4A (Expenses $ 740721051 including grants of $ 1042334) (Revenue $ 911778194)
EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT, EMERGENCY AND VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES. PLEASE REFER TO THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O.

SCHEDULE H, PT V, SECT B, Q'S 2,3j,13h,15e,18e,19e,20e,21c,21d,23&24
Not Applicable.

SCHEDULE H, PART V, SECTION B, QUESTION 5
"As a founding member of the Greater Mercer Public Health Partnership (""GMPHP""), Capital Health, along with other core members including, St. Lawrence Rehabilitation Center, Robert Wood Johnson University Hospital at Hamilton and St. Francis Medical Center employed 35th Street Consulting LLC to begin assessing the community health needs for 2021. 35th Street Consulting LLC directed both quantitative and qualitative research methods to determine health needs and disparities across Mercer County. Other research methods were used to identify and analyze statistical socioeconomic and health indicators. The obtained data were compared across Mercer County Zip codes and neighborhoods while subsequently compared against the county as a whole, the state of NJ, and nationally set benchmarks. Input from public health experts and community stakeholders was also obtained. The 2021 CHNA analysis included: an analysis of existing secondary data sources, such as public health stats, demographics, social measures, and healthcare utilization. A key informant survey with nearly 200 health and human service providers and representatives from educational institutions, civic and social associations, faith communities, employers and businesses, elected officials, and other community-based organizations. A convenience survey of over 1,000 individuals who received a COVID-19 vaccine through one of the four GMPHP hospitals or 11 health departments during 2021. More than 70 individual and small group discussions with key stakeholders representing the diverse, underserved, minority, and historically disenfranchised populations. Strategic planning to determine priority health needs. Development of a collective Community Health Improvement Plan (CHIP)."

SCHEDULE H, PART V, SECTION B, QUESTION 6A & 6B
The Greater Mercer Public Health Partnership (GMPHP) is a collaboration of fifteen core organizations that consist of hospitals and dept of health representatives, with a combined mission of improving the health of greater Mercer County residents. GMPHP also includes a Community Advisory Board with 60 non-profits, businesses, schools, and governmental organizations that have the same mission in mind. GMPHP was formed to create new strategies that combined the collective expertise of the group members to implement a meaningful and measurable Health Improvement Plan for Mercer County, NJ. The participating hospitals in this partnership are Capital Health, Robert Wood Johnson University Hospital - Hamilton, Saint Francis Medical Center, and Saint Lawrence Rehabilitation Center. Participating health departments are as they follow: East Windsor Health Department, Ewing Township Health Department, Township of Hamilton Division of Health, Lawrence Township Health Department, Mercer County Department of Human Services, Montgomery Health Department (serving Hopewell and Pennington Boroughs), Princeton Health Department, Robbinsville Health Department, Township of Hopewell Department of Health, Trenton Health Department, West Windsor Health Department. Approval and adoption of both CHNA and CHIP were presented and approved by Capital Health's board on November of 2021.

SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7D
DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE ORGANIZATION. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE ORGANIZATION'S WEBSITE: https://www.capitalhealth.org/sites/default/files/202111/GMPHP%202021%20CH A%20Final%20Report%202021-11-01.pdf Results of the chna were presented in a number of public forums are published on the trenton health team website: https://trentonhealthteam.org/projects/community-health-improvement-plan/ The gmphp chna is available on capital health's website, with a link on the homepage.

SCHEDULE H, PART V, SECTION B, QUESTION 10
DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE ORGANIZATION. THE implementation strategy CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE ORGANIZATION'S WEBSITE: https://www.capitalhealth.org/sites/default/files/2020-03/GMPHP-CHIP%20Las t%20Updated%202.29.20.pdf

SCHEDULE H, PART V, SECTION B, QUESTION 11
"As a result of its most recent CHNA conducted in 2021, the organization, in 2022, adopted a written implementation plan entitled ""greater mercer public health partnership community health improvement plan 2022-2025."" the information below relates to the organization's implementation plan that was adopted for its CHNA conducted in 2021. The following health challenges identified in the chna are not being addressed by capital health due to the fact that they fall beyond the scope of capital health's services: - mental health and substance abuse - safe transportation/safe recreational spaces The chna was a comprehensive document that detailed numerous issues. Working with gmphp partners, capital health prioritized actions into a series of wellness and health screening activities which addressed the most critical areas of concern. Most recently, capital health created a website to centralize all information regarding all health and wellness activities occurring in mercer county. This was in direct response to an identified priority need as expressed through capital health outreach interviews. Due to the acute and significant community needs as a result of the covid-19 pandemic, several elements of the community health improvement plan were re-prioritized and/or put on hold in order to instead direct additional resources towards meeting the community's covid-19 needs. Regarding chronic disease, capital Health in collaboration with the Trenton Health formed the Capital City Diabetes Collaborative to address the social, environmental and clinical determinants of health related to diabetes which is so prevalent in our community. In additional Capital Health initiated a hospital violence intervention program to provide comprehensive wrap around services to victims of violence in our community. The goal of the program is to prevent reinjury, retaliation and the impact of post-traumatic stress disorder."

SCHEDULE H, PART V, SECTION B, QUESTION 13
"The organization utilizes new jersey state charity care guidelines in determining eligibility for providing free or discounted care. Charges for self-pay patients are reduced to 115% of the medicare rate. Patients whose income and assets criteria are at or below twice the current threshold for eligibility for new jersey charity care will be provided with a 100% discount off of the organization's usual and customary charges. The income based criteria used to determine eligibility is per new jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the latest published poverty guidelines (department of health and senior services). Federal poverty guidelines (""fpg"") are included in the criteria for determining eligibility for charity and discounted care."

SCHEDULE H, PART V, SECTION B, QUESTION 16
DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16B AND 16C, IS THE HOME PAGE FOR THE ORGANIZATION. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE ORGANIZATION'S WEBSITE: https://www.capitalhealth.org/patients-visitors/bills-and-insurance/financ ial-assistance

SCHEDULE H, PART V, SECTION B, QUESTION 16J
Billing statements provided to patients indicate that the organization's financial assistance policy is available upon request.

SCHEDULE H, PART I, LINE 3C
"The organization utilizes new jersey state charity care guidelines in determining eligibility for providing free or discounted care. Charges for self-pay patients are reduced to 115% of the Medicare rate. Patients whose income and assets criteria are at or below twice the current threshold for eligibility for new jersey charity care will be provided with a 100% discount off of the organization's usual and customary charges. The income based criteria used to determine eligibility is per new jersey administrative code 10:52 sub chapters 11, 12 and 13, and based upon the latest published poverty guidelines (department of health and senior services). FEDERAL POVERTY GUIDELINES (""FPG"") are included in the criteria for determining eligibility for charity and discounted care."

SCHEDULE H, PART I, LINES 6A & 6B
Not applicable.

SCHEDULE H, PART I; QUESTION 7G
No costs relating to subsidized healthcare services are attributable to any physician clinics.

SCHEDULE H, PART I, QUESTION 7
Worksheet 2 was used for the cost to charge ratio.

SCHEDULE H, PART III, SECTION A; QUESTION 1
"Healthcare financial management association statement no. 15 (""statement 15"") provides guidelines for distinguishing charity care from bad debt expense. Statement 15 requires that charity care is not recognized as receivable or revenue in the financial statements. Statement 15 further explains that self-pay patients that do have a reasonable likelihood of payment should be reported as charity care and not bad debt expense. The hospital generally follows the guidelines outlined in statement 15. In addition, the hospital follows the state of new jersey guidelines in determining charity care eligibility. In certain instances, it is unlikely that uninsured patients will pay for the services rendered, but they do not qualify for the state's charity care program because of lack of patient cooperation or other reasons. The hospital pursues collection of these amounts and unpaid balances are reported as bad debt expense. Under statement 15, these amounts would be recorded as charity care rather than bad debt expense and this is the rationale for our response: ""no""."

SCHEDULE H, PART III, SECTION A; QUESTIONS 2,3 & 4
"BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS INTERNAL FINANCIAL STATEMENTS. Capital Health System, Inc. And its affiliates, including its hospitals and subsidiaries, prepare and issue audited consolidated financial statements. the attached text was obtained from the footnotes to the audited financial statements of capital health system. Charity care Capital Health provides care to patients who meet certain criteria defined by the New Jersey Department of Health (""DOH"") without charge or at amounts less than established rates. Because capital health does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. Capital health's records identify and monitor the level of charity care it provides and include the amount of charges forgone for services and supplies furnished. DOH allows retroactive application for charity care up to two years from the date of service. The cost of charity care is derived from both estimated and actual data. The estimated cost of charity care includes the direct and indirect cost of providing such services and is estimated utilizing capital health's ratio of cost to gross charges, which is then multiplied by the gross uncompensated charges associated with providing care to charity patients. Charity care provided, at cost, during 2021 AND 2020 TOTALED APPROXIMATELY $44,626,000 AND $43,306,000, respectively. Capital Health receives payments from the New Jersey health care subsidy funds for charity care and such amounts totaled approximately $18,867,000 AND $16,532,000 for the years ended December 31, 2021 and 2020, respectively."

SCHEDULE H, PART III, SECTION B; QUESTION 8
"Medicare costs were derived from the 2021 medicare cost report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. The organization believes that medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code (""irc"") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term ""charitable"" a regulation promulgated by the department of the treasury provides some guidance and states that ""the term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term ""charitable"" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the ""charity care standard."" under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which ""removed"" from revenue ruling 56-185 ""the requirements relating to caring for patients without charge or at rates below cost."" under the standard developed in revenue ruling 69-545, which is known as the ""community benefit standard,"" hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the ""generally accepted legal sense"" of the term ""charitable,"" as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was ""promoting the health of a class of persons that is broad enough to benefit the community"" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The american hospital association (""aha"") believes that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving medicare patients is an essential part of the community benefit standard. - medicare, like medicaid, does not pay the full cost of care. Recently, medicare reimburses hospitals only 92 cents for every dollar they spend to take care of medicare patients. The medicare payment advisory commission (""medpac"") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many medicare beneficiaries, like their medicaid counterparts, are poor. More than 46 percent of medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those medicare beneficiaries are also eligible for medicaid -- so called eligibles."" There is every compelling public policy reason to treat medicare and medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office (""cbo"") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that ""the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line."" - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings ""support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits"" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospital"

SCHEDULE H, PART VI; QUESTION 2
In addition to the internal revenue code 501(r) community health needs assessment information outlined in form 990, schedule h, part v, section b, capital health routinely monitors demand for the services it provides while simultaneously utilizing a variety of information sources to determine unmet or underserved needs of the communities it serves. Capital health meets at least monthly with the other healthcare providers in its service area as well as a community health department director to discuss unmet needs and collaboratively strategize the prioritization of needs and develop programs to address them in a coordinated way. Capital health also routinely review available data regarding incidents of health issues and propose programs to address these issues and ultimately implement those which will have the greatest impact. Additionally, we regularly interact with community leaders and receive feedback on their satisfaction with our services. We believe this comprehensive approach of monitoring and analyzing both objective data and subjective feedback gives us a current understanding of how we are addressing community needs and what we need to do to optimize our impact upon the healthcare status of our region.

SCHEDULE H, PART VI; QUESTION 7
Not applicable. The entity and related provider organizations are located in new jersey. The state of new jersey does not require hospitals to annually file a community benefit report with the state of new jersey.

SCHEDULE H, PART III, SECTION B; QUESTION 9B
"In accordance with Capital Health System's billing and collection practices: All accounts who are contractually left with a financial liability by their insurer or who fail to have third party liability coverage are considered self-pay patients. These patients will be offered information on financial assistance at time of registration. Self-pay patients receive a series of four data mailers and one urgent notice over a period of 135 days from the date of the first billing statement for care. Aside from the data mailers and urgent notice, the patient accounts department makes telephone calls on accounts with a balance greater than $750.00 to try to resolve the outstanding balance. When unforeseen circumstances arise, reasonable attempts will be made to make telephone calls, but cannot be guaranteed. Examples include: power interruption, National pandemic, etc. If a self-pay liability is not resolved within 135 days, the account is then written off as a bad debt and transferred to one of two outside primary collection agencies dependent on the patient's last name (alpha split). The primary collection agency has 270 days to work the account. At the end of 270 days, if there is still an outstanding balance, the account is taken back in an automated fashion and then reassigned to a secondary collection agency. Only one secondary collection agency is utilized. An individual has two years (730 days) from date of service to apply for financial assistance. The secondary collection agency is the only agency authorized to pursue legal recourse on an account placed into bad debt. Aside from any accounts that are being pursued legally by the secondary collection agency, the secondary collection agency also has 270 days to work the account. At the end of the 270-day period with the secondary collection agency the account is then taken back in an automated fashion by the patient accounting system and assigned an agency code of ""TB"" (Take back). An account with agency code TB is assured to have been in the self-pay collection cycle for 135 days, with a primary collection agency for 270 days and with a secondary collection agency for another 270 days. All accounts are treated the same regardless of payer. When a patient expresses an inability or difficulty in meeting the financial obligation to Capital Health associated with his or her care, Capital Health works with the patient to determine whether financial assistance is available to satisfy the patient's obligation. Financial assistance may include: - Establishment of a reasonable payment plan, not to exceed remaining days left in billing cycle prior to referral to primary collection agency; - Identification of financial assistance available through programs such as Medicaid, Charity Care or other third party charitable organization; - A partial discount on, or complete waiver of, charges associated with the patient's care in accordance with the terms and conditions of this policy. Capital Health requires its collection agencies to adhere to this policy. To facilitate compliance with this policy, Capital Health includes in all arrangements with collection agencies: - Requirements that the collection agency refrain from any activity that violates the Fair Debt Collections Practices Act (15 U.S.C. Section 1692 et. seq.). - An acknowledgment on the part of the collection agency of Capital Health's nonprofit status and mission and an agreement on the part of the agency to refrain from collection practices that are contrary to that status or in violation of this policy. Capital Health only takes legal action in an effort to obtain satisfaction of a patient's financial obligation where there is reasonable cause to believe that the patient or responsible party has income and/or assets sufficient to satisfy the obligation without undue hardship. Capital Health does not seek the sale or foreclosure of a patient's primary residence to satisfy a patient's financial obligation."

SCHEDULE H, PART VI; QUESTION 5
This organization operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. The organization provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. The organization operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. The organization maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of the organization rests with its board of DIRECTORs; which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. Please refer to schedule o for the organization's community benefit statement for additional information on how the organization promotes community health.

SCHEDULE H, PART VI; QUESTION 3
Capital health system, inc. Educates patients about eligibility for assistance with their bills in numerous ways. Insurance information is obtained at all registration points at each visit. If a patient is found not to have insurance, or is underinsured the following procedure is followed; 1. When a patient is found to be uninsured and in need of financial assistance, a new jersey care payment fact sheet is reviewed with the patient, and a written copy is provided to the patient by the health access staff. The fact sheet explains who is eligible, how to apply with the phone number of each campus charity care office, and what documents are needed to determine eligibility. financial fact sheet is given to all patients regardless of their insurance status. 2. When a patient is admitted to the hospital, a financial counselor will visit the patient's bedside to start the charity care process. If a patient is financially screened and found to be eligible for medicaid, the financial counselor will begin the medicaid process. Upon completion, the medicaid application is submitted electronically for approval. The hospital also utilizes the medicaid outstation worker as needed for additional assistance. 3. When a patient is found to be underinsured, (example is a patient who has medicare only) a referral is made to the financial counselor, the patient is screened and if found eligible, a paper application is completed, along with supporting documentation is obtained. Applications are subject to audit review and claims are submitted electronically upon completion and approval of the application. 4. The patient is monitored for compliance in completing the application including visiting the patient's home if necessary to obtain necessary documentation to complete the application. 5. Once the patient has been approved, the charity care determination information is documented in the patient's registration record. Patient access monitors and instructs the patient when their charity care application is due for renewal. Aside from informing patients during their registration process, all of capital health's dunning statements contain the following language: Capital health system, inc. is committed to providing care to all patients, regardless of their insurance status or ability to pay. Under capital health's financial assistance and charity care programs, the patient may be eligible to receive financial help that covers part or all of the patient's hospital bill. If the patient does not qualify for either of these programs, capital health can offer prompt payment discounts and discounts for patients who have bills that are a significant financial burden to them. Financial assistance information, including the Financial assistance policy, application and plain language summary, can be found on the Capital Health's website at https://www.capitalhealth.org/patients-visitors/bills-and-insurance/ finanCial-assistance. Capital health system, inc. also provides, in english and spanish, a phone number for those patients who cannot afford to pay their bill and would like to apply for financial assistance. Capital health system, inc. has a recorded message that is played while a customer is on hold. It reiterates that capital health system inc. believes that everyone deserves quality care, regardless of their ability to pay. Under its financial assistance and charity care programs, eligibility to receive financial support to fully or partially cover hospital costs is offered. It also states that for patients who do not qualify for either of these programs, capital health can offer prompt pay and other discounts for patients who have bills that are a significant financial burden to them.

SCHEDULE H, PART VI; QUESTION 4
Capital health defines its community as the city of Trenton, Mercer County, and parts of Somerset, Ocean, Monmouth, Middlesex, Hunterdon, and Burlington counties in New Jersey and Bucks County in Pennsylvania. While it was once a center for industry in the late 1800s and early 1900s, Trenton has seen dramatic economic development challenges over the years. According to the 2021 U.S. census data, its median household income was $37,002, by far the lowest in Mercer County. Based on a population of 90,457, Trenton also has the highest number and percentage of minorities in Mercer County with an African-American population of 48.7%, Hispanics or Latinos of any race constituted 37.2%, while non-Hispanic Caucasians were numbered at 13.5%. There are approximately 2,357,072 residents within the defined primary and secondary service area. According to U.S. 2021 census data, the population size of Mercer County is 385,898. The racial makeup of Mercer County, which includes Trenton, the state capital, is 62.3% white alone, 21.6% black, 19.4% Hispanic or Latino, and 12.6% Asian. 89.6% of the County's residents who are 25 years or older graduated high school and 43.5% have a bachelor's degree. The median household income in the County was $83,306 according to the July 1, 2021, U.S. census data estimates. According to U.S. 2021 census data, the population size of Somerset County is 345,647. The racial makeup of Somerset County is 66.4% white alone, 20.1% Asian, 15.8% Hispanic or Latino, and 10.8% black. 94.2% of Somerset County residents who are 25 years or older graduated high school and 55.6% have a bachelor's degree. The median household income in Somerset County was $116,510 according to the July 1, 2021, U.S. census data estimates. According to U.S. 2021 census data, the population size of Ocean County is 644,998. The racial makeup of Ocean County is 92.3% white alone, 9.8% Hispanic or Latino, 3.8% black, and 2.0% Asian. 92.4%. Ocean County residents who are 25 years or older graduated high school and 31.4% have a bachelor's degree. The median household income in Ocean County was $72,679 according to the July 1, 2021, U.S. census data estimates. According to U.S. 2021 census data, the population size of Monmouth County is 645,354. The racial makeup of Monmouth County is 84.7% white alone, 11.4% Hispanic or Latino, 7.3% black, and 5.7% Asian. 93.7% of Monmouth County residents who are 25 years or older graduated high school and 47.3% have a bachelor's degree. The median household income in Monmouth County was $103,523 according to the July 1, 2021, U.S. census data estimates. According to U.S. 2021 census data, the population size of Middlesex County is 860,807. The racial makeup of Middlesex County is 58.6% white alone, 25.7% Asian, 22.7% Hispanic or Latino, and 12.5% black. 89.9% of Middlesex County residents who are 25 years or older graduated high school and 44.4% have a bachelor's degree. The median household income in Middlesex County was $91,731 according to the July 1, 2021, U.S. census data estimates. According to U.S. 2021 census data, the population size of Hunterdon County is 129,924. The racial makeup of Hunterdon County is 89.9% white alone, 7.8% Hispanic or Latino, 4.8% Asian, and 3.3% black. 95.5% of Hunterdon County residents who are 25 years or older graduated high school and 54.0% have a bachelor's degree. The median household income in Hunterdon County was $117,851 according to the July 1, 2021, U.S. census data estimates. According to U.S. 2021 census data, the population size of Burlington County is 464,269. The racial makeup of Burlington County is 71.9% white alone, 18.7% black, 9.8 Hispanic or Latino, and 5.8% Asian. 93.7% of Burlington County residents who are 25 years or older graduated high school and 38.5% have a bachelor's degree. The Median household income in Burlington County was $90,329 according to the April 1, 2020 U.S. census data estimates. According to U.S. 2021 census data, the population size of Bucks County is 646,098. The racial makeup of Bucks County, Pennsylvania is 87.4% white alone, 6.1% Hispanic or Latino, 5.5% Asian, and 4.7% black. Of those, 94.3% of bucks County residents who are 25 years or older graduated high school and 42.2% have a bachelor's degree. The Median household income in Bucks County was $93,181 according to the April 1, 2020 U.S. census data.

SCHEDULE H, PART VI; QUESTION 6
"This organization is an affiliate of capital health system and affiliates. All affiliates are committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services. The capital health system strives to exceed the patients' expectations emphasizing commitment, competence, collaboration, communication, and compassion. Outlined below is a summary of the entities which comprise the capital health system and affiliates. Not for profit capital health system and affiliates entities Capital healthcare, inc. Capital healthcare, inc. (""chi"") is the tax-exempt parent of the capital health system, inc. (""system""). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either chi or another system affiliate controlled by chi. The system is an integrated network of healthcare providers throughout the state of new jersey. Capital healthcare, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3). Capital healthcare, inc. Strives to continually develop and operate a multi-hospital healthcare system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare services to the residents of new jersey and surrounding communities. Capital healthcare, inc. Ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origins or ability to pay. No individuals are denied necessary medical care, treatment or services. Capital healthcare, inc.'s active hospitals are capital health medical center - hopewell and capital health regional medical center. The hospitals operate consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Provide medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Operate an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. Maintain an open medical staff, with privileges available to all qualified physicians; and 4. Control rests with its board of directors and the board of directors of capital healthcare, inc. Both boards are comprised of independent civic leaders and other prominent members of the community. 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. Capital health system, inc. Capital health system, inc. (""chs"") consists of two operating divisions: capital health regional medical center (""regional"") and capital health medical center - hopewell (""hopewell""). Regional is a separately licensed acute care hospital with 237 licensed beds, located in trenton, new jersey. Hopewell consists of a separately licensed acute care hospital with 221 licensed beds, located in hopewell township, new jersey and an ambulatory care facility located in hamilton, new jersey. Hopewell also began operations of a satellite emergency department, Capital Health at Deborah-Emergency Services, located in Browns Mills, New Jersey. Pursuant to its charitable purposes, chs provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, chs operates consistently with the criteria outlined in irs revenue ruling 69-545. Capital health system foundation, inc. Capital health system foundation, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of capital health system, inc.; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Population health management services, l.l.c. Population health management services, l.l.c. is a single member limited liability company of capital health system, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Capital Health Medical Group, L.L.C Capital health medical group, l.l.c. is a single member limited liability company of capital health system, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Capital Health accountable care organization, L.L.C Capital Health accountable care organization, l.l.c. is a single member limited liability company of capital health system, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Leading Integrated Network of Clinicians, L.L.C Leading Integrated Network of Clinicians, l.l.c. is a single member limited liability company of capital healthcare, inc. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of capital healthcare system, inc. Other capital health system and affiliates entities Bellevue avenue management, inc. A for-profit entity whose sole shareholder is mercer holding corporation. The organization is located in trenton, mercer county, new jersey. The organization provides managerial administration and support. Capital health system condominium association, inc. A for-profit entity whose sole shareholder is capital health system, inc. The organization is located in trenton, mercer county, new jersey. This entity is a homeowners association. Capital region insurance company A controlled foreign corporation of capital health system, inc. The organization was formed and operates solely in the cayman islands, with no U.S. activities or presence. Mercer holding corporation A for-profit entity whose sole shareholder is capital health system, inc. This entity is the sole owner of all the outstanding common stock of bellevue avenue management, inc. And is involved in various ancillary healthcare related activities."