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PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP (EIN 21-0635009)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-12
IRS object ID
202321329349301922
Schema version
2021v4.2
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)
Return2023-05-12T08:43:17-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN210635009EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGUILHERME VALLADARES MBAPersonNm
Person TitleSR VP & CFOPersonTitleTxt
Phone6098537107PhoneNum
Signature2023-05-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGUILHERMEPersonFirstNm
Person LastVALLADARES MBAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2023-05-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGUILHERME VALLADARESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1Txt
CityPLAINSBOROCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08536ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$538,199,154GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PRINCETONHCS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1919FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ENHANCE THE HEALTH AND WELLNESS OF OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee3912TotalEmployeeCnt
Total Volunteers578TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,376,755PYContributionsGrantsAmt
CY Contributions Grants$3,149,539CYContributionsGrantsAmt
PY Program Service Revenue$463,316,188PYProgramServiceRevenueAmt
CY Program Service Revenue$511,436,550CYProgramServiceRevenueAmt
PY Investment Income$10,335,060PYInvestmentIncomeAmt
CY Investment Income$22,251,760CYInvestmentIncomeAmt
PY Other Revenue$606,842PYOtherRevenueAmt
CY Other Revenue$1,361,305CYOtherRevenueAmt
PY Total Revenue$485,634,845PYTotalRevenueAmt
CY Total Revenue$538,199,154CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$214,153,556PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$229,173,331CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$263,147,460PYOtherExpensesAmt
CY Other Expenses$290,162,804CYOtherExpensesAmt
PY Total Expenses$477,301,016PYTotalExpensesAmt
CY Total Expenses$519,336,135CYTotalExpensesAmt
PY Revenues Less Expenses$8,333,829PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,863,019CYRevenuesLessExpensesAmt
Total Assets BOY$873,542,381TotalAssetsBOYAmt
Total Assets EOY$818,562,186TotalAssetsEOYAmt
Total Liabilities BOY$429,442,394TotalLiabilitiesBOYAmt
Total Liabilities EOY$374,528,662TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$444,099,987NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$444,033,524NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF PRINCETON HEALTHCARE SYSTEM IS TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ENHANCE THE HEALTH AND WELLNESS OF OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY. PRINCETON HEALTHCARE SYSTEM PROVIDES INPATIENT AND OUTPATIENT CARE, COMMUNITY HEALTH EDUCATION, MEDICAL EDUCATION AND ALSO PROMOTES 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 FOR ADDITIONAL INFORMATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$404,434,564ExpenseAmt
Grant$0GrantAmt
Revenue$437,348,900RevenueAmt
DescPRINCETON MEDICAL CENTER PROVIDES COMPREHENSIVE PATIENT CARE AND SUPPORT SERVICES RELATING TO PATIENT CARE. IT IS AN ACUTE CARE FACILITY WITH 319 BEDS COMPRISED OF 288 ACUTE CARE, 17 PHYSICAL REHABILITATION AND 14 SPECIAL CARE NURSERY BASSINETS. IN FY2022, PATIENT DAYS TOTALED 68,320 AND OUTPATIENT VISITS/ENCOUNTERS TOTALED 153,094. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$59,775,166ExpenseAmt
Grant$0GrantAmt
Revenue$59,860,506RevenueAmt
DescPRINCETON HOUSE BEHAVIORAL HEALTH PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 116 BEDS PRODUCED 25,933 PATIENT DAYS IN FY2022. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 86,676. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$13,679,940ExpenseAmt
Grant$0GrantAmt
Revenue$14,227,144RevenueAmt
DescPRINCETON HOMECARE SERVICES IS A HOME CARE AND VISITING NURSE, AND HOSPICE SERVICE. IN FY2022, THERE WERE 51,216 OCCASIONS OF SERVICE AND 13,457 HOSPICE VISITS RECORDED. THIS GROWING SERVICE IS VITAL IN THE CAPACITY TO PROVIDE CARE AT THE PATIENT'S HOME RATHER THAN REQUIRING A STAY IN THE HOSPITAL. PRINCETON HOMECARE SERVICES ALSO OPERATES A HOSPICE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$477,889,670TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3912EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGUILHERME VALLADARES MBAPersonNm
Phone6098537107PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN B MAHONEY
CEO - UPHS1.054.0Yes (X)Yes (X)$2,559,636$0$405,970
BARRY S RABNER
FORMER PRES/CEO0.00.0$0$1,029,408$4,753Yes (X)
ROBERT VONDERHEIDE
TRUSTEE1.054.0Yes (X)$0$844,856$54,542
JAMES G DEMETRIADES
CEO47.08.0Yes (X)Yes (X)$614,851$0$83,744
GUILHERME VALLADARES MBA
SVP & CFO - ASST. TREAS.38.017.0Yes (X)$471,332$0$14,875
CRAIG GRONCZEWSKI MD
ACTING SRVP MED AFF.55.00.0Yes (X)$428,691$0$14,724
PAUL ORTIZ
VP BUS. SVC. LINE DEV.55.00.0$0$359,834$51,917Yes (X)
SHEILA G KEMPF
CNO & VP PATIENT SVCS.55.00.0$377,788$0$20,082Yes (X)
YISRAEL KRAUS
VP PHYSICIAN ALIGNMENT55.00.0$331,798$0$39,098Yes (X)
HYONA REVERE
SENIOR VP DEVELOPMENT54.01.0$345,636$0$24,002Yes (X)
MARGUERITE PEDLEY
SENIOR VICE PRESIDENT PHBH55.00.0$344,886$0$19,790Yes (X)
SIDDIQ FAISAL MD
MED. DIR., OCCUPATIONAL HEALTH55.00.0$345,682$0$11,270Yes (X)
ARUN RAO
MED.DIR. CARE COORDIN.55.00.0$328,866$0$25,528Yes (X)
NANCY FLETCHER
VP CORP. COMPL. & REG. AFFAIRS55.00.0$290,725$0$35,539Yes (X)
PETER THOMAS
VP, OUTPATIENT ADMINISTRATION55.00.0$262,644$0$28,241Yes (X)
JACQUELINE R KAVOURAS
VP POPULATION HEALTH55.00.0$272,236$0$17,091Yes (X)
STEPHANIE D TIEKU
NURSE MANAGER55.00.0$255,459$0$27,009Yes (X)
CAROL NORRIS-SMITH
VP PR - MARKETING55.00.0$249,804$0$26,874Yes (X)
CHING-YI LIU
VP, FINANCE55.00.0$254,616$0$20,840Yes (X)
MARGARET DEFALCO
ASSISTANT VICE PRESIDENT55.00.0$242,610$0$24,256Yes (X)
REINALDINE FLEURY
CHRO & VP HUMAN RESOURCES55.00.0$254,602$0$10,060Yes (X)
KARYN BOOK
ASSOC. CHIEF NURSING OFFICER55.00.0$242,996$0$22Yes (X)
FAYEZ LABIB
CLINICAL NURSE II55.00.0$210,184$0$23,175Yes (X)
DEBORAH CASARELLA
ENTITY INFO. OFFICER(EIO)55.00.0$206,721$0$1,305Yes (X)
BARBARA A YOST
FMR VP NETWORK DEVELOPMENT0.00.0$172,328$0$12Yes (X)
ROSEMARIE COSTAGLIOLA
DIR. OF CORPORATE GOVERNANCE44.011.0Yes (X)$112,848$0$24,247
W THOMAS GUTOWSKI MD
TRUSTEE1.024.0Yes (X)$0$25,994$0
ANTHONY KUCZINSKI
TRUSTEE - CHAIR1.04.0Yes (X)Yes (X)$0$0$0
HEATHER M VAN RAALTE MD
TRUSTEE1.01.0Yes (X)$0$0$0
JAMES L DOMINICK
TRUSTEE - VICE CHAIR1.03.0Yes (X)Yes (X)$0$0$0
JESSE I TREU PHD
TRUSTEE1.01.0Yes (X)$0$0$0
KENNETH A GOLDMAN MD FACS
TRUSTEE1.01.0Yes (X)$0$0$0
LEONARD GROSSMAN MD
TRUSTEE1.01.0Yes (X)$0$0$0
MARIA JUEGA
TRUSTEE1.01.0Yes (X)$0$0$0
MARK POLLARD
TRUSTEE - SECRETARY1.03.0Yes (X)Yes (X)$0$0$0
MICHAEL MARDY
TRUSTEE - TREASURER1.03.0Yes (X)Yes (X)$0$0$0
PHILIP CARCHMAN
TRUSTEE1.01.0Yes (X)$0$0$0
ROBERT C DOLL JR
TRUSTEE1.01.0Yes (X)$0$0$0
CALVIN L BUTTS JR
TRUSTEE (AS OF 3/1/21)1.01.0Yes (X)$0$0$0
LORI FELDSTEIN
TRUSTEE (AS OF 3/1/21)1.01.0Yes (X)$0$0$0
MYRON M GELLMAN
TRUSTEE (AS OF 3/1/21)1.01.0Yes (X)$0$0$0
SAMIT HIRAWAT MD
TRUSTEE (AS OF 3/1/21)1.01.0Yes (X)$0$0$0
BARRY PERLEMAN MD
TRUSTEE (AS OF 3/1/21)1.03.0Yes (X)$0$0$0
KIM PIMLEY
TRUSTEE1.01.0Yes (X)$0$0$0
PAUL VON AUTENREID
TRUSTEE1.01.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,064,091TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,234,098TotReportableCompRltdOrgAmt
Total Other Compensation$984,719TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K410IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEITMAN AMERICA REAL ESTATE HO
PO BOX 21578NWE YORKNY100871578PROPERTY LEASE SRVCS$6,720,186
SYMMETRY WORKFORCE SOLUTIONS
5930 CORNERSTONE CT STE 300SAN DIEGOCA92121MEDICAL SERVICES$5,416,215
UMCP SURGICENTER PARTNERS LLC
1 PLAINSBORO RDPLAINSBORONJ085361913MEDICAL SERVICES$2,545,095
ALLIED UNIVERSAL COMPANY
1551 N TUSTIN AVE STE 650SANTA ANACA92705OUTSOURCED STAFFING$1,796,897
RESPIRATORY SLEEP SPECIALISTS LLC
252 GRANDVIEW RDSKILLMANNJ08558MEDICAL SERVICES$1,066,280
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K55CntrctRcvdGreaterThan100KCnt
Related Organizations$1,413,125RelatedOrganizationsAmt
Government Grants$1,736,414GovernmentGrantsAmt
Total Contributions$3,149,539TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUES541900$506,206,988$506,206,988
OTHER HEALTHCARE RELATED REVENUES541900$5,229,562$5,229,562
FieldValueIRS element (for citing)
Total Program Service Revenue$511,436,550TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,291,710TotalRevenueColumnAmt
Exclusion$3,291,710ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,336,947RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,336,947RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,336,947TotalRevenueColumnAmt
Exclusion$1,336,947ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,960,050SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$18,960,050SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,960,050TotalRevenueColumnAmt
Exclusion$18,960,050ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescVENDING MACHINE REVENUESDesc
Business900099BusinessCd
Total Revenue Column$24,358TotalRevenueColumnAmt
Exclusion$24,358ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$24,358OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$538,199,154TotalRevenueColumnAmt
Related Or Exempt Func Income$511,436,550RelatedOrExemptFuncIncomeAmt
Exclusion$23,613,065ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,829,997TotalAmt
Program Services$5,246,998ProgramServicesAmt
Management And General$582,999ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$114,169TotalAmt
Program Services$102,752ProgramServicesAmt
Management And General$11,417ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$176,561,811TotalAmt
Program Services$158,905,630ProgramServicesAmt
Management And General$17,656,181ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,258,894TotalAmt
Program Services$8,333,005ProgramServicesAmt
Management And General$925,889ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,504,174TotalAmt
Program Services$22,053,757ProgramServicesAmt
Management And General$2,450,417ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,904,286TotalAmt
Program Services$11,613,857ProgramServicesAmt
Management And General$1,290,429ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,852,487TotalAmt
Program Services$3,467,238ProgramServicesAmt
Management And General$385,249ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$489,842TotalAmt
Program Services$440,858ProgramServicesAmt
Management And General$48,984ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$78,613TotalAmt
Program Services$70,752ProgramServicesAmt
Management And General$7,861ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$116,196,447TotalAmt
Program Services$106,281,215ProgramServicesAmt
Management And General$9,915,232ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$644,888TotalAmt
Program Services$580,399ProgramServicesAmt
Management And General$64,489ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$625,474TotalAmt
Program Services$562,927ProgramServicesAmt
Management And General$62,547ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,109,479TotalAmt
Program Services$998,531ProgramServicesAmt
Management And General$110,948ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,435,012TotalAmt
Program Services$19,291,511ProgramServicesAmt
Management And General$2,143,501ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$458,947TotalAmt
Program Services$413,052ProgramServicesAmt
Management And General$45,895ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$38,279TotalAmt
Program Services$34,451ProgramServicesAmt
Management And General$3,828ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,148,136TotalAmt
Program Services$6,433,322ProgramServicesAmt
Management And General$714,814ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$35,087,720TotalAmt
Program Services$31,578,948ProgramServicesAmt
Management And General$3,508,772ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,350,968TotalAmt
Program Services$2,115,871ProgramServicesAmt
Management And General$235,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$87,827,334$87,827,334$0$0
REPAIRS & MAINTENANCE$9,100,087$8,190,078$910,009$0
DUES & LICENSES$700,993$630,894$70,099$0
TAXES$141,839$127,655$14,184$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,876,259TotalAmt
Program Services$2,588,635ProgramServicesAmt
Management And General$287,624ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$519,336,135TotalAmt
Program Services$477,889,670ProgramServicesAmt
Management And General$41,446,465ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$78,001,219BOYAmt
EOY$83,392,231EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$35,528,683BOYAmt
EOY$292,813EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,953,491BOYAmt
EOY$57,333,417EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,501,129BOYAmt
EOY$6,898,232EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,939,699BOYAmt
EOY$1,906,813EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$794,040,917LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$433,666,208LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$383,882,401BOYAmt
EOY$360,374,709EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$229,910,962BOYAmt
EOY$229,433,468EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$22,000,000BOYAmt
EOY$22,000,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$63,824,797BOYAmt
EOY$56,930,503EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$873,542,381BOYAmt
EOY$818,562,186EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,120,616BOYAmt
EOY$38,486,604EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,786,084BOYAmt
EOY$3,739,817EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$268,276,806BOYAmt
EOY$261,126,824EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,258,888BOYAmt
EOY$71,175,417EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$429,442,394BOYAmt
EOY$374,528,662EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$422,009,577BOYAmt
EOY$419,590,639EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,090,410BOYAmt
EOY$24,442,885EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$444,099,987BOYAmt
EOY$444,033,524EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$873,542,381BOYAmt
EOY$818,562,186EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,863,019ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$19,475,802NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$546,320OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$78,614RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$78,614TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B; LINE 1GFormAndLineReferenceDesc
ExplanationDETAIL OF LOBBYING ACTIVITIES PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION, IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE NEW JERSEY HOSPITAL ASSOCIATION AND THE FAIR SHARE HOSPITALS COLLABORATIVE. EACH 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 $78,614 FOR FY2022.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$220,229,853BeginningYearBalanceAmt
Contributions$11,442,469ContributionsAmt
Investment Earnings Or Losses$92,658InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$12,245,633OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$219,519,347EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$156,468,152BeginningYearBalanceAmt
Contributions$10,129,993ContributionsAmt
Investment Earnings Or Losses$64,669,242InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$11,037,534OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$220,229,853EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$151,517,441BeginningYearBalanceAmt
Contributions$8,757,911ContributionsAmt
Investment Earnings Or Losses$5,071,531InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$8,878,731OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$156,468,152EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$141,836,854BeginningYearBalanceAmt
Contributions$1,457,785ContributionsAmt
Investment Earnings Or Losses$8,431,963InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$209,161OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$151,517,441EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$135,128,514ContributionsAmt
Investment Earnings Or Losses$6,382,755InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures-$325,585OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$141,836,854EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,322,800OtherCostOrOtherBasisAmt
Book Value$41,322,800BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$519,219,027OtherCostOrOtherBasisAmt
Depreciation$261,188,082DepreciationAmt
Book Value$258,030,945BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,530,422OtherCostOrOtherBasisAmt
Depreciation$9,056,242DepreciationAmt
Book Value$13,474,180BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$173,831,026OtherCostOrOtherBasisAmt
Depreciation$134,355,021DepreciationAmt
Book Value$39,476,005BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,137,642OtherCostOrOtherBasisAmt
Depreciation$29,066,863DepreciationAmt
Book Value$8,070,779BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$360,374,709TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FIXED INCOME & MUTUAL FUNDS$219,583,718F
BOND PROCEEDS HELD BY TRUSTEE$9,849,750F
FieldValueIRS element (for citing)
Total Book Value Securities$229,433,468TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$7,324,833
INVESTMENT IN PHS FOUNDATION$24,315,084
RIGHT TO USE LEASED ASSETS$25,290,586
FieldValueIRS element (for citing)
Total Book Value Other Assets$56,930,503TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
ACCRUED INTEREST PAYABLE$4,152,007
ACCRUED BENEFIT LIABILITY$12,515,042
EST 3RD-PARTY RETRO PAYABLE$15,027,232
PARK ASSESSMENT BOND$957,606
OTHER LIABILITIES$5,735,031
LEASE LIABILITIES$26,471,086
WORKER'S COMP LIABILITY$3,050,413
MEDICAL MALPRACTICE$3,267,000
FieldValueIRS element (for citing)
Total Liability$71,175,417TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationINTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE USED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. ---------------------------- SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2022 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,905,964TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,227,866DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,678,098NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,790,947TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,379,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,411,290NetCommunityBenefitExpnsAmt
Total Expense0.03160TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,696,911TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,607,523DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,089,388NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,499,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,662DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,372,002NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,273,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,761,931DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,511,839NetCommunityBenefitExpnsAmt
Total Expense0.01640TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,170,469TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$741,628DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,428,841NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$399,374TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$399,374NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,343,277TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,631,221DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,712,056NetCommunityBenefitExpnsAmt
Total Expense0.02260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,040,188TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,238,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,801,444NetCommunityBenefitExpnsAmt
Total Expense0.06130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$17,932,484BadDebtExpenseAmt
Bad Debt Expense Attributable$537,975BadDebtExpenseAttributableAmt
Reimbursed By Medicare$109,378,929ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$138,132,810CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$28,753,881MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PENN MEDICINE PRINCETON MEDICAL CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PLAINSBORO ROADAddressLine1Txt
CityPLAINSBOROCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08536ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.princetonhcs.orgWebsiteAddressTxt
State LicenseLICENSE # 11103StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PENN MEDICINE PRINCETON MEDICAL CTRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCH H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSCH H, PART V, SECT. CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSCH H, PART V, SECT. CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSCH H, PART V, SECT. CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5 (INPUT FROM COMMUNITY)IMPROVING THE HEALTH OF THE COMMUNITY IS ESSENTIAL TO ENHANCING THE QUALITY OF LIFE FOR RESIDENTS IN THE REGION AND SUPPORTING FUTURE SOCIAL AND ECONOMIC WELL-BEING. IN 2018, PRINCETON HEALTHCARE SYSTEM (PRINCETON HEALTH) ENGAGED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, TO CONDUCT A COMMUNITY HEALTH PLANNING PROCESS TO GATHER INFORMATION ABOUT THE HEALTH OF RESIDENTS IN PRINCETON HEALTH'S THREE-COUNTY REGION (MERCER, MIDDLESEX, AND SOMERSET). THIS EFFORT INCLUDED TWO PHASES: (1) A COMMUNITY NEEDS HEALTH ASSESSMENT (CHNA) TO IDENTIFY THE HEALTH-RELATED NEEDS AND STRENGTHS OF THE REGION AND (2) A STRATEGIC IMPLEMENTATION PLAN (SIP) TO IDENTIFY MAJOR HEALTH PRIORITIES, DEVELOP GOALS, AND SELECT STRATEGIES AND IDENTIFY PARTNERS TO ADDRESS THESE PRIORITY ISSUES ACROSS THE REGION. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED INTEGRATING EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH ISSUES IN THE REGION WITH QUANTITATIVE INFORMATION FROM A COMMUNITY HEALTH SURVEY AND QUALITATIVE INFORMATION FROM 9 FOCUS GROUPS WITH COMMUNITY RESIDENTS AND SERVICE PROVIDERS AND 14 INTERVIEWS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUPS WERE CONDUCTED WITH SENIORS, PARENTS, EMTS, MEMBERS OF PRINCETON HEALTH'S CANCER COMMITTEE, PUBLIC HEALTH OFFICERS, HOSPITAL STAFF AND VOLUNTEERS, SCHOOL NURSES AND GUIDANCE COUNSELORS, AND MEMBERS OF THE PENN MEDICINE PRINCETON HEALTH MEDICAL ADVISORY BOARD. INTERVIEWEES INCLUDED LOCAL PUBLIC HEALTH OFFICIALS, SOCIAL SERVICE PROVIDERS, HEALTH CARE PROVIDERS, COMMUNITY LEADERS, AND PRINCETON HEALTH STAFF. THE COMMUNITY HEALTH SURVEY WAS ADMINISTERED ONLINE AND DISSEMINATED THROUGH MULTIPLE CHANNELS TO INDIVIDUALS WHO LIVE OR WORK IN MERCER, MIDDLESEX, AND SOMERSET COUNTIES. A TOTAL OF 1,037 PEOPLE COMPLETED THE SURVEY. FOR MORE INFORMATION, PLEASE SEE: https://www.princetonhcs.org/community?_ga=2.XXX-XX-XXXX.1738351937.16487478 59-XXX-XX-XXXX.1582304010 --------------------
PART V, SECTION B, LINE 6B (JOINT CHNA)AS A WAY TO ENSURE THAT PRINCETON HEALTH IS ACHIEVING ITS MISSION AND MEETING THE NEEDS OF THE COMMUNITY, AND IN FURTHERANCE OF ITS OBLIGATIONS UNDER THE AFFORDABLE CARE ACT, PRINCETON HEALTH ENGAGED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, TO CONDUCT THE CHNA. --------------------
PART V, SECTION B, LINE 7 (CHNA PUBLIC AVAILABILITY)A COPY OF THE ORGANIZATION'S CHNA CAN BE ACCESSED AT: https://www.princetonhcs.org/-/media/files/community-wellness/pmph-chna-fi nal-report_2021.pdf?la=en --------------------
PART V, SECTION B, LINE 11 (ADDRESSING SIGNIFICANT NEEDS)FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.princetonhcs.org/-/media/files/community-wellness/pmph-chna-fi nal-report_2021.pdf?la=en --------------------
PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE POLICY AVAILABILITY)A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.PENNMEDICINE.ORG/-/MEDIA/DOCUMENTS%20AND%20AUDIO/PATIENT%20GUI DES%20AND%20INSTRUCTIONS/HEALTH%20SYSTEM/FINANCIAL_ASSISTANCE_POLICY.ASHX? LA=EN --------------------
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

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

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C (OTHER FACTORS IN DETERMINING ELIGIBILITY)IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, PRINCETON HEALTHCARE SYSTEM ("PHCS") USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO PHCS' ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. CHARITY CARE ------------ CHARITY CARE ASSISTANCE IS FREE OR REDUCED CHARGE CARE WHICH IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. CHARITY CARE DISCOUNTS ARE IN COMPLIANCE WITH REGULATIONS ESTABLISHED IN NJAC 10:52, SUBCHAPTERS 11, 12, 13. CHARITY CARE IS AVAILABLE TO NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE BILL; 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE INCOME AND ASSETS CRITERIA DESCRIBED BELOW. CHARITY CARE IS AVAILABLE TO THOSE THAT DO NOT QUALIFY FOR STATE OR FEDERAL PROGRAMS. INCOME CRITERIA - PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE UNDER THE CHARITY CARE PROGRAM. FREE OR DISCOUNTED CHARGES ARE DETERMINED BY THE FOLLOWING FEE SCHEDULE: INCOME AS A PERCENTAGE OF HHS POVERTY INCOME GUIDELINES ------------------------------------------------------- LESS THAN OR EQUAL TO 200% -- 0% OF MEDICAID RATE GREATER THAN 200% BUT LESS THAN OR EQUAL TO 225% -- 20% OF MEDICAID RATE GREATER THAN 225% BUT LESS THAN OR EQUAL TO 250% -- 40% OF MEDICAID RATE GREATER THAN 250% BUT LESS THAN OR EQUAL TO 275% -- 60% OF MEDICAID RATE GREATER THAN 275% BUT LESS THAN OR EQUAL TO 300% -- 80% OF MEDICAID RATE GREATER THAN 300% -- UNINSURED DISCOUNT RATE AVAILABLE ASSETS CRITERIA - A PATIENT'S INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE IN ORDER TO BE ELIGIBLE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, SUBJECT TO SPECIFIC PROVISIONS (SUCH AS EMERGENCY MEDICAL CONDITIONS). CHARITY CARE IS AVAILABLE ONLY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY HOSPITAL CARE. SOME SERVICES SUCH AS PHYSICIAN FEES, ANESTHESIOLOGY FEES, AND RADIOLOGY INTERPRETATION ARE SEPARATE FROM HOSPITAL CHARGES AND MAY NOT BE ELIGIBLE FOR REDUCTION. NEW JERSEY UNINSURED DISCOUNT ----------------------------- THE NEW JERSEY UNINSURED DISCOUNT (NJ LAW - BILL S-1797/A-2609) IS AVAILABLE TO UNINSURED PATIENTS WHOSE FAMILY GROSS INCOME IS LESS THAN 500% OF FPG. HOWEVER, PRINCETON HAS ELECTED TO APPLY THIS DISCOUNT TO ALL UNINSURED PATIENTS IRRESPECTIVE OF INCOME LEVEL OR RESIDENCY. PRINCETON OFFERS DISCOUNTED RATES TO ALL UNINSURED INDIVIDUALS. UNDER THIS PROGRAM, AN ELIGIBLE PATIENT WILL BE CHARGED AN AMOUNT NO GREATER THAN 115% OF THE MEDICARE FEE SCHEDULE. UNINSURED BILLING LIMITS ARE IN ACCORDANCE WITH NJ P.L. 2008 C60. MEDICAID -------- MEDICAID PROVIDES HEALTH COVERAGE TO MILLIONS OF AMERICANS, INCLUDING CHILDREN, PREGNANT WOMEN, PARENTS, SENIORS AND INDIVIDUALS WITH DISABILITIES. IN GENERAL FOR THIS BENEFIT PROGRAM, A PATIENT MUST BE A UNITED STATES CITIZEN, LEGAL ALIEN OR PERMANENT RESIDENT, AND HAVE LOW INCOME. ADDITIONALLY, PATIENTS MUST ALSO BE A RESIDENT OF THE STATE OF NEW JERSEY. THERE ARE SEVERAL TYPES OF MEDICAID AVAILABLE THROUGH THE NEW JERSEY DEPARTMENT OF HEALTH. PRINCETON FINANCIAL COUNSELORS WILL HELP DETERMINE ELIGIBILITY BASED UPON EACH PATIENT'S CIRCUMSTANCES. NJ FAMILYCARE ------------- NJ FAMILYCARE IS NEW JERSEY'S PUBLICLY FUNDED HEALTH INSURANCE PROGRAM WHICH INCLUDES CHIP, MEDICAID AND MEDICAID EXPANSION POPULATIONS. NJ FAMILYCARE IS A FEDERAL AND STATE FUNDED HEALTH INSURANCE PROGRAM CREATED TO HELP QUALIFIED NEW JERSEY RESIDENTS OF ANY AGE ACCESS TO AFFORDABLE HEALTH INSURANCE. NJ FAMILYCARE IS FOR PEOPLE WHO DO NOT HAVE EMPLOYER INSURANCE. FINANCIAL ELIGIBILITY FOR INDIVIDUALS SEEKING ELIGIBILITY FOR NJ FAMILYCARE WILL BE BASED ON THEIR MODIFIED ADJUSTED GROSS INCOME OR MAGI. NJFAMILYCARE ELIGIBILITY GUIDELINES ARE ESTABLISHED BY THE STATE OF NEW JERSEY AND CAN BE FOUND AT WWW.NJFAMILYCARE.ORG. A PATIENT CAN BE PRESUMED ELIGIBLE FOR NJFAMILYCARE ONLY ONCE IN A TWELVE MONTH PERIOD. CATASTROPHIC ILLNESS IN CHILDREN'S RELIEF FUND ---------------------------------------------- THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROVIDES FINANCIAL ASSISTANCE TO FAMILIES OF CHILDREN WITH A CATASTROPHIC ILLNESS. IN ORDER TO BE ELIGIBLE HOSPITAL EXPENSES MUST EXCEED 10% OF THE FAMILY'S GROSS INCOME, PLUS 15% OF ANY EXCESS INCOME OVER $100,000, THE CHILD MUST HAVE BEEN 21 YEARS OR YOUNGER WHEN THE MEDICAL EXPENSES WERE INCURRED AND THE FAMILY MUST HAVE LIVED IN NEW JERSEY FOR 3 MONTHS IMMEDIATELY PRIOR TO THE DATE OF APPLICATION. NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE ----------------------------------------------- THE STATE OF NEW JERSEY HAS ESTABLISHED THE NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE TO COMPENSATE VICTIMS OF CRIME FOR LOSSES AND EXPENSES, INCLUDING CERTAIN MEDICAL EXPENSES, RESULTING FROM CERTAIN CRIMINAL ACTS. IN ORDER TO BE ELIGIBLE FOR NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE THE CRIME MUST HAVE OCCURRED IN NEW JERSEY OR MUST RELATE TO A NEW JERSEY RESIDENT VICTIMIZED OUTSIDE OF THE STATE, THE VICTIM MUST HAVE REPORTED THE CRIME TO POLICE WITHIN 9 MONTHS AND THE VICTIM MUST COOPERATE WITH THE INVESTIGATION AND PROSECUTION OF THE CRIME. THE CLAIM MUST BE FILED WITHIN 3 YEARS OF THE DATE OF THE CRIME AND THE PATIENT MUST BE AN INNOCENT VICTIM OF THE CRIME. AMOUNT GENERALLY BILLED ("AGB") ------------------------------- PURSUANT TO INTERNAL REVENUE CODE 501(R)(5), IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, FAP-ELIGIBLE PATIENTS WILL NOT BE CHARGED MORE THAN AN INDIVIDUAL WHO HAS INSURANCE COVERING SUCH CARE. ALL PATIENTS ELIGIBLE FOR ASSISTANCE UNDER THIS FAP MAY BE ELIGIBLE FOR THIS DISCOUNT. THIS INCLUDES UNINSURED PATIENTS AND UNDERINSURED PATIENTS IF THEIR FAMILY GROSS INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 500% OF FPG. --------------------
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. --------------------
PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES)COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN ITS CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE SYSTEM PROVIDES COMMUNITY EDUCATION, OUTREACH, LECTURES, TRAININGS, HEALTH SCREENINGS AND SPECIAL EVENTS TO PATIENTS RESIDING IN MERCER, MIDDLESEX AND SOMERSET COUNTIES. MAJOR PROGRAMS INCLUDE SPECIAL HEALTH OUTREACH EFFORTS DIRECTED TO DIVERSE POPULATIONS. THE SYSTEM IS ALSO LIAISONED WITH PARTNERSHIPS IN THE LOCAL YMCAs, YWCAs, SCHOOLS, SENIOR CENTERS, CORPORATIONS, PLACES OF WORSHIP AND PUBLIC LIBRARIES FOR A VARIETY OF HEALTH ISSUES ACROSS ONE'S LIFESPAN. --------------------
PART III, SECTION A, LINE 2 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE)THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON AN ESTIMATE OF AGED UNCOLLECTIBLE ACCOUNTS RECEIVABLE (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 3 (IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY) THE ESTIMATED COST OF PROVIDING CHARITY SERVICES IS BASED ON VALUING ALL CHARITY CARE CLAIMS USING THE SYSTEM'S DECISION SUPPORT SYSTEM THAT UTILIZES COST TO CHARGE RATIOS DERIVED FROM THE MOST RECENTLY FILED MEDICARE COST REPORTS. DEPARTMENT OF HEALTH AND HUMAN SERVICES CHARITY CARE GUIDELINES REQUIRE PARTICIPATION AND SPECIFIC DOCUMENTATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. IN ADDITION TO CHARITY CARE, THE SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT THAT INCLUDES COMMUNITY OUTREACH PROGRAMS, SUBSIDIZED MEDICAL EDUCATION COSTS AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDICARE AND MEDICAID BENEFICIARIES. -------------------- PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE) THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 11 OF THE ELECTRONICALLY ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF PENNSYLVANIA. --------------------
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE ORGANIZATION'S MEDICARE COST REPORT. CONSISTENT WITH THE CHARTIABLE HEALTHCARE MISSION OF UPHS AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, UPHS PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT UPHS. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY UPHS TO PROVIDE SUCH SERVICES. --------------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES)THE PRIMARY MISSION OF THE ORGANIZATION IS TO IMPROVE THE OVERALL HEALTH STATUS OF THE COMMUNITY IT SERVES. PRINCETON HEALTH IS COMMITTED TO PROVIDING HIGH QUALITY AND AFFORDABLE HEALTHCARE TO ALL INDIVIDUALS WHO SEEK SERVICES. THEREFORE, THE ORGANIZATION MAKES EVERY EFFORT TO WORK WITH ITS PATIENTS TO HELP IN THE PAYMENT OF BILLS. THIS ASSISTANCE INCLUDES PROVIDING PATIENTS WITH ACCESS TO A FINANCIAL COUNSELOR, ASSISTING NEW JERSEY STATE RESIDENTS OBTAIN FINANCIAL ASSISTANCE AND ESTABLISHING PAYMENT PLANS FOR EASE OF PAYMENT. ALL PATIENTS WILL BE SCREENED BY A PRINCETON HEALTH FINANCIAL ASSISTANCE COUNSELOR TO DETERMINE IF THEY QUALIFY FOR INSURANCE PRIOR TO THE DETERMINATION OF FAP-ELIGIBILITY. THE ORGANIZATION ADHERES TO ALL FEDERAL, STATE, LOCAL AND PFS DEEMED CONTRACTUAL REGULATIONS AND STANDARDS TO ENSURE PROPER AND LEGAL OPERATIONS. THIS ENCOMPASSES, BUT IS NOT LIMITED TO, THE FOLLOWING: 1) BILLING PROCEDURES, BOTH INSURANCE AND INPATIENT; 2) COLLECTIONS, BOTH BAD DEBT AND MEDICARE BAD DEBT; 3) BAD DEBT RECOVERY, BOTH "REGULAR" BAD DEBT AND MEDICARE BAD DEBT; AND 4) MAINTENANCE OF THE CONFIDENTIALITY AND SECURITY OF PROTECTED HEALTH INFORMATION. PRINCETON HEALTH WILL NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS. PRINCETON HEALTH UTILIZES PRESUMPTIVE ELIGIBILITY DETERMINATIONS FOR PATIENTS IN ITS EMERGENCY DEPARTMENT AND ITS MATERNITY CLINICS. IF A PATIENT IS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS THAN THE MOST GENEROUS ASSISTANCE AVAILABLE UNDER THE FAP, PRINCETON HEALTH WILL NOTIFY THE PATIENT, IN WRITING, REGARDING THE BASIS FOR THE PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION AND HOW THEY MAY APPLY FOR MORE GENEROUS ASSISTANCE. A COPY OF THE PLS WILL ALSO BE PROVIDED IN THESE INSTANCES. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6), PRINCETON HEALTH DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") PRIOR TO THE EXPIRATION OF THE "NOTIFICATION PERIOD". THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD, WHICH BEGINS ON THE DATE OF THE 1ST POST DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS MAY BE INITIATED AGAINST THE PATIENT. PRINCETON HEALTH MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. PRINCETON HEALTH WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE PROGRAM. PRINCETON HEALTH WILL TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT HAS BEEN PROVIDED WITH WRITTEN NOTICE WHICH: - INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; - IDENTIFIES THE ECAS THAT PRINCETON INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND - STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT HAS RECEIVED A COPY OF THE PLAIN LANGUAGE SUMMARY WITH THIS WRITTEN NOTIFICATION; AND 3) REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. SUBSEQUENT TO THE NOTIFICATION PERIOD PRINCETON HEALTH, OR ANY THIRD PARTIES ACTING ON THEIR BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE PATIENT HASN'T APPLIED FOR OR IS DEEMED INELIGIBLE FOR FINANCIAL ASSISTANCE: 1) REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; 2) PLACING A LIEN ON AN INDIVIDUAL'S PROPERTY; 3) FORECLOSING ON AN INDIVIDUAL'S REAL PROPERTY; 4) COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; AND 5) CAUSING AN INDIVIDUAL TO BE SUBJECT TO A WRIT OF BODY ATTACHMENT --------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)FOR MORE INFORMATION REGARDING HOW PRINCETON HEALTH IS ASSESSING THE NEEDS OF THE COMMUNITIES IT SERVES, PLEASE SEE: https://www.princetonhcs.org/community?_ga=2.XXX-XX-XXXX.1738351937.16487478 59-XXX-XX-XXXX.1582304010 --------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)PRINCETON HEALTH ACTIVELY INFORMS AND EDUCATES PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PROMOTES ITS PATIENT FRIENDLY BILLING AND COLLECTION PROCESS THROUGH MULTIPLE CHANNELS. THIS IS AN INTEGRAL PART OF ITS CODE OF ETHICS AND VALUE STATEMENT. THE ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS: PRINCETON HEALTH HAS CREATED A PLAIN LANGUAGE SUMMARY ("PLS") OF ITS FINANCIAL ASSISTANCE POLICY ("FAP"). A PLS IS A WRITTEN STATEMENT THAT NOTIFIES AN INDIVIDUAL THAT THE HOSPITAL FACILITY OFFERS FINANCIAL ASSISTANCE UNDER THE FAP AND PROVIDES ADDITIONAL INFORMATION IN LANGUAGE THAT IS CLEAR, CONCISE AND EASY TO UNDERSTAND. PRINCETON HEALTH'S FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE ORGANIZATION'S PRIMARY SERVICE AREA. ADDITIONALLY, PRINCETON HEALTH PROVIDES LANGUAGE INTERPRETING AND TRANSLATION SERVICES, AND PROVIDES INFORMATION TO PATIENTS WITH VISION, SPEECH, HEARING OR COGNITIVE IMPAIRMENTS IN A MANNER THAT MEETS THE PATIENT'S NEEDS. THE FAP, APPLICATION AND PLS ARE ALL POSTED ON THE FOLLOWING PRINCETON HEALTH WEBSITE: WWW.PRINCETONHCS.ORG, AND ARE AVAILABLE FREE OF CHARGE, UPON REQUEST. PAPER COPIES OF THESE DOCUMENTS ARE ALSO AVAILABLE IN VARIOUS AREAS THROUGHOUT THE HOSPITAL, WHICH INCLUDE THE EMERGENCY DEPARTMENT AND ADMISSION/REGISTRATION DEPARTMENTS. SIGNS AND DISPLAYS, TO INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, ARE POSTED IN EMERGENCY ROOMS AND THE ADMITTING/REGISTRATION DEPARTMENTS. THESE SIGNS ARE POSTED IN ENGLISH AND IN SPANISH. ALL PATIENTS WILL BE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE OR DISCHARGE PROCESS. THE AVAILABILITY OF ALL PROGRAMS APPEARS ON BILLING STATEMENTS. EACH BILLING STATEMENT INCLUDES CONSPICUOUS WRITTEN NOTICE WHICH INFORMS THE RECIPIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES THE WEBSITE OF WHERE AN INDIVIDUAL CAN OBTAIN COPIES OF THE FAP, APPLICATION AND PLS. ADDITIONALLY, IT INCLUDES THE TELEPHONE NUMBER THAT PATIENTS CAN CALL IF THEY HAVE QUESTIONS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS. IN AN EFFORT TO ENSURE THAT THE COMMUNITY SERVICED BY PRINCETON IS AWARE OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE UNDER THIS FAP, PRINCETON HEALTH DISSEMINATES INFORMATION TO THE COMMUNITY THROUGH ITS COMMUNITY EDUCATION DEPARTMENT. --------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)FOR INFORMATION REGARDING THE COMMUNITY BEING SERVED BY PRINCETON HEALTH, PLEASE SEE: HTTPS://WWW.PRINCETONHCS.ORG/COMMUNITY?_GA=2.XXX-XX-XXXX.1738351937.16487578 59-XXX-XX-XXXX.1582304010
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)DETAILS REGARDING THE VARIOUS COMMUNITY OUTREACH ACTIVITIES CONDUCTED BY PRINCETON HEALTH DESIGNED TO PROMOTE COMMUNITY HEALTH IS INCLUDED IN OUR RESPONSE TO SCHEDULE H, PART VI, LINE 2, AS WELL AS IN FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. --------------------
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)THIS ORGANIZATION IS AN AFFILIATE OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. THE MISSION OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM IS EXCELLENCE IN EDUCATION, RESEARCH, AND CLINICAL CARE. WE STRIVE TO ACHIEVE THESE GOALS BY HAVING THE BEST PEOPLE IN MEDICAL EDUCATION, HEALTH-RELATED RESEARCH, AND PATIENT CARE; MAKING USE OF KNOWLEDGE GAINED FROM NEARLY TWO AND A HALF CENTURIES OF LEARNING AND DISCOVERY AS PART OF A WORLD-CLASS UNIVERSITY; DELIVERING HIGH-QUALITY MEDICINE TO PATIENTS ACROSS A FULLY-INTEGRATED ACADEMIC HEALTH SYSTEM; AND FULFILLING A COMMITMENT TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM AND AROUND THE WORLD. AS PART OF AN AFFILIATED HEALTHCARE SYSTEM, THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM CONSISTS OF CERTAIN OPERATING DIVISIONS OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (THE "UNIVERSITY") AND AFFILIATED ENTITIES, INCLUDING: - THE CHESTER COUNTY HOSPITAL ("CCH"), INCLUDES A 245 BED COMPLEX IN WEST CHESTER, PENNSYLVANIA, AND SATELLITE LOCATIONS IN EXTON, WEST GOSHEN, NEW GARDEN, JENNERSVILLE, AND KENNETT SQUARE, PENNSYLVANIA; - THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ("HUP"), A 727 LICENSED BED QUATERNARY CARE HOSPITAL AND ACADEMIC MEDICAL CENTER LOCATED ON THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PRESBYTERIAN"), A 317 LICENSED BED ACUTE CARE HOSPITAL LOCATED ADJACENT TO THE CAMPUS OF THE UNIVERSITY IN THE WEST PHILADELPHIA AREA OF PHILADELPHIA, PENNSYLVANIA; - PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("PENNSYLVANIA HOSPITAL"), A 550 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN THE CENTER CITY AREA OF PHILADELPHIA, PENNSYLVANIA; - THE CLINICAL PRACTICES OF THE UNIVERSITY OF PENNSYLVANIA ("CPUP"), THE APPROVED FACULTY PRACTICE PLAN FOR THE CLINICAL PRACTICES OF MEMBERS OF THE MEDICAL FACULTY OF THE UNIVERSITY'S PERELMAN SCHOOL OF MEDICINE; - CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("CCA"), A PRIMARY CARE PHYSICIAN NETWORK THAT INCLUDES LOCATIONS IN SOUTHEASTERN PENNSYLVANIA AND SOUTHERN NEW JERSRY THROUGH ITS NEW JERSEY AFFILIATE; - LANCASTER GENERAL HEALTH ("LGH") AND ITS AFFILIATES. LGH OPERATES THREE HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, INCLUDING LANCASTER GENERAL HOSPITAL, A 533-BED GENERAL ACUTE CARE HOSPITAL, WOMEN & BABIES HOSPITAL, A 98-BED FACILITY SPECIALIZING IN WOMEN'S HEALTH AND MATERNITY SERVICES, AND LANCASTER REHABILITATION HOSPITAL, A 59-BED REHABILITATION HOSPITAL, AS WELL AS 14 OUTPATIENT CENTERS, THREE URGENT CARE SITES, AND A PHYSICIAN PRACTICE NETWORK WITH NEARLY 200 PRIMARY CARE AND SPECIALTY PRACTICES AT 40 PRACTICE SITES; - WISSAHICKON HOSPICE, A HOSPICE CARE FACILITY SERVING THE TERMINALLY ILL, LOCATED IN BALA CYNWYD, PENNSYLVANIA; AND - PRINCETON HEALTHCARE SYSTEM ("PRINCETON") AND ITS AFFILIATES. PRINCETON INCLUDES A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN CENTRAL NEW JERSEY THAT PRINCIPALLY INCLUDES THE MEDICAL CENTER OF PRINCETON, A GENERAL ACUTE CARE HOSPITAL FACILITY IN PLAINSBORO, NJ, WITH 319 INPATIENT BEDS (PLUS 24 NEWBORN BASSINETS), AND PRINCETON HOUSE BEHAVIORAL HEALTH, WHICH INCLUDES A 116 BED INPATIENT FACILITY IN PRINCETON, NJ, AS WELL AS FOUR ADDITIONAL OUTPATIENT LOCATIONS. --------------------
PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT)NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY S RABNER
FORMER PRES/CEO$0$348,831$0$498,013$0$182,564$0$0$0$4,753$0$1,034,161$0$0
CAROL NORRIS-SMITH
VP PR - MARKETING$197,058$0$50,766$0$1,980$0$0$0$26,874$0$276,678$0$0$0
DEBORAH CASARELLA
ENTITY INFO. OFFICER(EIO)$174,220$0$31,862$0$639$0$0$0$1,305$0$208,026$0$0$0
GUILHERME VALLADARES MBA
SVP & CFO - ASST. TREAS.$376,427$0$94,095$0$810$0$0$0$14,875$0$486,207$0$0$0
JACQUELINE R KAVOURAS
VP POPULATION HEALTH$228,044$0$44,192$0$0$0$0$0$17,091$0$289,327$0$0$0
JAMES G DEMETRIADES
CEO$454,614$0$141,739$0$18,498$0$65,313$0$18,431$0$698,595$0$0$0
MARGUERITE PEDLEY
SENIOR VICE PRESIDENT PHBH$273,513$0$68,609$0$2,764$0$0$0$19,790$0$364,676$0$0$0
NANCY FLETCHER
VP CORP. COMPL. & REG. AFFAIRS$290,725$0$0$0$0$0$0$0$35,539$0$326,264$0$0$0
PAUL ORTIZ
VP BUS. SVC. LINE DEV.$0$259,081$0$86,450$0$14,303$0$26,000$0$25,917$0$411,751$0$0
REINALDINE FLEURY
CHRO & VP HUMAN RESOURCES$205,969$0$48,260$0$373$0$0$0$10,060$0$264,662$0$0$0
SHEILA G KEMPF
CNO & VP PATIENT SVCS.$300,539$0$77,249$0$0$0$0$0$20,082$0$397,870$0$0$0
YISRAEL KRAUS
VP PHYSICIAN ALIGNMENT$260,808$0$70,593$0$397$0$0$0$39,098$0$370,896$0$0$0
HYONA REVERE
SENIOR VP DEVELOPMENT$273,408$0$71,359$0$869$0$0$0$24,002$0$369,638$0$0$0
BARBARA A YOST
FMR VP NETWORK DEVELOPMENT$111,000$0$61,328$0$0$0$0$0$12$0$172,340$0$0$0
KARYN BOOK
ASSOC. CHIEF NURSING OFFICER$205,803$0$36,757$0$436$0$0$0$22$0$243,018$0$0$0
PETER THOMAS
VP, OUTPATIENT ADMINISTRATION$217,908$0$42,518$0$2,218$0$0$0$28,241$0$290,885$0$0$0
CHING-YI LIU
VP, FINANCE$214,576$0$39,550$0$490$0$0$0$20,840$0$275,456$0$0$0
SIDDIQ FAISAL MD
MED. DIR., OCCUPATIONAL HEALTH$345,178$0$0$0$504$0$0$0$11,270$0$356,952$0$0$0
CRAIG GRONCZEWSKI MD
ACTING SRVP MED AFF.$428,691$0$0$0$0$0$0$0$14,724$0$443,415$0$0$0
STEPHANIE D TIEKU
NURSE MANAGER$230,684$0$24,389$0$386$0$0$0$27,009$0$282,468$0$0$0
MARGARET DEFALCO
ASSISTANT VICE PRESIDENT$202,537$0$38,742$0$1,331$0$0$0$24,256$0$266,866$0$0$0
ROBERT VONDERHEIDE
TRUSTEE$0$601,275$0$242,270$0$1,311$0$37,093$0$17,449$0$899,398$0$0
ARUN RAO
MED.DIR. CARE COORDIN.$305,218$0$22,500$0$1,148$0$0$0$25,528$0$354,394$0$0$0
FAYEZ LABIB
CLINICAL NURSE II$186,970$0$23,015$0$199$0$0$0$23,175$0$233,359$0$0$0
KEVIN B MAHONEY
CEO - UPHS$1,477,722$0$717,600$0$364,314$0$385,800$0$20,170$0$2,965,606$0$230,330$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: MAHONEY, KEVIN B.- $230,330 --------------------
SCHEDULE J, PART I, QUESTION 7PROVISION OF NON-FIXED PAYMENTS PRINCETON HEALTH PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NJ HEALTH CARE FACILITIES ATHRTY SERIES 2016 ABCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN221487148BondIssuerEIN
CUSIP64579F8G1CUSIPNum
Bond Issued2016-01-20BondIssuedDt
Issue Price$303,785,061IssuePriceAmt
PurposeREFUND SERIES 2010B,C,D; CAP EXPPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$40,844,176RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$303,884,205TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$3,282,231IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$2,000,000CapitalExpendituresAmt
Other Spent Proceeds$298,601,974OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Exception To RebateYes (true)ExceptionToRebateInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

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

GIC Provider Name GICProviderName

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TAX-EXEMPT BONDS- ADDITIONAL CUSIP INFORMATIONFORM 990, SCHEDULE K, PART I, COLUMN (C) - ROW A THE FOLLOWING ADDITIONAL CUSIP NUMBER RELATES TO THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2016 A, B, C REVENUE BONDS: 64579F8P1, 64579F7R8, 64579F7S6, 64579F7T4, 64579F7U1, 64579F7V9, 64579F7W7, 64579F7X5, 64579F7Y3, 64579F7Z0, 64579F8A4, 64579F8B2, 64579F8C0, 64579F8D8, 64579F8E6, 64579F8F3, 64579F8H9, 64579F8J5, 64579F8K2, 64579F8L0, 64579F8M8, 64579F8N6 ------------------------
TAX-EXEMPT BONDS- ADDITIONAL DETAIL FOR PROCEEDS OF ISSUEFORM 990, SCHEDULE K, PART II, LINE 3 FOR NJ HEALTH CARE FACILITIES AUTHORITY SERIES A, B, C OF 2016, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $99,144 IN TOTAL INVESTMENT EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IIISTATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THIS ORGANIZATION IS AN AFFILIATE OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND AFFILIATES (COLLECTIVELY "PRINCETON HEALTH"). PRINCETON MEDICAL CENTER IS PART OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS). IN KEEPING WITH ITS CHARITABLE PURPOSE, UPHS ACCEPTS PATIENTS IN SERIOUS NEED OF MEDICAL CARE REGARDLESS OF THEIR FINANCIAL STATUS. UPHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR LEVELS OF CHARITY CARE PROVIDED, INCLUDING THE AMOUNT OF PAYMENT FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. UPHS ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY, AND CERTAIN AMOUNTS CHARGED FOR SUCH SERVICES ARE DEEMED TO BE UNCOLLECTIBLE. IN FY 2022, UPHS PROVIDED $389.7 MILLION IN CHARITY AND UNDERFUNDED CARE FOR MEDICAID FAMILIES. IN KEEPING WITH ITS CHARITABLE MISSION, PRINCETON HEALTH HAS A ROBUST COMMUNITY WELLNESS PROGRAM. PRINCETON HEALTH'S COMMUNITY-BASED WORK SERVES AS ANOTHER EXAMPLE OF HOW PRINCETON HEALTH IS REDEFINING CARE BY OFFERING A DYNAMIC CURRICULUM OF INNOVATIVE HEALTH- AND LIFESTYLE-RELATED PROGRAMMING, SCREENINGS AND SUPPORT AT LITTLE OR NO COST TO THE COMMUNITIES WE SERVE. PRINCETON HEALTH IS DEDICATED TO PROMOTING HEALTHY LIVING AT EVERY STAGE OF LIFE AND TO ENHANCING QUALITY OF LIFE BY ADDRESSING THE UNIQUE NEEDS OF WOMEN, MEN, SENIORS, CHILDREN, ADOLESCENTS AND DIVERSE POPULATIONS. PROGRAMS ARE DEVELOPED AND FACILITATED BY THE OUTSTANDING PHYSICIANS, NURSES AND HEALTH PROFESSIONALS OF PRINCETON HEALTH. PRINCETON HEALTH ALSO WORKS CLOSELY WITH LEADING HEALTH ORGANIZATIONS - THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION AMONG OTHERS - TO RAISE FUNDS, HEIGHTEN AWARENESS AND DELIVER COMPREHENSIVE COMMUNITY HEALTH PROGRAMMING. FOLLOWING PLEASE FIND SERVICES AND PROGRAMS COLLECTIVELY BENEFITING THE COMMUNITY AND SERVICE AREA OF PRINCETON HEALTH. THESE SERVICES AND PROGRAMS ARE PARTIALLY OR FULLY SUBSIDIZED BY PENN MEDICINE: - CHILDBIRTH AND FAMILY CARE: PRINCETON HEALTH'S COMPLETE RANGE OF CHILDBIRTH AND FAMILY PROGRAMS ENSURES THAT NEW PARENTS, AND EVERY MEMBER OF THE FAMILY, HAVE IMPORTANT INFORMATION AND SUPPORT SO THEY CAN SHARE IN THE JOY OF ONE OF LIFE'S MOST PRECIOUS MOMENTS. PRINCETON HEALTH'S PROGRAMS HELP FAMILIES FEEL FULLY PREPARED TO CARE FOR THEIR NEW BABIES IN THE FIRST YEARS OF LIFE. SERVICES INCLUDE: BABY CARE, CAR SEAT CHECKS, CHILDBIRTH PREPARATION AND BIRTHING OPTIONS INCLUDING SPECIALTY CLASSES SUCH AS CESAREAN SECTION AND TWINS AND MULTIPLES, COURSES FOR SIBLINGS, GRANDPARENTS AND BABYSITTERS, DADDY BOOTCAMP, EARLY PREGNANCY, LACTATION SERVICES INCLUDING BREASTFEEDING CLASSES, SUPPORT GROUPS, AND PRIVATE OUTPATIENT CONSULTATIONS, VIRTUAL TOURS OF MOTHER BABY UNIT, BRIGHT BEGINNINGS, AND POSTPARTUM ADJUSTMENT SUPPORT GROUP. NEW CHILDBIRTH PROGRAMS IN 2021 INCLUDE: LABOR FUNDAMENTALS; ASK THE LACTATION CONSULTANT; PREGNANCY AND POSTPARTUM SUPPORT GROUP; BUMPS, BANDS AND BALLS; POSTPARTUM POWER; AND PRENATAL YOGA. - CPR AND FIRST-AID: PRINCETON HEALTH'S EXPERT HEALERS TEACH THE LATEST FIRST AID TECHNIQUES AND LIFE-SAVING SKILLS SO THAT YOU CAN PROTECT YOURSELF AND YOUR FAMILY. PRINCETON HEALTH IS AN ACCREDITED AMERICAN HEART ASSOCIATION BASIC LIFE SUPPORT TRAINING CENTER. PRINCETON HEALTH OFFERS PEDIATRIC AND ADULT CPR AND FIRST AID TRAINING, HEARTSAVER CPR CERTIFICATION COURSE, AS WELL AS BLS, PALS, ACLS AND NRP CERTIFICATION FOR HEALTHCARE PROVIDERS. WE ALSO RECENTLY BEGAN OFFERING MENTAL HEALTH FIRST AID TRAINING. - CANCER CARE AND SCREENINGS: PRINCETON MEDICAL CENTER'S CANCER PROGRAM AND THE COMMUNITY WELLNESS PROGRAM ARE DEDICATED TO OFFERING PATIENTS WITH CANCER AND THEIR LOVED ONES HIGH-QUALITY, INDIVIDUALIZED SERVICES WITH A FOCUS ON PREVENTION, LIVING WITH CANCER, PEER SUPPORT AND MORE. PRINCETON HEALTH OFFERS EDUCATIONAL SEMINARS CONDUCTED BY LEADING PHYSICIANS AND HEALTH PROFESSIONALS, AS WELL AS SUPPORT GROUPS FOR PATIENTS AND THEIR LOVED ONES, AND FREE SCREENINGS AND PREVENTIVE MEASURES FOR COMMUNITY MEMBERS. - SENIOR SERVICES: PRINCETON HEALTH REGULARLY OFFERS PROGRAMS AT LOCAL SENIOR CENTERS AND ACTIVE ADULT COMMUNITIES, INCLUDING MONROE TOWNSHIP OFFICE ON AGING/SENIOR CENTER, WEST WINDSOR SENIOR CENTER, SOUTH BRUNSWICK SENIOR CENTER, AND PRINCETON SENIOR RESOURCE CENTER. - PATIENT AND COMMUNITY SUPPORT GROUPS: PRINCETON HEALTH OFFERS A NUMBER OF SUPPORT GROUPS FOR PATIENTS AND THEIR FAMILIES TO LEARN FROM AND SHARE EXPERIENCES WITH OTHERS. THESE SUPPORT GROUPS INCLUDE: BARIATRIC SURGERY, BREAST CANCER, BREASTFEEDING, CANCER, DIABETES, HOSPICE BEREAVEMENT, POSTPARTUM ADJUSTMENT, PROSTATE CANCER, STROKE, UNITE - PERINATAL LOSS BEREAVEMENT, AND WEIGHT LOSS. - HEALTH FAIRS AND SCREENINGS: THROUGH PROACTIVE COMMUNITY HEALTH EDUCATION AND AN ONGOING EFFORT TO INCREASE ACCESS TO FREE OR LOW-COST SCREENINGS, PRINCETON HEALTH IS HELPING TO SAVE LIVES BY BUILDING AWARENESS OF THE SIGNS AND SYMPTOMS OF DISEASE AND BY PROMOTING EARLY DETECTION AND TREATMENT. IN 2021, PRINCETON HEALTH OFFERED THE FOLLOWING: VISION, FOOT, BODY FAT, AND BLOOD PRESSURE SCREENINGS; PROSTATE AND EDUCATIONAL SEMINARS, EXHIBITS, AND CHILDREN'S ACTIVITIES. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRINCETON HEALTH AFFIRMS ITS COMMITMENT TO THE COMMUNITY BY WAY OF A DYNAMIC CURRICULUM AND INNOVATIVE HEALTH AND LIFESTYLE-RELATED SERVICES OFFERED THROUGH ITS COMMUNITY WELLNESS PROGRAM. TO ENSURE THAT THESE ACTIVITIES ARE MEETING THE HEALTH NEEDS IN THE COMMUNITY, PRINCETON HEALTH CONDUCTED A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT. THE REPORTS PROVIDE AN OVERVIEW OF THE KEY FINDINGS OF THE COMMUNITY HEALTH ASSESSMENT, WHICH EXPLORES A RANGE OF HEALTH BEHAVIORS AND OUTCOMES, SOCIAL AND ECONOMIC ISSUES, HEALTH CARE ACCESS, AND GAPS AND STRENGTHS OF EXISTING RESOURCES AND SERVICES WITH A PRIMARY FOCUS ON PRINCETON HEALTH AS A WHOLE. THE COMMUNITY HEALTH ASSESSMENT UTILIZED A PARTICULARLY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. THE ASSESSMENT PROCESS INCLUDED SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC AND HEALTH INDICATORS IN THE REGION AS WELL AS INFORMATION FROM FOCUS GROUPS CONDUCTED WITH COMMUNITY RESIDENTS, INTERVIEWS WITH COMMUNITY STAKEHOLDERS, AND AN ONLINE SURVEY EXAMINING LARGER EXTERNAL FACTORS THAT AFFECT HEALTH. - PENN MEDICINE CARES GRANT: IN COLLABORATION WITH THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, PRINCETON HEALTH AWARDS PENN MEDICINE CARES GRANTS TO COMMUNITY-BASED PROGRAMS ON BEHALF OF EMPLOYEES WHO VOLUNTEER THEIR TIME AND EFFORT AT THE INITIATIVES. BY FUNDING THESE PROGRAMS, PENN MEDICINE HELPED SUPPLY HEALTH SERVICES, FOOD, MEDICINE, CLOTHING, PLACES TO LIVE FOR THOUSANDS OF UNDERSERVED IN THE REGION EVERY YEAR. SINCE THE FIRST ROUND OF RECIPIENTS WAS ANNOUNCED IN JANUARY 2012 AND TO THE END OF FY22, PENN MEDICINE HAS SUPPORTED 880 SERVICE PROJECTS WITH OVER $880,000 IN FUNDING. FOLLOWING PLEASE FIND PRINCETON HEALTH EMPLOYEES WHO RECEIVED THE CARES GRANT FOR THE 2022 FISCAL YEAR: DEFIBRILLATOR FOR HILLSBOROUGH TOWNSHIP CONNIE JOHNSON: WITH APPROXIMATELY 450,000 VICTIMS PER YEAR, SUDDEN CARDIAC ARREST IS ONE OF THE LEADING CAUSES OF DEATH IN THE UNITED STATES. THE ONLY EFFECTIVE IMMEDIATE TREATMENT FOR SUDDEN CARDIAC ARREST IS AN ELECTRIC SHOCK FROM AN AUTOMATED EXTERNAL DEFIBRILLATOR (AED), ADMINISTERED AS SOON AS POSSIBLE. POLICE AND LAW ENFORCEMENT OFFICERS ARE OFTEN THE FIRST RESPONDERS IN A CARDIAC EMERGENCY, ARRIVING EVEN BEFORE EMERGENCY MEDICAL PERSONNEL. CONNIE JOHNSON'S GRANT ALLOWS THE HILLSBOROUGH TOWNSHIP POLICE DEPARTMENT TO PURCHASE A DEFIBRILLATOR, WHICH WILL EQUIP ONE OF ITS TWO MOTORCYCLES. JOHNSON ALSO OFFERS CPR TRAINING IN THE COMMUNITY AND TO THE HILLSBOROUGH POLICE DEPARTMENT.
FORM 990, PART III (CONTINUED)P.U.R.E. GIRLS CHRISETTA HANNAH: CHRISETTA HANNAH AND COMMUNITY PARTNERS ARE PLANNING TO REMODEL THE GIRLS' BATHROOMS AT THREE LOCAL NEW JERSEY MIDDLE SCHOOLS. THEIR GOAL IS TO MAKE THE BATHROOMS A PLACE OF POSITIVITY AND EMPOWERMENT, WITH WORDS OF ENCOURAGEMENT PAINTED ON THE STALL DOORS AND IN THE VANITY MIRRORS. CHRISETTA'S FUNDS WILL ALSO HELP CREATE "BEAUTY CARTS" IN EACH BATHROOM, FILLED WITH DAILY ESSENTIALS SUCH AS HAIR TIES, SANITARY NAPKINS AND TAMPONS, BODY SPRAYS, COMBS, AND HAND LOTIONS. INNOVATIONS MINISTRIES ARABIA LARAMORE: THE OUTREACH ACTIVITIES OF INNOVATIONS MINISTRIES, IN LINDENWOLD, NJ, PROVIDE A WIDE RANGE OF SERVICES TO PROMOTE THE PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING NEEDED FOR ACHIEVING OPTIMAL HEALTH. ARABIA LARAMORE PREVIOUSLY RECEIVED TWO CARES GRANTS FOR THE ORGANIZATION, DEALING WITH CHRONIC DISEASE IMPROVEMENT WORKSHOPS. THIS TIME AROUND, HER FUNDING WILL SUPPORT THE JUST FOR YOU AND LETTERS OF LOVE PROGRAM, WHICH HELPS SATISFY SENIOR CITIZENS' NEEDS FOR ACCESS TO FRESH PRODUCE AND ADDRESSES THE ISSUE OF SOCIAL ISOLATION, AS THEY GATHER FOR THE DISTRIBUTION OF FOOD. THROUGH THE OTHER PART OF THE PROGRAM, THEY RECEIVE CARDS AND LETTERS FROM YOUTHS, HELPING TO BRIDGE THE GENERATIONAL GAP. FRANCIS S. KELEEKAI SR. TECH INSTITUTE FOOD PROGAM NOWAI KELEEKAI-BRAPOH: FRANCIS S. KELEEKAI SR. TECHNICAL INSTITUTE IS A TUITION-FREE VOCATIONAL SCHOOL FOR 350 STUDENTS IN RURAL LIBERIA, WEST AFRICA. THE SCHOOL DOES NOT HAVE A CONSISTENT PROGRAM FOR FREE LUNCH, AND RESEARCH SHOWS THAT FOOD INSUFFICIENCY IS ASSOCIATED WITH POOR HEALTH OUTCOMES AND COGNITIVE FUNCTIONING AS WELL AS LOW SCHOOL ATTENDANCE AND ACADEMIC PROBLEMS. EVERY CHILD IN THIS COMMUNITY LIVES IN POVERTY, AND THE FOOD PROVIDED BY THE SCHOOL MAY BE THE ONLY NUTRITIOUS MEAL THAT A STUDENT RECEIVES EACH DAY. FUNDS FROM NOWAI KELEEKAI-BRAPOH'S CARES GRANT WILL BE USED FOR FOOD, SUPPLIES, AND TRANSPORTATION TO PROVIDE LUNCH FOR THE STUDENTS AS WELL AS FOR TEACHERS AND STAFF WHO WORK ON REDUCED SALARIES. DEFEND YOUR DIABETIC FEET TAYLOR LACORTE: ELDERLY DIABETIC PATIENTS ARE PARTICULARLY BURDENED BY FOOT DISEASE, WHICH CAN LEAD TO MORE MEDICAL COMPLICATIONS - EVEN AMPUTATION - AND HIGH COSTS FOR MANAGING THE DISEASE. TAYLOR LACORTE, A WOUND OSTOMY NURSE AT PRINCETON HEALTH CARE SYSTEM, WILL PROVIDE QUARTERLY FOOT SCREENINGS FOR ELDERLY DIABETIC PATIENTS AT THE HILLSBOROUGH SENIOR CENTER, SEEKING TO PREVENT DIABETIC WOUNDS. HER GRANT COVERS THE COSTS OF FOOT-SCREENING TOOLS, WRITTEN EDUCATIONAL MATERIALS FOR THE PATIENTS, AND OTHER EDUCATIONAL GIVEAWAYS. COMING UP FOR AIR MARLENE SISTI: ATTITUDES IN REVERSE (AIR) IS A NONPROFIT ORGANIZATION THAT EDUCATES MORE THAN 2,000 STUDENTS IN FOUR WEST WINDSOR-PLAINSBORO REGIONAL SCHOOL DISTRICT SCHOOLS YEARLY ON GOOD MENTAL HEALTH AND SUICIDE PREVENTION. SUICIDE IS THE THIRD LEADING CAUSE OF DEATH IN THE COMMUNITY. AS WITH ALL ILLNESSES, THE EARLIER THAT SUICIDAL FEELINGS ARE IDENTIFIED AND TREATMENT IS BEGUN, THE MORE LIKELY THE SUCCESS OF THE TREATMENT. COVID-19 KEPT AIR VOLUNTEERS FROM GOING INTO SCHOOLS, BUT THEY PLAN TO REVAMP THE EFFORT WITH THEIR THERAPY DOGS THIS YEAR. -----------------------------
FORM 990, PART V, LINE 1AFORMS 1099 THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("TRUSTEES"). THE FORMS 1099 DISTRIBUTED AS PART OF THIS ENTITY'S ACTIVITIES ARE DONE SO THROUGH THE UNIVERSITY HEALTH SYSTEM AND CONSOLIDATED WITH TRUSTEES. -----------------------------
FORM 990, PART VI, SECTION A, LINES 6 & 7FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE JUNE 30, 2022 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS SUBMITTED TO THE BOARD FOR THEIR REVIEW. A COPY OF THE FINAL JUNE 30, 2022 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------
FORM 990, PART VI, SECTION B, LINES 11BFORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE JUNE 30, 2022 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS SUBMITTED TO THE BOARD FOR THEIR REVIEW. A COPY OF THE FINAL JUNE 30, 2022 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ----------
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD.EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ------------------------------
FORM 990, PART XI, LINE 9DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCE: CHANGE IN PERMANENTLY RESTRICTED ASSETS $ 124,817 CHANGE IN TEMPORARILY RESTRICTED ASSETS 2,227,658 CHANGE IN NET PERIODIC DB PENSION 2,348,007 PENSION PLAN ADJUSTMENT (4,140,065) OTHER (14,097) ---------- TOTAL $ 546,320 ------------------------------
FORM 990 PART IX LINE 11GDESCRIPTION:CORPORATE SERVICES TOTAL FEES:39075118
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES - MEDICAL TOTAL FEES:20745922
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY EMPLOYMENT TOTAL FEES:17044127
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:13889532
FORM 990 PART IX LINE 11GDESCRIPTION:STATE, CITY & COUNTY ASSESS. TOTAL FEES:13844256
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES - OTHER TOTAL FEES:6679551
FORM 990 PART IX LINE 11GDESCRIPTION:OUTSOURCED LABOR TOTAL FEES:4917941

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

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HAJOCA 3025 INC
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LAISE CA TUW FBO UNIV OF PENN
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LANCASTER GENERAL MEDICAL GROUP
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MORRIS EST LYDIA T DECD TW
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OAP INC
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PENN CENTER FOR REHAB AND CARE
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PENN PRESS INC
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PENNSYLVANIA COLLEGE OF HEALTH SCIENCES
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PENNSYLVANIA HOSPITAL OF UPHS
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PGH DEVELOPMENT CORP
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PHOENIXVILLE HOSPITAL OF UPHS
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PRESBYTERIAN MEDICAL CENTER OF UPHS
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PRINCETON CAREGIVERS INC
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PRINCETON MEDICAL PROPERTIES INC
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THE ASC TRUST OF THE UNIV OF PA
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THE HEART GROUP OF LANCASTER GEN HEALTH
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THE LEONARD AND MADLYN ABRAMSON INST
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TRUSTEES OF THE UNIVERSITY OF PENN
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UPENN RETIREE BENEFITS TRUST
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WOMEN'S AND CHILDREN'S HEALTH SERVICES
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PENN MEDICINE-PMA
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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ARI 1740 FUND
N SETSON AVE STE 5500CHICAGOIL60601320472404INVESTMENTILNAfalse
CYRUS 1740 FUND LP
65 E 55TH STREET 35TH FLOORNEW YORKNY10022821211542INVESTMENTNYNAfalse
CYRUS 1740 MASTER FUND LP
981361754INVESTMENTNAfalse89 NEXUS WAYCAMANA BAYGRCJKY1-9009CJ
DVG 1740 FUND LP
ONE FAWCETT PLACEGREENWICHCT06830800961539INVESTMENTCTNAfalse
EAST MARSHALL STREET PARTNERSHIP LP
701 E MARSHALL STREETWEST CHESTERPA19380232902742INVESTMENTPANAfalse
FERN HILL PARTNERSHIP III LP
701 E MARSHALL STREETWEST CHESTERPA19380300409614RENTALPANAfalse
FERN HILL LLC
701 E MARSHALL STREETWEST CHESTERPA19380233005147RENTALPANAfalse
GALLOPAVO LP
2000 McKINNEY AVE STE 2125DALLASTX75201464621967INVESTMENTTXNAfalse
JOG V C LIMITED PARTNERSHIP
INVESTMENTNAfalseSTE 2370 440 2ND AVE SWCALGARYALCAT2P5E9CA
JOG VI C LIMITED PARTNERSHIP
INVESTMENTNAfalseSTE 2370 440 2ND AVE SWCALGARYALCAT2P5E9CA
KINGSTOWN 1740 FUND LP
34 EAST 51ST STREETNEW YORKNY10022843119908INVESTMENTNYNAfalse
LANCASTER PET PARTNERSHIP LLP
PO BOX 4216LANCASTERPA17604233102793MEDICAL SERVICESPANAfalse
LG HEALTH COMM CARE COLLAB II
555 NORTH DUKE STREETLANCASTERPA17604823809581ACOPANAfalse
LG HEALTH COMMUNITY CARE COLLABORATIVE
555 NORTH DUKE STREETLANCASTERPA17604455542179ACOPANAfalse
MRI GROUP LLP
PO BOX 4216LANCASTERPA17604331011386MEDICAL SERVICESPANAfalse
NEIGHBRHD PRES & DEV FUND LP
240 NEW YORK DR STE 1FORT WASHINGTONPA19034233037919RENTALPANAfalse
OAKLANDS WAY MEDICAL BUILDING ASSOCIATES
701 E MARSHALL STREETWEST CHESTERPA19380830490251RENTALPANAfalse
SRP INVESTORS FUND A LP
2001 ROSS AVE SUITE 400DALLASTX75201611748291INVESTMENTTXNAfalse
TURK'S HEAD SURGERY CENTER
915 OLD FERN HILL ROAD BLDG B STEWEST CHESTERPA19380200184603MEDICAL SERVICESPANAfalse
ST-TO RIBBIT OPPORTUNITY V LLC
364 UNIVERSITY AVENUEPALO ALTOCA94301841814102INVESTMENTSCANAfalse
UNIVERSA BLACK SWAN PROTECTION PROTOCOL
2601 S BAYSHORE DR SUITE 2030MIAMIFL33133852143048INVESTMENTFLNAfalse
AXIS UKA GP LLC
240 NEW YORK DRIVE SUITE 1FORT WASHINGTONPA19034273617178INVESTMENTPANAfalse
LIFT REAL ESTATE PARTNERS FUND II LP
180 SUTTER STREET SUITE 400SAN FRANCISCOCA94104844983190INVESTMENTCANAfalse
BEXP II (PARALLEL) LP
5914 W COURTYARD DRIVEAUSTINTX78730873188834INVESTMENTTXNAfalse
FORERUNNER BUILDERS F-G LP
ONE LETTERMAN DRIVE BLDG C SUITESAN FRANCISCOCA94129873427543INVESTMENTCANAfalse
GCM CARRIAGE SPV LP
250 WEST 55TH STREET 36TH FLOORNEW YORKNY10019872075062INVESTMENTNYNAfalse
INITIALIZED CBH SPV LLC
464 TEHAMA STREETSAN FRANCISCOCA94103871123527INVESTMENTCANAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndCityForeignAddress/CityNmEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
ARCM 1740 LTD
27 HOSPITAL ROADGRAND CAYMANCJKY1-9008INVESTMENTSCJTRUSTEESC-CORPfalse
CYRUS 1740 FUND LTD
89 NEXUS WAYGRAND CAYMANCJKY1-9009INVESTMENTSCJTRUSTEESLIMITED COMPANYfalseCAMANA BAY981361907
CIRCLE MEDICAL ASSURANCE CO
INSURANCETRUSTEESC-CORPfalse8335562862929 WALNUT STREET STE 460PHILADELPHIAPA19104PA
CLINICAL HEALTH CARE ASSOC OF NJ PC
PHYS MGMTCCAC-CORPfalse232865181250 KING OF PRUSSIA RD 4TH FLRADNORPA19087PA
DELANCEY CORPORATION
RENTALPA HOSPITALC-CORPfalse232060159800 SPRUCE STREETPHILADELPHIAPA19106PA
FRANKLIN CASUALTY INSURANCE CO
INSURANCETRUSTEESC-CORPfalse043378984PO BOX 530BURLINGTONVT05402VT
LANCASTER GENERAL 457 DEFERRED COMP PLAN
TRUSTLG HEALTHTRUSTfalse232250941555 NORTH DUKE STREETLANCASTERPA17604PA
LANCASTER GENERAL INSURANCE COMPANY
PO BOX 1109 GTGRAND CAYMANCJKYI-1102INSURANCECJLG HEALTHC-CORPfalse980176655
LANCASTER GENERAL SERVICES INC
PROPERTY SVCSLG HEALTHC-CORPfalse232250128555 NORTH DUKE STREETLANCASTERPA17604PA
NAYA 1740 FUND LTD
PO BOX 309GRAND CAYMANCJKY1-1104INVESTMENTSCJTRUSTEESC-CORPfalseUGLAND HOUSE
PENN MEDICINE LONDON LIMITED
RADIUS COMMERCIAL SERVICES LTD 11TWHITEFRIARS, LEWIUKBS1 2NTNETWORKINGUKUPENN INT'LLIMITED COMPANYfalse
PENN WHARTON CONSULTING (BEIJING) CO LTD
CHINA WORLD TOWER 1 14FCHAOYANG DISTCH100004BUS. CONSULTINGCHUPENN INT'LC-CORPfalse
PHI PHARMACY INC
INACTIVEPHCS HOLDINGC-CORPfalse223467899ONE PLAINSBORO ROADPLAINSBORONJ08536NJ
PRINCETON HEALTH INC & SUBS
MEDICALPHCS HOLDINGC-CORPfalse223450093ONE PLAINSBORO ROADPLAINSBORONJ08536NJ
QUAKER INSURANCE COMPANY LTD
VICTORIA STREET PO BOX HM 1826HAMILTONBDHM HXSELF-INSURANCEBDTRUSTEESC-CORPfalseVICTORIA HALL300708282
THE PAM 1740 FUND LTD
PO BOX 309GRAND CAYMANCJKYI-1104INVESTMENTSCJTRUSTEESC-CORPfalseGEORGE TOWN
TURK'S HEAD HEALTH SERVICES INC
MEDICAL SERVICESCCH&HSC-CORPfalse232329753701 E MARSHALL STREETWEST CHESTERPA19380PA
UPENN HOSPITALITY INC
HOTEL/RESTAURANTTRUSTEESC-CORPfalse2330765893401 WALNUT STREET SUITE 440APHILADELPHIAPA19104PA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

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