4A (Expenses $ 795305069 including grants of $ 3724698) (Revenue $ 849941308)
SEE SCHEDULE O

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 2: SJUMC DBA ST. JOSEPH'S WAYNE MED. CTR, - FACILITY 1: ST. JOSEPH'S UNIVERSITY MEDICAL CTR

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:
"TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY ST. JOSEPH'S HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 72 COMMUNITY STAKEHOLDERS IN SOUTHERN PASSAIC COUNTY TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW:PHYSICIANS 10 PUBLIC HEALTH REPRESENTATIVES 2 OTHER HEALTH PROVIDERS 20 SOCIAL SERVICES PROVIDERS 10 OTHER COMMUNITY LEADERS 30 FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATIONS OUTLINED BELOW.- ST. JOSEPH'S HEALTH- CLIFTON HEALTH DEPARTMENT- 4CS OF PASSAIC COUNTY- BANGLADESHI AMERICAN WOMEN'S- DEVELOPMENT INITIATIVE- CAREFINDERSTOTAL CARE- CHABAD CENTER OF PASSAIC COUNTY- CITY OF PATERSON- CLIFTON MEDICAL CARE- CLIFTON PUBLIC SCHOOLS- COALITION ON AIDS IN PASSAIC COUNTY,- COLLABORATIVE SUPPORT PROGRAMS OF NEW JERSEY- ELMWOOD PARK SENIOR ACTIVITY CENTER OF BERGEN CO.- FACES OF FALLEN FATHERS- FAMILY INTERVENTION SERVICES- FAMILY PROMISE OF BERGEN COUNTY- HAMILTON PARTNERSHIP FOR PATERSON- HEART AND VASCULAR MEDICAL GROUP- HOME CARE OPTIONS- HVA MEDICAL GROUP- INTERNAL MEDICINE AND GERIATRIC PRACTICE- LIGHTHOUSE PREGNANCY RESOURCE CENTER- M&S PSYCHOTHERAPY AND COUNSELING- MORE THAN FRIENDS CARES INC.- NEW CITY KIDS: PATERSON- NORWESCAP, INC.- PALESTINIAN AMERICAN COMMUNITY CENTER- PASSAIC PUBLIC SCHOOLS- PATERSON ALLIANCE- PATERSON COMMUNITY CLINIC- PATERSON DIVISION OF HEALTH- PATERSON EDUCATION FUND- RENEW LIFE CENTER- ST. JOSEPH'S FAMILY MEDICINE/CLIFTON- ST. JOSEPH'S UNIVERSITY MEDICAL CENTER- ST. PAUL'S CHURCH- STRAIGHT AND NARROW- TOWNSHIP OF WAYNE- UNITED METHODIST CHURCH IN WAYNE COUNTY- UNITED METHODIST CHURCH- WANAQUE BOROUGH HEALTH DEPARTMENT- WAYNE COUNSELING AND FAMILY SERVICES- WILLIAM PATERSON UNIVERSITYPOPULATION AND SURVEY CHARACTERISTICS:47.9% WERE MEN; 52.1% WERE WOMEN; 41% WERE BETWEEN THE AGES OF 18 AND 39; 42.4% WERE BETWEEN THE AGES OF 40 AND 64; 16.6% WERE 65 YEARS OR OLDER; 43.5% WERE WHITE (NON-HISPANIC); 37.8% WERE HISPANIC; 10.7% WERE BLACK (NON-HISPANIC); 8% WERE OTHER (NON-HISPANIC).ON OCTOBER 15, 2019, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FINALLY, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. DIABETES 2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3. HEART DISEASE & STROKE 4. SUBSTANCE ABUSE 5. ACCESS TO HEALTHCARE 6. MENTAL HEALTH 7. TOBACCO USE 8. SEXUAL HEALTH 9. CANCER 10. HOUSING 11. INJURY & VIOLENCE 12. RESPIRATORY DISEASES 13. SEPTICEMIA COMMUNITY STAKEHOLDERS WERE ASKED TO RATE THE DEGREE TO WHICH EACH OF 20 HEALTH ISSUES IS A PROBLEM IN THEIR OWN COMMUNITY, USING A SCALE OF ""MAJOR PROBLEM,"" ""MODERATE PROBLEM,"" ""MINOR PROBLEM, OR ""NO PROBLEM AT ALL."" FINDINGS ALSO ARE OUTLINED THROUGHOUT THE 2019 CHNIA REPORT, ALONG WITH THE QUALITATIVE INPUT DESCRIBING REASONS FOR THEIR CONCERNS. (NOTE THAT THESE RATINGS ALONE DO NOT ESTABLISH PRIORITIES FOR THIS ASSESSMENT; RATHER, THEY ARE ONE OF SEVERAL DATA INPUTS CONSIDERED FOR THE PRIORITIZATION PROCESS DESCRIBED EARLIER.ST. JOSEPH'S UNIVERSITY MEDICAL CENTER WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS."

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:
ST. JOSEPH'S WAYNE MEDICAL CENTER

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:
"THE FOLLOWING ""AREAS OF OPPORTUNITY"" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES:THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS:- DIABETES- NUTRITION PHYSICAL ACTIVITY AND WEIGHT- HEART DISEASE AND STROKE- SUBSTANCE ABUSE- ACCESS TO HEALTHCARE- MENTAL HEALTH- TOBACCO USE- SEXUAL HEALTH- RESPIRATORY DISEASES- SEPTICEMIAST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS. FINALLY, WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA:SCOPE & SEVERITY THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING:- HOW MANY PEOPLE ARE AFFECTED?- HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2020 TARGETS?- TO WHAT DEGREE DOES EACH HEALTH ISSUE LEAD TO DEATH OR DISABILITY, IMPAIR QUALITY OF LIFE, OR IMPACT OTHER HEALTH ISSUES?RATINGS WERE ENTERED ON A SCALE OF 1 (NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES) TO 10 (EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES).ABILITY TO IMPACT A SECOND RATING WAS DESIGNED TO MEASURE THE PERCIEVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. RATINGS WERE ENTERED ON A SCALE OF 1 (NO ABILITY TO IMPACT) TO 10 (GREAT ABILITY TO IMPACT).INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS:1. DIABETES2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT3. HEART DISEASE & STROKEST. JOSEPH'S HEALTH USED THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY.GOAL 1: IMPROVE THE WELLBEING OF COMMUNITY RESIDENTS THROUGH INCREASED KNOWLEDGE ABOUT AND ACCESS TO HEALTHY FOODS AND PARTICIPATION IN PHYSICAL ACTIVITY PROGRAMS.A. PARTNER WITH THE PASSAIC COUNTY HEALTH COALITION AND AREA ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY RELATED TO NUTRITION, PHYSICAL AND HEALTHY WEIGHT ACTIVITIESB. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO NUTRITION, PHYSICAL ACTIVITY AND HEALTHY WEIGHT INITIATIVESC. CONTINUE TO OFFER NUTRITIONAL AND WELLNESS EDUCATION TO MONTHLY SUPPORT GROUPS ACROSS SERVICE LINES, SUCH AS HEART HEALTH, STROKE AND DIABETES SUPPORT GROUPSD. INCREASE DIETICIAN COVERAGE TO FIVE DAYS A WEEK WITH THE EMPLOYMENT OF ADDITIONAL DIETICIANSGOAL 2: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT ACROSS THE CONTINUUM FOR HEART DISEASE AND STROKEHEART DISEASEA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO HEART DISEASE PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. INCREASE AWARENESS OF LIFE-SAVING PROGRAMS IN THE COMMUNITY THROUGH HANDS ON ONLY CPR AND AED TRAININGSC. BECOME AN AMERICAN COLLEGE OF CARDIOLOGY PAIN ACCREDITATION CENTERD. EXPAND CARDIAC REHAB TO BOTH HOSPITAL CAMPUSESE. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS TO OFFER HEART HEALTH INITIATIVES TARGETING WOMEN STROKEA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO STROKE PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. ACHIEVE NJ DEPARTMENT OF HEALTH PRIMARY STROKE DESIGNATION FOR THE WAYNE CAMPUS/COMMUNITY C. FOCUS ON POST-STROKE CARE THROUGH THE ADDITION OF A NURSE NAVIGATOR AND THE OFFERING OF A WEEKLY STROKE CLINIC TO ASSIST POST-STROKE PATIENTS IN LOWERING THEIR READMISSION RATESD. EDUCATE THE MEDICAL COMMUNITY ON STROKE AWARENESS THROUGH OUTREACH TO NURSING HOMES AND PRIMARY CARE PHYSICIAN OFFICES IN ORDER TO DECREASE THE TIME FROM THE ONSET OF A STROKE TO MEDICAL TREATMENTGOAL 3: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT ACROSS THE CONTINUUM FOR DIABETESA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO DIABETES PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN DIABETES ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. EXPAND DIABETES EDUCATION PROGRAM ON THE WAYNE CAMPUS AND EXPAND SERVICES TO THE PATERSON COMMUNITYC. SHARE EXPERIENCES AND LEARNINGS FROM SJHS INTERNAL DIABETES AWARENESS AND PREVENTION PROGRAM WITH COMMUNITY PARTNERSGOAL 4: PROMOTE BEHAVIORAL HEALTHA. CONTINUE TO OFFER BEHAVIORAL HEALTH EDUCATION AND SCREENINGS IN THE COMMUNITYB. INTEGRATE BEHAVIORAL HEALTH INTO THE PRIMARY CARE SETTINGC. INCREASE POPULATION SPECIFIC PROGRAMS AND SERVICESD. COLLABORATE WITH OTHER PROVIDERS IN CROSS-CONTINUUM INITIATIVES"

PART V, SECTION B, LINE 7A & 10A:
PLEASE FIND THE CHNA AND IMPLEMENTATION STRATEGY HERE: HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/PDF/2019%20SJUMC%20CHNA%20SUMMARY%20REPORT.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/PDF/2019%20SJWMC%20CHNA%20SUMMARY%20REPORT.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/IMPLEMENTATION%20STRATEGY%201.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/IMPLEMENTATION%20STRATEGY%201.PDF

PART V, SECTION B, LINE 16A, 16B & 16C:
PLEASE FIND THE WEB ADDRESS FOR THE FINANCIAL ASSISTANCE POLICY (FAP) HERE:HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/SJH_FINANCIAL_ASSISTANCE_POLICY.PDFPLEASE FIND THE WEB ADDRESS FOR THE FINANCIAL ASSISTANCE APPLICATION HERE:HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/APPLICATION_FOR_PARTICPATION_CARE_ASSISTANCE.PDFPLEASE FIND THE WEB ADDRESS FOR THE PLAIN LANGUAGE SUMMARY HERE:HTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/SJH_FA_PLAINLANGUAGE.PDF

PART I, LINE 3C:
ST. JOSEPH'S HEALTH, INC. USES THE FOLLOWING SLIDING SCALE TO DETERMINE FREE AND DISCOUNTED CARE BASED ON INCOME:-LESS THAN OR EQUAL TO 200% FPL 100% DISCOUNT -GREATER THAN 200% THROUGH 225% FPL 80% DISCOUNT-GREATER THAN 225% THROUGH 250% FPL - 60% DISCOUNT -GREATER THAN 250% THROUGH 275% FPL 40% DISCOUNT-GREATER THAN 275% THROUGH 300% FPL 20% DISCOUNT-GREATER THAN 300% FPL NO DISCOUNT IN ADDITION TO THE ABOVE INCOME CRITERIA, INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000. BOTH CRITERIA MUST BE MET TO QUALIFY FOR FREE OR DISCOUNTED CARE.

PART II, COMMUNITY BUILDING ACTIVITIES:
ST. JOSEPH'S HEALTH HAS PARTNERED WITH LOCAL DEVELOPERS AND COMMUNITY INVESTMENT GROUPS DEVELOPING A STRONG BOND BETWEEN COMMUNITY INVESTMENT ACTIVITIES AND HEALTHCARE TO ADDRESS NEIGHBORHOOD AND ENVIRONMENTAL CONDITIONS THAT WOULD IMPROVE ACCESS TO NEEDED HEALTHCARE SERVICES, REDUCE INEQUITIES IN HEALTH OUTCOMES, AND CONTINUE OUR MISSION OF ENSURING THAT THE CITY'S MOST VULNERABLE RESIDENTS HAVE ACCESS TO SAFE AFFORDABLE NEIGHBORHOODS AND HEALTHCARE. ADDITIONALLY, ST. JOSEPH'S HEALTH HAS WORKED COLLABORATIVELY WITH LOCAL SOCIAL SERVICES AGENCIES AND COMMUNITY STAKEHOLDERS, SUCH AS THE HEALTH COALITION OF PASSAIC COUNTY, NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION, THE CITY OF PATERSON, PASSAIC COUNTY HEALTH DEPARTMENT, THE BOYS AND GIRLS CLUB OF PASSAIC COUNTY, THE PATERSON HOUSING AUTHORITY, AND THE NEW JERSEY FAMILY SUCCESS CENTER TO ADDRESS THOSE SOCIAL DETERMINANTS OF AN INDIVIDUAL'S HEALTH, SUCH AS THE ABILITY TO ACCESS NEEDED HEALTHCARE, HOMELESSNESS, LACK OF AFFORDABLE CHILDCARE, POVERTY, UNEMPLOYMENT, AND LIMITED PUBLIC TRANSPORTATION. ST. JOSEPH'S HEALTH ENTERED INTO A PARTNERSHIP WITH THE NEW JERSEY HOUSING AND MORTGAGE FINANCING AGENCY (HMFA) TO LEVERAGE THE HOSPITAL'S EQUITY IN CONCERT WITH THE 4% LOW INCOME HOUSING CREDIT PROGRAM TO DEVELOP A 56 UNIT AFFORDABLE HOUSING DEVELOPMENT ADJACENT TO THE HOSPITAL CAMPUS WITH A SUPPORTIVE HOUSING SET-ASIDE OF 10-UNITS TARGETED TOWARD TENANTS WHO MEET NEW JERSEYS CRITERIA FOR SUPPORTIVE HOUSING AND WHO ARE ALSO FREQUENT UTILIZERS OF HOSPITAL SERVICES, PARTICULARLY THE EMERGENCY ROOM.

PART III, LINE 2:
THE AMOUNT REPORTED IS THE UNCOLLECTIBLE AMOUNTS FOR SELF-PAY PATIENTS.

PART III, LINE 3:
THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 65% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2020 TO 73% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2021.THE SYSTEM CALCULATED THE BAD DEBT ASSOCIATED WITH SELF PAY CASES WAS $56,153,910. BASED ON HISTORICAL REVIEW OF THIS CATEGORY, APPROXIMATELY 62% OF THESE CASES WERE ELIGIBLE FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. THE 62% FACTOR WAS THEN APPLIED TO THE TOTAL SELF-PAY ACCOUNTS PLUS $453,651 OF BAD DEBTS RELATED TO CHARITY CARE PATIENTS TO DERIVE THE $35,555,087 OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.

PART III, LINE 4:
THERE IS NO BAD DEBT FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 65% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2020 TO 73% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2021. IN ADDITION, THE MEDICAL CENTER'S SELF-PAY WRITE-OFFS NET OF RECOVERIES DECREASED FROM $54.9 MILLION FOR 2020 TO $*** MILLION FOR 2021. THE MEDICAL CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2020 OR 2021.

PART III, LINE 8:
THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. ST. JOSEPH'S IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS. THIS COST OF CARE TO OUR MEDICARE POPULATION RESULTED IN A LOSS. WE CONSIDER THIS NET LOSS TO SERVE MEDICARE PATIENTS TO BE ANOTHER FORM OF COMMUNITY BENEFIT. THE SERVICES PROVIDED INCLUDED PRIMARY CARE, EMERGENCY CARE, DENTAL SERIVCES, SUB-SPECIALITY CARE AND INPATIENT AND LONG TERM CARE SERVICES.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:FINANCIAL ASSISTANCE INFORMATION IS PROVIDED AND POSTED IN FOUR LANGUAGES IN ALL PATIENT REGISTRATION AREAS. PATIENTS IN NEED OF FINANCIAL ASSISTANCE HAVE AN OPPORTUNITY TO SCHEDULE AN APPOINTMENT WITH A FINANCIAL COUNSELOR TO ASK QUESTIONS AND APPLY FOR FINANCIAL ASSISTANCE.

PART VI, LINE 7, REPORTS FILED WITH STATES
NJ

PART III, LINE 9B:
WHEN A PATIENT IS KNOWN TO QUALIFY AND APPROVED FOR FINANCIAL ASSISTANCE, A SPECIFIC INSURANCE CODE IS ASSIGNED. THESE BILLS ARE ELECTRONICALLY TRANSMITTED TO THE MEDICAID FISCAL INTERMEDIARY. THE INTERMEDIARY PRICES AND PROCESSES THE CLAIMS. PATIENTS THAT WERE APPROVED FOR 100% ASSISTANCE, AND MADE A PAYMENT WILL BE CREDITED. SIMILARLY, A PATIENT THAT IS APPROVED FOR THE SLIDING SCALE THAT OVERPAID, WILL BE CREDITED.ALL OF OUR SELF-PAY PATIENTS ARE TREATED WITH THE SAME PROCESS. WE FIRST SCREEN PATIENTS FOR MEDICAID/CHARITY CARE, IF THEY AGREE TO THE PROCESS. IF THEY DO NOT QUALIFY FOR EITHER, OR WISH TO NOT APPLY, WE THEN OFFER THEM THE FAP. NEXT, WE FOLLOW THE NORMAL SELF-PAY COLLECTION PRACTICES FOR THE REMAINING AMOUNTS. EVERY 30 DAYS A STATEMENT FOR THE REMAINING BALANCE OWED WILL BE SENT TO THE GUARANTOR. IF AFTER, 120 DAYS, THERE IS NO RESPONSE/PAYMENT, THE ACCOUNT WILL BE REFERRED TO BAD DEBT.

PART VI, LINE 2:
"NEEDS ASSESSMENT:ON OCTOBER 15, 2019, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FINALLY, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. DIABETES 2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3. HEART DISEASE & STROKE 4. SUBSTANCE ABUSE 5. ACCESS TO HEALTHCARE 6. MENTAL HEALTH 7. TOBACCO USE 8. SEXUAL HEALTH 9. CANCER 10. HOUSING 11. INJURY & VIOLENCE 12. RESPIRATORY DISEASES 13. SEPTICEMIA COMMUNITY STAKEHOLDERS WERE ASKED TO RATE THE DEGREE TO WHICH EACH OF 20 HEALTH ISSUES IS A PROBLEM IN THEIR OWN COMMUNITY, USING A SCALE OF ""MAJOR PROBLEM,"" ""MODERATE PROBLEM,"" ""MINOR PROBLEM, OR ""NO PROBLEM AT ALL."" FINDINGS ALSO ARE OUTLINED THROUGHOUT THE 2019 CHNIA REPORT, ALONG WITH THE QUALITATIVE INPUT DESCRIBING REASONS FOR THEIR CONCERNS. (NOTE THAT THESE RATINGS ALONE DO NOT ESTABLISH PRIORITIES FOR THIS ASSESSMENT; RATHER, THEY ARE ONE OF SEVERAL DATA INPUTS CONSIDERED FOR THE PRIORITIZATION PROCESS DESCRIBED EARLIER.ST. JOSEPH'S UNIVERSITY MEDICAL CENTER WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS.THE ORGANIZATION BELIEVES ITS CHNA PROCESS TO BE COMPREHENSIVE, THEREFORE ADDITIONAL ASSESSMENTS ARE NOT CONDUCTED."

PART VI, LINE 4:
COMMUNITY INFORMATION:COMPARISON AND GENERAL COMMUNITY DESCRIPTION: SOUTHERN PASSAIC COUNTY, NEW JERSEY INCLUDES THE FOLLOWING RESIDENTIAL ZIP CODES: 07011, 07012, 07013, 07014, 07055, 07407, 07410, 07424, 07470, 07501, 07502, 07503, 07504, 07505, 07506, 07508, 07512, 07513, 07514, 07522, AND 07524. THIS COMMUNITY DEFINITION REPRESENTS THE PRIMARY AND SECONDARY SERVICE AREAS OF ST. JOSEPH'S UNIVERSITY MEDICAL CENTER AND INCLUDES RESIDENTIAL ZIP CODES.ST. JOSEPH'S HEALTH (SJH) IS A NONPROFIT, INDEPENDENT HEALTHCARE SYSTEM SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH. ST. JOSEPH'S UNIVERSITY MEDICAL CENTER LOCATED IN PATERSON AND OUR SISTER HOSPITAL ST. JOSEPH'S WAYNE MEDICAL CENTER, APPROXMATELY 7 MILES TO THE NORTH OF PATERSON IN WAYNE, NEW JERSEY.WAYNE IS A SUBURBAN COMMUNITY WITH 55,000 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IS $100,853; 5% OF HOUSEHOLDS HAD INCOME BELOW $15,000 A YEAR, WITH 4% IN POVERTY; 29% REPORTED INCOME GREATER THAN $150,000. MEDIAN AGE WAS 43.4 YEARS; 21% PERCENT OF THE POPULATION IS UNDER 18 YEARS; 17 PERCENT OF THE POPULATION IS OVER 65 YEARS OF AGE. 93% OF THE POPULATION HAS HEALTH INSURANCE COVERAGE WITH 10% OF THE POPULATION REPORTING A DISABILITY. PATERSON, IS NJ'S THIRD LARGEST CITY, WITH NEARLY 159,732 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IS $41,360. THE POPULATION PRIMARILY CONSISTS OF PEOPLE OF COLOR AND ETHNIC MINORITIES: 61% OF RESIDENTS ARE HISPANIC/LATINO, AND 26% ARE BLACK/AFRICAN AMERICAN. ALTHOUGH DIFFICULT TO QUANTIFY USING CENSUS DATA, THERE ARE ALSO SIZEABLE COMMUNITIES OF MIDDLE EASTERN AND SOUTHEAST ASIAN DESCENT. GIVEN THE NUMBER OF IMMIGRANT POPULATIONS HERE, LINGUISTIC ISOLATION IS A CHALLENGE; THERE ARE MORE THAN 20 DIFFERENT LANGUAGES SPOKEN, INCLUDING THE SOUTHEAST ASIAN LANGUAGES AND NUMEROUS DIALECTICS OF HISPANIC AND ASIAN POPULATIONS. MANY RESIDENTS ARE ENGLISH LANGUAGE LEARNERS, WITH SPANISH AND INCREASINGLY ARABIC AS THE MOST COMMON PRIMARY LANGUAGES SPOKEN. IMMIGRANTS IN OUR COMMUNITY OFTEN DEPRIORITIZE HEALTHCARE NEEDS, DUE TO CONCERNS AROUND THEIR IMMIGRATION STATUS, AFFORDABILITY, AND ACCESS; IN MANY CASES, IMMIGRANTS DO NOT ACCESS PREVENTIVE CARE AND ONLY PRESENT TO SJUMC ONCE A MEDICAL EMERGENCY ARISES. DESPITE PATERSON'S SIZE AND DIVERSITY OF ITS RESIDENTS, IT HAS ONE OF THE LOWEST PER CAPITA INCOME LEVELS IN THE STATE, AND AN UNEMPLOYMENT RATE OF AT LEAST 8%. TWENTY-SEVEN PERCENT (27%) OF THE AREA'S POPULATION LIVES IN POVERTY (THREE TIMES THE STATE AVERAGE), INCLUDING 40% OF CHILDREN UNDER AGE 18. THE POVERTY RATE IS REFLECTED BY THE NEARLY 40% OF RESIDENTS WHO RECEIVE BENEFITS FROM THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). PATERSON RESIDENTS ALSO STRUGGLE TO SECURE HEALTH INSURANCE: ESTIMATES INDICATE UP TO 20% OF RESIDENTS UNDER THE AGE OF 65 ARE UNINSURED (U.S. CENSUS BUREAU).REFLECTING OUR COMMUNITY DEMOGRAPHICS, NEARLY 80% OF SJUMC/SJWMC PATIENTS ARE COVERED BY MEDICAID OR CHARITY CARE (INDIGENT PATIENTS) OR MEDICARE (OLDER OR DISABLED PATIENTS).

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PROMOTION OF COMMUNITY HEALTH:THE DEPARTMENT OF URBAN & COMMUNITY HEALTH LEADS THE COMMUNITY ENGAGEMENT ACTIVITIES ON BEHALF OF THE SYSTEM. STAFF MEMBERS HOLD LEADERSHIP POSITIONS ON VARIOUS COMMUNITY BOARDS, INCLUDING THE TRI-COUNTY CHAMBER OF COMMERCE, PATERSON ROTARY, PATERSON ALLIANCE, UNITED WAY OF PASSAIC COUNTY, DIVERSITY AND INCLUSION COMMITTEE OF THE PASSAIC COUNTY VICINAGE, PATERSON TASKFORCE FOR SOCIAL ACTION AND BOTH THE PATERSON AND WAYNE YMCAS. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO:KINGS DAY - CEDAR GROVE PEDESTRIAN SAFETY EVENTNALOXONE TRAINING AND DISTRIBUTIONSTOP THE BLEED CLASSMLKSTOP THE BLEED INSTRUCTOR COURSETRAUMATIC BRAIN INJURIESHEALTH FAIR-WAFA HEADS UP SENIORSFIRST AID TRAININGA WOMEN'S HEALTH SYMPOSIUM-NURSING PRACTICE COUNCIL PRESENTATIONNALOXONE TRAINING AND KIT DISRIBUTION HEART HEALTHY FAIRHEALTHY LIFESTYLESHEART HEALTH AWARENESS FOR WOMENHEART AWARENESSSMOKING & DANGERS OF E-CIGS & VAPINGWOMEN'S HEART HEALTH AWARENESSSCHOOL 12- K-2- READ ACROSS AMERICA/DR. SEUSS WKSTOP THE BLEED CLASSHEADS UP SENIORPCCC WELLNESS DAYPCCC HEALTH FAIRSGU ORIENTATIONWOMEN'S HEART HEALTH LUNCH & LEARN AT SAX LLPCOVID-19- PCCC-MOCSI VIRTUAL PRESENTATIONPRAYER FOR SOLIDARITY & PEACE PUBERTY & EMOTIONAL CHANGES DEBRIEFING- COVID-10 ANXIETY DEBRIEFING - PATERSON HOUSING AUTHORITYDEBRIEFING POST COVID-19- PATERSON HOUSING AUTHORITYSTROKE PREVENTION & MANAGEMENT COMMUNITY STROKEBP HEALTH & WELLNESSWEBINAR RECORDING ENGLISH/SPANIISHHISPANIC AFFINITY GROUPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIA PRE-DIABETES PROGRAM WITH RAMAPO COLLEGE NURSING STUDENTS PRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIAST. JOSEPH'S HEALTH SUSTAINABLE MEAL COMMUNITY PROJECTBLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATS DPP- LIFESTYLE CHANGE PRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIA BREAST CANCER AWARENESS BLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSPRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIA BLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSBLM PATERSON & ST. JOE'S FOOD DRIVE PRE-DIABETES NDPPINFECTION PREVENTION AWARENESS COMMUNITY FLU VACCINATION AWARENESS DAY - COLUMBIA BANCK RAIN DATE - FLU FEST BREAST CANCER AWARENESSBLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATS PRE-DIABETES NDPPVIRTUAL PINK POWER TEA- BREAST CANCER AWARENESS PRE-DIABETES NDPPVETERAN'S DAY-VIRTUAL PRE-DIABETES NDPPPROSPECT PARK FAIR PRE-DIABETES NDPPBRAIN INJURY SUPPORT PCCC WELLNESS DAYBOYS & GIRLS CLUB- WOODLAND PARK SPRING HEALTH FAIR-MOBILE COMMUNITY HEALTH & BHATT FOUNDATIONBAE LUNCH AND LEARN HEALTHY KIDS DAY-WAYNEA FAMILY WELLNESS EVENT (HISTORIC CALVARY BAPTIST CHURCH) HEALTHY KIDS DAY-PATERSON7TH ANNUAL EMPLOYEE HEALTH FAIRSAX- HEART DISEASE AMONG WOMENBAE WELLNESS WEEK CONTINUING EDUCATION-WPUSTROKE PRESENTATION WAYNESTROKE PRESENTATION PATERSON 6TH ANNUAL CAREER DAYSCHOOL 13 CAREER DAYSCHOOL 10 CAREER DAYAUDIENCE: STUDENTS GRADES 3 THROUGH 8DANGERS OF THE SUN & SKIN CARE WAYNE DAYSISTERS ST. ELIZABETH BAD PROM 5KHEALTH FAIRAFRICAN-AMERICAN PARADE-PASSAIC - AFRICAN-AMERICAN AFFINITY GROUP AFRICAN-AMERICAN PARADE PATERSON - AFRICAN-AMERICAN AFFINITY GROUP WORKSHOPS NJCDC MEDICATION ADMINISTRATION WORKSHOPASTHMA YOUNG CHILDRENDIABETES YOUNG CHILDRENHOME SAFETY PREVENTIONHOW TO STOP SMOKING & DANGERS OF E-CIGS & VAPINGHEALTH N WELLNESS SERVICES, LLC; FSCS HEALTH CENTERS, PATERSON/ PATERSON.K12PATERSON SCHOOLS K12WOMEN MINISTRY AT MY CHURCH CHRIST TEMPLE BAPTIST CHURCH AND OTHERS ZAC CAMPWELLNESS HEALTH FAIR - JUDICIARY PASSAIC VICINAGE WAYNE TOWNSHIP'S 42ND ANNUAL HEALTH FAIRBAE LUNCH AND LEARN

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AFFILIATED HEALTH CARE:SAINT JOSEPH'S HEALTH INC., THE PARENT ORGANIZATION, IS SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH AND ITS AFFILIATES. AFFILIATED MEMBERS OF THE PARENT INCLUDE ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. AND SUBSIDIARIES, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. (THE MEDICAL CENTER FOUNDATION), 200 HOSPITAL PLAZA CORPORATION (200 HOSPITAL PLAZA), SJHS INSURANCE LIMITED (THE INSURANCE CAPTIVE), AND VHS MANAGEMENT, INC. AND SUBSIDIARY (VHS). SAINT JOSEPH'S UNIVERSITY MEDICAL CENTER (THE UNIVERSITY MEDICAL CENTER) WAS FOUNDED IN 1867 AND IS LOCATED IN PATERSON, NEW JERSEY. IT IS AN ACUTE-CARE HOSPITAL WITH 651 LICENSED BEDS AND 30 NEWBORN BASSINETS. THE UNIVERSITY MEDICAL CENTER IS A STATE-DESIGNATED TRAUMA CENTER AND PROVIDES A FULL RANGE OF HEALTH CARE SERVICES. EFFECTIVE JANUARY 1, 2010, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S WAYNE MEDICAL CENTER AND SUBSIDIARY (WAYNE MEDICAL CENTER) WAS MERGED WITH THE UNIVERSITY MEDICAL CENTER AND COLLECTIVELY THE ENTITIES ARE REFERRED TO HEREIN AS THE MEDICAL CENTER. WAYNE MEDICAL CENTER IS LOCATED IN WAYNE, NEW JERSEY, AND IS AN ACUTE-CARE HOSPITAL WITH 229 LICENSED BEDS. WAYNE MEDICAL CENTER PROVIDES COMPREHENSIVE MEDICAL AND SURGICAL CARE, AND EMERGENCY AND DIAGNOSTIC SERVICES FOR ITS COMMUNITY. THE MEDICAL CENTER ALSO OPERATES ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S HEALTHCARE AND REHAB CENTER, A 151 BED SKILLED NURSING FACILITY LOCATED IN CEDAR GROVE, NEW JERSEY. IN ADDITION, THE MEDICAL CENTER INCLUDES THE FOLLOWING WHOLLY OWNED SUBSIDIARIES: -ST. JOSEPH'S HOSPITAL HOUSING CORP. (THE HOUSING CORP.) PROVIDE PROPERTY-MANAGEMENT SERVICES FOR NONHOSPITAL-RELATED REAL ESTATE HOLDINGS. -ST. JOSEPH'S HEALTHCARE PHYSICIAN HEALTHCARE GROUP, INC.; ST. JOSEPH'S EMERGENCY PHYSICIANS, INC.; ST. JOSEPH'S FACULTY PHYSICIANS, INC.; AND ST. JOSEPH'S PHYSICIAN'S, INC. MANAGE THE MEDICAL CENTER'S FACULTY STAFF BILLING SERVICES.-HARBOR HOUSE, INC. AND ITS SUBSIDIARIES, HARBORSIDE APARTMENTS, INC. AND HARBORVIEW THE MEDICAL CENTER IS ALSO THE MAJORITY MEMBER OF THE FOLLOWING CONSOLIDATED SUBSIDIARY: ST. JOSEPH'S SURGERY MANAGEMENT, LLC (SURGERY MANAGEMENT). SURGERY MANAGEMENT IS A LIMITED LIABILITY CORPORATION ESTABLISHED TO MANAGE THE SURGICAL SERVICES AT THE UNIVERSITY MEDICAL CENTER.THE FOUNDATION IS A PUBLIC CHARITY WHOSE PRIMARY PURPOSE IS TO RAISE FUNDS FOR THE MEDICAL CENTER AND WAYNE MEDICAL CENTER, RESPECTIVELY, AND THEIR AFFILIATED ORGANIZATIONS, AND OTHER AREA CHARITABLE ORGANIZATIONS.200 HOSPITAL PLAZA IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PURPOSE IS TO FURTHER THE OPERATIONS OF THE MEDICAL CENTER BY OWNING, MANAGING, AND OPERATING PARKING FACILITIES AND ANY OTHER FACILITIES THAT MAY BE DEEMED USEFUL OR NECESSARY FOR EMPLOYEES, PATIENTS, VISITORS, DOCTORS, AND OTHER PERSONS AFFILIATED WITH THE MEDICAL CENTER.THE INSURANCE CAPTIVE, WHICH IS A WHOLLY OWNED CAPTIVE INSURANCE COMPANY DOMICILED IN BERMUDA, WAS ESTABLISHED IN 2007 TO PROVIDE THE SYSTEM WITH GENERAL LIABILITY AND PROFESSIONAL MEDICAL LIABILITY INSURANCE.VHSNJ AT HOME, LLC IS A JOINT VENTURE BETWEEN A SUBSIDIARY OF THE SYSTEM, ST. JOSEPH'S HOME HEALTH, LLC, AND HACKENSACK MERIDIAN HOME CARE SERVICES, INC. THE SYSTEM HOLDS 50% OWNERSHIP INTEREST IN THE VHSNJ AT HOME, LLC JOINT VENTURE.