedures typically result in less pain and faster recovery. The surgery center is equipped with advanced systems and instruments including, gamma knife, lasers, fiber optic cameras, and video systems. Same-day surgery provides the convenience of returning to the comforts of home and support of family and friends on the same day. The surgical center is staffed with a team of professional nurses skilled in all aspects of surgery and endoscopic procedures. A comprehensive wound care center is available for patients with chronic non-healing wounds and provides medical and hyperbaric treatment of wounds in an environment that encourages a multidisciplinary approach to healing. Women's services: at RWJ Hamilton, hospital services are integrated with the leading gynECOLOGY group in the area. The women's health team includes: - board-certified gynecologists - specialized and internal medicine physicians - radiologists and imaging technologists - dieticians and health educators The RWJ Hamilton Womens Center is a patient-centered medical practice offering a full range of personalized care to prevent, diagnose and treat gynecologic conditions. Women turn to RWJ Hamilton for preventive care and annual exams and treatment for conditions such as uterine fibroids, abnormal bleeding, endometriosis, ovarian cysts and polyps. Our physicians are also here to guide women through cancer care and other chronic conditions. A commitment to community education and lifelong learning. In addition to hosting numerous community events throughout the year, the department offers a wide variety of classes, educational seminars, screenings and programs in topics as varied as: - caregiving - family life - cpr - healthy cooking in the state-of-the-art healthy cooking kitchen - holistic health and lifestyle programs - health screenings, including: - cancer screenings - glucose, cholesterol and blood pressure - stroke risk screening - vascular screening - carpal tunnel screening - body fat analysis - hearing screening - foot/ankle screening - glaucoma screening - balance screening - osteoporosis screening - managing your condition - senior programs - shapedown, a family weight management program - stress management - support groups and resources - weight management - womens retreat program to improve their knowledge, and state of wellness and physical fitness
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Here are just some of the many available support groups and programs, including both those offered through the ROBERT WOOD JOHNSON UNIVERSITY hospital AT HAMILTON and Rutgers CANCER INSTITUTE OF NEW JERSEY Hamilton: - alzheimer's caregivers support group - annual cancer survivors' weekend - bariatric surgery weight loss support group - bedside harp - bereavement support group - chronic fatigue support group - circle of hope support group - cpr training center sponsored by the american heart association - cpap workshop - crohn's disease and ulcerative colitis telephone support - dealing with breast cancer - diabetes support group - grief & loss group for older adults - nicotine anonymous - ovarian cancer support group - overeaters anonymous - peripheral neuropathy telephone support - thyroid cancer support group - stroke support group The speakers bureau at RWJ Hamilton, can help clubs, neighborhood associations and civic groups find the perfect individual to present a program on specific health-related issues. Our healthcheck magazine is mailed to over 100,000 households within the greater mercer county community. Produced quarterly by the public relations & marketing department, in collaboration with the community education department, the magazine relays health information, patient profiles and class/support group listings.
CORE FORM, PART III; LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI; QUESTION 2	PETER INVERSO, SHARON LAMONT AND WILLIAM J. WALSH, JR. - BUSINESS RELATIONSHIP. PATRICK RYAN AND WILLIAM J. WALSH, JR. - BUSINESS RELATIONSHIP.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON ("RWJHCCH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJHCCH 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'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP OF THE ORGANZIATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE OF ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). 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 CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THIS SUMMARY IS THEN GIVEN TO THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. THEREAFTER, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE CHIEF COMPLIANCE OFFICER MAY PRESENT THIS SUMMARY TO THE SYSTEM'S GOVERNANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE OF ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON. THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO ALL SENIOR MANAGEMENT PERSONNEL REPORTED HEREIN.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE.
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 (WITH THE EXCEPTION OF SHARIQ A. AFRIDI, M.D. WHO IS PART-TIME) 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 PART OF THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL 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, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON 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 THE NETWORK; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - LOSS FROM DISCONTINUED OPERATIONS - ($715,427); - NET ASSETS RELEASED FOR RESTRICTIONS FOR CAPITAL PURPOSES - $301,540; - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS HELD BY RELATED ORGANIZATION - $361,055; AND - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS FOR CAPITAL PURPOSES - ($301,540).
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON HEALTHCARE SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON OBLIGATED GROUP FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Robert Wood Johnson University Hospital at
HAMILTON

Employer identification number

21-0634572

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHILDRENS SPECIALIZED HOSPITAL 150 NEW PROVIDENCE ROAD MOUNTAINSIDE,NJ07092 22-1487148	PED. CARE	NJ	501(C)(3)	HOSPITAL	RWJHCC		No
(2)CHILDRENS SPECIALIZED HOSPITAL FDN 150 NEW PROVIDENCE ROAD MOUNTAINSIDE,NJ07092 13-6844298	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJHCC		No
(3)LAKEVIEW CHILD CARE CENTER INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-2627639	CHILD CARE	NJ	501(C)(3)	509(A)(2)	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 SVCS	NJ	501(C)(3)	HOSPITAL	RWJHCC		No
(9)NEW BRUNSWICK AFFILIATED HOSPITALS INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-1946837	HLTHCARE SVCS	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 SVCS	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	Yes
(15)ROBERT WOOD JOHNSON VISITING NURSES INC 972 SHOPPES BOULEVARD NORTH BRUNSWICK,NJ08902 26-3659270	HLTHCARE SVCS	NJ	501(C)(3)	509(A)(2)	N/A		No
(16)LAKEVIEW CHILD CENTER FOUNDATION INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 46-2038300	FUNDRAISING	NJ	501(C)(3)	509(A)(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 HEALTH CARE 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

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) RWJ-REGENT LLC 10 PLUM STREET 4TH FLOOR NEW BRUNSWICK,NJ08901 45-3853994	HEALTHCARE SVCS.	NJ	NA
(2) RWJ-REGENT II LLC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 80-0878969	HEALTHCARE SVCS.	NJ	NA

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) RWJ MED ASSOC AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-3454267	PROF. SVCS.	NJ	RWJUHH	C CORP.	5,213,406	1,551,238	100.000 %	Yes
(2) RWJ MED SVCS ORG AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-3454270	RENTAL REAL EST.	NJ	RWJUHH	C CORP.	1,547,036	8,055,417	100.000 %	Yes
(3) VISION HEALTHCARE INC 865 STONE STREET RAHWAY,NJ07065 20-4285005	INVESTMENT	NJ	NA	C CORP.					No
(4) RWJ HEALTH NETWORK INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-3420314	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(5) RWJ KIDNEY TRANSPLANT ASSOC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 03-0382501	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(6) RWJ MULTI-SPECIALTY PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 03-0382492	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(7) RWJ MEDICAL ASSOCIATES PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-3586872	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(8) RWJ SURGERY CENTER INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-3698431	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(9) RWJ PHYSICIAN ENTERPRISE PA 3 EXECUTIVE DRIVE SUITE 400 SOMERSET,NJ08873 45-3967414	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(10) SYSTEM AND AFFILIATE MEMBERS LTD CRAIG APPIN HOUSE 8 WESLEY STREET HAMILTON,BDHM JX BD 98-0656382	FINANCIAL VEHICLE	BD	NA	FOREIGN CORP.					No
(11) RWJ HAMILTON PHYSICIAN ENTERPRISE PA ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 46-0765254	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(12) EOS INC 110 REHILL AVENUE SOMERVILLE,NJ08876 30-0382075	INACTIVE	NJ	NA	C CORP.					No
(13) NEW JERSEY HEALTH INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3339824	INACTIVE	NJ	NA	C CORP.					No
(14) NEW JERSEY HEALTHCARE ASSOC PC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3339827	INACTIVE	NJ	NA	C CORP.					No
(15) NJ MGT SERVICES ORGANIZATION 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3339486	INACTIVE	NJ	NA	C CORP.					No
(16) SHC ENTERPRISES INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-2665595	MANAGEMENT	NJ	NA	C CORP.					No
(17) SOMERSET REALTY GROUP INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3269525	REAL ESTATE	NJ	NA	C CORP.					No
(18) SOMERSET STAFFING CORP 110 REHILL AVENUE SOMERVILLE,NJ08876 11-3829651	INACTIVE	NJ	NA	C CORP.					No
(19) WARREN INTERNAL MEDICINE PC 110 REHILL AVENUE SOMERVILLE,NJ08876 35-2366107	MEDICAL SVCS.	NJ	NA	C CORP.					No
(20) FRANKLIN MEDICAL GROUP PC 110 REHILL AVENUE SOMERVILLE,NJ08876 27-2209369	MEDICAL SVCS.	NJ	NA	C CORP.					No
(21) ACUCARE PHYSICIANS PC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3566010	MEDICAL SVCS.	NJ	NA	C CORP.					No
(22) SOMERSET MEDICAL CARE PARTNERS PC 110 REHILL AVENUE SOMERVILLE,NJ08876 38-3834110	MEDICAL SVCS.	NJ	NA	C CORP.					No
(23) SOMERSET CARDIOLOGY PARTNERS PC 110 REHILL AVENUE SOMERVILLE,NJ08876 90-0668649	MEDICAL SVCS.	NJ	NA	C CORP.					No
(24) SOMERSET CARDIOLOGY GROUP PC 110 REHILL AVENUE SOMERVILLE,NJ08876 37-1640531	MEDICAL SVCS.	NJ	NA	C CORP.					No
(25) SOMERSET CHEST & INTENSIVE CARE MED PC 110 REHILL AVENUE SOMERVILLE,NJ08876 38-3848048	MEDICAL SVCS.	NJ	NA	C CORP.					No
(26) SOMERSET MEDICAL CENTER URGENT CARE PC 110 REHILL AVENUE SOMERVILLE,NJ08876 90-0929065	MEDICAL SVCS.	NJ	NA	C CORP.					No
(27) CSH VENTURES INC 200 SOMERSET STREET NEW BRUNSWICK,NJ08901 47-2729885	MED. CONSULTING	NJ	NA	C CORP.					No

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

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

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

Yes

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

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

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

Yes

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

Yes

f Dividends from related organization(s) ............................

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

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

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

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

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

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

Yes

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

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

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

Yes

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

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

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) RWJ MEDICAL ASSOCIATES AT HAMILTON	D	665,063	COST
(2) RWJ MED SVCS ORG AT HAMILTON	E	201,816	COST
(3) RWJ MEDICAL ASSOCIATES AT HAMILTON	L	142,580	COST
(4) RWJ MED SVCS ORG AT HAMILTON	L	272,004	COST

Schedule R (Form 990) 2015

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE R, PART V

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON ROUTINELY PAYS EXPENSES FOR ITS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER.
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	13
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	1,840
6	Total number of volunteers (estimate if necessary) .............	6	459
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	22,172
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	8,843

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	240,947	328,009
9	Program service revenue (Part VIII, line 2g) .........	170,702,637	186,727,161
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	567,444	217,677
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,793,967	1,598,006
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	173,304,995	188,870,853
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	91,792,922	85,885,266
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)....	94,305,407	97,457,918
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	186,098,329	183,343,184
19	Revenue less expenses. Subtract line 18 from line 12.......	-12,793,334	5,527,669
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	216,674,669	224,844,078
21	Total liabilities (Part X, line 26).............	180,061,316	183,063,525
22	Net assets or fund balances. Subtract line 21 from line 20.....	36,613,353	41,780,553

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 46,853,686 including grants of $ ) (Revenue $ 42,045,731 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015 THERE WERE 5,404 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 18,263,820 including grants of $ ) (Revenue $ 25,717,118 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015 THERE WERE 39,428 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 17,252,305 including grants of $ ) (Revenue $ 16,434,145 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY ONCOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015 THERE WERE 4,029 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 82,639,053 including grants of $ ) (Revenue $ 102,529,469 )
4e	Total program service expenses165,008,864

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,362,738	3,362,263	724,496

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	301,540
e	Government grants (contributions)		1e	26,469

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.......		328,009

			Business Code
2a	NET PATIENT SERVICE REVENUE	541900	184,353,529	184,353,529
b	OTHER HEALTHCARE RELATED REVENUE	541900	2,350,762	2,350,762
c	OTHER REVENUE	722320	22,870		22,870
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			186,727,161

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			160,533		-698	161,231
4 Income from investment of tax-exempt bond proceeds			93,346			93,346
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		357,166
b	Less: rental expenses
c	Rental income or (loss)	0	357,166
d	Net rental income or (loss)......			357,166			357,166
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses		36,202
c	Gain or (loss)		-36,202
d	Net gain or (loss).....			-36,202			-36,202
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		900099	669,612			669,612
b	VENDOR DISCOUNTS		900099	560,854			560,854
c	VENDING MACHINES		900099	10,374			10,374
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,240,840
12	Total revenue. See Instructions......			188,870,853	186,704,291	22,172	1,816,381

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,737,931	1,564,138	173,793
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	68,606,106	61,745,495	6,860,611
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	464,314	417,883	46,431
9	Other employee benefits .......	10,444,606	9,400,146	1,044,460
10	Payroll taxes ...........	4,632,309	4,169,078	463,231
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	457,626	411,863	45,763
c	Accounting ...........	212,332	191,099	21,233
d	Lobbying ...........	132,236	119,012	13,224
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,292,458	2,063,212	229,246
12	Advertising and promotion ....	934,885	841,397	93,488
13	Office expenses .......	3,236,132	2,912,519	323,613
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	6,224,732	5,602,259	622,473
17	Travel ............	46,292	41,663	4,629
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	81,941	73,747	8,194
20	Interest ...........	4,479,480	4,031,532	447,948
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	7,969,299	7,172,369	796,930
23	Insurance ...	835,748	752,173	83,575
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	35,667,548	32,100,793	3,566,755	0
b	PURCHASED SERVICES	22,898,781	20,608,903	2,289,878	0
c	PHYSICIAN FEES	7,496,063	6,746,457	749,606	0
d	NJ DOH ASSESSMENT	1,266,124	1,139,512	126,612	0
e	All other expenses	3,226,241	2,903,614	322,627
25	Total functional expenses. Add lines 1 through 24e	183,343,184	165,008,864	18,334,320	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 ........			0	1	0
2	Savings and temporary cash investments .........			16,812,385	2	18,433,223
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			17,355,254	4	18,983,421
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 ........			3,572,233	8	3,620,720
9	Prepaid expenses and deferred charges ......			2,399,018	9	2,357,267
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	245,642,073
b	Less: accumulated depreciation	10b	151,512,704	96,296,068	10c	94,129,369
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 ..			53,055,920	13	54,923,702
14	Intangible assets ...............			2,550,439	14	2,334,017
15	Other assets. See Part IV, line 11 ...........			24,633,352	15	30,062,359
16	Total assets. Add lines 1 through 15 (must equal line 34)...			216,674,669	16	224,844,078

17	Accounts payable and accrued expenses .....	30,431,819	17	27,068,937
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	103,219,773	20	100,642,472
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	46,409,724	25	55,352,116
26	Total liabilities. Add lines 17 through 25..	180,061,316	26	183,063,525

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	34,807,963	27	39,915,648
28	Temporarily restricted net assets ...........	1,805,390	28	1,864,905
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	36,613,353	33	41,780,553
34	Total liabilities and net assets/fund balances ........	216,674,669	34	224,844,078

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