PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP (EIN 21-0635009)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349301771
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T09:10:01-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WITHUM SMITH BROWN PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	465 SOUTH STREET STE 200	AddressLine1
City	MORRISTOWN	City
State	NJ	State
ZIP Code	07960	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	210635009	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PRINCETON HEALTHCARE SYSTEM A NEW JERSEY	BusinessNameLine1
Business Name Line2	NONPROFIT CORPORATION	BusinessNameLine2

Field	Value	IRS element (for citing)
In Care Of Name	% ALAN KING	InCareOfName
Name Control	PRIN	NameControl
Phone	6096208502	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE plainsboro road	AddressLine1
Address Line2	Suite	AddressLine2
City	plainsboro	City
State	NJ	State
ZIP Code	08536	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BARRY RABNER	Name
Title	PRESIDENT/CEO	Title
Phone	9738989494	Phone
Date Signed	2013-11-05	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	9738989494	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	BARRY S RABNER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE PLAINSBORO ROAD	AddressLine1
City	PLAINSBORO	City
State	NJ	State
ZIP Code	08536	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	339770611	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PRINCETONHCS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1919	YearFormation
State Legal Domicile	NJ	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF PRINCETON HEALTHCARE SYSTEM IS TO BE THE FOCAL POINT OF A COMPREHENSIVE COMMUNITY HEALTH SYSTEM THAT RESPONDS TO THE HEALTHCARE NEEDS OF OUR SERVICE AREA RESIDENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	31	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	25	NbrIndependentVotingMembers
Total Nbr Employees	4041	TotalNbrEmployees
Total Nbr Volunteers	805	TotalNbrVolunteers
Total Gross UBI	860110	TotalGrossUBI
Contributions Grants Prior Year	216326	ContributionsGrantsPriorYear
Contributions Grants Current Year	1335723	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	333168252	ProgramServiceRevenuePriorYear
Program Service Revenue CY	329836407	ProgramServiceRevenueCY
Investment Income Prior Year	5629722	InvestmentIncomePriorYear
Investment Income Current Year	7881715	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1040747	OtherRevenuePriorYear
Other Revenue Current Year	625793	OtherRevenueCurrentYear
Total Revenue Prior Year	340055047	TotalRevenuePriorYear
Total Revenue Current Year	339679638	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	15586	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	33926	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	163533702	SalariesEtcPriorYear
Salaries Etc Current Year	171915535	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	159870318	OtherExpensePriorYear
Other Expenses Current Year	181812348	OtherExpensesCurrentYear
Total Expenses Prior Year	323419606	TotalExpensesPriorYear
Total Expenses Current Year	353761809	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16635441	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-14082171	RevenuesLessExpensesCY
Total Assets BOY	808722394	TotalAssetsBOY
Total Assets EOY	802834602	TotalAssetsEOY
Total Liabilities BOY	503863049	TotalLiabilitiesBOY
Total Liabilities EOY	501930099	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	304859345	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	300904503	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	259802675	Expense
Grants	33926	Grants
Revenue	260788827	Revenue
Description	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 2012, PATIENT DAYS TOTALED 61,997 AND OUTPATIENT VISITS/ENCOUNTERS TOTALED 684,076. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	47439459	Expense
Grants	0	Grants
Revenue	51810410	Revenue
Description	PRINCETON HOUSE BEHAVIORAL HEALTH PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 110 BEDS PRODUCED 33,059 PATIENT DAYS IN 2012. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 75,323. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	11143496	Expense
Grants	0	Grants
Revenue	12739382	Revenue
Description	PRINCETON HOMECARE SERVICES IS A HOME CARE AND VISITING NURSE, AND HOSPICE SERVICE. IN 2012, THERE WERE 46,300 OCCASIONS OF SERVICE AND 22,821 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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	4674938	TotalOfOtherProgramServiceRev
Total Program Service Expense	318385630	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	204	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4041	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	31	NbrVotingGoverningBodyMembers
Number Independent Voting Members	25	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ALAN KING	NamePerson
Telephone Number	6096208502	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	993 LENOX DRIVE	AddressLine1
City	LAWRENCEVILLE	City
State	NJ	State
ZIP Code	08648	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (52 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
DONALD J HOFMANN
CHAIRMAN - TRUSTEE	1.0	X	X	0	0	0
DAVID F ERTEL
VICE CHAIRMAN/TREAS. - TRUSTEE	1.0	X	X	0	0	0
MARGARET LANCEFIELD MD PHD
VICE CHAIR - TRUSTEE	55.0	X	X	0	254934	39296
HONORABLE DEBORAH T PORITZ
VICE CHAIR - TRUSTEE	1.0	X	X	0	0	0
JOANN HEFFERNAN HEISEN
SECRETARY - TRUSTEE	1.0	X	X	0	0	0
BARRY S RABNER
TRUSTEE - PRESIDENT/CEO	55.0	X	X	1255213	0	102572
PETER S AMENTA MD PHD
TRUSTEE	1.0	X		0	0	0
STEVEN R ATKINSON
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
GERARD A COMPITO MD
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
STEPHEN P DISTLER
TRUSTEE	1.0	X		0	0	0
CONRAD DRUKER CPA
TRUSTEE	1.0	X		0	0	0
BARRY L GOLDBLATT
TRUSTEE	1.0	X		0	0	0
JERZY GRUHN
TRUSTEE	1.0	X		0	0	0
JOSEPH L HERRING
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
KIM J PIMLEY
TRUSTEE	1.0	X		0	0	0
MORDECHAI ROZANSKI PHD
TRUSTEE	1.0	X		0	0	0
MICHAEL C RUDDY MD
TRUSTEE	1.0	X		0	0	0
RICHARD O SCRIBNER ESQ
TRUSTEE	1.0	X		0	0	0
HAROLD T SHAPIRO PHD
TRUSTEE	1.0	X		0	0	0
RUBY SHARMA
TRUSTEE	1.0	X		0	0	0
PETER I YI MD
TRUSTEE	1.0	X		0	0	0
BRUCE L TRAUB FHFMA CPA
TREASURER - SVP/CFO (1/1-9/4)	55.0		X	416486	0	39728
YALE H BOHN ESQ
ASST SEC - VP/GENERAL COUNSEL	55.0		X	323468	0	48543
ANNE C SEARLE
CHIEF INFORMATION OFFICER	55.0		X	370792	0	22156
MARK T JONES
SENIOR VP PHCS/ PRESIDENT UMCP	55.0		X	494078	0	36980
RICHARD E WOHL
SENIOR VP	55.0		X	275231	0	40790
LINDA F SIEGLEN MD
VICE PRESIDENT	55.0		X	476758	0	39323
MARCIA M TELTHORSTER
VICE PRESIDENT	55.0		X	293043	0	13813
RAY B LEFTON
VICE PRESIDENT	55.0		X	273039	0	24194
JOSEPHE E STAMPE
VICE PRESIDENT	55.0		X	263388	0	45155
SUSAN LORENZ
VICE PRESIDENT	55.0		X	255909	0	31242
BARBARA A YOST
VICE PRESIDENT	55.0		X	252948	0	45094
JAMES G DEMETRIADES
VICE PRESIDENT	55.0		X	251390	0	21318
JAMES B HOGLE
VICE PRESIDENT	55.0		X	214916	0	41966
CAROL NORRIS SMITH
VICE PRESIDENT	55.0		X	194034	0	41195
PAMELA HERSH
VICE PRESIDENT	55.0		X	160630	0	16733
PAMELA GARBINI
VICE PRESIDENT (1/1/12-9/7/12)	55.0		X	132839	0	34483
PETER J THOMAS PHD
PHYSICIAN	55.0			184986	0	38822	X
SIDDIQ FAISAL MD
PHYSICIAN	55.0			180736	0	30526	X
LAURIE S GREY
ED REVENUE CYCLE MANAGEMENT	55.0			176639	0	24804	X
KYRA WILLIAMS
PHYSICIAN	55.0			170806	0	45028	X
JANET ALEXANDER JAMES
NUCLEAR MED TECH	55.0			162988	0	23364	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6780317	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	254934	TotalReportableCompFrmRltdOrgs
Total Other Compensation	847125	TotalOtherCompensation
Number Individuals GT100 K	146	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAYO MEDICAL LABORATORIES
PO BOX 9146	MINNEAPOLIS	MN	554809146	LABORATORY	1271454
SECURITAS SECURITY SERVICES USA IN
PO BOX 403412	ATLANTA	GA	303843412	SECURITY	1172250
PINSTRIPE INC
200 SOUTH EXECUTIVE DRIVE	BROOKFIELD	WI	53005	RECRUITMENT	1241743
PEPPER HAMILTON LLP
301 CARNEGIE CENTER	PRINCETON	NJ	085435276	LEGAL	1178527
PRINCETON SURGICAL ASSOCIATES PA
5 PLAINSBORO ROAD SUITE 400	PLAINSBORO	NJ	08536	MEDICAL	660400

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	55	NumberOfContractorsGT100K
Info In Schedule O Part VIII	X	InfoInScheduleOPartVIII
Government Grants	44473	GovernmentGrants
All Other Contributions	1291250	AllOtherContributions
Total Contributions	1335723	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	541900	326334891	326334891
OTHER HEALTHCARE RELATED REVENUE	621500	3501516	2641406	860110

Field	Value	IRS element (for citing)
Total Program Service Revenue	329836407	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4041322	TotalRevenueColumn
Exclusion	$4,041,322	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	448643	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	448643	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	448643	TotalRevenueColumn
Exclusion	$448,643	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3931366	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	90973	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	3840393	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3840393	TotalRevenueColumn
Exclusion	$3,840,393	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARKING	812930	138456	138456
TELEPHONE	517000	38694	38694

Field	Value	IRS element (for citing)
Total Other Revenue	177150	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	339679638	TotalRevenueColumn
Related Or Exempt Function Income	329153447	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	860110	UnrelatedBusinessRevenue
Exclusion	$8,330,358	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	33926	Total
Program Services	33926	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6549445	Total
Program Services	0	ProgramServices
Management And General	6549445	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	129450194	Total
Program Services	121818921	ProgramServices
Management And General	7631273	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5916252	Total
Program Services	5546792	ProgramServices
Management And General	369460	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18943001	Total
Program Services	17407290	ProgramServices
Management And General	1535711	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11056643	Total
Program Services	9950979	ProgramServices
Management And General	1105664	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	872178	Total
Program Services	784960	ProgramServices
Management And General	87218	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	385743	Total
Program Services	347169	ProgramServices
Management And General	38574	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	179312	Total
Program Services	161381	ProgramServices
Management And General	17931	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	39815	Total
Program Services	35834	ProgramServices
Management And General	3981	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	96676	Total
Program Services	87008	ProgramServices
Management And General	9668	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	24146271	Total
Program Services	21731644	ProgramServices
Management And General	2414627	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2565077	Total
Program Services	2308569	ProgramServices
Management And General	256508	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14516677	Total
Program Services	13065009	ProgramServices
Management And General	1451668	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6753858	Total
Program Services	6078472	ProgramServices
Management And General	675386	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8794859	Total
Program Services	7915373	ProgramServices
Management And General	879486	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	833402	Total
Program Services	750062	ProgramServices
Management And General	83340	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	5145906	Total
Program Services	4631316	ProgramServices
Management And General	514590	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	29002900	Total
Program Services	26102610	ProgramServices
Management And General	2900290	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3863181	Total
Program Services	3476863	ProgramServices
Management And General	386318	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	54513557	49062201	5451356
UTILITIES	9247422	8322680	924742
CONTRACTED SERVICES	7123610	6411249	712361
RESIDENCY EXPENSES	3045112	2740601	304511

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	10686792	Total
Program Services	9614721	ProgramServices
Management And General	1072071	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	353761809	Total
Program Services	318385630	ProgramServices
Management And General	35376179	ManagementAndGeneral
Fundraising	0	Fundraising

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

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6902560	BOY
EOY	1223586	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	18635620	BOY
EOY	30094311	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1081400	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	39810833	BOY
EOY	47027975	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1968325	BOY
EOY	4198501	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3047012	BOY
EOY	2360113	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	677484520	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	60314011	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	544176172	BOY
EOY	617170509	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	129148833	BOY
EOY	55357436	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	731657	BOY
EOY	692717	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	63219982	BOY
EOY	44709454	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	808722394	BOY
EOY	802834602	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	58710512	BOY
EOY	54922142	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	230000000	BOY
EOY	230000000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	127730372	BOY
EOY	128662733	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	87422165	BOY
EOY	88345224	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	503863049	BOY
EOY	501930099	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	199959136	BOY
EOY	271334255	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	102584859	BOY
EOY	22996398	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2315350	BOY
EOY	6573850	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	304859345	BOY
EOY	300904503	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	808722394	BOY
EOY	802834602	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-14082171	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2080541	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8046788	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$6,210	DirectContactLegislatorsAmount
Rallies Demonstrations	true	RalliesDemonstrations
Rallies Demonstrations	$33,605	RalliesDemonstrationsAmount
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	39815	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITY EXPLAINATION	Identifier
Return Reference	SCHEDULE C, PART II-B; QUESTION 1H	ReturnReference
Explanation	DURING 2012, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $6,210 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. 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 2012 AMOUNTED TO $12,287. 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 $21,318. LASTLY, THE ORGANIZATION IS A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $10,000 IN 2012. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	250000	BeginningOfYearBalance
End Of Year Balance	250000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	250000	BeginningOfYearBalance
End Of Year Balance	250000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	250000	BeginningOfYearBalance
End Of Year Balance	250000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	250000	BeginningOfYearBalance
End Of Year Balance	250000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	250000	Contributions
End Of Year Balance	250000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56780252	OtherCostOrOtherBasis
Book Value	56780252	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	478546027	OtherCostOrOtherBasis
Depreciation	28750975	Depreciation
Book Value	449795052	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20817044	OtherCostOrOtherBasis
Depreciation	2630604	Depreciation
Book Value	18186440	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	107434258	OtherCostOrOtherBasis
Depreciation	28697346	Depreciation
Book Value	78736912	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13906939	OtherCostOrOtherBasis
Depreciation	235086	Depreciation
Book Value	13671853	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	617170509	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (8 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
LIMITED USE	13691256	F
DOMESTIC EQUITY MUTUAL FUNDS	10110474	F
INTL EQUITY MUTUAL FUNDS	5263845	F
ACCRUED INTEREST; LIMITED USE	33711	F
PROGRAM RELATED INVESTMENTS	5820108	F
BOND PROCEEDS HELD BY TRUSTEE	14011857	F
LIMITED USE	5136418	F
OTHER INVESTMENTS	1289767	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	55357436	TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	3031901
OTHER RECEIVABLES	2526263
FOUNDATION	29514623
OTHER ASSETS	9636667

Field	Value	IRS element (for citing)
Total Book Value Other Assets	44709454	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
RETROACTIVE PAYABLE	$2,375,556
ACCRUED INTEREST PAYABLE; CURRENT	$2,676,221
NON-CURRENT	$45,685,875
OTHER LIABILITIES	$28,946,314
PAYABLE	$8,196,572
DUE TO AFFILIATES	$464,686

Field	Value	IRS element (for citing)
Total Of Amounts	88345224	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS	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"). PHCSH'S endowment consists of seven donor permanently restricted individual funds established for a variety of purposes. As required by Generally Accepted Accounting Principles, 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 2012 earnings in 2013, as approved by the Systems Investment Committee.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE	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. FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE FOLLOWING, WITH RESPECT TO A FIN 48 DISCLOSURE, IS INCLUDED IN THE TEXT OF THE INCOME TAX FOOTNOTE IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2012: 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12814690	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1928628	DirectOffsettingRevenue
Net Community Benefit Expense	10886062	NetCommunityBenefitExpense
Percent Of Total Expense	0.03080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16704991	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9291922	DirectOffsettingRevenue
Net Community Benefit Expense	7413069	NetCommunityBenefitExpense
Percent Of Total Expense	0.02100	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29519681	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11220550	DirectOffsettingRevenue
Net Community Benefit Expense	18299131	NetCommunityBenefitExpense
Percent Of Total Expense	0.05180	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	761608	TotalCommunityBenefitExpense
Direct Offsetting Revenue	86211	DirectOffsettingRevenue
Net Community Benefit Expense	675397	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8132318	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4945000	DirectOffsettingRevenue
Net Community Benefit Expense	3187318	NetCommunityBenefitExpense
Percent Of Total Expense	0.00900	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18000	TotalCommunityBenefitExpense
Net Community Benefit Expense	18000	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	346002	TotalCommunityBenefitExpense
Net Community Benefit Expense	346002	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9257928	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5031211	DirectOffsettingRevenue
Net Community Benefit Expense	4226717	NetCommunityBenefitExpense
Percent Of Total Expense	0.01190	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38777609	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16251761	DirectOffsettingRevenue
Net Community Benefit Expense	22525848	NetCommunityBenefitExpense
Percent Of Total Expense	0.06370	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$10,612,176	BadDebtExpenseAmount
Amount Reimbursed By Medicare	88696194	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	115225903	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-26529709	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
UMCP SURGICENTER
MEDICAL SERVICES	0.26470	0.73530
PARTNERS LLC

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup
UNIV MED CTR OF PRINCETON PLAINSBORO
1	ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	www.princetonhcs.org	X	X	X	X	1
PRINCETON HOUSE BEHAVIORAL HEALTH
2	905 HERRONTOWN ROAD	PRINCETON	NJ	08540	www.princetonhcs.org	X				2

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	FPG Free PercentFPGFreePercent
UNIV MED CTR OF PRINCETON PLAINSBORO
1	true	false	false	true	X	X	X	true	true	X	X	true	false	X	X	X	X	true	X	false	false
PRINCETON HOUSE BEHAVIORAL HEALTH
2	true	true	false	true	X	X	X	true	true	X	X	true	false	X	X	X	X	true		false	false	200.

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
PRINCETON HOMECARE SERVICES
208 BUNN DRIVE	PRINCETON	NJ	08540	HOMECARE AND VISITING NURSE
PRINCETON HOUSE BEHAVIORAL HEALTH
375 NORTH KINGS HIGHWAY	CHERRY HILL	NJ	08034	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 BRUSWICK	NJ	08902	OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
300 CLOCKTOWER ROAD SUITE 101	HAMILTON	NJ	08690	OUTPATIENT BEHAVIORAL PROGRAM
BREAST HEALTH CENTER
300B PRINCETON HIGHTSTOWN 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

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY FOR DISCOUNTED CARE	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 2012 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.
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SUBSIDIZED HEALTH SERVICES	SCHEDULE H, PART I; QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST	SCHEDULE H, PART I, QUESTION 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIES	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.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A; QUESTION 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, 2012 AND 2011 WERE APPROXIMATELY $11,711,000 AND $9,111,000, 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, 2012 AND 2011, THE SYSTEM RECEIVED SUBSIDY AMOUNTS OF $1,416,000 AND $1,214,000, 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 2012 AND 2011.
COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2012 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
COLLECTION POLICY	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.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7	NOT APPLICABLE.
FACILITY INFORMATION	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.
FACILITY INFORMATION	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.
FACILITY INFORMATION	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.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B, QUESTIONS 16E, 17E, 18E, 19C & 19D	NOT APPLICABLE.
FACILITY INFORMATION	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.
FACILITY INFORMATION	SCHEDULE H, PART V, SECTION B, QUESTIONS 21 & 22	NOT APPLICABLE.
NEEDS ASSESSMENT	SCHEDULE H, PART VI; QUESTION 1	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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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.
COMMUNITY INFORMATION	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.
PROMOTION OF COMMUNITY HEALTH	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 ROOM 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.
AFFILIATED HEALTHCARE SYSTEM	SCHEDULE H, PART VI; QUESTION 6	PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE PARENT ENTITY OF THE PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("SYSTEM"). ALL AFFILIATES ARE 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. IN 2012 THE SYSTEM PROVIDED 1,422 PROGRAMS TO 29,700 PARTICIPANTS. THE DIRECT COSTS TO SUPPORT THESE PROGRAMS IN 2012 WAS $1,244,000. 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 ROOM 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.
FACILITY REPORTING GROUP(S)	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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THE COLLEGE OF NEW JERSEY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2000 PENNINGTON ROAD	AddressLine1
City	EWING	City
State	NJ	State
ZIP Code	08628	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	222797398	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	33926	AmountOfCashGrant
Purpose Of Grant	EDUCATION	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	GRANT FUND MONITORING	Identifier
Return Reference	SCHEDULE I, PART I, QUESTION 2	ReturnReference
Explanation	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARGARET LANCEFIELD MD PHD
VICE CHAIR - TRUSTEE	0	251825	0	0	0	3109	0	15297	0	23999	0	294230	0	0
BARRY S RABNER
TRUSTEE - PRESIDENT/CEO	554530	0	691686	0	8997	0	82773	0	19799	0	1357785	0	0	0
BRUCE L TRAUB FHFMA CPA
TREASURER - SVP/CFO (1/1-9/4)	340080	0	73307	0	3099	0	12797	0	26931	0	456214	0	0	0
YALE H BOHN ESQ
ASST SEC - VP/GENERAL COUNSEL	316846	0	130	0	6492	0	12797	0	35746	0	372011	0	0	0
ANNE C SEARLE
CHIEF INFORMATION OFFICER	296257	0	69635	0	4900	0	11547	0	10609	0	392948	0	0	0
MARK T JONES
SENIOR VP PHCS/ PRESIDENT UMCP	367250	0	121151	0	5677	0	11547	0	25433	0	531058	0	0	0
RICHARD E WOHL
SENIOR VP	227676	0	41872	0	5683	0	14091	0	26699	0	316021	0	0	0
LINDA F SIEGLEN MD
VICE PRESIDENT	389946	0	81952	0	4860	0	11547	0	27776	0	516081	0	0	0
MARCIA M TELTHORSTER
VICE PRESIDENT	219520	0	69343	0	4180	0	9914	0	3899	0	306856	0	0	0
RAY B LEFTON
VICE PRESIDENT	221532	0	48223	0	3284	0	11173	0	13021	0	297233	0	0	0
JOSEPHE E STAMPE
VICE PRESIDENT	217058	0	43411	0	2919	0	10097	0	35058	0	308543	0	0	0
SUSAN LORENZ
VICE PRESIDENT	204986	0	47797	0	3126	0	9339	0	21903	0	287151	0	0	0
BARBARA A YOST
VICE PRESIDENT	203943	0	45231	0	3774	0	12380	0	32714	0	298042	0	0	0
JAMES G DEMETRIADES
VICE PRESIDENT	203419	0	45231	0	2740	0	10288	0	11030	0	272708	0	0	0
JAMES B HOGLE
VICE PRESIDENT	175846	0	36675	0	2395	0	7803	0	34163	0	256882	0	0	0
CAROL NORRIS SMITH
VICE PRESIDENT	156175	0	35563	0	2296	0	9015	0	32180	0	235229	0	0	0
PAMELA HERSH
VICE PRESIDENT	155940	0	0	0	4690	0	6485	0	10248	0	177363	0	0	0
PAMELA GARBINI
VICE PRESIDENT (1/1/12-9/7/12)	131148	0	0	0	1691	0	3257	0	31226	0	167322	0	0	0
PETER J THOMAS PHD
PHYSICIAN	148612	0	35883	0	491	0	6943	0	31879	0	223808	0	0	0
SIDDIQ FAISAL MD
PHYSICIAN	180496	0	0	0	240	0	7814	0	22712	0	211262	0	0	0
LAURIE S GREY
ED REVENUE CYCLE MANAGEMENT	172240	0	3805	0	594	0	8399	0	16405	0	201443	0	0	0
KYRA WILLIAMS
PHYSICIAN	170574	0	0	0	232	0	7585	0	37443	0	215834	0	0	0
JANET ALEXANDER JAMES
NUCLEAR MED TECH	162657	0	0	0	331	0	5491	0	17873	0	186352	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMPENSATION INFORMATION	SCHEDULE J, PART I; QUESTIONS 1A AND 1B	THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER, BARRY S. RABNER, 2012 FORM W-2, BOX 5, INCLUDES A TAX GROSS-UP PAYMENT OF $2,377, RELATED TO HIS FORM W-2, BOX 5, TAXABLE COMPENSATION RESULTING FROM PERSONAL USAGE OF AUTO.
COMPENSATION INFORMATION	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 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BARRY S. RABNER, $69,976.
COMPENSATION INFORMATION	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 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	New Jersey Health Care Facilities Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	221487148	IssuerEIN
CUSIP Number	64579fb93	CUSIPNumber
Date Issued	2010-05-01	DateIssued
Issue Price	230000000	IssuePrice
Description Of Purpose	CONSTRUCTION OF HOSPITAL, REFINANC	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	230752000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	1884000	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	220674000	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	8195000	AmountUnspent
Year Of Subst Completion	2012	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	true	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay Test	true	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

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

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	true	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
UNIVERSITY OF MEDICINE DENTISTRY
TRUSTEE - AMENTA	2567891	MEDICAL SERVICES	false
PRINCETON MEDICAL GROUP PA
TRUSTEE - YI	124267	MEDICAL SERVICES	false
PRINCETON RADIOLOGY ASSOCIATES PA
TRUSTEE - COMPITO	524049	MEDICAL SERVICES	false
PRINCETON SURGICAL ASSOCAITES PA
TRUSTEE - KAHN	449289	MEDICAL SERVICES	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	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 2012. TOTAL FEES PAID TO UMDNJ DURING 2012 WERE $2,567,891. 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 2012. TOTAL FEES PAID TO PRINCETON MEDICAL GROUP, P.A. DURING 2012 WERE $124,267. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GERARD A. COMPITO, M.D., IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, PRINCETON RADIOLOGY ASSOCIATES, P.A., DURING 2012. TOTAL FEES PAID TO PRINCETON RADIOLOGY ASSOCIATES, P.A. DURING 2012 WERE $524,049. 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 2012. TOTAL FEES PAID TO PRINCETON SURGICAL ASSOCIATES, P.A. DURING 2012 WERE $449,289. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BENEFIT STATEMENT	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Princeton HealthCare System, A NEW JERSEY NON PROFIT CORPORATION ("PHCS") is composed of three divisions: University Medical Center of Princeton at Plainsboro (UMCPP), Princeton House Behavioral Health and Princeton HomeCare Services. PHCS is recognized by the Internal Revenue Service (IRS) as an Internal Revenue Code Section 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 representation; and 5) Surplus funds are used to improve the quality of patient care, expand and renovate facilities, and advance medical care, programs and activities. 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-four percent of our 1,066 of the medical staff members have achieved board certification, the hallmark of professional excellence, the balance are board eligible. Through our affiliations with academic institutions, we are setting new standards in diagnostic and treatment protocols and achieving successful clinical outcomes for our patients. Princeton HealthCare System is Redefining Care through our commitment to delivering an exceptional level of healthcare. Our mission statement is as follows: 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. Pchs 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 composed of the following: 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 comprised of 288 acute care beds, 17 physical rehabilitation beds and 14 neonatal bassinets. In 2012 patient days totaled 61,997. Outpatient patient visits/encounters totaled 684,076. UMCPP launched an intensivists program in 2005 to ensure that physicians with advanced critical care training coordinate the care of the most critically ill patients. The 2005 year also saw the addition of two pediatric outpatient specialties (pediatric nephrology and pediatric cardiology) and UMCPP's bariatric surgery program earned a designation as a center of excellence. In 2009, umcpp kicked off an exciting partnership with the Children's Hospital of Philadelphia bringing world-class pediatric healthcare to our community. UMCPP further developed its diabetes management services providing approximately 3,440 occasions of service in 2012. umcpp Diabetes Management services also reach out into the community. a certified diabetes nurse clinician provides a monthly support group meeting at both our Princeton and Monroe locations. In 2012, 147 residents from the community participated in our diabetes support groups. UMCPP also provides cardiac and pulmonary rehabilitation which includes exercise sessions, maintenance and re-assessments. During 2012, approximately 8,830 cardiac and pulmonary rehabilitation sessions were provided. UMCPP is proud to be among a select number of hospitals nationwide with a 24-bed Acute Care of the Elderly (ACE) unit. In fact, we were one of the first hospitals in New Jersey to offer this nursing unit specifically designed to meet the complex needs of the older adult population. Major Achievements ------------------ - UMCPP named to 100 Great Hospitals, a list published annually by Becker's Hospital Review, a comprehensive ranking that also includes on the 2013 list: the Johns Hopkins Hospital; Mayo Clinic; Cleveland Clinic; Massachusetts General Hospital. - Top Hospital for Patient Safety and Quality of Care in 2008, 2009 and 2010 by The Leapfrog Group, one of fewer than 40 hospitals in the nation and the only one in New Jersey - to receive this designation for three consecutive years. The Leapfrog Group is a partnership of major employers and other large healthcare purchasers in the United States, an independent national nonprofit working to improve the safety, quality and affordability of healthcare. - An "A" in patient safety from The Leapfrog Group, a national nonprofit working to improve the safety, quality and affordability of healthcare. The top grade was awarded as part of The Leapfrog Group's Hospital Safety Score, which is calculated twice yearly based on data related to preventable medical errors, injuries, accidents and infections. UMCPP has earned straight A's since the grades were first published in June 2012. - Magnet status, the highest institutional recognition available for nursing excellence, one of 395 Magnet-recognized organizations, representing fewer than five percent of the hospitals nationwide. The American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association, developed the Magnet Recognition Program to acknowledge superior patient care, nursing excellence and innovations in professional nursing practice. - Press Ganey patient experience surveys ranked UMCPP in the 98th percentile, compared to the New Jersey Peer Group, for overall inpatient services during the fourth quarter of 2012. Also during this same time frame, in the HCAHPS-Hospital Consumer Assessment of Healthcare Providers and Systems-survey, UMCPP ranked in the 92nd percentile among New Jersey hospitals in response to the question: "How would you rate this hospital?" Nearly 75 percent of the patients surveyed rated the hospital 9 or 10 on a scale from 1 to 10. - Center of Excellence for Bariatric Surgery by the American Society for Metabolic & Bariatric Surgery. The designation is based on the Bariatric Surgery program's equipment, staffing, training, safety and patient outcomes. - Clinical Research Affiliate of The Cancer Institute of New Jersey, an accredited oncology-teaching program of the American College of Surgeons' Commission on Cancer (CoC) and recipient of the CoC's Outstanding Achievement Award. - National accreditation recognizing the excellence of its full spectrum of breast care, from preventive services such as mammography to the most advanced cancer treatments. The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, awarded the three-year full accreditation to the breast care services provided at UMCPP and the UMCPP Breast Health Center in East Windsor. - Princeton HealthCare System (PHCS) named one of the nation's Top Performers on Key Quality Measures by The Joint Commission, the leading accrediting agency of healthcare organizations in America. PHCS was recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care. PHCS was recognized for its achievement in the following areas: heart attack, heart failure, pneumonia, and surgical care. - NICHE (Nurses Improving Care for Health System Elders), a national initiative based at the Hartford Institute for Geriatric Nursing at New York University. The program aims to facilitate the infusion of evidence-based geriatric best practices throughout institutions to improve nursing care for older adult patients.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- UMCPP's Breast Health Center designated Breast Imaging Center of Excellence by American College of Radiology. Princeton HomeCare Services 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 2012 there were 46,300 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 Palliative Care Program and a Hospice Program. The Palliative Care Program focuses on comfort and support providing 22,821 Hospice visits in 2012. The Hospice Program offers Grief Support groups in the day and evening, to accommodate the needs of the community. In 2005, the Hospice Program began offering volunteer training in Monroe for individuals who wish to visit and offer support to patients and families. To help children mourn the loss of a loved one, a Child Bereavement Program educates parents and healthcare providers as to the effects of death on children. In 2007 the Hospice Program opened a new Library for bereaved children and teens. Princeton House Behavioral Health (PHBH) offers treatment for acute psychiatric illnesses, substance use problems, and co-occurring disorders at the inpatient, partial hospital, and intensive outpatient levels of care to all patients in a non-discriminatory manner regardless of ability to pay. As an advanced behavioral health service provider in the State of New Jersey, PHBH maintains a main campus in Princeton and outpatient sites throughout Central and Southern New Jersey in Princeton, North Brunswick, Hamilton and Cherry Hill. PHBH's inpatient facility on the main campus in Princeton now has 110 beds that produced 33,059 patient days in 2012. Outpatient visits and treatments across multiple sites amounted to 75,323. PHCS MEDICAL SERVICES AND HEALTHCARE PROGRAMS ============================================== The medical services and healthcare programs conducted by PHCS include, but are not limited to, the following: 1. Behavioral Health Services Princeton House Behavioral Health offers a wide and growing range of behavioral health programs to meet the needs of the communities that it serves. Specialized programs for children, adolescents, adults, women, and older adults are available across the continuum of care, with a few examples that follow. In April 2005, PHBH opened, the "Short Term Care Facility", (STCF), designed to stabilize patients who meet the commitment criteria in the State of New Jersey and help them transition to a less restrictive level of care as quickly as possible. Designated by the New Jersey Department of Health, this STCF unit has 21 beds and its multidisciplinary treatment approach includes the participation of community mental health representatives from various agencies. In 2009, a children's outpatient psychiatric program opened in Hamilton, in addition to the already established children's programs at the North Brunswick and Cherry Hill sites. These partial hospital and intensive outpatient programs provide treatment for children ages 5-12 that cannot function in the classroom due to severe psychiatric and behavioral problems. Across all of its many programs, Princeton House promotes evidence-based practices, continuous improvement of quality, ongoing professional and community education, and innovative approaches to behavioral healthcare. In addition to clinical programs for patients, PHBH hosts professional education programs and is actively involved in the community. For example, PHBH's Department of Training and Research maintains an American Psychological Association (APA)-accredited Pre-Doctoral Psychology Internship Program, which attracts highly qualified candidates from around the country. PHBH community-based activities include free continuing education events to area behavioral health professionals, as well as frequent participation in relevant community events such as the Recovery Rally, the Trenton Drug Free Festival, the Mercer Traumatic Loss Coalition's 5K Run, the National Alliance for Mental Illness's annual "NAMI Walk", and the National Council of Alcohol and Drug Dependence's Tree of Hope Ceremony. 2. Breast Health Center The Breast Health Center is a state of the art breast imaging facility located in East Windsor, the first facility in Mercer County to be designated as a Breast Imaging Center of Excellence by the American College of Radiology. 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 Center was designed to provide a relaxing environment for patients undergoing breast imaging and diagnostics. The goal of the Breast Health Center is to promote recommended screening guidelines, provide education and support to women in an effort to diagnose cancer in early, treatable stages when positive outcomes are most achievable. In addition to mammography, breast ultrasound, stereotactic biopsy and ultrasound biopsy, the Center has certified Breast Health Navigators to assist patients throughout their treatment for breast cancer. Breast Surgeons and Medical Oncologists also see patients at the Breast Health Center. The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, awarded the three-year full accreditation to the breast care services provided at UMCPP and the UMCPP Breast Health Center in East Windsor. Educational programs are presented at the Center by Community Education and Outreach with topics relevant to women. Educational outreach promoting breast health is performed with collaborating organizations such as the Breast Cancer Resource Center of the Princeton YWCA, The Christina Walsh Breast Cancer Foundation and Heart to Heart. A grant from Susan G. Komen for the Cure provided 119 mammograms for underserved women. The Breast Health Center staff participates in the Komen Race for the Cure each year. In 2012, the Breast Health Center participated in 22 educational and outreach programs which included 197 attendees. It also launched a Breast Cancer Support Group in collaboration with CancerCare of New Jersey. 3. Eating Disorders The Eating Disorders Program at University Medical Center of Princeton at Plainsboro is committed to providing exceptional medical, psychotherapeutic and nutritional care as well as highly personal caring for each and every patient in our program. Our multidisciplinary treatment team provides effective and compassionate treatment for adults, adolescents and children who are suffering from anorexia, bulimia and other eating disorders. Our goal is to help patients recover physically and emotionally in a warm, caring environment that offers acceptance, safety and support. Because of our location in a full-service medical center, we emphasize thorough and efficient treatment of any medical complications while simultaneously addressing the psychological issues underlying eating disorders.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	4. Emergency Department The Center for Emergency Care at UMCPP provides state-of-the-art emergency medicine, treating patients with all medical problems that cannot wait to be seen by their regular doctor, as well as severe and life-threatening illnesses and injuries. The Center is open 24 hours a day, 365 days a year, and is staffed around-the-clock by physicians who are board certified in emergency medicine and registered nurses who are trained in trauma, emergency care and disaster preparedness. Staffed by physicians who are board certified in emergency medicine and nurses who are trained in trauma, emergency care and disaster preparedness, the Emergency Department realized 42,260 visits in 2012. The focus is on prompt, effective treatment with a bedside registration process and a Fast Track Suite that provides treatment for a less serious injury or illness within an hour. A hospitalist from the world renowned Children's Hospital of Philadelphia (CHOP) is on-site 24/7 to consult on emergency cases involving infants, children and adolescents to ensure the highest-level of, and most age-appropriate, care. A hospitalist is a physician who specializes in caring for patients in the hospital setting only. In 2009, the LIFENET Cardiac Care System was fully implemented enabling EMTs to transmit patients EKGs from the field to the Emergency Department, allowing ED staff more time to prepare for patients requiring emergency care. In addition, the Center for Emergency Care at UMCPP is a state-designated Primary Stroke Center, based on UMCPP's advanced capabilities and protocols for the rapid and effective treatment of stroke patients. Our specially-trained, acute stroke teams are available 24 hours, seven days a week and are ready to see patients within 15 minutes. UMCPP has around-the-clock neuro-imaging capabilities via its state-of-the-art computerized tomography (CT) scanner, and neurosurgical services. 5. Epilepsy Program The University Medical Center of Princeton at Plainsboro's Epilepsy Program provides comprehensive and compassionate outpatient and inpatient services for adults and children over the age of 6 who have seizure disorders. Our program is committed to providing skilled and compassionate care that focuses on achieving successful outcomes, continuity of care and quality of life. Epilepsy is a chronic neurological condition that produces sudden disturbances in the normal electrical function of the brain. This causes seizures that affect an individual's awareness, movement, sensations or behavior. More than 3.0 million Americans have been diagnosed with epilepsy, and 200,000 new cases occur each year. The disorder can occur at any age but is especially common in children and older adults. The Epilepsy Program at University Medical Center of Princeton at Plainsboro is led by a fellowship-trained neurologist with highly specialized training in epilepsy. Each of our board certified physicians emphasizes a team approach to care. They work closely with a patient's personal physician as well as PHCS' skilled nursing and certified technical staff. 6. Inpatient Hospice Program Inpatient hospice care is available at University Medical Center of Princeton at Plainsboro when uncontrolled pain or intractable symptoms make remaining at home extraordinarily difficult. The Inpatient Hospice Program is a unique partnership between University Medical Center of Princeton at Plainsboro, Princeton HomeCare Services and members of the community committed to providing highly skilled and compassionate inpatient care for hospice patients. 7. Intensivists Program Patients have access to highly specialized care if and when it is needed most through the Intensivists Program, now available at The University Medical Center of Princeton at Plainsboro. Intensivists are physicians with advanced critical care board certification who specialize in treating the most seriously ill or injured patients. Studies have shown that patients whose care is managed by a specially trained intensivist in the ICU recover more quickly and achieve better clinical outcomes overall. UMCPP's Intensivists Program is provided in collaboration with the rutgers new jersey medical school, one of the country's leading medical schools. The University Medical Center of Princeton at Plainsboro is an acute care teaching hospital and University Hospital Affiliate of the medical school. 8. Maternity Program The Center for Maternal and Newborn Care at University Medical Center of Princeton at Plainsboro is committed to promoting a unique, family-centered birth experience, healthy pregnancies and safe deliveries. University Medical Center of Princeton at Plainsboro OB patients receive nationally recognized maternity care provided by an exceptional team of physicians and maternal and family health experts. Staff and physicians help patients and their families feel confident and comfortable through pregnancy, labor and delivery as well as prepared to care for their new baby when they go home. The University Medical Center of Princeton at Plainsboro is proud to be a national leader in maternity care. Our partnership with the Maternal Fetal Department at Penn Medicine, a team of nationally recognized experts in high-risk obstetrics, fetal evaluation and ante-partum testing, allows us to offer a broad range of services on site at our new Plainsboro facility. Through this partnership, Penn Maternal Fetal Medicine at UMCPP offers advanced care which provides round-the-clock access to board certified obstetricians, peri-natologists (maternal fetal medicine specialists for complex pregnancies), anesthesiologists, neonatologists and pediatricians. The program also includes daily access to lactation instruction and access to outpatient lactation services through the Community Education and Outreach Program once they are discharged. We provide screening for post partum depression and Community Education provides post partum adjustment support groups. UMCPP has a very busy maternity clinic for patients that are uninsured or uninsured. To support this service, UMCPP provides and pays for 24/7 physician obstetrical care. 9. Orthopedics Program A leading provider of orthopedic care, The University Medical Center of Princeton at Plainsboro helps patients return to active, comfortable living. HealthGrades, the nation's leading healthcare quality company, has named University Medical Center of Princeton at Plainsboro the top-rated provider of overall orthopedic care and joint replacement surgery in the Trenton area. Because of the exceptional quality of our care, University Medical Center of Princeton at Plainsboro has also been ranked among the top five hospitals in New Jersey for overall orthopedics and joint replacement surgery. the umcpp Orthopedic Program offers skilled and comprehensive care. - Board certified physicians with fellowship training in key sub-specialties including spine, hand, shoulder, hip and knee surgeries - Innovators in minimally invasive techniques that promote faster recovery and greater comfort - Pioneers in the use of highly durable advanced materials, resulting in greater function and convenience for patients 10. Bristol-Myers Squibb Community Health Center ("BMSCHC") The BMSCHC is dedicated to providing excellent primary and specialty care for adults and children who meet New Jersey State financial guidelines: - Care provided by board certified physicians, highly trained residents (from the Rutgers New Jersey Medical School working under the guidance of members of our medical staff who also serve on the faculty of the medical school), nutritionists, social workers, RN's, CMA's, and health educators. - Will provide more than 24,194 total patient visits to in 2012, representing approximately a 24 percent increase in visit volume vs. five years ago. - Obstetrics and Gynecology Program that includes extensive counseling, ongoing case management, and provision of services to a uniquely underserved population. The volume of obstetric cases continues to experience steady growth since inception. In 2012 we began to accept direct referrals for Medicaid patients into our Gynecologic service. We experienced a 26 percent volume increase in these types of visits as compared to 2009 volumes. It is important to note that few, if any, private physicians in our community accept Medicaid and very few participate in managed medicaid programs.
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Our Pediatric PROGRAM serves more than 1,250 children and its visit volume has grown more than 29 percent in the past five years. The program includes provision of a very high volume of pediatric immunizations & EPSDT services, as well as case management and referral for subspecialty care. The Pediatric PROGRAM also coordinates an asthma education/monitoring effort, that includes provision of nebulizers for home administration of respiratory medications, coordination with parents & schools regarding asthma care, and more focused re-education and case coordination for infants/children with respiratory problems. - General Surgery visit volume AT bmschc has grown 66 percent in the past five years, and more than 290 percent in the past 10 years. - Outpatient care includes not only treatment of chronic and acute illnesses/health conditions, but also preventive care and screening services, referral to a wide variety of UMCPP specialty programs, and extensive case management for at-risk populations. bmschc staff participates in a variety of grant-related and community-health focused activities, including the annual Latino Health Fair, breast health outreach/education/mammography screening, and diabetic eye screening efforts. In addition, the bmschc coordinates an ongoing Diabetes Management Initiative for adult patients that include close monitoring of key clinical indicators, individualized follow-up, specialized education/nutrition services, and provision of glucose testing materials. - In addition to the clinical care services provided, the bmschc provides and/or facilitates additional associated support services for bmschc Patients. These include referral/linkages to other community services and resources such as the WIC maternal-child nutrition program, Domestic Violence services and provision of scheduling & translation services for a bi-weekly onsite Medicaid worker. - bmschc staff assists patients in applying for indigent drug programs provided by pharmaceutical companies, and for PAAD/Medicare Part D prescription coverage. UMCPP also provides a variety of medications to bmschc patients who have no prescription coverage through its Pharmacy Department, totaling 2317 prescriptions filled for bmschc patients in 2012. bmschc staff also assists patients & families with submission of/follow-up per their Medicaid and FamilyCare applications, and staff is designated Presumptive Eligibility screeners for facilitated patient access to governmental coverage for obstetric and Pediatric services. - A high volume of interpretive/translation services are also provided for Limited English Proficient patients & families, both within the bmschc and for service provision elsewhere within UMCPP. A full-time Volunteer Translation Coordinator provides interpretive services and translation of written materials, as well as coordination of recruitment/screening/supervision of a cadre of community volunteers who interpret for patient clinical encounters. In addition, a number of bmschc staff are fully bilingual/bicultural and provide a very high volume of interpretive services for patient care and services. 11. Pain Management Program The University Medical Center of Princeton at Plainsboro's Pain Management Program has been providing innovative care to our community since 1995. the mission is to support effective pain control for patients suffering from chronic or acute pain by formulating a comprehensive plan of care. The physicians and staff of the Pain Management Program are committed to offering outstanding clinical care and exceptional personal caring to each and every patient in our program. These services are offered as part of Princeton HealthCare System's full continuum of care. 12. Pediatric HealthCare Center The Pediatric HealthCare Center at University Medical Center of Princeton at Plainsboro offers specialized pediatric care on an inpatient basis to families of the greater Princeton area. Care is provided through Children's Hospital of Philadelphia and the board certified physicians in its Departments of Pediatrics and Neonatology. We provide 24/7 inpatient coverage in the Emergency Department and inpatient well baby care, pediatrics and for low birth weight babies treated in our intermediate level 2 Neonatal intensive care unit ("nicu"). 13. Radiation Oncology The Edward & Marie Matthews Center for Cancer Care at University Medical Center of Princeton at Plainsboro (UMCPP) 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. As the very latest generation of linear accelerator the TrueBeamTM delivers radiation treatments with unparalleled precision and speed, reducing daily treatment times, improving targeting accuracy, and allowing for great versatility in treatment design. Radiation treatment uses an invisible and painless high-energy beam to arrest growth of cancer cells. Radiation may be administered either through a powerful linear accelerator or through the placement of radiation beads. The linear accelerator is capable of generating seven separate beams of high-energy x-rays or electrons, and it is supported by a sophisticated treatment planning computer. A board certified physicist uses this computer to perform the thousands of complex calculations required to tailor each radiation treatment to individual patient needs. Quality radiation treatment depends not only on the sophistication of the equipment, but also on the skill and compassion of the team of professionals providing care: physician, physicist, nurse and technologist. University Medical Center's Radiation Oncology team provides a diverse background of skills and experience to assist the cancer patient during the course of treatment. 14. Sleep Center Sleep disorders are a common condition affecting about one out of every six people in the United States. A sleep disorder can adversely affect health, work performance, school and relationships, so it is important to seek professional help. With prompt diagnosis and effective treatment, patients can sleep, feel and live better. Committed to the study, diagnosis and treatment of sleep-related problems, the University Medical Center of Princeton at Plainsboro Sleep Center offers adults and children expert care from a compassionate team of professionals. Our multidisciplinary treatment team includes: - Board certified physicians - Insomnia specialists - Technologists registered in clinical polysomnography 15. Surgery General and highly specialized surgical procedures are provided by a team of outstanding board certified surgeons and anesthesiologists. Surgeries are performed in our state-of-the-art operating facility, which now includes breakthrough robotic technology such as the da Vinci Surgical System to advance patient's access to high quality care. PHCS surgeons are skilled in innovative minimally invasive surgical techniques that ease and speed recovery while minimizing scarring. Services include: - Abdominal procedures - Bariatric surgery for morbid obesity - Gynecological surgery - Hernia repair - Neurosurgery - Ophthalmologic surgical procedures - Oral surgery - Orthopedic surgery - Otolaryngologic surgical procedures - Pediatric surgery and pediatric urology - Plastic surgery - Thoracic surgery (surgery of the lungs and esophagus) - Thyroid, parathyroid and breast surgeries - Urology - surgeries of the male/female genital and urinary tracts - Vascular surgery
COMMUNITY BENEFIT STATEMENT CONT'D	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMMUNITY ACTIVITIES AND PROGRAMS ================================= The Community Education & Outreach Program delivers low-cost and free lectures, health screenings, and special events for a service area comprising parts of Mercer, Middlesex, and Somerset Counties. They offer a dynamic curriculum of innovative health and lifestyle-related programming, screenings and support at little or no cost to the communities we serve. Princeton HealthCare System 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. Special outreach efforts have been directed to the Latino, Indian-American, African-American, Chinese and Korean-American communities. The System is also involved with partnerships with the Princeton, Hopewell Valley, West Windsor, Plainsboro and Montgomery Regional School Districts for childhood and adolescent health issues including underage drinking, smoking and eating disorders. Other program venues include area senior centers, public libraries, community centers, YMCA's and YWCA's. In 2012, Community Education & Outreach provided 1154 programs to 43,500 participants. Total monies spent less payments received on Community Education for 2012 was $690,000. 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 2012 PHCS paid a total of $1,611,216 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 2012 PHCS paid other healthcare providers $5,000 for such services until alternative coverage could be obtained or care was not 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 2012 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. 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, and St. Francis School of Nursing to provide training experiences for their nursing students. In 2012, there were 159 students with a total of 848 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 2012 were approximately $55,532,000. 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 $12,900,000. 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 2012, PHCS received subsidy amounts of $1,416,000 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. In 2012 and 2011, 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 54 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 2012 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 2012 PHCS received approximately $88.7 million dollars from the Medicare program. The costs associated with these revenues in accordance with Medicare rules and reported on the Medicare cost report was $115.2 million, resulting in a shortfall of $26.4 million or 23 percent. In 2012, PHCS received approximately $9.3 million dollars from the Medicaid and Medicaid managed care programs. The costs associated with these revenues in accordance with Medicare rules were $16.7 million, resulting in a shortfall of $7.4 million or 44 percent.
OTHER PROGRAM SERVICES	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.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION A; QUESTIONS 4	IN 2012 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION AMENDED ITS BYLAWS TO AMEND THE DUTIES OF ITS STRATEGIC PLANNING COMMITTEE. THE STRATEGIC PLANNING COMMITTEE WAS CONVERTED FROM A STANDING COMMITTEE TO AN AD HOC COMMITTEE.
DISCLOSURE INFORMATION	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.
DISCLOSURE INFORMATION	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.
DISCLOSURE INFORMATION	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.
DISCLOSURE INFORMATION	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.
DISCLOSURE INFORMATION	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.
COMPENSATION INFORMATION DISCLOSURE	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.
RELATED HOURS DISCLOSURE	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.
OTHER CHANGES IN NET ASSETS	CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - FORGIVENESS OF DEBT OF RELATED PARTY - ($5,299,135); - CHANGE IN MINIMUM PENSION LIABILITY - ($6,554,860); - NET TRANSFER OF ASSETS FROM RELATED PARTIES - $1,922,553; - NET ASSETS RELEASED FROM RESTRICTION - $93,308,191; - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($79,588,461) AND - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $4,258,500. - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($79,588,461) AND - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $4,258,500.
AUDITED FINANCIAL STATEMENTS	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. FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; 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. THE organization'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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)	PENDING	PHCS	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
PRINCETON HEALTH INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	223450093	MEDICAL	NJ	NA	C CORP.	false
PRINCETON HEALTHCARE MGMT SVCS INC
4 PRINCESS ROAD	LAWRENCEVILLE	NJ	08648	223377256	MEDICAL BILLING	NJ	NA	C CORP.	false
PRINCETON HEALTHCARE MEDICAL EQUIP CO
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	223467900	INACTIVE	NJ	NA	C CORP.	false
PHI PHARMACY INC
ONE PLAINSBORO ROAD	PLAINSBORO	NJ	08536	223467899	INACTIVE	NJ	NA	C CORP.	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	PRINCETON HEALTHCARE AFFILIATED PHYS PC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	O	TransactionType
Amount Involved	5090778	AmountInvolved
Method Of Amt Determination	COST	MethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	TRANSACTIONS WITH RELATED ORGANIZATIONS	Identifier
Return Reference	SCHEDULE R, PART V	ReturnReference
Explanation	PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. PHCS ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	Explanation