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 | |
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| 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 ========== Robert Wood Johnson University Hospital at Hamilton ("RWJUH Hamilton") is a general medical and surgical hospital recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, RWJUH Hamilton provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, the hospital operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. RWJUH Hamilton provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients. 2. RWJUH Hamilton operates an active emergency department that is open 24 hours a day, seven days a week, 365 days per year. RWJUH Hamilton's pediatric emergency center opened in fall 2011, and answered a need to support families and this vulnerable population - our children - who require immediate access to pediatric emergency care. 3. RWJUH Hamilton maintains an open medical staff with privileges available to all qualified physicians; 4. Control of RWJUH Hamilton 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. RWJUH Hamilton is guided by its dedication to attending to the healthcare needs of the community it serves. The hospital provides medically necessary healthcare services to patients who meet certain criteria under its charity care policy as defined by the New Jersey state attorney general, without charge or at amounts less than established rates. RWJUH Hamilton maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. RWJUH HAMILTON AND AFFILIATES serve communities within a five-county area and includes: an acute care hospital; outpatient services in Hamilton, Lawrenceville, Columbus and Ewing; the Cancer Institute of New Jersey Hamilton; three affiliated medical groups; five Lakeview child centers; the 86,000 square foot RWJ Fitness & Wellness Center, home of a medically-based fitness center; conference center; the hospital's rehabilitation center and extensive community education program and healthy eating demonstration kitchen. The following medical groups are affiliated with RWJUH Hamilton: - RWJUH Hamilton womens health group; - RWJUH Hamilton vascular surgery group; AND - RWJ medical associates at Hamilton, a family and internal medicine practice and a primary care express and express lab located in Mercerville, NJ. Lakeview Child Care Center, Inc. is an autonomous affiliate of RWJUH Hamilton. Lakeview Child Care Center, Inc., which opened in 1985, operates a network of five childcare centers throughout central New Jersey. Lakeview Child Care Center, Inc. is required by the state of New Jersey child care licensing law to be licensed by the Department of Children and Families (DCF), office of licensing and is accredited by the national association for the education of young children (NAEYC). RWJUH Hamilton is affiliated with the Rutgers Cancer Institute of New Jersey ("CINJ"), the state's only National Cancer Institute-designated cancer center. The Cancer Institute of New Jersey Hamilton provides local access to leading academic physicians and research initiatives. In 1994, RWJUH Hamilton began an exciting partnership with Robert Wood Johnson University Hospital in New Brunswick, NJ, as part of the Robert Wood Johnson Health System ("RWJHS") Robert Wood Johnson University Hospital in New Brunswick was the principle hospital for the former University of Medicine and Dentistry ("UMDNJ") - Robert Wood Johnson Medical School, now the Rutgers Robert Wood Johnson Medical School. Previously an academic unit of the University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School transferred to Rutgers, The State University of New Jersey as part of the New Jersey medical and health sciences education restructuring act, on July 1, 2013. This medical school affiliation has led to significant growth in every area of the hospital and has provided RWJUH Hamilton's patients with the latest medical innovations and the expertise of outstanding physicians in every specialty. Together, RWJUH Hamilton and Robert Wood Johnson University Hospital provided the community with access to every medical advancement at all levels of patient care. The operations of RWJUH Hamilton, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of the hospital 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. Moreover, the hospital provides substantial community benefit as outlined herein. RWJUH Hamilton'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. RWJUH Hamilton, 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 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. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | 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 Barnabas Health 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. Mission Statement/Vision/Values =============================== Mission Statement ----------------- RWJUH Hamilton is committed to excellence through service and quality. The hospital exists to promote, preserve, and restore the health of the community. Vision ------ RWJUH Hamilton will be recognized as the premier, trusted healthcare partner serving our community by promoting health, wellness and enriching lives. RWJUH Hamilton's Principles --------------------------- RWJUH Hamilton is guided by the following principles in performing its charitable tax-exempt purposes: 1. We believe that community health improvement is essential to our mission. 2. We believe community-based coalitions are uniquely qualified to achieve community health goals and we value partnerships with them. 3. We value evidence-based practices and seek to model excellence in community health practice based on evidence-based medicine. 4. We believe in applying continuous quality improvement to community health, measuring need, matching resources to need, measuring outcomes and making adjustments in the process. We participate in a county wide community wide needs assessment with the other hospitals in Mercer County to further validate our commitment to our community. RWJUH Hamilton employee's values - TEAMWORK ------------------------------------------- Trust: we are responsible for and committed to those who place their trust in us for healthcare. Ethical behavior: we perform our daily work in a manner which is right and good and benefits our patients, families and one another. Accountability: we are responsible for all of our interactions with the lives that we touch. Make an impact: we provide the highest quality care and service, maintain operational efficiency and seek out innovative methods to improve care. We: we are proud to be employees of Robert Wood Johnson University Hospital at Hamilton and its affiliates. Openness: we foster an environment of collaboration, camaraderie, transparency, and communication. Respect: we treat everyone in our diverse community with dignity, sensitivity, and integrity. Kindness: we demonstrate compassion, empathy and understanding in our daily encounters with all. Hospital Statistical Information ================================ RWJUH Hamilton is located on a 67-acre campus adjacent to Hamilton's Veterans Park in Hamilton, New Jersey in Mercer County. The township is located immediately east of the historic city of Trenton, the states capital. Trenton is New Jersey's 10th largest place by population size. Hamilton Township has over 40 square miles, more than 64 public parks and playgrounds and acres of preserved open space. Located in central New Jersey, Hamilton Township enjoys a prime location that is within an hours drive of New York City, Philadelphia, and the Jersey shore. The town is also in close proximity to destinations such as Six Flags Great Adventure, quaint downtown Princeton and the major roadways provide easy access to Hamilton, including the New Jersey Turnpike, interstate highways 195 and 295, U.S. Highways 130 and 206 and state highways 33 and 29, while the Hamilton train station offers convenient rail access to New York City along the NJ transit's northeast corridor line. Hamilton Township has a level of affluence yet over 13% of households estimated to have had income less than $25,000. There is a 35% minority presence, approximately 8.5% of the civilian residents had no health insurance and an additional 30.3% have public health insurance coverage. RWJUH Hamilton is committed to providing quality and compassionate care to its communities; serving a patient population comprised of more than 34% minority representation and nearly 11% underinsured and uninsured payer classifications in 2018. Medicare represents an additional 56% of the inpatients by payer classification. RWJUH Hamilton is licensed for 284 beds and has about 1,200 employees and around 550 active physicians on its staff. In 2018, the hospital had over 7,000 admissions, around 40,000 emergency room visits, over 7,000 surgeries (inpatient and outpatient) and over 50,000 outpatient diagnostic and treatment visits. Accomplishments/Milestones/Recognitions/Awards ============================================== RWJUH Hamilton is passionate about providing our patients with the highest quality care. The commitment to patients begins at the top levels of hospital administration and is demonstrated in the caring and professional manner of RWJUH Hamilton's physicians, nurses, hospital employees, and volunteers. "we are always challenging ourselves on ways to make the healthcare experience better for our patients, physicians, and staff by exploring all options for pursuing the best ways to treat the physical, emotional and spiritual needs of our community" states Richard Freeman, President and Chief Executive Officer, RWJUH Hamilton. RWJUH Hamilton is a proud recipient of numerous local, state, and national level awards and recognitions. National recognition and state: - The Joint Commission - hospital accreditation is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting performance standards, accrediting more than 16,000 U.S. Healthcare organizations. In its most recent survey, The Joint Commission once again found RWJUH Hamilton in compliance with all standards and awarded the hospital full accreditation for the maximum three years. - In 2018, the Leapfrog group named RWJUH Hamilton one of the top general hospitals in the United States. RWJUH Hamilton was one of 35 hospitals across the country to receive this recognition. - In 2018, RWJUH Hamilton was rated an "A" hospital safety grade by the nationally recognized Leapfrog group its sixth "A" rating. - The Joint Commission - certification for stroke, 2007 present. RWJUH Hamilton was first hospital primary stroke center in mercer county to achieve national certification for stroke care. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - The Joint Commission - certification for hip replacement and knee replacement (2012 present). RWJUH Hamilton is the only hospital in mercer county with both hip & knee replacement certification. - The Joint Commission certification for spine surgery (2014 present) RWJUH Hamilton is the only hospital in Mercer County with spine surgery certification. - American Heart Association "Get With The Guidelines", heart failure program gold plus award. - American Heart Association "Get With The Guidelines", stroke program gold plus award. - United States Department of Commerce - Malcolm Baldrige National Quality Award in 2004. RWJUH Hamilton was the first of two New Jersey hospitals to receive this award -- Americas highest honor for quality and performance excellence -- presented by the President of the United States. - National Research Corporation - consumer choice award. RWJUH Hamilton was chosen as the area's most-preferred hospital for quality care and public image from 2004 present. - State of New Jersey - primary stroke center designation. RWJUH Hamilton was first hospital in Mercer County to achieve national certification and state designation for stroke care. 2007 Present. - Accredited by the surgical review corporation as a center of excellence in metabolic and bariatric surgery. - Public service award by the New Jersey Business & Industry Association for addressing childhood obesity. - Outstanding employer award by the New Jersey business & industry association. Local recognition: - American Heart Association - the Start! Fit-friendly Gold Award from 2007 present. This award was given for RWJUH Hamiltons creating a wellness culture for its employees. Efforts included promotion of physical activity and offering healthy eating options at work. - American Heart Association lifestyle award recognizes our efforts to combat childhood obesity and type 2 diabetes through the Shapedown program. Centers of Excellence ===================== RWJUH Hamilton's recognized medical services centers of excellence include, but are not limited to, the following: Center of Excellence in Metabolic and Bariatric Surgery ------------------------------------------------------- The Bariatric Surgery Program at RWJUH Hamilton offers patients advanced clinical treatment for weight loss, enabling them to overcome the most damaging health effects of being overweight. Through a team approach, candidates are evaluated and pre-existing conditions are taken into consideration. Patients receive education on procedure options, risks, outcomes, potential side effects, and lifestyle modifications. Progress is monitored and strict dietary and exercise regimens are instituted. Patients are paired with clinical professionals, exercise specialists, nutritionists, and support staff to provide a full continuum of services and counseling. The program is recognized as a bariatric surgery center of excellence with a demonstrated track record of favorable outcomes in bariatric surgery by the Surgical Review Corporation. Rutgers Cancer Institute of New Jersey Hamilton ----------------------------------------------- The oncology program integrates a medical and radiation oncology practice with leading oncology specialists, outpatient treatment, and support services. As an affiliate of the Rutgers Cancer Institute of New Jersey in New Brunswick-the only National Cancer Institute-designated cancer center in New Jersey-we provide access to cancer research and scientific advances for the treatment of all types of malignancies and blood disorders. The program is accredited by the American College of Surgeons' commission on cancer and national accreditation program for breast centers. Located on the hospital campus, the cancer center provides added convenience and comfort to our patients in a modern 18,500-square-foot building integrating all of the services needed to care for someone with cancer: - dedicated support services and social worker; - genetic testing and counseling; - infusion and radiation treatment areas; - laboratory services; - on-site medical services; - oncology medical practice; - research program/clinical trials; - dedicated breast cancer and lung cancer navigators to help our patients navigate appropriately through the complex treatment; and - through a partnership with the American cancer society, a "look good, feel better" image salon is offered to our cancer patients. Diabetes and Endocrinology Care Centers --------------------------------------- Diabetes and endocrinology care: our diabetes self-management program offers one-on-one education to our patients about the importance of self-management and how to apply the basic principles to their everyday lives. To do this, we communicate with patients through inpatient care, on an outpatient level, and through support and continued education. Our diabetes support group is a free service for those living with diabetes and their loved ones. We also offer community education programs held at the RWJ Fitness & Wellness Center. A diabetes nurse practitioner is assigned to manage the inpatient and outpatient care of our patients. Our outpatient diabetes program is certified by the American diabetes association as a center of excellence since 2002 and also recognized by the Joint Commission. Medical and Community services ============================== In addition to its centers of excellence, the hospital offers a wide array of medical and community services including: Diagnostics & imaging: the hospital offers "picture archiving and communication system" (PACS), imaging technology. PACS is a diagnostic imaging system that eliminates the use of imaging film by providing patient imaging records and profiles on a computer terminal. This imaging technology eliminates the need for bulk storage of films, provides a higher level of patient confidentiality, expedites the viewing of patient records and medical images, provides 24-hour access for physicians and is more cost efficient. Radiology services include: - PET/CT; - MRI (new in 2016); - Interventional radiology; - CT, including calcium scoring; - Mammography; - Ultrasound; and - X-ray. Radiology services include, but are not limited to, studies of the cardiovascular system; central nervous system; digestive, urinary and respiratory systems; musculoskeletal system; and reproductive system. Emergency services: the emergency department ("ED") delivers prompt, quality care 24 hours a day, 365 days a year. The ed is staffed by specially trained emergency physicians, nurse practitioners, physician assistants, registered nurses ("RNs"), emergency department technicians, and unit secretaries. Serving over 43,000 patients per year, the department offers advanced technologic equipment and therapies. Specialized emergency centers include: - The H.H. Tuchman Pediatric Emergency Center, which is a family-focused pediatric emergency center staffed with certified and trained pediatric specialists, caters to the unique needs of the pediatric population. - The emergency departments split flow model is designed to improve the "time seen" for care of our patients with lower acuity. While all our patients can be cared for in this area, the split flow section provides timely care for those patients who present with moderate to minimal injuries or illnesses that do not require extensive diagnostic testing. Split flow is operational during the peak hours of daily activity. - Emergency cardiac care: in conjunction with our cardiac catheterization lab and our emergent angioplasty program, we provide the highest quality of care to cardiac patients. The department is also equipped with an advanced computerized patient tracking and documentation system that connects with existing hospital information systems to find your prior hospital health history and keep track of your care every step of the way. Cardiac care: we are dedicated to preventive care and offer a comprehensive program that includes education, prevention, diagnosis, treatment, and rehabilitation. Patients have access to emergent angioplasty, cardiac catheterization, cardiac rehabilitation, and cardiopulmonary diagnostic services. - RWJUH Hamilton also offers the Healthy Lives program, which provides patients with an opportunity to take an active role in their cardiac care. As members of the Healthy Lives Hamilton program, patients learn how to manage heart failure. They also benefit from the expertise of an expert support team and consistent follow-up with cardiac professionals. - We also offer minimally-invasive cardiovascular procedures that foster quicker recovery. Our cardiac team includes cardiologists, telemetry nurses, cardiovascular technologists, imaging technologists, respiratory therapists, exercise physiologists, dietitians, and social workers. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Outpatient specialty services offered RWJUH Hamilton ---------------------------------------------------- Outpatient rehabilitation services: a multidisciplinary team of therapists and healthcare professionals work together to evaluate each patient and develop an individualized treatment program. At each step along the way, treatment and progress are carefully reviewed so that the program can be adjusted to fit the patient's evolving condition. The rehabilitation department offers a number of therapeutic services, including physical therapy, occupational therapy, speech and language therapies, audiology, cardiac rehab and two balance centers, which use a multidisciplinary program to diagnose and treat symptoms that impact balance. Our patients can also be offered aqua therapy in the warm therapy pool located adjacent to the rehabilitation department at the RWJ Fitness & Wellness Center. Our services are offered at several locations: - RWJUH Hamilton's main hospital campus, outpatient services, One Hamilton Health Place, Hamilton, NJ. - RWJUH Hamilton's main hospital campus, outpatient services, One Hamilton Health Place, Hamilton, NJ. - RWJ Fitness & Wellness Center, 3100 Quakerbridge Road, Hamilton, NJ. - Pennington-Ewing Athletic Club, 1400 Lower Ferry Road, Ewing, NJ. - RWJ Diagnostic & Treatment Center, Sheffield Drive, Columbus, NJ. - New Jersey Athletic Club, 4152 Quakerbridge Road, Lawrence, NJ. - RWJ Rehabilitation at Delaware Valley, 123 Franklin Corner Rd. Suite 103, Lawrenceville, NJ. Audiology & hearing aids: RWJUH Hamilton offers on-site audiology testing. Our audiology services include: - testing and diagnosing hearing loss and other hearing related disorders, including balance disorders; - treating infants, children and adults; - comprehensive testing of central auditory processing; - auditory processing therapy; - newborn infant hearing screening; - pre-school hearing screenings; - hearing aid evaluations and fittings; - hearing conservation - custom noise protectors; - custom made ear molds and swim molds; and - digital hearing aid fittings. Physical therapy: physical therapy is designed to strengthen the body and improve balance, coordination, movement, and function. It benefits patients with many types of injuries, impairments and conditions, such as those caused by accidents, strokes, trauma, sports, burns and arthritis. Each patient is given a comprehensive evaluation and treatment plan. Our services also include: - aquatic therapy; - lymphedema treatment; - neurological therapy; - spinal care; - general orthopedics; - foot and ankle care; - stroke; - geriatrics; - industrial rehabilitation; and - balance. Speech/language therapy: RWJUH Hamilton provides services for people of all ages who have difficulty with speech, language or swallowing. These services include treatment for language, swallowing, articulation and voice disorders. Vitalstim therapy is available. Nutrition counseling: schedule a visit with the outpatient nutrition counseling service where you can count on sound nutritional guidance from dietitians who are trained in disease specific medical nutrition therapy for children and adults. They are skilled at separating nutrition facts from fads and are trained in translating the latest medical information on diet and nutrition into practical use. During the counseling session, your lifestyle, physical condition and food preferences will be considered in order to create a healthy, realistic eating plan. Typically, the nutritionist, a registered dietitian, will spend one hour with you during the initial visit. The need for follow-up appointments will be determined on an individual basis. Nutrition counseling includes: - expert nutrition information; - an individualized meal plan; - individually tailored educational materials; - information on nutrition labeling; - healthy recipes; - tips for eating away from home; - food shopping tips; and - nutrition needs for appropriate growth of infants/children and adolescents. Nutrition counseling is provided for a variety of health needs including: - food allergies; - cancer; - celiac disease; - diabetes-type 1, type 2, gestational; - heart disease; - high cholesterol; - kidney disease; - pre-diabetes; - pre-and post-weight loss surgery; - pregnancy; and - weight management. RWJBH-Hamilton Occupational & Corporate Health: the occupational and corporate health department provides comprehensive medical services to over 300 employers in our local community (central and northern New Jersey, greater Mercer County and Burlington County). Services are available in building 2 on the hospital campus. Our mobile team also offers on-site services at employer locations throughout the state. Services are designed to meet the needs of the corporate client to improve work force health and lower health costs, as well as the individual seeking medical advice for international travel. The practice is experienced in delivering physical examinations with multiple components. RWJUH Hamilton performs firefighter physical examinations (per nfpa guidelines), dot physical examinations (per federal motor carrier safety regulations, 49 cfr 391.41), hazardous waste operations and emergency response medical surveillance examinations (per osha 29 cfr 1910.120) and asbestos medical surveillance examinations. The department provides initial and follow-up treatment for work-related injuries along with case management services. The program provides a unique focus on reducing these injuries and their severity, reducing lost work time and optimizing clinical outcomes while reducing associated costs. This team also provides their expertise to RWJUH Hamilton employees through a comprehensive employee health program. RWJUH Hamilton is also a certified yellow fever vaccination site. Consultations May be scheduled to discuss all health concerns while traveling abroad. Influenza vaccine is also available to the public, including Medicare recipients. The department offers a travel medicine program and provides consultations to discuss all health concerns for traveling abroad. Other services offered by the department include pre-employment physicals, executive physicals, pulmonary function testing, respiratory fit testing, audiogram testing, urine drug screen testing and breath alcohol testing. Outpatient diagnostic: RWJUH Hamilton's outpatient services building was created with our patients' comfort in mind. All procedures are accomplished in a central testing area designed for patient privacy and comfort. Every patient is assigned a dedicated team of healthcare providers. We offer ample and convenient free parking and hours to fit your needs. Our outpatient services building is open Monday through Saturday. Sleep Center: the state-of-the-art RWJUH Hamilton Sleep Center can diagnose and treat the full range of sleep disorders. The sleep study is painless and designed for your comfort. Most major insurance carriers should cover your test. Additionally, home studies are made available for our patients. Pharmacy services: the RWJUH Hamilton department of pharmacy provides pharmaceutical care to patients throughout RWJUH Hamilton and is open 24-hours a day, 365 days a year. The pharmacy is staffed by registered pharmacists, certified pharmacy technicians, and support staff. The pharmacy provides all sterile intravenous product preparations, oral medications, drug information, and reviews all medication orders for safety and appropriateness. The pharmacy is completely computerized and has a state-of-the-art iv room to prepare sterile medications. The pharmacy staff is dedicated to patient safety and to empowering our patients to optimum medication use. Patient care pharmacists educate our patients daily on their medications while here at the hospital. Pharmacists participate in outpatient outreach programs like brown bag sessions and health fairs to bring medication information and screening to our community. Weight Management: This year, with the support of our health system, we enhanced our Shapedown Weight management model and now offer KidsFit which is provided free of charge to children and the families of any student in mercer and Burlington county (our primary and secondary service areas). Many of the participants are from underserved populations and reside in the Trenton area. Due to the success of the program, an extension program and peer leadership program were initiated. A portion of this program is also delivered at a homeless shelter called Homefront serving residents of Trenton and beyond and also at Mercer Street Friends. Additionally, we provide space for weekly weight watchers meetings for the convenience of our community. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Wound care: a comprehensive wound care center is available for patients with chronic non-healing wounds and provides medical and hyperbaric treatment of wounds in an environment that encourages a multidisciplinary approach to healing. Senior services: RWJUH Hamilton proudly serves the health, educational and social needs of our senior community through community education and the Better Health program for participants over the age of 50. Our mission is to promote health via wide-ranging activities; preserve health with screenings and social activities; and restore health by providing excellent care focused on the unique needs of seniors. Some of the senior programs offered include: - Community educators provide classes and screenings at municipal senior centers in Hamilton, Lawrence, Robbinsville, East Windsor and West Windsor and Columbus/Florence, NJ; - Senior programs: classes explore topics from mental health to medical conditions affecting older adults. Regularly scheduled favorites include, AARP driving class, caregiver support and education, grief and loss support groups, navigating retirement and "a matter of balance," which helps participants overcome the fear of falling and stay safe in their home; - We also offer an evidence-based chronic disease self-management program called "take control of your health," a similar program for diabetes self-management, and a cancer program entitled "strive to thrive," though an evidenced based program provided by Stanford University; - Screenings measure hearing loss; cholesterol, glucose and blood pressure levels; and look for the onset of medical conditions such as osteoporosis and cancer; - Medicare counseling: free, objective, confidential Medicare counseling is available to seniors; and - Bridge and knitting clubs provide social and recreational opportunities for seniors. Stroke care: designated by the state of New Jersey department of health and senior services and The Joint Commission as a primary stroke center, RWJUH Hamilton's certified primary stroke center serves as a model for other community hospitals seeking to improve stroke care. RWJUH Hamilton's continuum of stroke care includes on-the-scene care; skilled emergency personnel gather essential information, communicate with RWJUH Hamilton, and begin treatment even before the patient reaches the hospital. Care is coordinated by a dedicated nurse who acts as the stroke coordinator. - Emergency care, high-speed diagnostics and the most current treatments available give physicians a better chance to treat a stroke; - Affiliation with RWJ New Brunswick neuroscience telemedicine program; - Inpatient care: the critical care and dedicated stroke unit provide specially trained staff and equipment for stroke care. The stroke program coordinator-a neuroscience nurse practitioner-works with patients, families, physicians and hospital staff, assuring that each patient receives the highest standard of care; - Immediate therapy: physical therapists and other members of the rehabilitation team assess each patient within 24 hours of arrival and therapy is provided directly in the stroke unit. Arrival and therapy is provided directly in the stroke unit; - Outpatient rehabilitation: our rehabilitation centers help patients continue to improve after leaving RWJ Hamilton and a rehabilitation hospital; - Preventive care: classes and screenings, including stroke risk assessments, are regularly offered. Nutritional counseling and fitness programs promote healthy lifestyles and reduce the risk of stroke and other cardiovascular diseases; and - Stroke support group meets monthly to provide discussion, support and resource awareness for patients who have previously suffered a stroke. RWJUH Hamilton surgical services provide access to: - board certified surgeons and endoscopists; - advanced technology; and - specially trained surgical staff. A team highly skilled in medical-surgical and anesthesia medicine allow our patients to benefit from the latest surgical and endoscopic procedures. These minimally-invasive procedures typically result in less pain and faster recovery. The surgery center is equipped with advanced systems and instruments including, gamma knife, lasers, fiber optic cameras, and video systems. Services include: bariatric (weight loss) surgery, gastrointestinal endoscopy, gynecologic surgery, orthopedic surgery, plastic surgery, spine surgery, urologic surgery, and vascular surgery. Same-day surgery provides the convenience of returning to the comforts of home and support of family and friends on the same day. The surgical center is staffed with a team of professional nurses skilled in all aspects of surgery and endoscopic procedures. Women's services: at RWJUH Hamilton, hospital services are integrated with the leading gynecology group in the area. The women's health team includes: - board-certified gynecologists; - specialized and internal medicine physicians; - radiologists and imaging technologists; and - dieticians and health educators. The RWJUH Hamilton womens center is a patient-centered medical practice offering a full range of personalized care to prevent, diagnose, and treat gynecologic conditions. Women turn to RWJUH Hamilton for preventive care and annual exams and treatment for conditions such as uterine fibroids, abnormal bleeding, endometriosis, ovarian cysts, and polyps. Our physicians are also here to guide women through cancer care and other chronic conditions. The speakers bureau at RWJUH Hamilton can help clubs, neighborhood associations and civic groups find the perfect individual to present a program on specific health-related issues. RWJUH Hamiltons Healthy Together magazine is mailed to over 100,000 households within the greater mercer county community. Healthy Together is produced quarterly by the public relations & marketing department, in collaboration with the community education department and corporate strategic communications of RWJBarnabas Health. The magazine relays health information, patient profiles and class/support group listings. To ensure that RWJUH Hamilton remains at peak performance levels, the hospital works with Press Ganey, one of the healthcare industrys leading provider of measurement and improvement services. They use mail-in survey model to ensure they get feedback directly from our patients. Medical staff ============= RWJUH Hamilton had over 550 physicians on its medical staff during 2018, comprised of over 50 specialties. The hospital, its physicians and other professionals provided the following services: - allergy-immunology; - anesthesiology; - bariatric surgery; - breast surgery; - cardiology; - colon & rectal; - critical care medicine; - dentistry; - dermatology; - diabetes & endocrinology; - diagnostic radiology; - ed/pediatrics; - electrophysiology; - emergency medicine; - geriatric medicine; - gynecology; - gynecology oncology; - hematology; - hospice and palliative medicine; - hospitalist; - hyperbaric & wound care; - infectious disease; - internal medicine; - interventional cardiology; - interventional radiology; - medicine; - nephrology; - neurology; - neuroradiology; - neurophysiology; - neurosurgery; - nuclear cardiology; - nuclear medicine; - occupational health; - oncology; - ophthalmology; - oral & maxillofacial surgery; - orthopedic and spine surgery; - otolaryngology; - pain management; - podiatry; - pathology; - pediatrics/pediatric cardiology; - physical medicine and rehabilitation; - plastic surgery; - psychiatry; - pulmonary; - radiation oncology; - radiology; - reproductive endocrinology; - rheumatology; - rheumatology/geriatrics; - sleep medicine; - sports medicine; - surgery; - thoracic/vascular surgery; and - wound care. Community Service Centers ========================= RWJUH Hamilton coordinates many health and social services as described in other sections. An example of common activities between the medical center and the community includes: - Providing affordable care act health insurance marketplace counseling in partnership with family health network Mercer County; - Mobile meals on wheels in Hamilton Township; and - Coordinating back-to-school backpack drives, food drives and volunteer opportunities for staff at the food bank of Mercer Street Friends in Ewing. RWJUH Hamilton has a robust volunteer program, working with over 480 volunteers providing nearly 47,000 hours of service. The hospitals volunteers range in age from high school and college students, to seniors and other adults. The hospital works to meet the individual volunteers goals and expectations regarding their service. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Community Partnerships ====================== In 2012, 2015 and again in 2018, RWJUH Hamilton in cooperation with the Greater Mercer Public Health Partnership (GMGHP) a community-based coalition, conducted a community health needs assessment. The GMGHP consists of three acute care hospitals in Mercer County (RWJUH Hamilton, Capital Health System/Hopewell and St. Francis Medical Center, as well as the St. Lawrence Rehabilitation Center, nine local health departments, including Mercer County. This coalition represents all the hospitals in Mercer County and all 12 municipalities. The process included two major components, a Community Health Assessment (CHA) to identify the health-related needs and strengths of greater Mercer County, and a Community Health Improvement Plan (CHIP). The CHIP was developed using the key findings from the CHA, which allowed us to engage in informed discussion and review the appropriate data to drive change in the priority health issues, goals and objectives. The community health assessment utilized a participatory, collaborative approach to look at health in its broadest context. The assessment process included synthesizing existing data on social, economic, and health indicators in the region as well as information from five focus groups, a survey of 1,368 residents, a World Cafe that brought together community representatives from 40 community agencies, and several "forces of change" sessions examining larger external factors that affect health. Focus groups and interviews were conducted with individuals from across the twelve municipalities that comprise Mercer county, the hospitals' primary service and secondary service area, and with a range of individuals representing different audiences, including youth, seniors, government officials, educational leaders, social service and healthcare providers, people living with disabilities and their families and local physicians. A medical advisory panel, consisting of 31 board-certified physicians in key fields of medicine, supported the research. Key priorities were identified and incorporated into the RWJUH Hamilton strategic plan and will be tracked and monitored appropriately. Obesity was the number one health concern. Within the top ten health concerns identified: mental health and substance abuse; chronic disease, access to transportation, coordination and communication, cancer, cardiovascular disease, diabetes, underserved populations/healthy equity and chronic respiratory disease and asthma which will be addressed in the hospitals community health improvement plan (CHIP). Medical Screenings and Community Education ========================================== The hospital has made a commitment to community education and lifelong learning. Thousands of people participated in RWJUH Hamiltons 2018 community education programs, health screenings and outreach efforts. These events were held at the hospital and in schools, churches and businesses. The hospital programs include a wide variety of classes, educational seminars, screenings and programs in topics such as: - caregiving; - family life; - CPR; - healthy cooking in the state-of-the-art healthy cooking kitchen; - holistic health and lifestyle programs; - health screenings, including: - cancer screenings; - glucose, cholesterol and blood pressure; - stroke risk screening; - vascular screening; - carpal tunnel screening; - body fat analysis; - hearing screening; - foot/ankle screening; - glaucoma screening; - balance screening; and - osteoporosis screening. - managing your condition; - senior programs; - Shapedown, a family weight management program; - stress management; - support groups and resources; - weight management; - womens retreat program to improve their knowledge, and state of wellness and physical fitness; - bedside harp; - big and loud program for people with Parkinsons; - breast cancer resource center: eat better. Live better; - a mindful approach to healthful eating; - exercise for the health of it- CPR training center sponsored by the American heart association; and - mini medical school. These programs are guided by a medical advisory panel consisting of physicians and surgeons from the medical staff representing a myriad of specialties. Community support groups ======================== Here are just some of the many available support groups and programs, including both those offered through the RWJUH at Hamilton and Rutgers Cancer Institute of New Jersey Hamilton: - Alzheimers caregivers support group; - annual cancer survivors' day; - bariatric surgery weight loss support group; - bereavement support group; - chronic fatigue support group; - breast cancer; - diabetes support group; - grief & loss group for older adults; - nicotine anonymous; - gyn cancer support group; - peripheral neuropathy telephone support; - stroke support group; - mens cancer support group; and - advanced metastatic cancer support group. Professional Medical Education and Training =========================================== The hospital provides professional medical education and training to support a best practice care environment for physicians, nurses and other personnel. |
| CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE WITHIN 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 HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES 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 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 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS of robert wood johnson university hospital at hamilton foundation; a related internal revenue code section 501(c)(3) tax-exempt organization - $358,000; - NET EQUITY TRANSFER FROM ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $309,882; AND - CONTRIBUTED CAPITAL FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $374,245. |
| 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. |
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