Children'S Specialized Hospital

“Robert wood johnson healthcare corporation ("rwjhcc") is the sole member of this organization. Rwj barnabas health ("rwj bh") is the sole member of rwjhcc. Rwj bh has the ultimate authority and right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.”

“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.”

“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.”

“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.”

“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.”

“Philip salerno is a member of this organization's board of trustees but works on a full-time basis 55 hours per week as the president and chief development officer of children's specialized hospital foundation; a related internal revenue code section 501(c)(3) tax-exempt organization. In addition, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization or a related organization. Please note this remuneration was for services rendered as a full-time employees of this organization or the related organization and not for services rendered as a voting member or officer of this organization's board of trustees.”

“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.”

“Background ========== Children's Specialized Hospital ("CSH"), a member of the RWJBarnabas Health system ("rwjbh"), is a not for-profit licensed comprehensive pediatric rehabilitation hospital providing pediatric inpatient, outpatient, long-term, and primary care. CSH also operates a licensed pediatric medical day care and two pediatric practices for children with disabilities. The hospital also provides early intervention services for children ages birth to three years old. CSH has developed a web portal that provides better access to the patients medical information, the ability to handle more aspects of care remotely, and regular follow-up visits. CSH has been providing services to the children of New Jersey and surrounding states for over 125 years. Our talented and caring staff provide a wide array of medical, developmental, educational and rehabilitative services for infants, children, adolescents, and young adults. CSHs healthcare professionals are committed to providing comprehensive, coordinated and compassionate care to children with chronic illnesses and disabilities who have multiple and complex therapy needs. Evaluation and treatment is available for a variety of rehabilitation needs, including, but not limited to, brain injuries, spinal cord dysfunction, respiratory issues, autism, orthopedic problems, sports injuries, chronic pain syndromes, chronic illnesses, learning disabilities, language or hearing problems, developmental delays, and behavior or attention problems at home or in school. CSH is recognized by the internal revenue service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, CSH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, CSH operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. CSH provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. CSH maintains an open medical staff, with privileges available to all qualified physicians; 3. Control of CSH rests with its board of trustees and the board of trustees of RWJ Barnabas Health, inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 4. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of CSH, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of CSH is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. CSH's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of an integrated healthcare delivery system. The sole member of each entity is either RWJ BH or another RWJBH affiliate controlled or owned by RWJ BH. CSH, like its corporate parent, is a not-for-profit organization. RWJBH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. RWJBH was formed with the merger of Barnabas Health Inc. ("BH"), the parent of the Barnabas Health System ("Barnabas Health"), and Robert Wood Johnson Health Care Corporation ("RWJHCC"), the parent of the former Robert Wood Johnson Health System ("RWJHS"). The definitive agreement signed on July 14, 2015, outlined the combination of these two leading health systems and created the largest and most comprehensive healthcare delivery system in the state of New Jersey and one of”

“In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform health care in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. Mission Statement/Vision/Values =============================== Vision ------ The vision of CSH is a world where all children can reach their full potential. Mission ------- The mission of CSH is to be the preeminent provider of specialized healthcare services for infants, children and young adults. Values ------ Our trustees, employees and volunteers will embody our values in every interaction with patients, their families, each other and all other stakeholders. Safety: We are committed to zero incidents of preventable harm for our patients, families, visitors and each other. We speak up for safety, accurately communicate, focus on the task, exercise and accept a questioning attitude, and thoughtfully interact. Compassion: We provide a loving, caring, family-centered environment for the children, their families, and each other. We advocate for children and their families. Excellence: we will be the best at our work and provide the highest quality family-centered care to our children. We are committed to ethical practices and transparency. We will be creative in providing care and solving problems. Teamwork: We seek to collaborate and partner in all that we do. Every person on our team is needed to provide the safe and exceptional care for which we are known. We work together and communicate respectfully. Fun: We will provide a positive and friendly environment. Hospital Statistical Information ================================ CSH is a regional provider of specialized children's services and cared for over 37,000 unduplicated patients in 2018, a 6.9% increase over the previous year. In 2018, CSH provided inpatient care for 584 children and long-term care residential services for 88 children. CSH provided more than 676,883 half hours of outpatient units of services during 2018; the outpatient services include over 31,133 children visiting our physicians and therapists, over 5,625 children served in our early intervention program. CSH is committed to providing quality and compassionate care to its communities. Its pay mix was comprised of approximately 60% underinsured and uninsured payer classifications in 2018. During 2018, 672 volunteers dedicated their time, talent and efforts to patients and their families. Around 36,058 hours of service was provided. Accomplishments/Milestones/Recognitions/Awards ============================================== Accreditations/licensures ------------------------- CSH holds the following: 1. Accredited by The Joint Commission of Accreditation of Healthcare Organizations; 2. Licensed by the New Jersey Department of Health as a Comprehensive Rehabilitation Hospital; 3. Licensed by New Jersey Department of Human Services for Outpatient Mental Health Services; 4. Licensed by New Jersey Department of Health for multiple hospital-based, off-site ambulatory care facility primary care and physical therapy; 5. Licen”

“Patient-and-family-centered care is grounded in collaboration among patients, families, and all hospital personnel for the planning, delivery, and evaluation of healthcare to the children we serve, as well as in the education of healthcare workers. Continuing our goal to be recognized as a center of excellence in pediatric care, CSH is committed to the integration of patient-and-family-centered principles into our health care policies and practices across the continuum of care provided by our institution. In placing the needs of the child and family at the center of all activities we will fulfill our mission and embody the values of patient-and-family-centered care and CSH by: - Respecting each child and his or her family as partners in care; - Honoring diversity and its effect on the family's experience and the perception of care through recognizing that each family is unique in their structure, values, culture, ethnicity, orientation, spiritual beliefs, social, economics, educational, and geographic diversity; - Building on the strengths of each child and family, even in difficult and challenging situations, by acknowledging each family's priorities and level of expertise; - Recognizing and respecting different methods of coping; - Implementing comprehensive services that provide developmental, educational, emotional, environmental and financial supports; - Supporting and facilitating choice for the child and family about approaches to care and support; - Ensuring flexibility in organizational policies, procedures and provider practices to reflect diversity and meet the needs, beliefs, personalities, life experiences, spiritual and cultural values of each child and family; - Providing formal and informal support for each child and family. Collaborating with families at all levels of healthcare, in the care of the individual child and in professional education, policy making and program development, through the exchange of honest and unbiased information on an ongoing basis and in ways that are useful and affirming; - Empowering children and families to discover their own strengths, build confidence and make choices and decisions about their health through the creation of true partnerships with healthcare professionals; and - Working with local communities, schools and health officials to ensure that community services and support systems for children and their families are flexible, accessible and comprehensive. CSH maintains inpatient programs for brain injury, spinal cord dysfunction, infant and toddlers with prematurity and birth related disorders, chronic pain, chronic illness, and general rehabilitation. Outpatient programs exist at varying levels of development including the autism program and the comprehensive feeding program. These are just a few of our many programs and specialty service areas that combine cutting-edge technology with clinical expertise and compassionate care in a patient-and-family-centered environment at facilities in Bayonne, Clifton, East Brunswick, Egg Harbor Township, Hamilton, Jersey City, Mountainside, Newark, New Brunswick, Toms River, and Warren. Additionally, CSHs staff provides expertise at various schools, centers, and programs for children with special needs throughout New Jersey. Centers of Excellence ===================== CSHs recognized medical services centers of excellence include, but are not limited to, the following: Inpatient Programs ------------------ Inpatient services are licensed for 90 pediatric rehabilitation beds, 68 comprehensive rehabilitation beds and 73 pediatric long-term care beds that are in operation. Inpatient rehabilitation care provided includes medical and nursing care, comprehensive therapy services, psychological and neuropsychological services, academics, social services, and nutritional services. Included in the therapy services are physical therapy, hydrotherapy, rehabilitation technology, augmentative communication, occupational therapy, activities of”

“Spinal Cord Program ------------------- The spinal cord program provides intensive and comprehensive rehabilitation services for children and adolescents with acquired and congenital spinal cord problems. The program treats patients with all levels of pediatric spinal cord dysfunction, from the child dependent on a ventilator to the individual with the lowest level of spinal cord injury. Patients are provided with an aggressive rehabilitation treatment program coupled with comprehensive medical and nursing care. The program's team approach results in a coordinated treatment plan designed to meet the complex needs of each patient and his or her family. While an emphasis is placed on achieving normal developmental milestones, the treatment plan takes into account the patient's level of injury, age, and developmental abilities in creating realistic expectations for performing activities. The team is adept at developing treatment plans to accommodate patients with high spinal cord injuries (tetraplegia & quadriplegia) who require a tremendous amount of support, special equipment and ventilator assistance, as well as those patients with low level spinal cord injuries (paraplegia) who can gain virtual independence. Intensive medical needs can be safely accommodated at CSH by virtue of the extensive medical coverage provided to the patients. Patients with tracheostomies, special feeding needs, and intravenous and central lines, for example, can be managed while receiving the necessary rehabilitation therapy. Families and patients are integrally involved in the comprehensive treatment planning. Families and patients also receive instruction from the staff in overall care and the use of special equipment. The team thoroughly educates the patient and his or her family regarding the physical consequences of a spinal cord injury and the required care and treatment. Some of the diagnostic and special services available to patients in the spinal cord program include: - Electrodiagnostic testing; - Ventilator assistance program; - A full range of diagnostic urologic testing; - Referral for baclofen pump placement; - Orthotics and prosthetics; - Rehabilitation technology services including: - Seating and positioning; - Mobility and environmental access; - Augmentative and alternative communication; and - Computer access. Medical and Community Services ============================== General Rehabilitation Program ------------------------------ The general rehabilitation program at CSH offers habilitation and rehabilitative services to patients ages birth to 21 with, but not limited to, neurologic, orthopedic, developmental, cardiopulmonary disorders and/or other acquired injuries and illnesses, through an interdisciplinary team approach. The program provides assessment, treatment, and/or support to the patient and family from the acute inpatient phase of rehabilitation through the community, vocational, and educational re-entry phase. In order to offer a continuum of comprehensive transdisciplinary service to these children and their families, in a compassionate, professional and holistic fashion, services are provided through both inpatient and outpatient phases of rehabilitative care. Patients admitted to the program are required to meet the following criteria regarding their medical stability: initial diagnostic and surgical procedures must be completed; medication regimen, fluid and electrolyte balance and life support services must be stabilized. The patients served may have impairments in areas including those of, cognition, mobility, self-care, communication, social emotional functioning, sensory processing, academic functioning, and feeding. The program addresses the behavioral, functional, physical, cognitive, psychosocial, vocational, educational, leisure, and recreational needs of each patient. Every effort is made to accommodate the patient and families unique cultural and spiritual needs. The goal of the program is to reduce the b”

“Chronic Illness Management Program ---------------------------------- Launched in 2006, the chronic illness management program at CSH is a comprehensive inpatient program for adolescents who struggle to manage their condition. It provides the child/teen and family with a structured, comprehensive treatment plan to address medical, nutritional, psychological, social and family communication issues. Since parents and caregivers have a crucial role in supporting their child's health, we encourage parent/caregiver participation in medical education, nutritional and psychological counseling sessions to ensure the greatest success. The program is typically a four-week program that follows a trans disciplinary model and behavioral approach to care, addressing the physical, emotional, and psycho-social needs of each patient. The goal for each adolescent is always to improve self-management of the disease. The chronic illness management program is especially for children with conditions such as, but not limited to: - Diabetes and other metabolic syndrome; - Sickle cell anemia; - Post-organ transplant; and - Cystic fibrosis and other chronic respiratory disease. The Autism Program ------------------ The autism program at CSH works with children through 21 years of age, who have autism spectrum disorder (ASD). The program is dedicated to improving the lives of children, adolescents and families with autism spectrum disorders by providing comprehensive evaluations, treatment, community education and research. We are one of the few programs in New Jersey to provide coordinated, multidisciplinary care for children, adolescents and families affected by ASD. We offer workshops for families newly diagnosed with autism where they have the opportunity to meet with the experts and interact with other families. As part of our outreach programs we provide autism screening/diagnosis as well as educational programs for schools, community organizations and groups. In 2017 our autism educator continued to work with emergency response and law enforcement groups, disaster response crisis counselors, court administrators, educational and community groups providing them with specifics on dealing with an individual with ASD in an emergency situation and integrating them into community programs. Comprehensive Feeding Program ----------------------------- The Comprehensive Feeding Program is an outpatient program that serves infants, toddlers, and young children who are unable or refuse to maintain an adequate oral intake of food. Problems may be medical/physiological, developmental, behavioral, psychosocial, and individual or family related. This team utilizes a multidisciplinary approach to have children eat proper foods and improve nutritional standing. Based on a predicted incidence of 25% of infants and young children with feeding problems, there are thousands of children who can benefit from this service. Each child is provided with a comprehensive evaluation that covers medical, physiological, developmental, behavioral, and psychosocial issues. The team combines the expertise of a multidisciplinary team of professionals whose primary goal is to establish feeding patterns that can be maintained in the child's natural environment. The team includes the following: - Speech pathologist; - Child psychologist; - Pediatric dietitian; - Developmental pediatrician; - Occupational therapist; and - Care coordinator. The program and its team members empower parents and caregivers by providing knowledge and techniques, which will allow them to engage their child in positive therapeutic feeding experiences and interactions. The program also provides support and knowledge to other professionals in the community, such as childcare providers, who participate in the child's feeding experiences. ADHD ---- CSH also provides comprehensive services for children with attention-deficit hyperactivity disorders (AD/HD). CSH is a service provider dedicated to improving the lives”

“Attitudinal ----------- CSH provides community staff education programs that aim to heighten the awareness of caregivers and community members to the special needs of persons served. CSH measures the provision of community/staff education to heighten awareness of special needs of persons served through education department listing and advocacy activities (see last section). In 2018, we continued to offer programs to the community in a variety of areas including traumatic brain injury, autism spectrum disorders, spinal cord injury, chronic illness in children and special needs car seat safety and installation. These programs are day long programs and are open to parents as well as professionals who receive CEUs. In addition, our research center offers a distinguished lectures series where experts from around the world are brought in to share their knowledge and research. Financial --------- CSH provides persons served with referral to social, legal or economic advocacy resources. Continue to offer "hospital assistance" (charity care program referred to earlier in the document) named the CSH Benefit Fund in addition to customized payment plans. CSH measures improved financial reimbursement for services delivered to persons served, personnel and other stakeholders through advocacy activities, and patient access service department materials and policies. A positive gain from operations enables CSH to provide services and programs beyond reimbursed clinical care. Several advocacy activities have focused on improving reimbursement for persons served, as well as modifications to "hospital assistance programs". Utilization of Meditech improved consistency and timeliness of documentation, leading to improved reimbursement. In 2018 CSH provided over $860,000 worth of charity care at cost to our patients. Past improvements and benefits include: - Offered scholarships for the adaptive aquatics program for children with autism spectrum disorder. - Expanded outpatient therapy services in Clifton in December 2018. Opened outpatient services in Jersey City in May 2018. - Secured NJ ACE Sub Award for Childrens Specialized Hospital to provide activities to support the Rutgers New Jersey Autism Center of Excellence $964,000 over five years. - Secured sub award from Rutgers for Childrens Specialized Hospital to support the efforts of a bi-lingual research assistant experienced with community-based research in underserved communities to support this effort. - The on-line registration process has worked well where families can schedule an appointment on line. The patient portal where families can now ask for prescription renewals and pay their bills securely on line has made the bill paying process easier and smoother. Tablets are being used in registration to expedite the process for pre-registered/cleared families. - Installed system which enables an automated online process to verify insurance eligibility and benefits. It has decreased the number of phone calls to the health plans. - Installed a process improvement system which allows an automated process to create and assign worklists to the Insurance Verification & Authorization team members. - Application installed that allows Payer Services to request the addition/update to the Childrens Specialized Hospital charge master. - Major build of systems that work with the clinical modules for proper billing and coding and improved the process for notification to therapist upon arrival of the patient via a smart board. - Conducted ongoing organizational-wide education programs for improving chart documentation, selecting proper coding for billing and compliance of all HIPAA regulations. Communication ------------- CSH promotes full program and service access for persons served by respecting ethno-cultural diversity. Ensure that language and cultural differences are not barriers to accessing and participating in hospital programs (i.e. translation services are available and other communication resou”

“- Partnered with Kohls Cares to develop free early developmental screening; funding and special gifts from Kohls to support programs for our patients and families including the community hub, a centralized resource that promotes awareness and understanding of people living with autism spectrum disorder in our communities; - Held webinars for autism spectrum disorder and provided tips and resources for transitioning the child into adulthood; - Children's regional swim and track meets for athletes with a physical disability; - Adaptive aquatics programs; - Martial arts; - Community recreation programs, teens, nutrition; - Annual beach party for long term care patients and their families; - Free workshop on helping children with disabilities change negative behaviors into positive ones; - Free monthly support groups at Toms River, Hamilton, and Mountainside locations for parents and caregivers; - The community recreation program hosted free cooking classes; - Partnered with RWJ University Hospital and Safe Kids Middlesex County injury prevention coalition to educate and inform the community regarding the dangers of leaving children in a car during warm weather; - Expressive arts connection; - Social connections and workshops; - Various classes and workshops; - Recreational therapy and child life services; - Peer mentor program; - Camp, sports and activities; - Camp chatterbox; - Neuro-rehabilitation program; - Pediatric practice; - Workshops for families newly diagnosed with autism; - Chronic illness program; - Chronic pain program; - Parent resource center; - "Lightning Wheels" wheelchair & ambulatory sports team for those with physical disabilities; - Car seat checks and child passenger safety education; - Managing your childs behavior psychological workshops for parents; - Safe Kids programs; - Annual Walk 'n Roll event; - CSH hosts an "Ask the Experts Gateway" which is an online service where people can submit questions to our pediatric specialists who have extensive experience treating children with a multitude of complex medical and behavioral healthcare needs; - Childs play and adapted sports; - 95.5 WPLJ, 94.7 NASH-FM and 92.7 WOBM provided holiday radiothons to raise awareness and funds to support programs at cash; - Friday night fever Mountainside & Toms River held monthly activities for over 265 participants including a graduation dance, spring prom, boating and movie nights; In addition, leadership and staff members participated in many local, regional, national, international boards & committees including, but not limited to: - Pediatric Complex Care Committee; - Devco; - New Jersey Hospital Association; - Peak Potential; - American Academy of Cerebral Palsy & Developmental Medicine; - Healthcare Financial Management Association; - Ronald McDonald House; - Multiple boards & committees of the Childrens Hospital Association; - New Jersey Chamber of Commerce; - Rutgers University; - International Pediatric Rehabilitation Collaborative; - Tri-state Wheelchair & Ambulatory Athletics; - National Center for Substance Abuse & Child Welfare; - Sunrise Medical Pediatric Advisory Board; - Toms River mayors advisory committee; - Morris Plains board of health; - New Jersey commission on recreation for individuals with disabilities; - Autism speaks NJ; - Adaptive sports USA junior committee; - New Jersey society for respiratory care; - New Jersey physical therapy association; and - Toms River Rotary. Professional medical education, training and research ===================================================== Professional training --------------------- CSH is committed to providing an educational setting which will lead to continuous advancement in professional knowledge and skills for those interested in pediatric rehabilitation. CSH provides clinical training and experience in the field of pediatric rehabilitation and care of the disabled child for resident physicians in the areas of pediatrics and physiatry through schools, which”

“Expenses incurred in providing various other medically necessary pediatric healthcare services to all children in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Please refer to the organization's community benefit statement included in schedule o.”

“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.”

“Other changes in net assets or fund balance include: - change in interest in temporarily restricted net assets of children's specialized hospital foundation; a related internal revenue code section 501(c)(3) tax-exempt organization - ($943,937); and - change in interest in permanently restricted net assets of children's specialized hospital foundation; a related internal revenue code section 501(c)(3) tax-exempt organization - $660.”

“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.”

“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.”