2024-05-15T08:42:23-05:00 2023-06-30 990 2022-07-01 223431049 CAPITAL HEALTH-EAST TRENTON INC (FKA ST FRANCIS MEDICAL CENTER TRENTON NJ) CAPI 6093946029 750 BRUNSWICK AVENUE TRENTON NJ 08638 SHANE FLEMING CFO 6093946029 2024-05-15 SHANE FLEMING 999009999 1 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X AL MAGHAZEHE PHD FACHE 750 BRUNSWICK AVENUE TRENTON NJ 08638 55250518 0 0928 X WWW.CAPITALHEALTH.ORG X 1874 NJ TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES X 6 4 1119 21 0 0 1937554 1690501 114757433 52431594 -218288 -86958 2605821 1119027 119082520 55154164 50000 67083 0 0 66224933 26184213 0 0 0 93554258 129790316 159829191 156041612 -40746671 -100887448 42116658 0 223815937 0 -181699279 0 X TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATIONS WE SERVE IN URBAN AND SUBURBAN COMMUNITIES. 0 1 61934047 67083 53273381 BEFORE DECEMBER 21, 2022, CAPITAL HEALTH-EAST TRENTON (FKA ST. FRANCIS MEDICAL CENTER TRENTON NJ) WAS A MEMBER OF TRINITY HEALTH AND AN ACUTE CARE TEACHING HOSPITAL LOCATED IN TRENTON, NEW JERSEY. IT WAS A LEADER IN PATIENT CARE FOR MORE THAN 140 YEARS, OPERATED 238 LICENSED BEDS, AND HAD OVER 300 MEDICAL STAFF PHYSICIANS WHO REPRESENT ALL SPECIALTIES. EACH YEAR, IT PROVIDED MILLIONS OF DOLLARS IN UNCOMPENSATED BENEFITS TO THE COMMUNITY.ON DECEMBER 21, 2022, CAPITAL HEALTH SYSTEM, INC., A TAX-EXEMPT ORGANIZATION, ASSUMED RESPONSIBILITY FOR HEALTH CARE SERVICES PREVIOUSLY PROVIDED BY ST. FRANCIS MEDICAL CENTER TRENTON NJ. THE ST. FRANCIS CAMPUS HAS BEEN RENAMED CAPITAL HEALTH-EAST TRENTON AND PROVIDES 24/7 EMERGENCY CARE SERVICES AND OUTPATIENT PRIMARY CARE SERVICES. PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION:WWW.CAPITALHEALTH.ORG/ST-FRANCIS-TRANSITION-TO-CAPITAL-HEALTH 61934047 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 199 0 1 1119 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X SHANE FLEMING 6093946029 750 BRUNSWICK AVENUE TRENTON NJ 08638 X BENJAMIN CARTER DIR THR 12/22; TRINITY EVP & COO 1.00 54.00 X 0 2758940 98795 PASQUALE LUCIANO DO THORACIC AND CARDIOVASCULAR SURGEON 50.00 0.00 X 776087 26662 25371 DANIEL MOEN DIR, PRES AND CEO THROUGH 12/22 53.00 2.00 X X 0 684723 71788 C JAMES ROMANO MD SVP & CMO THROUGH 12/22 47.00 3.00 X 660112 15536 42683 CATHERINE MIKUS SECY THR 12/22;TRINITY MID-ATLANT VP 1.00 49.00 X 0 485120 58053 FREDRIC SEINFELD MD CARDIOTHORACIC SURGEON 50.00 0.00 X 478762 11883 46634 MARK KELLY TREASURER, VP FINANCE, CFO THR 12/22 47.00 3.00 X 354804 9733 45380 SARA WALLACH MD CHAIR & PROGRAM DIRECTOR 50.00 0.00 X 364430 9007 31936 CHARLES KOSOSKY MD NEUROLOGY SPECIALIST 50.00 0.00 X 356562 8799 11641 VINUTA MOHAN MD ENDOCRINOLOGIST 50.00 0.00 X 271138 9953 22963 SEAN MURRAY TRUSTEE AS OF 12/22; TREASURER 1.00 5.00 X X 0 25000 0 ALIREZA MAGHAZEHE TTEE AT 12/22; CHS PRESIDENT/CEO 1.00 54.00 X X 0 0 0 JOSEPH YOUNGBLOOD II DIRECTOR, CHAIR THROUGH 12/22 1.00 1.00 X X 0 0 0 MARY GEARY DIRECTOR, VICE CHAIR THROUGH 12/22 1.00 8.00 X X 0 0 0 BRIAN BENNETT TRUSTEE 1.00 2.00 X 0 0 0 SAMUEL FRISBY DIRECTOR THROUGH 12/22 1.00 1.00 X 0 0 0 LILLIAN HARRINGTON MPF DIRECTOR THROUGH 12/22 1.00 1.00 X 0 0 0 ZAKARIA MANIYA DIRECTOR THROUGH 12/22 1.00 1.00 X 0 0 0 MONSIGNOR WALTER NOLAN DIRECTOR THROUGH 12/22 1.00 1.00 X 0 0 0 COLLEEN WOODS TRUSTEE 1.00 2.00 X 0 0 0 SAMUEL PLUMERI JR TRUSTEE AS OF 12/22; CHAIR 1.00 2.00 X X 0 0 0 JOSHUA MARKOWITZ ESQ TRUSTEE AS OF 12/22; VICE CHAIR 1.00 5.00 X X 0 0 0 3261895 4045356 455244 134 0 1 0 NURSES 247 PO BOX 356 NEWTOWN SQUARE PA 19073 CONTRACT LABOR SERVICES 6462770 PERIOPERATIVE MEDICINE & ANESTHESIA PC PO BOX 55423 TRENTON NJ 08638 ANESTHESIA SERVICES 2835704 MISSION HOSPITALISTS LLC 66 WEST GILBERT STREET TINTON FALLS NJ 07701 PATIENT CARE SERVICES 1577332 CHAMBERS EMERGENCY ASSOCIATES 66 WEST GILBERT STREET TINTON FALLS NJ 07701 PHYSICIAN SERVICES 1478137 AHSA AMERICAN HEALTHCARE SERVICES ASSOC 226 E 16TH ST TRAVERSE CITY MI 49684 STAFFING SERVICES 1347613 58 1500000 184655 5846 1690501 NET PATIENT SERVICE REVENUE 622110 52025740 52025740 EDUCATION REVENUE 611600 405854 405854 52431594 9396 9396 82649 0 82649 82649 82649 96354 -96354 -96354 -96354 OTHER PROGRAM SERVICE REVENUE 622110 841787 841787 CAFETERIA REVENUE 722514 194591 194591 1036378 55154164 53273381 0 190282 X 67083 67083 1884759 1884759 17963683 16932188 1031495 1559858 1384757 175101 3393347 3012471 380876 1382566 1205065 177501 2608649 2608649 23055828 20456714 2599114 194160 194160 823838 389937 433901 3230463 2561077 669386 2166411 2074331 92080 60174 5381 54793 10790 10118 672 1209664 1209664 648776 519021 129755 729906 729906 RESTRUCTURING COSTS 82284503 82284503 MEDICAL SUPPLIES EXP 6382668 6382668 BAD DEBT EXPENSE 2980801 2980801 HOSPITAL PROVIDER TAX 1325850 1325850 2077835 687015 1390820 156041612 61934047 94107565 0 1500 57438 13096495 5220957 524907 205222 100000 22910139 0 42116658 0 17376435 1529282 70691 204839529 0 223815937 0 X -181699279 0 -181699279 0 42116658 0 X -100887448 16407 282570320 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 32270 0 0 0 32270 0 PART II-B, LINE 1: CAPITAL HEALTH-EAST TRENTON HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED CAPITAL HEALTH-EAST TRENTON WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 9030339 773020 8257319 0.05390 38064004 14041723 24022281 0.15690 47094343 14814743 32279600 0.21080 3 150 85674 85674 0.00060 3 96 3060539 2059286 1001253 0.00650 6 246 3146213 2059286 1086927 0.00710 6 246 50240556 16874029 33366527 0.21790 1 2980801 0 6326371 25833631 -19507260 X 1 1 1 CENTRAL NEW JERSEY HEART SERVICESLLC CARDIAC CATH LAB MANAGEMENT 0.59760 0.25440 1 1 ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVE TRENTON NJ 08629 WWW.STFRANCISMEDICAL.ORG LICENSE #11105 X X X X SAINT FRANCIS MEDICAL CENTER TRENTON NJ 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 21 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT FRANCIS MEDICAL CENTER TRENTON NJ PART V, SECTION B, LINE 3J: N/ABEFORE DECEMBER 21, 2022, CAPITAL HEALTH-EAST TRENTON (FKA ST. FRANCIS MEDICAL CENTER TRENTON NJ) WAS AN ACUTE CARE TEACHING HOSPITAL. ON DECEMBER 21, 2022, CAPITAL HEALTH SYSTEM, A TAX-EXEMPT ORGANIZATION, ASSUMED RESPONSIBILITY FOR HEALTH CARE SERVICES PREVIOUSLY PROVIDED BY ST. FRANCIS MEDICAL CENTER TRENTON NJ AND CHANGED ITS NAME TO CAPITAL HEALTH-EAST TRENTON. CAPITAL HEALTH-EAST TRENTON NOW OPERATES AN EMERGENCY DEPARTMENT OF CAPITAL HEALTH SYSTEM AND SOME OUTPATIENT SERVICES, AND NO LONGER OPERATES AS AN ACUTE CARE HOSPITAL. THE FOLLOWING FOOTNOTES IN PART V SECTION C AND PART VI ONLY APPLY TO ST. FRANCIS MEDICAL CENTER TRENTON NJ BEFORE THE SALE AND NAME CHANGE.PART V, SECTION B, LINE 3E:ST. FRANCIS MEDICAL CENTER - TRENTON (SFMC) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:1. MENTAL HEALTH: PREVENTING, ADDRESSING, AND TREATING ADVERSE CHILDHOOD EXPERIENCES2. MATERNAL AND CHILD HEALTH: ACHIEVING EQUITABLE HEALTH OUTCOMES FOR BLACK MOMS AND BABIES3. EQUITABLE LIFE EXPECTANCY: EQUITABLE ACCESS TO SCREENING, PREVENTION, AND TREATMENT OF CHRONIC DISEASE 4. COVID-19: REDUCING DISPARITIES IN NEGATIVE OUTCOMES FROM COVID-19 SAINT FRANCIS MEDICAL CENTER TRENTON NJ PART V, SECTION B, LINE 5: DURING 2021, REPRESENTATIVES FROM THE ST. FRANCIS MEDICAL CENTER AND TRENTON HEALTH TEAM (THT) PARTICIPATED IN THE GREATER MERCER PUBLIC HEALTH PARTNERSHIP COLLABORATIVE CHNA AND CHIP PROCESS FOR MERCER COUNTY. THE GREATER MERCER PUBLIC HEALTH PARTNERSHIP (GMPHP) IS A 501(C)3 COLLABORATION OF FIFTEEN CORE ORGANIZATIONS CONSISTING PRIMARILY OF HOSPITALS AND LOCAL AND COUNTY HEALTH DEPARTMENTS WHOSE MISSION IS TO MEASURABLY IMPROVE THE HEALTH OF GREATER MERCER COUNTY RESIDENTS. IN ADDITION, THE GMPHP COMMUNITY ADVISORY BOARD INCLUDES OVER 60 COMMUNITY NON-PROFITS, BUSINESSES, SCHOOLS, AND GOVERNMENTAL ORGANIZATIONS COMMITTED TO THE HEALTH OF MERCER COUNTY RESIDENTS. THE GMPHP WAS FORMED TO IDENTIFY COMMUNITY HEALTH NEEDS WITHIN MERCER COUNTY, TO WORK COLLABORATIVELY WITH STAKEHOLDERS, AND CREATE NOVEL STRATEGIES THAT LEVERAGE THE COLLECTIVE EXPERTISE OF THE PARTICIPANTS TO IMPLEMENT A MEANINGFUL AND MEASURABLE HEALTH IMPROVEMENT PLAN FOR MERCER COUNTY, NEW JERSEY. THIS COLLABORATIVE EFFORT IDENTIFIED FOUR PRIORITY HEALTH AREAS BASED ON QUANTITATIVE AND QUALITATIVE DATA THAT THE GROUP HAS AGREED UPON FOR COLLECTIVE ACTION. IN 2022, A WORKGROUP, COMPRISED OF KEY REPRESENTATIVES FROM ST. FRANCIS MEDICAL CENTER AND THT, WORKED ALONGSIDE THE 35TH STREET CONSULTING TEAM TO UPDATE THE GMPHP DATA, INCORPORATE ADDITIONAL ORIGINAL QUALITATIVE RESEARCH, AND SOLICIT FEEDBACK FROM KEY STAKEHOLDERS. THESE DATA ARE INCLUDED IN THE REPORT AND ARE DESIGNED TO GENERATE TRENTON-SPECIFIC PRIORITY ACTIONS IN ALIGNMENT WITH COLLECTIVE ACTION PRIORITIES AMONG THE TRENTON HEALTH TEAM AND GMPHP PARTNER AGENCIES.TO DETERMINE COMMUNITY PRIORITIES, STATISTICAL DATA AND QUALITATIVE FEEDBACK WERE ANALYZED. STATISTICAL DATA INCLUDES HEALTH INDICATORS AND SOCIOECONOMIC MEASURES TO DOCUMENT HEALTH DISPARITIES AND UNDERLYING INEQUITIES EXPERIENCED BY TRENTON. PERSPECTIVES ON DATA TRENDS AND DIRECT FEEDBACK ON COMMUNITY HEALTH PRIORITIES WERE COLLECTED VIA A SERIES OF EIGHT SMALL GROUP CONVERSATIONS WITH TRENTON AREA RESIDENTS, SERVICE PROVIDERS, PUBLIC HEALTH, COMMUNITY REPRESENTATIVES AND KEY STAKEHOLDERS. EMPHASIS WAS PLACED ON COLLECTING DIVERSE PERSPECTIVES FROM STAKEHOLDERS THAT WORK WITH COMMUNITIES OF COLOR, MEDICALLY UNDERSERVED, VULNERABLE, AND HISTORICALLY DISENFRANCHISED POPULATIONS. THIS PROCESS YIELDED THE SAME FOUR PRIORITIES IDENTIFIED AS THE COLLECTIVE ACTION PRIORITIES BY THE GMPHP PROCESS. IN RECOGNITION OF THE DIFFERENCES BETWEEN THE CITY OF TRENTON AND OTHER MUNICIPALITIES THROUGHOUT MERCER COUNTY, ST. FRANCIS MEDICAL CENTER AND THT ASKED EACH OF THE SMALL GROUP DISCUSSANTS INCLUDED IN THE FOCUS GROUPS AND COMMUNITY LISTENING SESSIONS TO RANK THESE PRIORITIES. SAINT FRANCIS MEDICAL CENTER TRENTON NJ PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INVOLVED IN THE COLLABORATIVE CHNA PROCESS INCLUDED: CAPITAL HEALTH MEDICAL CENTER-HOPEWELL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL-HAMILTON, AND SAINT LAWRENCE REHABILITATION CENTER. SAINT FRANCIS MEDICAL CENTER TRENTON NJ PART V, SECTION B, LINE 6B: SINCE 2013, ST. FRANCIS MEDICAL CENTER, THT AND ITS PARTNERS HAVE COLLABORATIVELY CONDUCTED A CHNA AND ADOPTED COMMON HEALTH PRIORITIES TO COLLECTIVELY ADDRESS HEALTH NEEDS FOR TRENTON. ST. FRANCIS MEDICAL CENTER AND THT ARE ALSO BOTH MEMBERS OF GMPHP. GMPHP IS A 501(C)3 COLLABORATION OF FIFTEEN CORE ORGANIZATIONS CONSISTING OF THE HOSPITALS MENTIONED ABOVE AND THE FOLLOWING LOCAL AND COUNTY HEALTH DEPARTMENTS: EAST WINDSOR HEALTH DEPARTMENT, EWING TOWNSHIP HEALTH DEPARTMENT, TOWNSHIP OF HAMILTON DIVISION OF HEALTH, LAWRENCE TOWNSHIP HEALTH DEPARTMENT, MERCER COUNTY DEPARTMENT OF HUMAN SERVICES, MONTGOMERY HEALTH DEPARTMENT, PRINCETON HEALTH DEPARTMENT, TOWNSHIP OF HOPEWELL DEPARTMENT OF HEALTH, TRENTON HEALTH DEPARTMENT, AND WEST WINDSOR HEALTH DEPARTMENT.IN ADDITION, THE GMPHP COMMUNITY ADVISORY BOARD INCLUDES OVER 60 COMMUNITY NON-PROFITS, BUSINESSES, SCHOOLS, AND GOVERNMENTAL ORGANIZATIONS COMMITTED TO THE HEALTH OF MERCER COUNTY RESIDENTS. SAINT FRANCIS MEDICAL CENTER TRENTON NJ PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 9:AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.PART V, SECTION B, LINE 7A CHNA URL:UNTIL THE HOSPITAL WAS SOLD ON 12/21/2022, THE CHNA WAS WIDELY AVAILABLE AT: WWW.STFRANCISMEDICAL.ORG/ABOUT-US/COMMUNITY-OUTREACH/PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY URL:UNTIL THE HOSPITAL WAS SOLD ON 12/21/2022, THE IMPLEMENTATION STRATEGY WAS POSTED AT:WWW.STFRANCISMEDICAL.ORG/ABOUT-US/COMMUNITY-OUTREACH/ SAINT FRANCIS MEDICAL CENTER TRENTON NJ PART V, SECTION B, LINE 11: WITH FISCAL YEAR 2023 (FY23) STARTING ON JULY 1, 2022, SFMC HOSPITAL OPERATIONS HAD BEGUN TO WIND DOWN TO PREPARE FOR THE ACQUISITION BY CAPITAL HEALTH. FOR THIS REASON, NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT WERE NOT MET, INCLUDING MENTAL HEALTH (PREVENTING, ADDRESSING, AND TREATING ADVERSE CHILDHOOD EXPERIENCES); MATERNAL AND CHILD HEALTH (ACHIEVING EQUITABLE HEALTH OUTCOMES FOR BLACK MOMS AND BABIES); EQUITABLE LIFE EXPECTANCY (EQUITABLE ACCESS TO SCREENING, PREVENTION AND TREATMENT OF CHRONIC DISEASE); AND COVID-19 (REDUCING DISPARITIES IN NEGATIVE OUTCOMES FROM COVID-19). SAINT FRANCIS MEDICAL CENTER TRENTON NJ PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 16A: UNTIL THE HOSPITAL WAS SOLD ON 12/21/2022, THE FAP WAS POSTED AT: WWW.STFRANCISMEDICAL.ORG/FOR-PATIENTS/BILLING-INSURANCE-AND-PAYMENTS/FINANCIAL ASSISTANCEAFTER THE SALE, CAPITAL HEALTH'S FAP IS POSTED: WWW.CAPITALHEALTH.ORG/PATIENT-VISITORS/BILLS-AND-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B: UNTIL THE HOSPITAL WAS SOLD ON 12/21/2022, THE FAP APPLICATION WAS POSTED AT: WWW.STFRANCISMEDICAL.ORG/FOR-PATIENTS/BILLING-INSURANCE-AND-PAYMENTS/FINANCIAL ASSISTANCEAFTER THE SALE, CAPITAL HEALTH'S FAP APPLICATION IS POSTED: WWW.CAPITALHEALTH.ORG/PATIENT-VISITORS/BILLS-AND-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C: UNTIL THE HOSPITAL WAS SOLD ON 12/21/2022, THE FAP PLAIN LANGUAGE SUMMARY WAS POSTED AT: WWW.STFRANCISMEDICAL.ORG/FOR-PATIENTS/BILLING-INSURANCE-AND-PAYMENTS/FINANCIAL ASSISTANCEAFTER THE SALE, CAPITAL HEALTH'S FAP PLAIN LANGUAGE SUMMARY IS POSTED: WWW.CAPITALHEALTH.ORG/PATIENT-VISITORS/BILLS-AND-INSURANCE/FINANCIAL-ASSISTANCE PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: ST. FRANCIS MEDICAL CENTER - TRENTON (SFMC) REPORTED ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $2,980,801, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: SFMC USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, SFMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SFMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SFMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: SFMC DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - IN ADDITION TO THE QUALITATIVE DATA COLLECTED THROUGH THE COLLABORATIVE GMPHP CHNA PROCESS, WHICH ST. FRANCIS MEDICAL CENTER AND THT PARTICIPATED IN DURING 2021, PRIMARY QUALITATIVE RESEARCH AMONG LOW INCOME AND MINORITY POPULATIONS IN THE TRENTON COMMUNITY WAS CONDUCTED IN MARCH 2022 SPECIFICALLY FOR THIS REPORT. A COMBINATION OF INTERVIEWS, SMALL GROUP DISCUSSIONS AND FOCUS GROUPS WAS CONDUCTED IN PERSON AND OVER ZOOM WITH BOTH INDIVIDUAL RESIDENTS AND GRASS ROOTS LEVEL PROVIDERS SERVING DIVERSE POPULATIONS THROUGHOUT TRENTON. THIS QUALITATIVE RESEARCH WAS CONDUCTED TO COLLECT PERSPECTIVES OF COMMUNITY STAKEHOLDERS RELATED TO HEALTH STATUS, CARE DELIVERY, ACCESS TO CARE, SOCIOECONOMIC MEASURES, AND SOCIAL CONTEXT. THE PRIMARY RESEARCH WAS CONDUCTED THROUGH THE FOLLOWING SMALL GROUP DISCUSSIONS AND FOCUS GROUPS:- ST. FRANCIS MEDICAL CENTER COVID-19 VACCINE CLINIC PATIENTS AND PROVIDERS- TRENTON HEALTH TEAM COMMUNITY HEALTH WORKER COLLABORATIVE - MATERNAL HEALTH STAKEHOLDER GROUP - ST. FRANCIS ASSISTED LIVING HOME CARE PROVIDERS - HIV/HEPATITIS C PATIENT GROUP FROM ST. FRANCIS MEDICAL CENTER- LIFE - ST. FRANCIS (PACE) HOME CARE PROVIDERS RESEARCH FINDINGS FROM SECONDARY DATA ANALYSIS WERE COMPARED TO QUALITATIVE RESEARCH FINDINGS TO COMPARE PERCEPTIONS TO STATISTICAL DATA, IDENTIFY ROOT CAUSES, AND CONTEXTUALIZE DATA TRENDS TO CONTRIBUTING FACTORS FOR IDENTIFIED HEALTH NEEDS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SFMC COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SFMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. SFMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SFMC MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - TRENTON, NEW JERSEY IS THE PRIMARY SERVICE AREA FOR ST. FRANCIS MEDICAL CENTER. TRENTON, NEW JERSEY'S CAPITOL CITY, IS LOCATED IN MERCER COUNTY.THE CITY OF TRENTON IS A MAJORITY MINORITY CITY. NEARLY HALF OF RESIDENTS IDENTIFY AS BLACK/AFRICAN AMERICAN (48.7%) AND 37.2% IDENTIFY AS HISPANIC OR LATINO OF ANY RACE. DIFFERENCES IN SOCIOECONOMIC AND HEALTH OUTCOMES ARE STARK COMPARED TO THE REST OF MERCER COUNTY. WITHIN TRENTON, THE MEDIAN HOUSEHOLD INCOME IS LESS THAN HALF OF THE COUNTY MEDIAN, AND MORE THAN TWICE AS MANY INDIVIDUALS AND CHILDREN LIVE IN POVERTY. THERE IS A NEARLY 17-YEAR GAP BETWEEN LIFE EXPECTANCY IN PARTS OF TRENTON (69.4 YEARS) AND THE HIGHEST LIFE EXPECTANCY IN MERCER COUNTY (86.5 YEARS IN THE NORTH CENTRAL AREA). OF NOTE, WHILE TRENTON IS A MAJORITY MINORITY COMMUNITY, POVERTY LEVELS ARE SIMILARLY HIGH ACROSS RACIAL AND ETHNIC GROUPS IN THE CITY, COMPOUNDING THE IMPACT OF DISADVANTAGES BASED ON HISTORICAL RACE-BASED BARRIERS SUCH AS LACK OF ACCESS TO QUALITY HOUSING, EMPLOYMENT RESTRICTIONS, AND OTHER RESOURCES.HOWEVER, TRENTON STANDS APART FROM ITS MERCER COUNTY NEIGHBORS WITH A LOWER LIFE EXPECTANCY THAN ANY OF ITS NEIGHBORING COMMUNITIES. THIS DISPARITY AND OTHERS POINT TOWARDS UNDERLYING INEQUITIES IN ECONOMIC OPPORTUNITIES, EDUCATION, HOUSING, AND SOCIAL STRUCTURES BETWEEN TRENTON AND ITS NEIGHBORS.THE WORK OF ST. FRANCIS MEDICAL CENTER, THT AND THEIR COLLABORATIVE PARTNERS IS TAKING DIRECT AIM ADDRESSING THE ROOTS OF THE INEQUITIES - ALSO CALLED SOCIAL DETERMINANTS OF HEALTH - THAT DRIVE THE DIFFERENCES IN LIFE EXPECTANCY, HEALTH OUTCOMES AND QUALITY OF LIFE BETWEEN THE PEOPLE OF TRENTON AND THE PEOPLE IN NEIGHBORING COMMUNITIES.HENRY J. AUSTIN HEALTH CENTER (HJAHC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE CITY OF TRENTON AND THE LARGEST NON-HOSPITAL BASED AMBULATORY CARE PROVIDER IN THE CITY. PRIMARY HEALTH CARE SERVICES INCLUDE ADULT MEDICINE, GYNECOLOGY, PEDIATRICS, HIV TREATMENT, DENTAL CARE, PODIATRY, AND OPHTHALMOLOGY. ADDITIONAL SERVICES ARE NUTRITION, SOCIAL SERVICE, SUBSTANCE ABUSE ASSESSMENT AND INTERVENTION, BEHAVIORAL HEALTH, TRANSLATION SERVICES, TRANSPORTATION, AND AN ONSITE PHARMACY. MOST FORMS OF HEALTH INSURANCE INCLUDING MEDICARE AND MEDICAID ARE ACCEPTED, AND THERE IS A SLIDING FEE SCALE FOR THE UNINSURED. HJAHC PROVIDES CARE TO APPROXIMATELY 13,000 INDIVIDUALS ANNUALLY GENERATING MORE THAN 50,000 VISITS FROM FOUR LOCATIONS. SFMC COLLABORATES WITH HJAHC ON MANY INITIATIVES, INCLUDING EDUCATION, TESTING AND VACCINATION FOR COVID-19. PART VI, LINE 5: OTHER INFORMATION - ON SATURDAY, OCTOBER 29, 2022, SFMC HOSTED AN EVENT CALLED "FAMILIES FIGHTING FLU FEST." THE COMMUNITY-WIDE EVENT WAS HELD IN PARTNERSHIP WITH THE NEW JERSEY IMMUNIZATION NETWORK, BELLEVUE PEDIATRICS, AND HENRY J. AUSTIN HEALTH CENTER, A CERTIFIED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), LOCATED IN TRENTON, NJ, ALONG WITH SPONSORSHIP FROM AMERIGROUP AND HORIZON BLUE CROSS/BLUE SHIELD. THE EVENT OFFERED COMMUNITY MEMBERS FREE INFLUENZA AND COVID-19 VACCINES IN AN EFFORT TO PREVENT AND/OR MINIMIZE THE IMPACTS OF THESE VIRUSES ON COMMUNITY HEALTH. THE EVENT WAS FREE TO CHILDREN AND ADULTS CURRENTLY UNDER-INSURED OR UNINSURED. IN ADDITION TO HOSTING THE EVENT, SFMC DONATED 50 INFLUENZA VACCINE DOSES, PROVIDED MATERIALS NEEDED FOR THE EVENT, INCLUDING FACEMASKS, GLOVES, ALCOHOL WIPES, BAND-AIDS, SHARPS, SANITIZING WIPES, PAID TRANSLATORS, AND SFMC STAFFING/VOLUNTEERS INCLUDING SECURITY, MEDICAL FACULTY AND RESIDENTS, NURSING AND RADIOLOGIC TECHNOLOGY STUDENTS, COMMUNICATIONS AND COMMUNITY HEALTH AND WELL-BEING. SFMC ALSO PROVIDED A SAFETY COLORING BOOK GIVEAWAY. ABOUT 150 COMMUNITY MEMBERS ATTENDED THE EVENT.AS AN ORGANIZATION, SFMC CONTINUED TO COMMIT RESOURCES FOR MEMBERSHIP WITH THE EXECUTIVE BOARD OF TRENTON HEALTH TEAM (THT) AND MEMBERSHIP ON THE COMMUNITY ADVISORY BOARD, AND REPRESENTATION ON THE PRIORITY TEAMS FOR CHRONIC DISEASE, AND HEALTH DISPARITIES/LITERACY. RESOURCES WERE ALSO COMMITTED TO THE GREATER MERCER PUBLIC HEALTH PARTNERSHIP (GMPHP) SO THAT SFMC COULD ACTIVELY PARTICIPATE IN ITS COUNTYWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CHIP PROCESSES. STAFF WERE ASSIGNED AND PLAY AN ACTIVE ROLE IN THE GMPHP SERVING ON ITS BOARD AND VARIOUS SUB-COMMITTEES.THT AND SFMC NOTICED A DROP IN ENGAGEMENT WITH VACCINATION MESSAGING AND OUTREACH FOR ALL POPULATIONS IN 2022. IN RESPONSE, THE "IT STARTS HERE ROUND 2" FUNDING FROM SFMC CONTRIBUTED TO FUNDING TO SUPPORT CARE MANAGEMENT AND FOOD ACCESS WORK. THIS FUNDING ENABLED THT AND SFMC TO MEET THE FOOD NEEDS OF OUR MEDICALLY VULNERABLE CLIENTS. THT LEVERAGED THESE FUNDS TO PARTNER WITH SNIPES FARM TO PROVIDE WEEKLY FRESH PRODUCE BOXES TO 150 SENIORS LIVING IN THREE TRENTON HOUSING AUTHORITY SENIOR BUILDINGS WHERE MANY SFMC PACE AND LIFE PARTICIPANTS LIVE. THIS SERVICE GAVE VULNERABLE SENIORS ACCESS TO HEALTHY, ORGANIC, LOCAL PRODUCE. IN ADDITION, PARTICIPANTS IN PROJECT DULCE, A DIABETES SELF-MANAGEMENT PROGRAM, WERE GIVEN GIFT CARDS PURCHASED WITH "IT STARTS HERE ROUND 2" FUNDS TO BUY FRESH FOODS AND HEALTHY GROCERIES. THESE INTERVENTIONS WERE PARTICULARLY IMPORTANT DURING THE SUMMER MONTHS OF 2022, CONTINUING THROUGH JULY AND AUGUST 2022, WHEN INFLATION PUSHED FOOD PRICES OUT OF REACH FOR MANY PEOPLE. FINALLY, TRENTON AREA FREE FOOD FINDER, AN ONLINE RESOURCE THAT CONNECTS PEOPLE WITH FREE FOOD RESOURCES BASED ON LOCATION, HOURS OF OPERATION, AND OTHER CRITERIA, WAS UPDATED AND SIMPLIFIED USING RESOURCES FROM "IT STARTS HERE ROUND 2" FUNDING. THE USE OF IPADS PURCHASED WITH CYRACOM TRANSLATION CAPABILITIES FOR VIRTUAL VISITS WITH FAMILY MEMBERS CONTINUED FROM JULY 2022 THROUGH DECEMBER 2022.WITH THE SIGNIFICANT DECREASE IN VACCINE DEMAND, SFMC DISCONTINUED ITS COVID-19 VACCINE CLINIC ON JUNE 1, 2022. SINCE THEN, AND CONTINUING THROUGH DECEMBER 2022, FLYERS CONTINUED TO BE AVAILABLE IN ENGLISH AND SPANISH, IN THE LOBBY, EMERGENCY DEPARTMENT, AND ALL PATIENT CARE SETTINGS IN THE HOSPITAL THAT OUTLINE THE COMMUNITY ORGANIZATIONS THAT ARE OFFERING COVID-19 VACCINATION. INFORMATION ABOUT COMMUNITY ORGANIZATIONS OFFERING COVID-19 VACCINATIONS WERE ALSO AVAILABLE IN ENGLISH AND SPANISH ON THE SFMC WEBSITE. PART VI, LINE 6: UNTIL DECEMBER 21, 2022, SFMC WAS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE SOCIAL AND CLINICAL CARE. WE DO THIS BY: 1. ADDRESSING PATIENT SOCIAL NEEDS, 2. INVESTING IN OUR COMMUNITIES, AND 3. STRENGTHENING THE IMPACT OF OUR COMMUNITY BENEFIT. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES AND FOCUS INTENTIONALLY ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. WE BELIEVE THAT COMMUNITY MEMBERS AND COMMUNITIES THAT ARE THE MOST IMPACTED BY RACISM AND OTHER FORMS OF DISCRIMINATION EXPERIENCE THE GREATEST DISPARITIES AND INEQUITIES IN HEALTH OUTCOMES AND SHOULD BE INCLUSIVELY ENGAGED IN ALL COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS. THROUGHOUT OUR WORK, WE DISMANTLE OPPRESSIVE SYSTEMS, AND BUILD COMMUNITY CAPACITY AND PARTNERSHIPS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2023 (FY23), TRINITY HEALTH CONTRIBUTED $1.47 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. IN ADDITION TO ANNUAL COMMUNITY BENEFIT SPENDING, TRINITY HEALTH IMPLEMENTS A SOCIALLY RESPONSIBLE INVESTING PROGRAM. AS OF THE END OF FY23, $62.7 MILLION (INCLUDING $7.0 MILLION IN NEW LENDING) WAS ALLOCATED IN THE FOLLOWING AREAS:- HOUSING: BUILDING AFFORDABLE HOUSING; IMPROVING ACCESS TO SENIOR HOUSING; AND COMBATTING HOMELESSNESS ($35.5 MILLION)- EDUCATION: SUPPORTING STUDENTS ENTERING THE HEALTH PROFESSIONS ($10.1 MILLION)- FACILITIES: BUILDING COMMUNITY FACILITIES FOR NONPROFITS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY-BASED ORGANIZATIONS ($9.7 MILLION)- ECONOMIC DEVELOPMENT: ENCOURAGING SMALL BUSINESS DEVELOPMENT, CREATING LOCAL JOBS AND SUPPORTING ACCESS TO HEALTHY FOODS; QUALITY CHILDCARE; AND OTHER COMMUNITY SERVICES ($7.4 MILLION)ACROSS THE SYSTEM, NEARLY 700,000 OF PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. FOR ABOUT 30% OF THOSE PATIENTS, AT LEAST ONE SOCIAL NEED WAS IDENTIFIED. TOGETHERCARE - TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, POWERED BY EPIC - HAS MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (COMMUNITYRESOURCES.TRINITY-HEALTH.ORG). COMMUNITY HEALTH WORKERS (CHW'S) SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES. TRINITY HEALTH CHW'S PARTNERED WITH POPULATION HEALTH NURSES AND SOCIAL WORK CARE MANAGERS TO SERVE MEDICARE PATIENTS AT RISK FOR PREVENTABLE HOSPITALIZATIONS, RESULTING IN A DECREASE IN PREVENTABLE HOSPITALIZATIONS FOR THE MEDICARE POPULATION OVERALL, AND ALSO FOR LOW-INCOME PATIENTS DUALLY ENROLLED IN MEDICARE AND MEDICAID. CHW'S ADVANCE SOCIAL AND CLINICAL CARE INTEGRATION BY ASSESSING AND ADDRESSING A PATIENT'S SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECTING THE PATIENT (AND THEIR FAMILY) TO SERVICES WITHIN THE COMMUNITY. TRINITY HEALTH PROVIDES A 40+ HOUR FOUNDATIONAL CHW AND CHRONIC DISEASE-SPECIFIC TRAINING TO TRINITY HEALTH-EMPLOYED CHW'S AND ALSO TO COMMUNITY PARTNERS THAT EMPLOY CHW'S. IN 2017, TRINITY HEALTH RECEIVED A SIX-YEAR, $8.5 MILLION GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO INCREASE THE NUMBER OF NATIONAL DIABETES PREVENTION PROGRAM (DPP) DELIVERY SITES, INCREASE PROGRAM ENROLLMENT, MAINTAIN PARTICIPATION RATES, AND INCREASE BENEFIT COVERAGE. IN ADDITION, THE GRANT WAS USED TO STANDARDIZE CLINICAL SCREENING AND DETECTION OF DIABETES. DURING THE GRANT PERIOD, TRINITY HEALTH BUILT THE NATIONAL DPP INTO ITS ELECTRONIC HEALTH RECORD SYSTEM TO MAKE IDENTIFYING PATIENTS AND ENROLLING THEM IN THE PROGRAM EASIER. SINCE SEPTEMBER 2017, OVER 6,000 PARTICIPANTS HAVE ENROLLED IN A TRINITY HEALTH NATIONAL DPP AND HAVE COLLECTIVELY LOST A TOTAL OF OVER 51,000 POUNDS.LASTLY, TRINITY HEALTH'S FY23 SHAREHOLDER ADVOCACY PRIORITIES FOCUSED ON IMPROVING CORPORATE POLICIES AND PRACTICES THAT IMPACT COMMUNITIES, WITH THE AIM OF REDUCING STRUCTURAL RACISM AND HEALTH INEQUITIES. TRINITY HEALTH, IN COLLABORATION WITH ITS PARTNERS THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY AND THE INVESTOR ENVIRONMENTAL HEALTH NETWORK, FILED SHAREHOLDER PROPOSALS AT 20 COMPANIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 TRENTON HEALTH TEAM 218 NORTH BROAD ST TRENTON NJ 08608 451257757 501(C)(3) 67083 0 IT STARTS HERE CAMPAIGN FOR TRENTON 1 0 PART I, LINE 2: DONATIONS MADE BY CAPITAL HEALTH-EAST TRENTON TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 0 1 0 0 0 0 0 1 0 BENJAMIN CARTER DIR THR 12/22; TRINITY EVP & COO 0 1408317 0 910000 0 440623 0 18300 0 80495 0 2857735 0 0 PASQUALE LUCIANO DO THORACIC AND CARDIOVASCULAR SURGEON 688469 26662 82114 0 5504 0 3300 113 20801 1157 800188 27932 0 0 DANIEL MOEN DIR, PRES AND CEO THROUGH 12/22 0 649940 0 0 0 34783 0 13725 0 58063 0 756511 0 0 C JAMES ROMANO MD SVP & CMO THROUGH 12/22 374332 15202 277582 0 8198 334 17879 421 23445 938 701436 16895 0 0 CATHERINE MIKUS SECY THR 12/22;TRINITY MID-ATLANT VP 0 338392 0 86262 0 60466 0 22875 0 35178 0 543173 0 47101 FREDRIC SEINFELD MD CARDIOTHORACIC SURGEON 424230 11883 45000 0 9532 0 13393 332 31787 1122 523942 13337 0 0 MARK KELLY TREASURER, VP FINANCE, CFO THR 12/22 238004 9669 115236 0 1564 64 17811 489 26038 1042 398653 11264 0 0 SARA WALLACH MD CHAIR & PROGRAM DIRECTOR 326280 9007 33934 0 4216 0 4465 110 26448 913 395343 10030 0 0 CHARLES KOSOSKY MD NEUROLOGY SPECIALIST 316907 8799 32999 0 6656 0 0 0 11230 411 367792 9210 0 0 VINUTA MOHAN MD ENDOCRINOLOGIST 244846 9930 25750 0 542 23 4121 151 17972 719 293231 10823 0 0 PART I, LINE 3 CAPITAL HEALTH-EAST TRENTON WAS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. CAPITAL HEALTH-EAST TRENTON'S CEO WAS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF CAPITAL HEALTH-EAST TRENTON'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM") A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPITAL HEALTH SYSTEM, INC. ("CHS"). KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, ARE EMPLOYED BY CHS THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS AND/OR BOARD MEMBERS OF THIS ORGANIZATION. ACCORDINGLY, THE HOSPITAL'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF ALL OF THE ORGANIZATION'S SENIOR MANAGEMENT AND OTHERS, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND OTHER OFFICERS OF THE ORGANIZATION, PHYSICIANS, AND ANY OTHER DISQUALIFIED PERSONS. IT ALSO REVIEWS AND APPROVES EMPLOYMENT AGREEMENTS FOR THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EACH SUCH INDIVIDUAL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ARE INTENDED FOR THE ORGANIZATION TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE SENIOR MANAGEMENT TEAM. REBUTTAL PRESUMPTION REQUIREMENTS HAVE GUIDED THE ACTIVITIES OF THE COMMITTEE IN ALL OF ITS REVIEWS, DELIBERATIONS AND APPROVAL OF EXECUTIVE COMPENSATION ACTIONS FOR ALL OF THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON COMPARABILITY MARKET DATA PROVIDED BY ITS INDEPENDENT COMPENSATION CONSULTANT FROM COMPARABLE HEALTHCARE AND HOSPITAL PEERS BASED ON TAX-EXEMPT STATUS, REVENUE, LOCATION, SERVICES, AND OTHER FACTORS TO ENSURE THE EXECUTIVES' COMPENSATION IS REPRESENTATIVE OF THE EXECUTIVE TALENT MARKET AND COMPARED TO WHAT IS ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES" AS REFERENCED UNDER IRS REGULATIONS. CONTEMPORANEOUS MINUTES ARE COMPILED AND APPROVED FOR ALL COMMITTEE DELIBERATIONS. THESE ARE SUPPORTED BY THE WRITTEN DOCUMENTATION OF ALL PEER AND MARKET COMPENSATION STUDIES, AS WELL AS DETAILED PERFORMANCE JUSTIFICATION USED AS THE BASIS FOR AWARDS UNDER THE ORGANIZATION'S INCENTIVE PROGRAMS. RECOGNIZING THE NEED TO CONSIDER RETIREMENT PLANNING FOR ITS SENIOR MANAGEMENT AS A MEANS TO AID IN THEIR RETENTION, THE COMMITTEE MAINTAINS A FORM OF LONGTERM NON-QUALIFIED DEFERRED COMPENSATION (REFERRED TO AS THE "PERFORMANCE-BASED CAPITAL ACCUMULATION PLAN", OR "PBCAP"), WHICH IS PART OF THE CAPITAL HEALTH SYSTEM NON-QUALIFIED 457(F) DEFERRED COMPENSATION PLAN. PBCAP PROVIDES THE ORGANIZATION WITH AN ADDITIONAL TOOL TO ASSIST IN THE RECRUITMENT AND RETENTION OF SENIOR MANAGEMENT WITHIN THE HIGHLY COMPETITIVE HEALTHCARE LABOR MARKET. PBCAP PROVIDES SENIOR MANAGEMENT WITH THE OPPORTUNITY TO QUALIFY FOR ANNUAL DEFERRED CONTRIBUTIONS, BASED ON ACHIEVING SPECIFIED PERFORMANCE TARGETS AND MEETING ESTABLISHED CIRCUIT BREAKERS, TO BE PAID AT A FUTURE PRE-DETERMINED DATE CONTINGENT UPON CONTINUED SERVICE WITH THE ORGANIZATION. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT AND INDEPENDENT COMPENSATION CONSULTANTS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. PART I, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $392,875 CATHERINE MIKUS - $47,970 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($305,000 FOR 2022). THE FOLLOWING PAYOUTS FOR 2022 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DANIEL MOEN - $11,048 PART I, LINE 7 CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED INCENTIVE AWARDS DURING CALENDAR YEAR 2022, WHICH INCENTIVE AWARDS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II) AND WERE REPORTED ON EACH SUCH INDIVIDUAL'S 2022 FORM W2, BOX 5, AS TAXABLE MEDICARE WAGES. THESE INCENTIVE AWARDS WERE PAID UNDER THE CAPITAL HEALTH INCENTIVE COMPENSATION PLAN ("ICP"), APPROVED BY THE BOARD COMPENSATION COMMITTEE, AND BASED ON ACHIEVEMENT OF PREESTABLISHED SYSTEMWIDE PERFORMANCE CRITERIA AND METRICS, AS WELL AS MEETING OR EXCEEDING SPECIFIC PERFORMANCE ON "CIRCUIT BREAKERS." THE ICP PROVIDES ELIGIBLE EXECUTIVES WITH THE OPPORTUNITY TO EARN PERFORMANCE BASED COMPENSATION AND IS AN INTEGRAL COMPONENT OF THE ORGANIZATION'S EXECUTIVE COMPENSATION PACKAGE. THE BOARD COMPENSATION COMMITTEE USES THE ICP AS A MECHANISM TO REWARD PERFORMANCE AGAINST ESTABLISHED KEY PERFORMANCE REQUIREMENTS. THE GOALS COVER FINANCIAL AND OPERATIONAL METRICS AND ARE DEFINED EACH YEAR, BASED ON THE DESIRED CONCENTRATION REQUIRED BY THE BOARD COMPENSATION COMMITTEE. THE BOARD COMPENSATION COMMITTEE UNDERTAKES A MIDYEAR REVIEW OF PERFORMANCE TOWARDS ACHIEVEMENT OF EACH GOAL, WHICH ALLOWS THE BOARD COMPENSATION COMMITTEE TO MONITOR HOW KEY PROJECTS ARE BEING HANDLED AND TO MAKE ADJUSTMENTS, IF NECESSARY. PLEASE REFER TO SCHEDULE J, PART II, COLUMN B(II) FOR THIS INFORMATION BY PERSON AND BY AMOUNT. CASH, INVESTMENTS, RECEIVABLES, REAL PROPERTY, LIABILITIES-AMOUNT IN COLUMN (C) IS TOTAL NET ASSETS TRANSFERRED 2022-12-21 4071897 BOOK VALUE 911940902 MAXIS HEALTH SYSTEM 20555 VICTOR PKWY LIVONIA MI 48152 501(C)(3) CASH, INVESTMENTS, RECEIVABLES, REAL PROPERTY, LIABILITES-AMOUNT IN COLUMN (C) IS TOTAL NET ASSETS TRANSFERRED 2022-12-21 -284841072 BOOK VALUE 351443425 TRINITY HEALTH CORPORATION 20555 VICTOR PKWY LIVONIA MI 48152 501(C)(3) 0 0 0 0 FORM 990, PART III, LINE 3 ON DECEMBER 21, 2022, CAPITAL HEALTH SYSTEM, INC., A TAX-EXEMPT ORGANIZATION, ASSUMED RESPONSIBILITY FOR HEALTH CARE SERVICES PREVIOUSLY PROVIDED BY ST. FRANCIS MEDICAL CENTER TRENTON NJ. THAT CAMPUS, WHICH NOW OPERATES AN EMERGENCY DEPARTMENT OF CAPITAL HEALTH SYSTEM AND SOME OUTPATIENT SERVICES, HAS BEEN RENAMED CAPITAL HEALTH-EAST TRENTON AND NO LONGER OPERATES AS AN ACUTE CARE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 4 CAPITAL HEALTH-EAST TRENTON FILED AN AMENDED AND RESTATED CERTIFICATE OF INCORPORATION WITH STATE OF NEW JERSEY ON DECEMBER 21, 2022 AND CHANGED ITS NAME FROM ST. FRANCIS MEDICAL CENTER TRENTON NJ TO CAPITAL HEALTH-EAST TRENTON, INC. THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION STATED THE SOLE MEMBER OF CAPITAL HEALTH-EAST TRENTON SHALL BE CAPITAL HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF CAPITAL HEALTH-EAST TRENTON IS CAPITAL HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A CAPITAL HEALTH SYSTEM IS THE SOLE MEMBER OF CAPITAL HEALTH-EAST TRENTON. FORM 990, PART VI, SECTION A, LINE 7B CAPITAL HEALTH SYSTEM HAS CERTAIN RESERVED POWERS AS DEFINED IN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR CAPITAL HEALTH-EAST TRENTON IS REVIEWED BY MANAGEMENT. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C PRIOR TO DECEMBER 20, 2022,CAPITAL HEALTH-EAST TRENTON HAD ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF CAPITAL HEALTH-EAST TRENTON, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF CAPITAL HEALTH-EAST TRENTON AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF CAPITAL HEALTH-EAST TRENTON (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO CAPITAL HEALTH-EAST TRENTON OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF CAPITAL HEALTH-EAST TRENTON (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF CAPITAL HEALTH-EAST TRENTON. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. AFTER DECEMBER 20, 2022, THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM") A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CAPITAL HEALTHCARE, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND BOTH THE SYSTEM'S SENIOR VICE PRESIDENT/CHIEF LEGAL OFFICER AND CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE SYSTEM'S CHIEF COMPLIANCE OFFICER THEN PRESENTS THIS SUMMARY TO THE SYSTEM'S FULL BOARD OF DIRECTORS FOR ITS REVIEW AND DISCUSSION. THIS SUMMARY IS UPDATED BY THE CHIEF COMPLIANCE OFFICER ON A QUARTERLY BASIS. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF CAPITAL HEALTH-EAST TRENTON, PRIOR TO DECEMBER 20, 2022, WAS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATION IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFIT ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. AS OF DECEMBER 21, 2022,THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM") A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPITAL HEALTH SYSTEM, INC. ("CHS"). THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, ARE EMPLOYED BY CHS THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS AND/OR BOARD MEMBERS OF THIS ORGANIZATION. ACCORDINGLY, THE HOSPITAL'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF ALL OF THE ORGANIZATION'S SENIOR MANAGEMENT AND OTHERS, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND OTHER OFFICERS OF THE ORGANIZATION, PHYSICIANS, AND ANY OTHER DISQUALIFIED PERSONS. IT ALSO REVIEWS AND APPROVES EMPLOYMENT AGREEMENTS FOR THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NONQUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EACH SUCH INDIVIDUAL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ARE INTENDED FOR THE ORGANIZATION TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE SENIOR MANAGEMENT TEAM. REBUTTAL PRESUMPTION REQUIREMENTS HAVE GUIDED THE ACTIVITIES OF THE COMMITTEE IN ALL OF ITS REVIEWS, DELIBERATIONS AND APPROVAL OF EXECUTIVE COMPENSATION ACTIONS FOR ALL OF THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON COMPARABILITY MARKET DATA PROVIDED BY ITS INDEPENDENT COMPENSATION CONSULTANT FROM COMPARABLE HEALTHCARE AND HOSPITAL PEERS BASED ON TAXEXEMPT STATUS, REVENUE, LOCATION, SERVICES, AND OTHER FACTORS TO ENSURE THE EXECUTIVES' COMPENSATION IS REPRESENTATIVE OF THE EXECUTIVE TALENT MARKET AND COMPARED TO WHAT IS ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES" AS REFERENCED UNDER IRS REGULATIONS. CONTEMPORANEOUS MINUTES ARE COMPILED AND APPROVED FOR ALL COMMITTEE DELIBERATIONS. THESE ARE SUPPORTED BY THE WRITTEN DOCUMENTATION OF ALL PEER AND MARKET COMPENSATION STUDIES, AS WELL AS DETAILED PERFORMANCE JUSTIFICATION USED AS THE BASIS FOR AWARDS UNDER THE ORGANIZATION'S INCENTIVE PROGRAMS. RECOGNIZING THE NEED TO CONSIDER RETIREMENT PLANNING FOR ITS SENIOR MANAGEMENT AS A MEANS TO AID IN THEIR RETENTION, THE COMMITTEE MAINTAINS A FORM OF LONGTERM NONQUALIFIED DEFERRED COMPENSATION (REFERRED TO AS THE "PERFORMANCE BASED CAPITAL ACCUMULATION PLAN", OR "PBCAP"), WHICH IS PART OF THE CAPITAL HEALTH SYSTEM NONQUALIFIED 457(F) DEFERRED COMPENSATION PLAN. PBCAP PROVIDES THE ORGANIZATION WITH AN ADDITIONAL TOOL TO ASSIST IN THE RECRUITMENT AND RETENTION OF SENIOR MANAGEMENT WITHIN THE HIGHLY COMPETITIVE HEALTHCARE LABOR MARKET. PBCAP PROVIDES SENIOR MANAGEMENT WITH THE OPPORTUNITY TO QUALIFY FOR ANNUAL DEFERRED CONTRIBUTIONS, BASED ON ACHIEVING SPECIFIED PERFORMANCE TARGETS AND MEETING ESTABLISHED CIRCUIT BREAKERS, TO BE PAID AT A FUTURE PREDETERMINED DATE CONTINGENT UPON CONTINUED SERVICE WITH THE ORGANIZATION. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT AND INDEPENDENT COMPENSATION CONSULTANTS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELFEVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. FORM 990, PART VII, SECTION A, LINE 1A: THIS ORGANIZATION IS A MEMBER OF CAPITAL HEALTH SYSTEM AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE FOLLOWING INDIVIDUAL IS ALSO A BOARD MEMBER AND OFFICER OF CAPITAL HEALTH SYSTEM INC. (EIN: 22-3548695). PLEASE REFER TO CAPITAL HEALTH SYSTEM 2022 FORM 990 FOR HIS COMPENSATION AND BENEFITS INFORMATION: ALIREZA MAGHAZEHE, BOARD MEMBER AND OFFICER FORM 990, PART VII AND SCHEDULE J: BENJAMIN CARTER IS LISTED AS A DIRECTOR ON THIS FORM 990. THIS IS HIS SOLE ROLE WITH THE ORGANIZATION. HE PROVIDES NO SERVICES TO OR FOR THE ORGANIZATION AND IS NOT INVOLVED IN THE MANAGEMENT OR DAY TO DAY ACTIVITIES OF THIS ORGANIZATION. MR. CARTER IS EMPLOYED BY A RELATED ORGANIZATION AND WORKS FULL TIME IN THIS CAPACITY FOR TRINITY HEALTH, INC. ACCORDINGLY HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH TRINITY HEALTH (EIN: 35-1443425). TRINITY HEALTH FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. CARTER'S COMPENSATION IN EXCESS OF $1M. AL MAGHAZEHE, PH.D., FACHE IS LISTED AS TRUSTEE ON THIS FORM 990. THIS IS HIS SOLE ROLE WITH THE ORGANIZATION. HE PROVIDES NO SERVICES TO OR FOR THE ORGANIZATION AND IS NOT INVOLVED IN THE MANAGEMENT OR DAY TO DAY ACTIVITIES OF THIS ORGANIZATION. MR. MAGHAZEHE IS EMPLOYED BY A RELATED ORGANIZATION AND WORK FULL TIME IN THIS CAPACITY FOR CAPITAL HEALTH SYSTEM, INC. ACCORDINGLY HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIPS IS WITH CAPITAL HEALTH SYSTEM, INC. (EIN: 22-3548695). CAPITAL HEALTH SYSTEM, INC. FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. MAGHAZEHE 'S COMPENSATION IN EXCESS OF $1M. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 7,406,152. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,406,152. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,835,657. MANAGEMENT AND GENERAL EXPENSES 2,545,384. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,381,041. RECRUITING EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,343. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,343. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 80,890. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,890. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,122,923. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,122,923. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 11,092. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,092. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 45,387. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,387. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES 282,754,065. ASSET IMPAIRMENT -183,745. FORM 990, PART XII, LINE 2: CAPITAL HEALTH-EAST TRENTON'S FINANCIAL STATEMENTS FROM JULY 1 TO DECEMBER 20,2022 WERE INCLUDED IN THE FY23 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. THE FINANCIAL STATEMENTS FROM DECEMBER 21, 2022 TO JUNE 30, 2023 WERE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CAPITAL HEALTH SYSTEM, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 CENTRAL COMMUNITY HOSPITAL 901 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THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE CAPITAL HEALTH SYSTEM ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.