PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP (EIN 21-0635009)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201803199349301905
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-15T07:27:24-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 Jefferson Park Suite 400AddressLine1Txt
CityWhippanyCityNm
State AbbreviationNJStateAbbreviationCd
ZIP079811070ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN210635009EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRINCETON HEALTHCARE SYSTEM A NEW JERSEYBusinessNameLine1Txt
Business Name Line2NONPROFIT CORPORATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% GUILHERME VALLADARES MBAInCareOfNm
Business Name ControlPRINBusinessNameControlTxt
Phone6098537107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1Txt
CityPLAINSBOROCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08536ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGUILHERME VALLADARES MBAPersonNm
Person TitleCFOPersonTitleTxt
Phone6098537107PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAnthony J PanicoPreparerPersonNm
PTINP00365556PTIN
Phone9738989494PhoneNum
Preparation2018-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address148.77.36.74IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id22006220183195000013FederalOriginalSubmissionId
Federal Original Submission Id2018-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3F1A83D2B95247F00EF570354270773C8FC3A63CAtSubmissionCreationDeviceId
At Submission Filing Device IdB4F49B62ABB70139397F9A781BA9C9E9BE652F2CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBARRY S RABNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1Txt
CityPLAINSBOROCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08536ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$451,647,712GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PRINCETONHCS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1919FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO BE THE FOCAL POINT OF A COMPREHENSIVE COMMUNITY HEALTH SYSTEM THAT RESPONDS TO THE HEALTHCARE NEEDS OF OUR SERVICE AREA RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee3722TotalEmployeeCnt
Total Volunteers749TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,273,546PYContributionsGrantsAmt
CY Contributions Grants$1,649,674CYContributionsGrantsAmt
PY Program Service Revenue$422,394,283PYProgramServiceRevenueAmt
CY Program Service Revenue$435,603,828CYProgramServiceRevenueAmt
PY Investment Income$3,019,629PYInvestmentIncomeAmt
CY Investment Income$6,731,838CYInvestmentIncomeAmt
PY Other Revenue$495,652PYOtherRevenueAmt
CY Other Revenue$1,652,990CYOtherRevenueAmt
PY Total Revenue$430,183,110PYTotalRevenueAmt
CY Total Revenue$445,638,330CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$201,892,074PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$208,841,820CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$216,223,044PYOtherExpensesAmt
CY Other Expenses$219,276,478CYOtherExpensesAmt
PY Total Expenses$418,115,118PYTotalExpensesAmt
CY Total Expenses$428,118,298CYTotalExpensesAmt
PY Revenues Less Expenses$12,067,992PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,520,032CYRevenuesLessExpensesAmt
Total Assets BOY$706,225,743TotalAssetsBOYAmt
Total Assets EOY$718,710,901TotalAssetsEOYAmt
Total Liabilities BOY$426,051,994TotalLiabilitiesBOYAmt
Total Liabilities EOY$422,207,564TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$280,173,749NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$296,503,337NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION, IS TO BE THE FOCAL POINT OF A COMPREHENSIVE COMMUNITY HEALTH SYSTEM THAT RESPONDS TO THE HEALTHCARE NEEDS OF OUR SERVICE AREA RESIDENTS. PRINCETON HEALTHCARE SYSTEM WILL PROVIDE INPATIENT AND OUTPATIENT CARE, COMMUNITY HEALTH EDUCATION, MEDICAL EDUCATION AND SHOULD PROMOTE MEDICAL AND SCIENTIFIC RESEARCH WHEN APPROPRIATE. IT IS INTEGRAL TO THE MISSION OF PRINCETON HEALTHCARE SYSTEM TO CONTINUALLY IMPROVE QUALITY OF SERVICE TO OUR PATIENTS AND COMMUNITY AND TO PROVIDE APPROPRIATE HEALTHCARE TO ALL. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$318,338,753ExpenseAmt
Grant$0GrantAmt
Revenue$351,521,951RevenueAmt
DescTHE UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO PROVIDES COMPREHENSIVE PATIENT CARE AND SUPPORT SERVICES RELATING TO PATIENT CARE. IT IS AN ACUTE CARE FACILITY WITH 319 BEDS COMPRISED OF 288 ACUTE CARE, 17 PHYSICAL REHABILIATION AND 14 SPECIAL CARE NURSERY BASSINETS. IN 2017, PATIENT DAYS TOTALED 62,049 AND OUTPATIENT VISITS/ENCOUNTERS TOTALED 169,675 PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$60,649,163ExpenseAmt
Grant$0GrantAmt
Revenue$69,551,946RevenueAmt
DescPRINCETON HOUSE BEHAVIORAL HEALTH PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 110 BEDS PRODUCED 34,308 PATIENT DAYS IN 2017 WHILE OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 96,316. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$12,625,515ExpenseAmt
Grant$0GrantAmt
Revenue$14,529,931RevenueAmt
DescPRINCETON HOMECARE SERVICES IS A HOME CARE AND VISITING NURSE, AND HOSPICE SERVICE. IN 2017, THERE WERE 48,127 OCCASIONS OF SERVICE AND 26,231 HOSPICE VISITS RECORDED. THIS GROWING SERVICE IS VITAL IN THE CAPACITY TO PROVIDE CARE AT THE PATIENT'S HOME RATHER THAN REQUIRING A STAY IN THE HOSPITAL. PRINCETON HOMECARE SERVICES ALSO OPERATES A HOSPICE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$391,613,431TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document469IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3722EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGUILHERME VALLADARES MBAPersonNm
Phone6098537107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1Txt
CityPLAINSBOROCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08536ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (54 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KIM J PIMLEY
CHAIR - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
SUBHA V BARRY
VICE CHAIR - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
RUBY SHARMA
VICE CHAIR - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
HONORABLE DEBORAH T PORITZ
VICE CHAIR/SECRETARY - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
JOHN F DELORENZO
TREASURER - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
STEVEN R ATKINSON
TRUSTEE1.00.0Yes (X)$0$0$0
PAUL VON AUTENRIED
TRUSTEE1.00.0Yes (X)$0$0$0
ALICIA BRENNAN MD
TRUSTEE1.00.0Yes (X)$0$0$0
GERARD A COMPITO MD
TRUSTEE1.00.0Yes (X)$0$0$0
DOUGLAS P CORAZZA MD
TRUSTEE1.00.0Yes (X)$0$0$0
ROBERT C DOLL JR
TRUSTEE1.00.0Yes (X)$0$0$0
JAMES L DOMINICK
TRUSTEE1.00.0Yes (X)$0$0$0
CONRAD DRUKER CPA
TRUSTEE1.00.0Yes (X)$0$0$0
SHERINE E GABRIEL MD
TRUSTEE1.00.0Yes (X)$0$0$0
BARRY L GOLDBLATT
TRUSTEE1.00.0Yes (X)$0$0$0
KENNETH A GOLDMAN MD FACS
TRUSTEE1.00.0Yes (X)$0$0$0
LEONARD GROSSMAN MD
TRUSTEE1.00.0Yes (X)$0$0$0
MARIA JUEGA
TRUSTEE1.00.0Yes (X)$0$0$0
ANTHONY KUCZINSKI
TRUSTEE1.00.0Yes (X)$0$0$0
BERT MANDELBAUM MD
TRUSTEE10.00.0Yes (X)$30,000$0$0
MARK POLLARD
TRUSTEE1.00.0Yes (X)$0$0$0
HEATHER M VAN RAALTE MD
TRUSTEE1.00.0Yes (X)$26,840$0$0
BARRY S RABNER
TRUSTEE - PRESIDENT/CEO55.00.0Yes (X)Yes (X)$1,591,325$0$37,924
RICHARD O SCRIBNER ESQ
TRUSTEE1.00.0Yes (X)$0$0$0
JESSE I TREU PHD
TRUSTEE1.00.0Yes (X)$0$0$0
JOSEPH L HERRING
TRUSTEE (TERMED 3/24/17)1.00.0Yes (X)$0$0$0
MARGARET LANCEFIELDMDPHD
TRUSTEE (TERMED 3/24/17)1.00.0Yes (X)$0$0$0
BRIDGET M RUSCITO MD
TRUSTEE (TERMED 3/24/17)1.00.0Yes (X)$0$0$0
ROSEMARIE COSTAGLIOLA
ASST SEC-DIR CORP COMP SR PARA55.00.0Yes (X)$100,865$0$39,839
GUILHERME VALLADARES MBA
ASST TREASURER - SVP/CFO55.00.0Yes (X)$472,528$0$13,490
JANET L READY RN FACHE
PRESIDENT UMCPP/SVP PHCS55.00.0Yes (X)$551,545$0$29,868
RICHARD E WOHL MSW MBA
PRESIDENT PHBH/SVP PHCS55.00.0Yes (X)$389,211$0$30,446
MARK T JONES
SVP NETWORK DEVELOPMENT55.00.0Yes (X)$401,778$0$24,973
SIMRAN R SEDANI
CHIEF MEDICAL INFO. OFFICER55.00.0Yes (X)$0$344,161$31,388
DONALD F DENNY JR MD
SVP MEDICAL AFFAIRS55.00.0Yes (X)$275,569$0$31,172
HYONA REVERE
SVP DEVELOPMENT (EFF 1/4/17)55.00.0Yes (X)$221,127$0$33,387
ANNE C SEARLE MBA
VP/CHIEF INFORMATION OFFICER55.00.0Yes (X)$395,258$0$33,852
JAMES G DEMETRIADES MBA
VP OPERATIONS55.00.0Yes (X)$389,803$0$33,713
BARBARA A YOST RN BSN MBA
VP CONT. OF CARE SVCS&NTWK DEV55.00.0Yes (X)$308,335$0$36,642
PETER J THOMAS PHD
VP PHBH OUTPATIENT SERVICES55.00.0Yes (X)$253,910$0$34,959
BARBARA CHRISTIANORNMSBSN
VP PCS/CNO (TERMED 9/22/17)55.00.0Yes (X)$246,366$0$16,203
CAROL NORRIS-SMITH
VP MARKETING & PUBLIC AFFAIRS55.00.0Yes (X)$226,274$0$47,055
CHRISTIANE SCHMIDT
VP HR (EFF 4/29/17)55.00.0Yes (X)$221,994$0$30,420
CHING-YI LIU
VP FINANCE (EFF 1/3/17)55.00.0Yes (X)$205,695$0$34,361
NANCY C FLETCHER ESQ
VP CORP COMPLIANCE&REG AFFAIRS55.00.0Yes (X)$201,504$0$43,161
KARYN BOOK
INTERIM VP & CNO (EFF 9/22/17)55.00.0Yes (X)$189,877$0$10,665
MARGUERITE PEDLEY PHD
VP PHBH INPATIENT SERVICES55.00.0Yes (X)$168,408$0$27,341
MARCIA M TELTHORSTERMEDCCP
VP HR (TERMED 4/28/17)55.00.0Yes (X)$159,056$0$15,484
JACQUELINE R KAVOURAS
VP CQO (EFF 8/7/2017)55.00.0Yes (X)$69,144$0$2,329
SIDDIQ A FAISAL MD MPH
MEDICAL DIRECTOR, OCC MEDICINE55.00.0$213,227$0$43,910Yes (X)
NICOLE A ZUBER MD
PHYSICIAN55.00.0$212,386$0$47,252Yes (X)
ERIC J COYLE
DIRECTOR SURGICAL SERVICES55.00.0$189,108$0$43,994Yes (X)
EDWARD HENRY
DIR TECHNOLOGY/SR IT SECURITY55.00.0$186,840$0$44,502Yes (X)
KEVIN EDUSEI
NUCLEAR MEDICAL TECH55.00.0$180,698$0$18,745Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,078,671TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$344,161TotReportableCompRltdOrgAmt
Total Other Compensation$837,075TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K245IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RUTGERS UNIVERSITY
PO BOX 265NEW BRUNSWICKNJ089032685MEDICAL - RESIDENCY$3,942,559
CHILDREN'S HOSPITAL OF PHILADELPHIA
PO BOX 8500-7932PHILADELPHIAPA191787932MEDICAL$2,726,763
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA30368NUTRITION$2,520,334
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN55480LABORATORY$1,703,865
MCDERMOTT WILL EMERY LLP
PO BOX 6043CHICAGOIL606806043LEGAL$1,512,488
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K119CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$1,649,674RelatedOrganizationsAmt
Total Contributions$1,649,674TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE541900$431,135,977$431,135,977
OTHER HEALTHCARE RELATED REVENUE621500$4,467,851$4,467,851
FieldValueIRS element (for citing)
Total Program Service Revenue$435,603,828TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,994,141TotalRevenueColumnAmt
Exclusion$5,994,141ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,620,456RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,620,456RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,620,456TotalRevenueColumnAmt
Exclusion$1,620,456ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,170SecuritiesAmt
Other$6,735,909OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$6,009,382OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,170SecuritiesAmt
Other$726,527OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$737,697TotalRevenueColumnAmt
Exclusion$737,697ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
VENDING MACHINE900099$25,926$25,926
PARKING900099$6,608$6,608
FieldValueIRS element (for citing)
Other Revenue Total$32,534OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$445,638,330TotalRevenueColumnAmt
Related Or Exempt Func Income$435,603,828RelatedOrExemptFuncIncomeAmt
Exclusion$8,384,828ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,422,342TotalAmt
Program Services$6,680,108ProgramServicesAmt
Management And General$742,234ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$155,730,611TotalAmt
Program Services$140,157,550ProgramServicesAmt
Management And General$15,573,061ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,624,179TotalAmt
Program Services$9,561,761ProgramServicesAmt
Management And General$1,062,418ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,441,587TotalAmt
Program Services$20,197,428ProgramServicesAmt
Management And General$2,244,159ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,623,101TotalAmt
Program Services$11,360,791ProgramServicesAmt
Management And General$1,262,310ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,919,106TotalAmt
Program Services$1,727,195ProgramServicesAmt
Management And General$191,911ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,520,235TotalAmt
Program Services$2,268,212ProgramServicesAmt
Management And General$252,023ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$287,866TotalAmt
Program Services$259,079ProgramServicesAmt
Management And General$28,787ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,296TotalAmt
Program Services$26,367ProgramServicesAmt
Management And General$2,929ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$386,509TotalAmt
Program Services$0ProgramServicesAmt
Management And General$386,509ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,727,559TotalAmt
Program Services$38,454,803ProgramServicesAmt
Management And General$4,272,756ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,591,221TotalAmt
Program Services$1,432,099ProgramServicesAmt
Management And General$159,122ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,179,730TotalAmt
Program Services$8,261,757ProgramServicesAmt
Management And General$917,973ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,559,395TotalAmt
Program Services$8,603,455ProgramServicesAmt
Management And General$955,940ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,649,063TotalAmt
Program Services$13,184,157ProgramServicesAmt
Management And General$1,464,906ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$774,464TotalAmt
Program Services$697,018ProgramServicesAmt
Management And General$77,446ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$178,859TotalAmt
Program Services$160,973ProgramServicesAmt
Management And General$17,886ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,575,052TotalAmt
Program Services$7,717,547ProgramServicesAmt
Management And General$857,505ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,978,022TotalAmt
Program Services$34,180,220ProgramServicesAmt
Management And General$3,797,802ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,431,267TotalAmt
Program Services$3,088,141ProgramServicesAmt
Management And General$343,126ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$66,548,211$66,548,211$0
REPAIRS & MAINTENANCE$7,316,532$6,584,879$731,653
RESIDENCY EXPENSES$3,942,559$3,548,303$394,256
RECRUITMENT EXPENSES$2,159,594$1,943,634$215,960

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,521,938TotalAmt
Program Services$4,969,743ProgramServicesAmt
Management And General$552,195ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$428,118,298TotalAmt
Program Services$391,613,431ProgramServicesAmt
Management And General$36,504,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,040,182BOYAmt
EOY$5,716,794EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$69,233,806BOYAmt
EOY$34,478,636EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,350,942BOYAmt
EOY$46,528,464EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,002,587BOYAmt
EOY$4,035,134EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,437,291BOYAmt
EOY$5,049,771EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$700,267,399LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$271,247,323LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$453,839,137BOYAmt
EOY$429,020,076EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$86,113,576BOYAmt
EOY$163,963,224EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$29,000BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$31,179,222BOYAmt
EOY$29,918,802EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$706,225,743BOYAmt
EOY$718,710,901EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,142,402BOYAmt
EOY$58,897,757EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,438,274BOYAmt
EOY$8,293,342EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$296,680,528BOYAmt
EOY$289,706,089EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,508,863BOYAmt
EOY$912,880EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,281,927BOYAmt
EOY$64,397,496EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$426,051,994BOYAmt
EOY$422,207,564EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$263,696,619BOYAmt
EOY$280,458,477EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,409,478BOYAmt
EOY$6,969,108EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,067,652BOYAmt
EOY$9,075,752EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$280,173,749BOYAmt
EOY$296,503,337EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$706,225,743BOYAmt
EOY$718,710,901EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,520,032ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,239,600NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,430,044OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$29,296RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$29,296TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B; LINE 1HFormAndLineReferenceDesc
ExplanationPRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE NEW JERSEY HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $29,296 in 2017. ADDITIONALLY, THE ORGANIZATION IS A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $15,000 IN 2017. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,812,285OtherCostOrOtherBasisAmt
Book Value$39,812,285BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$453,145,886OtherCostOrOtherBasisAmt
Depreciation$145,901,983DepreciationAmt
Book Value$307,243,903BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,301,744OtherCostOrOtherBasisAmt
Depreciation$6,241,555DepreciationAmt
Book Value$15,060,189BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,254,568OtherCostOrOtherBasisAmt
Depreciation$107,645,469DepreciationAmt
Book Value$30,609,099BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,752,916OtherCostOrOtherBasisAmt
Depreciation$11,458,316DepreciationAmt
Book Value$36,294,600BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$429,020,076TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FIXED INCOME SECURITIES$83,286,727F
DOMESTIC EQUITY MUTUAL FUNDS$39,367,000F
MUTUAL FUNDS$19,681,000F
ALTERNATIVE INVESTMENTS$12,205,000F
PROGRAM RELATED INVESTMENTS$635,572F
BOND PROCEEDS HELD BY TRUSTEE$8,787,925F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$163,963,224TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ACCRUED INTEREST PAYABLE$4,717,900
DUE TO AFFILIATES$2,911,432
ACCRUED BENEFIT LIABILITY$32,961,670
RETROACTIVE PAYABLE, NET$7,099,254
PARK ASSESSMENT BOND$3,241,717
OTHER LIABILITIES$13,465,523
FieldValueIRS element (for citing)
Total Liability$64,397,496TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XFormAndLineReferenceDesc
ExplanationPRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2017 AND DECEMBER 31, 2016; RESPECTIVELY. THE FOLLOWING, WITH RESPECT TO A FIN 48 (ASC 740) DISCLOSURE, IS INCLUDED IN THE TEXT OF THE INCOME TAX FOOTNOTE IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2017: PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$302,137RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$302,137SubtotalSpentAmt
Total Spent$302,137TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,369,130TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,641,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,728,130NetCommunityBenefitExpnsAmt
Total Expense0.01570TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,748,421TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,154,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,593,912NetCommunityBenefitExpnsAmt
Total Expense0.03410TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,117,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,795,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,322,042NetCommunityBenefitExpnsAmt
Total Expense0.04980TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$965,138TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$194,983DirectOffsettingRevenueAmt
Net Community Benefit Expns$770,155NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,021,401TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,064,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,957,009NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$328,204TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$328,204NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,314,743TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,259,375DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,055,368NetCommunityBenefitExpnsAmt
Total Expense0.02350TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,432,294TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,054,884DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,377,410NetCommunityBenefitExpnsAmt
Total Expense0.07330TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$11,751,284BadDebtExpenseAmt
Bad Debt Expense Attributable$352,538BadDebtExpenseAttributableAmt
Reimbursed By Medicare$104,356,912ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$132,366,789CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$28,009,877MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
UMCP SURGICENTER
PARTNERS LLC
MEDICAL SERVICES0.26470.7353
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIV MED CTR OF PRINCETON PLAINSBOROBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1Txt
CityPLAINSBOROCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08536ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.princetonhcs.orgWebsiteAddressTxt
State License11103StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNIV MED CTR OF PRINCETON PLAINSBOROBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPLEASE REFER TO SCH H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLREFER TO SCH H, PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLREFER TO SCH H, PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLREFER TO SCH H, PT V, SEC CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 3CTHE ORGANIZATION'S PRIMARY SERVICE AREA IS KNOWN FOR ITS EXCELLENT HEALTHCARE FACILITIES, INCLUDING ACUTE CARE HOSPITALS AND A WIDE RANGE OF SPECIALTY AND TERTIARY PROVIDERS. THESE HEALTHCARE FACILITIES PROVIDE ADDITIONAL RESOURCES THAT ARE AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED WITHIN THE ORGANIZATION'S CHNA. ADDITIONALLY, THE ORGANIZATION HAS IDENTIFIED VARIOUS OTHER RESOURCES AND PARTNERS WITHIN ITS PRIMARY SERVICES AREA THAT ASSIST IN ADDRESSING THESE SIGNIFICANT HEALTH NEEDS. THOSE RESOURCES/PARTNERS ARE IDENTIFIED WITHIN THE ORGANIZATION'S IMPLEMENTATION STRATEGY AND OUTLINED BELOW WITHIN THE NARRATIVE RESPONSE TO SCHEDULE H, PART V, SECTION B, QUESTION 11.
SCHEDULE H, PART V, SECTION B, QUESTION 5THE FOLLOWING DESCRIBES HOW PRINCETON HEALTHCARE SYSTEM ("PHCS") TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WHILE CONDUCTING ITS 2015 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). PHCS ENGAGED IN A COMMUNITY HEALTH PLANNING PROCESS TO IMPROVE THE HEALTH OF RESIDENTS IN PHCS'S THREE COUNTY REGION (MERCER, MIDDLESEX AND SOMERSET). CHNA METHODS ------------ THE CHNA WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED INTEGRATING EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC AND HEALTH ISSUES IN THE REGION WITH QUANTITATIVE INFORMATION FROM A COMMUNITY HEALTH SURVEY AND QUALITATIVE INFORMATION FROM 6 FOCUS GROUPS WITH COMMUNITY RESIDENTS AND SERVICE PROVIDERS AND 13 INTERVIEWS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM THE THREE COUNTIES THAT COMPRISE THE PCHS SERVICE REGION, WITH INDIVIDUALS REPRESENTING PUBLIC HEALTH, SENIORS, PHCS STAFF AND PROVIDERS, EMS PROVIDERS, SOCIAL SERVICE, HEALTHCARE, AND MENTAL HEALTH PROVIDERS AND THE LOCAL GOVERNMENT. THE SURVEY WAS ADMINISTERED ONLINE AND DISSEMINATED THROUGH MULTIPLE CHANNELS TO INDIVIDUALS WHO EITHER LIVE OR WORK IN MERCER, MIDDLESEX AND SOMERSET COUNTIES. A TOTAL OF 1,308 PEOPLE COMPLETED THE SURVEY. SECONDARY DATA -------------- THE CHNA INCORPORATES DATA ON IMPORTANT SOCIAL, ECONOMIC AND HEALTH INDICATORS PULLED FROM VARIOUS SOURCES, INCLUDING: - U.S. CENSUS; - CENTERS FOR DISEASE CONTROL AND PREVENTION; - U.S. BUREAU OF LABOR; - NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES; - THE NEW JERSEY DEPARTMENT OF EDUCATION; AND - NATIONAL DATABASES THAT COMPILE COUNTY-LEVEL DATA, SUCH AS UNIVERSITY OF WISCONSINS COUNTY HEALTH RANKINGS AND COMMUNITY COMMONS CHNA.ORG. TYPES OF DATA INCLUDE SELF-REPORTING OF HEALTH BEHAVIORS FROM LARGE, POPULATION- BASED SURVEYS SUCH AS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM ("BRFSS"), AS WELL AS VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. MOST OF THE SOCIAL, ECONOMIC AND HEALTH DATA IN THE CHANA ARE PROVIDED FOR EACH OF THE THREE COUNTIES AS WELL AS THE STATE OVERALL. HOWEVER, COUNTY-LEVEL DATA WERE NOT AVAILABLE FOR ALL MEASURES. COMMUNITY HEALTH SURVEY ----------------------- IN ORDER TO GATHER QUANTITATIVE DATA THAT WERE NOT PROVIDED BY SECONDARY SOURCES AND TO UNDERSTAND PUBLIC PERCEPTIONS AROUND HEALTH ISSUES, A BRIEF 20-ITEM COMMUNITY SURVEY WAS DEVELOPED AND ADMINISTERED ONLINE TO RESIDENTS WITHIN THE THREE COUNTIES DURING FIVE WEEKS FROM MID-MAY 2015 THROUGH MID-JUNE 2015. THE SURVEY EXPLORED KEY HEALTH CONCERNS OF COMMUNITY RESIDENTS AS WELL AS THEIR PRIMARY PRIORITIES FOR SERVICES AND PROGRAMMING. PHCS REVIEWED AND PROVIDED FEEDBACK ON THE SURVEY. THE SURVEY WAS DISSEMINATED ONLINE THROUGH THE FOLLOWING CHANNELS: - PRINCETON HEALTHCARE SYSTEM ALL-EMPLOYEE LISTSERV; - PRINCETON HEALTHCARE SYSTEM COMMUNITY EDUCATION DATABASE; - PRINCETON HEALTHCARE SYSTEM FITNESS CENTER MEMBERSHIP; AND - SOUTH BRUNSWICK TOWNSHIP SCHOOL DISTRICT EMPLOYEES. A TOTAL OF 1,308 RESPONDENTS WHO LIVE AND/OR WORK IN MERCER, MIDDLESEX, OR SOMERSET COUNTY COMPLETED THE SURVEY. AN ADDITIONAL 69 RESPONDENTS WHO WORKED AND LIVED IN OTHER COUNTIES COMPLETED THE SURVEY, BUT WERE NOT INCLUDED IN THE SURVEY ANALYSES SINCE THEY WERE NOT PART OF THE GEOGRAPHIC SCOPE OF THIS ASSESSMENT. QUALITATIVE DATA: FOCUS GROUPS AND INTERVIEWS --------------------------------------------- FROM APRIL AUGUST 2015, FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED WITH LEADERS FROM WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS. IN TOTAL, 6 FOCUS GROUPS AND 13 KEY INFORMANT DISCUSSIONS WERE CONDUCTED WITH INDIVIDUALS FROM PHCSS SERVICE AREA. FOCUS GROUPS WERE HELD WITH SENIORS, PARENTS, EMTS, HEALTH OFFICERS, NON-PROFIT BOARD MEMBERS AND MEMBERS OF THE PRINCETON FITNESS & WELLNESS CENTER MEDICAL ADVISORY BOARD. THIRTEEN KEY INFORMANT DISCUSSIONS WERE CONDUCTED WITH INDIVIDUALS INCLUDING: - LOCAL PUBLIC HEALTH OFFICIALS; - SOCIAL SERVICE PROVIDERS; - HEALTHCARE PROVIDERS; - COMMUNITY LEADERS; AND - PHCS STAFF. A FULL LIST OF THE DIFFERENT SECTORS ENGAGED DURING THE FOCUS GROUP AND INTERVIEW PROCESS CAN BE FOUND IN APPENDIX A OF THE ORGANIZATIONS CHNA. FOCUS GROUP AND INTERVIEW DISCUSSIONS EXPLORED PARTICIPANTS PERCEPTIONS OF THEIR COMMUNITIES, PRIORITY HEALTH CONCERNS, PERCEPTIONS OF PUBLIC HEALTH, PREVENTION AND HEALTHCARE SERVICES, SUGGESTIONS FOR FUTURE PROGRAMMING AND SERVICES TO ADDRESS THESE ISSUES. A SEMI-STRUCTURED MODERATORS GUIDE WAS USED ACROSS ALL DISCUSSIONS TO ENSURE CONSISTENCY IN THE TOPICS COVERED. EACH FOCUS GROUP AND INTERVIEW WAS FACILITATED BY A TRAINED MODERATOR, AND DETAILED NOTES WERE TAKEN DURING CONVERSATIONS. ON AVERAGE, FOCUS GROUPS LASTED 90 MINUTES AND INCLUDED 6-12 PARTICIPANTS, WHILE INTERVIEWS LASTED APPROXIMATELY 30-60 MINUTES. PARTICIPANTS FOR THE FOCUS GROUPS WERE RECRUITED BY PHCS, WORKING WITH CLINICAL AND COMMUNITY PARTNERS. THE COLLECTED QUALITATIVE DATA WERE CODED AND ANALYZED THEMATICALLY, WHERE DATA ANALYSIS IDENTIFIED THEMES THAT EMERGED ACROSS ALL GROUPS AND INTERVIEWS. FREQUENCY AND INTENSITY OF DISCUSSION ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES.
SCHEDULE H, PART V, SECTION B, QUESTION 6BAS A WAY TO ENSURE THAT PHCS IS ACHIEVING ITS MISSION AND MEETING THE NEEDS OF THE COMMUNITY, AND IN FURTHERANCE OF ITS OBLIGATIONS UNDER THE AFFORDABLE CARE ACT, PHCS UNDERTOOK A CHNA PROCESS IN THE SPRING OF 2015. HEALTH RESOURCES IN ACTION ("HRIA"), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, WAS ENGAGED TO CONDUCT THE CHNA. HRIA CONDUCTED A SIMILAR ASSESSMENT FOR PHCS IN SPRING 2012.
SCHEDULE H, PART V, SECTION B, QUESTION 7ATHE ORGANIZATION'S CURRENT AND PRIOR CHNA'S CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.princetonhcs.org/community ADDITIONALLY, THE ORGANIZATION'S 2015 CHNA CAN BE DIRECTLY ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: https://www.princetonhcs.org/-/media/princeton/documentrepository/document repository/princeton_hcs_chna_final_report_111315.pdf?la=en
SCHEDULE H, PART V, SECTION B, QUESTION 11IN OCTOBER 2015, HRIA LED A FACILITATED CONVERSATION WITH PRINCETON HEALTHCARE SYSTEM'S MEDICAL ADVISORY PANEL ("MAP"). THIS CONVERSATION INCLUDED A PRESENTATION OF THE PRIORITIES IDENTIFIED BY THE CHNA, INCLUDING THE MAGNITUDE AND SEVERITY OF THESE ISSUES AND THEIR IMPACT ON PRIORITY POPULATIONS. THE SESSION INCLUDED MAPPING CURRENT AND EMERGING PROGRAMS AND INITIATIVES AGAINST THESE NEEDS. THE MAP DETERMINED THAT ALL OF THE COMMUNITY NEEDS IDENTIFIED IN THE CHNA WERE BEING ADDRESSED BY THE HOSPITAL AND WOULD BE INCLUDED IN THE STRATEGIC IMPLEMENTATION PLAN IN THE FOLLOWING CLUSTERED PRIORITY CATEGORIES: - PRIORITY 1: CHRONIC DISEASE, OBESITY AND HEALTHY EATING AND ACTIVE LIVING ("HEAL"); - PRIORITY 2: BEHAVIORAL HEALTH; - PRIORITY 3: HEALTH CARE ACCESS; - PRIORITY 4: MATERNAL CHILD HEALTH; AND - PRIORITY 5: ELDER HEALTH. THE ORGANIZATION'S IMPLEMENTATION STRATEGY OUTLINES EACH OF THE ABOVE IDENTIFIED HEALTH NEEDS AND INCLUDES THE FOLLOWING STRATEGIC INIATIVES WHICH WILL ADDRESS EACH NEED. PRIORITY 1: CHRONIC DISEASE, OBESITY AND HEALTHY EATING AND ACTIVE LIVING ("HEAL") ------------------------------------------------------------------ GOAL: PROMOTE OPTIMAL HEALTH, INCLUDING OPTIMIZED BODY WEIGHT, TO REDUCE THE IMPACT OF CHRONIC DISEASE AND OBESITY, AND ENHANCE OVERALL OUTCOMES AND QUALITY OF LIFE. STRATEGIC INITATIVES: 1) ADD A MEDICALLY SUPERVISED METABOLIC WEIGHT MANAGEMENT PROGRAM (NON-SURGICAL COMPONENT) TO THE BARIATRIC PROGRAM (SURGICAL COMPONENT) FOR OUTPATIENT AND BMS CLINIC PATIENTS; 2) CONSOLIDATE AND EXPAND THE BARIATRIC PROGRAM IN THE NEW CENTER FOR BARIATRIC SURGERY AND METABOLIC MEDICINE CONSISTING OF SURGEONS, DIETARY, SOCIAL WORK, PSYCHOLOGIST, AND NURSE PRACTITIONER, AND INCLUDING PHYSICAL FITNESS PRE AND POST OP; 3) ENHANCE THE PARTNERSHIP BETWEEN THE CENTER FOR BARIATRIC SURGERY AND METABOLIC MEDICINE AND THE JOINT CENTER OF EXCELLENCE TO IMPROVE OUTCOMES; 4) CONDUCT COMMUNITY EVENTS TO BUILD AWARENESS AND REACH OUT TO FAMILIES TO ADDRESS OBESITY; 5) CONDUCT ONGOING NUTRITION AND PHYSICAL EXERCISE PROGRAMS, HEALTH FAIR SCREENINGS, ETC. FOR CHILDREN AND ADULTS; 6) CONTINUE TO UTILIZE PARTNERSHIPS WITH THE FITNESS CENTERS TO IDENTIFY SPECIAL POPULATION NEEDS AND COLLABORATE AROUND PROGRAMMING. IN CONSULTATION WITH THE NEW MEDICAL ADVISORY BOARD (2016-2019), DEVELOP AND ENHANCE PROGRAMS FOR SPECIALTY POPULATIONS (E.G., MS, PARKINSON'S, ORTHOPEDICS, CARDIAC REHAB, BARIATRICS, CANCER, DIABETES, ETC.); 7) CONTINUE TO COLLABORATE WITH THE Y'S IN PRINCETON AND HAMILTON TO DEVELOP AND ENHANCE THE HEALTHY LIVING PROGRAM; 8) CONTINUE ONCOLOGY NURSE NAVIGATION PROGRAM TO IDENTIFY AND ADDRESS BARRIERS TO CARE, INCLUDING ACCESS, TRANSPORTATION, HEALTHY LIFESTYLES, STRESS REDUCTION, WEIGHT LOSS, LANGUAGE, ETC. AND EXPAND THE PROGRAM BY DEVELOPING TUMOR SPECIFIC PATHWAYS FOR BREAST, LUNG, AND COLORECTAL CANCER PATIENTS; 9) EXPAND CANCER SURVIVORSHIP PROGRAM (TREATMENT SUMMARY ("TS") AND SURVIVORSHIP CARE PLAN ("SCP") TO PROMOTE GOOD SELF-CARE, REDUCE RISK OF FURTHER HEALTH ISSUES, AND UNDERSTAND THE IMPACT CANCER CAN HAVE ON HEALTH BY OFFERING TS/SCP TO 75% OF STAGE I-III UMCP CANCER PATIENTS BY 2018; 10) EXPAND CURRENT PSYCHO-SOCIAL DISTRESS SCREENING TO INCLUDE SURVIVORSHIP POPULATION FOR UMCP CANCER PATIENTS. DEVELOP ON-SITE SUPPORT GROUP FOR CANCER CAREGIVERS AND/OR CANCER PATIENTS WITH CHILDREN; 11) EXPAND THE CANCER PROGRAM SUPPORT SERVICES TO ENHANCE THE PATIENT-CENTERED MODEL OF CARE, BY HIRING AN ONCOLOGY REGISTERED DIETITIAN AND ONCOLOGY SOCIAL WORKER; 12) CONTINUE TO PROVIDE COMMUNITY BASED SCREENINGS FOR PROSTATE, SKIN, AND LUNG CANCERS. 13) OFFER MAMMOGRAMS AT NO-COST THROUGH THE CLINIC; 14) CONDUCT CANCER SURVIVORS DAY EVENT ANNUALLY IN THE COMMUNITY; 15) CONTINUE TO OFFER COMMUNITY EDUCATION EVENTS TO RAISE CANCER AWARENESS; 16) CONDUCT ANNUAL KIDS MARATHON FOR CHILDREN K-8, INCLUDING PRE-RACE OFFERINGS OF COOKING CLASSES, NUTRITION CLASSES, EXERCISE, AND GARDENING; 17) CONDUCT COMMUNITY EDUCATION LECTURES, WEBINARS AND HEALTH SCREENINGS TO RAISE AWARENESS AND EDUCATE COMMUNITY ABOUT CHRONIC DISEASES; 18) DEVELOP A PRE-DIABETES EDUCATION PROGRAM; 19) CONTINUE TO PROVIDE COMPREHENSIVE DIABETES SELF- MANAGEMENT EDUCATION IN THE ADA RECOGNIZED OP DIABETES MANAGEMENT PROGRAM SINCE 1997; 20) DEVELOP CONSISTENT PROTOCOLS FOR ADDRESSING AREAS IDENTIFIED AS HIGH-RISK AMONG THE POPULATION; 21) CONTINUE TO ASSESS PATIENTS FOR PSYCHO-SOCIAL DISTRESS IN RELATION TO THEIR CANCER TREATMENT AND MAKE APPROPRIATE REFERRALS; AND 22) STRATEGY FOR INTEGRATING BEHAVIORAL HEALTH WITH THOSE SUFFERING FROM CHRONIC ILLNESSES. COMMUNITY RESOURCES (PARTNERS, FINANCIAL CONTRIBUTIONS) TO ADDRESS THIS IDENTIFIED HEALTH NEED INCLUDE: - AMERICAN CANCER SOCIETY; - AMERICAN HEART ASSOCIATION; - CANCER SUPPORT COMMUNITY; - HAMILTON AREA YMCA; - LOCAL LIBRARIES; - LOCAL PLACES OF WORSHIP; - LOCAL SENIOR CENTERS; - PHARMA SUPPORT; - PRINCETON YWCA; - PRIVATE PHILANTHROPY; - SOUTH BRUNSWICK WELLNESS CENTER; AND - SUSAN G. KOMEN BREAST CANCER FOUNDATION. PRIORITY 2: BEHAVIORAL HEALTH ----------------------------- GOAL: INTEGRATE BEHAVIORAL HEALTH PRINCIPLES AND PRACTICES INTO MEDICAL-BASED TREATMENT AND PRACTICES. STRATEGIC INITATIVES: 1) CONTINUE INPATIENT HEPC PROGRAM AT PRINCETON HOUSE, INCLUDING FULL-TIME SOCIAL WORKER FOR COMMUNITY FOLLOW UP; 2) CONTINUE INPATIENT PROGRAM TO ADDRESS BEHAVIORAL HEALTH STRESSORS AMONG FIRST RESPONDERS (POLICE, FIRE, EMS, CORRECTIONS OFFICERS, ETC.); 3) PROVIDE INPATIENT MEDICAL DETOXIFICATION AND INTENSIVE OUTPATIENT AFTERCARE FOR PRIMARY ADDICTIONS IN ADULTS AND YOUNG ADULTS; 4) PROVIDE TRANSPORTATION AT NO ADDITIONAL COST VIA A FLEET OF VEHICLES TO REDUCE THE BARRIER TO TREATMENT FOR THOSE WHO ARE ELIGIBLE; 5) OFFER PSYCH APPOINTMENTS FOR AVAILABLE OUTPATIENT CARE WITHIN 2-3 DAYS TO ADDRESS ACCESS NEEDS; 6) PROVIDE BEHAVIORAL HEALTH COMMUNITY EDUCATION PROGRAMS TO EDUCATE AND RAISE AWARENESS OF MENTAL HEALTH SERVICES AVAILABLE TO THE COMMUNITY; 7) PROVIDE SERVICES THAT MEET THE UNIQUE NEEDS OF THE POPULATIONS IN THE COMMUNITY; - NEW LOCATION FOR WOMEN'S SPECIALIZED SERVICES (SPECIALIZED TREATMENT FOR WOMEN WHO HAVE EXPERIENCES TRAUMA IN THEIR LIVES). - NEW MEN'S TRAUMA PROGRAM IN NORTH BRUNSWICK. - TEEN GIRLS TRAUMA PROGRAM (FAMILY VIOLENCE, SEXUAL ABUSE). - MAINTAIN AND EXPLORE EXPANSION OF PARTNERSHIPS WITH THE MIDDLESEX COUNTY SCHOOLS TO PROVIDE ALTERNATE EDUCATIONAL SETTINGS FOR MIDDLE AND HIGH SCHOOL STUDENTS TO TREAT THOSE STUDENTS WHO ARE BEHAVIORALLY DISRUPTIVE IN TRADITIONAL EDUCATIONAL SETTINGS. 8) CONTINUE TO INTEGRATE BEHAVIORAL HEALTH NURSE PRACTITIONERS INTO MEDICAL PRACTICES (THE PRIMARY CARE INITIATIVE); 9) MAINTAIN THE DEDICATED BEHAVIORAL HEALTH SPECIALTY AREA WITHIN THE EMERGENCY DEPARTMENT; 10) MAINTAIN INTEGRATED MEDICAL AND BEHAVIORAL HEALTH EATING DISORDERS UNIT; 11) IMPLEMENT A CLINICAL INITIATIVE TO EDUCATE THE UNITS (NURSES, DOCTORS, AND MEDICAL/SURGICAL RESIDENTS) TO HELP THEM BETTER ASSESS, INTERVENE AND TREAT THE BEHAVIORAL HEALTH ISSUES THAT ACCOMPANY THE MEDICAL ISSUES THEY ARE TREATING; 12) CONDUCT ANNUAL COMMUNITY EDUCATION PROGRAM (LET'S TALK) FOR PARENTS, CHILDREN AND SENIORS TO RAISE AWARENESS ABOUT ADDICTION; 13) CONTINUE THE COMMUNITY ALLIANCE ON MEDICATION SAFETY PROGRAM IN SCHOOLS, TROOPS, CHURCHES, SENIOR CENTERS, AND OTHER COMMUNITY VENUES WHICH PROVIDES TARGETED PRESENTATIONS ON MEDICATION SAFETY; AND 14) PROVIDE BEHAVIORAL HEALTH COMMUNITY EDUCATION PROGRAMS TO EDUCATE AND RAISE AWARENESS OF SUBSTANCE ABUSE SERVICES AVAILABLE TO THE COMMUNITY. COMMUNITY RESOURCES (PARTNERS, FINANCIAL CONTRIBUTIONS) TO ADDRESS THIS IDENTIFIED HEALTH NEED INCLUDE: - COMMUNITY EDUCATION - GRANTS FROM CORPORATIONS AND FOUNDATIONS IN ALIGNMENT WITH KEY PRIORITIES INCLUDING THINGS LIKE DIABETES, CLINIC, NURSING EDUCATION, ETC; - GRATEFUL PATIENT FUNDRAISING; - HAMILTON AREA YMCA; - INFECTIOUS DISEASES/NAHASS; - LOCAL LIBRARIES; - LOCAL PLACES OF WORSHIP; - LOCAL SENIOR CENTERS; - LOGISTICARE; - MIDDLESEX REGIONAL EDUCATIONAL SERVICES COMMISSIONS; - PREVENTION COALITION OF MERCER COUNTY; - PREVENTION COALITION OF MIDDLESEX COUNTY; - PRINCETON MEDICINE; - PRINCETON YWCA; - PRIVATE/CORPORATE INSURANCE; - SOUTH BRUNSWICK WELLNESS CENTER; AND - STATE AND FEDERAL DOLLARS. PRIORITY 3: HEALTHCARE ACCESS ----------------------------- GOAL: IDENTIFY AND OVERCOME BARRIERS FOR PATIENTS GETTING APPROPRIATE, HIGH QUALITY, AND COST EFFECTIVE CARE WHEN THEY NEED AND WHERE THEY NEED IT. STRATEGIC INITATIVES: 1) EXPAND PRIMARY CARE PRACTICE HOURS AND EXPAND PRACTICES TO ADDITIONAL LOCATIONS; 2) ACCEPT ALL CURRENT ACA PLANS IN ALL PRACTICES; 3) CONTINUE TO SERVE AS A SITE FOR CERTIFIED APPLICATION COUNSELORS TO ASSIST PEOPLE IN SECURING ACA HEALTH INSURANCE; 4) EXPAND ACCESS TO CARE COORDINATORS AT PRINCETON HEALTHCARE PRIMARY CARE PRACTICES TO PROVIDE A DIRECT LINE OF COMMUNICATION BETWEEN HIGH RISK PATIENTS AND RN, NAVIGATING SYSTEM AND IDENTIFYING AND ADDRESSING BARRIERS; 5) PROVIDE CENTRALIZED ACCESS T
SCHEDULE H, PART V, SECTION B, QUESTION 16A, 16B & 16CTHE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: www.princetonhcs.org/our-locations/umcp/billing-and-Insurance/billing
FieldValueIRS element (for citing)
Facility17FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
PRINCETON HOUSE BEHAVIORAL HEALTH
905 HERRONTOWN ROADPRINCETONNJ08540INPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
351 NEW ALBANY ROADmoorestownNJ08057OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
1460 LIVINGSTON AVENUENORTH BRUNSWICKNJ08902OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
300 CLOCKTOWER ROAD SUITE 101hamiltonNJ08690OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
1000 HERRONTOWN ROADPRINCETONNJ08542OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
741 MOUNT LUCAS ROADprincetonNJ08542OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOMECARE SERVICES
88 PRINCETON HIGHTSTOWN ROADWEST WINDSORNJ08550HOMECARE & VISITING NURSE
BREAST HEALTH CENTER
300B PRINCETON HIGHTSTOWN ROADEAST WINDSORNJ08512OUTPATIENT DIAGNOSIS & TREATMENT
PRINCETON HOUSE BEHAVIORAL HEALTH
615 HOPE ROADEATONTOWNNJ07742OUTPATIENT BEHAVIORAL PROGRAM
UMCPP OUTPATIENT REHABILITATION
1225 STATE ROADPRINCETONNJ08542PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
UMCPP OUTPATIENT REHAB AT MONROE
2 CENTRE DRIVE SUITE 500MONROENJ08831PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
UMCPP OUTPATIENT REHAB AT HAMILTON
1315 WHITEHORSE-MERCERVILLE RD STEHAMILTONNJ08619PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
UMCPP EAST WINDSOR PATIENT SVC CENTER
300A PRINCETON HIGHTSTOWN ROADEAST WINDSORNJ08512LAB DRAW CENTER
SOUTH BRUNSWICK WELLNESS CENTER
540 RIDGE ROADMONMOUTH JUNCTIONNJ08852LAB DRAW CENTER
UMCPP LAWRENCEVILLE PATIENT SVC CENTER
132 FRANKLIN CORNER ROADLAWRENCEVILLENJ08648LAB DRAW CENTER
UMCPP ALEXANDER ROAD PATIENT SVC CENTER
731 ALEXANDER ROAD SUITE 103PRINCETONNJ08540LAB DRAW CENTER
UMCPP PRINCETON PATIENT SVC CENTER
281 WITHERSPOON STREET SUITE 100PRINCETONNJ08540LAB DRAW CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CIN ADDITION TO THE FEDERAL POVERTY GUIDELINES, PRINCETON HEALTHCARE SYSTEM ("PHCS") USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO PHCS' ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. CHARITY CARE ------------ CHARITY CARE ASSISTANCE IS FREE OR REDUCED CHARGE CARE WHICH IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. CHARITY CARE DISCOUNTS ARE IN COMPLIANCE WITH REGULATIONS ESTABLISHED IN NJAC 10:52, SUBCHAPTERS 11, 12, 13. CHARITY CARE IS AVAILABLE TO NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE BILL; 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE INCOME AND ASSETS CRITERIA DESCRIBED BELOW. CHARITY CARE IS AVAILABLE TO THOSE THAT DO NOT QUALIFY FOR STATE OR FEDERAL PROGRAMS. INCOME CRITERIA - PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE UNDER THE CHARITY CARE PROGRAM. FREE OR DISCOUNTED CHARGES ARE DETERMINED BY THE FOLLOWING FEE SCHEDULE: INCOME AS A PERCENTAGE OF HHS POVERTY INCOME GUIDELINES ------------------------------------------------------- LESS THAN OR EQUAL TO 200% -- 0% OF MEDICAID RATE GREATER THAN 200% BUT LESS THAN OR EQUAL TO 225% -- 20% OF MEDICAID RATE GREATER THAN 225% BUT LESS THAN OR EQUAL TO 250% -- 40% OF MEDICAID RATE GREATER THAN 250% BUT LESS THAN OR EQUAL TO 275% -- 60% OF MEDICAID RATE GREATER THAN 275% BUT LESS THAN OR EQUAL TO 300% -- 80% OF MEDICAID RATE GREATER THAN 300% -- UNINSURED DISCOUNT RATE AVAILABLE ASSETS CRITERIA - A PATIENT'S INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE IN ORDER TO BE ELIGIBLE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, SUBJECT TO SPECIFIC PROVISIONS (SUCH AS EMERGENCY MEDICAL CONDITIONS). CHARITY CARE IS AVAILABLE ONLY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY HOSPITAL CARE. SOME SERVICES SUCH AS PHYSICIAN FEES, ANESTHESIOLOGY FEES, AND RADIOLOGY INTERPRETATION ARE SEPARATE FROM HOSPITAL CHARGES AND MAY NOT BE ELIGIBLE FOR REDUCTION. NEW JERSEY UNINSURED DISCOUNT ----------------------------- THE NEW JERSEY UNINSURED DISCOUNT (NJ LAW - BILL S-1797/A-2609) IS AVAILABLE TO UNINSURED PATIENTS WHOSE FAMILY GROSS INCOME IS LESS THAN 500% OF FPG. HOWEVER, UMCP HAS ELECTED TO APPLY THIS DISCOUNT TO ALL UNINSURED PATIENTS IRRESPECTIVE OF INCOME LEVEL OR RESIDENCY. UMCP OFFERS DISCOUNTED RATES TO ALL UNINSURED INDIVIDUALS. UNDER THIS PROGRAM, AN ELIGIBLE PATIENT WILL BE CHARGED AN AMOUNT NO GREATER THAN 115% OF THE MEDICARE FEE SCHEDULE. UNINSURED BILLING LIMITS ARE IN ACCORDANCE WITH NJ P.L. 2008 C60. MEDICAID -------- MEDICAID PROVIDES HEALTH COVERAGE TO MILLIONS OF AMERICANS, INCLUDING CHILDREN, PREGNANT WOMEN, PARENTS, SENIORS AND INDIVIDUALS WITH DISABILITIES. IN GENERAL FOR THIS BENEFIT PROGRAM, A PATIENT MUST BE A UNITED STATES CITIZEN, LEGAL ALIEN OR PERMANENT RESIDENT, AND HAVE LOW INCOME. ADDITIONALLY, PATIENTS MUST ALSO BE A RESIDENT OF THE STATE OF NEW JERSEY. THERE ARE SEVERAL TYPES OF MEDICAID AVAILABLE THROUGH THE NEW JERSEY DEPARTMENT OF HEALTH. UMCP FINANCIAL COUNSELORS WILL HELP DETERMINE ELIGIBILITY BASED UPON EACH PATIENT'S CIRCUMSTANCES. NJ FAMILYCARE ------------- NJ FAMILYCARE IS NEW JERSEY'S PUBLICLY FUNDED HEALTH INSURANCE PROGRAM WHICH INCLUDES CHIP, MEDICAID AND MEDICAID EXPANSION POPULATIONS. NJ FAMILYCARE IS A FEDERAL AND STATE FUNDED HEALTH INSURANCE PROGRAM CREATED TO HELP QUALIFIED NEW JERSEY RESIDENTS OF ANY AGE ACCESS TO AFFORDABLE HEALTH INSURANCE. NJ FAMILYCARE IS FOR PEOPLE WHO DO NOT HAVE EMPLOYER INSURANCE. FINANCIAL ELIGIBILITY FOR INDIVIDUALS SEEKING ELIGIBILITY FOR NJ FAMILYCARE WILL BE BASED ON THEIR MODIFIED ADJUSTED GROSS INCOME OR MAGI. NJFAMILYCARE ELIGIBILITY GUIDELINES ARE ESTABLISHED BY THE STATE OF NEW JERSEY AND CAN BE FOUND AT WWW.NJFAMILYCARE.ORG. A PATIENT CAN BE PRESUMED ELIGIBLE FOR NJFAMILYCARE ONLY ONCE IN A TWELVE MONTH PERIOD. CATASTROPHIC ILLNESS IN CHILDREN'S RELIEF FUND ---------------------------------------------- THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROVIDES FINANCIAL ASSISTANCE TO FAMILIES OF CHILDREN WITH A CATASTROPHIC ILLNESS. IN ORDER TO BE ELIGIBLE HOSPITAL EXPENSES MUST EXCEED 10% OF THE FAMILY'S GROSS INCOME, PLUS 15% OF ANY EXCESS INCOME OVER $100,000, THE CHILD MUST HAVE BEEN 21 YEARS OR YOUNGER WHEN THE MEDICAL EXPENSES WERE INCURRED AND THE FAMILY MUST HAVE LIVED IN NEW JERSEY FOR 3 MONTHS IMMEDIATELY PRIOR TO THE DATE OF APPLICATION. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.STATE.NJ.US/HUMANSERVICES/CICRF/HOME NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE ----------------------------------------------- THE STATE OF NEW JERSEY HAS ESTABLISHED THE NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE TO COMPENSATE VICTIMS OF CRIME FOR LOSSES AND EXPENSES, INCLUDING CERTAIN MEDICAL EXPENSES, RESULTING FROM CERTAIN CRIMINAL ACTS. IN ORDER TO BE ELIGIBLE FOR NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE THE CRIME MUST HAVE OCCURRED IN NEW JERSEY OR MUST RELATE TO A NEW JERSEY RESIDENT VICTIMIZED OUTSIDE OF THE STATE, THE VICTIM MUST HAVE REPORTED THE CRIME TO POLICE WITHIN 9 MONTHS AND VICTIM MUST COOPERATE WITH THE INVESTIGATION AND PROSECUTION OF THE CRIME. THE CLAIM MUST BE FILED WITHIN 3 YEARS OF THE DATE OF THE CRIME AND THE PATIENT MUST BE AN INNOCENT VICTIM OF THE CRIME. ADDITIONAL INFORMATION CAN BE FOUND AT WWW.NJ.GOV/OAG/NJVICTIMS/INDEX.HTML AMOUNT GENERALLY BILLED ("AGB") ------------------------------- PURSUANT TO INTERNAL REVENUE CODE 501(R)(5), IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, FAP-ELIGIBLE PATIENTS WILL NOT BE CHARGED MORE THAN AN INDIVIDUAL WHO HAS INSURANCE COVERING SUCH CARE. ALL PATIENTS ELIGIBLE FOR ASSISTANCE UNDER THIS FAP MAY BE ELIGIBLE FOR THIS DISCOUNT. THIS INCLUDES UNINSURED PATIENTS AND UNDERINSURED PATIENTS IF THEIR FAMILY GROSS INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 500% OF FPG.
SCHEDULE H, PART I; QUESTION 6ATHE ORGANIZATION IS NOT REQUIRED TO PREPARE A COMMUNITY BENEFIT REPORT. HOWEVER, THE ORGANIZATION DOES RELEASE A PROGRESS REPORT TO THE COMMUNITY ON AN ANNUAL BASIS. THIS PROGRESS REPORT CAN BE FOUND ON THE ORGANIZATION'S WEBSITE. THE PROGRESS REPORT INCLUDES INFORMATION REGARDING COMMUNITY HEALTH AND DESCRIBES SOME OF THE COMMUNITY PROGRAMS AND SERVICES COMPLETED THROUGHOUT THE YEAR.
SCHEDULE H, PART I; QUESTION 7WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN ITS CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE SYSTEM PROVIDES COMMUNITY EDUCATION, OUTREACH, LECTURES, TRAININGS, HEALTH SCREENINGS AND SPECIAL EVENTS TO PATIENTS RESIDING IN MERCER, MIDDLESEX AND SOMERSET COUNTIES. MAJOR PROGRAMS INCLUDE SPECIAL HEALTH OUTREACH EFFORTS DIRECTED TO DIVERSE POPULATIONS. THE SYSTEM IS ALSO LIAISONED WITH PARTNERSHIPS IN THE LOCAL YMCAs, YWCAs, SCHOOLS SENIOR CENTERS, CORPORATIONS, PLACES OF WORSHIP AND PUBLIC LIBRARIES FOR A VARIETY OF HEALTH ISSUES ACROSS ONES LIFESPAN.
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
SCHEDULE H, PART III, SECTION B; QUESTION 8MEDICARE COSTS WERE DERIVED FROM THE 2017 MEDICARE COST REPORT. THE ORGANIZATION'S POSITION IS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I BUT ARE NOT. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE ORGANIZATION'S POSITION IS THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDBALE ON THE FORM 990, SCHEUDLE H, PART I BUT ARE NOT. THE AMERICAN HOSPITAL ASSOCIATION'S ("AHA") POSITION IS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY REPORTS INDICATE THAT MEDICARE REIMBURSES HOSPITALS ON AVERAGE APPROXIMATELY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE SYSTEM'S EXPERIENCE IS 78.1%. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, THE REPORT STATES ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIG
SCHEDULE H, PART III, SECTION B; QUESTION 9BTHE PRIMARY MISSION OF THE ORGANIZATION IS TO IMPROVE IS TO IMPROVE THE OVERALL HEALTH STATUS OF THE COMMUNITY IT SERVES. PHCS IS COMMITTED TO PROVIDING HIGH QUALITY AND AFFORDABLE HEALTHCARE TO ALL INDIVIDUALS WHO SEEK SERVICES. THEREFORE, THE ORGANIZATION MAKES EVERY EFFORT TO WORK WITH ITS PATIENTS TO HELP IN THE PAYMENT OF BILLS. THIS ASSISTANCE INCLUDES PROVIDING PATIENTS WITH ACCESS TO A FINANCIAL COUNSELOR, ASSISTING NEW JERSEY STATE RESIDENTS OBTAIN FINANCIAL ASSISTANCE AND ESTABLISHING PAYMENT PLANS FOR EASE OF PAYMENT. ALL PATIENTS WILL BE SCREENED BY A PHCS FINANCIAL ASSISTANCE COUNSELOR TO DETERMINE IF THEY QUALIFY FOR INSURANCE PRIOR TO THE DETERMINATION OF FAP-ELIGIBILITY. THE PATIENT FINANCIAL SERVICES ("PFS") DEPARTMENT ADHERES TO ALL FEDERAL, STATE, LOCAL AND PFS DEEMED CONTRACTUAL REGULATIONS AND STANDARDS TO ENSURE PROPER AND LEGAL OPERATIONS. THIS ENCOMPASSES, BUT IS NOT LIMITED TO, THE FOLLOWING: 1) BILLING PROCEDURES, BOTH INSURANCE AND INPATIENT; 2) COLLECTIONS, BOTH BAD DEBT AND MEDICARE BAD DEBT; 3) BAD DEBT RECOVERY, BOTH "REGULAR" BAD DEBT AND MEDICARE BAD DEBT; AND 4) MAINTENANCE OF THE CONFIDENTIALITY AND SECURITY OF PROTECTED HEALTH INFORMATION. PHCS WILL NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS. PHCS UTILIZES PRESUMPTIVE ELIGIBILITY DETERMINATIONS FOR PATIENTS IN ITS EMERGENCY DEPARTMENT AND ITS MATERNITY CLINICS. IF A PATIENT IS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS THAN THE MOST GENEROUS ASSISTANCE AVAILABLE UNDER THE FAP, PHCS WILL NOTIFY THE PATIENT, IN WRITING, REGARDING THE BASIS FOR THE PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION AND HOW THEY MAY APPLY FOR MORE GENEROUS ASSISTANCE. A COPY OF THE PLS WILL ALSO BE PROVIDED IN THESE INSTANCES. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6), PHCS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") PRIOR TO THE EXPIRATION OF THE "NOTIFICATION PERIOD". THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS MAY BE INITIATED AGAINST THE PATIENT. PHCS MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. PHCS WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE PROGRAM. PHCS WILL TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT HAS BEEN PROVIDED WITH WRITTEN NOTICE WHICH: - INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; - IDENTIFIES THE ECAS THAT UMCP INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND - STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT HAS RECEIVED A COPY OF THE PLAIN LANGUAGE SUMMARY WITH THIS WRITTEN NOTIFICATION; AND 3) REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. SUBSEQUENT TO THE NOTIFICATION PERIOD PHCS, OR ANY THIRD PARTIES ACTING ON THEIR BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE PATIENT HASN'T APPLIED FOR OR IS DEEMED INELIGIBLE FOR FINANCIAL ASSISTANCE: 1) REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; 2) PLACING A LIEN ON AN INDIVIDUAL'S PROPERTY; 3) FORECLOSING ON AN INDIVIDUAL'S REAL PROPERTY; 4) COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; AND 5) CAUSING AN INDIVIDUAL TO BE SUBJECT TO A WRIT OF BODY ATTACHMENT.
SCHEDULE H, PART VI; QUESTION 2IN AN EFFORT TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY PHCS CONDUCTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IN 2015. THE CHNA WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED INTEGRATING EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC AND HEALTH ISSUES IN THE REGION WITH QUANTITATIVE INFORMATION FROM A COMMUNITY HEALTH SURVEY AND QUALITATIVE INFORMATION FROM 6 FOCUS GROUPS WITH COMMUNITY RESIDENTS AND SERVICE PROVIDERS AND 13 INTERVIEWS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM THE THREE COUNTIES THAT COMPRISE THE PCHS SERVICE REGION, WITH INDIVIDUALS REPRESENTING PUBLIC HEALTH, SENIORS, PHCS STAFF AND PROVIDERS, EMS PROVIDERS, SOCIAL SERVICE, HEALTHCARE, AND MENTAL HEALTH PROVIDERS AND THE LOCAL GOVERNMENT. THE SURVEY WAS ADMINISTERED ONLINE AND DISSEMINATED THROUGH MULTIPLE CHANNELS TO INDIVIDUALS WHO EITHER LIVE OR WORK IN MERCER, MIDDLESEX AND SOMERSET COUNTIES. IN ADDITION TO THE CHNA PROCESS DESCRIBED ABOVE AND IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, PRINCETON HEALTHCARE SYSTEM HAS PREVIOUSLY HIRED AN OUTSIDE FIRM TO CONDUCT A QUANTITATIVE CONSUMER RESEARCH STUDY OF CURRENT AND FUTURE COMMUNITY HEALTHCARE NEEDS AROUND PRINCETON, NEW JERSEY AREA. THE INTENT OF THE STUDY WAS TO UNCOVER CONSUMER INSIGHTS THAT WILL AID THE HOSPITAL'S PLANNING AND STRATEGIC DIRECTION THROUGH BETTER UNDERSTANDING OF THE CHANGING POPULATION - PARTICULARLY FROM THE STANDPOINT OF THE POPULATION'S RACIAL/ETHNIC MIX. THIS WAS A FORWARD-LOOKING STUDY THAT WOULD SUPPORT OTHER PRINCETON HEALTHCARE SYSTEM INITIATIVES THAT ADDRESS A POTENTIAL SHIFT IN THE POPULATION'S CULTURAL DYNAMICS WHEN IT MOVED TO THE NEW UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO. AS WELL, PRINCETON HEALTHCARE SYSTEM ANTICIPATED THE COMPETITIVE COMPLEXION TO CHANGE AND INTENSIFY. IT IS THEREFORE THE HOPE THAT THESE AND OTHER INSIGHTS WILL AID PRINCETON HEALTHCARE SYSTEM TO DEVELOP MORE COMMUNITY-CENTERED HEALTHCARE SERVICES WHICH WILL IN TURN INSPIRE A SUSTAINABLE LEADERSHIP POSITION. PHCS CONTINUALLY ASSESSES ITS COMMUNITY AND THE NEEDS WITHIN ITS PRIMARY SERVICE AREA. IN ITS 2017 PROGRESS REPORT TO THE COMMUNITY PHCS REPORTED THE FOLLOWING: COMMUNITY HEALTH & VOLUNTEERISM ------------------------------- IN 2017, PHCS COMMUNITY EDUCATION & OUTREACH HOSTED OR PARTICIPATED IN 2,000 COMMUNITY PROGRAMS, INCLUDING SCREENINGS, CLASSES AND HEALTH FAIRS THAT REACHED MORE THAN 41,000 AREA RESIDENTS, A 3 PERCENT INCREASE OVER 2016. AMONG THE PROGRAMS WERE 82 FREE HEALTH FAIRS AND SCREENINGS THAT OFFERED COMMUNITY MEMBERS BLOOD PRESSURE, GLUCOSE, CHOLESTEROL AND OTHER TESTING, AS WELL AS THE OPPORTUNITY TO SPEAK WITH PHCS PHYSICIANS AND HEALTH PROFESSIONALS. PHCS INSTRUCTORS PROVIDED 693 CPR AND FIRST AID CLASSES. PHCS ALSO HELD 73 EVENTS AT AREA SENIOR CENTERS AND ACTIVE ADULT COMMUNITIES, SERVING 2,366 SENIORS. PHCS CONTINUED ITS PROGRAMS FOR EMTS IN 2017. A TOTAL OF 232 ASPIRING EMTS COMPLETED THEIR OBSERVATION HOURS IN THE CENTER FOR EMERGENCY CARE AT UMCP. IN ADDITION, 133 EMTS ATTENDED CONTINUING EDUCATION CLASSES ON TOPICS SUCH AS BURN INJURIES, ELDER ABUSE AND MENTAL HEALTH FIRST AID TRAINING. IN 2017, A TOTAL OF 749 VOLUNTEERS SERVED PHCS, DONATING A COMBINED 70,000 HOURS. THE ANIMAL ASSISTED ACTIVITIES PROGRAM - SOMETIMES REFERRED TO AS PET THERAPY - CONTINUED ITS GREAT WORK THROUGHOUT THE HEALTH SYSTEM. PETTING A DOG RELEASES GOOD DE-STRESSING BRAIN CHEMICALS AND BRINGS SMILES TO MANY PEOPLE. THE TEAMS TRAVELED TO THE CANCER INFUSION CENTER, THE CLINIC, THE CENTER FOR EATING DISORDERS CARE AND VARIOUS NURSING FLOORS. OTHER TEAMS WORKED CLOSELY WITH THERAPISTS AT PRINCETON HOUSE BEHAVIORAL HEALTH IN A PROGRAM CALLED ANIMAL-ASSISTED INTERVENTION (AAI). THE INITIATIVE INTRODUCES DOGS TO CERTAIN THERAPY PROGRAMS TO HELP INDIVIDUALS WHO HAVE DIFFICULTY EXPRESSING THEIR FEELINGS. THIS YEAR THE PROGRAM ADDED FIVE NEW DOGS AND FIVE NEW DOGHANDLERS, BRINGING THE PROGRAM'S TOTAL TO 19 DOG TEAMS - SERVING APPROXIMATELY 1,000 HOURS. IN 2017, 12 COLLEGE-AGED VOLUNTEERS PARTICIPATED IN PHCS' PRE-HEALTH PROFESSIONALS PROGRAM, A 10-WEEK SUMMER PROGRAM FOR COLLEGE STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS. STUDENTS VOLUNTEERED IN VARIOUS CLINICAL UNITS AND IN THE CENTER FOR EMERGENCY CARE. THE GUEST RELATIONS PROGRAM EXPANDED IN 2017, ADDING 10 NEW VOLUNTEERS TO GREET GUESTS AND ASSIST WITH PATIENT WAYFINDING AT UMCP. BY YEAR'S END, A TOTAL OF 63 VOLUNTEERS WERE PARTICIPATING IN THE PROGRAM. PHCS' AWARD-WINNING SERIES OF ONLINE CHATS, CALLED PRINCETON HEALTH ON DEMAND (ON THE VIDEO STREAMING NETWORK USTREAM), CONTINUED IN 2017 WITH 13 BROADCASTS ON TOPICS INCLUDING DIABETES, WOMEN AND DRINKING, TREATMENTS FOR LIVER CANCER, COMMON FOOT AND ANKLE PROBLEMS AND FALL PREVENTION. THE ONLINE FORMAT PROVIDES PARTICIPANTS WITH THE OPPORTUNITY TO VIEW A HEALTH LECTURE FROM THE COMFORT AND PRIVACY OF THEIR OWN HOME. PRINCETON HEALTH'S ONDEMAND CHANNEL DREW 2,306 VIEWERS IN 2017. PRINCETON HEALTH CAMPUS UPDATE ------------------------------ THIS YEAR, PHCS CLOSED ON THE SALE OF A 38-ACRE PARCEL OF LAND ON THE HOSPITAL CAMPUS. THE COMPANY THAT BOUGHT IT WILL DEVELOP AN INDEPENDENT LIVING COMMUNITY DESIGNED FOR PEOPLE 55 YEARS AND OLDER. A TOTAL OF 45 TOWNHOMES AND 260 RENTAL APARTMENTS WILL BE BUILT, RANGING FROM STUDIOS TO THREE-BEDROOM UNITS. THE DEVELOPMENT INCLUDES MULTIPLE DINING VENUES, A SPA AND OUTDOOR RECREATION AREAS. THE DEVELOPERS BROKE GROUND IN THE FALL AND ANTICIPATE COMPLETING THE PROJECT IN APPROXIMATELY TWO YEARS. DEVELOPERS OF THE ASSISTED LIVING, ADULT DAY CARE AND CHILD CARE FACILITIES COMPLETED THE CONSTRUCTION OF A SHARED STORM-WATER MANAGEMENT SYSTEM AND THE EXTENSION OF A SHARED UTILITY NETWORK. IN ADDITION, PHCS PLANS TO BUILD A HELIPAD ON THE WEST SIDE OF THE PATIENT TOWER, PROVIDING EASY ACCESS TO THE CENTER FOR EMERGENCY CARE FOR EMERGENCY PATIENT TRANSFERS TO AND FROM THE HOSPITAL CAMPUS. THE HELIPAD TRANSPORT WILL BE OPERATED AND MANAGED BY PENNSTAR, A PROGRAM OFFERED BY PENN MEDICINE. DESIGN IS UNDER WAY, WITH CONSTRUCTION EXPECTED TO START BY SUMMER OF 2018 AND COMPLETED BY FALL OF 2018.
SCHEDULE H, PART VI; QUESTION 3PHCS ACTIVELY INFORMS AND EDUCATES PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PROMOTES ITS PATIENT FRIENDLY BILLING AND COLLECTION PROCESS THROUGH MULTIPLE CHANNELS. THIS IS AN INTEGRAL PART OF ITS CODE OF ETHICS AND VALUE STATEMENT. THE ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS: PHCS HAS CREATED A PLAIN LANGUAGE SUMMARY ("PLS") OF ITS FINANCIAL ASSISTANCE POLICY ("FAP"). A PLS IS A WRITTEN STATEMENT THAT NOTIFIES AN INDIVIDUAL THAT THE HOSPITAL FACILITY OFFERS FINANCIAL ASSISTANCE UNDER THE FAP AND PROVIDES ADDITIONAL INFORMATION IN LANGUAGE THAT IS CLEAR, CONCISE AND EASY TO UNDERSTAND. PHCS' FAP, APPLICATION 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 ORGANIZATION'S PRIMARY SERVICE AREA. ADDITIONALLY, PHCS PROVIDES LANGUAGE INTERPRETING AND TRANSLATION SERVICES, AND PROVIDES INFORMATION TO PATIENTS WITH VISION, SPEECH, HEARING OR COGNITIVE IMPAIRMENTS IN A MANNER THAT MEETS THE PATIENT'S NEEDS. THE FAP, APPLICATION AND PLS ARE ALL POSTED ON THE FOLLOWING PHCS WEBSITE: WWW.PRINCETONHCS.ORG, AND ARE AVAILABLE FREE OF CHARGE, UPON REQUEST. PAPER COPIES OF THESE DOCUMENTS ARE ALSO AVAILABLE IN VARIOUS AREAS THROUGHOUT THE HOSPITAL, WHICH INCLUDE THE EMERGENCY DEPARTMENT AND ADMISSION/REGISTRATION DEPARTMENTS. SIGNS AND DISPLAYS, TO INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, ARE POSTED IN EMERGENCY ROOMS AND THE ADMITTING/REGISTRATION DEPARTMENTS. THESE SIGNS ARE POSTED IN ENGLISH AND IN SPANISH. ALL PATIENTS WILL BE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE OR DISCHARGE PROCESS. THE AVAILABILITY OF ALL PROGRAMS APPEARS ON BILLING STATEMENTS. EACH BILLING STATEMENT INCLUDES CONSPICUOUS WRITTEN NOTICE WHICH INFORMS THE RECIPIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES THE WEBSITE OF WHERE AN INDIVIDUAL CAN OBTAIN COPIES OF THE FAP, APPLICATION AND PLS. ADDITIONALLY, IT INCLUDES THE TELEPHONE NUMBER THAT PATIENTS CAN CALL IF THEY HAVE QUESTIONS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS. IN AN EFFORT TO ENSURE THAT THE COMMUNITY SERVICED BY UMCP IS AWARE OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE UNDER THIS FAP, PHCS DISSEMINATES INFORMATION TO THE COMMUNITY THROUGH ITS COMMUNITY EDUCATION DEPARTMENT.
SCHEDULE H, PART VI; QUESTION 4IN ITS CHNA, CONDUCTED IN 2015, THE ORGANIZATION REPORTED THE FOLLOWING DEMOGRAPHICS FOR THE COMMUNITY THE ORGANIZATION SERVES: OVERALL POPULATION: IN 2012, THE TOTAL POPULATION OF THE THREE COUNTIES SERVED BY PHCS WAS OVER 1.5 MILLION, ABOUT 17% OF NEW JERSEYS TOTAL POPULATION. THE POPULATION HAS GROWN OVER THE PAST FIFTEEN YEARS, WITH SOMERSET AND MIDDLESEX COUNTIES EXPERIENCING A HIGHER GROWTH RATE THAN MERCER COUNTY OR THE STATE (ABOUT 8%) BETWEEN THE 2000 AND 2010 CENSUSES. THE POPULATION IN ALL THREE COUNTIES IS EXPECTED TO CONTINUE TO GROW, WITH SOMERSET AND MIDDLESEX COUNTIES EXPECTED TO INCREASE AT A RATE HIGHER THAN MERCER COUNTY AND THE STATE. AGE DISTRIBUTION: THE AGE DISTRIBUTION FOR THE REGION IS SIMILAR TO THAT OF NEW JERSEY; HOWEVER, SOMERSET COUNTY HAS A SLIGHTLY HIGHER PROPORTION OF RESIDENTS UNDER THE AGE OF 18 THAN THE OTHER TWO COUNTIES AND THE STATE OVERALL. POPULATION PROJECTIONS INDICATE THAT THE PROPORTION OF RESIDENTS OVERALL AGE 65 IN THE REGION IS EXPECTED TO INCREASE SUBSTANTIALLY OVER THE NEXT DECADE, WITH SOMERSET COUNTY EXPECTED TO EXPERIENCE THE GREATEST INCREASE. THE PROPORTION OF RESIDENTS UNDER THE AGE OF 19 IS EXPECTED TO DECLINE SLIGHTLY IN ALL THREE COUNTIES OVER THE COMING 20 YEARS. RACIAL AND ETHNIC DIVERSITY: FOCUS GROUP AND INTERVIEW PARTICIPANTS REPORTED THAT THE REGION IS RACIALLY AND ETHNICALLY DIVERSE AND SEE THIS AS AN IMPORTANT ASSET. MIDDLESEX COUNTY IS THE MOST DIVERSE OF THE THREE COUNTIES WITH THE LARGEST PROPORTION OF ASIAN (22.2%) AND HISPANIC (18.8%) RESIDENTS. MERCER COUNTY HAS THE HIGHEST PROPORTION OF BLACK RESIDENTS (19.5%) WHILE SOMERSET HAS THE HIGHEST PROPORTION OF WHITE RESIDENTS (61.3%). THE PROPORTION OF RESIDENTS FROM DIVERSE RACIAL AND ETHNIC BACKGROUNDS IS PROJECTED TO CONTINUE TO INCREASE IN THE COMING TWO DECADES. INCOME, POVERTY AND EMPLOYMENT: THE PHCS SERVICE REGION IS LARGELY AFFLUENT, WITH HOUSEHOLD INCOMES IN EACH OF THE THREE COUNTIES EXCEEDING THE STATE MEDIAN. HOWEVER, THE COST OF LIVING IS VERY HIGH, PRICING SOME PEOPLE OUT OF THE COMMUNITY. RESIDENTS ALSO REPORT THAT THERE ARE POCKETS OF POVERTY. THE POVERTY RATE IN MERCER COUNTY (11.2%) IS THE HIGHEST OF THE THREE COUNTIES AND ALSO HIGHER THAN THE STATE OVERALL. FOCUS GROUP MEMBERS AND INTERVIEWEES EXPRESSED CONCERN ABOUT INCOME DISPARITY IN THIS AFFLUENT REGION, WHICH THEY SAW AS GROWING. EDUCATIONAL ATTAINMENT: THE QUALITY OF THE SCHOOLS WAS CITED BY MANY AS A SIGNIFICANT ASSET IN THE REGION. ALL THREE COUNTIES HAVE A HIGHER PROPORTION OF ADULT RESIDENTS WITH A COLLEGE DEGREE OR HIGHER THAN THE STATE; OVER HALF OF SOMERSET COUNTY ADULTS HAVE A BACHELORS DEGREE OR HIGHER. HOUSING: AS A GENERALLY AFFLUENT REGION, HOUSING IN THE THREE COUNTIES IS FAIRLY EXPENSIVE. MEDIAN HOUSING COSTS FOR MONTHLY MORTGAGES AND RENT EXCEED THAT OF THE STATE IN SOMERSET COUNTY BUT ARE SIMILAR TO THE STATE IN MERCER AND MIDDLESEX COUNTIES. TRANSPORTATION: TRANSPORTATION WAS DESCRIBED AS A SUBSTANTIAL CONCERN FOR THE REGION. THERE ARE FEW PUBLIC TRANSPORTATION OPTIONS FOR TRANSIT WITHIN THE REGION MAKING ACCESS TO HEALTH AND OTHER SERVICES MORE DIFFICULT FOR SENIORS AND LOWER INCOME RESIDENTS. CRIME AND VIOLENCE: OVERALL, THE REGION IS RELATIVELY SAFE ACCORDING TO FOCUS GROUP MEMBERS AND INTERVIEWEES. THE OVERALL CRIME RATE, AS WELL AS VIOLENT AND NONVIOLENT CRIME, IS HIGHER IN MERCER COUNTY THAN IN THE OTHER TWO COUNTIES OR THE STATE OVERALL. ENVIRONMENTAL QUALITY: QUANTITATIVE DATA ABOUT AIR POLLUTION INDICATE THAT THE LEVELS OF AIR POLLUTION ARE SIMILAR ACROSS THE THREE COUNTIES AND NEW JERSEY OVERALL, SLIGHTLY OVER 11 MICROGRAMS PER CUBIC METER. SINCE THE HOSPITAL FACILITY IS LOCATED IN AN AFFLUENT COMMUNITY THE ORGANIZATION AIMS TO DEVELOP PROGRAMS TO MEET THE NEEDS OF THE LESS FORTUNATE. FOR EXAMPLE, THE ORGANIZATION PREVIOUSLY INVESTED $3M IN AN OUTPATIENT CENTER (CLINIC) THAT CATERS TO PATIENTS WITHOUT INSURANCE OR MEDICAID. THIS OUTPATIENT CENTER PROVIDES ADULT, PEDIATRICS, OB/GYN AND SPECIALTY CARE. ADDITIONALLY, PHCS PROVIDES AND SUBSIDIZES 24/7 OBSETRICAL COVERAGE TO ENSURE ALL PATIENTS RECEIVE IMMEDIATE ACCESS TO QUALTY CARE. PHCS ALSO DEVELOPED INPATIENT BEHAVIORAL HEALTH PROGRAMS (E.G., SHORT TERM CARE INVOLUNTARY PROGRAMS) THAT PROVIDE CARE TO A MUCH LARGER CATCHMENT AREA AND SERVICE PRIMARILY AN INDIGENT POPULATION.
SCHEDULE H, PART VI; QUESTION 5THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE PHCS COMMUNITY EDUCATION & OUTREACH PROGRAM IS ANOTHER EXAMPLE OF HOW PHCS IS REDEFINING CARE BY OFFERING A DYNAMIC CURRICULUM OF INNOVATIVE HEALTH AND LIFESTYLE-RELATED PROGRAMMING, SCREENINGS AND SUPPORT AT LITTLE OR NO COST TO THE COMMUNITIES WE SERVE. PHCS IS DEDICATED TO PROMOTING HEALTHY LIVING AT EVERY STAGE OF LIFE AND TO ENHANCING QUALITY OF LIFE BY ADDRESSING THE UNIQUE NEEDS OF WOMEN, MEN, SENIORS, CHILDREN, ADOLESCENTS AND DIVERSE POPULATIONS. PROGRAMS ARE DEVELOPED AND FACILITATED BY THE OUTSTANDING PHYSICIANS, NURSES AND HEALTH PROFESSIONALS OF PHCS. WE ALSO WORK CLOSELY WITH LEADING HEALTH ORGANIZATIONS. MAJOR PROGRAMS INCLUDE AN ANNUAL WOMEN'S CONFERENCE AND A CONFERENCE ADDRESSING THE HEALTH NEEDS OF THE AFRICAN-AMERICAN COMMUNITY. OTHER SPECIAL HEALTH OUTREACH EFFORTS HAVE BEEN DIRECTED TO THE LATINO, INDIAN-AMERICAN, AND KOREAN-AMERICAN COMMUNITIES. THE SYSTEM IS ALSO INVOLVED WITH PARTNERSHIPS WITH THE PRINCETON, HOPEWELL VALLEY, AND WEST WINDSOR/PLAINSBORO REGIONAL SCHOOL DISTRICTS FOR CHILDHOOD AND ADOLESCENT HEALTH ISSUES INCLUDING UNDERAGE DRINKING, SMOKING AND EATING DISORDERS. OTHER PROGRAM VENUES INCLUDE AREA SENIOR CENTERS AND PUBLIC LIBRARIES. IN 2017, THE ORGANIZATION RELEASED ITS "PROGRESS REPORT TO THE COMMUNITY". THIS PUBLICATION INCLUDED INFORMATION ON ADDITIONAL INITIATIVES UNDERTAKEN BY PHCS DURING 2017 TO FURTHER ITS EXEMPT PURPOSE AND PROMOTE HEALTH WITHIN THE COMMUNITY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O FOR THIS INFORMATION.
SCHEDULE H, PART VI; QUESTION 6PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION AND AFFILIATES ("SYSTEM"). ALL AFFILIATES CONSTITUTE A TAX-EXEMPT HEALTHCARE DELIVERY SYSTEM COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES. NOT-FOR-PROFIT PRINCETON HEALTHCARE SYSTEM AND AFFILIATES ENTITIES ================================================================== PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ----------------------------------------- PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ("PHCS HOLDING") IS THE TAX-EXEMPT PARENT OF THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER PHCS HOLDING OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY PHCS HOLDING. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS IN THE STATE OF NEW JERSEY. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION --------------------------------------------------------------- PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") IS COMPRISED OF THREE DIVISIONS; UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO ("UMCPP"), PRINCETON HOUSE BEHAVIORAL HEALTH AND PRINCETON HOMECARE SERVICES. UMCPP IS AN ACUTECARE FACILITY LICENSED FOR 319 ACUTE CARE BEDS (INCLUDING 14 SPECIAL CARE NURSERY BASSINETS AND 17 PHYSICAL REHABILITATION BEDS). PRINCETON HOUSE BEHAVIORAL HEALTH IS A 110-BED PSYCHIATRIC AND BEHAVIORAL HEALTH FACILITY. PRINCETON HOMECARE SERVICES PROVIDES HOME NURSING CARE, HOME REHABILITATION, HOMEMAKER SERVICES AND OPERATES A HOSPICE PROGRAM. PHCS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, PHCS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, PHCS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1. PHCS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. PHCS OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. PHCS MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF PHCS RESTS WITH ITS BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, MEMBERS OF THE COMMUNITY AND MEDICAL STAFF REPRESENTATION; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PRINCETON CAREGIVERS, INC. -------------------------- PRINCETON CAREGIVERS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES PRIVATE DUTY HOME CARE SERVICES. PRINCETON HEALTHCARE SYSTEM FOUNDATION, INC. -------------------------------------------- PRINCETON HEALTHCARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE FOUNDATION SUPPORTS AND MAINTAINS PROGRAMS, SERVICES AND FACILITIES THROUGH THE SOLICITATION, RECEIPT, ADMINISTRATION AND DISTRIBUTION OF PHILANTHROPIC GIFTS FOR THE SOLE BENEFIT OF THE SYSTEM. PRINCETON MEDICAL PROPERTIES, INC. ---------------------------------- PRINCETON MEDICAL PROPERTIES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION IS A TITLE HOLDING COMPANY WHICH WAS FORMED FOR THE PURPOSE OF ACQUIRING, CONSTRUCTING, FINANCING AND HOLDING PROPERTY FOR THE BENEFIT OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND ITS AFFILIATES. PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. (D/B/A PRINCETON MEDICINE) --------------------------------------------------------------------- PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES TO FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF THE PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND ITS AFFILAITES. BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF PRINCETON HEALTHCARE SYSTEM AND IS AN INTEGRAL PART OF PRINCETON HEALTHCARE SYSTEM. PRINCETON HEALTHCARE PROVIDER GROUP, LLC ---------------------------------------- PRINCETON HEALTHCARE PROVIDER GROUP, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. D/B/A PRINCETON MEDICINE. THE ORGANIZATION PROVIDES MULTI-SPECIALTY MEDICAL SERVICES. PRINCETON HEALTHCARE PARTNERS, LLC ---------------------------------- PRINCETON HEALTHCARE PARTNERS, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. D/B/A PRINCETON MEDICINE. THE ORGANIZATION IS AN ACCOUNTABLE CARE ORGANIZATION WHICH PROVIDES MEDICAL SERVICES. PRINCETON HEALTHCARE PARTNERS CIN, LLC -------------------------------------- PRINCETON HEALTHCARE PARTNERS CIN, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. D/B/A PRINCETON MEDICINE. THE ORGANIZATION IS A CLINICALLY INTEGRATED NETWORK WHICH PROVIDES MEDICAL SERVICES. PRINCETON HOUSE PROVIDER GROUP, LLC ----------------------------------- PRINCETON HOUSE PROVIDER GROUP, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. D/B/A PRINCETON MEDICINE. THE ORGANIZATION PROVIDES PSYCHIATRIC MEDICAL SERVICES. PRINCETON URBAN RENEWAL, LLC ---------------------------- PRINCETON URBAN RENEWAL, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS PRINCETON HEALTHCARE SYSTEM HOLDING, INC. THE ORGANIZATION WAS CREATED FOR THE PURPOSE OF MANAGING REDEVELOPMENT PROJECTS. THIS ORGANIZATION IS CURRENTLY INACTIVE. FOR PROFIT PRINCETON HEALTHCARE SYSTEM AND AFFILIATES ENTITIES ============================================================== PHI PHARMACY, INC. ------------------ PHI PHARMACY, INC. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PHCS HOLDING. PRINCETON HEALTH, INC. ---------------------- PRINCETON HEALTH, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PHCS HOLDING. THE ORGANIZATION IS THE SOLE SHAREHOLDER OF PRINCEOTN HEALTHCARE MANAGEMENT SERVICES, INC. AND IS LOCATED IN PRINCETON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION IS AN INVESTMENT VEHICLE THAT SUPPORTS THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF PHCS. PRINCETON HEALTHCARE MANAGEMENT SERVICES, INC. ---------------------------------------------- PRINCETON HEALTHCARE MANAGEMENT SERVICES, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PRINCETON HEALTH, INC. THE ORGANIZATION IS LOCATED IN PRINCETON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MANAGEMENT AND ADMINISTRATIVE SUPPORT TO PHYSICIAN PRACTICES OWNED BY THE SYSTEM AND TO PRIVATE PHYSICIAN PRACTICES. PRINCETON HEALTHCARE MEDICAL EQUIPMENT CO. ------------------------------------------ PRINCETON HEALTHCARE MEDICAL EQUIPMENT CO. IS AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PRINCETON HEALTH, INC.
SCHEDULE H, PART VI; QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY S RABNER
TRUSTEE - PRESIDENT/CEO$866,186$0$582,282$0$142,857$0$16,355$0$21,569$0$1,629,249$0$0$0
GUILHERME VALLADARES MBA
ASST TREASURER - SVP/CFO$349,146$0$120,303$0$3,079$0$12,305$0$1,185$0$486,018$0$0$0
JANET L READY RN FACHE
PRESIDENT UMCPP/SVP PHCS$415,175$0$131,090$0$5,280$0$12,305$0$17,563$0$581,413$0$0$0
RICHARD E WOHL MSW MBA
PRESIDENT PHBH/SVP PHCS$310,259$0$70,131$0$8,821$0$16,355$0$14,091$0$419,657$0$0$0
MARK T JONES
SVP NETWORK DEVELOPMENT$292,289$0$102,759$0$6,730$0$13,655$0$11,318$0$426,751$0$0$0
SIMRAN R SEDANI
CHIEF MEDICAL INFO. OFFICER$0$305,577$0$37,854$0$730$0$12,305$0$19,083$0$375,549$0$0
DONALD F DENNY JR MD
SVP MEDICAL AFFAIRS$216,345$0$59,224$0$0$0$9,742$0$21,430$0$306,741$0$0$0
HYONA REVERE
SVP DEVELOPMENT (EFF 1/4/17)$220,648$0$0$0$479$0$0$0$33,387$0$254,514$0$0$0
ANNE C SEARLE MBA
VP/CHIEF INFORMATION OFFICER$314,820$0$75,550$0$4,888$0$12,305$0$21,547$0$429,110$0$0$0
JAMES G DEMETRIADES MBA
VP OPERATIONS$291,079$0$95,949$0$2,775$0$13,655$0$20,058$0$423,516$0$0$0
BARBARA A YOST RN BSN MBA
VP CONT. OF CARE SVCS&NTWK DEV$242,589$0$61,024$0$4,722$0$14,770$0$21,872$0$344,977$0$0$0
PETER J THOMAS PHD
VP PHBH OUTPATIENT SERVICES$203,902$0$46,558$0$3,450$0$12,233$0$22,726$0$288,869$0$0$0
BARBARA CHRISTIANORNMSBSN
VP PCS/CNO (TERMED 9/22/17)$176,306$0$65,517$0$4,543$0$8,127$0$8,076$0$262,569$0$0$0
CAROL NORRIS-SMITH
VP MARKETING & PUBLIC AFFAIRS$184,168$0$39,037$0$3,069$0$10,798$0$36,257$0$273,329$0$0$0
CHRISTIANE SCHMIDT
VP HR (EFF 4/29/17)$208,018$0$11,215$0$2,761$0$9,099$0$21,321$0$252,414$0$0$0
CHING-YI LIU
VP FINANCE (EFF 1/3/17)$192,126$0$11,419$0$2,150$0$9,591$0$24,770$0$240,056$0$0$0
NANCY C FLETCHER ESQ
VP CORP COMPLIANCE&REG AFFAIRS$197,705$0$3,799$0$0$0$8,988$0$34,173$0$244,665$0$0$0
KARYN BOOK
INTERIM VP & CNO (EFF 9/22/17)$178,416$0$11,207$0$254$0$9,944$0$721$0$200,542$0$0$0
MARGUERITE PEDLEY PHD
VP PHBH INPATIENT SERVICES$150,602$0$15,605$0$2,201$0$6,812$0$20,529$0$195,749$0$0$0
MARCIA M TELTHORSTERMEDCCP
VP HR (TERMED 4/28/17)$99,924$0$57,374$0$1,758$0$10,843$0$4,641$0$174,540$0$0$0
SIDDIQ A FAISAL MD MPH
MEDICAL DIRECTOR, OCC MEDICINE$204,511$0$8,400$0$316$0$9,898$0$34,012$0$257,137$0$0$0
NICOLE A ZUBER MD
PHYSICIAN$203,627$0$8,400$0$359$0$9,402$0$37,850$0$259,638$0$0$0
ERIC J COYLE
DIRECTOR SURGICAL SERVICES$180,045$0$8,788$0$275$0$7,662$0$36,332$0$233,102$0$0$0
EDWARD HENRY
DIR TECHNOLOGY/SR IT SECURITY$175,310$0$11,133$0$397$0$8,282$0$36,220$0$231,342$0$0$0
KEVIN EDUSEI
NUCLEAR MEDICAL TECH$180,105$0$0$0$593$0$7,656$0$11,089$0$199,443$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 1BARRY S. RABNER, THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER, 2017 FORM W-2, BOX 5, TAXABLE MEDICARE WAGES INCLUDES A TAX GROSS-UP PAYMENT OF $46,808 RELATED TO HIS PERSONAL USAGE OF AUTO.
SCHEDULE J, PART I; QUESTION 4BTHE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BARRY S. RABNER, $86,731.
SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2017 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1New Jersey Health Care Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN221487148BondIssuerEIN
CUSIP64579F7R8CUSIPNum
Bond Issued2016-01-20BondIssuedDt
Issue Price$275,065,000IssuePriceAmt
Purposeschedule k, part viPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$6,625,000RetiredAmt
Bond Defeased$23,394,553BondDefeasedAmt
Total Proceeds$275,065,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$2,827,838IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$248,842,609CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2016SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part VIFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I, LINE A, COLUMN C THE FOLLOWING CUSIP NUMBERS RELATE TO THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2016 A REVENUE BONDS: 64579F7R8, 64579F7S6, 64579F7T4, 64579F7U1, 64579F7V9, 64579F7W7, 64579F7X5, 64579F7Y3, 64579F7Z0, 64579F8A4, 64579F8B2, 64579F8C0, 64579F8D8, 64579F8E6, 64579F8F3, 64579F8G1, 64579F8H9, 64579F8J5, 64579F8K2, 64579F8L0, 64579F8M8 AND 64579F8N6. ADDITIONALLY, THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2016 B BANK PLACEMENT BONDS CUSIP NUMBER IS 64579F8P1. THERE IS NO CUSIP NUMBER ASSOCIATED WITH THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2016 C BANK PLACEMENT BONDS. SCHEDULE K, PART I, LINE A, COLUMN F PER THE ORGANIZATIONS AUDITED CONSOLIDATED FINANCIAL STATEMENTS, THE PURPOSES OF THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2016 A, B AND C BONDS WERE TO: 1) REFUND AND REDEEM ON A CURRENT REFUNDING BASIS ALL OF THE AUTHORITYS OUTSTANDING REVENUE BONDS SERIES 2010 B, 2010 C AND 2010 D; 2) REFINANCE A COMMERCIAL BANK LOAN; 3) FINANCE CERTAIN CAPITAL EXPENDITURES INCLUDING BUT NOT LIMITED TO A SURFACE PARKING LOT; AND 4) PAY THE COSTS OF ISSUANCE OF THE SERIES 2016 A BONDS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PRINCETON MEDICAL GROUP PA
TRUSTEE - GROSSMAN$114,216MEDICAL SERVICESfalse
UMCP SURGICENTER PARTNERS LLC
TRUSTEE - GOLDMAN$832,252MEDICAL SERVICESfalse
PRINCETON SURGICAL ASSOCIATES PA
TRUSTEE - GOLDMAN$454,531MEDICAL SERVICESfalse
PRINCETON UROGYNECOLOGY LLC
TRUSTEE - VAN RAALTE$248,711MEDICAL SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationLEONARD GROSSMAN, M.D., IS A TRUSTEE OF THE ORGANIZATION. DR. GROSSMAN IS A SHAREHOLDER OF PRINCETON MEDICAL GROUP, P.A. THE ORGANIZATION UTILIZED THE SERVICES OF PRINCETON MEDICAL GROUP, P.A., DURING 2017. TOTAL FEES PAID TO PRINCETON MEDICAL GROUP, P.A. DURING 2017 WERE $114,216. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. KENNETH A. GOLDMAN, M.D., FACS, IS A TRUSTEE OF THE ORGANIZATION. DR. GOLDMAN IS A SHAREHOLDER OF UMCP SURGICENTER PARTNERS, LLC. ADDITIONALLY, PRINCETON HEALTHCARE SYSTEM IS A 26.47% OWNER IN UMCP SURGICENTER PARTNERS, LLC. THE ORGANIZATION UTILIZED THE SERVICES OF UMCP SURGICENTER PARTNERS, LLC, DURING 2017. TOTAL FEES PAID TO UMCP SURGICENTER PARTNERS LLC, DURING 2017 WERE $832,252. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. DR. GOLDMAN IS ALSO A SHAREHOLDER AND THE PRESIDENT OF PRINCETON SURGICAL ASSOCIATES, P.A. THE ORGANIZATION UTILIZED THE SERVICES OF PRINCETON SURGICAL ASSOCIATES, P.A., DURING 2017. TOTAL FEES PAID TO PRINCETON SURGICAL ASSOCIATES, P.A. DURING 2017 WERE $454,531. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. HEATHER M. VAN RAALTE, M.D., IS A TRUSTEE OF THE ORGANIZATION. DR. VAN RAALTE IS THE OWNER OF PRINCETON UROGYNECOLOGY, LLC. THE ORGANIZATION UTILIZED THE SERVICES OF PRINCETON UROGYNECOLOGY, LLC, DURING 2017. TOTAL FEES PAID TO PRINCETON UROGYNECOLOGY, LLC, DURING 2017 WERE $248,711. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") OFFERS A FULL CONTINUUM OF CARE WHICH INCLUDES ACUTE CARE HOSPITAL SERVICES, BEHAVIORAL HEALTHCARE, REHABILITATION, HOME CARE, HOSPICE CARE, AMBULATORY SURGERY AND FITNESS AND WELLNESS SERVICES. PHCS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ACCORDANCE WITH ITS CHARITABLE MISSION, PHCS PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, PHCS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PHCS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. PHCS OPERATES FOR ALL PERSONS AN ACTIVE EMERGENCY DEPARTMENT, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. PHCS MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF PHCS RESTS WITH ITS BOARD OF TRUSTEES, WHICH IS COMPOSED OF INDEPENDENT CIVIC LEADERS, MEMBERS OF THE COMMUNITY AND MEDICAL STAFF MEMBERS; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES, AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF PHCS, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF PHCS IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. BACKGROUND ---------- PHCS IS A LEADING PROVIDER OF HEALTHCARE SERVICES. A RESPECTED NONPROFIT, COMMUNITY TEACHING SYSTEM, WE OFFER COMPASSIONATE CARE SUPPORTED BY ADVANCED TECHNOLOGIES AND AN OUTSTANDING MEDICAL STAFF. NINETY-SEVEN PERCENT OF OUR 1292 MEDICAL STAFF MEMBERS HAVE ACHIEVED BOARD CERTIFICATION, THE HALLMARK OF PROFESSIONAL EXCELLENCE. THE BALANCE ARE BOARD ELIGIBLE. THROUGH PHCS' AFFILIATIONS WITH ACADEMIC INSTITUTIONS, PHCS IS SETTING NEW STANDARDS IN DIAGNOSTIC AND TREATMENT PROTOCOLS AND ACHIEVING SUCCESSFUL CLINICAL OUTCOMES FOR OUR PATIENTS. THE MISSION OF PHCS IS TO BE THE FOCAL POINT OF A COMPREHENSIVE COMMUNITY HEALTH SYSTEM THAT RESPONDS TO THE HEALTHCARE NEEDS OF OUR SERVICE AREA RESIDENTS. PHCS WILL PROVIDE INPATIENT AND OUTPATIENT CARE, COMMUNITY HEALTH EDUCATION AND MEDICAL EDUCATION AND SHOULD PROMOTE MEDICAL AND SCIENTIFIC RESEARCH WHEN APPROPRIATE. IT IS INTEGRAL TO THE MISSION OF PHCS TO CONTINUALLY IMPROVE QUALITY OF SERVICE TO OUR PATIENTS AND COMMUNITY AND TO PROVIDE APPROPRIATE HEALTHCARE TO ALL. PHCS INCLUDES THE FOLLOWING: UNIVERSITY MEDICAL CENTER OF PRINCETON --------------------------------------- UNIVERSITY MEDICAL CENTER OF PRINCETON ("UMCP") IS A TEACHING HOSPITAL THAT PROVIDES COMPREHENSIVE PATIENT CARE AND SUPPORT SERVICES RELATING TO PATIENT CARE TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF ABILITY TO PAY. IT IS AN ACUTE CARE FACILITY WITH 319 BEDS WHICH INCLUDE 288 ACUTE CARE BEDS, 17 PHYSICAL REHABILITATION BEDS AND 14 NEONATAL BASSINETS. IN 2017, PATIENT DAYS TOTALED 62,049. OUTPATIENT PATIENT VISITS/ENCOUNTERS TOTALED 169,675 DURING 2017. UMCP FEATURES SINGLE-SITE ACCESS TO SERVICES IN THE FOLLOWING CENTERS FOR CARE: - CENTER FOR EMERGENCY CARE FEATURES 24/7 CARE AND ACCESS TO SUCH POTENTIALLY LIFE-SAVING PROCEDURES AS EMERGENCY ANGIOPLASTY, EMERGENCY NEUROSURGERY AND THERAPEUTIC HYPOTHERMIA. - INSTITUTE FOR SURGICAL CARE INCLUDES THE CENTER FOR BARIATRIC SURGERY & METABOLIC MEDICINE; JIM CRAIGIE CENTER FOR JOINT REPLACEMENT; INTERVENTIONAL LAB; PERI-OPERATIVE SERVICES; PRE-ADMISSION TESTING; SURGICAL SERVICES; THE VASCULAR LAB; HYBRID OR; AND MINIMALLY INVASIVE SURGICAL CAPABILITIES, INCLUDING THE DA VINCI SURGICAL SYSTEM. - CENTER FOR NEUROSCIENCE CARE, WHICH INCLUDES THE EPILEPSY PROGRAM AND NEUROPHYSIOLOGY LAB, ENABLES PATIENTS TO COMPLETE DIAGNOSTIC TESTING, CONSULT WITH PHYSICIANS, AND BEGIN TREATMENT IN ONE CONVENIENT LOCATION. THE CENTER JOINS TWO SPECIALIZED PROGRAMS, ONE FOCUSING ON SEIZURE DISORDERS AND ANOTHER ON NEUROLOGICAL CONDITIONS IN ONE DESIGNATED CARE CENTER DESIGNED TO PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES FOR ADULTS AND CHILDREN EXPERIENCING SUCH CONDITIONS AS: EPILEPSY (SEIZURE DISORDERS), DIZZINESS, HEAD INJURIES, BACK PAIN, LOWER EXTREMITY WEAKNESS AND DEGENERATIVE DISEASES SUCH AS PARKINSON'S, DEMENTIA AND ALZHEIMER'S. INPATIENT CARE INCLUDES IN-ROOM DIAGNOSTICS AND 24/7 PERSONALIZED OBSERVATION. - EDWARD & MARIE MATTHEWS CENTER FOR CANCER CARE INCLUDES CANCER PROGRAM SERVICES, RADIATION ONCOLOGY, THE JOANN HEFFERNAN HEISEN INFUSION THERAPY OF NEW JERSEY'S LIFE CENTER, COMPREHENSIVE SUPPORT SERVICES AND CLINICAL TRIALS. THE CENTER UNITES THE CANCER PROGRAM'S CUTTING-EDGE SERVICES IN ONE SPECIALLY DESIGNED SPACE, ALLOWING OUR MULTIDISCIPLINARY TEAM TO GIVE PATIENTS HIGH QUALITY CLINICAL CARE AND COMPASSIONATE SUPPORT IN A MODERN, YET WARM, SETTING. BY PROVIDING A COMPLETE CONTINUUM OF CARE, THE CENTER GIVES PATIENTS FULL ACCESS TO THE SPECIALIZED CLINICAL SERVICES, REHABILITATIVE CARE, AND SUPPORT THEY NEED DURING TREATMENT AND RECOVERY FROM CANCER. - GEORGE & ESTELLE SANDS CENTER FOR CARDIAC AND PULMONARY CARE INCLUDES CARDIAC SERVICES, CARDIAC CATHETERIZATION LAB, CARDIAC AND PULMONARY REHABILITATION, RESPIRATORY SERVICES AND THE PULMONARY FUNCTION LAB. - CENTER FOR EATING DISORDERS CARE OFFERS AN INTEGRATED CONTINUUM OF CARE FOR INDIVIDUALS WITH ANOREXIA, BULIMIA AND OTHER EATING DISORDERS. IT PROVIDES FEATURING MEDICAL, PSYCHOTHERAPEUTIC AND NUTRITIONAL CARE IN INPATIENT AND PARTIAL HOSPITAL PROGRAMS. THE CENTER FOR EATING DISORDERS CARE PROVIDES TREATMENT FOR ADULTS, ADOLESCENTS AND CHILDREN AS YOUNG AS EIGHT YEARS OLD WHO ARE SUFFERING FROM ANOREXIA, BULIMIA AND OTHER EATING DISORDERS. OUR PATIENTS NOT ONLY BENEFIT FROM TREATMENT FOR THE PHYSICAL, PSYCHOSOCIAL AND NUTRITIONAL ASPECTS OF THEIR EATING DISORDER, BUT THEY ALSO HAVE IMMEDIATE ACCESS TO FULL-SERVICE CARE FOR OTHER MEDICAL NEEDS. - LLURA & GORDON GUND CENTER FOR CRITICAL CARE PROVIDES 24-HOUR INTENSIVE CARE SERVICES UNDER THE COORDINATION OF MULTI-BOARD CERTIFIED INTENSIVISTS, IN COLLABORATION WITH SPECIALLY TRAINED NURSES. - CENTER FOR TESTING & TREATMENT INCLUDES HOSPITAL IMAGING SERVICES AND LABORATORY SERVICES. - CENTER FOR MATERNAL & NEWBORN CARE INCLUDES THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP") NEWBORN AND PEDIATRIC CARE AT UMCP; LABOR AND DELIVERY UNIT; MOTHER-BABY UNIT; NURSERY AND NEONATAL INTENSIVE CARE UNIT AND PENN MATERNAL FETAL MEDICINE AT UMCP (A PARTNERSHIP WITH PENN MEDICINE/THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA). - REGAN FAMILY CENTER FOR PEDIATRIC CARE INCLUDES 24/7 CARE FROM BOARD CERTIFIED PEDIATRIC HOSPITALISTS FROM THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP"). IT IS DESIGNED WITH THE UNDERSTANDING THAT CHILDREN HAVE VERY SPECIALIZED HEALTHCARE NEEDS. IT INCLUDES BRIGHT, KID-FRIENDLY COLOR ACCENTS AND SEPARATE TREATMENT ROOM. EACH CHILD HAS HIS OR HER OWN ROOM IN THIS DEDICATED PEDIATRIC UNIT THAT IS FOCUSED ON EXCEPTIONAL CARE AND COMFORT FOR YOUNG PATIENTS AND THEIR FAMILIES. CARE IN THE CENTER IS PROVIDED BY PEDIATRIC HOSPITALISTS (PHYSICIANS WHO ARE SPECIALLY TRAINED TO TREAT HOSPITALIZED CHILDREN) FROM CHOP, WHO ARE ON-SITE AT THE HOSPITAL 24/7, WORKING WITH UMCP PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS. UMCP PROVIDES COMPREHENSIVE MEDICAL CARE FOR YOU AND YOUR FAMILY THROUGH A WIDE RANGE OF CLINICAL PROGRAMS AND SERVICES. OUR PROGRAMS ARE LED BY BOARD CERTIFIED PHYSICIANS AND SKILLED ADMINISTRATIVE DIRECTORS AND STAFFED BY SPECIALLY TRAINED NURSES, THERAPISTS AND OTHER HEALTHCARE PROFESSIONALS. PROGRAMS INCLUDE: - ACUTE CARE OF THE ELDERLY ("ACE"): PROVIDES SPECIALIZED CARE TO ACUTELY ILL OLDER ADULTS WITH THE GOAL OF HELPING THEM RECOVER FROM ILLNESS OR INJURY, MAINTAIN STRENGTH AND MOBILITY AND AVOID ADDITIONAL HEALTH PROBLEMS DURING THEIR HOSPITAL STAY. UMCP IS PROUD TO BE AMONG A SELECT NUMBER OF HOSPITALS NATIONWIDE WITH AN ACE UNIT. - ACUTE REHABILITATION UNIT: CARES FOR INDIVIDUALS WITH DISABILITIES RESULTING FROM STROKES, CRANIOTOMIES, NEUROLOGICAL CONDITIONS, MULTIPLE SCLEROSIS, GUILLAIN-BARRE SYNDROME, PARKINSON'S DISEASE, COMPLEX JOINT REPLACEMENTS (INCLUDING BILATERAL KNEE AND HIP REPLACEMENTS), DEBILITATING RHEUMATOID ARTHRITIS, AMPUTATIONS, FRACTURED HIP AND MAJOR MULTIPLE TRAUMA. - ANESTHESIA & PAIN MANAGEMENT SERVICES: CARE PROVIDED BY A GROUP OF BOARD CERTIFIED ANESTHESIOLOGISTS, INCLUDING PHYSICIANS WITH SPECIALIZED FELLOWSHIP TRAINING IN AREAS INCLUDING OBSTETRIC, PEDIATRIC, CARDIOTHORACIC AND REGIONAL ANESTHESIA AS WELL AS PAIN MANAGEMENT.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS- DIABETES MANAGEMENT PROGRAM: UMCP PROVIDES EXPERT CARE TO ADULTS AND CHILDREN TO HELP THEM LEARN HOW TO LIVE WITH AND MANAGE DIABETES. - BREAST HEALTH CENTER: THE STATE-OF-THE-ART FACILITY OFFERS OUTSTANDING CLINICAL CARE UNDER THE MEDICAL DIRECTION OF A BOARD CERTIFIED, FELLOWSHIP-TRAINED BREAST SURGEON; SOPHISTICATED BREAST CARE TECHNOLOGIES, INCLUDING 3-D MAMMOGRAPHY; GENETIC COUNSELING AND TESTING SERVICES, AVAILABLE THROUGH RUTGERS CANCER INSTITUTE OF NEW JERSEY LIFE CENTER; BREAST HEALTH EDUCATION; AND SUPPORT SERVICES. THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS ("NAPBC"), A PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS, AWARDED THE PROGRAM A THREE-YEAR FULL ACCREDITATION. UMCP BREAST HEALTH CENTER ALSO HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, SIGNIFYING THAT UMCP MEETS THE HIGHEST STANDARDS OF THE RADIOLOGY PROFESSION. - THE CENTERS FOR AMBULATORY SURGERY: UMCP'S OUTPATIENT SURGICAL UNITS ARE DESIGNED TO PROVIDE SAME-DAY SURGICAL CARE FOR PATIENTS WHO CAN RECUPERATE SAFELY AND COMFORTABLY AT HOME. THE NEW PLAINSBORO CENTER, THE STEPHEN & ROXANNE DISTLER CENTER FOR AMBULATORY SURGERY, FEATURES FOUR STATE-OF-THE-ART OPERATING ROOMS, A MINOR PROCEDURES ROOM AND THREE ENDOSCOPY ROOMS. - THE BRISTOL-MYERS SQUIBB COMMUNITY HEALTH CENTER: PROVIDES COMPREHENSIVE COMMUNITY HEALTHCARE SERVICES TO UNINSURED AND UNDERINSURED RESIDENTS, INCLUDING MENTAL HEALTH SERVICES FOR PATIENTS WHOSE PHYSICAL ILLNESSES ARE COMPLICATED BY MENTAL HEALTH PROBLEMS. - GI SERVICES: UMCP OFFERS ACCESS TO SERVICES TO HELP DIAGNOSE AND TREAT CONDITIONS AND DISORDERS AFFECTING THE GASTROINTESTINAL SYSTEM. - INPATIENT HOSPICE: A UNIQUE PARTNERSHIP BETWEEN UMCP, PRINCETON HOMECARE AND VOLUNTEERS COMMITTED TO PROVIDING HIGHLY SKILLED AND COMPASSIONATE INPATIENT CARE FOR HOSPICE PATIENTS. - NUTRITION PROGRAM: PROVIDES ASSISTANCE TO INDIVIDUALS WHO WOULD LIKE TO LOSE WEIGHT OR IMPROVE THEIR HEALTH BY EATING BETTER. STAFFED BY REGISTERED DIETITIANS, OUR PROGRAM CAN PROVIDE KNOWLEDGEABLE NUTRITIONAL SUPPORT FOR THOSE WITH SPECIAL HEALTH CONDITIONS - CANCER, OBESITY, DIABETES, HYPERTENSION AND HEART DISEASE THAT CAN BE PREVENTED OR MANAGED THROUGH LIFESTYLE CHANGES AND HEALTHIER HABITS. - OUTPATIENT REHABILITATION: OFFERS THERAPEUTIC AND REHABILITATIVE SERVICES DESIGNED TO REDUCE DISCOMFORT OR PAIN CAUSED BY AN ILLNESS OR INJURY AND RESTORE FUNCTION. - PHARMACY SERVICES: PROVIDES PHARMACEUTICAL CARE TO PATIENTS THROUGHOUT PHCS AND IS OPEN 24 HOURS A DAY, 365 DAYS PER YEAR. - SLEEP CENTER: COMMITTED TO THE STUDY, DIAGNOSIS AND TREATMENT OF SLEEP-RELATED PROBLEMS, THE SLEEP CENTER OFFERS ADULTS AND CHILDREN EXPERT CARE FROM A EXPERIENCED, COMPASSIONATE TEAM OF PROFESSIONALS. THE UMCP SLEEP CENTER IS FULLY ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE ("AASM"), A PROFESSIONAL ORGANIZATION DEDICATED TO ASSURING QUALITY CARE FOR PATIENTS WITH SLEEP DISORDERS, ADVANCEMENT OF SLEEP RESEARCH, AND PUBLIC AND PROFESSIONAL EDUCATION. UMCP MAJOR ACHIEVEMENTS ----------------------- - THE CLINICAL CARE AT UMCP EARNED AN "A" IN PATIENT SAFETY IN SPRING 2018 FROM THE LEAPFROG GROUP, A NATIONAL NONPROFIT ORGANIZATION WORKING TO IMPROVE THE SAFETY, QUALITY AND AFFORDABILITY OF HEALTHCARE. THE TOP GRADE WAS AWARDED AS PART OF THE LEAPFROG GROUP'S HOSPITAL SAFETY GRADES, WHICH ARE CALCULATED AND PUBLISHED TWICE YEARLY BASED ON DATA RELATED TO PREVENTABLE MEDICAL ERRORS, INJURIES, ACCIDENTS AND INFECTIONS. - IN AUGUST 2018, U.S. NEWS & WORLD REPORT RECOGNIZED UMCP AS A BEST REGIONAL HOSPITAL IN CENTRAL NEW JERSEY AND RANKED UMCP AT NO. 10 IN NEW JERSEY. UMCP ALSO WAS RATED HIGH PERFORMING IN HIP REPLACEMENT, KNEE REPLACEMENT, HEART FAILURE AND COPD. - UMCP IS AMONG 477 HOSPITALS WORLDWIDE TO ACHIEVE MAGNET STATUS, THE HIGHEST INSTITUTIONAL RECOGNITION AVAILABLE FOR NURSING EXCELLENCE. LESS THAN 12 PERCENT OF THE NATION'S APPROXIMATELY 5,500 HOSPITAL HOLD MAGNET RECOGNITION, WHICH WAS DEVELOPED BY THE AMERICAN NURSES CREDENTIALING CENTER TO ACKNOWLEDGE SUPERIOR PATIENT CARE AND INNOVATIONS IN PROFESSIONAL NURSING PRACTICE. - INPATIENT SATISFACTION AT UMCP RANKS AT THE 97TH PERCENTILE IN 2017 AMONG 42 NEW JERSEY HOSPITALS THAT PARTICIPATE IN PATIENT EXPERIENCE SURVEYS ADMINISTERED BY PRESS GANEY. UMCP INPATIENT SATISFACTION HAS CONSISTENTLY RANKED AMONG THE BEST IN NEW JERSEY SINCE THE NEW HOSPITAL OPENED IN MAY 2012. - UMCP IS ONE OF ONLY 99 HOSPITALS IN NORTH AMERICA DESIGNATED AS AN EXEMPLAR HOSPITAL BY NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS), AN INTERNATIONAL PROGRAM THAT PROMOTES PATIENT-CENTERED CARE FOR OLDER ADULTS. - THE CANCER PROGRAM AT UMCP EARNED FULL, THREE-YEAR ACCREDITATION BY THE AMERICAN COLLEGE OF SURGEONS, COMMISION ON CANCER, WHICH IS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR PATIENTS WITH CANCER. ACCREDITATION RECOGNIZES PROGRAMS THAT PROVIDE COMPREHENSIVE, HIGH-QUALITY AND MULTIDISCIPLINARY PATIENT-CENTERED CARE. - THE JIM CRAIGIE CENTER FOR JOINT REPLACEMENT, LOCATED IN THE INSTITUTE FOR SURGICAL CARE AT UMCP, HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HIP AND KNEE REPLACEMENTS. THE SPECIAL CERTIFICATION WAS AWARDED FOLLOWING A RIGOROUS ON-SITE REVIEW ADDRESSING THREE CORE AREAS: COMPLIANCE WITH CONSENSUS-BASED STANDARDS; EFFECTIVE USE OF EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES TO MANAGE AND OPTIMIZE CARE; AND AN ORGANIZED APPROACH TO PERFORMANCE MEASUREMENT AND IMPROVEMENT ACTIVITIES. - THE ACUTE REHABILITATION UNIT AT UMCP HAS EARNED THREE-YEAR ACCREDITATION FROM CARF INTERNATIONAL, THE PREMIER ACCREDITING AGENCY FOR REHABILITATION PROGRAMS NATIONWIDE. ONLY 10 INPATIENT HOSPITAL PROGRAMS IN NEW JERSEY HOLD ACCREDITATION, WHICH IS EARNED ON THE RESULTS OF A RIGOROUS ON-SITE SURVEY. - UMCP IS ONE OF ONLY 17 NEW JERSEY HOSPITALS TO EARN QUALITY RESPIRATORY CARE RECOGNITION, WHICH IS PRESENTED BY THE AMERICAN ASSOCIATION FOR RESPIRATORY CARE ("AARC") TO HOSPITALS THAT MEET ADVANCED STANDARDS FOR QUALITY AND EFFICIENCY. - UMCP EARNED STATE DESIGNATION AS A COMMUNITY PERINATAL CENTER - INTENSIVE, ALLOWING FOR THE OPERATION OF A NEONATAL INTENSIVE CARE UNIT WITHIN THE CENTER FOR NEWBORN & MATERNAL CARE. THE CENTER IS NOW AUTHORIZED TO CARE FOR BABIES BORN AT 28 WEEKS (NINE WEEKS PREMATURE) WHO WEIGH AT LEAST ONE KILOGRAM. - THE CENTER FOR BARIATRIC SURGERY & METABOLIC MEDICINE AT UMCP IS DESIGNATED AN "ACCREDITED CENTER - COMPREHENSIVE" BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM ("MBSAQIP"). THE CENTER OFFERS THE LATEST SURGICAL WEIGHT-LOSS PROCEDURES, INCLUDING SLEEVE GASTRECTOMY AND GASTRIC BYPASS, FOR THE TREATMENT OF SEVERE OBESITY AND RELATED CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE, SLEEP APNEA AND INFERTILITY. - THE BRISTOL-MYERS SQUIBB COMMUNITY HEALTH CENTER PROVIDED 31,087 TOTAL PRIMARY AND SPECIALTY CARE VISITS IN 2017. THE CENTER PROVIDES COMPREHENSIVE MULTIDISCIPLINARY CARE TO OUR DIABETIC PATIENTS. WE ALSO PROVIDE FREE IMMUNIZATION TO OUR PEDIATRIC POPULATION UNDER THE VFC PROGRAM SUPPORTED BY NJIIS, AS WELL AS FREE BOOKS THROUGH OUR REACH OUT AND READ BOOK PROGRAM. - UMCP RECEIVED THE GET WITH THE GUIDELINES - STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION/STROKE ASSOCIATION FOR THE TREATMENT OF STROKE PATIENTS. OUR JOURNEY: BECOMING PART OF PENN MEDICINE ------------------------------------------- EFFECTIVE JANUARY 1, 2018, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE UNIVERSITY) AND PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ENTERED INTO AN AFFILIATION AGREEMENT WHEREBY THE TRUSTEES OF THE UNIVERSITY BECAME THE SOLE CORPORATE MEMBER OF PHCSH. NO CONSIDERATION WAS EXCHANGED FOR THE NET ASSETS CONTRIBUTED AND ACQUISITION COSTS ARE EXPENSED AS INCURRED. PROCESS ------- THREE YEARS AGO, PHCS BEGAN THE PLANNING PROCESS, WHICH WAS HEADED UP BY THE BOARD OF TRUSTEES, A THIRD OF WHOM ARE PHYSICIANS. THE BOARD STRATEGIC PLANNING COMMITTEE CONDUCTED A THOROUGH ANALYSIS OF HOW HEALTHCARE IS LIKELY TO BE DELIVERED IN THE FUTURE AND SHARED ALL ITS FINDINGS WITH THE BOARD. IT BECAME CLEAR THAT BECOMING PART OF ANOTHER STRONG SYSTEM WAS THE BEST WAY TO ENSURE THAT PHCS AND ITS AFFILIATES COULD BUILD ON OUR STRENGTH AND CONTINUE TO FULFILL OUR MISSION TO THE COMMUNITY WE HAVE SERVED SINCE 1919.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSDURING OUR SEARCH FOR A PARTNER, PHCS WAS GUIDED BY THESE PRINCIPLES: - ENSURE THAT THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE ARE MET THROUGH ACCESSIBLE, HIGH QUALITY, COORDINATED CARE AND SERVICE THAT IS REASONABLY PRICED. - BE A PREFERRED HEALTHCARE PROVIDER IN THE COMMUNITIES WE SERVE, BASED ON OUR CLINICAL OUTCOMES AND PATIENT SATISFACTION, BOTH OF WHICH MAKE PHCS IMPORTANT TO PATIENTS, EMPLOYERS, PHYSICIANS AND PAYERS. - OPERATE A FUTURE-FOCUSED, RESPONSIVE, INNOVATIVE, DATA-DRIVEN AND PATIENT HEALTH-FOCUSED ORGANIZATION. - PARTNER WITH PHYSICIANS IN A MANNER THAT ASSURES ALIGNMENT IN SERVICE TO OUR PATIENTS. THE BOARD OF TRUSTEES EVALUATED 17 OUTSTANDING POTENTIAL PARTNERS. ULTIMATELY, PENN MEDICINE WAS CHOSEN AS THE PREFERRED PARTNER DUE TO ITS HISTORY OF CLINICAL EXCELLENCE, INNOVATION, COMMITMENT TO PATIENTS, COMMUNITY, PHYSICIANS AND EMPLOYEES AND ITS FINANCIAL STRENGTH. ONCE PENN MEDICINE WAS IDENTIFIED, BOTH PHCS AND PENN MEDICINE UNDERTOOK A COMPREHENSIVE DUE DILIGENCE PROCESS SO THAT WE COULD BOTH BE CONFIDENT THAT EACH PARTY WAS CAPABLE OF FULFILLING THE COMMITMENTS WE EACH MADE IN THE AFFILIATION AGREEMENT. PRINCETON HOMECARE AND HOSPICE ------------------------------ PRINCETON HOMECARE PROVIDES COMPREHENSIVE IN-HOME NURSING AND REHABILITATION, HOSPICE CARE AND SUPPORT SERVICES TO PATIENTS IN MERCER, SOMERSET, MIDDLESEX AND HUNTERDON COUNTIES. OUR HOME HEALTH AIDES ARE AN INTEGRAL PART OF SERVICES PROVIDED TO PATIENTS, WITH 54 PERCENT OF AIDES WORKING WITH US FOR MORE THAN 10 YEARS. IN 2017, PRINCETON HOMECARE OUTPERFORMED ITS PEERS BY MAINTAINING A 30-DAY HOSPITAL READMISSION RATE OF 7.6 PERCENT AS COMPARED TO OUR NATIONAL PEER GROUP OF 12 PERCENT. THIS LOW RATE ILLUSTRATES OUR DEDICATION TO IMPROVING PATIENT HEALTH, ASSURING SAFE CARE AND REDUCING UNPLANNED HOSPITALIZATIONS FOR PATIENTS THROUGHOUT THE CONTINUUM OF CARE. TO KEEP PATIENTS SAFE IN THE HOME SETTING WITHOUT REHOSPITALIZATIONS, CLINICIANS TEACH SELF-MANAGEMENT SKILLS, PROVIDE SYMPTOM MANAGEMENT, ENCOURAGE AND FACILITATE EARLY PRACTITIONER FOLLOW-UP, AND PROVIDE MEDICATION MANAGEMENT AND EDUCATION. THE HOSPICE PROGRAM OF PRINCETON HOMECARE BECAME A REGIONAL PARTNER OF WE HONOR VETERANS IN 2017. THIS PROGRAM IS A PIONNERING CAMPAIGN DEVELOPED BY THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION IN COLLABORATION WITH THE DEPARTMENT OF VETERANS AFFAIRS. AS A WE HONOR VETERANS PARTNER, HOSPICE HAS IMPLEMENTED ONGOING VETERAN-CENTERED EDUCATION FOR STAFF TO HELP IMPROVE THE CARE PROVIDED TO VETERANS. PRINCETON HOUSE BEHAVIORAL HEALTH --------------------------------- PRINCETON HOUSE BEHAVIORAL HEALTH (PHBH) IS A LEADING PROVIDER OF HIGHLY SKILLED AND COMPASSIONATE BEHAVIORAL HEALTHCARE. PHBH OFFERS SPECIALIZED PROGRAMMING FOR ADULTS, ADOLESCENTS, TEEN GIRLS, YOUNG ADULTS, MEN, WOMEN AND SENIORS IN EIGHT INPATIENT AND OUTPATIENT LOCATIONS THROUGHOUT CENTRAL AND SOUTHERN NEW JERSEY. GROWTH IN BEHAVIORAL HEALTH SPACE AND SERVICES: PRINCETON HOUSE IS EXPANDING THREE OUTPATIENT SITES. IN MOORESTOWN, CONSTRUCTION OF AN ADDITIONAL 5,000 SQUARE FEET OF TREATMENT SPACE HAS BEEN APPROVED TO EXPAND CAPACITY FOR CHILD, ADOLESCENT AND WOMEN'S SERVICES. IN EATONTOWN, PLANS HAVE BEEN FINALIZED TO DOUBLE THE PHYSICAL SPACE, EXPANDING TO AN ADJACENT FLOOR TO ACCOMMODATE GROWTH IN DEMAND FOR SERVICES IN MONMOUTH COUNTY. PLANS ARE ALSO UNDER WAY TO EXPAND THE NORTH BRUNSWICK OUTPATIENT SITE, AS PROGRAMS HAVE BEEN OPERATING AT CAPACITY THERE, OFTEN WITH WAITING LISTS FOR ADMISSION. ON THE INPATIENT SIDE OF SERVICES, PRINCETON HOUSE HAS EXPERIENCED INCREASING DEMAND TO CARE FOR PATIENTS WITH PSYCHIATRIC, SUBSTANCE ABUSE AND MEDICAL CO-MORBID CONDITIONS, SOMETHING PRINCETON HOUSE IS UNIQUELY QUALIFIED TO DO. IN 2017, PHBH SUCCESSFULLY PETITIONED THE DEPARTMENT OF HEALTH TO RELICENSE 44 EXISTING BEDS TO TREAT PATIENTS WITH CO-OCCURRING DISORDERS. AFTER MINOR RENOVATIONS, IT IS ANTICIPATED THAT THE NEW ADMISSIONS CRITERIA WILL BE IMPLEMENTED IN THE SRING OF 2018. THIS WILL ENABLE PRINCETON HOUSE TO TREAT ADDITIONAL PATIENTS. CLINICAL TRAINING PROGRAMS EXPAND: PRINCETON HOUSE IS COMMITTED TO TRAINING THE CLINICAL PROFESSIONALS OF THE FUTURE AND IS A HIGHLY SOUGHT-AFTER PLACEMENT FOR PSYCHOLOGISTS, SOCIAL WORKERS AND COUNSELORS IN TRAINING. IN 2017, A NEW TWO-YEAR, POST-DOCTORAL TRAINING PROGRAM BEGAN, OFFERING INPATIENT AND OUTPATIENT EXPERIENCES FOR PSYCHOLGISTS. IN ADDITION, THE FOLLOWING INTERNSHIPS WERE GRANTED: - DOCTORAL CANDIDATES: FOUR PSYCHOLOGY INTERNS WERE CHOSEN FROM 98 APPLICANTS FROM 22 STATES, THE DISTRICT OF COLUMBIA AND BRITISH COLUMBIA, CANADA. - MASTER'S-LEVEL CLINICIANS: MORE THAN 25 INTERNED THROUGHOUT PRINCETON HOUSE INPATIENT AND OUTPATIENT SETTINGS IN 2017. PRINCETON HOUSE ALSO TAKES A LEADERSHIP ROLE IN EDUCATING PROVIDERS ACROSS THE REGION THROUGH PUBLIC GRAND ROUNDS, WHICH ARE INCREASINGLY IMPORTANT IN THE MIDST OF THE OPIOID EPIDEMIC. AFTER EDUCATING NURSES THROUGHOUT THE MEDICAL CENTER VIA ONLINE AND ON-UNIT TRAINING, UMCP WAS ABLE TO DOCUMENT A REDUCTION IN THE NUMBER OF PATIENTS WITH BEHAVIORAL HEALTH ISSUES REQUIRING ONE-ON-ONE SUPERVISION. THERE WAS AN INCREASE IN CONFIDENCE IN CARING FOR THE BEHAVIORAL HEALTH POPULATION AND AN INCREASE IN STAFF SATISFACTION. PHCS NURSES PRESENTED THIS PROJECT AS A POSTER SESSION AT THE ANCC NATIONAL MAGNET CONFERENCE, WHERE IT WAS RECOGNIZED AS A MAGNET EXEMPLAR PROJECT. CENTER FOR EATING DISORDERS CARE: IN 2017, THE CENTER FOR EATING DISORDERS CARE CARED FOR 289 PATIENTS FROM 37 STATES. THE PROGRAM, ONE OF THE ONLY INPATIENT EATING DISORDERS PROGRAMS IN THE UNITED STATES TO TREAT CHILDREN AS YOUNG AS 8, ALSO CREATED FULLY SEPARATE AND DISTINCT TREAMTMENT PROGRAMMING AND A SEPARATE PHYSICAL SPACE FOR PATIENTS YOUNGER THAN 18 YEARS OLD. FIRST RESPONDER TREATMENT SERVICES: SUICIDE RATES FOR ACTIVE DUTY AND RETIRED LAW ENFORCEMENT OFFICERS, FIREFIGHTERS, EMTS AND MILITARY PERSONNEL IN NEW JERSEY ARE ALARMING. IN 2017, PRINCETON HOUSE FIRST RESPONDER TREATMENT SERVICES LAUNCHED AN AWARENESS AND INTERVENTION TRAINING PROGRAM FOR NEWLY HIRED FIRST RESPONDERS - THE FIRST OF ITS KIND IN NEW JERSEY. MORE THAN 350 CORRECTION OFFICER RECRUITS WERE TRAINED USING A MODEL THAT REINFORCES PEER INTERVENTION AND HELPS TO DESTIGMATIZE ADDICTIONS AND MENTAL HEALTH ISSUES. ADMISSIONS FOR ACTIVE DUTY MILITARY PERSONNEL INCREASED SUBSTANTIALLY AT PRINCETON HOUSE IN 2017 AFTER SIGNING A MEMORANDUM OF UNDERSTANDING (MOU) WITH THE 87TH MEDICAL GROUP OF THE JOINT BASE MCGUIRE-DIX-LAKEHURST AND STARTING A RECIPROCAL EDUCATIONAL EXCHANGE BETWEEN THE TWO CLINICAL STAFFS. SERVICE MEMBERS REFERRED TO PRINCETON HOUSE INPATIENT TREATMENT TAKE ADVANTAGE OF FIRST RESPONDER TREATMENT SERVICES, WHILE THOSE REFERRED TO OUTPATIENT TREATMENT PARTICIPATE IN MENS TRAUMA OR WOMENS PROGRAM TRAUMA AND ADDICTION TRACKS. IN 2017, PHBH HAD 211 LAW ENFORCEMENT OFFICERS, FIREFIGHTERS, EMTS, MILITARY PERSONNEL AND VETERANS TAKE ADVANTAGE OF THE FIRST RESPONDER TREATMENT SERVICES. TWO YEARS AGO, PRINCETON HEALTHCARE SYSTEM COMPLETED A COMMUNITY NEEDS ASSESSMENT, WHICH SHOWED THAT MENTAL HEALTH AND SUBSTANCE USE ARE AMONG THE TOP CONCERNS OF OUR COMMUNITY. IN 2017, THE STATE OF NEW JERSEY ALSO ACKNOWLEDGED THIS PUBLIC CONCERN AND SOLICITED LICENSES FOR UP TO 854 INPATIENT BEDS FOR BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS, INCREASING THE CAPACITY TO CARE FOR 40 PERCENT MORE INPATIENTS STATEWIDE. PRINCETON HOUSE BEHAVIORAL HEALTH APPLIED FOR AND WAS APPROVED TO ADD 29 NEW BEDS AT OUR 905 HERRONTOWN ROAD, PRINCETON, LOCATION. WE ARE MAKING CHANGES TO ACCOMMODATE THE NEEDS OF INDIVIDUALS IMPACTED BY THE OPIOID EPIDEMIC. WE ARE ALSO CURRENTLY EVALUATING THE MERITS OF EXPANDING OUR INPATIENT SERVICES. OUR OUTPATIENT PROGRAMS ARE OPERATING AT A CLOSE-TO-FULL CAPACITY, SO WE KNOW THAT THE EXPANSION OF OUR OUTPATIENT CENTERS WILL BE WELCOMMED BY OUR PATIENTS AND BY REFERRING PROVIDERS IN THE COMMUNITY. BEHAVIORAL HEALTH EMERGENCY DEPARTMENT: SINCE THE OPENING OF UMCP'S NEW FACILITY IN 2012, THE BEHAVIORAL HEALTH CENTER FOR EMERGENCY CARE (BHED), A DISCRETE SIX-BED SECURE UNIT ATTACHED TO THE MAIN CENTER FOR EMERGENCY CARE, HAS TREATED INCREASING NUMBERS OF PATIENTS EACH YEAR. IN 2017, 2,922 PATIENTS WERE SEEN AS THE BHED, WITH ABOUT 33 PERCENT OF THOSE REFERRED TO PRINCETON HOUSE'S INPATIENT SERVICE. THE UMCP MODEL IS AMONG A RELATIVELY FEW BHEDS STATEWIDE, AND DEMAND IS HIGH.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCOMMUNITY ACTIVITIES AND PROGRAMS ================================= THE PHCS COMMUNITY EDUCATION & OUTREACH PROGRAM IS ANOTHER EXAMPLE OF HOW PHCS IS REDEFINING CARE BY OFFERING A DYNAMIC CURRICULUM OF INNOVATIVE HEALTH AND LIFESTYLE-RELATED PROGRAMMING, SCREENINGS AND SUPPORT AT LITTLE OR NO COST TO THE COMMUNITIES WE SERVE. PHCS IS DEDICATED TO PROMOTING HEALTHY LIVING AT EVERY STAGE OF LIFE AND TO ENHANCING QUALITY OF LIFE BY ADDRESSING THE UNIQUE NEEDS OF WOMEN, MEN, SENIORS, CHILDREN, ADOLESCENTS AND DIVERSE POPULATIONS. PROGRAMS ARE DEVELOPED AND FACILITATED BY THE OUTSTANDING PHYSICIANS, NURSES AND HEALTH PROFESSIONALS OF PHCS. WE ALSO WORK CLOSELY WITH LEADING HEALTH ORGANIZATIONS. 2015 COMMUNITY NEEDS ASSESSMENT ------------------------------- PRINCETON HEALTHCARE SYSTEM AFFIRMS ITS COMMITMENT TO THE COMMUNITY BY WAY OF A DYNAMIC CURRICULUM AND INNOVATIVE HEALTH AND LIFESTYLE-RELATED SERVICES OFFERED THROUGH ITS COMMUNITY EDUCATION AND OUTREACH PROGRAM. TO ENSURE THAT THESE ACTIVITIES ARE MEETING THE HEALTH NEEDS IN THE COMMUNITY, PRINCETON HEALTHCARE SYSTEM CONDUCTED A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT. THE REPORTS PROVIDE AN OVERVIEW OF THE KEY FINDINGS OF THE COMMUNITY HEALTH ASSESSMENT, WHICH EXPLORES A RANGE OF HEALTH BEHAVIORS AND OUTCOMES, SOCIAL AND ECONOMIC ISSUES, HEALTH CARE ACCESS, AND GAPS AND STRENGTHS OF EXISTING RESOURCES AND SERVICES WITH A PRIMARY FOCUS ON PRINCETON HEALTHCARE SYSTEM AS A WHOLE. THE COMMUNITY HEALTH ASSESSMENT UTILIZED A PARTICULARLY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. THE ASSESSMENT PROCESS INCLUDED SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC AND HEALTH INDICATORS IN THE REGION AS WELL AS INFORMATION FROM FOCUS GROUPS CONDUCTED WITH COMMUNITY RESIDENTS, INTERVIEWS WITH COMMUNITY STAKEHOLDERS, AND AN ONLINE SURVEY EXAMINING LARGER EXTERNAL FACTORS THAT AFFECT HEALTH. PROVIDER TAXES -------------- ALL NEW JERSEY ACUTE CARE HOSPITALS ARE REQUIRED TO PAY A PERCENTAGE OF THEIR TOTAL OPERATING REVENUE TO THE DEPARTMENT OF HEALTH FOR DEPOSIT INTO THE HEALTH CARE SUBSIDY FUND. WE ALSO PAY THE STATE OF NEW JERSEY AN ADJUSTED ADMISSION FEE. IN 2017 PHCS PAID A TOTAL OF $2,541,086 TO THE STATE OF NEW JERSEY FOR THESE ASSESSMENTS. ASSISTANCE PROVIDED TO PATIENTS WITHOUT INSURANCE ------------------------------------------------- PHCS PROVIDES EMERGENT CARE IRRESPECTIVE OF A PATIENT'S ABILITY TO PAY. OFTEN PATIENTS REQUIRE FOLLOW-UP CARE AFTER HOSPITALIZATION AND ENCOUNTER DISPOSITION/ACCESS PROBLEMS BECAUSE OF NO INSURANCE COVERAGE. PHCS OFTEN PAYS FOR THESE NEEDED SERVICES. IN 2017 PHCS PAID OTHER HEALTHCARE PROVIDERS $23,000 FOR SUCH SERVICES UNTIL ALTERNATIVE COVERAGE COULD BE OBTAINED OR CARE WAS NO LONGER INDICATED. MEDICAL EDUCATION ----------------- PHCS HAS A LONGSTANDING RELATIONSHIP WITH THE RUTGERS ROBERT WOOD JOHNSON MEDICAL SCHOOL TO PROVIDE TRAINING FOR MEDICAL RESIDENTS AND STUDENTS. PHCS TRAINED THE EQUIVALENT OF 38 FULL-TIME MEDICAL AND SURGICAL RESIDENTS. THE DIRECT COSTS ASSOCIATED WITH THESE PROGRAMS IN 2017 APPROXIMATED $11 MILLION DOLLARS, WHICH WAS PARTIALLY OFFSET BY MEDICARE AND MEDICAID FUNDS OF $2 MILLION DOLLARS, RESULTING IN A SHORTFALL OF $9 MILLION DOLLARS. ALSO, PHCS IS ACTIVELY INVOLVED IN THE TRAINING OF APPROXIMATELY 50 MEDICAL STUDENTS A YEAR FOR WHICH IT RECEIVES NO REIMBURSEMENT. PHCS IS ALSO COMMITTED TO SUPPORT THE EDUCATION AND TRAINING OF NURSING STUDENTS. PHCS HAS LONGSTANDING AFFILIATION AGREEMENTS WITH THE COLLEGE OF NEW JERSEY, RUTGERS UNIVERSITY, MERCER COUNTY COMMUNITY COLLEGE, DREXEL UNIVERSITY AND ST. FRANCIS SCHOOL OF NURSING TO PROVIDE TRAINING EXPERIENCES FOR THEIR NURSING STUDENTS. CHARITY CARE ------------ PHCS PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH ("DOH") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE PHCS DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE FULL COSTS (LESS SOME MINOR PAYMENTS) ASSOCIATED TO PROVIDE CHARITY CARE APPROXIMATED $8.4 MILLION. DOH CHARITY CARE GUIDELINES REQUIRE PARTICIPATION AND SPECIFIC DOCUMENTATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. MANAGEMENT BELIEVES THAT THE PRESENT CHARITY CARE GUIDELINES UNDERSTATE PHCS' CHARITY CARE AMOUNTS AND OVERSTATE THE LEVEL OF BAD DEBTS REPORTED, BECAUSE OF THE DIFFICULTIES INVOLVED WITH OBTAINING PATIENT PARTICIPATION AND SPECIFIC DOCUMENTATION. THE NEW JERSEY HEALTH CARE SUBSIDY FUND ("HCSF") WAS ESTABLISHED FOR VARIOUS PURPOSES INCLUDING THE DISTRIBUTION OF CHARITY CARE PAYMENTS TO HOSPITALS STATEWIDE. IN 2017, PHCS RECEIVED SUBSIDY AMOUNTS OF $384,000 WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE STATE OF NEW JERSEY HAS ESTABLISHED A MENTAL HEALTH SUBSIDY FUND TO PAY FOR SPECIFIC BEHAVIORAL HEALTH SERVICES. SINCE INCEPTION, PHCS RECEIVED $1.26 MILLION FOR THIS PROGRAM. THE STATE CREATED THE FUND IN RECOGNITION OF THE NEED TO SUPPORT SHORT TERM CARE FACILITY ("STCF") AND CHILD COMMUNITY INPATIENT SERVICES ("CCIS") BEDS. THIS FUND IS NOT SPECIFICALLY TARGETED TO UNDERFUNDING RELATED TO CHARITY CARE AND MEDICAID PATIENTS BUT FOR ALL PATIENTS IN NEED OF THESE SERVICES. APPROXIMATELY 57 PERCENT OF PRINCETON HOUSE'S STCF DAYS ARE CHARITY CARE OR MEDICAID. GOVERNMENTAL SHORTFALLS ----------------------- PHCS PARTICIPATES WITH MOST GOVERNMENTAL PROGRAMS INCLUDING, BUT NOT LIMITED TO, MEDICARE AND MEDICAID. IN 2017 PHCS RECEIVED APPROXIMATELY $104.3 MILLION FROM THE MEDICARE PROGRAM. THE COSTS ASSOCIATED WITH THESE REVENUES IN ACCORDANCE WITH MEDICARE RULES AND REPORTED ON THE MEDICARE COST REPORT WAS $132.3 MILLION, RESULTING IN A SHORTFALL OF $28 MILLION. IN 2017, PHCS RECEIVED APPROXIMATELY $36.1 MILLION FROM THE MEDICAID AND MEDICAID MANAGED CARE PROGRAMS. THE COSTS ASSOCIATED WITH THESE REVENUES IN ACCORDANCE WITH MEDICARE RULES WERE $50.7 MILLION, RESULTING IN A SHORTFALL OF $14.6 MILLION. COMMUNITY HEALTH & VOLUNTEERISM ------------------------------- IN 2017, PHCS COMMUNITY EDUCATION & OUTREACH HOSTED OR PARTICIPATED IN 2,000 COMMUNITY PROGRAMS, INCLUDING SCREENINGS, CLASSES AND HEALTH FAIRS THAT REACHED MORE THAN 41,000 AREA RESIDENTS, A 3% INCREASE OVER 2016. AMONG THE PROGRAMS WERE 82 FREE HEALTH FAIRS AND SCREENINGS THAT OFFERED COMMUNITY MEMBERS BLOOD PRESSURE, GLUCOSE, CHOLESTEROL AND OTHER TESTING, AS WELL AS THE OPPORTUNITY TO SPEAK WITH PHCS PHYSICIANS AND HEALTH PROFESSIONALS. PHCS INSTRUCTORS PROVIDED 693 CPR AND FIRST AID CLASSES. PHCS ALSO HELD 73 EVENTS AT AREA SENIOR CENTERS AND ACTIVE ADULT COMMUNITIES, SERVING 2,366 SENIORS. PHCS CONTINUED ITS PROGRAMS FOR EMTS IN 2017. A TOTAL OF 232 ASPIRING EMTS COMPLETED THEIR OBSERVATION HOURS IN THE CENTER FOR EMERGENCY CARE AT UMCP. IN ADDITION, 133 EMTS ATTENDED CONTINUING EDUCATION CLASSES ON TOPICS SUCH AS BURN INJURIES, ELDER ABUSE AND MENTAL HEALTH FIRST AID TRAINING. IN 2017, A TOTAL OF 749 VOLUNTEERS SERVED PHCS, DONATING A COMBINED 70,000 HOURS. THE ANIMAL ASSISTED ACTIVITIES PROGRAM - SOMETIMES REFERRED TO AS PET THERAPY - CONTINUED ITS GREAT WORK THROUGHOUT THE HEALTH SYSTEM. PETTING A DOG RELEASES GOOD DE-STRESSING BRAIN CHEMICALS AND BRINGS SMILES TO MANY PEOPLE. THE TEAMS TRAVELED TO THE CANCER INFUSION CENTER, THE CLINIC, THE CENTER FOR EATING DISORDERS CARE AND VARIOUS NURSING FLOORS. OTHER TEAMS WORKED CLOSELY WITH THERAPISTS AT PRINCETON HOUSE BEHAVIORAL HEALTH IN A PROGRAM CALLED ANIMAL-ASSISTED INTERVENTION (AAI). THE INITIATIVE INTRODUCES DOGS TO CERTAIN THERAPY PROGRAMS TO HELP INDIVIDUALS WHO HAVE DIFFICULTY EXPRESSING THEIR FEELINGS. THIS YEAR THE PROGRAM ADDED FIVE NEW DOGS AND FIVE NEW DOGHANDLERS, BRINGING THE PROGRAM'S TOTAL TO 19 DOG TEAMS - SERVING APPROXIMATELY 1,000 HOURS. IN 2017, 12 COLLEGE-AGED VOLUNTEERS PARTICIPATED IN PHCS' PRE-HEALTH PROFESSIONALS PROGRAM, A 10-WEEK SUMMER PROGRAM FOR COLLEGE STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS. STUDENTS VOLUNTEERED IN VARIOUS CLINICAL UNITS AND IN THE CENTER FOR EMERGENCY CARE. THE GUEST RELATIONS PROGRAM EXPANDED IN 2017, ADDING 10 NEW VOLUNTEERS TO GREET GUESTS AND ASSIST WITH PATIENT WAYFINDING AT UMCP. BY YEAR'S END, A TOTAL OF 63 VOLUNTEERS WERE PARTICIPATING IN THE PROGRAM.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPHCS' AWARD-WINNING SERIES OF ONLINE CHATS, CALLED PRINCETON HEALTH ON DEMAND (ON THE VIDEO STREAMING NETWORK USTREAM), CONTINUED IN 2017 WITH 13 BROADCASTS ON TOPICS INCLUDING DIABETES, WOMEN AND DRINKING, TREATMENTS FOR LIVER CANCER, COMMON FOOT AND ANKLE PROBLEMS AND FALL PREVENTION. THE ONLINE FORMAT PROVIDES PARTICIPANTS WITH THE OPPORTUNITY TO VIEW A HEALTH LECTURE FROM THE COMFORT AND PRIVACY OF THEIR OWN HOME. PRINCETON HEALTH'S ONDEMAND CHANNEL DREW 2,306 VIEWERS IN 2017. PRINCETON HEALTH CAMPUS UPDATE ------------------------------ THIS YEAR, PHCS CLOSED ON THE SALE OF A 38-ACRE PARCEL OF LAND ON THE HOSPITAL CAMPUS. THE COMPANY THAT BOUGHT IT WILL DEVELOP AN INDEPENDENT LIVING COMMUNITY DESIGNED FOR PEOPLE 55 YEARS AND OLDER. A TOTAL OF 45 TOWNHOMES AND 260 RENTAL APARTMENTS WILL BE BUILT, RANGING FROM STUDIOS TO THREE-BEDROOM UNITS. THE DEVELOPMENT INCLUDES MULTIPLE DINING VENUES, A SPA AND OUTDOOR RECREATION AREAS. THE DEVELOPERS BROKE GROUND IN THE FALL AND ANTICIPATE COMPLETING THE PROJECT IN APPROXIMATELY TWO YEARS. DEVELOPERS OF THE ASSISTED LIVING, ADULT DAY CARE AND CHILD CARE FACILITIES COMPLETED THE CONSTRUCTION OF A SHARED STORM-WATER MANAGEMENT SYSTEM AND THE EXTENSION OF A SHARED UTILITY NETWORK. IN ADDITION, PHCS PLANS TO BUILD A HELIPAD ON THE WEST SIDE OF THE PATIENT TOWER, PROVIDING EASY ACCESS TO THE CENTER FOR EMERGENCY CARE FOR EMERGENCY PATIENT TRANSFERS TO AND FROM THE HOSPITAL CAMPUS. THE HELIPAD TRANSPORT WILL BE OPERATED AND MANAGED BY PENNSTAR, A PROGRAM OFFERED BY PENN MEDICINE. DESIGN IS UNDER WAY, WITH CONSTRUCTION EXPECTED TO START BY SUMMER OF 2018 AND COMPLETED BY FALL OF 2018. NEW CENTER FOR DIGESTIVE HEALTH ------------------------------- UMCP HAS OPENED THE CENTER FOR DIGESTIVE HEALTH, GIVING PATIENTS STREMLINED ACCESS TO HIGH-QUALITY, COORDINATED DIAGNOSIS AND TREATMENT OF DISEASES INVOLVING THE DIGESTIVE SYSTEM - INCLUDING THE STOMACH, ESOPHAGUS, LARGE INTESTINE, COLON, LIVER, GALLBLADDER AND PANCREAS. THE NEW CENTER IS LED BY TWO BOARD CERTIFIED GASTROENTEROLOGISTS AND PROVIDES A NURSE NAVIGATOR, WHO WORKS WITH EACH PATIENT AND COORDINATES CARE WITH OTHER DEPARTMENTS THROUGHOUT UMCP AND PHCS. ORTHOPAEDICS PROGRAM ADDS ROBOTIC TECHNOLOGY -------------------------------------------- THIS YEAR, OUR ORTHOPAEDICS PROGRAM PURCHASED A STRYKER MAKO ROBOTIC SYSTEM. THIS INNOVATIVE ROBOTIC TECHNOLOGY IS DESIGNED TO INCREASE ACCURACY IN ALIGNING AND PLACING IMPLANTS. THE SYSTEM ASSISTS SURGEONS BY CREATING A 3-D MODEL OF THE PATIENT'S ANATOMY, ENABLING SURGEONS TO DEVELOP A PRE-SURGICAL PLAN THAT CUSTOMIZES IMPLANT SIZE, POSITIONING AND ALIGNMENT SPECIFICALLY FOR EACH PATIENT. IT ALSO PROVIDES ASSISTIVE TECHNOLOGY TO HELP THE SURGEON ENSURE ACCURACY AS HE OR SHE COMPLETES THE SURGICAL PROCEDURE. THE ROBOT IS ONE COMPONENT OF OUR COMPREHENSIVE TOTAL JOINT REPLACEMENT PROGRAM. PELVIC WELLNESS --------------- THE CENTER FOR PELVIC WELLNESS CONTINUES TO GROW AND EXPAND ITS SERVICES. THE CENTER TREATS BLADDER, PELVIC SUPPORT AND BOWEL DISORDERS, AS WELL AS POSTPARTUM COMPLICATIONS AND ISSUES WITH SEXUAL DYSFUNCTION. SINCE ITS OPENING IN DECEMBER 2016, THE CENTER HAS ADDED THREE PELVIC FLOOR PHYSICAL THERAPISTS, TWO NURSE NAVIGATORS AND A DIETITIAN. OVERALL, PATIENT SATISFACTION SCORES CONSISTENTLY RANK IN THE 99TH PERCENTILE, PER PRESS GANEY. TELENEUROLOGY PARTNERSHIP HELPS STROKE PATIENTS ----------------------------------------------- SINCE THE SPRING, STAFF MEMBERS IN UMCP'S CENTER FOR EMERGENCY CARE HAVE BEEN ABLE TO TELECONFERENCE WITH A PENN MEDICINE NEUROLOGIST. CALLED "TELENEUROLOGY," THIS INNOVATIVE VIDEO CONFERENCING HAS ALLOWED FOR FASTER DIAGNOSES FOR STROKE PATIENTS, ACCELERATING THE DECISION-MAKING AT A TIME WHEN EVERY SECOND COUNTS. THIS IS ESPECIALLY IMPORTANT WHEN CLOT-BUSTING MEDICATIONS SUCH AS TISSUE PLASMINOGEN ACTIVATOR (TPA) ARE NEED QUICKLY. TELENEUROLOGY IS AVAILABLE ON EVENINGS AND WEEKENDS. IN-HOUSE NEUROLOGISTS PROVIDE THESE SERVICES AT OTHER TIMES. VIDEO MONITORING PROMOTES PATIENT SAFETY ---------------------------------------- AT UMCP, PATIENT SAFETY AND PRIVACY ARE AMONG OUR HIGHEST PRIORITIES. UMCP HAS PURCHASED 10 PATIENT VIDEO MONITORS (PVMS) TO HELP ENSURE PATIENTS WHO ARE AT GREATER RISK FOR FALLS ARE SAFE WHEN THEY ARE ALONE IN THEIR ROOM. EACH MOBILE MONITOR HAS A VIDEO CAMERA AND TWO-WAY AUDIO DEVICE, WHICH ALLOWS A TRAINED STAFF MEMBER TO SEE AND SPEAK TO THE PATIENT FROM A CENTRAL LOCATION IN THE HOSPITAL 24/7. FOR EXAMPLE, IF THE PATIENT IS TRYING TO GET UP OUT OF BED, THE STAFF MEMBER WILL ASK THE PATIENT TO STAY IN BED UNTIL HELP CAN ARRIVE. A "PRIVACY MODE" CAN BE ENABLED UNDER CERTAIN CIRCUMSTANCES, SUCH AS BATHING. NOTHING IS RECORDED, AND THE ONLY TIME THE MONITOR TECH CAN HEAR A CONVERSATION IS WHEN THEY TALK TO THE PATIENT OVER THE SPEAKER. THE PATIENT CHOOSES WHETHER TO USE THE PVM. MEDS-TO-BEDS PROVIDES MEDICATION CLARITY ---------------------------------------- THE OUTPATIENT PHARMACY INTRODUCED THE MEDS-TO-BEDS PROGRAM, AN INITIATIVE DESIGNED TO ENSURE GREATER MEDICATION SAFETY FOR PATIENTS BEING DISCHARGED FROM THE HOSPITAL. UMCP CAN NOW FILL PATIENTS DISCHARGE PRESCRIPTIONS BEFORE THEY LEAVE THE HOSPITAL AND DELIVER THEM STRAIGHT TO THEIR BEDSIDE. THIS NEW SERVICE ENSURES PATIENTS ARE GIVEN THE PROPER MEDICATIONS AND RECEIVE DOSING INSTRUCTIONS FROM THEIR NURSE OR CARE TEAM MEMBER. THIS IS ESPECIALLY CONVENIENT FOR THOSE WHO MIGHT HAVE TROUBLE ACCESSING A PHARMACY TO FILL THEIR PRESCRIPTIONS WHEN RETURNING HOME. GOLF THERAPY ------------ AFTER AN INJURY, ILLNESS OR SURGERY, MANY GOLFERS REQUIRE SPECIALIZED PHYSICAL REHABILITATION TO HELP THEM REDUCE PAIN AND PREVENT FURTHER INJURY. THIS YEAR UMCP INTRODUCED AN INNOVATIVE GOLF REHABILITATION PROGRAM, LED BY A PHYSICAL THERAPIST WHO HOLDS A MEDICAL LEVEL 3 TITLEIST PERFORMANCE INSTITUTE CERTIFICATION. EACH GOLFER UNDERGOES A COMPREHENSIVE PHYSICAL THERAPY EXAMINATION AND IS THEN FITTED WITH WEARABLE TECHNOLOGY - CALLED A K-VEST - WHICH PRECISELY MEASURES THEIR BODY MOTION TO HELP CORRECT POOR TECHNIQUE, OPTIMIZE MOTION AND DECREASE STRESSES ON THE BODY DURING THE SWING AND FOLLOW-THROUGH. THE GOLF REHABILITATION PROGRAM IS CONVENIENTLY LOCATED AT THE PRINCETON FITNESS AND WELLNESS CENTER IN PLAINSBORO. ANTIMICROBIAL STEWARDSHIP PROGRAM --------------------------------- UMCPS DEPARTMENT OF PHARMACY SERVICES RECENTLY LAUNCHED AN ANTIMICROBIAL STEWARDSHIP PROGRAM TO HELP PROMOTE THE APPROPRIATE USE OF ANTIMICROBIALS (INCLUDING ANTIBIOTICS) THAT ARE USED TO TREAT INFECTIONS SUCH AS VIRUSES, BACTERIA AND FUNGI. PROGRAMS TO MANAGE ANTIMICROBIAL AGENTS HAVE BEEN SHOWN TO IMPROVE THE QUALITY OF PATIENT CARE AND PATIENT SAFETY BY INCREASING INFECTION CURE RATES AND REDUCING HOSPITAL-ACQUIRED INFECTIONS. THROUGH THE PROGRAM, THE DEPARTMENT REGULARLY REVIEWS THE BROAD-SPECTRUM ANTIBIOTICS THAT ARE BEING PRESCRIBED FOR ADULT PATIENTS AND MAKES RECOMMENDATIONS TO PRESCRIBING PHYSICIANS FOR OPTIMIZING THEIR USE, INCLUDING DOSING, DURATION OF THERAPY AND HOW THEY ARE ADMINISTERED. ADVANCED CANCER CARE -------------------- UMCP IS ONE OF A FEW HOSPITALS IN THE STATE OFFERING AN INNOVATIVE FDA-APPROVED TREATMENT THAT IS HELPING TO SIGNIFICANTLY IMPROVE THE LIVES OF PATIENTS WITH LIVER CANCER, INCLUDING THOSE WITH ADVANCED CANCER AND LIMITED TREATMENT OPTIONS. THE NEW TREATMENT, CALLED RADIOEMBOLIZATION, HELPS PRECISELY TARGET AND KILL CANCEROUS TISSUE BY USING MICROSCOPIC RADIOACTIVE BEADS TO CUT OFF THE BLOOD SUPPLY TO THE TUMOR. THIS APPROACH ALSO HELPS MINIMIZE DAMAGE TO SURROUNDING HEALTHY TISSUE. THE TREATMENT IS USED FOR INDIVIDUALS WITH PRIMARY LIVER CANCER AND CANCERS THAT HAVE SPREAD FROM THE COLON OR BREAST TO THE LIVER. IT IS VERY WELL TOLERATED, WITH MOST PATIENTS RETURNING HOME THE NEXT DAY. INNOVATIVE VIRTUAL DEMENTIA TOUR -------------------------------- IMAGINE YOUR SENSES DULLED, YOUR BALANCE THROWN OFF, YOUR WORLD THROWN INTO A STATE OF CONFUSION. THESE ARE THE CHALLENGES FACED BY PEOPLE WITH DEMENTIA. TO HELP BETTER UNDERSTAND HOW PATIENTS WITH DEMENTIA EXPERIENCE LIFE, UMCP STAFF TOOK PART IN AN INNOVATIVE TRAINING SIMULATION CALLED THE VIRTUAL DEMENTIA TOUR, OR VDT. THE GOAL IS TO PROVIDE STAFF WITH NEW INSIGHTS ON HOW TO BEST COMMUNICATE WITH, AND PROVIDE CARE FOR, THESE PATIENTS. THIS HUMBLING AND ENLIGHTENING EXERCISE ASKS PARTICIPANTS TO COMPLETE A SERIES OF RELATIVELY SIMPLE TASKS WHILE OUTFITTED IN WAYS THAT MAXIMIZE DISTRACTIONS AND UNDERMINE THEIR SENSES: WEARING THICK GLOVES TO INHIBIT DEXTERITY, ROUGH INSOLES TO IRRITATE THEIR FEET, GLASSES THAT RESTRICT THEIR VISION AND HEADPHONES THAT DISTRACT THEM WITH CONSTANT NOISES. TO DATE, OVER 100 STAFF MEMBERS HAVE EXPERIENCED THE VDT SIMULATION AND GAINED PERSONAL INSIGHT AND EMPATHY INTO HOW PATIENTS WITH DEMENTIA EXPERIENCE OUR EVERYDAY WORLD.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCENTER FOR EMERGENCY CARE REDUCES WAIT TIMES -------------------------------------------- THE STAFF IN THE CENTER FOR EMERGENCY CARE HAS IMPLEMENTED AN IMPORTANT INITIATIVE TO DELIVER EFFECTIVE CARE TO PATIENTS EVEN MORE QUICKLY. A NEW TWO-TIER TRIAGE PROCESS ALLOWS ALL PATIENTS TO BE TRIAGED BY A REGISTERED NURSE WITHIN MINUTES OF ARRIVAL. PATIENTS WHO ARE IDENTIFIED AS HAVING A HIGH-RISK COMPLAINT, SUCH AS SUSPECTED HEART ATTACK, ARE EXPEDITED TO AN AVAILABLE ROOM BEFORE COMPLETING THE TRIAGE. MOST PATIENTS WHO DO NOT NEED TO BE ADMITTED TO THE HOSPITAL ARE DISCHARGED FROM THE CENTER FOR EMERGENCY CARE WITHIN THREE HOURS OF ARRIVING THERE. OVER THE PAST YEAR, THE CENTER FOR EMERGENCY CARE HAS REDUCED THE AVERAGE LENGTH OF STAY FOR THESE DISCHARGED PATIENTS BY ALMOST 30 MINUTES. FASTER TURNAROUND TIMES FOR LAB AND RADIOLOGY RESULTS HAVE CONTRIBUTED TO GREATER EFFICIENCY IN THE DELIVERY OF EMERGENCY CARE AT UMCP. ENHANCED EMERGENCY SERVICES FOR CHILDREN ---------------------------------------- CHILDREN AND THEIR FAMILIES HAVE ACCESS TO WORD-CLASS PEDIATRIC CARE THROUGH UMCPS LONG-STANDING PARTNERSHIP WITH CHILDRENS HOSPITAL OF PHILADELPHIA (CHOP). THROUGH THIS PARTNERSHIP, PEDIATRICIANS FROM CHOP ARE ON-SITE 24/7 AT UMCP TO PROVIDE INPATIENT PEDIATRIC CARE AND CONSULT ON PEDIATRIC PATIENTS WHO VISIT THE CENTER FOR EMERGENCY CARE. IN ADDITION, BOARD CERTIFIED NEONATALOGISTS PROVIDE NEONATAL CARE. TO PROVIDE CHILDREN AND PARENTS EVEN MORE TIMELY AND CONVENIENT ACCESS TO WORLD-CLASS CARE, A PEDIATRICIAN FROM CHOP IS ON-SITE IN THE CENTER FOR EMERGENCY CARE EVERY DAY FROM 2 TO 10 P.M., DURING THE HOURS WHEN CHILDREN MOST FREQUENTLY VISIT. A PEDIATRICIAN FROM CHOP WILL CONTINUE TO BE IN THE HOSPITAL AT ALL OTHER TIMES, EASILY ACCESSIBLE FOR CONSULTATIONS ON PEDIATRIC EMERGENCIES.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ("HOLDING") IS THE SOLE MEMBER OF THIS ORGANIZATION. HOLDING HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11BPRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). PHCS' AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM AND PERFORMED A DETAILED REVIEW OF THIS FORM 990 AT ITS OCTOBER MEEETING. AS PART OF THE FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEMS FINANCE PERSONNEL AND OTHER SYSTEM INDIVIDUALS INCLUDING, BUT NOT LIMITED TO, ITS SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF FINANCE ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR REVIEW. THE SYSTEM'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE SYSTEM'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND BEFORE FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES FROM THE ORGANIZATION'S BOARD OF TRUSTEES ARE RETURNED TO THE ASSISTANT SECRETARY OF THE BOARD. THE COMPLETED QUESTIONNAIRES FOR PHCS' OFFICERS AND SENIOR MANAGEMENT ARE RETURNED TO PHCS' VICE PRESIDENT OF CORPORATE COMPLIANCE AND REGULATORY AFFAIRS WHO REVIEWS THE COMPLETED QUESTIONAIRES FOR POTENTIAL CONFLICTS OF INTEREST. THEREAFTER, ANY CONFLICTS OF INTEREST FOR BOARD OF TRUSTEE MEMBERS AND MEMBERS OF SENIOR MANAGEMENT ARE REPORTED TO PHCS' GOVERNANCE COMMITTEE AND CORPORATE COMPLIANCE COMMITTEE; RESPECTIVELY, FOR REVIEW, DISCUSSION AND IMPLEMENTATION OF ANY NECESSARY MITIGATING BEHAVIOR.
CORE FORM, PART VI, SECTION B; QUESTION 15PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION'S ("PHCS") BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF PHCS' SENIOR MANAGEMENT INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE PHCS TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHOM ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, NUMBER OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM PHCS' HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY PHCS. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPTARTMENT OF TREASURY.
CORE FORM, PART VII AND SCHEDULE JCORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN BPRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF trustee MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990, MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - EQUITY TRANSFER TO PRINCETON MEDICAL PROPERTIES, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(2) TAX-EXEMPT ORGANIZATION - ($3,088); - FORGIVENESS OF DEBT (PRINCETON HEALTHCARE AFFILIATED PHYSICIANS D/B/A PRINCETON MEDICINE); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($8,794,918); - CHANGE IN MINIMUM PENSION LIABILITY - $5,800,232; - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($440,370); AND - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $8,100.
CORE FORM, PART XII; QUESTION 2PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2017 AND DECEMBER 31, 2016; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. PHCS' AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PRINCETON HEALTHCARE SYSTEM FDN INC
ONE PLAINSBORO ROADPLAINSBORONJ08536222225911SUPPORT PHCSNJ501(C)(3)509(A)(1)PHCS HOLDINGfalse
PRINCETON HLTHCARE SYSTEM HOLDING INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223493256HOLDING CO.NJ501(C)(3)509(A)(3)nafalse
PRINCETON MEDICAL PROPERTIES INC
ONE PLAINSBORO ROADPLAINSBORONJ08536220022702REAL ESTATENJ501(C)(2)N/APHCS HOLDINGfalse
PRINCETON CAREGIVERS INC
ONE PLAINSBORO ROADPLAINSBORONJ08536222842773HOMECARE SVCSNJ501(C)(3)HOSPITALPHCS HOLDINGfalse
PRINCETON HEALTHCARE AFFILIATED PHYS PC
ONE PLAINSBORO ROADPLAINSBORONJ08536264203938HLTHCARE SVCSNJ501(C)(3)509(A)(2)PHCSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PRINCETON HEALTH INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223450093MEDICALNJNAC CORP.false
PRINCETON HEALTHCARE MGMT SVCS INC
4 PRINCESS ROADLAWRENCEVILLENJ08648223377256MEDICAL BILLINGNJNAC CORP.false
PRINCETON HEALTHCARE MEDICAL EQUIP CO
ONE PLAINSBORO ROADPLAINSBORONJ08536223467900INACTIVENJNAC CORP.false
PHI PHARMACY INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223467899INACTIVENJNAC CORP.false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PRINCETON HC AFF PHYS DBA PRINCETON MEDICINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeDTransactionTypeTxt
Involved$569,125InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationPRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. PHCS ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.ExplanationTxt

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