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 ========== Founded in 1865, Saint Barnabas Medical Center ("SBMC") is New Jersey's oldest non-profit, nonsectarian hospital. SBMC blends the essential elements of community service with advanced medical and surgical specialties to care for patients throughout the state. SBMC is located in Livingston Township and is the second largest hospital in the county of Essex. Recently, Livingston was ranked as one of New Jersey monthly magazines "Top 100 Places to Live in the State". Essex County is the second most densely populated county in the state and the 14th most densely populated in the United States. Essex has the third largest total population in the state containing 21 counties had had the 6th largest increase in population size estimated from 2010 to 2018. Essex County, a leading financial and industrial hub of the state, consists of both urban and suburban communities that represent a broad range of racial/ethnic and cultural diversity served by SBMC. SBMC is a major teaching hospital and 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, SBMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, gender identity, sexual orientation, national origin or ability to pay. Moreover, SBMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. SBMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. SBMC operates an active emergency department for all persons that is open 24 hours a day, 7 days a week, 365 days per year; 3. SBMC maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of SBMC 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 SBMC, 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 SBMC 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. SBMC'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. SBMC, 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 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 health care in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Mission Statement/Vision/Values =============================== Mission statement ----------------- Mission: Provide compassionate care, healthcare excellence and superior service to our patients and their families. Vision: Nationally recognized at the forefront of improving health and healthcare delivery. Values: Ensure the safety of our patients, community and each other by consistently demonstrating our values of exceptional communication, outstanding teamwork, professional integrity, accountability, innovation and resilience as we strive towards becoming a high reliability organization. Hospital Statistical Information ================================ The 597-bed institution cared for more than 33,000 inpatients and close to 99,000 emergency department adult and pediatric patients. The hospital delivered over 5,800 babies for mothers coming from nearly every county in the state. SBMC and the RWJBarnabas Health ambulatory care center also provided treatment, lab and other diagnostic services for approximately 340,000 outpatient visits in 2018. SBMCs patient mix, evidencing its commitment to diverse communities, includes approximately 48% of the hospital's inpatients are of minority race/ethnicity and approximately 15% of its patients are of underinsured and uninsured payer categories. An additional 31% are Medicare patients. There are over 4,200 employees at the medical center. The SBMC medical staff is comprised of more than 1,700 physicians and dentists representing approximately 100 specialties. SBMC, a teaching institution, trains approximately 171 residents and fellows each year through eleven approved residency programs and two fellowship programs. SBMC is home to nationally recognized programs including: - The Burn Center: the only certified burn treatment facility in the state; - The RWJBarnabas Health renal and pancreas transplant division: one of the most active transplant programs in the country; - RWJBarnabas Health heart centers: a world-class cardiac surgery program in affiliation with Newark Beth Israel Medical Center; - Neurology and neurosurgical services at SBMC: an unprecedented team of experts dedicated to diagnosing and treating disorders of the brain and nervous system; - The regional perinatal center: providing care for high-risk and critically ill infants in New Jerseys leading Level III, a 56-bed neonatal intensive care unit; - Comprehensive pediatric services including a dedicated intensive care unit; - The center for sleep disorders; - The comprehensive stroke center at SBMC; - Extensive services in robotic and minimally-invasive surgery; AND - The Cancer Center at Saint Barnabas, a clinical partner of the Rutgers Cancer Institute of New Jersey, offers a coordinated program including Medical, Surgical and Radiation Oncology with the expertise and compassion to treat a wide range of cancers and disease sites. In 2017, SBMC completed its most ambitious construction project at the hospital in two decades, the 241,000 square-foot, five-story Cooperman Family Pavilion, which opened in September, is the cornerstone of the campus transformation. The Cooperman Family Pavilion is home to a world-class Neonatal Intensive Care Unit; new state-of-the-art nursing units, and a host of modern and expansive outpatient testing areas along with a light-filled, two-story Eric F. and Lore Ross lobby and a new parking garage. Through collaboration with SBMC caregivers, this transformative project draws from the very best evidence-based hospital design. The five-story pavilion features soothing colors, abundant natural light and leading-edge patient care technology. Most importantly, every Cooperman Family Pavilion patient room is a private room. The Cooperman Family Pavilion embodies what matters most to our patients. From curb-free showers that prevent falls, to acoustical materials that reduce noise, to private rooms bathed in natural light, the community will derive hope, healing, and peace of mind from our campus-wide transformation. The staff of dedicated physicians, nurses and healthcare professionals is committed to providing the highest quality of patient care and health education to the community and to the region. Accomplishments/Milestones/Recognitions/Awards ============================================== SBMC is the recipient of numerous awards and honors including, but not limited to, the following: - Grade "A" for Patient Safety from the Leapfrog Group, 14 consecutive surveys. The only hospital in the Tri-State Area and one of 42 in the U.S. to have achieved straight A's since the survey began in 2012. - Achieved Magnet Recognition; the gold standard for Nursing Excellence. - 2018 Most Wired Hospital from the American Hospital Association. - 2017 Leapfrog Top Hospitalnationally recognized for patient safety and quality, one of only 36 teaching hospitals recognized in the U.S. - Academic Center of Excellence in Womens Health (the first in NJ). - Three-year approval for the Cancer Center from the American College of Surgeons Commission on Cancer. - Comprehensive Stroke Center designation by the New Jersey Department of Health and Senior Services. - The Joint Commission certification for a Primary Stroke Center. - Designated Level 4 Epilepsy Center by the National Association of Epilepsy Centers. - One of the largest kidney transplant programs in the nation. - Named 2017 Hospital of the Year at the 11th NJ Biz Healthcare Heroes Award. - Award-winning Level III Neonatal Intensive Care Unit. - Mid-Atlantic Alliance for Performance Excellence 2017 Excellence Award. - 2018 Leader in LGBTQ Healthcare Equality. - SBMC is accredited by the Joint Commission and the American Medical Association Accreditation Council for Graduate Medical Education. - SBMC has earned many certifications and accreditations and has been the recipient of numerous awards and honors including, but not limited to, the following: - The breast center received national accreditation by national accreditation program for breast centers by the American College of Surgeons; - The quality oncology practice initiative (QOPI) certification program, an affiliate of the American society of clinical oncology (ASCO) certification of the cancer center at SBMC; - Joint Commission Gold Seal of Approval for acute coronary syndrome (ASC), heart failure, cardiac rehabilitation, primary stroke, total hip replacement and total knee replacement; - Breast Center accreditation from the National Accreditation Program for Breast Center, a quality program from the American College of Surgeons; - Academic Center of Excellence in Womens Health (the first in NJ); - Mid-Atlantic alliance for performance excellence 2017 award; - Accredited/certified center by the American Society of Metabolic and Bariatric Surgery; - QRCR certified by the American Association for Respiratory Care; - Cardiac rehabilitation program accredited/certified by the American Association of Cardiovascular and Pulmonary Rehabilitation; - Nuclear cardiology laboratory services and general nuclear medicine services accredited/certified by the Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories; - Adult transesophageal and adult transthoracic services accredited/certified by the Intersocietal Commission for the Accreditation of Echocardiography Laboratories; - Visceral vascular testing, extracranial cerebrovascular testing, and peripheral arterial testing accredited/certified by the Intersocietal Commission for the Accreditation of Vascular Laboratories; - Laboratory and pathology services accredited/certified by the College of American Pathologists; - Laboratory transfusion services accredited/certified by the American Association of Blood Banks; AND - Radiation oncology services accredited/certified by the American College of Radiology and the American College of Radiation Oncology. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Centers of Excellence ===================== 1. The Cancer Center Top tier cancer care is characterized by patient centric, multidisciplinary, specialized care, delivered in a compassionate manner. The Cancer Center at SBMC strives to offer hope where others might find it lost. We harness the powers of novel cancer therapies coupled with dedicated physicians who specialize in specific types of cancer. With advances in understanding the genetic makeup of cancer we are able to offer patients personalized treatment plans. We currently have 13 disease site-specific tumor boards where new and complex cases are presented to teams of specialists including medical oncologists, surgical oncologists, radiation oncologists, gastroenterologists, interventional radiologists, pathologists, nurses, genetic counselors, nutritionists, and social workers. Following a thorough review of each patients case, individualized cancer treatment plans are created to ensure our patients are receiving the most advanced and effective care. RWJBarnabas Health and Saint Barnabas Medical Center in partnership with the Rutgers Cancer Institute of New Jersey - the states only National Cancer Institute-designated Comprehensive Cancer Center - brings a world class team of researchers and specialists to ?ght alongside you, providing close-to-home access to the latest treatments and clinical trials. The best cancer care is not delivered in a silo; therefore, we stress collaboration and an integrated cancer program. We are well equipped to individualize a patients care and offer them access to clinical trials through our institution, the Rutgers Cancer Institute of New Jersey, the Big Ten Cancer Research Consortium, the UCLA TRIO network and other national cooperative groups. The Lung Cancer institute at SBMC partners with our community to offer education, screening and diagnostic tools to detect and treat lung cancer. Each year, more people die of lung cancer than colon, breast and prostate cancer combined. As the leading cause of cancer death in us, lung cancer is most curable when diagnosed at an early stage. In high risk people, lung cancer deaths drop by 20 percent when cancer is identified early using a low-dose spiral CT compared with individuals receiving a chest x-ray. The lung cancer institute joined the international early lung cancer action program to provide a free low-dose CT screening program for individuals who are at high risk for developing lung cancer to identify abnormalities earlier. In 2018, the Lung Cancer Institute served 496 individuals, 165 were initial screens, 140 1-year follow-ups and 191 2-year follow-ups. There were 6 lung cancers identified; 3 STG I, 1 STG II, 1 STG III and 1 STG IV. Nearly 90 individuals were counseled for smoking cessation. Our medical staff is committed to offering the most up-to-date treatments available; as such, SBMC is active in clinical research programs, including national cancer institute and pharmaceutical-sponsored protocols. SBMC has built an infrastructure around patient centric care and has developed a robust patient navigation network. To enhance our patients experience, our patient navigators serve as a single point of contact to help patients from their initial diagnosis throughout their treatment and into survivorship. Our navigators guide patients through their journeys to ensure they receive the best care that exceeds their expectations. All of our cancer patients are provided with a patient navigator to ensure that all cancer care is coordinated and to prevent avoidable delays. Our oncology care team is committed to your overall well-being including medical, emotional and educational needs. What is most unique about seeking treatment at Saint Barnabas Medical Center is the combination of advanced expert care with unparalleled support, commitment and unsurpassed compassion. Among the services offered are: - Dedicated Oncology Navigator provide support and help oncology patients "navigate" the medical center; - Extensive free psychological and psychosocial support services are available offering individual counseling, support groups, art therapy, workshops on coping with cancer, financial counseling and nutritional guidance; - Cancer genetics counseling services; - PET therapy; - Comfort Cart through Comfort Projects 360; AND - A state-of-the-art outpatient chemotherapy treatment facility with private treatment rooms, a satellite pharmacy and private consultation rooms and numerous other amenities. 2. The Renal and Pancreas Transplant Division The RWJBarnabas Health Renal and Pancreas Division, located at SBMC is one of the largest programs in the United States, with 289 kidney transplants performed in 2018. SBMC is one of the largest adult kidney transplant volume of centers in the nation, and has one of the highest living donor transplant volume in the country. The programs provide deceased as well as living donor transplantation including living related donors or emotionally related donors and altruistic living donation when family members are unable to donate. In 2017, SBMC performed more living donor transplants than any other program in the US. In 1995, Barnabas Health began its simultaneous pancreas/kidney transplant program and in 1996 opened a pediatric nephrology program. Since 1968, The Renal Transplant Division has performed medical first kidney transplantation, including transplant in the youngest kidney transplant recipient in new Jersey and the first laparoscopic kidney retrieval in a living donor and the first robotic kidney transplant surgery in the world. The Pediatric Nephrology and Transplantation program manages children and adolescents with acute and chronic diseases at all stages of severity, including nephritic syndrome and hypertension up to and including end-stage renal disease. The pediatric nephrologists work closely with pediatric urologists to provide total care for patients with urological and nephrological problems. 3. The SBMC Neurology and Neurosurgery Institute The SBMC Neurology and Neurosurgery Institute is dedicated to diagnosing and treating disorders of the brain and nervous system for adults and children. An unprecedented team of experts leads the programs of the institute and offer the most comprehensive program in New Jersey dedicated to the medical, surgical and psychological treatment of neurologic disorders. Specialized care is offered for individuals with epilepsy, memory disorders, movement disorders and other neurologic disorders resulting from an injury or accident. Comprehensive care is also provided for children with attention deficit disorder-hyperactivity and learning disabilities, as well as for adults with attention deficit disorders. The institute's Comprehensive Epilepsy Centers for children and adults use sophisticated diagnostic techniques to provide complete and accurate diagnosis critical to implementing effective treatment. Innovative surgical and drug therapies are offered to help individuals with epilepsy achieve the best possible seizure control. This includes the participation in clinical trials to identify cutting edge therapies that can improve the lives of our patients. The comprehensive epilepsy centers have been named a level 4 specialized epilepsy center by the National Association of Epilepsy Centers ("NAEC"), the level 4 designation is the highest given by the NAEC and identifies those centers that offer the broadest range of complex medical and surgical treatments for epilepsy. SBMC is a state designated comprehensive stroke center and joint commission certified for primary stroke. The stroke center offers the latest treatment for stroke including complex neuro interventions. The center, as part of its mission, provides stroke and prevention education to the community and to other healthcare. The Stroke Program staff conduct outreach and education activities and focus on populations at higher-risk of stroke. Education programs review and reinforce stroke warning signs and the importance of calling for immediate medical help at the first sign of stroke. The team conducts a stroke risk awareness programs including on-site blood pressure and cholesterol screening. Referrals for care are facilitated for those whose risk awareness survey and blood pressure/cholesterol readings suggest higher-than-average chance of stoke. 4. RWJBH Heart Centers at SBMC SBMC is a regional cardiac surgery center and part of RWJBarnabas Health heart centers, located across New Jersey, which have integrated diagnostic, medical and surgical services into one comprehensive program that offers a full range of advanced cardiac services for adults and children including diagnosis, imaging, interventional cardiology, electrophysiology and the management of heart failure. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | An experienced team is pioneering new therapies and the clinical use of the latest mechanical assist devices that improve the quality of life for people with congenital heart defects and heart disease. They participate in cardiac research trials that offer patients access to breakthrough therapies. The RWJBH heart centers continue to lead the way in offering minimally invasive procedures and catheter-based alternatives to open heart surgery including transcatheter aortic valve replacement ("TAVR") procedures, all forms of angioplasty/stent procedures. Advanced electrophysiology studies offer sophisticated diagnosis and treatment of heart rhythm disturbances in adults and children. heart rhythm disturbances in adults and children. 5. Regional Perinatal Center Each year SBMC delivers close to 6,000 babies and is recognized as a top hospital for high-risk pregnancies. SBMC's level III regional perinatal center, the highest designation in the state, offers the most advanced intensive care for premature and ill newborns. Our 56-bed neonatal intensive/intermediate care unit ("NICU") is one of only a few in the nation with the lowest rate of chronic lung disease, a common complication for extremely low birth-weight infants. The NICU offers the latest treatments and modalities in the field to provide the most advanced care for more than 1,200 premature and ill newborns each year. The SBMC NICU has one of the best infant survival rates among neonatal intensive care units in the nation. SBMC also offers extensive childbirth and family preparation classes. The members of the division of maternal fetal medicine assist obstetricians in the tri-state area in the care of high-risk patients and receive high-risk transfers from other community hospitals. They also educate SBMC's many obstetrical residents. Opened in 2011, the Regional Simulation Center at SBMC provides valuable clinical training and education for physicians, nurses, residents, medical students and Courses are open to practitioners throughout the tri-state area regardless of affiliation. The goal of the center is to elevate patient care, improve clinical performance and enhance maternal/child health outcomes in the region by providing access to state of the art education. Simulation enhances the current educational offerings at SBMC by providing an experiential learning environment where clinicians can practice and learn a variety of technical and behavioral skills. 6. The Joint and Spine Institute The Joint and Spine Institute offers dedicated beds 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; - Group lunches with patients, their coaches and others in the program; - A joint team that coordinates all pre-operative care and discharge planning; - A comprehensive patient guide for patients to follow from six weeks pre-op until three months post-op and beyond; - Coordinated after-care program; - Newsletters to update patients with new information about arthritis and joint care; and - Public education seminars about hip and knee pain. 7. The Burn Center of New Jersey The Burn Center is the only state-certified burn treatment facility in New Jersey and one of the largest in North America with 12 intensive care beds and an 18-bed step-down unit for less critically injured and improved status patients. The Burn Center provides expert care for patients of all ages. The Burn Center also meets the verification criteria of the American Association and the American College of Surgeons to provide optimal care for burn patients. The Burn Center is equipped to treat pediatric through geriatric burn patients with a full range of specialized services, including a dedicated outpatient department where individuals with small or minor burns receive treatment and discharged patients return for follow-up care. Approximately 400 patients are treated as inpatients annually. Medical and Community Services ============================== SBMC'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. Medical staff ============= SBMC medical staff is comprised of more than 100 medical and surgical specialties. SBMC, 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: - Ambulatory Surgery - Anesthesiology - Balance Program - Bariatric Center - Blood Management Institute - Breast Health and Disease Management - The Burn Center - SBMC Burn Foundation - The Cancer Center at SBMC - Cardiac Department - Cardiac Rehabilitation - Cardiac Surgery - Case Management - Child abuse treatment and services - Child Life Program - RWJBH Childrens Kidney Center - Community Services - Cardiothoracic Intensive Care Unit - Department of ENT - Department of Dentistry - Department of Family Practice - Department of Medicine - Department of Neurosurgery - Department of Obstetrics/Gynecology - Department of Orthopedics - Department of Pathology - Department of Pediatrics - Department of Plastic Surgery - Department of Radiology - Department of Radiation Oncology - Department of Surgery - Development department - Emergency Department - Adult and Pediatric Comprehensive Epilepsy - Ethics consultation services - Family Practice - Fibroid Center - Department of Food and Nutrition - Health Science Library - High-risk infant follow-up program - Home health care - Home Infusion care - Infant apnea program - Infection Control - Infusion center - Inpatient speech pathology - Inpatient Audiology - Internal Medicine Faculty Practice - Intravenous Therapy Department - Intensive Care Units - The Joint Institute - The Lung Cancer Institute - Medical Education - Clinical Research - Melanoma Center - Neonatal Intensive Care Unit - Neurology - Nursing - Nutrition counseling services - Pastoral Care - Pharmacy Services - Pediatric Intensive Care Unit - Pediatric Health Center - Pediatric Nephrology and Transplantation - Pediatric Pulmonary Center/Pediatric Pulmonary Laboratory - Pediatric Specialty Center - Regional Simulation Training Center - Pharmacy Department - Physical Medicine and Rehabilitation - Pre-admission testing Prenatal Health Center - Department of Strategic Marketing and Communications Pulmonary LAboratory - Quality Department Outpatient Pulmonary Rehabilitation - Pulmonary services - Rehabilitation services - RWJBarnabas Health Renal and Pancreas Transplant Division - Respiratory Care - Robotic Surgery- Center for Sleep Disorders - Smoking Cessation - Social Work Services - Comprehensive Stroke Center - Numerous support groups - Department of Surgery - Minimally invasive surgery - Thyroid, Head and Neck Cancer Institute- Vascular Lab - Womens Health Education - The Wound and Burn Healing Center Community Service Centers ========================= SBMC's community health & outreach department coordinates many health and social services between SBMC and the community. In 2018, the community health & outreach department was involved in numerous events throughout the community reaching over 172,800 people with events including health fairs, walks, 5ks, health education lectures or screenings. Our involvement doesn't end there. Additionally, we are working with towns, businesses, civic organizations, community-based organization, and chambers of commerce in the community to provide on-site lectures, health programing and screenings for their residents, members and employees. Community Partnerships ====================== For our community members living in assisted living facilities, independent living facilities and skilled nursing facilities, we further the continuum of care through our transitions of care program, physician relationships, health screenings, educational services and on-site lab services. Together, through many avenues, both in the hospital and in the community, utilizing a variety of approaches, we are working to not only care for our residents when they are sick but to also help keep them healthy. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | SBMC works with other care providers to assure effortless care transitions and to promote health and wellness. Such partnerships include connections with local skilled nursing facilities, other hospitals and specialized outpatient centers, such as local federally qualified health centers. Further, members of our team participate with community organizations to support care improvement. One example is the outreach of asthma educators into local schools and day care centers in an effort to reduce ed visits and admissions for uncontrolled asthma. The Center for Asian Health a grant renewal from the Centers for Disease Control and Prevention to improve Hepatitis B & C screening and care. The program "Building Bridges to Liver Health" provides free Hepatitis B & C screening and care to individuals who are at high risk for the disease. The center held its third Chinese wellness day, partnering with the Tzu Chi Foundation, to provide attendees with access to numerous physician specialists (internal medicine, ophthalmology, cardiology, gastroenterology, breast surgery, colorectal surgery, family practice, hepatology and more), lectures, cooking demonstrations, physical therapy demonstrations, and screenings. In partnership with the Junior League of the Oranges and Short Hills (JLOSH), SBMC held a food drive to collect Thanksgiving meal items. Over 400 Thanksgiving baskets were delivered to families in Orange, NJ. Medical screenings ================== SBMC, along with the RWJBarnabas Health ambulatory care center, provides and supports numerous medical screening programs to the community in furtherance of its tax-exempt purposes including, but not limited, to the following: - heart wellness; - high blood pressure screening; - body fat analysis; - bone density heel screening; - breast cancer; - calcium scoring; - cancer wellness; - cardiac screening for young athletes; - concussion screening; - diabetes; - Hepatitis B screening; - Hepatitis C screening; - joint health; - lung cancer screening and early detection initiative; - prostate cancer screening; - sexually transmitted disease testing; - skin cancer; - sleep hygiene; - flu clinics; - stroke assessment; and - vision screening. Support Groups and programs --------------------------- SBMC is dedicated to providing the highest quality of services to meet all the healthcare needs of our community. In addition to the direct patient care provided by our staff, SBMC makes available the following healthcare education programs and classes, patient support groups and community services to patients and their families. The list includes, but is not limited, to: - awake support group; - bariatric surgery programs and support groups; - bereavement support group; - bike Livingston outreach; - breast health education; - breastfeeding support group; - burn community outreach; - cancer support groups and programs (survivor day, chi kung, look good...feel better, psychosocial support, reiki/massage); - caregiver overload; - diabetes support group; - Parkinsons disease support group; - Parkinsons Caregiver support group; - feeling stronger - feeling better Parkinsons support group and caregiver support group; - "Go Red" American health association womens CV program outreach; - infertility support groups; - Livingston night out; - memory help; - NICU support group; - newborn mom breastfeeding solutions; - new mom's circle; - sharing network walk (organ donation); - osteoporosis support group; - pastoral care; - perinatal bereavement support group; - postpartum depression support group; - parents' night out (for parents of children with kidney disease); - teen support group (for adolescents with chronic kidney disease; - pre-dialysis patient education; - pre-transplant education seminars; - womens health and parent education; - refractive surgery seminar; - pre-dialysis patient education; and - sports medicine programs. Community Education =================== SBMC offers a variety of lifestyle and instructional classes to improve an individual's overall well-being. These include but are not limited to: - Alzheimers and dementia education; - asthma and COPD education; - balance education; - breast cancer symposium; - burn community and prevention education; - Cardiac education; - concussion education; - consumer health education; - diabetes education and management; - digestion, GERD education; - emergency preparedness education; - falls prevention and balance community education; - family fit lifestyle cardiac program; - get smart on antibiotics; - fire safety education; - health science library mentoring program; - healthy aging-women's health education; - healthy living-celiac program; - healthy eating; - geriatric education; - joint institute community education; - LGBTQ+ education/services; - Lyme Disease education; - melanoma education; - nutrition education; - PT and speech/hearing therapy education; - safe medication use; - sleep and sleep apnea education; - speech pathology education; - stress management; - stroke prevention education; - transplant patient education; - vitamins and other supplements pharmacy education; and - women's health education. SBMC offers an extensive array of prenatal childbirth preparation and parenting classes and services. In addition, the women's health department offers seminars on women's health issues. The following courses and services are currently offered: - women's health/parent education; - adoptive parents baby care consultations; - breastfeeding class; - breast pump rental service; - grandparenting; - infant and child CPR; - marvelous multiples program; - Mommies Moods; - new mom's circle; - newborn mom breastfeeding solutions; - post-partum depression assistance; - prepared childbirth series; - prepared childbirth; - prenatal tours; - relaxed birth class; and - sibling class. SBMC's ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs are advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. In addition, patients who are part of at-risk populations are assessed for influenza and pneumonia vaccinations and provided the vaccines upon their approval. All patients are asked regarding living wills and advanced directives. Wills and advanced directives. Further, SBMC recognizes the impact of social determinants of health and the value of community investment and addressing disparities in health status. During 2018, SBMC worked with the Hispanic populations in Orange and West Orange to help improve access to health care. Additional outreach was provided in the public school systems to students, faculty and parents. In 2018, as part of the RWJBarnabas Health "MLK Week of Service", in partnership with Jersey Cares, SBMC employees were mobilized to make no-sew blankets and scarves for local homeless shelters and over 100 personal hygiene kits were assembled for distribution to an underserved community in Puerto Rico. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Professional Medical Education and Training =========================================== As a major teaching hospital, supporting residency training programs and medical student education, SBMC reaches hundreds in advancing professional knowledge through its regular CME programs. There were over 8,000 physicians and 2,500 non-physician attendees at all the courses. A sample of SBMC professional medical education and training courses spanning a broad range of pediatric and adult clinical topics include, but are not limited to, the following programs, lectures and courses: - 18th annual Barbara Echikson Palliative Care Symposium; - advances in neurosurgery; - being mortal: improving quality care for patients with advanced illness; - cardio-oncology symposium; - coding & compliance in the medical practice; - end of life care in NJ; - joy of practicing medicine; - law, medicine and the pursuit of justice; - MACRA/MIPS: are you ready?; - medical grand rounds a series of topics; - neck lift, body contouring & reverse abdominoplasty; - neurosurgical grand rounds- a series of topics; - NJ American cardiology society; - NJ academy of ophthalmology annual meeting; - NJ ob/gyn society annual and semi-annual meetings; - NJ society of pathologists annual meeting; - NJ state society of anesthesiologists annual meeting; - ob/gyn grand rounds a series of topics; - ob/gyn research day; - pediatric grand rounds a series of topics; - physician leadership development; - precision medicine; - prevention and treatment of kidney disease in children; - radiological society of NJ musculoskeletal symposium; - revision breast surgery; - Schwartz Rounds a series of topics; - simwars; - surgery grand rounds a series of topics; - surgery qi; - the Graying Rainbow caring for the aging LGBTQ patient; - transplant conference a series of topics; and - tumor boards a series of topics. |
| CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; 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'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 | PATRICK M. AHEARN, FORMER CHIEF OPERATING OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE CHIEF OPERATING OFFICER OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. JOHN F. BONAMO, M.D., M.S., FORMER CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS An EXECUTIVE VICE PRESIDENT AND CHIEF MEDICAL OFFICER OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. SARI B. KAPLON, FORMER VICE PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS A director of cardiac services 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 INCLUDES: - PENSION ADMINISTRATION COSTS - ($947,207); - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - $7,763,396; - CAPITAL ASSET TRANSFER FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($4,080); AND - CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS of saint barnabas development foundation; a division of this organization - ($770,750). |
| 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 SAINT BARNABAS MEDICAL CENTER HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND SAINT BARNABAS MEDICAL CENTER EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY SAINT BARNABAS MEDICAL CENTER UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-1494440. BELOW IS A LIST OUTLINING THE VARIOUS SAINT BARNABAS MEDICAL CENTER PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. NICU ASSOCIATES AT SAINT BARNABAS 22-3181029 PEDIATRIC CRITICAL CARE ASSOCIATES AT SAINT BARNABAS 22-3258938 SAINT BARNABAS MULTI SPECIALTY GROUP 22-3551005 MEDICAL ONCOLOGY ASSOCIATES AT SAINT BARNABAS 22-3403774 SBMC DEPARTMENT OF CRITICAL CARE MEDICINE 03-0498041 CANCER SURGERY SERVICES OF SAINT BARNABAS 20-1716316 ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY 20-3128758 SBMC STRESS TEST PANEL 76-0828820 RADIATION ONCOLOGY GROUP AT SBMC 81-2497757 SBMC PROVIDER SERVICES 81-4786011 |
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