TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) NANCY H BECKER...................................................................... CHAIRMAN - DIRECTOR	5.0 ................. 0.0	X	X	0	0
(2) SEAN S MURRAY...................................................................... VICE CHAIR - DIRECTOR	5.0 ................. 0.0	X	X	0	0
(3) GILBERT W LUGOSSY...................................................................... SECRETARY - DIRECTOR	3.0 ................. 0.0	X	X	0	0
(4) JOHN F RICCI...................................................................... TREASURER - DIRECTOR	3.0 ................. 0.0	X	X	0	0
(5) CARMEN M GARCIA ESQ...................................................................... ASSISTANT SECRETARY - DIRECTOR	3.0 ................. 0.0	X	X	0	0
(6) RANDI A AXELROD MD...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(7) GIOVANNI CAFORIO MD...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(8) AJAY CHOUDHRI MD...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(9) LOUIS F D'AMELIO MD...................................................................... DIRECTOR	55.0 ................. 0.0	X		750,103	33,429
(10) CAROLYN J GAUKLER MD...................................................................... DIRECTOR	55.0 ................. 0.0	X		281,033	27,658
(11) KATHLEEN GEKOWSKI MD FACP...................................................................... DIRECTOR	1.0 ................. 0.0	X		1,626	0
(12) MARTIN P JOHNSON...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(13) JULIE A KARNS...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(14) DONALD J LOFF...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(15) AL MAGHAZEHE PHD FACHE...................................................................... DIRECTOR - PRESIDENT/CEO	55.0 ................. 0.0	X	X	2,052,118	31,592
(16) JOSHUA MARKOWITZ ESQ...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0
(17) CLINTON H OGOLO MD...................................................................... DIRECTOR	1.0 ................. 0.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SAMUEL J PLUMERI JR........................................................................ DIRECTOR	1.0 .......................0.0	X					0	0
(19) MICHAEL L SOMERSTEIN MD........................................................................ DIRECTOR	1.0 .......................0.0	X					0	0
(20) TELECHERY A SUDHAKAR MD........................................................................ DIRECTOR - VP MEDICAL STAFF	1.0 .......................0.0	X					0	0
(21) JOHN P THURBER........................................................................ DIRECTOR	1.0 .......................0.0	X					0	0
(22) SHANE F FLEMING CPA........................................................................ SVP, CHIEF FINANCIAL OFFICER	55.0 .......................0.0		X				610,867	35,028
(23) ALEXANDER D GLADNEY ESQ........................................................................ SVP, CHIEF LEGAL OFFICER	55.0 .......................0.0		X				474,813	11,299
(24) LARRY DISANTO........................................................................ EVP, COO (TERMED 6/13/15)	55.0 .......................0.0		X				1,178,505	15,152
(25) Eugene J McMahon MD........................................................................ SVP, CMO (EFF. 3/2/15)	55.0 .......................0.0		X				371,901	24,017
(26) EILEEN M HORTON........................................................................ SVP, HOSPITAL ADMIN/CQO	55.0 .......................0.0		X				499,174	26,584
(27) SUZANNE B BORGOS........................................................................ SVP, CORPORATE SERVICES	55.0 .......................0.0		X				350,595	4,019
(28) EUGENE W GROCHALA........................................................................ CHIEF INFORMATION OFFICER	55.0 .......................0.0			X			438,171	11,792
(29) J SCOTT CLEMMENSEN........................................................................ VP, HUMAN RESOURCES	55.0 .......................0.0			X			368,961	30,544
(30) ARLAN H MINTZ MD........................................................................ PHYSICIAN	55.0 .......................0.0				X		1,042,289	25,755
(31) LEE M BUONO MD........................................................................ PHYSICIAN	55.0 .......................0.0				X		905,722	27,243
(32) JASON N ROGART MD........................................................................ PHYSICIAN	55.0 .......................0.0				X		858,430	22,530
(33) ROY A PATCHELL MD........................................................................ PHYSICIAN	55.0 .......................0.0				X		701,767	14,550
(34) GARY A TUMA MD........................................................................ PHYSICIAN	55.0 .......................0.0				X		698,902	29,407
(35) JOSHUA A EISENBERG MD........................................................................ FORMER OFFICER	55.0 .......................0.0					X	610,345	33,486

(A) Name and business address	(B) Description of services	(C) Compensation
SODEXO MANAGEMENT INC, PO BOX 360170 PITTSBURGH,PA152516170	MANAGEMENT	5,968,217
ARAMARK MANAGEMENT SERVICES, 12483 COLLECTIONS CENTER DRIVE CHICAGO,IL60693	MANAGEMENT	5,591,137
NJ HEALTHCARE SPECIALISTS, 1613 N HARRISON PARKWAY SUNRISE,FL333232853	MEDICAL	4,760,144
EMERGENCY MEDICAL ASSOCIATES OF NJ, 3 CENTURY DRIVE PARSIPPANY,NJ07054	MEDICAL	4,574,635
CAPITAL HEALTH ADVANCE IMAGING, PO BOX 223887 PITTSBURGH,PA152512887	MEDICAL	3,156,219
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 103

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization CAPITAL HEALTH SYSTEM INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization CAPITAL HEALTH SYSTEM INC		Employer identification number 22-3548695

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization CAPITAL HEALTH SYSTEM INC			Employer identification number 22-3548695
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

279,044

Total. Add lines 1c through 1i ....................................................................................................

279,044

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
LOBBYING ACTIVITIES	DURING 2015, THE ORGANIZATION PAID TWO OUTSIDE LOBBYING FIRMS A TOTAL OF $240,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION AND THE HOSPITAL ALLIANCE OF NEW JERSEY WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $39,044 IN 2015.

Return Reference

Explanation

LOBBYING ACTIVITIES

DURING 2015, THE ORGANIZATION PAID TWO OUTSIDE LOBBYING FIRMS A TOTAL OF $240,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION AND THE HOSPITAL ALLIANCE OF NEW JERSEY WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $39,044 IN 2015.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	48,620,043		48,620,043
b	Buildings	490,476,909	146,217,007	344,259,902
c	Leasehold improvements
d	Equipment ...	488,090,371	266,657,461	221,432,910
e	Other ...	41,135,605	14,046,651	27,088,954
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				641,401,809

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)SECURITIES	82,666,581	F
(2)SECURITIES	26,461,459	F
(3)INVESTMENT IN SUBSIDIARIES	22,210,214	F
(4)ACCRUED INTEREST	75,013	F
(5)LIMITED USE	67,882,119	F
(6)SUPPLEMENTAL RETIREMENT PLAN	8,789,498	F
(7)ALTERNATIVE INVESTMENTS	0	F
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	208,084,884

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
OTHER LIABILITIES	35,023,655
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	35,023,655
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Investments	14,917,213
















3a	Sub-total .....	1	1		14,917,213
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1		14,917,213

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 CARNIVAL (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	34,829	34,829
2	Less: Contributions . . . .	16,722	16,722
3	Gross income (line 1 minus line 2) . . . . . .	18,107	18,107

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	18,107	18,107
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		18,107
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	18,107	18,107

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	100,626,696	74,438,716	26,187,980	4.360 %
b	Medicaid (from Worksheet 3, column a) . . . . .	28,724,042	18,725,783	9,998,259	1.660 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	129,350,738	93,164,499	36,186,239	6.020 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	431,822	4,747	427,075	0.070 %
f	Health professions education (from Worksheet 5) . . .	6,743,845	6,775,992	0
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	61,376	0	61,376	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	196,851		196,851	0.030 %
j	Total. Other Benefits . .	7,433,894	6,780,739	685,302	0.110 %
k	Total. Add lines 7d and 7j .	136,784,632	99,945,238	36,871,541	6.130 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

52,463,309

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

116,195,505

Enter Medicare allowable costs of care relating to payments on line 5.....

158,152,266

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-41,956,761

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	CAPITAL HEALTH MEDICAL CNTR-HOPEWELL ONE CAPITAL WAY PENNINGTON,NJ08534 WWW.CAPITALHEALTH.ORG 11104	X	X	X	X
2	CAPITAL HEALTH REGIONAL MEDICAL CNTR 750 BRUNSWICK AVENUE TRENTON,NJ08638 WWW.CAPITALHEALTH.ORG 11102	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CAPITAL HEALTH MEDICAL CNTR-HOPEWELL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CAPITALHEALTH.ORG

Other website (list url): WWW.TRENTONHEALTHTEAM.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CAPITALHEALTH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CAPITAL HEALTH MEDICAL CNTR-HOPEWELL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.capitalhealth.org

The FAP application form was widely available on a website (list url):

www.capitalhealth.org

A plain language summary of the FAP was widely available on a website (list url):
www.capitalhealth.org

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	CAPITAL HEALTH MEDICAL CNTR-HOPEWELL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CAPITAL HEALTH REGIONAL MEDICAL CNTR
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CAPITALHEALTH.ORG

Other website (list url): WWW.TRENTONHEALTHTEAM.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CAPITALHEALTH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CAPITAL HEALTH REGIONAL MEDICAL CNTR
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.capitalhealth.org

The FAP application form was widely available on a website (list url):

www.capitalhealth.org

A plain language summary of the FAP was widely available on a website (list url):
www.capitalhealth.org

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	CAPITAL HEALTH REGIONAL MEDICAL CNTR
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PT V, SECT B, Q'S 3j,13b,13h,15e,18d,19d,20e,21c,21d,23&24	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 5	As a collaborative member of the Trenton health team, Capital Health conducted a Community Health Needs Assessment ("CHNA") and took into account input from representatives of the community served, including those with special knowledge or expertise in public health, through 300 individual interviews and 30 forums held in places of worship, community organizations, and public facilities. 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 directed a process involving over 400 community members through 29 focus groups, 17 individual interviews with community leaders, and six discussion groups conducted to test our preliminary findings. IN 2015, THE GMPHP CONTRACTED WITH HEALTH RESOURCES IN ACTION ("HRIA"), A NON-PROFIT PUBLIC HEALTH ORGANIZATION, TO PARTNER IN CONDUCTING THE 2015 MERCER COUNTY COMMUNITY HEALTH ASSESSMENT ("CHA") AND FACILITATING AND DEVELOPING THE 2015 MERCER COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN ("CHIP").
SCHEDULE H, PART V, SECTION B, QUESTION 6A & 6B	The Trenton Health Team is a collaborative of the city's two hospitals, St. Francis Medical Center and Capital Health; its only Federally Qualified Health Center, Henry J. Austin Health Center and the city government's Department of Health & Human Services have partnered with 29 community and social service agencies across Trenton in a new approach to develop one CHNA for the city as a whole. Organizations participating in the unified CHNA have committed to allocating resources to address the health needs as identified. Agencies and organizations include: Home Front; Rescue Mission of Trenton; Mercer Street Friends; Isles; Catholic Charities Diocese of Trenton; Mercer Alliance To End Homelessness; Children's Futures; Visiting Nurse Association; The Martin House; TASK; The Children's Home Society; Planned Parenthood; PICO New Jersey; Shiloh Community Development Corporation; Affiliated Accountable Care Organizations; Trenton Police Department; MercerCounty NJ; Henry J. Austin Health Center, Inc.; Lotus Medical Care; Reliance Medical Group; Concernerd Pastors; Trinity Episcopal Cathedral; Shiloh Baptist Church; Thomas Edison College; Rider University; John Watson Institute For Public Policy; OMMH; Turning Point. GMPHP has subsequently engaged as members of Capital Health's policy board (governing body which meets quarterly) and Capital Health's steering committee (operations focused group which meets at least once a month) the public health officers of eight municipalities as well as the County's public health director. IN 2015, the GMPHP engaged the Community Advisory Board (CAB), a 60-member group of representatives across a range of organizational sectors, including community leaders and organizations, to solicit input into the process and encourage the groups participation in the upcoming planning sessions.
SCHEDULE H, PART V, SECTION B, QUESTION 7D	Results of the CHNA were presented in a number of public forums are published on the Trenton health team website: Http://www.Trentonhealthteam.org/tht/Trentoncommunityhealthneedsassessment july2013.pdf The GMPHP CHNA is available on Capital Health's website, with a link on the homepage.
SCHEDULE H, PART V, SECTION B, QUESTION 11	as a result of its most recent chna conducted in 2015, the organization, in 2016, adopted a written implementation plan entitled "2016 mercer county, nj, year 1 chip action plan, addendum to the 2012 community health improvement plan (chip)." the information below relates to the organization's implementation plan that was adopted for its chna conducted in 2013. 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: - hiv/aids and hepatitis c - teen pregnancy and poor birth outcomes - sexually transmitted diseases - lead poisoning - other chronic conditions, including asthma - transportation 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.
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 2015 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 16i	Billing statements provided to patients indicate that the organization's financial assistance policy is available upon request.
SCHEDULE H, PART V, SECTION B, QUESTION 22D	The facility uses 115% of the medicare rate as the maximum amount that can be charged to fap-eligible individuals for emergency or other medically necessary care.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?32
Name and address		Type of Facility (describe)
1	CAPITAL HEALTH - MEDICAL OFFICE BUILDING 2 CAPITAL WAY PENNINGTON,NJ08534	GENERAL MEDICINE
2	CAPITAL HEALTH SYSTEM IN HAMILTON 1401-1445 WHITEHORSE-MERCERVILLE RO HAMILTON,NJ08619	OUTPATIENT FACILITY
3	CAPITAL HEALTH PRIMARY CARE HAMILTON 1445 WHITEHORSE-MERCERVILLE ROAD HAMILTON,NJ08619	GENERAL MEDICINE
4	CAPITAL HEALTH PRIMARY CARE QUAKERBRIDGE 4056 QUAKERBRIDGE ROAD LAWRENCEVILLE,NJ08648	GENERAL MEDICINE
5	CAPITAL HEALTH PRIMARY CARE BORDENTOWN 1 THIRD STREET BORDENTOWN,NJ08505	FAMILY MEDICINE
6	CAPITAL HEALTH PRIMARY CARE LEVENBERG MD 1401 WHITEHORSE-MERCERVILLE ROAD HAMILTON,NJ08619	GENERAL MEDICINE
7	CAPITAL HEALTH INSTITUE NEUROSCIENCE 2 CAPITAL WAY PENNINGTON,NJ08534	NEURO MEDICINE
8	CAPITAL HLTH PRIMARY CARE LOWERMAKEFIELD 1050 STONY HILL ROAD YARDLEY,PA19067	GENERAL MEDICINE
9	CAPITAL HEALTH PRIMARY CARE PRINCETON 811 EXECUTIVE DRIVE BLDG 8 PRINCETON,NJ08540	GENERAL MEDICINE
10	CAPITAL HEALTH PRIMARY CARE MOUNTAINVIEW 850 BEAR TAVERN ROAD EWING,NJ08628	GENERAL MEDICINE
11	CAPITAL HEALTH - MEDICAL ARTS OFFICE BLD 40 FULD STREET TRENTON,NJ08638	GENERAL MEDICINE
12	CAPITAL HEALTH INSTITUTE NEURO ONCOLOGY 2 CAPITAL WAY PENNINGTON,NJ08534	NEURO ONCOLOGY MEDICINE
13	CAPITAL SURGICAL ASSOCIATES 40 FULD STREET TRENTON,NJ08638	GENERAL MEDICINE
14	CAPITAL HEALTH METABOLICWEIGHT LOSS CTR 2 CAPITAL WAY PENNINGTON,NJ08534	WEIGHT LOSS MEDICINE
15	CAPITAL HEALTH SPINE CENTER 1401 WHITEHORSE-MERCERVILLE ROAD HAMILTON,NJ08619	SPINE HEALTH
16	CAPITAL HEALTH PRIMARY CARE EWING 1230 PARKWAY AVENUE EWING,NJ08628	GENERAL MEDICINE
17	CAPITAL HEALTH HEARTCARE SPECIALISTS 2 CAPITAL WAY PENNINGTON,NJ08534	CARDIOLOGY
18	CAPITAL HEALTH SURGICAL GROUP 2 CAPITAL WAY PENNINGTON,NJ08534	SURGICAL MEDICINE
19	CAPITAL HEALTH PLASTIC SURG ASSOC NJ 2 CAPITAL WAY PENNINGTON,NJ08534	PLASTIC SURGERY
20	CAPITAL HEALTH RADIATION ONCOLOGY ONE CAPITAL WAY PENNINGTON,NJ08534	RADIATION ONCOLOGY MEDICINE
21	CAPITAL HEALTH PATHOLOGY 2 CAPITAL WAY PENNINGTON,NJ08534	PATHOLOGY STUDIES
22	CAPITAL HEALTH CENTER FOR WOMEN'S HEALTH 1401 WHITEHORSE-MERCERVILLE ROAD HAMILTON,NJ08619	WOMEN'S MEDICINE
23	CAPITAL HEALTH COMPREHENSIVE SLEEP CTR 1401 WHITEHORSE-MERCERVILLE ROAD HAMILTON,NJ08619	SLEEP STUDIES
24	CAPITAL ENDOCRINOLOGY 1235 WHITEHORSE-MERCERVILLE ROAD HAMILTON,NJ08619	ENDOCRINOLOGY
25	CAPITAL HEALTH CENTER FOR DIGESTIVE HLTH 2 CAPITAL WAY PENNINGTON,NJ08534	DIGESTIVE HEALTH
26	CAPITAL HEALTH MATERNAL FETAL ONE CAPITAL WAY PENNINGTON,NJ08534	WOMEN'S HEALTH
27	CAPITAL HEALTH FAMILY HEALTH CENTER 433 BELLEVUE AVENUE TRENTON,NJ08618	FAMILY HEALTH & ADULT DAYCARE CENTER
28	MICU 65 PROSPECT STREET TRENTON,NJ08618	MICU
29	CHS REHABILITATION SERVICES 832 BRUNSWICK AVENUE TRENTON,NJ08618	REHABILITATION SERVICES
30	CHS PARTIAL HOSPITALIZATION SERVICES 832 BRUNSWICK AVENUE TRENTON,NJ08618	MENTAL HEALTH
31	CORPORATE HEALTH CENTER 832 BRUNSWICK AVENUE TRENTON,NJ08618	HEALTH CENTER
32	CAPITAL HEALTH CENTER FOR LIVER DISEASE ONE CAPITAL WAY PENNINGTON,NJ08534	LIVER HEALTH

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I	CAPITAL HEALTH IS A SAFETY NET HOSPITAL AND ONE OF THE LARGEST PROVIDERS OF CHARITY CARE IN ITS MARKET. IN JANUARY 2014, THE STATE OF NEW JERSEY EXPANDED MEDICAID THROUGH THE AFFORDABLE CARE ACT. THIS CHANGE IN PUBLIC POLICY HAD A SIGNIFICANT IMPACT ON INDIVIDUALS WHO WERE CLASSIFIED AS CHARITY CARE AND NOW ENROLLED IN OTHER INSURANCE PRODUCTS. IN THE STATE OF NEW JERSEY, CHARITY CARE FUNDING WAS REDUCED BY $148M EFFECTIVE JULY 1, 2014 TO OFFSET THE INCREASE IN INSURED PATIENTS.
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 2015 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 7A	PLEASE NOTE THAT THE CONVERSION OF MANY CHARITY CARE PATIENTS TO MEDICAID MANAGED CARE PATIENTS AS WELL AS THE FACT THAT THE CHARITY CARE SUBSIDY RECEIVED FROM THE STATE OF NEW JERSEY IN 2014 WAS CALCULATED BASED ON THE ORGANIZATION'S 2011 CHARITY CARE COSTS WHEN THEY WERE SIGNIFICANTLY HIGHER THAN IN 2014 HAS RESULTED IN A LARGE DECREASE ON SCHEDULE H, PART I, LINE 7A, FINANCIAL ASSISTANCE AT COST, FOR THE YEAR ENDED DECEMEBER 31, 2014. THE ORGANIZATION'S CHARITY CARE SUBSIDY IS BEING REDUCED FOR THE YEAR ENDING DECEMBER 31, 2015 WITH FUTHER REDUCTIONS ON A PROSPECTIVE BASIS.
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 audited financial statements, multiplied by its cost to charge ratio. Capital Health System, Inc. And its affiliates, including its hospitals and subsidiaries, prepare and issue audited consolidated financial statements. The system's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied across all hospital affiliates. 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 2015 and 2014 totaled approximately $32,823,000 and $41,795,000, respectively. Costs are shifting from charity care provided due to the Medicaid expansion in 2014. Capital Health receives payments from the New Jersey health care subsidy funds for charity care and such amounts totaled approximately $26,790,000 and $30,013,000 for the years ended December 31, 2015 and 2014, respectively.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Medicare costs were derived from the 2015 medicare cost report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. The organization believes that medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "the term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The american hospital association ("aha") believes that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving medicare patients is an essential part of the community benefit standard. - medicare, like medicaid, does not pay the full cost of care. Recently, medicare reimburses hospitals only 92 cents for every dollar they spend to take care of medicare patients. The medicare payment advisory commission ("medpac") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many medicare beneficiaries, like their medicaid counterparts, are poor. More than 46 percent of medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those medicare beneficiaries are also eligible for medicaid -- so called eligibles." There is every compelling public policy reason to treat medicare and medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the aha, despite the hospital
SCHEDULE H, PART III, SECTION B; QUESTION 9B	In accordance with Capital Health Systems 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. In addition to the data mailers, the patient accounts department makes telephone calls on accounts with a balance greater than $750.00 to try to resolve the outstanding balance. 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 patients 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 patients 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 patients 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 Healths 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 patients 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 patients primary residence to satisfy a patients financial obligation.
SCHEDULE H, PART VI; QUESTION 2	In addition to the internal revenue code 501(r) community health needs assessment information outlined in form 990, schedule h, part v, section b, capital health routinely monitors demand for the services it provides while simultaneously utilizing a variety of information sources to determine unmet or underserved needs of the communities it serves. Capital health meets at least monthly with the other healthcare providers in its service area as well as a community health department director to discuss unmet needs and collaboratively strategize the prioritization of needs and develop programs to address them in a coordinated way. Capital health also routinely review available data regarding incidents of health issues and propose programs to address these issues and ultimately implement those which will have the greatest impact. Additionally, we regularly interact with community leaders and receive feedback on their satisfaction with our services. We believe this comprehensive approach of monitoring and analyzing both objective data and subjective feedback gives us a current understanding of how we are addressing community needs and what we need to do to optimize our impact upon the healthcare status of our region.
SCHEDULE H, PART VI; QUESTION 3	Capital health system, inc. Educates patients about eligibility for assistance with their bills in numerous ways. Insurance information is obtained at all registration points at each visit. If a patient is found not to have insurance, or is underinsured the following procedure is followed; 1. When a patient is found to be uninsured and in need of financial assistance, a new jersey care payment fact sheet is reviewed with the patient, and a written copy is provided to the patient by the health access staff. The fact sheet explains who is eligible, how to apply with the phone number of each campus charity care office, and what documents are needed to determine eligibility. 2. When a patient is admitted to the hospital, a charity care worker 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, a referral is given to the hospital's medicaid outstation worker. The outstation worker will visit the patient, and begin the medicaid process. 3. When a patient is found to be underinsured, (example is a patient who has medicare only) a referral is made to the charity care worker, and the same process is followed above. 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. 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 the capital health system inc. Belief 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 primarily serves the communities in the city of Trenton, Mercer County and parts of Burlington, Monmouth and Middlesex counties in New Jersey and Bucks County in Pennsylvania. There are approximately 2,900,000 residents within the defined primary and secondary service area. The racial makeup of Mercer County, which includes Trenton, the state capital, is 51.0% white, 21.2% black, 17.0% Hispanic or Latino and 10.8% Asian. Nearly 87.2% of the County's residents who are 25 years or older graduated high school and 38.2% have a bachelor's degree. Median household income in the County was $73,759 according to the 2015 U.S. census. The racial makeup of Burlington County is 68.3% white, 17.7% black, 7.8% Hispanic or Latino, and 5.2% Asian. More than 91.4% of Burlington County residents who are 25 years or older graduated high school and 34.2% have a bachelor's degree. Median household income in Burlington County was $78,229 according to the 2015 U.S. census. The racial makeup of Bucks County, Pennsylvania is 84.8% white, 4.2% black 5.0% Hispanic or Latino, and 4.8% Asian. Of those, 92.9% of bucks County residents who are 25 years or older graduated high school and 35.1% have a bachelor's degree. Median household income in Bucks County was $76,859 according to the 2015 U.S. census. The racial makeup of Monmouth County is 75.3% white, 7.7% black, 10.7% Hispanic or Latino, 5.6% Asian. More than 91.9% of Monmouth County residents who are 25 years or older graduated high school and 40.3% have a bachelor's degree. Median household income in County was $84,746 according to the 2015 U.S. census. The racial makeup of Middlesex County is 44.4% white, 11.3% black, 20.3% Hispanic or Latino, 24.0% Asian. More than 88.8% of Middlesex County residents who are 25 years or older graduated high school and 39.8% have a bachelor's degree. Median household income in County was $79,442 according to the 2015 U.S. census.
SCHEDULE H, PART VI; QUESTION 5	This organization operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. The organization provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. The organization operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. The organization maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of the organization rests with its board of DIRECTORs; which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. Please refer to schedule o for the organization's community benefit statement for additional information on how the organization promotes community health.
SCHEDULE H, PART VI; QUESTION 6	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 HEALTH SYSTEM, INC. CAPITAL HEALTH SYSTEM, INC. ("CHS") IS THE TAX-EXEMPT PARENT OF CAPITAL HEALTH 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 CHS OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY CHS. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS IN THE STATE OF NEW JERSEY. CAPITAL HEALTH SYSTEM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A HOSPITAL UNDER IRC 170(B)(1)(A)(I). AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN MERCER COUNTY NEW JERSEY. CAPITAL HEALTH SYSTEM 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 HEALTH SYSTEM, 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 HEALTH SYSTEM, 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. THE BOARD IS 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 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. capital healthcare, inc. CAPITAL HEALTHcare, INC. IS AN inactive 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)(3). FOR PROFIT 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 CAYMAN ISLANDS. 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. STROKE AND CEREBROVASCULAR CENTER OF NEW JERSEY, P.C. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CAPITAL HEALTH SYSTEM, INC. THE ORGANIZATION IS LOCATED IN TRENTON, MERCER COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MEDICAL SERVICES TO INDIVIDUALS.
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 (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LOUIS F D'AMELIO MDDIRECTOR	(i) (ii)	744,099 ------------- 0	3,106 ------------- 0	2,898 ------------- 0	6,536 ------------- 0	26,893 ------------- 0	783,532 ------------- 0	0 ------------- 0
2CAROLYN J GAUKLER MDDIRECTOR	(i) (ii)	273,361 ------------- 0	4,212 ------------- 0	3,460 ------------- 0	2,441 ------------- 0	25,217 ------------- 0	308,691 ------------- 0	0 ------------- 0
3AL MAGHAZEHE PHD FACHEDIRECTOR - PRESIDENT/CEO	(i) (ii)	1,406,488 ------------- 0	614,170 ------------- 0	31,460 ------------- 0	9,556 ------------- 0	22,036 ------------- 0	2,083,710 ------------- 0	0 ------------- 0
4SHANE F FLEMING CPASVP, CHIEF FINANCIAL OFFICER	(i) (ii)	371,512 ------------- 0	119,739 ------------- 0	119,616 ------------- 0	6,164 ------------- 0	28,864 ------------- 0	645,895 ------------- 0	0 ------------- 0
5ALEXANDER D GLADNEY ESQSVP, CHIEF LEGAL OFFICER	(i) (ii)	334,609 ------------- 0	90,000 ------------- 0	50,204 ------------- 0	346 ------------- 0	10,953 ------------- 0	486,112 ------------- 0	0 ------------- 0
6LARRY DISANTOEVP, COO (TERMED 6/13/15)	(i) (ii)	242,981 ------------- 0	372,621 ------------- 0	562,903 ------------- 0	5,300 ------------- 0	9,852 ------------- 0	1,193,657 ------------- 0	98,676 ------------- 0
7Eugene J McMahon MDSVP, CMO (EFF. 3/2/15)	(i) (ii)	328,185 ------------- 0	25,000 ------------- 0	18,716 ------------- 0	2,650 ------------- 0	21,367 ------------- 0	395,918 ------------- 0	0 ------------- 0
8EILEEN M HORTONSVP, HOSPITAL ADMIN/CQO	(i) (ii)	389,722 ------------- 0	105,000 ------------- 0	4,452 ------------- 0	3,333 ------------- 0	23,251 ------------- 0	525,758 ------------- 0	0 ------------- 0
9SUZANNE B BORGOSSVP, CORPORATE SERVICES	(i) (ii)	273,388 ------------- 0	75,005 ------------- 0	2,202 ------------- 0	2,519 ------------- 0	1,500 ------------- 0	354,614 ------------- 0	0 ------------- 0
10EUGENE W GROCHALACHIEF INFORMATION OFFICER	(i) (ii)	313,105 ------------- 0	100,237 ------------- 0	24,829 ------------- 0	7,951 ------------- 0	3,841 ------------- 0	449,963 ------------- 0	0 ------------- 0
11J SCOTT CLEMMENSENVP, HUMAN RESOURCES	(i) (ii)	262,750 ------------- 0	82,349 ------------- 0	23,862 ------------- 0	8,223 ------------- 0	22,321 ------------- 0	399,505 ------------- 0	0 ------------- 0
12ARLAN H MINTZ MDPHYSICIAN	(i) (ii)	893,637 ------------- 0	146,172 ------------- 0	2,480 ------------- 0	2,327 ------------- 0	23,428 ------------- 0	1,068,044 ------------- 0	0 ------------- 0
13LEE M BUONO MDPHYSICIAN	(i) (ii)	895,976 ------------- 0	9,372 ------------- 0	374 ------------- 0	2,650 ------------- 0	24,593 ------------- 0	932,965 ------------- 0	0 ------------- 0
14JASON N ROGART MDPHYSICIAN	(i) (ii)	856,325 ------------- 0	0 ------------- 0	2,105 ------------- 0	2,650 ------------- 0	19,880 ------------- 0	880,960 ------------- 0	0 ------------- 0
15ROY A PATCHELL MDPHYSICIAN	(i) (ii)	698,504 ------------- 0	0 ------------- 0	3,263 ------------- 0	2,650 ------------- 0	11,900 ------------- 0	716,317 ------------- 0	0 ------------- 0
16GARY A TUMA MDPHYSICIAN	(i) (ii)	661,232 -------------	35,361 ------------- 0	2,309 ------------- 0	2,650 ------------- 0	26,757 ------------- 0	728,309 ------------- 0	0 ------------- 0
17JOSHUA A EISENBERG MDFORMER OFFICER	(i) (ii)	607,235 ------------- 0	1,045 ------------- 0	2,065 ------------- 0	2,650 ------------- 0	30,836 ------------- 0	643,831 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 3	THE ORGANIZATION'S BOARD OF DIRECTORS HAS A BOARD COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF ALL OF THE ORGANIZATION'S SENIOR MANAGEMENT AND OTHERS, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND OTHER OFFICERS OF THE ORGANIZATION, PHYSICIANS, AND ANY OTHER DISINTERESTED PERSONS. IT ALSO REVIEWS AND APPROVES EMPLOYMENT AGREEMENTS FOR THE COVERED EMPLOYEES AND DISINTERESTED PERSONS. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EACH SUCH INDIVIDUAL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE SENIOR MANAGEMENT TEAM. REBUTTAL PRESUMPTION REQUIREMENTS HAVE GUIDED THE ACTIVITIES OF THE COMMITTEE IN ALL OF ITS REVIEWS, DELIBERATIONS AND APPROVAL OF EXECUTIVE COMPENSATION ACTIONS FOR ALL OF THE COVERED EMPLOYEES AND DISINTERESTED PERSONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON DATA PROVIDED BY ITS INDEPENDENT COMPENSATION CONSULTANT FROM COMPARABLE HEALTHCARE AND HOSPITAL PEERS IN NEW JERSEY AS WELL AS NEIGHBORING STATES BASED ON APPROPRIATE REVENUE, SERVICES, AND OVERALL FINANCIAL PERFORMANCE. IN ADDITION, SPECIFIC SALARY SURVEYS COVERING SIMILAR, REPRESENTATIVE HOSPITAL COMPENSATION DATA WAS USED. ALL DATA WAS WEIGHTED IN ARRIVING AT MARKET CONSENSUS FOR COVERED EMPLOYEE POSITIONS, IN ORDER TO ACCURATELY REFLECT THE RELEVANT LABOR MARKET. Contemporaneous minutes are compiled and approved for all Committee deliberations. These are supported by the written documentation of all peer and market compensation studies, as well as detailed performance justification used as the basis for awards under the Organizations incentive programs. Recognizing the need to consider retirement planning for its senior management as a means to aid in their retention, the Committee maintains a form of long-term non-qualified deferred compensation (referred to as the "Performance-Based Capital Accumulation Plan", or "PBCAP"), which is part of the Capital Health System Non-Qualified 457(f) Deferred Compensation Plan. PBCAP provides the Organization with an additional tool to assist in the recruiting and retention of senior management within the highly competitive healthcare labor market. PBCAP provides senior management with the opportunity to qualify for annual deferred contributions, based on achieving specified financial performance targets and meeting established circuit breakers, to be paid at a future pre-determined date contingent upon continued service with the Organization. The compensation and benefits of certain other individuals contained in this Form 990 are reviewed annually by the President/Chief Executive Officer with assistance from Organizations Human Resources Department and independent compensation consultants in conjunction with the individuals job performance during the year, and is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by the Organization. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations and performance feedback meetings.
SCHEDULE J, PART I; QUESTION 4A	One listed person, Larry DiSanto, the former EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER, received severance payments in 2015 in connection with his termination of employment with Capital Health System (the "Organization"). Mr. DiSanto is receiving severance payments over a two-year period WHICH BEGAN DURING 2015. In 2015, Mr. DiSanto received severance payments of $321,027, which amount was included in his Form W-2, Box 5 as taxable Medicare wages.
SCHEDULE J, PART I; QUESTION 4B	The Organization maintains the Capital Health System Non-Qualified 457(f) Deferred Compensation Plan (the "457(f) Plan"), which is a nonqualified deferred compensation plan that satisfies the requirements of section 457(f) of the Internal Revenue Code. The following individual participated in the 457(f) Plan and received A payment in 2015 that was no longer subject to a substantial risk of forfeiture LARRY DISANTO, $98,676. This amount IS reflected in Schedule J, Part II, Column (B)(iii) and was reported on HIS 2015 Form W-2, Box 5 as taxable Medicare wages. The following individuals participated in the 457(f) Plan and accrued additional deferred compensation in 2015 that is subject to a substantial risk of forfeiture AL MAGHAZEHE, PH.D., FACHE, $1,109,446; SHANE F. FLEMING, CPA, $57,475; ALEXANDER GLADNEY, ESQ., $48,000; EILEEN M. HORTON, $56,000; SUZANNE B. BORGOS, $40,003; EUGENE W. GROCHALA, $66,824 AND J. SCOTT CLEMMENSEN, $54,899. These individuals may never actually receive these unvested amounts. Accordingly, these unvested amounts have not been included in Schedule J, Part II, Column (C) and were not reported on each individuals 2015 Form W-2, Box 5 as taxable Medicare wages.
SCHEDULE J, PART I; QUESTION 7	Certain individuals listed in Part VII, Section A, line 1a received incentive awards during calendar year 2015, which incentive awards are reflected in Schedule J, Part II, Column B(ii) and were reported on each such individuals 2015 Form W-2, Box 5, as taxable Medicare wages. These incentive awards were paid under the Capital Health Incentive Compensation Plan ("ICP"), approved by the Board Compensation Committee, and based on achievement of pre-established System-wide performance criteria and metrics, as well as meeting or exceeding specific performance on "circuit breakers." The ICP is an extremely robust incentive plan and is an integral component of the Organizations executive compensation package. The Board Compensation Committee uses the ICP as a mechanism to reward performance against established key performance requirements, while maintaining appropriate safeguards. The goals cover financial and operational metrics and are defined each year, based on the desired concentration required by the Board Compensation Committee. The Board Compensation Committee undertakes a quarterly review of performance towards achievement of each goal, which allows the Board Compensation Committee to monitor how key projects are being handled and to make adjustments, if necessary. Please refer to Schedule J, Part II, Column B(ii) for this information by person and by amount.
SCHEDULE J, PART II, COLUMN F	The amount reported in Schedule J, Part II, Column F for Larry DiSanto, $98,676, includes vested benefits in the Capital Health System Non-Qualified 457(f) Deferred Compensation Plan because the amount was no longer subject to a substantial risk of forfeiture. The amount was reported as retirement and other deferred compensation on Forms 990 in prior years and is now being treated as taxable income and reported in his 2015 Form W-2, Box 5 as taxable Medicare wages.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $						0

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) RONA H REMSTEIN	SPOUSE OF OFFICER	126,618	EMPLOYEE		No
(2) BAHRAM MAGHAZEHE	BROTHER OF DIRECTOR/OFF.	89,381	EMPLOYEE		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

CAPITAL HEALTH SYSTEM INC

Employer identification number

22-3548695

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== CAPITAL HEALTH SYSTEM, INC. ("CAPITAL HEALTH") OPERATES A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. CAPITAL HEALTH IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CAPITAL HEALTH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, THE HOSPITALS OPERATE CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) CAPITAL HEALTH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY; 2) CAPITAL HEALTH OPERATES EMERGENCY DEPARTMENTS AT BOTH OF ITS HOSPITAL CAMPUSES; CAPITAL HEALTH REGIONAL MEDICAL CENTER AND CAPITAL HEALTH MEDICAL CENTER - HOPEWELL; WHICH ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) CAPITAL HEALTH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF CAPITAL HEALTH RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. WITH OVER A CENTURY OF SERVICE TO THE GREATER MERCER AND BUCKS COUNTY AREAS, CAPITAL HEALTH IS COMPRISED OF 458 BEDS, EMPLOYS APPROXIMATELY 4,500 INDIVIDUALS, AND GENERATES OVER 623 MILLION DOLLARS IN ANNUAL NET PATIENT SERVICE REVENUE. CAPITAL HEALTH REGIONAL MEDICAL CENTER AND CAPITAL HEALTH MEDICAL CENTER - HOPEWELL ARE SEPARATELY LICENSED ACUTE CARE HOSPITALS WITH 237 AND 221 BEDS; RESPECTIVELY. CAPITAL HEALTH ALSO OPERATES A NEW KIND OF HEALTHCARE CENTER THAT PUTS FAMILY PHYSICIANS AND SPECIALISTS, STATE-OF-THE-ART TECHNOLOGIES, AND SAME-DAY SURGICAL SERVICES ALL IN ONE LOCATION. CAPITAL HEALTH IN HAMILTON, LOCATED AT 1445 WHITEHORSE-MERCERVILLE ROAD, AND SPANNING 46,293 SQUARE FEET, CREATES A "MEDICAL MALL" WHERE PATIENTS CAN SEEK A HOST OF SERVICES SUCH AS OUTPATIENT SURGERY, RADIOLOGICAL TESTING AND SPECIALIZED CARE. THE FAMILY HEALTH CENTER ("FHC") AT CAPITAL HEALTH IS LOCATED AT 433 BELLEVUE AVENUE IN TRENTON. THE 14,000 SQUARE FOOT LOCATION HELPS TO REDUCE PATIENT WAIT TIME FOR APPOINTMENTS. IN ADDITION TO THE CH MEDICAL CLINIC AT THE FHC THERE IS ALSO THE HENRY J. AUSTIN FAMILY MEDICINE CLINIC AT THE SAME LOCATION, WHICH ALSO PROVIDES COMPREHENSIVE PRIMARY CARE FOR FAMILIES, INCLUDING EVALUATIONS AND SAME-DAY WALK-IN AND SICK APPOINTMENTS FOR ADULTS AND CHILDREN, AND PATIENTS HAVE ACCESS TO LOWER COST PRESCRIPTIONS, SOCIAL SERVICE AND PATIENT NAVIGATION. CAPITAL HEALTH IS GUIDED BY ITS DEDICATION TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES. THAT LEVEL OF DETERMINATION AND COMMITMENT IS AN ESSENTIAL PART OF THE CULTURE AT CAPITAL HEALTH. CAPITAL HEALTH PROVIDES HEALTHCARE SERVICES TO ALL PEOPLE IN A NON-DISCRIMINATORY MANNER, REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. MOREOVER, CAPITAL HEALTH PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, AS DEFINED BY THE NEW JERSEY STATE ATTORNEY GENERAL, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. CAPITAL HEALTH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. MISSION STATEMENT ================ CAPITAL HEALTH IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES, WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS THROUGHOUT CENTRAL NEW JERSEY AND LOWER BUCKS COUNTY, PENNSYLVANIA. CAPITAL HEALTH ASSURES ACCESSIBLE, COMPASSIONATE, CULTURALLY SENSITIVE AND PREVENTATIVE HEALTHCARE SERVICES THAT RESPECT INDIVIDUAL DIGNITY. CAPITAL HEALTH ADDRESSES THE REGION'S EVOLVING HEALTHCARE NEEDS BY PROVIDING COMPREHENSIVE CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE HEALTH PROGRAMS. AWARDS AND RECOGNITION ===================== CAPITAL HEALTH HAS RECEIVED THE FOLLOWING AWARDS AND RECOGNITIONS: - JOINT COMMISSION ADVANCED CERTIFICATION FOR COMPREHENSIVE STROKE CENTER (RMC) - JOINT COMMISSION DISEASE SPECIFIC CERTIFICATION FOR ACUTE STROKE (CHMCH) - JOINT COMMISSION DISEASE SPECIFIC CERTIFICATION FOR TOTAL JOINT REPLACEMENT - HIP (CHMCH) MAGNET RE-DESIGNATION --------------------- THE AMERICAN NURSES CREDENTIALING CENTER ("ANCC") HAS RECOGNIZED CAPITAL HEALTH'S EXEMPLARY NURSING LEADERSHIP AND QUALITY PATIENT CARE BY AWARDING ITS MAGNET RECOGNITION FOR EXCELLENCE IN NURSING SERVICE. MAGNET STATUS IS THE HIGHEST LEVEL OF RECOGNITION THE ANCC CAN EXTEND TO A HEALTHCARE ORGANIZATION. CAPITAL HEALTH HAS EARNED THIS RECOGNITION THREE TIMES, CONSECUTIVELY. 2015 AWARDS AND ACCREDITATIONS ------------------------------ CAPITAL HEALTH MEDICAL CENTER-HOPEWELL WAS NAMED A 2012 AND 2013 TOP PERFORMER ON KEY QUALITY MEASURES BY THE JOINT COMMISSION FOR EXEMPLARY PERFORMANCE IN USING EVIDENCE-BASED PROCESSES TO IMPROVE CARE FOR STROKE, HEART ATTACK, HEART FAILURE AND SURGICAL CARE. In 2014 Capital Health Hopewell added Pneumonia and prenatal care to the list of Top Performer. OUR MARJORIE G. ERNEST JOINT REPLACEMENT CENTER OF EXCELLENCE AT CAPITAL HEALTH MEDICAL CENTER-HOPEWELL RECEIVED DISEASE-SPECIFIC CARE CERTIFICATION FOR TOTAL JOINT HIP REPLACEMENT FROM THE JOINT COMMISSION. CAPITAL HEALTH REGIONAL MEDICAL CENTER WAS ONE OF THE FIRST TWO HOSPITALS IN NEW JERSEY TO RECEIVE ADVANCED CERTIFICATION AS A COMPREHENSIVE STROKE CENTER FROM THE JOINT COMMISSION. THE BRISTOL-MYERS SQUIBB TRAUMA CENTER AT CAPITAL HEALTH REGIONAL MEDICAL CENTER WAS REVERIFIED AS A LEVEL II TRAUMA CENTER BY THE COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS (ACS). COMPREHENSIVE CENTER FOR BREAST CARE WAS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE (SCPC). REGIONAL MEDICAL CENTER BECAME THE ONLY HOSPITAL IN NEW JERSEY AND ONLY 1 OF 6 IN THE COUNTRY TO EARN A 2014 COMMITMENT TO EXCELLENCE AWARD FOR PATIENT EXPERIENCE FROM PRESS GANEY ASSOCIATES., INC. Capital Health was awarded the Outstanding Achievement Award along with being ACCREDITED WITH GOLD COMMENDATION BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER IN 2015. ACCREDITATION BY COC IS GIVEN ONLY TO THOSE FACILITIES THAT HAVE VOLUNTARILY COMMITTED TO PROVIDING THE HIGHEST LEVEL OF QUALITY CANCER CARE AND THAT UNDERGO A RIGOROUS EVALUATION PROCESS AND REVIEW OF THEIR PERFORMANCE. CAPITAL HEALTH EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S "GET WITH THE GUIDELINES" STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD. THE AMERICAN COLLEGE OF RADIOLOGY (ACR), AN ORGANIZATION FOCUSED ON THE PRACTICE OF RADIOLOGY AND THE DELIVERY OF COMPREHENSIVE HEALTH CARE SERVICES, DESIGNATED CAPITAL HEALTH AS A BREAST IMAGING CENTER OF EXCELLENCE FOR EARNING FOUR NATIONAL ACCREDITATIONS IN MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY, BREAST ULTRASOUND AND ULTRASOUND-GUIDED BREAST BIOPSY. Capital Health Center for Womens Health has received NCQA Patient-Centered Medical Home (PCMH) Recognition. JOINT COMMISSION'S GOLD SEAL OF APPROVAL ---------------------------------------- The Joint Commission (TJC) is an independent not-for-profit organization that accredits and certifies nearly 21,000 health care organizations in the United States. TJC accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting certain performance standards. Their mission is to continuously improve health care for the public, in collaboration with their stakeholders by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. TJC serves as a deeming authority for the Centers for Medicare and Medicaid Services (CMS). Capital Health (CRMC and CHMCH) received ongoing accreditation of the Gold Seal of Approval in May 2016. STATEMENT FOR COMMUNITY HEALTH IMPROVEMENT & BENEFITS ===================================================== TO PROMOTE WELLNESS, PREVENT ILLNESS, AND REMOVE BARRIERS THAT HINDER ACCESS TO HEALTHCARE BY WORKING HAND-IN-HAND WITH THE COMMUNITIES SERVED. PRINCIPLES ---------- - CAPITAL HEALTH BELIEVES THAT COMMUNITY HEALTH IMPROVEMENT IS ESSENTIAL TO THE CAPITAL HEALTH MISSION. - CAPITAL HEALTH BELIEVES COMMUNITY-BASED COALITIONS ARE UNIQUELY QUALIFIED TO ACHIEVE COMMUNITY HEALTH GOALS AND CAPITAL HEALTH VALUES PARTNERSHIPS WITH THEM. - CAPITAL HEALTH VALUES EVIDENCE-BASED PRACTICES AND SEEKS TO MODEL EXCELLENCE IN COMMUNITY HEALTH PRACTI
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	OPERATIONAL VALUES ------------------ INTEGRITY: ADHERES TO AN APPROPRIATE AND EFFECTIVE SET OF CORE BELIEFS INCLUDING HONESTY AND SERVING THE GREATER GOOD. DOES NOT BLAME OTHERS FOR HIS OR HER OWN MISTAKES OR MISREPRESENT HIMSELF OR HERSELF FOR PERSONAL GAIN OR PROTECTION. PERCEIVED BY OTHERS AS A DIRECT, TRUTHFUL INDIVIDUAL AND IS WIDELY TRUSTED, WITH THE ABILITY TO PRESENT THE TRUTH IN AN APPROPRIATE AND HELPFUL MANNER. EXCELLENCE: PROVIDES THE MOST EFFICIENT AND EFFECTIVE WORK PROCESSES TO MEET THE NEEDS OF PATIENTS AND OTHER CUSTOMERS, WHICH LEADS TO THE HIGHEST QUALITY SERVICES. MAKES SOUND DECISIONS BASED UPON KNOWLEDGE, JUDGMENT, AND EXPERIENCE, AND IS SOUGHT OUT BY OTHERS FOR ADVICE AND SOLUTIONS TO ISSUES AND PROBLEMS. COMPASSION: DEMONSTRATES CARING AND CONCERN FOR THE WELFARE OF OTHERS, ASSISTING WHEREVER NECESSARY. USES UNDERSTANDING AND INSIGHT WHEN DEALING WITH PATIENTS OR OTHER CUSTOMERS IN ALL ASPECTS OF CARE OR SERVICE DELIVERY. TEAMWORK: DISPLAYS A PROFESSIONAL AND COLLABORATIVE SPIRIT IN FULFILLING RESPONSIBILITIES AND ASSISTING OTHERS. HELPS TO CREATE AND MAINTAIN POSITIVE MORALE WITH HIS OR HER TEAM, SHARING IN SUCCESSES, WORKING THROUGH PROBLEMS. FOSTERS OPEN DIALOGUE AND WORKS TOWARDS CREATING AN ATMOSPHERE WHERE OUTCOMES AND SUCCESS ARE BENEFICIAL TO THE TEAM AND/OR THE ORGANIZATION AT LARGE. VISION ------ CAPITAL HEALTH WILL BE THE PREMIER COMMUNITY-BASED HEALTHCARE PROVIDER IN CENTRAL NEW JERSEY AND LOWER BUCKS COUNTY, PA. CAPITAL HEALTH WILL CONSTANTLY STRIVE TO MAINTAIN THE HIGHEST PROFESSIONAL STANDARDS, EXCEED EXPECTATIONS OF THOSE SERVED AND TO PROMOTE A POSITIVE WORK ENVIRONMENT. CAPITAL HEALTH'S SUCCESS WILL BE BUILT UPON CARING, COMPASSION, CREATIVITY, INTEGRITY, RESPECT, SERVICE, AND TEAMWORK. CAPITAL HEALTH'S SERVICES WILL SUPPORT THE PHYSICAL, EMOTIONAL AND PSYCHOLOGICAL HEALTH OF THEIR COMMUNITIES. SERVICE CULTURE INITIATIVE -------------------------- CAPITAL HEALTH IS DEDICATED TO HIGH QUALITY PERFORMANCE, AND TO EXCEEDING CUSTOMER EXPECTATIONS WITHIN A SUPPORTIVE AND FRIENDLY ENVIRONMENT. EACH EMPLOYEE HAS A RESPONSIBILITY AND IS ACCOUNTABLE FOR PROVIDING OPTIMUM SATISFACTION TO THE PATIENTS AND THEIR FAMILIES, PHYSICIANS AND COWORKERS. SERVICE CULTURE INITIATIVE VISION STATEMENT ------------------------------------------- - CAPITAL HEALTH COMMITS TO THE NEEDS OF THE COMMUNITIES SERVED. THROUGH EXCELLENT SERVICE AND CARE, CAPITAL HEALTH ACHIEVES SUCCESSFUL PATIENT OUTCOMES. - CAPITAL HEALTH ADHERES TO A STANDARD OF POSITIVE BEHAVIOR. THIS MUST INCLUDE POSITIVE FIRST IMPRESSIONS, APPROPRIATE COMMUNICATION, PROFESSIONAL APPEARANCE AND THE REALIZATION THAT THEY ARE DEALING WITH PEOPLE'S LIVES. - CAPITAL HEALTH CREATES AN ENVIRONMENT CONDUCIVE TO POSITIVE RELATIONSHIPS. BY ENGAGING EMPLOYEES IN A PARTNERSHIP OF TEAMWORK, CAPITAL HEALTH IS REINFORCING THEIR COMMITMENT TO TRUST AND RESPECT. - CAPITAL HEALTH IS PROACTIVE RATHER THAN REACTIVE. BY HAVING EFFICIENT AND EFFECTIVE SYSTEMS, CAPITAL HEALTH IMPROVES QUALITY CARE AND SERVICE DELIVERY. - CAPITAL HEALTH ACCEPTS THE CHALLENGE OF SERVICE CULTURE IMPROVEMENT AS A BUSINESS STRATEGY. IT IS NOT ONLY THE NICE THING TO DO, BUT THE RIGHT THING TO DO TO ASSURE THE GROWTH OF CAPITAL HEALTH. - CAPITAL HEALTH RECOGNIZES EXCELLENT SERVICE CULTURE PERFORMANCE. FEATURED SERVICES ================= DIABETES SERVICES ----------------- DIABETES EDUCATION AT CAPITAL HEALTH IS AN OUTPATIENT COMPREHENSIVE REFERRAL BASED DIABETES EDUCATION PROGRAM THAT EMPOWERS PATIENTS TO TAKE CONTROL IN THE SUCCESSFUL MANAGEMENT OF THEIR DISEASE. CAPITAL HEALTH'S EDUCATION MODEL, WHERE THE PATIENT IS THE CENTRAL PLAYER, IS WIDELY RECOGNIZED AS THE BEST MODEL TO USE TO HELP THE PATIENT ACHIEVE OPTIMAL HEALTH RELATED OUTCOMES. CAPITAL HEALTH WORKS CLOSELY WITH PRIMARY CARE PHYSICIANS WHO CONTINUE TO MONITOR EACH INDIVIDUAL'S MEDICAL PROBLEMS. TRAUMA AND EMERGENCY SERVICES ----------------------------- THE BRISTOL-MYERS SQUIBB TRAUMA CENTER, THE LEVEL II TRAUMA CENTER AT CAPITAL HEALTH REGIONAL MEDICAL CENTER, IS ONE OF ONLY 10 STATE DESIGNATED TRAUMA CENTERS IN NEW JERSEY. CAPITAL HEALTH PROVIDES COMPREHENSIVE CARE FROM THE TIME OF INJURY THROUGH REHABILITATION. THE TRAUMA CENTER MEETS HIGH NATIONAL STANDARDS FOR PATIENT CARE AND TEACHING. THE DESIGNATION PROCESS INVOLVES DETAILED REGULAR INSPECTIONS BY NATIONAL AND STATE ORGANIZATIONS TO ASSURE HIGH STANDARDS OF CARE. CAPITAL HEALTH IS THE REGIONAL REFERRAL CENTER FOR INJURED PATIENTS IN MERCER COUNTY AND ADJACENT PARTS OF SOMERSET, HUNTERDON, BURLINGTON, AND MIDDLESEX COUNTIES AS WELL AS NEARBY AREAS OF PENNSYLVANIA. DESIGNATED TRAUMA CENTERS CARE FOR SEVERELY INJURED PATIENTS AS WELL AS VICTIMS OF ACCIDENT TYPES KNOWN TO BE ASSOCIATED WITH A HIGH RISK FOR INJURY. TRAUMA PATIENTS INCLUDE PERSONS INVOLVED IN MOTOR VEHICLE CRASHES, FALLS, AND ASSAULTS WITH KNIVES, GUNS, OR BLUNT OBJECTS. TRAUMA CENTERS HAVE THE LATEST TECHNOLOGY AND EXPERIENCED STAFF AVAILABLE TO CARE FOR YOUR FAMILY MEMBER. BESIDES PROVIDING CARE TO THE INJURED, TRAUMA CENTERS ARE ALSO ACTIVE PARTNERS WITH THE COMMUNITY IN INJURY PREVENTION AND PUBLIC EDUCATION. MATERNITY --------- FROM ROUTINE DELIVERIES TO HIGH-RISK NEEDS, CAPITAL HEALTH'S GREAT EXPECTATIONS PROGRAM PROVIDES A FULL RANGE OF PRENATAL, OBSTETRICAL, POSTPARTUM, AND NEONATAL CARE OPTIONS TO MAKE CERTAIN NEW FAMILIES HAVE THE GREATEST CHANCE FOR A HEALTHY BEGINNING. THE MATERNITY UNIT AT CAPITAL HEALTH MEDICAL CENTER - HOPEWELL IS MERCER COUNTY'S ONLY REGIONAL PERINATAL CENTER AND LEVEL III NEONATAL INTENSIVE CARE UNIT. THE CAPITAL HEALTH HEALTHSTART PRENATAL PROGRAM LOCATED AT THE FHC IN TRENTON PROVIDES CARE TO OVER 1,500 PREGNANT WOMEN ANNUALLY. CAPITAL HEALTH IS THE ONLY HEALTHCARE PROVIDER IN MERCER COUNTY to provide hospital-based obstetrical care. To support this program CAPITAL HEALTH has in-house coverage by obstetricians, midwives, neonatologists, and anesthesiologists 24 hours a day, seven days a week. And, Capital Health was chosen as New Jersey's first site to house a march of dimes family support program. The program provides information and emotional support to families of critically ill newborns being cared for in the neonatal intensive care unit. ALSO, COMPREHENSIVE CHILDBIRTH AND PARENT EDUCATION SERVICES ARE OFFERED TO HELP PREPARE INDIVIDUALS TO BE THE BEST PARENTS POSSIBLE BY TEACHING ABOUT THE PROCESS OF BIRTH AND HOW TO CARE FOR THEIR INFANTS. LACTATION SERVICES ------------------ IN 2012, CAPITAL HEALTH MEDICAL CENTER-HOPEWELL WAS DESIGNATED AS A BABY FRIENDLY HOSPITAL, THE SECOND HOSPITAL IN NEW JERSEY TO ATTAIN THIS STATUS. AS A BABY FRIENDLY HOSPITAL, CAPITAL HEALTH FOCUSES ON THE ENTIRE OBSTETRIC POPULATION. IN 2013, CAPITAL HEALTH DEMONSTRATED AN OVERALL 82 PERCENT BREASTFEEDING INITIATION RATE AND A 57 PERCENT AVERAGE EXCLUSIVE BREASTFEEDING RATE. EXCLUSIVITY FOR BREASTFEEDING MOTHERS ONLY WAS HIGHER AT AN AVERAGE 66 PERCENT RATE. CAPITAL'S HEALTHSTART CLINIC PATIENT POPULATION BREASTFEEDING RATES WERE COMPARABLE TO THE OVERALL OBSTETRIC POPULATION DUE TO ADDITIONAL EDUCATIONAL PROGRAMS AND ONE-TO-ONE SUPPORT WITH INCREASES IN SERVICES INCLUDING PRENATAL GROUP CENTERING AND COLLABORATIVE EFFORTS BETWEEN CAPITAL HEALTH AND SPECIFIC COMMUNITY ORGANIZATIONS DIRECTED TOWARD THIS VULNERABLE POPULATION. FOCUSED PROGRAMS SUCH AS CHILDREN'S FUTURE AND WOMEN'S INFANTS AND CHILDREN (WIC) HAVE BEEN INSTRUMENTAL TO ITS DEMONSTRATED SUCCESS. INSTITUTE FOR NEUROSCIENCES --------------------------- THE CAPITAL INSTITUTE FOR NEUROSCIENCES, HAS ADVANCED THE LEVEL OF CARE AVAILABLE TO PATIENTS IN THE REGION. PROVIDING COMPREHENSIVE, STATE-OF-THE-ART DIAGNOSTICS AND TREATMENTS FOR A WIDE RANGE OF MEDICAL CONDITIONS INVOLVING THE BRAIN, SPINE AND NERVOUS SYSTEM, THE INSTITUTE'S HIGHLY TRAINED AND SPECIALIZED PHYSICIANS UTILIZE CUTTING EDGE TECHNOLOGY TO DELIVER OUTSTANDING CARE. PHYSICIANS INCLUDE BOARD-CERTIFIED AND FELLOWSHIP-TRAINED SPECIALISTS. AT THE INSTITUTE, PATIENTS BENEFIT FROM A MULTI-DISCIPLINARY TEAM OF SPECIALISTS WHICH CAN INCLUDE NEUROLOGISTS, NEUROSURGEONS, AND OTHER SPECIALIZED PHYSICIANS, AS WELL AS ANESTHESIOLOGISTS, PHYSICIAN ASSISTANTS, CRITICAL CARE NURSES, NURSE ANESTHETISTS, SPEECH PATHOLOGISTS, TECHNICIANS, PHYSICAL AND OCCUPATIONAL THERAPISTS, SOCIAL WORKERS, AND OTHER CRITICAL TEAM MEMBERS WHO PROVIDE AN OUTSTANDING CONTINUUM OF CARE FROM DIAGNOSIS TO TREATMENT AND RECOVERY AT CAPITAL HEALTH. THE INSTITUTE INCLUDES MANY SPECIALIZED CENTERS OF CARE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	AMONG THE CONDITIONS TREATED: - STROKE AND TRANSIENT ISCHEMIC ATTACKS - CAROTID STENOSIS - ANEURYSM - ARTERIOVENOUS MALFORMATIONS (AVMS) - TRAUMATIC BRAIN INJURY - TUMORS OF THE BRAIN AND SPINE - BOTH MALIGNANT AND BENIGN AND INCLUDING SCHWANNOMAS, MENINGIOMAS, NEUROFIBROMAS, PITUITARY, PINEAL, SKULL BASE, GLIOMAS AND OTHERS - SPINAL DISEASES AND INJURIES - SUCH AS HERNIATED DISCS, SPONDYLOLISTHESIS, SPINAL COMPRESSION FRACTURES AND SPINAL VASCULAR MALFORMATIONS - DEGENERATIVE DISEASES AND SPINAL TRAUMA - NEUROLOGIC CONDITIONS INCLUDING DEMENTIA, MUSCLE AND MOVEMENT DISORDERS, NERVE DISORDERS AND HEADACHES - MOVEMENT DISORDERS, PARKINSON'S, ESSENTIAL TREMOR, ATYPICAL PARKINSON'S (MULTISYSTEM ATROHY, PROGRESSIVE SUPRANUCLEAR PALSY, AND CORTICOBASILAR DEGENERATION), DYSTONIA, ATAXIA AND SPASTICITY - PEDIATRIC NEUROLOGY, INCLUDING DEVELOPMENTAL DELAYS, AUTISM, NEUROMETABOLIC AND GENETIC DISORDERS, AND ATTENTION DEFICIT DISORDERS - ACUTE AND CHRONIC PAIN, INCLUDING PAIN FROM SPINAL STENOSIS, NERVE DISORDERS, CANCER, FIBROMYALGIA, SCIATICA, MIGRAINES, TRIGEMINAL MEURALGIA, MYOFACIAL, SHINGLES AND OTHER CONDITIONS - EPILEPSY - MOVEMENT LIMITATIONS DUE TO STROKE, ARTHRITIS, INJURY, AMPUTATION, OR OTHER CONDITIONS CENTER FOR DIGESTIVE HEALTH --------------------------- THE CAPITAL HEALTH CENTER FOR DIGESTIVE HEALTH IS ADVANCING THE LEVEL OF CARE AVAILABLE TO PATIENTS IN THE REGION BY PROVIDING COMPREHENSIVE, STATE-OF-THE-ART DIAGNOSTICS AND TREATMENTS FOR A WIDE RANGE OF MEDICAL CONDITIONS INVOLVING THE ENTIRE DIGESTIVE SYSTEM ALL IN ONE LOCATION. THE CENTER'S HIGHLY TRAINED AND SPECIALIZED PHYSICIANS UTILIZE CUTTING-EDGE TECHNOLOGY TO DELIVER OUTSTANDING CARE. THE CENTER'S MEDICAL DIRECTOR IS A FELLOWSHIP-TRAINED AND BOARD-CERTIFIED GASTROENTEROLOGIST WITH YEARS OF EXPERIENCE WHO HELPS PATIENTS AND THEIR REFERRING DOCTORS NAVIGATE THE CENTER AND ACCESS THE APPROPRIATE SPECIALIST OR SURGEON FOR THE ADVANCED TESTING OR CARE REQUIRED. THE CENTER'S MEDICAL STAFF INCLUDES THE REGION'S PRE-EMINENT MEDICAL EXPERT IN INTERVENTIONAL GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY, WHO HAS UNMATCHED EXPERIENCE USING ADVANCED DIAGNOSTIC TECHNIQUES SUCH AS ENDOSCOPIC ULTRASOUND (EUS) AND NON-SURGICAL TREATMENTS SUCH AS ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), RADIOFREQUENCY ABLATION (BARRX), ENDOSCOPIC MUCOSAL RESECTION (EMR), AND ENTERAL STENT PLACEMENT. THE CENTER ALSO RECENTLY WELCOMED A SPECIALIST IN IRRITABLE BOWEL DISEASES, SUCH AS CHRON'S AND COLITIS. IF SURGERY IS AN OPTION, THE CENTER HAS DIRECT ACCESS TO A ROSTER OF HIGHLY TRAINED LAPAROSCOPIC (MINIMALLY INVASIVE) SURGEONS, INCLUDING THE AREA'S ONLY HEPATOBILIARY SURGEON WHO SPECIALIZES IN ADVANCED LAPAROSCOPIC PROCEDURES OF THE LIVER, PANCREAS, AND BILE DUCTS. CENTER FOR ONCOLOGY ------------------- CAPITAL HEALTH HAS CONSISTENTLY OFFERED PATIENTS A CLOSELY INTEGRATED TEAM OF MEDICAL, SURGICAL, RADIATION, AND ALLIED CANCER SPECIALISTS WHO USE THEIR KNOWLEDGE AND EXPERIENCE TO PROVIDE CUTTING-EDGE CANCER TREATMENT CLOSE TO HOME. Capital Health Medical is the only hospital in the region where you will also have advanced treatment options such as CyberKnife Radiosurgery and da Vinci Robotic Surgery. Capital Health was also the first hospital in the region to offer the state-of-the-art TrueBeam Linear Accelerator for traditional 3D conformal radiation therapy, intensity modulated radiation therapy (IMRT), RapidArc radiotherapy, and stereotactic radiosurgery. WHEN ONE CHOOSES CAPITAL HEALTH FOR CANCER CARE, ONE SELECTS BOARD CERTIFIED PHYSICIANS WHO REMAIN WITH THE PATIENT FROM DIAGNOSIS THROUGH TREATMENT. WORKING TOGETHER, CAPITAL HEALTH OFFERS A COMPASSIONATE APPROACH TO ASSIST PATIENTS WITH EVERY ASPECT OF CANCER CARE, INCLUDING SCREENING, DIAGNOSIS, TREATMENT, RECOVERY, AND SURVIVORSHIP. THE CAPITAL HEALTH, CENTER FOR ONCOLOGY IS COMMITTED TO PROVIDING COMPREHENSIVE QUALITY ONCOLOGY HEALTHCARE SERVICES, TO HELP IMPROVE AND SUSTAIN THE HEALTH STATUS OF RESIDENTS LIVING PRIMARILY IN CENTRAL NEW JERSEY AND LOWER BUCKS COUNTY. CAPITAL HEALTH STRIVES TO IMPROVE AND EXTEND THE QUALITY OF LIFE FOR THE PATIENT WITH CANCER. THE CENTER FOR ONCOLOGY IS A LEADER IN DEFINING THE COMMUNITY'S CANCER CARE NEEDS BY PROVIDING APPROPRIATE PLANS THROUGH A COMPREHENSIVE CONTINUUM OF CARE, WHICH INCLUDES EDUCATION, PREVENTION, SCREENING, DIAGNOSIS, TREATMENT, CLINICAL RESEARCH, SYMPTOM MANAGEMENT, SUPPORTIVE CARE AND SURVIVORSHIP PROGRAMS. CAPITAL HEALTH'S SUCCESS IS BUILT UPON CARE, COMPASSION, CREATIVITY, INTEGRITY, RESPECT, SERVICE, STATE-OF-THE-ART TECHNOLOGY AND MULTIDISCIPLINARY TEAMWORK. THE CENTER FOR ONCOLOGY IS ACCREDITED BY SEVERAL ESTEEMED BODIES: * AMERICAN COLLEGE OF SURGEONS - COMMISSION ON CANCER - Accreditation with Gold Commendation as well as 2015 Outstanding Achievement Award * NATIONAL ACCREDATION PROGRAM FOR BREAST CENTERS (NAPBC) * AMERICAN COLLEGE OF RADIOLOGY - RADIATION ONCOLOGY DEPARTMENT * AMERICAN COLLEGE OF RADIOLOGY - IMAGING CENTER OF EXCELLENCE CAPITAL HEALTH PROVIDES THE MOST COMPREHENSIVE LUNG SCREENING THROUGH LOW DOSE CAT SCANS AND CANCER TREATMENT PROGRAM IN THE REGION. THIS SCREENING PROGRAM IS OFFERED TO PATIENTS AT RISK OF DEVELOPING LUNG CANCER, THOSE WITH A HEAVY SMOKING HISTORY. THIS INCLUDES CUTTING EDGE DIAGNOSTICS, SPECIFICALLY THEIR EXTREMELY LOW-DOSE 128- AND 256-SLICE CT SCANS. THERE IS NO CONTRAST INVOLVED AND NO BLOOD TESTS REQUIRED, THEREFORE, NO NEEDLES ARE USED. CAPITAL HEALTH PHYSICIANS ARE LICENSED TO OFFER A NEW FDA-APPROVED TREATMENT TO PATIENTS WITH COLORECTAL CANCER THAT HAS METASTASIZED TO THE LIVER. THE SELECTIVE INTERNAL RADIATION THERAPY (SIRT) IS A PROVEN TECHNOLOGY FOR INOPERABLE LIVER CANCER THAT DELIVERS DOSES OF RADIATION DIRECTLY TO THE SITE OF TUMORS. THE CAPITAL HEALTH'S RADIATION ONCOLOGY DEPARTMENT RECENTLY ADDED HIGH DOSE RADIATION THERAPY (HDR) AS ONE OF ITS RADIATION OPTIONS FOR ONCOLOGY PATIENTS. HDR OFFERS ONCOLOGY PATIENTS AN ADDITIONAL TREATMENT OPTION AS IT DIFFERS FROM TRADITIONAL MODALITIES. HDR TREATS CANCER BY PLACING RADIOACTIVE SOURCES DIRECTLY INTO OR NEXT TO THE CANCER. THIS ENABLES CLINICIANS TO DELIVER A HIGH DOSE WITH MINIMAL IMPACT TO SURROUNDING HEALTHY TISSUES. HDR HAS PROVEN TO BE A SUCCESSFUL TREATMENT FOR CANCERS OF THE PROSTATE, CERVIX, ENDOMETRIUM, BREAST, SKIN, BRONCHUS, ESOPHAGUS, HEAD AND NECK, AND SOFT TISSUE SARCOMAS. AT CAPITAL HEALTH, WE PLAN TO USE HDR TO TREAT ALL SITES. The program also includes several oncology navigators to guide patients through all aspects of their care, provide educational reinforcement and psychosocial support and resources. Currently there are six navigators: - Breast Nurse Navigator - GI Cancer Nurse Navigator - Neuro Oncology nurse Navigator - Lung Cancer Screening Navigator - CyberKnife Navigator - Cancer Genetics Nurse Navigator The Center of Oncology is especially proud of the community events provided to patients. Each year, nearly 40 annual educational events are offered on cancer prevention, risk factors and screening throughout the community. The Center also offers four support groups per month for oncology patients at various locations and times. On a monthly basis, wellness programs to oncology survivors are also provided. In addition, the Center has offered several cancer screenings to the public. In 2008, The Center for Oncology initiated a Colon Cancer Screening Program which offers colonoscopies for uninsured and underinsured individuals living in Trenton that meet American Cancer Society eligibility criteria. Annually, approximately 50 patients are screened through colonoscopy and 25% of patients are found to have cancer causing polyps which are removed and thus colon cancer is prevented. In addition, several early colon cancers have been detected. PEDIATRICS ---------- CAPITAL HEALTH MEDICAL CENTER - HOPEWELL IS HOME TO THE ONLY IN-PATIENT PEDIATRIC UNIT IN MERCER CAPITAL HEALTH'S PEDIATRIC EMERGENCY SERVICE IS COMPLETELY SEPARATE FROM THE ADULT EMERGENCY DEPARTMENT AND IS STAFFED BY PEDIATRIC SPECIALISTS. THE PEDIATRIC HOSPITALIST PROGRAM GIVES PEDIATRIC PATIENTS AND THEIR PHYSICIAN'S AROUND-THE-CLOCK ACCESS TO IN-HOUSE PEDIATRICIANS AND PEDIATRIC TRAINED NURSES. PEDIATRICS IS ALSO PROVIDED FOR TRAUMA PATIENTS AT RMC. RADIOLOGY SERVICES ------------------ CAPITAL HEALTH HAS AN ABUNDANCE OF THE MOST STATE-OF-THE-ART RADIOLOGY SERVICES IN THE REGION. AS THE REGION'S LEADER IN DIAGNOSTIC AND TREATMENT TECHNOLOGY, CAPITAL HEALTH OFFERS FULL-TIME, ONSITE PET SCAN TECHNOLOGY AND WAS THE FIRST HOSPITAL IN THE COUNTRY TO OFFER A MOLECULAR BREAST IMAGING DEVICE AT CAPITAL HEALTH MEDICAL CENTER-HOPEWELL. FULL-SERVICE IMAGING SUITES AT CAPITAL HEALTH LOCATIONS BOAST THE MOST ADVANCED EQUIPMENT AVAILABLE, INCLUDING LOW DOSE, MULTI-SLICE DUAL ENERGY CT SCANNERS AND LARGE BORE MAGNETIC RESONANCE IMAGING (MRI) MACHINES THAT FEATURES THE SHORTEST HIGH-FIELD MAGNET IN THE INDUSTRY RANGING FROM A 1.5 TO A 3.0 TESLA AND FUNCTIONAL MRI CAPABILITY. SLEEP CENTER --------
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	DIALYSIS -------- SINCE 1970, THE CAPITAL HEALTH RENAL DIALYSIS SERVICES HAS BEEN THE ONLY HOSPITAL OWNED AND OPERATED DIALYSIS PROGRAM IN THE AREA. THE MAIN OBJECTIVE OF THE SERVICE HAS BEEN TO DELIVER SAFE, EFFECTIVE TREATMENT TO PATIENTS WITH ACUTE AND CHRONIC KIDNEY FAILURE IN ACCORDANCE WITH FEDERAL, STATE AND JOINT COMMISSION REGULATIONS. CONSISTING OF 28 HEMODIALYSIS AND 3 HOME TRAINING STATIONS, THIS PLEASANT, STATE-OF-THE-ART FACILITY PROVIDES INPATIENT AND OUTPATIENT HEMODIALYSIS AND PERITONEAL DIALYSIS SERVICES. OUR HOME PROGRAM OFFERS PATIENTS THE OPPORTUNITY TO BE EDUCATED IN SELF CARE TO PERFORM EITHER DIALYSIS MODALITY IN THE HOME SETTING. IT IS THE COMMITMENT OF THE SERVICE THAT NO PATIENT WILL BE DENIED ACCEPTANCE BECAUSE OF AGE, NATIONAL ORIGIN, PHYSICAL HANDICAP, RACE, RELIGION, SEX OR INABILITY TO PAY. ALSO, ALL PATIENTS IN THE SERVICE ARE ENTITLED TO ANY AND/OR ALL ANCILLARY SERVICES PROVIDED BY CAPITAL HEALTH. OTHER NEEDED SERVICES, NOT DIRECTLY PROVIDED BY CAPITAL HEALTH, ARE MADE AVAILABLE THROUGH A REFERRAL PROCESS. TREATING DISEASES OF THE KIDNEY REQUIRE THE RIGHT TEAM TO HELP THE PATIENT MAINTAIN HIS/HER MAXIMUM LEVEL OF HEALTH AND ACTIVITY. OUR HIGHLY EDUCATED AND EXPERIENCED HEALTHCARE TEAM, LEAD BY A MEDICAL DIRECTOR BOARD CERTIFIED IN NEPHROLOGY, ALSO INCLUDES A DIRECTOR OF RENAL DIALYSIS, RENAL NURSE MANAGER, NEPHROLOGY ADVANCED PRACTICE REGISTERED NURSE, RENAL CLINICAL NURSE SPECIALIST, REGISTERED AND LICENSED PRACTICAL NURSES, DIALYSIS PATIENT CARE TECHNICIAN, RENAL DIETITIANS AND RENAL SOCIAL WORKERS. THIS TEAM HAS SUCCESSFULLY MET THE CENTERS FOR MEDICARE & MEDICAID SERVICES END STAGE RENAL DISEASE QUALITY INCENTIVE PROGRAM GOALS SINCE THEIR INCEPTION. THESE GOALS WERE ESTABLISHED TO IMPROVE PATIENT CARE BY SETTING PERFORMANCE STANDARDS FOR QUALITY OF CARE. Clinically Integrated Network ----------------------------- Capital Health launched its clinically integrated network, Leading Integrated Network of Clinicians (LINC), a move that will enable better coordination and improve alignment among the healthcare system and physicians to enhance patient care. LINC is a healthcare network that coordinates care across providers and sites-of-care in a manner that enhances value for consumers by improving quality and patient satisfaction, while at the same time, lowering healthcare costs. It is a partnership between physicians and the health system that is collectively committed to improving the quality and efficiency of care delivered to patients across the continuum of care. LINC will be able to participate in value based agreements with Managed Care plans and other payors that reward quality and efficiency. The LINC allows for the alignment of health system and physician goals by providing a structure that enables them to work together to improve patient experience, to monitor and control utilization of healthcare services and assure quality of care, and to selectively choose network physicians who are likely to further these objectives. DEFINITION OF COMMUNITY AND POPULATION SERVED --------------------------------------------- Capital Health defines its community as the city of Trenton, Mercer County and parts of Burlington, Monmouth, Middlesex and Bucks Counties. While it was once a center for industry in the late 1800's and early 1900's, Trenton has seen dramatic economic development challenges over the years. According to the 2014 U.S. census, its median household income was $35,647, by far the lowest in Mercer County. Based on a population of 84,225, Trenton also has the highest number and percentage of minorities in Mercer County with a predominantly African-American population of 43,797 residents or 52.0 percent. Hispanics or Latinos of any race constituted 28,383 residents or 33.7 percent, while Caucasians were numbered at 22,404 or 26.6 percent. COMMUNITY BENEFITS PROGRAMS =========================== OUTLINED BELOW ARE A NUMBER OF CAPITAL HEALTH COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW CAPITAL HEALTH BENEFITS THE SURROUNDING COMMUNITY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. CAPITAL HEALTH CHILDBIRTH AND PARENT EDUCATION PROGRAM ------------------------------------------------------ BENEFIT ACTIVITY: PREPARED CHILDBIRTH CLASSES IN SPANISH LANGUAGE THE CHILDBIRTH AND PARENT EDUCATION PROGRAM PROVIDES, FREE OF CHARGE, A FULL-DAY PREPARED CHILDBIRTH CLASS TO SPANISH-SPEAKING EXPECTANT PARENTS FROM THEIR COMMUNITY. THE CLASS IS HELD EVERY OTHER MONTH AND IS TAUGHT BY A CAPITAL HEALTH CERTIFIED CHILDBIRTH AND PARENT EDUCATOR WHO IS FLUENT IN SPANISH. CULTURALLY APPROPRIATE METHODS AND AUDIO-VISUAL MATERIALS ARE UTILIZED IN THE TEACHING OF THIS CLASS. PARTICIPANTS RECEIVE FREE BREAKFAST AND LUNCH. PARTICIPANTS RECEIVE SPANISH LANGUAGE REFERENCE MATERIALS AND AN EXTENSIVE HANDBOOK. REFERRALS TO THIS CLASS COME FROM THE CAPITAL HEALTH, HEALTH START PRENATAL CLINIC, A COMMUNITY PARTNERSHIP WITH CUNA, AND BY WORD-OF-MOUTH. TRAUMA EDUCATION ---------------- THE BRISTOL-MYERS TRAUMA CENTER AT CAPITAL HEALTH REGIONAL MEDICAL CENTER OFFERS FREE INJURY PREVENTION PROGRAMS TO MEMBERS OF THE COMMUNITY THAT INCLUDE PEDESTRIAN SAFETY, BICYCLE SAFETY, SEAT BELT SAFETY, PROPER USE OF CHILD SAFETY SEATS, AND HOME SAFETY. CONNECTING WITH THE LATINO COMMUNITY ------------------------------------ ENLACE ("LINK" IN SPANISH) IS A NAME FOR AN INNOVATIVE CAPITAL HEALTH PROGRAM DESIGNED TO CREATE CONTACTS AND CONNECTIONS WITHIN THE LATINO COMMUNITY. THROUGH ENLACE, CAPITAL HEALTH PROVIDES MEDICAL INTERPRETING AND HAS TRANSLATED ALL VITAL MEDICAL DOCUMENTS AND ARE NOW DOING THE SAME WITH PATIENT EDUCATION MATERIALS. ENLACE ALSO HELPS EDUCATE THE LATINO COMMUNITY ABOUT AMERICAN CUSTOMS AND HEALTHCARE PRACTICES AND PROVIDES CAPITAL HEALTH STAFF WITH INFORMATION ABOUT LATINO CULTURES. ANOTHER PROGRAM, CUNA (WHICH IS SPANISH FOR "CRIB"), CONNECTS LATINO WOMEN WITH PRE- AND POST-NATAL CARE, AND HELPS NEW MOTHERS OVERCOME LANGUAGE BARRIERS TO BETTER UNDERSTAND HEALTH ISSUES. CUNA ALSO OFFERS HELP WITH NUTRITION, COPING SKILLS AND EVEN BABYSITTING FOR OLDER CHILDREN. DSRIP: CHILDHOOD OBESITY ------------------------ CAPITAL HEALTH HAS PARTNERED WITH THE SCHOOL DISTRICT OF TRENTON AND ANOTHER LOCAL ELEMENTARY SCHOOL TO DEVELOP, IMPLEMENT AND PROVIDE A PROGRAM TO REDUCE THE EPIDEMIC OF CHILDHOOD OBESITY IN THE REGION. THE PROGRAM HAS TWO AIMS: TO INSTILL AN APPRECIATION FOR HEALTHY EATING AND ACTIVE LIFESTYLE IN THE IMPRESSIONABLE CHILD, AND TO REORIENT THEIR PARENTS TO FOLLOW A SIMILAR PATH. WE BELIEVE THAT A PARTNERSHIP AND LINKAGE MUST OCCUR SO THAT THE CHILD AND PARENT SEE HEALTHY EATING AND ACTIVITY AS A FAMILY ACTIVITY. THEREFORE, WHILE WE FOCUS DIRECTLY ON PROGRAMS FOR THE CHILDREN, WE HAVE CONCURRENTLY DEVELOPING A TIGHT LINKAGE WITH EDUCATION, WEIGHT MONITORING AND EXERCISE INDUCEMENT FOR THE PARENTS. THE PROGRAM'S MODEL FOLLOWS THE PROCESS OUTLINED IN SHAPING NEW JERSEY AND IN SERVING UP HEALTH, INVOLVING TEACHING CHILDREN AND THEIR PARENTS THE BASICS OF HEALTHY EATING AND PERFORMANCE OF DAILY AEROBIC EXERCISE AND MONITORING OF BMI. DSRIP: SUBSTANCE ABUSE ---------------------- THROUGHOUT OUR HEALTHCARE SYSTEM, OUR STAFF SEES A LARGE NUMBER OF INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS AND HAS DEVELOPED AN AWARENESS OF THE IMPACT OF THIS HEALTH ISSUE ON OTHER MEDICAL CONDITIONS. WHILE CAPITAL HEALTH'S DSRIP SUBSTANCE ABUSE PROGRAM SEEKS TO IMPROVE THE CARE OF THE PATIENT WITH ALCOHOL WITHDRAWAL SYNDROME BY IDENTIFYING THE DIAGNOSIS IN THE EARLY STAGES AND PREVENT ITS PROGRESSION INTO DELIRIUM TREMENS, CAPITAL'S CERTIFIED ALCOHOL AND DRUG ABUSE COUNSELORS FOCUS ON CONNECTING DIAGNOSED PATIENTS WITH POST-ACUTE SUBSTANCE ABUSE PROVIDERS SO THAT THEY CAN RECEIVE TREATMENT AND PREVENT RECIDIVISM. COMMUNITY HEALTH EDUCATION -------------------------- CAPITAL HEALTH'S COMMUNITY HEALTH EDUCATION PROGRAM IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY, AS WELL AS TO THE PREVENTION AND EARLY DETECTION OF DISEASE AMONG PEOPLE LIVING IN OUR COMMUNITY. THESE GOALS ARE ACCOMPLISHED BY PROVIDING HEALTH EDUCATION AND OTHER RELATED SERVICES TO THE GENERAL PUBLIC, AS WELL AS TO BUSINESS ORGANIZATIONS. THESE SERVICES CONSIST OF THE SPEAKER'S BUREAU, HEALTH FAIRS/HEALTH SCREENINGS, HEALTH EDUCATION LECTURE SERIES AND SUPPORT GROUPS. PROGRAMS ARE HELD IN VARIOUS LOCATIONS THROUGHOUT MERCER AND BUCKS COUNTIES, WITH TOPICS INCLUDING DIABETES EDUCATION, PERIPHERAL VASCULAR DISEASE AWARENESS, HEALTHY EATING, CANCER GENETICS, AND WOMEN'S HEALTH ISSUES AND MORE. THE COMMUNITY HEALTH EDUCATION PROGRAM PROVIDES A SERIES OF DIVERSE HEALTH EDUCATION PROGRAMS, RELATED TO HEALTH MAINTENANCE, DISEASE PREVENTION, EARLY DETECTION, GENERAL WELLNESS AND PERSONAL DEVELOPMENT. A SCHEDULE OF THE PROGRAMS, SCREENINGS AND SUPPORT GROUPS CURRENTLY OPEN FOR REGISTRATION MAY BE VIEWED ONLINE AT:WWW.CAPITALHEALTH.ORG/EVENTS
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMMUNITY SPONSORSHIPS ---------------------- Capital Health is proud to sponsor many local organizations in Mercer and Bucks counties through in-kind and monetary donations. Capital Health supports a variety of civic and cultural organizations that work to improve the wellbeing of the community. Capital Health has been in partnership with the Mercer County Prosecutors Office by sponsoring various conferences and providing START packets to overdose victims and their families, providing immedidate counseling to overdose victims and hosting community eductation programs. Capital Health has proven to be a leader in combating the opiod epidemic and in 2015, has graciously volunteered to donate the replacement supply of the life saving Naloxone to the Mercer County law enforcements for the coming years. With this donation, every police car in Mercer County will be able to continue to be equipped with this life saving opiod antidote. Capital Health provided various EMS In-Kind Education and training valued at approximately $263,000 in 2015 Capital Health provides EMS standby sevices at Trenton Thunder Minor League Baseball games with an In-Kind value amounted to approximately $45,000 in 2015. CONCLUSION ---------- CAPITAL HEALTH IS A NON-PROFIT ORGANIZATION THAT HAS AN "OPEN DOOR" POLICY. THIS POLICY MEANS THAT CAPITAL HEALTH PROVIDES NECESSARY BASIC HOSPITAL CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY FOR THEIR CARE. CAPITAL HEALTH IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION, OFFERING NUMEROUS HEATH CARE RELATED PROGRAMS AND ACTIVITIES, INCLUDING COMMUNITY HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION AND MEDICAL LECTURES AND SEMINARS ANNUALLY. CAPITAL HEALTH IS PROUD OF THEIR MANY PARTNERSHIPS WITH LOCAL ORGANIZATIONS. TO FURTHER SHOW HOW CAPITAL HEALTH IS COMMITTED TO BENEFITING ITS COMMUNITY, CAPITAL HEALTH, IN NOVEMBER 2011, OPENED ITS $530 MILLION 223-BED HOSPITAL IN HOPEWELL TOWNSHIP, NEW JERSEY TO REPLACE ITS EXISTING FACILITY, CAPITAL HEALTH - MERCER, IN TRENTON, NEW JERSEY. In addition, Capital Health Regional Medical Center in Trenton underwent a complete renovation. Capital Health obtained a HUD mortgage guaranteed loan to secure financing of both of these projects. This will allow Capital Health to use more of its resources to serve the medical needs of its community.
CORE FORM, PART III; QUESTION 4D	EXPENSES INCURRED IN PROVIDING 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. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE CAPITAL HEALTH SYSTEM, INC. COMPENSATION COMMITTEE PERFORMED A DETAILED REVIEW OF THE FEDERAL FORM 990 PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS BOARD OF DIRECTORS. THE CAPITAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND VARIOUS OTHER INDIVIDUALS OF THE SYSTEM ("internal working group") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. IN ADDITION, THE ORGANIZATION'S EXTERNAL INDEPENDENT COMPENSATION CONSULTING FIRM REVIEWED THE DRAFT FEDERAL FORM 990, PART VII AND SCHEDULE J. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CAPITAL HEALTH SYSTEM, INC. COMPENSATION COMMITTEE. FOLLOWING THE COMPENSATION COMMITTEE'S REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND BOTH THE SYSTEM'S GENERAL COUNSEL AND CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE SYSTEM'S CHIEF COMPLIANCE OFFICER THEN PRESENTS THIS SUMMARY TO THE SYSTEM'S FULL BOARD OF DIRECTORS FOR ITS REVIEW AND DISCUSSION. THIS SUMMARY IS UPDATED BY THE CHIEF COMPLIANCE OFFICER ON A QUARTERLY BASIS.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION'S BOARD OF DIRECTORS HAS A BOARD COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF ALL OF THE ORGANIZATION'S SENIOR MANAGEMENT AND OTHERS, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND OTHER OFFICERS OF THE ORGANIZATION, PHYSICIANS, AND ANY OTHER DISINTERESTED PERSONS. IT ALSO REVIEWS AND APPROVES EMPLOYMENT AGREEMENTS FOR THE COVERED EMPLOYEES AND DISINTERESTED PERSONS. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EACH SUCH INDIVIDUAL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE SENIOR MANAGEMENT TEAM. REBUTTAL PRESUMPTION REQUIREMENTS HAVE GUIDED THE ACTIVITIES OF THE COMMITTEE IN ALL OF ITS REVIEWS, DELIBERATIONS AND APPROVAL OF EXECUTIVE COMPENSATION ACTIONS FOR ALL OF THE COVERED EMPLOYEES AND DISINTERESTED PERSONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON DATA PROVIDED BY ITS INDEPENDENT COMPENSATION CONSULTANT FROM COMPARABLE HEALTHCARE AND HOSPITAL PEERS IN NEW JERSEY AS WELL AS NEIGHBORING STATES BASED ON APPROPRIATE REVENUE, SERVICES, AND OVERALL FINANCIAL PERFORMANCE. IN ADDITION, SPECIFIC SALARY SURVEYS COVERING SIMILAR, REPRESENTATIVE HOSPITAL COMPENSATION DATA WAS USED. ALL DATA WAS WEIGHTED IN ARRIVING AT MARKET CONSENSUS FOR COVERED EMPLOYEE POSITIONS, IN ORDER TO ACCURATELY REFLECT THE RELEVANT LABOR MARKET. Contemporaneous minutes are compiled and approved for all Committee deliberations. These are supported by the written documentation of all peer and market compensation studies, as well as detailed performance justification used as the basis for awards under the Organizations incentive programs. Recognizing the need to consider retirement planning for its senior management as a means to aid in their retention, the Committee maintains a form of long-term non-qualified deferred compensation (referred to as the "Performance-Based Capital Accumulation Plan", or "PBCAP"), which is part of the Capital Health System Non-Qualified 457(f) Deferred Compensation Plan. PBCAP provides the Organization with an additional tool to assist in the recruiting and retention of senior management within the highly competitive healthcare labor market. PBCAP provides senior management with the opportunity to qualify for annual deferred contributions, based on achieving specified financial performance targets and meeting established circuit breakers, to be paid at a future pre-determined date contingent upon continued service with the Organization. The compensation and benefits of certain other individuals contained in this Form 990 are reviewed annually by the President/Chief Executive Officer with assistance from Organizations Human Resources Department and independent compensation consultants in conjunction with the individuals job performance during the year, and is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by the Organization. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations and performance feedback meetings.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	THE ORGANIZATION DOES NOT COMPENSATE ITS BOARD MEMBERS FOR THEIR SERVICES PERFORMED AS A DIRECTOR. ALL DIRECTORS ARE VOLUNTEERS. COMPENSATION AND BENEFITS, WHERE APPLICABLE FOR CERTAIN MEMBERS, IS RELATED TO THE BOARD MEMBER'S SERVICES PERFORMED AS A FULL-TIME EMPLOYEE OR INDEPENDENT CONTRACTOR OF THE ORGANIZATION. JOSHUA A. EISENBERG, M.D., FORMER CHIEF MEDICAL OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN THE ORGANIZATION AS A PHYSICIAN.
CORE FORM, PART VII AND SCHEDULE J	THE ORGANIZATION UNDERTOOK A PROCESS WHEREIN THE STATUS OF CERTAIN OFFICERS REPORTED ON THE 2014 FORM 990 WAS RE-EVALUATED. AS A RESULT, THE ORGANIZATION DETERMINED THAT CERTAIN INDIVIDUALS PREVIOUSLY REPORTED AS OFFICERS DID NOT MEET THE FEDERAL FORM 990 RULES AND REGULATIONS WITH RESPECT TO OFFICER STATUS. ACCORDINGLY, CERTAIN INDIVIDUALS PREVIOUSLY REPORTED AS OFFICERS IN PRIOR YEARS HAVE BEEN APPROPRIATELY REMOVED FROM PART VII AND SCHEDULE J OF THIS FORM 990. PLEASE NOTE THAT THE ORGANIZATION WILL NOT BE AMENDING ITS 2014 FORM 990.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPITAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REPORTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF CAPITAL HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST; $802,000.
CORE FORM, PART XII; QUESTION 2	THE TAXPAYER IS THE TAX-EXEMPT PARENT ENTITY OF A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS consolidated FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT.
CHS DEPARTMENTAL EIN LISTING	THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS CAPITAL HEALTH SYSTEM, INC. RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND CAPITAL HEALTH SYSTEM, INC. EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITES WAS RECEIVED BY CAPITAL HEALTH SYSTEM, INC. UTILIZING FEDERAL employer IDENTIFICATION NUMBERS OTHER THAN 22-3548695. BELOW IS A LIST OUTLINING THE VARIOUS CAPITAL HEALTH SYSTEM, INC. PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL employer IDENTIFICATION NUMBERS: CAPITAL ENDOCRINOLOGY 20-1730017 CAPITAL SURGICAL ASSOCIATES 22-3680051 CHS INSTITUTE FOR NEUROSCIENCES 26-0346624 CHS INSTITUTE FOR NEUROSCIENCES ONCOLOGY 46-0622985 CHS PATHOLOGY 45-4742151 FAMILY HEALTH CENTER 22-3796256 HAMILTON PHYSICIANS GROUP 22-3502175 HPG AT BORDENTOWN FAMILY MEDICAL 22-3502175 HEART CARE SPECIALISTS AT CH 27-0309548 MERCER MATERNAL FETAL SPECIALTY GROUP 20-2886402 MULTISPECIALTY PROVIDER GROUP 22-3628075 STROKE & CEREBROVASCULAR CENTER OF NEW JERSEY 26-3519824 TRENTON NEUROSURGEONS ASSOCIATES 22-2035924 WEST TRENTON MEDICAL ASSOCIATES - EWING 20-4643360 PEDIATRIC HOSPITALIST 27-2627834 REHABILITATION MEDICINE 27-3421189 SPINE CENTER 27-3421008 PLASTIC SURGERY 27-4510784 PRIMARY CARE MOUNTAINVIEW 27-3945093 PRIMARY CARE QUAKERBRIDGE 22-3502175 RADIATION ONCOLOGY 27-1366819 HOSPITALIST GROUP 45-1501476 ADVANCED SURGICAL ASSOCIATES 27-4742615 CENTER FOR DIGESTIVE HEALTH 45-2073374 COMPREHENSIVE SLEEP ASSOCIATES 45-2074032 CAPITAL WOMEN'S HEALTH CENTER 27-2715382 PRIMARY CARE DR. LEVENBERG 22-3502175
FORM 990 PART IX LINE 11G	DESCRIPTION:AGENCY FEES TOTAL FEES:867013
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:22250605
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:23723130
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:9767782
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:1289790
FORM 990 PART IX LINE 11G	DESCRIPTION:COMMISSION FEES TOTAL FEES:3874455
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:738291

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE COMMUNITIES IT SERVES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	4,443
6	Total number of volunteers (estimate if necessary) .............	6	418
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,778,117	3,300,398
9	Program service revenue (Part VIII, line 2g) .........	559,513,432	573,012,619
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	19,166,545	7,119,523
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,081,072	4,059,349
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	585,539,166	587,491,889
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	294,093,015	289,637,272
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	310,378,878	311,274,610
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	604,471,893	600,911,882
19	Revenue less expenses. Subtract line 18 from line 12.......	-18,932,727	-13,419,993
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,029,054,132	990,531,893
21	Total liabilities (Part X, line 26).............	853,466,346	833,561,374
22	Net assets or fund balances. Subtract line 21 from line 20.....	175,587,786	156,970,519

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 84,395,672 including grants of $ 0 ) (Revenue $ 114,023,532 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GENERAL MEDICAL/SURGICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015, THE ORGANIZATION TREATED 16,578 GENERAL MEDICAL/SURGICAL CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 34,714,064 including grants of $ 0 ) (Revenue $ 53,942,500 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MATERNAL/CHILD HEALTH SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015, THE ORGANIZATION TREATED 33,804 MATERNAL/CHILD HEALTH CASES.PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 25,894,661 including grants of $ 0 ) (Revenue $ 54,353,027 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015, THE ORGANIZATION TREATED 80,646 EMERGENCY CASES.PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 339,691,131 including grants of $ 0 ) (Revenue $ 350,693,560 )
4e	Total program service expenses484,695,528

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	12,195,322	0	404,085

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	16,722
d	Related organizations		1d	442,686
e	Government grants (contributions)		1e	2,838,740

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,250

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		3,300,398

			Business Code
2a	NET PATIENT SERVICE REVENUE	541900	570,555,818	570,555,818
b	OTHER HEALTHCARE RELATED REVENUE	541900	2,418,676	2,418,676
c	AUXILIARY REVENUE	541900	38,125	38,125
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			573,012,619

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			2,404,450			2,404,450
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,489,631
b	Less: rental expenses
c	Rental income or (loss)	0	1,489,631
d	Net rental income or (loss)......			1,489,631			1,489,631
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	24,971	4,690,102
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	24,971	4,690,102
d	Net gain or (loss).....			4,715,073			4,715,073
8a	Gross income from fundraising events (not including $ 16,722of contributions reported on line 1c). See Part IV, line 18 ....
	a		18,107
b	Less: direct expenses ...b		18,107
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFE/DIETARY		900099	2,569,718			2,569,718
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,569,718
12	Total revenue. See Instructions......			587,491,889	573,012,619		11,178,872

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	7,628,981	6,153,536	1,475,445
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	242,646,168	195,718,399	46,927,769
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	866,374	698,817	167,557
9	Other employee benefits .......	20,666,359	16,669,486	3,996,873
10	Payroll taxes ...........	17,829,390	14,381,186	3,448,204
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,144,323	923,011	221,312
c	Accounting ...........	383,825	309,593	74,232
d	Lobbying ...........	279,044	225,077	53,967
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	937,412	756,117	181,295
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	62,511,066	50,421,427	12,089,639
12	Advertising and promotion ....	1,930,541	1,557,174	373,367
13	Office expenses .......	14,738,558	11,888,121	2,850,437
14	Information technology ......	4,180,851	3,372,275	808,576
15	Royalties ..	0
16	Occupancy ...........	11,298,410	9,113,298	2,185,112
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	590,809	476,547	114,262
20	Interest ...........	54,786,131	44,190,494	10,595,637
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	62,855,874	50,699,548	12,156,326
23	Insurance ...	-1,951,893	-1,574,397	-377,496
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	79,287,329	63,953,160	15,334,169	0
b	REPAIRS AND MAINTENANCE	8,761,918	7,067,363	1,694,555	0
c	DUES AND SUBSCRIPTIONS	1,405,846	1,133,955	271,891	0
d	OTHER EXPENSES	8,134,566	6,561,341	1,573,225	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	600,911,882	484,695,528	116,216,354	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			8,602,923	2	5,347,962
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			87,700,033	4	93,018,274
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				280,833	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			10,691,196	8	8,325,900
9	Prepaid expenses and deferred charges ......			17,921,380	9	13,214,842
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,068,322,928
b	Less: accumulated depreciation	10b	426,921,119	690,657,701	10c	641,401,809
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			190,753,651	13	208,084,884
14	Intangible assets ...............			11,764,930	14	10,935,836
15	Other assets. See Part IV, line 11 ...........			10,681,485	15	10,202,386
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,029,054,132	16	990,531,893

17	Accounts payable and accrued expenses .....	72,209,727	17	66,854,283
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	748,276,500	23	731,683,436
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	32,980,119	25	35,023,655
26	Total liabilities. Add lines 17 through 25..	853,466,346	26	833,561,374

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	175,587,786	27	156,970,519
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	175,587,786	33	156,970,519
34	Total liabilities and net assets/fund balances ........	1,029,054,132	34	990,531,893

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CAPITAL HEALTH SYSTEM FOUNDATION INC 750 BRUNSWICK AVENUE TRENTON,NJ08638 22-2230681	SUPPORT CHS	NJ	501(C)(3)	509(A)(1)	CH SYSTEM	Yes
(2)CAPITAL HEALTHCARE INC 750 BRUNSWICK AVENUE TRENTON,NJ08638 47-3857888	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	NA		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CAPITAL HEALTH SYSTEM FOUNDATION INC	C	442,686	COST
(2) CAPITAL HEALTH SYSTEM FOUNDATION INC	O	474,957	COST

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No