4A (Expenses $ 285466948 including grants of $ 0) (Revenue $ 249450607)
"ESTABLISHED IN JANUARY 2000, FOLLOWING THE CONSOLIDATION OF ST. ELIZABETH HOSPITAL AND ELIZABETH GENERAL MEDICAL CENTER, TRINITAS REGIONAL MEDICAL CENTER IS A FULL-SERVICE HEALTHCARE FACILITY SERVING THOSE IN THE COMMUNITY IN NEED OF HEALTHCARE, REGARDLESS OF THEIR ABILITY TO PAY. TRINITAS REGIONAL MEDICAL CENTER IS PROUD TO OFFER STATE-OF-THE-ART MEDICINE BACKED BY COMPASSION AND COMPETENCE.UTILIZING A FULL SPECTRUM OF SOPHISTICATED INPATIENT, OUTPATIENT AND LONG-TERM CARE SERVICES, TRINITAS REGIONAL MEDICAL CENTER IS PROUD TO HAVE FORGED A LIFELONG PARTNERSHIP WITH FAMILIES, PHYSICIANS AND COMMUNITIES TO PROVIDE THE BEST CARE IN A SUPPORTIVE AND CARING ENVIRONMENT.TRINITAS REGIONAL MEDICAL CENTER OFFERS A NUMBER OF CENTERS OF EXCELLENCE AND SPECIALIZED MAJOR SERVICES, INCLUDING BEHAVIORAL HEALTH, BLOODLESS MEDICINE, CANCER CARE, CARDIOLOGY, DIABETES MANAGEMENT, MATERNAL AND CHILD HEALTH, RENAL SERVICES, SCHOOL OF NURSING, SENIOR SERVICES, SLEEP DISORDERS, WOMEN'S SERVICES, WOUND HEALING AND MORE. TRINITAS REGIONAL MEDICAL CENTER IS ALSO A CATHOLIC TEACHING HOSPITAL.IN 2021, TRINITAS SERVED NEARLY 10,000 INPATIENTS, 52,000 EMERGENCY PATIENTS, 1,176 NEWBORNS AND 301,000 OUTPATIENTS. THE TRINITAS FAMILY INCLUDES MORE THAN 2,700 EMPLOYEES, 500 PHYSICIANS, AND OVER 200 VOLUNTEERS AND AUXILIANS.INPATIENT SERVICES:OPERATING ON TWO MAJOR CAMPUSES, TRINITAS HAS 554 BEDS, INCLUDING A 124-BED LONG-TERM CARE CENTER. TRINITAS PROVIDES COMPREHENSIVE MEDICAL/SURGICAL SERVICES, EMERGENCY SERVICES, SENIOR SERVICES, ADULT AND CHILD/ADOLESCENT PSYCHIATRIC CARE, CARDIAC CARE, CANCER SERVICES, RENAL SERVICES, MATERNAL/CHILD HEALTH SERVICES INCLUDING A HIGH-RISK NEWBORN NURSERY, A WOUND HEALING CENTER, AND A SLEEP DISORDERS CENTER.TRINITAS REGIONAL MEDICAL CENTER'S MAIN SERVICE AREA CONSISTS PRIMARILY OF THE CITY OF ELIZABETH, WHICH IS THE FOURTH LARGEST CITY IN NEW JERSEY. ITS 130,000 RESIDENTS REPRESENT A BROAD ETHNIC RANGE - IN FACT, ROUGHLY 64% OF THE CITY'S RESIDENTS ARE OF HISPANIC DESCENT. ADDITIONAL COMMUNITIES SERVED BY TRINITAS INCLUDE LINDEN, HILLSIDE, UNION, ROSELLE, ROSELLE PARK, RAHWAY, CRANFORD, CLARK AND COLONIA. THE MEDICAL CENTER'S PRIMARY AND SECONDARY SERVICE AREAS COMPRISE OVER 650,000 INDIVIDUALS.TRINITAS IS A TEACHING HOSPITAL, AND SERVES AS A MAJOR CLINICAL SITE FOR THE ACCREDITED THREE-YEAR RESIDENCY PROGRAM OF SETON HALL UNIVERSITY SCHOOL OF GRADUATE MEDICAL EDUCATION INTERNAL MEDICINE. A LEADER IN NURSING EDUCATION, THE TRINITAS SCHOOL OF NURSING ENROLLS OVER 2,000 STUDENTS IN ITS FULL AND PART TIME PROGRAMS OF STUDY. THE SCHOOL OF NURSING IS PART OF A COOPERATIVE EDUCATION PROGRAM WITH UNION COUNTY COLLEGE, AND IS CURRENTLY THE SECOND LARGEST NURSING SCHOOL IN THE NATION.THE INPATIENT CAPABILITIES OF TRINITAS REGIONAL MEDICAL CENTER ARE ORGANIZED AS FOLLOWS:ACUTE CARE 9 SOUTH NURSING UNIT - 38 BEDS, MIXED MEDICAL/SURGICAL CAPABILITY (GERIATRICS) 8 SOUTH NURSING UNIT - 38 BEDS, MEDICAL/SURGICAL WITH RENAL EMPHASIS; TELEMETRY MONITORING AVAILABLE 7 SOUTH NURSING UNIT - 38 BEDS, TELEMETRY MONITORING AND STEP DOWN 6 SOUTH NURSING UNIT - 38 BEDS, MEDICAL/SURGICAL WITH SURGERY EMPHASIS 6 NORTH NURSING UNIT - 31 BEDS, OVERFLOW 4 NORTH NURSING UNIT - 23 BEDS, MEDICAL/SURGICAL WITH ONCOLOGY EMPHASIS; TELEMETRY MONITORING AVAILABLE INTENSIVE CARE UNIT - 25 BEDS - MEDICAL/SURGICAL/CARDIAC CARE PLEASE NOTE THAT IN ADDITION TO THE ABOVE BED COMPLIMENT, WE TEMPORARILY ADDED 18 MEDICAL/SURGICAL BEDS AND 12 INTENSIVE CARE BEDS DUE TO THE CORONAVIRUS PANDEMIC. OPERATING ROOMS - 6 MIXED ORS, 1 CYSTOSCOPY AND AN AMBULATORY SURGICAL CENTER. POST ANESTHESIA CARE UNIT (PACU) - 13 BAYSCOMMUNITY PERINATAL CENTER - INTERMEDIATE: 5 NORTH - 20 BEDS - MOTHER/BABY WELL BABY HOLDING NURSERY - ADMITTING NURSERY AND HOLDING - 20 BASSINETS INTERMEDIATE CARE NURSERY - 7 BASSINETS - SICK NEWBORNS, GROWING PREEMIES LABOR/DELIVERY - 7 LABOR/DELIVERY/RECOVERY ROOMS (LDRS), 2 OPERATING ROOMS, 2 POST ANESTHESIA CARE UNIT (PACU) BEDSRENAL: 3 NORTH NURSING UNIT - 15 DIALYSIS STATIONS; PERITONEAL HOME TRAINING; PRE-END STAGE RENAL DISEASE PROGRAM LINDEN DIALYSIS CENTER - 15 OUTPATIENT DIALYSIS STATIONS NEW POINT DIALYSIS CENTER - 14 OUTPATIENT DIALYSIS STATIONSCRANFORD RENAL DIALYSIS CENTER-9 OUTPATIENT DIALYSIS STATIONSBEHAVIORAL HEALTH & PSYCHIATRY: ADULT INPATIENT UNIT - 48 BEDS CHILD INPATIENT UNIT - 40 BEDS STATEWIDE UNIT FOR DEVELOPMENTALLY DISABLED - 10 BEDS RESIDENTIAL TREATMENT CENTER - 20 BEDSOUTPATIENT SERVICES:TRINITAS REGIONAL MEDICAL CENTER PROVIDES A NUMBER OF OUTPATIENT CLIENT-SERVICE OFFERINGS. THE MOST NOTABLE IS ITS TRINITAS COMPREHENSIVE CANCER CARE CENTER, WHICH OFFERS OUTPATIENT DIAGNOSTIC, TREATMENT AND ANCILLARY SERVICES IN A COMFORTABLE ENVIRONMENT. THE CENTER'S MULTIDISCIPLINARY, HOLISTIC APPROACH INTEGRATES MEDICAL AND RADIATION ONCOLOGY WITH PAIN MANAGEMENT, NUTRITION, PSYCHIATRY, COMPLEMENTARY MEDICINE AND OTHER SERVICES. OTHER OUTPATIENT SERVICE CENTERS INCLUDE: ENDOSCOPY - 3 PROCEDURE ROOMS PSYCHIATRY-WIDE RANGING PROGRAM OF BEHAVIORAL HEALTH SERVICES WOUND CARE CENTER - 3 HYPERBARIC CHAMBERS WOMEN'S HEALTH CENTER WITH DIABETES MANAGEMENT SESSIONS PEDIATRIC HEALTH CENTER DOROTHY B. HERSCH RESIDENCY-BASED MEDICAL CLINICTRINITAS REGIONAL MEDICAL CENTER ALSO OPERATES SEVERAL SUBSPECIALTY CLINICS, INCLUDING: CARDIOLOGY CLINIC RENAL CLINIC NEUROLOGY CLINIC PAIN MANAGEMENT CLINIC NUTRITIONAL CLINIC SURGICAL CLINIC ORTHOPEDIC CLINIC INFECTIOUS DISEASE CLINIC HEMATOLOGY/ONCOLOGY ALLERGY CLINIC NEUROSURGICAL CLINIC ENT CLINIC RHEUMATOLOGY CLINIC GI CLINIC PULMONARY CLINIC PODIATRY CLINIC PSYCHIATRIC CLINICFINALLY, TRINITAS OPERATES A 124-BED BROTHER BONAVENTURE EXTENDED CARE CENTER THAT PROVIDES HEALTHCARE SERVICES TO THE AGED AND INFIRM.EMERGENCY SERVICES:THE TRINITAS REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENT IS A NEWLY RENOVATED FACILITY THAT HAS 15 ACUTE-CARE BEDS, A SIX-BED OBSERVATION AREA, A SIX-BED ""FAST TRACK"" AREA FOR PATIENTS WITH MINOR ILLNESSES AND INJURIES, TWO TRIAGE ROOMS AND A DECONTAMINATION SHOWER FACILITY. A DESIGNATED CHEST PAIN CENTER, THE EMERGENCY DEPARTMENT IS OFTEN THE FRONT DOOR FOR MANY PATIENTS WHO EXPERIENCE SUPERIOR CARE THROUGH THE SERVICES OF OUR CARDIOLOGY CENTER OF EXCELLENCE.MANY PEOPLE HAVE A PERCEPTION THAT AN EMERGENCY ROOM HAS EXTREMELY LONG WAITING TIMES. TRINITAS HAS PUT FORTH A MAJOR EFFORT TO DISPEL THAT NOTION IN PATIENTS' MINDS. TRINITAS HAS COMPUTERIZED ITS ENTIRE EMERGENCY SERVICES OPERATIONS, AND CONSTANTLY MONITORS HOW LONG IT TAKES A PERSON TO BE SEEN ONCE THEY ARRIVE IN THE WAITING AREA. THE STAFF OF THE EMERGENCY DEPARTMENT MAKES EVERY EFFORT TO FURNISH TIMELY DIAGNOSIS AND TREATMENT. IT PROVIDES BEDSIDE REGISTRATION, WHICH SAVES TIME FOR MANY PATIENTS. MOST LAB RESULTS ARE TRANSMITTED WITHIN 20 MINUTES OF TESTING. TRINITAS HAS X-RAY FACILITIES IN THE ER FOR FASTER, OR IMMEDIATE, RESPONSE.COOPERATIVE NURSING PROGRAM:THE COOPERATIVE NURSING PROGRAM OFFERS A DIPLOMA IN NURSING FROM TRINITAS SCHOOL OF NURSING AND AN ASSOCIATE IN SCIENCE DEGREE FROM UNION COUNTY COLLEGE UPON SUCCESSFUL COMPLETION OF THE CURRICULUM.FULLY ACCREDITED BY THE NEW JERSEY BOARD OF NURSING AND THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION, INC., THE PROGRAM OFFERS A BASIC COURSE OF STUDY IN NURSING. IT PROVIDES A SOUND THEORETICAL BASE OF KNOWLEDGE IN THE NURSING, BIOLOGICAL, BEHAVIORAL AND SOCIOLOGICAL SCIENCES AND INTEGRATES THIS KNOWLEDGE INTO ACADEMIC AND PRACTICAL EXPERIENCES WITHIN THE HEALTH AND ILLNESS CONTINUUM OF CLIENT CARE. UTILIZATION OF A VARIETY OF HEALTH CARE AGENCIES FACILITATES THE APPLICATION OF ALL ASPECTS OF THE STUDENTS' LEARNING.STUDENTS CAN EARN 75 CREDITS IN THE COOPERATIVE NURSING PROGRAM. UPON GRADUATION, STUDENTS ARE ELIGIBLE TO SIT FOR THE NATIONAL COUNCIL LICENSING EXAMINATION (NCLEX) FOR REGISTERED NURSE LICENSURE.SCIENCE AND LIBERAL ARTS COURSES (GENERAL EDUCATION) MAY BE COMPLETED AT THE ELIZABETH, PLAINFIELD, OR CRANFORD CAMPUS OF UNION COUNTY COLLEGE. NURSING COURSES ARE CONDUCTED AT THE ELIZABETH CAMPUS BY THE SCHOOL OF NURSING.STUDENTS MAY BE GRANTED UP TO 22 COLLEGE CREDITS OF ADVANCED STANDING TOWARD THE ASSOCIATE DEGREE. STUDENTS WITH AN ASSOCIATE, BACHELOR'S AND/OR MASTER'S DEGREE MAY BE ELIGIBLE FOR THE DIPLOMA OPTION. INDIVIDUALS WISHING TO RECEIVE TRANSFER CREDIT FOR COLLEGE COURSES REQUIRE GRADES OF ""C OR BETTER."

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: WILLIAMSON STREET CAMPUS, - FACILITY 2: NEW POINT CAMPUS

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:
IN CONDUCTING THE CHNA, WE EXAMINED A VARIETY OF HOUSEHOLD AND HEALTH STATISTICS WITH THE INPUT OF OUR COMMUNITY PARTNERS TO PORTRAY A FULL PICTURE OF THE HEALTH OF OUR COMMUNITY. WE WILL USE THESE FINDINGS TO ENSURE THAT OUR COMMUNITY BENEFIT AND HEALTH IMPROVEMENT INITIATIVES ARE ALIGNED WITH THE HIGHEST NEEDS OF OUR COMMUNITY. THE 2019 CHNA WAS LED BY TRMC LEADERSHIP WITH PARTICIPATION OF OUR COMMUNITY PARTNERS. WE ARE THANKFUL TO THE MANY HEALTH AND SOCIAL SERVICE EXPERTS WHO LENT EXPERTISE AND INPUT TO THE CHNA PROCESS AND CONTINUE TO PARTNER WITH TRMC TO ADDRESS HEALTH NEEDS IN OUR COMMUNITY. OUR RESEARCH PARTNER, BAKER TILLY, ASSISTED US IN ALL PHASES OF OUR CHNA STUDY.COMMUNITY ADVISORY COMMITTEE MEMBERS:AMPARO AGUIRRE, TRINITAS REGIONAL MEDICAL CENTER MICHELLE ALI, TRINITAS REGIONAL MEDICAL CENTER KATHLEEN AZZARELLA, TRINITAS REGIONAL MEDICAL CENTERTOM BECK, JEWISH FAMILY SERVICES OF CENTRAL NJ NADINE BRECHNER, TRINITAS REGIONAL MEDICAL CENTER IVY CABRERA, TRINITAS REGIONAL MEDICAL CENTER MARGARET CAMMARIERI, AMERICAN HEART ASSOCIATION TIM CLYNE, TRINITAS REGIONAL MEDICAL CENTER YOCASTA CORONA, TRINITAS REGIONAL MEDICAL CENTERJENNIFER COSTA, ELIZABETH DESTINATION MARKETING ORGANIZATION CARMEN DE JESUS, PROCEED INC.JULIE DESIMONE, MAYORS WELLNESS CAMPAIGN (NJ HEALTH CARE QUALITY INSTITUTE) NANCY DILIEGRO, PHD, FACHE, TRINITAS REGIONAL MEDICAL CENTERJILL DISPENZA, JEWISH FAMILY SERVICES OF CENTRAL NJ JAMES DUNLEAVY, TRINITAS REGIONAL MEDICAL CENTER DAVID FLETCHER, ELIZABETHTOWN HEALTHCARE FOUNDATION JUANITA FRYAR, TRINITAS REGIONAL MEDICAL CENTERKRISHNA GARLIC, CITY OF ELIZABETH DEPARTMENT OF HEALTH AND HUMAN SERVICES HANA HAMDI, NJ COMMUNITY CAPITALDOUGLAS HARRIS, TRINITAS REGIONAL MEDICAL CENTER CARLOS HERRERA, JEWISH FAMILY SERVICESGARY S. HORAN, TRINITAS REGIONAL MEDICAL CENTERMICHAEL JOHNSON, SHAPING ELIZABETH/THE GATEWAY FAMILY YMCA MAUREEN KUHN, AMERICAN CANCER SOCIETYLISA LISS, TRINITAS REGIONAL MEDICAL CENTERJIM MCCREATH, TRINITAS REGIONAL MEDICAL CENTER WILLIAM MCHUGH, MD, TRINITAS REGIONAL MEDICAL CENTERANNARELLY MCNAIR, UNION COUNTY OFFICE OF HEALTH MANAGEMENT MARY MCTIGUE, TRINITAS REGIONAL MEDICAL CENTERSISTER MARION SCRANTON, TRINITAS REGIONAL MEDICAL CENTER THERESA SOTO VEGA, PROCEED INC.MORGAN THOMPSON, PREVENTION LINKSANDREA TOPPING, CITY OF ELIZABETH DEPARTMENT OF HEALTH AND HUMAN SERVICES COREY WU JUNG, SHAPING ELIZABETH/THE GATEWAY FAMILY YMCA

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D:
ANNUAL COMMUNITY MEETING

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:
WE ARE FOCUSING ON FOUR PRIORITIES: CANCER, CHRONIC DISEASE PREVENTION, MENTAL HEALTH/SUBSTANCE ABUSE AND MATERNAL/CHILD HEALTH. FOR CANCER, WE ARE PROVIDING FREE SCREENINGS AND COMMUNITY CANCER-RELATED EDUCATION. FOR CHRONIC DISEASE PREVENTION, WE ARE PROVIDING EDUCATION ON HEALTHY EATING HABITS AND FOOD SHOPPING AT FARMERS' MARKETS. IN TERMS OF BEHAVIORAL HEALTH, WE ARE CURRENTLY RAISING FUNDS FOR EXTENSIVE RENOVATION OF OUR NEWPOINT CAMPUS. FOR SUBSTANCE ABUSE, WE HAVE MANY PROGRAMS INCLUDING OUR SUBSTANCE USE SCREENING PROGRAM WHICH WAS DEVELOPED IN COORDINATION WITH THE FEDERAL DSRIP PROGRAM. FOR MATERNAL/CHILD HEALTH, WE ARE FOCUSING ON EDUCATION AND EMPHASIZING THE IMPORTANCE OF PRENATAL CARE.

PART I, LINE 7:
A COST TO CHARGE RATIO WAS CALCULATED BY DIVIDING TOTAL OPERATING EXPENSE BY GROSS REVENUE.

PART I, LINE 7G:
NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES FIGURE.

PART I, LN 7 COL(F):
$17,000,908 OF BAD DEBT EXPENSE WAS SUBTRACTED FROM TOTAL EXPENSES IN ORDER TO CALCULATE THE PERCENT OF TOTAL EXPENSE IN COLUMN (F) OF LINE 7.

PART II, COMMUNITY BUILDING ACTIVITIES:
IN OUR COMMUNITY BUILDING ACTIVITIES, WE PROVIDE EDUCATION AND TRAINING TO MEMBERS OF THE COMMUNITY SO THEY WILL MAKE BETTER DECISIONS ABOUT THEIR HEALTH AND MEDICAL CARE.OUR EFFORTS IN THIS REGARD ARE NOT PROVIDED FOR MARKETING PURPOSES OR TO INCREASE REFERRALS OF PATIENTS WITH THIRD PARTY INSURANCE COVERAGE, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, OR TO BENEFIT PERSONS AFFILIATED WITH THE ORGANIZATION. RATHER, ALL OF OUR EFFORTS DESCRIBED HEREIN ARE DESIGNED TO BENEFIT THE PEOPLE IN OUR COMMUNITY. ALL OF OUR COMMUNITY PROGRAMS ARE GENERALLY AVAILABLE BROADLY IN THE COMMUNITY AND TARGET THOSE PERSONS MOST IN NEED. THESE ACTIVITIES MAKE PEOPLE AWARE OF THEIR HEALTHCARE OPTIONS AND ENCOURAGE THEM TO GET MORE INFORMATION AND TREATMENT, IF NEEDED.

PART III, LINE 2:
A COST TO CHARGE RATIO WAS CALCULATED BY DIVIDING TOTAL OPERATING EXPENSE BY GROSS REVENUE.

PART III, LINE 3:
APPROXIMATELY 27% OF OUR BAD DEBT EXPENSE IS RELATED TO CHARITY PATIENTS WITH INSUFFICIENT DOCUMENTATION. MOST PATIENTS WITH BAD DEBT COULD NOT OTHERWISE AFFORD CARE, THEREFORE IT IS A COMMUNITY BENEFIT.

PART III, LINE 4:
PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL COLLECTIONS AND PROVISION FOR DOUBTFUL COLLECTIONS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WITH THIRD PARTY INSURANCE COVERAGE (PARTIAL OR COMPLETE) AND PATIENTS WITH NO COVERAGE (PARTIAL OR NONE), THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS AND A PROVISION FOR DOUBTFUL COLLECTIONS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WITH NO INSURANCE OR PARTIAL INSURANCE (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL COLLECTIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL COLLECTIONS.

PART III, LINE 8:
THE ENTIRE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THE SHORTFALL IS A RESULT OF OUR LOCATION. PLEASE SEE RESPONSE TO SCHEDULE H, PART VI, LINE 4 REGARDING COMMUNITY INFORMATION. WE PROVIDE CARE TO THOSE IN NEED OF IT, REGARDLESS OF THEIR ABILITY TO PAY.THE AMOUNT OF MEDICARE ALLOWABLE COSTS WAS ESTIMATED FROM THE COST ACCOUNTING SYSTEM.

PART III, LINE 9B:
IF A PATIENT QUALIFIES FOR FULL CHARITY CARE, THERE IS NO FURTHER COLLECTION EFFORT. IF A PATIENT QUALIFIES FOR PARTIAL CHARITY CARE, REGULAR COLLECTION PRACTICES ARE FOLLOWED.

PART VI, LINE 2:
OUR ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE IS DETERMINED THROUGH VARIOUS EFFORTS. FIRST, HOSPITAL PERSONNEL (SUCH AS OUR EMERGENCY DEPARTMENT, CASE MANAGERS AND DISCHARGE PLANNING STAFF) IDENTIFY HEALTH CARE NEEDS BASED ON THE ADMISSIONS/DISCHARGES AND OTHER HOSPITAL DATA. IN ADDITION, THE HOSPITAL COMES TOGETHER WITH OUR COMMUNITY THROUGH OUR ACTIVE INVOLVEMENT AND INTERACTION IN CONNECTION WITH THE NUMEROUS HEALTH INITIATIVES WE SPONSOR. THE INFORMATION WE DETERMINE THROUGH THESE EFFORTS SERVES AS A BASIS TO IDENTIFY HEALTH CARE NEEDS IN OUR COMMUNITY AND TO APPROPRIATELY RESPOND TO THOSE NEEDS. SUCH PROGRAMS INCLUDE, FOR EXAMPLE, COMMUNITY HEALTH EDUCATION, COMMUNITY PARTNERSHIPS, HOSPITAL SERVICES OUTREACH PROGRAMS, HOSPITAL SUPPORT AND SERVICES IN THE COMMUNITY AND COMMUNITY OUTREACH SERVICES.TRINITAS' BENEFIT TO THE COMMUNITY IN 2021 TOTALED APPROXIMATELY $25 MILLION IN UNPAID CHARITY CARE, COMMUNITY SERVICE ACTIVITIES, AND LOSSES INCURRED IN CARING FOR MEDICAID BENEFICIARIES. THESE COSTS ARE OVER AND ABOVE THE VALUE THAT TRINITAS BRINGS TO THE COMMUNITY WHEN ONE CONSIDERS OUR ROLE AS A MAJOR EMPLOYER, A DRIVER OF THE LOCAL ECONOMY, A CHARITABLE INSTITUTION, AN EDUCATOR AND A COMMUNITY ADVOCATE.EACH YEAR THE HOSPITAL PREPARES A COMMUNITY BENEFITS REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC.

PART VI, LINE 7, REPORTS FILED WITH STATES
NJ

PART VI, LINE 3:
TRINITAS UTILIZES MULTI-LANGUAGE SIGNS AND POSTERS THAT ARE CLEARLY VISIBLE IN ALL OF OUR HOSPITAL PATIENT IN-TAKE AREAS. THESE SIGNS AND POSTERS, WHICH INCLUDE FINANCIAL ASSISTANCE CONTACT INFORMATION, EXPLAIN OUR CHARITY CARE POLICIES AND INCLUDE INFORMATION REGARDING THE ELIGIBILITY REQUIREMENTS FOR GOVERNMENTAL SPONSORED PROGRAMS AVAILABLE TO ASSIST IN PAYING HOSPITAL BILLS. IN ADDITION, OUR FINANCIAL COUNSELORS SCREEN ALL PATIENTS IN ORDER TO DETERMINE THEIR ELIGIBILITY FOR GOVERNMENTAL ASSISTANCE OR REDUCED BILLINGS UNDER OUR CHARITY CARE POLICIES. THIS SCREENING PROCESS INCLUDES A DISCUSSION WITH PATIENTS OF THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS. IN ADDITION, OUR FINANCIAL COUNSELORS ARE CAPABLE OF DISCUSSING THESE MATTERS WITH NON-ENGLISH SPEAKING PATIENTS. TRINITAS PROVIDES A COPY OF ITS FINANCIAL ASSISTANCE POLICY TO PATIENTS UPON ADMISSION TO THE HOSPITAL, AS AN ATTACHMENT TO INVOICES, AND IT IS ALSO MADE AVAILABLE UPON REQUEST. FINALLY, TRINITAS MAKES THIS POLICY ACCESSIBLE THROUGH ITS WEBSITE.

PART VI, LINE 4:
TRINITAS REGIONAL MEDICAL CENTER IS LOCATED IN THE CITY OF ELIZABETH, NJ AND SERVES THOSE WHO LIVE AND WORK IN ELIZABETH AS WELL AS THOSE IN EASTERN AND CENTRAL UNION COUNTY. ELIZABETH'S POPULATION IS APPROXIMATELY 130,062. THE POPULATION OF UNION COUNTY IS APPROXIMATELY 572,114. TRINITAS REGIONAL MEDICAL CENTER DERIVES 65% OF THE TOTAL VOLUME FROM THE CITY OF ELIZABETH. THE MEDIAN FAMILY INCOME IS LOW IN ELIZABETH AT $50,647 AND THIS INCOME IS USED TO SUPPORT AN AVERAGE FAMILY SIZE OF 3.45 MEMBERS.THE UNEMPLOYMENT PERCENTAGE IN ELIZABETH AT 12/31/21 WAS AT 5.5% (COMPARED TO THE NEW JERSEY AVERAGE OF 5.1%). TRINITAS REGIONAL MEDICAL CENTER PAYER MIX IS OVERLY REPRESENTATIVE OF THE CHARITY AND MEDICAID POPULATIONS. TRINITAS REGIONAL MEDICAL CENTER IS PROVIDING 68% OF THE TOTAL NUMBER OF COUNTY-WIDE CHARITY DAYS AND 67% OF THE TOTAL NUMBER OF COUNTY-WIDE MEDICAID DAYS IN CONTRAST TO PROVIDING ONLY 39% OF THE TOTAL COUNTY-WIDE PATIENT DAYS.TRINITAS REGIONAL MEDICAL CENTER IS A TRUE COMMUNITY HOSPITAL DEDICATED TO SERVING THE POOR AND DISENFRANCHISED IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. WE CONSISTENTLY MAINTAIN THE 7TH LARGEST CHARITY CARE AND MEDICAID PROGRAM IN NEW JERSEY, AND TRINITAS REGIONAL MEDICAL CENTER IS ONE OF THE STATE'S TOP SAFETY-NET HOSPITALS. WE ARE THE ONLY HOSPITAL IN ELIZABETH, A DENSELY POPULATED IMMIGRANT CITY WHERE 23% OF ADULTS DO NOT OWN A CAR, MEANING WE ARE THE ONLY VIABLE HEALTHCARE OPTION FOR A SIGNIFICANT PERCENTAGE OF THE LOCAL POPULATION. POVERTY IS ALSO AN ISSUE: 15% OF INDIVIDUALS LIVE BELOW THE POVERTY LEVEL. MUCH LIKE THE CITY OF ELIZABETH, OUR PATIENT BASE IS 64% HISPANIC AND 20% AFRICAN AMERICAN. OUR TOTAL SERVICE AREA ENCOMPASSES 65% OF ALL UNION COUNTY HOUSEHOLDS AND 80% OF THE COUNTY'S POOREST RESIDENTS.AS A SAFETY NET HOSPITAL, WE ARE GUIDED BY A MISSION THAT PROMISES ACCESS TO QUALITY MEDICAL CARE FOR ALL, REGARDLESS OF ABILITY TO PAY.

PART VI, LINE 5:
A MAJORITY OF THE BOARD OF TRUSTEES OF TRINITAS IS COMPRISED OF PERSONS WHO RESIDE IN OUR PRIMARY AND SECONDARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATIONS, NOR FAMILY MEMBERS.WE EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR ALL OF OUR DEPARTMENTS.TO THE EXTENT THAT WE GENERATE POSITIVE OPERATING MARGINS, SURPLUS FUNDS ARE UTILIZED FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND REINVESTED IN OUR BUILDING AND USED TO MEET OUR NEEDS FOR UPDATING REQUIRED EQUIPMENT.IN ADDITION, TO BETTER SERVE THE VARIETY OF NEEDS OF OUR COMMUNITY, WE HAVE PARTNERED WITH A WIDE ARRAY OF COMMUNITY SERVICE AND OTHER ORGANIZATIONS WHOSE PURPOSE AND INTEREST IS TO PROMOTE THE HEALTH AND WELL BEING OF THE COMMUNITY. THESE GROUPS INCLUDE: COMMUNITY ORGANIZATIONS, FAITH BASED GROUPS, MUNICIPAL AND GOVERNMENT AGENCIES, SENIOR CITIZENS GROUPS, REGIONAL ALLIANCES, NOT-FOR-PROFIT SERVICE ORGANIZATIONS, BUSINESS COMMUNITY AND FOUNDATIONS, SCHOOLS/MENTORING PARTNERSHIPS, MEDICAL CENTER DEPARTMENTS WHICH PROVIDE COMMUNITY ACTIVITIES AND CHILDREN'S THERAPY SERVICES.

PART VI, LINE 6:
AFFILIATES OF TRINITAS REGIONAL MEDICAL CENTER INCLUDE MARILLAC CORPORATION, A WHOLLY-OWNED SUBSIDIARY OF THE MEDICAL CENTER. MARILLAC, A NOT-FOR-PROFIT, TAX-EXEMPT ORGANIZATION, OWNS AND OPERATES A MEDICAL OFFICE BUILDING IN ELIZABETH, NJ. THE SOLE MEMBER OF THE MEDICAL CENTER IS TRINITAS HEALTH (THE PARENT), ALSO A TAX-EXEMPT ORGANIZATION. OTHER AFFILIATES INCLUDE TRINITAS HEALTHCARE CORPORATION AND SUBSIDIARY, TRINITAS HEALTH SERVICES CORPORATION, AND TRINITAS HEALTH FOUNDATION. ALL OF THESE AFFILIATES ARE NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATIONS, EXCEPT FOR TRINITAS HEALTH SERVICES CORPORATION WHICH IS A TAXABLE, FOR-PROFIT ENTITY.THE MEDICAL CENTER, A TEACHING HOSPITAL AFFILIATED WITH THE UNIVERSITY OF MEDICINE AND DENTISTRY OF NJ, OFFERS A WIDE ARRAY OF SERVICES INCLUDING ACUTE CARE, LONG-TERM CARE, HOME CARE, HOSPICE AND OTHER COMMUNITY BASED SERVICES. THE MEDICAL CENTER ALSO OPERATES ONE OF THE LARGEST NURSING SCHOOLS IN THE COUNTRY. THE TRINITAS HEALTH FOUNDATION WAS ESTABLISHED TO SOLICIT CONTRIBUTIONS FROM THE GENERAL PUBLIC SOLELY FOR THE FUNDING OF OPERATIONS AND CAPITAL ACQUISITIONS BY THE MEDICAL CENTER.