2025-11-14T14:02:49-06:00 2024-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 07981 990 2024-01-01 223548695 CAPITAL HEALTH SYSTEM INC % SHANE F FLEMING CPA CAPI 6093946029 750 BRUNSWICK AVENUE TRENTON NJ 08638 SHANE F FLEMING SVP, CFO 6093946029 2025-11-12 true true Scott J Mariani P00642486 9738989494 2024 2025-03-06 01:10:19Z AL MAGHAZEHE PHD FACHE 750 BRUNSWICK AVENUE TRENTON NJ 08638 1285510632 false X WWW.CAPITALHEALTH.ORG X 1997 NJ TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATIONS WE SERVE IN URBAN AND SUBURBAN COMMUNITIES. 11 5 7650 256 0 0 5075999 5617261 1119868278 1257448160 6887692 20120244 2447954 2324967 1134279923 1285510632 1754807 24850 0 0 642941706 700347025 0 0 0 496163894 563867738 1140860407 1264239613 -6580484 21271019 1099245938 1102781525 942343876 928018728 156902062 174762797 X TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATIONS WE SERVE IN URBAN AND SUBURBAN COMMUNITIES. 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PLEASE REFER TO THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O. 1024034089 true true false true false false false false false false true false true true true false false true false true true false false false false false true true true false true false false false false false false true true false false false false true true true true false false true 629 0 true 7650 true false true CJ false false false true true false false false false true false X 11 5 false false false false true true true true true false false true true true true true true true true false NJ X X SHANE F FLEMING CPA 6093946029 750 BRUNSWICK AVENUE TRENTON NJ 08638 X AL MAGHAZEHE PHD FACHE DIRECTOR - PRESIDENT/CEO 55.0 0.0 X X 3472732 0 37961 SHANE F FLEMING CPA SVP, CHIEF FINANCIAL OFFICER 55.0 0.0 X 1832478 25000 45419 ARLENE WALSH CHIEF OPERATIONS OFFICER 55.0 0.0 X 1592458 0 41505 JOSHUA A EISENBERG MD CHIEF PHYSICIAN EXECUTIVE 55.0 0.0 X 1506300 0 29530 EUGENE J MCMAHON MD CHIEF MEDICAL OFFICER 55.0 0.0 X 1302262 0 36920 SUZANNE B BORGOS CHIEF STRATEGY OFFICER 55.0 0.0 X 1333528 0 5537 STEPHEN A MILLER JD CHIEF LEGAL OFFICER 55.0 0.0 X 1150040 25000 32287 ROBERT REMSTEIN MD VP, ACCOUNT. CARE/PHYSICIAN 55.0 0.0 X 1122539 0 17903 PASQUALE LUCIANO DO PHYSICIAN 55.0 0.0 X 1099047 0 37612 NAVID REDJAL MD PHYSICIAN 55.0 0.0 X 1055782 0 39390 AUDRA FARISH CHIEF HUMAN RESOURCES OFFICER 55.0 0.0 X 1071652 0 17173 GARY TUMA MD PHYSICIAN 55.0 0.0 X 1002767 0 37497 THOMAS WESTOVER MD PHYSICIAN 55.0 0.0 X 1003994 0 27131 DAVID W DRUCKER MD PHYSICIAN 55.0 0.0 X 950340 0 40732 AJAY CHOUDHRI MD DIRECTOR 55.0 0.0 X 919955 0 42518 RAVIKANTH KOGANTI CHIEF INFORMATION OFFICER 55.0 0.0 X 862038 0 37687 DEBORAH VISCONTI SVP, FINANCIAL OPERATIONS 55.0 0.0 X 850525 0 39899 DEBORAH MICAN CHIEF NURSING OFFICER 55.0 0.0 X 800913 0 28262 ARMEN SIMONIAN MD DIRECTOR 55.0 0.0 X 752450 0 31535 GARY BROWN DO FAPA DIRECTOR - PRES MED STAFF 55.0 0.0 X 627701 0 44177 RANDI A AXELROD MD SECRETARY - DIRECTOR 5.0 0.0 X X 90000 0 0 SEAN S MURRAY CHAIR - DIRECTOR 5.0 0.0 X X 0 25000 0 JOSHUA MARKOWITZ ESQ VICE CHAIR - DIRECTOR 5.0 0.0 X X 0 0 0 DONALD J LOFF TREASURER - DIRECTOR 3.0 0.0 X X 0 0 0 BRIAN S BENNETT DIRECTOR 1.0 0.0 X 0 0 0 TELECHERY A SUDHAKAR MD DIRECTOR 1.0 0.0 X 0 0 0 COLLEEN WOODS DIRECTOR 1.0 0.0 X 0 0 0 24399501 75000 670675 1701 false true false GHR HEALTHCARE PO BOX 825973 PHILADELPHIA PA 191825973 STAFFING 14032114 SODEXO MANAGEMENT INC PO BOX 360170 PITTSBURGH PA 152516170 MANAGEMENT 12759165 OA PETERSON PO BOX 106 MONTCLAIR NJ 07042 CONSTRUCTION 8656606 ALLIED UNIVERSAL SECURITY SERVICE PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY 6741635 NK ARCHITECTS PA 95 WASHINGTON STREET MORRISTOWN NJ 07960 ARCHITECTURAL 3434343 477 5617261 5617261 NET PATIENT SERVICE REVENUE 541900 1205044361 1205044361 OTHER HEALTHCARE RELATED REVENUE 541900 52194284 52194284 AUXILIARY REVENUE 541900 209515 209515 1257448160 4895541 0 4895541 0 0 1462251 1462251 0 1462251 1462251 14986071 238632 14986071 238632 15224703 15224703 0 0 0 0 0 0 0 0 0 CAFE/DIETARY 900099 862716 862716 862716 1285510632 1257448160 0 22445211 24850 24850 0 0 0 19775884 16018466 3757418 0 595049798 481990336 113059462 1431088 1159182 271906 49314014 39944351 9369663 34776241 28168755 6607486 0 5822872 4716526 1106346 497892 403293 94599 249663 199730 49933 0 1421115 1151103 270012 128649530 104206121 24443409 0 3550033 2875527 674506 23143007 18745836 4397171 16264004 13173843 3090161 0 30189005 24453094 5735911 0 0 807913 654410 153503 31271180 25329656 5941524 0 47390060 38385949 9004111 15678800 12699828 2978972 MEDICAL SUPPLIES 206471529 167241938 39229591 CO. OPTION ASSESSMENT PROG. 20302426 16444965 3857461 REPAIRS AND MAINTENANCE 14425490 11684647 2740843 DUES & SUBSCRIPTIONS 3672676 2974868 697808 14060543 11386815 2673728 1264239613 1024034089 240205524 0 0 0 47682387 24553928 0 0 188295469 211025164 0 0 0 0 0 0 15529218 18488562 73771424 74681847 1298387366 820045486 482943012 478341880 0 0 0 0 167163015 161097890 0 0 123861413 134592254 1099245938 1102781525 217794235 218127572 0 0 0 0 0 0 0 0 0 0 601486820 565519825 0 0 123062821 144371331 942343876 928018728 X 156902062 174762797 0 0 156902062 174762797 1099245938 1102781525 X 21271019 1538282 -4948566 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 249663 249663 false 0 SCHEDULE C, PART II-B DURING 2024, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM A TOTAL OF $180,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE HOSPITAL ALLIANCE OF NEW JERSEY WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $69,663 IN 2024. 41845361 41845361 542062054 296024712 246037342 637160449 495708963 141451486 77319502 28311811 49007691 478341880 PROGRAM RELATED INVESTMENTS 23372409 F ACCRUED INTEREST 137174 F CASH & CASH EQUIV - LTD. USE 85561146 F LTD USE ASSETS HELD UNDER SERP 5853188 F CASH AND CASH EQUIVALENTS 46173973 F 161097890 OTHER ASSETS 38944260 RIGHT OF USE ASSETS 95647994 134592254 0 EST AMTS DUE 3RD PARTY PAYOR; CURR 448976 EST AMTS DUE 3RD PARTY PAYOR; NC 56951000 RIGHT OF USE LIABILITIES 86971355 144371331 Central America and the Caribbean 1 1 Investments 42179115 Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 6584442 1 1 1 1 48763557 48763557 true false true false false false true true X true X true X 600. true true true false true true 282498072 120919206 161578866 0.12780 74791632 112520121 0 0.00000 357289704 233439327 161578866 0.12780 881434 1050 880384 0.00070 20589373 16005958 4583415 0.00360 29263639 0 29263639 0.02310 899951 0 899951 0.00070 51634397 16007008 35627389 0.02810 408924101 249446335 197206255 0.15590 false 180717415 18071742 150438069 159948300 -9510231 X true true 4 1 CAPITAL HEALTH MEDICAL CNTR-HOPEWELL ONE CAPITAL WAY PENNINGTON NJ 08534 WWW.CAPITALHEALTH.ORG 11104 X X X X 1 2 CAPITAL HEALTH REGIONAL MEDICAL CNTR 750 BRUNSWICK AVENUE TRENTON NJ 08638 WWW.CAPITALHEALTH.ORG 11102 X X X X 2 3 CH EMERGENCY DEPARTMENT - DEBORAH 200 TRENTON ROAD BROWNS MILLS NJ 08015 WWW.CAPITALHEALTH.ORG 11104 X 1 4 CH EAST TRENTON EMERGENCY DEPARTMENT 601 HAMILTON AVENUE TRENTON NJ 08638 WWW.CAPITALHEALTH.ORG 11102 X 2 CAPITAL HEALTH MEDICAL CNTR-HOPEWELL 13 false false true X X X X X X X X X 24 true true true true X WWW.CAPITALHEALTH.ORG X WWW.TRENTONHEALTHTEAM.ORG X true 24 true WWW.CAPITALHEALTH.ORG false true X 200. 600. X X X X X X true true X X X true X WWW.CAPITALHEALTH.ORG X WWW.CAPITALHEALTH.ORG X WWW.CAPITALHEALTH.ORG X X X X X X X true X false X X X X true X false false CAPITAL HEALTH REGIONAL MEDICAL CNTR 24 false false true X X X X X X X X X 24 true true true true X WWW.CAPITALHEALTH.ORG X WWW.TRENTONHEALTHTEAM.ORG X true 24 true WWW.CAPITALHEALTH.ORG false true X 200. 600. X X X X X X true true X X X true X WWW.CAPITALHEALTH.ORG X WWW.CAPITALHEALTH.ORG X WWW.CAPITALHEALTH.ORG X X X X X X X true X false X X X X true X false false SCHEDULE H, PT V, SECT B, Q'S 2,3j,13h,15e,18e,19e,20e,21c,21d,23&24 Not Applicable. SCHEDULE H, PART V, SECTION B, QUESTION 5 As a founding member of the Greater Mercer Public Health Partnership ("gmphp"), Capital Health System, Inc., along with other core members, including Lawrence Rehabilitation Center, Robert Wood Johnson University Hospital at Hamilton, and health departments, employed Health Resources in Action to begin assessing the community health needs for 2024. Health Resources in Action directed quantitative and qualitative research methods to determine health needs and disparities across mercer county. Other research methods were used to identify and analyze statistical, socioeconomic, and health indicators. The obtained data were compared across Mercer County zip codes and neighborhoods, while subsequently compared against the county, the state of NJ, and nationally set benchmarks. Input from public health experts and community stakeholders was also obtained. The 2024 chna analysis included: a study of existing secondary data sources, such as public health stats, demographics, social measures, and healthcare utilization. Also, a mixed-method survey was developed and distributed within the community of Mercer County, with more than 2500 survey respondents. The participants included individuals representing the diverse, underserved, minority, and historically disenfranchised populations. The strategic planning team at Capital Health met with various stakeholders, as determined by the membership to the internal community health improvement plan (CHIP) committee, to determine priority health needs. This led to the development of a collective CHIP. SCHEDULE H, PART V, SECTION B, QUESTION 6A & 6B The Greater Mercer Public Health Partnership (GMPHP) is a collaboration of fifteen core organizations, consisting of hospitals and Department of Health representatives, with a combined mission of improving the health of Greater Mercer County residents. GMPHP also includes a community advisory board with 70 non-profits, businesses, schools, and governmental organizations with the same mission. GMPHP was formed to develop new strategies that leveraged the collective expertise of its members to implement a meaningful and measurable health improvement plan for Mercer County, NJ. The participating hospitals in this partnership are Capital Health System, Inc., Robert Wood Johnson University Hospital at Hamilton, and Lawrence Rehabilitation Center. Participating health departments are as follows: 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 (serving Hopewell and Pennington Boroughs), Princeton Health department, township of Hopewell department of health, Trenton health department, West Windsor health department (serving Robbinsville and Hightstown). Approval and adoption of the CHNA and CHIP were presented and approved by the Capital Health System, Inc. Board in November 2024. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7D DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE ORGANIZATION. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE ORGANIZATION'S WEBSITE: https://www.capitalhealth.org/about/community-health-assessments Results of the chna were presented in a number of public forums and are published on the trenton health team website: Https://trentonhealthteam.org/projects/community-health-improvement-plan/ The gmphp chna is available on capital health system, inc.'s website, with a link on the homepage. SCHEDULE H, PART V, SECTION B, QUESTION 10 DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE ORGANIZATION. THE implementation strategy CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE ORGANIZATION'S WEBSITE: https://www.capitalhealth.org/about/community-health-assessments SCHEDULE H, PART V, SECTION B, QUESTION 11 As a result of its most recent CHNA conducted in 2024, the organitzation's 2024 adopted a written implementation plan entitled "Capital Health Community Health Improvement Plan 2024-2026." The information below relates to the organization's implementation plan for its CHNA conducted in 2024. The CHNA was a comprehensive document that detailed numerous issues-working with Greater Mercer Public Health Partnership (GMPHP) partners, Capital Health prioritized actions into a series of wellness and health screening activities that addressed the most critical areas of concern. This directly responds to an identified priority need, as expressed through Capital Health outreach interviews. The CHNA focused on four primary areas: Mental and Behavioral Health, Access to Wellness, Housing, and Maternal and Infant Health. Capital Health will primarily focus its community health improvement initiatives on Mental and Behavioral Health, Access to Wellness, and Maternal and Infant Health Categories. SCHEDULE H, PART V, SECTION B, QUESTION 13 The organization utilizes new jersey state charity care guidelines in determining eligibility for providing free or discounted care. Charges for self-pay patients are reduced to 115% of the medicare rate. Patients whose income and assets criteria are at or below twice the current threshold for eligibility for new jersey charity care will be provided with a 100% discount off of the organization's usual and customary charges. The income based criteria used to determine eligibility is per new jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the latest published poverty guidelines (department of health and senior services). Federal poverty guidelines ("fpg") are included in the criteria for determining eligibility for charity and discounted care. SCHEDULE H, PART V, SECTION B, QUESTION 16 DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16B AND 16C, IS THE HOME PAGE FOR THE ORGANIZATION. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE ORGANIZATION'S WEBSITE: Https://www.capitalhealth.org/patients-visitors/bills-and-insurance/financ ial-assistance SCHEDULE H, PART V, SECTION B, QUESTION 16J Billing statements provided to patients indicate that the organization's financial assistance policy is available upon request. 96 CH BEHAVIORAL SPECIALISTS - BORDENTOWN 100 K JOHNSON BLVD N SUITE 201 BORDENTOWN NJ 08505 BEHAVIORAL HEALTH CH BEHAVIORAL SPECIALISTS - NEWTOWN 3 PENNS TRAIL 2ND FLOOR NEWTOWN PA 18940 BEHAVIORAL HEALTH CH SURGICAL GROUP - BREAST SURGERY 2 CAPITAL WAY SUITE 505 PENNINGTON NJ 08534 BREAST SURGERY CH CARDIAC SURGERY SPECIALISTS-HOPEWELL 2 CAPITAL WAY SUITE 456 PENNINGTON NJ 08534 CARDIOLOGY CH CARDIOLOGY SPECIALISTS - COLUMBUS 23203 COLUMBUS ROAD SUITE I COLUMBUS NJ 08022 CARDIOLOGY CH CARDIOLOGY SPECIALISTS - HAMILTON 1445 WHITEHORSE-MERCERVILLE RD STE HAMILTON NJ 08619 CARDIOLOGY CH CARDIOLOGY SPECIALISTS - 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YARDLEY 1690 BIG OAK ROAD YARDLEY PA 19067 GENERAL MEDICINE/PRIMARY CARE CH VIRTUAL CARE 750 BRUNSWICK AVENUE TRENTON NJ 08638 GENERAL MEDICINE/PRIMARY CARE CH HEMATOLOGY ONCOLOGY SPEC-BORDENTOWN 100 K JOHNSON BLVD N SUITE 201 BORDENTOWN NJ 08505 HEMATOLOGY CH HEMATOLOGY ONCOLOGY SPEC - HOPEWELL 2 CAPITAL WAY STE 220 PENNINGTON NJ 08534 HEMATOLOGY CH HEMATOLOGY ONCOLOGY SPEC - NEWTOWN 3 PENNS TRAIL 2ND FLOOR NEWTOWN PA 18940 HEMATOLOGY CH HEMATOLOGY ONCOLOGY SPEC - TRENTON 40 FULD STREET SUITE 404 TRENTON NJ 08638 HEMATOLOGY CH Infectious Disease Specialists 40 FULD STREET SUITE 305 TRENTON NJ 08638 INFECTIOUS DISEASE CAPITAL INST FOR NEUROSCI-EAST WINDSOR 557 US HIGHWAY 130 N EAST WINDSOR NJ 08520 NEURO MEDICINE CAPITAL INST FOR NEUROSCIENCES-HOPEWELL 2 CAPITAL WAY SUITE 456 PENNINGTON NJ 08534 NEURO MEDICINE CAPITAL INST FOR NEUROSCIENCES-HAMILTON 1401 WHITEHORSE-MERCERVILLE RD ST HAMILTON NJ 08619 NEURO MEDICINE CAPITAL INST FOR NEUROSCIENCES-LANGHORNE 680 MIDDLETOWN BLVD SUITE 100 LANGHORNE PA 19047 NEURO MEDICINE CAPITAL INST NEUROSCIENCES-BORDENTOWN 100 K JOHNSON BLVD N STE 201 BORDENTOWN NJ 08505 NEURO MEDICINE CH OBGYN - 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HOPEWELL 2 CAPITAL WAY SUITE 550 PENNINGTON NJ 08534 RHEUMATOLOGY CENTER CH CENTER FOR SLEEP MEDICINE 1401 WHITEHORSE-MERCERVILLE RD STE HAMILTON NJ 08619 SLEEP MEDICINE CH CENTER FOR SLEEP MEDICINE 3 PENNS TRAIL 2ND FLOOR NEWTOWN PA 18940 SLEEP MEDICINE CH SURGICAL GROUP - HOPEWELL 2 CAPITAL WAY SUITE 356 PENNINGTON NJ 08534 SURGICAL MEDICINE CH SURGICAL GROUP - VASCULAR - HOPEWELL 2 CAPITAL WAY SUITE 456 PENNINGTON NJ 08534 SURGICAL MEDICINE CH ORTHOPEDIC SURGERY SPECIALISTS 100 K JOHNSON BOULEVARD N SUITE 10 BORDENTOWN NJ 08505 SURGICAL MEDICINE CH CTR INCONTINENCE&PELVIC-LAWRENCEVILLE 2997 PRINCETON PIKE SUITE 301 LAWRENCEVILLE NJ 08648 UROLOGY CH CTR INCONTINENCE & PELVIC-NEWTOWN 796 NEWTOWN-YARDLEY ROAD SUITE 200 NEWTOWN PA 18940 UROLOGY CH NEPHROLOGY SPECIALISTS 40 FULD STREET SUITE 305 TRENTON NJ 08638 UROLOGY CH UROLOGY SPECIALISTS - HOPEWELL 2 CAPITAL WAY SUITE 407 PENNINGTON NJ 08534 UROLOGY CH UROLOGY SPECIALISTS - NEWTOWN 796 NEWTOWN-YARDLEY ROAD SUITE 200 NEWTOWN PA 18940 UROLOGY CH SURGICAL GROUP - BREAST - NEWTOWN 3 PENNS TRAIL 2ND FLOOR NEWTOWN PA 18940 BREAST SURGERY CH PRIMARY CARE - HAMILTON 2 1445 WHITEHORSE-MERCERVILLE RD STE HAMILTON NJ 08619 GENERAL MEDICINE/PRIMARY CARE CH PRIMARY CARE - FLORAL VALE 407 FLORAL VALE BOULEVARD YARDLEY PA 19067 GENERAL MEDICINE/PRIMARY CARE CH PRIMARY CARE - RICHBORO 130 ALMSHOUSE ROAD SUITE 600 RICHBORO PA 18954 GENERAL MEDICINE/PRIMARY CARE CAPITAL INST FOR NEUROSCI-LAWRENCEVILLE 3120 PRINCETON PIKE 2ND FLOOR LAWRENCEVILLE NJ 08648 NEURO MEDICINE CAPITAL INST FOR NEUROSCI - PRINCETON 8 FORRESTAL ROAD SOUTH SUITE 101 PRINCETON NJ 08540 NEURO MEDICINE CH PULMONOLOGY SPECIALISTS-LAWRENCEVILLE 3140 PRINCETON PIKE 2ND FLOOR LAWRENCEVILLE NJ 08648 PULMONOLOGY CH MATERNAL FETAL MEDICINE ONE CAPITAL WAY PENNINGTON NJ 08534 OBGYN/MFM CH PEDIATRICS CLINIC 433 BELLEVUE AVENUE 3RD FLOOR TRENTON NJ 08618 GENERAL MEDICINE CH OB TRIAGE - HOPEWELL 1 CAPITAL WAY 1ST FLOOR PENNINGTON NJ 08534 OBGYN/OB TRIAGE CH MULTI-SPECIALTY PRACTICES- BORDENTOWN 100 K JOHNSON BOULEVARD N SUITE 20 BORDENTOWN NJ 08505 MULTI-SPECIALTY CH MULTI-SPECIALTY PRAC-LOWER MAKEFIELD 1050 STONY HILL ROAD YARDLEY PA 19067 MULTI-SPECIALTY CH MULTI-SPECIALTY PRACTICES - NEWTOWN 3 PENNS TRAIL 2ND FLOOR NEWTOWN PA 18940 MULTI-SPECIALTY CH MULTI-SPECIALTY PRACTICES- NEWTOWN II 796 NEWTOWN-YARDLEY RD STE 200 NEWTOWN PA 18940 MULTI-SPECIALTY CH METABOLIC & WEIGHT LOSS CENTER ONE CAPITAL WAY PENNINGTON NJ 08534 ENDOCRINOLOGY CH SURGICAL GROUP - GYNECOLOGIC ONCOLOGY TWO CAPITAL WAY SUITE 356 PENNINGTON NJ 08534 SURGICAL MEDICINE CAPITAL INST FOR NEUROSCIENCES 2 CAPITAL WAY SUITE 456 PENNINGTON NJ 08534 NEURO MEDICINE SCHEDULE H, PART I, LINE 3C The organization utilizes new jersey state charity care guidelines in determining eligibility for providing free or discounted care. Charges for self-pay patients are reduced to 115% of the Medicare rate. Patients whose income and assets criteria are at or below twice the current threshold for eligibility for new jersey charity care will be provided with a 100% discount off of the organization's usual and customary charges. The income based criteria used to determine eligibility is per new jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the latest published poverty guidelines (department of health and senior services). Federal poverty guidelines ("fpg") are included in the criteria for determining eligibility for charity and discounted care. SCHEDULE H, PART I, LINES 6A & 6B Not applicable. SCHEDULE H, PART I; QUESTION 7 Worksheet 2 was used for the cost to charge ratio. SCHEDULE H, PART I; QUESTION 7G No costs relating to subsidized healthcare services are attributable to any physician clinics. SCHEDULE H, PART III, SECTION A; QUESTION 1 Healthcare financial management association statement no. 15 ("statement 15") provides guidelines for distinguishing charity care from bad debt expense. Statement 15 requires that charity care is not recognized as receivable or revenue in the financial statements. Statement 15 further explains that self-pay patients that do have a reasonable likelihood of payment should be reported as charity care and not bad debt expense. The hospital generally follows the guidelines outlined in statement 15. In addition, the hospital follows the state of new jersey guidelines in determining charity care eligibility. In certain instances, it is unlikely that uninsured patients will pay for the services rendered, but they do not qualify for the state's charity care program because of lack of patient cooperation or other reasons. The hospital pursues collection of these amounts and unpaid balances are reported as bad debt expense. Under statement 15, these amounts would be recorded as charity care rather than bad debt expense and this is the rationale for our response: "no". SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS INTERNAL FINANCIAL STATEMENTS. Capital Health System, Inc. And its affiliates, including its hospitals and subsidiaries, prepare and issue audited consolidated financial statements. the attached text was obtained from the footnotes to the audited financial statements of capital health system. Charity care Capital Health provides care to patients who meet certain criteria defined by the New Jersey Department of Health ("DOH") without charge or at amounts less than established rates. Because capital health does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. Capital health's records identify and monitor the level of charity care it provides and include the amount of charges forgone for services and supplies furnished. DOH allows retroactive application for charity care up to two years from the date of service. The cost of charity care is derived from both estimated and actual data. The estimated cost of charity care includes the direct and indirect cost of providing such services and is estimated utilizing capital health's ratio of cost to gross charges, which is then multiplied by the gross uncompensated charges associated with providing care to charity patients. Charity care provided, at cost, during 2024 AND 2023 TOTALED APPROXIMATELY $69,659,000 AND $60,198,000, respectively. Capital Health receives payments from the New Jersey health care subsidy funds for charity care and such amounts totaled approximately $15,195,000 AND $22,222,000 for the years ended December 31, 2024 and 2023, respectively. SCHEDULE H, PART III, SECTION B; QUESTION 8 Medicare costs were derived from the 2024 medicare cost report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. The organization believes that medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "the term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The american hospital association ("aha") believes that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving medicare patients is an essential part of the community benefit standard. - medicare, like medicaid, does not pay the full cost of care. Recently, medicare reimburses hospitals only 92 cents for every dollar they spend to take care of medicare patients. The medicare payment advisory commission ("medpac") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many medicare beneficiaries, like their medicaid counterparts, are poor. More than 46 percent of medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those medicare beneficiaries are also eligible for medicaid -- so called eligibles." There is every compelling public policy reason to treat medicare and medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospital SCHEDULE H, PART III, SECTION B; QUESTION 9B In accordance with Capital Health System's billing and collection practices: All accounts who are contractually left with a financial liability by their insurer or who fail to have third party liability coverage are considered self-pay patients. These patients will be offered information on financial assistance at time of registration. Self-pay patients receive a series of four data mailers and one urgent notice over a period of 135 days from the date of the first billing statement for care. Aside from the data mailers and urgent notice, the patient accounts department makes telephone calls on accounts with a balance greater than $750.00 to try to resolve the outstanding balance. When unforeseen circumstances arise, reasonable attempts will be made to make telephone calls, but cannot be guaranteed. Examples include: power interruption, National pandemic, etc. If a self-pay liability is not resolved within 135 days, the account is then written off as a bad debt and transferred to one of two outside primary collection agencies dependent on the patient's last name (alpha split). The primary collection agency has 270 days to work the account. At the end of 270 days, if there is still an outstanding balance, the account is taken back in an automated fashion and then reassigned to a secondary collection agency. Only one secondary collection agency is utilized. An individual has two years (730 days) from date of service to apply for financial assistance. The secondary collection agency is the only agency authorized to pursue legal recourse on an account placed into bad debt. Aside from any accounts that are being pursued legally by the secondary collection agency, the secondary collection agency also has 270 days to work the account. At the end of the 270-day period with the secondary collection agency the account is then taken back in an automated fashion by the patient accounting system and assigned an agency code of "TB" (Take back). An account with agency code TB is assured to have been in the self-pay collection cycle for 135 days, with a primary collection agency for 270 days and with a secondary collection agency for another 270 days. All accounts are treated the same regardless of payer. When a patient expresses an inability or difficulty in meeting the financial obligation to Capital Health associated with his or her care, Capital Health works with the patient to determine whether financial assistance is available to satisfy the patient's obligation. Financial assistance may include: - Establishment of a reasonable payment plan, not to exceed remaining days left in billing cycle prior to referral to primary collection agency; - Identification of financial assistance available through programs such as Medicaid, Charity Care or other third party charitable organization; - A partial discount on, or complete waiver of, charges associated with the patient's care in accordance with the terms and conditions of this policy. Capital Health requires its collection agencies to adhere to this policy. To facilitate compliance with this policy, Capital Health includes in all arrangements with collection agencies: - Requirements that the collection agency refrain from any activity that violates the Fair Debt Collections Practices Act (15 U.S.C. Section 1692 et. seq.). - An acknowledgment on the part of the collection agency of Capital Health's nonprofit status and mission and an agreement on the part of the agency to refrain from collection practices that are contrary to that status or in violation of this policy. Capital Health only takes legal action in an effort to obtain satisfaction of a patient's financial obligation where there is reasonable cause to believe that the patient or responsible party has income and/or assets sufficient to satisfy the obligation without undue hardship. Capital Health does not seek the sale or foreclosure of a patient's primary residence to satisfy a patient's financial obligation. SCHEDULE H, PART VI; QUESTION 2 In addition to the internal revenue code 501(r) community health needs assessment information outlined in form 990, schedule h, part v, section b, capital health routinely monitors demand for the services it provides while simultaneously utilizing a variety of information sources to determine unmet or underserved needs of the communities it serves. Capital health meets at least monthly with the other healthcare providers in its service area as well as a community health department director to discuss unmet needs and collaboratively strategize the prioritization of needs and develop programs to address them in a coordinated way. Capital health also routinely review available data regarding incidents of health issues and propose programs to address these issues and ultimately implement those which will have the greatest impact. Additionally, we regularly interact with community leaders and receive feedback on their satisfaction with our services. We believe this comprehensive approach of monitoring and analyzing both objective data and subjective feedback gives us a current understanding of how we are addressing community needs and what we need to do to optimize our impact upon the healthcare status of our region. SCHEDULE H, PART VI; QUESTION 3 Capital health system, inc. Educates patients about eligibility for assistance with their bills in numerous ways. Insurance information is obtained at all registration points at each visit. If a patient is found not to have insurance, or is underinsured the following procedure is followed: 1. When a patient is found to be uninsured and in need of financial assistance, a new jersey care payment fact sheet is reviewed with the patient, and a written copy is provided to the patient by the health access staff. The fact sheet explains who is eligible, how to apply with the phone number of each campus charity care office, and what documents are needed to determine eligibility. financial fact sheet is given to all patients regardless of their insurance status. 2. When a patient is admitted to the hospital, a financial counselor will visit the patient's bedside to start the charity care process. If a patient is financially screened and found to be eligible for medicaid, the financial counselor will begin the medicaid process. Upon completion, the medicaid application is submitted electronically for approval. The hospital also utilizes the medicaid outstation worker as needed for additional assistance. 3. When a patient is found to be underinsured, (example is a patient who has medicare only) a referral is made to the financial counselor, the patient is screened and if found eligible, a paper application is completed, along with supporting documentation is obtained. Applications are subject to audit review and claims are submitted electronically upon completion and approval of the application. 4. The patient is monitored for compliance in completing the application including visiting the patient's home if necessary to obtain necessary documentation to complete the application. 5. Once the patient has been approved, the charity care determination information is documented in the patient's registration record. Patient access monitors and instructs the patient when their charity care application is due for renewal. Aside from informing patients during their registration process, all of capital health's dunning statements contain the following language: Capital health system, inc. is committed to providing care to all patients, regardless of their insurance status or ability to pay. Under capital health's financial assistance and charity care programs, the patient may be eligible to receive financial help that covers part or all of the patient's hospital bill. If the patient does not qualify for either of these programs, capital health can offer prompt payment discounts and discounts for patients who have bills that are a significant financial burden to them. Financial assistance information, including the Financial assistance policy, application and plain language summary, can be found on the Capital Health's website at https://www.capitalhealth.org/patients-visitors/bills-and-insurance/ financial-assistance Capital health system, inc. also provides, in english and spanish, a phone number for those patients who cannot afford to pay their bill and would like to apply for financial assistance. Capital health system, inc. has a recorded message that is played while a customer is on hold. It reiterates that capital health system inc. believes that everyone deserves quality care, regardless of their ability to pay. Under its financial assistance and charity care programs, eligibility to receive financial support to fully or partially cover hospital costs is offered. It also states that for patients who do not qualify for either of these programs, capital health can offer prompt pay and other discounts for patients who have bills that are a significant financial burden to them. SCHEDULE H, PART VI; QUESTION 4 Capital health defines its community as the city of trenton, mercer county and parts of somerset, ocean, monmouth, middlesex, hunterdon and burlington counties in new jersey in addition to bucks and Philadelphia counties in pennsylvania. While it was once a center for industry in the late 1800's and early 1900's, trenton has seen dramatic economic development challenges over the years. According to the 2024 u.s. census data, median household income was $55,393, by far the lowest in mercer county. Based on a population of 91,204, trenton also has the highest number and percentage of minorities in mercer county with an african american population of 47.0%. Hispanics or latinos of any race constituted 46.3%, while non-hispanic whites were numbered at 6.6%. According to U.S. 2024 census data, the population size of mercer county is 392,138. The racial makeup of mercer county, which includes Trenton, the state capital, is 42.9% white alone, 18.3% black, 24.6% Hispanic or Latino, and 13.1% Asian. 20.1% of the county's residents who are 25 years or older graduated high school and 24% have a bachelor's degree. The median household income in the county was $104,148. According to U.S. 2024 census data, the population size of somerset county is 357,467. The racial makeup of somerset county is 49.1% white alone, 21.3% Asian, 18.6% Hispanic or Latino, and 9.4% black. 17.2% of somerset county residents who are 25 years or older graduated high school and 31.2% have a bachelor's degree. The median household income in somerset county was $134,524. According to U.S. 2024 census data, the population size of ocean county is 666,434. The racial makeup of ocean county is 82.6% white alone, 11.4% Hispanic or Latino, 3.2% black, and 2.3% Asian. 31.0% ocean county residents who are 25 years or older graduated high school and 22.7% have a bachelor's degree. The median household income in ocean county was $96,430. According to u.s. 2024 census data, the population size of Monmouth County is 647,520. The racial makeup of Monmouth County is 73.6% white alone, 13.3% Hispanic or Latino, 5.9% black, and 6.0% Asian. 21.0% of Monmouth County residents who are 25 years or older graduated high school and 31.1% have a bachelor's degree. The median household income in Monmouth County was $121,269. According to u.s. 2024 census data, the population size of Middlesex County is 890,119. The racial makeup of Middlesex County is 37.9% white alone, 26.6% Asian, 24.8% Hispanic or Latino, and 10.7% black. 21.4% of Middlesex County residents who are 25 years or older graduated high school and 26.9% have a bachelor's degree. The median household income in middlesex county was $115,040. According to u.s. 2024 census data, the population size of Hunterdon County is 131,708. The racial makeup of Hunterdon County is 79.4% white alone, 10.1% Hispanic or Latino, 5.9% Asian, and 1.6% black. 18.9% of Hunterdon County residents who are 25 years or older graduated high school and 34.3% have a bachelor's degree. The median household income in Hunterdon County was $136,901. According to u.s. 2024 census data, the population size of Burlington County is 475,515. The racial makeup of Burlington County is 62.4% white alone, 16.8% black, 10.4% Hispanic or Latino, and 6.1% Asian. 26.8% of Burlington County residents who are 25 years or older graduated high school, and 26.3% have a bachelor's degree. The median household income in Burlington County was $107,484. According to u.s. 2024 census data, the population size of bucks county is 650,131. The racial makeup of bucks county, Pennsylvania, is 80.7% white alone, 7.1% Hispanic or Latino, 5.7% Asian, and 4.4% black. Of those, 26.9% of bucks county residents who are 25 years or older graduated high school, and 26.4% have a bachelor's degree. The median household income in Bucks County was $112,678. According to u.s. 2024 census data, the population size of Philadelphia County is 1,573,916. The racial makeup of Philadelphia County, Pennsylvania, is 35.5% white alone, 16.4% Hispanic or Latino, 8.3% Asian, and 38.7% black. Of those, 31.0% of Philadelphia County residents who are 25 years or older graduated high school, and 19.7% have a bachelor's degree. The median household income in Philadelphia County was $60,521. SCHEDULE H, PART VI; QUESTION 5 This organization operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. The organization provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. The organization operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. The organization maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of the organization rests with its board of DIRECTORs; which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. Please refer to schedule o for the organization's community benefit statement for additional information on how the organization promotes community health. SCHEDULE H, PART VI; QUESTION 6 This organization is an affiliate of capital health system and affiliates. All affiliates are committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services. The capital health system strives to exceed the patients' expectations emphasizing commitment, competence, collaboration, communication, and compassion. Outlined below is a summary of the entities which comprise the capital health system and affiliates. Not for profit capital health system and affiliates entities Capital healthcare, inc. Capital healthcare, inc. ("chi") is the tax-exempt parent of the capital health system, inc. ("system"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either chi or another system affiliate controlled by chi. The system is an integrated network of healthcare providers throughout the state of new jersey. Capital healthcare, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). Capital healthcare, inc. Strives to continually develop and operate a multi-hospital healthcare system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare services to the residents of new jersey and surrounding communities. Capital healthcare, inc. Ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origins or ability to pay. No individuals are denied necessary medical care, treatment or services. Capital healthcare, inc.'s active hospitals are capital health medical center - hopewell and capital health regional medical center. The hospitals operate consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Provide medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Operate an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; as well as a Satellite Emergency Department at Deborah Heart and Lung Center in Burlington County - Capital Health at Deborah, and beginning on December 21, 2022 Capital Health now operates a satellite Emergency Department at Capital Health- East Trenton (formally St. Francis Medical Center Emergency Department) 3. Maintain an open medical staff, with privileges available to all qualified physicians; and 4. Control rests with its board of directors and the board of directors of capital healthcare, inc. Both boards are comprised of independent civic leaders and other prominent members of the community. 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. Capital health system, inc. Capital health system, inc. ("chs") consists of two operating divisions: capital health regional medical center ("regional") and capital health medical center - hopewell ("hopewell"). Regional is a separately licensed acute care hospital with 245 licensed beds, located in trenton, new jersey, and operates a satellite emergency department, Capital Health at East Trenton, located in Trenton, New Jersey (as of December 21, 2022). Hopewell consists of a separately licensed acute care hospital with 238 licensed beds, located in hopewell township, new jersey and an ambulatory care facility located in hamilton, new jersey. Hopewell also OPERATES a satellite emergency department, Capital Health at Deborah-Emergency Services, located in Browns Mills, New Jersey. Pursuant to its charitable purposes, chs provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, chs operates consistently with the criteria outlined in irs revenue ruling 69-545. Capital health-east Trenton, inc. Capital health-east Trenton, inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). CH operates a satellite emergency department at Capital Health East Trenton, Inc. Pursuant to its charitable purposes, chs provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Bifurcated System Resource Risk Retention Group, Inc. Bifurcated System Resource Risk Retention Group, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). The organization operates as a risk retention group under the federal liability risk retention act of 1986 to the system. The organization supports the charitable purposes, programs and services of the system; which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Capital Health Life, Inc. Capital Health Life, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization supports chs, which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Capital Health Medical Group-East Trenton PA Capital Health Medical Group-East Trenton PA is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). The organization supports chs, which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Capital health system foundation, inc. Capital health system foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of capital health system, inc.; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Population health management services, l.l.c. Population health management services, l.l.c. is a single member limited liability company of capital health system, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Capital Health Medical Group, L.L.C. Capital health medical group, l.l.c. is a single member limited liability company of capital health system, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Capital Health accountable care organization, L.L.C. Capital Health accountable care organization, l.l.c. is a single member limited liability company of capital health system, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Capital Health Community Pharmacy, L.L.C. Capital Health accountable care organization, l.l.c. is a single member limited liability company of capital health system, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Other capital health system and affiliates entities Bellevue avenue management, inc. A for-profit entity whose sole shareholder is mercer holding corporation. The organization is located in trenton, mercer county, new jersey. The organization provides managerial administration and support. Capital health system condominium association, inc. A for-profit entity whose sole shareholder is capital health system, inc. The organization is located in trenton, mercer county, new jersey. This entity is a SCHEDULE H, PART VI; QUESTION 7 Not applicable. The entity and related provider organizations are located in new jersey. The state of new jersey does not require hospitals to annually file a community benefit report with the state of new jersey. true capital health system foundation inc 750 brunswick avenue trenton NJ 08638 222230681 501(c)(3) 24850 FMV program support 1 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X false true false false false false false true false AL MAGHAZEHE PHD FACHE DIRECTOR - PRESIDENT/CEO 1455734 0 1951341 0 65657 0 10018 0 27943 0 3510693 0 0 0 SHANE F FLEMING CPA SVP, CHIEF FINANCIAL OFFICER 796144 0 665122 0 371212 25000 7294 0 38125 0 1877897 25000 0 0 ARLENE WALSH CHIEF OPERATIONS OFFICER 695701 0 662473 0 234284 0 7259 0 34246 0 1633963 0 0 0 JOSHUA A EISENBERG MD CHIEF PHYSICIAN EXECUTIVE 849269 0 625025 0 32006 0 4237 0 25293 0 1535830 0 0 0 EUGENE J MCMAHON MD CHIEF MEDICAL OFFICER 546318 0 496317 0 259627 0 3300 0 33620 0 1339182 0 0 0 SUZANNE B BORGOS CHIEF STRATEGY OFFICER 590249 0 559897 0 183382 0 3300 0 2237 0 1339065 0 0 0 STEPHEN A MILLER JD CHIEF LEGAL OFFICER 518274 0 471295 0 160471 25000 7250 0 25037 0 1182327 25000 0 0 ROBERT REMSTEIN MD VP, ACCOUNT. CARE/PHYSICIAN 561827 0 529251 0 31461 0 2997 0 14906 0 1140442 0 0 0 PASQUALE LUCIANO DO PHYSICIAN 967919 0 100000 0 31128 0 3300 0 34312 0 1136659 0 0 0 NAVID REDJAL MD PHYSICIAN 973876 0 57161 0 24745 0 3300 0 36090 0 1095172 0 0 0 AUDRA FARISH CHIEF HUMAN RESOURCES OFFICER 521971 0 472867 0 76814 0 3300 0 13873 0 1088825 0 0 0 GARY TUMA MD PHYSICIAN 934105 0 63465 0 5197 0 3300 0 34197 0 1040264 0 0 0 THOMAS WESTOVER MD PHYSICIAN 760761 0 236947 0 6286 0 0 0 27131 0 1031125 0 0 0 DAVID W DRUCKER MD PHYSICIAN 692565 0 251979 0 5796 0 2757 0 37975 0 991072 0 0 0 AJAY CHOUDHRI MD DIRECTOR 772459 0 145463 0 2033 0 3300 0 39218 0 962473 0 0 0 RAVIKANTH KOGANTI CHIEF INFORMATION OFFICER 425220 0 401720 0 35098 0 3300 0 34387 0 899725 0 0 0 DEBORAH VISCONTI SVP, FINANCIAL OPERATIONS 409056 0 381653 0 59816 0 3300 0 36599 0 890424 0 0 0 DEBORAH MICAN CHIEF NURSING OFFICER 391015 0 368130 0 41768 0 3300 0 24962 0 829175 0 0 0 ARMEN SIMONIAN MD DIRECTOR 712942 0 10392 0 29116 0 0 0 31535 0 783985 0 0 0 GARY BROWN DO FAPA DIRECTOR - PRES MED STAFF 610776 0 0 0 16925 0 7192 0 36985 0 671878 0 0 0 SCHEDULE J, PART I; QUESTION 3 THE ORGANIZATION'S BOARD OF DIRECTORS HAS A BOARD 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 LONG-TERM 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. SCHEDULE J, PART I; QUESTION 4B The organization maintains the Capital Health System Non-Qualified 457(f) Deferred Compensation Plan (the "457(f) Plan"), which is a nonqualified deferred compensation plan that satisfies the requirements of section 457(f) of the Internal Revenue Code. The following individuals participated in the 457(f) Plan and received a payment in 2024 that was no longer subject to a substantial risk of forfeiture - Shane F. Fleming, CPA, $355,654; Arlene Walsh, $194,739; Eugene j. McMahon, m.d., $217,984; Suzanne B. Borgos, $146,736; Stephen A. Miller, JD, $147,13; Audra Farish, $67,204 and Deborah Visconti, $52,890. These amounts are reflected in Schedule J, Part II, Column (B)(iii) and were reported on each individual's 2024 Form W-2, Box 5 as taxable Medicare wages. THE ORGANIZATION MAINTAINS THE CAPITAL HEALTH SYSTEM NON-QUALIFIED 457(F) DEFERRED COMPENSATION PLAN (THE "457(F) PLAN"), WHICH IS A NONQUALIFIED DEFERRED COMPENSATION PLAN THAT SATISFIES THE REQUIREMENTS OF SECTION 457(F) OF THE INTERNAL REVENUE CODE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) PLAN AND ACCRUED ADDITIONAL DEFERRED COMPENSATION IN 2024 THAT IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE - SHANE F. FLEMING, CPA, $184,551; ARLENE WALSH, $117,200; EUGENE J. MCMAHON, M.D., $87,890; SUZANNE B. BORGOS, $89,808; STEPHEN A. MILLER, JD, $90,200; AUDRA FARISH, $72,401; RAVIKANTH KOGANTI, $65,520; DEBORAH VISCONTI, $59,603 AND DEBORAH MICAN, $63,539. THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THESE UNVESTED AMOUNTS. ACCORDINGLY, THESE UNVESTED AMOUNTS HAVE NOT BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND WERE NOT REPORTED ON EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED INCENTIVE AWARDS DURING CALENDAR YEAR 2024, WHICH INCENTIVE AWARDS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II) AND WERE REPORTED ON EACH SUCH INDIVIDUAL'S 2024 FORM W-2, 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 PRE-ESTABLISHED SYSTEM-WIDE 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 MID-YEAR 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. BAHRAM MAGHAZEHE FAMILY MEMBER OF DIR/OFF 106404 EMPLOYEE false KAMYAR MAGHAZEHE FAMILY MEMBER OF DIR/OFF 80752 EMPLOYEE false RONA H REMSTEIN FAMILY MEMBER OF KEY EE 231318 EMPLOYEE false CORE FORM, PART VI, SECTION A; QUESTION 1 Although a majority of Capital Health System, Inc.'s voting members of the board are not independent, the organization is an affiliate within Capital Health System and affiliates; a tax-exempt integrated healthcare delivery system. Capital Healthcare, Inc.; the tax-exempt parent of the system, has a board of trustees; the majority of which are independent. The Capital Healthcare, Inc.'s Board has the overarching duty and responsibility for governing all affiliates within the system to ensure that they are operating in accordance with and supporting the system's charitable mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Capital health system, inc. ("capital health") operates a multi-hospital healthcare system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare services to the residents of new jersey, bucks county pennsylvania, and surrounding communities. Capital health is recognized by the internal revenue service ("irs") as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, capital health provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, the hospitals operate consistently with the following criteria outlined in irs revenue ruling 69-545: 1) capital health provides medically necessary healthcare services to all individuals regardless of ability to pay; 2) capital health operates emergency departments at both of its hospital campuses; capital health regional medical center and capital health medical center - hopewell; which are open 24 hours a day, 7 days a week, 365 days per year; as well as a satellite emergency department at deborah heart and lung center in burlington county - capital health at deborah (described below), and a satellite emergency department at capital health- east trenton; 3) capital health maintains an open medical staff, with privileges available to all qualified physicians, dentists, podiatrists and advanced practice providers; 4) control of capital health rests with its board of directors; which is comprised of independent civic leaders and other prominent members of the community; and 5) surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. With over a century of service to the greater mercer and bucks county areas, capital health is comprised of 493 licensed beds, employs 7,650 individuals, and generates over 1,204 million dollars in annual net patient service revenue. Capital health regional medical center and capital health medical center - hopewell are separately licensed acute care hospitals with 255 and 238 beds; respectively. Capital health also operates a new kind of healthcare center that puts family physicians and specialists, state-of-the-art technologies, and same-day surgical services all in one location. Capital health in hamilton, located at 1445 whitehorse-mercerville road, and spanning 46,293 square feet, creates a "medical mall" where patients can seek a host of services such as outpatient surgery, cardiac, audiology and radiological testing and specialized care. In addition, 1401 whitehorse-mercerville road spans an additional 26,000 square feet of specialty care including a sleep center and sleep medicine practice. The family health center ("fhc") at capital health has two locations in Trenton. The first site is located at 433 bellevue avenue. The 14,000 square foot location provides primary care services in adult medicine, pediatrics and obstetric and gynecologic care via employed practitioners and Internal Medicine residents. In addition to the ch medical clinic at the fhc there is also a satellite of the henry j. Austin family medicine clinic, which is a designated federally qualified health center ("fghc") at the same location, which also provides comprehensive primary care for families, including evaluations and same-day walk-in and sick appointments for adults and children, and patients have access to lower cost prescriptions, social service and patient navigation. The second site at 601 Hamilton Avenue, Capital Health East Trenton has a primary care internal medicine clinic staffed by the Internal Medicine residency program. In addition to the Family Health Centers in Trenton, Capital Health Family Medicine Residency has its ambulatory care site at 832 Brunswick Avenue adjacent to the Regional Medical Center campus. This location provides comprehensive family care for patients from birth through their senior years and accepts Medicaid, Medicare as well as commercial insurance. In 2019 capital health assumed operation of the satellite emergency department (sed), capital health at deborah-emergency services, located on the browns mills campus of deborah heart and lung center, burlington county's only fully licensed cardiac center. The 10,000 square foot sed operates 24 hours a day and features 11 exam/treatment rooms, triage bay, cardiac resuscitation room, specialized treatment areas including ob/gyn and isolation/decontamination, and support services such as lab and radiology. On december 21, 2022, capital health assumed st. Francis medical center er and several health care services previously provided by st. Francis medical center (now known as capital HEALTH - EAST trenton), including outpatient internal medicine clinic, as well as the school of nursing and radiologic technology along with the life program (now capital health life) and the doc medical needs. Capital health regional medical center will offer cardiac surgery after receiving approval from the department of health in january of 2023. capital health life (living independence for the elderly) is a Program of All-Inclusive Care for the Elderly (PACE) program that gives seniors the support they need to live in their own homes or with family or loved ones. Participants receive extensive medical and social care based on personalized plans of care. LIFE services are free to seniors who qualify. Cardiovascular service line - implemented national cardiovascular data registry (ncdr) and society for thoracic surgery(sts) registries @ rmc - open heart surgery, valves, afib ablation and ep device implants to promote continuous performance improvement. - expanded "meds to beds" program for post percutaneous coronary intervention (pci) @ rmc - achieved the maximum four-star rating for cathpci registry measures selected by the acc - received the acc 2023 sliver performance achievement award for demonstrating sustained achievement of performance measures in the treatment of acute myocardial infarction patients at hopewell Capital health is guided by its dedication to the healthcare needs of the communities that it serves. That level of determination and commitment is an essential part of the culture at capital health. Capital health provides healthcare services to all people in a non-discriminatory manner, regardless of race, color, creed, sex, national origins or ability to pay. Moreover, capital health provides healthcare services to patients who meet certain criteria under its charity care policy, as defined by the new jersey state attorney general, without charge or at amounts less than established rates. Capital health maintains records to ,identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Commitment to health equity - leadership oversight by the strategic planning committee and the equity, diversity and inclusion (edi) committee. - mercer county's needs assessment with focus on inequities determining these priority areas: chronic diseases and life expectancy; maternal and child health; behavioral health and trauma; and covid-19. - trenton neighborhood initiative supporting home ownership and rehabilitation, job training and employment, digital equity, and healthy beginnings. - completing the aha health equity roadmap. - coordinating sdoh community assistance with the trenton health team. - 2023 and 2024 lown institute social responsibility index. - capital regional medical center earned an a grade in overall social responsibility which reflects our performance across health equity, value and outcomes. - capital regional medical center ranked in the top 10 nationally for racial inclusivity and first in new jersey. - capital health regional medical center overall earned an a grade in: - equity - community benefit - inclusivity Mission statement ================= To improve the health and well-being of the populations we serve in urban and suburban communities. In support of the health system's mission, in 2017 the capital health institute for urban care was formed. The institute's mission is to coalesce, grow and align the services of capital health with community and other partners to advance the health and well-being of the residents of trenton. Activities and programs of the institute for urban care are based on needs identified in the trenton community health needs and assets assessment published in june 2019. Strategic foci include programming addressing chronic disease, maternal/child health and behavioral health/substance use disorder. These three tenets are leveraged on a foundation of community both internal and external to the health system. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Chronic disease such as diabetes and cancer unfortunately has a disproportionate impact on the health of the residents of trenton, which is a majority minority city and the capital of new jersey. The institute of urban care, working with the trenton health team and other community partners has developed the capital city diabetes collaborative, to address the clinical, environmental and social determinants of health related to diabetes. This 5-year program funded by the merck foundation, has led to implementation of evidence-based treatment guidelines, enhanced screening for eye disease and the prevention of blindness as well as addressing food insecurity in the city. Violence is unfortunately another "chronic disease" within our city. Capital health was recently awarded $1.1m awarded in 2021-22 and was notified of our recent approval for extension of our grant program through june, 2023. A new grant was awarded in 2024 for $384K to continue the support of hospital-based violence intervention programs thru the 4th qtr of 2024. The goals of the program are to provide comprehensive wraparound services to victims of violence to decrease the incidence of reinjury, retaliation and the impact of post-traumatic stress disorder that is so commonly seen. Programming addressing maternal child health, behavioral health and substance use disorder are now woven into capital health programming. As leaders within the community, capital health plays a key role in the trenton maternal stakeholders group which has facilitated the planning, growth, improvement and coordination of programs such as doula services, maternal community health workers and post-partum nurse home visits. The trenton maternal stakeholder's group recently received a nearly $1m grant to address inequities in our community contributing to maternal morbidity and mortality. Capital health's opioid program for pregnant women has created a new avenue of treatment not previously in place in our community leading to decreases in nicu stays for opioid-impacted infants and increased family unification. Capital health has included opioid navigation services within our emergency departments, integrated behavioral health services into our busiest trenton primary care practice and implemented opioid reduction order sets and processes to optimize non-opioid treatment modalities for those coming in for emergency services at our hopewell campus. From a community point of view, the institute for urban care led capital health's journey to become and maintain our designation as a leader in lgbtq equality with the goals to optimize inclusion and diversity for our patients, staff, and community. Our commitment to community is evident by our history of providing comprehensive health care to trentonians for more than 125 years. In 2019, we supported the trenton housing authority allowing them to obtain a $1.3m grant from hud to update the donnelly homes, a housing project 1 mile from our regional medical center facility. Capital health remains an institutional partner in this program with the goal of bringing in additional funding from hud (up to $50m to renovate and update housing and services in our community. We collaborated with kindersmile, a non-profit dental program to bring services into trenton. Capital health is now working with kindersmile to begin a dental residency program to increase access to oral health care for the trenton community. Additionally, capital health along with its implementation partner - the trenton health team has launched the trenton neighborhood initiative. This 5-year initiative aims to address social determinants of health related to housing, workforce development, community and individual need and digital equity. The institute of urban care continues its work both within the health system and collaboratively with our community stakeholders to decrease health disparities and improve the health and well-being of our neighbors. Awards and recognition ====================== Capital health has received the following designations, awards and recognitions: - joint commission advanced certification for comprehensive stroke center ("rmc"); and - joint commission disease specific certification for primary stroke ("chmch"). Magnet re-designation --------------------- The american nurses credentialing center ("ancc") has recognized capital health's exemplary nursing leadership and quality patient care by awarding its magnet recognition for excellence in nursing service. Magnet status is the highest level of recognition the ancc can extend to a healthcare organization. Capital health has earned this recognition five times, consecutively. 2024 awards and accreditations ------------------------------ U.S. News & World Report, the global authority in hospital rankings and consumer advice, has named Capital Health Medical Center - Hopewell as a 2025 High Performing hospital for Maternity Care. This is the highest award a hospital can earn as part of U.S. News' Best Hospitals for Maternity Care annual study. Capital Health is one of 25 hospitals in New Jersey and the only hospital in the Greater Mercer County area to earn this recognition. This is the second consecutive year that Capital Health earned a place on the U.S. News High Performing Hospitals list for Maternity Care and the third time in four years since U.S. News published its first list of Best Hospitals for Maternity. In April 2024, Capital Health was also recognized by U.S. News for achieving excellent outcomes for cesarean section and unexpected newborn complication among black patients. Capital Health Medical Center - Hopewell has received the American College of Cardiology's NCDR Chest Pain - MI Registry Gold Performance Achievement Award for 2024. As of June 2024, Capital Health was one of only 61 hospitals nationwide to receive the honor, which recognizes commitment and success in implementing a higher standard of care for heart attack patients. The award also means that the Chest Pain Center at Capital Health Medical Center - Hopewell has reached an aggressive goal of treating these patients to the high standards outlined by the American College of Cardiology/American Heart Association clinical guidelines and recommendations. Capital Health has received the American Heart Association/American Stroke Association's Gold Plus Get with The Guidelines Stroke Quality Achievement Award. The award recognizes the hospital's commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. Capital Health earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period. These measures include evaluation of the proper use of medications and other stroke treatments aligned with the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. Before discharge, patients should also receive education on managing their health, get a follow-up visit scheduled, as well as other care transition interventions. Capital Health Regional Medical Center also received the Association's Target: Stroke Honor Roll Elite award. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient's arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. Additionally, Capital Health Regional Medical Center received the Association's Target: Type 2 Diabetes Honor Roll award. Hospitals that qualify for this recognition ensure patients with Type 2 diabetes, who might be at higher risk for complications, receive the most up-to-date, evidence-based care when hospitalized due to stroke. Capital Health physicians received the Surgical Review Corporation (SRC) Surgeon of Excellence designation in five areas of specialization: - Colorectal Surgery - Hernia Surgery - Minimally Invasive Gynecology - Minimally Invasive Surgery, and - Robotic Surgery. Health care facilities and surgeons seeking SRC accreditation undergo extensive assessments and inspection processes to ensure applicants meets the SRC's proven standards and requirements. These requirements include surgical volumes, facility equipment, clinical pathways and standardized operating procedures, an emphasis on patient education, and continuous quality assessment. Inspectors educate staff in the accredited departments on best practices to help an organization improve its care and services. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Capital health medical center - hopewell was named a 2021 guardian of excellence award winner by press ganey, the national leader in health care consumer and workforce engagement. Press ganey recognizes capital health as a top-performing health care organization achieving the 95th percentile or above for performance in patient experience. Capital health medical center - hopewell received 2018 women's choice award and named one of america's best hospitals for cancer care, breast center (3rd consecutive year), and stroke care (3rd consecutive year). Capital health medical center hopewell is one of 15 nj hospitals rated high-performing in maternity care for uncomplicated pregnancies by u.s. news & world report. Hospitals were evaluated based on five factors: scheduled early deliveries; c-section rates in low-risk women; newborn complications; rate of exclusive breast milk feeding; and option for vaginal births after cesarean. The report also recognized hopewell as high performing in copd and regional medical center for stroke. Capital health medical center hopewell was also recognized by us news & world report for its' dedication to our cardiovascular patients and to the american college of cardiology's quality improvement processes because we are an accredited chest pain center that participates in their chest pain/mi registry. The chest pain center is accredited from the american college of cardiology (acc) chest pain center v6 accreditation with primary pci. Capital health regional medical center was one of the first two hospitals in new jersey to receive advanced certification as a comprehensive stroke center from the joint commission. Capital health regional medical center has earned this certification for the third time. In august 2022 the Cardiopulmonary Rehab program at capital health, hopewell, was awarded program certification through the american association of cardiovascular and pulmonary rehabilitation (aacvpr) for a period of three years. The bristol-myers squibb trauma center at capital health regional medical center was recertified as a level ii trauma center by the committee on trauma ("cot") of the american college of surgeons ("acs"). The comprehensive center for breast care is actively accredited by the national accreditation program for breast centers ("napbc") and received reaccreditation in november 2020 for an additional three years. Regional medical center has again been recognized and received the aha: gwgt gold plus & target: stroke elite, target: type 2 diabetes & at hopewell gold plus, target: stroke, target: type 2 diabetes for 2022. The american college of radiology ("acr"), an organization focused on the practice of radiology and the delivery of comprehensive healthcare services, designated capital health as a breast imaging center of excellence for earning four national accreditations in mammography, stereotactic breast biopsy, breast ultrasound and ultrasound-guided breast biopsy. The capital health cancer center, radiation oncology services is also accredited as meeting all the standards of a quality center through the american college of radiology. Radiation Oncology has been reaccredited through September 2026. In 2024, the capital health cancer center plans to apply for accreditation from the national accreditation program for rectal cancer. In 2017, capital health regional medical center was nationally recognized as a top general hospital by the leapfrog group for patient safety and quality - making it the only new jersey hospital to earn this distinction. In 2021, the value-based score report from leapfrog ranked both capital health hospitals in the top decile for our scores in patient safety and patient outcomes. Our scores out-performed in the state of nj, in our peer-group, and nationally. Capital health has earned hospital accreditation from dnv - healthcare, a certification body that helps healthcare organizations achieve excellence by improving quality and patient safety. By earning this accreditation, capital health system demonstrate that they meet or exceed patient safety standards and conditions of participation set forth by the u.s. centers for medicare and medicaid services (cms). Dnv's accreditation program is the only one to integrate the iso-9001 quality management system with the medicare conditions of participation. The center for sleep medicine at capital health Hamilton has successfully completed a reaccreditation assessment and has been granted full american academy of sleep medicine (aasm) accreditation for a period of 5 years. The adult transthoracic echocardiography program and the vascular lab have achieved re-accreditation from the intersocietal accreditation commission (iac) for a period of three years for these services on all three ch campuses. Capital health has made a commitment to become a major academic health system. An organized approach to this transformation has been manifested in recent new and additional accreditations from the acgme (accreditation council for graduate medical education): - the longstanding internal medicine residency program at the regional medical center received approval to expand from 39 to 60 residents spanning three years of training. As of july 2020 the new entering class had 20 first year internal medicine residents who will serve our regional and hopewell campuses. To assure continuity of care at our 433 bellevue avenue internal medicine office the resident schedule has been adjusted to increase their hours for patient care. - commencing with the academic year that began july 1, 2021 capital welcomed six new first year family medicine residents. Their ambulatory training will occur at the new family medicine residency offices at 832 brunswick avenue, trenton. This will improve access to full service ambulatory medical care for the community from new born to geriatric services. - in addition to the family medicine program, six new first year emergency medicine resident commenced their education at capital health in july 2021. They provide care at all capital emergency departments in hopewell and trenton. - newly launched beginning in July 2025, the obstetrics and gynecology residency that provides extensive experience in all aspects of women's health care including obstetrics, gynecology, maternal-fetal medicine, urogynecology and reconstructive pelvic surgery, gynecologic oncology, reproductive endocrinology and infertility. - newly launched beginning in July 2026, the Psychiatry residency program will begin providing training for 16 physicians to learn and ultimately practice in our Trenton campus. Capital health is a major partner with the trenton health team and provides clinical support for the nj ceed (new jersey cancer education and early detection) program. Through our internal medicine residency program, we provide monthly clinics where comprehensive cancer screening for under and uninsured patients are performed. These include mammography, cervical, colon and prostate cancer screens. As a major teaching affiliate of the rowan university school of osteopathic medicine, and the Drexel University College of Medicine, capital provides exposure and training to third and fourth year medical students in multiple areas, and especially in community health through rotations at our trenton based offices and our affiliation with the trenton health team. Capital health medical center - hopewell is the first hospital in the mercer/bucks county region to receive full accreditation with pci as a chest pain center three consecutive times from the society of cardiovascular patient care (scpc) and the american college of cardiology. The laboratories at capital health regional medical center and capital health medical center - hopewell are accredited by the college of american pathologists (cap), the leading accreditation organization of pathology and laboratory medicine. Capital health medical center - hopewell and capital health regional medical center received perfect scores from the healthcare rights campaign based on the healthcare equality index. Naming them leaders in the healthcare industry in regards to the non-discrimination & staff training, patient services & support, employee benefits & policies, and the patient & community engagement. Capital health medical center - hopewell was designated a center of excellence in robotic surgery by surgical review corporation (src). The center of excellence accreditation distinguishes capital health as having met rigorous, internationally recognized standards in providing the safest, highest quality of care and surgical capabilities. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Statement for community health improvement & benefits ===================================================== To promote wellness, prevent illness, and remove barriers that hinder access to healthcare by working hand-in-hand with the communities served. Principles ---------- - capital health believes that community health improvement is essential to the capital health mission. - capital health believes community-based coalitions are uniquely qualified to achieve community health goals and capital health values partnerships with them. - capital health values evidence-based practices and seeks to model excellence in community health practice based on evidence. - capital health believes in applying continuous quality improvement to community health: measuring need, matching resources to need, measuring outcomes and making adjustments in processes. Operational values ------------------ Integrity: adheres to an appropriate and effective set of core beliefs including honesty and serving the greater good. Does not blame others for his or her own mistakes or misrepresent himself or herself for personal gain or protection. Perceived by others as a direct, truthful individual and is widely trusted, with the ability to present the truth in an appropriate and helpful manner. Excellence: provides the most efficient and effective work processes to meet the needs of patients and other customers, which leads to the highest quality services. Makes sound decisions based upon knowledge, judgment, and experience, and is sought out by others for advice and solutions to issues and problems. Compassion: demonstrates caring and concern for the welfare of others, assisting wherever necessary. Uses understanding and insight when dealing with patients or other customers in all aspects of care or service delivery. Teamwork: displays a professional and collaborative spirit in fulfilling responsibilities and assisting others. Helps to create and maintain positive morale with his or her team, sharing in successes, working through problems. Fosters open dialogue and works towards creating an atmosphere where outcomes and success are beneficial to the team and/or the organization at large. Vision ------ Capital Health will provide safe, equitable and high-quality health care as the region's provider of choice. Through collaboration and community building, we will promote the broader well-being of our neighbors by emphasizing education, innovation and accessibility. Service culture initiative -------------------------- Capital health is dedicated to high quality performance, and to exceeding customer expectations within a supportive and friendly environment. Each employee has a responsibility and is accountable for providing optimum satisfaction to the patients and their families, physicians and co-workers. Service culture initiative vision statement ------------------------------------------- - capital health commits to the needs of the communities served. Through excellent service and care, capital health achieves successful patient outcomes. - capital health adheres to a standard of positive behavior. This must include positive first impressions, appropriate communication, professional appearance and the realization that they are dealing with people's lives. - capital health creates an environment conducive to positive relationships. By engaging employees in a partnership of teamwork, capital health is reinforcing their commitment to trust and respect. - capital health is proactive rather than reactive. By having efficient and effective systems, capital health improves quality care and service delivery. - capital health accepts the challenge of service culture improvement as a business strategy. It is not only the nice thing to do, but the right thing to do to assure the growth of capital health. - capital health recognizes excellent service culture performance - capital health recognizes excellent service culture performance. Featured services ================= Diabetes services ----------------- Diabetes education at capital health is an outpatient comprehensive referral based diabetes education program that empowers patients to take control in the successful management of their disease. Capital health's education model, where the patient is the central player, is widely recognized as the best model to use to help the patient achieve optimal health related outcomes. Capital health works closely with primary care physicians who continue to monitor each individual's medical problems. In partnership with the trenton health team, capital health's executive director of the institute of urban care is the principal investigator of the capital city diabetes collaborative, a multi-disciplinary five year program addressing the clinical, social and environmental determinants of health related to diabetes within the city of trenton. Trauma and emergency services ----------------------------- The bristol-myers squibb trauma center, the level ii trauma center at capital health regional medical center, is one of only 10 state designated trauma centers in new jersey. Capital health provides comprehensive care from the time of injury through rehabilitation. The trauma center meets high national standards for patient care and teaching. The designation process involves detailed regular inspections by national and state organizations to assure high standards of care. Capital health regional medical center celebrated over 25 years as the regional referral center and the only level ii trauma center for severely injured patients in mercer county and adjacent parts of somerset, hunterdon, burlington, and middlesex counties as well as nearby areas of pennsylvania. Designated trauma centers care for severely injured patients as well as victims of accident types known to be associated with a high risk for injury. Trauma patients include persons involved in motor vehicle crashes, falls, and assaults with knives, guns, or blunt objects. Trauma centers have the latest technology and experienced staff available to care for your family member. Besides providing care to the injured, trauma centers are also active partners with the community in injury prevention and public education. In 2017, capital health launched an innovative new mobile stroke unit (msu) designed to bring time-critical stroke care to patients at their home, or wherever the msu is dispatched to assess them. It is the first unit of its kind in new jersey, pennsylvania or the delaware valley and only the second on the east coast. The capital health msu is one of only seven in the united states to be in service. The msu includes a ct scanner, point-of-care laboratory testing, and a team comprised of a critical care nurse, paramedic and ct technologist. Maternity --------- U.S. News & World Report, the global authority in hospital rankings and consumer advice, has named Capital Health Medical Center - Hopewell as a 2025 High Performing hospital for Maternity Care. This is the highest award a hospital can earn as part of U.S. News' Best Hospitals for Maternity Care annual study. Capital Health is one of 25 hospitals in New Jersey and the only hospital in the Greater Mercer County area to earn this recognition. This is the second consecutive year that Capital Health earned a place on the U.S. News High Performing Hospitals list for Maternity Care and the third time in four years since U.S. News published its first list of Best Hospitals for Maternity. In April 2024, Capital Health was also recognized by U.S. News for achieving excellent outcomes for cesarean section and unexpected newborn complication among black patients. From routine deliveries to high-risk needs, capital health's great expectations program provides a full range of prenatal, obstetrical, postpartum, and neonatal care options to make certain new families have the greatest chance for a healthy beginning. The maternity unit at capital health medical center - hopewell is mercer county's only regional perinatal center and level iii neonatal intensive care unit. The capital health healthstart prenatal program located at the fhc in trenton provides care to over 1,500 pregnant women annually. Capital health is the only healthcare provider in mercer county to provide hospital-based obstetrical care. To support this program ch has in-house coverage by obstetricians, midwives, neonatologists, and anesthesiologists 24 hours a day, seven days a week. Capital health was chosen as new jersey's first site to house a march of dimes family support program. The program provides information and emotional support to families of critically ill newborns being cared for in the neonatal intensive care unit. Also, comprehensive childbirth and parent education services are offered to help prepare individuals to be the best parents possible by teaching about the process of birth and how to care for their infants. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Lactation services ------------------ In 2012, capital health medical center - hopewell was designated as a baby friendly hospital, the second hospital in new jersey to attain this status. As a baby friendly hospital, capital health focuses on the entire obstetric population. In 2021, capital health demonstrated an exclusive breastfeeding rate of 65.1, above the 90th percentile of 50. Capital health has been awarded the prestigious international lactation consultant care award for excellence. Capital's healthstart clinic has changed its name to ob/gyn trenton located at 433 bellevue ave. Patient population breastfeeding rates were comparable to the overall obstetric population due to additional educational programs and one-to-one support with increases in services including prenatal group centering and collaborative efforts between capital health and specific community organizations directed toward this vulnerable population. Focused programs such as children's future and women's infants and children ("wic") have been instrumental to its demonstrated success. - third consecutive "baby friendly" designation by who / unicef: hopewell - blue distinction-maternity care 2023 Institute for neurosciences --------------------------- The capital institute for neurosciences, has advanced the level of care available to patients in the region. Providing comprehensive, state-of-the-art diagnostics and treatments for a wide range of medical conditions involving the brain, spine and nervous system, the institute's highly trained and specialized physicians utilize cutting edge technology to deliver outstanding care. Physicians include board-certified and fellowship-trained specialists. At the institute, patients benefit from a multi-disciplinary team of specialists which can include neurologists, neurosurgeons, and other specialized physicians, as well as anesthesiologists, physician assistants, critical care nurses, nurse anesthetists, speech pathologists, technicians, physical and occupational therapists, social workers, and other critical team members who provide an outstanding continuum of care from diagnosis to treatment and recovery at capital health. The institute includes many specialized centers of care, including our stroke and cerebrovascular center, known as a center of excellence to referring physicians as well as patients and their families. As part of its continued commitment to brain care, capital health has acquired a neurovascular simulator. Capital health is the first hospital in the country to acquire such technology. Capital health is expanding its role in neuroscience to not only be a center for advanced patient care but a center for training physicians and healthcare providers. The vascular replication system offers next-generation technology utilizing 3d printing to physically replicate blood vessels and blood flow through the heart, aorta, and brain. This will allow capital health to train physicians on neuro-endovascular treatments for complex stroke, aneurysm and other neurovascular disorders. It will also provide the option to perform simulated procedures in a clinical environment that is identical to the one in which they will actually treat patients. In 2022 we received a grant enabling us to acquire a new mobile simulation trailer which will be fully completed in 2024. Among the conditions treated: - stroke and transient ischemic attacks. - carotid stenosis. - aneurysm. - arteriovenous malformations ("avms"). - traumatic brain injury. - tumors of the brain and spine - both malignant and benign and including schwannomas, meningiomas, neurofibromas, pituitary, pineal, skull base, gliomas and others. - spinal diseases and injuries - such as herniated discs, spondylolisthesis, spinal compression fractures and spinal vascular malformations. - degenerative diseases and spinal trauma. - neurologic conditions including dementia, muscle and movement disorders, nerve disorders and headaches. - movement disorders, parkinson's, essential tremor, atypical parkinson's (multisystem atrophy, progressive supranuclear palsy, and corticobasilar degeneration), dystonia, ataxia and spasticity. - acute and chronic pain, including pain from spinal stenosis, nerve disorders, cancer, fibromyalgia, sciatica, migraines, trigeminal meuralgia, myofacial, shingles and other conditions. - epilepsy. - movement limitations due to stroke, arthritis, injury, amputation, or other conditions. Center for digestive health --------------------------- The capital health center for digestive health is advancing the level of care available to patients in the region by providing comprehensive, state-of-the-art diagnostics and treatments for a wide range of medical conditions involving the entire digestive system all in one location. The center's highly trained and specialized physicians utilize cutting-edge technology to deliver outstanding care. The center's medical director is a board-certified gastroenterologist with years of experience who helps patients, and their referring doctors navigate the center and access the appropriate specialist or surgeon for the advanced testing or care required. The center's medical staff includes the region's pre-eminent medical expert in interventional gastroenterology and therapeutic endoscopy, who has unmatched experience using advanced diagnostic techniques such as endoscopic ultrasound ("eus") and non-surgical treatments such as endoscopic retrograde cholangiopancreatography ("ercp"), radiofrequency ablation ("barrx"), endoscopic mucosal resection ("emr"), and enteral stent placement. The center also recently welcomed a specialist in irritable bowel diseases, such as crohn's and colitis. If surgery is an option, the center has direct access to a capital health-based roster of highly trained laparoscopic (minimally invasive) surgeons, including the area's only hepatobiliary surgeon who specializes in advanced laparoscopic procedures of the liver, pancreas, and bile ducts. Cancer center ------------- Capital health has consistently offered patients a closely integrated team of medical, surgical, radiation, and allied cancer specialists who use their knowledge and experience to provide high quality cutting-edge cancer treatment close to home. Capital health medical center hopewell is the only hospital in the region where you will also have advanced treatment options such as cyberknife radiosurgery and da vinci robotic surgery. Capital health was also the first hospital in the region to offer the state-of-the-art truebeam linear accelerator for traditional 3d conformal radiation therapy, intensity modulated radiation therapy (imrt), rapidarc radiotherapy and high dose radiation treatment (hdr). When one chooses capital health for cancer care, one selects board certified physicians who remain with the patient from diagnosis through treatment. Working together, capital health offers a compassionate approach to assist patients with every aspect of cancer care, including screening, diagnosis, treatment, recovery, and survivorship. The Capital health cancer center includes 12 specialties that have been accredited or recognized as Centers of Excellence for exceptional service and dedication to national organizations. Being designated as a cancer Center of Excellence means more than providing patients with a comprehensive and multidisciplinary treatment approach. Most of our Centers of Excellence are accredited by external agencies. Looking primarily at factors like the volume of patients treated, the outcome, and patient satisfaction, these external agencies only accredit those that meet their criteria for "excellence." The following areas are the recipients of the center of excellence designation: - CH Center for Comprehensive Breast Care - Liver Center of Excellence - Neuro-Oncology Center of Excellence - Pancreatic Center of Excellence - Robotic Center of Excellence - Lung Center of Excellence - Sarcoma Center of Excellence - Center for Colorectal Care - Center for Gynecologic Oncology - Center for Urologic Oncology CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Increasing evidence shows that a multidisciplinary approach is associated with improved clinical decision making, clinical outcomes, and patient experience. Our uniquely collaborative system allows us to build a treatment plan around what's best for you and your loved ones. At Capital Health, our expertise goes beyond research and technology-we're leaders in compassionate cancer care. The capital health, cancer center is committed to providing comprehensive quality oncology healthcare services, to help improve and sustain the health status of residents living primarily in mercer and burlington counties, nj and bucks county, pa. Capital health strives to improve and extend the quality of life for the patient with cancer. The cancer center is a leader in defining the community's cancer care needs by providing appropriate plans through a comprehensive continuum of care, which includes education, prevention, screening, diagnosis, treatment, clinical research, symptom management, supportive care and survivorship programs. Capital health's success is built upon care, compassion, creativity, integrity, respect, service, state-of-the-art technology and multidisciplinary teamwork. - multidisciplinary care is extremely important at capital health and there are currently seven tumor sites that hold CME case conference to review and plan for a patient's care. In any given month there are approximately 25 case conferences held. Attending these conferences are surgical oncologists, radiation oncologist, medical oncologists, radiologists, pathologists, interventionalists, navigators, nurses, oncology dieticians and other support staff. The following are the groups that meet: - breast cancer - colorectal cancer - gyn oncology - hepato-pancreatic-billary cancer - neuro-oncology - thoracic cancers - urologic cancers - the infusion center at capital health is comprised of three suites and has a total of 36 infusion chairs. Our chemotherapy certified nurses are able to deliver chemotherapy according to ONCOLOGY NURSING CENTER (ons) safety GUIDELINES AND standards. In addition to chemotherapy, the infusion center is able to provide patients needing blood transfusions, hydration, monoclonal antibodies, immunotherapy, and endocrine therapy. We offer patients that are concerned with alopecia as a result of their chemotherapy treatments the paxman cooling system which minimizes hair loss. To alleviate any neurotoxicity, we also provide patients with cooling mitts for their extremities. The oasis spa also provides patients with hand and chair massages if they request this assistance. The cancer center is accredited by several esteemed bodies: In our efforts to bring you the best, most advanced, world-class cancer care, we continually test ourselves against the standards of commissions, colleges and foundations across the country. Not only are these standards rigorous and ongoing - but they ensure that you are getting a level of care at Capital Health that is literally not available anywhere else in the region. - Commission on Cancer (COC) - The Commission on Cancer, a program of the American College of Surgeons (ACoS) has awarded Capital Health Cancer Center accreditation as a Comprehensive Community Cancer Program dedicated to improving the survival and quality of life for cancer patients through standard setting, which promotes cancer prevention, research, education, and monitoring of comprehensive quality care. Capital Health is a multiple recipient of the COC's Outstanding Achievement Award and preceding Accreditation with Gold Commendation. - ACR Designated Lung Cancer Screening Center of Excellence - Awarded by the American College of Radiology (ACR), this designation recognizes organizations that meet quality and safety benchmarks that the ACR has determined to be the hallmarks of an effective lung cancer screening program. It regards Centers of Excellence as providers of safe, effective diagnostic care for those considered at high risk of lung cancer with a demonstrated commitment to high quality care. - National Accreditation Program for Breast Centers (NAPBC) - A program of the American College of Surgeons (ACoS), the NAPBC is a consortium of national, professional organizations focused on breast health and dedicated to the improvement of quality outcomes of patients with diseases of the breast through evidence-based standards and patient and professional education. - National Pancreas Foundation (NPF) - This is the only foundation dedicated to patients suffering from all forms of pancreas disease. To earn recognition as an NPF Center for treating pancreatic cancer, an institution must meet comprehensive standards developed by a task force of pancreatic cancer experts and patient advocates. The criteria includes having expert physicians in specialties such as gastroenterology, pancreas surgery, and interventional radiology, along with more patient-focused programs such as a pain management, behavioral health, and more. - Surgical Review Corp (SRC) - SRC is a nonprofit, patient safety organization that accredits the top facilities, surgeons and medical professionals worldwide. Their Centers of Excellence (COE) program recognizes facilities (hospitals and ambulatory surgical centers) and specific medical professionals from their service lines committed to achieving defined standards for patient safety and care quality. SRC's Center of Excellence accreditation programs are unique because they credential both the facility and only those medical professionals who meet their rigorous standards. Capital Health is a Center of Excellence in Robotic Surgery and a Center of Excellence in Minimally Invasive Gynecology (COEMIG). - NCI Community Oncology Research Program (NCORP): The National Cancer Institute (NCI) works with top cancer centers around the country to develop better, more advanced approaches for preventing, diagnosing, and treating cancer. Cancer centers that are recognized by NCORP are rigorously tested to meet the standards for transdisciplinary, state-of-the-art research that helps deliver cutting-edge treatments to cancer patients across the country. Being an NCORP site enables Capital Health to further fulfill our mission of serving urban and suburban communities in and around Mercer County with the highest quality of cancer care available. We are also working towards accreditation for: - national accreditation program for rectal surgery (naprc) a program of the american college of surgeons (acos), is the consortium of a national, professional organization focused on improving the quality of rectal cancer care, the national accreditation program for rectal cancer (naprc) aims to standardize and improve care using a multidisciplinary approach. We are hoping to obtain accreditation in 2025. Capital health provides the most comprehensive lung screening through low dose ct scans and cancer treatment program in the region. This screening program is offered to patients at risk of developing lung cancer, those with a heavy smoking history. This includes cutting edge diagnostics, specifically their extremely low-dose 128- and 256-slice ct scans. There is no contrast involved and no blood tests required, therefore, no needles are used. Capital health physicians are licensed to offer a new fda-approved treatment to patients with colorectal cancer that has metastasized to the liver. The selective internal radiation therapy ("sirt") is a proven technology for inoperable liver cancer that delivers doses of radiation directly to the site of tumors. To alleviate barriers to care, CHCC has developed a strong support infrastructure of clinicians who work collaboratively with our physician teams. Available to our cancer program, these include full time dedicated nurse navigators, a financial navigator, patient navigators, oncology dieticians, oncology licensed clinical social worker and transportation specialist. They guide patients through all aspects of their care, provide educational reinforcement and psychosocial support and resources. Currently there are 15 navigators: - breast nurse navigator (2). - colorectal cancer nurse navigator. - gyn cancer nurse navigator. - hematology oncology nurse navigator (2). - hepato-pancreatic-Biliary nurse navigator. - neuro oncology nurse navigator. - thoracic nurse navigator. - urologic cancer nurse navigator. - financial navigator. - lung cancer screening navigator. - patient navigators (2). CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Also part of the Cancer Center includes a smoking cessation program, an onsite cancer genetics program which included comprehensive genetic counseling and testing, certified ostomy nurses, and a full rehabilitation services. Our supportive care/palliative care program offers a full range of services from symptom management to assistance with end-of-life care. The cancer center also has its own oncology nurse educator who assists in orienting new nurses and ensuring established nurses remain competent in all practices. She also assists in ensuring that all policies and procedures remain current. that all policies and procedures remain current. The organization's commitment to advancing cancer care extends to clinical trials and partnerships. Through its relationship with Atlantic Health System, CHCC participates as an affiliate member in the National Cancer Institute Community Oncology Program (NCORP) and in numerous industry and institutional sponsored research studies. We have a well-established on-site biorepository to facilitate global research efforts. In collaboration with other organizations, such as the Baruch S. Blumberg Institute, CHCC is involved in hiring a post doctorate research fellow, endorsing novel research opportunities and studying promising treatments. The center also offers multiple monthly support groups (breast cancer, gyn cancer, brain cancer, advanced cancer, caregivers) per month for oncology patients at various locations and times. On a monthly basis, wellness programs including yoga classes, tai chi, strength and fitness classes, wellness events, and restorative yoga are offered to oncology survivors. In addition, the center offers several cancer screenings to the public, including screenings for breast, cervical, colorectal, lung, pancreatic, and prostate screenings. In 2008, the cancer center initiated a colon cancer screening program which offers colonoscopies for uninsured and underinsured individuals living in trenton that meet american cancer society eligibility criteria. Annually, approximately 50-75 patients are screened through colonoscopy and approximately 40% of patients are found to have cancer causing polyps which are removed and thus colon cancer is prevented. In addition, several early colon cancers have been detected. The cancer center collaborates with the trenton health team on providing medical support and screening for the nj ceed grant. Through nj ceed, uninsured individuals are able to have cancer screens (mammography's and clinical breast exams, pap smears, rectal exams and colon cancer screening). Capital health assists with these screenings and also treats these patients if a screen is detected as being positive for cancer. Capital health medical center - hopewell is the only hospital in the region where you will also have advanced treatment options such as: - cyberknife radiosurgery - robotic-assisted surgery using the da vinci surgical system - truebeam linear accelerator for traditional 3d conformal radiation therapy, intensity modulated radiation therapy (imrt), rapidarc radiotherapy, and stereotactic radiosurgery - high-dose-rate (hdr), radiation therapy for multiple treatment areas - personalized medicine, such as tumor marker testing - advanced imaging technology for digital mammography, 3d mammography (also known as breast tomosynthesis), molecular breast imaging, pet/ct, and 3t mri - INTERVENTIONAL GI procedures such as endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography (ERCP), endoscopic mucosal resection (EMR), radiofrequency ablation (BARRX), Stretta anti-reflux endoscopic therapy, complex polypectomy, pseudocyst drainage, enteral stent placment, stricture dilation, and advanced endoscopic imaging - INTERVENTIONAL pulmonary - Rigid bronchoscopy, Placement of self-expanding stents/silicone stents, Argon plasma coagulation/cryotherapy/cryospray/microdebrider, Endobronchial valve placement, Electromagnetic navigation with fiducial marker placement, Radial and convex endobronchial ultrasound, Pleuroscopy with talc pleurodesis/pleural biopsies, pleurx (intrapleural catheter placement), Percutaneous tracheostomie and Transthoracic biopsies with fiducial marker placement Pediatrics ---------- Capital health's pediatric emergency service is completely separate from the adult emergency department and is staffed by pediatric trained physicians, at both our Hopewell and East Trenton Emergency Care. Our Pediatric Emergency Department at Capital Health Medical Center - Hopewell ensures no child will wait for emergency care. Pediatrics is also provided for trauma patients at rmc. Because of the low demand for inpatient pediatric admission and the needs we have seen from the community, the prior pediatric inpatient beds at Capital Health Medical Center - Hopewell have been converted to adult beds with the approval of the NJ Department of Health. In the event a child needs admission, our pediatric team will partner with another hospital offering inpatient services and transfer the child to the most appropriate facility. Radiology services ------------------ Capital health has an abundance of the most state-of-the-art radiology services in the region. As the region's leader in diagnostic and treatment technology, capital health offers full-time, onsite pet scan technology and was the first hospital in the country to offer a molecular breast imaging device at capital health medical center - hopewell. Full-service imaging suites at capital health locations boast the most advanced equipment available, including low dose, multi-slice dual energy ct scanners and large bore magnetic resonance imaging (mri) machines that features the shortest high-field magnet in the industry ranging from a 1.5 to a 3.0 tesla and functional mri capability. In addition, Capital Health Medical Center - Hopewell also features our Women's Imaging Center, which combines advanced imaging with a soothing, private suite that's just for women and designed to promote healing. Heated robes and gowns as well as complimentary spa services are available to patients at the Center. Sleep center ------------ Capital health's center for sleep medicine is the largest, fully accredited center in mercer and bucks counties and has provided comprehensive evaluation and treatment for sleep disordered for more than 35 years. Our center meets the most stringent quality standards in the industry. Our physicians are board certified in sleep medicine and primary medical specialties, which means they are trained to diagnose and treat the full array of sleep disorders in adults and children, since many patients suffer from more than one sleep disorder. Comprehensive evaluation and follow-up is our focus. In addition, capital health is the only area facility equipped to perform neurological monitoring for complex conditions such as nocturnal seizures. Many sleep centers only offer nighttime testing primarily for sleep apnea. We are fully staffed during the day and night to provide testing and treatment for the entire range of sleep disorders, our experienced staff of licensed and board registered sleep technologists ensures our patients receive the highest quality care. Dialysis -------- Since 1970, the capital health renal dialysis services has been the only hospital owned and operated dialysis program in the area. The main objective of the service has been to deliver safe, effective treatment to patients with acute and chronic kidney failure in accordance with federal and state. Consisting of 28 hemodialysis and 3 home training stations, this pleasant, state-of-the-art facility provides inpatient and outpatient hemodialysis and peritoneal dialysis services. Our home program offers patients the opportunity to be educated in self-care to perform either dialysis modality in the home setting. It is the commitment of the service that no patient will be denied acceptance because of age, national origin, physical handicap, race, religion, sex or inability to pay. Also, all patients in the service are entitled to any and/or all ancillary services provided by capital health. Other needed services, not directly provided by capital health, are made available through a referral process. Treating diseases of the kidney require the right team to help the patient maintain his/her maximum level of health and activity. Our highly educated and experienced healthcare team, led by a medical director board certified in nephrology, also includes a director of renal dialysis, renal nurse manager, nephrology advanced practice registered nurse, renal clinical nurse specialist, registered and licensed practical nurses, dialysis patient care technician, renal dietitians and renal social workers. This team has successfully met the centers for medicare & medicaid services end stage renal disease quality incentive program goals since their inception. These goals were established to improve patient care by setting performance standards for CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Lung center ----------- In 2020, as part of its commitment to providing leading-edge care, capital health announced the launch of its comprehensive, state-of-the-art lung center located at capital health medical center - hopewell. The program is designed to address the need for integrated, comprehensive lung services in the region. Comprehensive care at the lung center includes a multidisciplinary team of experts focused on each patient and their particular condition. The team includes physicians from surgery, pulmonology, radiation oncology, and medical oncology as well as nurse practitioners, clinical researchers, and support staff. The lung center offers a full range of lung disease care, including lung cancer screenings, a lung nodule clinic, thoracic surgery, interventional pulmonology, pulmonary rehabilitation, and smoking cessation. In addition a vascular rehabilitation program has been added. The pulmonary rehab program is fully accredited by the american association of cardiovascular and pulmonary rehabilitation (accvpr). Capital health medical group ---------------------------- A growing network of integrated care, capital health medical group is our employed network of more than 600 health care providers who offer primary, specialty and surgical care to patients throughout our region, as well as hospital-based services at both hospitals. Working with other physicians within the medical group, as well as other physicians throughout the region and beyond, our experts are dedicated to providing high quality health care carefully coordinated between providers. With providers in three counties in new jersey and pennsylvania, capital health medical group is an extensive network of care, which has continued to grow and expand in 2024. Telehealth services ------------------- Capital health - virtual primary care offers telehealth services to individuals ages 16 and older in new jersey and pennsylvania. Manage common health issues from the comfort of your home or on-the-go. Available seven days per week, capital health - virtual primary care offers video visits with local doctors, nurse practitioners, physician assistants and other qualified health care providers from capital health medical group to address a wide range of general health conditions. Population health management services, llc ------------------------------------------ Population Health Management Services, llc ("PHMS") is a subsidiary of Capital Health in which they are the sole member. Phms provides care management services to improve individual care, reduce the cost of care and improve the health of high-risk patients within specific groups. These services include case management of patients that have been identified as high risk, implementing safe transitions of care from the hospital to other sites and service, and providing support by rns, lcsws and health coaches to assist patients that have obstacles or barriers to obtaining the health care they need. Capital health is participating in various value based programs including Medicare Shared Savings Program and multiple commercial Value Based Care programs. Capital Health LIFE -------------------- Capital Health LIFE is a Programs of All-Inclusive Care for the Elderly (PACE). The Capital Health LIFE provides comprehensive medical and social services to certain frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid benefits. An interdisciplinary team of health professionals provides PACE participants with coordinated care. For most participants, the comprehensive service package enables them to remain in the community rather than receive care in a nursing home. Assisted Living Program ------------------------ Capital Health's Assisted Living Program (ALP) is a unique and vital service offered to seniors who reside in publicly subsidized housing in Mercer County. Licensed by the State of New Jersey, our program provides a full array of health care and supportive services that allow seniors to remain at home. Our staff is dedicated to fostering independence while honoring the values of respect, dignity and independence. Capital healthy living ---------------------- Capital Healthy Living is a program designed to provide the services that empower seniors living in the Capital Health service area to stay independent and in their own homes for longer. Capital Healthy Living members are assigned a licensed life care manager to answer member questions, better understand their complex medical conditions and treatments, follow-up with members after doctors' visits and keep loved ones informed. The life care manager will assist in scheduling and coordinating medical appointments. Members also receive a customized exercise plan, group exercise and nutrition classes, social activities, education programs and transportation support. Definition of community and population served --------------------------------------------- Capital health defines its community as the city of trenton, mercer county and parts of somerset, ocean, monmouth, middlesex, hunterdon and burlington counties in new jersey and bucks county in pennsylvania. While it was once a center for industry in the late 1800's and early 1900's, trenton has seen dramatic economic development challenges over the years. According to the 2023 u.s. census data, median household income was $52,508, by far the lowest in mercer county. Based on a population of 89,658, trenton also has the highest number and percentage of minorities in mercer county with an african american population of 40.9%. Hispanics or latinos of any race constituted 43.9%, while non-hispanic caucasians were numbered at 10.0%. Community benefits programs =========================== Outlined below are a number of capital health community benefit programs. The information is not intended to be all-inclusive but rather provides additional information that further demonstrates how capital health benefits the surrounding community in furtherance of its charitable tax-exempt purposes. Capital health childbirth and parent education program ------------------------------------------------------ Benefit activity: prepared childbirth classes in spanish language The childbirth and parent education program provides, free of charge, a full-day prepared childbirth class to spanish-speaking expectant parents from their community. The class is held every other month and is taught by a capital health certified childbirth and parent educator who is fluent in spanish. Culturally appropriate methods and audio-visual materials are utilized in the teaching of this class. Participants receive free breakfast and lunch. Participants receive spanish language reference materials and an extensive handbook. Referrals to this class come from the capital health, health start prenatal clinic, a community partnership with cuna, and by word-of-mouth. Trauma education ---------------- The bristol-myers trauma center at capital health regional medical center offers free injury prevention programs to members of the community that include pedestrian safety, bicycle safety, seat belt safety, proper use of child safety seats, prom night safety, distracted driver safety, and home safety. Connecting with the latino community ------------------------------------ Enlace ("link" in spanish) is a name for an innovative capital health program designed to create contacts and connections within the latino community. Through enlace, capital health provides medical interpreting and has translated all vital medical documents and are now doing the same with patient education materials. Enlace also helps educate the latino community about american customs and healthcare practices and provides capital health staff with information about latino cultures. Another program, cuna (which is spanish for "crib"), connects latino women with pre - and post-natal care, and helps new mothers overcome language barriers to better understand health issues. Cuna also offers help with nutrition, coping skills and even babysitting for older children. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Substance abuse --------------- Throughout our healthcare system, our staff sees a large number of individuals with substance abuse disorders and has developed an awareness of the impact of this health issue on other medical conditions. While capital health's dsrip substance abuse program seeks to improve the care of the patient with alcohol withdrawal syndrome by identifying the diagnosis in the early stages and prevent its progression into delirium tremens, capital's certified alcohol and drug abuse counselors focus on connecting diagnosed patients with post-acute substance abuse providers so that they can receive treatment and prevent recidivism. Opioid recovery program for pregnant woman ------------------------------------------ Capital health and longtime partners at the trenton health team, the rescue mission, homefront, and catholic charities diocese of trenton have offered for my baby and me, a grant-based program that provides specialized care for pregnant women and new mothers who are struggling with opioid use disorder. Funded by the new jersey department of health, the program promotes long-term recovery as well as ongoing medical care and support for women and their children. Community wellness ------------------ Capital health wellness center is located within the capital health medical center - hopewell. Classes are offered to specific patient populations in a small class setting where patient needs, abilities and restrictions are closely monitored by capital health certified group exercise instructors and personal trainers. The following patient classes are currently being offered: - cancer center patients are offered multiple weekly classes including yoga, tai chi and strength training, monthly restorative yoga class and quarterly wellness events. - capital healthy living participants engage in a weekly exercise and strengthening class as part of their overall program. - exercise and strength classes are held three times a week for prenatal and postnatal patients. - four session pelvic floor restoration classes are offered ongoing to appropriate patients. - core 4 - 12 week weight management classes are available to patients upon physician referral or approval. - nutrition education classes are available for patients with pre-diabetes. - patient, employee and community classes are provided weekly including, Tai Chi, yoga, aerobics, line dancing, strength & fitness, Latin dancing and circuit training. and circuit training. and circuit training. Community health education -------------------------- Capital health's community health education program is dedicated to improving the health and well-being of the community, as well as to the prevention and early detection of disease among people living in our community. These goals are accomplished by providing health education and other related services to the general public, as well as to business organizations. These services consist of the speaker's bureau, health fairs/health screenings, health education lecture series and support groups. Programs are held in various locations throughout mercer and bucks counties, with topics including diabetes education, peripheral vascular disease awareness, healthy eating, cancer genetics, and women's health issues and more. The community health education program provides a series of diverse health education programs, related to health maintenance, disease prevention, early detection, general wellness and personal development. Community sponsorships ---------------------- Capital health is proud to sponsor many local organizations in mercer and bucks counties through in-kind and monetary donations. Capital health supports a variety of civic and cultural organizations that work to improve the wellbeing of the community. Capital health has been in partnership with the mercer county prosecutor's office by sponsoring various conferences and providing start packets to overdose victims and their families, providing immediate counseling to overdose victims and hosting community education programs. Capital health has proven to be a leader in combating the opioid epidemic since 2016, donating replacement supply of the lifesaving naloxone to the mercer county law enforcements for the coming years. With this donation, every police car in mercer county will be able to continue to be equipped with this life saving opioid antidote. Capital health continues annually to donate vials of naloxone to continue this life saving program. The 2024 naloxone donation was valued at approximately $20,000. Capital health provided various ems in-kind education and training valued at approximately $272,542 in 2024. Capital health now offers an emt academy designed to train future emergency medical technicians (emts) and transition them to positions as full time capital health emts. The program is open to anyone who wants to pursue a new career, or is just starting out. Those who participate in the training program will be paid as a capital health employee and will then move into a full-time emt position with capital health following their certification. The academy is part of capital health's investment in our employees and community, providing the opportunity for professional development and career growth. Trenton Neighborhood Initiative (TNI) ------------------------------------- Health care systems like ours have a responsibility to support the broader health and well-being of our entire community. To do this, we are spearheading the Trenton Neighborhood Initiative (TNI), a major effort to build stronger relationships with our neighbors and strong, sustainable neighborhoods. Through TNI, Capital Health is partnering with residents and stakeholders to offer services that meet the needs of the community. To make TNI a reality, Capital Health provided $1 million in start-up funding and is securing additional funding commitments to reach our initial goal of $10 million. TNI's focus is on delivering innovative programs to support our neighbors as they Live, Work, Grow, and Connect. Capital health's trenton neighborhood initiative (tni) collaborates with community organizations to increase the proportion of trenton residents with access to safe and affordable homes by providing tni funds for the homebuyer assistance program, home improvement program, streets and open space improvement program. Tni partners with new jersey community capital's address yourself program to provide financial counseling that prepares income-qualified residents to purchase a house in trenton. Once the financial counseling process is completed, residents may qualify for a forgivable loan of up to $20,000 toward closing costs and down payment. As part of the trenton housing authority's (tha) choice neighborhoods project, tha, isles, and tni collaborate to offer comprehensive home repairs, including faade improvements, lead remediation, weatherization, and health and safety upgrades to income-qualified residents of the 600 and 700 blocks of martin luther king boulevard. Tni provides additional funds for home repairs not covered by the trenton housing authority and isles. Homeowners may qualify for up to $74,000 for comprehensive home repairs. Through 2024 tni contributed $275,000 toward affordable homeownership. In addition, partnering with Arm in Arm to create a weekly mobile food pantry, in its first year of operation, 6364 families received healthy bags of food. Conclusion ---------- Capital health is a non-profit organization that has an "open door" policy. This policy means that capital health provides necessary basic hospital care to everyone, regardless of their ability to pay for their care. Capital health is committed to community outreach and education, offering numerous healthcare related programs and activities, including community health fairs, health screenings, health education and medical lectures and seminars annually. Capital health is proud of its many partnerships with local organizations. CORE FORM, PART III; QUESTION 2 Mercer holding corporation, a related organization, transferred its ownership in capital health community pharmacy, llc; a single-member llc to capital health system, inc. CORE FORM, PART V; QUESTION 15 AL MAGHAZEHE, PH.D., FACHE, SHANE F. FLEMING, CPA, ARLENE WALSH, SUZANNE B. BORGOS AND EUGENE J. MCMAHON, M.D. are involved in the leadership and management of this organization on a full-time basis. These individuals are employed and receive a federal form w-2 from this organization. Accordingly, their common law employer/employee relationship is with Capital Health System, Inc. (ein: 22-3548695). This organization filed a 2024 federal form 4720 which included a remittance of excise tax related to each individual's compensation in excess of $1m. JOSHUA A. EISENBERG, M.D, ROBERT REMSTEIN, M.D., PASQUALE LUCIANO, D.O., NAVID REDJAL, M.D., GARY TUMA, M.D. AND THOMAS WESTOVER, M.D. are included within the organization's form 990, part vii. The organization was not required to file a federal form 4720 for any remittance of excise tax related to these individuals because they are licensed medical providers whose compensation was for clinical services and thus exempt from excise taxes as provided for under internal revenue code section 4960. STEPHEN A. MILLER, JD AND AUDRA FARISH SERVE IN CORPORATE ROLES FOR CAPITAL HEALTH SYSTEM, INC. THESE INDIVIDUALS ARE EMPLOYED BY AND RECEIVE A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CAPITAL HEALTH SYSTEM, INC. THIS ORGANIZATION DID NOT FILE A 2024 FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO THEIR COMPENSATION IN EXCESS OF $1M BECAUSE THESE INDIVIDUALS WERE NOT COVERED EMPLOYEES OF CAPITAL HEALTH SYSTEM, INC. AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CAPITAL HEALTHCARE, INC. ("CHI") IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. CHI IS THE SOLE MEMBER OF THIS ORGANIZATION. CHI HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B 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'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE CAPITAL HEALTH SYSTEM, INC. COMPENSATION COMMITTEE PERFORMED A DETAILED REVIEW OF THE FEDERAL FORM 990 PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS BOARD OF DIRECTORS. THE CAPITAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL certified public accounting ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND VARIOUS OTHER INDIVIDUALS OF THE SYSTEM ("internal working group") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. IN ADDITION, THE ORGANIZATION'S EXTERNAL INDEPENDENT COMPENSATION CONSULTING FIRM REVIEWED THE DRAFT FEDERAL FORM 990, PART VII AND SCHEDULE J. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CAPITAL HEALTH SYSTEM, INC. COMPENSATION COMMITTEE. FOLLOWING THE COMPENSATION COMMITTEE'S REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY 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. CORE FORM, PART VI, SECTION B; QUESTION 15 The organization's board of directors has a board 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 long-term 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. CORE FORM, PART VI, SECTION C; QUESTION 18 PURSUANT TO STATE OF NEW JERSEY P.L. 2019, CHAPTER 513, (WHICH WAS EFFECTIVE ON JULY 21, 2020), AND AMENDED P.L. 2008, CHAPTER 58 (C.26: 2H-5.1B), THIS ORGANIZATION HAS POSTED ON ITS INTERNET WEBSITE A COPY OF THIS INTERNAL REVENUE SERVICE (IRS) FORM 990 AND ALL SCHEDULES AND SUPPORTING DOCUMENTATION REQUIRED TO BE SUBMITTED TO THE IRS IN CONJUNCTION WITH THE FORM 990 WITH THE EXCEPTION OF THOSE SCHEDULES NOT OPEN FOR PUBLIC INSPECTION. SAID FORM 990 WAS POSTED BY THE ORGANIZATION AFTER FILING ITS FORM 990 WITH THE IRS. CORE FORM, PART VI, SECTION C; QUESTION 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. CORE FORM, PART VII AND SCHEDULE J THE ORGANIZATION DOES NOT COMPENSATE ITS BOARD MEMBERS FOR THEIR SERVICES PERFORMED AS A DIRECTOR. ALL DIRECTORS ARE VOLUNTEERS. COMPENSATION AND BENEFITS, WHERE APPLICABLE FOR CERTAIN MEMBERS, IS RELATED TO THE BOARD MEMBER'S SERVICES PERFORMED AS A FULL-TIME EMPLOYEE OR INDEPENDENT CONTRACTOR OF THE ORGANIZATION. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REPORTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON core form, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF CAPITAL HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST - $8,873,000; - Non-operating net periodic pension cost - ($13,795,553); AND - other changes in net assets without donor restrictions - ($26,013). CORE FORM, PART XII; QUESTION 2 THE TAXPAYER IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS CAPITAL HEALTHCARE, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2024 AND DECEMBER 31, 2023; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS consolidated FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. CHS DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS CAPITAL HEALTH SYSTEM, INC. RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND CAPITAL HEALTH SYSTEM, INC. EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITES WAS RECEIVED BY CAPITAL HEALTH SYSTEM, INC. UTILIZING FEDERAL employer IDENTIFICATION NUMBERS OTHER THAN 22-3548695. BELOW IS A LIST OUTLINING THE VARIOUS CAPITAL HEALTH SYSTEM, INC. PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL employer IDENTIFICATION NUMBERS: CAPITAL ENDOCRINOLOGY 20-1730017 CAPITAL SURGICAL ASSOCIATES 22-3680051 CHS INSTITUTE FOR NEUROSCIENCES 26-0346624 FAMILY HEALTH CENTER 22-3796256 HAMILTON PHYSICIANS GROUP 22-3502175 HPG AT BORDENTOWN FAMILY MEDICAL 22-3502175 HEART CARE SPECIALISTS AT CH 27-0309548 MERCER MATERNAL FETAL SPECIALTY GROUP 20-2886402 MULTISPECIALTY PROVIDER GROUP 22-3628075 TRENTON NEUROSURGEONS ASSOCIATES 22-2035924 WEST TRENTON MEDICAL ASSOCIATES - EWING 20-4643360 PEDIATRIC HOSPITALIST 27-2627834 REHABILITATION MEDICINE 27-3421189 PRIMARY CARE MOUNTAINVIEW 27-3945093 PRIMARY CARE QUAKERBRIDGE 22-3502175 RADIATION ONCOLOGY 27-1366819 HOSPITALIST GROUP 45-1501476 ADVANCED SURGICAL ASSOCIATES 27-4742615 CENTER FOR DIGESTIVE HEALTH 45-2073374 CENTER FOR SLEEP MEDICINE 45-2074032 CAPITAL WOMEN'S HEALTH CENTER 27-2715382 PRIMARY CARE HAMILTON 22-3502175 POPULATION HEALTH MANAGEMENT SERVICES, LLC 47-5588078 CAPITAL HEALTH MEDICAL GROUP 81-0889110 HAMILTON PHYSICIAN GROUP III - DR. STABILE 22-3502175 CAPITAL HEALTH MULTISPECIALTY GROUP 81-1200310 OCCUPATIONAL HEALTH 85-1274946 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:67363333 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES TOTAL FEES:22632738 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:23136991 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:7761433 FORM 990 PART IX LINE 11G DESCRIPTION:COMMISION FEES TOTAL FEES:6050455 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:996654 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:707926 POPULATION HEALTH MGMT SERVICES LLC 750 BRUNSWICK AVENUE TRENTON NJ 08638 475588078 HEALTH SVCS. NJ 1418854 292529 CH SYSTEM CAPITAL HEALTH MEDICAL GROUP LLC 750 BRUNSWICK AVENUE TRENTON NJ 08638 810889110 HEALTH SVCS. NJ 0 0 CH SYSTEM CAPITAL HEALTH ACCOUNTABLE CARE ORG LLC 750 BRUNSWICK AVENUE TRENTON NJ 08638 462826739 HEALTH SVCS. NJ 0 0 CH SYSTEM CAPITAL HEALTH COMMUNITY PHARMACY LLC 750 BRUNSWICK AVENUE TRENTON NJ 08638 464593195 HEALTH SVCS. NJ 11229407 1301127 CH SYSTEM Bifurcated System RRRG Inc 750 Brunswick Avenue TRENTON NJ 08638 883919275 Supporting SC 501(C)(3) 12a CH SYSTEM true Capital Health Life Inc 7500 K Johnson Boulevard Bordentown NJ 08505 222797282 Healthcare NJ 501(C)(3) 10 CHET false Capital Health Med Group-East Trenton PA 601 Hamilton Avenue Trenton NJ 08629 832199054 Healthcare NJ 501(C)(3) 3 CHET false Capital Health System Foundation Inc 750 Brunswick Avenue Trenton NJ 08638 222230681 Supporting NJ 501(C)(3) 7 CH System true Capital Healthcare Inc 750 Brunswick Avenue Trenton NJ 08638 473857888 Healthcare NJ 501(C)(3) 12c NA false Capital Health-East Trenton Inc 601 Hamilton Avenue Trenton NJ 08629 223431049 Healthcare NJ 501(C)(3) 3 CH System true BELLEVUE AVENUE MANAGEMENT INC 446 BELLEVUE AVENUE TRENTON NJ 08618 222775694 MANAGEMENT NJ NA C CORP. false CAPITAL REGION INSURANCE COMPANY PO BOX 1085 GRAND CAYMAN CJ KY1-1108 980656385 FINANCIAL VEHICLE CJ CH SYSTEM FOREIGN CORP. 6673431 42179115 1.00000 true MERCER HOLDING CORPORATION 446 BELLEVUE AVENUE TRENTON NJ 08618 222778535 HOLDING CO. NJ CH SYSTEM C CORP. 2964612 15031772 1.00000 true CAPITAL HEALTH SYSTEM CONDOMINIUM ASSOC 750 BRUNSWICK AVENUE TRENTON NJ 08638 383862389 CONDO ASSOCIATION NJ CH SYSTEM C CORP. 125060 66260 1.00000 true false true true true true false false false false false false false false false true false false true true CAPITAL HEALTH SYSTEM FOUNDATION INC B 24850 COST CAPITAL HEALTH SYSTEM FOUNDATION INC O 612321 COST SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF CAPITAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. 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.