For Sconn'T $ coþliq PuvPfs tç vacyircd
Response request for the provision of Basic Life support ("BLS') Emergency Medical service ("EMS') Response and Transportation system for the Township of East Brunswick, Middlesex, New Jersey R\Mßarnabas HEALTH
Submitted: April lG,20Ig at LL:00am TABLE OF CONTENTS
Contact lnformation ...... A Executive Summary ...... 8 Mission Vision & Values ...... C RFP Response (lnclusive of lntroduction; Administrative Conditions and Requirements; Scope of Work; Proposal Requirements; Evaluation, Review and Selection Process)...... D Required RFP Document Checklist...... E
Exhibit A: Letter of lntent ...... F
Exhibit B: Certificate of Employee lnformation Report...... G Exhibit C: Americans with Disability Act of 1990 Language...... ,....H Exhibit D: Statement of Ownership Disclosure ...... ,.. I
Exhibit E: Non-Collusion Affidavit ...... J Exhibit F: New Jersey Business Registration Certificate ...... K
Exhibit G: Certification of Political Contributions...... L
Exhibit H: Disclosure of lnventment Activities in lran ...... M Exhibit l: Payment Provision Form ...... N
Exhibit J: Acknowledgement of Receipt of Addenda ...... O Certificate of lnsurances ...... p
New Jersey Department of Health License...... O Vehicle 1ist...... R Organizational chart ...... S Leadership 8ios...... T Supervisory Job Descriptions...... U Consolidated Financial Statement...... ,...... V Service Area Map for East Brunswick...... W Example Monthly Operating Report,,...... X Example Quarterly Financial Report ...... y Township of East Brunswick Proposal for Provision of Basic Life Support Emergency Medical Service Response and Transporlation System
submitted by: Robert wood Johnson Hearth Network, rnc
Vendor lnformation
Phvsical Address:
Robert Wood Johnson Health Network Mobile Health 126 Paterson Street New Brunswick, NJ 0BgO1
Mai nq Address:
Robert Wood Johnson University Hospital P.O. Box 2601 New Brunswick, NJ 08903-2601 Attn: Mobile Health (EMS) Department
Adminístrative Point of Contact:
Anthony Raffino, MlCp, Fp-C Assistant Vice President Main number: (732)418-8169 Fax: Í32) 418-8199 Email: Anthonv.Raffino@n¡ribh.orq
Submitted: April 16, 2O1g EXECUTIVE SUMMARY
The Robert Wood Johnson Health Network (hereinafter referred to as "RWJHN") has provided emergency medical services (EMS) continuously since 1g82 to a coverage areá that spans g counties in New Jersey. We are a comprehensive EMS division that proviães basic life support (BLS)' advanced life support (ALS), specialty care transport (SCT), EMS communications, EMS and trauma education, community outieach, injury prevention education, and EMS disaster response and education. As the largest EMS piovider in the state and one the largest in the country, RWJHN treats and transports more than 101,000 patients annually. nWjH¡l dedicated to delivering our patients high-quality treatment and transþortation with cómpassion, dignity, empathy, and respect. As the region;s needs for healthcare evolve, new challenges arise. RWJHN meets these challenges with state of the art equipment, a modern fleetl a superior communications center, and a dedicated team of medical directors and leadership. Most importantly, we have skilled, caring EMS professionals who make us proud every day. Our team will work collaboratively with the Township to ensure that first and fòremost, the patients we serve in your community receive the highest quality of prehospital care available, something that is enhanced by the continuity of care with our ALS providers. (Educate on what ALS means and indicate we are the only licensed Advanced Life Support provider in East Brunswick) Our commitment starts with each patient, their families, and our communities. professionalíy, we extend these commitments to our partners and fellow first responders. Kev considerations for proposal: -24 ' 2 hour ambulances per contract plus an additional 12 hour truck for peak times ' RWJHN is the licensed ALS provider for East Brunswick. partnered with our BLS allow for a much greater continuity of care and better patient experience. ' RWHN will operational and financially commit to meeting the requested response times by adding a liquidated damages provision to the agrãement. ' Long-term commitment to the township evidenced by our investment in the East Brunswick community: o Robert Wood Johnson Health Network East Brunswick Station (formally EBRS), 346 Cranbury Road. o Robert Wood Johnson Physical Therapy center, 593 Cranbury Road o Robert Wood Johnson Cardiac Rehabilitation, 593 Cranbury Road o Robert Wood Johnson East Brunswick Primary Care, 495 Ryders Lane o Robert wood Johnson Endosurgical centei, g00 Ryderõ lune o Robert Wood Johnson Lab Services at East Brunswick, S57 Cranbury Road o Robert Wood Johnson Cranbury Medical Group, 557 Cranbury Road o Robert Wood Johnson Ambulatory Surgical Center, b61 Cranbury Road o Robert wood Johnson sreep center, 593 cranbury Road o children's Specialized outpatient cente r, 62g cranbury Road o Robert Wood Johnson Cardiology Associates, 5g3 Cianbury Road
RWJHN is a not-for-profit corporation, licensed under RWJ University Hospital (hereinafter referred to as "RWI.UÐ wholly owned by the RWJBarnabas Healih system (hereinafter referred to as "RWJBH"), the parent corporation for numerous healthcare entities in State the of New Jersey, including eleven (11) Acute Care Hospitals, four (4) Children's Hospitals, and numerous outpatient centers across the state. lncluded in these facilities New is Jersey's only pediatric trauma center accredited by the American College of Surgeons and the Central Jersey Level I trauma center, both located in New Brunswick. RWJBH is also principal academic medical center for Johnson ^the Rutgers- Robert wood Medicar school, making it the region's tãrg€st ìeaching nospiiãi RWJUH is an academic medical center founded in 1884 whose Centers of Excellence includes cardiovascular care from minimally invasive heart surgery to transplant, cancer stroke care, neuroscience, care, orthopedics, ãnd *or"nl. ano cni¿ren,. including Bristol-Myers .är", the squibb chirdren's Hospitar (hereinafter rerãrreo to as "evtscH;;¡. BMSCH serves as the focal point of New Brunswick's growing children's health campus, which includes the child Health lnstitute of New Jersey, PSEäG children's specialized Hospital, and Ronald McDonald House-New Brunswick. Thå free-standing, state-åesignated, acute care children's hospital is a state-of-the-arl facility that is specially designed to caie for children. From pediatric surgery, urology, and cardiology to oncology, hematology, and pulmonology, BMSCH,s specialists and intensivists provide ãávanced cãie tor children of all ages-from fragile newborns to adolescents.
As the flagship cancer hospital of Rutgers cancer lnstitute of New Jersey and the principal teaching hospital of Rutgers Robert woóo Johnson Medical school in New Brunswick, RWJUH New Brunswick is an innovative leader in advancing state-or-the-art care. Featuring Trauma a Level 1 center and the first Pediatric Trauma cenîer in the state, RWJUH,s campus New Brunswick serves as a national resource in its ground-breaking approaches preparedness. to emergency
All of thís makes RWJBH a comprehensive health system bringing the best of academic medicine, research, and teaching together with commùnity providers communities' to create healthier We are committed to the well-being of our diverse communities continue to provide and will high quality, culturally patient care and clinical with our major .compe"tent expertise focus on improving the neãltn of ine pópllations we serve Jersey. throughout New
As the largest EMS provider in the state, RWJHN now serves as the system-wide EMS Division for the RWJBarnabas Health including RWJ Mobile Health" services (New Brunswick, Somerset, and Hamilton), Rahway nrró"u, and Jersey city n¡ão¡cal center EMS. Additionally, the RWJBH training ceñter now ?alls under the RWJHN umbrella. Furthermore, RWJHN has recently come undér new management comprised of recognized EMS leaders including, Jim Smith, vP; Tony Raffino, AVP; Lauren Johnson, Director; Deanna Douglas, central EMS operations Manâger; and zuoin n¿isiw, nèu"nue cycle Manager, all previous from Atlantic Ambulance; Jamie chebra, Execuiive Director'of Northern operations, previous Director of EMS at JFK Medical center; as well as Lafe Bush, oirector operations, previous of central Director of EMS at Valley Huàrft, éyrtem. we have executive assembled a new team that is uniquely adept in our ãnitity to assist in varying rò0"1, needs of our communities, to meet the we pride ourselves as for our dedication communities, for to our our reliability with exceeding service"À peiormãnce, "g"n.y and maintaining relationships" Please see our Tab s to view Ûre ieaiftr organizational chart as visual representation of the health system's "ystem organization as well as Tab TI to(v view the new leadership team.
RWJHN Training Center has over 100 full{ime and per diem education comprised staff. ïhe staff is of subject matter experts from a diverså group of professional paramedics, tactical paramedics, from EMTs, dive medics, flight paiamedics, flight nurses, physicians, physician assistants, - registered nurses, law enforðement officers, emergency preparedness, and fire-fighters' RWJHN EMTs and paramedics also supplement the education staff, connecting the classroom to the current practice in the field. Training Ïhe Center has a Paramedic Program that is accredited by the Committee Accreditation on of Educational Programs for the- Emergency Medical Services professions. ïhis program is held at our Jersey City Medical Center location in affiliation with Hudson County community college. we anticipate opening a branch campus of our paramedic school, pending state approval, in January of 2020 at 346 Cranbury Road in East tirunswick. This piogram training current iõ EMTs to become Paramedics. Thá Training Center also is an EMT Training Program that is accredited by NJ Office of Emergency Medical Services. The training center credentials approximately 500 new EMTs each yãar. ÉMt ptograms are held at the following campuses. Jersey City Somerset Rahway Belleville Monmouth Lakewood 346 cranbury Road in East Brunswick starting in June of 2o1g With the recent acquisition of the building on 346 Cranbury Road, formally the East Brunswick squgd Building, not only will we be providing EMT programs and, pending state approval, satellite campus paramedic "progrr6 a for our program, we w¡tt host nur"roui for the community. Ïhese programs will include, but not be limited to, stop the bleed programs, hands only CPR events, and child and babysitting safety. Continuing edu'cation classes will be offered to first responders as part of our need to impiove the continuity of care in our prehospital settings with our community partners. East Brúnswick Township emergency service providers will. be provided priority access to all classes. The training cenier empToys current and retired police, fire and ems instructors that can provide a wide vãriety of emergéncy services classes not limited to ems. perpetuate we will the East Brunswick Reécue squäs piactices of access to the Cranbury Road facility for the East Brunswick Police Departmånt. noá¡tionally, the East Brunswick Rescue Squad volunteers will have the opportunity to continue to volunteer with RWJHN.
All ambulances are staffed with a minimum of two (2) New Jersey certified emergency medical technicians, and all employees receive extensive additional iraining, This training includes regular quarterly competenôy evaluations with classroom and practical components in areas such as ainrvay management, cardiac and respiratory care, trauma care, pediatrícs, incident management, and more. RWJHN supports employee professional development with additional education and training, including'the Just iultlre lu"n, and competence' irog¡¿r, cultural Additionally, our full and part{imè employees have to a generous assistance program. tuition By virtue of the relationship'oetr¡reen RWJBarnabas"."õ.. and the Rutgers Medical School, all RWJHN providers remain on the cutting edge of medicalcare at all times. RWJHN supports these functions with Med Central, a state-of-the-art regional communications center located in New Brunswick. Thís dispatch center is staffed 24lT with fully trained and certified emergency medical dispatcheis at the Apco or MpDS standard. All calls are coordinated with a-Tri-iech VisiCAD system, which records all assignments and makes recommendations for closest-unit dispatch through a Gps lnMotion jateway in vehicle' RWJHN also each uses the optima system for predicting call locations in the future based. on past patterns, and uses this system to dynamically deploy ambulances around the system to maximize coverage and minimize response times. RWJHN also operates on the New Jersey lnteroperable Óommunications Sysiem a robust 700 MHzP25 radio system 6rr.r-rCs¡, with multiple talk groups for vår¡ous needs and providing seamless coverage across the service area.
RWJHN recently established physician a led clinical oversight Board. This board is responsible for our Quality Assurance (QA)/Quality lmprovement (el) process, clinical policies and procedures, formulary, practice, 'part¡cþants _clinical and treatment algorithms. include the company Medical Dr' ?'IT1or, Wang, the assistant medical director from each of the ALS and the ALS/BLS sites, SCTU clinical staff. We are lookinj tó-ãxpano the participation on to include physician the board specialists, contracted agenciõs or towns, inri""se general participation. "nd staff ln 2014, RWJHN received the New Jersey Statewide outstanding private EMS System award for excellence in EMS' one of the mã¡or factoÀ in leading to this recognition was development of the.Pit our crew cPR program that was started heie in 2014. This program resulted in a 237% increase in cardiac arrest survivaì since _to _neurologically intact discharge its inception. RWJHN has been able to sustain a cpc Level-1 from an'd 2 discharge rate 34o/o to 68% with witnessed cardiac arrests over the past two years. RWJHN has the experience, infrastructure, financial resources, physician participation and patient centric approach provide to the residents, workers and visitors to the Township of East Brunswick with the highest qualitv possible. òie-hospital ururgun.v medical care RWJ HN - Miss ion. . and Values
Guided by our hospital's C.O.R.E. mission.to provide Care, Outreach, Research, and Education, our mission is improve to the health, well-being, and safety of the patients and communities serve through we the highest quality care, community outräach, scientific research, prevention programs, and education of health care professionalð. our vision is to be a premier EMS provider in the eyes of our patients, employees, partners and communities, while championing the needs of humánity. We will achieve thaív¡sion while congruent with being our values' Those values are represented by the ,rronyr C.U.L.T.U.R.E.: commitment, understanding, Learning, Trust, unity, nespect, and Empathy." our team is centered around principles the of patients first, meeting the needs of our local communities, and supporting the county and state EMS resources as needed. RWJHN participates as the lead agency for the Central Region of the State of New Jersey EMS Task Force and is heavily involved in multiple local and iegionatspecial operations team supporting the health of our community. RWJHÑ, a member or [ne RWJBarnabas Health system academic has an affiliation with Rutgers University and the Robert Wood Johnson providing Medical School a wealth of resources in the area of cutting edge academic medicine. REQUEST FOR PROPOSAL 1. lntroduction RWJHN acknowledges that the Township is soliciting proposals from qualified respondents for the provisions of two (2) BLS ambulanceã ft,at would provide a Basic Life support ('B.LS') Emergency Mediiaí service 1"EMS"¡ response and transportation system for 24 hours, 365 days per year for the Township. RWJHN agrees to the proposed term contract.of three (3) years with an option to extend the contract for two o¡e (1)year extensions (2-)' based on the same terms and conditions commencing June 28' 2019' addition, ln RWJHN will add (1) additiànat Basic Life Support (BLS) ambulance from 10a 10p - Monday - Friàáy to improve performance during high demand volume' These ambulances will be licensed for BLS by the New Jersey Office of Emergency Medical Services, and will be staffed with two (z¡ property trained and certified emergency medical technicians.
2. 2.l Acknowledged 2.2 Acknowledged 2.3 Acknowledged 2.4 Acknowledged 2,5 Acknowledged 2.6 Acknowledged 2'7 Acknowledged RWJHN . agrees to pay $12,000 per year for fair market value for office space, including internet, electricity and bathrooms. RWJHN also intends to occupy the space at 346 Cranbury Road in East Brunswick that will house additional ambulances and resources that will supplement and provide additionai oeptn to the required 2-2417. ambulances required under this RFP. lf an appraÈri ¡r completed with a fair ma.rket evaluation greater than 912,000, then RWJHN agrees to pay the higher amount. 2.8 2.8.1 Acknowledged 2'8'2 Acknowledged. Completed and attached in Tab G for Exhibit B. 2.8.3 Acknowledged 2'8'4 Acknowledged. Completed and attached in Tab I for Exhibit D. 2'8.5 Acknowledged. Completed and attached in Tab J for Exhibit E. 2'8'6 Acknowledged. Completed and attached in Tab K for Exhibit F. 2'8'7 Acknowledged. Completed and attached ín Tab L for Exhibit G. 2.8.8 Acknowledged. 2.8'9 Acknowredged. compreted and attached in Tab p. 2.8.10 Acknowledged. 2.8.11 Acknowredged. compreted and attached in Tab e. 2'8.12 Acknowledged. Completed and attached in Tab M for Exhibit H. 2.9 Acknowledged. 2.10 Acknowledged. 2'11 Acknowledged' RWJHN does not intend to subcontract services other than mutuar aid designated ^ . _customary and approved by the town. 2.12 Acknowledged. 2.13 Acknowledged. 2'14 Acknowledged. RWJHN understands and mutually agrees that the date on which the work shall be.performed as specified in this RFPis an essential condition of this contract' RWJHN agrees that the services shall be peformed regularly, diligen¡y, and operated in a manner that will ensure optimal patient care and performance. RWJHN will provide remote dashboards to itre township that will mäasure oaily, weekly, and monthly performance.
Below is an example of those dashboards:
Firstwatch gauges are a real time web enabled tool used to manage contractual compliance. lt provid es interactive metrics and allows for online review of late calls based on the established busin ess rules. The exam le below shows dail , month and r-to-date contract com lance
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FleetEyes tool allows for real-time a view of active calls and vehicles, providing the viewer with their status, directions and destination details at a glance.
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RWJHN will meet or exceed the response t¡me requirements of less than ten (10) minutes no less than 85% of the occasions in seven (7) consecutivá ãays on duty. nw¡ùr.¡ is confident in our-ability to provide high-quality patient care and performance; therefore we have added a performance penalty to this RFp.
oamaoes: Failure lquloateo of RWJHN to comply with response time requirement ou¡ined by the Township could-result in damage to the Towisrrif. li w¡lr be impractiràl actual amount to determine the of .9uch. damage and whethår it is the event of delay or nonperformance. Liq.uidated damage amounts are not to be considered a penalty but shall be deemed and treated as reasonable liquidated damages. Failure to achieve the average response times indicated at Paragraph2.2 in anysingle-month will result in liquidated damage assessment of per $1000 occurrence for primary and/or secondary ambulance response' RWJHN shall pay such liquidated damages within ninety (g0) days áf assessment. 2.15 Acknowledged. 2.16 Acknowledged. 2.17 Acknowledged. 2.18 Acknowledged. 2.19 Acknowledged. 2.20 Acknowledged. 2.21 Acknowledged. 2.22 Acknowledged. 2.23 Acknowledged. 2.24 Acknowledged. 2.25 Acknowledged. 2.26 Acknowledged. 2.27 Acknowledged.
3. Scope of Work (SOW) RWJHN will dedicate two (2) primary B"t]. Life Support (BLS) ambulances in a ready state to respond. in the Township of Êast Brunswick ior git r"ir"rtr rãr service, which will operate 24 hours per day, seven days per week, 36s dais J tnã year, including recognized holidays that fall durj¡.9 that perìod, during the teim of this agreement. addition, RWJHN tn will add (1) additiónal Basic I-iie sup[ort (BLS) ambutance from 10p Monday 10a - -. Friday to improve performance during high demand ambulances volume. These will be licensed for BLS by the New Jersey orice of Emergency services, and will be Medical staffed with tuó (2) propeily tralned and certified emergency medical technicians' RWJHN will meet or exceed'the response time requirements of less than ten (10) minutes no less than 85% of the o"r""¡on, in seven (7) consecutive days on duty' RWJHN has over 40 trucks in the centraL nlgion providinj Éls, nls and sCT services' RWJHN serves as the Task Force host agency in the Central region. As a result we are the home agency for the New Jersey Óential EMS planner, and provide staffing and support for Mass casualty Response'unit (MCRU) 5, a response vehicle capable of providing equipment and supplies ior the tieatment of one hundred patients. As the licensed ALS provider for East Brunswick, RWJHN has multiple ALS units in region that support the and back-up the Township'of East Brunswick. RWJHN unique ability to provide 'pre-hospital has the state-of{he-art care starting with our comprehensive EMT protocols, protocols ALS and procedures, through ihe continuum of care to a designated health care facility. RWJiTN will transfãrt"ir'," patient to the destination of their choice (within ,"åron"ble ãistance volume)' with consideration to call Patients who are in need" of more sbeciåì¡zeo care (ïraur", ,,heart attack", s6H¿l or Acute Stroke will be transported the siate designated tieatmenicenters). A' RWJHN has the ability to respond to mass casualty incident, fire rehab, hazmat, special operations, tactical operation, and mass contamination- We do not currenly provide confined spaces and high angle rescue; but as the Task Force host agency in the central region we have the con'iacts to call in the county ano ái state assistance. team for RWJHN mass causality incident (MCl) response capability and experience is robust. As part of the. New Jersey EMS_ Lagk Force (NJEMSTFI, nwiHÑ ir of the state response to large incídents. -Response[art RWJHN oversees a Maós causaiity Unit (MCRU), a Medical Ambula.nce Bus (MAB), and uses these assets as part of a mass casualty response plan. ln addition to operational assets, Medientral Middlesex is the county emergency management dispatch point. The knowledge, experience, and abilities of the staff and managemènt staff, ensure the efficient and effective management of any large incident. Members of the management team have been significant contributors to the state EMS response to the Laige Scale incident Management program. This education is required of all EMSTF meñbers. Examples of some of the events the RWJHN has responded to in 2o1g are listed below:
Problem lncident # # of Units Motor Vehicle AccidentALS 2018-002469 5 Multiple ALS Pts Unconscious-ALS 2018-004343 9 CO incident Muftipte Pt Motor Vehicle Accident-AlS 2018-00491 1 4 Muftiple ALS Pts Motor Vehicle Accident-AlS 2018-006982 5 Multiple ALS Pts Burns-ChemicaI-ALS 2018-008724 11 9 pts HazMat Oærdose/Poisoni ng-ALS 2018-010773 6 Muttiple ALS OD Pts Motor Vehicle Accident-ALS 2018-018991 4 Muttiple ALS Pts Motor Vehicle Accident-BLS 201 B-01 9073 4 Multiple BLS Pt Motor Vehicle Accident-ALS 2018-023281 8 Multiple ALS Pts Motor Vehicle Accident-BLS 2018-024095 4 Multiple ALS Pts Motor Vehicle Accident-ALS 2018-025494 4 Multiple ALS Pts Motor Vehicle Accident-AlS 2018-027483 4 Multíple ALS Pts Cardiac Arrest-ALS 2018-030398 5 MultiAlarm Fire Drowning/Near Drowning ALS 2018-038582 5 Dile team Callout Respiratory-ALS 2018-038641 4 multiple GSW pts Other I njury-Trauma-AlS 2018-042900 4 large fight mufti-pt pt Motor Vehicle Accident-AlS 2018-046662 B Bus accident Muhiple pt Motor Vehicle Accident-AlS 2018-056399 4 Muftiple ALS Pt Standby-Fire-BLS 2018-065656 4 Multi alarm fire with multiple pts Motor Vehicle Accident-AlS 2018-068952 11 multiple als pt
B. lnitially the ambulances used for this RFp will be: 191 - 2018 Ford Transit (g,35g miles) 192 - 2018 Ford Transit (11,292 miles) We are expecting a delivery of new 2019 óodge Promaster vehicles. ïhose newer vehicles would be assigned to East Brunswick under this RFp. For full list of current vehicles please see Tab R. The ambulances C' will be equipped with two-way radio communication equipment capable of communicating with Township Políce Department and each p"rron staffed on the ambulance must have a portable handheld radio with the same capabilities. we acknowredge that the radios may only be programmed by the township radio vendor. D' All of our vehicles are maintained by Penske's maintenance program or the specific vehicle manufacture of the ambulance. EMS medical equip"ment that is required 'an to have service intervals is under contract with Emsar, approved maintenance equipment vendor. E. RWJHN uses a state of the art GpS positioning and location software by Street Eagle. Data from the GpS is im ported from Street Eagle into TriTech,s computer aided dispatch mobile data termin al for quick visualization and identification F. RWJHN uses TriÏech's incident base CAD system that captures, but is not limited to response times, time to scene, call types, destination, action taken, number of calls per day, per month, per year to medical calls once dispatched. G. The RWJHN made a significant investment i n the future of EMS by changi ng and expanding the leadership team to include: Jim Smith, VP; Tony Lauren Raffino , AVP; Johnson, Director; Deanna Douglas, Central EMS Operations Manager; and Zubin Mistry, Revenue Cycle Manager, all previous from Aflantic Ambulance; Jamie Chebra, Executive D irector of Northern previous Operations Director of EMS at JFK Medical Center; as well as Lafe Bush, Director of Central Operations, previous Director of EMS at Valley System. Health See attached organizatio nal chart with management and supervisory personnel including the medical director (Tab S) supported by bios for leadership (Tab T) and job descriptions (Tab U) H As per the RFP a su pervisor will be onsite 2417. ln addition to the on-site supervisor, the Townsh ip will be supported by a Regional Director, Regional Manager, Tour Chief and additional regional road supervisors. The Tour Chief and supervisors are assigned by shift and are available 2417 l. RWJHN has been providing ems services for 3Z years, we provide primary ems coverage for 20 municipalities, and furthermore , we have the financial backing of a 5 billion dollar health system to su pport our EMS operations. These factors demonstrate RWJHN's ability to main tain the services required for the term of the agreement. Located below is a map of our service area surroundin g the Township (larger version in Tab W) as well as a list of references. Additio nally, in you ïab V can find a consolidated financial statement for the health g" system
Rt¡ô8H As.,et Locðtions S ¡us S ¡l.sls{.s S +sisrs¡scru S ¿s,'scru * aLs S scru {Ê ffirå'tr' 80¡¡diô9 -:,i Ë"i &ùn*ick effi RtvJsH 815 - tHrdge RTVJBH Â15 E lær.0e Municipality Telephone Contact/Title Address Service Years of number Service Thomas 78 Bayard City of New Loughlin, Street, New 911 BLS Brunswick 732-745-5010 x1 with 37 years Business Brunswick, NJ EMD,24t7 Administrator 08901 379 South Hillsborough Anthony Ferrera, Branch Road, 911 BLS x2, years ïownship Business 908-369-431 3 2 Administrator Hillsborough, NJ 24t7 08844 48 South River Mark Tinitigan, Washington 911 BLS x1, Street, Borough Chief of Police South 732-238-1000 6am to 6pm, 7 New River, NJ 08882 days per week Terri 221 South Sth 9'11 BLS x1, Highland Park Jover, Avenue, 6am to 6pm, Borough Business 732-815-3789 New Administrator Highland Park, Monday to NJ 08904 Friday Timothy Piscataway Dacey, 455 Hoes Lane, 91 1 BLS x1, Business Township Piscataway, NJ 732-529-2528 7am to 7pm,7 13 years Administrator 08854 week 911 BLS x1, 475 6am to 7pm Franklin Sgt. Brian Farrar DeMott ïownship Lane, Somerset, 732-873-5533 Monday to NJ 08873 Friday,24 hours 13 years Saturday and Sundav Dan Mason, Manville, South 911 BLS x1, Bound Brook, 6am to 6pm SASSA Contract Administrator Raritan Borough, 908-337-0081 Monday to 'l 8 years Bridgewater Friday
6 Prospect 911 BLS x'l, Far Hills I Patty Segal, 6am to 6pm 8 years Bedminster President Street, Far Hills, 908-234-2666 NJ 07931 Monday to Friday 16 Lanning 911 BLS x1, East Windsor Janice Mironov, Boulevard, East Sam to 7pm 4 years Township Mayor 609-443-4008 Windsor, NJ Monday to 08520 Friday 2090 Greenwood Hamilton John Ricci, Avenue, 911 BLS Township Business 609-890-3599 x2, 20 years Administrator Hamilton, NJ 24t7 08650 2480 Plainfield 911 BLS x1, South Plainfield Glenn Cullen, Avenue, South 6am to 6pm Borough Business 908-226-7602 5 years Administrator Plainfìeld, NJ Monday to 07080 Friday 357 South 911 BLS x1, 7am-7pm, Livingston Craig Dufford, Livingston Monday to New Township Fire lnspector Avenue, 973-992-2373 Livingston, NJ Friday. Back up 07039 2417 Io First Aid Squad
J RWJHN has been cont¡nuously providing emergency medical serv¡ces (EMS) since 1982 to a coverage g area that spana couñties'in New Jersey. we are a comprehensive mobile health division that provides BLS, ALS, communications, scr, ÈMS EMS and trauma education, commun¡ty out'reach,' inlú.v prevention education, and EMS disaster response and education. RWJHN tréats and transports more than 101,000 patients annually. nW¡ffru is dedicated to delivering patients our high-quality treatment and transportation with compassion, dignity, empathy, and respect. As the region's needs for healthc"r" euoiu", n"* challenges arise. RWJHN meets theìe challenges with state of the art equipment, a modern fleet, a superior communicatio-ns center, and a dedicated team of medical directors and management. But most importanly, we have skilled, caring EMS professionals who make us proud every day. Our team will work collaboratively with the Township to ensure that firét and foremost, the patients we serve in your community receive the highest quality of prehospital care available. Our commitment starts with each patient, their fãmilies, and our communities. Professionally, we extend these commitments to our partners and fellow first responders. K. The management team is not aware of any complaints and/or violations issued against the organization. L' Although extremely rare, there have been occasions where a complaint or inquiry has been made against an emproyee. RWJHN can assure you that ail complaints and inquiries are investigated, reviewed, and remediated as soon as possible. M' All of our staff is provided with training above the minimums required by the State' Hazardous materials, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE) incidents, lncident and the National lncident Management System. They "om,iand, also receive training-and in epinephrine auto injectors, Continuous Positive Ainruay Pressure (CPAP), Naloxone administration. Upon hire the employ_ees complete competencies on all of these procedures in addition to basic EMT skills to ensure that they are performing to the highest standards. N' Our new hire orientation is modeled after the National EMS Management,s (NEMSMA) Field Training and Evaluation Program (FTEp), for which RVV¡U¡1 is a national training center. The orientation includes ò days.of classroom material covering all of the required topics and competency sessións; diver safety tráining; High Reliability Training; HIPAA and privacy training. Following the classroom portion of the orientation the employees are moved into t¡elO training as an extra provider with a certified Field Training Officer (FTO). Once they-successfully complete this portion of the training, they are placed lnto the filed as a second provider, but remain with an rro uÀt¡l ftrey are ieleaseJ from orientation. o' All of our staff members are required to tomplete annual competency sessions and mandatory modules on our e-learning system. These sessions far exceed the minimum requirements of the State for eH¿Ts. Additionally, we have a comprehensive quality assurance program that monitors óur provider's performance. The competency sessions, training modules, and eA prog*, o_verseen by our Medical Directors and clinical quality department. "r" RWJHN P. utilizes three primary means of communicating timely, accurate, and accountable information to our staff, Each shift has an assigñed roll-call with their assigned tour chief. The crews call-in on a conference line and receive a brief and important events/issues. EPro is our communication/logistics platform that allows policies for to be posted, CEU's to be loaded, and aðcountäb¡lity by read receipt from each emproyee. workprace is company communication platform that allows emproyees to have an app on their phbnes and ailows documents and policies to be posted, work groups and chats, and direct immediate communication with every member of ifre team. ln addition, there will be supervisor on site that will be available to update providers and share communication throughout the shift. Q. Acknowledged. R' RWJHN agrees during the term of the contract a supervisor must be on duty within the Township at all times with an independent vehicle and is not assigned position a on the ambulance. The supervisor will assist dispatch with the ambulance assignments and may conduct triage at any EMS call in which the other two BLS ambulances are involved in påtient care. The supervisor will respond to large scale fire, request for helicopter, or any other large scale emergency or at the request of the Contract Managei or Police Watch Commander' The supervisor for East Brunswick will alsJ be supported by two additional road supervisors and a Tour Chief that are all available in the región. S. Acknowledged. T. Acknowledged. U. Acknowledged. Acknowledged. V. The two township BLS units provided will be stationed in their respective assignments during the contracted shift. The Township will designate the area that the unit(s) will be stationed. The contract units will ONLy res-"pond to EMS related calls and not for hospital transports or backfilling jurisdictions. other All mutual aid requests will be approved through the policé watch commander. W. Acknowledged. X. Acknowledged. RWJHN will meet or exceed the response time requirements of less than ten (10) minutes no less than 85% of the occasions in seven (7) consecutive days on duty. RWJHN is confident in our ability to provide high-quality patient care and performance; therefore we have added a performance penalty io this RFp. Liquidated Damaqes: Failure of RWJHN to comply *¡tf' response time requirement outlined by the Township could result in damage to the Township. lt will be impractical to determine the actual amount of such dãmage and whether it is the event of.delay or nonperformance. Liquidated damage ariounts are not to be considered a penalty but shall be deemed and treated as reasonable liquidated damages. Failure to achieve the average response times indicated at Paragraph 2'2 in any single month wifl result in liqùdated dur"g" assessment of $500 per occurrence for primary anà/or secondãry ambulance response. RWJHN shall pay such liquidated damages within ninéty (90) days of assessment. Y. Acknowledged. Acknowledggg Z' 4n example of proposed RWJHN monthly report to the township can be found in Tab X. Acknowledged. M. An example of proposed RWJHN quarterly financial report to the township can be found in Tab y. BB. Acknowledged, CC. Acknowledged. DD. Acknowledged. Completed and attached in Tab e. EE. Acknowledged FF. Acknowledged GG. Acknowledged HH. Acknowledged.
4. Proposal Requirements 4.1 Acknowledged. RWJHN is the state's largest EMS company serving 6 counties, with nearly 1000 employees, 190 vehicles, over 25 base locatíons, anã with over 120,000 åmergency patients transported each year. We offer our communities high level pre-hospital EMS services which include Emergency Dispatch, BLS-EMS, paramedics, and Critical Care Nurses' Each community is unique and operates slightly differenfly tfrioughout the state. o-ur agency is uniquely adept in our ability to assist in uá.fing models to meet the needs of our communities. pride We ourselves as an for our dedication to our communities, for our reliability "gu,;ry with exceeding service [erformance, and maintaining our relationships. Earlier this year, RWJHN incor-porated the system Training Center into the departm-ent to improve education, continuing education, and yearty comietencies for all levels of our staff. we.created a Physician-oversite Bôàro tÞoei to oversàe all of our clinical objectives, protocols, practiðes, and staff education. ín addition, we have implemented employee based operations and safety committees in order to quickly identify hazards, review incidents/accidents and havá the employees take part in the solution. Primarv Contractor: Anthony Raffino, MlCp, Fp-C Assistant Vice President Main number: (732) 419-8169 Fax:(732) 418-8199 Ema il : Anthonv. Raffi n o@n¡,ribh.orq
Agency Name Contact Date/CosUSe rvtce Mileage Status/Comments Frankl in Township Sgt. Brian Farrar 13 years Area:46.85 mi2 Contract in good 732-873-5533 No cost Population: 57,758 standing. 911 BLS x'l, 6am to (2017) 7pm Monday to Friday, 24 hours Saturday and Sunday Hillsborough Anthony rrera, years 2 Area: 55 mi, Contract n good Township Business No cost Population: 40,003 standing. Administrator 911BLS x224tT (2017) 908-369-431 3 SASSA Mason, years 18 Manville, South Contract in good Contract $9,1 00/year Bound Brook, standing. Administrator 911 BLS x1, 6am to Raritan Borough, 908-337-0081 6pm Monday to Friday Bridgewater
4.2 Acknowledged. Completed and attached ín Tabs S, T, & U. 4.3 Acknowledged. 4'4 Acknowledged. compreted and attached in Tabs A, D, E, G, H, B respectively. J, and 4'5 Acknowledged' RWJHN intends to occupy the space at 346 Cranbury Road in East Brunswick as well as the Townshíp designateá office space, including internet, electricity and bathrooms.
5 Evaluation, Review and Selection process 5.1 Acknowledged. 5.2 Acknowledged. 5.3 Acknowledged. 5.4 Acknowledged. 5,5 Evaluation Criteria. Acknowledged. 5.5.1 Technical Competence and Experience a. Please see response for 3.A. b. Please see response for 3.8. c. Please see response for 3.D. d. Please see response for 2.14 e. Please see response for 3.E. 5.5.2 Management and personnel eualifications a. Please see Tab T. b. Please see Organizational Chart/Reporting Structure in Tabs S, T, &U. c. Please see response for 3.1. as well as faU V, d. Please see response for 3.J. e. Please see responses for 3,K 5.5.3 Training a. Please see response for 3.M. b. Please see response for 3.N. c. Please see response for 3.O. d. Please see response for 3.p, e. Please see response for 3.L. 5.5.4 Payment Provision RWJHN agrees to pay the fair market value of $12,000 for the office space, including internet, electricity, and bathrooms and for receiving exclusive rights. lf an appraisal is completed with a fair market evaluatioñ greater than 912,000, then RWJHN agrees to pay the higher amount. 5.6 Acknowledged. 5.7 Acknowledged. 5.8 Acknowledged. TOWNSHIP OF EAST BRUNSWICK
RFP DOCUMENT CHECKLIST Read, Acknowledged, Signed & Submitted Respondent's Initial FAILIIRE TO SUBMIT ANY OF THESE ITEMS IS MANDATORY CAUSE FORREJECTION OFRF'P 1 Statement of Ownership Disclosure (Ex. D) 2 Non-Collusion Affidavit (Ex. E)
3 Certification of Political Contributions (Ex. G) 4 Disclosure of Investment in Activities in Iran (Ex. H) 5 Payment Provision Fonn (Ex. I)
6 Acknowledgement ofReceipt ofAddenda (Ex. J) 7 Affirmative Action Letter, Certificate or Employee Information Report AA- J 02 (Ex. c) (Submit copy of State Certificate of Employee Information Report Prior to Contract A
SUBMITDOCUMENTS ÄT TIME OFRFP RESPONSE DUE DATE I Lette¡ of lntent (Ex. A) 2 Qualification Statement 3 Key Personnel Information
MUST POSSESS CERTIFICATE BY CONTRACT .SUBMISSION AWARD DATE OF CERTIFICATE WITH RESPONSE PKEFERRED" I New Jersey Business Registration Certificate (BRC) from the State ofNew Jersey D"p artment of Division of .J.S.A. 52.,3 2-44 2 New Jersey Business Certificate Named Listed Subcontractor(s)
DOCUMENTS UIRED BY CONTR-{CT AWARD DATE I Certificates of Insurance naming Township as additional insu¡ed
READ ONLY I Americans With Dìsabiliry Act of 1990 Language
Signature: The undersigned hereby acknowledges that he/she has submitted the required documents with the Qualifications Statement and will submit the remaining required documents prior to execution of a contract rvith the Township. "Jrrrn Name of Respondenl Firm: tñCùcl l*kii lbvr l\ Print Name and Title: Signature: Date: .{ l¿ 21lP age RW..Barnabas HEALTH James F. Smith V¡ce President Mobile Health Exhibit A TOWNSHIP OF EAST BRUNS\ryICK LETTER OF INTENT Date: April 16,2019 Nennette Perry, Municipal Clerk Township of East Brunswick I Jean Walling Civic Center Drive East Brunswick, New Jersey 08816-108 I Re: Letter of Intent Dear Ms. Perry: The undersigned, as Respondent, has (have) submitted the attached Proposal in response to a Request for proposals (RFp), issued by the Township of East Brunswick dated April 16,2019 in corurection with the "Project". The undersþned hereby states: 1' The Proposal contains accurate, factual and complete information to the best of our knowledge and belief. The proposal is submitted good in faith' I/we understand that any false statement may result in mylour disqualification. 2' Respondent agrees to participant good in faith in the procurement process described in the RFp and to adhere to the Township's procurement schedule. 3' Respondent acknowledges that all costs incurred by it (them) in connection with the preparation and submission of the Proposal, amendments thereto, and any other documents prepared and submitted in råsponse to the RFp, or any negotiation which results therefrom shall be bome exclusively by the Respondent. 4' Respondent hereby declares that the only persons anticipated by Respondent to perform the professional services for which this Proposal is submitted are named herein and that no person othei than those hereìn named participated in this proposal or will participate in any contract to be entered into between Respondent.and the Township. Respondent declares that this proposal is made without connection with any other person, firm or parties who submitted a Pàposal, except as expressly set forth below, and that it has been prepared and submitted in good faittrand without collusion or fråud. 5' Respondent acknowledges and agrees that the Township may modifu, amend, suspend and/or terminate the procurement process (in its sole judgement). 6' Respondent acknowledges that if it becomes the Successful Respondent and is awarded a contract to provide the Services, it shall comply with all applicable affrrmative action and equal emptoyment opportunity laws. a Signed: Printed: Smith Title: Vice President 379 Campus Drive Somerset, NJ 08873 732.418.8363 James. Smifh@ rwjbh.org Exhibit B TOWNSHIP OF EAST BRUNSWICK EXIIIBIT A - MANDATORY EQUAL EMPLOYMENT OPPORTUMTY LANGUAGE PER cooDs,pRo'El¡1å$;il¡î"1ríd;'ÅHäJ$"ii;"rLi.#i*coNrRAcrs During the performance of this contract, the contractor agrees as follows: The contractor or subcontractor, u'here applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, anceshy, marital ,tãtor, affectionàl or sexual orientation, gender identþ or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the confractor take will aff,rrmativJaction to énrur. that such applicants are recruited and employed, and that employees are treated during employment, without regard to their age,race,creed., color, national origin, ancestry, marital status, affectional or sexual orientation, gender identirylr expression, disabilþ, nationality or sex. Such action shall include, but not be limited to the following: employmeni upgråding, demotion, oi t unrr.q recruitment or recruitment advertising; layoff or termination; rates of pay oì otn"r fo"ns of co"mpensation; and selectíon for training, including apprenticeship. The contractor agïees to post ìn-conspicuous places, avaiiable to employees and applicants for employment, notices to be provided by the public Agency Complìance officer setting forth provisions of this nondiscrimination clause. The contractot or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender iaentit! àr expression, disability, nationality or sex. The contractor or subcontractor, u'here applicable, will send to each labor union or representative or workers with which it has a collective bargaining agreement or other contract or.understanding, a notice, to be provided by the agency contracting officer advising the labor union orworkers'representative of the coritãcbr's commitments under this act and shall post copies of the notice in conspicuous places availatle to employees and applicants for employment. The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N'J'S'A' 10:5-31 et seq', as amended and supplementeà from time to tine and the Americans with Disabilities Act. The contractor or subcontractor agrees to make good faith efforts to employ minority and women workers consistent with the applicable township employment goals eitablished in accordanìe with N.J.A.ç. 17:27-5.2, or a binding determination of the applicable township employment goals determined by the Division, pursuant to N,J.A,C. 17:27-5.2. The contractor or subconhactor agïees to inform in writing its appropriate recruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, universiiies, labor unions, that it does not discriminate on the basis ofage, creed, color, national origin, ancesûy, rnuritui status, affectional or sexual orientation, gender identity or expression, disabilþ, nationality or sex, and that it will discontinue ih. ur. of any recruitment agency which engages in direct or indirect discriminatory practices. The contractor or subcontractot agrees to revise any ofits testing procedures, ifnecessary, to assure that all personnel testing conforms with the principles ofjob-related testing, as establisñeã by the státutes and court decisions of the State of New Jersey and as established by applicable Federal law an¿ applicable Federal court decisions. 23 lPage ln conforming with the applicable employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identify or expression, disability, nationality or sex' consistent with the statutes and court decisions of the State oÑew Jersey, ãnd appìicable Federai law and applicable Federal court decisions. The contractor shall sybmit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents: Letter of Federal Affirmative Action plan Approval Certificate of Employee Information Report Employee Information Report Form 4A302 The contractor and its subcontractors shall furnish such reports or other documents to the Div, of Contract Compliance & EEO as may be requested by the offtce from time io time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Div. of Contràct bompliance & EEo for conducting a compliance investigation pursuant to subchapter 10 of the Ad;inistrative Code at N.J.A.C. 17:27. SAMPLE CERTIT'ICATE OF EI\{PLOYEE INF'ORMATION REPORT cEnnHcATE oF EuployEe ¡xronr¡ffiä# ruNAL Itlb b þ ðrüly ür Èlt co¡brcbr ffuiliar Fprt Pllil¡mtþ ru.â.c, I'gl4,l f. rcq. rnd tln TÌù ryruf,l rlnfi*rh tütt*lühc p.rlod{f r5ÐFC-t0)o( SAlFt¡ @ilFåtff, ffi st¡trTrx¡rr 24lPage CERTIFICATE OF 4 40 3 EMPLoYEE IN FoRMAnoI¡..HËFå*, RENETAA Thls is to certifu that the contractor N.J.A.C. 17:27_1.1 et. seq. and the lnformation Report pursuant träsr to effect for the period This of 15 approval will remain in 2 o20 'a:'i ..:; ' ¡ ¡l ,:"-- -" T ROBERT t',i IÙOOD üOHNSON ':.': ONE ROBERT ¡fooD üOENSON NET{ BRUNSÌÍICK NJ 08 @a ':i,yr:"'"',::"i Enclosed is your Certificate of L,mptoyes lnr_¡rr'or¡v "Certificate" and issued based on the Employee Information Report (AA-302) form completed by a representative of your company or firm. receipt, this certificate should be forwarded to the person in your company or firm ble for ensuring equal employment opportunity and/or overseeing the company or fïrm's contracts with public agencies, Typically, this person may be your company or frrm's Human Resources Manager, Equal Employment Opportunity Officer or Contract Administrator. If you do not know to whom the certificate should be forward, kindly forward it to the head of your company or firm. Copies of the certifÏcate should also be distributed to all facilities of your company or firm who engage in bidding on public contracts in New Jersey and who use the same federal identification number and company name. The certificate should be retained in your records until the date it expires. This is very important since a request for a duplicate/replacement certificate will result in a $75.00 fee. On future successful bids on public contracts, your company or firm must present a photocopy of the certificate to the public agency awarding the contract after notification of the award but prior to execution ofa goods and services or professional services contract. Failure to present the certiflrcate within the time limits prescribed may result in the awarded contract being rescinded in accordance with N.J.A.C, 17:27-4.3b. Please be advised that this certificate has been approved only for the time periods stated on the certificate. As early as ninety (90) days prior to its expiration, the Division will forward a renewal notification. Upon the Division's receipt of a properly completed renewal application and $150,00 application fee, it will issue a renewal certificate. In addition, representatives from the Division may conduct periodic visits and/or request additional information to monitor and evaluate the continued equal employment opportunity compliance of your company or firm. Moreover, the Division may provide your company or frrm with technical assistance, as required. Please be sure to noti$ the Division immediately if your company's federal identification number, name or address changes. If you have any questions, please call (609) 292-5473 and a representative will be available to assist you. Enclosure(s) (AA-01 Rev. I l/l t) New Jersqt Is an Equal Opporlunity Employer. Printed on Reqtcled and Recyclable paper Exhibit C TOWNSIilP OF' EAST BRUNS\ilICK AMERTCANS WITH DISABLITIES ACT OF'1990 EQUAL OPPORTUNITY FOR INDIVIDUA.LS WITH DIABLITY The RESPONDENT and the TOWNSHIP oF EAST BRLTNSMCK (herein referred to as rhe TOWNSHIP) do hereby agree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 U'S'C. Si2101 et seq.), which prohibits discrimination on the basis of disabilþ by public entities in all services, programs and activities provided or made available by public entities, uná tn. rules ¿nd regulation promulgated pursuant thereunto, are made a part of this contraót In providing any aid, benefrl or service on behalf of the TOWNSHIP pursuant to this contract, the RESpONbgNf ugr.., tlrui the performance shall be in shict compliance with the Act. In the event the RESpONDENT, iIs agents, servants, employees, or subcontractors yi91{r or are alleged to have violated the Act-Ourin! tná performance of this contract, the RESPONDENT shail dèfend the TOWNSHIp in any actiõn or administrative proceeding commenced pursuant to this Act. The RESPONDENT shall indemnify, protect, and save harmless the TOWNSHiP, its agents, servants, and employees from and against uny und ail suits, claims, losses, demands, or damages of whatever kind or nature uiiring out of theälleged violation. The RESPONDENT shall, at its own expense, defend, lppeaq, and pay any and, all charges for legal services and any and all costs and other expenses arising from such action ór administrative påceeding"or incurred in connection therewith. In any and all complaints brought pursuant to the TOWNSHIP;S g.i"rrun"" procedure, the RESPONDENT agrees to abide by any decision of the TOWNSHIp, which is rendered pursuant to, grievance said procedure. If any action or administrative proceeding result in an award of damages against the TOWNSHIP or if the TOWNSHIP incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure the RESPONDENT shall satis$r an discharge the same at its own expense. The TOWNSHIP shall, as soon as practicable after a claim has been made against it, give written notice thereof to the RESPONDENT along with full and complete particulars of the cl-aim. Ifuny action or administrative proceeding is brought against the TOWNSHIPoT any of its agents, servarts, and employees, the TOWNSHIP shall expeditiously forward or have forwarded to the n¡SpOw¡pNT every åemana, complaint, notice, summons, pleading, or other process received by the TOWNSHIP or its representatives. It is expressly agreed and understood that any approval by the TOwNSHip of the services provided by the RESPONDENT pursuant to this contract will ñót relievå the RESPONDENT of the obliþation to comply with the Act and to defend, indemnify, protect, and save harmless the TOWNSHIp pursuaãt to this paragraph. is agreed It fuither and understood that the TOWNSHIP assumes no obligation to indemniflr or save harmless the RESPONDENT, its agents, servants, employees and subcontractois for any claim which arise may out of their performance of this Agreement. Furthermore, the RESpONDEÑT expressly and agrees g1de1s]ands that the provisions of this indemnification clause shall in no way limit the RESPONDENT'S obligations assumed in this Agreement, nor shall they be construed to relieve the RESPONDENT from any liability, nor preclude the TOWNSHIP from taking any other actions available to it under any other provisions of this Agreement or otherwise at law. 25 lPage Exhibit D TOWNSHIP OF' EAST BRUNSWICK STATEMENT OF OWNERSHIP DISCLOST]RE N.J.S.A. 52:25-24.2 (Þ 6, c.43) This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid oiprôposat. NameofOrganization: Í.lcrv:,¿r'T !,U::,*rj lrnrrl.g¡¡ \it¿:r\\t N\{tw¿,vL 'i Organization Address i i'r Pt',1ú T-'r{r"1 'i"rV e¿ri. vÇ,i!- l*\ I ç'tt"iùt Part r - check the box that represents the type of business organization: sole Proprietorship (skip Parts II and III, execute certification in part rv) d Non-profit Corporation (skip Parts tI and III, execute certification in part IV) I For-Profit Corporation (any rype) Limited Liability Company (LLC) fl Partnership fl li-ir"¿ Parrnership n ri*it"¿ Liabiliry partnership (LLp) n other (be specific) Part II f fn" list beiow contains the names and addresses of all stockholders in the corporation who own 10 percent or more if its stock, of any class,. or of all individual partners in the partnership who own a 10 percent or greater interest therein, or of all members in the limited liability company yh9 own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN TIIIS SECTIOÐ OR M No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent greater or interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART fÐ (Please attach additional sheets if more space is needed): Name of Individual or Business Entity Home Address (for Individuals) or Business Address 26 lPage Part Irr - DrscLosrIRE 10% oF oR GREATER OWNERSHTP IN THE STOCKITOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART TI If a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a l0 percent or greater beneficial interest in the publicly traded parent *ntity as ofthe last annual feàeral Security and Exchange Commission (SEC) or foreign equivalent !lin_s, ownership diiclosure can be met by providing links îo the website(-s) containing the last annual filing(s) the with federal Securities and Exchange Commission(ór foreign-equivalent) that contain the name and address of each person holding a |0o/o or greater benef,rciaiinterest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website the last annual SEC or utv #rs Please list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, parhrership and/or limited liability part company-be (LLC) listeã in lt other than for any publicly traded parent entities referenced above. The disclosure shall continued until names and address"s of evåry non- corporate stockholder, and individual partner, and member exceeding the 10 percent orvnership criteria established pursuant to N.J.S.A' 52:25-24.2 has been listed. Attach additional sheets if more sface is needed. Sto ckhol d erÆartn erl}Iember and Corresponding Home Address (for Individuals) or Business Address Entity Listed in Part II Part fV - Certifïeation I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the bidder/ respondenti that the Townshìp of Eøit Brunswickis relying on the information contained herein and that I am under a continuing obligation from the date of this cétiñcation through the completion of any contracts with Towttship of Eøst Brunswiclr to notifu the Township of Eøst Brunswick in writing of any changes to the information contained herein; that I am u*år. that it is a criminal offlense to make a false statement or misrepresentation in this certification, and if I do so, I am subject to criminal prosecution under the law and that it witl constitute a material breach of m¡ ugt."-.ni¡s) with the, permitting the Townshíp of Eøst Brunswick to declare any contract(s) resulting from this cãrtificatiù'void and uienfor".ãb1.. Full Name (Print): Title: ]ir'.-\:> F. Svl.^rNa Vtc¿ ?rtsirfu,rt Signature Date: Tf tiitci 2TlPage Exhibit E TOWNSIilP OF EAST BRUNSWICK NON.COLLUSION AFFIDAVIT ¿.< I, rîlr of the City of t\',' ßruxr:u u tC\L Inthe County of t\1i,.4,ci\< ae ,". , and the State of ,L'v {'r3{ of full age, being duly sworn according to larv on my oath depose and say that: Iam tr*x- Prï.-t r-rt of the firm of 'Ê{lrl,:"i* trÂCCci J¿-:irrrS:,ur i\f_Cl\Nr Niuh*aaL, rhe Respondent herein, and I executed the Respondent with full authority to do so; that the Respondent has not directly or indirectly, entered into any agïeement, participated in any collusion, or othenvise taken any action in restraint of free, competitive proposing in connection with the above-named Vendor, and that all statements contained in the Proposal and in this affrdavit are true and correct, and made with full knowledge that the Township of East Brunswick relies upon the truth of the statements contained in the Proposal and the statement in this affidavit in awarding the contract. I further warrant that person no or selling agency has been employed or retained to solicit or secure a contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by ÊWl H.eai tri¿irruc rl: (Ì.{ame of Vendor) i-' (i rr^vtS F 3r-.'rtfrr V¡(¿ Pcrs\cl-.vt1- Print or Type Name and Title day of 20 tî Notasy of ew Jersey ZUBIN B. MISTRY My Cornmission Ezçires ló iIOTARY PUBUC 81A18 OF TIEW JERSEY My cottilsstoil ExptFEs oEc. ro, eo23 23lPage Exhibit F TOWNSIilP OF EAST BRIINSWICK TI{ESE ARE SAMPLES OF TI{E ONLY ACCEPTABLE BUSINESS REGISTRATION CERTTTICATES PREFER WITH RFP RESPONSE, REQUIRED BY LAV/ PRIOR TO AWARD OF CONTRACT gT'ÁY! Ol ll¿Y¿ ì¡¿lSlY FUSÞiESs Rt6¡5TRAT:Oì .çtt]ÌftcÅ-rr ro8 tT^T[ ÂçE¡lcy À¡io c.åst]¡o ¡.lRvtcE d TÅÄ.'P.AY€Ê 'r¡AIvIE: TÁX AETIS]BÀNOH lEsT ACGOUHÎ CLI sTnÀ TAXPAYe.R lÐEÎ.{TtftC.4TlüN3: ñUlr4BER: Ù7ÈOttr.382! 5to DÂTËì orlt4rol alJt,*'9r/l I'¡i+ dç*t,a¡tr ,{ t iT ¡r4+/úúit p Þüü"rt *.¡r' x'*H,*"*¡,¿HÞj,iò, ST,A.TE OF NEW JERSEY ffi BTI S ¡ NESS REGISTR.A.TI ON CERTIFIC,A.TE Trrspr¡'+r:\irrmc: 'l',1N R[{: ]l:S'f ..\('('()t-;ñi' Tr¡de Ntnr¡ ,{dd¡.($s: 84? RrJ[Bt_tNG.1vt: ïRr.\:roN. NJ fjs(it¡ . Crnificsl.c l{un¡bcr: tü9i!\r7 l)¡le r¡f lffuqnc.c¡ Ot'lotxr I ¿. ?ü(H ' $ur {)fficc tìsc 0n[': lf¡o{t{tl4ltttu533 29 lPage N.J. Department of Treasury - Division of Revenue, On-Line Inquiry Page 1 of 1 STATE OF I{EW JERSEY BUSIF{ESS REGISTRATTOF{ CERTTFICATE 'l'ax¡rayer Nanre: ROBERT WOOD .IOI{NSON HEALTi-I NETWORI(. INC fradc Namc: ,4.ddress: I20 ALBANY ST STE 750 NEW tsIìUNSWICK. N.I 08901 Cerfificatc Nrunl¡er: I 672088 Effective Ðafc: October 20. 201 I Date cf Issua¡rce: Decernlrer 26"2012 For Office Use Only: 70121226160it41380 https : //www 1 . state.nj.us/TYTR_BRC/servlet/common/BRClogin t2126t2012 STATE OF NEW JERSEY DEPARTMENT OF TREASARY SHORT FONA STANDING ROBERT WOOD JOITNSON HEALTH NETWORK,INC, 0100648 100 With the Previous or Alternate Name ROBERT WOOD "\OHNSON HEALTH SYSTEM,INC. (Prevìous Name) I, the Treasurer of the State of New Jersey, do hereby certify that the above-named New Jersey Non Profit Corporation was registered by thß ffice on December 8, 1995. As of the date of this certificate, said business continues as an active business in good standing in the State of New Jersey, and its Annual Reports are curuent. Ifurther certify tltat the registered agent and registered ffice are; Carl O'Brien 120 Albany Street Suite 750 New Brunswick, NJ 0890I "fHE IN TESTIMONY WHEREOF, I have hereunto set my hand and afftxed my Official Seal aI Trenton, this îth day ofJune, 2008 ñ (,ø, R. Davíd Rousseau Certification# I 1209 037 | State Treasurer Verify thís certificate at https ://www I . state.nj.us/TYTR_StandingCerlJSPA/eriff_Certj sp Page I of I Exhibit G TOWNSHIP OF' EAST BRTINS\ilICK CERTIFICATION OF POLITICAL CONTRIBUTIONS Name of Business Entity: \.* (Respondent) l1¡\'(í, ?iitç:;.'<¡ 1.'r-,'i- þ !\ \t cdctc\ Contact Person: Þri sir¿-i,ïf and Title) íj¡,:,¿ L\r\a Ç-i' ú{-i t"BLl-) Çirr,re vc¡ní -.1 \-r^.c-c\ritr\ Proposal Submitted for: 5"t .'v .l rrq ,..r-,r-r'l ' !-tSl{-nr (i.e., Township Engineer; r Counsel, etc.) 'L0 Date of Proposal: \u , \ct STATE OF NEW IERSEY SS: Coti-NTY oF '3t,¡,irii\¿Se \ ---l )i-'.r'\-.tí S F. ':nrtN., , being duly swom, upon his/her oath deposes and says I am v, út Pr-tlr¿lln* of the Respondent referenced above, (title) I have read Township of East Brunswick Ordinance No. 06-13 Establishing Restrictions on the Award of Contracts to Professional Entities and Certain Other Entities Who Make Certain Political Contributions, and pursuant to Section 3 (a) thereof; and I state that the Respondent has not made any contributions in violation of Section I of Ordinance No. 06-13. Subscribed and srvorn to before me this _,¿!"_¡uv of 20 tq ZUBIN B. MISTRY N.qTARY F.UBLIC. STATË OF NËW JERSEY MY €xPlRES OEC. 10, 2023 ) Notary Jersey My Co Ëxpires D...-lrr- ,9o23 30 lPage Exhibit H TO\ryNSHIP OF EAST BRTINSWICK DISCLOSURE OF'INVESTMENT ÄCTTWTIES IN IRÄN Ë.nr5 n¿r! (i\-\at BID/RFP/S olicitation : BidderiOfferor: .ÈU;T t\ec*.tllr ñ<*u,-r,^r L PaÉ 1: Certification BIDDERS ARE TO COMPLETE PART 1 BY CHECKING EITHER BOX Pursuant to Public Law 2012, c. 25, any person or entþ that submits a bid or proposal or otherwise proposes to enter into or renew a contract must complete the certifìcation below to attest, under penaþ of perjury, that neither the person or entity, nor any of its parents, subsidiaries, or affiliates, is identified on the Depaftment of the Treasury's Chapter ZS list as a person or entity engaging in investment activities in han. The Chapter 25 list is found on the Division,s webiite at htfp://rwi'rv.state.nj.us/treasuty/purchase/pdf/Chapter25list.pdf. Bidders must review this list prior to completing the below certification. Failure to cornplete the certification may render a bidder's proposal non-responsive, If the Director finds a person or entity to be in violation of the law, slhe shall take action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recoveiing damagãs, declaring the parly in default and seeking debarment or suspension of the parfy. PLEASE CHECK THE APPROPRTATE BOX: I certi$r, pursuant to Public Law 2072, c.25,that neither the bidder listed above nor any of the bidder,s parents, J subsidiaries, or affiliates is listed on the N.J. Department of the Treasury's list of entities determined to be engaged in prohibited activities in kan pursuant to P.L. 2072, c.25 ("Chapter 25 List").I further certi$, that I am the person listed above, or I am an officer or representative ofthe entity listed above and am authorizeá to make this certification on its behalf. I will skip Part2 andsign and complete the Certification below. OR I am unable to certify as above because the bidder and/or one or more of its parents, subsidiaries, or affiliates is listed on the Department's Chapter 25 List. I will provide a detailed, accuratè and precise description of the activities in Part 2below, sign and complete the Certification below. PART 2: PLEASE PROVIDE FURTHER INFORMATION RELATED TO II\IVESTMENT ACTTvTTIES IN IRAN You must provide a detailed, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or aff,tliates, engaging in the investment activities in kan on additional sheets provided by you. Certification: I, being duly sworn upon my oath, hereby represent and state that the foregoing information uná ány attachments thereto to the best of my knowledge are true and complete. I affest that I am authorized to execute this certification on behalf of the above-referenced person or entity. I acknowled ge thatEast Brunswick Township is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the Township to notifli the Township in writing of any changes to the answers of information contained herein. I acknowledge that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and thatit will also constitute a material breach of my agreement(s) with East Brunswick Township, New Jersey and that the Township at its option may declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print) lc,.ww¡ F 3y-rr Signature Tirte V r(:t Pvcsrd;,vf t Date: IL 31 lPage Exhibit I TO\ilNSIilP OF EAST BRUNSWICK PAYMENT PROVISION FORM To the Municipal Clerk of the Torvnship of East Brunswick: The Respondent whose signature is below declares that he/she has reviewed the RFp. In the event this proposal is accepted, and the Township awards a contract to this Respondent for the Services, Respondent agrees to pay the Township for the fair market value for office space, including inteme! electricity, and batiroornr to .orípensate for administrative cost and receive exclusive rights to perform the Services as set forth under section 2 of the n¡Þ tne following annual amount each year ofthe contract: $ t¿,oc{,.û} (Proposal amount in numbers) $Tw €lve rìd cJc \tqrS (Proposal amount in words) \ d-ut Name of Respondent (Print) Title \? TC Date Subscribed and sworn to before me this t24 day ot 4lrrll 20!_l Notary Pubiic My Commission expires ) B. HSÏRY MY c0¡ut89ror{ 1 0, 202s 32 lPage Exhibit J TOWNSHIP OF EAST BRUNSWICK ACIC'{OWLEDGEMENT OF' RECEIPT OF ADDEND.A. The undersigned hereby acknowledges receipt of the following Addenda: Addendum Number Date Acknowledged for Pô V+ \NæC\ f o\rrr Ërntt*".. Neh^-cv \( Name of Respondent Representative Name :\tr a"-.n i\h (Print or Type) Title rCs-r-t Date 33 lPage Client#; 354434 RWJBARNA ACORD,. CERTIFICATE OF LIABILITY DATE (MM/DDTYYYY) INSURANCE 4t15t2019 TH¡S CERTIFICATE ts tss U ED AS A MATTER OF IN FORMA N ON L Tto Y AND co NFE RS NO RIGHTS UPO N THE cERTI FICATE HOLDE R. THIS CE RTIF tcATE DO ES NOT AFFIRMATIVEL OR N EGATIVELY AM EN D, EXTEN D OR ALTER THE COVERAGE AFFORDED BY THE POLlCIES BELOW. THIS CERTIFICATE OF NSU RAN cE DOES NOT CONSTITUTE A CONTRACT BETWEE N THE rss UI NG INSU RER(S), AUTH ORIZED REPRESENTATIVE OR P RO DUCER, AND TH CERTIFIGATE HOLDER. lf the rs an RED, the must be ubject to the terms and conditions of the policy, policies certain may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such Stefanie AcctAna Conner Strong & Buckelew 267-702-1377 Two Liberty Place 856-291 -9687 sbuchol .com 50 S. 16th Street, Suite 3600 Philadelphia, PA 19102 COVERAGE NAIC # A : Safety Nât¡onal Corporations 15105 INSURED INSURER RWJ Barnabas Health, lnc. B : 95 Old Short Hills Road INSURER C Attn: David Mebane INSURER D : INSURER E: West Orange, NJ 07052 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TH IS ts TO CERTI FY THAT TH E POLI ct ES OF INSU RANCE LISTED BELOW HAVE BEEN ISSUED TO THE N SURED NAMED ABOVE TH E POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM ENT WITH RESPECT TO WHI CH TH IS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR HEREIN ts SUBJECT TO ALL TH E TERMS, EXCLUSIONS AND coN ITIONS OF S UCH POLtCtES. LI MITS SHOWN MAY HAVE BEEN REDUCED BY PAI D CLAIMS. TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE COI\,4¡,4ERCIAL GENERAL LIABILITY $ CLAIMS-MADE OCCUR I\¿IED EXP one $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIÀ/IT APPLIES PER: PRODUCTS . COMP/OP AGG PRO. POLICY LOC $ AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) ü ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON.OWNED HIRED AUTOS AUTOS ù ù UMBRELLA LIAB OCCUR EACH $ EXCESS LIAB CLAII\¡S-MADE AGGREGATE s WORKERS COMPENSATION OTH- AND EMPLOYERS' LIABILITY N/A E,L. EACH ACCIDENT tn NH) descr¡be under E,L. DISEASE. EA $ OF E.L. - POLICY LIMIT A Excess sP4056592 1t2015 03/01 Statutory Limits Workers' Compensa $1,000,000 Retention Liab. DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (Attach ACORD 01 Add¡tíonal Remarks Schedule, if more space ts This policy requ¡red) is Excess Workers.Compe nsat¡on tnsu rance fo a state pproved self lnsured Wo rkers' Compensation insurance plan. RE: RFP. RWJBH Mobile Health TE TION Township of East Brunswick SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, 1 Jean Walling NOTICE WILL BE DELIVERED IN Civíc Center ACCORDANCE WITH THE POLICY PROVISIONS, Drive East Brunswick, NJ 08816 AUTHORIZED REPRESENTATIVE t'u. @ 1988-2010 ACORD CORPORATTON. All rights reseryed. ACORD 25 (2010/05) I of I The AGORD name and logo are registered marks of ACORD #s2l 49016/M21 17663 Ltl CERTIFIGATE OF LIABILITY DATE (MM/DD/YYYY) INSURANGE 04t15t2019 THIS CERTIFICATE IS ISSUED AS A MATTE R OF INFORMATION ONLY AND coN FERS CERTIFICA NO RIGHTS UPON THE CERTIFICATE H OLDER. TH ts TE DOES NOT AFFIRMA TIVELY OR N EGATIVELY AMEND EXTE ND OR ALTER TH E COVERAGE AFFO RDED BY BE LOW THIS CERTIFICATE TH E POLICIES OF INSU RANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN REPRESENT THE ISSUING NSURER(S), AUTHORIZED ATIVE OR PRODU cER, AN D THE CE RTIFICATE HO LDER. ANT: lf the certificate ls an INSU RED policy(ies) must have If SUBROGATION AD INSURED or be IS WAIVED, s bject to the terms and conditions of the policy, certain policies this certificate may require an endorsement. A statement on does not confer to the certificate ho der n lieu of such endorseme PRODUCER I¡ARSH USA INC. 445 SOUTH STREET ¡/ORRISTOWN, NJ 07962 COVERAGE cN1 17935820.-cuP-18-19 # INSURED RWJBamabas Health, lnc, : N/A N/A 95 Old Short Hills Road c: West Orange, NJ 07052 D: INSURER E F COVE CERTI TE NUMBER: NYG010639154-01 REVISION ER: 3 THIS ¡s TO CERTIFY THAT TH E POLICI ES OF INSURANC E LISTED BELOW HAVE B EEN ISSUED TO THE NDICA TED. NOTWITHSTANDI INSURED NAMED ABOVE FOR THE POLICY P ERIOD NG ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT CERTIFICATE OR OTHER DOCUM ENT WITH RESPECT TO WHICH THIS MA BE ISSUED OR MAY P ERTAI N TH E INSURANCE AFFORD ED BY THE POLIC IES D ESCRI BED HEREIN IS SUBJECT TO ALL EXCLUSIONS AN D CONDITIONS OF SUCH POLICIES. TH E TERMS LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE LIMITS X COMMERCIAL GENERAL LIABILITY cPrc"PRt[¡-070.1 18 07t01t2018 07t01t2019 EACH 1,000,000 CLAIMS.MADE X OCCUR $ Included MED EXP one $ lncluded PERSONAL & ADV ù lncluded LIMITAPPLIES PER: PRO- GENERAL JECT LOC PRODUCTS - COI\,4PIOP AGG $ AUTOMOBILE LIABILITY $ ANY AUTO BODILY INJURY (Per person) b OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acc¡dent) HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY $ $ X UMBRELLA LIAA OCCUR 2,000,000 X EXCESS LIAB X cPtc-UMBR-0701 18 07 t01t2018 07t01t2019 2,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILIW N N/A EACH ACCIDENT tn desc¡¡bê DISEASE. EA OF - POLICY L¡NIII Healthcare Professional cPrc-PRIM-0701 18 07t01t2018 07 t01t2019 Each Med¡cal lncident $7 Liability Annual Aggregate DESCRIPTION OF OPERATIONS / LOCAT¡ONS / VEHICLES (ACORD 101, Additionat Rêmarks Schedu16, may be attachêd íf more space is required) Cert¡fìcate Holder is included as Additional lnsured where required by written contract w¡th respect to General Liability. FICA N Township of East Brunswick '1 Jean Walling Civic Cenler Drive SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIR.ATION East Brunswick, NJ 08816 DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA lnc, Cathy VanOrden AA".or" 4,á-,a¿-* @ 1988-2016 ACORD CORPO RATION. All ACORD 25 (2016/03) rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSToMER tD: CN1 17935820 LOC #: Morristown R ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED ¡NSURED MARSH USA INC. RWJBarnabas Health, lnc. 95 Old Short Hills Road POLICY NUMBER Westorange, NJ 07052 CARRIER NAIC CODE EFFECTIVE DATE: ITIONAL THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER' 25 FORM TITLE: Certificate of Liability lnsurance THE GENERAL AND HEALTHCARE PROFESSIONAL LIABILITY COVERAGES, POLICY NUMBER CPIC.PRIM-0701 18 ARE A DIRECT PLACEMENT, MARSH MANAGEMENÏ SERVICES (BERI\,IUDA), LTD. IUANAGES THE CAPTIVE INSURER INDICATED HERE, iilARSH USA ¡NC. HAS ONLY ACTED IN THE ROLE OF A CONSULTANT TO THE CLIENT WITH RESPECT TO THE PLACEMENT, WHICH IS INDICATED HERE FOR YOUR CONVENIENCE, HEALÏHCARE EXCESS UMBRELLA REINSURANCE 1st Layer Excess: Canier: Zurich American lnsurance Company Certificate # HPC 0398619-02 L¡m¡t Reter to Page 1 - Umbrella ACORD 101 (2008/01) @ 2OO8 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ,-- ACOFTD' RWJBARNOOI \--- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDTYYYY) 411 THIS I CERTIFICATE S ISSUED AS A MATTE R OF NFO RMA TI ON ONLY AN coN FERS NO RIGHTS UPON THE cERTI FICA TE HOLDER. THIS CERTIFICATE DOES NOT AFFI RMATIVE LY OR NEGATIVE L Y AMEND, EXTE ND OR ALTER TH E COVERAG E AFFORDED TH BELOW THIS CERTI FI CATE OF BY E POLI ctEs NSURAN CE DOES NOT CONSTITUTE A coN TRACT BETWEE N REP RESENT THE tss UI NG IN SURER(S), AUTHORIZE D ATIVE OR PRODU CER, AN D THE CERTI FI CATE HOLDE R. IMPORTANT: It the cert¡ficate holder ts an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL NSURED provrsrons or be endorsed. tf SUBROGA TION IS WAIVE D, subject to the terms and conditions of pol this the icy certai n may require an endorsement. A statement on certificate does not confer hts to the cert¡ficate holder tn lieu of such PRODUCER William H. Connolly & Co., LLG 56 Park Street 744-8500 74./,-6021 Montclair, NJ 07042 New nufacturers I INSURED RWJBarnabas Health, lnc. 95 Old Short Hills Road West Orange, NJ 07052 R: THIS IS TO CERTI FY THA T THE POLtCt ES OF INSURANCE LISTED BELOW HAVE EEN NDICA ISSUED TO THE INS URED NAMED ABOVE FOR THE POLICY PERIOD TED. NOTWITHST ANDING ANY REQUI REMENT TERM OR CONDITI ON OF ANY CONTRACT OR OÏHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATE MAY BE ISSUED OR MA PERTAIN, THIS THE NS URANCE AFFORDED BY THE POLtCtES DESCRIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH IS SUBJECT TO ALL THE TERMS POLICIES. LIMITS ù HOWN MAY HAVE BEEN REDUCED BY PAI D CLAIMS. TYPE OF INSURANCE POLICY NUMBER LIM¡TS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR & LIMIT PER: PRO. JECT T LOC A AUTOMOBILE L¡ABILITY LIMIT 000,0 X ANY AUTO 9130t2018 9/30/2019 OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS ONLY X Comp Dedt:9500 x UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS.MADE DED RETENTION WORKERS COMPENSATION AND EMPLoYERS, LIABILiIY N NTA Ê#åËËii#FHÊ,iEîEIüEDs&(EcurvÊ describe under OF OPERATIONS / LOCATIONS / vEHlcLEs (AcoRDl01,Add¡tiona¡Remarksschedure,maybeattached¡fmorespacersrequrred) uovêrage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Township of East Brunswick TIE__EIPIRAÏON DArE THEREOF, NOTTCE W|LL BE DELTVERED tN I Jean Walling Civic Center Drive ACCORDANCE WITH THE POLICY PROúISIONS. East Brunswick, NJ 0BBl6 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A,COß'D. JCRUSE DATE (MM/DD¡YYYY) \,---' EVIDENCE OF PROPERTY INSURANCE 4t15t2019 TH IS EVIDENC E OF PROPERTY INSURANCE tss UED AS A MATTER o F IN FORMATION o N LY AN D co NFERS N o RIGHTS UPON THE AD DITIONAL INTEREST NAMED BELOW THIS EVID ENCE DOES NOT AF FIRMATIVELY OR NEGATIVELY AMEND EXTEN D OR ALTER THE COVERAGE AFFORDE D BY THE POLICIES BELOW TH IS EVIDE NCE OF NSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN ISS U IN G lNsuRER(S), THE AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TI.IE ADDITIONAL INTEREST AGENCY 74,1-850 COMPANY William H. Connolly & Co.. LLC American lnsurance Gompany 56 Park Street Montclair, NJ 07042 74/.-6021 ID RWJ 1 INSURED RWJBarnabas Health, lnc. LOAN NUMBER POLICY NUMBER 95 Old Short Hills Road West Orange, NJ 07052 21 149.00 EFFECTIVE DATE EXPIRATION DATE 1011t2018 1011t2019 THIS REPLACES PRIOR EVIDENCE DATED: P INFO Locations as per schedule on file with the carr¡er THE POLtCtES OF INSURANCE LISTED BELOW HAVE B EEN tss UED TO THE NSURED NAMED ABOVE FOR THE POLICY PERIOD IN DICATED NOTWITH STANDI NG ANY REQUIREM ENT TE RM OR co NDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH rcH THIS EVI DENCE OF PRO PERTY INSURANCE MAY BE ISSU ED OR MA PERTAIN THE NSURANCE AFFORDE D BY THE POLICIES DESCRI BED HËREIN IS S UBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION S OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEE N REDUCED BY PAID CLAIMS X COVERAGE / PERILS FORMS / AMOUNT OF INSURANCE DEDUCTIBLE Loss Limit of lnsurance (Special Cause of Loss/Replacement Gost) ($so,0oo Dedt unless noted below) lnsured Locations with rotãl tnsured values Less ihan $25,ooo,oob änd'Greateiihan $2,5oo,ooo 25,000 lnsured Locations with Total lnsurable Values Less Than 92,500,000 5, REMARKS nc Con Special Conditions: Evidence of Coverage CAN ANy oF THE ABOVE DESCRTBED poLtctEs 9!9ULD BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NAME AND ADDRESS ADDITIONAL INSURED LENDER'S LOSS PAYABLE LOSS PAYEE MORTGAGEE LOAN # Township of East Brunswick 1 Jean Walling Civic Center Drive East Brunswick, NJ 08816 AUTHORIZED REPRESENTAIIVE 1.':/t!/ ,, l .i.!r.Iir':,,¡i,. -- j ,l I ACORD 27 (2016t03) @ 1993-201S ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD $trçreyþnfarM wfru OFFICE OF EI'IERGENCY þ|EDICAL SERVICES The New Jersey Department of Health - Offlce of Emergency Medical Services recognizes that the requirements for licensure as set forth at N.J.A.C. 8:40-1.1, et seq. and hereby grant licensure to: Rwj Health Network Robert Wood Johnson University Hospital-Ems 126 Paterson Street New Brunswick, NJ 08901 As a provider of the following services BLS/MICU/SCTU Provider lD: 1112A25 Valid: 1nnÛ18 Scot Phelps, JD, MPH, Paramedic Expiration: 1213112Aß Director, Office of Emergency Medical Services HSPTS96 RWJ Health Network Vehicle List ' ,'i,.;' ,:..: : . ', .':1. ':'. L89-BLS/MrCU BLS/MrCU Transit 350 Ford lFDBW2XMTJKA45OOO 190-BLS/M rCU BLS/MrCU Transit 350 Ford 1FDBW2XM3JKA26640 191-BLS/MrCU BLS/MrCU Transit 350 Ford 1FDBW2XM5JKA27899 2018 1-SOG BLS/MtCU/SCTU BLS/MrCU/SCTU E350 Ford 1 FDXE45 P64HA82557 2004 99-SUV Supervisor Durango Dodge 1D4H 838P86F190123 200L 10s-BLS/MrCU BLS/MrCU 8350 Ford 1FDWE35P2 6DA72446 2006 L19-ASAP-5 ASAP-5 Polaris 4X4RF68A794736422 120-SOG MtCU/MCRU MCRU-5 4S7CT2 89 19C071505 121-MrCU MICU Chevy 1G NZKLEG 1AR265555 20L0 123-B LS/M tCU/SCTU BLS/MrCU/SCTU E350 Ford 1FDWE3FPXADA36043 20L0 127-BLSlM tCU/SCTU BLS/MtCU/SCTU E350 Ford 1FDWE3 FS7 BDBO3O87 201,1, 128-BLS/M tCU/SCTU BLS/MrCU/SCTU E350 Ford 1FDWE3 FS5BD BO3O86 20lL 130-MtCU MICU 3500 Chevy 1GNWKLEG3CR1529O7 2012 131-MtCU MICU 3500 Chevy 1G NWKLEG8CR1531.80 201,1, 132-BLS/M rCU/SCTU BLS/MICU/SCTU G3500 Chevy 1G B3G2CL9 Cr202364 201"2 13 3-BLS/M tCU/SCTU BLS/MICU/SCTU G3500 Chevy 1G83G2CL5CL200627 2012 134-BLS/M tCU/SCTU BLS/MtCU/SCTU G3500 Chevy 1G83G2C13C1201890 2012 13s-BLS/SCTU BLS/SCTU lnternational lFVACWDU9DH FE5O4O 2013 136-BLS/SCTU BLS/SCTU lnternational lFVACWDU2DH FE5O39 2072 137-MtCU MICU Chevy 1G NWK5EG8DR346331 2013 s138-BLS/M rCU/SCTU BLS/MICU/SCTU G3500 Chevy 1G B3G2CG7EL116699 201,4 139-B LS/M rCU/SCTU BLS/MrCU/SCTU G3500 Chevy LGB3G2CGXEIL1"5434 20r4 140-BLS/M tCU/SCTU BLS/MrCU/SCrU G3500 Chevy 1GB3G2CG6E1Lt6726 2014 s141-BLS/MrCU/SCTU BLS/MrCU/SCTU G3500 Chevy 1G83G2CG9E1,187578 20L4 s142-BLS/M rCU/SCTU BLS/MICU/SCTU G3500 Chevy 1G 83G2CG8E1188558 201,4 s143-BLS/M rCU/SCTU BLS/MrCU/SCTU G3500 Chevy 1G B3G2CG4E1 188184 201,4 s144-BLS/M tCU/SCTU BLS/MrCU/SCrU G3500 Chevy 1G83G2CG8EL187927 20r 4 B14s-B LS/M tCU/SCTU BLS/MICU/SCTU G3500 Chevy 1"G B3G 2Cc 1E1188370 20L 4 1ss-BLS/MrCU BLS/MrCU E350 Ford 1FDSS34F62HA54101 2002 1s6-BLS/M rCU/SCTU BLS/MrCU/SCTU E350 Ford 1FDWE35 F43 HA41968 200 3 r.s7-soc B LS/M tcu/scTu BLS/MrCU/SCrU E350 Ford 1FDWE35P66H807241. 2006 1se-BLS/M rCU/SCTU BLS/MICU/SCTU E350 Ford L FDWE35 P07DA85133 20L 6 161-BLS/M rCU/SCTU BLS/MrCU/SCTU E350 Ford 1FDWE35PX7DA73071. 2007 162-BLS/M tCU/SCTU BLS/MtCU/SCTU E350 Ford 1FDWE35P27 DA85134 2007 163-BLS/M rCU/SCTU BLS/MtCU/SCTU E350 Ford 1FDWE35P47DA85135 2007 164-BLS/M rCU/SCTU BLS/MrCU/SCTU E350 Ford 1FDWE35P99DA41957 200 9 16s-BLS/M rCU/SCTU BLS/MrCU/SCTU G3500 Chevy 1FDWE35POgDA41958 200 9 B 166-BLS/M rCU/SCTU BLS/ MlcU/SCTU/Bar G3500 Chevy 1FDWE3 FS3ED806069 201,4 167-BLS/MtCU BLS/MrCU E350 Ford 1FDSS3 ELXEDB].4980 2014 168-BLS/MrCU BLS/MrCU E350 Ford 1FDSS3 ELXEDB15109 201.4 169-BLS/MrCU BLS/MrCU E350 Ford 1 FDSS3 EL7EDBO7131 201,4 170-BLS/MrCU BLS/MrCU E350 1FDSS3 ELXEDB 15OOO 201,4 171-BLS/MtCU BLS/MrCU E350 Ford 1FDSS3 ELXEDB15O14 2074 172-BLSIMtCU BLS/MrCU E350 Ford 1FDSS3 ELXEDB1.5O31 2074 173-BLS/MtCU BLS/MrCU E350 Ford 1FDSS3 ELXEDB15O45 2014 174-BLSlMtCU BLS/MrCU E350 Ford 1FDSS3 ELXEDB15O28 2014 B17s-BLS/MtCU/SCTU BLS/ MlCU/SCTU/Bar E350 Ford lFDWE3FSOFDA205O9 20r.5 8176-BLS/MtCU/SCTU BLS/ MlcU/SCTU/Bar E350 Ford 1FDWE3FS3tDA26997 20L5 8177-BLS/MtCU/SCTU BLS/ MlcU/SCTU/Bar E350 Ford 1FDWE3FS5FDA26998 2015 1_78-BLS/M tCU/SCTU BLS/MICU/SCTU E350 Ford 1FDWE3 FS2 FDA29O48 2015 180-BLS/MtCU BLS/MrCU Transit 350 Ford 1FDBW2XM4GKA58408 20L6 181-BLS/MtCU BLS/MrCU Transit 350 Ford 1FDBW2XM1GKA5B415 2016 182-BLS/MtCU BLS/MrCU Transit 350 Ford lFDBW2XM3G KAS8416 2016 1B3-BLS/MrCU BLS/MrCU Transit 350 Ford 1FDBW2XM5GKA58417 2076 184-BLS/MtCU/SCTU BLS/MrCU/SCTU E350 Ford 1.FDWE3FS8GDC495O6 2076 18s-BLS/M tCU/SCTU BLS/MICU/SCTU E3s0 Ford 1FDWE3FS4GDC495O4 20L6 186-BLS/M tCU/SCTU BLS/MrCU/SCTU E350 Ford 1FDWE3FS7GDC4951.4 2016 187-BrS/M tCU/SCTU BLS/MrCU/SCTU E350 Ford lFDWE3FS2G DC4952O 2076 188-BLS/M tCU/SCTU BLS/MrCU/SCrU E450 Ford lFDXE4FS3J DCLg492 20L8 501-MtCU Supervisor 3500 Ford 1FMSU41P6s EC66158 2005 s04-Mtcu MICU 3500 Chevy 1GNWK5EG8BR1473O8 20tL 505-MtCU MICU 3500 Chevy 1GNWK5EG9BR147608 2071 506-MtCU MICU 3s00 Chevy 1G NSK5KCXFR26083 1 2014 507-MtCU MICU F250 Ford 1Fr7W2B64cEA66817 2076 508-MrCU MICU F250 Ford LFT7W2B66GEA66818 2016 509-MICU MICU F250 Ford 1FT7W2 B68G EA66819 201.6 510-MtCU MICU F350 Ford L FT8W3 B60G EC94288 2016 551-SUV Supervisor G3500 Chevy 1G NSK2 EOXE R192 156 201,4 552-SUV Supervisor G3500 Chevy 1G NSK2 EOTE R188548 2014 553-SUV Supervisor Expedition Ford 1 FMSU41 P45EC66157 2005 Medic 9-MICU MICU GS2500 Chevy l.GNWK5EGXDR128228 2013 Medic 10-MICU MICU G52s00 Chevy 1GNWK5EG2DR128367 2013 Medic 12-MICU MICU GS2500 Chevy 3GNGK26U72G2591.67 2002 Medic LL-MICU MICU G52500 Chevy 3GNGK26K18G206634 2008 Medic 14-MICU MICU GS2s00 Chevy 3GNGK26U64G208486 2004 RWJ Barnabas Health System RWJ University Hospital RWJ Health Network, lnc "Mobile Health" Jersey City MICU Hamilton New Brunswick EMS Somerset EMS Training Center Communication Paramedic Program : HUDCEN PSAP RWJHN Leadership Team Jim Smith Vice President Maggie Montoya, Leuren Johnson Tony Raffino Kevin Kurzwell Non-Emergency Director, Medical Transportat¡on Operetions + Asst. Communicat¡ons Quality /Clinical Fleet & Logistics Train¡ng Center Med¡cãl Directors Jamie Cebra Lafe Bush Steve Cohen Sarah Bleyman of Central of & Director of Fleet & Special Events Dispatch Mobile Health - Central Operations Lafe Bush Deanna Douglas Director Central EMS Supervisors Field Training , Manager Officers Matt Cadamus Nícole Tour Chief Stephen Herczeg Beth Bochiaro Jerry Schimmenti Emily Lecorchick David Coleman Tour Chief Frank Loschiavo Jonathan Deoliveria Adam Gonzales Carlos Rivera Acon Lauren Fontata Tour Chief oseph Rosamilia Victor Freitas Robert Schrenzel Richard Sanders Tour Chíef n Geib John Sillivan Stepanie Havens Brian Skillman Christopher Khan Elva Wilson-Calabro Kortbawi Kevin Kelty ris Malo D - East Brunswick Eric Morgenroth Jerry Morrison Painter Vira Patel othy Piperata Michael Puchacz Erin Quinn Brian Sakowski Schumacher Christopher Selover Eric Sessoms Carl R\tVßarnabas HEALTH James F. Smith Vica Pres¡dent Mobile Health James F. Smith, MBA Corporate Vice President, Mobile Health RWJBarnabas Health As the vice President of Mobile Health, Jim smith is responsible for system wide management and oversight of the emergency medical services, 9i I dispatch, non-emergent transport and the RWJBarnabas Training center. Mr smith is tasked with creating a strategic vision to enhance the performance and stability of the system's transport services and community partnerships. Prior to role at RWJBarnabas Health, Mr. Smith has served in several roles with the Atlantic Health System in Morristown since 2005. Most recently, he was the System Director since 2014, responsible for Mobile Health, Corporate Health and Medicare Bundled Payments with a team of 875 employees providing care to 240,000 patients annualiy. Notably, he was also received the Lifeline EMS Recognìtion Award from the American Heart Association in 2016 &, Z0l7 . Furthermore, Mr. Smith worked in a variety of departments including Physician Relations, Sports Health, and Executive Health' Mr. Smith has over 15 years of experience and pro-ven rt ittr in profit and loss accountability, strategy development, operations management, financial management, and sales and marketing leadership. Mr' Smith received his Bachelor of Science from Smeal College of Business, pennsylvania State University, and a Master of Business Administration from Kenan-Flagler Business School, University ofNorth Carolina at Chapel He has Hill. served on the Greater Morristown YMCA Board of Directors in Cedar Knolls since 2007, acting as Vice Chair from 2010 to 2016, and now as Chief Volunteer Officer and Chair since 2017. Mr' Smith's knowledge of local squad alignment, including educational support, medical directorship and grass roots efforts throughout all the regions that RWJBarnabas Health providesìèrviáes, will greatly benËfit our communities. Mr. Smith's wealth of experience in this field will .irur" the delivery of wãrld-class patient transport throughout our entire health care system. 379 Campus Drive Somerset, NJ 08873 732.418.8363 [email protected] ffiV1f#arnabas HEATTH Anthony Raffino , sslsfanl Vlce Pre si de nt Mob¡le Health Anthony Raffino Assistant Vice Presidento Mobile Heatth RWJBarnabas Health Anthony (Tony) Raffino is in charge of all operations of the system wide Mobile Health department including emergency medical services, 911 dispatch, and non-emergent transport. Mr. Raffino is tasked with streamlining and unif,iing RWJBamabas system wide operations, clinical practices, disparch initiatives and strategic growth. Furlhermore, Mr. Raffino is iesponsible for logistics and efficient implementation of emergency services as well as achieving national accreditation standards for EMS. A paramedic by trade, Tony has addìtionally overseen all aspects of EMS including: EMS Operations, Dispatch, Training Centers, SCTU, Clinical, Air Medical Program, H¿àuile Integrated Health as well as Community Relations and Business Development. The breadth of Tony's experience largely comes from his multiple responsibilities, stretching beyond his manager role at Atlantic Mobile HealtÉ. Higtttigttt. of his accomplishments include establishing a Medical Oversight Board, expanding MICU services, ,..t*-"to.ing training progiams to increase revenue by 250K, and developing & implernenting air medical training with a gieater pÃr-ruì" than the national average. Prior to that, Mr. Raffino worked in Saint Barnabas Medical Center as an Assistant Director. His roles during his time there, contributed to the innovation and effective implementation he has displayed in the forms of lecturing, assisting the Director, and acting as the department cliniôal coordinator. Some of Tony's certifications include (but are not limited to): CCEMTp, NRp, ABLS Certified, Flight Paramedic Certification, and many more. He has completed management courses throughout his carãer, graduated with a Clinical Excellence Award, and is still a practicing paramedic since 1993. 379 Campus Drive Somerset, NJ 08873 973.477.9827 A nth o ny. R affi no@rwj b h. org ffiWJBarnabas HEALTH Cheng Teng "Bill" Wang, MD, FACEP Iu4odiool Director Mob¡le Health -:.'1,.'' i'' ' ll Bill Cheng-Teng Wang, MD, FACEP Medical Director Mobile Health RWJ Barnabas Health Dr. wang is the Medical Director for the RWJ Health Network Mobile E= 1 Health department as well as the Associate Director for the Jersey City \ Medical Center's Depaftment of Emergency Medicine. He received his medical degree at Robert wood Johnson Medical School in r999 and completed his residency in Emergency Medicine at Mt Sinai School of Medicine in New york City in 2003. He is board certif,red in Emergency Medicine and subspecialty board certif,red in Emergency Medical Services. He has completed the National Association of EMS Physicians Medical Director course. Dr Wang has been practicing emergency medicine at Jersey City Medical Center since then and has been involved with EMS since 2005 when he became the EMS Medical Director for Jersey City Medical Center EMS. kì 2018 Dr. Wang became the system wide medical director for Mobile Health. Dr. Wang is very involved in EMS both at the local and state level. He selves as the Chair of the MICU Advisory Council for the state and was a representative on the NJ EMS Council. He has developed numerous protocols and guidelines that are used by EMTs and paramedics throughout the state. Among thìse is the NJ EMS Stroke Triage Guidelines which provides the framework for EMS to bring patients to ÑJ state-designated stroke centers and has presented this at several conferences including the NJ Statewide Stroke Conference in Princeton which was sponsored by the American Heaft Association.br. Wang has also presented at the NJ conference on EMS and the National conference on EMS on many topics. Dr. Wang serves as the medical director for the RWJBH AHA Training Center, which provided the First Responder training to the Jersey City Fire Department. He has also been the medical diiector for the Fire Department's first responder program and has worked with Jersey City Off,rce of Emergency Management previously as an instructor in the CERT program. He also seryes as the Medical Director for the National parks Service EMS at Statue of Liberty and Ellis Island. Dr' Wang has also been actively involved in EMS education. He serves as the medical director for the EMT and Paramedic Sciences Program at Jersey City Medical Center EMS and is involved in both the didactic and clinical training components. 379 Campus Drive Somerset, NJ 08873 732-729-7143 ffiW#arnabas HEALTH Lafe Bush Central Diractor of Operat¡ons Mobile Health Lafe Bush Central Director of Operations, Mobile Health RWJBarnabas Health à I Lafe Bush is responsible for the central Region operations at RWJHN I including 9-1-l emergency medical service and mobile intensive care units. He brings more than 10 years of experience as the Director of Emergency Services at the Valley Hospital in Ridgewood, NJ. ä Previously, Lafe served as a paramedic at Jersey City Medical Center, St. Joseph's Hospital, and University Hospital as well as Mobile Life Support Services in New York State. In additiôn to working as a clinician ,Lafe has served as an adjunct instructor for Rockland Community College's Paramedic Program and Saint Vincent Hospital's Paramedic Program. Lafe is an active per diem paramedìc at St. Joseph,s Hóspital. Lafe holds an undergraduate degree from Thomas Edison State College and a rnaster's degree from Marist College. He holds multiple instructor certif,rcations in various disciplines including ACLS and NATAL resiliency training. 126 Paterson Street, New Brunswick NJ OBB73 732-41 8-81 69 [email protected] RWÆarnabas HEALTH Deanna Douglas Central EMS Manager Mob¡le Health Deanna Douglas Central EMS Managero Mobile Health RWJBarnabas Health Deanna Douglas began her career in EMS 25 years ago, starting out as a volunteer and quickly moving forward into a carser in an urban EMS setting where she continues to practice to date. Deanna continued her education and obtained a degree in Network Engineering andData communication, worked as a consultant with the vice president of the hardware planning department at Goldman Sachs supporting all of their offsite data centers, including the Brooklyn campus. Deanna became a paramedic m 2007 where she worked her way up from line medic to Lead Paramedic in20l3. This past February Deanna joined the RWJBarnabas family at the Central EMS Manager. Deanna is responsible for overseeing ALS and BLS operations in our Central Region along with our locations at Hamilton, Rahway and Somerset 126 Paterson Street, New Brunswick NJ 08873 732-41 B-81 69 D ea n n a. D o ugl a s@rwj bh. or g ffiW{-tsarnabas HEALTH Lauren Johnson Ad mi n ¡ str at¡v e D ire ctor Mobile Health Lauren Johnson Administrative Director, Mobile Health RWJBarnabas Health As the Administrative Director of Mobile Health, Lauren Johnson is responsible for providing strategic and operational input into the design, planning and implementation of the division. Ms. Johnson is tasked overseeing revenue cycle, employee relations, business development, information technology and system wide communication. Previously a Project Manager at Atlantic Health System, Ms. Johnson served on the executive team closely collaboration with the leadership of Atlantic Ambulance Corp, Corporate Health and Medicare Bundle payments Ms' Johnson has respectively aided, implemented, and managed -å.ry projects such as: streamlining the Mobile Health department and implementation of Epic at 8 offsite Cãrporate HLatttr NP practices including Travel MD and occupational Health. Ms. Johnson was additionally chargèd with managingìhe first governmãnt mandated Medicare Bundle where she facilitated the standardization of system wide pofi"i"r and prõtocols, developed a post-acute care strategy, and managed the successful beta development, implementation and continued management of two software anal¡ics programs. This expertise is coupled proven success in the CMS Comprehensive Care of Joint Replacement Program where Morristown Meàical Center earned the 2nd highest reconciliation paYrnent of the 794 C[RHospitals nationally. Furthermore, the health system achieved a $lM and $2.2M in reconciliation payment for model year I and yeai 2 of CMS CJi Program, while simultaneously decreasing Medicare spend by $7.2M. Ms. Johnson attended Gettysburg College where she was double major in Health Sciences and English Writing. 379 Campus Drive Somerset, NJ 08873 973.986.5323 La u r e n. J oh n so n @rwj b h. org RW.Farnabas HEALTH Jamie Chebra Exocut¡ve Director, Northern Operations Mobile Health Jamie Chebra Executive Director, Northern Operations Mobile Health RWJBarnabas Health James'oJarrie" chebra has been involved in EMS for over 20 years, moving upward fi'om the rank of volunteer EMT to Paramedic, street provider to director. Jamie has held positions on the operational, educational, supelisory, clinical, and administrative sides of care delivery and have leamed fi.om each experience. Jamie earned ltis Master's Degree from UMBC in Emergency Health Science and hold a graduate certificate in Emergency Management. Jamie is a Fellow of the Advisory Board Cornpany (FABC) anJ a Cetified Emergency Manager (CEM) and a fellow of the National Association of EMS Management (FACPE). Jamie is also a cunent data fellow with the New Jersey Office of Emergency Medical Services. He is a strong believer in the concept of showing value in EMS through improved patient outcomes. Jamie believes that the future of EMS sustainability is through EMS partnerships with healthcare providers. That the transition from fee-for-seruice to risk based population health is an oppottunity for EMS to be a catalyst for change. The concept of illustrating the irrefutable value the quality EMS brings to the patient care experience is a fiont-burner issue. 379 Campus Drive Somerset, NJ 08873 908.883.2530 J a m e s. C h e b ra @rwj b h. org ffiWðarnabas HEALTH Kevin Kuzweil D¡rector l\rlobile Health Kevin Kurzweil Training Center Director, Mobile Health RWJBarnabas Ileatth Kevin Kurzweil is in charge of all education for system wide Mobile Health department including American Heart Association Training center, EMT & Paramedic Programs. Kevin is tasked with consolidating the training centers throughout the RWJBarnabas system while expanding education initial and continuing education opportunities at all 11 RWJBarnabas campuses. Kevin got his paramedic start in the RWJ system at RWJ Rahway as a paramedic student in 2006. Kevin also worked as a full time staff paramedic at Somerset Medical Center. In2b72,he was promoted to an EMS Educator at Somerset Medical Center and oversaw the EMT and AHA Training Center. Shortly after RWJ and Somerset merged, Kevin was promoted to Education Supervisor. He oversaw the 2 hospitals and consolidated RWJ Hamilton's TC. In addition to the TC, Kevin oversaw new hire orientation, FTO program, competencies, paramedic receftif,rcation, hospital mock code, and the department website. When RWJ and Bamabas merged, Kevin became the Director of Resuscitation Services at Newark Beth Israel where he oversaw the legacy Barnabas Health's 6 campuses for AHA training, mock codes, nursing competencies, and started u" p1yif program. Some of Kevin's ceftifications include (but are not limited to): MICP, EMT Instructor, AHA Regional Faculty, NAEMT Instructor, NAEMSE Level2 Instructor, Sim-Man 3G Certified Operator, FEMA HSEEP Evaluator and many more. 379 Campus Drive Somerset, NJ 08873 973.477.9827 Kev ¡ n. Ku r zw e¡ I @rwj b h. org ffiWffiarnabas HEALTH Steven A. Cohen D¡rector of Clin¡cal Quality Mobile Health Steven A, Cohen Director of Clinical Qualify, Mobile Health RWJBarnabas Health Steven Cohen is responsible for oversight of the clinical quality of the Mobile Health Department including, Advanced Life Support (Paramedics), Basic Life Support, Specialty Care Transport Units, and Emergency Medical Dispatch. Steve has been tasked with unifying the clinical policies and procedures of the RWJBarnabas Health EMS systems. He has oversight over the quality improvement activities õf tn. department including quality assurance, skills competencies and ensuring that all staff are compliant with the rèquired certifications and training. Steve holds an MBA and is a NJ & Nationally Registered Paramedic. Most recently, Steve was the Assistant Director of EMS for the Jersey City Medi'cal Center where he oversaw the Quality, Performance Improvement and Education activities of the department. He assisted in the department becoming the first in the Ñation to achieve triple accreditation in Operations (CAAS), Dispatch (ACE), and Education lCaaHnn¡. Steve is a Fellow of the American College of Paramedic Executives (ACPE) as and serves on the Board of ACPE and chairs the Requirements committee. He also serves on the NJAPP Education Committee, the NJ MICU Advisory Council, the NJ EMS for Children Committee, and the NJ BLS Subcommittee. He has also presented at many local, State and National conferences on topics including quality management, strategic planning, and benchmarking. Some of Steve's certifications include (but are not limited to): NJ Mobile lntensive Care paramedic, NREMT NRP, ACLS Instructor, PALS Instructor, BLS (CPR) Instructor, PHTLS Coordinator, Certified Ambulance Documentation Specialist, and EMS Quality Assurance Officer. He is National faculty for the National EMS Management Association's Field Training and Evaluation Program (FTEP) and is a local course director for the Diffi cult Airway CourserM. 379 Campus Drive Somerset, NJ 08873 732-729-7143 Stove n. Co h e n (ò nry i b h. oro RW."Barnabas HEAUTH Sarah Blayman lnterim D¡rector of Fleet and Log¡st¡cs Mob¡le Health Sarah Blayman Interim Director of Fleet and Logistics, Mobile Health RWJBarnabas Health Sarah Blayman is in charge of the systems fleet and logistics including, vehicle and supply procurement, vehicle and equipment maintenance, accreditations, and facility management. Sarah has been tasked with streamlining the departments purchasing system, preferred vendor list and standardizing the equipment and supplies within the department. Sarah has over 25 years of experience in EMS as an EMT and has received a Bachelor's degree in Business Administration, with a concentration in Finance. Most recently Sarah was the Technical Coordinator for Jersey City Medical Center's EMS department and oversaw the department becoming the first in the Nation to achieve triple accreditation in Operations (CAAS), Dispatch (ACE), and Education (CÀAHEP). Sarah oversaw the fleet division, IT services, scheduling / payroll, policies & procedures and finance / budgets for the department. Sarah recently became an instructor in the NATAL Resiliency Training Program and offered the first program in the United States for EMS providers. She has also received awards for Outstanding Achievement by a Manager in 2013 from the CEO of Jersey City Medical Center and the John Crowe Memoriãl Award in 2015 from Rebuilding Together. Some of Sarah's certifications include (but are not limited to): NJ EMT, EMS preceptor, Basic Life Support (CPR), Principles of Ethics and Personal Leadership, NATAL Instructor, HazMat,& CBRNE. 379 Campus Drive Somerset, NJ 08873 201.547.6113 S ara h. B I a v m a n(ù rwi bh. oro ffiW.Aärnabas HEALTH Assistant Vice President, RWJIIN Summa of Job Function bilities of the role include but are not limited to Responsible for assisting tþ_e Vice President with oversight and management of ALS/BLS Services/Territories to ensure that RWJBuqlbSs- lltq{h is providing contiguoui coverage, sõalability and efficiencies in the area of Patient Transport and Mobile Healtli Servicei. Resfonsible for a"ssísting in the evaluation and execution of solution driven strategies around current actte care-centers and applicabie assets thai ru; in¿¿p"na""tty (JCMC/RWJUH/Rahway/lt{ew Brunswick and Somersel), and ovérail performance and long-tè.- ro.tuinability of MONOC. Will continue to develop working relationshipi with the various municipaliiiés tfiroughout onr markets. The Assistant Vice President will maintain system wide_responsib_ility for ensuring a unified structure regarding EÀ4S Field Operations, ]\4ICU Field Operatións and SCTU Þieta Operations. The Assistant Vice president will also ensure all comrnunication is streamlined within the department', ensuring th" rutn" lnessage is delivered strategically to all stakeholders. The Assistant Vice President will also be responsible for ensuring departmental Quality and Accreditation across the System as well as assisting the Vice President with developm"ent änd implemùrtatión of a Mobile Integrated Health program. Job Qualifications/Education/Train i n rtification/Licens u re Health^Care_Adm_i4istration or related field of srudy preferred IVIustP*:1""þll.^9:q.," possess 11Þgsjness, and marntain current NJSDoH/MICp or MICN certification.-' Must þossess and maintain current AHA, ACLS and pÁLS-certifiõatiõn. Must þossess and maintain a valid driver''s license. ffiW"Fãrnabas HEALTH Central Operations Director, RWJHN Summa of Job Function Responsibilities of the role include but are not limited to: Rgspgnsible for assisting the Assistant Vice President with oversight and management of centrally located ALS/BLS Services/Territories to ensure that RV/JBamabas Healtñ is providing"contiguour .ou"tág", scalability and efficiencies for Mobile Health..Responsible for maintaining positiv" *o.king relítionship. *ifir âff stakeholders as well as developing long term growth and geogrãphic retentiotr riiut"gy. The Centr4-Operations Director will maintain centrally located responsibility for ensuring a unified structure legarding E-MS Field Operations, MICUIield Operadóns_and SCTU Field Cíperations. Tie Central Operations Director will also ensurè all communication is stieamlined within the depártnient, ensuring th" rñ; gressage is delivered strategically to all stakeholders. Job Qual ifications/Education/Trai ni rtification/Lice ns u re in pusiness, Hea,ltb^C-ar9_{dininistration Pp:l.lg: $eg1e,e or related field of srudy preferred lvlust possess and marntain current NJSDoH/MICp or MICN certification. Must þossess an{ maintain currg¡t AHA, ACLS and pÀLs-certiflõatiõn.^^ Must þossess and maintain a valid driveí,s license. ffiW"Färnahas HEALTH Central EMS Manager RWJHN Summa of Job Function The Central EMS Manager of Mobile Health will ensure the delivery of world-class patient carethrough providing leadership and quality driven seruices aligned with RWJBH's strategic and operationãlplan. This porition will leå and implementthe centrally located EMS operations of the mobile ñealth divìsion. Thebentral EMS Manager will be responsible for managing and executing ihe strategic initiatives of the division. The Central EMS Manager will report directly to the Central Operations Director of Mobile Health and will foster a collaborative environment within the supervisory team in devèloping and accessing RWJBH's long-term Mobile Health Strate_gy. The Central EMS Manager will þrovide outstandìngana inspiring ieadership by bJing actively involved in all aspects oflVIo_bile Heqlth.{eveloping þ1oad based relãtionshipi witñ Rwrgrf, tfré comñunity aåd other key stakeholders. The Central EMs Managerfitt be expected to lead, coach, develop ánd retain a high- performing supervisors and front line staff team members, all^the while emphasizing strategic planning aní analysis. Responsibilities of the role include but are not limited to: Rgspgnsible for assisting the Central Operations Director with oversight and management of centrally located ALS/BLS Services/Territories to ensurè that RWJBarnabas Health is-providing and efficiencies in the area of Patient Transpof and Mobile Health Services. ñesponiible"oñtigrro.tr for "orr"rug.iscalability day-io-day management, staffing and overall operations for ALS and BLS divisions. The Central EMS Managgr will maintain centrally located responsibility for ensuring a unified structure regarding EMS Field Operations, MICU Field.Operations an¿ SCTU Fièld Operaiions. The Céntral EMS Manager ríitt utrã ensure all communication is streamlined within the department, ensiuring the same message is delivereã strategically to all staff members. Job Qualifications/Education/Trai nin rtification/Lice ns u re B¿chelor's degre,e in Business, Healtþ^C_are_Adqinistration or related field of study preferred Must possess and maintain current NJSDoH/MICP or MICN certification. Must þossess and maintain current AHA, ACLS and PALS certification, Must þossess and maintain a valid driver's license. mkVÆärnabas HEALTH Tour Chief, RWJHN Summary of Job Function The Tour Chief of Mobile Health will ensure the delivery of world-class patient care through providing leadership and quality driven services alþned with RWJBH's strategic and operational plan. The Tour Chief is resþonsible for ove.rseeing all operations of their assigned tour. Standard of performance is based on the use of the knowledge, skills and techniques in accordance with all applicable laws, regulations and Mobile Health policies. The Tour Chief will report directly to the EMS Manager of Mobile Health and will foster a collaborative environment within the supervisory.team in developing and accessing RWJBH's long-term Mobile Health Strategy The.Tour Chief will provide outstanding and inspiring leidership by bðing actively in-volved in allaspects of lVobiä l.u..llh, d.eveloping broad based relationships with RWJBH, the'community and other key stakeholders. The Tour Chief will be expected to lead, coach, and develop high-performing supervisors and front line staffteam members, allthe while emphasizing strategic planning and analysii. Responsibilities of the role include but are not limited to: Conducts self in a professional, dignified and compassionate manner at alltimes when dealing with all external agencies, EMS department personnel, hospital personnel and the general public Responsible for enforcing all hospital and departmental policies, as wellas all external regulatory policies set forth by local and other government agencies Capable of communicating clearly, effectively and in English via written and verbal means Maintains a professional demeanor and appearance during all interactions. Responsible for maintenance of required certifications in accordance with RWJBH policies and all applicable State and Federal statutes and regulations Attends quarterly in-service to maintain EMS competencies and receive policy and procedure additions andfor updates lnteracts professionally with management, colleagues from other EMS agencies, public safety personnel and other healthcare providers and members of the public Takes appropriate measures to work within established budgets Assists in developing and maintaining all of the operational systems of the Emergency Medicalservices Department Ensure that all stations are clean and compliant with all OSHA, Federal and NJ State Department of Health Regulations Completes all shift PCR (Patient Care Reports) according to the Shift Documentation and eA (euality Assurance) Policies and Procedures. Counsel employeel with QA deficiencies and issue Corrective Actions where appropriate per policy Responsible for change of shift, including but not limited to issuing and return of equipment and evaluating the cleanliness of vehicles, and verifying that employeés appropriately [unched in/out. Ensure that all members of service under his/her direction are in the appropriate uniform, have a neat and professional appearance, and are in compliance with the RWJBH EMS Pòl¡cies and procedures. Prepare reports (shift report, administrative incident reports and accident investigation reports) in a timely, concise and complete manner Ensures that all members of service under his/her direction are up to date with certification and/or professional licenses and that such are presented to the chief upon request Ensures that the vehicles are adequately stocked, inspected, and enforce cleanliness of vehicles at all times To u r ch ef s re spo n st b le a e m p p t fo oyees, Su ervt so IS, a n d FTo' s d u n n t'J th e tou It rs expect ed th at s u p rvrsors n co n u ncti o n wit h th e to u r ch ef W isit at a m n m u m 6 sites p er d ay WI m o n ito r VE h cl e cl e a n ne SS, stte ssu es m o n itor a p pro p n ate ifelsafety tssu es with sta ff, a n d WI res po nd to em p loye e re q u ests for re s n5e To u r ch ief s re s pons b p ye t e fo r em lo eVA lu ati on s/ co u nse tn b, a n d d scr pl n e fo r a e m p oyees pe r tou En s u re th at a u n a a p p p its re ro n ate v po sted to nsu re a ti m elv re s po nse to E M s ca s R VIEW la e ca t ls' with sp ectfic crews so a s to exp o re th e reaso ns be h nd the d el ay n a rfl VA a nd ta ke a p p rop n at e a cti o n s Ensure that.EMS personnel have the appropriate equipment with them, to provide the highest level of pre-hospital treatment and transportation O.uri18 MCI's (Multiple Casualty lncidents) and other extraordinary pre-hospital incidents, the EMS Tour Chief has the authority to initiate the EMS Department's MCI Plan'ind request any additibnal resources necessary to stabilize the incident. Ensure that the RWJBH Supervisor is updated w¡th ¡nc¡dent scene dyn_amics, including confirmingthat all appropriate EMS and FiospitalAdministrators are notified. prevent EMS personnelfrom providing any information to media personnel Prepare action plans for operational issues in conjunction with existing policies and review them with his/her command staff Attend at least two (2) QA meetings a year Must communicate effectively in person and via radio with all associated agencies and the general public Respond to EMS call locations when requested by on-scene personnel or oiher agencies Recommends and ¡nitiates letters of commendation, performs employee evaluations, and issues Disciplinary Corrective Actions in accordance with RWiBH policy oi Cfin- Tour Chief's will be assigned to present topics during monthly management meetings, in-services and other occasions. lt is their responsibility to understand, develop, and prepare fór such presentations. ln some cases Tour Chiefs will be assigned a special duty (i.e. Special Operations) in which case additional office time will be scheduled as needed Tour chiefs will be responsible for eA follow up from the Clinical Director and Clinical Manager Do not support or allow rumors to prosper among EMS personnel (Sensitive discussions between supervisors, Tour chiefs and EMS Administration should be done in private) Required to attend regularly scheduled Administrative Supervisor and Tour Chief meetings unless the EMS Director excuses them (Tour Chiefs are responsible for information discussed during mee-tings in whích they were absent). Progressive discipline will begin after missing two (2) scheduled Administrative meetings in a calendar year Sleeping-on-duty is strictly prohibited by any on-duty Tour Chief, however, if forced to work l-2 hours þe.yond their regularly scheduled shift, due to emergency coverage or adverse weather , brief rest period will be granted "r"rg.niiãr, Significant issues that are time sensitive should be reported to the AOC as soon as possible Perform other related duties as may be assigned by the EMS Management ln addition, the Tour Chief must meet all of the requirements of the EMT and/or paramedic job descriptions except where waived by the appropriate authority Job Qualifications/Educatio n/ lrarnr ification/Licensure Physical Demands of the position: gîi5'ffiËiirË'!,rïljü:,f,î'^Tffiiöitf;:ix""ifôsî¿:rtmir"l;î,"Jf,l'tîg¿,H'li6',i*.r,", - ¿:îi*ir or ,ess) - ÇtIry¡lg llp to 50 þounds qf eqyipment up tõfiatf a miÍe cjñ une-v-eïÅiöuno - ìaTely llnlng, carrylng,,pushing/pulling patients up to 100lbs on their-own or 200lbs with assistance or arter their abiritv to perrorm fiHf.L?lfi"',i,?ffiifJ3lf;F.'"tJì,Ti'Áåilîii,i*{ì;lll,X".*i,fJr"/'o'' their Mental Requirements of the position: co ected ly th n R WJ B H Wor ct VE n a com m a stru ctu re App ro priat ely a ls with st ss an d m a n s C nt co m pos u re wh n en co u nteri n b se rious n u r ES o r il n esses Envi ron menta l/Worki n g Cond itio ns: The Tour Chief orov iäü,'ðriiLi'il;lib"#Ë:FìË-åTf",i'.T,:"1,ï;",1:îîH,Îs x?ï,iå"?l,%iiîË[ì ''iïi'Js$,.3ffi'À??:,.T"1:",iì,i'ji,"ui,i; Jlo" environments may ocöur in the course of,rout¡nb óperãiiõns. Knowledge and Skills Required: p.'i:?:T,$il,l,Tfl,?Tk : Ä!.iiliv Ts :TSl,îy lr,Î:n:flïìtåî,3nf'oo' - Eïtective communication, oral and written skills - Ability to follow policies ánd procedures - Read, write and speak Enelish - read a map andÏave ba-sic +þllityto knowledge of State, Countvand other public roadwavsI vqv YYs vJ - åÞll!!y !o perfqrm dLties in stressful and somöt¡meõ l¡tèiñ*.iäh¡r;tí"ãT¡Jri"" - Ffçrcise good judgment and make sound decisions in emersencv siiuiiions - tlü[T"'f*""-3iî'ìit.".:ïüi"i?¿b'i,fiå"Jr:i"Jfli8;iil5,i,Fl?J.',.'?å'3ii,fstiî,îfisjì$:î:Jv3liï,",-s-:ai ur rLç I u Ambu.lan"ce sgrviceìf áïo (N/ìöbî" t;iõñiTË'ðäi" proeram nðeülãi¡,;nî - lÍnowledge of other standards,'rules, reguiatìons, ãnã po-liC¡es rêiaiËðiõ'ËÁhs - lno.wtedge oï standards, rules, regulations, and policies related to EMS - Basic computer skills Ed ucation/Certification Req u i rements: -Certifications and Educational Requirements are: New Jersey Mobile lntensiv'e Care paramedic American Heart Association BLS for Healthcare provider American Heart Association ACLS American Heart Association pALS or American Academy of pediatrics 'pEpp_ACLS - Pre-Hosoital_o.r tnternationalTrauma- Life suþport [Àïvánteo Lei¿;ii- High Scliool Diploma oiõËD Current Driver's License and meets the current insurance companies requirements HazMat Awareness and Ooerations CEVO trainins within 3 veärs WMD or CBRTIIE Awareness and Operations NtMS t-700 tcs-200 tcs-300 Annual ALS and BLS Skills Verification Successful completion of core competency evaluation and EMS orientation -Specia I Requirements: Must be at least L8 vears of ase Driver's licens-e.reco'rd check ãnd criminal background check exp-erience and emþÏovmeÀiwl*ithe RWJBH EMS Department or equivatent Iy:"vS*:":Jj:l]:tjnfrnor supervtsory exper¡ence â!s_ preterred oossess Must an insiructorshio'-"'r "in one of the following areas within 1- year of appointment: pALS, ACLS, PHTLS, or BCLS ffiIftf#ärnabas HEALTH Field Supervisor, RWJHN Summ of Job Function The-Field Supervisor is responsible for overseeing all field operations of their assigned tour. Standard of performance is based on the use of the knowledge, skills and techniques in accorãance with allapplicable laws, regulations and RWJBH policies. Responsibilities of the role include but are not limited to: Conducts self in a professional, dignified and compassionate manner at alltimes when dealing with all external agencies, EMS department personnel, hospital personnel and the general public Responsible for enforcing all hospital and departmental policies, as well as all external regulatory policies set forth by local and other government agencies Capable of communicating clearly, effectively and in English via written and verbal means Maintains a professional demeanor and appearance during all interactions. Ensures that all Policies and Procedures are followed Attends quarterly inservice to maintain EMS competencies and receive policy and procedure additions and/or updates Responsible for baseline and continuing knowledge of RWJBH policies and procedures and all applicable State and Federalstatutes and regulations concerning emergency medical iervices, basic life suþþort ambulance service, EMT certification, etc. lnteracts professionally with management, colleagues from other EMS agencies, public safety personnel and other healthcare providers and members of the public Assists in developing and maintaining all of the operational systems of the Emergency Medical Services Department. Field Supervisors have administrative supervision over the staff on toui. At no time, should supervisors interfere with care rendered by the provider over the scope of their practice. All medical decisions should be referred to the base physician or the clinical management team. Responsible for correcting all reported vehicle, supply and equipment deficiencies during assigned shift in a timely manner. All measures should be exhausted to correct deficiencies before reporling p-roblem to the appropriate coordinator. encountering other crews, ensures that in-service vehicles, supplies and equipment are thoroughly Wh".n ' checked by all EMS personnel. Ensure that all reported discrepancies are correct ät tt're earliest possibTe time. Documents and reports discrepancies to the EMS Tour Chief. The EMS Field Supervisor will visit EMS posts where RWJBH units are posted. When encountering other crews ensure that all personnel are in proper uniform and in compliance with all Hospital and EMS Department Policies and Procedures. The Field Supervisor must maintain direct communication with the Tour Chief when applicable. Provide feedback and recommendations for performance evaluations annually. During MCI's (Multiple Casualty lncidents) and other extraordinary pre-hospital incidents, the EMS Field Supervisor has the authority to initiate the EMS Department's MCI Plan and request any additional resources necessary to stabilize the incident. Ensure that the Tour Chief and MedCentral Supervisor are updated with incident scene dynamics, including confirming that all appropriate EMS and Hóspital Administrators are notified. Prevent EMS personnel from providing ahy information to media personnel. Completes allshiftACR's (Ambulance Call Reports)accordingtothãShift paperwork and eA (ciuality Assurance) Policies and Procedures. Follow-up with employães with QA deficiencies and notify the Tour Chief if disciplinary action is appropriate per policy Represents the Hospital and Emergency Medical Services Department by exhibiting the highest level of professionalism when interacting with EMS, Police and Fire personnel, iócluding hõspital siaff and administration. Must communicate effectively in person anä via radio with all ãssociated agencies and the general public Recommends letters of commendation lnspect and enfo rce cleanliness of vehicles at all times May be assigned to present topics during monthly management meetings, inservices and other occasions so they are responsible for understanding, developing anì preparing foisuch presentations May be assigned a special duty in which case additional office t¡me will be scheduled as needed Do not support or allow rumors to prosper among EMS personnel (Sensitive discussions between supervisors, Tour chiefs and EMS Administration should be done in private) Required to attend regularly scheduled Administrative Supervisor and Tour Chief meetings unless the EMS Director excuses them (Supervisors are responsible for information discussed during meãtings in which they were absent) Progressive discipline will begin after missing two (2) scheduled Ádmin¡stiative meetings in a calendar year Do not allowconversations or materials of sexual or other inappropriate nature or intentto prosper among EMS personnel (Report any incidents of sexual harassment to the EMS Communications Coordinator, EMS Director, orthe Human Resources Department) Sleeping-on-duty is strictly prohibited by any on-duty Field Supervisor, however, if forced to work l-2 hours þey9nd their regularly scheduled shift, due to emergency coverage or adverse weather emergencies, a brief rest period will be granted (voluntary doubles ãnd over timã due not apply) Significant issues that are time sensitive should be reported to the on-call lVlanager as soon as possible Perform other related duties as may be assigned by the Technical Coordinator or EMS Management ln addition, the Field Supervisor must meet all of the requirements of the EMT job descriptions except where waived by the appropriate authority Supervisor will be required to work to the level of their certification in the field. This may be accomplished as a first responder (as permitted by regulation), a s a staff member when the minimum staffing level is not achieved, or at the discretion of the tour chief for operational control. Job Qualificatio Education/Traini ion/Licensure Physical Demands of the Position: - ltano'"*,.*i,|å'f*'1åTffis,;j'.i[Tl?'.it',ri3fiHËjtå1"îsi¿lçti,f,ifåtttllìil"I ,".J,:l'li,lag'ii6',?1r,", - Lommunrca .-'-" \-- or ress) - Çatryi4g up to 50 pounds of equîpment up tõhalf a mile dn uneven srounð" - Sately - litting, carrying,.pushing/pulling patients up to 100lbs on their"own or 200lbs with assistance î|y tnqnge In an employgg! ply.sjcal.co.nditiorìthqt would prohibit or alter their ability to perform their Job duties must be brought to EMS Administration immediaiely Mental Requirements of the Position: - Handle a sisnificant t! number of stressful situations and be able to function calmly, coolly and collectedly during those times - Get along well with other personalities - Communicate with patients and others with empathv and respect - Create and maintain a positive and cooperative workinÁ env¡rõñment in stressful situations - Work smoothly and profqssionally in ad environment w1ãre teamwó;k'ij ðs!ãïtial - Alalyze and interpreit difficult and complex patient care and pãrjônñeisìtuãtiorìs - Wqrk independ.e,ntly.with minimal su.pervisiön for assigned tásks - Anticipate and identify p¡_oblems and'take initiative to-prevent or correct them - Establish and maintain effective working relationships iruith all levels of medical personnel within RWJBH and with all other outside asenctes - Works effectively within a cómmand structure - Appropriately deals with stress and maintains composure when encountering seríous injuries or illnesses Environmental/Working Conditions: Iþ" li"l{ Supervisor provides emergency services to a wide variety of patients in varied locations and conditions. Ll.9^5J1l9l-5Yq9ryfor must be capable ot functioning at any. time of the day or night. Exposure to hazardous stïuaflons and envtronments may occur in the course of routine operations.' Knowledge and Skills Required: Abilitv to p erform d u n ng a n e m rgency fo r prolo n ged pen . od s Abilitú to re a ct ca mly a n d s p e a k clearlv rn cflsts s ituat tons Effective com m u n icat to J'ì, ora a n d writîen s ki ls Ab to fo OW po ctes a nd roce d u res Rea spea k Enslis f Ab m a ndJ-ra VE ba s c kn OW ed of State Co u and other blic roadwa h e p u b lic n ce Veh cl es & po tct s rel ated to EM S es related to E Ms Equipment Used: administration devices, _ $äl,g?iìlåiåili!,.îiti!.,i:5;s,bîìil$." oropharangeal and nasopharangeal airways pressure - PJogd monito.ring equipníent (manual and automatic) including pulse oximetry - sretnoscopes. oen ltshts - HARE Traitioñ'solint" - Kendrick Extr.icaiion Devices (KED), long and short boards, cervical collars - Splinting devices - Suction devices - Glucose - EpiPen Autoinjectors - Nerve Agent Antidote Kit (NAAK) - Assist in use of Nitroglyceiin and Albuterol - OB/GYN Kits - Straps, klins qauze and bandaees - Hand iools,-rõad flares, windo"w punches, and orange traffic trianeles - Eye protection and other essential personal protectJve eouipmenf. eloves. sown. mask - ltretcher, orthoped.ic stretcher, stair chairs ánd other patient tran'sler eqú¡Ëment - Two-way radios and other communication devices - Comouters - ICS a'djunct equipment Education/Certification Requirements: -Certifications and Educational Requirements are: - New Jersev EMT Basic - American l:leart Rssðð¡at¡on BLS for Healthcare provider - PHTLS or ITLS - High School Diploma or GED - Cu-rrent Driver's License and meet the current insurance companies reouirements - HazMat Awareness and Operations within the last 12 months' - CEVO trainine within 3 veàrs - WMD or CBRT{E Awareness and Operations within 6 months of employment - NIMS l-700 within 6 months of emolovment - ICS-300 within 6 months of emolovmeínt - Must possess an instructorship'within 1 vear of appointment - Annual SAED and BLS Skills Veiification - Successful completion of core competency evaluation and EMS orientation -Special Req uirements: - Must be at least l-8 vears of ase - Driver's license reco'rd check ãnd criminal backs round check - ?rqfer two years' experience working at JCMC Ë MS as an EMT with dr¡ving experience - Prior superúisory exþerience preferrõd RWJ BARNABAS HEALTH, INC. Consolidated Financial Statements December 31 , 2017 and 2016 (With lndependent Auditors' Report Thereon) RWJ BARNABAS HEALTH, INC. Table of Contents Page I ndependent Auditors' Report 1 Consolidated Financial Statements: Consolidated Balance Sheets 2 Consolidated Statement of Operations 3 Consolidated Statement of Changes in Net Assets 4 Consolídated Statement of Cash Flows 5 Notes to Consolidated Financial Statements 6 KPMG LLP 345 Park Avenue NewYork, NY 10154-0102 lndependent Auditors' RepoÉ To the Board of Trustees RWJ Barnabas Health, lnc. We have audited the accompanying consolidated financial statements of RWJ Barnabas Health lnc. (the Corporation), which comprise the consolidated balance sheets as of December 31 , 2017 and 2016, and the related consolidated statement of operations, changes in net assets, and cash flows for the year ended December 31,2017 , and the related notes to the consolidated financial statements. Management's Responsibility for the Consolidated Financial Statements Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with U.S. generally accepted accounting principles; this includes the design, implementation, and maintenance of internal controls relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error. Auditors' Responsibility Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial statements. The procedures selected depend on the auditors' judgment, including the assessment of the risks of material misstatement of the consolidated financial statements, whether due to fraud or error. ln making those risk assessments, the auditor considers internal controls relevant to the entity's preparation and fair presentation of the consolidated financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal controls. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements, We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion ln our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of RWJ Barnabas Health, lnc. as of December 31,2017 and 2016, and the results of its operations and its cash flows for the year ended December 31 , 2017 , in accordance with U.S. generally accepted accounting principles. t<Þ,"tc= LtP May 4,2018 \ì1,1i:lLLl, ì,rj;.:,.r..::jta::t\.:tt,)::,i,:.i\,.,¡J¡!ìtj.:.:i.i!:j(:tiìr)U:).i:,:ra:,rr .:..:;. 11. . ..tt ....:: - .',ì\i:ì.,:i, ¡i:i i::ì r':l:i:r:.1,.1.:;rj..f,P:rl,rì I,i¡.:, î!.i..r.:,) ,: jryr,,r. a:J,,! RWJ BARNABAS HEALTH, INC. Consolidated Balance Sheets December 31,2017 and 2016 (ln thousands) Assets 2017 2016 Current assets: Cash and cash equivalents $ 85,786 36,1 36 lnvestments 37,315 64,873 Assets limited or restricted as to use 65,339 137,979 Patient accounts receivable, net of allowance for doubtful accounts of $219,417 in2017 and$222,774 in 2016 500,377 494,929 Other current assets 174,239 164,763 Total current assets 863,056 898,680 Assets limited or restricted as to use, noncurrent portion 239,020 260,984 lnvestments 3,206,160 2,549,536 Property, plant, and equipment, net 2,040,076 1,977 ,544 Other assets, net 233 599 188 369 Total assets $ 6,581 ,911 5,875,113 Liabilities and Net Assets Current liabilities: Accounts payable $ 293,354 26s,914 Accrued expenses and other current liabilities 631,582 571 ,178 Estimated amounts due to third-party payors, net 9,633 9,400 Long-term debt 16,701 49,278 S elf-insu rance liabilities 65,285 65,041 Total current liabilities 1 ,016,555 960,811 Estimated amounts due to third-party payors, net of current portion 48,571 47,311 Self-insurance liabilities, net of current portion 235,822 205,758 Long-term debt, less current portion 1,803,497 1,830,316 Accrued pension liability 79,076 115,173 Other liabilities 159,107 134,661 Total liabilities 3,342,628 3.2 94,030 Commitments and contingencies Net assets: Unrestricted 3,074,321 2,433,305 Temporarily restricted 131,468 117,439 Permanently restricted 33,494 30 leo Total net assets 3,239,283 2,581,083 Total liabilities and net assets $ _9,s81911_ 5,875,1 1 3 See accompanying notes to consolidated fìnancial statements 2 RWJ BARNABAS HEALTH, ¡NC. Consolidated Statement of Operations Year ended December 31,2017 (ln thousands) Revenue: Patient service revenue (net of contractual allowances and discounts) $ 4,747,393 Provision for bad debts {165,499) Net patient service revenue less provision for bad debts 4,581,894 Other revenue, net 490,341 Total revenue 5,072,235 Expenses: Salaries and wages 1,872,037 Physician fees and salaries 461,174 Employee benefits 378,924 Supplies 935,268 Other 895,974 lnterest 64,320 Depreciation and amortization 210 534 Total expenses 4,818,231 lncome from operations 254,004 Nonoperating revenue (expenses): lnvestment income, net 335,082 Other, net (18,075) Total nonoperating revenue, net 317 007 Excess of revenue over expenses 571,011 Other changes: Net change in unrealized gains on available for sale investments 380 Pension changes other than net periodic benefit cost 32,519 Net assets released from restriction for purchases of propefty and equipment 32,129 Other, net 4,977 lncrease in unrestricted net assets $ 641 ,016 See accompanying notes to consolidated financial statements. 3 RWJ BARNABAS HEALTH, INC. Consolidated Statement of Changes in Net Assets Year ended December 31 , 201 7 (ln thousands) Temporarily Permanently Total Unrestricted restricted restricted net assets Net assets at December 31, 2016 $ 2,433,30s 117,439 30,339 2,581,083 Changes in net assets: Excess of revenue over expenses 571,011 571 ,011 Net change in unrealized losses on investments 380 (75) 305 Pension changes other than net periodic benefit cost 32,519 32,519 Change in interest in restricted net assets of unconsolidated foundations 1,770 1,770 Net assets released from restriction 32,129 (42,e53) (10,824) Restricted contributions 56,008 44 56,052 lnvestment income on restricted investments, net 508 508 Change in interest in perpetual trust 3,111 3,111 Other 4,977 (1,22e) 3,748 Change in net assets 641,016 14 029 3,1 55 00 Net assets at December 31, 201 7 $ _131t99_ 33,494 83 See accompanying notes to consolidated financial stâtements. 4 RWJ BARNABAS HEALTH, INC. Consolidated Statement of Cash Flows Year ended December 31, 2017 (ln thousands) Cash flows from operating activities: Change in net assets $ 658,200 Adjustments to reconcile change in net assets to net cash provided by operating activities: Pension changes other than net periodic benefìt cost (32,51e) Depreciation and amortization expense 210,534 Amortization of bond financing costs, premiums and discounts (5,355) Provision for bad debts 165,499 Net change in unrealized gains on investments (223,1 0B) Realized gains on investments (63,e70) Equity in income of joint ventures (26,652) Distributions received from investments in joint ventures 22,589 Distributions to noncontrolling interests 767 Gain on sale of assets (508) Contributions restricted for long-term use (36,053) Changes in operating assets and liabilities: Patient accounts receivable (170,947) Other assets (21,865) Accounts payable, accrued expenses, and other current liabilities 78,186 Estimated amounts due from and to third-party payors 1,493 Accrued pension liability (3,578) Self-insurance and other long-term liabilities 54,754 Net cash provided by operating activities 607,467 Cash flows from investing activities: Purchases of property, plant, and equipment, net (264,577) Proceeds from bond funds 104,250 Proceeds from the sale of investments and assets limited or restricted as to use 26,522 Purchases of investments and assets limited or restricted as to use (52,247) Purchases of trading securities (3,861,664) Proceeds from the sale oftrading securities 3,515,137 lnvestment in joint venture (28,778) Proceeds from sale of assets 896 Net cash used in investing activities Cash flows from financing activities: Repayments of long-term debt (54,041) Distributions to noncontrolling interests (767) Proceeds from contributions restricted for long-term use 36,053 Proceeds from contributions and grants 781 Net cash used in fìnancing activities 7,974) Net increase in cash and cash equivalents 29,032 Cash, cash equivalents and restricted cash at beginning of year 75,779 Cash, cash equivalents and at year restricted cash end of $ 104,81 1 Supplemental disclosure of cash flow information: Cash paid for interest $ 47,727 Supplemental disclosures of noncash investing and financing activities: Change in noncash acquisitions of property, plant, and equipment 8,877 See accompanying notes to consol¡dated financial statements à RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) (l) Organization Effective April 1, 2016, Robert Wood Johnson Health Care Corp. and its affiliates (collectively, RWJ) and Barnabas Health, lnc. and its affiliates (collectively, Barnabas Health) completed a transaction pursuantto a merger agreement dated March 16, 2016, to form RWJ Barnabas Health, lnc. The parent corporations of RWJ and Barnabas Health agreed to jointly sponsor a newly formed organization comprised of all entities of both systems. The merger was accomplished through the establishment of a new system parent corporation as the sole member of the former parent corporations of each system (RWJ and Barnabas Health, respectively). The parent corporation of the newly merged health care system, RWJ Barnabas Health, lnc., (the Corporation), is a not-for-profit, tax-exempt corporation. The merger was effected to create an integrated health system that would expand the scope of, and access to, health care services within communities served by both RWJ and Barnabas Health. The services and facilities of the Corporation include 11 acute care hospitals, 3 acute care children's hospitals, a free standing behavioral health center and statewide behavioral health network, a pediatric rehabilitation hospital, ambulatory care centers, geriatric centers, comprehensive home care and hospice services, fitness and wellness centers, retail pharmacy centers, medical groups, diagnostic imaging centers, accountable care organizations, a burn treatment facility, comprehensive cardiac surgery services, including a heart transplant center, a lung transplant center, kidney transplant centers, comprehensive cancer services and comprehensive breast centers. Concurrent with the merger, trustees of both RWJ and Barnabas Health resigned at the effective date of the transaction, and a new board of trustees was formed. The Corporation has accounted for the combination as a merger of not-for-profit entities under Accounting Standards Codification (ASC) Subtopic 958-805, Not-for-Profit Entities: Eusrness Combinations resulting in a new reporting entity effective April 1, 2016, with no activities before the merger. Therefore, the consolidated assets, liabilities and net assets of RWJ and Barnabas Health are included in the accompanying consolidated financial statements as of the effective date at their historical basis under the carryover method. Accordingly, no goodwill was recognized as a result of the transaction. The application of merger accounting to the combination as of April 1 ,2016 required RWJ and Barnabas Health to conform certain accounting policies for consistency, including the accounting for the valuation of patient accounts receivable and investments in joint ventures. Adjustments of $38,600 were made to conform to the policies as of March 31 ,2016. 6 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The major classes of assets, liabilities and net assets for RWJ and Barnabas Health that were consolidated at March 31,2016 are as follows: Barnabas RWJ Health Total Assets: Cash and investments $ 746,866 1,533,221 2,280,087 Assets limited or restricted as to use 209,044 271,734 480,778 Patient accounts receiwble, net 203,1 33 305,677 508,81 0 Property and equipment, net 826,780 991,331 1,8'18,11't Other assets 150,179 241,745 391 924 Total assets $ 2,136,002 3,343,708 5 710 Liabilities: Accounts payable $ 113,O21 202,109 31 5,1 30 Accrued expenses and other current liabilities 166,890 370,046 536,936 Long-term debt 612,712 1,137,452 1,750,164 Other liabilities 183,299 304,856 488 155 Total liabilities 1, 075,922 2,014,463 3,090,385 Net assets: Unrestricted 990,1 94 1,232,404 2,222,598 Temporarily restricted 55,473 82,980 138,453 Permanently restricted 14,413 13,861 28,274 Total net assets 1,060,080 1,329,245 2, 389,325 Total liabilities and net assets $ 2,136,002 3 343 708 5,479,710 The following table presents supplemental pro forma information for the Corporation for the year ended December 31, 2016, as if the merger had occurred on January 1,2016. The following supplemental pro forma information is not audited and is as follows: Change in Ghange in Change in temporarily permanently Total unresfricted restricted restricted revenue net assets net assets net assets RWJ $ 1,851,619 21,652 321 5,294 Bamabas Health 3,238,276 294,035 (25,089) (3e6) Total $ 5,089,895 315,687 (24,768) 4,898 7 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The information above is presented only for purposes of additional analysis and not as a presentation of financial position and results of operations. This information does not reflect all eliminations and reclassifications as may be required by generally accepted accounting principles (GAAP) and is not necessarily indicative of what the financial position and results of operations would have been for the consolidated entity had the merger occurred on January 1,2016. (2) Significant Accounting Policies (a) Basis of Accounting of Financial Statement Presentation The consolidated financial statements have been prepared on the accrual basis of accounting and include all affiliates and other entities for which operating control is exercised by the Corporation. lnvestments in entities where the Corporation does not have operating control are recorded under the equity or cost method of accounting. The Corporation has included its equity share of income or losses from investments in unconsolidated affiliates in other operating revenue. All significant intercompany balances and transactions have been eliminated. (b) Use of Estimates Ïhe preparation of the consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and reported amounts of revenue and expenses during the reporting year. Actual results could differ from those estimates. (c) Cash and Cash Equivalents Cash and cash equivalents include investments in money market funds and highly liquid debt instruments with original maturities of three months or less, excluding assets limited or restricted as to use. (d) Patient Accounts Receivable and Patient Servíce Revenue The Corporation has agreements with third-party payors that provide for payment at amounts different from its established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Management regularly reviews accounts and contracts and provides appropriate contractual allowances and discounts that are netted against patient accounts receivable in the consolidated balance sheets. Patient accounts receivable are further reduced by an allowance for doubtful accounts. The Corporation regularly reviews its past collection history and payment trends for each of its major payor sources of patient service revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For patient accounts receivable associated with self-pay patients, which includes those patients without insurance coverage and patients with deductibles and copayment balances for which third-party coverage exists for a portion of the bill, the Corporation records a provision for bad debts for patients that are unable or unwilling to pay for the porlion of the bill representing their flnancial responsibility. Account balances are charged off against the allowance for doubtful accounts after all means of collection have been exhausted. 8 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The following table sets forth the components of the change in the allowance for doubtful accounts for the year ended December31,2017: Balance, beginning of year $ 222,774 ProVsion for bad debts 165,499 Write-offs, net of recoreries (168,856) Balance, end of year $ 219,417 The Corporation grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor arrangements. The percentages of patient accounts receivable from patients, and third-party payors as of December 31, 2017 and 2016 were as follows: Decem ber 31 2017 2016 Medicare 7 % 18% Managed Medicare I I Medicaid 5 6 Managed Medicaid o 11 Blue Cross 5 17 Commercial and other managed care 35 31 Self-pay patients and other 11 I 100 % 100 % Patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others for services rendered, including estimated settlements under payment agreements with third-party payors. Settlements with third-party payors are accrued on an estimated basis in the period in which the related services are rendered and adjusted in future periods as final settlements are determined. The estimated percentages of patient service revenue by inpatient and outpatient services, net of the provision for bad debts, for the year ended December 31, 2017 are as follows: lnpatient services 59% Outpatient services 41 I (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The following table reflects the estimated percentages of patient service revenue, net of the provision for bad debts, forthe yearended December 31,2017: Medicare 26 o/o Managed Medicare I Medicaid 4 Managed Medicaid 14 Blue Cross 22 Commercial and other managed care 21 Self-pay patients and other E 1OO o/o (e) Supplies Supplies are carried at the lower of cost or net realizable value, determined principally on an average cost basis. Supplies, totaling $81,096 and $77,735, are included in other current assets in the consolidated balance sheets at December 31 ,2017 and 20í6. (fl Assefs Limited or Restricted as fo Use Assets limited or restricted as to use include assets held by trustees under bond indenture agreements, assets restricted for self-insurance, assets held for supplemental retirement benefits, and assets restricted by donors for specific purposes or endowment. Amounts required to meet current liabilities of the Corporation are classified as current assets. (g) lnvestments and lnvestment Income A significant portion of the Corporation's investments are held in an investment portfolio maintained for the benefit of the Corporation and its affiliates and subsidiaries. lnvestments are classified as trading investments except for certain investments, which are limited or restricted as to use and are classified as investments available for sale. lnvestments in equity securities with readily determinable fair values and all investments in debt securities are measured at fair value, based on quoted market prices. Donated investments are recorded at their fair value, based on quoted market prices at the date of receipt. Alternative investments (nontraditional, not readily marketable asset classes) within the investment portfolio are structured such that the Corporation holds interests in private investment funds, consisting of hedge funds and private equity funds. These investments are reported at fair value as estimated and reported by general paftners, based upon the underlying net asset value of the fund or partnership as a practical expedient. Because of inherent uncertainty in these valuations, those estimated values may signiflcantly differ from the values that would have been used had a ready market for the investments existed, and differences could be material. Most investment income and realized gains and losses are recorded as nonoperating revenue. Unrealized gains and losses on trading securities are recorded as nonoperating revenue. Unrealized 10 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) gains and losses on available for sale investments are recorded as other changes in net assets. Changes in the fair value of alternative investments are included in nonoperating revenue. lnvestment income and realized gains and losses on assets restricted by donors for specific purposes or endowment are included in temporarily restricted net assets. A decline in fair value, deemed other than temporary for available for sale investments, results in a reduction in carrying amount and the related loss is included in nonoperating revenue. (h) Propefty, Plant and Equipment Property, plant, and equipment expenditures are recorded at cost. Donated assets are recorded at fair value at the date of donation. Capitalized leases are recorded at the present value of the future minimum lease payments at the inception of the lease and are included in property, plant, and equipment. Depreciation expense is computed on a straight-line basis using estimated useful lives of the assets ranging from 2 to 40 years. Equipment held under capital leases and leasehold improvements is amortized using the straight-line method over the shorter of the estimated useful life of the asset or the related lease term. Such amortization is included in depreciation expense. Gifts of long-lived assets such as land, buildings, or equipment are reported as unrestricted net assets and are excluded from the excess of revenue over expenses in the consolidated statement of operations, unless explicit donor stipulations specify how the donated assets must be used. Gifts of long-lived assets with explicit restrictions that specify how the assets are to be used and gifts of cash or other assets that must be used to acquire long-lived assets are reported as restricted net assets. Absent explicit stipulations about how long those long-lived assets must be maintained, expirations of donor restrictions are reported when the donated or acquired long-lived assets are placed in service. (i) Deferred Financing Cosfs Deferred financing costs represent costs incurred to obtain debt-financing arrangements. Amortization of these costs is provided using the effective-interest method over the terms of the applicable indebtedness. Deferred fìnancing costs are presented as a reduction of the related debt. During 2016, the Corporation incurred $8,979 of deferred financing costs related to the issuance of Series 2016 and Series 20164 bonds (note 8). No deferred financing costs were incurred by the Corporation during the year ended December 31,2017. 0 Donor'Restricted Gifts Unconditional promises to give cash and other assets are reported at fair value at the date the promise is received. The gifts are reported as either temporarily or permanently restricted support if they are received with donor stipulations that limit the use of the donated assets. When a donor restriction expires, that is, when a stipulated time restriction ends and/or purpose restriction is accomplished, temporarily restricted net assets are reclassified as unrestricted net assets and reported in the consolidated statement of changes in net assets as net assets released from restrictions. Donor-restricted contributions whose restrictions are met within the same year as received are reported as unrestricted contributions in the accompanying consolidated statement of operations. 11 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) Pledges receivable represent an unconditional promise to give cash and other assets to the Corporation's affiliates over a period not greater than 20 years. Such amounts are recorded at their present value at the date the promise is received, net of an allowance for uncollectible pledges. Such amounts are included as externally designated or restricted noncurrent assets limited as to use in the consolidated balance sheets. (k) Temporarily and Permanently Restricted Nef Assefs Temporarily restricted net assets represent funds whose use has been restricted by donors to a specifìc period or purpose. Permanently restricted net assets represent funds that have been restricted by donors to be maintained in perpetuity. Generally, the donors of these permanently restricted assets permit the use of part of the income earned on related investments for specific purposes. Resources arising from the results of operations or assets set aside by the Board of Trustees are not considered to be donor restricted. Temporarily restricted net assets are available for the following purposes: December 31 2017 2016 Healthcare services $ 51,084 34,174 Capital purchases 62,655 58,731 Health education and other services 17 729 24,534 $ 131,468 117,439 (l) Fair Value of Financíal lnstruments The carrying amounts reported in the balance sheets for cash and cash equivalents, patient accounts receivable, net, estimated amounts due to/from third party payors, net, other current assets, accounts payable, accrued expenses, and other current liabilities approximate fair value. @) Pertormance Indicator The consolidated statement of operations includes a performance indicator, which is the excess of revenue over expenses. Changes in unrestricted net assets, which are excluded from excess of revenue over expenses, include unrealized gains and losses on investments that are classified as available for sale, certain changes in pension obligations, capital contributions and other transactions. The Corporation differentiates its ongoing operating activities by providing income from operations as a subperformance indicator. lnvestment income, net (excluding unrealized gains and losses on available for sale investments), net periodic benefit costs other than service costs and other transactions, which are not considered to be components of the Corporation's ongoing activities are excluded from income from operations and reported as nonoperating revenue in the consolidated statement of operations. lnvestment income earned on assets limited as to use under bond indenture agreements is included in other revenue in the consolidated statement of operations. 12 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) (n) Charity Care The Corporation provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates (note 3). Since the Corporation does not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as patient service revenue. (o) OtherRevenue Other revenue consists of the following for the year ended December 31,2017, Physician practice income, net $ 254,096 Grants 41,831 Pharmacy sales 46,465 Cafeteria and rcnding 9,011 Parking income 5,173 Equity in the income of joint rentures 26,652 Net assets released from restrictions for operations 17,925 Contributions 12,397 Rental income 14,645 Education and training 12,054 Other 50,093 $ 490,342 (p) lncome Taxes The Corporation and its affiliates, excluding its for-profit subsidiaries and nominee owned captive professional medical services corporation, are not-for-profit corporations and are exempt from federal and state income taxes on related income under existing provisions of the lnternal Revenue Code and State of New Jersey statutes. The Corporation's for-profit subsidiaries have recorded various deferred income tax assets and liabilities that reflect temporary differences between the amounts of assets and liabilities used for financial reporting purposes and the amounts used for income tax purposes. These amounts are not material to the consolidated financial position of the Corporation and are included as other assets or other liabilities in the consolidated balance sheets as appropriate. ln addition, the provision for income taxes recorded by the Corporation's for-profit subsidiaries is not material to the consolidated results of operations of the Corporation and is included as other expenses in the consolidated statement of operations. 13 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) Certain for-profit subsidiaries have federal net operating loss (NOL) carryforwards of approximately $96,164 that expire through 2037 and State of New Jersey NOL carryfonruards of approximately $50,969 that also expire through 2037. During the year ended December 31,2017, a for-profit affiliate of the Corporation reduced certain tax attributes that included $66,399 and $62,024, respectively, of federal and State of New Jersey NOL carryfonruards. At December 31,2017 and 2016, all deferred tax assets related to these NOL carryfonruards have been fully reserved due to the uncertainty of realizing the tax benefits associated with these amounts. The Corporation does not have any significant uncertain tax positions as of December 31, 2017 and 2016. (q) Self-lnsurance Under the Corporation's self-insurance programs, claims are recorded based upon actuarial estimation, including both reported and incurred but not reported claims, taking into consideration the severity of incidents and the expected timing of claim payments. (r) lmpairment of Long-Lived Assefs Management routinely evaluates the carrying value of its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of assets, or related group of assets, may not be recoverable from estimated undiscounted cash flows generated by the underlying tangible assets. \l/hen the carrying value of an asset exceeds its estimated recoverability, an asset impairment charge is recognized for the difference between the fair value and carrying value of the asset. ln addition to consideration of impairment upon the events or changes in circumstances described above, management regularly evaluates the remaining useful lives of its long-lived assets. lf estimates are changed, the carrying value of affected assets is allocated over the remaining useful lives. ln estimating the future cash flows for determining whether an asset is impaired, the Corporation groups its assets at the lowest level for which there are identifiable cash flows independent of other groups of assets. No impairment charge was recorded during the year ended December 31,2017. (s) Goodwill Goodwill represents the excess of the aggregate purchase price over the fair value of net assets acquired in business combinations. lt has an indeflnite useful life and is not amortized, but is subjected to impairment tests. The Corporation performs impairment testing at least annually or more frequenfly if events or circumstances change creating a reasonable possibility that an impairment may exist. No impairment of goodwill was deemed necessary during the year ended December 31,2017 . At December 31,2017 and2016, otherassets, netincludeapproximately9,5,717 of goodwill. 14 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) (t) Accounting Pronouncements ln January 2016, Accounting Standards Update (ASU) No. 2016-01 , Recognition and Measurement of Financial Assefs and Financial Liabilities (Subtopic 825-10)(ASU 2016-01) was issued. ASU 2016-01 makes targeted improvements to the accounting for, and presentation and disclosure of, financial instruments. ASU 2016-01 requires that most equity instruments be measured at fair value, with subsequent changes in fair value recognized in net income. ASU 2016-01 does not affect the accounting for investments that would otherwise be consolidated or accounted for under the equity method. The new standard also impacts financial liabilities under the fair value option and the presentation and disclosure requirements for financial instruments. This ASU is effective for fìscal years beginning after December 15, 2018. Early adoption is permitted and the Corporation has adopted this standard as of April 1,2016, the effect of which was to eliminate the disclosures of the fair value of its debt instruments. ln November 2016, the FinancialAccounting Standards Board (FASB) issued ASU No. 2016-18, Resfrlcfed Casf¡. The amendments in this update require that a statement of cash flows explain the change during the period in the total of cash, cash equivalents, and restricted cash and restricted cash equivalents. Therefore, the amounts classified as restricted cash and restricted cash equivalents should be included with cash and cash equivalents when reconciling the beginning-of-period and end-of-period total amounts shown on the statement of cash flows. This guidance is effective for fiscal years beginning after December 15,2017, with early adoption permitted. The Corporation has elected to early adopt the standard for the year ended December 31,2017. As required by the standard, the retrospective transition method has been applied. Restricted cash and cash equivalents of $1g,02S and $39,643 as of December 31, 2017 and 2016, respectively, have been included on the cash, cash equivalents and restricted cash and cash equivalents, end of year and beginning of year balances on the consolidated statement of cash flows. Restricted cash is included in assets limited or restricted as to use, noncurrent portion in the consolidated balance sheets. ln March 2017 , the FASB issued ASU No. 2017-07 , lmproving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cosf. This guidance amends ASC Topic 71S, Compensation - Retirement Benefits, to require employers that present a measure of operating income in their statement of operations to include only the service cost component of net periodic pension cost and net periodic postretirement benefit cost in operating expenses (together with other employee compensation costs). The other components of net benefit cost, including amortization of prior service cost or credit, are to be included in nonoperating revenue (expenses). This ASU is effective for fiscal years beginning after December 15,2019. Early adoption is permitted and the Corporation has adopted this standard as of December 31 , 2017 . As a result, the net periodic benefit cost other than service costs of $11,485 was recorded in other nonoperating activities and no service costs were recorded in fringe benefit expense in the consolidated statement of operations, as the plans are frozen. U pcomi ng Accou nti ng Pro n o u nce me nts ln May 2014, the FASB issued ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606) (ASU 2014-09). This ASU establishes principles for reporting useful information to users of financial statements about the nature, amount, timing and uncertainty of revenue and cash flows arising from the entity's contracts with customers. Particularly, that an entity recognizes revenue to depict the 15 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. ASU 2014-0g is effective for fiscal years beginning after December 15,2017 . The Corporation does not expect the adoption of ASU 2014-09 to have a material impact on the consolidated financial statements for the year ended December 31, 2018. ln February 2016, the FASB issued ASU No. 2016-02, Leases (ASU 2016-02), which witl require lessees to recognize most leases on the balance sheets, increasing their reported assets and liabilities-sometimes very significantly. This update was developed to provide financial statement users with more information about an entity's leasing activities, and will require changes in processes and internal controls. The adoption of ASU 2016-02 is effective for fiscal years beginning after December 15, 2018 and is applied retrospectively in the year of adoption. The Corporation is currenly assessing the impact of the adoption of ASU 2016-02, which is expected to have a significant impact on its financial position by recording "right to use" assets and related lease obligations but limited impact to the results of operations. ln August 2016, the FASB issued ASU No. 2016-14, Presentation of Financiat Statements for NotÅor-Profit Entities (ASU 2016-14), which amends the requirements for financial statements and notes in ASC Topic 958, Not-for-Profit Entities (NFP). ASU 2016-14 will have the following impact on the financial statements of NFPs: . Reduces the number of net asset classes presented from three to two: with donor restrictions and without donor restrictions; . Requires NFPs to present expenses by their functional and their natural classifications in one location in the financial statements; ' Requires NFPs to provide quantitative and qualitative information about management of liquid resources and availability of financial assets to meet cash needs within one year of the balance sheet date; . Retains the option to present operating cash flows in the statement of cash flows using either the direct or indirect method; . Requires allocation methodology of allocating expenses; and . Requires investment expenses to be recorded net against returns, both internal and external. The adoption of ASU 2016-14 is effective for fiscal years beginning after December 1S, 2017 and is applied retrospectively in the year of adoption. The Corporation does not anticipate that the adoption of this ASU will have a significant impact on its financial position or its results of operations. (u) Reclassifications Certain prior year amounts have been reclassified to conform to the current year presentation. (3) Charity Care and Community Benefit ln accordance with the Corporation's mission and philosophy, the Corporation's hospitals commit substantial resources to both the indigent population and the broader community. The Corporation's charity 16 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) care policy is to provide care without regard to the patient's ability to pay for services rendered. To the extent that patients do not have the ability to pay, services rendered to those patients are repoded as charity care. The Corporation's hospitals and affiliates also provide other benefits through a broad range of community service programs and charitable activities. The amount of charity care, commLlnity service programs, and charitable activities, at estimated cost, provided to the indigent population and broader community for the year ended December 31,2017 is as follows: Cost of charity care and community benefit programs: Net estimated cost of charity care provided, less state subsidy funding $ 83,563 Unpaid cost of public programs, Medicaid, and other means - tested programs 201,584 Other programs: Cash and in-kind donations $ 4,675 Education and research 83,717 S ubs idized departments 53,593 Other community benefits 9,914 The Corporation's hospitals utilize a cost to charge ratio methodology to convert charity care to cost. The cost to charge ratio is calculated utilizing the Corporation's cost accounting system or filed cost reports. The State of New Jersey's regulations provide for the distribution of funds from a Charity Care Fund, which is intended to partially offset the cost of services provided to the uninsured. For the year ended December 31,2017, the Corporation's hospitals received distributions from the Charity Care Fund of $35,412, which are included in net patient service revenue. (4) Healthcare Reimbursement System (a) The Corporation records patient service revenue at estimated net realizable value in the period in which services are performed. Patient service revenue consists of amounts charged for services rendered less estimated discounts for contractual and other allowances for patients covered by Medicare, Medicaid, and other health plans and discounts offered to patients under the Corporation's uninsured discount program. The Medicare program currently pays for most services at predetermined rates; however, certain services and specified expenses continue to be reimbursed on a cost basis. The Medicaid program also currently reimburses the Corporation at predetermined rates for inpatient services and on a cost reimbursement methodology for outpatient services. Regulations require annual retroactive settlements for cost-based reimbursement and other payment arrangements through cost reports filed by the Corporation. 17 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The Corporation also has entered into payment agreements with certain commercial insurance carriers, health maintenance organizations, and preferred provider organizations. These agreements have retrospective audit clauses, allowing the payor to review and adjust claims subsequent to initial payment. Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. As a result, there is a possibility that recorded estimates could change by a material amount. ln accounting for Medicare and Medicaid cost report settlements, the Corporation records all third-party receivables and liabilities at their estimated realizable values. Management periodically reviews recorded amounts receivable from, or payable to, third-party payors and adjusts these balances as new information becomes available. ln addition, revenue received under certain third-party agreements is subject to audit. During the year ended December 31,2017 , certain of the Corporation's prior year third-party cost reports were audited and settled, or tentatively settled by third-party payors. Adjustments resulting from such audits, settlements, and management reviews are reflected as adjustments to patient service revenue in the period that the adjustments becomes known. Accordingly, the Corporation evaluated the results of these settlements on its open cost reports. The effect of cost report settlements and other adjustments increased patient service revenue by approximately $17,294 for the year ended December 31,2017. Although certain other prior-year cost reports submitted to third-party payors remain subject to audit and retroactive adjustment, management does not expect any material adverse settlements. Medicare cost reports for all years prior to 2014, except for 2011, have been audited and settled. Medicaid cost reports for all years prior to 2014 have been audited and settled for all acute care hospitals. For the pediatric rehabilitation hospital, Medicaid cost reports have been audited by the fiscal intermediary through December 31,2014, though the settlement has not been finalized for the year 2014. The fiscal intermediary may reopen certain years related to specific settlement items in the cost report year. The Corporation has a compliance program to monitor conformity with applicable laws and regulations, but the possibility of future government review and interpretation exists. The Corporation is not aware of any significant pending or threatened investigations involving allegations of potential wrongdoing. (b) The Corporation and others in the healthcare industry are subject to certain inherent risks, including the following: o Substantial dependence on revenue derived from reimbursement by the Federal Medicare and State Medicaid programs that have been reduced in recent years and which entail exposure to various healthcare fraud statutes a Government regulations, government budgetary constraints, and proposed legislative and regulatory changes Such inherent risks require the use of certain management estimates in the preparation of the Corporation's consolidated financial statements and it is reasonably possible that a change in such 18 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 20'16 (ln thousands) estimates may occur. Management of the Corporation believes that adequate provision has been made in the consolidated financial statements for the matters discussed above and their ultimate resolution will not have a material effect on the consolidated financial statements. (5) lnvestments and Assets Limited or Restricted as to Use lnvestments and assets limited or restricted as to use consist of the following: December 3l 2017 2016 lnrcstments and assets limited or restricted as to use: Cash and cash equiwlents and money market funds $ 192,201 420,269 U.S. gowrnment obligations/municipal bonds 286,978 410,161 Corporate bonds 31 3,1 59 413,852 Certificates of deposit 755 8,817 Mutual funds 1,735,902 1,175,076 Equity securities 52,002 Asset backed securities 62,005 79,070 Mortgage-backed securities 41,O74 52,247 Alternative inrestments 826,067 426,240 Pledges receiwble, net 21,O02 14,026 Other investments 11,285 7,904 Accrued ¡nterest 5,404 5 710 Total inrestments and assets limited or restricted as to use $ 3,547,834 J 013 372 These amounts are reflected in the consolidated balance sheets as follows: December 3l 2017 2016 Current portion: lnvestments $ 37,315 64,873 Assets limited or restricted as to use 65,339 137,979 Noncurrent assets limited or restricted as to use 239,020 260,984 lnvestments 3,206,160 2,549,536 $ 3,547,834 3,013,372 19 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) lnvestments and assets limited or restricted as to use are classified as follows: December 3l 2017 2016 lnrcstments $ 3,243,475 2,614,409 Self-insurance funds 18,603 22,194 Donor-restricted funds and pledges receiwble, net 136,096 141,970 Funds held by bond trustees under bond indenture agreements 71,288 1 75,539 Other limited use tunds 78 372 59,260 $ 3,547,834 3,013 ,372 Assets held under bond indenture agreements are maintained for the following purposes: December 31 2017 2016 Capital project tunds c 32,015 153,2A4 lnterest funds 36,330 1 8,735 Principal funds 2,943 3,600 $ 71,288 '175,539 The Corporation's investment return is as follows for the year ended December 31,2017: lniestment return included in other re\,enue: lnterest and dividend income $ 911 lnlestment return included in nonoperating rer,enue: lnterest and dividend income 48,384 Net realized gains 63,970 Net unrealized gains on trading investments 222 728 335,082 Net change in unrealized gains on arailable for sale inrcstments 380 Restricted inwstment income and unrealized losses, net 433 Total inwstment return $ 336 806 20 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The Corporation's investments are exposed to various kinds and levels of risk. Fixed income securities, including fixed income mutual funds, expose the Corporation to interest rate risk, credit risk, and liquidity risk. As interest rates change, the values of many fixed income securities are affected, particularly those with fixed interest rates. Credit risk is the risk that the obligor of the security will not futfitt its obligation. Liquidity risk is affected by the willingness of market parlicipants to buy and sell given securities. Corporate bonds, equity mutual funds, and commercial mortgage-backed securities expose the Corporation to market risk, performance risk, and liquidity risk. Market risk is the risk associated with major movements of the equity markets, both foreign and domestic. Performance risk is the risk associated with a particular fund's operating performance. Liquidity risk, as previously defined, tends to be higher for international funds and small capitalization equity funds. The Corporation has incorporated an lnvestment Policy Statement (lPS) into its investment program. The lPS, which has been formally adopted by the Board of Trustees, contains standards designed to ensure adequate diversification by asset category and geography. The IPS also limits fixed income investments by credit rating, which serves to further mitigate the risk associated with the investment program. At December 31 ,2017 and 2016, management believes that its investment positions are in accordance with guidelines established by the lPS. (6) Fair Value Measurements ASC Topic 820, Fair Value Measurement, establishes a three-level valuation hierarchy for disclosure of fair value measurements. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. The three levels are defined as follows: Levell: Quoted prices in active marketsforidenticalassets orliabilities. Level 1 assetsand liabilities include cash and cash equivalents and debt and equity securities that are traded in an active exchange market. Level 2: Observable inputs other than Level I prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Level 2 assets and liabilities include debt securities with quoted market prices that are traded less frequently than exchange-traded instruments. This category generally includes ceñain U.S. government and agency moñgage-backed debt securities and corporate bonds. Level3: Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. Level 3 assets and liabilities include financial instruments whose value is determined using pricing models, discounted cash flow methodologies, or similar techniques, as well as instruments for which the determination of fair value requires significant management judgment or estimation. The Corporation currently holds no Level 3 investments. 21 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The following tables present the Corporation's fair value hierarchy for those assets measured at fair value on a recurring basis, and exclude pledges receivable, net, other investments, and accrued interest receivable as of December 31, 2017 and2016: December 3l 2017 Fair value Level I Level 2 Level 3 Auilable for sale inwstments: lnwstment categories: Cash and cash equimlents and money market funds $ 132,804 132,804 Equity mutual funds 10,261 10,261 Fixed income mutual funds 45,119 45,119 Certificates of deposit 755 ?55 Corporate bonds 499 499 Total amilable for sale inrestments 189,438 188 184 254 Trading inrestments: lnrestment categories: Cash and cash equiralents and money market funds 59,397 59,397 Equity securities 52,002 52,O02 'l Equity mutual tunds 1,106,383 1 , 06,383 Fixed income mutual funds 574,139 350,736 223,403 Commercial mortgage- backed securities 41,074 41,074 Corporate bonds 312,660 312,660 Asset-backed securities 62,005 62,005 Gorcrnment bonds 167,908 167,908 Gowrnment mortgage- backed securities 97,499 97,499 Municipal bonds 21 571 21,571 Total inrcstments trading 2,494,638 1,568,51 I 926 120 Total 2,684,076 $ 1,756,702 927,374 lnwstments measured at net asset wlue (a) 826 067 $ 3,510,143 22 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) December 31 2016 Fair value Level I Level 2 Level 3 Awilable for sale inrcstments: lnrestment categories : Cash and cash equir,alents and money market funds $ 255,875 255,875 Equity mutual tunds 25,764 25,7æ Fixed income mutual funds 13,533 13,533 Certificates of deposit 2,582 2,582 Corporate bonds 732 732 Total awilable for sale inrestments 299,486 295 172 4,314 Trading inrestments: lnrestment categories: Cash and cash equilalents and money market funds 1ô4,394 164,394 Equity mutual funds 697,0M 697,004 Fixed income mutual funds 438,775 438,775 Certificates of deposit 6,235 þ,2óc Commercial mortgage- backed securities 52,247 52,247 Corporate bonds 412,120 412,120 Asset-backed securities 79,070 79,070 Gorcrnment bonds 195,017 195,017 Gowmment mortgage- backed securities 151,126 151,126 Municipal bonds 64,018 il,018 Total inrcstments trading 2,260,006 1 ,300,173 oÃo 833 Total 2,559,492 $ 1,595,345 9æ,147 lnrcstments measured at net asset lalue (a) 426,240 6 2,985,732 (a) ln accordance with the adoption of ASU No. 2015-07, Dr.sc/os¿rres for lnvestments in Ceñain EntÌties That Calculate Nef Assef Value per Share (or lts Equivalenf,), certain investments that were measured at net asset value (NAV) per share (or its Equivalent) have not been classified in the fair value hierarchy. 23 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) There were no transfers among Levels 1,2, and 3 during the year ended December 31, 2017. There are no financial liabilities reported at fair value. The following discussion describes the valuation methodologies used for financial assets measured at fair value. The techniques utilized in estimating the fair values are affected by the assumptions used, including discount rates and estimates of the amount and timing of future cash flows. Care should be exercised in deriving conclusions about the Corporation's business, its value, or financial position based on the fair value information of financial assets presented. Fair value estimates are made at a specific point in time, based on available market information and judgments about the financial asset, including estimates of timing, amount of expected future cash flows, and the credit standing of the issuer. ln some cases, the fair value estimates cannot be substantiated by comparison to independent markets. The disclosed fair value may not be realized in the immediate settlement of the financial asset. ln addition, the disclosed fair values do not reflect any premium or discount that could result from offering for sale at one time an entire holding of a particular fìnancial asset. Potential taxes and other expenses that would be incurred in an actual sale or settlement are not reflected in amounts disclosed. Fair values for the Corporation's fixed income securities are based on prices provided by its investment managers and its custodian bank. Both the investment managers and the custodian bank use a variety of pricing sources to determine market valuations. lnputs include direct or indirectly observable inputs (other than Level 1 inputs) such as quoted prices for similar assets or liabilities exchanged in active or inactive markets; quoted prices for identical assets or liabilities in inactive markets; other inputs that may be considered in fair value determination include interest rates and yield curves, volatilities, and credit risk. Pricing evaluations generally reflect discounted expected future cash flows, which incorporate yield curves for instruments with similar characteristics, such as credit rating, duration, and yields. Each designate specific pricing services or indexes for each sector of the market based upon the provider's expertise. The Corporation's fixed income securities portfolio is highly liquid, which allows for a high percentage of the porlfolio to be priced through pricing services. Fair values of equity securities have been determined by the Corporation from observable market quotations, when available. Mutual funds are valued at the NAV of shares held at year-end, based on published market quotations on active markets. The NAV is classified within Level I of the fair value hierarchy as the unit price is quoted in an active market. Fair values of commercial mortgage-backed securities and asset backed securities have been determined by the Corporation based on a discounted future cash flows methodology, using current market interest rate data adjusted for inherent credit risk or quoted market prices and recent transactions, when available. Fair values of U.S. government obligations/municipal bonds and corporate bonds have been determined by the Corporation from observable market quotations, when available. Because of the nature of these assets, carrying amounts approximate fair values, which have been determined from public quotations, when available. 24 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 20'16 (ln thousands) Fair values of bank loans are determined by the Corporation using quoted prices of securities with similar coupon rates and maturity dates or discounted cash flows. The following summarizes redemption terms and Corporation's commitments for the hedge funds and others as of December 31,2017 and 201 6: 2017 Redemption Carrying Unfunded Redemption notice Audit Des cription of investment value commitment frequency required reserve Hedge funds $ 588,857 Monthly - 30-90 da¡ts Qo/o to 10% Annually written notice Prilate equity 123,336 68,523 Real Estate 113,87 4 Quarterly 60-90 days written notice 201 6 Redemption Carrying Unfunded Redemption notice Audit Desc of investment value commitment frequency required reserve Hedge funds $ 325,133 Quarterly- 45-90 days Annually written notice 0% to 10% Prilate equity 101,107 33,540 lnvestments in hedge funds, interests in investment funds with complex portfolio-construction and risk management techniques, are typically carried at estimated fair value. Fair value is estimated based on the NAV of ihe shares in each investment company or partnership. Changes in unrealized gains or losses on investments, including those for which partial liquidations were effected in the course of the year, are calculated as the difference between the NAV of the investment at year-end less the NAV of the investment at the beginning of the year, as adjusted for contributions and redemptions made during the year. The Corporation holds $95,000 of investments in hedge funds, which are subject to a 50% gate holdback. Generally, no d¡vidends or other distributions are paid. lnvestments in private equity funds, typically structured as limited partnership interests, are carried at fair value and estimated using NAV or equivalent as determined by the general partner in the absence of readily ascedainable market values. Distributions under this investment structure are made to investors through the liquidation of the underlying assets. Voluntary redemptions are generally not permitted by limited partners and ¡nvestments in these partnership interests are through the life of the fund. The fair value of limited partnership interests is generally based on fair value capital balances reporled by the underlying partnerships, subject to management review and adjustment. lnvestments in real estate funds invest primarily in institutional quality commercial and residential real estate assets within ihe U.S. and investments in publicly traded real estate investment trusts. Fair value is estimated based on the NAV of the shares in each partnership. The Partnership distributes current income 25 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) to the partners on a quarterly basis based on each partners' interest. Partners can choose to participate in a reinvestment plan in which all distributions are automatically invested in additional units. Redemptions can generally be made quarterly with 90 days' prior written notice after the lock period expires. lnvestments in other alternative investments such as a private debt fund structured as a limited partnership interest with ability to invest in short term opportunities, are carried at fair value and estimated using NAV or equivalent as determined by the general partner in the absence of readily ascertainable market values. Distributions under this investment structure are made to investors through the liquidation of the underlying assets. Voluntary redemptions are not permitted and investment is through the life of the fund. (7) Property, Plant, and Equipment Property, plant, and equipment consist of the following as of December 31,2017 and 2016: 2017 2016 Land and improrements $ 146,426 144,522 Buildings and leasehold impror,ements 2,696,244 2,483,630 Fixed equipment 373,888 364,301 Major mowble equipment '1,635,316 1,450,344 Capitalized leases 34,174 103,242 4,886,048 4,546,039 Less accumulated depreciation and amortization (including accumulated amortization of capitalized leases of $22,3M and $83, '136) 2,961,065 2,839,374 1,924,983 1,706,665 Construction in progress 115 093 270 879 Property, plant, and equipment, net $ 2. 040,076 1,977 ,544 The West Wing Project at Saint Barnabas Medical Center was substantially completed in 2017 for approximatety $160,68S. This project consisted of a 220,000-square-foot facility, which included private patient rooms, a neonatal intensive care unit, same day surgery expansion and outpatient diagnostic testing areas. A parking garage was completed during 2016 and is attached to the new wing. As of December 31,2017 , the Corporation committed $107,635 to complete significant construction projects. The commitments include the costs to complete various renovation and expansion projects at Robert Wood Johnson University Hospital and other affiliate projects. 26 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) (8) Long Term Debt Long term debt consists of the following Decem ber 3l 2017 2016 Master Trust lndebtedness: New Jersey Health Care Facilities Financing Authority (NJHCFFA) Rerenue and Retunding Bonds: RWJBamabas Health Obligated Group lssue, Series 20164 $399,565 serial bonds maturing through July 1, 2036 with interest rates ranging from 3.5% to 5%; $279,570 of term bonds maturing July 1, 2043 with interest rates ranging from 4o/o to 5%o $ 679, 1 35 679,1 35 Barnabas Health lssue, Series 2014A ierm bonds, $100,000 maturing July '1 , 2044 with an interest rate of 5%; $29,925 maturing July 1, 2044with an interest rale of 4.25o/o 129,925 129,925 Robert Wood Johnson University Hospital lssue, Series 2014A $11,075 serial bonds maturing through 2034 with an interest rate of 5%; $45,210 term bonds maturing from 2039 to 2043 with an interest rate of 5% 55,925 55,925 Robert Wood Johnson Uniwrsity Hospital lssue, Series 20148 fl,/ariable Rate) maturing on July 1,2043 bearing interest at a weekly rate, 1.620/o and 0.68% at December 31,2017 and 2016 (see b) 30,000 30,000 Robert Wood Johnson Unir,ersity Hospital lssue, Series 2013A $13,210 serial bonds maturing through 2023 with interest rates ranging fom 3% to 5%; $93,ZBS term bonds maturing from 2028 fo 2043 with interest rates ranging from 5.25To to 5.50% 106,495 108,360 RWJBarnabas Health Obligated Group lssue, Series 20174 (previously Children's Specialized Hospital lssue, Series 20134) maturing on July 1, 2036 with an interest rate of 3.03% 8,880 9,244 RWJBarnabas Health Obligated Group lssue, Series 20178 (wriable rate) (previously Children's Specialized Hospital lssue, Series 20138) maturing on July 1, 2036 with an interest rate of 2.2Oo/o and 1.06% at December 31,2017 and 2016. 4,591 4,736 Barnabas Health lssue, Series 2012A serial bonds maturing through 2026 with interest rates ranging ftom 4.OO% to 5.00%. 94,1 95 97,955 27 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Staiements December 31,2017 and 2016 (ln thousands) December 31 2017 2016 Bamabas Health lssue, Series 20118 fr'ariable Rate) term bonds maturing through July 1, 2038, initially bearing interest at a weekly rate (0.71To at December 31, 2016), secured by an irrewcable direct pay letter of credit (see c) $ 24,510 28,110 Robert Wood Johnson Health Care Corp. at Hamilton Obligated Group lssue, Series 2002 fr/ariable Rate) maturing on July 1,2032, initially bearing interest at a weekly rate,0.70o/o at December 31, 2016 (see d) 18,710 1 9,845 RWJBarnabas Health Taxable Rerenue Bonds, Series 2016; $100,000 maturing July 1, 2026 with an interest rate of 2.954%; $394,952 maturing July 1, 2046 with an interest rate of 3.949%. 494,952 494,952 Barnabas Health System Taxable Rerenue Bonds, Series 2012 lerm bonds maturing on July 1, 2028 with an interest rate of 4.00%. 81 240 81 240 Total Master Trust lndebtedness 1,728,558 1,739,427 Other: Capital leases with various interest rates 1 2,306 20,365 Note payable, matures August 31 , 2017, bearing interest at a weekly rate, 1.20Vo at December 31 , 2017 30,000 Other 113 Total longterm debt 1,740,864 1,794,905 Plus unamoftized bond premium 95,062 101,617 Less: Unamortized bond discount 2,024 2,241 Deferred finance costs (net) 13,704 14,687 Current portion 16,701 49,278 Long-term portion $ 1,803,497 __1,8!9,319_ On September 14,2016, Barnabas Health entered into a Bridge Loan Agreement (Bridge Loan), with Citibank, N.A. Barnabas Health issued a promissory note in the amount of $395,548, which was secured by a note issued under the Barnabas Health Master Trust lndenture payable to Citibank. The proceeds were used to finance (i)the legal defeasance of (a) Barnabas Health, Series 2011A: (b) Robert Wood Johnson University Hospital, Series 2010; and (ii) fund certain expenses and costs of issuance. 28 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) On November 2,2016, the Corporation initiated a substitution of each of iheir existing master trust indentures (the Old MTls) with a new Master Trust lndenture and Loan Agreement, dated November 1, 20'16 (the New MTI) between the Corporation, as Combined Group Agent, and Bank of New York Mellon, as the Master Trustee (Trustee). The New MTI secures all outstanding debt previously issued by Barnabas Health and RWJ under the Old MTls. At the time of its execution and delivery, the New MTI formed a single Obligated Group consisting of the following entities as Obligated Group members: Barnabas Health, lnc., Children's Specialized Hospital, Clara Maass Medical Center, Community Medical Center, Jersey City Medical Center, Monmouth Medical Center (including Monmouth Medical Center, Southern Campus), Newark Beth lsrael MedicalCenter, RWJ Barnabas Health, lnc., RobertWood Johnson Health Care Corp., Robert Wood Johnson University Hospital (RWJUH), Robert Wood Johnson University Hospital at Hamilton (Hamilton Hospital), Robert Wood Johnson University Hospital Rahway, RWJ Health Care Corp at Hamilton and Saint Barnabas Medical Center. To secure its payment obligations, the Obligated Group has granted to the Trustee a fÌrst lien and security interest in the gross revenues of each member of the Obligated Group. Obligated Group members are jointly and severally liable under the New MTl. The Corporation does have the right to name designated affiliates. Though designated affiliates are not obligated to make debt service payments on the obligations under the New MTl, the Corporation may cause each designated affiliate to transfer such amounts as necessary to enable the Obligated Group members to comply with the terms of ihe New MTl, including payment of the outstanding obligations. The Corporation's Obligated Group is required to maintain certain financial covenants in connection with the NJHCFFA and credit arrangements with a consortium of banks, including JPMorgan Chase Bank, N.A.(JPMorgan) and TD Bank. On November 2,2016, the Corporation's Obligated Group issued $494,952 RWJ Barnabas Health Taxable Revenue Bonds, Series 2016 (Series 2016) as obligations under the New MTl. The proceeds of Series 2016 were used to provide funds to finance (i) the legal defeasance of (a) Barnabas Health lssue Series 2011C: (b) Saint Barnabas Health Care System lssue Series 20068; (c) Saint Barnabas Health Care System lssue Series 19988; (d) Variable Rate Revenue Bonds, Robert Wood Johnson University Hospital lssue, Series 2004; (e)Variable Rate Composite Program - Rahway Hospital Project, Series 20034-8; (f) Saint Barnabas Project Series 19974 Capital Appreciation Bonds; (9) $'135,000 term Ioan pursuant to a Second Amended and Restated Credit Agreement; (h) RWJ Health Care Corp. at Hamilton Obligated Group lssue, Series 20058; (ii) $1,023 to be used for general corporate purposes;and (iii) the payment of the costs of issuance. Concurrent with the issuance of Series 2016, the NJHCFFA issued its Revenue and Refunding bonds, RWJ Barnabas Health Obligated Group lssue, Series 20164 (Series 20164) in the amount of $679,135. The proceeds of Series 20164 were used to provide funds to finance (i) the legal defeasance of (a) Saint Barnabas Health Care System lssue, Series 20064; (b) Robert Wood Johnson University Hospital lssue, Series 20138; (c) Variable Rate Composite Program - Roberl Wood Johnson University Hospital Project, Series 20034-3;and (d) RWJ Health Care Corp at Hamilton Obligated Group lssue, Series 2013; (ii)the refinancing of the Bridge Loan; (iii) the financing by, and reimbursement to, the Corporation for various 29 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) capital improvements at Clara Maass Medical Center, Saint Barnabas Medical Center and Monmouth Medical Center Southern Campus; and (iv) the payment of the costs of issuance. Concurrent with the issuance of Series 2016 and Series 20164, Children's Specialized Hospital lssue, Series 2015A was redeemed in full from available operating funds of the Corporation. Other indebtedness of the Obligated Group is secured with a substitute or replacement debt obligation issued under the New MTl. On February 1,2017, the Corporation completed the process to unify the security agreements for all of its outstanding indebtedness through a bond exchange for the Children's Specialized Hospital Series 20134 and Series 20138 (Series 2013). The exchange replaced the outstanding principal of Series 2013 with the RWJ Barnabas Health Obligated Group lssue, Series 2017 A and Series 20178 Bonds. There was no gain or loss recorded on the transaction. On April 27 ,2017 , the Corporation paid the note payabte of $30,000. The Corporation also has credit arrangements as follows: (a) On September I , 2017 , the Corporation entered into a secured $60 million revolving credit facility with JP Morgan. The two year facility will be used for general corporate purposes and includes a g15 million sublimit for letters of credit, of which $1 1,050 is used to support the Corporation's self-insured workers' compensation programs. There were no amounts outstanding at December 31 ,2017. (b) An irrevocable direct pay letter of credit (LOC) with TD Bank that provides liquidity support for the Series 20148 bonds. lf RWJUH were to draw on the letter of credit, the amounts would be payable at the expiration date, which is April 1, 2020. (c) An lrrevocable direct pay LOC with JPMorgan that provides liquidity supporl for the Seríes 20118 bonds. Series 20118, while subject to long term amortization periods, may be put to the Corporation at the option of the bondholders. At such point, JPMorgan would advance funds on behalf of the Corporation to ihe bondholders under the direct pay LOC, which expires on April 1, 2020. lf the Corporation were to draw upon the LOC, the amounts would be payable in equal quarterly installments over one year from the date of the initial draw. (d) An irrevocable direct pay LOC with TD Bank that provides liquidity supporl for the Series 2002 bonds. lf Hamilton Hospital were to draw on the letter of credit, the amounts would be payable at the expiration date, which is April 1,2020. 30 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) Scheduled maturities on long term debt and future minimum payments on capital lease obligations at December 31,2017 are as follows: Long-term Capital debt leases Total 2018 Þ 11,273 5,923 17,196 2019 4,972 3,1 94 8,166 2020 4,716 2,532 7,248 2021 5,299 1,376 6,675 2022 23,026 394 23,420 Thereafter 1,679 ,272 679 272 Total 1,728,558 13,419 1,741,977 Add: Unamortized bond premium 95,062 95,062 Less: Amount representing interest on capital lease obligations 1,113 1,113 Unamortized bond discount 2,024 2,024 Defered finance costs, net 13,704 13,704 Current portion 11 273 5 428 16,70't Long-term portion $ 1,796,619 þ 878 1,803,497 (9) Employee Benefit Plans Prior to December 31,2017, the Corporation maintained the following noncontributory defined-benefit plans, which covered substantially allemployees of the Corporation: Barnabas Health Retirement lncome Plan (Barnabas Plan), Jersey City Medical Center Pension Plan (JCMC Plan), Greenville Hospital Pension Plan (GH Plan), Employees' Retirement Plan of Robert Wood Johnson University Hospital Rahway (Rahway Plan), and the Somerset Medical Center Pension Plan (Somerset Plan) (collectively referred to as the Pension Plans). The Corporation has effectively merged the Pension Plans into a single noncontributory defined benefit plan, the RWJBarnabas Health Retirement lncome Plan (the RWJBH Plan) as of December 31,2017 . Participation in the Pension Plans has been closed to new entrants and all plans are frozen to future benefit accruals. Benefits under the Pension Plans were substantially based on years of service and employee's career earnings. The Corporation contributed to the Pension Plans and will contribute to the RWJBH Plan based on actuarially determined amounts necessary to provide assets sufficient to meet anticipated benefit payments to plan participants and to meet the minimum funding requirements of the Employee Retirement lncome Security Act of 1974, as amended by the Pension Protection Act of 2006, and lnternal Revenue Service regulations. 31 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) During 2017, the Society of Actuaries published updated mortality tables MP-2017. The Corporation utilized the updated mortality tables resulting in a decrease in projected benefit obligation in the amount of $7,000 for the year ended December 31,2017 . GAAP requires recognition on the balance sheet of the funded status of defined-benefìt pension plans and the recognition in unrestricted net assets of unrecognized actuarial gains and losses and prior service costs and credits. The funded status is measured as the difference between the fair value of the RWJBH Plan's assets and the projected benefit obligation of the RWJBH Plan. The following are deferred pension costs, which have not yet been recognized in periodic pension expense but instead are accrued in unrestricted net assets as of December 31, 2017. Unrecognized actuarial losses represent unexpected changes in the projected benefit obligation and plan assets over time, primarily due to changes in assumed discount rates and investment experience. Unrecognized prior service cost is the impact of changes in plan benefÌts applied retrospectively to employee service previously rendered. Deferred pension costs are amortized into nonoperating activities over the expected future lifetime for active employees with frozen benefits. The net actuarial loss included in unrestricted net assets at December 31,2017 is $285,779 of which $7,311 willbe recognized in 2018. Using the measurement date of December 31 , the following table sets forth the funded status of the RWJBH Plan and the amounts recognized in the Corporation's consolidated financial statements: December 31 2017 2016 Changes in benefit obligation: Benefit obligation at beginning of period $ 1 ,058,874 1,011,266 Administratirc expenses 1,608 lnterest cost 45,883 53,102 Actuarial losses 30,672 74,498 Plan change 2,908 Benefits paid and expenses (64,711) (72,734) Settlements (8,866) Benefit obligation at end of year 073 ozo 058 874 Change in plan assets: Fair lalue of plan assets at beginning of period 943,701 950,659 Actual return on plan assets 100,496 62,094 Em ployer contributions 15,064 12,548 Benefits paid and expenses (64,711) (72,734) Settlements (8,866) Fair ralue of plan assets at end of year 994 550 943,701 Funded status - accrued pension liability $ (79,076) (1 5, I 73) 32 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) During January 2018, the Corporation contributed $27,000 to the RWJBH Plan. The actuarially computed net periodic pension cost for the year ended December 31 , 20'17 included the following components: lnterest costs $ 45,883 Expected return on plan assets (42,75e) Amortization of actuarial loss I 361 Net periodic pension cost $ 11,485 As described in note 2(t), the RWJBH Plan adopted ASU No. 2017-07 as of December 31, 2017. As a result of this adoption, the net pension cost of $1 1 ,485 was recorded in other nonoperaiing activities, net in the consolidated statement of operations for the year ended December 31,2017. The projected unit credit method is the actuarial cost method used to compute pension expense. The weighted average assumptions used in determining the net periodic pension costs were a discount rate that ranged from 4.49o/o to 4.53% and an expected long{erm rate of return on plan assets that ranged from 4.49o/o Ío 6.25%. The weighted average assumption used in the accounting for the projected benefit obligation was a discount rate of 3.99%. Expected benefit payments by year as of December 31, 2017 are as follows 2018 $ 61,1 31 2019 63,528 2020 65,594 2021 68,413 2022 71,952 2023-2027 347,295 Effective December 31 ,2017 , the assets of the Pension Plans were also merged. The consolidated assets of the RWJBH Plan are managed under a liability-driven investment (LDl) strategy. Under the LDI strategy, the expected rate of return on plan assets at December 31,2017 is based upon the assumption that plan assets will be invested primarily in fixed income and other related securities based upon their ability to perform similarly to the characteristics of the plan liabilities over time. 33 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The following tables present the Corporation's fair value hierarchy for those pension plan assets measured at fair value as of December 31 , 2017 and 2016. At December 31,2017 and 2016, the Corporation held no Level 3 assets. December 31 2017 Fair value Level 1 Level 2 Level 3 Cash and cash equiulents $ 271,475 271,475 Corporate bonds 286,327 286,327 Gowmment bonds 81,315 81,315 Bond funds 242,251 202,251 Bank loans 28,334 28,334 Asset-backed securities 5,866 5,866 Other inrestments o 823 229 I 594 885,391 $ 271 704 613 687 lnrestments measured at net asset value (a) 109 ,l Ão $ 994,550 December 31 2016 Fair value Level I Level 2 Level 3 Cash and cash equiwlents $ 27,007 27,007 Corporate bonds 276,262 276,262 Goremment bonds 129,231 129,231 Mutual tunds 74,997 74,997 Bond funds 320,435 320,435 Bank loans 15,637 15,637 Asset-backed securities 13,706 13,706 Other inwstments I 700 9,700 866,975 $ 102,004 764,971 lnrestments measured at net asset ralue (a) 76 t¿o $ 943,701 (a) ln accordance with the adoption of ASU No.2015-07, Dr.sc/os¿rres for lnvestments in Certain Entities That Calculafe Nef Assef Value per Share (or lts Equivalenfl, certain investments that were measured at NAV per share (or its Equivalent) have not been classified in the fair value hierarchy. There were no transfers among Levels 1, 2, and 3 during the year ended December 31,2017 . 34 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The asset's fair value measurement level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement. Valuation techniques used need to maximize the use of observable inputs and minimize the use of unobservable inputs. Alternative investments include private equity investments, hedge funds, and other The following summarizes redemption and commitment terms for the alternative investment vehicles held in the RWJBH Plan at December 31,2017 and the Barnabas Plan at December 31, 2016: 2017 Carrying Unfunded Redemption Aud¡t Potential Description of investment value commitment frequency reserve qates Hedge fund $ 36,269 Semi-annually Private equity 37,545 43,457 Other 35,345 2016 Carrying Unfunded Redemption Auclrt Potent¡al Description of investment value commitment frequency reserve gates Hedge fund $ 33,208 Sem i-annually O%-up to 5% 5% if redeemed Ænually within 18 m onths Private equity 43,5'18 55,135 The Corporation maintains multiple defined contribution retirement plans for their employees. Benefit expense for these plans for the year ended December 31 , 2017 was $70,507. The Corporation has several supplemental executive retirement plans for certain key individuals. The plans were funded during 2017 based upon the benefit formula as outlined in the plan documents. ln addition, Monmouth Medical Center, Southern Campus maintains the Kimball Medical Center Supplemental Plan (the Kimball Plan). The Kimball Plan is a frozen defined benefit plan. At December 31 ,2017 , the Corporation participates in two multi-employer pension plans established under collective bargaining agreements that cover cedain groups of employees at certain affiliates, as outlined in the iable below. These groups of employees are not eligible to participate in cedain benefÌt plans sponsored by the Corporation. The "ElN/Pension Plan Number" column provides the Employer fdentification Number (ElN) and the three-digit plan number. The most recent Pension Protection Act (PPA) zone status available for Local 68 Engineers Union Pension Plan (Local 68 Plan) was June 30, 2017 and '199J for District 1 - New Jersey Healthcare Employers Pension Plan (District I 199J Plan) was December 31, 2016. The zone status is based on information received by the plan sponsors and, as required by PPA, is cerlified by each plan's actuary. Among other factors, pfans in the red zone are generally less than 65% funded, plans in the yellow zone are less than 80% funded, and plans in the green zone are at least 80% funded, 35 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) The "FlP/RP Status Pending lmplemented" column indicates plans for which a funding improvement plan (FlP) or rehabilitation plan (RP), as required by PPA, is either pending or has been implemented by the plan's sponsor. The last column of the table lists the expiration dates of the collective bargaining agreements requiring contributions to the plans. RWJ Barnabas Health's contributions to the Local 68 Engineers Plan for the year ended June 30, 2016 and to the District 1 199J Plan for the year ended December 31 ,2015 represented 1.91% and 38.64%, respectively, of the total contributions to each plan. Participants in the Local 68 Plan and District 1199J Plan changed by (0.65)% and 0.17%, respectively, from December 31 , 2016 to December 31,2017 . At the date the consolidated financial statements were issued, Forms 5500 were not available beyond the year ended June 30, 2017 for Local 68 Plan and December 31 , 2016 for the 1 1 99J Plan. Rpiration Pension date of protection FIP/RP status Surcharge collective- ElltPension act zone pending/ Contributions paid as of bargaining Pens¡on fund plan number status im plemented of RVI/JB|-| 12131117 agreement As of Local 68 Engineers 613012017 Union Ènsion Plan 51 -01 7661 8-001 Yellow Yes $ J40 t\UA 3120t2018 Dstrict 1 '199J-New Jersey Healthcare As of Enployers Fens¡on 1213112016 Plan 22-3095464-001 Green No 3,086 t\UA 613012018 RWJUH had participated in the PACE lndustry Union - Management Pension Fund (the Union Benefii Plan), which is a multiemployer benefit program. RWJUH terminated its participation in the Union Benefit Plan and based on the Union Benefit Plan's actuar¡al calculation, RWJUH was assessed an estimated allocable share of the unfunded vested benefìts. Payments are scheduled to begin April 1, 2018 for a period of 20 years. At December 31,2A17 , RWJUH has recorded the present value of the est¡mated withdrawal liability of $53,419 of which $1 ,586 is recorded in other current liabilities and $51,833 is recorded in other long-term liabilities. The unfunded liability has not been finalized as of December 31,2017. (10) Commitments and Contingencies (a) Professional and General Liabilities The Corporation formed Commercial Professional lnsurance Co. Ltd. (CPIC), an off-shore captive insurance company located in Bermuda, which writes professional liability, comprehensive general liability, and other casualty lines of business for the Corporation and its affiliates. CPIC is a wholly owned subsidiary of Saint Barnabas Medical Center (the Medical Center) and is consolidated in the accompanying consolidated financial statements. lnvestments and other assets maintained by CPIC are reported in assets limited as to use under externally designated or restricted assets in the consolidated balance sheets. ln addition, CPIC maintains a contract with Professional Liability lnsurance Company (ProQual), a risk retention group, which is domiciled in the state of Vermont and was initially capitalized by the Corporation in December 2006, to reinsure g5% of the losses Jþ (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) and exþenses of ProQual. The accounts of ProQual are included in the consolidated financial statements of the Corporation. ProQual has offered professional liability insurance to private attending physicians on the Monmouth Medical Center Medical Staff with limits of $1 million per occurrence/$3 million in the aggregate. ProQual ceased marketing and renewing policies in 20'15 and has convefied to runoff status. The Corporation has estimated a range of losses for its potential liability for professional liability, comprehensive general liability, and other casualty lines of business related to CPIC and ProQual based upon its own past experience and industry experience data. These estimates include reserves for unrepofted incidents and losses not covered by current insurance limits on a present value basis. Prior to July 1, 2003, the Corporation and its affiliates maintained professional and general liability insurance coverage through a combination of the purchase of such coverage from commercial insurance carriers and self-insurance. The Corporation records and revises annually a liability related to the run-off of claims related to these programs based on an independent actuary's estimate. Effective July 1, 2003, the Corporation purchased professional and general liability insurance from a commercial insurance carrier with a limit of $7 million per claim (no aggregate) for professional liability, subject to a $1 million per claim retention, and $1 million per occurrence (no aggregate) for general liability for the Corporation and its affiliates. ln addition, the aforementioned commercial insurance carrier reinsured its obligation to pay claims within the $6 million layer in excess of the $1 million retention pursuant to a Reinsurance Agreement with CPIC. For policy years beginning July 1,2004, CPIC provides payment of claims on a reimbursement basis for the Corporation's self-insurance program, which has limits of $7 million for each and every professional liability claim with an annual aggregate limit of $59 million and $1 million for each and every general liability occurrence. ln addition, for the policy years beginning July 1, 2003, the Corporation purchased excess coverage of $150 million from various carriers for amounts in excess of the Corporation's and CPIC's retained limits. The affiliates of RWJ were insured through Systems and Affiliated Members Limited (SAAML or the Company) prior to December 31,2016. SAAML, also located in Bermuda, was registered under the Segregated Accounts Companies Act 2000 (the Act), which enabled SAAML to create segregated accounts (Cells) for each parlicipating RWJ hospital such that the assets and liabilities of each Cell were legally separate from the assets and liabilities of any other Cell and those of SAAML. The Act also protected assets within each Cell by preventing such assets from being used to satisfy general creditors of the Company. Members that elected to participate in SAAML shared the costs of certain administrative expenses as well as the premiums for certain layers of excess liability insurance where full coverage was purchased in the commercial market. The Cell owners were RWJUH, RWJUH Hamilton, RWJUH Rahway and Children's Specialized Hospital. 37 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) On December 31, 2016, each Cell owner agreed to accept, in full satisfaction for all losses under the insurance agreements in effect, a commutation fee as consideration for the assumption of such liabilities as full and final settlement. CPIC extended coverage, effective December 31, 2016, for all existing SAAML policies that were commuted and terminated. CPIC's coverage insured each of the previous Cell owners for the risks previously insured by SAAML. On February 13,2017 , CPIC and SMML finalized a merger, with CPIC as the surviving company. CPIC issued policies providing professional liability and comprehensive general liability coverage for self-insured retention for all the Corporation's entities under a combined insurance program. The total accrued liability at December 31 , 2017 and 2016 of approximatety $235,700 and $207,718, which includes tail coverage, has been discounted at2.5o/o and is included in self-insurance liabilities in the consolidated balance sheets. The accrual at December 31,2017 and 2016 includes $18,022 and $12,842 of claims, which are expected to be reimbursed by the insurance carrier. Such amounts are included in other assets, net in the consolidated balance sheets at December 31,2017 and 2016. (b) Workers' Compensation The Corporation is self-insured for the majority of workers' compensation benefits. At December 31, 2017 and 2016, the accrual for estimated workers' compensation claims includes estimates of the ultimate costs for both reported claims and claims incurred but not reported and totaled $47,350 and $43,059. The accrual at December 31,2017 and 2016 includes $13,826 and $12,395 of claims, which are expected to be reimbursed by the insurance carrier. Such amounts are included in other assets, net. The Corporation's obligation to pay workers' compensation benefits is secured by a LOC under the $60 million revolving credit facility in the amount of $11 ,050 at December 31,2017 (note 8a). (c) Employee Health Insurance The Corporation maintains self-insured employee health benefit programs to provide coverage for its employees. At December 31,2017 and 2016, the accrual for estimated employee health insurance claims includes estimates of the ultimate costs for both reported claims and claims incurred but not reported of approximately $18,057 and $20,022 and are included in self-insurance liabilities in the consolidated balance sheets. aa (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) (d) Operating Leases Leases that do not meet the criteria for capitalization are classified as operating leases with related rentals charged to operations as incurred. Total rent expense was $66,3'10 for the year ended December 31,2017. Future rental payments under noncancelable operating leases with durations in excess of one year are as follows: Minimum lease Sublease Period payments income Net 2018 $ 38,302 2,832 35,470 2019 28,980 '1,843 27,137 2020 21,413 1,725 19,688 2021 17,970 1,119 1 6,851 2022 12,992 421 12,571 Thereafrer 75 782 151 75 631 Ð 195,439 I 091 ______187,34g__ (e) Litigation Various investigations, lawsuits, and claims arising in the normal course of operations are pending or on appeal against the Corporation. \Nhile the ultimate effect of such actions cannot be determined at this time, it is the opinion of management that the liabilities that may arise from such actions would not materially affect the consolidated financial position or results of operations of the Corporation. (f) Other Approximately 24% of the Corporation's employees were covered by collective bargaining agreements for the year ended December 31,2017; of which 16% expire in the next year. (11) Endowment Funds Net Asset Classification The Corporation's endowment funds consists of funds that have been established by the Corporation to provide funding for construction and equipment purchases, as well as funding for healthcare services and health education. The Corporation's endowment funds represent a component of the Corporation's total unrestricted, temporarily restricted, and permanently restricted net assets. These funds are invested by the Corporation. As required by GAAP, net assets associated with endowment funds are classified and reported based upon the existence or absence of donor-imposed restrictions. (a) Funds with Deficiencies From time to time, the fair value of assets associated with individual donor-restricted endowment funds may fall below the level that the donor requires the Foundation to retain as a fund of perpetual duration. ln accordance with GAAP, deficiencies of this nature are to be reported in unrestricted net assets as of year-end. These deficiencies can result from unfavorable market fluctuations that occur shortly after the investment of new permanently restricted contributions and continued appropriation for certain 39 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) programs that was deemed prudent by the Board of Trustees. No such deficiencies existed at December 31,2017 and 2016. (b) Interpretation of Relevant Law The Board of Trustees of the Corporation has interpreted the New Jersey Uniform Prudent Management of lnstitutional Funds Act as requiring the preservation of the fair value of the original gift as of the gift date of the donor-restricted endowment funds absent explicit donor stipulations to the contrary. The Corporation classifies as permanently restricted net assets (a) the original value of gifts donated to the permanent endowment, (b) the original value of subsequent gifts to the permanent endowment, and (c) accumulations to the permanent endowment made in accordance with the direction of the applicable donor gift instrument at the time the accumulation is added to the fund. The investment income earned on the accumulations to the permanently restricted endowment funds is classifled based on donor stipulations as temporarily restricted net assets until the donor-imposed restrictions have been met. (c) Spending Policy The Corporation spends earnings on donor-resiricted endowment funds as expenses have been incurred that satisfy the donor-imposed restrictions. (d) Return Objectives and Risk Parameters The Corporation has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of income and growth, while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Corporation must hold in perpetuity. Under this policy, as approved by the Corporation's Board of Trustees, the endowment assets are invested in a manner that is intended to produce moderate to high rates of return while assuming a moderate to low level of investment risk. Donor-restricted and board designated endowment net assets consist of the following as of December 31,2017 and 2016: Temporarily Permanently UnreSricted resfricted restricted Totaf 2017 $ 1 000 9,816 33,494 44,310 2016 000 8,809 30,339 40,148 40 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 2016 (ln thousands) Changes in endowment net assets for the year ended December 31,2017 are as follows Temporarily Permanently UnreSricted re$ricted re$ricted Total Endottrnent net assets, beginning ofyear $ 1,000 8,809 30,339 40,148 lnlestment retum; lnr,estment income 62 5b/ 429 Net appreciation (realized and unrealized) 26 5þ/ 'î,393 Total inlestment return 88 1,7U 1,822 Contributions 210 44 2U Change in interest in perpetual trust 3,111 3,111 Appropriation of endowrnent assets for expenditure (88) (937) (1,025) Endowment net assets, end ofyear $ _____L,ggg_ 9,816 33,494 44,310 (12) Functional Expenses The Corporation provides general healthcare services to residents within its geographic area. Expenses from operations related to providing these services are as follows for the year ended December 31,20j7: Healthcare services $ 4,336,862 General and administratire 481 369 $ 4,818,231 (13) lnvestments in Joint Ventures The Corporation has invested in a number of joint ventures to provide specialty healthcare services. These services include surgical, diagnostic imaging, home care and hospice, rehabilitation and fitness and wellness programs. The investments range from 25o/o to 51% ownership. The Corporation does not exercise operating control over these investments; accordingly they are recorded under the equity method of accounting, and report only our share of net income attributable to the investee as equity in earnings of unconsolidated affiliates in the accompanying consolidated statement of operations. Financial information for the equity method investees for the year ended December 31,2017 includes net operating revenues of $407,209, net income of $76,654 and net income attributable to the investees of $26,652, respectively. Total investments in joint ventures amounted to $149,086 and $1 16,245 at December Z1,2Oj7 and 20,16, respectively. These amounts are included in other assets in the consolidated balance sheets. 41 (Continued) RWJ BARNABAS HEALTH, INC. Notes to Consolidated Financial Statements December 31,2017 and 20'16 (ln thousands) (14) PaÉnership Effective June 30, 2017 , the Corporation and Rutgers, the State University of New Jersey (Rutgers) and Rutgers Health Group (RHG) signed a nonbinding Letter of lntent to partner and create the staie's íargest academic health care system with the goal of integrating medical education, advanced research and healthcare delivery to produce world class clinical services and outcomes. The Corporation, Rutgers, and RHG will remain separate and distinct legal entities. The proposed partnership will create a joint committee for strategic planning and oversight. The clinical deiivery of services will be managed and led by the Corporation in coordination with Rutgers and RHG, anO the academic and research functions will be managed and led by Rutgers in coordination with the Corporation and RHG. lt is anticipated that the partnership will be finalized in 201g. ln addition to the above pañnership, RWJUH and Rutgers had entered into an academic affiliation agreement and various other management agreements whereby the primary purpose is the development of a world class Academic Medical Center that promotes the education of health care professionals, advances the health sciences through research programs and public service, supports the faculty physicians of the Academic Medical Center, and provides high quality patient care for the community. (15) Subsequent Events Management evaluated all events and transactions that occurred after Decemb er 31 ,2017 and through May 4,201 8. The Corporation did not have any material recognizable subsequent events during the p=eriod. 42 ll, I I rr I tit t¡l 1..¡¡ :!l l:. il r.,',1'l i rtl f l.¡lt'fr'.1,.j ! ¡ _z--r i,ji:.,'l f""rlir -,rr'l ¡,, . ' :- ¡. 1,- r ill', lt.t i i lrlrl ¡ . rr, I l-Þntlì: ;1,: .i,*amp # tÀili .t -. It.r .t l RWJBH Asset Locations ,/ i¡ñnaålùF {}lil 8ilrj{È t J¡ m¡.-,þr¡l .' ¡rrr--l-ttt' l¡, # ALS - trrtI.ç - ALS/BLS * # # ALS/BLS/scru Eaü-' ALS/scru .Yhdsâr * ltp i BLS ¡h # l{:,,:'l. # scru East Brunswick l. ',t¡l''fl tffi {13 Rescue Squad A¿q¡nFah¡ Building East Brunswick RWJBH BLS Coverage I' I I' r l. I RWJBH ALS Sources: Esri, HËRE, Garmin, lntermap, p Coverage increment Corp., GEBqì, USGS, FAO, NPS, NRCAN, GeoBase, lGN, Kadaster N China (Hong Kong), swisstopo, O OpenStreetMap cr Robert Wood Johnson Rltfßarnabas Health Network HEALTH Robert Wood Johnson RWßarnabas Health Network HEALTH Mobile Health Example Monthly Report Response time: Tota! BLS Responses Average Response Time BLS Responses 80 0:07:54 April 80 0:07:54 Grand Total 80 0:07:54 Total Calls with Response Time in Excess of Ten (10) Minutes: 2 The number of incidents a BLS unit was not available: 0 The numb er of incidents where mutual aid was called in 0 The total number of ents where the t was not 1 The total number of 10 Year to Date Dashboard: TotalCalls by Hour of Day Hospital Destinations 3û 20 15 10 5 0 I 0- I 6 7 I peters 9 101112 1314151617 18 RWJUH @ New Brunslick RWUH @ Somerset S¡int Univ Hospital 60 Average Response Time Total Calls by Day of Week lJan lFeb H Mar 40 JO 0:07:26 34 34 0:07:17 30 20 0i06t24 10 0 Sun Mon Tue Wed lhu tri Set Tot¡l t Totel Robert Wood Johnson i Rwsarnabas Health Network I HEALTH Example Call Deta¡l for East Brunsw¡ck Add16ss/ lnc¡dånt Call Rosponse Outs¡de l¡mê S6nt To Pri Hour of Queuo Probloñ ReÈponae # Unit Transport D¡spos¡l¡on D¡spos¡t¡onT¡mo Standard Osst¡nat¡on/Locat¡on Day ofWook 2019-4-8 09:04 2 Unconscious/Faint¡ng 2019-0021519 1809 Day 1st t,ñ¡t Ass¡gned lst Unit Enroute lstUn¡tArrivod T¡mê 1 BLS Treat BLS Treât 4:00 0 RWJUH Inc¡dôntClosed Abov€ Contract 20194-8 11:45 2 8r€ath¡ng @ Nêw8runswick Monday 9 2019!-8 2019-4-8 Probl€ms 2019-0021566 1807 1 BLS Trêat BLSTr€at .t 09:04 09:05 2019-4-8 09:08 2019-4-8 1O:OB Conrracr 20194-8 10:00 RWJUH@NowBrunswick Monday 11 13:46 2 Un@nsdous / Fa¡nt¡ng 2019-0021624 1807 20194-8 1'l:45 20194-g 11:45 20194-8 11:55 2019-4-8 0 No Patient No Patient 2..00 O 12:46 Contract 20194-8 21;58 1 Card¡ac/R€sp Monday i3 20194-813.47 20194-813:47 Arrest 2019-0021742 1BO2 'I ALS freat ALS freat 2019-4-8'13:49 20i9-4-813:52Contraot 20194-10 10:57 6:00 O RWJUH @ Somê6et Monday 21 2019-4-8 2 Br€ath¡ng Problems 2019-0022109 1BO1 8LS 2 1:58 20194-821:59 20194-822:04 2019-4-823:12Conrracr 1 Trêat 8LS Treat 8:00 O Sa¡nt p6têÉ Un¡v Hospitat 20194-11 12t56 2 Breath¡ñg Prcblems 2019-0022407 1BO7 'l Wedn€sday 10 2019-4-10 10:58 2019-4-10.10:Sg 20194-10 BLS Treat BLS Treat 9:00 O RWJUH 11:06 2Ol9-4-10 12:03 Contract 2019-4-12'10:55 2 Unconscious @ NêwBrunwick Thureday '12 20194-11 12:57 20194-j1't2ií7 / Fainting 2019-0022612 1A0A 1 ALS Trêat ALS Troat 20194-fl 13:06 2019-4-11 14:09 Conrracr 2019-4¡3 05:56 6:00 0 RWJLJH @ Nêw Brunswjck Friday 10 20'194-12 2 Uôconscious/ Fa¡nting 2019-0022837 1804 1 BLS Treat g:00 10:55 20194-12 10:56 20194-12 1'1i01 20.19-4-12 il:So BLS Îr€at O Sâint pet€ß Un¡v Hospital Saturdây Contract 2019-4-13 15:35 2 Brealhing Probloms 2019-0022936 1BO2 5 2019-4-13 05:56 2019-4-13 05:57 20'194-13 06:05 2019-4-13 1 ALS Troat ALS Troat 17:00 7 Saint peters Univ Hos;itat 06.44 Contr¿ct 2019-4-14 01:33 2 Unconsc¡ous / Fainling 2019-0023061 1802 Saturday 15 2019-413 15:35 20194jt3 15:37 2019-4-13 1 BLS Trêal BLSTreat 8:00 O RWJUH@NewBrunswick 15:52 2Ol9-4-13 i6:49 Contract Sunday 1 2019-4-14 01:33 2019-4-14 01:34 20194-1401.A1 2019-4-14O2r31Contract Robert Wood Johnson Health Network lRffirnabas Robert Wood Johnson RfMBarnabas Health Network HEALTH Example Quarterly Report BIJ Volume Quarter Q1 QlTotal Q2 q3Total Q2Total Q3 Q4 Q4Tohl YearTotal Month January February March April May June July August September 0ctober November December Number of Calls lm1 9s0 i,2m 3,151 856 1,100 1,215 3,17t 1,423 r,lz3 958 3,504 898 958 1,,2U 3,ffi() u,886 Uncollectible Quarter Q1 QlTotal Q2 Q2Total Q3 Q3Total Q+ q4Total YearTotal N4onth January February March April May June July August September 0ctober November December y9 NumberofCalls 254 125 200 126 201 15t 485 124 98 141 359 13i 189 156 4n 1910 DollarAmount zs¿,so¡ utzso zoo,qm $ $ $ sm,$g t26,zsz zolqoz ts¡,¡m +steto 124,245 98,190 147,294 5 5 5 5 $ $ $ 5 $ ¡og,lgg 5 132,264 $ ug,yg $ tso,glz $ 4t¿es4 1"9ß,&0 Bl5 Billed / Received qlTotal Total Month March June 0ctobe¡ November December Billed 736,349 3,156,286 Commercial Workman's 85,462 433,492 4t0s,a, 2,7L4,M 135.45 935.45 290.30 Comme 794.86 779.æ Workman's n4.82 349.94