TY 2018 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CELESTE ANDRIOT WOOD...................................................................... CHAIR - TRUSTEE	1.0 ................. 0.0	X	X		0	0	0
(2) DAVID KOSTINAS...................................................................... 1ST VICE CHAIR - TRUSTEE	1.0 ................. 0.0	X	X		0	0	0
(3) CHRISTIANA FOGLIO...................................................................... SECRETARY - TRUSTEE	1.0 ................. 0.0	X	X		0	0	0
(4) LAWRENCE KRAMER...................................................................... TREASURER - TRUSTEE	1.0 ................. 0.0	X	X		0	0	0
(5) BARBARA ROTHMAN...................................................................... TREASURER - TRUSTEE	1.0 ................. 0.0	X	X		0	0	0
(6) JOHN R BLASI ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(7) JENFU CHENG MD...................................................................... TRUSTEE - PRESIDENT MED STAFF	55.0 ................. 0.0	X			268,264	0	39,713
(8) JOHN CRISAN ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(9) SANDRA DESAPIO...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(10) KIM HANEMANN...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(11) SUEANNA D KORN...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(12) PENELOPE E LATTIMER PHD...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(13) AMY B MANSUE...................................................................... TRUSTEE - RWJBH PRES. S. DIV.	55.0 ................. 0.0	X			0	1,788,064	89,800
(14) DANA N MAURO...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(15) MATTHEW MCDONALD MD...................................................................... TRUSTEE - VP/CMO	55.0 ................. 0.0	X		X	360,562	0	59,165
(16) WARREN E MOORE...................................................................... TRUSTEE - PRESIDENT/CEO	55.0 ................. 0.0	X	X		899,158	0	452,235
(17) GLENN MORTIMER...................................................................... 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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) GEOFFREY PERSELAY........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0
(19) STEVEN M ROSENBERG ESQ........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0
(20) PHILIP SALERNO III........................................................................ TRUSTEE - PRES/CDO FOUNDATION	55.0 .......................0.0	X				430,344	38,324
(21) ROBERT L SMARTT........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0
(22) FRED TEWELL........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0
(23) VICTORIA WICKS........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0
(24) JOSEPH J DOBOSH JR MBA........................................................................ VP/CFO	55.0 .......................0.0		X			415,013	88,774
(25) CHARLES CHIANESE MBA........................................................................ VP/COO	55.0 .......................0.0		X			403,570	128,722
(26) CHRISTOPHER HAINES DO FACEP........................................................................ VP/CMO (TERMED 6/12/18)	55.0 .......................0.0			X		850,888	5,362
(27) MICHAEL R DRIBBON PHD........................................................................ VP/BUS DEVELOP/CRO	55.0 .......................0.0			X		416,250	120,755
(28) BONNIE ALTIERI PHD RN........................................................................ VP PATIENT CARE SERVICES/CNO	55.0 .......................0.0			X		333,975	124,112
(29) WILLIAM J DWYER........................................................................ VP/CHIEF HR OFF.(TERM 3/11/18)	55.0 .......................0.0			X		310,937	1,176
(30) RUTH K BASH........................................................................ VP/CHIEF CULTURE/CHIEF HR OFF	55.0 .......................0.0			X		255,533	60,948
(31) COLIN R O'REILLY MD........................................................................ SECTION CHIEF IP PEDIATRICS	50.0 .......................0.0				X	331,144	29,340
(32) KRISHAN YALAMANCHI MD........................................................................ DIRECTOR BRAIN INJURY PROGRAM	50.0 .......................0.0				X	264,787	26,894
(33) ELVIRA DOWNS MD........................................................................ SECTION CHIEF PSYCHIATRY	50.0 .......................0.0				X	264,430	18,725
(34) PATRICIA D FOLEY PT FACHE........................................................................ VP OUTPATIENT SERVICES	50.0 .......................0.0				X	248,308	86,797
(35) ANNA MALIA BECKWITH MD........................................................................ SECTION CHIEF NEURODEVELOPMENT	50.0 .......................0.0				X	246,622	36,889

(A) Name and business address	(B) Description of services	(C) Compensation
BARNABAS HEALTH INC, 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052	MANAGEMENT	6,000,392
NEW BRUNSWICK PARKING AUTHORITY, 106 SOMERSET STREET 6TH FLOOR NEW BRUNSWICK,NJ08901	PARKING	1,036,058
SCRIBE AMERICA, PO BOX 417756 BOSTON,MA022417756	TRANSCRIPTION	817,490
RUTGERS ROBERT WOOD JOHNSON MED SC, 675 HOES LANE WEST PISCATAWAY,NJ08854	MEDICAL	810,658
GE HEALTHCARE, PO BOX 640944 PITTSBURGH,PA152640944	IT	808,496
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 62

- 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.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization CHILDREN'S SPECIALIZED HOSPITAL

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

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

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2018

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

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

Yes

4,156

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

4,156

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1I	THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF BARNABAS HEALTH, INC. AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION AND THE NEW JERSEY HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $4,156 IN 2018.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1I

THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES BARNABAS HEALTH INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BARNABAS HEALTH, INC. PAID INDEPENDENT OUTSIDE LOBBYING FIRMS TO PERFORM LOBBYING EFFORTS ON BEHALF OF BARNABAS HEALTH, INC. AND ITS AFFILIATES, INCLUDING THIS ORGANIZATION. THESE AMOUNTS CAN BE REVIEWED ON THE FORM 990 FILED BY BARNABAS HEALTH, INC. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION AND THE NEW JERSEY HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $4,156 IN 2018.

Schedule C (Form 990 or 990EZ) 2018

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, 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) 2018

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 ....	11,513,000	10,600,000	10,397,393	10,638,632	10,268,974
b	Contributions ...	1,000		3,000	6,020	12,982
c	Net investment earnings, gains, and losses	172,000	1,334,000	616,000	10,609	613,584
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,166,000	421,000	416,393	257,868	256,908
f	Administrative expenses ....
g	End of year balance ......	10,520,000	11,513,000	10,600,000	10,397,393	10,638,632

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

61.520 %

Temporarily restricted endowment SchDMd Bullet

38.480 %

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

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

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

Part VI

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

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

1a	Land .....	390,710		390,710
b	Buildings ....	68,581,659	34,603,248	33,978,411
c	Leasehold improvements	16,285,668	12,664,290	3,621,378
d	Equipment ....	92,735,710	69,620,919	23,114,791
e	Other .....	4,740,043	2,314,032	2,426,011
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				63,531,301

Schedule D (Form 990) 2018

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)RESTRICTED INVESTMENTS	4,376,642	F
(2)ORGANIZATION	20,943,784	F
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	25,320,426

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) SPECIALIZED HOSPITAL FDN				3,421,299
(2) OTHER ASSETS; NON-CURRENT				7,781,511
(3) DUE FROM AFFILIATES; CURRENT				72,012,100
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				83,214,910

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
OTHER LIABILITIES	9,533,644
CURRENT	336,802
DUE TO AFFILIATES; CURRENT	101,813
RWJBH HOSPITAL OBLIGATED GROUP	36,162,956
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	46,135,215
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE D, PART V, QUESTION 4

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

SCHEDULE D, PART X

THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018 AND 2017.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

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

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

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

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

Yes

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

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

(a) Region		(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	Program Services	FINANCIAL VEHICLE	0
















3a	Sub-total .....			0
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			0

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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)	(c) Region	(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) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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, PART I	BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES PAYMENTS TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $514,956; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION.

Schedule F (Form 990) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 400 %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

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

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .		864,146	0	864,146	0.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		864,146	0	864,146	0.610 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	6,555	3,111,373	0	3,111,373	2.190 %
f	Health professions education (from Worksheet 5) . . .		1,590,947	0	1,590,947	1.120 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .		473,548	0	473,548	0.330 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		26,760	0	26,760	0.020 %
j	Total. Other Benefits . .	6,555	5,202,628	0	5,202,628	3.660 %
k	Total. Add lines 7d and 7j .	6,555	6,066,774	0	6,066,774	4.270 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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. ......

2,189,996

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. ......

219,000

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

Section B. Medicare

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

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

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

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

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

Schedule H (Form 990) 2018

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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Facility reporting group
1	PSE&G CHILDREN'S SPECIALIZED HOSPITAL 200 SOMERSET STREET NEW BRUNSWICK,NJ08901 WWW.RWJBH.ORG 22249	X	X	1

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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

Yes

6 a

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

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

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

Yes

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

Hospital facility’s website (list url): WWW.RWJBH.ORG

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

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

Yes

If "Yes" (list url): WWW.RWJBH.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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

Was widely publicized 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.RWJBH.ORG

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

WWW.RWJBH.ORG

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

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Did the hospital facility have in place during the tax year a 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCH H,PART V,SECT B,Q'S: 2,13B,13H,15E,16J,18E,19E,20E,21C&D,23&24	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 3J	THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") REVIEWED SPECIAL HEALTHCARE SERVICE GAPS FOR ITS DEFINED POPULATION OF CHILDREN WITH SPECIAL NEEDS.
SCHEDULE H, PART V, SECTION B, QUESTION 5	WHEN CONDUCTING THE MOST RECENT CHNA, CHILDREN'S SPECIALIZED HOSPITAL ("CSH") UTILIZED AN ONLINE SURVEY WITH PARENTS, AND INTERVIEWS WITH KEY STAKEHOLDERS AT CSH AND IN THE COMMUNITY. KEY STAKEHOLDERS INTERVIEWED INCLUDED CSH CLINICIANS, BOARD MEMBERS AND FAMILY ADVISORS, AS WELL AS A COMMUNITY PHYSICIAN, A RESEARCHER, AND REPRESENTATIVES FROM THE EDUCATION, PUBLIC HEALTH, AND PAYER SECTORS. TWO OF THE INTERVIEWEES HAD DIRECT EXPERIENCE WORKING WITH SPANISH-SPEAKING POPULATIONS.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B	WHILE CHILDREN'S SPECIALIZED HOSPITAL ("CSH") HAD ITS OWN CHNA, CSH PARTICIPATES IN A SYSTEM WIDE COMMUNITY HEALTH NEEDS STEERING COMMITTEE FOR ALL MEMBER HOSPITALS. STRATEGIES AND BEST PRACTICES ARE IDENTIFIED AND SHARED AS WELL AS PROGRAM SUPPORT.
SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7D	THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.CHILDRENS-SPECIALIZED.ORG/CONTENT/UPLOADS/CHILDRENS%20SPECIALI ZED/FILES/CSH%202016%20CHNA_FINAL%20REPORT_5%2026%2016.PDF COPIES OF THE CHNA WERE SHARED WITH KEY STAKEHOLDERS AND SYSTEM PARTNERS.
SCHEDULE H, PART V, SECTION B, QUESTION 8	CSH, WITH LIMITED RESOURCES, PRIORITIZED HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA AND DEVELOPED STRATEGIES TO ADDRESS AND COLLABORATE IN STRATEGY EXECUTION. PRIORITIES WERE DEVELOPED WITH INPUT FROM KEY STAKEHOLDERS.
SCHEDULE H, PART V, SECTION B, QUESTION 10	THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.CHILDRENS-SPECIALIZED.ORG/CONTENT/UPLOADS/CHILDRENS%20SPECIALI ZED/IMAGES/UPDATED%20IMPLEMENTATION%20PLAN%20WITH%202017%20ACHIEVEMENTS(1) .PDF
SCHEDULE H, PART V, SECTION B, QUESTION 11	As discussed above, CSH conducted a comprehensive CHNA in which a myriad of health needs were identified. Given limited resources, needs were prioritized with consideration of service array offered by CSH and ability to have an impact either as a hospital or in collaboration with community partners.
SCHEDULE H, PART V, SECTION B, QUESTION 16	THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 16A, 16B AND 16C, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE. https://www.childrens-specialized.org/for-patients-and-families/billing-fi nancial-and-insurance-information/hospital-benefit-fund-and-application

Schedule H (Form 990) 2018

Page 9

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?14
Name and address		Type of Facility (describe)
1	CSH LONG TERM CARE AT MOUNTAINSIDE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE,NJ07092	LONG-TERM CARE AND OUTPATIENT CENTER
2	CSH LONG TERM CARE AT TOMS RIVER 94 STEVENS ROAD TOMS RIVER,NJ08755	LONG-TERM CARE AND OUTPATIENT CENTER
3	CSH OUTPATIENT CENTER AT HAMILTON 3575 QUAKERBRIDGE ROAD HAMILTON,NJ08619	OUTPATIENT CENTER
4	CSH OUTPATIENT CENTER AT TOMS RIVER 368 LAKEHURST ROAD TOMS RIVER,NJ08755	OUTPATIENT CENTER
5	CSH EARLY INTERVENTION TOMS RIVER 316 WASHINGTON STREET TOMS RIVER,NJ08755	EARLY INTERVENTION
6	CSH OUTPATIENT CENTER AT NEWARK 182 LYONS AVE NEWARK,NJ07112	OUTPATIENT CENTER
7	CSH OUTPATIENT CENTER AT CLIFTON 1135 BROAD STREET CLIFTON,NJ07013	OUTPATIENT CENTER
8	CSH OUTPATIENT CENTER AT EGG HARBOR 6106 BLACK HORSE PIKE EGG HARBOR TOWNSHIP,NJ08234	OUTPATIENT CENTER
9	CSH OUTPATIENT CENTER AT NEW BRUNSWICK 10 PLUM STREET 6TH FLOOR NEW BRUNSWICK,NJ08901	OUTPATIENT CENTER
10	CSH OUTPATIENT CENTER AT WARREN 266 KING GEORGE ROAD WARREN,NJ07059	OUTPATIENT CENTER
11	CSH OUTPATIENT CENTER AT BAYONNE 815 BROADWAY AVENUE BAYONNE,NJ07002	OUTPATIENT CENTER
12	CSH OUTPATIENT CENTER AT FANWOOD 313 SOUTH AVENUE FANWOOD,NJ07023	OUTPATIENT CENTER
13	CSH OUTPATIENT CENTER AT EAST BRUNSWICK 629 CRANBURY ROAD EAST BRUNSWICK,NJ08816	OUTPATIENT CENTER
14	CSH OUTPATIENT CENTER AT JERSEY CITY 1825 JOHN F KENNEDY BOULEVARD JERSEY CITY,NJ07305	OUTPATIENT CENTER

Schedule H (Form 990) 2018

Page 10

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; QUESTION 6A	NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART I, QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 & 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. RWJBARNABAS HEALTH ("RWJBH") AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RWJBH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. PLEASE REFER TO FOOTNOTES 2(E) AND 2(P) ON PAGES 9 AND 15; RESPECTIVELY, OF THE RWJBARNABAS HEALTH AUDITED CONSOLIDATED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. CHARITY CARE AND COMMUNITY BENEFIT IN ACCORDANCE WITH THE CORPORATIONS MISSION AND PHILOSOPHY, THE CORPORATION'S HOSPITALS COMMIT SUBSTANTIAL RESOURCES TO BOTH THE INDIGENT POPULATION AND THE BROADER COMMUNITY. THE CORPORATION'S CHARITY CARE POLICY IS TO PROVIDE CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES RENDERED. TO THE EXTENT THAT PATIENTS DO NOT HAVE THE ABILITY TO PAY, SERVICES RENDERED TO THOSE PATIENTS ARE REPORTED AS CHARITY CARE. THE CORPORATION'S HOSPITALS AND AFFILIATES ALSO PROVIDE OTHER BENEFITS THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES. THE AMOUNT OF CHARITY CARE, COMMUNITY SERVICE PROGRAMS, AND CHARITABLE ACTIVITIES, AT COST, PROVIDED TO THE INDIGENT POPULATION AND BROADER COMMUNITY FOR THE YEAR'S ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017 IS AS FOLLOWS: 2018 2017 -------- -------- (IN THOUSANDS) (IN THOUSANDS) COST OF CHARITY CARE AND COMMUNITY BENEFIT PROGRAMS: - NET ESTIMATED COST OF CHARITY CARE PROVIDED, LESS STATE SUBSIDY FUNDING $ 98,632 $ 83,563 - UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER MEANS TESTED PROGRAMS $233,193 $201,584 OTHER PROGRAMS: - CASH AND IN-KIND DONATIONS $ 3,200 $ 4,675 - EDUCATION AND RESEARCH $ 88,758 $ 83,717 - SUBSIDIZED DEPARTMENTS $ 59,762 $ 53,593 - OTHER COMMUNITY BENEFIT $ 10,150 $ 9,914 THE CORPORATION'S HOSPITALS UTILIZE A COST TO CHARGE RATIO METHODOLOGY TO CONVERT CHARITY CARE TO COST. THE COST TO CHARGE RATIO IS CALCULATED UTILIZING THE CORPORATION'S COST ACCOUNTING SYSTEM OR FILED COST REPORTS. THE STATE OF NEW JERSEY'S REGULATIONS PROVIDE FOR THE DISTRIBUTION OF FUNDS FROM A CHARITY CARE FUND, WHICH IS INTENDED TO PARTIALLY OFFSET THE COST OF SERVICES PROVIDED TO THE UNINSURED. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE CORPORATION'S HOSPITALS RECEIVED DISTRIBUTIONS FROM THE CHARITY CARE FUND OF $27,981,000 AND $35,412,000, RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THE RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT IS DISCUSSED IN RESPONSE TO PART III, LINE 8 BELOW.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The organization feels that bad debt should be a community benefit and associated costs should be included on the form 990, schedule h, part i. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay, and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. The american hospital association ("aha") feels that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position that bad debt should be community benefit. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting bad debt as quantifiable community benefit for the following reasons: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospitals' best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance.
SCHEDULE H, PART III, SECTION B; QUESTION 9B	Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance against revenue. It is the policy of children's specialized hospital to treat all patients equally regardless of insurance and their ability to pay. Childrens Specialized Hospital WILL exhaust all opportunities for insurance payments before billing any patient ("guarantor") for services provided by the Hospital. The exceptions to that policy are patient responsibility amounts that are known at the time of service. Payments for those amounts are expected to be paid by the patient at the time of service assuming there is no secondary insurance coverage. In the event a patient responsibility is identified by the patients insurance carrier after the services are provided, the patient will be billed the amount identified as the patients responsibility by the carrier. Again, in situations where secondary or tertiary coverage exists those amounts will be billed prior to the guarantor. All identified insurance carriers will be billed (electronically if possible) and payments pursued from those carriers. FINANCIAL ASSISTANCE will be offered to patients consistent with the FINANCIAL ASSISTANCE policy. Patient's accounts will be updated to reflect FINANCIAL ASSISTANCE eligibility. Patients will not be billed any balances until the point at which all insurance opportunities have been exhausted. The amount billed to the patient (guarantor) should be consistent with the insurance explanation of benefits "patient responsibilitybe net of any FINANCIAL ASSISTANCE AWARDED. Billing statements will be sent out every 21 days for no less than 120 days from the first such statement. Bills that remain unpaid after 120 days will be referred to a collection agency. Normal collections efforts will be pursued but FURTHER COLLECTION ACTIONS WILL BE SUBJECT TO APPROVAL BY THE Director of Patient Accounts on a case by case basis. Any patient overpayments recognized by the hospital resultant from retrospective FINANCIAL ASSISTANCE eligibility will be refunded as soon as reasonably possible.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, RWJBARNABAS HEALTH CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR CSH ANNUALLY WHICH INCLUDES: - a review of health care utilization of its service area population by services (CARDIOLOGY, OBSTETRICS, GYNECOLOGY, UROLOGY, ETC.) for determining increased or decreased health needs; - health care service estimates for inpatient and outpatient services; - assessment of local demographic and socioeconomic information; - community health status data; and - a review of health status/needs assessments and studies conducted by external parties (Health Research and Education Trust of New Jersey, Kids Count, County Health Rankings, SEER Cancer Incidence and Mortality, to name a few). RWJBARNABAS HEALTH CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY CARE AND PHYSICIAN SPECIALTY) EVERY THREE TO FIVE YEARS. THE 2017 STUDY USED GENERALLY ACCEPTED PHYSICIAN TO POPULATION RATIOS ADJUSTED FOR LOCAL COMMUNITY POPULATION TO IDENTIFY GAPS IN SERVICE. THESE STUDIES INFORM MEDICAL STAFF DEVELOPMENT AND RECRUITMENT NEEDS AT THE HOSPITALS TO ASSURE RESPONSIVENESS TO THE SPECIFIC IDENTIFIED NEEDS OF THE COMMUNITY AND TO ASSURE ACCESS TO PHYSICIAN PROVIDER SERVICES. CSH reviews patient surveys and comments to understand patient and family concerns. Further, CSH participates and works with many local organizations on health issues including: discussing and prioritizing needs, coordinating services, providing education and specialty knowledge, and supporting local health promotions. As part of RWJBarnabas Health, CSH works with an array of service providers to support a full service continuum of care for its communities. CSH is active in their respective communities with local municipalities and community-based organizations. For example, CSH Camp Chatterbox, works with Camp Oakhurst in Monmouth County, New Jersey to sponsor a weeklong overnight camp for children and young adults, ages 5-22, who use synthesized Augmentative and Alternative Communication (AAC) devices. Chatterbox offers two unique programs - a Family Program for children ages 5-14 and an Independence and Self-Advocacy Program for teens and young adults ages 15-22. All campers must be able to participate in the program without requiring one-on-one behavioral support. Camp Chatterbox uses the facilities of Camp Oakhurst in Monmouth County, NJ. CSH also partners with the Wilkes-Barre Family YMCA partner to provide a fully main-streamed, overnight camp experience at Camp Kresge in White Haven, PA near the Pocono Mountains. These community touch points provide the hospital with valuable external insights regarding community need.
SCHEDULE H, PART VI; QUESTION 3	THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: - THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION ARE available on-line at the following website: https://www.childrens-specialized.org/for-patients-And-families/billing-fi nancial-and-insurance-information/hospital-benefit-fund-and-application - Paper copies of THE CHILDREN'S SPECIALIZED HOSPITAL BENEFIT FUND POLICY AND APPLICATION are available upon request without charge by mail and are available AT THE PATIENT ACCESS SERVICES DEPARTMENT WITHIN THE HOSPITAL; AND - Signs or displays informing patientS about the availability of financial assistance ARE conspicuously posted in public locations OF THE HOSPITAL.
SCHEDULE H, PART VI; QUESTION 4	CSH draws patients across the region and operates at 13 different locations in 9 counties in New Jersey. Its inpatient hospital for comprehensive rehab services is located in New Brunswick, NJ. Long term care services are provided in Toms River, NJ. New Brunswick is the population center of Middlesex County. According to Census Bureau estimates, Middlesex County is the second largest county in New Jersey and is estimated to have had the third largest growth in residents from 2010 to 2018. New Brunswick is the 27th largest place in the state. Despite the vibrancy of City culture, many challenges exist for residents residing in New Brunswick. The 2018 census ESTIMATES 36% of families to have incomes under the poverty level in the last 12 months, 29.6% are covered by public health insurance, 24% with no insurance and 20.9% of the population receiving food stamps/SNAP assistance. There are 12 Designated Comprehensive Health Centers in Middlesex County and a number of census tracts with MUA/MUP designation. Toms River is the county seat of Ocean County. Ocean County is one of the fastest growing counties in the state since 1940 and Toms River is ranked the 8th most populous CDP in the state in the 2018 census ESTIMATES. Ocean County is considered part of the NY metropolitan area; however, it is actually home to one-third of the Jersey Shore, bordering the Atlantic Ocean in the southern part of New Jersey, a prime destination for large beach populations, fisherman and boaters, which places additional seasonal demands on the hospitals emergency department. While there was a 12.8% population growth between the 2000 and 2010 census, hurricane Sandy limited future growth. The 2018 census estimates Toms River to have a 17% minority presence and 6.6% of families living below the poverty level. Approximately 8% do not have health insurance, 35% have public health insurance and 5.9% of households receive food stamps/SNAP assistance. The contrast of New Brunswick and Toms River reflects the diverse communities served by CSH. CSH is committed to providing quality and compassionate care to its communities. Its pay mix was comprised of approximately 60% underinsured and uninsured payer classifications in 2018.
SCHEDULE H, PART VI; QUESTION 5	Community building activities are undertaken by CSH to improve the medical and socioeconomic well-being of the communities and special needs children 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. CSH conducts research and provides educational materials, conducts special programming (special camps) 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. The majority of the Board of Trustees members 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 or provide other forms of support such as fundraising, activity participation and promotion of the charitable events and mission. All qualified physicians are extended privileges. Diversity is welcomed and encouraged for recruitment of Trustees, physicians and staff. Under the directive of the Systems Finance Office, surplus funds are utilized for capital projects to improve services, to purchase equipment, or to advance medical care, programs and activities. All of these purposes for expenditure of surplus funds, in turn, benefit the community. Please also refer to Form 990, Schedule O, which contains the organizations community benefit statement and provides a summary of entities comprising RWJBarnabas Health.
SCHEDULE H, PART VI; QUESTION 6	The organization is an affiliate of rwjbarnabas health ("rwjbh"). All affiliates are committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services. Rwjbh strives to exceed the patients' expectations by emphasizing commitment, competence, collaboration, communication, and compassion. Rwjbh sets overall policy regarding billing and collections and the facility responses provided for part i, part ii, and part iii are reflective of that policy. Rwj barnabas health, inc. 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 barnabas health, inc. Operates as the parent entity of a multi-corporate healthcare system, which includes all of the tax-exempt hospitals of the former separate barnabas health and the robert wood johnson health systems. It was created to coordinate, supervise and ensure the continuation and improvement of the quality of healthcare services provided by its qualifying affiliates to the community. Rwj barnabas health, inc. Ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin or ability to pay. The sole member or stockholder of each entity within the system is either rwj barnabas health, inc. Or another rwjbh affiliate controlled or owned by rwj barnabas health, inc. Outlined below is a summary of the entities which comprise rwjbh. Active hospitals include childrens specialized hospital, clara maass medical center, community medical center, jersey city medical center, monmouth medical center - southern campus, monmouth medical center, newark beth israel medical center, robert wood johnson university hospital, robert wood johnson university hospital at hamilton, robert wood johnson university hospital rahway, saint barnabas behavioral health center, inc. And saint barnabas medical center. 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 acute care hospital operates an active emergency department for all persons, which is open 24 hours a day, 7 days a week, 365 days per year (saint barnabas behavioral health center, inc. Is a behavioral health specialty hospital facility and, accordingly, does not operate an emergency room); 3. Each maintains 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 barnabas health, inc. (both boards are comprised of independent civic leaders and other prominent members of the community); and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. Affiliated rwjbh entities are as follows: 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. Clara maass medical center ("cmmc") is a 469-bed non-profit acute care medical center located in belleville, essex county, new jersey. Cmmc is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, cmmc 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, cmmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Community medical center, inc. ("cmc") is a 592-bed non-profit hospital located in toms river, ocean county, new jersey. Cmc is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, cmc 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, cmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Jersey city medical center ("jcmc") is a 316-bed regional referral teaching hospital and a major teaching affiliate of the mount sinai school of medicine, located in jersey city, hudson county, new jersey. Jcmc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, jcmc 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, jcmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Monmouth medical center ("mmc") is comprised of the following hospitals: monmouth medical center, a 513-bed non-profit community teaching hospital located in long branch, monmouth county, new jersey and monmouth medical center-southern campus, a 330-bed non-profit medical center located in lakewood, ocean county, new jersey. Mmc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, mmc 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, mmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Newark beth israel medical center ("nbimc") is a 665-bed non-profit, fully accredited regional care teaching hospital located in newark, essex county, new jersey. Nbimc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, nbimc 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, nbimc operates consistently with the criteria outlined in irs revenue ruling 69-545. 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 ("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.
SCHEDULE H, PART VI; QUESTION 6	Robert wood johnson university hospital rahway ("rwjuhr") is a licensed 251-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. Saint barnabas behavioral health center, inc., d/b/a barnabas health behavioral health center, is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3). The organization 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. Saint barnabas behavioral health center (with kimball behavioral health services) constitutes a freestanding 100-bed acute care psychiatric facility in ocean county, new jersey. The organization provides inpatient, partial hospitalization, and intensive outpatient programs for adults diagnosed with psychiatric and dual disorders. Barnabas health behavioral health center is accredited by the joint commission on accreditation for healthcare organizations. Saint barnabas medical center ("sbmc") is new jersey's oldest non-profit, non-sectarian acute care hospital, located in livingston, essex county, new jersey. With 645 licensed beds, sbmc is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, sbmc 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, sbmc operates consistently with the criteria outlined in irs revenue ruling 69-545. Barnabas bayonne development urban renewal corporation f/k/a medical center staffing services, 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 supports the charitable purposes, programs and services of center state health group, inc., a related internal revenue code 501(c)(3) tax-exempt organization, and supports the barnabas health system by providing temporary staffing services to various affiliates. Barnabas health, inc. 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). The organization is the tax-exempt parent entity of the legacy barnabas health affiliates; pre robert wood johnson health system affiliation; a tax-exempt integrated healthcare delivery system. Barnabas health, inc. Strives to continually develop and operate a multi-hospital health system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare and prevention services to the residents of new jersey and surrounding communities. Barnabas health, inc. Ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origins or ability to pay. Barnabas health medical group, p.c. 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 barnabas health, inc., a related internal revenue code 501(c)(3) tax-exempt organization and its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, by practicing medicine, engaging in medical education and working to improve the welfare of individuals in new jersey, the organization comprises a component of the clinical service physician practice plans of the barnabas health teaching hospitals and is an integral part of these institutions. Center state health group, 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 supporting organization of rwj barnabas health, inc. And the rwjbarnabas health system hospitals and medical centers. It acts as the centralized business office for rwjbarnabas health and assists them with billing and collecting of revenue for medical services provided by these organizations. Central jersey behavioral health associates, 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 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 supports the charitable purposes, programs and services of saint barnabas behavioral health center, inc., a related internal revenue code 501(c)(3) tax-exempt organization, that also 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 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. Clara maass 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 clara maass medical center, 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. Community medical center foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of community medical center, 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. 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. Liberty health care system ("lhcs") was recognized by the internal revenue service as an internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3) until its statutory merger into jersey city medical center during 2018. The jersey city medical center 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)(2). The organization solicits and maintains gifts, grants and other contributions for the promotion of health and overall wellness in the hudson county, new jersey community served by the jersey city medical center.
SCHEDULE H, PART VI; QUESTION 6	Liberty riverside healthcare is an organization recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. The organizations mission was to provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay prior to the sale of the hospital and its assets on december 7, 2010. Monmouth medical center - southern campus 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 monmouth medical center - southern campus, 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. Mega care, 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 located in union, union county, new jersey. The organization is acting as a member of vna health group of new jersey, llc which provides medically necessary home health and hospice care to all individuals. Monmouth medical center-faculty practice plan, 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 supports the charitable purposes, programs and services of monmouth medical center, 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. The organization provides clinical services, education and training in conjunction with monmouth medical center's medical residency teaching program. Monmouth medical center foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of monmouth medical center, 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. 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 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. Rwj health care corporation was 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) until its statutory merger into RWJ Barnabas Health, Inc. during 2018. Robert wood johnson health care corporation at hamilton was 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) until its statutory merger into RWJ Barnabas Health, Inc. during 2018. Robert wood johnson health network, 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 supports 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 property holding corporation was 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) until its statutory merger into Saint Barnabas Realty Development Corporation during 2018. 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. Robert wood johnson university hospital rahway foundation, inc. was 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) until its statutory merger into Robert Wood Johnson University Hospital Rahway during 2018. 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.
SCHEDULE H, PART VI; QUESTION 6	Saint barnabas health care system 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 rwjbarnabas health. Saint barnabas hospice and palliative 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)(1). The organization provides care and support for terminally ill patients and their families in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. For more than 25 years the caring, compassionate professionals of the nationally renowned saint barnabas hospice and palliative care center, inc. Have provided exceptional physical, emotional and spiritual support to patients and their families during life's final stages whether at home, in the hospital, or in a long-term care or assisted living facility. Our dedicated, highly skilled team strives to improve quality of life while providing comfort, preserving dignity, and honoring the unique wishes of each patient and family. Saint barnabas outpatient centers, corp. 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). Saint barnabas outpatient centers is one of the nation's most sophisticated ambulatory healthcare facilities--providing the highest quality medical care in an environment designed to set a new standard for patient satisfaction. The organization provides various types of medically necessary outpatient medical and surgical specialty services, including ambulatory surgery and women's gynecological surgery, renal dialysis services, imaging services, diabetes services and endocrinology services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Saint barnabas realty development 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 saint barnabas medical center, 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 rwjbarnabas health. Sandy hook friends of saint barnabas burn 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)(3). The organization supports the charitable purposes, programs and services of the saint barnabas burn unit at saint barnabas medical center; 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. United rescue at jersey city, 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). Vna health group of new jersey, llc is an organization recognized by the internal revenue service as a 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 system also includes additional not-for-profit entities that are recognized as internal revenue code 501(c)(3) tax-exempt organizations but are currently inactive. These entities include the following: - greenville hospital; - irvington hospital foundation, inc.; - lakeview child care center foundation, inc.; - liberty behavioral health associates; - liberty surgical associates; - new margaret hague center women's jersey medical center ob/gyn; - somerset community care corporation; and - somerset health care affiliates, inc. For profit rwjbarnabas health entities include the following: Acucare physicians, p.c. is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital. The organization is located in somerville, somerset county, new jersey. This entity provides medical services. Central jersey aco, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is barnabas health, inc. This organization engages in healthcare services. Center state management corporation is an entity whose sole shareholder is livingston services corporation. The organization is located in toms river, ocean county, new jersey. This entity engages in various healthcare related business activities. Commercial professional insurance company, ltd, a controlled foreign corporation of saint barnabas medical center. The organization was formed and operates solely in bermuda. Csh ventures, inc. Is an entity whose sole member is children's specialized hospital. The organization was formed to provide pediatric rehabilitation consulting and training services internationally. Eos, inc. was an inactive entity until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Hamilton endoscopy & surgery center, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is rwj medical services organization at hamilton. This organization engages in healthcare services. Health care facilities management, inc. Is an entity whose sole shareholder is Livingston Services Corporation. The organization is located in south plainfield, middlesex county, new jersey. The organization provides engineering, plant operations and materials management services primarily to rwjbh entities. Innovative purchasing concepts, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh members are the rwjbh hospitals. This organization engages in group purchasing activity. Jersey asc ventures, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is barnabas health, inc. This organization engages in healthcare services. Kimball health care affiliates, inc. was an entity whose sole shareholder was livingston services corporation until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Liberty healthcare capital is an entity whose sole shareholder is jersey city medical center. The organization is located in secaucus, hudson county, new jersey. This entity provides leasing and financing support to jersey city medical center. Liberty healthcare management, llc was a limited liability company treated as a partnership for tax purposes until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Livingston infusion care, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in south plainfield, middlesex county, new jersey. The organization provides home infusion and dialysis services to individuals. Livingston services corporation is an entity whose sole shareholder is barnabas health, inc. The organization is located in belleville, essex county, new jersey. This entity engages in various healthcare business activities. Lsc pharmacy services, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in west orange, essex county, new jersey. The organization operates a pharmacy for rwjbh entities.
SCHEDULE H, PART VI; QUESTION 6	Major security services, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in south plainfield, middlesex county, new jersey. The organization provides security services primarily to rwjbh entities and others. The organization conducts background checks and other investigatory services. New jersey health care system, inc. is an inactive entity. New jersey health, inc. was an inactive entity until its statutory merger into Liberty Behavioral Health Associates Faculty Practice Plan, Inc. during 2018. New jersey healthcare associates is an inactive entity. New jersey imaging network, l.l.c. is a limited liability company treated as a partnership for tax purposes whose rwjbh member is center state management corporation. This organization engages in healthcare services. New jersey management services organization was an inactive entity until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Professional quality liability insurance company, a risk retention group, was a vermont based insurance company until being dissolved during 2018. Rwj hamilton physician enterprise, p.a. is an inactive entity. Rwj kidney transplant association is an inactive entity. Rwj medical associates at hamilton is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital at hamilton. The organization is located in hamilton, mercer county, new jersey. The organization provides medical services to individuals. Rwj medical services organization at hamilton is an entity whose sole shareholder is livingston services corporation. The organization is located in hamilton, mercer county, new jersey. This entity derives income from the receipt of rental income. R.w.j. medical associates, p.a., is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital. The organization is located in new brunswick, middlesex county, new jersey. The organization provides medical services to individuals. Rwj multi-specialty group, p.a. is an inactive entity. Rwj physician enterprise, p.a. is an entity whose nominee sole shareholder is a licensed md holding shares for the benefit of robert wood johnson university hospital. The organization is located in new brunswick, middlesex county, new jersey. This entity provides medical services to individuals. Rwj-regent, l.l.c. is a limited liability company treated as a partnership for tax purposes, formed in the state of new jersey and operates an ambulatory surgery center. Rwj-regent ii, l.l.c. is a limited liability company treated as a partnership for tax purposes, formed in the state of new jersey and operates an ambulatory surgery center. Rwj surgery center, inc. Is an 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. Sbc management corporation is an entity, whose sole shareholder is livingston services corporation. The organization is located in west orange, essex county, new jersey. This entity provides managerial administration and support to rwjbh. Shc enterprises, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in somerville, somerset county, new jersey. This entity provides management services. Shrewsbury diagnostic imaging, l.l.c. is a limited liability company treated as a partnership for tax purposes. This organization engages in healthcare services. Somerset cardiology group, p.c. is an inactive entity. Somerset cardiology partners, p.c. is an inactive entity. Somerset realty group, inc. is an 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 was an inactive entity until its statutory merger into Liberty Healthcare Capital, Inc. during 2018. Vision healthcare, inc. Is an entity whose sole shareholder is livingston services corporation. The organization is located in rahway, union county, new jersey. This entity conducts various healthcare business activities. Warren internal medicine, p.c. is an inactive entity.
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) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
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) 2018

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JENFU CHENG MD TRUSTEE - PRESIDENT MED STAFF	(i) (ii)	222,321 ------------- 0	27,010 ------------- 0	18,933 ------------- 0	10,045 ------------- 0	29,668 ------------- 0	307,977 ------------- 0	0 ------------- 0
2AMY B MANSUE TRUSTEE - RWJBH PRES. S. DIV.	(i) (ii)	0 ------------- 753,384	0 ------------- 547,037	0 ------------- 487,643	65,224 ------------- 15,125	0 ------------- 9,451	65,224 ------------- 1,812,640	0 ------------- 95,618
3MATTHEW MCDONALD MD TRUSTEE - VP/CMO	(i) (ii)	319,242 ------------- 0	38,475 ------------- 0	2,845 ------------- 0	32,125 ------------- 0	27,040 ------------- 0	419,727 ------------- 0	0 ------------- 0
4WARREN E MOORE TRUSTEE - PRESIDENT/CEO	(i) (ii)	460,241 ------------- 0	268,486 ------------- 0	170,431 ------------- 0	428,991 ------------- 0	23,244 ------------- 0	1,351,393 ------------- 0	0 ------------- 0
5PHILIP SALERNO III TRUSTEE - PRES/CDO FOUNDATION	(i) (ii)	355,897 ------------- 0	58,548 ------------- 0	15,899 ------------- 0	11,000 ------------- 0	27,324 ------------- 0	468,668 ------------- 0	0 ------------- 0
6JOSEPH J DOBOSH JR MBA VP/CFO	(i) (ii)	258,171 ------------- 0	80,090 ------------- 0	76,752 ------------- 0	71,262 ------------- 0	17,512 ------------- 0	503,787 ------------- 0	0 ------------- 0
7CHARLES CHIANESE MBA VP/COO	(i) (ii)	308,298 ------------- 0	78,435 ------------- 0	16,837 ------------- 0	127,470 ------------- 0	1,252 ------------- 0	532,292 ------------- 0	0 ------------- 0
8CHRISTOPHER HAINES DO FACEP VP/CMO (TERMED 6/12/18)	(i) (ii)	184,004 ------------- 0	94,050 ------------- 0	572,834 ------------- 0	3,690 ------------- 0	1,672 ------------- 0	856,250 ------------- 0	96,630 ------------- 0
9MICHAEL R DRIBBON PHD VP/BUS DEVELOP/CRO	(i) (ii)	306,185 ------------- 0	63,266 ------------- 0	46,799 ------------- 0	101,862 ------------- 0	18,893 ------------- 0	537,005 ------------- 0	909 ------------- 0
10BONNIE ALTIERI PHD RN VP PATIENT CARE SERVICES/CNO	(i) (ii)	261,087 ------------- 0	65,797 ------------- 0	7,091 ------------- 0	109,259 ------------- 0	14,853 ------------- 0	458,087 ------------- 0	0 ------------- 0
11WILLIAM J DWYER VP/CHIEF HR OFF.(TERM 3/11/18)	(i) (ii)	47,538 ------------- 0	24,580 ------------- 0	238,819 ------------- 0	0 ------------- 0	1,176 ------------- 0	312,113 ------------- 0	0 ------------- 0
12RUTH K BASH VP/CHIEF CULTURE/CHIEF HR OFF	(i) (ii)	200,000 ------------- 0	49,800 ------------- 0	5,733 ------------- 0	59,928 ------------- 0	1,020 ------------- 0	316,481 ------------- 0	0 ------------- 0
13COLIN R O'REILLY MD SECTION CHIEF IP PEDIATRICS	(i) (ii)	273,031 ------------- 0	55,121 ------------- 0	2,992 ------------- 0	5,500 ------------- 0	23,840 ------------- 0	360,484 ------------- 0	0 ------------- 0
14KRISHAN YALAMANCHI MD DIRECTOR BRAIN INJURY PROGRAM	(i) (ii)	240,620 ------------- 0	0 ------------- 0	24,167 ------------- 0	10,364 ------------- 0	16,530 ------------- 0	291,681 ------------- 0	0 ------------- 0
15ELVIRA DOWNS MD SECTION CHIEF PSYCHIATRY	(i) (ii)	240,264 ------------- 0	20,502 ------------- 0	3,664 ------------- 0	9,759 ------------- 0	8,966 ------------- 0	283,155 ------------- 0	0 ------------- 0
16PATRICIA D FOLEY PT FACHE VP OUTPATIENT SERVICES	(i) (ii)	194,310 ------------- 0	49,386 ------------- 0	4,612 ------------- 0	61,733 ------------- 0	25,064 ------------- 0	335,105 ------------- 0	0 ------------- 0
17ANNA MALIA BECKWITH MD SECTION CHIEF NEURODEVELOPMENT	(i) (ii)	213,318 ------------- 0	30,691 ------------- 0	2,613 ------------- 0	4,606 ------------- 0	32,283 ------------- 0	283,511 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 1A	THE ORGANIZATION PAID FOR HEALTH CLUB DUES FOR CERTAIN EMPLOYEES. THE HEALTH CLUB DUES ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: WARREN E. MOORE, $500; JOSEPH J. DOBOSH, JR., MBA, $500; CHARLES CHIANESE, MBA, $500; CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $500; MICHAEL R. DRIBBON, PH.D., $500; BONNIE ALTIERI, PH.D., RN, $500; RUTH K. BASH, $500 AND PATRICIA D. FOLEY, PT, FACHE, $500.
SCHEDULE J, PART I; QUESTION 4A	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2018 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $193,214 AND WILLIAM J. DWYER, $189,073.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $95,618; WARREN E. MOORE, $155,697; JOSEPH J. DOBOSH, JR., MBA, $65,495; CHRISTOPHER J. HAINES, D.O., MBA, FAAP, FACEP, $325,206; MICHAEL R. DRIBBON, PH.D., $33,387 AND WILLIAM J. DWYER, $48,207. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FOREFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HER 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $335,000. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MATTHEW MCDONALD, M.D., $26,625; WARREN E. MOORE, $417,991; JOSEPH J. DOBOSH, JR., MBA, $60,262; CHARLES CHIANESE, MBA, $119,220; MICHAEL R. DRIBBON, PH.D., $90,862; BONNIE ALTIERI, PH.D., RN, $101,331; RUTH K. BASH, $55,928 AND PATRICIA D. FOLEY, PT, FACHE, $53,745. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES INTEREST CREDITS ON AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) FROM HER FORMER EMPLOYER; CHILDRENS SPECIALIZED HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HER 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $65,224.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN F	THE AMOUNT REFLECTED 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) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THOSE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEARS FORMS 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY B. MANSUE, $95,618; CHRISTOPHER J. HAINES, D.O., FAAP, FACEP, $96,630 AND MICHAEL R. DRIBBON, PH.D., $909.

Schedule J (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Background ========== Children's Specialized Hospital ("CSH"), a member of the RWJBarnabas Health system ("rwjbh"), is a not for-profit licensed comprehensive pediatric rehabilitation hospital providing pediatric inpatient, outpatient, long-term, and primary care. CSH also operates a licensed pediatric medical day care and two pediatric practices for children with disabilities. The hospital also provides early intervention services for children ages birth to three years old. CSH has developed a web portal that provides better access to the patients medical information, the ability to handle more aspects of care remotely, and regular follow-up visits. CSH has been providing services to the children of New Jersey and surrounding states for over 125 years. Our talented and caring staff provide a wide array of medical, developmental, educational and rehabilitative services for infants, children, adolescents, and young adults. CSHs healthcare professionals are committed to providing comprehensive, coordinated and compassionate care to children with chronic illnesses and disabilities who have multiple and complex therapy needs. Evaluation and treatment is available for a variety of rehabilitation needs, including, but not limited to, brain injuries, spinal cord dysfunction, respiratory issues, autism, orthopedic problems, sports injuries, chronic pain syndromes, chronic illnesses, learning disabilities, language or hearing problems, developmental delays, and behavior or attention problems at home or in school. CSH is recognized by the internal revenue service ("IRS") 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 following criteria outlined in IRS revenue ruling 69-545: 1. CSH provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. CSH maintains an open medical staff, with privileges available to all qualified physicians; 3. Control of CSH rests with its board of trustees and the board of trustees of RWJ Barnabas Health, inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 4. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of CSH, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of CSH is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. CSH's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of an integrated healthcare delivery system. The sole member of each entity is either RWJ BH or another RWJBH affiliate controlled or owned by RWJ BH. CSH, like its corporate parent, is a not-for-profit organization. RWJBH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. RWJBH was formed with the merger of Barnabas Health Inc. ("BH"), the parent of the Barnabas Health System ("Barnabas Health"), and Robert Wood Johnson Health Care Corporation ("RWJHCC"), the parent of the former Robert Wood Johnson Health System ("RWJHS"). The definitive agreement signed on July 14, 2015, outlined the combination of these two leading health systems and created the largest and most comprehensive healthcare delivery system in the state of New Jersey and one of the largest in the nation RWJBH. The transaction (hereinafter referred to as the "merger") successfully completed federal and state review in March 2016, and the transaction closed operationally on April 1, 2016. The background of BH includes its formation in June 1996 when six New Jersey hospitals and their affiliates joined Saint Barnabas Medical Center and Union Hospital (), which had affiliated in 1993. The six hospitals included: Community Medical Center, Inc. and Kimball Medical Center, Inc., which had affiliated in 1993 to form the Community/Kimball Health Care System; Newark Beth Israel Medical Center, Inc. and Irvington General Hospital, Inc. ("Irvington"), affiliates of each other since 1991; Monmouth Medical Center, Inc.; and Wayne General Hospital Corp. ("Wayne"). In January 1997, West Hudson Hospital Association, Inc. ("West Hudson") joined Barnabas Health, followed by Clara Maass Medical Center in December 1997. Barnabas Health subsequently divested Wayne, closed West Hudson, Irvington, and Union and consolidated their operations into other system facilities. Most recently, Jersey City Medical Center joined Barnabas Health in 2014. The background of RWJHCC includes its formation in 1984 to promote, support and further the charitable purposes of the Robert Wood Johnson University Hospital and other affiliated and related non-profit health care organizations. RWJHS then expanded to include Robert Wood Johnson University Hospital at Hamilton, Robert Wood Johnson University Hospital Rahway, Childrens Specialized Hospital, Somerset Medical Center, and other health care related ventures. RWJBH is the largest multi-hospital system in New Jersey and continues to provide substantial community benefit as was previously provided by its formative health systems, BH and RWJHCC. RWJBH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJBH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey department of health without charge or at amounts less than established rates. RWJBH 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. RWJBH is New Jerseys second largest private employer with approximately 32,000 employees, nearly 7,300 individual physicians on the combined medical staffs (of which, in excess of 1,600 are employed), and over 1,000 residents and interns. RWJBH routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in excess of $5 billion and treats over three million patients each year with nearly 198,000 inpatient admissions, over two million outpatient visits (including over 742,000 emergency department visits) and nearly 24,000 newborn and neonatal admissions. RWJBHs composition includes 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. RWJBH created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout New Jersey. The systems geographic coverage spans the greater Hudson, Essex, Union, Middlesex, Mercer, Somerset, Monmouth and Ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of BH and RWJHS promotes the highest quality healthcare delivery and greater levels of efficiency.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform health care in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. Mission Statement/Vision/Values =============================== Vision ------ The vision of CSH is a world where all children can reach their full potential. Mission ------- The mission of CSH is to be the preeminent provider of specialized healthcare services for infants, children and young adults. Values ------ Our trustees, employees and volunteers will embody our values in every interaction with patients, their families, each other and all other stakeholders. Safety: We are committed to zero incidents of preventable harm for our patients, families, visitors and each other. We speak up for safety, accurately communicate, focus on the task, exercise and accept a questioning attitude, and thoughtfully interact. Compassion: We provide a loving, caring, family-centered environment for the children, their families, and each other. We advocate for children and their families. Excellence: we will be the best at our work and provide the highest quality family-centered care to our children. We are committed to ethical practices and transparency. We will be creative in providing care and solving problems. Teamwork: We seek to collaborate and partner in all that we do. Every person on our team is needed to provide the safe and exceptional care for which we are known. We work together and communicate respectfully. Fun: We will provide a positive and friendly environment. Hospital Statistical Information ================================ CSH is a regional provider of specialized children's services and cared for over 37,000 unduplicated patients in 2018, a 6.9% increase over the previous year. In 2018, CSH provided inpatient care for 584 children and long-term care residential services for 88 children. CSH provided more than 676,883 half hours of outpatient units of services during 2018; the outpatient services include over 31,133 children visiting our physicians and therapists, over 5,625 children served in our early intervention program. CSH is committed to providing quality and compassionate care to its communities. Its pay mix was comprised of approximately 60% underinsured and uninsured payer classifications in 2018. During 2018, 672 volunteers dedicated their time, talent and efforts to patients and their families. Around 36,058 hours of service was provided. Accomplishments/Milestones/Recognitions/Awards ============================================== Accreditations/licensures ------------------------- CSH holds the following: 1. Accredited by The Joint Commission of Accreditation of Healthcare Organizations; 2. Licensed by the New Jersey Department of Health as a Comprehensive Rehabilitation Hospital; 3. Licensed by New Jersey Department of Human Services for Outpatient Mental Health Services; 4. Licensed by New Jersey Department of Health for multiple hospital-based, off-site ambulatory care facility primary care and physical therapy; 5. Licensed by New Jersey Department of Health as Pediatric Long Term Care Facility. 6. Certified by Medicaid, Medicare, and Special Child Health Services. Accomplishments, awards and recognitions ---------------------------------------- - Special needs primary care at CSH was the first special needs pediatric practice in New Jersey to receive a patient-centered medical home (PCMH) designation by the national committee for quality assurance (NCQA), the most widely adopted model for recognizing PCMH standards. - First pediatric hospital in New Jersey to have a full-time therapy dog. - Awarded a $600K grant from SPARK (Simons Foundation Powering Autism Research for Knowledge) which is a landmark autism research initiative focused on advancing the understanding of autism to help improve lives. Through this grant, we will be recruiting, engaging, and retaining a community of individuals affected by autism and their families, asking them to share medical and genetic information with scientists. This data will help our researchers to advance the genetic understanding of autism and provide meaningful information and resources to participants. - Launched the New Jersey Autism Center of Excellence (NJACE) along with Rutgers University. This is a statewide innovative, comprehensive and collaborative network to promote quality research, professional training and build public awareness aimed to improve the lives of individuals with ASD across the lifespan. - CSH Chief Medical Officer, Matthew McDonald, was nominated and selected as an NJBIZ Forty Under 40 Winner in the Healthcare Category. - CSH President and Chief Executive Officer, Warren Moore, was awarded with the Harold L. Conover Leadership Award from Rider University. - CSH President and Chief Executive Officer, Warren Moore, was awarded with the Infantry Inspiration Award from Izzys Infantry Fighting Pediatric Cancer & Spinal Trauma at their second annual Rally Around Hope reception. Charitable purposes, charity care and community activities ---------------------------------------------------------- CSH provides healthcare services to all NJ children who can benefit from rehabilitative in a non-discriminatory manner regardless of ability to pay. CSH provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates and maintains records to identify and monitor the level of charity care it provides. CSH does not pursue collection of amounts determined to qualify as charity care; therefore, these amounts are not reported as net patient service revenue. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. CSH does not receive any distribution of federal or state subsidies for charity care services rendered. Patient-and-Family-Centered Care and CSH ---------------------------------------- Patient-and-family-centered care is an approach to healthcare that shapes healthcare policies, programs, facility design, and day to day interactions among patients, families, physicians and other healthcare professionals. Healthcare professionals, who practice patient-and-family-centered care, recognize the vital role that families play in ensuring the health and well-being of children and family members of all ages. These practitioners acknowledge that emotional, social and developmental supports are integral components of healthcare. They respect each child and family's innate strengths and view the healthcare experience as an opportunity to build on these strengths and support families in their care-giving and decision-making roles. A patient-and- family centered approach leads to better health outcomes and wiser allocations of resources, as well as greater patient and family satisfaction. Care-giving and decision-making roles. A patient-and-family centered approach leads to better health outcomes and wiser allocations of resources, as well as greater patient and family satisfaction. Patient-and-family centered care in pediatrics is based on the understanding that the family is the child's primary source of strength and support and that the child's and family's perspectives and information are important in clinical decision making. Patient-and-family-centered practitioners are keenly aware that healthcare experiences can enhance parents' confidence in their roles and, over time increase the competence of children and young adults to take responsibility for their own healthcare, particularly in anticipation of the transition to adult service systems.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Patient-and-family-centered care is grounded in collaboration among patients, families, and all hospital personnel for the planning, delivery, and evaluation of healthcare to the children we serve, as well as in the education of healthcare workers. Continuing our goal to be recognized as a center of excellence in pediatric care, CSH is committed to the integration of patient-and-family-centered principles into our health care policies and practices across the continuum of care provided by our institution. In placing the needs of the child and family at the center of all activities we will fulfill our mission and embody the values of patient-and-family-centered care and CSH by: - Respecting each child and his or her family as partners in care; - Honoring diversity and its effect on the family's experience and the perception of care through recognizing that each family is unique in their structure, values, culture, ethnicity, orientation, spiritual beliefs, social, economics, educational, and geographic diversity; - Building on the strengths of each child and family, even in difficult and challenging situations, by acknowledging each family's priorities and level of expertise; - Recognizing and respecting different methods of coping; - Implementing comprehensive services that provide developmental, educational, emotional, environmental and financial supports; - Supporting and facilitating choice for the child and family about approaches to care and support; - Ensuring flexibility in organizational policies, procedures and provider practices to reflect diversity and meet the needs, beliefs, personalities, life experiences, spiritual and cultural values of each child and family; - Providing formal and informal support for each child and family. Collaborating with families at all levels of healthcare, in the care of the individual child and in professional education, policy making and program development, through the exchange of honest and unbiased information on an ongoing basis and in ways that are useful and affirming; - Empowering children and families to discover their own strengths, build confidence and make choices and decisions about their health through the creation of true partnerships with healthcare professionals; and - Working with local communities, schools and health officials to ensure that community services and support systems for children and their families are flexible, accessible and comprehensive. CSH maintains inpatient programs for brain injury, spinal cord dysfunction, infant and toddlers with prematurity and birth related disorders, chronic pain, chronic illness, and general rehabilitation. Outpatient programs exist at varying levels of development including the autism program and the comprehensive feeding program. These are just a few of our many programs and specialty service areas that combine cutting-edge technology with clinical expertise and compassionate care in a patient-and-family-centered environment at facilities in Bayonne, Clifton, East Brunswick, Egg Harbor Township, Hamilton, Jersey City, Mountainside, Newark, New Brunswick, Toms River, and Warren. Additionally, CSHs staff provides expertise at various schools, centers, and programs for children with special needs throughout New Jersey. Centers of Excellence ===================== CSHs recognized medical services centers of excellence include, but are not limited to, the following: Inpatient Programs ------------------ Inpatient services are licensed for 90 pediatric rehabilitation beds, 68 comprehensive rehabilitation beds and 73 pediatric long-term care beds that are in operation. Inpatient rehabilitation care provided includes medical and nursing care, comprehensive therapy services, psychological and neuropsychological services, academics, social services, and nutritional services. Included in the therapy services are physical therapy, hydrotherapy, rehabilitation technology, augmentative communication, occupational therapy, activities of daily living, speech and audiology, respiratory therapy, recreational therapy and child life. These CSH services are provided to allow the children to attain their greatest potential - medically, socially, academically, and emotionally. Their families are provided with support and educational services to ensure their child can return to their home and community. Our long-term care centers, located in Mountainside and Toms River, NJ are skilled nursing facilities providing 24-hour nursing care to the medically involved patient. We have 46 licensed beds in mountainside and one waiver bed and 26 licensed beds in Toms River. Our long-term care patients receive respiratory and nutritional services, physical and occupational therapy, as well as recreational and child life services. Some of the patients attend an on-site school while others are transported to community schools. Brain Injury ------------ Helping a child recover from a brain injury presents complex challenges. While the child needs help in recovering from his injuries, he also is still developing physically, emotionally, and intellectually. The brain injury program at CSH meets these challenges and the unique needs of children by providing innovative, expert and loving care for the patient with a brain injury on his or her road to independence. The brain injury program, which was established in 1981, is designed to meet the needs of brain-injured, age appropriate patients, at all levels of cognitive awareness. The rehabilitation process is the foundation for long term recovery. Children are best treated by pediatric specialists in an environment especially geared to their needs. CSH provides specialized care for each child's unique needs during their recovery in a comprehensive medical and rehabilitation setting. A full continuum of care from coma to re-entry to the community is provided for each child. The brain injury program is geared toward maximal progress through rehabilitation while emphasizing the achievement of normal pediatric developmental milestones. CSHs professional staff, who are experienced with brain injuries and the developmental needs of children, incorporate each child and family within the rehabilitation team to encourage optimal progress. Each child's individualized program focuses on their medical, physical, cognitive, and psychosocial needs. In addition to individual therapy, group therapy provides comprehensive structured stimulation sessions for patients in order to enhance and accelerate arousal, alertness, orientation and socialization. The brain injury program addresses: - Medical management; - Specialized nursing care; - Physical therapy; - Occupational therapy; - Speech therapy; - Auditory evaluation; - Cognitive status; - Nutritional status; - Family support; - Case management; - Psychological status; - Cortical functioning; and - Re-entry to home, school, and community. One outpatient component of the brain injury program is the neuro-rehabilitation program. The neuro-rehabilitation group program is an intensive treatment program for children and adolescents who have sustained a traumatic brain injury, or who are experiencing cognitive dysfunction as a result of neurological or other chronic illness. This family-centered program provides therapeutic interventions designed to help children and adolescents regain cognitive skills and learn compensatory strategies that are needed for school and social functioning. The program also addresses motor impairments that may accompany acquired brain injury or illness. The group program is delivered primarily in small group settings. Individual physical, occupational, speech therapies and neuropsychology may also be provided as indicated. Involvement in the group program prepares the youngster for return to a larger group setting, usually school, and provides him or her with improved skills for peer interaction and socialization. Children may also be seen through the neuro-rehabilitation individual program. Children in the individual program are involved in school and community activities but require additional intervention to better regain or develop compensatory skills to improve or maintain age appropriate ways of thinking and behaving.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Spinal Cord Program ------------------- The spinal cord program provides intensive and comprehensive rehabilitation services for children and adolescents with acquired and congenital spinal cord problems. The program treats patients with all levels of pediatric spinal cord dysfunction, from the child dependent on a ventilator to the individual with the lowest level of spinal cord injury. Patients are provided with an aggressive rehabilitation treatment program coupled with comprehensive medical and nursing care. The program's team approach results in a coordinated treatment plan designed to meet the complex needs of each patient and his or her family. While an emphasis is placed on achieving normal developmental milestones, the treatment plan takes into account the patient's level of injury, age, and developmental abilities in creating realistic expectations for performing activities. The team is adept at developing treatment plans to accommodate patients with high spinal cord injuries (tetraplegia & quadriplegia) who require a tremendous amount of support, special equipment and ventilator assistance, as well as those patients with low level spinal cord injuries (paraplegia) who can gain virtual independence. Intensive medical needs can be safely accommodated at CSH by virtue of the extensive medical coverage provided to the patients. Patients with tracheostomies, special feeding needs, and intravenous and central lines, for example, can be managed while receiving the necessary rehabilitation therapy. Families and patients are integrally involved in the comprehensive treatment planning. Families and patients also receive instruction from the staff in overall care and the use of special equipment. The team thoroughly educates the patient and his or her family regarding the physical consequences of a spinal cord injury and the required care and treatment. Some of the diagnostic and special services available to patients in the spinal cord program include: - Electrodiagnostic testing; - Ventilator assistance program; - A full range of diagnostic urologic testing; - Referral for baclofen pump placement; - Orthotics and prosthetics; - Rehabilitation technology services including: - Seating and positioning; - Mobility and environmental access; - Augmentative and alternative communication; and - Computer access. Medical and Community Services ============================== General Rehabilitation Program ------------------------------ The general rehabilitation program at CSH offers habilitation and rehabilitative services to patients ages birth to 21 with, but not limited to, neurologic, orthopedic, developmental, cardiopulmonary disorders and/or other acquired injuries and illnesses, through an interdisciplinary team approach. The program provides assessment, treatment, and/or support to the patient and family from the acute inpatient phase of rehabilitation through the community, vocational, and educational re-entry phase. In order to offer a continuum of comprehensive transdisciplinary service to these children and their families, in a compassionate, professional and holistic fashion, services are provided through both inpatient and outpatient phases of rehabilitative care. Patients admitted to the program are required to meet the following criteria regarding their medical stability: initial diagnostic and surgical procedures must be completed; medication regimen, fluid and electrolyte balance and life support services must be stabilized. The patients served may have impairments in areas including those of, cognition, mobility, self-care, communication, social emotional functioning, sensory processing, academic functioning, and feeding. The program addresses the behavioral, functional, physical, cognitive, psychosocial, vocational, educational, leisure, and recreational needs of each patient. Every effort is made to accommodate the patient and families unique cultural and spiritual needs. The goal of the program is to reduce the barriers, which limit a child's ability to participate in developmentally appropriate activities of his or her life. To facilitate a smooth transition and optimize the patient's ability to fully integrate into the community, outreach and education are provided to the intended discharge environment (e.g. school, home, community organizations). In addition, patients are provided developmentally appropriate life skills training through group and individual therapy as well as community out-trips. Some children and adolescents seen through these programs require intensive medical, nursing, and respiratory therapy support for respiratory problems. These children may have congenital or acquired respiratory problems including bronchopulmonary dysplasia, congenital muscular problems, and congenital and acquired airway and respiratory abnormalities. Infant and Toddler Program -------------------------- The Infant Toddler Program provides intensive and comprehensive rehabilitation services for infants and young children with medical difficulties related to prematurity and a range of disorders presenting at birth including drug-exposed newborns who are treated in our neonatal withdrawal and rehabilitation program. The program treats children who require all levels of neonatal care. Patients are treated with a comprehensive, therapeutic program, coupled with excellent medical and nursing care. Because of this team approach, a coordinated treatment plan can be designed to meet the complex needs of each patient and his or her family. While emphasizing age-appropriate skills, the team customizes goals based on each infant's or toddler's medical stability, age, and developmental level to maximize his or her unique potential. The multispecialty staff is highly trained in working with these children who require special equipment and ventilator assistance. The team uses special techniques to encourage the childs interaction with the environment during therapy sessions. We are able to offer this specialized treatment because our staff is committed to pursuing on-going education and training in state-of-the-art techniques that are necessary to treat this special population. Those infant and toddler patients who need special medical care can be safely accommodated with CSHs extensive medical coverage. These patients may be tracheostomy dependent, oxygen dependent, or ventilator dependent, requiring close monitoring and frequent changes in management. These patients, as well as those infants and toddlers with special feeding needs, intravenous and central lines, can be managed while receiving rehabilitation therapy. Family involvement is vital to a child's overall development. We strongly encourage family participation in treatment sessions. Our team instructs families in caring for their children and using special equipment. Families learn about therapeutic interventions that promote growth and development. Infant toddler medical specialties: A neonatologist/pediatrician, a physician who specializes in neonatal care and pediatrics, heads the infant toddler program team. Other multidisciplinary pediatric professionals provide medical support, rehabilitation services, and address developmental needs while aiming toward maximizing respiratory independence. While upon admission many of the children require intensive respiratory care, the goal for each is to be transitioned back to his or her home and community. Other medical specialists for the infant toddler program are also available for consultation: - Ear, nose, and throat; - Neurology; - Ophthalmology; - Orthopedics; - Physiatry; - Radiology; and - Urology. Chronic Pain Management Program ------------------------------- The Chronic Pain Management Program at CSH promotes the wellness of children and adolescents ages 11-21 years old, with chronic pain, by teaching strategies to manage pain and encourage functional activity. The inpatient chronic pain management program at CSH is typically for children and adolescents with chronic pain who continue to have significant pain and difficulties with daily functions despite trials of consistent outpatient therapies. This evidence-based program is typically a four-week period, with focus on regaining function and using one's body in a normal way. The approach to treatment of chronic pain at CSH includes intense physical and occupational therapy and integrated exposure to mental health intervention. Our specialized team focuses on treating Chronic Regional Pain Syndrome (CRPS) and related forms of amplified pain such as: - Fibromyalgia; - Amplified Musculoskeletal Pain Syndrome (AMPS); - Reflex Sympathetic Dystrophy (RSD); and - Reflex Neuropathic Dystrophy (RND).
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Chronic Illness Management Program ---------------------------------- Launched in 2006, the chronic illness management program at CSH is a comprehensive inpatient program for adolescents who struggle to manage their condition. It provides the child/teen and family with a structured, comprehensive treatment plan to address medical, nutritional, psychological, social and family communication issues. Since parents and caregivers have a crucial role in supporting their child's health, we encourage parent/caregiver participation in medical education, nutritional and psychological counseling sessions to ensure the greatest success. The program is typically a four-week program that follows a trans disciplinary model and behavioral approach to care, addressing the physical, emotional, and psycho-social needs of each patient. The goal for each adolescent is always to improve self-management of the disease. The chronic illness management program is especially for children with conditions such as, but not limited to: - Diabetes and other metabolic syndrome; - Sickle cell anemia; - Post-organ transplant; and - Cystic fibrosis and other chronic respiratory disease. The Autism Program ------------------ The autism program at CSH works with children through 21 years of age, who have autism spectrum disorder (ASD). The program is dedicated to improving the lives of children, adolescents and families with autism spectrum disorders by providing comprehensive evaluations, treatment, community education and research. We are one of the few programs in New Jersey to provide coordinated, multidisciplinary care for children, adolescents and families affected by ASD. We offer workshops for families newly diagnosed with autism where they have the opportunity to meet with the experts and interact with other families. As part of our outreach programs we provide autism screening/diagnosis as well as educational programs for schools, community organizations and groups. In 2017 our autism educator continued to work with emergency response and law enforcement groups, disaster response crisis counselors, court administrators, educational and community groups providing them with specifics on dealing with an individual with ASD in an emergency situation and integrating them into community programs. Comprehensive Feeding Program ----------------------------- The Comprehensive Feeding Program is an outpatient program that serves infants, toddlers, and young children who are unable or refuse to maintain an adequate oral intake of food. Problems may be medical/physiological, developmental, behavioral, psychosocial, and individual or family related. This team utilizes a multidisciplinary approach to have children eat proper foods and improve nutritional standing. Based on a predicted incidence of 25% of infants and young children with feeding problems, there are thousands of children who can benefit from this service. Each child is provided with a comprehensive evaluation that covers medical, physiological, developmental, behavioral, and psychosocial issues. The team combines the expertise of a multidisciplinary team of professionals whose primary goal is to establish feeding patterns that can be maintained in the child's natural environment. The team includes the following: - Speech pathologist; - Child psychologist; - Pediatric dietitian; - Developmental pediatrician; - Occupational therapist; and - Care coordinator. The program and its team members empower parents and caregivers by providing knowledge and techniques, which will allow them to engage their child in positive therapeutic feeding experiences and interactions. The program also provides support and knowledge to other professionals in the community, such as childcare providers, who participate in the child's feeding experiences. ADHD ---- CSH also provides comprehensive services for children with attention-deficit hyperactivity disorders (AD/HD). CSH is a service provider dedicated to improving the lives of children and adolescents with attention-deficit hyperactivity disorder and associated disabilities. Outpatient Programs and Services -------------------------------- CSH provides a number of outpatient services related to pediatric rehabilitation and education. Outpatient programs offered by CSH include services in assessment and therapy from pediatric medical specialists and sub-specialists, as well as various therapy departments. Therapy services include physical therapy, occupational therapy, speech therapy, psychological counseling and testing, and audiology. In addition, the following medical specialty programs and clinics are offered: neurology, physiatry, psychiatry and developmental & behavioral pediatrics. In addition, we provide primary care pediatric practices for children with special healthcare needs. The Early Intervention Program (EIP) provides early identification, evaluation and intervention that impairs or is likely to impair normal development and/or who have measurable developmental delays. Services are provided in the childs home or in a community setting where the child is comfortable. EIP is funded from the state of New Jersey and the federal government. CSH is a provider of early intervention services for the state of New Jersey for children. Special Needs Primary Care Pediatrics ------------------------------------- In special needs primary care pediatrics, we are proud to provide outstanding, family-centered care for children with special healthcare needs and their siblings. Our goal is for every child to reach his or her full potential. We employ a team-based approach to their healthcare. Our staff, nurses, doctors and care coordinators work together to meet the needs of our special patients. We strive to be the medical home, or center, for the patient's care. Our care coordinators and medical staff help patients and families navigate through the health care system and education system. We help patients and families interact with community organizations, insurance companies, specialists, therapists, and pharmacies while advocating for our patients along the way. Our team in special needs primary care consists of doctors, advanced nurse practitioners, nurses, care coordinators, patient navigators, social workers, patient care techs, office coordinators, insurance liaison and family faculty. Family Faculty Members are the parent or caregiver of a previous or current CSH patient. They help advocate for our patientsfamilies. The team is experienced in caring for children with special needs. We take care of children affected by cerebral palsy, Down syndrome, prematurity, autism, technology dependence, uncommon medical conditions and many other special healthcare needs. We respect the great privilege it is to care for our patients and families. Special needs primary care services are available at our Hamilton and Mountainside facilities. Accessibility plan ------------------ Each year CSH looks at how to improve access to care and the community for our patients and families. We review any barriers that may exist and how to best remove them. Our approach and outcomes are outlined below: - Review plan for promoting accessibility to organization-wide services for persons served, personnel and other stakeholders. - Identify and remove potential barriers to our programs & services for persons served, personnel and other stakeholders. - Identify and remove existing barriers and make programs and services accessible for persons served, personnel and other stakeholders as solicited & identified through an annual accessibility survey, and monthly environment of care rounds. - Initiate and implement necessary steps to decrease or remove identified barrier(s) for persons served, personnel and other stakeholders with a specified timeline. Our sites throughout the state have made our renowned care more convenient and accessible to New Jerseys children. CSH undertakes advocacy and education to eliminate & reduce barriers in the communities of persons served. On an annual basis, hospital leadership reviews the plan for promoting accessibility to organization-wide services for persons served and potential persons served, as well as the findings from the annual accessibility survey that is conducted by a rehabilitation professional & a person served. This review takes place at the hospital's environment of care, operations and performance improvement steering committee(s). Communication and follow through is done within the existing hospital-wide performance improvement structure. Architectural/environmental --------------------------- CSH ensures that all hospital environments (internal and external) newly designed construction areas adhere to ADA standards. CSH measures service access for persons served, personnel and other stakeholders using construction documents and environment of care rounds log.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Attitudinal ----------- CSH provides community staff education programs that aim to heighten the awareness of caregivers and community members to the special needs of persons served. CSH measures the provision of community/staff education to heighten awareness of special needs of persons served through education department listing and advocacy activities (see last section). In 2018, we continued to offer programs to the community in a variety of areas including traumatic brain injury, autism spectrum disorders, spinal cord injury, chronic illness in children and special needs car seat safety and installation. These programs are day long programs and are open to parents as well as professionals who receive CEUs. In addition, our research center offers a distinguished lectures series where experts from around the world are brought in to share their knowledge and research. Financial --------- CSH provides persons served with referral to social, legal or economic advocacy resources. Continue to offer "hospital assistance" (charity care program referred to earlier in the document) named the CSH Benefit Fund in addition to customized payment plans. CSH measures improved financial reimbursement for services delivered to persons served, personnel and other stakeholders through advocacy activities, and patient access service department materials and policies. A positive gain from operations enables CSH to provide services and programs beyond reimbursed clinical care. Several advocacy activities have focused on improving reimbursement for persons served, as well as modifications to "hospital assistance programs". Utilization of Meditech improved consistency and timeliness of documentation, leading to improved reimbursement. In 2018 CSH provided over $860,000 worth of charity care at cost to our patients. Past improvements and benefits include: - Offered scholarships for the adaptive aquatics program for children with autism spectrum disorder. - Expanded outpatient therapy services in Clifton in December 2018. Opened outpatient services in Jersey City in May 2018. - Secured NJ ACE Sub Award for Childrens Specialized Hospital to provide activities to support the Rutgers New Jersey Autism Center of Excellence $964,000 over five years. - Secured sub award from Rutgers for Childrens Specialized Hospital to support the efforts of a bi-lingual research assistant experienced with community-based research in underserved communities to support this effort. - The on-line registration process has worked well where families can schedule an appointment on line. The patient portal where families can now ask for prescription renewals and pay their bills securely on line has made the bill paying process easier and smoother. Tablets are being used in registration to expedite the process for pre-registered/cleared families. - Installed system which enables an automated online process to verify insurance eligibility and benefits. It has decreased the number of phone calls to the health plans. - Installed a process improvement system which allows an automated process to create and assign worklists to the Insurance Verification & Authorization team members. - Application installed that allows Payer Services to request the addition/update to the Childrens Specialized Hospital charge master. - Major build of systems that work with the clinical modules for proper billing and coding and improved the process for notification to therapist upon arrival of the patient via a smart board. - Conducted ongoing organizational-wide education programs for improving chart documentation, selecting proper coding for billing and compliance of all HIPAA regulations. Communication ------------- CSH promotes full program and service access for persons served by respecting ethno-cultural diversity. Ensure that language and cultural differences are not barriers to accessing and participating in hospital programs (i.e. translation services are available and other communication resources). CSH measures communication service access for persons served through contracts for verbal and written translation to promote communication and administrative policy on meeting communication needs. Transportation -------------- CSH provides transportation services as needed through the patient care coordination department for inpatient families. CSH measures transportation access for persons served through patient care coordination department. Admission to hospital program ----------------------------- CSH grants admission to program services and activities to those with an identified need that is validated by meeting pre-established admission criteria/screening. All admissions meeting criteria/screening are offered admission. If patient was not offered admission, referrals were made to appropriate services. Employment ---------- CSH recruits qualified employees with "reasonable accommodations" for persons with activity limitations in order to promote equal employment/participation opportunities throughout all organizational levels. CSH measures adherence to state/federal regulations re: employment without regard to activity limitations, race, color, national origin or age and participate in community efforts to promote opportunities for persons with activity limitations through human resource departments files. Other ----- CSH remains actively involved in committees at the local, state and national level where policies, regulations and program planning impact pediatric services and their accessibility and delivery. CSH measures continued children's advocacy presence at local, state, federal level. For example, in June 2018, CSH leadership along with a patient and family, advocated for childrens health with Senator Bob Menendez, Congressmen Leonard Lance, Congressman Frank Pallone, Jr., and Congressman Bill Pascrell, Jr., at Speak Now for Kids Family Advocacy Day. CSH launched a new family-to-family online communication forum to provide a secure place where families can share ideas, resources, and experiences related to their childs healthcare journey with other families in similar situations. For medically complex and fragile children undergoing pediatric rehabilitation following hospital discharge, telemedicine is helping to improve both patient safety and patient satisfaction while reducing readmissions and the cost of care. One innovative technology enabling physicians to interact remotely with their patients is VGO. We began pioneering VGO in 2014 in our inpatient pediatric rehabilitation hospital in New Brunswick, focusing on our infant-toddler, brain-injury and spinal cord injury programs, and setting up telemedicine "visits" for the first week of follow-up post-discharge. We also are now using VGO in our long-term care center and at night for emergencies, and we have begun partnering with home care nursing companies. Medical staff ============= CSH has 99 physicians, advanced practitioners and specialists on its staff, comprised of the following specialties: - Special needs primary care; - Developmental & behavioral pediatrics; - Neurology; - Neurorehabilitation; - Orthopedics; - Pediatric complex and specialty care; - Physiatry; and - Psychiatry and psychology. Medical Screenings ================== CSH provides medical screening programs to the community in furtherance of its tax-exempt purposes including, but not limited, to the following: - Autism screening clinics held on a regular schedule; and - Early developmental screenings Community Education, Programs and Partnerships ============================================== CSH recognizes that true change comes with collaboration and partnerships, with community stakeholders, other providers and member organizations. CSH holds special memberships with the childrens hospital association, the New Jersey Hospital Association, the Brain Injury Association of New Jersey, American Academy of Pediatrics, International Pediatric Rehabilitation Collaborative and the Pediatric Complex Care Association. These relationships help CSH improve clinical services and address other factors to improve health status. CSH coordinates many health and social services as previously described and other common activities between the medical center and the community, including the provision of numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes. Various community events and outpatient programs and services are offered by CSH. Over 40 community recreation programs are offered such as teens nights, martial arts, gardening and more. Below is a brief list of events and programs offered in 2018 including, but not limited to, the following:
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Partnered with Kohls Cares to develop free early developmental screening; funding and special gifts from Kohls to support programs for our patients and families including the community hub, a centralized resource that promotes awareness and understanding of people living with autism spectrum disorder in our communities; - Held webinars for autism spectrum disorder and provided tips and resources for transitioning the child into adulthood; - Children's regional swim and track meets for athletes with a physical disability; - Adaptive aquatics programs; - Martial arts; - Community recreation programs, teens, nutrition; - Annual beach party for long term care patients and their families; - Free workshop on helping children with disabilities change negative behaviors into positive ones; - Free monthly support groups at Toms River, Hamilton, and Mountainside locations for parents and caregivers; - The community recreation program hosted free cooking classes; - Partnered with RWJ University Hospital and Safe Kids Middlesex County injury prevention coalition to educate and inform the community regarding the dangers of leaving children in a car during warm weather; - Expressive arts connection; - Social connections and workshops; - Various classes and workshops; - Recreational therapy and child life services; - Peer mentor program; - Camp, sports and activities; - Camp chatterbox; - Neuro-rehabilitation program; - Pediatric practice; - Workshops for families newly diagnosed with autism; - Chronic illness program; - Chronic pain program; - Parent resource center; - "Lightning Wheels" wheelchair & ambulatory sports team for those with physical disabilities; - Car seat checks and child passenger safety education; - Managing your childs behavior psychological workshops for parents; - Safe Kids programs; - Annual Walk 'n Roll event; - CSH hosts an "Ask the Experts Gateway" which is an online service where people can submit questions to our pediatric specialists who have extensive experience treating children with a multitude of complex medical and behavioral healthcare needs; - Childs play and adapted sports; - 95.5 WPLJ, 94.7 NASH-FM and 92.7 WOBM provided holiday radiothons to raise awareness and funds to support programs at cash; - Friday night fever Mountainside & Toms River held monthly activities for over 265 participants including a graduation dance, spring prom, boating and movie nights; In addition, leadership and staff members participated in many local, regional, national, international boards & committees including, but not limited to: - Pediatric Complex Care Committee; - Devco; - New Jersey Hospital Association; - Peak Potential; - American Academy of Cerebral Palsy & Developmental Medicine; - Healthcare Financial Management Association; - Ronald McDonald House; - Multiple boards & committees of the Childrens Hospital Association; - New Jersey Chamber of Commerce; - Rutgers University; - International Pediatric Rehabilitation Collaborative; - Tri-state Wheelchair & Ambulatory Athletics; - National Center for Substance Abuse & Child Welfare; - Sunrise Medical Pediatric Advisory Board; - Toms River mayors advisory committee; - Morris Plains board of health; - New Jersey commission on recreation for individuals with disabilities; - Autism speaks NJ; - Adaptive sports USA junior committee; - New Jersey society for respiratory care; - New Jersey physical therapy association; and - Toms River Rotary. Professional medical education, training and research ===================================================== Professional training --------------------- CSH is committed to providing an educational setting which will lead to continuous advancement in professional knowledge and skills for those interested in pediatric rehabilitation. CSH provides clinical training and experience in the field of pediatric rehabilitation and care of the disabled child for resident physicians in the areas of pediatrics and physiatry through schools, which affiliate with the hospital. In addition, the hospital trains fellows, nurses, and therapists enrolled in schools and colleges that are affiliated with the hospital to advance the state of pediatric rehabilitation. CSH also conducts and subsidizes programs and seminars to educate interested healthcare professionals. CSH received some funding from the Childrens Hospitals Graduate Medical Education (CHGME) payment program administered by the Bureau of Health Professions (BHPR), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS). In 2018, we provided medical education to physical medicine and rehabilitation residents with expenses versus total receipts for CHGME we realized a shortfall of approximately $909,003. A few examples include: - Dr. Connie Kasari: "Engaging Autism: Interventions for improving social communication in ASD." Held April 2018. - Dr. Roy Wade: "Childhood Stress and Urban Poverty: The impact of adverse childhood experiences on health." Held September 2018. - Dr. Alex Fiks: "What Health Information Technology Can (and Can't) Do for Pediatric Care." Held October 2018. CSHs Research Center is home to a growing list of innovative trials and collaborative projects with research institutes, hospitals, and universities across the country. CSH and Kessler foundation renewed their research collaboration agreement, that began in 2013, to continue research for children with disabilities. The organizations have collaborated on several successful projects from developing grants and research studies, to implementing exoskeletal technology for children with brain injuries. CSH and Kessler foundation currently offer the following fellowships and internships: - Pediatric Rehabilitation and Neuropsychology Postdoctoral Fellowship: This two-year program, offered jointly through CSH and Kessler Foundation, focuses on clinical research within the specialty area of pediatric neuropsychological rehabilitation. Training opportunities are provided across multiple departments at CSH and Kessler Foundation, capitalizing on unique opportunities throughout both organizations to pursue key clinical research training goals. All fellows participate in an extensive training curriculum and didactic offerings. Multidisciplinary mentored training opportunities are individually tailored to achieve specific goals considering the fellows prior background and interests. - Postdoctoral Research Fellowship in Pediatric Mobility Rehabilitation: This two year program, offered jointly through CSH and Kessler Foundation, prepare biomedical scientists, including engineers (e.g., biomedical, mechanical, rehabilitation), biomechanics, kinesiologists, and those in related fields, for a career in rehabilitation research within the specialty area of pediatric mobility. Training opportunities are provided across multiple departments, capitalizing on unique opportunities throughout both organizations to pursue key research training goals. All fellows participate in an extensive training curriculum and didactic offerings. Multidisciplinary mentored training opportunities are individually tailored to achieve specific goals considering the fellows prior background and interests. Fellows assist in ongoing endeavors as well as develop his/her own mentored research project at CSH and Kessler Foundation. Fellows will work on various aspects of research projects from inception (e.g., study formulation, grant-writing, etc.), through dissemination (manuscript publication). - Childrens Specialized Hospital Research Internship Program hosts 3-4 undergraduate and graduate students during the Fall, Spring, and Summer semesters. During the internship, students: learn how to analyze research articles and summarize key literature participating in our Bi-Monthly Journal Club; Establish an understanding of CSHs 5 core areas by engaging in program-specific projects. Based on skillsets and research needs, each intern is paired with an active project in one of our five research areas (Autism, Brian Injury, Chronic Health Conditions, Cognition, and Mobility); Interact with CSH clinical staff and scientific collaborators by conducting clinician interviews, as well as attending local events or clinical team meetings taking place at CSH, Rutgers, and across the RWJBarnabas Health campus, as well as visit research labs at collaborating institutions including Kessler Foundation.
CORE FORM, PART III; QUESTION 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY PEDIATRIC HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	ROBERT WOOD JOHNSON HEALTHCARE CORPORATION ("RWJHCC") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BARNABAS HEALTH ("RWJ BH") IS THE SOLE MEMBER OF RWJHCC. RWJ BH HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, A BOARD MEMBER OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF the RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN RWJ BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PHILIP SALERNO IS A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT WORKS ON A FULL-TIME BASIS 55 HOURS PER WEEK AS THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ADDITION, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS A FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART X; LINE 25	The organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($943,937); AND - CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $660.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

CHILDREN'S SPECIALIZED HOSPITAL

Employer identification number

22-1487148

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)BARNABAS BAYONNE DEV URBAN RENEWAL CORP 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 35-2219655	STAFFING SVCS	NJ	501(C)(3)	509(a)(3)	SBRDC		No
(2)BARNABAS HEALTH MEDICAL GROUP PC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3316007	HEALTH SVCS.	NJ	501(C)(3)	509(a)(2)	RWJ BH		No
(3)Barnabas Health Inc 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2405279	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	RWJ BH		No
(4)CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT,NJ07757 22-2939956	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	RWJ BH		No
(5)CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC 1691 ROUTE 9 TOMS RIVER,NJ08754 22-3343959	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	SBBH		No
(6)CHILDRENS SPECIALIZED HOSPITAL FDN 150 NEW PROVIDENCE ROAD MOUNTAINSIDE,NJ07092 13-6844298	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	CSH	Yes
(7)CLARA MAASS FOUNDATION ONE CLARA MAASS DRIVE BELLEVILLE,NJ07109 22-2132516	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	RWJ BH		No
(8)CLARA MAASS MEDICAL CENTER ONE CLARA MAASS DRIVE BELLEVILLE,NJ07109 22-1500556	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(9)COMMUNITY MEDICAL CENTER 99 HIGHWAY 37 WEST TOMS RIVER,NJ08755 22-3452306	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(10)COMMUNITY MEDICAL CENTER FOUNDATION 99 HIGHWAY 37 WEST TOMS RIVER,NJ08755 22-2597592	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	RWJ BH		No
(11)GREENVILLE HOSPITAL 355 GRAND STREET JERSEY CITY,NJ07302 22-0963805	INACTIVE	NJ	501(c)(3)	HOSPITAL	RWJ BH		No
(12)IRVINGTON HOSPITAL FOUNDATION 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 23-7025428	INACTIVE	NJ	501(C)(3)	509(a)(3)	RWJ BH		No
(13)JERSEY CITY MEDICAL CENTER 355 GRAND STREET JERSEY CITY,NJ07302 22-2783298	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(14)LAKEVIEW CHILD CARE CENTER INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-2627639	CHILD CARE	NJ	501(C)(3)	509(A)(2)	RWJ BH		No
(15)LAKEVIEW CHILD CENTER FOUNDATION INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 46-2038300	FUNDRASING	NJ	501(C)(3)	509(A)(3)	LCCC		No
(16)LIBERTY BEHAVIORAL HEALTH ASSOCIATES 355 GRAND STREET JERSEY CITY,NJ07302 22-3506358	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	JCMC		No
(17)LIBERTY HEALTHCARE SYSTEM INC 355 GRAND STREET JERSEY CITY,NJ07302 22-3113960	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	RWJ BH		No
(18)LIBERTY RIVERSIDE HEALTHCARE 355 GRAND STREET JERSEY CITY,NJ07302 22-3284894	INACTIVE	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(19)LIBERTY SURGICAL ASSOCIATES 355 GRAND STREET JERSEY CITY,NJ07302 22-3386850	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	JCMC		No
(20)MEGA CARE INC 2 CRESCENT PLACE OCEANPORT,NJ07757 22-2578561	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	CSHG		No
(21)MONMOUTH MED CNTR - SOUTHERN CAMPUS FDN 600 RIVER AVE ANNEX BLDG E LAKEWOOD,NJ08701 22-2630076	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	RWJ BH		No
(22)MONMOUTH MEDICAL CENTER 300 SECOND AVENUE LONG BRANCH,NJ07740 22-3452412	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(23)MONMOUTH MEDICAL CENTER - FACULTY PRACT 100 STATE HIGHWAY 36 WEST LONG BRANCH,NJ07764 22-3357053	HEALTH SVCS.	NJ	501(C)(3)	509(a)(3)	MMC		No
(24)MONMOUTH MEDICAL CENTER FOUNDATION 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2456079	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	RWJ BH		No
(25)NEW BRUNSWICK AFFILIATED HOSPITALS INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-1946837	HLTHCARE SVCS	NJ	501(C)(3)	509(A)(3)	RWJ BH		No
(26)NEW MARGARET HAGUE CTR WOMENS JCM OBGYN 355 GRAND STREET JERSEY CITY,NJ07302 22-3363012	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	JCMC		No
(27)NEWARK BETH ISRAEL MEDICAL CENTER 201 LYONS AVENUE NEWARK,NJ07112 22-3452311	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(28)ROBERT WOOD JOHNSON VISITING NURSES INC 972 SHOPPES BOULEVARD NORTH BRUNSWICK,NJ08902 26-3659270	HLTHCARE SVCS	NJ	501(C)(3)	509(A)(2)	NA		No
(29)RWJ BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 81-0682747	INACTIVE	NJ	501(C)(3)	509(A)(3)	NA		No
(30)RWJ HEALTH CARE CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-2568905	HOLDING CO.	NJ	501(C)(3)	509(A)(3)	RWJ BH		No
(31)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
(32)RWJ HEALTH NETWORK INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-3420314	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	RWJ BH		No
(33)RWJ PROPERTY HOLDING CORPORATION ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-2474955	PROPERTY	NJ	501(C)(3)	509(A)(3)	RWJHCC		No
(34)RWJ UNIVERSITY HOSPITAL ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-1487243	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(35)RWJ UNIV HOSP AT HAMILTON FDN INC ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-2552329	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJ BH		No
(36)RWJ UNIV HOSP RAHWAY FOUNDATION 865 STONE STREET RAHWAY,NJ07065 22-2405094	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJUHR		No
(37)RWJ UNIV HOSPITAL AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 21-0634572	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(38)RWJ UNIV HOSPITAL FOUNDATION INC 10 PLUM STREET NO 910 NEW BRUNSWICK,NJ08901 22-2378007	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	RWJ BH		No
(39)RWJ UNIVERSITY HOSPITAL RAHWAY 865 STONE STREET RAHWAY,NJ07065 22-1487305	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(40)SAINT BARNABAS BEHAVIORAL HEALTH CENTER 1691 ROUTE 9 TOMS RIVER,NJ08754 22-2977312	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	CSHG		No
(41)SAINT BARNABAS HEALTH CARE SYSTEM FDN 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3769036	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	RWJ BH		No
(42)SAINT BARNABAS HOSPICE AND PALLIATIVE 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2354659	HEALTH SVCS.	NJ	501(C)(3)	509(a)(1)	RWJ BH		No
(43)SAINT BARNABAS MEDICAL CENTER 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-1494440	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	RWJ BH		No
(44)SAINT BARNABAS OUTPATIENT CENTERS 200 SOUTH ORANGE AVENUE LIVINGSTON,NJ07039 22-2458479	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	RWJ BH		No
(45)SAINT BARNABAS REALTY DEVELOPMENT CORP 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-2940008	TITLE HLDNG.	NJ	501(C)(3)	509(a)(3)	RWJ BH		No
(46)SANDY HOOK FRNDS OF ST BARNABAS BURN FDN 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-3236202	FUNDRAISING	NJ	501(C)(3)	509(A)(3)	RWJ BH		No
(47)SOMERSET COMMUNITY CARE CORP 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3295495	INACTIVE	NJ	501(C)(3)	509(A)(2)	RWJUH		No
(48)SOMERSET HEALTH CARE AFFILIATES INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-2665685	INACTIVE	NJ	501(C)(3)	509(A)(2)	RWJUH		No
(49)SOMERSET HEALTH CARE FOUNDATION INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3294408	FUNDRAISING	NJ	501(C)(3)	509(a)(1)	RWJ BH		No
(50)THE JERSEY CITY MEDICAL CENTER FDN 355 GRAND STREET JERSEY CITY,NJ07302 22-3113911	FUNDRAISING	NJ	501(C)(3)	509(a)(2)	RWJ BH		No
(51)UNITED RESCUE AT JERSEY CITY INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2458481	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	JCMC		No
(52)VNA HEALTH GROUP OF NEW JERSEY LLC 176 RIVERSIDE AVENUE RED BANK,NJ07701 47-4841103	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MEGA CARE		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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) CENTRAL JERSEY ACO LLC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 45-5460713	HEALTHCARE SVCS.	NJ	NA
(2) INNOVATIVE PURCHASING CONCEPTS 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3786557	inactive	NJ	NA
(3) JERSEY ASC VENTURES LLC 1A BURTON HILLS BLVD NASHVILLE,TN37215 47-3368037	MEDICAL	TN	NA
(4) LIBERTY HEALTHCARE MANAGEMENT 355 GRAND STREET JERSEY CITY,NJ07302 22-3597891	MANAGEMENT	NJ	NA
(5) LIBERTYUSP SURGERY CENTERS LLC 15305 DALLAS PKWY SUITE 1600 LB 28 ADDISON,TX75001 26-4756962	HEALTHCARE SVCS.	TX	NA
(6) NEW JERSEY IMAGING NTWKLLC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 46-0623701	HEALTHCARE SVCS.	NJ	NA
(7) RWJ-REGENT II LLC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08903 80-0878969	HEALTHCARE SVCS.	NJ	NA
(8) RWJ-REGENT LLC 10 PLUM STREET 4TH FLOOR NEW BRUNSWICK,NJ08901 45-3853994	HEALTHCARE SVCS.	NJ	NA
(9) SHREWSBURY DIAGNOSTIC IMAGING LLC 1131 BROAD STREET SUITE 110 SHREWSBURY,NJ07702 20-3833246	HEALTHCARE SVCS.	NJ	NA
(10) HAMILTON ENDO & SURG LLC 1235 WHITEHORSE-MERCERVILLE RD STE HAMILTON,NJ08619 22-3837967	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) ACUCARE PHYSICIANS PC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3566010	MEDICAL SVCS.	NJ	NA	C CORP.					No
(2) CENTER STATE MANAGEMENT CORP 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2506125	MGMT SVCS.	NJ	NA	C CORP.					No
(3) CSH VENTURES INC 200 SOMERSET STREET NEW BRUNSWICK,NJ08901 47-2729885	MED. CONSULTING	NJ	CSH	C CORP.	250,000	109,015	100.000 %	Yes
(4) EOS INC 110 REHILL AVENUE SOMERVILLE,NJ08876 30-0382075	INACTIVE	NJ	NA	C CORP.					No
(5) HEALTH CARE FACILITIES MGT 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3532988	MAINT. SVCS.	NJ	NA	C CORP.					No
(6) KIMBALL HLTH CARE AFFILIATES 300 SECOND AVENUE LONG BRANCH,NJ07740 22-2701213	INVESTMENT	NJ	NA	C CORP.					No
(7) LIBERTY HEALTHCARE CAPITAL 355 GRAND STREET JERSEY CITY,NJ07302 22-3444345	LEASE/FINANCE	NJ	NA	C CORP.					No
(8) LIVINGSTON INFUSION CARE INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3190756	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(9) LIVINGSTON SERVICES CORP 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-2779395	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(10) LSC PHARMACY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 45-2552776	PHARMACY SVCS.	NJ	NA	C CORP.					No
(11) MAJOR SECURITY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3040539	SECURITY SVCS.	NJ	NA	C CORP.					No
(12) NEW JERSEY HEALTH INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3339824	INACTIVE	NJ	NA	C CORP.					No
(13) NEW JERSEY HEALTHCARE ASSOC PC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3339827	INACTIVE	NJ	NA	C CORP.					No
(14) NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON,NJ07039 22-3536986	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) PROFESSIONAL QUALITY LIAB 100 BANK STREET BURLINGTON,VT05401 20-5163819	INSURANCE SVCS.	VT	NA	C CORP.					No
(17) RWJ HAMILTON PHYSICIAN ENTERPRISE PA ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 46-0765254	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(18) RWJ KIDNEY TRANSPLANT ASSOC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 03-0382501	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(19) RWJ MED ASSOC AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-3454267	PROF. SVCS.	NJ	NA	C CORP.					No
(20) RWJ MED SVCS ORG AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON,NJ08690 22-3454270	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(21) RWJ MEDICAL ASSOCIATES PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-3586872	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(22) RWJ MULTI-SPECIALTY GROUP PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 03-0382492	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(23) RWJ PHYSICIAN ENTERPRISE PA 3 EXECUTIVE DRIVE SUITE 400 SOMERSET,NJ08873 45-3967414	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(24) RWJ SURGERY CENTER INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK,NJ08901 22-3698431	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(25) SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE,NJ07052 22-3414332	MGMT SVCS.	NJ	NA	C CORP.					No
(26) SHC ENTERPRISES INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-2665595	MANAGEMENT	NJ	NA	C CORP.					No
(27) SOMERSET CARDIOLOGY GROUP PC 110 REHILL AVENUE SOMERVILLE,NJ08876 37-1640531	MEDICAL SVCS.	NJ	NA	C CORP.					No
(28) SOMERSET CARDIOLOGY PARTNERS PC 110 REHILL AVENUE SOMERVILLE,NJ08876 90-0668649	MEDICAL SVCS.	NJ	NA	C CORP.					No
(29) SOMERSET REALTY GROUP INC 110 REHILL AVENUE SOMERVILLE,NJ08876 22-3269525	REAL ESTATE	NJ	NA	C CORP.					No
(30) SOMERSET STAFFING CORP 110 REHILL AVENUE SOMERVILLE,NJ08876 11-3829651	INACTIVE	NJ	NA	C CORP.					No
(31) VISION HEALTHCARE INC 865 STONE STREET RAHWAY,NJ07065 20-4285005	INVESTMENT	NJ	NA	C CORP.					No
(32) WARREN INTERNAL MEDICINE PC 110 REHILL AVENUE SOMERVILLE,NJ08876 35-2366107	MEDICAL SVCS.	NJ	NA	C CORP.					No
(33) CPIC 44 CHURCH STREET HAMILTON,BERMUDAhm11 BD	FINANCIAL VEHICLE	BD	NA	FOREIGN CORP.					No

Schedule R (Form 990) 2018

Page 3

Part V

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

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

Yes

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

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

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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) CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION	E	403,928	COST
(2) CSH VENTURES INC	E	135,537	COST
(3) CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION	C	6,004,857	COST

Schedule R (Form 990) 2018

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) 2018

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE R, PART V

THE ORGANIZATION IS A MEMBER OF RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC., SBC MANAGEMENT CORPORATION AND CENTER STATE HEALTH GROUP, INC.; ALL RELATED ORGANIZATIONS, ROUTINELY TRANSFER FUNDS AND ENGAGE IN BUSINESS ACTIVITIES ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE 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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO BE THE PREEMINENT PROVIDER OF SPECIALIZED HEALTHCARE SERVICES FOR INFANTS, CHILDREN AND YOUNG ADULTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,592
6	Total number of volunteers (estimate if necessary) .............	6	672
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	19,377,149	21,082,403
9	Program service revenue (Part VIII, line 2g) .........	121,431,910	127,026,169
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	788,510	-13,239
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	277,003	31,096
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	141,874,572	148,126,429
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)	85,522,397	92,238,793
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)....	48,445,407	49,846,230
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	133,967,804	142,085,023
19	Revenue less expenses. Subtract line 18 from line 12.......	7,906,768	6,041,406
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	183,734,158	192,429,420
21	Total liabilities (Part X, line 26).............	60,239,164	63,836,297
22	Net assets or fund balances. Subtract line 21 from line 20.....	123,494,994	128,593,123

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 40,708,809 including grants of $ 0 ) (Revenue $ 54,405,571 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT REHABILITATION SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 19,425 PATIENT DAYS FROM THE PROVISION OF INPATIENT REHABILITATION SERVICES IN 2018. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 22,082,657 including grants of $ 0 ) (Revenue $ 15,210,201 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY AMBULATORY CARE CENTER PROGRAM SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 20,346,567 including grants of $ 0 ) (Revenue $ 20,193,448 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY LONG-TERM CARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION INCURRED 23,980 PATIENT DAYS FROM THE PROVISION OF LONG-TERM CARE SERVICES IN 2018. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 44,738,488 including grants of $ 0 ) (Revenue $ 37,216,949 )
4e	Total program service expenses127,876,521

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,299,785	1,788,064	1,407,731

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	7,595,523
e	Government grants (contributions)		1e	13,486,880

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.......		21,082,403

		Business Code
2a	NET PATIENT SERVICE REVENUE	541900	126,042,354	126,042,354
b	OTHER HEALTHCARE RELATED REVENUE	541900	983,815	983,815
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		127,026,169

3 Investment income (including dividends, interest, and othersimilar amounts) ......			18,520			18,520
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		31,096
b	Less: rental expenses
c	Rental income or (loss)	0	31,096
d	Net rental income or (loss)......			31,096			31,096
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		-31,759
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		-31,759
d	Net gain or (loss).....			-31,759			-31,759
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			148,126,429	127,026,169		17,857

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	6,129,004	5,516,104	612,900
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	69,379,485	62,441,536	6,937,949
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	985,815	887,234	98,581
9	Other employee benefits .......	9,162,493	8,246,244	916,249
10	Payroll taxes ...........	6,581,996	5,923,796	658,200
11	Fees for services (non-employees):
a	Management ......	6,666,818	6,000,137	666,681
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	4,156	3,740	416
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)	5,475,155	4,927,640	547,515	0
12	Advertising and promotion ....	38,019	34,217	3,802
13	Office expenses .......	3,661,850	3,295,665	366,185
14	Information technology ......	1,350,606	1,215,546	135,060
15	Royalties ..	0
16	Occupancy ...........	4,611,319	4,150,187	461,132
17	Travel ............	584,215	525,794	58,421
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	470,547	423,492	47,055
20	Interest ...........	1,484,210	1,335,789	148,421
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	7,974,218	7,176,796	797,422
23	Insurance ...	578,785	520,906	57,879
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	PHYSICIAN FEES & SALARIES	11,372,291	10,235,062	1,137,229	0
b	MEDICAL SUPPLIES	2,283,832	2,055,448	228,384	0
c	REPAIRS & MAINTENANCE	1,782,344	1,604,109	178,235	0
d	LICENSES, DUES & FEES	111,670	100,503	11,167	0
e	All other expenses	1,396,195	1,256,576	139,619
25	Total functional expenses. Add lines 1 through 24e	142,085,023	127,876,521	14,208,502	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 ........			8,939	1	8,105
2	Savings and temporary cash investments .........			5,275,825	2	2,045,428
3	Pledges and grants receivable, net ......			2,362,106	3	3,442,283
4	Accounts receivable, net .............			13,600,601	4	13,019,081
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 ........			631,293	8	737,017
9	Prepaid expenses and deferred charges ......			703,048	9	1,110,869
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	182,733,790
b	Less: accumulated depreciation	10b	119,202,489	67,538,241	10c	63,531,301
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 ..			24,603,180	13	25,320,426
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			69,010,925	15	83,214,910
16	Total assets. Add lines 1 through 15 (must equal line 34)...			183,734,158	16	192,429,420

17	Accounts payable and accrued expenses .....	15,243,786	17	16,070,189
18	Grants payable ...	0	18	0
19	Deferred revenue .........	125,923	19	94,442
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	1,892,539	23	1,536,451
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	42,976,916	25	46,135,215
26	Total liabilities. Add lines 17 through 25..	60,239,164	26	63,836,297

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	101,607,933	27	107,649,339
28	Temporarily restricted net assets ...........	15,416,056	28	14,472,119
29	Permanently restricted net assets	6,471,005	29	6,471,665
	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 ...........	123,494,994	33	128,593,123
34	Total liabilities and net assets/fund balances ........	183,734,158	34	192,429,420

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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No