4A (Expenses $ 761093847 including grants of $ 0) (Revenue $ 883552284)
EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION.

SCHEDULE H, PART V, SECTION B, QUESTION 5
"WHILE CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (""CHNA"") ENGLEWOOD HOSPITAL AND MEDICAL CENTER (""ENGLEWOOD HOSPITAL"") TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. THE CHNA COMMITTEE MET REGULARLY VIA IN PERSON MEETINGS AND CONFERENCE CALLS TO PLAN AND EXECUTE PROJECT ACTIVITIES, VET PRELIMINARY FINDINGS, ADDRESS CHALLENGES, AND ENSURE THAT THE ASSESSMENT PROCESS WAS INCLUSIVE, COMPREHENSIVE, AND OBJECTIVE. DURING THIS PROCESS, SENIOR LEADERSHIP AND CLINICAL STAFF WERE ENGAGED TO HELP PRIORITIZE COMMUNITY HEALTH ISSUES AND PRIORITY POPULATION SEGMENTS FOR INCLUSION IN THE IMPLEMENTATION STRATEGY. THE ASSESSMENT BEGAN IN DECEMBER 2018 AND WAS CONDUCTED IN THREE PHASES, WHICH ALLOWED FOR THE COLLECTION OF AN EXTENSIVE AMOUNT OF QUANTITATIVE AND QUALITATIVE DATA (PHASE 1); ENGAGEMENT OF COMMUNITY RESIDENTS, KEY STAKEHOLDERS, AND SERVICE PROVIDERS (PHASE 2); AND ANALYSIS AND PRIORITIZATION OF FINDINGS FOR USE IN DEVELOPING A DATA-DRIVEN IMPLEMENTATION STRATEGY (PHASE 3). PHASE I ------- THE PRELIMINARY NEEDS ASSESSMENT AND ENGAGEMENT EFFORT RELIED ON SECONDARY DATA COLLECTED VIA LOCAL, STATE, AND NATIONAL SOURCES. THIS INFORMATION INCLUDED DATA ON THE POPULATION CHARACTERISTICS OF BERGEN COUNTY, INCLUDING DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH STATUS, AND MORBIDITY/MORTALITY. WHENEVER POSSIBLE, CONFIDENCE INTERVALS WERE ANALYZED TO TEST FOR STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN MUNICIPAL AND STATE OF NEW JERSEY DATA POINTS. A COMPREHENSIVE DATA BOOK IS INCLUDED IN APPENDIX B OF THE ORGANIZATION'S CHNA. IN THIS DATA BOOK, DATA POINTS ARE COLOR-CODED TO VISUALIZE WHICH MUNICIPAL-LEVEL DATA POINTS WERE SIGNIFICANTLY HIGHER OR LOWER COMPARED TO THE STATE OVERALL. RELATIVE TO MOST STATES, NEW JERSEY DOES AN EXCELLENT JOB AT MAKING COMPREHENSIVE DATA AVAILABLE AT THE STATE, COUNTY, AND MUNICIPAL LEVELS THROUGH AN INTERACTIVE PORTAL ACCESSIBLE VIA THE NEW JERSEY DEPARTMENT OF HEALTH (""NJ DOH"") WEBSITE. THE MOST SIGNIFICANT LIMITATION IN REGARDS TO QUANTITATIVE DATA WAS THE AVAILABILITY OF TIMELY DATA RELATED TO MORBIDITY, MORTALITY, AND SERVICE UTILIZATION. THE DATA SETS USED IN THIS REPORT ARE THE MOST UP-TO-DATE PROVIDED BY NJ DOH. THE DATA PROVIDED WAS VALUABLE AND ALLOWED FOR IDENTIFICATION OF HEALTH NEEDS RELATIVE TO THE STATE AND SPECIFIC COMMUNITIES. HOWEVER, THESE DATA SETS IN SOME CASES MAY NOT REFLECT RECENT TRENDS IN HEALTH STATISTICS. ADDITIONALLY, QUANTITATIVE DATA WAS NOT STRATIFIED BY AGE, RACE/ETHNICITY, INCOME, OR OTHER CHARACTERISTICS, WHICH LIMITED THE ABILITY TO IDENTIFY HEALTH DISPARITIES IN AN OBJECTIVE WAY. THE BERGEN COUNTY RANDOM HOUSEHOLD SURVEY AND THE TARGETED COMMUNITY ENGAGEMENT AND QUALITATIVE ASSESSMENT ACTIVITIES ALLOWED FOR EXPLORATION OF THESE ISSUES. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH APPROXIMATELY 80 COMMUNITY STAKEHOLDERS FROM THROUGHOUT BERGEN COUNTY. THESE INTERVIEWS CONFIRMED AND/OR REFINED THE FINDINGS FROM QUANTITATIVE DATA SOURCES AND PROVIDED VALUABLE INSIGHT ON COMMUNITY NEED, COMMUNITY HEALTH PRIORITIES, SEGMENTS OF THE POPULATION MOST AT-RISK, AND COMMUNITY HEALTH ASSETS. INDIVIDUAL INTERVIEWS WERE CONDUCTED BY PHONE USING A STRUCTURED INTERVIEW GUIDE DEVELOPED BY JOHN SNOW, INC. (JSI), A PUBLIC HEALTH RESEARCH AND CONSULTING FIRM, AND THE STEERING COMMITTEE. AT THE OUTSET, JSI WORKED WITH THE STEERING COMMITTEE TO IDENTIFY A REPRESENTATIVE LIST OF KEY INFORMANTS THAT COULD PROVIDE A DEEP AND BROAD PERSPECTIVE ON THE HEALTH-RELATED NEEDS OF THE COUNTY. THIS LIST INCLUDED ADMINISTRATIVE AND CLINICAL REPRESENTATIVES FROM EACH OF THE HOSPITALS AND BCDHS, AS WELL AS REPRESENTATIVES FROM ACROSS MANY SECTORS, INCLUDING HEALTH, PUBLIC HEALTH, SOCIAL SERVICE, ACADEMIC, AND BUSINESS. DETAILED NOTES WERE TAKEN FOR EACH INTERVIEW. DURING THIS PHASE, JSI STAFF WORKED WITH THE STEERING COMMITTEE TO DEVELOP A RESOURCE INVENTORY. THIS INVENTORY WAS MEANT TO INFORM WHAT SERVICES ARE AVAILABLE IN BERGEN COUNTY TO ADDRESS COMMUNITY NEEDS AS WELL AS TO DETERMINE THE EXTENT TO WHICH THERE ARE GAPS IN HEALTH-RELATED SERVICES. THE CHIP AND BCDHS STAFF SUPPORTED THIS EFFORT BY PROVIDING A LIST OF COMMUNITY PARTNERS AND KNOWN RESOURCES FROM ACROSS THE BROAD CONTINUUM OF SERVICES, INCLUDING CLINICAL HEALTH CARE SERVICES, COMMUNITY HEALTH AND SOCIAL SERVICES, AND PUBLIC HEALTH RESOURCES. THIS WAS DONE PRIMARILY BY COMPILING INFORMATION FROM EXISTING RESOURCE INVENTORIES AND PARTNER LISTS FROM THE CHIP, BCDHS, HOSPITALS, AND OTHER SERVICE PROVIDERS. PHASE II -------- PHASE II INCLUDED SEVERAL ACTIVITIES AIMED AT FURTHER ENGAGING COMMUNITY RESIDENTS AND STAKEHOLDERS - INCLUDING SEGMENTS THAT ARE TYPICALLY HARD TO REACH. JSI CONDUCTED A MAIL-BASED BERGEN COUNTY RANDOM HOUSEHOLD SURVEY, WHICH CAPTURED INFORMATION DIRECTLY FROM COMMUNITY RESIDENTS ON HEALTH STATUS AND OVERALL WELL-BEING, SERVICE UTILIZATION, AND BARRIERS TO CARE. TO GENERATE THE SURVEY SAMPLE, A COMPREHENSIVE SURVEY WAS DISTRIBUTED TO MORE THAN 4,000 RANDOMLY IDENTIFIED HOUSEHOLDS IN THE COUNTY. THE INITIAL RANDOM SAMPLE OF 4,000 HOUSEHOLDS INCLUDED AN OVERSAMPLE OF COMMUNITIES WITH LARGE PROPORTIONS OF BLACK/AFRICAN AMERICAN, HISPANIC/LATINO, AND LOW-INCOME RESIDENTS TO ENSURE THAT ENOUGH SURVEYS WERE GENERATED FROM HOUSEHOLDS WITH OFTEN UNDER-REPRESENTED SEGMENTS OF THE POPULATION. IN ALL, 1,372 COMMUNITY RESIDENTS RESPONDED TO THE SURVEY, REPRESENTING A SURVEY RESPONSE RATE OF APPROXIMATELY 31%. FOCUS GROUPS WERE CONDUCTED WITH POPULATION SEGMENTS AND HEALTH/SOCIAL SERVICE PROVIDER GROUPS TO GATHER MORE PRECISE AND NUANCED INFORMATION ON THE NEEDS OF SPECIFIC SEGMENTS OF THE POPULATION OR FROM INDIVIDUALS WITH SPECIFIC EXPERTISE. FOCUS GROUPS WERE HELD AT LOCATIONS THAT WERE CONSIDERED SAFE AND ACCESSIBLE FOR PARTICIPANTS AND WERE FACILITATED IN APPROPRIATE LANGUAGES TO ENSURE FULL PARTICIPATION. JSI AND CO-FACILITATORS CONDUCTED ALL FOCUS GROUPS USING A GUIDE THAT WAS SIMILAR TO THE ONE USED FOR KEY INFORMANT INTERVIEWS TO ENSURE CONSISTENT DATA COLLECTION. JSI, THE CHIP, AND HOSPITAL PARTNERS WORKED WITH ORGANIZATIONS IN THE COUNTY TO PLAN THESE EVENTS AND IDENTIFY FOCUS GROUP PARTICIPANTS. JSI FACILITATED TWO COMMUNITY LISTENING SESSIONS, ONE IN RIDGEWOOD AND ONE IN ENGLEWOOD. THESE SESSIONS PROVIDED AN OPPORTUNITY FOR ANYONE WHO WAS INTERESTED TO PARTICIPATE AND ALLOWED FOR THE CAPTURE OF INFORMATION DIRECTLY FROM COMMUNITY RESIDENTS, STAFF FROM COMMUNITY-BASED ORGANIZATIONS, AND LOCAL SERVICE PROVIDERS. PARTICIPANTS WERE ASKED TO REACT TO PRELIMINARY DATA FINDINGS AND TO SHARE THOUGHTS ON COMMUNITY HEALTH NEEDS, BARRIERS TO CARE, VULNERABLE POPULATIONS, AND COMMUNITY ASSETS AND RESOURCES. BOTH SESSIONS WERE HELD IN LOCATIONS THAT WERE EASILY ACCESSIBLE, SAFE, AND WELL KNOWN. FINALLY, JSI WORKED WITH THE STEERING COMMITTEE TO DEVELOP A WEB-BASED BERGEN COUNTY COMMUNITY HEALTH PERCEPTIONS SURVEY TO SOLICIT ADDITIONAL INFORMATION DIRECTLY FROM COMMUNITY RESIDENTS. RESPONDENTS WERE ASKED TO PROVIDE THEIR OPINION AND PERCEPTIONS OF LEADING SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO CARE, CLINICAL HEALTH ISSUES, VULNERABLE POPULATIONS, ACCESS TO HEALTH CARE SERVICES, AND OPPORTUNITIES FOR THE HOSPITAL TO IMPROVE COMMUNITY HEALTH PROGRAMMING. SURVEYS WERE AVAILABLE ONLINE, THROUGH THE SURVEYGIZMO PLATFORM, IN MULTIPLE LANGUAGES. SURVEYS WERE ALSO MADE AVAILABLE IN HARD COPY FOR DISTRIBUTION; HARD-COPY SURVEYS WERE COLLECTED AND THE RESPONSES WERE INCLUDED IN THE FINAL ANALYSIS. THE CHIP, BCDHS, HOSPITALS, AND PUBLIC HEALTH PARTNERS WORKED IN CLOSE COLLABORATION WITH LOCAL COMMUNITY ORGANIZATIONS, BUSINESSES, AND STAKEHOLDERS TO DISTRIBUTE THE SURVEY TO COMMUNITY RESIDENTS, INCLUDING THOSE WHO ARE TYPICALLY HARD-TO-REACH (E.G. NON-ENGLISH SPEAKERS, DIVERSE POPULATIONS)."

SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B
"ENGLEWOOD HOSPITAL'S CHNA WAS COMPLETED IN COLLABORATION WITH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (""CHIP"") OF BERGEN COUNTY, WHICH INCLUDED BERGEN NEW BRIDGE MEDICAL CENTER, ENGLEWOOD HEALTH, HACKENSACK MERIDIAN HEALTH HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL CENTER, HOLY NAME MEDICAL CENTER, RAMAPO RIDGE PSYCHIATRIC HOSPITAL (A PART OF CHRISTIAN HEALTH CARE CENTER), AND THE VALLEY HOSPITAL. REPRESENTATIVES FROM THESE SEVEN HOSPITALS, ALONG WITH REPRESENTATIVES OF THE BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES (""BCDHS"") AND THE CHIP OF BERGEN COUNTY, WORKED COLLABORATIVELY TO PLAN AND EXECUTE THE CHNA. THE STEERING COMMITTEE HIRED JOHN SNOW, INC. (""JSI""), A PUBLIC HEALTH RESEARCH AND CONSULTING FIRM, TO SUPPORT THEIR EFFORTS AND COMPLETE THE CHNA."

SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7B
"THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM (""SYSTEM""). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.ENGLEWOODHEALTH.ORG/ABOUT-ENGLEWOOD-HEALTH/COMMUNITY-HEALTH-NEEDS- ASSESSMENT ADDITIONALLY, THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY'S CHNA, WHICH INCLUDES THIS ORGANIZATION, IS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.HEALTHYBERGEN.ORG"

SCHEDULE H, PART V, SECTION B, QUESTION 10A
DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS MADE WIDELY AVAILABLE AND CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: WWW.ENGLEWOODHEALTH.ORG/ABOUT-ENGLEWOOD-HEALTH/COMMUNITY-HEALTH-NEEDS- ASSESSMENT

SCHEDULE H, PART V, SECTION B, QUESTION 11
"THE ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH STATUS AND WELL-BEING OF ALL RESIDENTS LIVING IN THEIR SERVICE AREA. CERTAINLY ALL GEOGRAPHIC, DEMOGRAPHIC, AND SOCIOECONOMIC SEGMENTS OF THE POPULATION FACE CHALLENGES THAT MAY IMPEDE THEIR ABILITY TO ACCESS CARE OR MAINTAIN GOOD HEALTH. REGARDLESS OF AGE, RACE/ETHNICITY, INCOME, FAMILY HISTORY, OR OTHER CHARACTERISTICS, EVERYONE IS IMPACTED IN SOME WAY BY HEALTH-RELATED DISPARITIES. WITH THIS IN MIND, ENGLEWOOD'S IMPLEMENTATION STRATEGY INCLUDES ACTIVITIES THAT WILL SUPPORT ALL RESIDENTS, ACROSS ALL SEGMENTS OF THE POPULATION. HOWEVER, BASED ON THE ASSESSMENT'S QUANTITATIVE AND QUALITATIVE FINDINGS, THE IMPLEMENTATION STRATEGY WILL PRIORITIZE CERTAIN DEMOGRAPHIC AND SOCIO-ECONOMIC SEGMENTS OF THE POPULATION. THE ORGANIZATION'S IMPLEMENTATION STRATEGY WAS APPROVED BY THE BOARD OF TRUSTEES ON APRIL 23, 2020. THE IMPLEMENTATION STRATEGY IS THE RESULT OF BERGEN COUNTY'S CHNA, CONDUCTED IN 2019. THROUGH THE CHNA, ENGLEWOOD HEALTH WAS ABLE TO IDENTIFY MULTIPLE COMMUNITY HEALTH PRIORITY AREAS. THESE AREAS WERE IDENTIFIED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING SECONDARY DATA (COMPARISON OF BERGEN COUNTY DATA TO NEW JERSEY AND NATIONAL DATA); QUALITATIVE FINDINGS FROM SURVEYS, FOCUS GROUPS, COMMUNITY LISTENING SESSIONS, AND KEY INFORMANT INTERVIEWS; AND THE POTENTIAL HEALTH IMPACT WITHIN A PRIORITY AREA. BASED ON THE RESULTS FROM ITS CHNA, ENGLEWOOD HAS PRIORITIZED THE SIGNIFICANT NEEDS IDENTIFIED INTO THE FOLLOWING PRIORITY AREAS: 1) WELLNESS AND PREVENTION - GOOD NUTRITION IS MISSION CRITICAL FOR GOOD HEALTH. GOOD NUTRITION IS NOT PRACTICED FOR A RANGE OF REASONS, INCLUDING AWARENESS, ACCESS AND COST. AS A RESULT, WEIGHT-RELATED HEALTH ISSUES, INCLUDING OBESITY, ARE PERVASIVE AND CONTINUE TO CONTRIBUTE SIGNIFICANTLY TO THE SPREAD OF CHRONIC AND COMPLEX CONDITIONS (HEART DISEASE AND STROKE, CANCER, DIABETES). PHYSICAL FITNESS IS AN ESSENTIAL COMPONENT OF A HEALTHY LIFE. ACROSS ALL POPULATIONS, EXERCISE RATES ARE AT AN ALL-TIME RECORDED LOW. 2) CHRONIC AND COMPLEX CONDITIONS - CONDITIONS SUCH AS HEART DISEASE, CANCER AND DIABETES ARE THE LEADING CAUSES OF DEATH AND DISABILITY AMONG BERGEN COUNTY RESIDENTS. MORE THAN 50% OF U.S. ADULTS HAVE AT LEAST ONE CHRONIC CONDITION. THE NUTRITION CHALLENGES AND EMOTIONAL CHALLENGES OF INDIVIDUALS WHO ARE STRUGGLING WITH CHRONIC AND COMPLEX CONDITIONS SHOULD BE CONSIDERED AND ADDRESSED IN THE SUPPORT PROGRAMS AND CARE PLANS FOR THIS POPULATION. 3) BEHAVIORAL HEALTH - MENTAL HEALTH, ANXIETY, STRESS AND SUBSTANCE USE ARE IDENTIFIED AS LEADING HEALTH ISSUES IN OUR COUNTY. THE IMPACT CAN BE SEEN IN THE INCREASE OF DEPRESSION, MENTAL HEALTH CHALLENGES, AND RISE IN SUBSTANCE USE AND ADDICTION. THERE IS A GAP IN THE ABILITY TO ACCESS SUPPORT, COMPLICATED BY LACK OF ADEQUATE SUPPLY AND AFFORDABLE OPTIONS. 4) SOCIAL DETERMINANTS OF HEALTH - (A) THE OVERALL PERCENTAGE OF HOUSEHOLDS WITH INSURANCE IS MISLEADING. VULNERABLE POPULATIONS HAVE FREQUENT ""LAPSES"" IN INSURANCE. LACK OF HEALTH INSURANCE HAS BEEN IDENTIFIED AS ONE OF THE LEADING BARRIERS TO HEALTH CARE; (B) NEARLY ONE THIRD OF BERGEN COUNTY RESIDENTS ARE FOREIGN BORN AND FACE LANGUAGE-RELATED CHALLENGES THAT IMPACT UNDERSTANDING, NAVIGATION AND ACCESS TO HEALTH CARE; (C) BERGEN COUNTY HAS THE SECOND HIGHEST POPULATION OF ADULTS OVER 65 IN NJ (16.4%). THIS GROUP COMMONLY FACES WELLNESS CHALLENGES (ISOLATION, INFLUENZA, PNEUMONIA, FALLS, ALZHEIMER'S AND LACK OF END OF LIFE CARE DIRECTIVES); AND (D) NEARLY 20% OF ALL RESPONDENTS TO THE BERGEN COUNTY RANDOM HOUSEHOLD SURVEY REPORT THEY HAVE BEEN SOMEWHAT OR VERY WORRIED ABOUT FOOD RUNNING OUT SOMETIME IN THE PAST YEAR. PERCENTAGES WERE HIGHEST AMONG LOW INCOME (46.8%), HISPANIC/LATINO (42.2%), AND BLACK/AA (27.2%). ENGLEWOOD HEALTH IS COMMITTED TO ACHIEVING IMPROVED HEALTH THROUGH BETTER QUALITY CARE AT LOWER COSTS. TO ADDRESS THE NEEDS OF ITS COMMUNITY, ENGLEWOOD HEALTH IS ALLOCATING SIGNIFICANT RESOURCES TO ACHIEVE THE GOALS SET FORTH IN ITS IMPLEMENTATION STRATEGY. ENGLEWOOD HEALTH'S POPULATION HEALTH DEPARTMENT, WHICH INCLUDES BOTH CLINICAL AND COMMUNITY SUPPORT SERVICES, WILL LEAD THIS EFFORT. ENGLEWOOD HEALTH IS DEDICATED TO BEING THE HEALTHCARE LEADER FOR OUR COMMUNITY. THE BELOW DESCRIBES THE ORGANIZATION'S PRIORITY AREAS, GOALS, OBJECTIVE/STRATEGIES AND SAMPLE PROCESS/OUTCOME MEASUREMENTS AS DEFINED WITHIN ITS IMPLEMENTATION STRATEGY: WELLNESS AND PREVENTION ----------------------- GOAL: INCREASE ACCESS TO HEALTH EDUCATION, SCREENING, AND PREVENTION SERVICES OBJECTIVES/STRATEGIES: 1) PROVIDE EDUCATION AND INTERVENTION REGARDING WELLNESS, HEALTH PROMOTION, PREVENTION EFFORTS, RISK FACTORS, AND HEALTHY BEHAVIORS (NUTRITIONAL, PHYSICAL, AND EMOTIONAL HEALTH / WELLNESS) 2) CONDUCT SCREENINGS FOR CHRONIC DISEASE RISK FACTORS (E.G., CANCER, HIGH BLOOD PRESSURE, CHOLESTEROL, BMI) AND PROVIDE REFERRALS TO APPROPRIATE TREATMENT OR SERVICES 3) IMPLEMENT PROGRAMS AND EVENTS WITH LOCAL AND REGIONAL COLLABORATIVES THAT ADDRESS ISSUES RELATED TO WELLNESS, PREVENTION, AND RISK FACTORS 4) EXPAND UPON OUR SYSTEM-WIDE CARE MANAGEMENT PROGRAM SAMPLE PROCESS/OUTCOME MEASUREMENTS: - NUMBER OF EDUCATION/COUNSELING PROGRAMS AND NUMBER OF PARTICIPANTS - PRE AND POST TESTS TO MEASURE CHANGES IN ATTITUDE, KNOWLEDGE, AND HEALTH OUTCOMES - NUMBER OF SCREENINGS AND NUMBER OF REFERRALS TO TREATMENT/SERVICES - RESOURCES DEVOTED TO COLLABORATIVE EFFORTS CHRONIC AND COMPLEX CONDITIONS ------------------------------ GOAL: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT OBJECTIVES/STRATEGIES: 1) PROVIDE PROGRAMS THAT PROMOTE EDUCATION AND AWARENESS OF CHRONIC AND COMPLEX CONDITIONS 2) PROMOTE CHRONIC DISEASE MANAGEMENT PROGRAMS (DIABETES, CARDIOVASCULAR, STROKE AND CANCER) 3) PROVIDE LINKAGE TO CARE, WITH INCREASED ACCESS TO PROVIDERS AND NAVIGATION WITHIN PHYSICIAN NETWORK 4) CREATE CUSTOMIZED CARE PLANS TO MANAGE PATIENTS WITH COMPLEX CONDITIONS SAMPLE PROCESS/OUTCOME MEASUREMENTS: - NUMBER OF EDUCATIONAL PROGRAMS AND NUMBER OF PARTICIPANTS - NUMBER OF INDIVIDUALS ENGAGED IN CHRONIC DISEASE MANAGEMENT PROGRAMS - PRE AND POST TESTS TO MEASURE CHANGES IN ATTITUDE, KNOWLEDGE, AND HEALTH OUTCOMES - RESOURCES DEVOTED TO MAINTAINING COMMISSION ON CANCER ACCREDITATION AND JOINT COMMISSION DISEASE SPECIFIC CERTIFICATION FOR STROKE - NUMBER OF RESOURCES DEVOTED TO CARE MANAGEMENT; NUMBER OF PATIENTS WITH CARE PLANS BEHAVIORAL HEALTH ----------------- GOAL: PROMOTE POSITIVE MENTAL, SOCIAL, AND EMOTIONAL HEALTH OBJECTIVES/STRATEGIES: 1) EXPAND EFFORTS TO REDUCE STIGMA 2) CONTINUE TO OFFER BEHAVIORAL HEALTH EDUCATIONAL PROGRAMS AND SCREENINGS IN COMMUNITY-BASED SETTINGS, WITH A FOCUS ON PRIORITY POPULATIONS 3) EXPAND BEHAVIORAL HEALTH CARE SERVICES IN THE ENGLEWOOD HEALTH PHYSICIAN NETWORK 4) IMPROVE ACCESS TO BEHAVIORAL HEALTH TREATMENT 5) COLLABORATE WITH LOCAL AND REGIONAL PARTNERS TO ADDRESS BEHAVIORAL HEALTH ISSUES SAMPLE PROCESS/OUTCOME MEASUREMENTS: - NUMBER OF SCREENINGS AND NUMBER OF INDIVIDUALS REFERRED TO TREATMENT OR SUPPORTIVE SERVICES - NUMBER OF EDUCATIONAL PROGRAMS OFFERED AND NUMBER OF PARTICIPANTS - PRE AND POST TESTS TO MEASURE CHANGES IN ATTITUDE, KNOWLEDGE, AND HEALTH OUTCOMES - RESOURCES DEVOTED TO BEHAVIORAL HEALTH INTEGRATION ACROSS THE CONTINUUM SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE ------------------------------------------------ GOAL: ADDRESS ISSUES THAT PREVENT OR DELAY INDIVIDUALS FROM ACCESSING CARE AND RESOURCES OBJECTIVES/STRATEGIES: 1) DEVELOP INNOVATIVE SOLUTIONS FOR IMPROVING ACCESS TO CARE, FOR THE COMMUNITY AT-LARGE AND PATIENTS ATTRIBUTED TO THE ENGLEWOOD HEALTH PHYSICIAN NETWORK 2) IMPLEMENT NAVIGATION SERVICES THAT REMOVE BARRIERS TO CARE (LANGUAGE, AGE/TRANSPORTATION) 3) EXPAND PROGRAMS AND POLICIES THAT SCREEN FOR AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, WITH A FOCUS ON NUTRITION AND FOOD SECURITY 4) IMPLEMENT LOCAL AND REGIONAL EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE ISSUES SAMPLE PROCESS/OUTCOME MEASUREMENTS: - RESOURCES PROVIDED TO IMPROVING ACCESS TO CARE - NUMBER OF SCREENINGS FOR SOCIAL DETERMINANTS OF HEALTH AND REFERRALS TO ADDITIONAL RESOURCES - RESOURCES DEVOTED TO COLLABORATIVE EFFORTS . RESOURCES DEVOTED TO COLLABORATIVE EFFORTS"

SCHEDULE H, PART V, SECTION B, QUESTION 13A
"DUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART V, SECTION B, QUESTION 13, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINE (""FPG"") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME."

SCHEDULE H, PART V, SECTION B, QUESTION 16
DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.ENGLEWOODHEALTH.ORG/FOR-PATIENTS-VISITORS/BILLING-INSURANCE

SCHEDULE H, PART I, LINE 3B
"DUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART I, LINE 3B, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINE (""FPG"") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME."

SCHEDULE H, PART I, LINE 3C
"IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, ENGLEWOOD HOSPITAL USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO ENGLEWOOD HOSPITAL'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM (""CHARITY CARE"") ==================================================================== CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME ELIGIBILITY CRITERIA --------------------------- PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR DISCOUNTED CARE. ASSET CRITERIA -------------- CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. RESIDENCY CRITERIA ------------------ CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. ADDITIONALLY, PLEASE NOTE THAT THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME."

SCHEDULE H, PART I; QUESTION 6A
NOT APPLICABLE.

SCHEDULE H, PART I; QUESTION 7
THE ORGANIZATION'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES. THE HOSPITAL UTILIZED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO DERIVE ITS COST-TO-CHARGE RATIO.

SCHEDULE H, PART II
NOT APPLICABLE.

SCHEDULE H, PART III, QUESTIONS 2 & 3
BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENT, WHICH IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS; DEDUCTIONS FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE. THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, REFLECTED ON SCHEDULE H, PART III, LINE 3, IS APPROXIMATELY 17.18% OF THE TOTAL BAD DEBT EXPENSE. THIS PERCENTAGE REPRESENTS THE PORTION OF SELF-PAY INDIVIDUALS INCLUDED WITHIN THE BAD DEBT EXPENSE AMOUNT. HAD THESE INDIVIDUALS COMPLETED THE REQUIREMENTS NECESSARY TO APPLY FOR FINANCIAL ASSISTANCE, THEY WOULD HAVE LIKELY BEEN ELIGIBLE. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND FINANCIAL ASSISTANCE POLICIES ARE CONSISTENTLY APPLIED.

SCHEDULE H, PART III, QUESTION 4
"ENGLEWOOD HOSPITAL AND ITS SUBSIDIARIES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE TEXT BELOW WAS OBTAINED FROM THE ENGLEWOOD HOSPITAL AND SUBSIDIARIES AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTES: PATIENT ACCOUNTS RECEIVABLE --------------------------- ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE AT THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S POLICIES, AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS, AND DO NOT BEAR INTEREST. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT REVENUE IN THE PERIOD OF THE CHANGE. REVENUE RECOGNITION ------------------- NET PATIENT SERVICE REVENUE IS RECOGNIZED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING COMMERCIAL AND GOVERNMENTAL PROGRAMS), AND OTHERS AND INCLUDES VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS AND INVESTIGATIONS. GENERALLY, THE HOSPITAL BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE HOSPITAL. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL SERVICES INCURRED IN RELATION TO TOTAL EXPECTED (OR ACTUAL) PAYMENTS. THE HOSPITAL BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE HOSPITAL RECEIVING INPATIENT ACUTE CARE SERVICES. THE HOSPITAL MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE FACILITY TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME ARE RECOGNIZED WHEN SERVICES ARE PROVIDED AND THE HOSPITAL DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT. GENERALLY, BECAUSE ALL THE HOSPITAL'S PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, THE HOSPITAL HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ACCOUNTING STANDARD CODIFICATION (ASC) 606-10-50-14(A) AND, THEREFORE, THE HOSPITAL IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. THE HOSPITAL DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S POLICY, AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. NET PATIENT SERVICE REVENUE --------------------------- THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTS FROM CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS DUE FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO ONGOING AND FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THAT RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. CHARITY CARE AND COMMUNITY BENEFIT ---------------------------------- IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO SPONSOR A BROAD RANGE OF SERVICES TO BOTH THE INDIGENT AS WELL AS THE BROADER COMMUNITY. COMMUNITY BENEFITS PROVIDED TO THE INDIGENT INCLUDE THE COST OF PROVIDING SERVICES TO PERSONS WHO CANNOT AFFORD HEALTH CARE DUE TO INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: TRADITIONAL CHARITY CARE; UNPAID COSTS OF CARE PROVIDED TO BENEFICIARIES OF MEDICARE AND MEDICAID AND OTHER INDIGENT PUBLIC PROGRAMS. CHARITY CARE IS PROVIDED BY THE HOSPITAL TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH (""DOH"") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL REDUCES NET REVENUES IN ACCORDANCE WITH THESE CRITERIA. THE HOSPITAL'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. COMMUNITY BENEFITS PROVIDED TO THE BROADER COMMUNITY INCLUDE THE COSTS OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY NOT QUALIFY AS INDIGENT BUT MAY NEED SPECIAL SERVICES AND SUPPORT. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: SERVICES SUCH AS HEALTH PROMOTION AND EDUCATION, HEALTH SCREENINGS, ALL OF WHICH ARE NOT BILLED OR CAN BE OPERATED ONLY ON A DEFICIT BASIS; UNPAID PORTIONS OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, STUDENTS IN ALLIED HEALTH PROFESSIONS; AND THE UNPAID PORTIONS OF TESTING MEDICAL EQUIPMENT AND CONTROLLED STUDIES OF THERAPEUTIC PROTOCOLS. THE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE 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 THE HOSPITAL'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE HOSPITAL RECEIVES PAYMENTS FROM THE NEW JERSEY HEALTH CARE SUBSIDY FUNDS FOR CHARITY CARE AND SUCH AMOUNTS TOTALED APPROXIMATELY $1,400,000 AND $1,000,000 FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, RESPECTIVELY. THIS AMOUNT IS SUBJECT TO CHANGE FROM YEAR TO YEAR BASED ON AVAILABLE STATE AMOUNTS AND ALLOCATION METHODOLOGIES. CHARITY CARE SUBSIDIES AND DISTRIBUTIONS SUBSEQUENT TO JUNE 30, 2021 ARE PRESENTLY UNKNOWN. OTHER THIRD-PARTY PAYORS ------------------------ THE HOSPITAL ALSO HAS ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS AND HEALTH MAINTENANCE ORGANIZATIONS. THE BASIS FOR PAYMENT TO THE HOSPITAL UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES PER DISCHARGE OR DAYS OF HOSPITALIZATION AND DISCOUNTS FROM ESTABLISHED CHARGES. SOME OF THESE AGREEMENTS HAVE RETROSPECTIVE AUDIT CLAUSES, ALLOWING THE PAYOR TO REVIEW AND ADJUST CLAIMS SUBSEQUENT TO INITIAL PAYMENT. THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF THESE ESTABLISHED RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUES ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED IN ACCORDANCE WITH THE HOSPITAL'S POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION OF BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, NET PATIENT SERVICE REVENUE WAS INCREASED BY APPROXIMATELY $5,247,000 AND $3,165,000, RESPECTIVELY, FOR FAVORABLE ADJUSTMENTS AND SETTLEMENTS RELATED TO PRIOR YEARS."

SCHEDULE H, PART III, SECTION B; QUESTION 8
"MEDICARE COSTS WERE DERIVED FROM THE 2021 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND 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 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 MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. 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 THE DEPARTMENT OF TREASURY 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"") FEELS 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'S POSITION. AS OUTLINED IN THE AHA'S 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. FROM THE LATEST DATA PROVIDED BY THE AHA, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 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 ELIGIBLE."" 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 THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. 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 BENEFIT"" 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'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS RE"

SCHEDULE H, PART VI; QUESTION 2
"IN ADDITION TO THE CHNA PROCESS OUTLINED IN SCHEDULE H, PART V, SECTION B, QUESTIONS 1-12 AND THE NARRATIVE RESPONSE TO SCHEDULE H, PART V, SECTION B, QUESTION 5 INCLUDED IN SCHEDULE H, PART V, SECTION C, THE ORGANIZATION'S CHNA ASSESSED THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES BY INCORPORATING DATA FROM SECONDARY SOURCES (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). A VARIETY OF EXISTING SECONDARY DATA WAS OBTAINED FROM THE FOLLOWING SOURCES TO COMPLEMENT THE RESEARCH USED FOR THE ORGANIZATION'S CHNA: - CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF INFECTIOUS DISEASE, NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTION; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, CENTER FOR SURVEILLANCE, EPIDEMIOLOGY AND LABORATORY SERVICES, DIVISION OF HEALTH INFORMATICS AND SURVEILLANCE; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS; - COMMUNITY COMMONS; - ESRI ARCGIS MAP GALLERY; - NATIONAL CANCER INSTITUTE, STATE CANCER PROFILES; - OPENSTREETMAP; - TRUVEN HEALTH ANALYTICS AND DIGNITY HEALTH; - US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY; - US CENSUS BUREAU, COUNTY BUSINESS PATTERNS; - US CENSUS BUREAU, DECENNIAL CENSUS; - US DEPARTMENT OF AGRICULTURE, ECONOMIC RESEARCH SERVICE; - US DEPARTMENT OF HEALTH & HUMAN SERVICES; - US DEPARTMENT OF HEALTH & HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION; - US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION; AND - US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS. ENGLEWOOD HOSPITAL ALSO UTILIZES AN INDEPENDENT MARKET RESEARCH COMPANY TO SOLICIT SURVEYS AND COMMENTS FROM ALL PATIENTS OF THE MEDICAL CENTER REGARDING THEIR PATIENT CARE. THE INDEPENDENT MARKET RESEARCH COMPANY ANALYZES AND PROVIDES REPORTS ON THE ORGANIZATION'S PERFORMANCE IN A VARIETY OF AREAS AND PROCEDURES. ADDITIONALLY, THIS ORGANIZATION MONITORS ITS PERFORMANCE ON THE INTERNET WEB SITE REFERRED TO AS HEALTHGRADES, WHICH OFFERS COMPARATIVE DATA TO OTHER HOSPITALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RELEASE ""REPORT CARDS"" TO THE PUBLIC REGARDING THE HOSPITAL'S PERFORMANCE. ENGLEWOOD HOSPITAL ACQUIRES DEMOGRAPHIC DATA FOR ITS SURROUNDING COMMUNITIES AND MAKES DETERMINATIONS AS TO WHETHER THE NEEDS OF ANY OF THE GROUPS WITHIN THE COMMUNITY ARE BEING SERVED. ALL OF THESE TOOLS ARE UTILIZED BY THE HOSPITAL'S TO DETERMINE IF THE COMMUNITY IS BEING FULLY SERVED."

SCHEDULE H, PART VI; QUESTION 4
"ENGLEWOOD HOSPITAL IS LOCATED IN BERGEN COUNTY, NEW JERSEY. THE HOSPITAL'S PRIMARY COMMUNITY BENEFITS SERVICE AREA INCLUDES 9 CITIES AND TOWNS IN NORTHERN BERGEN COUNTY (BERGENFIELD, CLIFFSIDE PARK, CRESSKILL, DUMONT, ENGLEWOOD, FORT LEE, PALISADES PARK, TEANECK, AND TENAFLY), AND PATERSON IN PASSAIC COUNTY. INCLUDED BELOW ARE DEMOGRAPHIC INFORMATION AS CAPTURED WITHIN ITS MOST RECENTLY CONDUCTED CHNA: AGE, RACE/ETHNICITY, AND FOREIGN BORN ------------------------------------- - BERGEN COUNTY HAS THE SECOND HIGHEST PERCENTAGE OF ADULTS 65 AND OVER AMONG ALL COUNTIES IN NEW JERSEY. THE PERCENTAGE OF BERGEN COUNTY RESIDENTS OVER THE AGE OF 65 (16.4%) WAS SIGNIFICANTLY HIGH COMPARED TO NEW JERSEY OVERALL (15.1%). THE MEDIAN AGE IN BERGEN COUNTY (41.6) WAS ALSO HIGHER THAN NEW JERSEY OVERALL (39.6). - BERGEN COUNTY IS PREDOMINANTLY WHITE, THOUGH THERE IS A LARGE ASIAN POPULATION. THE PERCENTAGE OF ASIAN RESIDENTS IN BERGEN COUNTY (16.2%) WAS SIGNIFICANTLY HIGH COMPARED TO THE STATE OVERALL (9.4%). - AMONG ALL MUNICIPALITIES IN BERGEN COUNTY, TWO OF THE TOP THREE COMMUNITIES WITH THE HIGHEST PERCENTAGES OF ASIAN RESIDENTS ARE IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA - PALISADES PARK (57%) AND FORT LEE (41%). - THE PERCENTAGE OF BLACK/AFRICAN AMERICAN RESIDENTS IN BERGEN COUNTY (5.3%) WAS SIGNIFICANTLY LOW COMPARED TO THE STATE OVERALL (12.7%). - TWO OF THE COMMUNITIES IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA HAVE THE HIGHEST PERCENTAGES OF BLACK/AFRICAN AMERICAN RESIDENTS IN BERGEN COUNTY - ENGLEWOOD (29%) AND TEANECK (26%). THE PERCENTAGE OF BLACK/AFRICAN AMERICAN RESIDENTS WAS SIGNIFICANTLY HIGHER THAN THE STATE IN PATERSON (25.7%), LOCATED IN PASSAIC COUNTY. - THE PERCENTAGE OF HISPANIC/LATINO RESIDENTS IN BERGEN COUNTY (18.9) WAS SIMILAR TO THE STATE OVERALL (19.7%). - IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA, THE PERCENTAGE OF HISPANIC/LATINO RESIDENTS WAS PARTICULARLY HIGH IN CLIFFSIDE PARK (30%) AND PATERSON (60.7%). - NEARLY ONE-THIRD (30.5%) OF BERGEN COUNTY RESIDENTS WERE FOREIGN-BORN. - IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA, THE PERCENTAGE OF FOREIGN-BORN RESIDENTS WAS SIGNIFICANTLY HIGH IN ALL MUNICIPALITIES WITH THE EXCEPTIONS OF TEANECK AND TENAFLY. LANGUAGE -------- - OVER A THIRD OF BERGEN COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH. A SIGNIFICANTLY HIGH PERCENTAGE OF BERGEN COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME (39.9%) COMPARED TO THE STATE OVERALL (31%). - THE PERCENTAGE OF THESE RESIDENTS WITH LIMITED ENGLISH PROFICIENCY (LEP) - DEFINED AS SPEAKING ENGLISH ""LESS THAN VERY WELL"" - WAS ALSO SIGNIFICANTLY HIGH COMPARED TO THE STATE (14.5% VS. 12.2%). - IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA, SEVERAL MUNICIPALITIES HAD A SIGNIFICANTLY HIGH PERCENTAGE OF RESIDENTS WITH LEP COMPARED TO THE STATE: BERGENFIELD (14.9%), CLIFFSIDE PARK (24.3%), FORT LEE (26.0%), AND PALISADES PARK (38.9%). - OVER 1 IN 10 BERGEN COUNTY RESIDENTS SPEAK AN ASIAN OR PACIFIC ISLANDER LANGUAGE IN THE HOME. THE PERCENTAGE OF BERGEN COUNTY RESIDENTS 5 YEARS AND OLDER WHO SPOKE ASIAN AND PACIFIC ISLANDER LANGUAGES (11.5%) WAS SIGNIFICANTLY HIGH COMPARED TO THE STATE OVERALL. - IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA, THE PERCENTAGE OF RESIDENTS WHO SPOKE ASIAN OR PACIFIC ISLANDER LANGUAGES WAS SIGNIFICANTLY HIGH COMPARED TO THE STATE IN BERGENFIELD (6.2%), CLIFFSIDE PARK (16.2%), CRESSKILL (19.3%), DUMONT (11.6%), FORT LEE (34.0%), PALISADES PARK (52.0%), AND TENAFLY (19.7%). - OVER 1 IN 10 RESIDENTS SPEAK SPANISH IN THE HOME. THE PERCENTAGE OF BERGEN COUNTY RESIDENTS 5 YEARS AND OLDER WHO SPOKE SPANISH IN THEIR HOME (14.9%) WAS SIGNIFICANTLY LOW COMPARED TO THE STATE OVERALL (16.1%). - IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA, THE PERCENTAGE OF RESIDENTS WHO SPOKE SPANISH WAS SIGNIFICANTLY HIGH COMPARED TO THE STATE IN BERGENFIELD (21.2%), CLIFFSIDE PARK (27.5%), ENGLEWOOD (19.4%), AND PATERSON (54%). - OVER 1 IN 10 RESIDENTS SPEAK INDO-EUROPEAN LANGUAGES (E.G., FRENCH, PORTUGUESE, GERMAN, RUSSIAN, POLISH) IN THE HOME. THE PERCENTAGE OF BERGEN COUNTY RESIDENTS WHO SPOKE INDOEUROPEAN LANGUAGES (11.1%) AND OTHER LANGUAGES (2.4%) WERE ALL SIGNIFICANTLY HIGH COMPARED TO THE STATE OVERALL. - IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA, THE PERCENTAGE OF RESIDENTS WHO SPOKE OTHER INDO-EUROPEAN LANGUAGES WAS SIGNIFICANTLY HIGH COMPARED TO THE STATE IN CLIFFSIDE PARK (15.0%) AND FORT LEE (14.5%). SOCIOECONOMICS -------------- SOCIOECONOMIC STATUS (SES), AS MEASURED BY INCOME, EMPLOYMENT STATUS, OCCUPATION, EDUCATION AND THE EXTENT TO WHICH ONE LIVES IN AREAS OF ECONOMIC DISADVANTAGE, IS CLOSELY LINKED TO MORBIDITY, MORTALITY AND OVERALL WELL-BEING. - HIGH EDUCATIONAL ATTAINMENT. - THE PERCENTAGE OF BERGEN COUNTY RESIDENTS WITH LESS THAN A HIGH SCHOOL DIPLOMA (8%) WAS SIGNIFICANTLY LOW COMPARED TO NEW JERSEY OVERALL (10.8%). - THE PERCENTAGE OF NINTH-GRADE COHORTS IN BERGEN THAT GRADUATES IN FOUR YEARS (95%) WAS HIGHER THAN NEW JERSEY OVERALL (91%). - THE PERCENTAGE OF BERGEN COUNTY ADULTS AGES 25-44 WITH SOME POST-SECONDARY EDUCATION (77%) WAS HIGHER THAN NEW JERSEY OVERALL (68%). - LOW UNEMPLOYMENT RATE. THE UNEMPLOYMENT RATE IN BERGEN COUNTY WAS SIGNIFICANTLY LOW COMPARED TO THE STATE OF NEW JERSEY OVERALL (3.4% VS. 4.6%). - LOW PERCENTAGE OF INDIVIDUALS AND FAMILIES IN POVERTY. DESPITE THIS, KEY INFORMANT INTERVIEWEES AND FOCUS GROUP PARTICIPANTS REPORTED THAT THERE WERE POCKETS OF POVERTY THROUGHOUT BERGEN COUNTY, EVEN IN TOWNS THAT WERE CONSIDERED AFFLUENT. - IN ENGLEWOOD HEALTH'S PRIMARY SERVICE AREA, THE PERCENTAGE OF FAMILIES AND INDIVIDUALS LIVING BELOW THE POVERTY LEVEL WAS SIGNIFICANTLY HIGH COMPARED TO THE STATE IN FORT LEE (9.2% AND 11.4%, RESPECTIVELY) AND IN PATERSON (27.1% AND 29%, RESPECTIVELY). HOUSING ------- - HOUSING ISSUES - INCLUDING LACK OF HOUSING STOCK AND AFFORDABILITY - WERE IDENTIFIED AS BARRIERS TO HEALTH AND WELL-BEING. MANY KEY INFORMANTS AND FOCUS GROUP/FORUM PARTICIPANTS EXPRESSED CONCERN OVER THE LIMITED OPTIONS FOR AFFORDABLE HOUSING THROUGHOUT BERGEN COUNTY. THIS WAS PARTICULARLY AN ISSUE FOR OLDER ADULTS, WHO OFTEN BEAR THE BURDEN OF HOUSEHOLD COSTS (E.G. TAXES, MAINTENANCE, ADAPTABILITIES) WHILE LIVING ON FIXED INCOMES. - THE PERCENTAGE OF OWNER-OCCUPIED UNITS IN WHICH OWNERSHIP COSTS EXCEED 35% OF TOTAL HOUSEHOLD INCOME, REPRESENTING A MAJOR FINANCIAL BURDEN, WAS SIGNIFICANTLY HIGH IN BERGEN (56.5%) COMPARED TO NEW JERSEY OVERALL (50.7%). - THE PERCENTAGE OF RENTER-OCCUPIED HOUSEHOLDS WHOSE GROSS RENT EXCEEDED 35% OF TOTAL HOUSEHOLD INCOME WAS SIGNIFICANTLY LOW (41.1%) COMPARED TO NEW JERSEY OVERALL (43.6%). - OVER ONE-FIFTH OF HOUSEHOLDS (22%) HAD AT LEAST ONE SEVERE HOUSING PROBLEM (OVERCROWDING, HIGH HOUSING COSTS, LACK OF KITCHEN FACILITIES, OR LACK OF PLUMBING) - THE SAME AS NEW JERSEY OVERALL. FOOD INSECURITY --------------- - THE PERCENTAGE BERGEN COUNTY'S POPULATION WHO LACKED ADEQUATE ACCESS TO FOOD (8%) WAS SLIGHTLY LOWER THAN NEW JERSEY OVERALL (10%). HOWEVER, THIS NUMBER EQUATES TO 70,200 INDIVIDUALS WHO REPORTED THAT THEY DID NOT HAVE ACCESS TO A RELIABLE SOURCE OF FOOD DURING THE PAST YEAR. - NEARLY ONE-FIFTH OF ALL RESPONDENTS TO THE BERGEN COUNTY RANDOM HOUSEHOLD SURVEY REPORTED THAT THEY HAD BEEN SOMEWHAT OR VERY WORRIED ABOUT FOOD RUNNING OUT SOMETIME IN THE PAST YEAR (19%). - PERCENTAGES WERE HIGHEST AMONG LOW-INCOME (46.8%) AND HISPANIC/LATINO (42.2%) RESPONDENTS. NEARLY ONE-FIFTH OF ALL RESPONDENTS TO THE BERGEN COUNTY RANDOM HOUSEHOLD SURVEY REPORTED THAT IT WAS VERY OR SOMEWHAT DIFFICULT TO BUY FRESH PRODUCE OR VEGETABLES (18.5%). - PERCENTAGES WERE HIGHEST AMONG HISPANIC/LATINO (38.4%) AND LOW-INCOME (32.4%) RESPONDENTS. CRIME & VIOLENCE ---------------- - VIOLENT CRIME AND PROPERTY CRIME RATES WERE LOW. - THE VIOLENT CRIME RATE (E.G., MURDER/NON-NEGLIGENT MANSLAUGHTER, FORCIBLE RAPE, ROBBERY, AGGRAVATED ASSAULT) IN BERGEN COUNTY WAS SIGNIFICANTLY LOW COMPARED TO NEW JERSEY OVERALL. - THE PROPERTY CRIME RATES (E.G., BURGLARY, LARCENY/THEFT, MOTOR VEHICLE THEFT, ARSON) IN BERGEN COUNTY (966.9) WAS SIGNIFICANTLY LOW COMPARED TO NEW JERSEY OVERALL (1537.9). - 6% OF BERGEN COUNTY RANDOM HOUSEHOLD SURVEY RESPONDENTS REPORTED THAT THEY HAD EXPERIENCED INTIMATE PARTNER VIOLENCE. - PERCENTAGES WERE HIGHEST AMONG FEMALE (8.7%) AND HISPANIC/LATINO (8.0%) RESPONDENTS."

SCHEDULE H, PART VI; QUESTION 6
"OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISES ENGLEWOOD HEALTHCARE SYSTEM AND ITS AFFILIATES: ENGLEWOOD HEALTHCARE SYSTEM, INC. --------------------------------- ENGLEWOOD HEALTHCARE SYSTEMC, INC. (""ENGLEWOOD HEALTH"") IS THE TAX-EXEMPT PARENT OF ENGLEWOOD HEALTHCARE SYSTEM AND AFFILIATES (""SYSTEM""). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER ENGLEWOOD HEALTH OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY ENGLEWOOD HEALTH. THE ORGANIZATION WAS FOUNDED IN 1986 AND IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). ADDITIONALLY, THE ORGANIZATION IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION'S PURPOSE IS TO COORDINATE AND SUPPORT THE PLANNING AND OTHER ACTIVITIES RELATED TO THE PROMOTION OF HEALTH OF PEOPLE IN THE SYSTEM'S SERVICE AREA OF BERGEN COUNTY. ENGLEWOOD HOSPITAL AND MEDICAL CENTER, INC. ------------------------------------------- ENGLEWOOD HOSPITAL AND MEDICAL CENTER, INC. (""ENGLEWOOD HOSPITAL"") WAS FOUNDED IN 1888 AND IS CURRENTLY A 531-LICENSED BED, MAJOR TEACHING, ACUTE CARE HOSPITAL LOCATED IN ENGLEWOOD, NEW JERSEY. THE ORGANIZATION'S MISSION IS TO PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES, AND AMONG EMPLOYEES, MEDICAL STAFF, AND COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; AND PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. ENGLEWOOD HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION 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, IT OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------ ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. (""ENGLEWOOD HEALTH FOUNDATION"") IS NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1995. THE ORGANIZATION IS 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 AND DEVELOPMENT ACTIVITIES ENGLEWOOD HEALTH FOUNDATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT 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. MEDICAL ASSOCIATES OF ENGLEWOOD, P.C. ------------------------------------- MEDICAL ASSOCIATES OF ENGLEWOOD, P.C. (""ENGLEWOOD HEALTH PHYSICIAN NETWORK"") IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2011. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES TO FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF THE ENGLEWOOD HEALTH AND ITS AFFILIATES. BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF ENGLEWOOD HOSPITAL AND IS AN INTEGRAL PART OF THE SYSTEM. EMERGENCY PHYSICIANS OF ENGLEWOOD, P.C. --------------------------------------- EMERGENCY PHYSICIANS OF ENGLEWOOD, P.C. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2012. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE EMERGENCY ROOM SERVICES AT ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT 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. PHYSICIAN PARTNERS OF ENGLEWOOD, P.C. ------------------------------------- PHYSICIAN PARTNERS OF ENGLEWOOD, P.C. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2012. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES FOR PATIENTS OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT 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. ENGLEWOOD MEDICAL ASSOCIATES, INC. --------------------------------- ENGLEWOOD MEDICAL ASSOCIATES, INC. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1996. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS FORMED TO ACQUIRE PHYSICIAN MEDICAL PRACTICES AND EMPLOY FULL-TIME FACULTY PHYSICIANS IN SUPPORT OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT 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. THE ORGANIZATION IS CURRENTLY INACTIVE. ENGLEWOOD HEALTHCARE PROPERTIES, INC. ------------------------------------- ENGLEWOOD HEALTHCARE PROPERTIES, INC. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1989. THE ORGANIZATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION'S PURPOSE IS TO MANAGE REAL PROPERTY IN SUPPORT OF ENGLEWOOD HOSPITAL'S PRIMARY TAX-EXEMPT PURPOSE OF PROVIDING QUALITY HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY. ENGLEWOOD HEALTH ALLIANCE ACO, LLC ---------------------------------- ENGLEWOOD HEALTH ALLIANCE ACO, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS ENGLEWOOD HOSPITAL. THIS ORGANIZATION IS AN ACCOUNTABLE CARE ORGANIZATION FORMED WITH THE PURPOSE OF PROMOTING THE PROVISION OF BETTER CARE FOR INDIVIDUALS, IMPROVED HEALTH FOR POPULATIONS AND LOWER PER CAPITA GROWTH IN EXPENDITURES OF HORIZON BENEFICIARIES. ENGLEWOOD HEALTH ACO, LLC ------------------------- ENGLEWOOD HEALTH ACO, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS ENGLEWOOD HOSPITAL. THIS ORGANIZATION IS AN ACCOUNTABLE CARE ORGANIZATION FORMED WITH THE PURPOSE TO OPERATE AND PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. -------------------------------------- ENGLEWOOD HEALTHCARE ENTERPRISES, INC. IS A WHOLLY-OWNED SUBSIDIARY OF ENGLEWOOD HEALTHCARE SYSTEM. THE ORGANIZATION WAS FORMED IN 1988 FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES WITHIN THE SYSTEM'S PRIMARY SERVICE AREA. THIS ORGANIZATION PROVIDES CLINICAL AND ADMINISTRATIVE STAFF SUPPORT THE PROFESSIONAL CORPORATIONS WITHIN THE ENGLEWOOD HOSPITAL PHYSICIAN INTEGRATION PROGRAM."

SCHEDULE H, PART VI; QUESTION 7
THIS ORGANIZATION IS LOCATED IN THE STATE OF NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED BY THIS STATE.

SCHEDULE H, PART III, SECTION B; QUESTION 9B
"IT IS THE POLICY OF ENGLEWOOD HOSPITAL TO TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR ALL EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES AND TO BILL AND COLLECT ACCOUNTS RECEIVABLE IN ACCORDANCE WITH ALL FEDERAL AND STATE BILLING AND COLLECTION REGULATIONS. ADDITIONALLY, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6), THE ORGANIZATION'S BILLING AND COLLECTION POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AS FURTHER OUTLINED BELOW. INCLUDED BELOW ARE THE PROCEDURES OUTLINED WITHIN THAT POLICY: 1) THE BILLS FOR ALL INSURED PATIENTS WILL BE SENT DIRECTLY FROM ENGLEWOOD HOSPITAL TO THE PATIENT'S INSURANCE COMPANY. IF THE INSURANCE COMPANY DENIES THE CLAIM FOR REASONS SUCH AS: BENEFITS EXHAUSTED, EXPERIMENTAL, MEDICAL NECESSITY, PRE-EXISTING CONDITION, NON-COVERED CHARGES, ETC. THE PATIENT WILL BE BILLED AT THE UNINSURED RATE OF PERCENTAGE OF GROSS CHARGES AS OUTLINED IN THE FINANCIAL ASSISTANCE POLICY. 2) IF A PATIENT'S INSURANCE PAYS THE CLAIM AND THERE IS A DEDUCTIBLE, CO-PAY, OR CO-INSURANCE AMOUNT DUE FROM THE PATIENT, THE HOSPITAL WILL BILL THE PATIENT THE AMOUNT INDICATED AS PATIENT RESPONSIBILITY BY THE INSURANCE COMPANY. 3) BILLS FOR UNINSURED PATIENTS ARE REDUCED TO A PERCENTAGE OF GROSS CHARGES AS DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY. 4) PATIENTS WILL RECEIVE BILLING STATEMENTS AND COLLECTION LETTERS FROM ENGLEWOOD HOSPITAL ON ALL BALANCES THAT ARE DEEMED PATIENT RESPONSIBILITY. THE BILLING STATEMENTS AND COLLECTION LETTERS INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY. 5) EMPLOYEES FROM THE FINANCIAL COUNSELING DEPARTMENT WILL ATTEMPT TO CONTACT THE PATIENT BY TELEPHONE ON UNPAID BALANCES OF $5,000 OR GREATER THAT ARE DEEMED PATIENT RESPONSIBILITY. THEY WILL EXPLAIN THE AVAILABILITY OF FINANCIAL ASSISTANCE WHEN SPEAKING WITH THE PATIENT. ALL CALLS ARE DOCUMENTED WITHIN THE FINANCIAL SYSTEM 6) IN ADDITION TO FINANCIAL ASSISTANCE, PAYMENT PLANS WILL BE OFFERED TO PATIENTS. PATIENTS CAN MAKE MONTHLY PAYMENTS ON OUTSTANDING BALANCES. PAYMENT PLANS WILL BE APPROVED FOR A PERIOD OF ONE YEAR. PAYMENT PLANS BEYOND ONE YEAR MUST BE APPROVED BY THE FINANCIAL COUNSELING MANAGER. 7) ALL UNPAID BALANCES THAT ARE DUE FROM PATIENTS WILL BE REFERRED TO OUTSIDE COLLECTION AGENCIES AFTER COLLECTION ATTEMPTS BY ENGLEWOOD HOSPITAL HAVE FAILED. THE COLLECTION AGENCIES WILL ATTEMPT TO OBTAIN PAYMENT FROM THE PATIENT. IF FULL PAYMENT IS NOT RECEIVED, THE COLLECTION AGENCIES WILL NOTIFY THE PATIENT BY MAIL THAT THEY MAY PROCEED WITH EXTRAORDINARY COLLECTION ACTIONS (""ECAS"") AS DEFINED IN INTERNAL REVENUE CODE SECTION 501(R) WHICH CAN INCLUDE FILING OF JUDGMENTS THAT INCLUDE WAGE GARNISHMENTS, SEIZING BANK ACCOUNTS, AND PLACING LIENS ON PROPERTY OWNED IN THE STATE OF NEW JERSEY. THE COLLECTION AGENCIES MUST NOTIFY THE PATIENT IN WRITING AT LEAST 30 DAYS BEFORE INITIATING ECAS. THE COLLECTION AGENCIES WILL REFRAIN FROM ENGAGING IN ECAS UNTIL AT LEAST 120 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT SENT BY THE HOSPITAL. 8) ALL REFERRALS TO OUTSIDE COLLECTION AGENCIES ARE APPROVED BY THE FINANCIAL COUNSELING MANAGER. 9) REFER TO THE FINANCIAL ASSISTANCE POLICY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE GUIDELINES. 10) REFER TO NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM/CHARITY CARE POLICY FOR PROCEDURES ON APPLYING FOR ASSISTANCE THROUGH THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM/CHARITY CARE AT ENGLEWOOD HOSPITAL. IN ADDITION, ENGLEWOOD HOSPITAL DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS MADE WIDELY AVAILABLE ON ITS WEBSITE: WWW.ENGLEWOODHEALTH.ORG/FOR-PATIENTS-VISITORS/BILLING-INSURANCE"

SCHEDULE H, PART VI; QUESTION 3
"ENGLEWOOD HOSPITAL INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING THE AVAILABILITY OF FINANCIAL ASSISTANCE. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED IN THE FOLLOWING WAYS: IN AN EFFORT TO ENSURE THE COMMUNITY SERVED BY THE ORGANIZATION IS AWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, INFORMATIVE SIGNS AND POSTERS ARE POSTED IN THE FOLLOWING HOSPITAL LOCATIONS: EMERGENCY ROOM, ADMITTING DEPARTMENT, OUTPATIENT REGISTRATION DEPARTMENT AND THE FINANCIAL COUNSELING DEPARTMENT. THESE SIGNS AND POSTERS ADVISE PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PROVIDE ADDITIONAL INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AND MAY BE OBTAINED ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: WWW.ENGLEWOODHEALTH.ORG/FOR-PATIENTS-VISITORS/BILLING-INSURANCE. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST, FREE OF CHARGE IN THE PATIENT REGISTRATION AREAS AND THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT 350 ENGLE STREET ENGLEWOOD, NJ 07631. PAPER COPIES MAY BE REQUESTED BY CONTACTING (201)894-3031. REPRESENTATIVES ARE AVAILABLE MONDAY THROUGH FRIDAY 9AM TO 5PM. ADDITIONALLY, THE ORGANIZATION HAS AN EMPLOYEE OF THE BERGEN COUNTY BOARD OF SOCIAL SERVICES ON-SITE AT THE HOSPITAL AT LEAST THREE DAYS PER WEEK TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS, IF ELIGIBLE. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R), THESE DOCUMENTS ARE ALSO TRANSLATED AND AVAILABLE IN THE FOLLOWING LIMITED ENGLISH PROFICIENCY (""LEP"") LANGUAGES: SPANISH, KOREAN, CHINESE, RUSSIAN, JAPANESE, ITALIAN, TAGALOG, ARABIC, GUJARATI, GREEK, PORTUGUESE, PORTUGUESE CREOLE, SERBIO-CROATIAN AND ARMENIAN. IT IS IMPORTANT TO NOTE THAT ANY AND ALL PATIENTS NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND WHO HAVE NO OTHER INSURANCE COVERAGE ARE CLASSIFIED AS A ""SELF-PAY"" PATIENT. SUCH PATIENTS' BILLS ARE AUTOMATICALLY DISCOUNTED PER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (WHICH APPROXIMATES 115% OF MEDICARE RATES)."

SCHEDULE H, PART VI; QUESTION 5
ENGLEWOOD HOSPITAL WAS FOUNDED IN 1888. THE HOSPITAL IS A LEADING PROVIDER OF HIGH-QUALITY, COMPREHENSIVE, AND HUMANISTIC CARE SERVING NORTHERN NEW JERSEY AND BEYOND. ENGLEWOOD HOSPITAL IS A PROVIDER OF GENERAL ACUTE HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY AND IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, EHMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF ENGLEWOOD HOSPITAL RESTS WITH ITS BOARD OF TRUSTEES 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. SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, AND ALSO TO MEET FUTURE PROGRAMMATIC NEEDS, WHICH MEETS THE ORGANIZATION'S COMMITMENT TO MEET THE EXPECTATIONS OF ITS PATIENTS BY PROVIDING QUALITY HEALTHCARE AND THEREFORE, MAKES THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY. THE OPERATIONS OF THE HOSPITAL AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ADDITIONALLY, VARIOUS COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIO-ECONOMIC WELL-BEING OF THE COMMUNITIES IT SERVES. THIS IS ACCOMPLISHED THROUGH NUMEROUS ACTIVITIES WHICH ARE NOT A PART OF PART I, FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, POVERTY, UNEMPLOYMENT, ACCESS TO CARE, HEALTH ADVOCACY AND ECONOMIC DEVELOPMENT. THE ORGANIZATION PROVIDES NUMEROUS EDUCATIONAL PROGRAMS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: - ACCELERATED CHILDBIRTH CLASSES; - BREASTFEEDING CLASSES; - CHILDBIRTH REFRESHER CLASSES; - HEALTH FAIRS AT VARIOUS COMMUNITY EVENTS; AND - SIBLING PREPARATION CLASSES. ENGLEWOOD HOSPITAL ALSO PROVIDES NUMEROUS HEALTH SCREENINGS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: - BLOOD DRIVES; - HOSPITAL SCREENINGS; - SKIN CANCER SCREENINGS; - PROSTATE CANCER SCREENINGS; AND - VEIN SCREENING. IN ADDITION, THE ORGANIZATION PROVIDES VARIOUS PROGRAMS THAT PROMOTE GOOD HEALTH THESE INCLUDE, BUT ARE NOT LIMITED TO: - FLU/COVER YOUR MOUTH EDUCATIONAL HANDOUTS AND POSTERS; - HAND HYGIENE PUBLIC SERVICE ANNOUNCEMENTS AND POSTERS; - PILATES (WHICH PROMOTES IMPROVED HEALTH); - POSTNATAL YOGA; - PRENATAL YOGA; AND - WEIGHT WATCHERS AT WORK (FOR EMPLOYEES). ENGLEWOOD HOSPITAL REACHES OUT TO NOTIFY THE COMMUNITY ABOUT ITS VARIOUS PROGRAMS AND SERVICES VIA A COMMUNITY NEWSLETTER PUBLISHED QUARTERLY. ADDITIONALLY, THE ORGANIZATION ADVERTISES IN COMMUNITY AND REGIONAL NEWSPAPERS. FOR ADDITIONAL INFORMATION, PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.