Hunterdon Medical Center

“The organization is an affiliate within hunterdon healthcare system, inc.; a tax-exempt integrated healthcare delivery system ("system"). This organization pays all outstanding accounts payable invoices on behalf of most other affiliates within the system. In conjunction with this service, this organization also prepares and issues forms 1099 to these vendors receiving payments where applicable and files these forms 1099 with the internal revenue service. This organization allocates these payments to the appropriate affiliates within the system via an intercompany account.”

“Hunterdon healthcare system, inc. ("hhs") is the sole member of this organization. Hhs 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.”

“The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. Hunterdon healthcare system, inc. Is the tax-exempt parent entity of the system. The organization's federal form 990 was provided to each voting member of the organization's governing body (its board of trustees) prior to the filing of the federal form 990 with the internal revenue service ("irs") and after presentation and review by hunterdon healthcare system, inc.'s finance and investment committee. As part of the tax return preparation process the organization 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 internal working group of the organization 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 finance personnel and internal working group for their review. The organization's finance personnel and 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 finance personnel and internal working group for final review and approval. Following this review, the final form 990 was presented to the members of hunterdon healthcare system, inc.'s finance and investment committee for review and thereafter provided to each voting member of this organization's governing body prior to filing with the irs.”

“A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS OBTAINED ANNUALLY FROM ALL TRUSTEES, SENIOR STAFF, AND OTHER KEY EMPLOYEES WHO ARE CURRENTLY SERVING THE ORGANIZATION. IT IS THE ORGANIZATION'S POLICY THAT IN THE EVENT OF A CONFLICT THEY DO THE FOLLOWING: IF THERE IS A CONFLICT RELEVANT TO A MATTER REQUIRING ACTION BY THE BOARD OF TRUSTEES, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE BOARD OF TRUSTEES, AND THE TRUSTEE CONCERNED SHALL NOT VOTE ON THE MATTER. MOREOVER, THE PERSON HAVING A CONFLICT SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD IS MEETING AND SHALL NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE MATTER UNDER CONSIDERATION. WHEN THERE IS DOUBT AS TO WHETHER A CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE RESOLVED BY VOTE OF THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF, EXCLUDING FROM THE ROOM AND THE VOTE of THE PERSON WHOSE SITUATION WILL BE DISCUSSED. WHEN A CONFLICT OF INTEREST ARISES FOR ANY STAFF MEMBER EXCEPT THE PRESIDENT, THAT STAFF MEMBER SHALL REPORT IT TO THE PRESIDENT IN WRITING. A CONFLICT OF INTEREST RELATING TO THE PRESIDENT SHALL BE REPORTED IN WRITING TO THE CHAIRMAN OF THE BOARD.”

“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 the compensation and benefits of the organization's senior management, including the president/chief executive 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. In 2024, the executive compensation committee reported to the full board for ratification. 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. 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 similarly sized healthcare systems and hospitals, # of licensed beds and net patient service revenue. In addition, the committee reviews and approves executive compensation adjustments based on market surveys developed by independent consultants, industry average comparison, years of service and other exempt organizations in the geographic area. After a review of the individual's performance for the year and relying on comparable information and other objective data, the executive committee will recommend an adjustment to the individual's compensation. Any determinations are documented contemporaneously in the executive committee minutes. 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 applies to certain senior management personnel, including, but not limited to, the president/chief executive officer. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the hunterdon healthcare system, inc.'s 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.”

“Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS.”

“The organization makes its financial statements available to the public upon request and is available online at www.dacbond.com. The organization has issued tax-exempt bonds to finance various capital improvement projects, renovations and equipment. 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 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 hunterdon healthcare system, inc. And affiliates; including hunterdon medical center, and not for services rendered as a voting member of the board of trustees of this organization.”

“This organization is an affiliate within the hunterdon healthcare system, inc. ("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 key employees 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 core form, 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 hunterdon healthcare system, inc. And all affiliates and not total hours worked per week on behalf of only hunterdon medical center.”

“Hunterdon Medical Center ("hmc") is an acute care teaching hospital. HMC provides a full range of preventive, diagnostic, and therapeutic inpatient and outpatient hospital and community services. HMC is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, HMC 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, HMC operates consistently within the following criteria outlined in IRS revenue ruling 69-545: 1. HMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. HMC operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. HMC maintains a closed medical staff, with privileges available based on community need; 4. Control of HMC rests with its board of trustees and the board of trustees of Hunterdon Healthcare System, inc. Both boards are comprised of independent civic leaders and other prominent members of the community; 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 HMC, 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 HMC 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. HMC's sole corporate member is hunterdon healthcare system, inc. ("hhs"). Hhs is the tax-exempt parent of Hunterdon Medical Center. This tax-exempt integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either hhs or another system affiliate controlled by HHS. Mission ------- Embrace people, elevate care, and cultivate healthier communities. Vision ------ To be distinguished for clinical excellence and seamless, personalized care. Hunterdon Medical Center ------------------------ Hunterdon Medical Center was created in 1953 with the vision of an integrated healthcare delivery system in mind: namely, that primary care would be delivered by family physicians in the community, that consultative and specialty care would be hospital-based with patients returned to their personal physicians and finally, that the hospital would be a training center for family physicians. This system has worked remarkably well with Hunterdon Medical Center currently enjoying one of the best quality care outcomes in the country, as well as having one of the lowest per capita costs for hospitalization in the nation. Family medicine is real in Hunterdon county. The centerpiece of the Hunterdon Healthcare System is Hunterdon Medical Center. The medical center has 178-beds, including advanced medical and surgical units, a 12-bed intensive care unit, a 4-bed coronary care unit, a 20-bed same day surgery center, a 20-bed maternity and newborn care center which was one of the first single-room maternity centers in new jersey, a 10-bed pediatric unit and a 14-bed behavioral health wing. Hunterdon led the nation by implementing the first, year-round night float system for family medicine residency programs. This system alleviates resident fatigue and eliminates the exhaustion which can be detrimental to residents, their families and patient care. This has become the national norm for residency scheduling with the implementation of new work hour regulations. Senior residents cover the hospital from 7:00pm to 7:00am in a designed night float rotation. They then have a 12-hour duty free period to rest and rejuvenate”

“Heart and vascular care ----------------------- Heart and vascular care at HMC combines a knowledgeable staff of physicians and specialists with state-of-the-art technology to bring the patient the best cardiovascular care in Hunterdon and its surrounding counties. Our superior staff and technological support enables us to diagnose heart and vascular disease and perform interventional procedures on patients suspected of heart and/or vascular disease. The emergency ptca door to balloon time is under sixty minutes. The service line also includes: Cardiopulmonary rehabilitation which is a medically supervised program of health education and physical activity for women and men of any age. Their mission is to treat the body, mind, and spirit of people with heart or lung disease so they may lead satisfying, productive, and healthy lives. Their professional team includes physicians, respiratory therapists, registered nurses, and exercise physiologists specially trained in exercise therapy and disease management. The department also runs the Ornish reversal program, a lifestyle management program to reverse heart disease. National recognition: Both the cardiac and pulmonary rehabilitation program are nationally certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. This certification process is designed to review and monitor adherence to the high standards and guidelines developed by the American Association of Cardiovascular and Pulmonary Rehabilitation and other professional societies to best serve the patients. Programs include: - phase ii cardiac rehabilitation. - phase ii pulmonary rehabilitation. - phase iii cardiopulmonary rehabilitation. The cardiac catheterization laboratory offers state-of-the-art technology to bring you the best cardiovascular care in Hunterdon county and its surrounding counties. Superior staff and technological support enable the diagnosis of heart and vascular disease. The lab performs interventional procedures on patients suspected of heart or vascular disease. Hunterdon healthcare was approved in 2021 to offer elective angioplasty to patients. Hunterdon medical center has been designated a primary stroke center by the new jersey state department of health and senior services. Cancer care ----------- Hunterdon Regional Cancer center is accredited by the American College of Surgeons' Commission on Cancer as a community hospital cancer program. The commission has recognized the cancer program at Hunterdon Medical Center as offering high quality cancer care. The recognition of this quality and commitment allows the patient access to the expert medical specialists who are involved in diagnosing and treating cancer. Approval by the commission is given only to those facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancer. To meet the standards necessary for commission approval, each cancer program, and the organization that controls it, must undergo a rigorous evaluation process and a review of its performance. In order to maintain approval, facilities with approved cancer programs must undergo an on-site review every three years. Receiving care at an approved cancer program ensures that the patient will receive: - quality care close to home. - comprehensive care offering a range of state-of-the art services and equipment. - a multidisciplinary team approach to coordinate the best treatment options available. - access to cancer-related information, education, and support. - a cancer registry that collects data on type and stage of cancers and treatment results, and offers lifelong patient follow-up. - ongoing monitoring and improvement of care. - information about ongoing cancer clinical research studies and new treatment options. Orthopedics ----------- The center for bone and joint health offers a comprehensive approach that revolves around health and wellness. The center offers preventive therapies, nutrition counseling and a full s”

“Home health services -------------------- Home health services is a non-profit home health agency certified by the federal government, licensed by the new jersey department of health, and accredited by the joint commission on accreditation of healthcare organizations. At home health services, each patient's program is carefully guided and planned so that all care is integrated for maximum benefit. The team includes: - home care nurses. - physical therapists. - occupational therapists. - speech pathologists. - medical social worker. - home health aides physician patient educator. In order to be eligible for admission to home health services, patients: - must be homebound (unable to leave home without assistance). - have ongoing medical supervision and orders from a physician. - require periodic visits from at least one of four primary services. 1. Skilled nursing 2. Physical therapy 3. Occupational therapy 4. Speech language therapy If home health services are not indicated, a referral may be made to another community agency or service through home health. They can provide the following services to the community: - home infusion. - hospice. - respite care. Other services -------------- Surgical services ----------------- Hunterdon Medical Center provides the patient access to the most advanced technology, expert surgeons and personalized patient care in a comforting environment. Skilled professional staff work as a team with the physician to individualize patient care and recovery with the goal to improve bodily function and return the patient to daily activities as safely and quickly as possible. Hunterdon Medical Center's surgery department performs slightly more than 5,000 surgeries per year. Types of surgery include, among others: - abdominal surgery. - appendectomy. - arthroscopy. - bariatric surgery. - breast surgery. - cataract surgery. - dilation & cutellage (d&c). - gallbladder surgery. - hernia surgery. - hysterectomy. - laminectomy. - neurosurgery. - plastic surgery. - spine surgery. - podiatric surgery. - total joint replacement surgery. - vascular surgery. - urologic surgery. Sleep disorders --------------- Sleep disorders are associated with a long list of medical problems, including: - heart attack. - stroke. - irregular heartbeat. - high blood pressure. - heart failure. - obesity. - diabetes. The sleep disorders center at Hunterdon Medical Center treats many types of sleep disorders, including: - sleep apnea which is a medical disorder in which a person, usually a loud snorer, experiences an obstruction in the throat during sleep. Lack of sufficient air causes the individual to awaken, usually with a cough or a gasp that opens the airway. Airflow is re-established and breathing resumes during the next episode. People with sleep apnea have to wake up briefly to breathe, sometimes hundreds of times during the night, although there is no memory of these brief awakenings. - periodic limb movement syndrome may coexist with obstructive sleep apnea. Multiple jerking movements, typically of the legs, awaken those with the disorder repeatedly through the night. - restless legs syndrome is a condition involving sensations in the legs, and sometimes arms, while the individual is awake. The sensations usually occur when the individual is lying down and the only relief is to move the limbs, keeping the individual awake. - narcolepsy is a neurological disorder characterized by excessive daytime sleepiness. Individuals with narcolepsy fall asleep at inappropriate, and occasionally, dangerous times. - insomnia refers to a chronic inability to initiate or sustain sleep, resulting in sleep deprivation and daytime fatigue. There are numerous causes for insomnia, including stress, anxiety, depression, chronic illness, medications, poor sleep habits and circadian rhythm disorders. Occasionally, a sleep study may be part of the evaluation, especially if obstructive sleep apnea is contributing. Hospital owned physician specialty servi”

“Community support and education ------------------------------- - alzheimers support group. - bereavement support group. - breastfeeding support group. - caregiver support groups. - depression support group. - family cancer risk assessment program. - family support group. - mental illness family support groups. - baby step, family support group. - toddler steps, for families of toddlers. - anger management group. - anger management group for adolescents. - multifamily support group, addictions treatment. - health education series at the hunterdon health and wellness centers. - hospice art bereavement program. - adult bereavement program through hunterdon hospice.”

“Patrick j. Gavin, mph, mba is an officer of this organization and involved in the leadership and management of hunterdon medical center on a full time basis. Mr. Gavin is employed by this organization and receives a federal form w-2. Accordingly, his common law employer/employee relationship is with hunterdon medical center (ein: 22-1537688). Hunterdon medical center filed a 2024 form 4720 which included a remittance of excise tax related to mr. Gavin's compensation in excess of $1m.”

“Other changes in fund balance include: - other changes in accrued retirement benefits - $13,725,911; - other changes in net assets without donor restrictions - $8,989 - other changes in net assets with donor restrictions - $1,859,669.”

“The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. Hunterdon healthcare system, inc. Is the tax-exempt parent entity of the system. An independent cpa firm audited the consolidated financial statements of hunterdon healthcare system, inc. And all entities within the system for the years ended december 31, 2024 and december 31, 2023; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements.”

“The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery 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.”