PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP (EIN 21-0635009)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-31
IRS object ID
201320319349300332
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-01-31T11:14:43-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WITHUM SMITH BROWN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 SOUTH STREET STE 200AddressLine1
CityMORRISTOWNCity
StateNJState
ZIP Code07960ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN210635009EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRINCETON HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% RAY LEFTONInCareOfName
Name ControlPRINNameControl
Phone6096208501Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE plainsboro roadAddressLine1
CityplainsboroCity
StateNJState
ZIP Code08536ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBARRY RABNERName
TitleCEOTitle
Date Signed2013-01-21DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY MEDICAL CTR AT PRINCETONBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARRY S RABNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1
CityPLAINSBOROCity
StateNJState
ZIP Code08536ZIPCode
FieldValueIRS element (for citing)
Gross Receipts340079226GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PRINCETONHCS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1919YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTHE 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 Body29NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees3868TotalNbrEmployees
Total Nbr Volunteers888TotalNbrVolunteers
Total Gross UBI694466TotalGrossUBI
Contributions Grants Prior Year489356ContributionsGrantsPriorYear
Contributions Grants Current Year216326ContributionsGrantsCurrentYear
Program Service Revenue Prior Year325624433ProgramServiceRevenuePriorYear
Program Service Revenue CY333168252ProgramServiceRevenueCY
Investment Income Prior Year23941413InvestmentIncomePriorYear
Investment Income Current Year5629722InvestmentIncomeCurrentYear
Other Revenue Prior Year6088361OtherRevenuePriorYear
Other Revenue Current Year1040747OtherRevenueCurrentYear
Total Revenue Prior Year356143563TotalRevenuePriorYear
Total Revenue Current Year340055047TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year39909GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15586GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year164236883SalariesEtcPriorYear
Salaries Etc Current Year163533702SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year148928792OtherExpensePriorYear
Other Expenses Current Year159870318OtherExpensesCurrentYear
Total Expenses Prior Year313205584TotalExpensesPriorYear
Total Expenses Current Year323419606TotalExpensesCurrentYear
Revenues Less Expenses Prior Year42937979RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16635441RevenuesLessExpensesCY
Total Assets BOY754292456TotalAssetsBOY
Total Assets EOY808722394TotalAssetsEOY
Total Liabilities BOY462221750TotalLiabilitiesBOY
Total Liabilities EOY503863049TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY292070706NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY304859345NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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. 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 ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense229806698Expense
Revenue260594133Revenue
DescriptionTHE UNIVERSITY MEDICAL CENTER AT PRINCETON (UMCP) PROVIDES COMPREHENSIVE PATIENT CARE AND SUPPORT SERVICES RELATING TO PATIENT CARE. IT IS AN ACUTE CARE FACILITY WITH 308 BEDS COMPRISED OF 267 ACUTE CARE, 17 ACUTE REHAB AND 24 BASSINETS. IN 2011, PATIENT DAYS TOTALED 64,782 AND OUTPATIENT VISITS APPROXIMATED 646,575. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense48307640Expense
Revenue55048867Revenue
DescriptionPRINCETON HOUSE BEHAVIORAL HEALTH PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 116 BEDS PRODUCED 33,706 PATIENT DAYS IN 2011. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 78,286. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense11263599Expense
Revenue13629622Revenue
DescriptionPRINCETON HOMECARE SERVICES IS A HOME CARE AND VISITING NURSE, AND HOSPICE SERVICE. IN 2011, THERE WERE 48,532 OCCASIONS OF SERVICE AND 23,693 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
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1697909TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev3855239TotalOfOtherProgramServiceRev
Total Program Service Expense291075846TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096202NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3868NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members29NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRAY LEFTONNamePerson
Telephone Number6096208501TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1
CityPLAINSBOROCity
StateNJState
ZIP Code08536ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (50 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DONALD J HOFMANN
CHAIRMAN - TRUSTEE1.0XX000
DAVID F ERTEL
VICE CHAIRMAN/TREAS. - TRUSTEE1.0XX000
MARGARET LANCEFIELD MD PHD
VICE CHAIR - TRUSTEE50.0XX033006032495
DEBORAH T PORITZ
VICE CHAIR - TRUSTEE1.0XX000
JOANN HEFFERNAN HEISEN
SECRETARY - TRUSTEE1.0XX000
BARRY S RABNER
TRUSTEE - PRESIDENT/CEO50.0XX890294051542
PETER S AMENTA MD PHD
TRUSTEE1.0X000
STEVEN R ATKINSON
TRUSTEE1.0X000
FREDERICK E CAMMERZELL III ESQ
TRUSTEE1.0X000
ROBERT J CARUSO
TRUSTEE1.0X000
GERARD A COMPITO MD
TRUSTEE1.0X000
DOUGLAS P CORAZZA MD
TRUSTEE1.0X000
CHARLES S DAWSON
TRUSTEE1.0X000
STEPHEN P DISTLER
TRUSTEE1.0X000
CONRAD DRUKER CPA
TRUSTEE1.0X000
BARRY L GOLDBLATT
TRUSTEE1.0X000
THOMAS W GUTOWSKI MD
TRUSTEE1.0X000
JOSEPH L HERRING
TRUSTEE1.0X000
STEVEN P KAHN MD
TRUSTEE1.0X000
RAM KOLLURI
TRUSTEE1.0X000
ELWOOD PHARES II
TRUSTEE1.0X000
KIM J PIMLEY
TRUSTEE1.0X000
MORDECHAI ROZANSKI PHD
TRUSTEE1.0X000
MICHAEL C RUDDY MD
TRUSTEE1.0X000
RICHARD O SCRIBNER ESQ
TRUSTEE1.0X000
HAROLD T SHAPIRO PHD
TRUSTEE1.0X000
RUBY SHARMA
TRUSTEE1.0X000
MARY ELLEN SMITH GLASGOW PHD RN
TRUSTEE1.0X000
PETER I YI MD
TRUSTEE1.0X000
BRUCE L TRAUB FHFMA CPA
ASSISTANT TREASURER - SVP/CFO50.0X389451043731
YALE H BOHN ESQ
ASST SEC - VP/GENERAL COUNSEL50.0X32537344236
ANNE C SEARLE
CHIEF INFORMATION OFFICER50.0X25493407853
MARK T JONES
SENIOR VP PHCS/ PRESIDENT UMCP50.0X488488034566
RICHARD E WOHL
SENIOR VP50.0X285273038395
LINDA F SIEGLEN MD
VICE PRESIDENT50.0X483379041957
JOSEPH E STAMPE
VICE PRESIDENT50.0X282608041183
RAY B LEFTON
VICE PRESIDENT50.0X267641030891
SUSAN LORENZ
VICE PRESIDENT50.0X257955016461
MARCIA M TELTHORSTER
VICE PRESIDENT50.0X236849012236
JAMES G DEMETRIADES
VICE PRESIDENT50.0X206428025899
CAROL NORRIS SMITH
VICE PRESIDENT50.0X186663035718
BARBARA A YOST
VICE PRESIDENT50.0X177421038871
PAMELA HERSH
VICE PRESIDENT50.0X161256015822
PAMELA GARBINI
VICE PRESIDENT50.0X130753032635
JAMES B HOGLE EFFECTIVE 5211
VICE PRESIDENT50.0X112252015883
KATHERINE SOUTHALL MD
PHYSICIAN50.0191797011359X
EDWARD BACZA
PHYSICIST50.0189095038067X
PETER J THOMAS PHD
PHYSICIAN50.0185280034761X
SIDDIQ FAISAL MD
PHYSICIAN50.0183975028721X
LAURIE S GREY
ED REVENUE CYCLE MGT50.0173448021462X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6060613TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs330060TotalReportableCompFrmRltdOrgs
Total Other Compensation694744TotalOtherCompensation
Number Individuals GT100 K215NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PEPPER HAMILTON LLP
301 CARNEGIE CENTER SUITE 400PRINCETONNJ08543LEGAL1077605
PRINCETON SURGICAL ASSOCIATES PA
5 PLAINSBORO ROAD SUITE 400PLAINSBORONJ08536MEDICAL876129
PRINCETON PLAINSBORO PHYS ASSOC P
66 W GILBERT STREETRED BANKNJ07701MEDICAL680142
COOPER PHYSICIAN ASSOCIATION
3 COOPER PLAZA SUITE 220CAMDENNJ08103MEDICAL517350
NJ KIDNEY STONE CENTER LLC
PO BOX 7014MONROE TOWNSHIPNJ08831MEDICAL460147
FieldValueIRS element (for citing)
Number Of Contractors GT100 K65NumberOfContractorsGT100K
Government Grants33595GovernmentGrants
All Other Contributions182731AllOtherContributions
Total Contributions216326TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE541900329272622329272622
OTHER HEALTHCARE RELATED REVENUE62150038956303160773734857
FieldValueIRS element (for citing)
Total Program Service Revenue333168252TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5653901TotalRevenueColumn
Exclusion$5,653,901ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real609319Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real609319Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column609319TotalRevenueColumn
Unrelated Business Revenue-40391UnrelatedBusinessRevenue
Exclusion$649,710ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other24179Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-24179Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-24179TotalRevenueColumn
Exclusion-$24,179ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PARKING812930354971$354,971
TELEPHONE51700076457$76,457
FieldValueIRS element (for citing)
Total Other Revenue431428TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column340055047TotalRevenueColumn
Related Or Exempt Function Income332433395RelatedOrExemptFunctionIncome
Unrelated Business Revenue694466UnrelatedBusinessRevenue
Exclusion$6,710,860ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15407Total
Program Services15407ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total179Total
Program Services179ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5664891Total
Program Services0ProgramServices
Management And General5664891ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total126814608Total
Program Services118754662ProgramServices
Management And General8059946ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3960135Total
Program Services3721255ProgramServices
Management And General238880ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16856547Total
Program Services15488846ProgramServices
Management And General1367701ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10237521Total
Program Services9213769ProgramServices
Management And General1023752ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1632386Total
Program Services1469147ProgramServices
Management And General163239ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1030500Total
Program Services927450ProgramServices
Management And General103050ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total195211Total
Program Services175690ProgramServices
Management And General19521ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total67515Total
Program Services60764ProgramServices
Management And General6751ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total107204Total
Program Services96484ProgramServices
Management And General10720ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31436431Total
Program Services28292788ProgramServices
Management And General3143643ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1081612Total
Program Services973451ProgramServices
Management And General108161ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9762164Total
Program Services8785948ProgramServices
Management And General976216ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5220680Total
Program Services4698612ProgramServices
Management And General522068ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4881422Total
Program Services4393280ProgramServices
Management And General488142ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total980781Total
Program Services882703ProgramServices
Management And General98078ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total255606Total
Program Services230045ProgramServices
Management And General25561ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15664574Total
Program Services14098117ProgramServices
Management And General1566457ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3848637Total
Program Services3463773ProgramServices
Management And General384864ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES52429311471863805242931
PROVISION FOR BAD DEBTS1029190992627181029191
UTILITIES58814695293322588147
REPAIRS AND MAINTENANCE32954592965913329546

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11807447Total
Program Services10625143ProgramServices
Management And General1182304ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total323419606Total
Program Services291075846ProgramServices
Management And General32343760ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7409418BOY
EOY6902560EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9614940BOY
EOY18635620EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1081400BOY
EOY1081400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39979467BOY
EOY39810833EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1030525BOY
EOY306298EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2041913BOY
EOY1968325EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2648219BOY
EOY3047012EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis751856816LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec207680644LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY404334335BOY
EOY544176172EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY232173417BOY
EOY129148833EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2507183BOY
EOY731657EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY51471639BOY
EOY62913684EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY754292456BOY
EOY808722394EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY36290381BOY
EOY58710512EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY230000000BOY
EOY237120000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY128797960BOY
EOY127730372EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY67133409BOY
EOY80302165EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY462221750BOY
EOY503863049EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY189138397BOY
EOY199959136EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100762359BOY
EOY102584859EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2169950BOY
EOY2315350EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY292070706BOY
EOY304859345EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY754292456BOY
EOY808722394EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16635441ReconcilationRevenueExpenses
Reconcilation Other Changes-3846802ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$30,392DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$37,123RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB67515TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITY EXPLAINATIONIdentifier
Return ReferenceSCHEDULE C, PART II-B; QUESTION 1HReturnReference
ExplanationDURING 2011, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $30,392 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 2011 AMOUNTED TO $12,395. IN ADDITION, PRINCETON HEALTHCARE SYSTEM, INC. IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $24,728.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance250000BeginningOfYearBalance
End Of Year Balance250000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance250000BeginningOfYearBalance
End Of Year Balance250000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance250000BeginningOfYearBalance
End Of Year Balance250000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions250000Contributions
End Of Year Balance250000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis56857635OtherCostOrOtherBasis
Book Value56857635BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis126744352OtherCostOrOtherBasis
Depreciation88169188Depreciation
Book Value38575164BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8637780OtherCostOrOtherBasis
Depreciation5210373Depreciation
Book Value3427407BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis178564558OtherCostOrOtherBasis
Depreciation113330147Depreciation
Book Value65234411BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis381052491OtherCostOrOtherBasis
Depreciation970936Depreciation
Book Value380081555BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings544176172TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (9 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED USE0F
LIMITED USE13663603F
DOMESTIC EQUITY MUTUAL FUNDS9320030F
INTL EQUITY MUTUAL FUNDS3153276F
ACCRUED INTEREST; LIMITED USE46738F
PROGRAM RELATED INVESTMENTS6395569F
BOND PROCEEDS HELD BY TRUSTEE90343848F
LIMITED USE4739132F
OTHER INVESTMENTS1486637F
FieldValueIRS element (for citing)
Total Of Book Value Program Related129148833TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES7822541
FOUNDATION45002554
RETROACTICE RECEIVABLE0
OTHER ASSETS10088589
FieldValueIRS element (for citing)
Total Book Value Other Assets62913684TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
RETROACTIVE PAYABLE$3,608,968
ACCRUED INTEREST PAYABLE; CURRENT$293,325
NON-CURRENT$38,537,120
OTHER NON-CURRENT LIABILITIES$9,525,286
PAYABLE$28,337,466
FieldValueIRS element (for citing)
Total Of Amounts80302165TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, QUESTION 4Princeton Healthcare System, inc.'s ("hospital") endowment consists of five donor permanently restricted individual funds established for a variety of purposes. As required by Generally Accepted Accounting Principles ("GAAP"), net assets associated with endowment funds, are classified and reported based on the existence of donor-imposed restrictions. The Board of Trustees of the System has interpreted the State of New Jersey's 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, the hospital 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 donor.s 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 the hospital in carrying out its purposes, its present and anticipated financial requirements, expected total return on its investments, price level trends and general economic conditions. the hospitals endowment investments fall under the investment policy guidelines as established, and reviewed annually, by the systems Investment Committee. the hospital intends to expend a 4% drawdown from 2011 earnings in 2012, subject to the System's Investment Committee approval.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTESCHEDULE D, PART XTHE ORGANIZATION IS AN AFFILIATE WITHIN PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ("SYSTEM") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHcARE SYSTEM HOLDING, INC. IS THE tax-exempt PARENT OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND IT'S AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; 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, 2011: PER THE REQUIRMENT 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CarefalseFPGReferenceFreeCare
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10218737TotalCommunityBenefitExpense
Direct Offsetting Revenue1892628DirectOffsettingRevenue
Net Community Benefit Expense8326109NetCommunityBenefitExpense
Percent Of Total Expense0.02660PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20910264TotalCommunityBenefitExpense
Direct Offsetting Revenue13690722DirectOffsettingRevenue
Net Community Benefit Expense7219542NetCommunityBenefitExpense
Percent Of Total Expense0.02310PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense31129001TotalCommunityBenefitExpense
Direct Offsetting Revenue15583350DirectOffsettingRevenue
Net Community Benefit Expense15545651NetCommunityBenefitExpense
Percent Of Total Expense0.04970PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense774802TotalCommunityBenefitExpense
Direct Offsetting Revenue85604DirectOffsettingRevenue
Net Community Benefit Expense689198NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8417345TotalCommunityBenefitExpense
Direct Offsetting Revenue5600000DirectOffsettingRevenue
Net Community Benefit Expense2817345NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense23000TotalCommunityBenefitExpense
Net Community Benefit Expense23000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense415121TotalCommunityBenefitExpense
Net Community Benefit Expense415121NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9630268TotalCommunityBenefitExpense
Direct Offsetting Revenue5685604DirectOffsettingRevenue
Net Community Benefit Expense3944664NetCommunityBenefitExpense
Percent Of Total Expense0.01260PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense40759269TotalCommunityBenefitExpense
Direct Offsetting Revenue21268954DirectOffsettingRevenue
Net Community Benefit Expense19490315NetCommunityBenefitExpense
Percent Of Total Expense0.06230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$10,291,909BadDebtExpenseAmount
Amount Reimbursed By Medicare93735465AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare110170971CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-16435506MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
UMCP SURGICENTER
PARTNERS LLC
MEDICAL SERVICES0.265000.73500
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
univ med ctr of princeton at plainsboro
1ONE PLAINSBORO ROADPLAINSBORONJ08536XXXX
PRINCETON HOUSE BEHAVIORAL HEALTH
2905 HERRONTOWN ROADPRINCETONNJ08540X

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

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit LawsuitPermitLawsuitPermit Lien On ResidencePermitLienOnResidenceCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyLawsuitLawsuitLien On ResidenceLienOnResidenceNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesFPG Free PercentFPGFreePercent
univ med ctr of princeton at plainsboro
1truefalsefalsetrueXXXtruetrueXXtrueXXXtrueXXXXXXXtrueXfalsefalse
PRINCETON HOUSE BEHAVIORAL HEALTH
2truetruefalsetrueXXXtruetrueXXtrueXXXtrueXXXXXXXtrueXfalsefalse200.

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities13NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PRINCETON HOMECARE SERVICES
208 BUNN DRIVEPRINCETONNJ08540HOMECARE AND VISITING NURSE
PRINCETON AMBULATORY SURGERY CENTER
281 WITHERSPOON STREETPRINCETONNJ08540OUTPATIENT SURGERY
MERWICK CARE CENTER
79 BAYARD LANEPRINCETONNJ08540REHABILITATION AND EXTENDED CARE
PRINCETON HOUSE BEHAVIORAL HEALTH
375 NORTH KINGS HIGHWAYCHERRY HILLNJ08034OUTPATIENT BEHAVIORAL PROGRAM
PRICNETON HOUSE BEHAVIORAL HEALTH
741 MOUNT LUCAS ROADPRINCETONNJ08542OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
1460 LIVINGSTON AVENUENORTH BRUSWICKNJ08902OUTPATIENT BEHAVIORAL PROGRAM
PRINCETON HOUSE BEHAVIORAL HEALTH
300 CLOCKTOWER ROAD SUITE 101HAMILTONNJ08690OUTPATIENT BEHAVIORAL PROGRAM
BREAST HEALTH CENTER
300B PRINCETON HIGHTSTOWN ROADEAST WINDSORNJ08512OUTPATIENT DIAGNOSIS & TREATMENT
PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
1225 STATE ROADPRINCETONNJ08542PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
PRINCETON HOUSE BEHAVIORAL HEALTH
1000 HERRONTOWN ROADPRINCETONNJ08542OUTPATIENT BEHAVIORAL PROGRAM
PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
2650 ROUTE 130CRANBURYNJ08512PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
UMCP CENTER FOR WOUND HEALING
281 WITHERSPOON STREETPRINCETONNJ08540OUTPATIENT HYPERBARIC THERAPY
OUTPATIENT REHAB & PHYSICIANS OFFICE
1315 WHITEHORSE-MERCERVILLE ROADMERCERVILLENJ08619OUTPATIENT REHABILITATION

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELIGIBILITY FOR DISCOUNTED CAREPART I, LINE 3CTHE 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 2011 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 REPORTSCHEDULE H, PART I; QUESTION 6ANOT APPLICABLE.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I; QUESTION 7GNO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I; QUESTION 7 COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $10,291,909.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTSCHEDULE H, PART I, QUESTION 7WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IICOMMUNITY 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 EXPENSESCHEDULE H, PART III, SECTION A; QUESTION 4BAD 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 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. 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, 2011 AND 2010 WERE APPROXIMATELY $9,111,000 AND $9,083,000, RESPECTIVELY. DOHSS 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 THE SYSTEM'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. AS OF DECEMBER 31, 2011AND 2010, THE SYSTEM RECEIVED SUBSIDY AMOUNTS OF $1,214,000 AND $664,000, 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. IN 2011 AND 2010 THE SYSTEM RECEIVED $1,257,000 AND $1,616,000, RESPECTIVELY, FOR THESE PROGRAMS.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B; QUESTION 8MEDICARE COSTS WERE DERIVED FROM THE 2011 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 POLICYSCHEDULE H, PART III, SECTION B; QUESTION 9BACCOUNTS 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 INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7NOT APPLICABLE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 9UNIVERSITY 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 INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 10THE ORGANIZATION USES STATE OF NEW JERSEY CHARITY CARE GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 11HNOT APPLICABLE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 13GTHE 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 INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTIONS 15E, 16E, 17E & 18DNOT APPLICABLE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 19DTHE 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 INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTIONS 20 & 21NOT APPLICABLE.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 1PRINCETON 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 MOVES TO THE NEW UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO BY THE YEAR 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 ASSISTANCESCHEDULE H, PART VI; QUESTION 3PHCS 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 PATIENT HANDBOOK MAKES REFERENCE TO OUR CHARITY CARE POLICY. 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 INFORMATIONSCHEDULE H, PART VI; QUESTION 4PRINCETON 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 HEALTHSCHEDULE H, PART VI; QUESTION 5THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY 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 SYSTEMSCHEDULE H, PART VI; QUESTION 6PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE PARENT ENTITY OF THE PRINCETON HEALTHCARE SYSTEM ("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,2011 THE SYSTEM PROVIDED 1,422 PROGRAMS TO 29,700 PARTICIPANTS. THE DIRECT COSTS TO SUPPORT THESE PROGRAMS IN 2011 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 PRINCETON HEALTHCARE SYSTEM ("PHCS") IS COMPRISED OF THREE DIVISIONS; UNIVERSITY MEDICAL CENTER AT PRINCETON, 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE COLLEGE OF NEW JERSEYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 PENNINGTON ROADAddressLine1
CityEWINGCity
StateNJState
ZIP Code08628ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient222797398EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant14192AmountOfCashGrant
Purpose Of GrantEDUCATIONPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT FUND MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I, QUESTION 2ReturnReference
ExplanationGRANTS 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

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARGARET LANCEFIELD MD PHD
03269510003109015014017481036255500
BARRY S RABNER
5557150330000045790344850170570941836000
BRUCE L TRAUB FHFMA CPA
317349067891042110125640311670433182000
YALE H BOHN ESQ
3188970647612564316723696090
ANNE C SEARLE
246296050000363800078530262787000
MARK T JONES
3713430111459056860113390232270523054000
RICHARD E WOHL
229259050378056360142270241680323668000
LINDA F SIEGLEN MD
392399085622053580113390306180525336000
JOSEPH E STAMPE
218446061246029160102180309650323791000
RAY B LEFTON
21200905253003102096470212440298532000
SUSAN LORENZ
2087230461410309109606068550274416000
MARCIA M TELTHORSTER
2168840160010396409805024310249085000
JAMES G DEMETRIADES
2038840002544092520166470232327000
CAROL NORRIS SMITH
15661902777902265074900282280222381000
BARBARA A YOST
17437600030450103470285240216292000
PAMELA HERSH
156618000463806589092330177078000
PAMELA GARBINI
1285390002214051210275140163388000
KATHERINE SOUTHALL MD
19115200064508405029540203156000
EDWARD BACZA
1884490006460112920267750227162000
PETER J THOMAS PHD
1481340366640482070170277440220041000
SIDDIQ FAISAL MD
183753000222080510206700212696000
LAURIE S GREY
172862000586084640129980194910000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTIONS 1A AND 1BTHE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER, BARRY S. RABNER, 2011 FORM W-2, BOX 5, INCLUDES A TAX GROSS-UP PAYMENT OF $367, RELATED TO HIS FORM W-2, BOX 5, TAXABLE COMPENSATION RESULTING FROM PERSONAL USAGE OF AUTO.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE 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 2011 FORM W-2, AS TAXABLE WAGES: BARRY S. RABNER, $21,921.
COMPENSATION INFORMATIONCORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 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

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1New Jersey Health Care Facilities AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN221487148IssuerEIN
CUSIP Number64579fb93CUSIPNumber
Date Issued2010-05-01DateIssued
Issue Price230000000IssuePrice
Description Of PurposeCONSTRUCTION OF HOSPITAL, REFINANCDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds230477364TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1883773IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures178755530CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent49838061AmountUnspent
Year Of Subst Completion2012YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierTAX-EXEMPT BOND ISSUESIdentifier
Return ReferenceSCHEDULE K, PART IReturnReference
ExplanationTHE TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES CUSIP NUMBERS IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I, COLUMN (C). THESE ARE THE FOLLOWING: 64579FB77; 64579FC43; XXX-XX-XXXXExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
UNIVERSITY OF MEDICINE DENTISTRY
TRUSTEE - AMENTA3397538MEDICAL SERVICESfalse
PRINCETON MEDICAL GROUP PA
TRUSTEE - YI136028MEDICAL SERVICESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationPETER S. AMENTA, M.D., PH.D. IS A TRUSTEE OF THE ORGANIZATION. MR. AMENTA IS THE DEAN OF UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY ("UMDNJ"). THE ORGANIZATION UTILIZED THE SERVICES OF UMDNJ, DURING 2011. TOTAL FEES PAID TO UMDNJ WERE $3,397,538. 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 2011. TOTAL FEES PAID TO PRINCETON MEDICAL GROUP, P.A. WERE $136,028. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPrinceton HealthCare System ("PHCS") is comprised of three divisions: University Medical Center at Princeton (UMCP), 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. Pursuant to its charitable purposes, 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 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; 4)Control of PHCS rests with its Board of Trustees which is comprised of independent civic leaders, members of the community and medical staff representation; and 5)SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. 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-two percent of our 1,013 physicians 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. A system-wide quality enhancement initiative titled Transforming Healthcare is underway at all PHCS units. The goal is to enhance each patient's experience while streamlining the delivery of care. PHCS is comprised of the following: University Medical Center at Princeton ("UMCP") is a teaching hospital that provides comprehensive patient care and support services relating to patient care to all individuals in a non-discriminatory manner regardless of ability to pay. It is an acute care facility with 236 acute care beds and 24 bassinets. In 2011 patient days totaled 64,780. Outpatient patient visits approximate 261,000. For the third year in a row, UMCP was recognized as one of the nation's Top Hospitals by the Leapfrog Group for safety and quality of care. It is the only hospital in New Jersey to achieve this recognition three years in a row. UMCP launched a new 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 new pediatric outpatient specialties (pediatric nephrology and pediatric cardiology) and UMCP's bariatric surgery program earned a designation as a center of excellence. In 2009, we kicked off an exciting partnership with the Children's Hospital of Philadelphia bringing world-class pediatric healthcare to our community. UMCP further developed its diabetes management services providing care to approximately 360 patients in 2011. Our 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 2011, 75 residents from the community participated in our diabetes support groups. UMCP also provides cardiac and pulmonary rehabilitation which includes exercise sessions, maintenance and re-assessments. During 2011, approximately 7,800 cardiac and pulmonary rehabilitation sessions were provided. UMCP became the first hospital in Mercer County, NJ to open an Acute Care of the Elderly (ACE) unit specifically designed to meet the needs of the older adult patient. 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 2011 there were 48,532 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 23,693 Hospice visits in 2011. 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 116 beds that produced 33,706 patient days in 2011. Outpatient visits and treatments across multiple sites amounted to 78,286. 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 Human Services, 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.
COMMUNITY BENEFIT STATEMENT CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSIn 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. It is the first and only facility in Mercer County to be designated a Breast Imaging Center of Excellence by the American College of Radiology. 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. 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 200 mammograms and 100 clinical breast exams for underserved women. The Breast Health Center staff participates in the Komen Race for the Cure each year. In 2011, the Breast Health Center participated in 25 educational and outreach programs. 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 at Princeton 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. The number of beds increased from 16-22 beds to meet the increase in demand for care. 4. Emergency Department 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 40,228 visits in 2011. 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. The Acute Care Suite offers specialty rooms for trauma and OB/GYN care, and an isolation room for cases involving potentially communicable diseases. Twenty-four hour on call emergency neurosurgery services are provided by some of the state's leading board certified, fellowship trained neurosurgeons. 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. 5. Epilepsy Program The University Medical Center at Princeton'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 2.5 million Americans have been diagnosed with epilepsy, and 181,000 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 at Princeton 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's skilled nursing and certified technical staff. 6. Inpatient Hospice Program Inpatient hospice care is available at University Medical Center at Princeton when uncontrolled pain or intractable symptoms make remaining at home extraordinarily difficult. The Inpatient Hospice Program is a unique partnership between University Medical Center at Princeton, 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 at Princeton. 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. UMCP's Intensivists Program is provided in collaboration with the University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School, one of the country's leading medical schools. The University Medical Center at Princeton is an acute care teaching hospital and University Hospital Affiliate of the medical school. 8. Maternity Program The University Medical Center at Princeton is committed to promoting a unique, family-centered birth experience, healthy pregnancies and safe deliveries. University Medical Center at Princeton 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 at Princeton is proud to be a national leader in maternity care. We are the only hospital in Mercer County, New Jersey to be honored with the Maternity Excellence Award by HealthGrades, the nation's leading healthcare quality company. This prestigious distinction recognizes UMCP for its dedication to outstanding clinical performance and for ranking among the top 10 percent of hospitals in the United States in the care of newborns and their mothers. The program also includes daily access to lactation consultants and we are in the process of adding support for patients to cope with post partum depression. UMCP has a very busy maternity clinic for patients that are uninsured or uninsured. To support this service, UMCP provides and pays for 24/7 physician obstetrical care.
COMMUNITY BENEFIT STATEMENT CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS9. Orthopedics Program A leading provider of orthopedic care, The University Medical Center at Princeton helps patients return to active, comfortable living. HealthGrades, the nation's leading healthcare quality company, has named University Medical Center at Princeton 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 at Princeton has also been ranked among the top five hospitals in New Jersey for overall orthopedics and joint replacement surgery. Our 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. Outpatient Clinic The Outpatient Clinic 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 UMDNJ - Robert Wood Johnson Medical School working under the guidance of members of our Medical & Dental Staff who also serve on the faculty of the medical school), nutritionists, social workers and health educators. - Will provide more than 21,000 total patient visits to more than 4,500 patients in 2011, representing approximately a 24% 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 2011 we began to accept direct referrals for Medicaid patients into our Gynecologic service. We experienced a 26% volume increase in these types of visits as compared to 2009 volumes. It is important to note that there are no private physicians in our community that accept Medicaid and very few accept Horizon NJ Health. - Our Pediatric Clinic serves more than 1,250 children and its visit volume has grown more than 29% 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 Clinic 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 Clinic visit volume has grown 66% in the past five years, and more than 290% in the past 10 years. - Outpatient Clinic 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 UMCP specialty programs, and extensive case management for at-risk populations. Clinic 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 Clinic 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 Outpatient Clinic provides and/or facilitates additional associated support services for Clinic 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. - Clinic staff assists patients in applying for indigent drug programs provided by pharmaceutical companies, and for PAAD/Medicare Part D prescription coverage. UMCP also provides a variety of medications to Clinic patients who have no prescription coverage through its Pharmacy Department, totaling 2,455 prescriptions filled for Clinic patients in 2011. Clinic staff also assists patients & families with submission of/follow-up per their Medicaid and FamilyCare applications, and Clinic staff is designated Presumptive Eligibility screeners for facilitated patient access to governmental coverage for OB and Pediatric services. - A high volume of interpretive/translation services are also provided for Limited English Proficient patients & families, both within the Clinic and for service provision elsewhere within UMCP. 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 Clinic 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 at Princeton's Pain Management Program has been providing innovative care to our community since 1995. Our 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 at Princeton 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 level 2 NICU. 13. Radiation Oncology The J. Seward Johnson Sr. Radiation Oncology Center at University Medical Center brings to the community state-of-the-art technology for the treatment of cancer. 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 at Princeton 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
COMMUNITY BENEFIT STATEMENT CONT'DCORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS15. 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 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, 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 2011, Community Education & Outreach provided 1,371 programs to 35,628 participants. Total monies spent less payments received on Community Education for 2011 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 and Senior Services for deposit into the Health Care Subsidy Fund. We also pay the State of New Jersey an adjusted admission fee. In 2011 PHCS paid a total of $1,499,000 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 2011 PHCS paid other healthcare providers $4,000 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 University of Medicine and Dentistry of New Jersey to provide training for medical residents. PHCS trained the equivalent of 40 full time medical and surgical residents. The direct costs associated with these programs in 2011 approximated $6.0 million dollars, which was partially offset by Medicare and Medicaid funds of $5.6 million dollars, resulting in a shortfall of $0.4 million dollars. This shortfall excludes allocated overhead costs of $2.2 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, Mercer County Community College, and Somerset County Technical Institute to provide training experiences for their nursing students. In 2011, there were 156 different residents that completed 844 resident rotations at PHCS. Charity Care PHCS provides care to patients who meet certain criteria defined by the New Jersey Department of Health and Senior Services ("DHSS") 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 the 2011 were approximately $47,990,000. 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 $9,111,000. 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 2011, PHCS received subsidy amounts of $1,214,000 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 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% 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 2011 PHCS provided inpatient behavioral health services to 51 patients that were hospitalized a total of 495 days and $457,000 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 2011 PHCS received approximately $93.7 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 $110.1 million, resulting in a shortfall of $16.4 million or 14.9%. In 2011, PHCS received approximately $13.7 million dollars from the Medicaid and Medicaid managed care programs. The costs associated with these revenues in accordance with Medicare rules were $19.4 million, resulting in a shortfall of $5.5 million or 42%.
DISCLOSURE INFORMATIONCORE FORM, PART III; QUESTIONS 2 & 3AS OF DECEMBER 31, 2011 THE SYSTEM WAS IN THE PROCESS OF REPLACING THE UNIVERSITY MEDICAL CENTER AT PRINCETON CAMPUS ("UMCP"). IN MARCH 2008, THE SYSTEM PURCHASED 160 ACRES OF PROPERTY LOCATION IN PLAINSBORO TOWNSHIP, APPROXIMATELY FOUR MILES FROM THE EXISTING CAMPUS. ALL REGULATORY APPROVALS AND PERMITS WERE OBTAINED. SUFFICIENT FUNDS HAD BEEN SECURED TO FINANCE THE ENTIRE PROJECT ESTIMATED AT $450,000,000. A GUARANTEED MAXIMUM PRICE HAD BEEN OBTAINED FROM THE GENERAL CONTRACTOR. CONSTRUCTION COMMENCED IN MARCH 2009 AND WAS COMPLETED IN MAY 2012. AS OF DECEMBER 31, 2011 AND 2010 APPROXIMATELY $1,487,000 AND $5,378,000, RESPECTIVELY OF ADVANCE PAYMENTS ON REAL ESTATE TRANSACTIONS WERE REPORTED ON THE BALANCE SHEET UNDER 'OTHER ASSETS' AND 'OTHER NONCURRENT LIABILITIES'.
OTHER PROGRAM SERVICESCORE FORM, PART III; QUESTION 4DEXPENSES 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 INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 4IN 2011 PRINCETON HEALTHCARE SYSTEM AMENDED ITS BYLAWS TO AMEND THE DUTIES OF ITS EXECUTIVE COMMITTEE AND TO CLARIFY THE RESPONSIBILITIES OF ITS FINANCE AND HUMAN RESOURCE COMMITTEES. IN ADDITION, THE BYLAWS WERE AMENDED TO ADDRESS TERM LIMITS FOR TRUSTEES OF THE ORGANIZATION. IN ADDITION, IN MAY OF 2012, PRINCETON HEALTHCARE SYSTEM ADOPTED UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO AS AN ALTERNATE NAME FOR ITE ACUTE CARE HOSPITAL DIVISION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ("HOLDING") IS THE SOLE MEMBER OF THIS ORGANIZATION. HOLDING HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE WITHIN PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE ORGANIZATION'S AUDIT COMMITTEE 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 ORGANIZATION'S 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 IN-HOUSE COUNSEL, VICE PRESIDENT OF FINANCE, CHIEF COMPLIANCE OFFICER 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 THE ORGANIZATION'S AUDIT COMMITTEE AND OTHER INDIVIDUALS FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE within PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND AFFILIATES ("SYSTEM"); 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 THE ORGANIZATION'S VICE PRESIDENT AND GENERAL COUNSEL FOR REVIEW. THE COMPLETED QUESTIONNAIRES FOR THE SYSTEM'S OFFICERS AND SENIOR MANAGEMENT ARE RETURNED TO THE SYSTEM'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, THE SYSTEM'S VICE PRESIDENT AND GENERAL COUNSEL AND THE CHIEF COMPLIANCE OFFICER BRING TO THE ATTENTION OF THE SYSTEM'S GOVERNANCE COMMITTEE ANY DISCLOSED CONFLICTS OF INTEREST FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION'S 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 PRINCETON HEALTHCARE SYSTEM'S 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 THE ORGANIZATION 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 THE 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, # 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 ORGANIZATION'S 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 THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPTARTMENT OF TREASURY.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART 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 DISCLOSURECORE FORM, PART VII, SECTION A, COLUMN BTHIS ORGANIZATION IS AN AFFILIATE WITHIN PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS 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, REPRESENTS 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 ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET CHANGE IN UNREALIZED GAINS/(LOSSES) ON INVESTMENTS - ($1,784,631) - FORGIVENESS OF DEBT OF RELATED PARTY - ($6,268,984) - CHANGE IN MINIMUM PENSION LIABILITY - ($14,014,044) - TRANSFER OF ASSETS FROM RELATED PARTIES - $1,501,302 - NET ASSETS RELEASED FROM RESTRICTION - $14,755,655 - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $1,822,500 - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $145,400
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2AN INDEPENDENT CPA FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND IT'S AFFILIATES INCLUDING THIS ORGANIZATION, PRINCETON HEALTHCARE SYSTEM ("HOSPITAL"), FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS EACH YEAR. THE HOSPITAL'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PRINCETON HEALTHCARE SYSTEM FDN INC
ONE PLAINSBORO ROADPLAINSBORONJ08536222225911SUPPORT PHSNJ501(C)(3)509(A)(1)PHCS HOLDINGfalse
PRINCETON HLTHCARE SYSTEM HOLDING INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223493256HOLDING CO.NJ501(C)(3)509(A)(3)nafalse
PRINCETON MEDICAL PROPERTIES INC
ONE PLAINSBORO ROADPLAINSBORONJ08536220022702REAL ESTATENJ501(C)(3)N/APHCS HOLDINGfalse
PRINCETON CAREGIVERS INC
ONE PLAINSBORO ROADPLAINSBORONJ08536222842773HOMECARE SVCSNJ501(C)(3)HOSPITALPHCS HOLDINGfalse
PRINCETON HEALTHCARE AFFILIATED PHYS PC
ONE PLAINSBORO ROADPLAINSBORONJ08536264203938HLTHCARE SVCSNJ501(C)(3)PENDINGPHCStrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
PRINCETON HEALTH INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223450093MEDICALNJPHCS HOLDINGC CORP.
PRINCETON HEALTHCARE MGMT SVCS INC
3626 RTE 1 NORTHPRINCETONNJ08540223377256MEDICAL BUS. MGMTNJPRINC HEALTHC CORP.
PRINCETON HEALTHCARE MEDICAL EQUIP CO
ONE PLAINSBORO ROADPLAINSBORONJ08536223467900INACTIVENJPRINC HEALTHC CORP.
PHI PHARMACY INC
ONE PLAINSBORO ROADPLAINSBORONJ08536223467899INACTIVENJPHCS HOLDINGC CORP.
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PRINCETON HEALTHCARE AFFILIATED PHYS PCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypenTransactionType
Amount Involved3714145AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.