SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC
-SUBORDINATES
Employer identification number

01-0649794
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
Yes
 
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    162,859,893 21,443,608 141,416,285 2.370 %
b Medicaid (from Worksheet 3, column a) . . . . .     866,421,651 538,069,202 328,352,449 5.510 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,029,281,544 559,512,810 469,768,734 7.880 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     4,401,941 202,647 4,199,294 0.070 %
f Health professions education (from Worksheet 5) . . .     113,997,762 44,847,433 69,150,329 1.160 %
g Subsidized health services (from Worksheet 6) . . . .     2,031,386,683 1,685,352,239 346,034,443 5.810 %
h Research (from Worksheet 7) .     4,319,400 895,890 3,423,510 0.060 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     316,642,904   316,642,904 5.310 %
j Total. Other Benefits . .     2,470,748,690 1,731,298,209 739,450,480 12.410 %
k Total. Add lines 7d and 7j .     3,500,030,234 2,290,811,019 1,209,219,214 20.290 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
253,909,511
3
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. ......
3
36,910,639
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
712,305,235
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
852,606,268
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-140,301,033
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 %
1Coastal Endoscopy
  		MEDICAL SERVICES 51 %   49 %
2Center LLC
  		       
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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?18Name, 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) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 JERSEY SHORE UNIVERSITY MEDICAL CTR
1945 ROUTE 33
NEPTUNE,NJ07753
JERSEYSHOREUNIVERSITYMEDICALCENTER.COM
11303 		X X X X   X X     A
2 RIVERVIEW MEDICAL CENTER
ONE RIVER PLAZA
RED BANK,NJ07701
WWW.RIVERVIEWMEDICALCENTER.COM
11305 		X X       X X     A
3 OCEAN UNIVERSITY MEDICAL CENTER
425 JACK MARTIN BLVD
BRICK,NJ08724
WWW.OCEANMEDICALCENTER.COM
11505 		X X       X X     A
4 SOUTHERN OCEAN MEDICAL CENTER
1140 RT 72 WEST
MANAHAWKIN,NJ08050
WWW.SOUTHERNOCEANMEDICALCENTER.COM
11504 		X X         X     A
5 BAYSHORE MEDICAL CENTER
727 NORTH BEERS STREET
HOLMDEL,NJ07733
WWW.BAYSHOREHOSPITAL.ORG
11301 		X X         X     A
6 RARITAN BAY MEDICAL CENTER
530 NEW BRUNSWICK AVENUE
PERTH AMBOY,NJ08861
WWW.RBMC.ORG
11203 		X X   X     X     B
7 OLD BRIDGE MEDICAL CENTER
ONE HOSPITAL PLAZA
OLD BRIDGE,NJ08857
WWW.RBMC.ORG
11206 		X X   X     X     B
8 PALISADES MEDICAL CENTER INC
7600 RIVER ROAD
NORTH BERGEN,NJ07047
WWW.PALISADESMEDICAL.ORG
10905 		X X   X     X     C
9 HACKENSACK UNIVERSITY MEDICAL CENTER
30 PROSPECT AVENUE
HACKENSACK,NJ07601
WWW.HACKENSACKUMC.ORG
10204 		X X X X   X X     D
10 PASCACK VALLEY MEDICAL CENTER
250 OLD HOOK ROAD
WESTWOOD,NJ07675
WWW.HACKENSACKUMCPV.COM
24745 		X X         X   JOINT VENTURE E
11 MOUNTAINSIDE MEDICAL CENTER
ONE BAY AVENUE
MONTCLAIR,NJ07042
WWW.MOUNTAINSIDEHOSP.COM
10708 		X X         X   JOINT VENTURE F
12 JFK UNIVERSITY MEDICAL CENTER
65 JAMES STREET
EDISON,NJ08820
WWW.JFKMC.ORG
11201 		X X   X   X X     G
13 JFK JOHNSON REHABILITATION INSTITUTE
65 JAMES STREET
EDISON,NJ08820
WWW.JFKMC.ORG
22293 		X X   X   X     REHAB CENTER H
14 HMH CARRIER CLINIC INC
252 ROUTE 601
BELLE MEAD,NJ08502
WWW.CARRIERCLINIC.ORG
51806 		X               PSYCHIATRIC HOSPITAL I
15 JOHNSON REHABILITATION INSTITUTE AT O
425 JACK MARTIN BLVD
BRICK,NJ08724
www.hackensackmeridianhealth.org
22219 		X               REHAB CENTER J
16 HACKENSACK MERIDIAN LTACH LLC
343 THORNALL STREET
EDISON,NJ08837
www.hackensackmeridianhealth.org
25009 		X                 K
17 K HOVNANIAN CHILDREN'S HOSPITAL
1945 NJ-33
NEPTUNE,NJ07753
www.hackensackmeridianhealth.org
11303 		X   X       X   UNDER JSUMC LICENSE #11303 A
18 JOSEPH M SANZARI CHILDREN'S HOSPITAL
30 PROSPECT AVENUE
HACKENSACK,NJ07601
www.hackensackmeridianhealth.org
10204 		X   X       X   UNDER HUMC LICENSE #10204 D
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
A
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): 		15
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
B
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): 		67
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
B
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
PALISADES MEDICAL CENTER INC
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): 		8
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PALISADES MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
PALISADES MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PALISADES MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
HACKENSACK UNIVERSITY MEDICAL CENTER
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): 		9
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
PASCACK VALLEY MEDICAL CENTER
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): 		10
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PASCACK VALLEY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
PASCACK VALLEY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PASCACK VALLEY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
MOUNTAINSIDE MEDICAL CENTER
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): 		11
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MOUNTAINSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
MOUNTAINSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MOUNTAINSIDE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
JFK UNIVERSITY MEDICAL CENTER
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): 		12
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
JFK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
JFK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
JFK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
JFK JOHNSON REHABILITATION INSTITUTE
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): 		13
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
JFK JOHNSON REHABILITATION INSTITUTE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
JFK JOHNSON REHABILITATION INSTITUTE
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
JFK JOHNSON REHABILITATION INSTITUTE
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
HMH CARRIER CLINIC INC
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): 		14
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HMH CARRIER CLINIC INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
HMH CARRIER CLINIC INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HMH CARRIER CLINIC INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
JOHNSON REHABILITATION INSTITUTE AT O
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): 		15
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
JOHNSON REHABILITATION INSTITUTE AT O
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
JOHNSON REHABILITATION INSTITUTE AT O
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
JOHNSON REHABILITATION INSTITUTE AT O
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Page 8
Schedule H (Form 990) 2022
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
Part V, Section B, Line 5 BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER ================================ TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HACKENSACK MERIDIAN HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. THE SURVEY WAS AVAILABLE TO COMPLETE FOR ONE MONTH. IN ALL, 173 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. A SAMPLE OF THOSE CONSULTED INCLUDED THE FOLLOWING: - AMERICAN CANCER SOCIETY - BAYSHORE MEDICAL CENTER COMMUNITY ADVISORY COMMITTEE - CENTRAL JERSEY FAMILY HEALTH CONSORTIUM - CIRCUS OWN/SUPER FOODTOWN - COASTAL VOLUNTEERS IN MEDICINE - COMMUNITY AFFAIRS & RESOURCE CENTER (CARC) - DEPARTMENT OF MATERNAL AND CHILD HEALTH - EDISON SENIOR CENTER - EDISON TOWNSHIP HEALTH AND HUMAN SERVICES - GEORGIAN COURT UNIVERSITY - HORIZON BLUE CROSS BLUE SHIELD OF NJ - JEWISH COMMUNITY CENTER MIDDLESEX COUNTY - METUCHEN LIBRARY - MIDDLESEX COUNTY OFFICE HEALTH SERVICES - MONMOUTH COUNTY OFFICE OF MENTAL HEALTH - NEIGHBORHOOD HEALTH SERVICES CORPORATION - PLAINFIELD PUBLIC SCHOOLS - PREFERRED BEHAVIORAL HEALTH GROUP - RARITAN BAY AREA YMCA - RIVERVIEW MEDICAL CENTER - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SAINT PETER'S UNIVERSITY HOSPITAL - SOUTHERN REGIONAL SCHOOL DISTRICT - UNION COUNTY OFFICE OF HEALTH MANAGEMENT - UNITED WAY OF NORTHERN NJ - VNA HEALTH GROUP - CHILDREN & FAMILY HEALTH INSTITUTE - WELLSPRING CENTER FOR PREVENTION - WOODBRIDGE DEPARTMENT HEALTH HUMAN SERVICES THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. Raritan Bay Medical Center and Old Bridge Medical Center ======================================================= TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HACKENSACK MERIDIAN HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. LOCAL STAKEHOLDERS WERE ASKED TO PROVIDE INPUT ABOUT COMMUNITIES IN MIDDLESEX COUNTY; THE INPUT ALSO INCLUDED STAKEHOLDERS WHO WORK MORE REGIONALLY OR STATEWIDE. IN ALL, 37 COMMUNITY STAKEHOLDERS IN THE RARITAN BAY AND OLD BRIDGE MEDICAL CENTER SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. A SAMPLE OF THOSE RARITAN BAY AND OLD BRIDGE MEDICAL CENTER CONSULTED INCLUDED THE FOLLOWING: - AMERICAN CANCER SOCIETY - BAYSHORE MEDICAL CENTER COMMUNITY ADVISORY COMMITTEE - CENTRAL JERSEY FAMILY HEALTH CONSORTIUM - CIRCUS OWN/SUPER FOODTOWN - COASTAL VOLUNTEERS IN MEDICINE - COMMUNITY AFFAIRS & RESOURCE CENTER (CARC) - DEPARTMENT OF MATERNAL AND CHILD HEALTH - EDISON SENIOR CENTER - EDISON TOWNSHIP HEALTH AND HUMAN SERVICES - GEORGIAN COURT UNIVERSITY - HORIZON BLUE CROSS BLUE SHIELD OF NJ - JEWISH COMMUNITY CENTER MIDDLESEX COUNTY - METUCHEN LIBRARY - MIDDLESEX COUNTY OFFICE HEALTH SERVICES - MONMOUTH COUNTY OFFICE OF MENTAL HEALTH - NEIGHBORHOOD HEALTH SERVICES CORPORATION - PLAINFIELD PUBLIC SCHOOLS - PREFERRED BEHAVIORAL HEALTH GROUP - RARITAN BAY AREA YMCA - RIVERVIEW MEDICAL CENTER - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SAINT PETER'S UNIVERSITY HOSPITAL - SOUTHERN REGIONAL SCHOOL DISTRICT - UNION COUNTY OFFICE OF HEALTH MANAGEMENT - UNITED WAY OF NORTHERN NJ - VNA HEALTH GROUP - CHILDREN & FAMILY HEALTH INSTITUTE - WELLSPRING CENTER FOR PREVENTION - WOODBRIDGE DEPARTMENT HEALTH HUMAN SERVICES THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. Palisades Medical Center ======================== TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HACKENSACK MERIDIAN HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. LOCAL STAKEHOLDERS WERE ASKED TO PROVIDE INPUT ABOUT COMMUNITIES IN HUDSON COUNTY; THE INPUT ALSO INCLUDED STAKEHOLDERS WHO WORK MORE REGIONALLY OR STATEWIDE. IN ALL, 16 COMMUNITY STAKEHOLDERS IN THE PALISADES MEDICAL CENTER SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. A SAMPLE OF THOSE PALISADES MEDICAL CENTER CONSULTED INCLUDED THE FOLLOWING: - AMERICAN CANCER SOCIETY - CENTRAL JERSEY FAMILY HEALTH CONSORTIUM - CENTRASTATE HEALTHCARE SYSTEM - CIRCUS OWN/SUPER FOODTOWN - COASTAL VOLUNTEERS IN MEDICINE - COMMUNITY AFFAIRS & RESOURCE CENTER (CARC) - COMMUNITY CHILD CARE SOLUTIONS (CCCS) - DEPARTMENT OF MATERNAL AND CHILD HEALTH - DR. HERBERT N. RICHARDSON SCHOOL - EZ RIDE - GEORGIAN COURT UNIVERSITY - HABCORE - HORIZON BLUE CROSS BLUE SHIELD OF NJ - JEWISH RENAISSANCE FOUNDATION - JOHNSON & JOHNSON - SAFE KIDS - LUNCHBREAK - MT CARMEL NURSING SERVICE - NAHN-NJ CHAPTER SCHOOL NURSE PROGRAM RUTGERS - NEIGHBORHOOD HEALTH SERVICES CORPORATION - NEW JERSEY BLIND CITIZENS ASSOCIATION - PREFERRED BEHAVIORAL HEALTH GROUP - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SAINT PETER'S UNIVERSITY HOSPITAL - SUSAN G. KOMEN CENTRAL AND SOUTH JERSEY - UNITED WAY OF NORTHERN NJ - VNA HEALTH GROUP - CHILDREN & FAMILY HEALTH INSTITUTE - WELLSPRING CENTER FOR PREVENTION THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. HACKENSACK UNIVERSITY MEDICAL CENTER AND PASCACK VALLEY MEDICAL CENTER ==================================================================== THE ORGANIZATIONS CONDUCTED A CHNA THROUGH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY ("CHIP"). A STEERING COMMITTEE MADE UP OF SENIOR REPRESENTATIVES FROM EACH HOSPITAL THAT PARTICIPATED IN THE CHNA AND THE BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES ("BCDHS") GUIDED THIS PROJECT. AN ADVISORY COMMITTEE, WHICH INCLUDED ADDITIONAL STAFF FROM THE PARTICIPATING HOSPITALS AND BCDHS, AS WELL AS REPRES
Part V, Section B, Line 6a ALL HOSPITALS (EXCEPT HACKENSACK UNIVERSITY MEDICAL CENTER AND PASCACK VALLEY MEDICAL CENTER) ======================== THE 2022 HACKENSACK MERIDIAN HEALTH HOSPITALS, WITH THE EXCEPTION OF HACKENSACK UNIVERSITY MEDICAL CENTER AND PASCACK VALLEY MEDICAL CENTER, CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: BAYSHORE MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, OCEAN UNIVERSITY MEDICAL CENTER AND JOHNSON REHABILITATION INSTITUTE AT OCEAN UNIVERSITY MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER AND K. HOVNANIAN CHILDREN'S HOSPITAL, RIVERVIEW MEDICAL CENTER, HMH CARRIER CLINIC, JFK MEDICAL CENTER AND JFK JOHNSON REHABILITATION INSTITUTE, HACKENSACKUMC MOUNTAINSIDE, PALISADES MEDICAL CENTER, RARITAN BAY MEDICAL CENTER, OLD BRIDGE MEDICAL CENTER. HACKENSACK UNIVERSITY MEDICAL CENTER AND PASCACK VALLEY MEDICAL CENTER =================================================================== THE BERGEN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND STRATEGIC PLANNING PROCESS WAS MADE POSSIBLE THROUGH THE GENEROUS SUPPORT OF BERGEN NEW BRIDGE MEDICAL CENTER, ENGLEWOOD HEALTH, HACKENSACK MERIDIAN HEALTH HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL CENTER, HOLY NAME MEDICAL CENTER, RAMAPO RIDGE PSYCHIATRIC HOSPITAL (A PART OF CHRISTIAN HEALTH CARE CENTER), AND THE VALLEY HOSPITAL. REPRESENTATIVES FROM THESE SEVEN HOSPITALS, ALONG WITH REPRESENTATIVES OF THE BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES (BCDHS) AND THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY, WORKED COLLABORATIVELY FOR OVER A YEAR TO PLAN AND EXECUTE THIS ASSESSMENT.
Part V, Section B, Line 6b All Hospital Facilities ================ PLEASE SEE RESPONSE TO PART V, SECTION B, LINE 5 ABOVE FOR LISTING OF NON-HOSPITAL ORGANIZATIONS PARTICIPATING IN THE CHNA OF EACH OF THE HOSPITAL FACILITIES.
Part V, Section B, Question 7a BAYSHORE MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment HMH CARRIER CLINIC https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment HACKENSACK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment JERSEY SHORE UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment JFK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment JFK JOHNSON REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment MOUNTAINSIDE MEDICAL CENTER https://mountainsidehosp.com/patients-visitors/community-health OCEAN UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/About-Us/community-health-need s-assessment OLD BRIDGE MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment PALISADES MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment PASCACK VALLEY MEDICAL CENTER https://pascackmedicalcenter.com/chna RARITAN BAY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/About-Us/community-health-need s-assessment RIVERVIEW MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/About-Us/community-health-need s-assessment JOHNSON REHABILITATION INSTITUTE AT OCEAN UNVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/About-Us/community-health-need s-assessment SOUTHERN OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/About-Us/community-health-need s-assessment
Part V, Section B, Question 10a BAYSHORE MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment HMH CARRIER CLINIC https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment HACKENSACK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment JERSEY SHORE UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment JFK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment JFK JOHNSON REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment MOUNTAINSIDE MEDICAL CENTER https://mountainsidehosp.com/patients-visitors/community-health OCEAN UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment OLD BRIDGE MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment PALISADES MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment PASCACK VALLEY MEDICAL CENTER https://pascackmedicalcenter.com/chna RARITAN BAY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment RIVERVIEW MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment JOHNSON REHABILITATION INSTITUTE AT OCEAN UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment SOUTHERN OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/about-us/community-health-need s-assessment
Part V, Section B, Line 11 Bayshore Medical Center ========================= THREE SIGNIFICANT HEALTH NEEDS CATEGORIES WERE IDENTIFIED, AS WELL AS SUB-CATEGORIES BASED ON COMMUNITY FEEDBACK EXERCISES THROUGH THE CHNA PROCESS. 1. MENTAL WELLBEING, INCLUDING: - "Fair/Poor" Mental Health - Symptoms of Chronic Depression - Mental Health Provider Ratio - Receiving Treatment for Mental Health - Key Informants: Mental health ranked as a top concern - Cirrhosis/Liver Disease Death - Unintentional Drug-Related Deaths - Key Informants: Substance Abuse ranked as a top concern 2. HEALTHY LIVING, INCLUDING: - Cancer - Diabetes - Heart Disease and Stroke - Tobacco Use - Nutrition, Physical Activity, and Weight - Potentially Disabling Conditions - Respiratory Disease 3. ACCESS TO CARE, INCLUDING: - Inconvenient Office Hours - Appointment Availability - Finding a Physician - Emergency Room Utilization - Linguistic Isolation FOR EACH MAJOR SIGNIFICANT HEALTH NEEDS CATEGORY, STRATEGIES OF HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS ARE AS FOLLOWS: 1. MENTAL WELLBEING PREVENTION & AWARENESS: OBJECTIVES: -Provide universal behavioral health screenings for patients -Continue behavioral health education and Increase participation among diverse and vulnerable populations -Support public health in local prevention and emergency initiatives STRATEGIES: -Consistently utilize the universal behavioral health screening as a standard assessment tool -Organize lectures related to substance use/misuse, healthy mental, emotional and social health that are inclusive and accessible to diverse and vulnerable populations BUILD CAPACITY: OBJECTIVES: -Expand care delivery methods for behavioral healthcare STRATEGIES: -Increase care delivery options for diverse and vulnerable populations STRENGTHEN COMMUNITY PARTNERSHIPS: OBJECTIVES: -Increase, strengthen and evaluate partnerships with community-based organizations STRATEGIES: -Participate in local and regional health coalitions and task forces to lend support to activities promoting mental wellness for all -Identify and deepen partnerships with community-based organizations that serve diverse and vulnerable populations 2. HEALTHY LIVING PREVENTION & AWARENESS: OBJECTIVES: -Continue to provide education and health promotion and increase participation among diverse and vulnerable populations - Support public health departments in local prevention and emergency initiatives STRATEGIES: -Conduct or support community-based preventive health screenings with a focus on reaching diverse and vulnerable populations -Leverage best practice strategies to increase retention in chronic disease management protocols post discharge -Conduct or support community-based education with a focus on diverse and vulnerable populations BUILD CAPACITY: OBJECTIVES: -Continue to engage, monitor and coordinate care for patients with chronic/complex conditions STRATEGIES: -Support case management and patient navigation programs to support those with chronic/complex conditions and their caregivers -Increase connections to food, nutrition access for identified patients including vulnerable populations STRENGTHEN COMMUNITY PARTNERSHIPS: OBJECTIVES: -Increase, improve, strengthen and evaluate partnerships with community-based organizations STRATEGIES: -Participate in local and regional health coalitions and task forces to support activities promoting equitable healthy living for all -Identify and deepen partnerships with community-based organizations that serve diverse and vulnerable populations 3. ACCESS TO CARE PREVENTION & AWARENESS: OBJECTIVES: -Reduce common barriers to accessing health care for diverse and vulnerable populations -Strengthen cultural competency training for team members and physicians STRATEGIES: -Increase screening for SDoH and make appropriate referrals to community-based resources -Increase implicit bias and cultural competency training amongst all team members BUILD CAPACITY: OBJECTIVES: -Hire, retain and promote a diverse workforce -Develop and leverage alternative care delivery models to improve access to care for all STRATEGIES: -Leverage implementation of Health and Wellness Centers to reduce barriers to accessing specialty care and wellness services -Continue to provide support and training for REaL and SOGI data collection tools, methods, use - Provide education and training to staff regarding SDoH screening tool STRENGTHEN COMMUNITY PARTNERSHIPS: OBJECTIVES: -Increase, improve, strengthen and evaluate partnerships with community-based organizations STRATEGIES: -Participate in local and regional health coalitions and task forces to lend support to health equity -Identify and deepen partnerships with community-based organizations that serve diverse and vulnerable populations JERSEY SHORE UNIVERSITY MEDICAL CENTER ========================================= THREE SIGNIFICANT HEALTH NEEDS CATEGORIES WERE IDENTIFIED, AS WELL AS SUB-CATEGORIES BASED ON COMMUNITY FEEDBACK EXERCISES THROUGH THE CHNA PROCESS. 1. MENTAL WELLBEING, INCLUDING: - "Fair/Poor" Mental Health - Diagnosed Depression - Symptoms of Chronic Depression - Mental Health Provider Ratio - Receiving Treatment for Mental Health - Difficulty Obtaining Mental Health Services - Unintentional Drug-Related Deaths - Key Informants: Substance Abuse ranked as a top concern - Key Informants: Mental Health ranked as a top concern 2. HEALTHY LIVING, INCLUDING: - CANCER - Diabetes - Heart Disease and Stroke - Infant Health and Family Planning - Injury and Violence - Nutrition, Physical Activity, and Weight - Oral Health - Potentially Disabling Conditions - Respiratory Disease - Tobacco Use 3. ACCESS TO CARE, INCLUDING: - Inconvenient Office Hours - Appointment Availability - Finding a Physician - Lack of Transportation - Skipping/Stretching Medications - Eye Exams FOR EACH MAJOR SIGNIFICANT HEALTH NEEDS CATEGORY, STRATEGIES OF HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS ARE AS FOLLOWS: 1. MENTAL WELLBEING PREVENTION & AWARENESS: OBJECTIVES: -Provide universal behavioral health screenings for patients -Continue behavioral health education and Increase participation among diverse and vulnerable populations -Support public health in local prevention and emergency initiatives STRATEGIES: -Consistently utilize the universal behavioral health screening as a standard assessment tool -Organize lectures related to substance use/misuse, healthy mental, emotional and social health that are inclusive and accessible to diverse and vulnerable populations BUILD CAPACITY: OBJECTIVES: -Expand care delivery methods for behavioral healthcare STRATEGIES: -Increase care delivery options for diverse and vulnerable populations STRENGTHEN COMMUNITY PARTNERSHIPS: OBJECTIVES: -Increase, strengthen and evaluate partnerships with community-based organizations STRATEGIES: -Participate in local and regional health coalitions and task forces to lend support to activities promoting mental wellness for all -Identify and deepen partnerships with community-based organizations that serve diverse and vulnerable populations 2. HEALTHY LIVING PREVENTION & AWARENESS: OBJECTIVES: -Continue to provide education and health promotion and increase participation among diverse and vulnerable populations - Support public health departments in local prevention and emergency initiatives STRATEGIES: -Conduct or support community-based preventive health screenings with a focus on reaching diverse and vulnerable populations -Leverage best practice strategies to increase retention in chronic disease management protocols post discharge -Conduct or support community-based education with a focus on diverse and vulnerable populations BUILD CAPACITY: OBJECTIVES: -Continue to engage, monitor and coordinate care for patients with chronic/complex conditions STRATEGIES: -Support case management and patient navigation programs to support those with chronic/complex conditions and their caregivers -Increase connections to food, nutrition access for identified patients including vulnerable populations STRENGTHEN COMMUNITY PARTNERSHIPS: OBJECTIVES: -Increase, improve, strengthen and evaluate partnerships with community-based organizations STRATEGIES: -Participate in local and regional health coalitions and task forces to support activities promoting equitable healthy living for all -Identify and deepen partnerships with community-based organizations that serve diverse and vulnerable populations 3. ACCESS TO CARE PREVENTION & AWARENESS: OBJECTIVES: -Reduce common barriers to accessing health care for diverse and vulnerable populations -Strengthen cultural competency training for team members and physicians STRATEGIES: -Increase screening for SDoH and make appropriate referrals to community-based resources -Increase implicit bias and cultural competency training amongst all team members BUILD CAPACITY: OBJECTIVES: -Hire, retain and promote a diverse workforce -Develop and leverage alternative care delivery models to improve access to car
Part V, Section B, Lines 16a, 16b & 16c BAYSHORE MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance HMH CARRIER CLINIC https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance/ Carrier-Clinic-Financial-Assistance-Policy HACKENSACK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance JERSEY SHORE UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance JFK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance MOUNTAINSIDE MEDICAL CENTER https://mountainsidehosp.com/patients-visitors/billing OCEAN UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance OLD BRIDGE MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ PALISADES MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance PASCACK VALLEY MEDICAL CENTER https://pascackmedicalcenter.com/insurance-information RARITAN BAY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance RIVERVIEW MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance JOHNSON REHABILITATION INSTITUTE AT OCEAN UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/pay-bill/financial-assistance SOUTHERN OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/en/Pay-Bill/Financial-Assistance JFK JOHNSON REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/en/pay-bill/financial-assistance/ financial-assistance-policy
Part V, Section B, Line 3e ALL HOSPITAL FACILITIES ======================= THE SIGNIFICANT HEALTH NEEDS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR EACH OF THE HOSPITAL FACILITIES ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Page 9
Schedule H (Form 990) 2022
Page 9
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?130
Name and address Type of Facility (describe)
1 OCEAN CARE CENTER
1517 RICHMOND AVENUE
POINT PLEASANT,NJ08742 		URGENT CARE LABORATORY SERVICES
2 MERIDIAN REHAB OP THERAPY CTR NEPTUNE
2100 ROUTE 33 SUITE 2
NEPTUNE,NJ07753 		PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY
3 MERIDIAN LIFE REHAB AT POINT PLEASANT
801 ARNOLD AVENUE
POINT PLEASANT,NJ08742 		PHYSICAL THERAPY/FITNESS
4 JANE H BOOKER FAMILY HEALTH CTR AT JSUMC
1828 WEST LAKE AVENUE
NEPTUNE,NJ07753 		CLINIC
5 MERIDIAN CENTER FOR SLEEP MEDICINE
1809 CORLIES AVENUE SUITES 2 4
NEPTUNE,NJ07753 		SLEEP LAB
6 HACKENSACK MERIDIAN REHAB AT HOLMDEL
100 COMMONS WAY SUITE 120
HOLMDEL,NJ07733 		PHYSICAL THERAPY
7 JSMC OUTPATIENT BEHAVIORAL HEALTH
402 RT 35
NEPTUNE,NJ07754 		CHILDREN'S PARTIAL HOSPITAL/ MEDICATION MONITORING/ THERAPEUTIC NURSERY O/P SVCS
8 HACKENSACK MERIDIAN REHAB AT MANALAPAN
195 RT 9 SOUTH
MANALAPAN,NJ07726 		REHAB
9 JERSEY SHORE OP BEHAVIORAL HEALTH
3535 ROUTE 66 BUILDING 5 SUITE D
NEPTUNE,NJ07753 		PHYSICAL, GROUP & FAMILY THERAPY/MEDICATION MANAGEMENT/ SUBSTANCE ABUSE
10 HACKENSACK MERIDIAN REHAB FORKED RIVER
730 LACEY ROAD
FORKED RIVER,NJ08731 		PHYSICAL THERAPY
11 HACK MERIDIAN REHAB AT LITTLE EGG HARBOR
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		PHYSICAL THERAPY/OCCUPATIONAL THERAPY
12 Health Village Imaging LLC
1301 Rt 72 W
Manahawkin,NJ08050 		Radiology Medical Services
13 MERIDIAN CENTER FOR SLEEP MEDICINE
668 NORTH BEERS STREET
HOLMDEL,NJ07733 		SLEEP LAB
14 CENTER FOR WOUND HEALING AT BCH
735 NORTH BEERS STREET
HOLMDEL,NJ07733 		WOUND HEALING
15 JACKSON HEALTH VILLAGE LABORATORY
27 SOUTH COOKS BRIDGE RD SUITE 1-1
JACKSON,NJ08527 		LABORATORY SERVICES
16 HACKENSACK MERIDIAN REHAB AT JACKSON
27 SOUTH COOKS BRIDGE RD SUITE 1-1
JACKSON,NJ08527 		REHABILITATIVE CARE
17 SOUTHERN OCEAN CENTER FOR HEALTH
730 LACEY ROAD
FORKED RIVER,NJ08731 		LABORATORY SERVICES RADIOLOGY
18 SOUTHERN OCEAN CENTER FOR HEALTH
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		LABORATORY SERVICES RADIOLOGY
19 MERIDIAN REAHAB AT MANAHAWKIN
56 NAUTILUS DRIVE
MANAHAWKIN,NJ08050 		REHABILITATIVE CARE
20 MERIDIAN CARDIAC REHAB & IMAGING
27 S COOKS BRIDGE ROAD STE 11 1
JACKSON,NJ08527 		REHABILITATIVE CARE, RADIOLOGY
21 MERIDIAN REHAB OP THERAPY AT BRICK
1686 ROUTE 88
BRICK,NJ08724 		PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, CARDIAC REHAB
22 MERIDIAN INTEGRATIVE HEALTH & MEDICINE
27 SOUTH COOKS BRIDGE RD STE 2-3
JACKSON,NJ08527 		INTEGRATIVE HEALTH
23 THE MEDICAL PAVILION AT WOODBRIDGE
740 ROUTE 1 NORTH
ISELIN,NJ08830 		OB/GYN, PHYSICAL THERAPY & URGENT CARE
24 MERIDIAN HEALTH LAB AT OCEAN CARE CENTER
1517 RICHMOND AVENUE
POINT PLEASANT,NJ08742 		LABORATORY
25 THE SLEEPCARE CENTER OF OCEAN MED CTR
1610 ROUTE 88 2ND FLOOR
BRICK,NJ08724 		SLEEP LAB
26 HOPE TOWER
19 DAVIS AVENUE
NEPTUNE,NJ07753 		COMPREHENSIVE HEALTHCARE
27 AMBULATORY SURGICAL PAVILION OF NJ
620 S WHITE HORSE PIKE
HAMMONTON,NJ08037 		O/P SURGERY
28 HUMC AMBULATORY CARE CENTER-NORTHERN DIV
795 FRANKLIN AVENUE BLDG C
FRANKLIN LAKES,NJ07417 		PRIMARY CARE SERVICES OUTPATIENT ONCOLOGY
29 HUMC MEDICAL ARTS PLAZA
20 PROSPECT AVENUE
HACKENSACK,NJ07601 		VARIOUS OUTPATIENT HEALTHCARE SERVICES & PHARMACY
30 THE ALFRED M SANZARI MEDICAL ARTS BLDG
360 ESSEX STREET SUITE 202
HACKENSACK,NJ07601 		VARIOUS OUTPATIENT HEALTHCARE SERVICES
31 JOHN THEURER CANCER CENTER AT HUMC
92 SECOND STREET
HACKENSACK,NJ07601 		GAMMA KNIFE SERVICES, FIXED CT, LINEAR ACCELERATOR & PHARMACY
32 HACKENSACKUMC FITNESS & WELLNESS CENTER
87 ROUTE 17 NORTH SUITE 172
MAYWOOD,NJ07607 		PRIMARY CARE
33 HUMC AIR EXPRESS
30 PROSPECT AVENUE
HACKENSACK,NJ07601 		PRIMAR CARE SERVICES, MOBILE ASTHMA SCREENING SERVICES
34 METROPOLITAN SURGERY CENTER
433 HACKENSACK AVENUE
HACKENSACK,NJ07601 		VARIOUS OUTPATIENT HEALTHCARE SERVICES
35 HUMC MOUNTAINSIDE-OP MENTAL HEALTH SVCS
799 BLOOMFIELD AVENUE STE 300
VERONA,NJ07028 		OUTPATIENT MENTAL HEALTH SVCS
36 WOUND CARE CENTER AT HUMC PASCACK VALLEY
270 OLD HOOK ROAD
WESTWOOD,NJ07675 		WOUND CARE SERVICES
37 MOUNTAINSIDE FAM PRACTICE ASSOC VERONA
799 BLOOMFIELD AVENUE
VERONA,NJ07044 		PRIMARY CARE
38 JFK IMAGING CENTER
60 JAMES STREET
EDISON,NJ08820 		IMAGING & MRI CENTER
39 MEDIPLEX SURGICAL CENTER ASSOCIATES
98 JAMES STREET
EDISON,NJ08820 		SURGERY CENTER
40 JFK JOHNSON REHABILITATION INSTITUTE
2048 OAK TREE ROAD
EDISON,NJ08818 		COGNITIVE REHABILITATION
41 JFK CENTER FOR BEHAVIORAL HEALTH
65 JAMES STREET
EDISON,NJ08820 		BEHAVIORAL HEALTH
42 JFK JOHNSON REHABILITATION INSTITUTE
2050 OAK TREE ROAD
EDISON,NJ08818 		PEDIATRIC REHABILITATION
43 JFK JOHNSON REHABILITATION INSTITUTE
308 TALMADGE ROAD
EDISON,NJ08817 		PROSTHETIC & ORTHOTIC LAB
44 JFK JOHNSON REHABILITATION INSTITUTE
100 OVERLOOK DRIVE
MONROE TOWNSHIP,NJ08831 		OUTPATIENT REHAB FACILITY
45 JFK JOHNSON REHABILITATION INSTITUTE
481 MEMORIAL PARKWAY
METUCHEN,NJ08840 		OUTPATIENT REHAB FACILITY
46 JFK JOHNSON REHABILITATION INSTITUTE
5 PROGRESS STREET
EDISON,NJ08820 		OUTPATIENT REHAB FACILITY
47 JFK HEALTH & FITNESS CENTER
70 JAMES STREET
EDISON,NJ08820 		FITNESS & CONFERENCE CENTER
48 JFK JOHNSON REHABILITATION INSTITUTE
1080 STELTON ROAD
PISCATAWAY,NJ08854 		OUTPATIENT REHAB FACILITY
49 ADVANCED MEDICAL IMAGING OF OLD BRIDGE
3548 ROUTE 9 SOUTH
OLD BRIDGE,NJ08857 		MEDICAL IMAGING, LABORATORY
50 Carrier Clinic Blake Recovery Center
252 ROUTE 601
BELLE MEAD,NJ08502 		PSYCHIATRIC HOSPITAL
51 HMH CC EAST MOUNTAIN YOUTH LODGE
45 EAST MOUNTAIN ROAD
BELLE MEAD,NJ08502 		RESIDENTIAL TREATMENT FACILITY
52 HMH REHAB HOLMDEL
668 NORTH BEERS STREET
HOLMDEL,NJ07733 		PHYSICAL THERAPY/OCCUPATIONAL THERAPY
53 JFK JOHNSON REHABILITATION INSTITUTE
585 MAIN STREET
WOODBRIDGE,NJ07095 		OUTPATIENT REHAB FACILITY
54 HUMC- OUTPATIENT SERVICES
211 ESSEX STREET
HACKENSACK,NJ07601 		LABORATORY SERVICES
55 HUMC- OUTPATIENT SERVICES
20 PROSPECT AVENUE
HACKENSACK,NJ07601 		LABORATORY SERVICES
56 GLEN POINTE- OUTPATIENT SERVICES
400 FRANK W BURR BLVD SUITE 35
TEANECK,NJ07666 		LABORATORY SERVICES
57 RBMC- OUTPATIENT SERVICES
2 HOSPITAL PLAZA
OLD BRIDGE,NJ08857 		LABORATORY SERVICES
58 HMHHC-PALISADES MEDICAL CENTER
403 39TH STREET
UNION CITY,NJ07087 		BEHAVIORAL HEALTH
59 AUDREY HEPBURN CHILDREN'S HOUSE
12 SECOND STREET
HACKENSACK,NJ07601 		BEHAVIORAL HEALTH
60 THE RETREAT & RECOVERY AT RAMAPO VALLEY
1071 RAMAPO VALLEY ROAD
MAHWAH,NJ07430 		BEHAVIORAL HEALTH
61 RBMC- PT EAST BRUNSWICK
620 CRANBURY ROAD
EAST BRUNSWICK,NJ08816 		PHYSICAL THERAPY
62 JFK MEDICAL CENTER EMS SOUTH
1195 AIRPORT ROAD
LAKEWOOD,NJ08701 		AMBULATORY CARE
63 HMH NURSING & REHAB
100 Chapin Avenue
Red Bank,NJ07701 		POST ACUTE CARE
64 HMH URGENT CARE
1080 Stelton Road
Piscataway,NJ08854 		Convenient Care
65 JSUMC Addiction Recovery Services
1200 Jumping Brook Road
Neptune,NJ07753 		Behavioral Health Services
66 JFK Hartwyck at Cedar Brook
1340 Park Avenue
Plainfield,NJ07060 		Post Acute Care
67 Hackensack Meridian Hospice
1340A Campus Parkway
Neptune,NJ07753 		Post Acute Care
68 Eatontown Health & Wellness Center
137 Route 35
Eatontown,NJ07724 		Ambulatory Care
69 HMH Urgent Care
137 Route 35
Eatontown,NJ07724 		Convenient Care
70 Occupational Health
1430 Hooper Avenue Suite 200B
Toms River,NJ08753 		Occupational Health
71 Occupational Health
150 Airport Road Suite 100
Lakewood,NJ08701 		Occupational Health
72 HMH NURSING & REHAB
160 Main Street
Ocean Grove,NJ07756 		Post Acute Care
73 Hackensack Meridian Health West Caldwell
165 Fairfield Avenue
West Caldwell,NJ07006 		Post Acute Care
74 HMH Subacute Rehab
1725 Meridian Trail
Wall,NJ07719 		Post Acute Care
75 Hackensack Meridian at Home-Ocean County
1759 State Highway 88 Suite 100
Brick,NJ08723 		Post Acute Care
76 Hope Tower Laboratory
19 Davis Avenue
Neptune,NJ07753 		Laboratory Sites
77 Center for Bone and Joint Surgery
195 Route 9 South Suite 210
Manalapan,NJ07726 		Ambulatory Care
78 Occupational Health
195 Route 9 South Suite 213
Manalapan,NJ07726 		Occupational Health
79 Health Village Imaging
1975 Highway 34 Building D
Wall,NJ07719 		Ambulatory Care
80 Occupational Health
20 Prospect Avenue Medical Plaza
Hackensack,NJ07601 		Occupational Health
81 The Villas
200 Commons Way
Holmdel,NJ07733 		Post Acute Care
82 HMH Urgent Care
2040 Route 33
Neptune,NJ07753 		Behavioral Health Services
83 JFK Hartwyck at Oak Tree
2048 Oak Tree Road
Edison,NJ08820 		Post Acute Care
84 Jersey Shore Imaging
2100 Corlies Avenue
Neptune,NJ07753 		Ambulatory Care
85 HMH Urgent Care
2125 Route 88
Brick,NJ08724 		Convenient Care
86 HMH Urgent Care
215 Applegarth Road Building A
Monroe,NJ08831 		Convenient Care
87 Occupational Health
2441A Highway 33 Suite A
Neptune,NJ07754 		Occupational Health
88 Meridian Village Pharmacy
27 South Cooks Bridge Road Suite 1
Jackson,NJ08527 		Retail Pharmacy
89 HMH Urgent Care
27 South Cooks Bridge Road Suite 1
Jackson,NJ08527 		Convenient Care
90 Health Village Imaging
27 South Cooks Bridge Road Suite 1
Jackson,NJ08527 		Ambulatory Care
91 The Villas
289 Gordons Corner Road
Manalapan,NJ07726 		Post Acute Care
92 VHS Hospice Services of New Jersey
3 Garrett Mountain Plaza
Woodland Park,NJ07424 		Post Acute Care
93 Center for Sleep Medicine
3 Hospital Plaza Suite 407
Old Bridge,NJ08857 		Ambulatory Care
94 JFK Medical Center EMS Central
308 Talmadge Road
Edison,NJ08817 		Ambulatory Care
95 HMH Urgent Care
315 Main Street
Freehold,NJ07728 		Convenient Care
96 HMH Prospect Heights Care Center
336 Prospect Avenue
Hackensack,NJ07601 		Post Acute Care
97 HMH at Home - Infusion Pharmacy Dept
34 Industrial Way East Building 1
Eatontown,NJ07724 		Retail Pharmacy
98 HMH Mobile Health & Wellness Van
343 Thornall Street
Edison,NJ08837 		Ambulatory Care
99 HUMC Cardiovascular Partners
400 Frank W Burr Boulevard
Teaneck,NJ07666 		Ambulatory Care
100 JSUMC - Child Day Program
402 Route 35
Neptune,NJ07753 		Behavioral Health Services
101 HMH NURSING & REHAB
415 Jack Martin Boulevard
Brick,NJ08724 		Post Acute Care
102 HMH - Sunflower Lodge at Windrow House
45 East Mountain Road
Belle Mead,NJ08502 		Behavioral Health Services
103 JFK at Home
485 Route 1 South Bldg B
Iselin,NJ08830 		Post Acute Care
104 Imaging North LLC
5 Marine View Plaza - Suite 100
Hoboken,NJ07030 		Ambulatory Care
105 HMH NURSING & REHAB
50 Polifly Road
Hackensack,NJ07601 		Post Acute Care
106 George J Otlowski Senior Center
570 Lee Street
Perth Amboy,NJ08861 		Behavioral Health Services
107 Whispering Knoll Assisted Living
62 James Street
Edison,NJ08820 		Post Acute Care
108 JFK Outpatient Pharmacy
65 Edison
Edison,NJ08837 		Retail Pharmacy
109 RMC Outpatient Behavioral Health
661 Shrewsbury Avenue
Shrewsbury,NJ07702 		Behavioral Health Services
110 Hackensack Meridian Rehabilitation
700 Route 9 South AKA S Main Stre
Stafford Township,NJ08092 		Fitness, Physical Therapy & Rehabilitation
111 HMH Urgent Care
701 US Highway 9
Forked River,NJ08731 		Convenient Care
112 PMC Outpatient Counseling Center
7101 Kennedy Boulevard
North Bergen,NJ07047 		Behavioral Health Services
113 The Willows at Holmdel
713 North Beers Street
Holmdel,NJ07733 		Post Acute Care
114 Bayshore Health Care Center
715 North Beers Street
Holmdel,NJ07733 		Post Acute Care
115 HMH Occupational Health
742 Route 1 North
Iselin,NJ08830 		Occupational Health
116 The Sleep Wake Center
7650 River Road
North Bergen,NJ07047 		Ambulatory Care
117 Palisades Medical Center- Physical Rehab
7650 River Road
North Bergen,NJ07047 		Fitness, Physical Therapy & Rehabilitation
118 HMH at Home Infusion Pharmacy
80 Industrial Road Suite G
Lodi,NJ07644 		Retail Pharmacy
119 Hackensack Meridian Health Haven Hospice
80 James Street
Edison,NJ08818 		Post Acute Care
120 Hackensack Meridian Hospice
80 Nautilus Drive
Manahawkin,NJ08050 		Post Acute Care
121 Advanced Medical Emergency Resource Coal
842 Silvia Street Enterprise Park
West Trenton,NJ08628 		Ambulatory Care
122 Center for Wellness
87 Route 17
Maywood,NJ07607 		Behavioral Health Services
123 Hackensack Occupational Health
87 Route 17 North
Maywood,NJ07607 		Occupational Health
124 Corporate Wellness Center
87 Route 17 North Suite 137
Maywood,NJ07607 		Laboratory Sites
125 HMH NURSING & REHAB
89 Avenue at the Common
Shrewsbury,NJ07702 		Post Acute Care
126 HMH Urgent Care
9 Mule Road
Toms River,NJ08755 		Convenient Care
127 HMH Urgent Care
901 Long Beach Boulevard
Ship Bottom,NJ08008 		Convenient Care
128 John Theurer Cancer Center Pharmacy
92 2nd Street
Hackensack,NJ07601 		Retail Pharmacy
129 Air Med One
Greenwood Lake Airport
West Milford,NJ07480 		Ambulatory Care
130 JFK Medical Center - Muhlenberg Campus
Park Avenue Randolph Road
Plainfield,NJ07061 		Ambulatory Care
Schedule H (Form 990) 2022
Page 10
Schedule H (Form 990) 2022
Page 10
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, Line 3c THE HOSPITAL NETWORK OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS TO HELP UNINSURED AND UNDERINSURED PATIENTS. THE HMH FINANCIAL ASSISTANCE PROGRAM PROVIDES DEEPLY DISCOUNTED HEALTHCARE SERVICES TO INDIVIDUALS WHO ARE DETERMINED TO BE ELIGIBLE. FEDERAL POVERTY GUIDELINES AND INSURANCE STATUS ARE USED IN DETERMINING ELIGIBILITY CRITERIA. HMH ALSO FACILITATES THE NJ HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM (CHARITY CARE), WHICH IF APPROVED WOULD PROVIDE CARE AT NO COST OR A PERCENTAGE OF COST. FACTORS TO DETERMINE ELIGIBILITY INCLUDE: -ASSET LEVEL; -MEDICAL INDIGENCY; -INCOME LEVEL; -INSURANCE STATUS (INCLUDING UNDERINSURED); AND -RESIDENCY.
Schedule H, Part I, Line 6a BAYSHORE MEDICAL CENTER, HMH CARRIER CLINIC, HACKENSACK UNIVERSITY MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, JFK JOHNSON REHABILITATION INSTITUTE, JFK UNIVERSITY MEDICAL CENTER, HACKENSACK UNIVERSITY MOUNTAINSIDE MEDICAL CENTER, OCEAN UNIVERSITY MEDICAL CENTER, OLD BRIDGE MEDICAL CENTER, PALISADES MEDICAL CENTER, HACKENSACK MERIDIAN PASCACK VALLEY MEDICAL CENTER, RARITAN BAY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, JOHNSON REHABILITATION INSTITUTE AT OCEAN UNIVERSITY MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, AND THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 ARE PART OF AN ANNUAL COMMUNITY BENEFIT REPORT PREPARED BY HACKENSACK MERIDIAN HEALTH, INC., WHICH IS MADE AVAILABLE TO THE PUBLIC. AT HACKENSACK MERIDIAN, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITALS AND PARTNER COMPANIES REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITIES. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. COMMUNITY-BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. HACKENSACK MERIDIAN REMAINS COMMITTED TO STRENGTHENING ITS MISSION. HACKENSACK MERIDIAN'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT CAN BE REQUESTED AT ANY ONE OF OUR FACILITIES. HEALTH, INC., WHICH IS MADE AVAILABLE TO THE PUBLIC. AT HACKENSACK MERIDIAN, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITALS AND PARTNER COMPANIES REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITIES. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. COMMUNITY-BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. HACKENSACK MERIDIAN REMAINS COMMITTED TO STRENGTHENING ITS MISSION. HACKENSACK MERIDIAN'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT CAN BE REQUESTED AT ANY ONE OF OUR FACILITIES.
Schedule H, Part I, Line 7 THE BAD DEBT EXPENSE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $253,909,511; THE BAD DEBT EXPENSE FOR BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, RARITAN BAY MEDICAL CENTER, OLD BRIDGE MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, JFK UNIVERSITY MEDICAL CENTER, HMH CARRIER CLINIC, AND PALISADES MEDICAL CENTER ("HOSPITALS"). HOSPITALS USE WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, IN THE IRS FORM 990 SCHEDULE H INSTRUCTIONS TO CALCULATE THE COST TO CHARGE RATIO. IN 2015, THE INTERNAL REVENUE SERVICE CLARIFIED IN THE INSTRUCTIONS FOR SCHEDULE H THAT GROUP RETURNS ARE REQUIRED TO USE TOTAL EXPENSES AS REPORTED IN CORE FORM, PART IX, LINE 25 AS THE DENOMINATOR WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGE IN SCHEDULE H, PART I, LINE 7. THE ORGANIZATION FEELS THIS RESULTS IN AN UNDERSTATEMENT OF ITS COMMUNITY BENEFIT PERCENTAGE AS THE OTHER ORGANIZATIONS INCLUDED IN THE GROUP RETURN DO NOT CONTRIBUTE ANY EXPENSES TO THE NUMERATOR. THEREFORE, THE ORGANIZATION WAS CONSISTENT WITH PRIOR YEARS IN USING THE TOTAL HOSPITALS' EXPENSES IN THE DENOMINATOR TO CALCULATE THE COMMUNITY BENEFIT PERCENTAGE IN SCHEDULE H, PART I, LINE 7. THIS ALLOWS FOR A BETTER COMPARISON TO THE PRIOR YEARS AS THIS METHODOLOGY HAS HISTORICALLY BEEN USED IN THE CALCULATION AS WELL AS A MORE ACCURATE REFLECTION OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITALS. AS PART OF THE HOSPITALS' MISSION SUPPORT, THE ORGANIZATIONS SUBSIDIZE THE LOSS OF ITS NON-PROFIT PHYSICIAN PRACTICES SO THAT THEY CAN PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY. SCHEDULE H, PART I, LINE 7I INCLUDES THIS MISSION SUPPORT AS PART OF THE HOSPITALS' SUBSIDIZED SERVICES.
Schedule H, Part III, Line 2 ACCOUNTS THAT REACH THE END OF THE SELF-PAY BILLING CYCLE WITHOUT PAYMENTS OR FINANCIAL ASSISTANCE APPROVAL ARE TRANSFERRED TO BAD DEBT. UNINSURED PATIENT CHARGES ARE DISCOUNTED. BALANCES AFTER INSURANCE, SUCH AS DEDUCTIBLES, CO-PAYS AND COINSURANCE, MAY BE ELIGIBLE FOR A DISCOUNT THROUGH THE HMH FINANCIAL ASSISTANCE PROGRAM.
Schedule H, Part III, Line 3 THROUGH THE FINANCIAL ASSISTANCE PROGRAM, SELF-PAY PATIENTS ARE INTERVIEWED. THE AMOUNT REFLECTED ON LINE 3 REPRESENTS THOSE THAT ARE NOT COMPLIANT WITH DOCUMENTATION REQUIREMENTS AND THOSE WHO CANNOT BE CONTACTED. NON-ELIGIBLE PATIENTS, DUE TO BEING OVER INCOME, ARE NOT INCLUDED ON LINE 3. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER THE PATIENT HAS INSURANCE OR THE ABILITY TO PAY. THE METHODOLOGY USED BY THE ORGANIZATION TO ESTIMATE THE AMOUNT OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS TO APPLY ITS COST TO CHARGE RATIO TO TOTAL SELF-PAY GROSS CHARGES.
Schedule H, Part III, Line 4 THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 FOR WHICH THIS SCHEDULE H IS BEING FILED RECEIVED AN AUDITED FINANCIAL STATEMENT. THE BAD DEBT FOOTNOTES TO THESE AUDITED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. CAN BE FOUND ON PAGES 17-19 & 21.
Schedule H, Part III, Line 8 THE ORGANIZATION BELIEVES THAT ITS MEDICARE SHORTFALL ARE COMMUNITY BENEFITS BECAUSE, AS A HOSPITAL, IT IS STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, BY PROMOTING HEALTH OF THE COMMUNITY AS A WHOLE AND 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.
Schedule H, Part III, Question 9B BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, OLD BRIDGE MEDICAL CENTER, RARITAN BAY MEDICAL CENTER, JFK UNIVERSITY MEDICAL CENTER, JFK JOHNSON REHABILITATION INSTITUTE, PALISADES MEDICAL CENTER, AND HACKENSACK UNIVERSITY MEDICAL CENTER ------------------------------------------------------------------- THE POLICY ON BILLING AND COLLECTION ACTIONS OF THE ABOVE FACILITIES CONTAINS THE FOLLOWING PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE: CURRENT ACCOUNTS RECEIVABLE FOR MEDICARE PATIENTS THAT REACH THE END OF THE SELF-PAY DUNNING CYCLE FOR MEDICARE PATIENTS (WHICH CONSISTS OF FOUR STATEMENTS AND ONE LETTER OVER A PERIOD OF 120 DAYS, WITHOUT PAYMENT OR EVIDENCE OF CHARITY CARE ELIGIBILITY) ARE TRANSFERRED TO BAD DEBT AS STIPULATED IN PATIENT ACCOUNTS POLICIES AND PROCEDURES. THE SAME HOLDS FOR NON-MEDICARE PATIENTS BUT THE DUNNING CYCLE IS 62 DAYS. THE SYSTEM ENTITIES DO NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL PRIOR TO REASONABLE EFFORTS BEING MADE TO DETERMINE WHETHER THE INDIVIDUAL IS FINANCIAL ASSISTANCE PROGRAM-ELIGIBLE. FOR THESE PURPOSES, REASONABLE EFFORTS INCLUDE THE POSTING OF SIGNAGE AND NOTICES REGARDING THE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM, THE PROVISION OF A PLAIN-LANGUAGE SUMMARY AS PART OF THE HOSPITALS INTAKE PROCESS, THE INCLUSION OF SPECIFIC INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ALL BILLING STATEMENTS, COMMUNICATING IN PERSON AND BY TELEPHONE REGARDING THE AVAILABILITY OF ASSISTANCE AND, IN CASES WHERE AN INCOMPLETE APPLICATION IS SUBMITTED, INFORMING THE PATIENT, IN WRITING, REGARDING THE ADDITIONAL INFORMATION/DOCUMENTATION REQUIRED IN ORDER TO DETERMINE THE PATIENT'S ELIGIBILITY. UNDER NO CIRCUMSTANCES WILL A SYSTEM ENTITY (EITHER DIRECTLY OR INDIRECTLY, BY ANOTHER PERSON ON ITS BEHALF) UNDERTAKE ANY ECA DURING THE 120-DAY PERIOD FOLLOWING THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT ISSUED TO THE PATIENT. A SYSTEM ENTITY MAY SATISFY THE NOTIFICATION REQUIREMENTS WITH RESPECT TO AN INDIVIDUAL'S AGGREGATED OUTSTANDING BILLS AS LONG AS 120 DAYS HAVE PASSED SINCE THE FIRST POST DISCHARGE STATEMENT FOR THE MOST RECENT EPISODE OF CARE INCLUDED IN THE AGGREGATED BILLS. AFTER THE EXPIRATION OF THE 120 DAY PERIOD, IF A SYSTEM ENTITY INTENDS TO UNDERTAKE AN ECA, THE THIRD PARTY WILL PROVIDE THE PATIENT WITH A FINAL WRITTEN NOTICE STATING THE SPECIFIC ECAS THAT WILL BE UNDERTAKEN IF PAYMENT IS NOT MADE OR A FINANCIAL ASSISTANCE APPLICATION IS NOT SUBMITTED BEFORE A STATED DEADLINE, WHICH MUST BE AT LEAST 30 DAYS AFTER THE DATE OF THE NOTICE. THE 30-DAY NOTICE INCLUDES A PLAIN LANGUAGE SUMMARY OF THE SYSTEM'S FINANCIAL ASSISTANCE POLICY. IN KEEPING WITH THE FOREGOING STANDARDS, ONCE A PATIENT ACCOUNT HAS COMPLETED THE SELF-PAY DUNNING CYCLE, THE SYSTEM ENTITY WILL FORWARD THE ACCOUNT TO A PRIMARY BAD DEBT COLLECTION AGENCY, WHICH WILL WORK THE ACCOUNT FOR 180 DAYS. ACCOUNTS THAT REMAIN UNPAID AT THE END OF 180-DAYS ARE AUTOMATICALLY REASSIGNED TO A SECONDARY AGENCY FOR AN ADDITIONAL 180-DAYS. PRIMARY AND SECONDARY AGENCIES CAN PURSUE LEGAL ACTION ON ACCOUNTS THROUGH DESIGNATED LEGAL AFFILIATES. ACCOUNTS THAT REMAIN UNPAID MAY BE REFERRED TO ATTORNEYS. SUCH ATTORNEYS MAY PROVIDE THE 30-DAY NOTICE (DESCRIBED ABOVE) ON BEHALF OF THE SYSTEM ENTITY AND, AFTER THE EXPIRATION OF THE STATED DEADLINE, MAY INITIATE ECAS ON BEHALF OF THE SYSTEM ENTITY. ECAS WILL INCLUDE JUDGMENTS AND LIENS. AS PART OF THE COURT PROCESS, A PATIENT MAY HAVE THEIR OUTSTANDING BALANCE REPORTED TO A CREDIT AGENCY. THIS IS THROUGH THE COURT ITSELF AND DOES NOT HAPPEN BY ANY ACTIONS TAKEN BY HMH FACILITIES OR THEIR AGENTS. ECAS ARE SUSPENDED DURING THIS TIME IF THE PATIENT SUBMITS A FINANCIAL ASSISTANCE APPLICATION. THE HOSPITAL CONTINUES TO ACCEPT AND PROCESS ANY FINANCIAL ASSISTANCE APPLICATIONS FOR UP TO 24 MONTHS AFTER THE ORIGINAL DATE OF SERVICE.IF THE PATIENT QUALIFIES FOR CHARITY CARE OR THE UNINSURED DISCOUNT, ANY AMOUNTS PREVIOUSLY PAID BY THE PATIENT IN EXCESS OF THEIR DISCOUNTED CHARGES WILL BE REFUNDED AND ANY EXTRAORDINARY COLLECTION EFFORTS THAT HAVE BEEN TAKEN WILL BE REVERSED. HMH CARRIER CLINIC --------------- SUMMARY OF BILLING AND COLLECTION PROCEDURES THE HOSPITAL WILL MAKE DILIGENT EFFORT TO DETERMINE THE PATIENT FINANCIAL RESPONSIBILITY AS SOON AS REASONABLY POSSIBLE, THE DAY OF ADMISSION OR WITHIN FEW DAYS OF ADMISSION. ESTIMATED AMOUNT DUE WILL BE BASED ON THE INDIVIDUAL INSURANCE BENEFIT AND MAY INCLUDE DEDUCTIBLE, CO-PAY AND CO-INSURANCE. THE HOSPITAL WILL MAKE ITS BEST EFFORT TO ADVISE ALL PATIENTS AND/OR FAMILIES OF ANY FINANCIAL RESPONSIBILITY, COVERAGE LIMITATION, DISCUSS PAYMENT OPTIONS AND AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM. PATIENT STATEMENTS WILL INCLUDE NOTICES AS REQUIRED TO INFORM PATIENT OF THE AVAILABILITY AND MEANS TO ACCESS FINANCIAL ASSISTANCE. THE HOSPITAL WIDELY PUBLICIZES ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM, INCLUDING WHO TO CONTACT. GENERALLY, A PATIENT AND/OR GUARANTOR WILL HAVE A SELF-PAY RESPONSIBILITY INCLUDING AND NOT LIMITED TO THE FOLLOWING: THE PATIENT HAS INSURANCE COVERAGE BUT IT HAS BEEN ESTABLISHED THAT DEDUCTIBLE NOT MET AND PATIENT HAS CO-INSURANCE AND/OR DAILY COPAY, THE PATIENT HAS INSURANCE, HOWEVER, HMH CARRIER CLINIC IS OUT OF NETWORK AND PATIENT DOES NOT HAVE OUT OF NETWORK BENEFITS, THE PATIENT HAS NO INSURANCE AND WHEN ASKED DOES NOT QUALIFY FOR MEDICAID, THE PATIENT HAS INSURANCE BUT NO BENEFITS FOR BEHAVIORAL HEALTH, THE PATIENT HAS INSURANCE, AND HAS OUT OF NETWORK BENEFITS WITH HIGH COINSURANCE, THE PATIENT HAS EXHAUSTED AVAILABLE BENEFITS, BENEFIT YEAR, CALENDAR YEAR, AND/OR LIFETIME MAXIMUM FREQUENT OCCURRENCE WITH MEDICARE PATIENTS WHO HAVE USED THEIR 190 LIFETIME PSYCHIATRIC BENEFIT OR LESS FREQUENTLY MAXED THEIR BENEFIT PERIOD. THE HOSPITAL WILL MAKE DILIGENT EFFORTS TO IDENTIFY PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED IN ORDER TO PROVIDE COUNSELING AND ASSISTANCE. THE PSR (PATIENT SERVICES REP) WILL PROVIDE FINANCIAL COUNSELING TO THESE PATIENTS AND THEIR FAMILIES, INCLUDING GUIDANCE FOR ELIGIBILITY FOR OTHER SOURCES OF COVERAGE SUCH AS FEDERAL AND STATE GOVERNMENT PROGRAMS. IF ADDITIONAL FINANCIAL ASSISTANCE IS REQUIRED, PSR MAY EXTEND DISCOUNTS OR OTHER ADJUSTMENTS TO PATIENT IF THEY QUALIFY UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY. THE PATIENT HAS A NUMBER OF RESPONSIBILITIES IN ORDER TO QUALIFY FOR ASSISTANCE, INCLUDING THE OBLIGATION TO SUBMIT ALL NECESSARY AND ACCURATE DOCUMENTATION. THE HOSPITAL WIDELY PUBLICIZES INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM, INCLUDING WHERE TO GO FOR ASSISTANCE. IT SHOULD BE NOTED THAT SERVICES WHICH ARE SEPARATELY BILLED BY OTHER OUTSIDE PROVIDERS, SUCH AS PHYSICIANS ARE NOT ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP). CARRIER CLINIC UTILIZES ARCADIA RECOVERY FOR COLLECTION OF ALL PATIENT BALANCES AFTER INSURANCE PAYMENTS AND UNINSURED INDIVIDUALS. THE TOTAL BILLING CYCLE IS 120 DAYS BEFORE THE BALANCE IS SENT TO COLLECTION. IN CERTAIN SITUATIONS (EXCEPT FOR MEDICARE PATIENTS) ACCOUNT MAY BE REFERRED TO BAD DEBT (BD) PRIOR TO 120TH DAY. THE HOSPITAL WILL MAKE EVERY EFFORT TO PROVIDE PATIENTS WITH EVERY OPPORTUNITY TO MEET THEIR FINANCIAL OBLIGATION BEFORE ACCOUNT IS REFERRED TO A COLLECTION AGENCY. STEPS WILL BE TAKEN TO COMMUNICATE WITH PATIENTS WITH DELINQUENT ACCOUNTS ENCOURAGING THEM TO COMPLY WITH PAYMENT PLANS IN ORDER TO PREVENT REFERRAL TO OUTSIDE COLLECTION AGENCY. ARCADIA WILL PROVIDE INFORMATION ON FINANCIAL ASSISTANCE AND PAYMENT OPTIONS TO PATIENTS INFORMING THEM OF THE OUTSTANDING BALANCE DUE. THE FOLLOWING ACCOUNTS WILL BE REFERRED TO COLLECTION AGENCY WHEN ALL AVAILABLE EFFORTS WERE EXHAUSTED: DELINQUENT ACCOUNTS WITH NO PAYMENT ACTIVITY, ACCOUNTS WITH NO PAYMENT ACTIVITY AND INELIGIBLE FOR FINANCIAL ASSISTANCE, ACCOUNTS GRANTED % DISCOUNTS UNDER FINANCIAL ASSISTANCE BUT NO LONGER COOPERATING TO PAY REMAINING BALANCE, ACCOUNTS WERE PATIENTS HAVE MADE NO ARRANGEMENTS TO RESOLVE THEIR OUTSTANDING BALANCE, ACCOUNTS WITH RETURNED MAIL AND NO OTHER CONTACT INFORMATION. ACCOUNTS THAT CANNOT BE COLLECTED AFTER A SERIES OF LETTERS AND CALLS WILL BE REFERRED TO A COLLECTION AGENCY FOR FURTHER COLLECTION ACTION (121ST DAY OR LATER, ALL MEDICARE PATIENTS AND 120 DAYS OR LESS FOR NON-MEDICARE PATIENTS). BAD DEBT REFERRAL PRIOR TO 120TH DAY IS ACCOUNTS CLASSIFIED AS SKIP WHEN RETURNED BY THE USPS AS NOT DELIVERABLE. MEDICARE ACCOUNTS ARE NOT REFERRED TO BAD DEBT REGARDLESS OF THE SITUATION UNTIL 121ST DAY FROM THE FIRST STATEMENT DATE. HMH CARRIER CLINIC AND COLLECTION AGENCY EFFORTS DO NOT INCLUDE EXTRAORDINARY COLLECTION MEASURES.
Schedule H, Part VI, Question 2 IN ADDITION TO THE INFORMATION REPORTED IN SCHEDULE H, PART V,SECTION B, QUESTIONS 1 THROUGH 12, THE ORGANIZATIONS ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE AS FOLLOWS: 1. ACCESS TO CARE/SERVICES IS ASSESSED REGULARLY TO IDENTIFY OPPORTUNITIES TO IMPROVE NETWORK ADEQUACY RELATIVE TO THE AVAILABILITY OF MEDICAL MANPOWER AND SITES OF SERVICE; 2. UTILIZATION IS TRACKED BY HACKENSACK MERIDIAN HEALTH ("HMH") OPERATIONAL LEADERS RELATIVE TO CAPACITY AND ABILITY TO ACCOMMODATE DEMAND. WHERE POTENTIAL CAPACITY AND THROUGHPUT CONCERNS ARE IDENTIFIED, FURTHER ASSESSMENTS ARE PERFORMED AND POTENTIAL SOLUTIONS ARE IDENTIFIED; AND 3. FOR KEY SERVICES, HMH HAS DEVELOPED CARE TRANSFORMATION SERVICE TEAMS TO ACCESS SERVICE-SPECIFIC NEEDS AND DEVELOP PLANS TO ADDRESS.
Schedule H, Part VI, Question 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE HOSPITALS INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: - THE FINANCIAL ASSISTANCE POLICY ("FAP"), APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE ALL AVAILABLE ON-LINE; - PAPER COPIES OF THE FAP, APPLICATION AND PLS ARE AVAILABLE UPON REQUEST BY MAIL, WITHOUT CHARGE, AND ARE PROVIDED IN VARIOUS AREAS THROUGHOUT THE HOSPITALS INCLUDING MAIN REGISTRATION DESK, EMERGENCY ROOM, AND PATIENT FINANCIAL SERVICES DEPARTMENT; - ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE PATIENT ACCESS/INTAKE PROCESS; - SIGNS OR DISPLAYS ARE POSTED IN PUBLIC LOCATIONS INCLUDING MAIN REGISTRATION DESK, EMERGENCY ROOM, AND PATIENT FINANCIAL SERVICES OFFICES THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE; AND - THE FAP, APPLICATIONS AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED BY THE HOSPITALS' PRIMARY SERVICE AREAS. TRANSLATED VERSIONS FAP ARE AVAILABLE UPON REQUEST IN PERSON AT THE HOSPITALS AND ON THE HOSPITAL WEBSITE. https://www.hackensackmeridianhealth.org/en/pay-bill/financial-assistance
Schedule H, Part VI, Question 4 THE 18 HOSPITALS INCLUDED IN THIS FORM 990, SCHEDULE H SERVE THE COMMUNITIES OF MONMOUTH, OCEAN, MIDDLESEX, HUDSON, BERGEN, AND SOMERSET COUNTIES IN NEW JERSEY. THE FOLLOWING INFORMATION BY COUNTY IS BASED ON RECENT CENSUS ESTIMATES: MONMOUTH COUNTY ------------------------- POPULATION, 2022: 644,098 UNDER 5 YEARS OF AGE, 2022: 4.9% UNDER 18 YEARS OF AGE, 2022: 20.4% 65 YEARS OLD AND OVER, 2022: 19.4% PERSONS IN POVERTY, 2017-2021: 7.4% MEDIAN HOUSEHOLD INCOME, 2017-2021: $110,356 RACIAL COMPOSITION, 2022: WHITE: 74.5% AFRICAN AMERICAN: 7.3% ASIAN: 5.8% HISPANIC OR LATINO ORIGIN: 5.8% OTHER: 0.4% OCEAN COUNTY ----------------- POPULATION, 2022: 655,735 UNDER 5 YEARS OF AGE, 2022: 7.3% UNDER 18 YEARS OF AGE, 2022: 24.6% 65 YEARS OLD AND OVER, 2022: 22.8% PERSONS IN POVERTY, 2017-2021: 11.4% MEDIAN HOUSEHOLD INCOME, 2017-2021: $76,644 RACIAL COMPOSITION, 2022: WHITE: 83.3% AFRICAN AMERICAN: 3.9% ASIAN: 2.1% HISPANIC OR LATINO ORIGIN: 10.2% OTHER: 0.4% MIDDLESEX COUNTY ---------------------- POPULATION, 2022: 861,418 UNDER 5 YEARS OF AGE, 2022: 5.3% UNDER 18 YEARS OF AGE, 2022: 21.2% 65 YEARS OLD AND OVER, 2022: 16.3% PERSONS IN POVERTY, 2017-2021: 8.0% MEDIAN HOUSEHOLD INCOME, 2017-2021: $96,883 RACIAL COMPOSITION, 2022: WHITE: 38.9% AFRICAN AMERICAN: 12.9% ASIAN: 26.1% HISPANIC OR LATINO ORIGIN: 23.2% OTHER: 0.9% HUDSON COUNTY --------------------- POPULATION, 2022: 703,366 UNDER 5 YEARS OF AGE, 2022: 6.3% UNDER 18 YEARS OF AGE, 2022: 19.8% 65 YEARS OLD AND OVER, 2022: 12.8% PERSONS IN POVERTY, 2017-2021: 15.9% MEDIAN HOUSEHOLD INCOME, 2017-2021: $79,795 RACIAL COMPOSITION, 2022: WHITE: 28.2% AFRICAN AMERICAN: 15.4% ASIAN: 17.0% HISPANIC OR LATINO ORIGIN: 42.4% OTHER: 1.5% BERGEN COUNTY -------------------- POPULATION, 2022: 952,997 UNDER 5 YEARS OF AGE, 2022: 5.0% UNDER 18 YEARS OF AGE, 2022: 20.6% 65 YEARS OLD AND OVER, 2022: 18.3% PERSONS IN POVERTY, 2017-2021: 7.5% MEDIAN HOUSEHOLD INCOME, 2017-2021: $109,497 RACIAL COMPOSITION, 2022: WHITE: 52.7% AFRICAN AMERICAN: 7.8% ASIAN: 17.6% HISPANIC OR LATINO ORIGIN: 22.7% OTHER: 0.7% SOMERSET COUNTY -------------------- POPULATION, 2022: 346,875 UNDER 5 YEARS OF AGE, 2022: 4.8% UNDER 18 YEARS OF AGE, 2022: 20.8% 65 YEARS OLD AND OVER, 2022: 17.3% PERSONS IN POVERTY, 2017-2021: 5.5% MEDIAN HOUSEHOLD INCOME, 2017-2021: $121,695 RACIAL COMPOSITION, 2022: WHITE: 51.5% AFRICAN AMERICAN: 11.0% ASIAN: 20.7% HISPANIC OR LATINO ORIGIN: 16.4% OTHER: 0.5%
Schedule H, Part VI, Question 5 Project "HEAL" Project HEAL (Help, Empower, and Lead) celebrated its 2nd anniversary in March 2023. The program has served over 400 individuals impacted by violence and provided more than 1,850 trauma-informed counseling sessions and hospital bedside visits, along with a variety of additional services, including emergency financial assistance, health screenings, case management and referrals in the past two years. Project HEAL also partnered with a local, faith-based organization with deep roots in the community, Triumphant Life Church, to launch a new community-based violence intervention program, Elevate. Elevate serves Monmouth County youth at risk for violence victimization and perpetration by providing trauma-informed clinical services, peer mentoring and alternatives to violence. RSV, FLU & COVID-19 Campaign In December 2022, the Community Outreach & Engagement team launched a network-wide community education and awareness campaign, tackling the rise in preventable visits to our emergency department (ED) for RSV, flu and other respiratory infections, especially among our pediatric population. The goal was to educate the public about the signs and symptoms of these infections and when and where to seek care. In addition, our health educators taught community members about the importance of hand hygiene and vaccinations. Through funding from a generous donor, we have acquired 17,000 reusable digital thermometers that have been distributed to families in need, along with educational handouts in English and Spanish. Road to Recovery Program We proudly support the American Cancer Society's Road To Recovery program in New Jersey - assisting cancer patients with free transportation to treatment and access to critical care when needed. In 2021, we gave the American Cancer Society a $100,000 two year grant for reimagining and enhancing the Road to Recovery program post-pandemic. Significant technological advances allowed the American Cancer Society to offer more efficient and streamlined processes, including a web-and-mobile-based application that utilizes up-to-date technology and harnesses the convenience of smartphones, matching patients who need rides with available volunteers. After piloting the improvements in Ocean and Monmouth counties, the new program was rolled out state-wide, and in 2022, 285 door-to-door rides were provided to 47 cancer patients across New Jersey. Monmouth counties, the new program was rolled out state-wide, and in 2022, 285 door-to-door rides were provided to 47 cancer patients across New Jersey. Leading the Nation in Healthy Connections Through our groundbreaking social determinants of health program, Healthy Connections, we have provided 2.7 million patient referrals for support beyond traditional health care. Through this innovative program and a unique partnership with Unite Us, we launched Healthy Connections in June 2021, becoming the first health care network to assess total patient health, including non-medical needs, at all points of entry. Team members quickly identified five issue areas that were a priority for patients: food, housing, transportation, caregiver support and mental health/substance abuse treatment. In June 2021, all health care settings across the network began providing consistent screening. Today, the network screens up to 5,000 patients daily. If a need is discovered during the screening process, the patient is referred to community partner organizations for assistance. - 833,000+ patients have been screened - 2.7 million referrals have been provided Keeping Our Communities Healthy - 5,570+ community members participated in trauma & injury prevention educational programs, such as Stop the Bleed - 4,050 senior safety lights and safety bags distributed that help older adults stay safe from falls - 31,600+ community members received education and resources to take charge of their own health - 6,057 high-risk identified and referred for follow up care - 31,600+ individuals trained in life-saving CPR & AED use - 1,400+ car seat safety checks provided - 23,550+ free preventive health screenings & counseling provided to community members - 3,445 Flu vaccinations provided to adults & children, free of charge - 1,280+ Narcan replacement kits provided to first responders, free of charge - 1,497 community members quipped with tools to overcome their tobacco addiction - 977 high school students participated in #NotEvenOnce school-based opiate awareness programs - 458 community members completed Mental Health First Aid trainings - 948 Society for the Prevention of Teen Suicide Mental Health Crisis Toolkits provided to parents to teens
Schedule H, Part VI, Question 6 HACKENSACK MERIDIAN HEALTH, INC. ("HMH") IS THE TAX-EXEMPT PARENT OF HACKENSACK MERIDIAN HEALTH ("NETWORK"). THIS INTEGRATED HEALTHCARE DELIVERY NETWORK CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER HMH OR ANOTHER NETWORK AFFILIATE CONTROLLED BY HMH. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT NEW JERSEY. HMH IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE CENTRAL ORGANIZATION IN THE GROUP RULING OF THE TAX-EXEMPT ENTITIES INCLUDED IN THIS GROUP TAX RETURN, HMH STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE NETWORK WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY. HMH ENSURES THAT ITS NETWORK 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. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. THE NETWORK'S ACTIVE HOSPITALS INCLUDE: - HACKENSACK UNIVERSITY MEDICAL CENTER, - JERSEY SHORE UNIVERSITY MEDICAL CENTER, - RIVERVIEW MEDICAL CENTER, - OCEAN UNIVERSITY MEDICAL CENTER, - SOUTHERN OCEAN MEDICAL CENTER, - BAYSHORE MEDICAL CENTER, - K.HOVNANIAN CHILDREN'S HOSPITAL, - OLD BRIDGE MEDICAL CENTER - RARITAN BAY MEDICAL CENTER, - PALISADES MEDICAL CENTER, - HMH CARRIER CLINIC, - JFK UNIVERSITY MEDICAL CENTER, - HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL CENTER, - HACKENSACK MERIDIAN PASCACK VALLEY MEDICAL CENTER, - JFK JOHNSON REHABILITATION INSTITUTE, - JOHNSON REHABILITATION INSTITUTE AT OCEAN UNIVERSITY MEDICAL CENTER, - JOSEPH M. SANZARI CHILDREN'S HOSPITAL AND - HACKENSACK MERIDIAN LTACH EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. PLEASE REFER TO SCHEDULE R FOR A LISTING OF ALL AFFILIATED ORGANIZATIONS. QUALITY, SAFETY AND CONSISTENCY ARE AT THE CORE OF WHAT WE BRING TO THE PEOPLE OF NEW JERSEY AND TO THOSE WHO TRAVEL HERE FOR OUR CARE AND SERVICES. THE PHYSICIANS AND CAREGIVERS FROM HACKENSACK MERIDIAN HEALTH ARE AMONG THE FINEST IN THE NATION - STREAMLINING CARE, PUTTING THEIR HEARTS AND MINDS INTO THE CARE THEY PROVIDE, OFFERING PATIENTS MORE OPTIONS AND DISCOVERING AND INNOVATING FOR TOMORROW. HACKENSACK MERIDIAN HEALTH COMBINES THE EXCELLENCE AND INNOVATION OF ACADEMIC MEDICAL CENTERS WITH THE CONVENIENCE AND COMPASSION OF COMMUNITY-BASED CARE AND SERVICES. THE NETWORK CONSISTS OF 18 HOSPITALS, INCLUDING THREE ACADEMIC MEDICAL CENTERS, TWO CHILDREN'S HOSPITALS, TWELVE ACUTE CARE HOSPITALS, PHYSICIAN PRACTICES, MORE THAN 120 AMBULATORY CARE CENTERS, SURGERY CENTERS, HOME HEALTH SERVICES, LONG-TERM CARE AND ASSISTED LIVING COMMUNITIES, AMBULANCE SERVICES, LIFESAVING AIR MEDICAL TRANSPORTATION, FITNESS AND WELLNESS CENTERS, REHABILITATION CENTERS AND URGENT CARE AND AFTER-HOURS CENTERS. HACKENSACK MERIDIAN HEALTH ALSO TRAINS TOMORROW'S DOCTORS AND ALLIED HEALTH PROFESSIONALS AND CONDUCTS SIGNIFICANT RESEARCH THAT RESULTS IN NEW WAYS OF PREVENTING AND TREATING DISEASE.
Schedule H, Part VI, Question 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. HACKENSACK MERIDIAN HEALTH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IT MAKES AVAILABLE TO THE PUBLIC.
Schedule H (Form 990) 2022
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