Raritan Bay Medical Center

“Raritan bay health services corporation ("rbhsc") is the sole member of this organization. Rbhsc 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.”

“As of january 1, 2016, raritan bay medical center became an affiliate of meridian health system, inc. ("mhs"); a tax-exempt integrated healthcare delivery system. Mhs was the tax-exempt parent of the system. In may 2015, mhs signed a definitive agreement with hackensack university health network ("network") to merge both parent organizations; creating one integrated healthcare delivery system known as hackensack meridian health, inc. ("hmh"), to better meet the needs of many new jersey communities. That merger became effective upon the receipt of regulatory approvals on july 1, 2016. This organizations federal form 990 was provided to each voting member of hmh's governing body, its board of trustees, prior to filing with the internal revenue service ("irs") following a review by hmh's compliance and audit committee. Hmh's board of trustees has assumed the responsibility to oversee, review and approve this federal form 990, including the preparation, review and filing process. Mhs retained a firm of independent certified public accountants with experience and expertise in health care and not-for-profit tax return preparation ("cpa firm") to review and file the form 990. Meridian prepared a draft of the form 990, which was then reviewed by other appropriate internal staff for accuracy. The draft was then reviewed by the cpa firm and presented to the members of hmh's compliance and audit committee and thereafter to each voting member of hmh's governing body prior to filing with the irs.”

“The organization is an affiliate within raritan bay health services corporation and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The organization and the system regularly monitor and enforce compliance with its conflict of interest policy. Annually all members of the board of trustees, officers and senior management personnel are required to review the existing conflict of interest policy and complete a questionnaire. The completed questionnaires are returned to the organization and the system's senior vice president/general counsel for review. Thereafter the system's senior vice president/general counsel prepares a summary of the completed questionnaires which contains information disclosed on an individual by individual basis and presents this summary to the organization's governance committee for its review and discussion.”

“The organization's board of trustees has 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 the organization's senior management, including the president/chief executive officer and chief operating officer. 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, including the president/chief executive officer and chief operating officer. 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 reviewing 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 similar sized hospitals, # of licensed beds and net patient service revenue. The committee adequately documented its 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 only applies to certain senior management personnel, including but not limited to the president/chief executive officer and chief operating officer. The compensation and benefits of certian other individuals contained in this form 990 are reviewed annually by the president/chief executive officer with assistance from 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 has issued tax-exempt bonds to finance various capital improvement projects, renovations and equipment. In conjunction with the issuance of these tax-exempt bonds, the organization's financial statements were included with the tax-exempt bond prospectus which was made available to the general public for review. The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new jersey department of the treasury.”

“Part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization. Please note this remuneration was for services rendered as full-time employees of the organization and not for services rendered as a voting member or officer of this organization's board of trustees.”

“The organization is an affiliate within raritan bay health services corporation and affiliates ("system"); a tax-exempt integrated healthcare delivery 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 on 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 the system; not solely this organization.”

“Background ========== raritan bay medical center ("rbmc") is a general medical and surgical hospital. Rbmc is recognized by the irs as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, rbmc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin religion or ability to pay. Moreover, rbmc operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1) rbmc provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2) rbmc operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3) rbmc maintains an open medical staff, with privileges available to all qualified physicians; 4) control of rbmc rests with its board of directors; which is 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. History ======= perth amboy, the first incorporated city in new jersey (1718) was fertile soil for the rapid industrialization that marked the 19th century. With its harbor and waterways, shipping, fishing and factories began springing up; and, as factories were built, workers were in high demand. Single men engaged in perilous work is a dangerous combination. Because there was no one to care for these men and injuries were on the rise, interested citizens and city leadership met in 1888 to discuss plans for building an emergency hospital. From this meeting emerged a tentative resolution to seek funds - funds to build a 12-bed hospital which, though perhaps unimaginable at the time, would later become rbmc, a two-campus 501-bed healthcare facility serving central new jersey. After fourteen years of false starts and capital deficits, perth amboy city hospital was dedicated on may 2, 1902. Years of tireless fundraising and personal sacrifice by women's groups, local benefactors, ethnic groups and civic organizations built and furnished what was considered a state-of-the-art facility at the turn of the century. A six-member medical staff was appointed and a nurse matron and assistant were put in charge. Five weeks later perth amboy city hospital had treated its first 12 patients. One year later the hospital had its own school of nursing. By 1913, the board of governors realized that 12 beds could no longer support the healthcare needs of the city's burgeoning population. From that time until right before the onslaught of the great depression, perth amboy city hospital experienced tremendous growth. Additions made room for maternity services, an advanced laboratory and x-ray department, additional operating room space and expanded living quarters for the nurse residents. Despite the increasing need for additional treatment space, december 7, 1941 halted plans for expansion. Immediately following the war in 1945, perth amboy city hospital treated its first patient using a new wonder drug, penicillin, which was brought to the hospital under police escort. War-delayed additions were then rapidly undertaken during the next 15 years, significantly increasing bed capacity and the space necessary to offer advanced techniques that were once only available in major medical centers. By the 1960's, the stage was set for the hospital to enter into an era of "firsts," where innovation was fueled by continuing renovation and expansion. In 1964, surgeons performed one of the first successful pacemaker implants. By 1968, scientists in the hospital's institute of laboratory medicine had linked a small refrigerator sized computer to a set of automatic analyzing machines and came up with a completely new kind of hospital service...computerized a”

“Vision statement ================ believing in its future, rbmc strives to be the region's best medical center. Through the dedicated efforts of its board of directors, medical staff, administration and employees, rbmc is committed to developing and providing the finest health services for its patients, families, physicians and communities. Rbmc will assess, plan and provide services based on changing needs. Values ====== rbmc takes "pride in caring" as its commitment to provide the highest quality care for its patients. Rbmc strives to provide services with a focus on convenience that meet patient, family and physician needs. Rbmc believes in a strong and committed relationship with its medical staff to enhance and ensure quality, state-of-the-art care and service. Rbmc remains committed to medical education, residency training, nursing education and continuing clinical education for all professionals. Rbmc is a leader in community health services and is committed to working toward enhanced community health and community health education. Rbmc appreciates the work, commitment and loyalty of its employees whose skill and caring enhance its service and foster the goals of "pride in caring". Rbmc recognizes that they are the most important asset in the history and future of rbmc. Rbmc builds on its longevity and strength, continuing to monitor, adapt and plan for a changing future to meet the needs of its communities and its patients. Rbmc will maintain a stable financial position. Rbmc will respect and protect the rights of all patients as outlined in its patient's rights statement. Upon admission, patients receive a copy of the bill of rights. Patients are encouraged to read through this document and refer any questions about patient rights to the patient representative. Corporate philosophy ==================== rbmc is committed to providing excellence in service in addition to quality healthcare. Toward that goal, rbmc adopted the international patient and family centered care approach to healing. All patient interactions at rbmc preparing its medical residents, performing routine screenings, explaining diagnoses to patients -- are guided by the belief that patients and their family members are integral members of the healthcare team and should be involved in every step of their care. Accreditations and affiliations =============================== rbmc is accredited by the joint commission on accreditation of healthcare organizations (jcaho) and licensed by the new jersey department of health, state of new jersey. Rbmc's professional associations including: accreditations: accreditation council for graduate medical education american association of blood banks american college of radiology/acr-fda committee on medical education medical society of new jersey american heart association/bls training center college of american pathologists joint commission on accreditation of healthcare organizations national league of nursing (school of nursing) new jersey board of nursing (school of nursing) veterans administration (school of nursing) memberships & affiliations american association of blood banks american cancer society american heart association american hospital association chamber of commerce of old bridge, sayreville, and south amboy coalition of methadone providers council of hospital pt directors of new jersey east brunswick chamber of commerce friends' health connection central new jersey maternal and child health consortium home health assembly of new jersey, inc. New jersey associated treatment providers, inc. New jersey chapter of the healthcare financial management association new jersey task force on women & alcohol new jersey business and industry association new jersey hospital association perth amboy chamber of commerce perth amboy kiwanis club perth amboy municipal alliance to prevent alcohol and drug abuse perth amboy/woodbridge rotary qualcare woodbridge metro chamber of commerce women's & children's services”

“Cardiac catheterization services -------------------------------- a cardiac catheterization is a visual heart test conducted by a cardiologist. It enables the physician to observe the heart's blood flow and study the condition of blood vessels and the presence or absence of obstructions. This assists the physician in making appropriate treatment recommendations. Once scheduled by your physician, cardiac catheterizations are performed on a same-day basis. The procedure takes place in a special surgical environment designed specifically for cardiac catheterizations. Patient recovery takes place within the same area under the care of cardiac specialists. Family and friends monitor your recovery from a nearby lounge. Over 1,000 cases are performed annually. Angioplasty ----------- raritan bay medical center is among a select group of new jersey hospitals approved by the state health commissioner to perform both primary and elective angioplasty. Primary angioplasty, regarded as the gold standard is the most effective intervention for heart attacks, is used to open clogged arteries and restore blood flow within 90 minutes of a patient's arrival at the hospital. This is accomplished by inserting a balloon into the blocked arteries followed by a stent, in some cases, to keep the arteries clear. The technique halts or prevents the potentially deadly consequences of heart attack while facilitating the best possible patient outcomes. Raritan bay medical center routinely performs this procedure in less than 60 minutes of a patient entering the hospital, well below the national benchmark of 90 minutes. 4) joslin diabetes center affiliate in response to the increasing epidemic of diabetes in its service areas, raritan bay medical has partnered with the nationally renowned joslin diabetes center in boston, ma to launch a joslin diabetes center affiliate at raritan bay medical center's old bridge hospital. The new 10,000 square foot center provides comprehensive diagnosis and treatment for diabetes and other endocrine and metabolic disorders including thyroid and pituitary ailments. Equipped with an ultramodern kitchen for cooking demonstrations and nutritional programs, the center provides treatment and education by way of two board certified endocrinologists, registered dieticians and nurse educators. 5) laboratory services the rbmc laboratory is accredited by the college of american pathologists, and offers a full range of outpatient laboratory testing in the areas of blood chemistry, immunology, hematology, microbiology, and pre-natal blood testing. 6) mammography rbmc offers radiological procedures that can eliminate the need for surgery. Patients benefit from the latest equipment for diagnosis and treatment. Mammography services provide convenience and privacy. 7) maternity a number of community programs and classes are offered by rbmc and are outlined in the community benefit section of this statement. Our obstetrics and gynecology services at 466 new brunswick avenue address the growing needs of a lower income, urban population primarily in perth amboy. Our relationship with local federally qualified health center jewish renaissance medical center helps ensure that uninsured and underinsured expectant mothers receive required maternal/fetal care throughout their entire pre and postpartum experience. The number of births at raritan bay medical center continues to grow and this service line is supported by monthly maternity tours and child birth education classes that have on average 12 couples per class. Services provided include nutrition, well baby care and lactation consultation. 8) pediatrics at rbmc, a child is a precious patient. That's why rbmc's pediatric unit is a special place providing care, reassurance, support, comfort and encouragement to infants, children and adolescents and their families. Rbmc's services include: - pediatric acute care - pediatric outpatient testing - pediatric moderate sedation - pediatric medical day”

“Types of studies ---------------- several types of studies can be conducted at the center. Some of the most common disorders that may be studied include sleep apnea, excessive snoring, leg movements, and night terrors. Once diagnosed, patients may be prescribed medication or respiratory adjuncts. In rare cases, surgery may be needed to correct a condition. All aspects of the testing process are handled at the center, and test results are forwarded to the patient's primary physician to ensure a comprehensive treatment plan. Most patients require only one night of monitoring while they sleep at the center. Specially trained technicians are located in a separate room, where they monitor the patients' condition. In some cases patients are required to visit during the day for a nap, where staff follow up on a particular diagnosis. Comfort and convenience ----------------------- the center for sleep medicine appears to be anything but a clinical experience. Four private rooms boast extra long, full size beds, wall to wall carpeting, lay-z-boy recliners, tv / vcr's and a beautiful view of the surrounding landscape. Caregivers or a parent may stay overnight if the patient requires assistance or is a minor. Private showers make it convenient for those patients who need to be up early and prepared for work. With an evening snack and continental breakfast provided, all efforts have been made to make the patient's experience as comfortable and home-like as possible. 13) women's health center for women ---------------- rbmc's center for women is dedicated to the special needs of women, offering a comprehensive approach to breast health, wellness and disease prevention. With locations in old bridge and perth amboy, our newly renovated facilities combine the highest quality imaging technology with comfortable, spa-like surroundings and a uniquely personalized level of care. We make it easy and convenient for women to receive state-of-the-art testing, including 3-d mammography, ultrasound, breast mri, image-guided biopsy and bone densitometry, along with various other women's health services, from holistic medicine to lymphedema therapy. The center is designated a pink ribbon facility by medical imaging company hologic. 14) behavioral health in response to the growing mental health needs of the population, particularly adolescents, raritan bay medical center, in conjunction with recommendations noted in its most recent community needs assessment, expanded its behavioral health services program, recruiting providers specializing in children and teenagers in order to expand our offerings to include psychological counseling and evaluation as well as psychiatry for anxiety, mood disorders and even bariatric surgery counseling. 15) institute for weight loss rbmc's institute for weight loss is designed to help people who are severely overweight and who have not found success with traditional weight loss methods. The institute specializes in minimally invasive and high-quality bariatric surgical care, taking a multi-disciplinary approach and allowing for patients to take an active role in their care to achieve the best long term outcomes. As part of this multi-disciplinary approach specialists including nutritionists, psychologists, and even a nurse navigator provide care pre- and postoperatively to ensure successful outcomes. The institute provides patients with a comprehensive plan of care, including pre-surgical education, nutrition and lifestyle counseling and post-surgical support and group meetings. Patients are treated with compassion and respect by the medical center's clinicians and staff in a comfortable environment. 16) center for wound healing the center for wound healing is available to treat non-healing and complex wounds by applying proven wound care practices and advanced clinical approaches, including wound care products dressings, antibiotics, and hyperbaric oxygen therapy to help heal patients who suffer from chronic wounds. 17) h”

“Community benefit programs and services ======================================= speakers bureau --------------- rbmc proudly offers the community access to a wide variety of free education programs on a multitude of health and wellness topics. Healthcare professionals volunteer their time and visit area groups to share information and educate. Some of the topics include: 1) bioterrorism 2) first aid 3) emergency care 4) living wills and advance directives 5) depression 6) crisis: what is it? How to survive it 7) substance abuse 8) senior services 9) mammography 10) critical care 11) assertion techniques 12) relaxation techniques 13) aids 14) sexually transmitted diseases 15) choking/heimlich 16) cpr 17) stress management 18) drug addiction 19) diabetes 20) effects of aging 21) behavior problems 22) abuse 23) death and dying 24) alcoholism 25) child abuse 26) lyme disease 27) cardiac disease 28) aggression 29) advanced cardiac life support 30) cholesterol 31) eating right 32) anxiety disorders 33) newborn care 34) sids 35) hypertension 36) hepatitis c support groups ============== - cancer - cardiac club - cpap (sleep apnea) support group - hiv breast cancer support groups ---------------------------- the jacqueline m. & robert n. Wilentz cancer center at rbmc sponsors a series of breast cancer support groups. The purpose of the group is to educate and interact with women living with breast cancer, via communications and the sharing of experiences. Issues discussed will include nutrition and exercise, current treatment modalities and spirituality. Cardiac club ------------ cardiac club is a free monthly support group for those diagnosed with heart disease. A rbmc professional will lecture on cardiac-related topics. Some topics that will be explored this year include congestive heart failure, angina, heart attack, pacemaker, weight loss, anxiety and stress, herbal and cardiac drugs and low fat diet. A cardiac nurse educator who teaches hospitalized patients runs the support group. The group provides continuing support to former patients and their families, and anyone in the community with a cardiac condition. Cpap (sleep apnea) support group -------------------------------- the center for sleep medicine at rbmc sponsors a cpap support group. Continuous positive airway pressure (cpap) devices are becoming increasingly common for the relief of those suffering from sleep apnea. The purpose of this group is to provide support, education, and understanding for users and their families. The group will meet quarterly and experts will be on hand to respond to your questions and concerns. Representatives from device manufacturers will be available to give advice on the use and adjustments of the cpap machines. Early intervention program -------------------------- individuals with hiv can receive comprehensive medical care and treatment, including specialized health education and case management services, through rbmc's early intervention program. Comprehensive hiv services include the aids outreach & support program and free and confidential hiv counseling and testing. Other support groups include, but are not limited to: ----------------------------------------------------- - hiv support group meeting - bariatric weight loss support group meeting - childbirth education / lamaze class other community benefit programs/classes ======================================== - childbirth preparation class - maternity tour - doctor dad - car seat safety checks - sibling classes - breast feeding 101 - safe - sitter training”

“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, religion or ability to pay. Please refer to the organization's community benefit statement included in schedule o.”

“Other changes in net assets or fund balances include: - change in pension liability to be recognized in future years - $8,390,019; - temporarily restricted gifts, grants and bequests - $730,622; - net assets released from temporary restrictions used in operations - ($1,124,699); - net assets released from temporary restrictions used for purchase of property, plant and equipment - ($91,114); - change in beneficial interest in perpetual trust; permanently restricted - ($50,900); - net transfer from dissolution of old bridge auxiliary, inc., an internal revenue code 501(c)(3) tax-exempt organization; $4,943; net transfer from dissolution of perth amboy auxiliary, inc., an internal revenue code 501(c)(3) tax-exempt organization; $6,316; and - other changes in unrestricted net assets - $32,677.”

“The organization is an affiliate within raritan bay health services corporation and affiliates ("system"), a tax-exempt integrated healthcare delivery system. An independent cpa firm audited the consolidated financial statements of raritan bay medical center and its affiliates for the years ended december 31, 2015 and december 31, 2014; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unqualified opinion with respect to the audited consolidated financial statements each year. The raritan bay medical center audit committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes this organization, and the selection of an independent auditor.”

“Description:contracted services total fees:17723342”

“Description:physician fees total fees:5737028”

“Description:other fees total fees:2144939”