2014-11-17T16:22:27-06:00 2013-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2013-01-01 210635009 PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NONPROFIT CORPORATION % GLENN A ZIRBSER PRIN 6096208502 ONE PLAINSBORO ROAD Suite PLAINSBORO NJ 08536 GLENN ZIRBSER CFO 6098537107 2014-11-12 true Anthony J Panico P00365556 6098537107 2013 2015-11-30 17:44:51Z BARRY S RABNER ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 359613212 false X WWW.PRINCETONHCS.ORG X 1919 NJ THE MISSION OF PRINCETON HEALTHCARE SYSTEM IS TO BE THE FOCAL POINT OF IS TO BE THE FOCAL POINT OF A COMPREHENSIVE COMMUNITY HEALTH SYSTEM THAT RESPONDS TO THE HEALTHCARE NEEDS OF OUR SERVICE AREA RESIDENTS. 31 26 3534 650 0 1335723 45802 329836407 348938220 7881715 3458787 625793 978736 339679638 353421545 33926 0 0 0 171915535 173172026 0 0 0 181812348 198877842 353761809 372049868 -14082171 -18628323 802834602 764598269 501930099 454057301 300904503 310540968 X 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. false false 273568341 274492618 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 2013, PATIENT DAYS TOTALED 56,285 AND OUTPATIENT VISITS/ENCOUNTERS TOTALED 522,592. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 49891901 54206643 PRINCETON HOUSE BEHAVIORAL HEALTH PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 110 BEDS PRODUCED 31,558 PATIENT DAYS IN 2013. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 84,048. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 11384729 12640717 PRINCETON HOMECARE SERVICES IS A HOME CARE AND VISITING NURSE, AND HOSPICE SERVICE. IN 2013, THERE WERE 44,188 OCCASIONS OF SERVICE AND 25,197 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. 0 0 7598242 334844971 true true false true false false false false false true true false true false true true false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true true true false false true 189 0 true 3534 true true true false false false false false false false false false X 31 26 false false true false true true true true true false false true true true true true true true true true true NJ X GLENN A ZIRBSER 6098537107 ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 X DONALD J HOFMANN CHAIRMAN - TRUSTEE 1.0 X X 0 0 0 MARGARET LANCEFIELD MD PHD VICE CHAIR - TRUSTEE 55.0 X X 0 158325 26588 KIM J PIMLEY VICE CHAIR - TRUSTEE 1.0 X X 0 0 0 HONORABLE DEBORAH T PORITZ VICE CHAIR/SEC - TRUSTEE 1.0 X X 0 0 0 CONRAD DRUKER CPA TREASURER - TRUSTEE 1.0 X X 0 0 0 PETER S AMENTA MD PHD TRUSTEE 1.0 X 0 0 0 STEVEN R ATKINSON TRUSTEE 1.0 X 0 0 0 PAUL VON AUTENRIED TRUSTEE 1.0 X 0 0 0 SUBHA V BARRY TRUSTEE 1.0 X 0 0 0 ALICIA BRENNAN MD TRUSTEE 1.0 X 0 0 0 FREDERICK E CAMMERZELL III ESQ TRUSTEE 1.0 X 0 0 0 ROBERT J CARUSO TRUSTEE 1.0 X 0 0 0 DOUGLAS P CORAZZA MD TRUSTEE 1.0 X 0 0 0 CHARLES S DAWSON TRUSTEE 1.0 X 0 0 0 JOHN F DELORENZO TRUSTEE 1.0 X 0 0 0 ROBERT C DOLL JR TRUSTEE 1.0 X 0 0 0 JAMES L DOMINICK TRUSTEE 1.0 X 0 0 0 BARRY L GOLDBLATT TRUSTEE 1.0 X 0 0 0 CRAIG GRONCZEWSKI MD TRUSTEE 1.0 X 0 0 0 JOANN H HEISEN TRUSTEE 1.0 X 0 0 0 JOSEPH L HERRING TRUSTEE 1.0 X 0 0 0 MARIA JUEGA TRUSTEE 1.0 X 0 0 0 STEVEN P KAHN MD TRUSTEE 1.0 X 0 0 0 RAM KOLLURI TRUSTEE 1.0 X 0 0 0 ELWOOD PHARES II TRUSTEE 1.0 X 0 0 0 BARRY S RABNER TRUSTEE - PRESIDENT/CEO 55.0 X X 771903 0 76828 MICHAEL C RUDDY MD TRUSTEE 1.0 X 0 0 0 RICHARD O SCRIBNER ESQ TRUSTEE 1.0 X 0 0 0 RUBY SHARMA TRUSTEE 1.0 X 0 0 0 JESSE TREU TRUSTEE 1.0 X 0 0 0 PETER I YI MD TRUSTEE 1.0 X 0 0 0 GERARD A COMPITO MD TRUSTEE (1/1 - 3/18) 1.0 X 0 0 0 DAVID F ERTEL TRUSTEE (1/1 - 3/18) 1.0 X 0 0 0 STEPHEN P DISTLER TRUSTEE (1/1 - 3/18) 1.0 X 0 0 0 JERZY GRUHN TRUSTEE (1/1 - 3/18) 1.0 X 0 0 0 MORDECHAI ROZANSKI PHD TRUSTEE (1/1 - 3/18) 1.0 X 0 0 0 HAROLD T SHAPIRO PHD TRUSTEE (1/1 - 3/18) 1.0 X 0 0 0 GLENN A ZIRBSER SVP/CFO (EFF 1/21/13) 55.0 X 284480 0 29347 YALE H BOHN ESQ 11-222 VP/GENERAL COUNSEL 55.0 X 208565 0 16631 ANNE C SEARLE CHIEF INFORMATION OFFICER 55.0 X 348940 0 22364 SIMRAN R SEDANI CHIEF MEDICAL INFO OFFICER 55.0 X 236109 0 42735 MARK T JONES SENIOR VP PHCS/ PRESIDENT UMCP 55.0 X 468049 0 39677 RICHARD E WOHL SENIOR VICE PRESIDENT 55.0 X 290432 0 40087 TIMOTHY MATHIASEN SENIOR VICE PRESIDENT 55.0 X 158417 0 36993 LINDA F SIEGLEN MD 11-1021 VICE PRESIDENT 55.0 X 414923 0 30775 MARCIA M TELTHORSTER VICE PRESIDENT 55.0 X 290445 0 13718 JOSEPH E STAMPE 11-126 VICE PRESIDENT 55.0 X 279229 0 44206 BARBARA A YOST VICE PRESIDENT 55.0 X 245315 0 42800 JAMES G DEMETRIADES VICE PRESIDENT 55.0 X 241506 0 21691 SUSAN LORENZ VICE PRESIDENT 55.0 X 240922 0 47561 JAMES B HOGLE VICE PRESIDENT 55.0 X 207496 0 41498 CAROL NORRIS SMITH VICE PRESIDENT 55.0 X 190075 0 40531 PAMELA HERSH VICE PRESIDENT 55.0 X 161684 0 17553 RAY B LEFTON 11-531 VICE PRESIDENT 55.0 X 146790 0 9576 BARBARA CHRISTIANO VICE PRESIDENT 55.0 X 124874 0 22721 GUILHERME VALLADARES VICE PRESIDENT (EFF 10/28/13) 55.0 X 30202 0 1952 SIDDIQ FAISAL MD MEDICAL DIRECTOR 55.0 X 194504 0 31390 PETER J THOMAS PHD EXECUTIVE DIRECTOR 55.0 X 183020 0 37780 LAURIE S GREY ED REVENUE CYCLE MANAGEMENT 55.0 X 181187 0 24833 JANET ALEXANDER JAMES IMAGING SUPERVISOR NUC MED 55.0 X 162918 0 23507 EDWARD HENRY DIRECTOR OF TECHNOLOGY 55.0 X 151970 0 37629 6213955 158325 820971 175 false true false UNIVERSITY OF MEDICINE DENTISTRY PO BOX 2685 NEW BRUNSWICK NJ 089032685 MEDICAL - RESIDENCY 3267203 PHILIPS MEDICAL SYSTEMS PO BOX 406538 ATLANTA GA 303846538 BIOMED 2205093 CIELO 200 SOUTH EXECUTIVE DRIVE BROOKFIELD WI 53005 RECRUITMENT 1614211 RUTGERS UNIVERSITY PO BOX 2685 NEW BRUNSWICK NJ 089032685 MEDICAL - RESIDENCY 1440184 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 554809146 LABORATORY 1363263 84 X 45802 45802 NET PATIENT SERVICE REVENUE 541900 341339678 341339678 OTHER HEALTHCARE RELATED REVENUE 621500 7598542 7598542 348938220 3839507 3839507 6247 6247 0 956818 956818 0 956818 956818 5804700 6191667 -386967 -386967 -386967 0 0 0 VENDING MACHINE 900099 13694 13694 TELEPHONE 812930 8224 8224 21918 353421545 348938220 4437523 0 0 0 0 5979599 5979599 0 129825536 121649303 8176233 0 6084983 5672988 411995 19780307 18181092 1599215 11501601 10351441 1150160 1526452 1373807 152645 2518419 2266577 251842 287389 258650 28739 35080 31572 3508 0 96683 87014 9669 24239001 21815102 2423899 1696656 1526990 169666 10195703 9176133 1019570 6201311 5581180 620131 0 11917590 10725831 1191759 800486 720437 80049 0 0 8272534 7445281 827253 0 41057066 36951359 4105707 3942067 3547860 394207 MEDICAL SUPPLIES 57661118 51895006 5766112 CONTRACTED SERVICES 9847828 8863045 984783 UTILITIES 7353056 6617750 735306 RESIDENCY EXPENSES 3098630 2788767 309863 8130773 7317786 812987 372049868 334844971 37204897 0 X 1223586 2926894 30094311 40142617 0 0 47027975 45034053 0 0 0 0 0 0 4198501 3609705 2360113 3814928 775210219 194293109 617170509 580917110 0 0 0 0 84872059 73355462 692717 653777 15194831 14143723 802834602 764598269 54922142 44695634 0 0 0 0 230000000 225980000 0 0 0 0 128662733 125504519 0 0 88345224 57877148 501930099 454057301 X 271334255 289519260 22996398 12449227 6573850 8572481 300904503 310540968 802834602 764598269 X -18628323 1027854 27236934 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false true 35079 false 35079 false SCHEDULE C, PART II-B; QUESTION 1H THE ORGANIZATION EMPLOYS A VICE PRESIDENT OF GOVERNMENTAL AFFAIRS THAT SPENDS APPROXIMATLEY SEVEN PERCENT OF HER TIME ON LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. THE AMOUNT OF HER TIME ALLOCATED TO LOBBYING EFFORTS EFFORTS IN 2013 AMOUNTED TO $12,547. IN ADDITION, PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $22,532 in 2013. LASTLY, THE ORGANIZATION IS A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $14,002 IN 2013. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS. 250000 250000 250000 250000 250000 250000 250000 250000 250000 250000 1.00000 false false 50828806 50828806 555203750 128847135 426356615 29492612 9240898 20251714 114481652 53765232 60716420 25203399 2439844 22763555 580917110 LIMITED USE 18825235 F DOMESTIC EQUITY MUTUAL FUNDS 8331809 F INTL EQUITY MUTUAL FUNDS 5197294 F CASH & MONEY MARKET FUNDS 16631 F PROGRAM RELATED INVESTMENTS 6418430 F BOND PROCEEDS HELD BY TRUSTEE 5824471 F HEDGE FUNDS OF FUNDS 5900453 F OTHER INVESTMENTS 1327432 F INTEREST IN NET ASSETS OF FDN 21513707 F 73355462 0 RETROACTIVE PAYABLE, NET 2501256 ACCRUED INTEREST PAYABLE; CURRENT 2708249 NON-CURRENT 26848058 PAYABLE 366088 DUE TO AFFILIATES 1543462 OTHER LIABILITIES 23910035 57877148 X SCHEDULE D, PART V, QUESTION 4 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("SYSTEM") is an affiliate within PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND AFFILIATES ("PHCSH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. EFFECTIVE JUNE 10, 2009, PHCSH ADOPTED THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF 2006 ("UPMIFA"). PHCSHs endowment consists of ten 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 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 prudent considering 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. PHCSH intends to expend a 4% drawdown from 2013 earnings in 2014, as approved by the Systems Investment Committee. SCHEDULE D, PART X 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 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, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE FOLLOWING, WITH RESPECT TO A FIN 48 DISCLOSURE (ASC 740), IS INCLUDED IN THE TEXT OF THE INCOME TAX FOOTNOTE IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2013: PER THE REQUIReMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED. true true X false false true true true false false 13163905 2050659 11113246 0.02990 14497198 6396007 8101191 0.02180 27661103 8446666 19214437 0.05170 839914 56973 782941 0.00210 11228758 3532395 7696363 0.02070 413357 413357 0.00110 12482029 3589368 8892661 0.02390 40143132 12036034 28107098 0.07560 true 10632753 76270515 107887652 -31617137 X true true UMCP SURGICENTER MEDICAL SERVICES 0.26470 0.73500 PARTNERS LLC 1 1 UNIV MED CTR OF PRINCETON PLAINSBORO ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 www.princetonhcs.org 11103 X X X X 1 UNIV MED CTR OF PRINCETON PLAINSBORO 1 true X X X X X X X X X 13 true true true X www.princetonhcs.org X www.uwgmc.org/cha X X X X X X X X false false true false false true X X X true true X X true false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 5C & 6I NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 3 To develop a shared vision and plan for improved community health, and help sustain implementation efforts, the Mercer County assessment and planning process engaged multi-sector community organizations, community members, community hospitals and Local Public Health System Partners (LPHS) through different avenues: a) In 2011, The Greater Mercer Public Health Partnership (GMPHP) was formed as the decision-making leadership body for the CHIP. In January 2012, the GMPHP hired Health Resources in Action (HRiA), a non-profit public health organization located in Boston, MA, as a research partner to provide strategic guidance and facilitation of the CHA-CHIP process, to collect and analyze data, and to develop the report deliverables. b) The Community Advisory Board (CAB) was established in January 2012 to guide and offer feedback on the CHA and CHIP processes. The CAB is comprised of approximately 60 individuals who represent the local community in all its diverse aspects: business, education, communications, transportation, health and wellness, faith-based groups, civic and government, vulnerable populations (disabled, seniors, etc.), and other organizations and specialized areas. GMPHP led the assessment and planning process by uniting community residents and the area's influential leaders in healthcare, community organizations, and other key sectors, such as education, housing, local government, and social services. The community was engaged in focus groups and interviews during the comprehensive data collection effort of the Community Health Assessment. Public events and media were used to further reach out to the community to broadcast and solicit feedback on the CHA findings and the CHIP priorities and strategies. In July 2012, the CHA report was distributed to the GMPHP and CAB for their review and feedback, and then to the community through a Town Hall Meeting attended by 200 community leaders. The larger community has been involved through continuous communications and meetings to discuss the importance of this planning process and to form working groups. On September 19, 2012, a summary of the CHA findings was presented to the CHIP Workgroups for review and refinement, serving as the official launching point of the CHIP. The CHIP Workgroups, comprised of 50 community leaders and organizations, represented broad and diverse sectors of the community. During the two planning sessions that followed, the Workgroups discussed key issues and themes from which priority health issues were identified and developed the goals, objectives and strategies for the CHIP. The community health assessment utilized a participatory, 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 34 focus groups conducted with community residents, 23 interviews with community stakeholders, and 1 forces of change session examining larger external factors that affect health which consisted of 6 discussion groups. Focus groups and interviews were conducted with individuals from Mercer, Middlesex, and Somerset Counties with a range of individuals representing different audiences, including youth, seniors, government officials, educational leaders, social service and health care providers, people living with disabilities and their families, as well as participants in a drug addiction recovery program. Ultimately, the qualitative research engaged over 400 individuals. SCHEDULE H, PART V, SECTION B, QUESTION 4 Improving the health of a community is critical for not only enhancing residents' quality of life but also supporting their future prosperity. To this end, the Greater Mercer Public Health Partnership - a collaborative of 14 area non-profit organizations, including four hospitals (Capital Health Medical Center- Hopewell, Princeton HealthCare System, Robert Wood Johnson University Hospital-Hamilton, St. Lawrence Rehabilitation Center), eight local health departments (Ewing, Hamilton, Lawrence, Hopewell, Montgomery, Princeton, East Windsor, and West Windsor), and the United Way -lead a comprehensive community health planning effort to measurably improve the health of greater Mercer County, NJ residents. SCHEDULE H, PART V, SECTION B, QUESTION 7 Princeton HealthCare System is not addressing the following identified needs due to resource constraints and lack of competency and anticipated effectiveness in these areas: - Oral Health - Economic Equity - Housing SCHEDULE H, PART V, SECTION B, QUESTION 10 UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE FOR CERTAIN PROGRAM SERVICES PROVIDED. UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO FOLLOWS THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES FOR THOSE PROGRAM SERVICES FOR WHICH IT DOES NOT USE FEDERAL POVERTY GUIDELINES IN DETERMINING ELIGIBILITY FOR FREE CARE. SCHEDULE H, PART V, SECTION B, QUESTION 11 THE ORGANIZATION USES STATE OF NEW JERSEY CHARITY CARE GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE. SCHEDULE H, PART V, SECTION B, QUESTION 14G THE ORGANIZATION PUBLICIZES THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY BY REFERENCING THE POLICY IN BILLING STATEMENTS. IN ADDITION, CHARITY CARE SIGNAGE IS DISPLAYED THROUGHOUT THE HOSPITAL. SCHEDULE H, PART V, SECTION B, QUESTIONS 16E, 17E, 18E, 19C & 19D NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 20D THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. SCHEDULE H, PART V, SECTION B, QUESTIONS 21 & 22 NOT APPLICABLE. 11 PRINCETON HOUSE BEHAVIORAL HEALTH 905 HERRONTOWN ROAD PRINCETON NJ 08540 OUTPATIENT BEHAVIORAL PROGRAM PRINCETON HOMECARE SERVICES 208 BUNN DRIVE PRINCETON NJ 08540 HOMECARE & VISITING NURSE PRINCETON HOUSE BEHAVIORAL HEALTH 351 NEW ALBANY ROAD MOORESTOWN NJ 08057 OUTPATIENT BEHAVIORAL PROGRAM PRINCETON HOUSE BEHAVIORAL HEALTH 741 MOUNT LUCAS ROAD PRINCETON NJ 08542 OUTPATIENT BEHAVIORAL PROGRAM PRINCETON HOUSE BEHAVIORAL HEALTH 1460 LIVINGSTON AVENUE NORTH BRUNSWICK NJ 08902 OUTPATIENT BEHAVIORAL PROGRAM PRINCETON BEHAVIORAL HEALTH 300 CLOCKTOWER ROAD SUITE 101 HAMILTON NJ 08690 OUTPATIENT BEHAVIORAL PROGRAM BREAST HEALTH CENTER 300B PRINCETON HIGHSTOWN ROAD EAST WINDSOR NJ 08512 OUTPATIENT DIAGNOSIS & TREATMENT UMCPP OUTPATIENT REHABILITATION 1225 STATE ROAD PRINCETON NJ 08542 PHYSICAL THERAPY & OCCUPATIONAL MEDICINE PRINCETON HOUSE BEHAVIORAL HEALTH 1000 HERRONTOWN ROAD PRINCETON NJ 08542 OUTPATIENT BEHAVIORAL PROGRAM UMCPP OUTPATIENT REHABILITATION MONROE 2 CENTRE DRIVE SUITE 500 MONROE NJ 08831 PHYSICAL THERAPY & OCCUPATIONAL MEDICINE UMCPP OUTPATIENT REHAB AT HAMILTON 1315 WHITEHORSE-MERCERVILLE ROAD S HAMILTON NJ 08619 OUTPATIENT REHABILITATION PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2013 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ("FPG") ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY. THE ORGANIZATION USES STATE OF NEW JERSEY CHARITY CARE GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND 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. 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. The princeton healthcare system, a new jersey nonprofit corporation prepares and issues audited financial statements. The attached text was obtained from the footnotes to the audited financial statements of princeton healthcare system. 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 of their financial condition being 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 system's 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 charges during the years ended december 31, 2013 and 2012 were approximately $12,151,000 and $11,711,000, respectively. The estimate cost of providing charity services is based on valuing all charity care claims using the system's 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 millions of dollars of community benefit that includes but is not limited to the community outreach programs, subsidization of medical education and under reimbursement for services provided to medicaid beneficiaries. The new jersey health care subsidy fund ("hcsf") was established for various purposes including the distribution of charity care payments to hospitals statewide. As of december 31, 2013 and 2012, the system received subsidy amounts of $1,512,000 and $1,416,000, 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 2013 and 2012. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2013 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, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND 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 85.1%. 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 "DUAL 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" AS SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE . IT IS THE POLICY OF THE HEALTH SYSTEM BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES , TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCES AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING A MINIMUM OF THREE STATEMENTS, THE LAST ONE INDICATING IT IS THE FINAL NOTICE. THE FACILITY ALSO HAS A CHARITY CARE POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A FINANCIAL COUNSELOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR THE HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY STATE CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-8 AND SECTION C, PRINCETON HEALTHCARE SYSTEM 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 IN MAY 2012. 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. SUSTAINABLE LEADERSHIP POSITION. SCHEDULE H, PART VI; QUESTION 3 PHCS ACTIVELY PROMOTES ITS PATIENT FRIENDLY BILLING AND COLLECTION PROCESS THROUGH MULTIPLE CHANNELS AND IS AN INTEGRAL PART OF ITS CODE OF ETHICS AND VALUE STATEMENT. THE PHCS WEBSITE AND OTHER MATERIALS INFORMS PATIENTS THAT PHCS MAKES EVERY EFFORT TO WORK WITH OUR PATIENTS TO HELP THEM IN THE PAYMENT OF BILLS. ALSO, DURING THE INTAKE PROCESS DURING SCHEDULING AND/OR REGISTRATION INSURANCE/FINANCIAL RESPONSIBILITY IS COVERED. IF THE PATIENT IS WITHOUT COVERAGE WE HAVE A DEDICATED TEAM OF PROFESSIONALS THAT WILL ASSIST AND ASSESS WHETHER HE/SHE MAY QUALITY FOR ANY GOVERNMENT PROGRAMS. IN PARALLEL WE WILL ASSESS WHETHER THE PATIENT QUALIFIES FOR CHARITY CARE. PHCS PATIENT BILLS, WHERE APPLICABLE, MAKE REFERENCE TO OUR CHARITY CARE POLICY AND ALL PATIENT BILLS HAVE CONTACT INFORMATION. CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. SCHEDULE H, PART VI; QUESTION 4 PRINCETON IS LOCATED IN AN AFFLUENT COMMUNITY SERVING PRIMARILY MERCER, MIDDLESEX AND SOMERSET COUNTIES. IN RECOGNITIION OF THIS, WE HAVE DEVELOPED PROGRAMS TO MEET THE NEEDS OF THE LESS FORTUNATE. FOR EXAMPLE WE HAVE 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. WE PROVIDE AND SUBSIDIZED 24/7 OBSETRICAL COVERAGE TO ENSURE ALL PATIENTS RECEIVE IMMEDIATE ACCESS TO QUALTY CARE. ALSO, WE HAVE 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 DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. 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 ("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. PLEASE ALSO REFER TO SCHEDULE O. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE SYSTEM PROVIDES COMMUNITY EDUCATION, HEALTH SCREENINGS AND OUTREACH PROGRAMS TO PATIENTS RESIDING IN MERCER, MIDDLESEX, AND SOMERSET COUNTIES. 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. SYSTEM SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED ABOVE FOR PART I, LINE 3C; PART I, LINE 6A; PART I, LINE 7; PART II; PART III, LINE 4 AND 8; AND PART III, LINE 9B ARE REFLECTIVE OF THAT POLICY. 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, PRINCETON HOUSE BEHAVIORAL HEALTH AND PRINCETON HOMECARE SERVICES. PRINCETON HEALTHCARE SYSTEM, LOCATED IN PLAINSBORO, MERCER COUNTY, NEW JERSEY, IS A 267 BED ACUTE CARE FACILITY. 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, RELIGION 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; AND 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. 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 HOMECARE SERVICES TO INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 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). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF PRINCETON HEALTHCARE SYSTEM; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 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 ACQUIRES, CONSTRUCTS, FINANCES AND HOLDS PROPERTY FOR PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND ITS AFFILIATES. PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. ------------------------------------------------ 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 SUPPORTS PRINCETON HEALTHCARE SYSTEM, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 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. FOR PROFIT PRINCETON HEALTHCARE SYSTEM AND AFFILIATES ENTITIES ============================================================== PHI PHARMACY, INC. ------------------ A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PHCS HOLDING. THE ORGANIZATION IS AN INACTIVE FOR-PROFIT CORPORATION. PRINCETON HEALTH, INC. ---------------------- A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PHCS HOLDING. THE ORGANIZATION 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. ---------------------------------------------- A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PRINCETON HEALTH, INC. THE ORGANIZATION IS LOCATED IN PRINCETON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL BUSINESS MANAGEMENT SERVICES TO THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES TO ASSIST IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PRINCETON HEALTHCARE MEDICAL EQUIPMENT CO. ------------------------------------------ A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PRINCETON HEALTH, INC. THE ORGANIZATION IS LOCATED IN PRINCETON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDED MEDICAL EQUIPMENT TO THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES TO BE USE IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THIS ORGANIZATION IS NOW INACTIVE. SCHEDULE H, PART VI; QUESTION 8 THE ORGANIZATION HAS TWO HOSPITAL FACILITIES. THESE INCLUDE UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO AND PRINCETON HOUSE BEHAVIORAL HEALTH AS REFLECTED IN SCHEDULE H, PART V, SECTION A. PLEASE NOTE THAT OUR RESPONSES OUTLINED ABOVE TO THE FOLLOWING QUESTIONS RELATE TO UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO: - SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 - SCHEDULE H, PART V, SECTION B, QUESTION 10 - SCHEDULE H, PART V, SECTION B, QUESTION 11 - SCHEDULE H, PART V, SECTION B, QUESTION 14G - SCHEDULE H, PART V, SECTION B, QUESTIONS 16E, 17E, 18E, 19C & 19D - SCHEDULE H, PART V, SECTION B, QUESTION 20D - SCHEDULE H, PART V, SECTION B, QUESTIONS 21 & 22 IN ADDITION, PLEASE NOTE THAT OUR RESPONSES OUTLINED ABOVE TO THE FOLLOWING QUESTIONS RELATE TO PRINCETON HOUSE BEHAVIORAL HEALTH: - SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 - SCHEDULE H, PART V, SECTION B, QUESTION 11 - SCHEDULE H, PART V, SECTION B, QUESTION 14G - SCHEDULE H, PART V, SECTION B, QUESTIONS 16E, 17E, 18E, 19C & 19D - SCHEDULE H, PART V, SECTION B, QUESTIONS 21 & 22 X true true X X X X false true false false false false false true false MARGARET LANCEFIELD MD PHD VICE CHAIR - TRUSTEE 0 154520 0 0 0 3805 0 8967 0 17621 0 184913 0 0 BARRY S RABNER TRUSTEE - PRESIDENT/CEO 560743 0 203047 0 8113 0 56577 0 20251 0 848731 0 0 0 GLENN A ZIRBSER SVP/CFO (EFF 1/21/13) 274085 0 10000 0 395 0 0 0 29347 0 313827 0 0 0 YALE H BOHN ESQ 11-222 VP/GENERAL COUNSEL 207427 0 0 0 1138 0 8757 0 7874 0 225196 0 0 0 ANNE C SEARLE CHIEF INFORMATION OFFICER 298276 0 47025 0 3639 0 11750 0 10614 0 371304 0 0 0 SIMRAN R SEDANI CHIEF MEDICAL INFO OFFICER 235736 0 0 0 373 0 10925 0 31810 0 278844 0 0 0 MARK T JONES SENIOR VP PHCS/ PRESIDENT UMCP 384980 0 78298 0 4771 0 11750 0 27927 0 507726 0 0 0 RICHARD E WOHL SENIOR VICE PRESIDENT 230446 0 55386 0 4600 0 14168 0 25919 0 330519 0 0 0 TIMOTHY MATHIASEN SENIOR VICE PRESIDENT 149071 0 8417 0 929 0 6158 0 30835 0 195410 0 0 0 LINDA F SIEGLEN MD 11-1021 VICE PRESIDENT 335518 0 75249 0 4156 0 11750 0 19025 0 445698 0 0 0 MARCIA M TELTHORSTER VICE PRESIDENT 223971 0 62128 0 4346 0 10078 0 3640 0 304163 0 0 0 JOSEPH E STAMPE 11-126 VICE PRESIDENT 218802 0 57866 0 2561 0 10131 0 34075 0 323435 0 0 0 BARBARA A YOST VICE PRESIDENT 204771 0 37221 0 3323 0 12362 0 30438 0 288115 0 0 0 JAMES G DEMETRIADES VICE PRESIDENT 208257 0 30979 0 2270 0 10380 0 11311 0 263197 0 0 0 SUSAN LORENZ VICE PRESIDENT 205121 0 33031 0 2770 0 10615 0 36946 0 288483 0 0 0 JAMES B HOGLE VICE PRESIDENT 176818 0 28547 0 2131 0 7822 0 33676 0 248994 0 0 0 CAROL NORRIS SMITH VICE PRESIDENT 157617 0 30401 0 2057 0 9075 0 31456 0 230606 0 0 0 PAMELA HERSH VICE PRESIDENT 157305 0 0 0 4379 0 7290 0 10263 0 179237 0 0 0 RAY B LEFTON 11-531 VICE PRESIDENT 107029 0 38256 0 1505 0 4182 0 5394 0 156366 0 0 0 SIDDIQ FAISAL MD MEDICAL DIRECTOR 194240 0 0 0 264 0 8502 0 22888 0 225894 0 0 0 PETER J THOMAS PHD EXECUTIVE DIRECTOR 149580 0 32943 0 497 0 6940 0 30840 0 220800 0 0 0 LAURIE S GREY ED REVENUE CYCLE MANAGEMENT 173579 0 6503 0 1105 0 8415 0 16418 0 206020 0 0 0 JANET ALEXANDER JAMES IMAGING SUPERVISOR NUC MED 162337 0 250 0 331 0 5639 0 17868 0 186425 0 0 0 EDWARD HENRY DIRECTOR OF TECHNOLOGY 148474 0 3281 0 215 0 6880 0 30749 0 189599 0 0 0 SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER, BARRY S. RABNER, 2013 FORM W-2, BOX 5, INCLUDES A TAX GROSS-UP PAYMENT OF $2,011, RELATED TO HIS FORM W-2, BOX 5, TAXABLE COMPENSATION RESULTING FROM PERSONAL USAGE OF AUTO. SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BARRY S. RABNER, $43,552. CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 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. A New Jersey Health Care Facilities Authority 221487148 64579fb93 2010-05-01 230000000 CONSTRUCTION OF HOSPITAL,REFINANCE false false false A 0 0 230752000 0 0 0 1884000 0 0 226455000 0 2414000 2012 true false true true A false false true true false 0 true false false true A false true false false true false 0 false 0 false true A true UNIVERSITY OF MEDICINE DENTISTRY TRUSTEE - AMENTA 3267203 MEDICAL SERVICES false PRINCETON MEDICAL GROUP PA TRUSTEE - YI 109342 MEDICAL SERVICES false PRINCETON RADIOLOGY ASSOCIATES PA TRUSTEE - COMPITO 821006 MEDICAL SERVICES false PRINCETON SURGICAL ASSOCAITES PA TRUSTEE - KAHN 582799 MEDICAL SERVICES false SCHEDULE L, PART IV PETER S. AMENTA, M.D., PH.D. IS A TRUSTEE OF THE ORGANIZATION. DR. AMENTA IS THE DEAN OF UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY ("UMDNJ"). THE ORGANIZATION UTILIZED THE SERVICES OF UMDNJ, DURING 2013. TOTAL FEES PAID TO UMDNJ DURING 2013 WERE $3,267,203. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. PETER I. YI, M.D., IS A TRUSTEE OF THE ORGANIZATION. DR. YI IS THE OWNER OF PRINCETON MEDICAL GROUP, P.A. THE ORGANIZATION UTILIZED THE SERVICES OF PRINCETON MEDICAL GROUP, P.A., DURING 2013. TOTAL FEES PAID TO PRINCETON MEDICAL GROUP, P.A. DURING 2013 WERE $109,342. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GERARD A. COMPITO, M.D., WAS A TRUSTEE OF THE ORGANIZATION FROM JANUARY 1, 2013 THROUGH MARCH 13, 2013. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, PRINCETON RADIOLOGY ASSOCIATES, P.A., DURING 2013. TOTAL FEES PAID TO PRINCETON RADIOLOGY ASSOCIATES, P.A. DURING 2013 WERE $842,924. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. STEVEN P. KAHN, M.D., IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, PRINCETON SURGICAL ASSOCIATES, P.A., DURING 2013. TOTAL FEES PAID TO PRINCETON SURGICAL ASSOCIATES, P.A. DURING 2013 WERE $582,799. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. 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, acute rehabilitation, home care, hospice care, ambulatory surgery, and fitness and wellness services. PHCS is recognized by the Internal Revenue Service (IRS) as an Internal Revenue Code 501 (c)(3) tax-exempt organization. In accordance with its charitable mission, PHCS provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, PHCS operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. PHCS provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. PHCS operates for all persons an active emergency department; which is open 24 hours a day, 7 days a week, 365 days per year; 3. PHCS maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of PHCS rests with its Board of Trustees which is composed of independent civic leaders, members of the community and medical staff members; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities, and advance medical care, programs and activities. The operations of PHCS, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of PHCS is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. BACKGROUND ---------- PHCS is a leading provider of healthcare services. A respected nonprofit, community teaching system, we offer compassionate care supported by advanced technologies and an outstanding medical staff. Ninety-seven percent of our 1,105 medical staff members have achieved board certification, the hallmark of professional excellence. The balance are board eligible. Through PHCS's affiliations with academic institutions, PHCS is setting new standards in diagnostic and treatment protocols and achieving successful clinical outcomes for our patients. The Mission of PHCS is to be the focal point of a comprehensive community health system that responds to the healthcare needs of our service area residents. PHCS will provide inpatient and outpatient care, community health education, medical education, and should promote medical and scientific research when appropriate. It is integral to the Mission of PHCS to continually improve quality of service to our patients and community and to provide appropriate healthcare to all. PHCS is comprised of the following: University Medical Center of Princeton at Plainsboro ---------------------------------------------------- University Medical Center of Princeton at Plainsboro ("UMCPP") 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 2013, patient days totaled 56,285. Outpatient patient visits/encounters totaled 522,592. UMCPP 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; 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 includes the Epilepsy Program and Neurophysiology Lab. The Center 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. The Center has been 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, 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 Suite, genetic counseling through an affiliation with Rutgers Cancer Institute 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 UMCPP; Labor and Delivery Unit; Mother-Baby Unit; Nursery and Neonatal Intermediate Care Unit; and Penn Maternal Fetal Medicine at UMCPP (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 The Children's Hospital of Philadelphia (CHOP), who are on-site at the hospital 24/7, working with UMCPP physicians and other healthcare professionals. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS University Medical Center of Princeton at Plainsboro provides comprehensive medical care for you and your family through a wide range of clinical programs and services. Our programs are led by board certified physicians and skilled administrative directors and staffed by specially trained nurses, therapists and other healthcare professionals. Programs include: - Acute Care of the Elderly: UMCPP is proud to be among a select number of hospitals nationwide with a 24-bed Acute Care of the Elderly (ACE) unit. - Acute Rehabilitation Unit: Patients who receive care on this unit include 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: UMCPP anesthesia services are 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: A state-of-the-art facility, the Breast Health Center offers: Outstanding clinical care under the medical direction of a board certified, fellowship trained breast surgeon; sophisticated breast care technologies, including digital mammography; Genetic counseling and testing services, available through Rutgers Cancer Institute of New Jersey LIFE Center at UMCPP Breast Health 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. UMCPP Breast Health Center is one of only about five percent of breast imaging facilities nationwide to have been designated a Breast Imaging Center of Excellence by the American College of Radiology, signifying that UMCPP meets the highest standards of the radiology profession. - The Centers for Ambulatory Surgery: UMCPP'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: The Bristol-Myers Squibb Community Health Center, with 21 exam rooms, will enhance the 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: UMCPP offers access to services to help diagnose and treat conditions and disorders affecting the gastrointestinal system. - Inpatient Hospice: The Inpatient Hospice Program is a unique partnership between University Medical Center of Princeton at Plainsboro, Princeton HomeCare and volunteers committed to providing highly skilled and compassionate inpatient care for hospice patients. - Nutrition Program: Our 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: The program offers therapeutic and rehabilitative services that are designed to reduce discomfort or pain caused by an illness or injury and restore function. - Pharmacy Services: The UMCPP Pharmacy provides pharmaceutical care to patients throughout PHCS and is open 24-hours a day, 365 days per year. - Sleep Center: Committed to the study, diagnosis and treatment of sleep-related problems, the Sleep Center offers adults and children expert care from a experienced, compassionate team of professionals. The UMCPP 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. UMCPP Major Achievements: - UMCPP is one of 401 organizations worldwide to achieve Magnet status, the highest institutional recognition available for nursing excellence. The American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program to acknowledge superior patient care, nursing excellence and innovations in professional nursing practice. UMCPP received the ANCC's 2013 Magnet Honors in recognition of Partnerships for PIECE, a unique program that helps older adults transition from the hospital to home or another healthcare setting in the community. - UMCPP is one of only 33 hospitals nationwide designated as an Exemplar Hospital by NICHE (Nurses Improving Care for Health System Elders), an international program based at the New York University College of Nursing that promotes patient-centered care for older adults. - Clinical care provided by UMCPP received an "A" in the April 2014 Hospital Safety Score published by The Leapfrog Group, a national nonprofit working to improve the safety, quality and affordability of healthcare. The Leapfrog Group publishes grades twice a year based on data related to preventable errors, injuries, accidents and infections. UMCPPP has earned all A's since the grading began in 2012. - PHCS has been named one of the nation's Top Performers on Key Quality Measures by The Joint Commission, the leading accreditor of healthcare organizations, for 2010, 2011 and 2012 (the most recent year possible). Top Performer designation is based on a hospital's use of evidence-based clinical processes that are shown to improve care. PHCS was recognized for exemplary performance related to: heart attack, heart failure, pneumonia, and surgical care. - UMCPP was selected for the 2013 - 2014 100 SafeCare Hospitals list, compiled by the SafeCare Group based on more than 30 key measures related to quality, patient safety and efficiency. The SafeCare Group evaluated three years of data for more than 4,500 hospitals nationwide to determine the top 100. - In 2013 and year-to-date in 2014, inpatient satisfaction at UMCPP ranked in the top 1 percent of 44 hospitals in New Jersey that participate with Press Ganey for patient experience surveys. Nationally, UMCPP currently ranks at the 91st percentile among 722 hospitals that participate with Press Ganey. - UMCPP recently earned a $234,000 award through a program by Horizon Blue Cross Blue Shield of NJ to recognize its member hospitals for quality of care and safe patient outcomes. UMCPP has received a monetary award through the program for four consecutive years. - The Cancer Program at UMCPP earned Accreditation with Commendation from the American College of Surgeons Commission on Cancer (CoC) and will be eligible for a second consecutive Outstanding Achievement Award, which the CoC grants to recognize programs that strive for excellence in providing patient-centered care. UMCPP is an affiliate of Rutgers Cancer Institute of New Jersey. - UMCPP received a 2014 Innovator Award from the Association of Community Cancer Centers to honor a program called From Distress Screening to Solutions: Patient-Centered Support. Staff members of the Edward & Marie Matthews Center for Cancer Care will deliver a presentation on the award-winning program at the 31st National Oncology Conference to be held October 8-10, 2014, in San Diego. - The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, has awarded full accreditation to the breast care services provided at UMCPP and the UMCPP Breast Health Center in East Windsor. The accreditation recognizes the excellence of UMCPP's full spectrum of breast care, from preventive services such as mammography to the most advanced cancer treatments. UMCPP's Breast Health Center has been designated a Breast Imaging Center of Excellence by the American College of Radiology. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - The Jim Craigie Center for Joint Replacement, located in the Institute for Surgical Care at UMCPP, has earned The Joint Commission's Gold Seal of Approval for both 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 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program has designated UMCPP as an Accredited Center-Comprehensive, denoting that UMCPP is approved to perform all bariatric and metabolic procedures and meets or exceeds national standards for equipment, staffing, training, safety and patient outcomes. - The UMCPP Sleep Center recently renewed its accreditation by the American Academy of Sleep Medicine (AASM), a professional organization dedicated to ensuring quality, comprehensive care for people with sleep disorders. AASM Accreditation is the gold standard for sleep centers, signifying that they meet the highest standards of quality care. - UMCPP earned a place on the 2013 edition of 100 Great Hospitals in America, a list published annually by Becker's Hospital Review that includes some of the nation's best-known and well-respected hospitals. Becker's Hospital Review develops the list through nominations, its own research, and by considering recognition that a hospital has received for the quality of care it provides, clinical outcomes, patient satisfaction, management capabilities and cost-effectiveness. Also in 2013, UMCPP was featured on the 50 of the Greenest Hospitals in America list published by Becker's Hospital Review. - PHCS received a 2013 New Good Neighbor Award from New Jersey Business & Industry Association (NJBIA) based on the economic benefit, job creation, architectural merit and community involvement in construction of the new hospital in Plainsboro. The New Good Neighbor Awards are given annually to recognize the best and most exciting commercial and industrial projects in New Jersey. 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. Princeton HomeCare is a home care and visiting nurse service providing healthcare services to all individuals in a non-discriminatory manner regardless of ability to pay. In 2013 there were 44,188 homecare visits recorded. The Palliative Care Program focuses on comfort and support providing 25,197 Hospice visits in 2013. 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. 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/Adults, Princeton/Women, North Brunswick, 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 31,558 patient days in 2013. Outpatient visits and treatments across multiple sites amounted to 84,048. 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 health organizations - the American Cancer Society, the American Heart Association and the Susan G. Komen Breast Cancer Foundation among others and to raise funds and heighten awareness. 2013 Community Needs Assessment ------------------------------- PHCS demonstrates its commitment to the community offering of a dynamic curriculum and innovative health and lifestyle-related services offered through its Community Education and Outreach Program. In 2013, to ensure that these activities are meeting the health needs in the community, PHCS helped to lead a comprehensive community needs assessment that involved review of Mercer, Middlesex and Somerset Counties. The assessment was completed through the Greater Mercer Public Health Partnership (GMPHP). The GMPHP is a collaboration of hospitals, local and county health departments and other not-for-profit organizations whose mission is to measurably improve the health of residents of Mercer and Middlesex counties. PLEASE REFER TO SCHEDULE H, PART V, SECTION B FOR FURTHER INFORMATION REGARDING THE COMMUNITY HEALTH NEEDS ASSESSMENT. The report provides 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 PHCS 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 34 focus groups conducted with community residents, 23 interviews with community stakeholders, and 1 forces of change session examining larger external factors that affect health which consisted of 6 discussion groups and overall engaged over 400 individuals. 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 2013 PHCS paid a total of $1,413,924 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 a patient requires follow-up care after hospitalization and encounter disposition/access problems because of no insurance coverage. PHCS often pays for these needed services. In 2013 PHCS paid other healthcare providers $5,000 for such services until alternative coverage could be obtained or care was no longer indicated. Medical Education ----------------- Princeton healthcare System has a long standing relationship with the Rutgers New Jersey Medical School to provide training for medical residents and students. PHCS trained the equivalent of 37 full time medical and surgical residents. The direct costs associated with these programs in 2013 approximated $5.9 million dollars, which was partially offset by Medicare and Medicaid funds of $4.9 million dollars, resulting in a shortfall of $1 million dollars. This shortfall excludes allocated overhead costs of $1.9 million. Also, PHCS is actively involved in the training of approximately 50 medical students a year for which it receives no reimbursement. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PHCS is also committed to support the education and training of nursing students. PHCS has long standing 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. In 2013, there were 230 students with a total of 60 clinical rotations throughout PHCS. Charity Care ------------ PHCS provides care to patients who meet certain criteria defined by the New Jersey Department of Health 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's 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 2013 were approximately $62,458,000. 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 $12,151,000. DHSS 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's 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 2013, PHCS received subsidy amounts of $1,512,000 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. Since the State created a Mental Health Subsidy 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 53 percent of Princeton House's STCF days are Charity Care or Medicaid. The charity care provided above is only that reported to DHSS. PHCS does not submit claims to DHSS for qualified patients (financially indigent meeting poverty guidelines) relating to uncovered services such as behavioral health services. In 2013 PHCS provided inpatient behavioral health services to 55 patients that were hospitalized a total of 648 days and $306,055 of direct costs to uninsured patients that would normally meet DHSS financial criteria. Governmental Shortfalls ----------------------- PHCS participates with all governmental programs including, but not limited to, Medicare, Medicaid, Champus, etc. In 2013 PHCS received approximately $76.3 million from the Medicare program. The costs associated with these revenues in accordance with Medicare rules and reported on the Medicare cost report was $107.9 million, resulting in a shortfall of $31.6 million or 29 percent. In 2013, PHCS received approximately $6.4 million from the Medicaid and Medicaid managed care programs. The costs associated with these revenues in accordance with Medicare rules were $14.5 million, resulting in a shortfall of $8.1 million or 44 percent. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTIONS 4 ON MARCH 24, 2014 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION AMENDED ITS BYLAWS TO AMENDED THEIR BYLAWS TO ADDRESS THE FOLLOWING ITEMS: Membership (Article X, Section 1) --------------------------------- All committee members, other than those who serve ex officio, shall be appointed for a one (1) year term at the Annual Meeting of the Board, upon recommendation of the Governance and Nominating Committee of the Corporation or other duly constituted and authorized committee of the Corporation. If any committee member, other than those who serve ex officio, is absent from three (3) consecutive committee meetings, this shall be deemed to be a tender of resignation from the committee. However, the Board, by a majority vote, may retain such member in that position if the Board judges such retention to be appropriate. Notwithstanding the foregoing, committee members may be removed or replaced, and any vacancies on a committee shall be filled, by the Board upon the recommendation of the Governance and Nominating Committee or other duly constituted and authorized committee of the Corporation. All actions of the standing committees shall be reported to the Board at its regular meeting next the Corporation, may serve as non-voting members of any Standing Committee established pursuant to Article X, Section 2 of these Bylaws, other than the Executive Committee, Audit Committee, Governance and Nominating Committee, and Joint Conference and Professional Affairs Committee, and any Ad Hoc Committee established pursuant to Article X, Section 3 of these Bylaws, to provide advice or assistance on specific topics requiring specialized knowledge. Notwithstanding the foregoing, former trustees may serve on the Audit Committee in accordance with Article X, Section 2.I of these Bylaws. Non-trustees shall be appointed to such committees by the Governance and Nominating Committee, subject to the approval of the Chairman of the Board and the chairman of the applicable committee. Non-trustees may be removed from any committee by the Governance and Nominating Committee. Governance and Nominating Committee (Article X.2.E) --------------------------------------------------- The Governance and Nominating Committee shall consist of at least three (3) members of the Board, provided, however, that at least one (1) member is a Trustee representative of the Medical Staff. The Chair of the Princeton HealthCare System Foundation Governance and Nominating Committee shall be an ex-officio member of The Governance and Nominating Committee. It shall be the duty of the Governance Committee to meet quarterly, or more often as needed, to perform appropriate governance oversight functions, including one or more meetings to nominate for election as Trustees a number of individuals equal to the number of Trustees to be elected at the next Annual Meeting in accordance with Article V of these Amended and Restated Bylaws. Name (Article I, Section 2) --------------------------- The name "Princeton HealthCare System, a New Jersey nonprofit corporation" shall include all activities and functions carried on by the Corporation, including University Medical Center of Princeton at Plainsboro (short-term general hospital), Princeton HomeCare Services, (home care and hospice program visiting nurse services), Princeton House Behavioral Health (acute and long-term psychiatric care), and any other related health services. Principal Office (Article 2) ---------------------------- The principal office of the Corporation shall be at One Plainsboro Road, Plainsboro, County of Middlesex and State of New Jersey, or at such other places as the Board of Trustees may determine from time to time. RESOLVED that the Bylaws may be restated to (i) incorporate the amendment adopted by the preceding resolution and any other amendment properly adopted by the, which has not previously been integrated into the Bylaws, and (ii) to conform the Bylaws to the extent necessitated by the adoption of such amendments and changes in nomenclature, and such restated Bylaws shall be the official Bylaws of the Corporation. Officers -------- The appropriate officers of the Corporation, acting with the advice of counsel to the Corporation, be, and each of them hereby individually is, authorized and directed, in the name and on the behalf of the Corporation, to execute any instruments and take any other action necessary or desirable in order to effect the intent of the preceding resolution, the execution of such instruments or taking of such actions, as the case may be, to be conclusive evidence of the necessity or desirability thereof. 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. 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"). IN ADDITION, PHCS' AUDIT 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. AS PART OF THE FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING THE CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER, CONTROLLER AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH PHCS' AUDIT COMMITTEE. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS provided TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 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 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 PHCS' VICE PRESIDENT AND GENERAL COUNSEL FOR REVIEW. THE COMPLETED QUESTIONNAIRES FOR PHCS' OFFICERS AND SENIOR MANAGEMENT ARE RETURNED TO PHCS' CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, PHCS' VICE PRESIDENT AND GENERAL COUNSEL AND THE CHIEF COMPLIANCE OFFICER BRING TO THE ATTENTION OF PHCS' GOVERNANCE COMMITTEE ANY DISCLOSED CONFLICTS OF INTEREST FOR ITS REVIEW AND DISCUSSION. 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 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 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 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 PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR THE RELATED 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, OFFICERS AND/OR trustees 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 ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RECLASSED TO RESTRICTION - ($83,989); - FORGIVENESS OF DEBT OF RELATED PARTY - ($4,445,413); - TRANSFER OF ASSETS FROM RELATED PARTIES - $6,400,000; - NET ASSETS RELEASED FROM RESTRICTION - $18,322,915; - CHANGE IN MINIMUM PENSION LIABILITY - $15,591,961; - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($10,547,171) AND - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $1,998,631. 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, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED FINANICAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS EACH YEAR. phcs' AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. PRINCETON HEALTHCARE SYSTEM FDN INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222225911 SUPPORT PHS 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 true 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 false false true true true false false false false false true false false false true false true true true PRINCETON HEALTHCARE AFFILIATED PHYSICANS O 6394752 COST SCHEDULE R, PART V 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.