PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP (EIN 21-0635009)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201713199349301476
Schema version: 2016v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T07:29:57-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 Jefferson Park Suite 400	AddressLine1Txt
City	Whippany	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	079811070	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	210635009	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PRINCETON HEALTHCARE SYSTEM A NEW JERSEY	BusinessNameLine1Txt
Business Name Line2	NONPROFIT CORPORATION	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% GUILHERME VALLADARES MBA	InCareOfNm
Business Name Control	PRIN	BusinessNameControlTxt
Phone	6098537107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PLAINSBORO ROAD	AddressLine1Txt
City	PLAINSBORO	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08536	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GUILHERME VALLADARES MBA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6098537107	PhoneNum
Signature	2017-11-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTHONY J PANICO	PreparerPersonNm
PTIN	P00365556	PTIN
Phone	9738989494	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	198.46.120.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	22006220173195000008	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	EFB3F90CD62757DA7B098748B029987CE34337C5	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B8BA16CFEDA17302B35ECB0C007529BABF51136A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BARRY S RABNER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PLAINSBORO ROAD	AddressLine1Txt
City	PLAINSBORO	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08536	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$430,597,958	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PRINCETONHCS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	TO 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 Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	3610	TotalEmployeeCnt
Total Volunteers	839	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$3,522,338	PYContributionsGrantsAmt
CY Contributions Grants	$4,273,546	CYContributionsGrantsAmt
PY Program Service Revenue	$404,273,464	PYProgramServiceRevenueAmt
CY Program Service Revenue	$422,394,283	CYProgramServiceRevenueAmt
PY Investment Income	$3,322,454	PYInvestmentIncomeAmt
CY Investment Income	$3,019,629	CYInvestmentIncomeAmt
PY Other Revenue	$465,519	PYOtherRevenueAmt
CY Other Revenue	$495,652	CYOtherRevenueAmt
PY Total Revenue	$411,583,775	PYTotalRevenueAmt
CY Total Revenue	$430,183,110	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$190,203,403	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$201,892,074	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$211,182,207	PYOtherExpensesAmt
CY Other Expenses	$216,223,044	CYOtherExpensesAmt
PY Total Expenses	$401,385,610	PYTotalExpensesAmt
CY Total Expenses	$418,115,118	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,198,165	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,067,992	CYRevenuesLessExpensesAmt
Total Assets BOY	$708,434,805	TotalAssetsBOYAmt
Total Assets EOY	$706,225,743	TotalAssetsEOYAmt
Total Liabilities BOY	$433,425,676	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$426,051,994	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$275,009,129	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$280,173,749	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$306,525,359	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$341,172,961	RevenueAmt
Desc	THE 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 2016, PATIENT DAYS TOTALED 61,326 AND OUTPATIENT VISITS/ENCOUNTERS TOTALED 156,138. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$57,875,959	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$67,841,128	RevenueAmt
Desc	PRINCETON HOUSE BEHAVIORAL HEALTH IS A PSYCHIATRIC AND BEHAVIORAL HEALTH FACILITY. IT PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 110 BEDS PRODUCED 33,570 PATIENT DAYS IN 2016. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 95,793. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$11,902,289	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$13,380,194	RevenueAmt
Desc	PRINCETON HOMECARE SERVICES PROVIDES HOME NURSING CARE, HOME REHABILITATION, HOMEMAKER SERVICES AND OPERATES A HOSPICE PROGRAM. IN 2016, THERE WERE 46,367 OCCASIONS OF SERVICE AND 23,025 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

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$376,303,607	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	366	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3610	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	25	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	GUILHERME VALLADARES MBA	PersonNm
Phone	6098537107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PLAINSBORO ROAD	AddressLine1Txt
City	PLAINSBORO	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08536	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KIM J PIMLEY
CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SUBHA V BARRY
VICE CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
RUBY SHARMA
VICE CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
HONORABLE DEBORAH T PORITZ
VICE CHAIR/SECretary - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN F DELORENZO
TREASURER - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN R ATKINSON
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PAUL VON AUTENRIED
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ALICIA BRENNAN MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
GERARD A COMPITO MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DOUGLAS P CORAZZA MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ROBERT C DOLL JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JAMES L DOMINICK
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
CONRAD DRUKER CPA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
BARRY L GOLDBLATT
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KENNETH A GOLDMAN MD FACS
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
LEONARD GROSSMAN MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOSEPH L HERRING
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MARIA JUEGA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MARGARET LANCEFIELDMDPHD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MARK POLLARD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
HEATHER M VAN RAALTE MD
TRUSTEE	10.0	0.0	Yes (X)		$24,156	$0	$0
BARRY S RABNER
TRUSTEE - PRESIDENT/CEO	55.0	0.0	Yes (X)	Yes (X)	$1,068,691	$0	$39,229
BRIDGET M RUSCITO MD
TRUSTEE	10.0	0.0	Yes (X)		$30,000	$0	$0
RICHARD O SCRIBNER ESQ
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JESSE I TREU PHD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PETER I YI MD
TRUSTEE (TERMED 3/23/16)	1.0	0.0	Yes (X)		$0	$0	$0
ROSEMARIE COSTAGLIOLA
ASST SEC-DIR CORP COMP SR PARA	55.0	0.0		Yes (X)	$115,855	$0	$40,182
GLENN A ZIRBSER
ASST TRES-SVP/CFO(TRM 2/24/16)	55.0	0.0		Yes (X)	$58,897	$0	$10,360
GUILHERME VALLADARES MBA
ASST TRES-SVP/CFO(EFF 2/25/16)	55.0	0.0		Yes (X)	$369,061	$0	$15,554
JANET L READY RN FACHE
PRESIDENT UMCPP/SVP PHCS	55.0	0.0		Yes (X)	$512,662	$0	$32,444
MARK T JONES
SVP NETWORK DEVELOPMENT	55.0	0.0		Yes (X)	$421,162	$0	$15,887
RICHARD E WOHL MSW MBA
PRESIDENT PHBH/SVP PHCS	55.0	0.0		Yes (X)	$403,323	$0	$35,931
DONALD F DENNY JR MD
SVP MEDICAL AFFAIRS	55.0	0.0		Yes (X)	$295,996	$0	$31,873
TIMOTHY MATHIASEN
SVP DEV PHCS FDN(term 1/22/16)	55.0	0.0		Yes (X)	$17,657	$0	$3,081
ANNE C SEARLE MBA
VP/CHIEF INFORMATION OFFICER	55.0	0.0		Yes (X)	$383,455	$0	$34,865
SIMRAN R SEDANI
CHIEF MEDICAL INFO. OFFICER	55.0	0.0		Yes (X)	$332,434	$0	$33,101
JAMES G DEMETRIADES MBA
VP OPERATIONS	55.0	0.0		Yes (X)	$319,658	$0	$35,416
MARCIA M TELTHORSTERMEDCCP
VP HUMAN RESOURCES	55.0	0.0		Yes (X)	$288,324	$0	$23,864
BARBARA A YOST RN BSN MBA
VP CONT. OF CARE SVCS&NTWK DEV	55.0	0.0		Yes (X)	$276,639	$0	$35,761
BARBARA CHRISTIANORNMSBSN
VP PATIENT CARE SVCS/CNO	55.0	0.0		Yes (X)	$235,282	$0	$22,293
PETER J THOMAS PHD
VP OUTPATIENT SERVICES	55.0	0.0		Yes (X)	$231,889	$0	$35,641
CAROL NORRIS-SMITH
VP MARKETING & PUBLIC AFFAIRS	55.0	0.0		Yes (X)	$205,376	$0	$46,542
MARGUERITE PEDLEY PHD
VP INPATIENT SERVICES	55.0	0.0		Yes (X)	$188,140	$0	$27,910
NANCY C FLETCHER ESQ
VP CORP COMPLIANCE&REG AFFAIRS	55.0	0.0		Yes (X)	$178,976	$0	$43,465
sandy roberts
ACTING VP DEV FDN (eff 9/1/16)	55.0	0.0		Yes (X)	$156,102	$0	$30,823
JAMES B HOGLE III
VP SUPPORT Svcs (term 1/5/16)	55.0	0.0		Yes (X)	$109,059	$0	$23,280
SIDDIQ A FAISAL MD MPH
MEDICAL DIRECTOR, OCC medicine	55.0	0.0			$206,457	$0	$44,848	Yes (X)
ADRIENNE WILLIAMS RN
REGISTERED NURSE	55.0	0.0			$180,970	$0	$12,008	Yes (X)
JANET VISCOMI RN
REGISTERED NURSE	55.0	0.0			$180,539	$0	$16,263	Yes (X)
EDWARD HENRY
DIR TECHNOLOGY/SR IT SECURITy	55.0	0.0			$179,616	$0	$44,940	Yes (X)
JANET ALEXANDER-JAMES
IMAGING SUPERVISOR NUCLEAR MED	55.0	0.0			$177,417	$0	$30,540	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,147,793	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$766,101	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	221	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RUTGERS UNIVERSITY
PO BOX 265	NEW BRUNSWICK	NJ	089032685	MEDICAL - RESIDENCY	$4,273,646
PREMIER HEALTHCARE SOLUTIONS
5882 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	CONSULTING	$2,672,480
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	NUTRITION SERVICES	$2,433,021
CIELO INC
200 SoUTH Executive Drive	BROOKFIELD	WI	53005	recruitment	$1,516,489
MAYO MEDICAL LABORATORIES
PO Box 9146	MINNEAPOLIS	MN	55480	laboratory services	$1,485,935

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	94	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$4,273,546	RelatedOrganizationsAmt
Total Contributions	$4,273,546	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	541900	$418,371,481	$418,371,481
OTHER HEALTHCARE RELATED REVENUE	621500	$4,022,802	$4,022,802

Field	Value	IRS element (for citing)
Total Program Service Revenue	$422,394,283	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,416,011	TotalRevenueColumnAmt
Exclusion	$3,416,011	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$457,838	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$457,838	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$457,838	TotalRevenueColumnAmt
Exclusion	$457,838	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,773	SecuritiesAmt
Other	$12,693	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$414,848	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,773	SecuritiesAmt
Other	-$402,155	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$396,382	TotalRevenueColumnAmt
Exclusion	-$396,382	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
VENDING MACHINE	900099	$29,922	$29,922
PARKING	900099	$7,892	$7,892

Field	Value	IRS element (for citing)
Other Revenue Total	$37,814	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$430,183,110	TotalRevenueColumnAmt
Related Or Exempt Func Income	$422,394,283	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,515,281	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,840,297	TotalAmt
Program Services	$6,156,267	ProgramServicesAmt
Management And General	$684,030	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$150,807,381	TotalAmt
Program Services	$135,726,642	ProgramServicesAmt
Management And General	$15,080,739	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,391,426	TotalAmt
Program Services	$9,352,283	ProgramServicesAmt
Management And General	$1,039,143	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,326,085	TotalAmt
Program Services	$19,193,477	ProgramServicesAmt
Management And General	$2,132,608	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,526,885	TotalAmt
Program Services	$11,274,197	ProgramServicesAmt
Management And General	$1,252,688	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,085,622	TotalAmt
Program Services	$1,877,060	ProgramServicesAmt
Management And General	$208,562	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$138,625	TotalAmt
Program Services	$124,762	ProgramServicesAmt
Management And General	$13,863	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$566,666	TotalAmt
Program Services	$509,999	ProgramServicesAmt
Management And General	$56,667	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,849	TotalAmt
Program Services	$23,264	ProgramServicesAmt
Management And General	$2,585	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$277,859	TotalAmt
Program Services	$250,073	ProgramServicesAmt
Management And General	$27,786	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$42,869,600	TotalAmt
Program Services	$38,582,641	ProgramServicesAmt
Management And General	$4,286,959	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,623,063	TotalAmt
Program Services	$1,460,756	ProgramServicesAmt
Management And General	$162,307	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,280,333	TotalAmt
Program Services	$3,852,300	ProgramServicesAmt
Management And General	$428,033	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,565,903	TotalAmt
Program Services	$8,609,313	ProgramServicesAmt
Management And General	$956,590	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,467,183	TotalAmt
Program Services	$16,620,464	ProgramServicesAmt
Management And General	$1,846,719	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$863,748	TotalAmt
Program Services	$777,373	ProgramServicesAmt
Management And General	$86,375	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$232,013	TotalAmt
Program Services	$208,812	ProgramServicesAmt
Management And General	$23,201	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,229,310	TotalAmt
Program Services	$7,406,379	ProgramServicesAmt
Management And General	$822,931	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$40,233,530	TotalAmt
Program Services	$36,210,177	ProgramServicesAmt
Management And General	$4,023,353	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,759,553	TotalAmt
Program Services	$3,383,598	ProgramServicesAmt
Management And General	$375,955	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$63,568,061	$57,211,255	$6,356,806
REPAIRS & MAINTENANCE	$7,604,760	$6,844,284	$760,476
RESIDENCY EXPENSES	$4,273,646	$3,846,281	$427,365
RECRUITMENT EXPENSES	$1,885,643	$1,697,079	$188,564

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,672,077	TotalAmt
Program Services	$5,104,871	ProgramServicesAmt
Management And General	$567,206	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$418,115,118	TotalAmt
Program Services	$376,303,607	ProgramServicesAmt
Management And General	$41,811,511	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$372,404	BOYAmt
EOY	$6,040,182	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$53,962,320	BOYAmt
EOY	$69,233,806	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,016,903	BOYAmt
EOY	$50,350,942	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,079,686	BOYAmt
EOY	$4,002,587	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,422,359	BOYAmt
EOY	$5,437,291	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$687,740,598	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$233,901,461	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$490,808,828	BOYAmt
EOY	$453,839,137	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$78,008,829	BOYAmt
EOY	$86,113,576	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$613,647	BOYAmt
EOY	$29,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$28,149,829	BOYAmt
EOY	$31,179,222	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$708,434,805	BOYAmt
EOY	$706,225,743	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,892,718	BOYAmt
EOY	$49,142,402	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$7,020,427	BOYAmt
EOY	$8,438,274	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$193,505,000	BOYAmt
EOY	$296,680,528	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$105,839,465	BOYAmt
EOY	$1,508,863	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,168,066	BOYAmt
EOY	$70,281,927	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$433,425,676	BOYAmt
EOY	$426,051,994	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$257,018,280	BOYAmt
EOY	$263,696,619	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,928,174	BOYAmt
EOY	$7,409,478	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,062,675	BOYAmt
EOY	$9,067,652	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$275,009,129	BOYAmt
EOY	$280,173,749	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$708,434,805	BOYAmt
EOY	$706,225,743	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,067,992	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,693,885	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,597,257	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$25,849	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$25,849	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B; LINE 1H	FormAndLineReferenceDesc
Explanation	PRINCETON 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 $25,849 in 2016 ADDITIONALLY, THE ORGANIZATION IS A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $15,000 IN 2016. 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$250,000	BeginningYearBalanceAmt
End Year Balance	$250,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$250,000	BeginningYearBalanceAmt
End Year Balance	$250,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$250,000	BeginningYearBalanceAmt
End Year Balance	$250,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$250,000	BeginningYearBalanceAmt
End Year Balance	$250,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$250,000	BeginningYearBalanceAmt
End Year Balance	$250,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$6,003,683	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$39,812,285	OtherCostOrOtherBasisAmt
Book Value	$45,815,968	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$451,607,730	OtherCostOrOtherBasisAmt
Depreciation	$121,729,483	DepreciationAmt
Book Value	$329,878,247	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,286,859	OtherCostOrOtherBasisAmt
Depreciation	$5,652,589	DepreciationAmt
Book Value	$15,634,270	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,119,313	OtherCostOrOtherBasisAmt
Depreciation	$99,472,487	DepreciationAmt
Book Value	$41,646,826	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,910,728	OtherCostOrOtherBasisAmt
Depreciation	$7,046,902	DepreciationAmt
Book Value	$20,863,826	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$453,839,137	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME SECURITIES	$3,789,261	F
FIXED INCOME MUTUAL FUNDS	$34,114,733	F
DOMESTIC EQUITY MUTUAL FUNDS	$19,547,156	F
MUTUAL FUNDS	$9,327,626	F
ALTERNATIVE INVESTMENTS	$11,500,037	F
PROGRAM RELATED INVESTMENTS	$715,579	F
BOND PROCEEDS HELD BY TRUSTEE	$7,119,184	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$86,113,576	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYABLE	$4,788,318
DUE TO AFFILIATES	$3,609,042
ACCRUED BENEFIT LIABILITY	$40,341,915
RETROACTIVE PAYABLE, NET	$4,294,679
PARK ASSESSMENT	$4,827,640
OTHER LIABILITIES	$12,420,333

Field	Value	IRS element (for citing)
Total Liability	$70,281,927	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V; QUESTION 4

PRINCETON 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. AN INDEPENDENT certified public accounting ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND ITS AFFILIATES ("PHCSH") FOR THE YEARS ENDED DECEMBER 31, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORT THE ORGANIZATION'S ENDOWMENTS: PHCSHs endowment consists of TWELVE donor permanently restricted individual funds established for a variety of purposes. As required by Generally Accepted Accounting Principals ("GAAP"), net assets associated with endowment funds, are classified and reported based on the existence of donor-imposed restrictions. The Board of Trustees of the System has interpreted the State of New Jerseys enacted version of THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF 2006 ("UPMIFA") as requiring the preservation of the historic dollar value of donor-restricted endowment funds (absent explicit donor stipulations to the contrary). As a result of this interpretation, PHCSH classifies as permanently restricted net assets (a) the original value of gifts donated to the permanently restricted net assets (b) the original value of subsequent gifts to the permanent endowment (c) the net realizable value of future payments to permanently restricted net assets in accordance with the donors gift instrument (outstanding endowment pledges net of applicable discount) and (d) appreciation (depreciation), gains (losses) and income earned on the fund when the donor states that such increases or decreases are to be treated as changes in permanently restricted net assets. The Board of Trustees further understands that expenditure from a donor-restricted fund is limited to the uses and purposes for which the endowment fund is established and the use of net appreciation, realized gains (with respect to all assets) and unrealized gains (with respect only to readily marketable assets). Gains are limited to the extent that the fair value of a donor-restricted fund exceeds the historic dollar value of the fund (unless the applicable gift instrument indicates that net appreciation shall not be expended) subject to the following considerations. The expenditure is CONSIDERED TO BE PRUDENT IF the long and short term needs of PHCSH in carrying out its purposes, its present and anticipated financial requirements, expected total return on its investments, price level trends and general economic conditions. PHCSHs endowment investments fall under the investment policy guidelines as established, and reviewed annually, by the Systems Investment Committee expenditure, based on a twelve quarter rolling market value average, was approved. PHCSHs endowment policy and procedures allows for a maximum annual expenditure of 6%, based on a twelve quarter rolling market value average, with 2% being expended in 2016.

SCHEDULE D, PART X

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$327,601	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$327,601	SubtotalSpentAmt
Total Spent	$327,601	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,811,825	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,092,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,719,825	NetCommunityBenefitExpnsAmt
Total Expense	0.01370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,555,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,084,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,471,420	NetCommunityBenefitExpnsAmt
Total Expense	0.03220	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,367,525	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,176,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,191,245	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$927,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125,463	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$801,763	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,550,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,844,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,705,453	NetCommunityBenefitExpnsAmt
Total Expense	0.02320	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$500,885	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,978,428	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,970,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,008,101	NetCommunityBenefitExpnsAmt
Total Expense	0.02630	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,345,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,146,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,199,346	NetCommunityBenefitExpnsAmt
Total Expense	0.07220	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,795,927	BadDebtExpenseAmt
Bad Debt Expense Attributable	$413,878	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$101,005,817	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$131,631,395	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,625,578	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
UMCP SURGICENTER

PARTNERS LLC
MEDICAL SERVICES	0.2647	0.7353

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIV MED CTR OF PRINCETON PLAINSBORO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE PLAINSBORO ROAD	AddressLine1Txt
City	PLAINSBORO	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08536	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.princetonhcs.org	WebsiteAddressTxt
State License	11103	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIV MED CTR OF PRINCETON PLAINSBORO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.PRINCETONHCS.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.PRINCETONHCS.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.PRINCETONHCS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.PRINCETONHCS.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 5	THE 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 6B	AS 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 7A	THE ORGANIZATION IS AN AFFILIATE WITHIN PRINCETON HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE 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 11	IN OCTOBER 2015, HRIA LED A FACILITATED CONVERSATION WITH PRINCETON HEALTHCARE SYSTEMS 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 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 INITiATIVES: 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, PARKINSONS, ORTHOPEDICS, CARDIAC REHAB, BARIATRICS, CANCER, DIABETES, ETC.); 7) CONTINUE TO COLLABORATE WITH THE YS 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 WOMENS SPECIALIZED SERVICES (SPECIALIZED TREATMENT FOR WOMEN WHO HAVE EXPERIENCES TRAUMA IN THEIR LIVES). - NEW MENS 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 (LETS 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 TO OUTPATIENT SERVICES IN BEHAVIORAL HEALTH, TRIAGING, AND REDI
SCHEDULE H, PART V, SECTION B, QUESTION 16A, 16B & 16C	THE ORGANIZATION IS AN AFFILIATE WITHIN PRINCETON HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED FOR SCHEDULE H, PART V, SECTION B, QUESTIONS 16A, 16B AND 16C, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN THE SYSTEM'S WEBSITE: www.princetonhcs.org/our-locations/umcp/billing-and-Insurance/billing

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PRINCETON HOUSE BEHAVIORAL HEALTH
905 HERRONTOWN ROAD	PRINCETON	NJ	08540	INPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
351 NEW ALBANY ROAD	moorestown	NJ	08057	OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
1460 LIVINGSTON AVENUE	NORTH BRUNSWICK	NJ	08902	OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
300 CLOCKTOWER ROAD SUITE 101	hamilton	NJ	08690	OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
741 MOUNT LUCAS ROAD	princeton	NJ	08542	OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOMECARE SERVICES
88 PRINCETON HIGHTSTOWN ROAD	WEST WINDSOR	NJ	08550	HOMECARE & VISITING NURSE
PRINCETON HOUSE BEHAVIORAL HEALTH
1000 HERRONTOWN ROAD	PRINCETON	NJ	08542	OUTPATIENT BEHAVIORAL PROGRAM
BREAST HEALTH CENTER
300B PRINCETON HIGHTSTOWN ROAD	EAST WINDSOR	NJ	08512	OUTPATIENT DIAGNOSIS & TREATMENT
PRINCETON HOUSE BEHAVIORAL HEALTH
615 HOPE ROAD	EATONTOWN	NJ	07742	OUTPATIENT BEHAVIORAL PROGRAM
UMCPP OUTPATIENT REHABILITATION
1225 STATE ROAD	PRINCETON	NJ	08542	PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
UMCPP OUTPATIENT REHAB AT MONROE
2 CENTRE DRIVE SUITE 500	MONROE	NJ	08831	PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
UMCPP OUTPATIENT REHAB AT HAMILTON
1315 WHITEHORSE-MERCERVILLE RD STE	HAMILTON	NJ	08619	PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
UMCPP EAST WINDSOR PATIENT SVC CENTER
300A PRINCETON HIGHTSTOWN ROAD	EAST WINDSOR	NJ	08512	LAB DRAW CENTER
SOUTH BRUNSWICK WELLNESS CENTER
540 RIDGE ROAD	MONMOUTH JUNCTION	NJ	08852	LAB DRAW CENTER
UMCPP LAWRENCEVILLE PATIENT SVC CENTER
132 FRANKLIN CORNER ROAD	LAWRENCEVILLE	NJ	08648	LAB DRAW CENTER
UMCPP PRINCETON PATIENT SVC CENTER
281 WITHERSPOON STREET	PRINCETON	NJ	08540	LAB DRAW CENTER
UMCPP ALEXANDER ROAD PATIENT SVC CENTER
731 ALEXANDER ROAD	PRINCETON	NJ	08540	LAB DRAW CENTER
UMCPP MONROE PATIENT SVC CENTER
2 CENTRE DRIVE	MONROE	NJ	08831	LAB DRAW CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	In 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 patients 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 patients 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 Childrens 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 6A	THE 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 AT THE FOLLOWING URL: www.princetonhcs.org/about-phcs/phcs-news-and-information 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 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART I, QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
SCHEDULE H, PART II	COMMUNITY 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 ,SCHOOLSSENIOR CENTERS, CORPORATIONS, PLACES OF WORSHIP AND PUBLIC LIBRARIES FOR A VARIETY OF HEALTH ISSUES ACROSS ONES LIFESPAN.
SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE INCLUDES UNPAID BALANCES FROM PATIENTS WITHOUT INSURANCE AND UNPAID BALANCES DUE RELATING TO COPAYMENTS, COINSURANCES AND DEDUCTIBLES. UNDER OUR SELF-PAY POLICY ALL UNINSURED PATIENT BILLS ARE DISCOUNTED TO 115% OF THE MEDICARE ALLOWABLE AMOUNT WHICH APPROXIMATES LESS THAN COSTS. THE DISCOUNT IS RECORDED AS CONTRA REVENUE. ONLY THE DIFFERENCE BETWEEN THE NET AMOUNT (CHARGES LESS DISCOUNT) AND AMOUNT PAID IS RECORDED AS BAD DEBT. HENCE THE BAD DEBT REPORTED ON THE AUDITED FINANCIAL STATEMENTS APPROXIMATES COSTS. PRINCETON 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 ("PHCSH") FOR THE YEARS ENDED DECEMBER 31, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE FOLLOWING FOOTNOTES, WHICH ADDRESS THE ORGANIZATION'S BAD DEBT AND CHARITY CARE, ARE INCLUDED IN THE ORGANIZATION'S 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS: REIMBURSEMENT ------------- PHCSH RECORDS GROSS PATIENT SERVICE REVENUE ON AN ACCRUAL BASIS AT ESTABLISHED RATES, WITH CONTRACTUAL AND OTHER ALLOWANCES DEDUCTED FROM SUCH AMOUNTS TO DETERMINE NET PATIENT SERVICE REVENUE, BEFORE PROVISION FOR BAD DEBTS. PHCSH MAINTAINS POLICIES AND RECORDS TO IDENTIFY AND MONITOR THESE CONTRACTUAL ALLOWANCES AND ITS LEVEL OF CHARITY CARE. THESE RECORDS INCLUDE THE AMOUNT OF DEDUCTIONS FROM GROSS REVENUE DUE TO QUALIFIED SERVICES PROVIDED UNDER THE STATE OF NEW JERSEYS CHARITY CARE GUIDELINES. THE PROCESS FOR ESTIMATING THE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. FOR EACH BUSINESS ENTITY, THE SYSTEM HAS IMPLEMENTED A MONTHLY STANDARDIZED APPROACH TO ESTIMATE AND REVIEW THE COLLECTABILITY OF RECEIVABLES BY SERVICES BASED ON (INPATIENT VERSUS OUTPATIENT) THE PAYER CLASSIFICATION AND THE PERIOD FROM WHICH THE RECEIVABLES HAVE BEEN OUTSTANDING. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE OR BAD DEBT EXPENSE (FOR SELF-PAY BALANCES) WHEN MANAGEMENT FEELS IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYER REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO RESERVES FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE SYSTEM ASSESSES THE CURRENT STATE OF ITS BILLING FUNCTIONS IN ORDER TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES AND ASSESS THE IMPACT, IF ANY, ON RESERVE ESTIMATES. CHARITY CARE ------------ THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES ("DOHSS") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE MAJORITY OF PATIENTS QUALIFY FOR CHARITY CARE WHERE HOUSEHOLD INCOME IS LESS THAN 200% OF THE FAMILY FEDERAL POVERTY GUIDELINES OR THEIR FINANCIAL CONDITION IS SUCH THAT REQUIRING PAYMENT WOULD IMPOSE A HARDSHIP ON THE PATIENT. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE SYSTEMS RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED. THE COSTS ASSOCIATED WITH CHARITY CARE DURING THE YEARS ENDED DECEMBER 31, 2016 AND 2015 WERE APPROXIMATELY $6,903,000 AND $7,321,000; RESPECTIVELY. THE ESTIMATED COST OF PROVIDING CHARITY SERVICES IS BASED ON VALUING ALL CHARITY CARE CLAIMS USING THE SYSTEMS DECISION SUPPORT SYSTEM THAT UTILIZES COST TO CHARGE RATIOS DERIVED FROM THE MOST RECENTLY FILED MEDICARE COST REPORTS. DOHSS CHARITY CARE GUIDELINES REQUIRE PARTICIPATION AND SPECIFIC DOCUMENTATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. IN ADDITION TO CHARITY CARE, THE SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT THAT INCLUDES COMMUNITY OUTREACH PROGRAMS, SUBSIDIZED MEDICAL EDUCATION COSTS AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDICARE AND MEDICAID BENEFICIARIES. THE NEW JERSEY HEALTH CARE SUBSIDY FUND WAS ESTABLISHED FOR VARIOUS PURPOSES INCLUDING THE DISTRIBUTION OF CHARITY CARE AND HOSPITAL RELIEF FUND PAYMENTS TO HOSPITALS STATEWIDE. AS OF DECEMBER 31, 2016 AND 2015, THE SYSTEM RECEIVED SUBSIDY AMOUNTS OF $835,000 AND $1,519,000; RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE STATE OF NEW JERSEY ESTABLISHED A MENTAL HEALTH SUBSIDY FUND TO PAY FOR SPECIFIC BEHAVIORAL HEALTH SERVICES. THE SYSTEM RECEIVED $1,257,000 FOR THESE SERVICES IN BOTH 2016 AND 2015.
SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2016 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 76.7 %. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, 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 TH
SCHEDULE H, PART III, SECTION B; QUESTION 9B	THE 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 HASNT 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 INDIVIDUALS PROPERTY; 3) FORECLOSING ON AN INDIVIDUALS 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 2	IN 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 2015 PROGRESS REPORT TO THE COMMUNITY PHCS REPORTED WITHIN ITS CAMPUS UPDATE THAT THE CHILDRENS HOSPITAL OF PHILADELPHIA ("CHOP") OPENED AN OUTPATIENT SPECIALTY CENTER ON THE PRINCETON HEALTH CAMPUS IN EARLY 2015. THE 25,000-SQUARE-FOOT PEDIATRIC OUTPATIENT FACILITY OFFERS MORE THAN 20 PEDIATRIC SPECIALTIES AND SUBSPECIALTIES, AS WELL AS OTHER SERVICES INCLUDING THERAPY, TESTING AND DIAGNOSTIC IMAGING. ADDITIONALLY, THE ORGANIZATION REPORTED THE FOLLOWING INIATIVES PLANNED FOR THE FUTURE: 1) ADULT DAY CARE - A 13,000-SQUARE-FOOT MEDICAL ADULT DAY CARE FACILITY WILL PROVIDE CARE FOR UP TO 150 SENIORS, ALONG WITH ROUND-TRIP TRANSPORTATION FOR CLIENTS. A REGISTERED NURSE AND EXPERIENCED STAFF ON SITE WILL OFFER A RANGE OF PROGRAMS AND ACTIVITIES INCLUDING LOW-IMPACT EXERCISE AND MEDICATION MANAGEMENT. 2) CHILD CARE - A 13,000-SQUARE-FOOT CENTER WILL SERVE UP TO 120 CHILDREN BETWEEN THE AGES OF 2 MONTHS AND 5 YEARS, AND OFFER A BEFORE AND AFTER-SCHOOL PROGRAM FOR CHILDREN AGES 6 THROUGH 12. 3) INDEPENDENT LIVING - A TOTAL OF 315 RENTAL AND FOR-SALE INDEPENDENT LIVING UNITS ARE PLANNED FOR A 38-ACRE SITE ADJACENT TO THE MERWICK REHABILITATION AND NURSING CARE CENTER. PLANS INCLUDE A SIX-STORY BUILDING WITH RENTAL APARTMENTS WRAPPED AROUND A CENTRAL PARKING GARAGE, A MIX OF TOWNHOMES AND ATTACHED DWELLING UNITS WITH PRIVATE PARKING. THE SITE WILL FEATURE HIGH-END AMENITIES SUCH AS DINING VENUES, A FITNESS CENTER AND SPA. 4) ASSISTED LIVING - A SENIOR ASSISTED LIVING COMMUNITY IN A THREE-STORY, 104,544-SQUARE-FOOT FACILITY ON 6.1 ACRES WILL CONSIST OF APPROXIMATELY 100 UNITS. IT WILL SERVE RESIDENTS WITH EARLY-, MID-STAGE, AND LATE-STAGE ALZHEIMERS DISEASE AND DEMENTIA. IN ADDITION TO A TRADITIONAL ASSISTED LIVING COMPONENT, THE PROJECT WILL BE DESIGNED TO INCLUDE TWO MEMORY CARE NEIGHBORHOODS: ONE FOR RESIDENTS WITH EARLY STAGE DEMENTIA, AND ANOTHER FOR THOSE WITH ADVANCED MEMORY LOSS. THESE ARE JUST A FEW EXAMPLES OF ACTIONS TAKEN BY THE ORGANIZATION TO IMPLEMENT PROGRAMS AND SERVICES TO ADDRESS NEEDS WITHIN THE COMMUNITY.
SCHEDULE H, PART VI; QUESTION 3	PHCS 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 PATIENTS 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 4	IN 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 5	THIS 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 2016, THE ORGANIZATION RELEASED ITS "PROGRESS REPORT TO THE COMMUNITY". THIS PUBLICATION INCLUDED INFORMATION ON ADDITIONAL INITIATIVES UNDERTAKEN BY PHCS DURING 2016 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 6	PRINCETON 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 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY S RABNER
TRUSTEE - PRESIDENT/CEO	$733,928	$0	$264,389	$0	$70,374	$0	$16,179	$0	$23,050	$0	$1,107,920	$0	$0	$0
ROSEMARIE COSTAGLIOLA
ASST SEC-DIR CORP COMP SR PARA	$99,053	$0	$16,673	$0	$129	$0	$3,893	$0	$36,289	$0	$156,037	$0	$0	$0
GUILHERME VALLADARES MBA
ASST TRES-SVP/CFO(EFF 2/25/16)	$316,173	$0	$50,121	$0	$2,767	$0	$12,204	$0	$3,350	$0	$384,615	$0	$0	$0
JANET L READY RN FACHE
PRESIDENT UMCPP/SVP PHCS	$405,158	$0	$102,222	$0	$5,282	$0	$12,204	$0	$20,240	$0	$545,106	$0	$0	$0
MARK T JONES
SVP NETWORK DEVELOPMENT	$288,505	$0	$126,272	$0	$6,385	$0	$13,529	$0	$2,358	$0	$437,049	$0	$0	$0
RICHARD E WOHL MSW MBA
PRESIDENT PHBH/SVP PHCS	$303,133	$0	$91,264	$0	$8,926	$0	$16,179	$0	$19,752	$0	$439,254	$0	$0	$0
DONALD F DENNY JR MD
SVP MEDICAL AFFAIRS	$252,926	$0	$43,070	$0	$0	$0	$11,855	$0	$20,018	$0	$327,869	$0	$0	$0
ANNE C SEARLE MBA
VP/CHIEF INFORMATION OFFICER	$308,479	$0	$69,765	$0	$5,211	$0	$12,204	$0	$22,661	$0	$418,320	$0	$0	$0
SIMRAN R SEDANI
CHIEF MEDICAL INFO. OFFICER	$293,719	$0	$38,241	$0	$474	$0	$12,204	$0	$20,897	$0	$365,535	$0	$0	$0
JAMES G DEMETRIADES MBA
VP OPERATIONS	$261,143	$0	$55,730	$0	$2,785	$0	$13,529	$0	$21,887	$0	$355,074	$0	$0	$0
MARCIA M TELTHORSTERMEDCCP
VP HUMAN RESOURCES	$237,398	$0	$46,298	$0	$4,628	$0	$10,843	$0	$13,021	$0	$312,188	$0	$0	$0
BARBARA A YOST RN BSN MBA
VP CONT. OF CARE SVCS&NTWK DEV	$218,665	$0	$53,761	$0	$4,213	$0	$13,247	$0	$22,514	$0	$312,400	$0	$0	$0
BARBARA CHRISTIANORNMSBSN
VP PATIENT CARE SVCS/CNO	$196,002	$0	$33,871	$0	$5,409	$0	$9,571	$0	$12,722	$0	$257,575	$0	$0	$0
PETER J THOMAS PHD
VP OUTPATIENT SERVICES	$201,108	$0	$27,642	$0	$3,139	$0	$12,110	$0	$23,531	$0	$267,530	$0	$0	$0
CAROL NORRIS-SMITH
VP MARKETING & PUBLIC AFFAIRS	$167,188	$0	$35,580	$0	$2,608	$0	$9,771	$0	$36,771	$0	$251,918	$0	$0	$0
MARGUERITE PEDLEY PHD
VP INPATIENT SERVICES	$147,939	$0	$38,191	$0	$2,010	$0	$6,796	$0	$21,114	$0	$216,050	$0	$0	$0
NANCY C FLETCHER ESQ
VP CORP COMPLIANCE&REG AFFAIRS	$178,976	$0	$0	$0	$0	$0	$8,166	$0	$35,299	$0	$222,441	$0	$0	$0
sandy roberts
ACTING VP DEV FDN (eff 9/1/16)	$147,648	$0	$7,060	$0	$1,394	$0	$6,067	$0	$24,756	$0	$186,925	$0	$0	$0
SIDDIQ A FAISAL MD MPH
MEDICAL DIRECTOR, OCC medicine	$200,228	$0	$5,921	$0	$308	$0	$9,814	$0	$35,034	$0	$251,305	$0	$0	$0
ADRIENNE WILLIAMS RN
REGISTERED NURSE	$180,970	$0	$0	$0	$0	$0	$3,501	$0	$8,507	$0	$192,978	$0	$0	$0
JANET VISCOMI RN
REGISTERED NURSE	$175,786	$0	$4,000	$0	$753	$0	$4,868	$0	$11,395	$0	$196,802	$0	$0	$0
EDWARD HENRY
DIR TECHNOLOGY/SR IT SECURITy	$170,066	$0	$9,168	$0	$382	$0	$8,131	$0	$36,809	$0	$224,556	$0	$0	$0
JANET ALEXANDER-JAMES
IMAGING SUPERVISOR NUCLEAR MED	$176,690	$0	$0	$0	$727	$0	$9,048	$0	$21,492	$0	$207,957	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 1	BARRY S. RABNER, THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER, 2016 FORM W-2, BOX 5, TAXABLE MEDICARE WAGES INCLUDES A TAX GROSS-UP PAYMENT OF $2,082 RELATED TO HIS PERSONAL USAGE OF AUTO.
SCHEDULE J, PART I; QUESTION 4a	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2016 WHICH WAS INCLUDED IN his 2016 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JAMES B. HOGLE, III, $95,499.
SCHEDULE J, PART I; QUESTION 4B	THE 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 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BARRY S. RABNER, $62,283.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2016 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2016 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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	New Jersey Health Care Facilities Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	221487148	BondIssuerEIN
CUSIP	64579f7r8	CUSIPNum
Bond Issued	2016-01-20	BondIssuedDt
Issue Price	$275,065,000	IssuePriceAmt
Purpose	schedule k, part vi	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$298,459,553	RetiredAmt
Bond Defeased	$23,394,553	BondDefeasedAmt
Total Proceeds	$275,065,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,827,838	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$275,065,000	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$2,000,000	UnspentAmt
Substantial Completion	2012	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	Yes (true)	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.01760	ChangeInUseBondFinancedPropPct
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part VI	FormAndLineReferenceDesc
Explanation	SCHEDULE 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 CONSOLIDATED AUDITED 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	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
PRINCETON MEDICAL GROUP PA
TRUSTEEs - grossman & YI	$1,138,200	MEDICAL SERVICES	false
UMCP SURGICENTER PARTNERS llc
TRUSTEE - GOLDMAN	$881,106	MEDICAL SERVICES	false
PRINCETON SURGICAL ASSOCIATES PA
TRUSTEE - GOLDMAN	$459,451	MEDICAL SERVICES	false
princeton urogynecology llc
trustee - van raalte	$206,419	medical services	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	leonard grossman, M.D., IS A TRUSTEE OF THE ORGANIZATION. additionally, peter i. YI, m.d., served as a trustee of the organization until march 23, 2016. dr. grossman and dr. yi are both SHAREHOLDERs OF PRINCETON MEDICAL GROUP, P.A. THE ORGANIZATION UTILIZED THE SERVICES OF PRINCETON MEDICAL GROUP, P.A., DURING 2016. TOTAL FEES PAID TO PRINCETON MEDICAL GROUP, P.A. DURING 2016 WERE $1,138,200. 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 2016. TOTAL FEES PAID TO UMCP SURGICENTER PARTNERS llc, DURING 2016 WERE $881,106. 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 2016. TOTAL FEES PAID TO PRINCETON SURGICAL ASSOCIATES, P.A. DURING 2016 WERE $459,451. 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 2016. TOTAL FEES PAID TO princeton urogynecology, llc, DURING 2016 WERE $206,419. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PRINCETON 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 ("IRC") 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ACCORDANCE WITH ITS CHARITABLE purpose and 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, that OFFERs COMPASSIONATE CARE SUPPORTED BY ADVANCED TECHNOLOGIES AND AN OUTSTANDING MEDICAL STAFF. NINETY-SEVEN PERCENT OF OUR 1272 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 the residents in our primary service area. PHCS PROVIDEs INPATIENT AND OUTPATIENT CARE, COMMUNITY HEALTH EDUCATION AND MEDICAL EDUCATION AND PROMOTEs 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 2016, PATIENT DAYS TOTALED 61,326. OUTPATIENT PATIENT VISITS/ENCOUNTERS TOTALED 156,138 DURING 2016. 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	OUR COMPREHENSIVE MEDICAL CARE 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. - 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 24/7/365. - 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 2016 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. - UMCP was recognized as a Best Regional Hospital and rated high performing in five procedures and conditions in the 2016-17 Best Hospitals rankings published by U.S. News & World Report. In addition to being named among the best hospitals in central New Jersey, UMCP was ranked as number 18 among all hospitals in the entire New York metropolitan region. UMCP was rated high performing in chronic obstructive pulmonary disease, colon cancer surgery, heart failure, hip replacement and knee replacement. - For the sixth consecutive year, UMCP earned an award through the Horizon Blue Cross Blue Shield of NJ Hospital Recognition Program for outstanding performance on The Leapfrog Survey. This survey evaluates 19 standards related to safety, quality and efficiency. Horizon uses the survey results to calculate a value score for each hospital. UMCPs value score in 2016 ranked in the top 10 percent nationally, according to Horizon. - UMCP IS AMONG 467 HOSPITALS WORLDWIDE TO ACHIEVE MAGNET STATUS, THE HIGHEST INSTITUTIONAL RECOGNITION AVAILABLE FOR NURSING EXCELLENCE. LESS THAN 9 PERCENT OF THE NATIONS APPROXIMATELY 4,900 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 2016 AMONG 46 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. - WOMEN'S CHOICE AWARD: UMCP earned the 2016 Womens Choice Award as one of Americas Best Breast Centers, one of Americas Best Hospitals for Cancer Care and one of Americas Best Hospitals for Obstetrics, recognitions that are based on clinical outcomes, quality of care and patient satisfaction. - 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 COMMISSIONS 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. The Respiratory Department at UMCP employs 28 respiratory therapists who are certified in various disciplines including neonatal/pediatric, critical care, pulmonary function, asthma education, cardiac catheterization lab and emergency care. - 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 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- THE BRISTOL-MYERS SQUIBB COMMUNITY HEALTH CENTER PROVIDED 31,287 TOTAL PRIMARY AND SPECIALTY CARE VISITS. OF THESE VISITS, 18,243 WERE FOR PEDIATRICS. THE CENTER ALSO CONTINUED A HEALTH LITERACY INITIATIVE, IN WHICH PEDIATRIC NURSES AND MEDICAL ASSISTANTS TEACH PARENTS ABOUT GOOD HEALTH AND THE CARE AND TREATMENT OF MINOR ILLNESSES AND INJURIES. - UMCP RECEIVED THE GET WITH THE GUIDELINES - STROKE BRONZE QUALITY ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION/STROKE ASSOCIATION FOR THE TREATMENT OF STROKE PATIENTS. PRINCETON HOMECARE ------------------ PRINCETON HOMECARE, A UNIT OF PHCS, PROVIDES COMPREHENSIVE IN-HOME NURSING AND REHABILITATION, HOSPICE CARE AND SUPPORT SERVICES. WE OFFER TEMPORARY CARE FOR THOSE RECOVERING FROM SURGERY OR SHORT-TERM CONDITIONS, AS WELL AS EXTENDED CARE FOR INDIVIDUALS WITH CHRONIC CONDITIONS OR ILLNESSES. EACH YEAR, OUR HIGHLY SKILLED NURSES, ALLIED HEALTH PROFESSIONALS AND HOMEMAKERS MAKE NEARLY 90,000 VISITS TO PATIENTS AND CLIENTS THROUGHOUT THE GREATER CENTRAL NEW JERSEY REGION. CONDITIONS, AS WELL AS EXTENDED CARE FOR INDIVIDUALS WITH CHRONIC CONDITIONS OR ILLNESSES. EACH YEAR, OUR HIGHLY SKILLED NURSES, ALLIED HEALTH PROFESSIONALS AND HOMEMAKERS MAKE NEARLY 90,000 VISITS TO PATIENTS AND CLIENTS THROUGHOUT THE GREATER CENTRAL NEW JERSEY REGION. Princeton HomeCare provides comprehensive in-home nursing and rehabilitation, hospice care and support services to patients in Mercer, Somerset, Middlesex and Hunterdon Counties. In 2016, staff made 43,381 visits to patient homes for in-home nursing and physical therapy. In-home physical therapy visits increased 12 percent from the previous year. HomeCares patient outcomes in 2016 ranked at the 99th percentile in the U.S. in several areas, such as conducting fall risk assessments, preventing pressure ulcers, managing pain and promptly addressing heart failure symptoms. PRINCETON HOMECARE PROVIDES PATIENTS WITH OUTSTANDING AND COMPASSIONATE HOME HEALTHCARE. EXEMPLARY OF OUR EXCEPTIONAL LEVEL OF CARING, PRINCETON HOMECARE RECEIVES HIGH PATIENT SATISFACTION SCORES AND CONTINUOUS REFERRALS FROM OUR PATIENTS WHO PRAISE THE QUALITY OF THEIR CARE AS WELL AS OUR PERSONAL COMMITMENT TO CARING. AS A UNIT OF PHCS, PRINCETON HOMECARE IS ACCREDITED BY THE JOINT COMMISSION. PRINCETON HOMECARE IS LICENSED BY THE STATE OF NEW JERSEY AND IS A MEDICARE/MEDICAID CERTIFIED PROVIDER. The Hospice Program launched the No One Dies Alone program at Merwick Care & Rehabilitation Center in early 2016. Through this program, 17 specially trained volunteers are dedicated to providing caring, bedside companionship to patients who are in the final stages of life when family members and other loved ones cannot be there. This program is set to expand to other facilities in the community in 2017. PRINCETON HOUSE BEHAVIORAL HEALTH --------------------------------- PRINCETON HOUSE BEHAVIORAL HEALTH ("PHBH") IS A LEADING PROVIDER OF HIGHLY SKILLED AND COMPASSIONATE BEHAVIORAL HEALTHCARE. A MULTIDISCIPLINARY TEAM OF BOARD CERTIFIED PSYCHIATRISTS AND HIGHLY QUALIFIED PROFESSIONALS PROVIDE A HIGH LEVEL OF TREATMENT AND CARE FOR PEOPLE WHO NEED PSYCHIATRIC SUPPORT, HAVE CHEMICAL DEPENDENCIES OR WHO STRUGGLE WITH A COMBINATION OF EMOTIONAL AND ADDICTION PROBLEMS. PHBH OFFERS INNOVATIVE PROGRAMS THAT ARE CUSTOMIZED TO INDIVIDUAL NEEDS FOR CHILDREN, ADOLESCENTS, YOUNG ADULTS, ADULTS, OLDER ADULTS, MEN AND WOMEN. IN ADDITION TO OUR MAIN CAMPUS IN PRINCETON, WE ALSO HAVE OUTPATIENT SITES IN PRINCETON, NORTH BRUNSWICK, EATONTOWN, HAMILTON AND MOORESTOWN. OUR OUTPATIENT SITES PRIMARILY OFFER PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT TREATMENT FOR THOSE REQUIRING ACUTE CARE. PHBH IS A UNIT LICENSED BY THE STATE OF NEW JERSEY AND IS ACCREDITED BY THE JOINT COMMISSION. PHBH NOW HAS 110 BEDS THAT PRODUCED 33,570 PATIENT DAYS IN 2016. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 95,793. - PHBH CONTINUES TO EXPAND ITS OUTPATIENT PROGRAM AND LOCATIONS GROWING TO BECOME ONE OF THE STATES LARGEST PROVIDERS OF BEHAVIORAL HEALTHCARE SERVICES. MORE RECENT PROGRAMMATIC ADDITIONS INCLUDE FIRSTRESPONDER TREATMENT SERVICES, A YOUNG ADULT INPATIENT SUBSTANCE ABUSE PROGRAM, AND OUTPATIENT GENETIC TESTING THAT SERVES AS A VALUABLE TOOL IN CREATING PERSONALIZED TREATMENT PLANS FOR CERTAIN PATIENTS. PHBH ALSO OFFERS TELE-PSYCHIATRY AND VIDEO CONFERENCING, ENABLING UMCPP TO EVALUATE AND DIRECT THE TREATMENT OF PATIENTS WHO MIGHT NEED BEHAVIORAL HEALTH SERVICES. OVER THE 46 YEARS SINCE ITS FOUNDING, PHBH HAS PROVIDED BOTH FOCUSED INPATIENT SERVICES AS WELL AS OVER 40 OUTPATIENT PROGRAMS AT SIX DISTINCT SITES ACROSS CENTRAL NEW JERSEY. ITS CENTRAL LOCATION (WITHIN A 60-MINUTE DRIVE TIME OF MOST AREAS OF THE STATE) AND OUTSTANDING REPUTATION ALLOWS PHBH TO DRAW PATIENTS FROM THROUGHOUT THE STATE. COMMUNITY 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 HEALTHcare 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, HEALTHCARE 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 2016 PHCS PAID A TOTAL OF $2,387,140 TO THE STATE OF NEW JERSEY FOR THESE ASSESSMENTS. ADJUSTED ADMISSION FEE. IN 2016 PHCS PAID A TOTAL OF $2,387,140 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 2016 PHCS PAID OTHER HEALTHCARE PROVIDERS $29,000 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 36 FULL-TIME MEDICAL AND SURGICAL RESIDENTS. THE DIRECT COSTS ASSOCIATED WITH THESE PROGRAMS IN 2016 APPROXIMATED $13.3 MILLION DOLLARS, WHICH WAS PARTIALLY OFFSET BY MEDICARE AND MEDICAID FUNDS OF $3.4 MILLION DOLLARS, RESULTING IN A SHORTFALL OF $9.9 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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. PHCS' RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED. CHARGES FOREGONE FOR CHARITY CARE DURING 2016 WERE APPROXIMATELY $32,367,525. THIS AMOUNT IS HIGHER THAN THE AMOUNT REPORTED IN THE AUDITED FINANCIAL STATEMENTS BECAUSE MANY PATIENTS SUBSEQUENTLY QUALIFIED FOR CHARITY CARE. THE FULL COSTS (LESS SOME MINOR PAYMENTS) ASSOCIATED TO PROVIDE CHARITY CARE APPROXIMATED $6,903,000. 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 2016, PHCS RECEIVED SUBSIDY AMOUNTS OF $835,000 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 $1,257,000 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 59 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 2016 PHCS RECEIVED APPROXIMATELY $101 MILLION FROM THE MEDICARE PROGRAM. THE COSTS ASSOCIATED WITH THESE REVENUES IN ACCORDANCE WITH MEDICARE RULES AND REPORTED ON THE MEDICARE COST REPORT WAS $131.6 MILLION, RESULTING IN A SHORTFALL OF $30.6 MILLION OR 23 PERCENT. IN 2016, PHCS RECEIVED APPROXIMATELY $11.1 MILLION FROM THE MEDICAID AND MEDICAID MANAGED CARE PROGRAMS. THE COSTS ASSOCIATED WITH THESE REVENUES IN ACCORDANCE WITH MEDICARE RULES WERE $24.6 MILLION, RESULTING IN A SHORTFALL OF $13.5 MILLION OR 55%. PROGRESS REPORT TO THE COMMUNITY ================================ ANNUALLY THE ORGANIZATION RELEASES ITS "PROGRESS REPORT TO THE COMMUNITY". INCLUDED BELOW ARE HIGHLIGHTS FROM THE ORGANIZATION'S 2016 PROGRESS REPORT TO THE COMMUNITY: PATIENT EXPERIENCE ------------------ TO HELP IMPROVE THE PATIENT EXPERIENCE, MORE THAN 2,600 PHCS EMPLOYEES COMPLETED CULTURE OF EXCELLENCE ALWAYS TRAINING, WHICH IS DESIGNED TO EMPOWER ALL STAFF MEMBERS TO DELIVER EXCELLENT CUSTOMER SERVICE EVERY TIME. THE FOUR-HOUR TRAINING ADDRESSES PRIORITIES IDENTIFIED BY PATIENTS AND FAMILY MEMBERS: KNOW YOUR CUSTOMERS; COMMUNICATION; DEALING WITH DIFFICULT SITUATIONS; AND SERVICE RECOVERY. IN 2016, PHCS ENJOYED ITS BEST YEAR EVER FOR OVERALL PATIENT SATISFACTION, WITH SIGNIFICANT IMPROVEMENT IN BOTH OUTPATIENT AND INPATIENT SERVICES. AT UMCP, MORE THAN THREE-QUARTERS OF PATIENTS WHO WERE SURVEYED AFTER A STAY AT THE HOSPITAL GAVE IT A RATING OF 9 OR 10 OUT OF A POSSIBLE 10. PRINCETON HEALTHCONNECT ----------------------- PHCS RECENTLY REDESIGNED ITS PATIENT PORTAL, PRINCETON HEALTHCONNECT. THIS FREE, ONE-STOP PORTAL PROVIDES A SECURE AND CONVENIENT WAY FOR PATIENTS TO ACCESS AND MANAGE THEIR HEALTHCARE INFORMATION. THE UPGRADED PORTAL IMPROVES BOTH THE PATIENT AND CLINICIAN EXPERIENCE IN ACCESSING MEDICAL RECORDS. NEW FEATURES INCLUDE AN EXPANDED SELECTION OF MEDICAL RECORDS (OPERATIVE REPORTS, DISCHARGE SUMMARIES, RECORDS FOR CONSULTS AND PHYSICALS), A MOBILE-FRIENDLY INTERFACE AND SELF-SERVICE PASSWORD RESET CAPABILITY. NICU OPENS AT UMCP ------------------ UMCPS CENTER FOR MATERNAL & NEWBORN CARE OPENED ITS NEONATAL INTENSIVE CARE UNIT ("NICU") IN EARLY 2016. THE NEW UNIT, WHICH IS STAFFED BY NEONATOLOGISTS FROM CHILDRENS HOSPITAL OF PHILADELPHIA ("CHOP"), PROVIDES A HIGH LEVEL OF CARE FOR PREMATURE BABIES AS YOUNG AS 28 WEEKS WHO WEIGH AT LEAST ONE KILOGRAM (2.2 POUNDS). THE NEONATOLOGY SERVICES ARE PROVIDED THROUGH A PARTNERSHIP WITH CHOP. THE PARTNERSHIP ALSO INCLUDES CHOP PEDIATRICIANS WHO ARE ON SITE AT UMCP 24 HOURS A DAY, 365 DAYS A YEAR TO PROVIDE INPATIENT CARE AND EMERGENCY CONSULTATIONS FOR PEDIATRIC PATIENTS. GROUNDBREAKING SURGERY ---------------------- IN 2016, A SURGICAL TEAM AT UMCP, LED BY BRUCE R. PIERCE, MD, FACOG, MEDICAL DIRECTOR OF THE ROBOTIC SURGERY PROGRAM PERFORMED A TOTAL HYSTERECTOMY THROUGH A SINGLE, SMALL INCISION IN THE PATIENTS NAVEL. THIS WAS THE FIRST SUCH OPERATION EVER PERFORMED WITH THE DA VINCI XI SURGICAL SYSTEM IN THE NORTHEAST USA REGION, ACCORDING TO DA VINCI MANUFACTURER INTUITIVE SURGICAL INC. THE PROCEDURE INVOLVES REMOVING A WOMANS UTERUS, CERVIX, FALLOPIAN TUBES AND OVARIES, AND IS PERFORMED TO TREAT A NUMBER OF CONDITIONS, SUCH AS PAIN, ABNORMAL BLEEDING AND CERTAIN TYPES OF CANCER. UMCPS CENTER FOR MINIMALLY INVASIVE SURGERY HAS ONE OF THE MOST COMPREHENSIVE ROBOT-ASSISTED SURGERY PROGRAMS IN THE REGION. IN ADDITION TO GYNECOLOGIC SURGERY, SURGEONS ON THE MEDICAL STAFF AT UMCP USE THE DA VINCI SURGICAL SYSTEM TO PERFORM COLORECTAL, GENERAL, THORACIC, UROLOGIC AND UROGYNECOLOGIC PROCEDURES. STATE-OF-THE-ART SURGICAL EQUIPMENT ----------------------------------- THE CENTER FOR MINIMALLY INVASIVE SURGERY COMPLETED A MAJOR UPGRADE IN 2016, ACQUIRING A SECOND DA VINCI XI SURGICAL SYSTEM AND INSTALLING STATE-OF-THE-ART CAMERA AND VIDEO EQUIPMENT IN THE SURGICAL SUITE AT UMCP AND THE STEPHEN & ROXANNE DISTLER CENTER FOR AMBULATORY SURGERY IN THE MEDICAL ARTS PAVILION. THE NEW VIDEO EQUIPMENT IS THE LATEST TECHNOLOGY AVAILABLE TO SUPPORT LAPAROSCOPIC SURGERY, A MINIMALLY INVASIVE TECHNIQUE PERFORMED THROUGH SMALL INCISIONS IN THE LOWER ABDOMEN. SURGEONS MAKE INCISIONS OF ONE HALF INCH OR LESS AND INSERT PLASTIC TUBES WHERE CAMERAS AND INSTRUMENTS CAN PASS THROUGH. THE 3D CAMERAS PROJECT A HIGH-DEFINITION VIDEO IMAGE ON MONITORS IN THE OPERATING ROOM TO GUIDE SURGEONS THROUGH LAPAROSCOPIC PROCEDURES SUCH AS APPENDECTOMY, GALL BLADDER REMOVAL, HERNIA REPAIR, COLON SURGERY AND SOME BARIATRIC PROCEDURES. AS WITH ROBOTIC SURGERY, LAPAROSCOPIC PROCEDURES RESULT IN LESS PAIN AND SCARRING FOR THE PATIENT, SHORTER HOSPITAL STAYS AND FASTER RECOVERY THAN WITH TRADITIONAL OPEN SURGERY. CENTER FOR PELVIC WELLNESS OPENS -------------------------------- UMCP OPENED A NEW CENTER FOR PELVIC WELLNESS THAT PROVIDES CARE FOR PATIENTS OF ALL AGES AND GENDERS WITH A VARIETY OF PELVIC DISORDERS RANGING FROM URINARY INCONTINENCE AND POSTPARTUM COMPLICATIONS, TO PELVIC PAIN AND SEXUAL DYSFUNCTION. THE CENTERS PROGRAM DIRECTOR IS A PHYSICIAN WHO IS BOARD CERTIFIED IN FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY AND OBSTETRICS AND GYNECOLOGY. THE STAFF ALSO INCLUDES A NURSE NAVIGATOR AND A PHYSICAL THERAPIST. TREATMENT PLANS FOCUS ON PHYSICAL THERAPY, DIET AND BEHAVIORAL MODIFICATIONS, EDUCATION AND, IF NECESSARY, SURGICAL INTERVENTION. THE CENTER ANTICIPATES TREATING APPROXIMATELY 150 PATIENTS PER MONTH. FAST TRACK EMERGENCY CARE ------------------------- UMCPS CENTER FOR EMERGENCY CARE HAS SHORTENED THE LENGTH OF STAY FOR MANY PATIENTS SINCE ESTABLISHING FAST TRACK, A DEDICATED AREA DELIVERING PROMPT, HIGH QUALITY CARE TO INDIVIDUALS WITH RELATIVELY MINOR ILLNESSES AND INJURIES. OPEN FROM 11 A.M. TO 11 P.M. DAILY, FAST TRACK ACCOMMODATES FIVE PATIENTS AT A TIME AND TREATS 20 TO 25 PEOPLE ON A TYPICAL DAY. PATIENT CARE IS COORDINATED BY A PHYSICIAN ASSISTANT OR ADVANCED PRACTICE NURSE UNDER THE DIRECTION AND SUPERVISION OF A BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIAN. MOST PATIENTS SEEN IN FAST TRACK SPEND 90 MINUTES OR LESS IN THE EMERGENCY DEPARTMENT, DOWN FROM 130 MINUTES WHEN FAST TRACK FIRST OPENED IN THE SPRING OF 2016.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PEDIATRIC EMERGENCY CARE ------------------------ CT SCANS CAN BE A VALUABLE DIAGNOSTIC TOOL. BUT FOR CHILDREN WITH HEAD INJURIES, THE LOW-LEVEL DOSE OF RADIATION CARRIES A POTENTIALLY UNNECESSARY HEALTH RISK. SO PHYSICIANS IN UMCPS CENTER FOR EMERGENCY CARE USE AN EVIDENCE-BASED ASSESSMENT CREATED BY THE PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK (PECARN) THAT ENABLES DOCTORS TO DIAGNOSE AND TREAT MANY HEAD INJURIES WITHOUT A CT SCAN. THE PECARN ASSESSMENT IS A PRIMARY FOCUS OF A COLLABORATIVE BETWEEN THE NEW JERSEY HOSPITAL ASSOCIATION AND THE NEW JERSEY COUNCIL OF CHILDRENS HOSPITALS. PEDIATRIC SERVICES AT UMCP ARE ENHANCED THROUGH A PARTNERSHIP WITH CHOP. PEDIATRICIANS FROM CHOP ARE ON-SITE 24 HOURS A DAY TO PROVIDE INPATIENT CARE AND PEDIATRIC CONSULTATIONS IN THE EMERGENCY DEPARTMENT. IN 2016, WE TREATED 8,300 CHILDREN IN THE EMERGENCY DEPARTMENT. EXPANDING LAB SERVICES ---------------------- UMCP CONTINUED EXPANDING ITS LABORATORY SERVICE CENTER LOCATIONS IN 2016. THERE ARE NOW SEVEN LOCATIONS, INCLUDING PLAINSBORO, PRINCETON, EAST WINDSOR, LAWRENCEVILLE AND MONMOUTH JUNCTION. UMCP LABS OFFER COMPREHENSIVE DIAGNOSTIC TESTING, INCLUDING BLOOD DRAWS, SPECIMEN COLLECTION AND SPECIMEN DROP-OFF, WITH EASY ACCESS TO RESULTS IN OUR ONLINE PATIENT PORTAL. IN 2016, 1.12 MILLION LAB TESTS WERE PERFORMED AT UMCP LABS. ADVANCEMENTS IN ULTRASOUND TECHNOLOGY ------------------------------------- IN 2016, MATERNAL FETAL MEDICINE ACQUIRED TWO NEW ULTRASOUND UNITS, PROVIDING THE MOST ADVANCED TECHNOLOGY AVAILABLE FOR PERINATAL SERVICES. THESE NEW MACHINES AID IN MEDICAL DIAGNOSIS AND TREATMENT BY MAXIMIZING IMAGING PERFORMANCE AND EFFICIENCY THROUGH NEW 3D/4D IMAGING, WHICH IS FOUR TIMES MORE ADVANCED THAN A STANDARD ULTRASOUND MACHINE. THIS NEW IMAGING TECHNOLOGY, "HD LIVE", PROVIDES UNPRECEDENTED ANATOMICAL REALISM THROUGH ADVANCED SKIN ILLUMINATING AND SHADOWING TECHNIQUES. COMMUNITY HEALTH & VOLUNTEERISM =============================== IN 2016, PHCS COMMUNITY EDUCATION & OUTREACH HOSTED OR PARTICIPATED IN 1,781 COMMUNITY PROGRAMS, INCLUDING SCREENINGS, CLASSES AND HEALTH FAIRS, WHICH WAS A 25 PERCENT INCREASE OVER THE PREVIOUS YEAR. THESE PROGRAMS REACHED MORE THAN 40,000 AREA RESIDENTS, A 7 PERCENT INCREASE OVER 2015. AMONG THE PROGRAMS WERE 80 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 590 CPR AND FIRST AID CLASSES, INCLUDING SESSIONS DURING FREE CPR WEEK IN APRIL, WHEN 1,082 COMMUNITY MEMBERS RECEIVED FREE TRAINING IN BASIC CPR TECHNIQUES. SINCE FREE CPR WEEK BEGAN IN 2007, PHCS HAS TRAINED 4,906 COMMUNITY MEMBERS. ALSO IN 2016, PHCS HELD 73 EVENTS AT AREA SENIOR CENTERS AND ACTIVE ADULT COMMUNITIES, SERVING 1,843 SENIORS. PHCS CONTINUED ITS PROGRAMS FOR EMTS IN 2016, PROVIDING 16 CLASSES COVERING TOPICS SUCH AS BLOODBORNE PATHOGENS, ACUTE AND CHRONIC TRAUMA, POST TRAUMATIC STRESS DISORDERS, AND STROKE. IN 2016, 166 ASPIRING EMTS COMPLETED THEIR OBSERVATION HOURS IN THE CENTER FOR EMERGENCY CARE AT UMCP, AND 205 CURRENT EMTS WERE TRAINED IN CONTINUING EDUCATION UNIT PROGRAMS. IN 2016, A TOTAL OF 834 VOLUNTEERS SERVED PHCS, DONATING A COMBINED 73,253 HOURS. THE ANIMAL ASSISTED ACTIVITIES PROGRAM, SOMETIMES CALLED PET THERAPY ADDED SIX NEW DOGS AND FOUR NEW DOG HANDLERS, BRINGING THE PROGRAMS TOTAL TO 14 DOG TEAMS. THE PROGRAM ALSO EXPANDED TO THREE PRINCETON HOUSE OUTPATIENT LOCATIONS IN PRINCETON, MOORESTOWN AND HAMILTON. THESE VOLUNTEERS SERVED APPROXIMATELY 530 HOURS. IN 2016, 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 SERVED ON NURSING UNITS AND IN THE EMERGENCY DEPARTMENT, ATTENDED WEEKLY LECTURES AND OBSERVED IN THE OPERATING ROOM. STUDENTS ALSO HAD THE OPPORTUNITY TO VISIT THE PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, THE NJ SHARING NETWORK AND THE MTTER MUSEUM AT THE COLLEGE OF PHYSICIANS OF PHILADELPHIA, THANKS TO A GENEROUS ENDOWMENT FROM THE MARY LOUISE KILGORE BEILMAN MEMORIAL FUND. THE GUEST RELATIONS PROGRAM SIGNIFICANTLY EXPANDED IN 2016, ADDING 46 NEW VOLUNTEERS TO GREET GUESTS AND ASSIST WITH WAYFINDING AT UMCP. BY YEARS END, A TOTAL OF 73 VOLUNTEERS WERE PARTICIPATING IN THE PROGRAM. TOGETHER, THEY SERVED 11,800 HOURS. PHCS AWARD-WINNING SERIES OF ONLINE CHATS ON THE VIDEO STREAMING NETWORK USTREAM CONTINUED IN 2016 WITH 12 BROADCASTS ON TOPICS INCLUDING PERSONAL HEALTH TECHNOLOGY, EATING DISORDERS, NICU, URINARY INCONTINENCE, SLEEP DISORDERS AND VASCULAR HEALTH. THE ONLINE FORMAT PROVIDES PARTICIPANTS WITH THE OPPORTUNITY TO VIEW A HEALTH LECTURE FROM THE COMFORT AND PRIVACY OF THEIR OWN HOME AND ASK QUESTIONS OF THE SPEAKER THROUGH AN ONLINE CHAT WINDOW. PHCS USTREAM CHANNEL DREW 230 VIEWERS OF LIVE BROADCASTS AND MORE THAN 2,300 VIEWS OF PREVIOUSLY RECORDED WEB CHATS IN 2016. PRINCETON HEALTH CAMPUS UPDATE ============================== PHCS RECENTLY CLOSED THE SALE OF A 6-ACRE PARCEL ON THE PRINCETON HEALTH CAMPUS TO MAPLEWOOD SENIOR LIVING, WHICH PLANS TO CONSTRUCT A SENIOR ASSISTED-LIVING FACILITY FOCUSING ON PROVIDING CARE AND SERVICES TO RESIDENTS WITH ALZHEIMERS DISEASE AND DEMENTIA, ALONG WITH RESIDENTS WHO REQUIRE ASSISTANCE WITH OTHER ACTIVITIES OF DAILY LIVING. THE STATE-OF-THE-ART FACILITY WILL INCLUDE 105 UNITS, WITH AMENITIES SUCH AS A LIBRARY, FARM-TO-TABLE MEALS, A PROFESSIONALLY RUN SPA AND SALON, A BISTRO AND PUB, AND LANDSCAPED OUTDOOR GARDENS. MAPLEWOOD HAS ALL NECESSARY APPROVALS TO START CONSTRUCTION, AND THE PROJECT IS EXPECTED TO BE COMPLETED IN 12 TO 18 MONTHS ONCE GROUND IS BROKEN. INFRASTRUCTURE WORK SERVING THE SITE IS CURRENTLY UNDER WAY. PHCS ALSO CLOSED ON THE SALE OF A 4.5-ACRE PARCEL ON THE CAMPUS FOR THE DEVELOPMENT OF A DAY CARE FACILITY. THE SITE WILL BE SHARED BY VCARE ADULT CARE CENTERS FOR A 13,000-SQUARE-FOOT MEDICAL ADULT DAY CARE FACILITY AND BY DISCOVERY YEARS CHILD CARE FOR A 12,000-SQUARE-FOOT CHILD DAY CARE CENTER. BOTH DEVELOPERS HAVE RECEIVED ALL NECESSARY APPROVALS TO START SITE DEVELOPMENT AND BUILDING CONSTRUCTION. COMPLETION OF THE FACILITIES IS EXPECTED IN THE NEXT 12 TO 18 MONTHS. ALSO PLANNED FOR THE CAMPUS IS AN INDEPENDENT LIVING DEVELOPMENT WITH 315 UNITS. THE DEVELOPMENT WILL INCLUDE A COMBINATION OF RENTAL AND FOR-SALE UNITS, RANGING FROM STUDIO APARTMENTS TO THREE-BEDROOM TOWNHOMES. THE DEVELOPER IS WORKING WITH LOCAL AND STATE AUTHORITIES FOR NECESSARY APPROVALS. PRINCETON HEALTHCARE SYSTEM FOUNDATION ====================================== ESTABLISHED IN 1978, THE MISSION OF THE PRINCETON HEALTHCARE SYSTEM FOUNDATION IS TO FINANCIALLY SUPPORT AND PROMOTE THE MISSION OF PRINCETON HEALTHCARE SYSTEM. WILLIAM A. AND JOAN L. SCHREYER EDUCATION CENTER ------------------------------------------------ BILL AND JOAN SCHREYER WERE LIFELONG DONORS TO THE PHCS FOUNDATION AS WELL AS MUCH LOVED MEMBERS OF THE PRINCETON AREA COMMUNITY. SADLY, BILL PASSED AWAY IN JANUARY 2011 AT THE AGE OF 83. IN SEPTEMBER OF 2016, THE EDUCATION CENTER AT UMCP WAS RENAMED THE WILLIAM A. AND JOAN L. SCHREYER EDUCATION CENTER TO ACKNOWLEDGE THE SCHREYERS GENEROUS GIFT TO THE DESIGN FOR HEALING CAMPAIGN. A PORTRAIT OF BILL AND JOAN SCHREYER IS DISPLAYED IN THE EDUCATION CENTER ALONG WITH EXTERIOR SIGNAGE NAMING THE BUILDING THE "SCHREYER EDUCATION CENTER". 21ST ANNUAL PHCS GOLF OUTING ---------------------------- PHCS 21ST ANNUAL GOLF OUTING, HELD JUNE 14 AT METEDECONK NATIONAL GOLF CLUB IN JACKSON, RAISED MORE THAN $260,000. PROCEEDS BENEFITED THE BRISTOL-MYERS SQUIBB COMMUNITY HEALTH CENTER, PHCS PRIMARY AND SPECIALTY CARE CENTER THAT SERVES APPROXIMATELY 8,000 UNINSURED AND UNDERINSURED PATIENTS. FUNDS RAISED WILL SUPPORT COMPLEX CARE COORDINATION AND ENHANCED SERVICES FOR HIGH-RISK PATIENTS WITH MULTIPLE CHRONIC MEDICAL CONDITIONS, AS WELL AS SUPPORT SERVICES FOR ADULTS AND CHILDREN. IN TOTAL, 74 COMPANIES AND INDIVIDUALS WHO DO BUSINESS OR LIVE IN THE REGION SUPPORTED THE EVENT.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PHCS INTERNAL GRANTS PROGRAM ---------------------------- THE PHCS FOUNDATION FACILITATES AN INTERNAL GRANTS PROGRAM, WHICH IS A COMPETITIVE GRANTS INITIATIVE THAT FUNDS SERVICES, PROGRAMS AND EQUIPMENT THAT ENHANCE OR IMPROVE CLINICAL OUTCOMES OR PATIENT SATISFACTION. DURING THE 2016 CYCLE, APPROXIMATELY $250,000 WAS AWARDED TO SUPPORT NINE INNOVATIVE INITIATIVES THAT WERE PROPOSED BY PHCS PHYSICIANS, CLINICIANS AND OTHER STAFF MEMBERS. THIS PROGRAM IS SUPPORTED BY GIFTS FROM THE ANNUAL FUND AND OTHER UNRESTRICTED GIFTS. ROBERT H. BALDWIN, JR. AND MARGARET J. SIECK PALLIATIVE CARE ENDOWMENT ---------------------------------------------------------------------- AREA RESIDENTS ROBERT BALDWIN, JR. AND MARGARET SIECK HAVE MADE A MAJOR COMMITMENT TO SUPPORT A PALLIATIVE MEDICINE STAFF EDUCATION INITIATIVE AT UMCP. PALLIATIVE CARE TYPICALLY INVOLVES INPATIENT CARE FOR PAIN MANAGEMENT AND SYMPTOM CONTROL FOR THOSE WITH TERMINAL OR CHRONIC ILLNESSES. UNDER THE LEADERSHIP OF DAVID BARILE, MD, CHIEF OF GERIATRIC MEDICINE, PHYSICIANS, NURSES, SOCIAL WORKERS, CASE MANAGERS AND ANCILLARY STAFF WILL ATTEND CONFERENCES AND RECEIVE ADVANCED EDUCATION IN PALLIATIVE MEDICINE AND END OF LIFE CARE. UPON RETURN, ATTENDEES WILL SHARE CONFERENCE MATERIALS WITH A MULTIDISCIPLINARY AUDIENCE OF MEDICAL STAFF. JOHNSON AND JOHNSON COMMUNITY HEALTH FUND ----------------------------------------- THE J&J COMMUNITY HEALTH FUND ONCE AGAIN MADE A GIFT OF $75,000 TO SUPPORT THE DIABETES CARE AND PATIENT MANAGEMENT PROGRAM AT THE BRISTOL-MYERS SQUIBB COMMUNITY HEALTH CENTER. THIS PROGRAM PROVIDES OPPORTUNITIES FOR UNDERSERVED FAMILIES TO LEARN ABOUT HEALTHY EATING AND ACTIVE LIFESTYLES. GIFT TO SUPPORT SURGICAL SERVICES --------------------------------- AREA PHYSICIANS DRS. NATASHA AND ALEXANDER WOLFSON HAVE PLEDGED A MAJOR GIFT TO SUPPORT UMCPS SURGICAL CARE SERVICES. DR. ALEXANDER WOLFSON IS THE MEDICAL DIRECTOR OF THE UMCP AMBULATORY SURGERY CENTER MONROE. THE COUPLE MADE THIS GIFT AS A WAY TO GIVE BACK TO THE HOSPITAL WHERE THEIR CHILDREN WERE BORN, TO HONOR THE PEOPLE WHO TOOK CARE OF THEIR FAMILY AND WITH WHOM DR. ALEXANDER WOLFSON WORKS DAILY. OUR JOURNEY: BECOMING PART OF PENN MEDICINE =========================================== PRINCETON HEALTHCARE SYSTEM PHCS, PENN MEDICINE AND THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM SIGNED AN AFFILIATION AGREEMENT STATING THAT PHCS WILL BECOME PART OF THE PENN MEDICINE SYSTEM. THE AGREEMENT IS CONTINGENT UPON FINAL APPROVAL BY STATE AND FEDERAL AUTHORITIES. MEANWHILE, PHCS AND PENN MEDICINE ARE COLLABORATING ON A STRATEGIC PLAN ON HOW WE CAN BEST CONTINUE TO SERVE PATIENTS AND THE COMMUNITY. BOTH ORGANIZATIONS ARE CLINICALLY AND FINANCIALLY STRONG, AND WE EXPECT TO GROW EVEN STRONGER WHEN THE PARTNERSHIP IS FINALIZED. OUR EMPLOYEES AND PHYSICIANS WILL BENEFIT FROM SHARING KNOWLEDGE AND CAPABILITIES WITH THE PENN MEDICINE SYSTEM. OUR PATIENTS WILL GAIN EASIER ACCESS TO THE LATEST MEDICAL BREAKTHROUGHS, CLINICAL TRIALS, CUTTING-EDGE TECHNOLOGIES AND SPECIALIZED CLINICAL EXPERTISE HERE AND ELSEWHERE IN THE PENN MEDICINE SYSTEM. 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. DURING 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.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	PRINCETON 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 11B	PRINCETON 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 NOVEMBER 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, vice president of finance and CONTROLLER ("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 12	PRINCETON 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 15	PRINCETON 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 19	THE 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 J	core 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 B	PRINCETON 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 X; BALANCE SHEET RESTATEMENT	CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THIS RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - LOSS On EXTINGUISHMENT OF DEBT - ($584,647); - equity transfer to princeton healthcare system foundation, inc.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($333,706) - FORGIVENESS OF DEBT (PRINCETON HEALTHCARE AFFILIATED PHYSICIANS D/B/A PRINCETON MEDICINE); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($9,537,559); - CHANGE IN MINIMUM PENSION LIABILITY - $3,372,374; - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($1,518,696) AND - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $4,977.
CORE FORM, PART XII; QUESTION 2	PRINCETON 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, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANICAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED 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.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:19182992
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:14110400
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:4468128
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMP EMPLOYMENT FEES TOTAL FEES:2704324
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING & COLLECTION FEES TOTAL FEES:2189056
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:214700

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PRINCETON HEALTHCARE SYSTEM FDN INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	222225911	SUPPORT PHCS	NJ	501(C)(3)	509(A)(1)	PHCS HOLDING	false
PRINCETON HLTHCARE SYSTEM HOLDING INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	223493256	HOLDING CO.	NJ	501(C)(3)	509(A)(3)	na	false
PRINCETON MEDICAL PROPERTIES INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	220022702	REAL ESTATE	NJ	501(C)(2)	N/A	PHCS HOLDING	false
PRINCETON CAREGIVERS INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	222842773	HOMECARE SVCS	NJ	501(C)(3)	HOSPITAL	PHCS HOLDING	false
PRINCETON HEALTHCARE AFFILIATED PHYS PC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	264203938	HLTHCARE SVCS	NJ	501(C)(3)	509(A)(2)	PHCS	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
PRINCETON HEALTH INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	223450093	MEDICAL	NJ	NA	C CORP.	false
PRINCETON HEALTHCARE MGMT SVCS INC
4 PRINCESS ROAD	LAWRENCEVILLE	NJ	08648	223377256	MEDICAL BILLING	NJ	NA	C CORP.	false
PRINCETON HEALTHCARE MEDICAL EQUIP CO
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	223467900	INACTIVE	NJ	NA	C CORP.	false
PHI PHARMACY INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	223467899	INACTIVE	NJ	NA	C CORP.	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PRINCETON HC AFF PHYS DBA PRINCETON MEDICINE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	E	TransactionTypeTxt
Involved	$1,857,355	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	PRINCETON 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