Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
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| Yes | No | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
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| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
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| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
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| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
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| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
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2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
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| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
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8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 9 Distributable amount for 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 |
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1
Distributable amount for 2018 from Section C, line 6 |
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2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 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 | ||||
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i
Carryover from 2013 not applied (see instructions) |
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| 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. | ||||
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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. |
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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. |
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7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 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..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Background ========== Clara Maass Medical Center ("CMMC") is a general acute care hospital located in Belleville, Essex County, New Jersey. Founded in 1868 as the Newark German Hospital, it is the first hospital in the United States to bear the name of a nurse as its corporate identity. CMMC carries on a rich tradition of healthcare providing a broad spectrum of care to residents of Essex, Hudson, Bergen and Passaic Counties. Essex County, the second most densely populated county of the 21 counties in the state, has the third largest total population, is a financial and industrial hub of the state and consists of urban and suburban communities. CMMC serves a broad range of communities of both urban and suburban populations with diverse cultural and ethnical characteristics. CMMC 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, CMMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, gender, sexual orientation, gender identity, national origin or ability to pay. Moreover, CMMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. CMMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. CMMC operates an active emergency department for all persons that is open 24 hours a day, 7 days a week, 365 days per year; 3. CMMC maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of CMMC 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. The operations of CMMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of CMMC 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. CMMC'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 RWJBarnabas Health ("RWJBH") 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. CMMC, 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 healthcare 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 healthcare 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. 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 healthcare 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. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Mission Statement/Vision/Values =============================== Mission statement ----------------- CMMC is committed to providing exceptional services and quality to the communities they serve through their passion for excellence and perfection. CMMC prides itself on commitment and compassion, leadership and loyalty, accountability, respect, recognition and agility while focusing on safety and satisfaction. Hospital Statistical Information ================================ CMMC is a 492-licensed bed acute community hospital providing services to approximately 16,600 inpatients, over 1,600 births and over 75,200 emergency department visits in 2018. The hospital also provided over 43,000 outpatient visits. CMMC is staffed by over 2,300 employees and over 800 physicians are on the medical staff. CMMCs 20-bed transitional care unit had over 790 admissions. CMMC's patient population is represented by 70% minority race/ethnicity and nearly 37% of patients are of underinsured and uninsured payer classification. Medicare represents an additional 38% of patients. In 2018, approximately 200 volunteers put in over 13,000 hours of dedicated service at CMMC. Whether they are visiting with patients who are sick, escorting therapy dogs, raising money, or simply bringing magazines to someone who is bedridden, the CMMC volunteers enhance the medical center in countless ways. CMMCs key programs and services include: - The Women's Health and Wellness Center; - The Cancer Center at CMMC; - Diagnostic cardiac services including cardiac catheterization, emergency angioplasty and rehabilitation; - The Pain Management Center; - The Joint & Spine Institute; - Vascular center; - Same day surgery; - The Wound Center at CMMC; - The Center for Sleep Disorders; - The Bariatric Surgery Center; - Rehabilitation services; - Comprehensive ophthalmology services; - Maternity services and parent education; - Pediatrics; - A state-of-the-art emergency department; - Radiology services; and - Community outreach programs. The staff of dedicated physicians, nurses and healthcare professionals is committed to providing the highest quality of patient care services and health education to the community and the region. Accomplishments/Milestones/Recognitions/Awards ============================================== CMMC medical center is the recipient of numerous awards and honors including, but not limited to, the following: - Earned 12 Grade "A" scores in Hospital Safety and Quality by the Leapfrog Group. - Designated Primary Stroke Center, New Jersey Department of Health. - In 2018, earned designation in LGBTQ Healthcare Equality from the Human Rights Campaign Foundation. - Earned Specialty Excellence Awards in Bariatric Surgery (2018-2019), Labor and Delivery (2016-2018), and Obstetrics and Gynecology (2016-2018) from Healthgrades. - Earned Healthgrades Patient Safety Excellence Award from 2011 to 2015; ranked among the top 10 percent in the nation for patient safety for three consecutive years (2013 to 2015); one of 453 hospitals to receive the Outstanding Patient Experience Award in 2015. - Received 5-star rating in Clinical Excellence in 2017 for Bariatric Surgery, Colorectal Surgery, Gallbladder Removal Surgery, Maternity Care, Hip Fracture Treatment, Appendectomy, Gynecological Surgery and Vaginal Delivery. - Earned the Gold Seal of Approval from the Joint Commission with disease-specific certification in Acute Coronary Syndrome, Cardiac Rehabilitation, Heart Failure, Joint Replacement (Hip and Knee) and Advanced Certification in Palliative Care. - Earned an overall four-star rating from the Centers for Medicare and Medicaid Services - The Transitional Care Unit (TCU) at Clara Maass Medical Center earned an overall 5-star rating from the Centers for Medicare and Medicaid Services (CMS) in 2018. Previously recognized by U.S. News and World Report in 2017 for high performance in heart failure and previously ranked among the "50 Best Regional Hospitals" in the New York metropolitan area; also recognized for top performance in endocrinology, neurology and neurosurgery. - Named by the American Hospital Associations Health forum to the 18th Annual Health Care Most Wired Hospitals list for 2016-2018. - Earned gold recognition in 2016 and 2017 from Health Resources and Services Administration National Hospital Organ Donation Campaign. - (HRSA) Workplace Partnership for Life Hospital Campaign for increased organ donation efforts. - Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery. - NJHA and its health research and educational trust of New Jersey awarded in 2017 CMMC for preventing disease and injuries with its senior outreach programs; and - CMMC is proud to carry the niche (nurses improving care for health system elders) designation in recognition of our commitment to patient centered care for older adult patients. Centers of Excellence ===================== 1. The Joint & Spine Institute The Joint & Spine Institute is located on a dedicated unit within the hospital. Surgeries are scheduled Monday through Friday and patients typically return home after a three-night stay. Features of the program include: nurses, therapists and nursing assistants who specialize in the care of joint patients; private and semi-private rooms; emphasis on group activities as well as individual care; family and friends educated to participate as "coaches" in the recovery process; a joint team who coordinates all pre-operative care and discharge planning; a comprehensive patient guide to follow from six weeks pre-op until three months post-op and beyond; coordinated after-care program; reunion luncheons for former patients and coaches; newsletters to provide patients with new information about arthritis and joint care; and public education seminars about hip and knee pain. 2. The Cancer Center CMMC has a state-of-the-art cancer center that offers comprehensive services to cancer patients in one convenient location inside the continuing care building. The center's multidisciplinary approach to the treatment of cancer patients uses the expertise of medical oncologists, radiation oncologists, surgical oncologists, specialized nurses, dieticians, social workers and pathologists. Our board-certified oncologists and sub-specialists have extensive training and credentials from distinguished facilities across the country and offer our patients access to the latest drugs, research and clinical trials. In the cancer center, patient navigators meet with patients and walk them through each step of their treatment plan, from meeting with physicians to attending support groups. A variety of complimentary services are offered to complement medical treatment, including: nutritional counseling, psychological counseling, palliative care, support groups, pain management, reiki, and a drop-in bereavement group that meets weekly. The outpatient infusion center, located in the same building as the cancer center, is staffed by an experienced and compassionate team of oncology nurses, social workers and support staff. In addition, a specialized nurse educator is on staff to provide assistance to patients and their families. The unit has an education resource area for patients and their families. Downstairs, the CMMC radiation oncology department offers patients a full array of services including intensity modulated radiation therapy ("IMRT") and image guided radiation therapy ("IGRT"), mammosite brachytherapy for breast cancer, high dose rate radiotherapy and radioactive seed implants for prostate cancer. State-of-the-art equipment enables physicians to map out precise treatment sites with millimeter accuracy, treating the cancer while sparing normal tissue. The radiation oncology department was the first facility in New Jersey to obtain national accreditation by the American College of Radiation Oncology. Diagnostic oncology services include closed and open MRI, CT scan, PET/CT, ultrasonography, early detection screenings, and stereotactic and CT-guided biopsy. Our goal is to offer an array of services on the path to wellness, in one convenient location, to lessen the stress on our cancer patients and their families. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | 3. Diagnostic and Interventional Cardiac Services The most technologically advanced equipment is used to accurately and quickly diagnose and confirm suspected coronary disease. CMMC is a licensed adult cardiac catheterization facility, which allows cardiologists to coordinate all aspects of testing that May contribute to decisions regarding medical management or cardiovascular surgery referral for heart disease. Tests include routine EKGs, 24-hour holter monitoring, vascular studies, 2d echo with Doppler & color flow, stress echocardiograms, nuclear stress testing and transesophageal echocardiography. CMMC is home to a state-of-the-art cardiovascular interventional suite which includes two procedure rooms. Both emergent and elective angioplasty are offered (one of 12 hospitals in the state that was approved to perform elective angioplasty in the C-Port-E study led by Johns Hopkins University). A supervised exercise/education program assisting individuals who have or have had heart attack, stable angina, valve surgery, coronary artery bypass, congestive heart failure, pacemaker, or heart transplant is also offered. The program strives to provide each participant with improvement in cardiovascular fitness, risk factor reduction, lifestyle modification and increased confidence to participate in safe daily activities. Patients and families are provided with education regarding recognition, prevention and treatment of cardiovascular disease. 4. The Eye Surgery Center All ophthalmologists and surgeons at the eye surgery center are board-certified and specialize in the prevention, diagnosis, and treatment of eye problems, diseases, and injuries. CMMC eye care experts work together to provide comprehensive ophthalmic care in every area of eye disorders and treat patients of all ages-from infants to seniors. State-of-the art equipment and dedicated ophthalmology suites ensure the deliverance of the most advanced quality eye care. CMMC performs the most hospital eye procedures in the state of New Jersey and is also the first hospital in New Jersey to offer trabectome, a leading-edge treatment for glaucoma. Medical and Community Services ============================== CMMC's services include an array of additional medical services and programs that address the healthcare needs of its communities, from diagnostic to prevention and treatment. Additional medical services --------------------------- - The Wound Center at CMMC is a unique service dedicated to caring for people with wounds that have resisted healing. The wound center brings together a team of experienced physicians and nurses who combine knowledge in all areas of wound management. These specialists manage non-healing wounds, major problem facing many with poor circulation or diabetes. Treatments available include hyperbaric oxygen therapy, compression therapy and human skin equivalents; - A robot surgery program was launched in late 2012 for certified surgeons trained in advanced robotic surgery. They are certified in a number of surgical specialty areas, including gynecology, urology and nephrology, among others. CMMC surgeons use the DaVinci Si advanced robotics surgery system. Robotic-assisted surgeries are done in a less-invasive manner. The incisions are very small, which helps reduce the risk of infection and the amount of bleeding. That allows patients a quicker recovery time and shorter hospital stay; - Nuclear medicine enables CMMC to offer some of the latest technology, with five cameras, two of which are Siemens E.Cam gamma cameras, benefitting both patients and physicians. The partnership with Siemens allows CMMC to offer the best in nuclear imaging now and in the future; - The pain management center allows patients experiencing chronic pain can find relief housed within the health and wellness center at CMMC. The center offers patients the opportunity to alleviate themselves of unresolved, persistent pain that has lasted for more than three months. The pain management center utilizes a multidisciplinary approach in establishing a protocol for patients that includes medical, psychological, physical and pharmacological treatments; - The same day surgery center is easily accessible and offers the benefits of a private outpatient facility with the comfort and support of a full-service medical center. A wide variety of surgical techniques are available, in specialties including ophthalmology, ear, nose and throat, podiatry, plastic and reconstructive surgery, orthopedics, gynecology, general surgery, gastroenterology, bariatric, urology, oral surgery, and the cardiac intervention suites. The 8,700 square-foot endoscopy center is used for preventative diagnostic procedures that examine areas of the body such as the colon, gastrointestinal system, or the bronchi (which serve as passageways to the lungs). The endoscopy center includes a pre-operative and post-operative area for patients, three procedure rooms, family waiting rooms, and concierge service to assist patients and families; - Maternal/child health services are provided in the state-of-the-art labor, delivery, and recovery ("LDR") unit, patients have the luxury of laboring, delivering and recovering in a spacious LDR suite. The unit houses six contemporary suites. Complicated deliveries and cesarean births can be handled in one of two operating suites, which are also located within the LDR wing. Following recovery, patients stay in private postpartum rooms; - In addition to the newborn nursery, CMMC maintains a Level II special care nursery for premature newborns born at 32 weeks or greater, and newborns in need of specialized medical treatment. With a neonatologist in house/available 24-hours a day, and a highly skilled team of neonatal nurses, CMMC provides comprehensive expert medical care utilizing the latest technology; - A dedicated pediatric unit with the availability of a child life specialist is another attribute provided within the maternal/child health center of excellence; - The emergency department at CMMC cares for nearly 81,000 patients each year. The department is staffed 24-hours a day by a dedicated team of nurses, doctors and support staff, ready to provide immediate medical care in your emergency situations. One hundred percent of ED physicians are board-certified in emergency medicine. The 58-bay emergency department includes state-of-the-art electronic medical record linked to a health information exchange that instantly sees your old record and transmits your electronic record to your private doctor; mobile computers to provide instant access to a patient's prior ED visits; a rapid triage treatment area for minor illness and injuries; express care for rapid diagnostic evaluation; mobile telemetry units for heart monitoring; rapid diagnostic unit for observation patients; a primary stroke center designated by the New Jersey department of health, for the early diagnosis, intervention and treatment of strokes; 24-hour full-service laboratory diagnostic testing; and 24-hour radiology service; - The Center for Sleep Disorders can help improve the lives of those suffering from any number of conditions, such as insomnia, sleep apnea, narcolepsy, restless legs syndrome and other disorders. At the center, five types of non-invasive studies are conducted and comprehensive evaluations are performed by sleep specialists. Patients May participate in an overnight sleep study and/or a series of nap studies during the daytime. The studies include nocturnal polysomnogram, nasal CPAP (continuous positive airway pressure) titration, multiple sleep latency and a split night study, which utilize sophisticated diagnostic equipment to monitor brain, heart, respiratory and muscle activity during sleep; - The transitional care unit ("TCU") at CMMC offers a special caring environment for patients who no longer require all the resources of an acute care hospital, but who are still too sick to be cared for at home. The TCU is a 20-bed unit which provides a sub-acute level of care within the acute care hospital, an option in the continuum of care. Typically, patients are admitted to the TCU for the following types of care: cardiac recovery, post-surgical recovery, oncology and pain management, pulmonary management, skin and wound care, and complex medical management. A few extra days for recovery in the TCU can give patients just the time they need to regain strength and function needed to successfully be discharged home. The TCU is staffed by physicians, nurses, social workers, rehabilitation therapists, and dieticians who follow an interdisciplinary team approach to help patients transition to home so they May live independently or with some assistance; and |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - The geriatric and adult inpatient behavioral health unit at CMMC offers an array of comprehensive, high-quality inpatient behavioral health programs to treat adult and geriatric patients. In addition to the 20-bed involuntary behavioral health inpatient unit located within the hospital, CMMC has introduced a new 12,500 square foot, 22-bed voluntary unit that provides intensive programming and treatment services designed specifically for adult and geriatric patients. The new unit is equipped with the latest patient safety features. Both units provide: intensive, patient-centered behavioral health services; comprehensive psychiatric assessment; individualized treatment; one-on-one intervention; and psychiatric medication management. The hospital also provides psychiatric emergency evaluation services for the northern and western Essex County region. Medical staff ============= CMMC medical staff is comprised of more than 50 medical and surgical specialties. CMMC, its medical staff and/or our partners provided an extensive array of medical services during 2018 which include, but are not limited to, the following: - Allergy/Immunology; - Anesthesia; - Bariatric Surgery; - Cardiology; - Colon/Rectal Surgery; - Dermatology; - Emergency Medicine; - Endocrinology; - Family Medicine; - Gastroenterology; - General Surgery; - Geriatrics; - Gynecologic Oncology; - Hand Surgery; - Hematology/Oncology; - Hospice & Palliative Medicine; - Hospitalist Medicine; - Infectious Disease; - Intensivists; - Internal Medicine; - Nephrology; - Neurology; - Neuro-Ophthalmology; - Neurosurgery; - Obstetrics and Gynecology; - Oncology; - Ophthalmology; - Oral & Maxillofacial Surgery; - Orthopedic Surgery; - Otolaryngology; - Pain Management; - Pathology; - Pediatric Cardiology; - Pediatric Infectious Disease; - Pediatric Neonatology; - Pediatric Orthopedic Surgery Privileges - Orthopedic Surgery; - Pediatrics; - Physical Medicine & Rehabilitation; - Plastic Surgery; - Podiatry; - Psychiatry; - Pulmonary Medicine; - Radiation Oncology; - Radiology; - Reproductive Endocrinology; - Rheumatology; - Teleneurology; - Tele-Psychiatry; - Teleradiology; - Thoracic Surgery; - Urogynecology; - Urology; and - Vascular Surgery Community Service Centers ========================= CMMC is committed to keeping its community healthy, and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. For more than 100 years, CMMC has been a leader in northern New Jersey in providing the best in healthcare and the latest in medical technology to the nearly 1 million residents that comprise its primary service area of Essex, Hudson, Bergen, and Passaic counties. Community Partnerships ====================== CMMC operates the following centers designed to promote health and health awareness for the community: - The Health and Wellness Center was designed to deliver a wide range of services most frequently requested by women of all ages. These services include breast health, genetic counseling, osteoporosis, perinatology, obstetrics and urogynecology for incontinence. CMMC also offers screenings, preventative programs and a resource center where individuals can find out more about their health and the health of their families; - The New Jersey Bariatric and Metabolic Institute ("NJBMI") at CMMC offers a multidisciplinary approach to weight loss that includes pre- and post-surgery education and counseling. NJBMI at CMMC received the maximum, three-year accreditation from both the American society for metabolic & bariatric surgery and the American College of Surgeons. The bariatric team, consisting of a board-certified surgeon, specialized nurses, dieticians, behavioral health specialists, and a bariatric navigator, are all dedicated to helping every patient achieve optimal results. Services include laparoscopic realize band, sleeve gastrectomy, and laparoscopic roux-en-y gastric bypass surgery. Free community health seminars and a support group for post-bariatric surgery patients is held the third Wednesday of every month in the Belleville founders room at the medical center; - The Clara Cares program provides primary care services to elderly individuals living in senior housing communities to allow them to age in place in the comfort of their familiar settings. The program reaches over 500 individuals a year; - CMMC launched a comprehensive program to prevent delirium in elderly patients which includes everything from close monitoring of the patients' medication to engaging seniors' minds with card games, conversation and reading. The hospital elder life pilot program's overall goal is to reduce mortality and readmission rates for vulnerable seniors. CMMC was able to launch the program this spring with the help of a generous grant from the Health Care Foundation of New Jersey. The goal was to help senior patients by making their stay in the hospital as comfortable as possible and to contribute to their overall health once they are discharged. Geriatric nurse coordinators start their day joining interdisciplinary rounds with the medical teams overseeing patients ages 70 and older in the medical-surgical wing of the hospital. Patients are checked for any history of Alzheimers disease, or delirium, and the nurses then make one-on-one visits during the day to assess how the patients are doing. The coordinators check for a number of issues including signs of confusion, a change in behavior, or any decline that's been observed since the seniors have become inpatients at the hospital. They enroll seniors into the pilot program who are deemed to be at risk for delirium. Those patients receive ongoing attention to keep them engaged and feeling comfortable during their hospital stay. With the help of the coordinators and specially-trained volunteers, the patients may get help at mealtime, take part in relaxation exercises, enjoy hobbies such as playing cards or board games, be read to, walk around with a companion, or simply converse with someone to share memories and stories together. But the treatment doesn't end there. Before the senior patients are discharged, a discharge plan is developed to help keep them healthy and prevent them from having to return to the hospital. Each patient's "My Care" plan spells out guidelines for follow-up doctors' appointments, medication scheduling and a number of short and long-term goals; - The WAVE program (wellness assessment van for elders) brings an annual wellness visit to senior groups and residences, community organizations and municipalities; - More than 100 student-athletes attended the Matthew J. Morahan screening event hosted by CMMC. Students received a free baseline concussion screening and baseline EKG. Families who attended came from as far away as Monmouth and Sussex counties. The Morahan screenings are provided free of charge throughout the entire RWJBarnabas Health system; - The Cancer Center at CMMC and Dominick J. Ligresti, M.D., medical cosmetic and surgical dermatologist, recently took summer skin care one step further and met with individuals at the second-ever skin screening and advising 6 men and women to schedule follow-up appointments. "It means a lot to be able to provide skin screenings to the public," says dr. Ligresti. "such opportunities have the potential to save a life or to prevent a future condition, which, in the long run, can save people and their families a lot of time, pain and money and - A variety of health screenings and educational programs are offered throughout the year to community residents and employees. Breast cancer, prostate cancer, oral cancer, cervical cancer (PAP smear), skin cancer, vision, blood pressure, cholesterol, cardiac risk, foot disorders and comprehensive blood screenings are some of the screenings offered. Presentations on various health topics are available to community groups, organizations and clubs. Additional programs such as education programs for seniors and a smoking prevention program are held in collaboration with local health departments and other community agencies. Medical Screenings ================== CMMC provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes including, but not limited, to the following: - blood pressure screenings; - body fat analysis BMI; - breathe easy: high risk lung cancer screenings; - cholesterol screening; - comprehensive blood screenings; - COPD screenings; - glucose screening; - SMART risk heart assessments; - ocular screening; and - PAP screening. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Community Education and Support Groups ====================================== CMMC provides numerous lectures, seminars, and other educational programs to the community in furtherance of its tax-exempt purposes. For example, classes are available to help educate the new mother and family about the impending birth. Classes include prepared childbirth, weekend childbirth series, sibling class, breastfeeding, and baby shower infant class. Expectant mothers who enroll in the classes are invited to a maternity tea. Other support groups, screening and education programs include, but were not limited to, the following: Support Groups: - breast cancer support group; - cancer survivors day; - nutrition support group; - Parkinsons disease support group; - bariatric surgery support group; and - bereavement group. Education sessions: - Aging in Place; - Alzheimers; - arthritis management; - bariatric surgery seminar; - breast health education womens health; - Clara Cares home based healthcare for seniors; - diabetes lecture; - depression; - diversity/LGBTQ outreach; - EMS/ED outreach; - hearing loss and dementia; - heart health; - immunizations; - Matthew J. Morahan (concussion) education; - nutrition and wellness; - safe house outreach; - sleep disorder; - stroke prevention; and - teddy bear clinic. CMMCs ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs is advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients part of at risk populations are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked if they have completed or require assistance in completing living wills and advanced directives. CMMC recognizes its role in addressing the social determinants of health and works to address barriers and special needs in its communities such as patient transportation and advocacy services. CMMC worked with a local high school in providing a stem (science, technology, engineering, and math) pilot program for students, serving over 50 students. CMMC is also a safe house provider offering services for women victims of domestic violence and their children including shelter, medical services, case management, food, clothing, counseling, and advocacy services. Professional Medical Education and Training =========================================== CMMC provides an array of professional education and training programs including robust nursing education with Felician College, Bloomfield College, Essex County College, Rutgers, and New Jersey City education. Some program areas include, but are not limited, to: - lectures and leadership training for physicians; - medical education/nursing students; - medical education/ob-gyn students; - medical education/pharmacy students; and - medical education/radiology students. |
| CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS 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 | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS AN AFFILIATE WITHIN 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 VII AND SCHEDULE J | NIKOLAS ALEXIADES, FORMER CHIEF FINANCIAL OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS CHIEF FINANCIAL OFFICER OF NEWARK BETH ISRAEL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT 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 X; LINES 27-29 | IN AUGUST 2016, THE FASB ISSUED ASU 2016-14, NOT-FOR-PROFIT ENTITIES (TOPIC 958): PRESENTATION OF FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES, WHICH REQUIRES NOT-FOR-PROFIT ENTITIES TO REVISE ITS FINANCIAL PRESENTATION TO INCLUDE NET ASSET CLASSIFICATIONS, PROVIDE QUANTITATIVE AND QUALITATIVE INFORMATION AS TO AVAILABLE RESOURCES AND MANAGEMENT OF LIQUIDITY AND LIQUIDITY RISK AND EXPANDED DISCLOSURES ON FUNCTIONAL EXPENSES. THE CORPORATION ADOPTED THE NEW STANDARD AS OF DECEMBER 31, 2018 ON A RETROSPECTIVE BASIS. THERE WERE NO MATERIAL CHANGES TO THE CONSOLIDATED BALANCE SHEETS, STATEMENTS OF OPERATIONS, AND CHANGES IN NET ASSETS OR CASH FLOWS AS A RESULT OF THE ADOPTION. PERIODS PRIOR TO ADOPTION HAVE BEEN DISPLAYED TO CONFORM TO THE NEW PRESENTATION OF A SINGLE CLASSIFICATION OF NET ASSETS WITH DONOR RESTRICTIONS. PREVIOUSLY, THE CONSOLIDATED BALANCE SHEETS DISPLAYED TEMPORARILY RESTRICTED NET ASSETS OF $131,468,000 AND PERMANENTLY RESTRICTED NET ASSETS OF $33,494,000. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $74,500; - NET CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF CLARA MAASS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($24,000); - EQUITY TRANSFER TO CLARA MAASS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($497,907); - TRANSFER FROM CLARA MAASS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, FOR CAPITAL PROJECT FUNDING - $58,000; AND - PENSION ADMINISTRATION COSTS - ($481,995). |
| 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. |
| DEPARTMENTAL EIN LISTING | THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS CLARA MAASS MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND CLARA MAASS MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY CLARA MAASS MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-1500556. BELOW IS A LIST OUTLINING THE VARIOUS CLARA MAASS MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. CLARA MAASS MEDICAL CENTER HOUSE 33-1056363 CMMC PROVIDER SERVICES 81-4812623 |
| SCHEDULE I, PART II AND CORE FORM, PART IV; QUESTION 21 | PLEASE NOTE THAT ALL GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER ORGANIZATIONS WERE LESS THAN OR EQUAL TO $5,000 EACH. THEREFORE, THERE ARE NO ORGANIZATIONS LISTED IN SCHEDULE I, PART II. THE TOTAL AMOUNTS PAID FOR CONTRIBUTIONS AND EVENT SPONSORSHIPS CAN BE FOUND ON CORE FORM, PART IX, LINE 1. |
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