Monmouth Medical Center

“David sickel and raymond f. Shea, jr. Esq. - business relationship. David sickel and robert sickel - business relationship and family relationship. Claire m. Knopf and heywood h. Knopf - family relationship. Adam pfeffer, esq. And raymond f. Shea, jr. Esq. - business relationship.”

“Based on allegations communicated to Management, MONMOUTH MEDICAL CENTER ("MMC") determined that funds from the MMC-Medical Staff Office were misappropriated in the form of checks paid to certain employees over a period of time. Upon discovery, the RWJBARNABAS HEALTH ("RWJBH") Internal Audit Department, in consultation with Legal Affairs, launched an immediate investigation. The investigation concluded that $468,566.19 in checks were issued without proper approval and made payable to the now former employees WHICH WAS CONCLUDED IN 2018. There were several corrective actions taken to prevent a similar loss in the future and to safeguard assets. RWJBH continues to cooperate with the investigation. RWJBH submitted an insurance claim to its carrier which resulted in full settlement of the loss plus additional expenses incurred, less deductible.”

“Rwj barnabas health, inc. ("rwj bh") is the sole member of this organization. Rwj bh has the right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.”

“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's 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.”

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

“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.”

“Todd eugene phillips, m.d. Former vice president of medical affairs of this organization, is still employed within rwjbarnabas health as the vice president of medical affairs for community medical center; a related internal revenue code section 501(c)(3) tax-exempt organization. Michele h. Schweers, former vice president/chief human resources officer of this organization, is still employed within rwjbarnabas health as the vice president/chief human resources officer for barnabas health, inc.; a related internal revenue code section 501(c)(3) tax-exempt organization. Michael mimoso, former chief executive officer of this organization, is still employed within rwjbarnabas health as chief executive officer of community medical center; a related internal revenue code section 501(c)(3) tax-exempt organization. Gerald l. Tofani, cpa, former officer of this organization, is still employed within rwjbarnabas health as vice president of finance and chief financial officer of outpatient services.”

“Background ========== Monmouth Medical Center ("MMC"), a RWJBarnabas Health ("rwjbh") facility, is one of the largest teaching hospitals in New Jersey and is a teaching affiliate of Rutgers Robert Wood Johnson Medical School in New Brunswick. This affiliation has allowed MMC to meet their goal of educating current and future healthcare providers in a state-of-the-art environment. MMC is located in Monmouth County along the coast of New Jersey making it another tourist destination in the summer months. It is the states fifth most populous county. The county saw a slight population decrease from the 2010 Census (630,380) to the 2018 Census (621,354 a .6% decrease) after seeing growth the previous decade. The county is ranked as the fifth-highest per capita personal income in the state at $69,410 and ranked 38th in the country. Monmouth Medical Center is a general acute care hospital recognized by the Internal Revenue Service ("IRS") as an internal revenue code section 501(c)(3) tax-exempt organization. On May 1, 2014, Kimball Medical Center ("KMC"), a non-profit corporation, merged with and into MMC, so that the two facilities would be under common ownership to better coordinate health delivery for a shared service area. The separate existence of KMC ceased and MMC continues as the "surviving corporation." Following the merger, MMC, as the surviving corporation, operates two separately licensed hospital facilities, MMC, located in Long Branch, NJ and the former KMC facility, which now operates under its new name, Monmouth Medical Center - Southern Campus ("MMC-SC"), located in Lakewood, Ocean County, NJ. Pursuant to its charitable purposes, MMC 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, MMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. MMC provides medically necessary healthcare services at both its hospital campuses to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. MMCs campuses operate active emergency departments for all persons that are open 24 hours a day, 7 days a week, 365 days per year; 3. MMCs maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of MMC and its hospital campuses rests with the MMC Board of Trustees and the Board of Trustees of RWJ Barnabas Health, Inc., both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of MMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital with its two campuses, provides substantial community benefit. Further, the use and control of MMC is demonstrated to be 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. MMC'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 RWJBARNABS HEALTH; 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. MMC, 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”

“In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform healthcare in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and health care industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. Mission Statement/Vision/Values =============================== MMCs vision, as a part of RWJBarnabas Health, is to be a leader in designing unparalleled new ways for delivering healthcare. MMC provides quality-driven, safe, efficient, cost-effective and responsive health care services that meet the needs and exceed the expectations of our community. Our mission is: - to meet the healthcare needs of our community by providing cost-effective quality care; - to educate present and future generations of healthcare providers; and - to provide a continuum of regional tertiary care. The hospitals strategic focus includes embracing and responding to emerging models of healthcare; developing a robust wellness program to improve the health of the people served; increasing geographic access; providing cutting edge technology; offering exceptional patient experience; and being a best place to work. Hospital Statistical Information ================================ For over 125 years, MMC has been a leader in central New Jersey providing the best in healthcare and the latest in medical technology to the nearly one million residents that comprise its service area of Monmouth County, and portions of Ocean and Middlesex Counties. MMC is one of New Jersey's largest teaching hospitals and a teaching affiliate of Rutgers Robert Wood Johnson Medical School. MMC is a 514-bed non-profit, regional tertiary care teaching hospital located in Long Branch, Monmouth County, New Jersey. The institution provides a full spectrum of services, serving the lifespan ranging from high-risk neonatology to geriatric care. Admissions total nearly 23,000 annually, including nearly 5,400 births, and approximately 50,000 emergency visits, nearly 120,000 outpatient visits in 2018. MMC serves a diverse community with over 23% of its patients comprised of minority groups and approximately 41% of patients in underinsured and uninsured payer groups. Medicare represents an additional 21% of patients served. MMC-SC is a 241-bed fully accredited non-profit acute care hospital dedicated to providing the finest medical and healthcare services to the residents of Ocean County and the surrounding areas. MMC-SC is located in Lakewood, Ocean County, New Jersey. MMC-SC serves a diverse urban population including a proportionately higher mix of elderly and uninsured/underinsured communities. During 2018, MMC-SC serviced over 6,000 inpatients, nearly 32,000 emergency visits and over 28,000 outpatient and ancillary test visits. Over 30% of patients are minority and approximately 41% were of underinsured or charity/self-pay categories. Medicare comprises an additional 47% of patients payer classification. Accomplishments/Milestones/Recognitions/Awards ============================================== MMC Campus ---------- MMC is accredited by the joint commission under the hospital accreditation standard”

“MMC-SC Campus ------------- MMC-SCs Lakewood campus is accredited by the Joint Commission and has also been recognized with distinguished awards for clinical excellence including, but not limited to, the following: - Four-star rating from the Center's for Medicare & Medicaid Services (CMS) - the highest hospital rating in New Jersey. - Successful hospital re-accreditation with the Joint Commission in April 2018. - Joint Commission Disease-Specific Care Certification for Heart Failure Recertified in November of 2017. - Successful re-accreditation with the College of American Pathology (February 2018), American Association of Blood Banks (March 2018), and Intersocietal Accreditation Commission in Echocardiography (April 2017) in Adult Transthoracic and Adult Transesophageal Echocardiography. - Accreditation by American College of Radiology in Ultrasound, MRI, and Nuclear Medicine - accredited 2016 through 2019; CT services - accredited in 2017 through 2020. - NJ Sharing Network Platinum Level Recognition for increasing enrollment in the NJ state donor registry and spreading the life-saving message of organ and tissue donation. - Recognition as a "Most Wired" hospital by the American Hospital Association. - Designation as a NICHE (Nurses Improving Care for Healthsystem Elders) hospital. MMC Centers of Excellence ========================= MMC Campus MMC's recognized medical services centers of excellence include, but are not limited to, the following: 1. The Unterberg Children's Hospital at MMC ("Children's Hospital") The Childrens Hospital offers the community renowned medical expertise in the care of children that only a leading academic medical center can provide. The Childrens Hospital has 140 pediatric specialists who concentrate oin 26 fields of medicine. The organization provides specialized pediatric care, offering a 54-bed regional perinatal center with level iii neonatal intensive care unit, the region's only program in children's crisis intervention services and subspecialty pediatric care in areas such as cardiology, gastroenterology, surgery, and orthopedics. In addition, a host of outpatient services for children are offered, including: a pediatric neurology program, pediatric medical day stay unit, the regional cleft palate center, and a pediatric subspecialty center in Ocean County for children who require specialty care in the areas of gastroenterology, endocrinology and pulmonology. 2. Psychiatric centers/program MMC has the largest psychiatric program in Monmouth County, with a total of 44 beds within voluntary and involuntary adult inpatient units and 19 beds in its inpatient children's crisis intervention service, where children and adolescents with acute emotional, behavioral or psychiatric problems are treated. In addition, its psychiatric emergency screening service ("PESS") is the state-designated service for Monmouth County. MMC also offers partial hospitalization, intensive outpatient programs, traditional outpatient care and an early intervention support services program ("EISS"). 3. The Jacqueline M. Wilentz Comprehensive Breast Center Committed to meeting the breast healthcare needs of all women, the breast center is the region's leader in providing the most advanced array of breast health services through a multidisciplinary team dedicated to the breast health needs of all women. MMC provides a comfortable and supportive setting in which all outpatient breast healthcare services are found in one convenient location. MMC takes a coordinated approach to breast care, including both well care and cancer care. MMC is here for women who seek annual breast evaluation and for those women diagnosed with breast cancer or benign breast disease. Several of MMCs services are specifically for women diagnosed with breast cancer, including: an outpatient chemotherapy suite, psychosocial counseling and rehabilitation services, breast cancer support groups, breast conservation surgery and patient navigators. These qua”

“8. Robotic Surgery Program MMC created the regions first robotic surgery program with the Da Vinci S surgical system. The system combines computer and robotic technologies with the skills of MMCs surgeons to create a new category of surgical treatment, making it possible to perform more technically demanding surgeries, such as prostatectomy, using a minimally invasive approach. MMC offers robotic surgery for the removal of a variety of cancerous tumors as well as for benign conditions. The robotic surgery system offers patients better outcomes, less pain, less scarring, less blood loss, shorter hospital stays and a quicker return to normal activities than conventional surgery. First hospital in Central and Southern New Jersey to introduce Mako robotic-assisted total and partial knee and hip replacement surgery. Mako surgery is performed using a surgeon-controlled robotic arm system that enables accurate alignment and placement of implants. MMC-SC Campus MMC-SC's recognized medical services and centers of excellence include, but are not limited to, the following: 1. The James & Sharon Maida Geriatrics Institute MMC-SC has long been a leader in geriatric medicine, which specifically addresses the unique care needs of older adults. Our one-of-a-kind James and Sharon Maida Geriatrics Institute provides integrated inpatient and outpatient geriatric services for patients 65 and older in one convenient location. In addition, our geriatricians - physicians specializing in the medical care of the elderly - have a full understanding of the wide range of physical, mental, medical, social, and spiritual issues that older adults can face. With our many interlinked services, the experts at the geriatrics institute provide individualized care recommendations to ensure that patients receive the special care they require, without interfering with their independence. And our geriatric team works closely with you or your loved ones primary care physician to make sure that all patient and family needs are met. With the expert treatment available at our state-of-the-art outpatient practice, older adults can live the fullest life possible. Our multi-disciplinary team also including nurses, social workers, nutritionists, pharmacists, health educators, physical therapists, occupational therapists, speech therapists and audiologists, all who specialize in the care of seniors and are available to accommodate the needs of patients as they transition from inpatient to outpatient care. Complementing the geriatrics institute are the geriatric emergency medicine (gem) unit, created to meet the more complex needs of seniors in emergency care, the acute care for elders (ace) unit, an inpatient unit utilizing an interdisciplinary approach to collaboratively develop a patient-centered care plan, and the better health program, which offers courses and more to men and women 55 and older who want to improve their health and well-being. 2. The emergency department at MMC-SC The emergency department treats approximately 32,000 patients annually, utilizing the latest in cardiac monitoring equipment, including special rooms for trauma, orthopedics, ear/nose/throat, obstetrics/gynecology, pediatrics, suturing and psychiatric emergencies. The main emergency department includes 30 treatment bays and has revolutionized how patients are treated in modern healthcare settings by expediting the process which patients must undergo prior to receiving medical treatment. The staff is focused on respecting the individual needs of all adult and pediatric patients. MMC-SC is a state-designated primary stroke center and Joint Commission certified chest pain center and has Ocean County's only psychiatric emergency screening program. MMC-SCs pediatric emergency services program is staffed full time by highly experienced, board-certified emergency medicine physicians with access to pediatric consultations 24 hours a day with on-site double board certified neonatologists/pediatricians an”

“MMC-SC had approximately 430 physicians on its medical staff during 2018 comprised of the following specialties: - allergy/immunology; - anesthesiology; - cardiology; - colon-rectal surgery; - dentistry; - dermatology; - emergency medicine; - endocrinology, diabetes & metabolism; - family practice; - gastroenterology; - general surgery; - geriatrics; - gynecology; - hematology/oncology; - infectious disease; - internal medicine; - internal medicine/pediatrics; - nephrology; - neurology; - neurosurgery; - ophthalmology; - orthopedic surgery; - otolaryngology; - pain management; - pathology; - physical medicine/rehab; - plastic surgery; - podiatry; - psychiatry; - pulmonary medicine; - pulmonology/critical care; - radiation oncology; - radiology; - repro endo; - rheumatology; - thoracic surgery; - urology; and - vascular surgery. MMC community service centers ============================= MMC Campus MMC is committed to keeping its community healthy and offers an extensive array of community outreach programs and services for the benefit of the community residents and employees. MMC operates the department of community health & wellness, which is designed to promote health and health awareness for the community. The department of community health & wellness has a philosophy and way of life that allows individuals to reach their full potential for optimal well-being. Recognizing that individuals have become increasingly health conscious and are seeking new ways to improve their health and prevent illness, MMC's department of community health education has developed multiple programs to assist the community in fulfilling their health goals. Community Partnerships ====================== 1. Cancer Support Community ("CSC") is a program run in partnership with MMC and MMC-SC. CSC is an international non-profit organization whose mission is to support the myriad concerns of individuals affected by cancer. Partnering with MMC in 2014, CSC currently holds supportive and educational programs in long branch and Lakewood. All programs are free of charge to anyone affected by a cancer diagnosis: patients, caregivers, and family members, no matter where treatment has been received. 2. MMC and Social Community Activities Network partner on services for active adult community. For more than 25 years, MMC has partnered with the social community activities network ("SCAN") (formerly the senior community activities network), located in the Monmouth Mall in Eatontown, in service to the active adult community. Like SCAN, which promotes a culture of lifelong learning, healthy lifestyles and independent living by offering programs that make the community "healthy, wealthy & wise,", MMC believes that "life is better healthyis dedicated to helping seniors live healthy lifestyles. Throughout the year, MMC provides a host of health lectures, screenings and classes led by the hospital's doctors and healthcare professionals. These free programs, which MMC advertises monthly in the community health education calendar, focuses on topics such as heart health, stroke prevention, brain health, cancer awareness, nutrition and stress relief. MMC offers workshops to teach strategies for managing daily life when living with chronic conditions such as arthritis, heart and lung conditions, anxiety, diabetes and high blood pressure. The evidence-based workshops teach individuals how to: - breast cancer awareness; - boost your memory; - first aid for seniors; - improve balance; - improving social relationships in older adulthood; - navigating a hospital stay; - skin cancer awareness; AND - stress management. 3. Safe Kids Monmouth/Ocean is led by MMC and MMC-SC, which provides safety education to children, parents and caregivers to prevent childhood injuries. It is a chapter of safe kids New Jersey and Safe Kids worldwide, a global organization dedicated to preventing injuries in children. 4. MMC regularly collaborates with local law enforcement and government officials”

“MMC-SC provides a variety of community events in or around Lakewood or at senior communities throughout the area that focuses on the four pillars of better health; nutrition, physical activity, and evidenced based health education. Events are unique and enable members to meet new people while improving their health. Medical screenings ================== MMC provides numerous medical screening programs to the community in furtherance of its tax-exempt purposes. MMC served approximately 60,000 individuals in 2018 served via health fairs, screenings, workshops, education, and lectures. Further, multiple organizations are assisted in their fund-raising efforts. Every February, the MMC dental residency program hosts "give kids a smile day" in the Monmouth family health center dental clinic, providing free dental care to children from low-income families who dont have access to regular dental care. Screenings also include, but are not limited to, the following: - balance and fall prevention; - blood pressure; - body mass index - bone density; - breast health/mammograms; - cardiac and concussion for young athletes; - cholesterol; - dietary; - skin cancer (choose your cover); - glucose; - HIV; AND - high-risk lung cancer assessments. Medical screening programs provided by the MMC-SC Lakewood campus in furtherance of its tax-exempt purposes include the following: - balance and fall prevention; - blood pressure screenings; - bone density screenings; - cardiac and concussion testing for young athletes; - glucose screenings; - hearing; - high-risk lung cancer screening assessments; - skin cancer screenings (choose your cover); and - vascular. Community education =================== MMCs and MMC-SCs ongoing efforts to educate the community with respect to general health awareness, issues and public safety, healthcare activities, screenings, education and programs are advanced through publications, news bulletins, newsletters, web postings and other publications produced by the hospital. MMC provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes including, but not limited to, the following: 1. Wellness programs/health fairs - blood drives; - go red: heart health event for women; - great American smoke-out informational session; - ladies night out, empowering women to live healthy; - long branch day; pedestrian & bike safety; - mens night out, empowering men to live healthy; - Monmouth family health center wellness and health fair; - national night out against crime - edestrianpedestrian safety; - nutrition and brain fitness fair; - oceanfest; safe kids & health screenings; - Oceanport summers end festival, offering safe child safety info; - police week health & safety information; - strategies for health aging; and - Tinton Falls day pedestrian safety. 2. Various educational sessions - breast cancer awareness; - colon cancer awareness; - conversations with the pharmacist; - choose your cover - free skin cancer screenings and education; - diabetes self-management series; - eye care as we age; - fall prevention; - first aid for seniors; - health information on the internet; - how to get a good nights sleep; - kids fit - 6 week nutritional program for children and parents; - living with Alzheimers disease for the caregiver: late stage; - living well with diabetes; - mindfulness meditation stress reduction; - natural ways to manage depression; - palliative care: what is it and when is it appropriate?; - restorative yoga for cancer survivors; - safe sitter; - seasonal affective disorder (sad); - skin cancer awareness; - total joint replacement information session; - understanding your options for rehab; - updates on cancer screenings; - stroke awareness; - whats in your medicine cabinet; and - your heart and electrical disturbances. 3. Childbirth preparation and parenting programs - Childbirth preparation and parenting programs; - the Eisenberg Family Center tours; - breastf”

“Professional medical education and training =========================================== MMC and MMC-SC professional medical education and training costs, included, but were not limited to, the following programs, lectures and courses during 2018: - surgery M&M conference; - breast tumor board; - pediatric grand rounds; - medical tumor board; - neuro tumor board; - othopaedic case review & fracture conference; - GI tumor board; - orthopaedicjournal club; - gyn tumor board; - medical grand rounds MMC; - pediatric tumor board; - end of life part 1; - end of life part 2; - orthopaedic M&M conference; - medical grand rounds MMC-SC; - medical M&M; MMC; - pediatric touchpoints 2017; - management and leadership; - surgical grand rounds; - tools and client relations; - cutting edge 2017; - communication; - execution and project management; - 15th annual advanced em conference; - EMA conference 2017 stroke home study; - EMA 2017 llsa home study; - EMA 2017 trauma home study; - EMA 2017 procedural sedation home study; - 13th annual pediatric symposium - "screening for depression and anxiety in childhood and adolescence"the opioid epidemic, what a pain in the ED - workers compensation talk series: knee and ankle; - team building; - 2017 RWJBarnabas Health quality forum; - advances in breast cancer care: surgery, radiation therapy, reconstruction and surveillance; - change management and public speaking; - talent management and current healthcare; - Post-Operative Complications in Foot and Ankle Surgery - Choosing the Correct Bunion Procedures through Radiographic Evaluations - Dr. Petranto; - Inguinal Hernia Repair - Dr. Michael Jaronczyk; - Colorectal Cancer Screening - Dr. Joel Musicant; - Chronic Pain - Dr. Lina Shihibudin; - Lung Cancer & Emerging Trends - Dr. Sumit Talwar; - Update on New Therapeutics in Clinical Oncology - Dr. Seth Cohen; - Stroke - Basic Management & New Modalities of Treatment - Tele - TPA - Dr. Tejas Deliwala; - Organ & Tissue Donation: The Power to Save Lives - Carolyn Welsh; - Prescription Protocols - Dr. Ted Freeman; - Protocol for Alcohol Withdrawal - Dr. Arnold Williams; - Lung Cancer Awareness: What you need to know - Dr. Andrew Nguyen; - Updates on Medical and Surgical Therapy for Benigh Prostatic Hypertrophy - Parvez Mahmood, MD; - Local Anesthetic Toxicity - Eduard Krishtul, MD; - Hyperbaric Oxygen Therapy: What, Where, How, Who and Why - Johnny Larsen, DO; AND - Opioids - Prescribing, Withdrawal and Medication Assisted Treatment - Jarrett Tosk, MD.”

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

“The organization is a member of RWJ Barnabas 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. and Barnabas Health, Inc. to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a due to related party liability and are reflected on the balance sheets 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.”

“In August 2016, the FASB issued ASU 2016-14, Not-for-Profit Entities (Topic 958): Presentation of Financial Statements of Not-for-Profit Entities, which requires not-for-profit entities to revise its financial presentation to include net asset classifications, provide quantitative and qualitative information as to available resources and management of liquidity and liquidity risk and expanded disclosures on functional expenses. The Corporation adopted the new standard as of December 31, 2018 on a retrospective basis. There were no material changes to the consolidated balance sheets, statements of operations, and changes in net assets or cash flows as a result of the adoption. Periods prior to adoption have been displayed to conform to the new presentation of a single classification of net assets with donor restrictions. Previously, the consolidated balance sheets displayed temporarily restricted net assets of $131,468,000 and permanently restricted net assets of $33,494,000.”

“Other changes in net assets or fund balance include: - net assets released from restriction for purchases of property and equipment - $466,316; - net assets released from restriction - $123,000; - equity transfer from monmouth medical center foundation; a related internal revenue code section 501(c)(3) tax-exempt organization - $2,188,451; - equity transfer to monmouth medical center - southern campus foundation; a related internal revenue code section 501(c)(3) tax-exempt organization - ($517,848); - equity transfer to health south rehab center - ($30,785); - net change in temporarily and permanently restricted net assets of monmouth medical center foundation; a related internal revenue code section 501(c)(3) tax exempt organization - $9,117,000; - net change in temporarily and permanently restricted net assets of monmouth medical center - southern campus foundation; a related internal revenue code section 501(c)(3) tax exempt organization - $30,000; - distributions from shrewsbury diagnostic imaging, llc; a limited liability company controlled by this organization - $569,156; - pension administration costs - ($815,632); and - increase in investment of shrewsbury diagnostic imaging, llc; a limited liability company controlled by this organization - $9,000.”

“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.”

“The organization's federal form 990 includes certain revenue received and expenses incurred by various monmouth medical center healthcare related programs, departments, activities and monmouth medical center employees. Revenue earned from these programs and activities was received by monmouth medical center utilizing federal identification numbers other than 22-3452412. Below is a list outlining the various monmouth medical center programs, divisions, departments and physician employees and their respective federal identification numbers. Mmc provider services 81-4837197 in addition, this form 990 includes the current year revenue and expense activity and year end assets and liabilities of both the medical staffs of monmouth medical center and monmouth medical center - southern campus.”