2022-11-14T13:31:46-06:00 2021-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2021-01-01 221487330 SAINT PETER'S UNIVERSITY HOSPITAL % GARRICK J STOLDT FHFMA CP SAIN 7327458600 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 GARRICK J STOLDT CFO 7327458600 2022-11-11 true GARRICK J STOLDT 000000000 SCOTT J MARIANI P00642486 9738989494 3 2021 2022-09-23 18:48:47Z LESLIE D HIRSCH 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 579936246 false 0928 X WWW.SAINTPETERShcs.COM X 1907 NJ THE ORGANIZATION IS COMMITTED TO HUMBLE SERVICE TO HUMANITY, ESPECIALLY THE POOR, THROUGH COMPETENCE AND GOOD STEWARDSHIP OF RESOURCES. 14 13 3777 72 0 0 41461483 52341954 445477538 506000117 3490499 5356306 3338375 16237869 493767895 579936246 92016 98925 0 0 282687444 305683745 0 0 0 192275616 203695591 475055076 509478261 18712819 70457985 551676690 561403535 495698690 398372535 55978000 163031000 X KEEPING FAITH WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND GUIDED BY THE BISHOP OF METUCHEN, SAINT PETER'S UNIVERSITY HOSPITAL IS COMMITTED TO HUMBLE SERVICE TO HUMANITY, ESPECIALLY THE POOR, THROUGH COMPETENCE AND GOOD STEWARDSHIP OF RESOURCES. WE MINISTER TO THE WHOLE PERSON, BODY AND SPIRIT, PRESERVING THE DIGNITY AND SACREDNESS OF EACH LIFE. WE ARE PLEDGED TO THE CREATION OF AN ENVIRONMENT OF MUTUAL SUPPORT AMONG OUR EMPLOYEES, PHYSICIANS AND VOLUNTEERS AND TO THE EDUCATION AND TRAINING OF HEALTHCARE PERSONNEL. WE ARE WITNESSES IN OUR COMMUNITY TO THE HIGHEST ETHICAL AND MORAL PRINCIPLES IN PURSUIT OF EXCELLENCE AND PATIENT SAFETY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 396905427 98925 506000117 EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION. 396905427 true true false true false false false true false true true false true true true false false true false true true true false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 383 0 true 3777 true false true CJ false false false false false false false false false false X 14 13 false false false false true true true true true false false true true true true true true true true false NJ X X GARRICK J STOLDT FHFMA CP 7327458600 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 X LESLIE D HIRSCH FACHE TRUSTEE - PRESIDENT/CEO 55.0 0.0 X X 0 1475365 249648 ARKADY BRODER MD GASTROENTEROLOGIST 55.0 0.0 X 941686 0 50511 DAVID JACOB MD CARDIOLOGIST 55.0 0.0 X 885634 0 32544 GARRICK J STOLDT FHFMA CPA TREASURER - CFO SPHCS 55.0 0.0 X 0 703184 101956 CARLOS BENITO MD CHAIRMAN OBGYN 55.0 0.0 X 745026 0 43967 KIANOUSH SHEYKHOLESLAMI MD OTOLARYNGOLOGY SURGEON 55.0 0.0 X 762511 0 21156 ANDREW KORMAN MD GASTROENTEROLOGIST 55.0 0.0 X 721902 0 44110 ALMA S RATCLIFFE MD VP; CHIEF CLIN TRANS OFFICER 55.0 0.0 X 0 679385 77706 JORDAN M TANNENBAUM MD MBA VP; CIO/CMIO 55.0 0.0 X 0 620492 88062 NIRANJAN V RAO MD CHIEF MEDICAL OFFICER 55.0 0.0 X 0 549008 73811 NAYAN K KOTHARI MD CHIEF ACADEMIC OFFICER 55.0 0.0 X 570789 0 32774 GOPAL R DESAI MD TRUSTEE (TERMED 01/12/2021) 55.0 0.0 X 581041 0 10729 LINDA CARROLL MSN RN-BC CNO/VP PATIENT CARE SVS 55.0 0.0 X 488915 0 78762 BIPIN N PATEL MD PHYS IN CHIEF; CH HOSP @ SPUH 55.0 0.0 X 532590 0 34829 ALYSSA A VERDERAMI ESQ SECRETARY-VP LEGAL & RISK MGMT 55.0 0.0 X 0 473466 77794 DAVID A LASKOW MD CHIEF, DIVISION OF SURGERY 55.0 0.0 X 508522 0 33180 LISA M DRUMBORE VP; CHIEF EXPERIENCE OFFICER 55.0 0.0 X 0 367483 68835 BARBARA J GRIFFITHS-WELSH CHIEF COMPLIANCE OFFICER 55.0 0.0 X 0 317077 60505 WILLIAM J REARS CHIEF TECHNOLOGY OFFICER 55.0 0.0 X 0 259282 37364 HARRY DIEUVEUIL VP; CHIEF HR OFF. (EFF. 06/21) 55.0 0.0 X 0 273392 17875 PAMELA A TEUFEL VP; CHIEF HR OFF. (TERM 04/21) 55.0 0.0 X 0 193319 20843 VINCENT J DICKS CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 RACHEAL ANKRAH-FOSU TRUSTEE 1.0 0.0 X 0 0 0 JUDITH T CARUSO DNP MBA TRUSTEE 1.0 0.0 X 0 0 0 REV TIMOTHY A CHRISTY TRUSTEE 1.0 0.0 X 0 0 0 LEONARDO DECANDIA TRUSTEE 1.0 0.0 X 0 0 0 REV MONSIGNOR JOHN N FELL TRUSTEE 1.0 0.0 X 0 0 0 ALFRED J GABURO JR TRUSTEE 1.0 0.0 X 0 0 0 CHRISTOPHER GRIBBON MD TRUSTEE - PRES MEDICAL STAFF 1.0 0.0 X 0 0 0 MICHAEL LIGORANO ESQ KM TRUSTEE 1.0 0.0 X 0 0 0 KEVIN NINI MD TRUSTEE 1.0 0.0 X 0 0 0 CAROL A PURCELL TRUSTEE 1.0 0.0 X 0 0 0 DAVID SAMUEL PE PP CME TRUSTEE 1.0 0.0 X 0 0 0 BORISLAV STOEV DO FACEP TRUSTEE 1.0 0.0 X 0 0 0 6738616 5911453 1256961 582 false true false SYMMETRY WORKFORCE SOLUTIONS PO BOX BOX 392800 PITTSBURGH PA 152519800 STAFFING 3362881 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY 2165909 MINTZ LEVIN COHN FERRIS GLOVSKY 666 THIRD AVENUE NEW YORK NY 10017 LEGAL 1846408 SILLS CUMMIS GROSS PO BOX 404398 ATLANTA GA 30384 LEGAL 1637363 ATHENAHEALTH INC PO BOX 415615 BOSTON MA 022415615 IT/EHR 1319601 83 1214433 50711923 415598 52341954 NET PATIENT SERVICE REVENUE 622110 492045908 492045908 OTHER HEALTHCARE RELATED REVENUE 622110 13954209 13954209 506000117 5176739 5176739 172553 172553 0 2572851 2572851 0 2572851 2572851 7014 7014 7014 7014 0 0 0 0 0 0 0 0 0 INSURANCE SETTLEMENT 900099 12250000 12250000 CAFETERIA/VENDING 900099 1211046 1211046 PARKING REVENUE 812930 203972 203972 13665018 579936246 506000117 21594175 13303 13303 0 85622 85622 0 2897131 2256865 640266 0 246843605 192291168 54552437 10197723 7944026 2253697 27506241 21427362 6078879 18239045 14208216 4030829 2444135 1903981 540154 4212343 3281415 930928 495693 386145 109548 126801 98778 28023 0 304100 236894 67206 33500647 26097004 7403643 2323939 1810348 513591 8841763 6887733 1954030 175153 136444 38709 0 10013737 7800701 2213036 295470 230171 65299 0 77408 60301 17107 7729247 6021083 1708164 0 25178387 19613963 5564424 5702594 4442321 1260273 MEDICAL SUPPLIES 59657797 46473424 13184373 0 REPAIRS & MAINTENANCE 17719400 13803413 3915987 0 GOV'T TAXES & ASSESSMENTS 10740541 8366881 2373660 0 PHYSICIAN SERVICES 7225643 5628776 1596867 0 6930793 5399089 1531704 509478261 396905427 112572834 0 622458 0 123887753 70172136 0 0 46313777 49666480 0 0 0 0 0 0 8204638 8563380 2390701 2826375 612270290 455805472 163618641 156464818 0 0 0 0 161123335 229866365 1287731 1172579 44227656 42671402 551676690 561403535 59169525 60864650 0 0 77200 364103 127731010 121939635 0 0 0 0 8860802 6330382 0 0 299860153 208873765 495698690 398372535 X 44384411 149551381 11593589 13479619 55978000 163031000 551676690 561403535 X 70457985 1402574 35192441 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 119645 127213 246858 false false false false false false true 60000 false true 66801 126801 false SCHEDULE C, PART II-B; LINES 1G & 1I THE STATE OF NEW JERSEY FORM LI-L, ANNUAL REPORT OF REPRESENTED ENTITY, FILED BY SAINT PETER'S UNIVERSITY HOSPITAL, REFLECTS THE FOLLOWING LOBBYING ACTIVITIES PERFORMED ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES: THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM A TOTAL OF $60,000 DURING 2021 TO PERFORM LOBBYNG ACTIVITIES ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, CATHOLIC HEALTHCARE PARTNERSHIP OF NEW JERSEY, NEW JERSEY HOSPITAL ASSOCIATION, NATIONAL PERINATAL INFORMATION CENTER (C-WISH) AND 340B HEALTH WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER ORGANIZATIONS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES. THIS ALLOCATION AMOUNTED TO $66,801 IN 2021. 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IT IS A BEAUTIFICATION OF THE FACILITY TO ENHANCE PATIENT EXPERIENCE. SCHEDULE D, PART V NET ASSETS WITH DONOR RESTRICTIONS ARE THOSE WHOSE USE BY THE SYSTEM HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME FRAME OR PURPOSE OR HAVE BEEN RESTRICTED BY DONORS AS PERMANENT ENDOWMENTS TO BE MAINTAINED IN PERPETUITY. WHEN DONOR RESTRICTIONS EXPIRE, THAT IS, WHEN A TIME RESTRICTION ENDS OR A PURPOSE RESTRICTION IS ACCOMPLISHED, NET ASSETS WITH DONOR RESTRICTIONS ARE RECLASSIFIED TO NET ASSETS WITHOUT DONOR RESTRICTIONS AND REPORTED AS NET ASSETS RELEASED FROM RESTRICTION. NET ASSETS WITH DONOR RESTRICTIONS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. true Central America and the Caribbean Program Services FINANCIAL VEHICLE 5133956 Central America and the Caribbean Investments 34826284 39960240 39960240 Central America and the Caribbean HLTH CENTERS 85622 WIRE 1 true false true false false false SCHEDULE F, PART I THIS ORGANIZATION ACCRUED FOR ACCOUNTING PURPOSES EXPENSES TO RISK ASSURANCE COMPANY OF SAINT PETER'S UNIVERSITY HOSPITAL; A FINANCIAL VEHICLE, $5,133,956 FOR THE BENEFIT OF SAINT PETER'S UNIVERSITY HOSPITAL AND CERTAIN RELATED ORGANIZATIONS. true true X true X true X 500. true true true false false 19273146 12777246 6495900 0.01280 128671898 92850999 35820899 0.07030 147945044 105628245 42316799 0.08310 4568641 2261821 2306820 0.00450 14023153 9134569 4888584 0.00960 8946511 6333996 2612515 0.00510 100953 100953 0.00020 27639258 17730386 9908872 0.01940 175584302 123358631 52225671 0.10250 true 13604530 748249 64411359 66166207 -1754848 X true true 1 1 SAINT PETER'S UNIVERSITY HOSPITAL 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 WWW.SAINTPETERSHCS.COM 11205 X X X X X 1 SAINT PETER'S UNIVERSITY HOSPITAL 1 false false true X X X X X X X X X 19 true true true true X WWW.SAINTPETERSHCS.COM X WWW.HEALTHIERMIDDLESEX.COM X true 19 true WWW.SAINTPETERSHCS.COM false true X 200. 500. X X X X X true true X X X true X WWW.SAINTPETERSHCS.COM X WWW.SAINTPETERSHCS.COM X WWW.SAINTPETERSHCS.COM X X X X X X false X false X X X X true X false false SCHEDULE H, PART V; SECTION B, QUESTIONS 3I THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") CAN BE FOUND WITHIN APPENDIX A OF THE ORGANIZATION'S 2019 CHNA. SCHEDULE H, PART V, SECTION B, QUESTION 5 IN ITS MOST RECENTLY CONDUCTED CHNA THIS ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. THE ORGANIZATION DEVELOPED AN EVIDENCED-BASED PROCESS TO DETERMINE THE HEALTH NEEDS OF MIDDLESEX COUNTY RESIDENTS. CHNA DATA SOURCES INCLUDE BOTH PRIMARY AND SECONDARY DATA TO PROVIDE QUALITATIVE AND QUANTITATIVE INFORMATION ABOUT THE COMMUNITIES. THE CHNA UTILIZED DETAILED PRIMARY AND SECONDARY PUBLIC HEALTH DATA AT THE STATE, COUNTY, AND COMMUNITY LEVELS, FROM VARIOUS SOURCES INCLUDING: THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION, CENSUS BUREAU, HEALTHY PEOPLE 2020, THE COUNTY HEALTH RANKINGS, HOSPITAL DISCHARGE DATA AND COMMUNITY NEEDS SURVEYS. DATA FROM THESE SOURCES WERE REVIEWED BY THE STEERING COMMITTEE TO IDENTIFY AND PRIORITIZE THE TOP ISSUES FACING RESIDENTS IN OUR SERVICE AREA. IN REVIEWING THE INFORMATION THAT FOLLOWS, IT IS IMPORTANT TO NOTE THAT THE QUANTITATIVE DATA UTILIZED PRECEDES THE ACTIVITIES OF THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHILE THE QUALITATIVE WORK COINCIDES WITH THE CHIP WORK FROM 2016-2020. THE TIME DELAY OF THE QUANTITATIVE DATA IS DUE TO THE REPORTING PROCEDURES OF THE DATA SOURCES USED, WHICH ARE STANDARD AMONG RESEARCH AGENCIES. THE DELAY DOES NOT DISRUPT OR NEGATIVELY INFLUENCE THE VALUE OF THE INFORMATION, AS IT ALLOWS ANALYSIS OF THE HEALTH TRENDS THAT ARE PREVALENT IN THE HOSPITAL SERVICE AREA OVER A PERIOD OF FOUR YEARS, DEFINING THOSE AREAS THAT ARE THE MOST IMPACTFUL IN THE COMMUNITY. IDENTIFYING PERVASIVE TRENDS AND ALIGNING THEM WITH THE 2016 CHIP FOCUS AREAS WILL LEAD TO THE CREATION OF A MORE ROBUST AND EVIDENCE-BASED 2020 CHIP. DURING THIS PROCESS THE NEW AND EMERGING TRENDS THAT OCCUR THROUGHOUT BOTH THE QUALITATIVE AND QUANTITATIVE MEASURES WILL BE HIGHLIGHTED. IN ADDITION TO THE ABOVE, THERE WAS A PURPOSEFUL DECISION TO FOCUS ON AN UPDATE, RATHER THAN A DUPLICATION OF THE PREVIOUS CHNA. CONSISTENCY THROUGHOUT THE ASSESSMENT WAS OF PARAMOUNT IMPORTANCE, LEADING TO A FOCUS ON THE QUANTITATIVE MEASURES, COMMUNITY HEALTH NEEDS SURVEYS AND FOCUS GROUP DISCUSSIONS, ALLOWING PERVASIVE TRENDS TO EMERGE MORE READILY. THESE DECISIONS REPRESENT THE CORRECT APPROACH TO NOT ONLY EFFECTIVELY EVALUATE THE COMMUNITY, BUT THE RIGHT STRATEGIC APPROACH TO PROVIDING THE ACTUAL IMPLEMENTATION OF THE PROGRAMS AND POLICIES THAT AFFECT THE HEALTH OF THE COMMUNITY IN MIDDLESEX AND SOMERSET COUNTIES. PRIMARY DATA SOURCES -------------------- COMMUNITY HEALTH NEEDS SURVEYS: IN ORDER TO OBTAIN A SERVICE AREA-SPECIFIC ANALYSIS FOR THE ORGANIZATION'S SERVICE AREA, ON-LINE SURVEY INTERVIEWS WERE CONDUCTED AMONG 1,185 RESIDENTS. INTERVIEWS WERE CONDUCTED ONLINE AND BY TELEPHONE. A LINK TO THE ONLINE SURVEY WAS DISPLAYED ON HOSPITAL WEB PAGES AND SOCIAL MEDIA SITES. ADDITIONALLY, POSTCARDS WERE HANDED OUT AT AREA BUSINESSES AND LIBRARIES, DIRECTING RESIDENTS TO THE ONLINE SURVEY LINK. A TELEPHONE AUGMENT WAS CONDUCTED TO CAPTURE ADDITIONAL INTERVIEWS IN SPECIFIC AREAS AND AMONG SPECIFIC ETHNIC GROUPS. FOCUS GROUP DISCUSSIONS: TWO FOCUS GROUPS WERE UNDERTAKEN TO UNCOVER ADDITIONAL INFORMATION FROM KEY COMMUNITY GROUPS AND INDIVIDUALS WITH RESPECT TO HEALTH NEEDS, CHALLENGES AND BARRIERS, AND SUGGESTIONS FOR IMPROVING ACCESS TO HEALTH CARE SERVICES. ONE FOCUS GROUP WAS MADE UP OF YOUTH COUNSELORS, INDIVIDUALS, AND REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS PROVIDING SERVICES TO YOUTH AND ADOLESCENTS. THIS GROUP WAS DESIGNED TO UNCOVER MAJOR ISSUES ABOUT CONCERNS FACING MIDDLE AND HIGH SCHOOL AGED ADOLESCENTS. ANOTHER FOCUS GROUP WAS MADE UP OF UNDOCUMENTED HISPANIC/LATINA WOMEN TO DISCUSS THEIR HEALTH NEEDS AND THE BARRIERS THEY FACED IN ACCESSING CARE, AND IN LEADING HEALTHY LIFESTYLES. FOCUS GROUP MEETINGS WERE CONDUCTED ON AUGUST 27TH AND 30TH, 2019 BY NEW SOLUTIONS, INC. SECONDARY DATA SOURCES ---------------------- OVER 100 SECONDARY DATA SOURCES WERE UTILIZED IN COMPILING OUR CHNA, PRESENTING DATA BY INDICATOR BY COUNTY AND STATE. SOURCES INCLUDE: THE UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), NEW JERSEY DEPARTMENT OF HEALTH (NJDOH), AND BEHAVIORAL RISK FACTOR APPENDIX C CONTAINS A DETAILED REPORT OF CANCER INCIDENCE AND MORTALITY BY CANCER SITE FOR MIDDLESEX COUNTY FOR THE YEARS 2010-2017. IN ADDITION, HOSPITAL TUMOR REGISTRY DATA IS UTILIZED TO UNDERSTAND STAGE OF CANCER AT TIME OF DIAGNOSIS. HEALTH PROFILE: SECTION 5 OF THE ORGANIZATION'S CHNA PROVIDES A COMPREHENSIVE PRESENTATION OF HEALTH OUTCOMES AS WELL AS THE SOCIAL DETERMINANTS OF HEALTH AND OTHER HEALTH FACTORS THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF MIDDLESEX COUNTY RESIDENTS. COLOR INDICATOR TABLES: THROUGHOUT THE HEALTH PROFILE SECTION OF THIS CHNA, THE COLOR INDICATOR TABLES COMPARE COUNTY LEVEL DATA TO HEALTHY PEOPLE 2020 TARGETS, COUNTY HEALTH RANKINGS BENCHMARKS, AND NEW JERSEY STATE DATA. DATA BY RACE/ETHNICITY ARE COMPARED TO DATA FOR ALL RACES IN THE COUNTY, UNLESS OTHERWISE INDICATED. MIDDLESEX COUNTY WAS THE MIDPOINT VALUE COMPARED TO A RANGE 20% HIGHER THAN THE VALUE FOR NEW JERSEY, HEALTHY PEOPLE 2020, OR COUNTY HEALTH RANKINGS BENCHMARKS, OR 20% LOWER THAN THE VALUE FOR NEW JERSEY, HEALTHY PEOPLE 2020, OR COUNTY HEALTH RANKINGS BENCHMARKS. IF THE COUNTY VALUE WAS WITHIN THE RANGE 20% LOWER OR 20% HIGHER THAN THE COMPARISON INDICATOR, OR CONSIDERED WITHIN REASONABLE RANGE, THE INDICATOR WILL BE YELLOW. THE TABLE WILL BE RED IF THE MIDDLESEX COUNTY VALUE IS MORE THAN 20% WORSE OR LOWER THAN THE INDICATOR VALUE. IF THE MIDDLESEX COUNTY VALUE IS 20% BETTER OR HIGHER THAN THE INDICATOR VALUE, THE TABLE WILL BE GREEN. COMPARATIVE COUNTIES ARE ALSO PRESENTED PROVIDING ADDITIONAL CONTEXT FOR SELECT HEALTH INDICATORS. ASSETS AND GAPS: SECTION 6 OF THE ORGANIZATION'S CHNA, ASSETS AND GAPS, SUMMARIZES THE PRECEDING COMPONENTS OF THE CHNA. ASSETS HIGHLIGHT COUNTY INFORMATION INDICATING IMPROVEMENT OVER TIME, IN COMPARISON TO OTHER COUNTIES AND THE STATE, OR IN COMPARISON TO OTHER RACES OR GENDERS. GAPS FOCUS ON DISPARITIES IN MIDDLESEX COUNTY OR THE ORGANIZATION'S SERVICE AREA THAT HAVE A NEGATIVE TREND, IN COMPARISON TO OTHER COUNTIES IN THE STATE OR TO OTHER RACES OR GENDERS. SCHEDULE H, PART V, SECTION B, QUESTION 6A & 6B UNDER THE 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), NON-PROFIT HOSPITALS MUST CONDUCT A CHNA AND IDENTIFY AN IMPLEMENTATION STRATEGY TO ADDRESS THOSE NEEDS EVERY THREE YEARS. IN ORDER TO CONTINUE COMPLIANCE WITH THIS REQUIREMENT, SAINT PETER'S UNIVERSITY HOSPITAL AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AGAIN TEAMED TOGETHER AND ENGAGED WITH NEW SOLUTIONS, INC., TO COMPLETE A SERIES OF MULTI-METHOD ANALYTIC ACTIVITIES TO PERFORM THE THIRD ROUND OF THE HEALTHIER MIDDLESEX COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HEALTHIER MIDDLESEX IS A DIVERSE, MULTI-SECTOR, COMMUNITY-FOCUSED CONSORTIUM COMPRISED OF A WIDE VARIETY OF STAKEHOLDERS INCLUDING COMMUNITY-BASED ORGANIZATIONS, HOSPITALS, ACADEMIC INSTITUTIONS, AND HEALTH DEPARTMENTS. THROUGH THIS PARTNERSHIP, HEALTHIER MIDDLESEX IS ABLE TO PROVIDE ITS COMMUNITY WITH THE BEST PROGRAMS AND POLICIES AVAILABLE. HEALTHIER MIDDLESEX CONSTANTLY STRIVES TO DEVELOP MORE EFFECTIVE STRATEGIES TO POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY. THE CONSORTIUM IS FOCUSED ON IDENTIFYING THE STRENGTHS AND OPPORTUNITIES WITHIN THE COMMUNITY, ALIGNING THE EFFORTS AND RESOURCES OF ITS PARTNERS, WHILE DEVELOPING STRUCTURE AND SUSTAINABLE STRATEGIES THAT INTEGRATE HEALTH AND WELLNESS INTO ALL ASPECTS OF ITS COMMUNITY. RWJUH AND SPUH ARE FOUNDING MEMBERS OF THE CONSORTIUM AND PROVIDE SPONSORSHIP FOR THE DEVELOPMENT OF THE CHNA. THE CHNA IS DESIGNED TO ENSURE THAT THE HOSPITALS AND OTHER COMMUNITY STAKEHOLDERS CONTINUE TO SERVE THE HEALTH NEEDS OF ITS SERVICE AREA EFFECTIVELY AND EFFICIENTLY. THE CHNA'S DEVELOPMENT CONSULTANTS, NEW SOLUTIONS, INC.("NSI"), HAVE PLANNED AND CONDUCTED NUMEROUS COMMUNITY NEEDS ASSESSMENTS AND IMPLEMENTATION PLANS WITH MULTIPLE ORGANIZATIONS INCLUDING INDIVIDUAL HOSPITALS, HEALTH SYSTEMS, OTHER HEALTH CARE AND COMMUNITY ORGANIZATIONS SUCH AS CONSORTIA COMPRISED OF A WIDE RANGE OF PARTICIPANT ORGANIZATIONS. THE NSI TEAM INCLUDES: PLANNING CONSULTANTS, MARKET RESEARCHERS, EPIDEMIOLOGISTS, COMPUTER PROGRAMMERS AND DATA ANALYSTS. NSI HAS EXTENSIVE REGIONAL AND LOCAL COMMUNITY KNOWLEDGE OF HEALTH ISSUES, COMMUNITY SERVICES AND PROVIDER RESOURCES. THIS EXPERTISE, AS WELL AS THE METHODOLOGICAL AND TECHNICAL SKILLS OF THE ENTIRE STAFF, WAS BROUGHT TO BEAR IN CONDUCTING THIS NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLAN. SCHEDULE H, PART V; SECTION B, QUESTION 7A THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.SAINTPETERSHCS.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASS ESSMENT SCHEDULE H, PART V; SECTION B, QUESTION 10A THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.SAINTPETERSHCS.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASS ESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 11 HEALTHIER MIDDLESEX USED THE DATA COLLECTED THROUGH THE CHNA TO DETERMINE THE COUNTIES' TOP HEALTH ISSUES. AFTER OBTAINING FEEDBACK FROM THE MEMBERSHIP, CONSULTANTS DEVELOPED A LIST OF 17 ISSUES IDENTIFIED AS COMMON THEMES OF THE RESEARCH. THE ISSUES IDENTIFIED WERE PRESENTED TO THE COMMITTEE AND REVIEWED TO ENSURE AGREEMENT ON MAJOR THEMES. ON JULY 31, 2019, MEMBERS MET TO RANK THE MAJOR THEMES INTO PRIORITY AREAS FOR ACTIONS USING A VOTING PROCESS THAT ASKED MEMBERS TO RANK EACH OF THE MAJOR THEMES IDENTIFIED IN THE CHNA USING THE FOLLOWING CRITERIA. - NUMBER OF PEOPLE IMPACTED - RISK OF MORTALITY AND MORBIDITY ASSOCIATED WITH THE PROBLEM - IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS - MEANINGFUL PROGRESS CAN BE MADE WITHIN A THREE-YEAR TIMEFRAME - COMMUNITY'S CAPABILITY AND COMPETENCY TO IMPACT THE STEERING COMMITTEE REVIEWED THE RESULTS OF THE PRIORITIZATION PROCESS AND THROUGH DISCUSSION DETERMINED THAT THE TOP THREE PRIORITY ISSUES OF THE PLAN WOULD ADDRESS INCLUDED: ACCESS TO CARE AND SERVICES, PREVENTIVE CARE AND VACCINE USE, AND NUTRITION AND PHYSICAL ACTIVITY. SPECIFIC AREAS OF CONCERN WITHIN THE MAJOR AREAS INCLUDED: 1) ACCESS TO CARE AND SERVICES - TRANSPORTATION, INSURANCE, AVAILABILITY OF SERVICES, HEALTH LITERACY - BEHAVIORAL/MENTAL HEALTH/SUBSTANCE ABUSE USE FOR ADULTS AND CHILDREN 2) PREVENTATIVE CARE AND VACCINATION USE - CHRONIC DISEASES PREVENTION AND MANAGEMENT (VARIOUS, HEART DISEASE, DIABETES, CANCER) - STI PREVENTION/SCREENING - VACCINATION USE - MATERNAL CHILD HEALTH/PRENATAL CARE AND WELL BABY 3) NUTRITION AND PHYSICAL ACTIVITY - FOOD SECURITY - OBESITY THE ORGANIZATION PLANS TO ADDRESS THE ABOVE HEALTH NEEDS BY DOING THE FOLLOWING AS INDICATED WITHIN ITS COMMUNITY HEALTH IMPROVEMENT PLAN. PRIORITY AREA I: ACCESS TO CARE/PRIORITY GROUP I - TRANSPORTATION ----------------------------------------------------------------- GOAL: UTILIZING A TECHNOLOGY PLATFORM, INCREASE ACCESSIBILITY OF TRANSPORT SERVICES THROUGH COORDINATION OF EXISTING SERVICES. OBJECTIVE: DEVELOP A COMPREHENSIVE ELECTRONIC DATABASE OF AVAILABLE TRANSPORTATION SERVICES BY 2021. ACTION ITEMS: (1) FORM DATA COMMITTEE TO COLLECT INFORMATION ON EXISTING TRANSPORTATION RESOURCES IN MIDDLESEX/SOMERSET COUNTY; (2) REVIEW NATIONWIDE BEST PRACTICES ON HOW TO COORDINATE TRANSPORTATION RESOURCE INFORMATION; (3) BEGIN DATA COLLECTION; (4) SET MEETING WITH MCDOT TO OBTAIN BUY-IN FOR ASSISTANCE IN DEVELOPING ELECTRONIC DATABASE OF RESOURCES; (5) WORK WITH MCDOT TO DEVELOP AND TEST THE ELECTRONIC DATA PLATFORM. OBJECTIVE: BY 2022, ENSURE THAT ACCESS TO TRANSPORTATION RESOURCES ARE WIDELY AVAILABLE TO THE COMMUNITY VIA HEALTHIER MIDDLESEX WEBSITE AND VIA DISSEMINATION TO COMMUNITY PARTNERS. ACTION ITEMS: (1) COMMUNITY PARTNERS WITH ACCESS TO THE ELECTRONIC DATABASE WILL BE RESPONSIBLE FOR TRAINING OF THEIR FRONT LINE/OUTREACH STAFF; (2) PRINTED INFORMATION WILL BE TRANSLATED INTO TOP 3 LANGUAGES SPOKEN IN THE COMMUNITY. PRIORITY AREA I: ACCESS TO CARE/PRIORITY GROUP II - BEHAVIORAL HEALTH/TRAUMA INFORMED CARE --------------------------------------------------------------------- GOAL: INCREASE ACCESS TO BEHAVIORAL HEALTH CARE AND BEHAVIORAL HEALTH EDUCATION FOR ADULTS AND CHILDREN. OBJECTIVE: BY 2022, TRAIN 200 PEOPLE IN MENTAL HEALTH FIRST AID AND MENTAL HEALTH FIRST AID FOR YOUTH. ACTION ITEMS: (1) A IDENTIFY MENTAL HEALTH FIRST AID AND YOUTH MENTAL HEALTH FIRST AID TRAINERS: (2) IDENTIFY LOCATIONS THROUGHOUT MIDDLESEX COUNTY TO HOST TRAININGS; (3) IDENTIFY ORGANIZATIONS AND POPULATIONS WITHIN EACH MUNICIPALITY WHO SERVE YOUTH TO MARKET YMHFA TRAINING; (4) HOLD TRAININGS AND CERTIFY 100 PEOPLE IN MENTAL HEALTH AND YOUTH MENTAL HEALTH FIRST AID. OBJECTIVE: BY 2022, DEVELOP A HOSPITAL-BASED PROGRAM TO IDENTIFY, REFER AND SERVICE VICTIMS OF VIOLENCE AND BUILD A CRIME VICTIM SURVIVORS CONSORTIUM OF COMMUNITY-BASED ORGANIZATIONS TO PROVIDE EDUCATION, RESOURCES AND REFERRALS FOR VICTIMS AND SURVIVORS OF VIOLENT CRIMES AND THEIR FAMILIES. ACTION ITEMS: (1) BY THE END OF 2020, TRAIN AND ON BOARD RWJUH AND PRAB STAFF AND IMPLEMENT PROGRAM; (2) BY THE END OF 2020, CREATE AND IMPLEMENT AN ALGORITHM IN THE RWJUH ELECTRONIC MEDICAL RECORDS (EMR) SYSTEM TO SCREEN 100% OF IN-PATIENT IN THE TRAUMA DEPARTMENT AND IDENTIFY VIOLENTLY-INJURED PATIENTS FOR REFERRAL TO THE HVIP; (3) BY THE END OF 4Q - 2020, COLLECT DATA TO CREATE BASELINE OF PROGRAM EVALUATION MEASURES (E.G. NUMBERS OF VIOLENTLY INJURED PATIENTS IDENTIFIED, REFERRED, CONSENTED, AND ENROLLED); (4) RECRUIT COMMUNITY-BASED ORGANIZATION (CBOS) TO CREATE A HOSPITAL-BASED VIOLENCE COMMUNITY CONSORTIUM (HVCC) TO SUPPORT THE PATIENT CASE CONFERENCING INTERVENTION MODEL FOR THE RWJUH HVIP; (5) BY THE END OF Q4 - 2020, EXPAND NUMBER OF CBO PARTNERS TO INCLUDE ORGANIZATIONS IN UNION, MIDDLESEX AND SOMERSET COUNTIES; (6) BY THE END OF Q4 - 2020, CREATE A PATIENT GUN SAFETY INTERVENTION; (7) BY THE END OF Q4 - 2020, GUN SAFETY HANDOUTS WILL BE CREATED, AND TRAUMA NAVIGATORS TRAINED TO PROVIDE GUN SAFETY EDUCATION AND DISTRIBUTE GUN LOCKS; (8) BY 2020, DEVELOP PROGRAM EVALUATION TOOLS AND RECRUIT TRAINERS FOR HVIP COMMUNITY CONSORTIUM (HVCC) MEMBER PROGRAMS; (9) BY THE END OF Q3 - 2020, IMPLEMENT EVALUATIONS TOOLS. OBJECTIVE: BY 2022, INCREASE PROVIDERSCOMMUNITY MEMBERS' KNOWLEDGE OF ADVERSE CHILDHOOD EXPERIENCES (ACES). ACTION ITEMS: (1) PARTNER WITH FAMILY SUCCESS CENTERS TO PROVIDE AND IMPLEMENT ACES TRAINING; (2) IMPLEMENT 20 PRESENTATIONS YEARLY WITH A MINIMUM OF 10 MUNICIPALITIES REPRESENTED, UNTIL 2022; (3) IDENTIFY AND TRAIN A MINIMUM OF 5 COMMUNITY HEALTH AMBASSADORS (CHA) TO BECOME ACES EXPERTS AND PROVIDE TRAININGS TO THE COMMUNITY (JULY 2020); (4) IMPLEMENT 10 ACES WORKSHOPS TARGETING 75 RESIDENTS FACILITATED BY CHA IN THE COMMUNITY (DECEMBER 2020). OBJECTIVE: DURING 2020 TO 2022 ADVOCATE FOR THE NEED, AND GARNER SUPPORT FOR THE DEVELOPMENT OF A YOUTH DETOX CENTER IN MIDDLESEX COUNTY. ACTION ITEMS: (1) A GATHER DATA TO DEMONSTRATE NEED FOR YOUTH DETOX CENTER IN MIDDLESEX COUNTY AND PROCESS TO DEVELOP CENTER, 2020; (2) BY 2021, CONTACT LOCAL OFFICIALS AND SEND LETTERS WITH CHNA DATA AND INFORMATION REGARDING YOUTH OPIOID CASES IN THE COUNTY; (3) PRESENT DATA TO STATE, COUNTY OF LOCAL OFFICIALS, 2021; (4) SUPPORT COMMUNITY EFFORTS FOR THE CREATION OF A YOUTH DETOX CENTER IN MIDDLESEX COUNTY, 2022. OBJECTIVE: BY 2022, UPDATE, EXPAND, AND INCREASE UTILIZATION OF THE BEHAVIORAL HEALTH REFERRAL AND RESOURCE GUIDE (BHRRG). ACTION ITEMS: (1) UPDATE, DISTRIBUTE AND TRAIN COMMUNITY PROVIDERS ON THE BHRRG; (2) TRANSLATE PRESENTATION AND HOLD BHHRG TRAINING IN SPANISH, 2021; (3) MARKET TRAININGS AND BHRRG TO APPROPRIATE COMMUNITY PROVIDERS, ANNUALLY; (4) ADD BHRRG TO THE HEALTHIER MIDDLESEX WEBSITE AND TRACK UTILIZATION. OBJECTIVE: BY 2022, ENCOURAGE SCHOOLS, CAMPS, AFTER SCHOOL PROGRAMS AND FAITH-BASED ORGANIZATIONS TO OFFER PROGRAMS DESIGNED TO PROVIDE CHILDREN AND FAMILIES WITH THE TOOLS AND RESOURCES THEY NEED TO NAVIGATE THE CHALLENGES THEY FACE ON A DAILY BASIS. ACTION ITEMS: (1) UTILIZE FAMILY SUCCESS CENTER'S ACES TRAINING FOR PROVIDERS AND MAKE AVAILABLE FOR HEALTHY KIDS CAMP STAFF; (2) B IMPLEMENT THE FOOTPRINTS FOR LIFE PROGRAM IN 5 SCHOOLS THROUGHOUT THE COUNTY (ANNUALLY). PRIORITY AREA I: ACCESS TO CARE/PRIORITY GROUP III - HEALTH LITERACY -------------------------------------------------------------------- GOAL: TO CREATE HEALTHY COMMUNITIES THROUGHOUT MIDDLESEX COUNTY BY MOBILIZING LIBRARIANS TO DISSEMINATE UNDERSTANDABLE AND ACTIONABLE HEALTH INFORMATION TO EMPOWER INDIVIDUALS TO ACHIEVE AND MAINTAIN A HEALTHY QUALITY OF LIFE. OBJECTIVE: BY 2020, INCREASE THE NUMBER OF LIBRARIANS IN THE GREATER MIDDLESEX REGION TRAINED IN CONSUMER HEALTH INFORMATION SCIENCE (CHIS) BY THE NATIONAL NETWORK OF LIBRARIES OF MEDICINE (NNLM) BY 10%. ACTION ITEMS: (1) RECRUIT AND PROVIDE FUNDING FOR LIBRARIANS TO RECEIVE CHIS TRAINING. OBJECTIVE: BY 2021, INCREASE THE NUMBER OF LIBRARIES IN THE GREATER MIDDLESEX REGION THAT OFFER HEALTH INFORMATION AS PART OF THE HILOW INITIATIVE BY 10%. ACTION ITEMS: (1) RECRUIT LIBRARIANS IN MIDDLESEX COUNTY TO PARTICIPATE IN THE HILOW INITIATIVE. OBJECTIVE: BY 2021, DEPLOY LIBRARIANS TO COMMUNITY SITES TO DISSEMINATE HEALTH INFORMATION AND PROMOTE HEALTH LITERACY. ACTION ITEMS: (1) BY 2020, DEVELOP A LIST OF TOPICS MOST OFTEN REQUESTED BY COMMUNITY MEMBERS FOR LECTURES/WORKSHOPS; (2) BY 2021, CONDUCT 5 LECTURES, WORKSHOPS, AND/OR SCREENING EVENTS IN COLLABORATION WITH HEALTHIER MIDDLESEX PARTNERS. PRIORITY AREA II: PREVENTIVE CARE AND VACCINE USE - PRIORITY GROUP IV - CHRONIC DISEASE PREVENTION & MANAGEMENT GOAL: INCREASE UTILIZATION OF COMMUNITY RESOURCES FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. OBJECTIVE: INCREASE THE NUMBER OF CHRONIC DISEASE SELF-MANAGEMENT PEER LEADERS BY TRAINING 10 NEW PEER EDUCATORS EACH YEAR. ACTION ITEMS: (1) RECRUIT TRAINING VOLUNTEERS THROUGH EXISTING COMMUNITY PARTNERSHIPS; (2) BY 2022, IDENTIFY MECHANISMS TO ENHANCE CONTINUED PARTICIPATION IN SCHEDULE H, PART V; SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTP://WWW.SAINTPETERSHCS.COM/PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSIS TANCE-PROGRAM 11 SAINT PETER'S FAMILY HEALTH CENTER 123 HOW LANE NEW BRUNSWICK NJ 08901 PRIMARY CARE SAINT PETER'S CANCER CENTER 215 EASTON AVENUE NEW BRUNSWICK NJ 08901 RADIATION ONCOLOGY & INFUSION SAINT PETER'S SPORTS MEDICINE INSTITUTE 562 EASTON AVENUE SOMERSET NJ 08873 PHYSICAL THERAPY & REHAB CLEARBROOK ADULT COMMUNITY CLEARBROOK CLUBHOUSE MONROE TOWNSHIP NJ 08831 HEALTHCARE SERVICES FOR ADULT COMMUNITIES THE PONDS 100 WATERSIDE BLVD MONROE TOWNSHIP NJ 08831 HEALTHCARE SERVICES FOR ADULT COMMUNITIES ROSSMOOR COMMUNITY 128 SUSSEX WAY MONROE TOWNSHIP NJ 08831 HEALTHCARE SERVICES FOR ADULT COMMUNITIES GREENBRIAR AT WHITTINGHAM 100 WHITTINGHAM DRIVE MONROE TOWNSHIP NJ 08831 HEALTHCARE SERVICES FOR ADULT COMMUNITIES COMMUNITIES OF CONCORDIA 1 CLUBHOUSE DRIVE MONROE TOWNSHIP NJ 08831 HEALTHCARE SERVICES FOR ADULT COMMUNITIES STONEBRIDGE AT MONTGOMERY 100 HOLLINSHEAD SPRING ROAD SKILLMAN NJ 08558 HEALTHCARE SERVICES FOR ADULT COMMUNITIES DOROTHY B HERSH CHILD PROTECTION CENTER 123 HOW LANE NEW BRUNSWICK NJ 08901 CHILD PROTECTION SVCS THE WOUND CARE CENTER AT MONROE 294 APPLEGARTH ROAD BUILDING A MONROE TOWNSHIP NJ 08831 WOUND CARE SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH") 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 SPUH'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY CHARITY CARE ----------------------- NJ CHARITY CARE IS FREE OR REDUCED CHARGE CARE WHICH IS PROVIDED TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. CHARITY CARE IS AVAILABLE ONLY FOR EMERGENT OR MEDICALLY NECESSARY HOSPITAL CARE. SOME SERVICES SUCH AS PHYSICIAN FEES, ANESTHESIOLOGY FEES, RADIOLOGY INTERPRETATION, AND OUTPATIENT PRESCRIPTIONS ARE SEPARATE FROM HOSPITAL CHARGES AND MAY NOT BE ELIGIBLE FOR REDUCTION. IN ACCORDANCE WITH CHARITY CARE GUIDELINES, PAYMENT ASSISTANCE IS AVAILABLE TO NEW JERSEY RESIDENT PATIENTS WHOSE HOUSEHOLD GROSS INCOME IS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES AND 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. ASSETS CRITERIA - INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000. SHOULD AN APPLICANT'S ASSETS EXCEED THESE LIMITS, HE/SHE MAY "SPEND DOWN" THE ASSETS TO THE ELIGIBLE LIMITS THROUGH PAYMENT OF THE EXCESS TOWARD THE HOSPITAL BILL AND OTHER APPROVED OUT-OF-POCKET MEDICAL EXPENSES. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, SUBJECT TO SPECIFIC PROVISIONS (SUCH AS EMERGENCY MEDICAL CONDITIONS). ALL EMPLOYED PHYSICIANS OF SAINT PETER'S UNIVERSITY HOSPITAL AND AFFILIATED ENTITIES (OVER 200 PROVIDERS) ACCEPT CHARITY CARE PATIENTS AND DO NOT BILL FOR THEIR SERVICES. NEW JERSEY UNINSURED DISCOUNT CARE RATE --------------------------------------- UNINSURED NEW JERSEY STATE RESIDENT PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE AND WHOSE INCOME FALLS LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR A DISCOUNT BASED UPON MEDICARE RATES AS PER THE NJ STATE STATUTE P.L. 2008, CHAPTER 60, APPROVED ON AUGUST 8, 2008, ASSEMBLY, NO. 2609, AS ENACTED BY THE SENATE AND GENERAL ASSEMBLY OF THE STATE OF NEW JERSEY. AMOUNT GENERALLY BILLED ("AGB") ------------------------------- PER INTERNAL REVENUE CODE 501(R)(5) CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE FOR FAP-ELIGIBLE INDIVIDUALS UNDER SPUH'S FAP WILL BE LIMITED TO BUT NOT BILLED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I, QUESTION 7 THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS UTILIZED. SCHEDULE H, PART I, QUESTION 7B Saint Peter's University Hospital partnered with Middlesex County and the State of New Jersey through a provider assessment mechanism to make the state of New Jersey Medicaid program healthier for all. The program increases financial resources provided to hospital using the State of New Jersey's Medicaid program and certain federal matching funds in order to better serve the needs in the community. These additional funds received from the program are included in Schedule H, Part I; Line 7b; Direct offsetting revenue. during calendar year 2021, Saint Peter's University Hospital also experienced a Medicaid cost per case increase for Medicaid patients which the costs are included in Schedule H, Part I; Line 7b; Total community benefit expense. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS. SAINT PETER'S HEALTHCARE SYSTEM, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE BELOW WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE SYSTEM AND SUBSIDIARIES. ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE --------------------------------------------------- NET PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE SYSTEM EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS AND INCLUDES PROVISIONS FOR VARIABLE CONSIDERATION (REDUCTIONS TO REVENUE) FOR RETROACTIVE REVENUE ADJUSTMENTS, INCLUDING ADJUSTMENTS DUE TO THE SETTLEMENT OF ONGOING AND FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. THE SYSTEM USES A PORTFOLIO APPROACH TO ACCOUNT FOR CATEGORIES OF PATIENT CONTRACTS AS A COLLECTIVE GROUP RATHER THAN RECOGNIZING REVENUE ON AN INDIVIDUAL CONTRACT BASIS. THE PORTFOLIOS CONSIST OF MAJOR PAYOR CLASSES FOR INPATIENT REVENUE AND MAJOR PAYOR CLASSES AND TYPES OF SERVICES PROVIDED FOR OUTPATIENT REVENUE. BASED ON HISTORICAL COLLECTION TRENDS AND OTHER ANALYSES, THE SYSTEM BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WERE USED. THE SYSTEM'S INITIAL ESTIMATE OF THE TRANSACTION PRICE FOR SERVICES PROVIDED TO PATIENTS IS DETERMINED BY REDUCING THE TOTAL STANDARD CHARGES RELATED TO THE PATIENT SERVICES PROVIDED BY VARIOUS ELEMENTS OF VARIABLE CONSIDERATION, INCLUDING CONTRACTUAL ADJUSTMENTS, DISCOUNTS, IMPLICIT PRICE CONCESSIONS, AND OTHER REDUCTIONS TO THE SYSTEM'S STANDARD CHARGES. THE SYSTEM DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL OR FORMULA-DRIVEN RATES FOR THE SERVICES RENDERED (SEE DESCRIPTION OF THIRD-PARTY PAYOR PAYMENT PROGRAMS BELOW). THE ESTIMATES FOR CONTRACTUAL ALLOWANCES AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, THE SYSTEM'S DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. FOR UNINSURED AND UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE SYSTEM DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES ON THE BASIS OF CHARGES REDUCED BY IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS INCLUDED IN THE ESTIMATE OF THE TRANSACTION PRICE ARE BASED ON THE SYSTEM'S HISTORICAL COLLECTION EXPERIENCE FOR APPLICABLE PATIENT PORTFOLIOS. UNDER THE SYSTEM'S POLICY FOR SELF-PAY PATIENTS, A PATIENT WHO HAS NO INSURANCE AND IS INELIGIBLE FOR ANY GOVERNMENT ASSISTANCE PROGRAM HAS HIS OR HER BILL REDUCED TO THE AMOUNT WHICH WOULD BE BILLED TO A COMMERCIALLY INSURED PATIENT. GENERALLY, THE SYSTEM BILLS PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED. NET PATIENT SERVICE REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE SYSTEM. NET PATIENT SERVICE REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL CHARGES. THE SYSTEM BELIEVES THAT THIS METHOD PROVIDES A REASONABLE DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE SERVICES NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES OR PATIENTS RECEIVING SERVICES IN THE SYSTEM'S OUTPATIENT AND AMBULATORY CARE CENTERS. THE SYSTEM MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE HOSPITAL OR THE COMMENCEMENT OF AN OUTPATIENT SERVICE TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE OR THE COMPLETION OF THE OUTPATIENT SERVICE. SUBSTANTIALLY ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS PRIMARILY RELATE TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD FOR PATIENTS WHO REMAIN ADMITTED AT THAT TIME (IN-HOUSE PATIENTS). THE PERFORMANCE OBLIGATIONS FOR IN-HOUSE PATIENTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH FOR THE MAJORITY OF THE SYSTEM'S IN-HOUSE PATIENTS OCCURS WITHIN DAYS OR WEEKS AFTER THE END OF THE REPORTING PERIOD. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, CHANGES IN THE SYSTEM'S ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, CONTRACTUAL ADJUSTMENTS OR OTHER REDUCTIONS TO EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR PERIODS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED QUARTERLY BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2021 MEDICARE COST REPORT. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007, WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA BELIEVED THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 85 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO BELIEVE THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40 PERCENT OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. - AS OUTLINED BY THE AHA, DESP SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE SAINT PETER'S UNIVERSITY HOSPITAL'S BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. THE FOLLOWING CRITERIA HAS BEEN ESTABLISHED TO ENSURE THAT ALL EFFORTS HAVE BEEN EXHAUSTED TO ENSURE THAT THE PATIENT IS NOT ELIGIBLE FOR A GOVERNMENTAL PROGRAM, THEY DO HAVE ACCESS OR MEANS TO OBTAIN THIRD-PARTY HEALTH INSURANCE COVERAGE, AND WE HAVE EXHAUSTED ALL REASONABLE EFFORTS TO COLLECT THE OUTSTANDING PAYMENT OBLIGATION - INCLUDING FAP-ELIGIBILITY STATUS (AND IF ELIGIBLE, ENSURE THAT FEES/CHARGES HAVE BEEN ADJUSTED TO THE APPLICABLE LEVELS). THE CRITERIA ARE INCLUSIVE OF THE FOLLOWING: 1) THE ACCOUNTS RECEIVABLE BALANCE MUST BE CONFIRMED AS A PATIENT (OR GUARANTOR) RESPONSIBILITY AMOUNT. IF THE ACCOUNT HAS A PRIOR HISTORY OF MEDICAID OR CHARITY CARE ELIGIBILITY, WE WILL MAKE ALL EFFORTS TO REVIEW CURRENT DOCUMENTATION AND CHECK FOR POTENTIAL ELIGIBILITY. 2) THERE MUST BE DOCUMENTATION IN ACCOUNT NOTES THAT AT LEAST FOUR (4) POST-DISCHARGE BILLING STATEMENTS WITH THE CONFIRMED PATIENT BALANCE HAVE BEEN SENT TO THE CURRENT ADDRESS ON FILE. THE MESSAGES ON THE STATEMENT ARE PROGRESSIVE IN NATURE - WITH THE LAST ONE PROVIDING A CLEAR MESSAGE THAT, AFTER 30 DAYS FROM THE DATE OF THIS NOTICE, IF THE BALANCE IS NOT SATISFIED IN FULL, OR A PAYMENT PLAN ESTABLISHED, THE ACCOUNT QUALIFIES FOR PLACEMENT WITH ONE OF OUR EXTERNAL COLLECTION AGENCIES. PLEASE NOTE THAT THIS "30-DAY" NOTICE MUST ALSO: - PROVIDE THE INDIVIDUAL WITH WRITTEN NOTICE THAT STATES FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS; - INCLUDE A DESCRIPTION OF ANY OTHER ECAS THAT SPUH INTENDS ON UNDERTAKING IN ADDITION TO SENDING TO AN EXTERNAL COLLECTION AGENCY (PLEASE REFER TO NUMBER 5 BELOW); AND - INCLUDE A COPY OF THE PLS. IN ADDITION, SPUH MUST MAKE A REASONABLE EFFORT TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP. 3) THERE MUST BE A MINIMUM SPAN OF 120 DAYS, FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT, PRIOR TO ANY BAD DEBT WRITE-OFF AND POTENTIAL REFERRAL TO ONE OF OUR EXTERNAL COLLECTION AGENCIES. 4) IF AT ANY TIME OUR EXTERNAL COLLECTION AGENCY IS NOTIFIED THAT THE PATIENT/GUARANTOR IS FAP-ELIGIBLE THE HOSPITAL RETAINS THE OPTION TO: - RECALL THE ACCOUNT FROM THE COLLECTION AGENCY AND RE-START THE COLLECTION PROCESS WITH THE BALANCE ADJUSTED SUCH THAT THE PATIENT/GUARANTOR IS PAYING NO MORE THAN THEY ARE RESPONSIBLE FOR AS A FAP-ELIGIBLE INDIVIDUAL AND REFUND ANY PAYMENTS ALREADY MADE IN EXCESS OF THE ADJUSTED BALANCE (IF GREATER THAN $5); OR - HAVE THE COLLECTION AGENCY RETAIN THE ACCOUNT AND RE-START THE COLLECTION PROCESS WITH THE BALANCE ADJUSTED SUCH THAT THE PATIENT/GUARANTOR IS PAYING NO MORE THAN THEY ARE RESPONSIBLE FOR AS A FAP-ELIGIBLE INDIVIDUAL AND REFUND ANY PAYMENTS ALREADY MADE IN EXCESS OF THE ADJUSTED BALANCE (IF GREATER THAN $5). 5) IN ADDITION TO NUMBER FOUR (DETAILED ABOVE - "4"), AFTER DETERMINING FAP-ELIGIBILITY SPUH CAN UNDERTAKE ADDITIONAL ECAS INCLUDING, BUT NOT LIMITED TO: - TAKING ACTIONS THAT REQUIRE LEGAL OR JUDICIAL PROCESS - INCLUDING LIENS, FORECLOSURES, CIVIL ACTIONS; - REPORTING ADVERSE INFORMATION TO CREDIT AGENCIES OR BUREAUS; AND - DEFERRING, DENYING, OR REQUIRING A PAYMENT BEFORE REQUIRING NON-MEDICALLY NECESSARY OR EMERGENT CARE BECAUSE OF NON-PAYMENT FOR PREVIOUSLY PROVIDED CARE THAT IS COVERED UNDER THE FAP. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST OF RUTGERS). THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. ONE FORUM IS A PERINATAL CONSORTIUM FOR THE GREATER MIDDLESEX AREA WITH REPRESENTATION FROM LOCAL COMMUNITY HEALTH CENTERS, OTHER HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS. SCHEDULE H, PART VI; QUESTION 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) SPUH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED IN THE FOLLOWING WAYS: A) SPUH'S FAP AND A PLAIN LANGUAGE SUMMARY ("PLS") OF THE FAP ARE ALL AVAILABLE VIA OUR WEBSITE -- WWW.SAINTPETERSHCS.COM. B) PAPER COPIES OF THE FAP AND PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AS WELL AS PROVIDED IN VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITIES - INCLUDING ADMISSIONS, PATIENT REGISTRATION, EMERGENCY ROOM DEPARTMENT, RESOURCE SERVICES, AND PATIENT DISCHARGE. ALL WRITTEN REQUESTS SHOULD BE SENT TO: SAINT PETER'S UNIVERSITY HOSPITAL ATTN: RESOURCE SERVICES 254 EASTON AVENUE NEW BRUNSWICK, NJ 08901 C) VERBAL REQUESTS FOR PAPER COPIES OF THE FAP AND PLS WILL BE AVAILABLE BY CONTACTING: SAINT PETER'S UNIVERSITY HOSPITAL DEPARTMENT: RESOURCE SERVICES TELEPHONE #: 732.745.8600 EXTENSION: 5019 D) SPUH IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, SPUH, AND ALL SUBSTANTIALLY RELATED ENTITIES, WILL WIDELY PUBLICIZE THIS FAP AND THE PLS IN THE COMMUNITIES THAT WE SERVE. E) THE FAP AND THE PLS ARE AVAILABLE IN ENGLISH AND OTHER LANGUAGES THAT CONSTITUTE THE LESSER OF 5% OR 1,000 INDIVIDUALS WITHIN SPUH'S PRIMARY SERVICE AREA. F) SIGNAGE NOTIFYING PATIENTS/GUARANTORS OF OUR FAP WILL BE PLACED IN CONSPICUOUS LOCATIONS, INCLUDING THE ADMISSION DEPARTMENT, AMBULATORY SERVICES, AND EMERGENCY ROOM AREAS, AND WILL PROVIDE A TELEPHONE NUMBER AND OFFICE LOCATIONS THAT CAN PROVIDE INFORMATION ON APPLYING FOR OUR FAP. SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN NEW BRUNSWICK TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN NEW BRUNSWICK, IN MIDDLESEX COUNTY. MIDDLESEX COUNTY ENCOMPASSES A LAND MASS OF 323 SQUARE MILES COMPRISED OF 25 URBAN AND SUBURBAN MUNICIPALITIES. THE COUNTY'S MUNICIPALITIES ARE DIVERSE, ENCOMPASSING INNER-CITY COMMUNITIES, SUCH AS NEW BRUNSWICK AND PERTH AMBOY, AND THE SUBURBAN COMMUNITIES OF PLAINSBORO, CRANBURY AND MONROE TOWNSHIP. ECONOMIC WEALTH IS NOT UNIFORMLY DISTRIBUTED ACROSS MUNICIPALITIES; URBAN AREAS INCLUDE A HIGH NUMBER OF POOR AND MINORITY POPULATIONS. IN 2016, 8.9% OF PEOPLE AND 6.5% OF MIDDLESEX COUNTY FAMILIES WERE LIVING IN POVERTY COMPARED TO 10.9% OF PEOPLE AND 8.1% OF FAMILIES STATEWIDE. - IN 2016, 36.0% OF PEOPLE AND 28.9% OF FAMILIES WERE LIVING IN POVERTY IN NEW BRUNSWICK. - IN 2016, 8.4% OF FAMILIES WERE LIVING IN POVERTY IN THE HIGHLAND PARK ZIP CODE. IN 2016, 4.6% OF MIDDLESEX COUNTY RESIDENTS WERE UNEMPLOYED, LOWER THAN THE STATE (5.2%). - THE UNEMPLOYMENT RATE IN NEW BRUNSWICK (5.4%) EXCEEDED THE COUNTY RATE (4.6%) AND WAS HIGHER THAN THE STATE RATE (5.2%). - THE MONROE UNEMPLOYMENT RATE WAS 3.4%, THE LOWEST IN THE SERVICE AREA AND LOWER THAN THE MIDDLESEX COUNTY RATE OF 4.6%. IN 2016, THE MIDDLESEX COUNTY MEDIAN HOUSEHOLD INCOME WAS $80,716, MORE THAN $7,000 ABOVE THE STATE AVERAGE. - THE 2016 MEDIAN HOUSEHOLD INCOME OF NEW BRUNSWICK RESIDENTS ($40,428) WAS A LITTLE MORE THAN HALF THE STATEWIDE FIGURE ($73,702). - EAST BRUNSWICK HAD THE HIGHEST MEDIAN HOUSEHOLD INCOME IN THE RWJUH/SPUH SERVICE AREA AT $101,245. - BETWEEN 2014-2016, INCOME LEVELS ACROSS THE COUNTY AND THE RWJUH/SPUH SERVICE AREA SHOWED LITTLE INCREASE OR DECLINE. SCHEDULE H, PART VI; QUESTION 5 THIS ORGANIZATION HOLDS AN ANNUAL COMMUNITY PUBLIC MEETING WHERE THE BOARD MEMBERS ARE INVITED AS WELL AS SENIOR MANAGEMENT TEAM AND STAFF MEMBERS. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHO RESIDE IN THE COMMUNITY. HOSPITAL STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE USED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT, WHICH IN TURN, BENEFIT THE COMMUNITY. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES THAT COMPRISE SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES. SAINT PETER'S HEALTHCARE SYSTEM, INC. ------------------------------------- SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM") IS THE TAX-EXEMPT PARENT OF THE SAINT PETER'S HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SYSTEM OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY SAINT PETER'S HEALTHCARE SYSTEM. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS IN THE STATE OF NEW JERSEY. SAINT PETER'S HEALTHCARE SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). SAINT PETER'S UNIVERSITY HOSPITAL --------------------------------- SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH") IS A 478-BED ACUTE CARE AND TEACHING HOSPITAL LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. SPUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SPUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SPUH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1. SPUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. SPUH OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. SPUH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF SPUH RESTS WITH ITS BOARD OF GOVERNORS WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, MEMBERS OF THE COMMUNITY AND MEDICAL STAFF REPRESENTATION; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ST. PETER'S FOUNDATION ---------------------- ST. PETER'S FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES, THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SPUH; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT PETER'S HEALTH AND MANAGEMENT SERVICES CORPORATION -------------------------------------------------------- SAINT PETER'S HEALTH AND MANAGEMENT SERVICES CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SPUH; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT PETER'S PROPERTIES CORPORATION ------------------------------------ SAINT PETER'S PROPERTIES CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). NEW BRUNSWICK AFFILIATED HOSPITALS, INC. ---------------------------------------- NEW BRUNSWICK AFFILIATED HOSPITALS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES, P.C. ---------------------------------------------------------- SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES, P.C. IS A PROFESSIONAL CORPORATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES, THE ORGANIZATION IS OWNED THROUGH A NOMINEE RELATIONSHIP BY A LICENSED PROFESSIONAL FOR THE BENEFIT OF SAINT PETER'S UNIVERSITY HOSPITAL. THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS AND IS AN INTEGRAL PART OF SAINT PETER'S UNIVERSITY HOSPITAL. SAINT PETER'S SOLAR ENERGY SOLUTIONS, INC. ------------------------------------------ AN ENTITY WHOSE SOLE SHAREHOLDER IS SAINT PETER'S HEALTH AND MANAGEMENT SERVICES. THE ORGANIZATION IS LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SOLAR GENERATED ELECTRICITY TO THE HOSPITAL AND ONE OTHER NON-PROFIT ORGANIZATION. PARK AVENUE COLLECTIONS CORPORATION ----------------------------------- AN INACTIVE ORGANIZATION. RISK ASSURANCE COMPANY OF SAINT PETER'S UNIVERSITY HOSPITAL ----------------------------------------------------------- A CONTROLLED FOREIGN CORPORATION BY SPUH. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN THE CAYMAN ISLANDS. SAINT PETER'S SPECIALTY PHYSICIANS, P.C. ---------------------------------------- DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES, THE ORGANIZATION IS OWNED THROUGH A NOMINEE RELATIONSHIP BY A LICENSED PROFESSIONAL FOR THE BENEFIT OF SAINT PETER'S UNIVERSITY HOSPITAL. THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS AND IS AN INTEGRAL PART OF SAINT PETER'S UNIVERSITY HOSPITAL. AN INACTIVE PROFESSIONAL CORPORATION LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. SAINT PETER'S ADVANCED CARE, P.C. --------------------------------- AN INACTIVE ORGANIZATION. SCHEDULE H, PART VI; QUESTION 7 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. X X X X X false true false false false false false true false LESLIE D HIRSCH FACHE TRUSTEE - PRESIDENT/CEO 0 1064441 0 369326 0 41598 0 227131 0 22517 0 1725013 0 0 ARKADY BRODER MD GASTROENTEROLOGIST 596941 0 324405 0 20340 0 8700 0 41811 0 992197 0 0 0 DAVID JACOB MD CARDIOLOGIST 597999 0 282091 0 5544 0 8700 0 23844 0 918178 0 0 0 GARRICK J STOLDT FHFMA CPA TREASURER - CFO SPHCS 0 552187 0 110270 0 40727 0 67144 0 34812 0 805140 0 0 CARLOS BENITO MD CHAIRMAN OBGYN 688211 0 49333 0 7482 0 8700 0 35267 0 788993 0 0 0 KIANOUSH SHEYKHOLESLAMI MD OTOLARYNGOLOGY SURGEON 745579 0 15000 0 1932 0 8700 0 12456 0 783667 0 0 0 ANDREW KORMAN MD GASTROENTEROLOGIST 370594 0 350468 0 840 0 9150 0 34960 0 766012 0 0 0 ALMA S RATCLIFFE MD VP; CHIEF CLIN TRANS OFFICER 0 470062 0 95659 0 113664 0 58204 0 19502 0 757091 0 76207 JORDAN M TANNENBAUM MD MBA VP; CIO/CMIO 0 416102 0 86570 0 117820 0 53499 0 34563 0 708554 0 70889 NIRANJAN V RAO MD CHIEF MEDICAL OFFICER 0 365696 0 76354 0 106958 0 48213 0 25598 0 622819 0 62049 NAYAN K KOTHARI MD CHIEF ACADEMIC OFFICER 485246 0 76100 0 9443 0 8700 0 24074 0 603563 0 0 0 GOPAL R DESAI MD TRUSTEE (TERMED 01/12/2021) 526500 0 15000 0 39541 0 8700 0 2029 0 591770 0 0 0 LINDA CARROLL MSN RN-BC CNO/VP PATIENT CARE SVS 407888 0 76021 0 5006 0 50322 0 28440 0 567677 0 0 0 BIPIN N PATEL MD PHYS IN CHIEF; CH HOSP @ SPUH 454321 0 45000 0 33269 0 8700 0 26129 0 567419 0 0 0 ALYSSA A VERDERAMI ESQ SECRETARY-VP LEGAL & RISK MGMT 0 392920 0 77921 0 2625 0 48869 0 28925 0 551260 0 0 DAVID A LASKOW MD CHIEF, DIVISION OF SURGERY 432766 0 59593 0 16163 0 8700 0 24480 0 541702 0 0 0 LISA M DRUMBORE VP; CHIEF EXPERIENCE OFFICER 0 309804 0 34448 0 23231 0 40023 0 28812 0 436318 0 0 BARBARA J GRIFFITHS-WELSH CHIEF COMPLIANCE OFFICER 0 236552 0 51390 0 29135 0 34922 0 25583 0 377582 0 0 WILLIAM J REARS CHIEF TECHNOLOGY OFFICER 0 245088 0 12957 0 1237 0 7661 0 29703 0 296646 0 0 HARRY DIEUVEUIL VP; CHIEF HR OFF. (EFF. 06/21) 0 202454 0 67323 0 3615 0 2946 0 14929 0 291267 0 0 PAMELA A TEUFEL VP; CHIEF HR OFF. (TERM 04/21) 0 114901 0 77911 0 507 0 12149 0 8694 0 214162 0 0 SCHEDULE J, PART I, QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THIS AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: Alma S. Ratcliffe, M.D., $76,207; Jordan M. Tannenbaum, M.D., MBA, $82,143 and Niranjan V. Rao, M.D., $73,279. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, AS TAXABLE MEDICARE WAGES: LESLIE D. HIRSCH, FACHE, $218,431; GARRICK J. STOLDT, FHFMA, CPA, $58,444; ALMA S. RATCLIFFE, M.D., $49,504; JORDAN M. TANNENBAUM, M.D., MBA, $44,799; NIRANJAN V. RAO, M.D., $39,513; LINDA CARROLL, MSN, RN-BC, $41,622; ALYSSA A. VERDERAMI, ESQ., $40,169; LISA A. DRUMBORE, $31,323; BARBARA J. GRIFFITHS-WELSH, $26,896 AND PAMELA A. TEUFEL, $8,990. SCHEDULE J, PART I; QUESTION 7 THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2021 WHICH WAS INCLUDED IN COLUMN (II) HEREIN AND IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FSH7 2007-12-18 65617402 SEE PART VI false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FPS6 2011-08-09 100866053 SEE PART VI false false false A 0 0 67469850 6699083 2839321 0 1284750 0 0 56646696 0 0 2013 true false true true B 84163069 0 100604659 8523218 0 0 2063899 0 0 5854473 0 0 2011 true false true true A false false false true true 0.01210 0.00000 0.01210 true false false true B false false false true true 0.00157 0.00000 0.00157 true false false true A false false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true SCHEDULE K, PART I, COLUMN C THE AUGUST 9, 2011 TAX-EXEMPT BOND ISSUANCE ALSO INCLUDES THE FOLLOWING ADDITIONAL CUSIP #'S: 64579FQ30; 64579FQ48; 64579FQ55; 64579FQ22; AND 64579FP98. THE DECEMBER 18, 2007 TAX-EXEMPT BOND ISSUANCE ALSO INCLUDES THE FOLLOWING ADDITIONAL CUSIP #'S: 64579FSL8; AND 64579FSM6. SCHEDULE K, PART I, COLUMN F THE PURPOSE OF THE SERIES 2007 BONDS WERE TO (I) REFUND A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE ST. PETER'S MEDICAL CENTER ISSUE, SERIES F; (II) PAY OR REIMBURSE THE COSTS OF THE CONSTRUCTION AND RENOVATION OF CERTAIN PORTIONS OF THE HOSPITAL'S FACILITIES AND THE ACQUISITION OF VARIOUS CAPITAL EQUIPMENT; (III) PAY CAPITALIZED INTEREST ON A PORTION OF THE SERIES 2007 BONDS; (IV) FUND THE DEBT SERVICE RESERVE FUND RELATED TO THE SERIES 2007 BONDS; AND (V) PAY OR REIMBURSE THE COSTS OF ISSUANCE OF THE SERIES 2007 BONDS. THE PURPOSE OF THE SERIES 2011 BOND WERE TO (I) REFUND ALL OF THE OUTSTANDING SERIES F REVENUE BONDS, SERIES 2000A REVENUE BONDS, AND SERIES 2000B BONDS; (II) PAY OR REIMBURSE THE COSTS OF CERTAIN CAPITAL EXPENDITURES RELATING TO THE RENOVATION OF PORTIONS OF THE HOSPITAL'S FACILITIES AND THE ACQUISITION AND INSTALLATION OF VARIOUS EQUIPMENT TO BE USED BY THE HOSPITAL AT ITS FACILITIES (APPROXIMATELY $5,500,000); (III) FUND THE DEBT SERVICE RESERVE FUND RELATING TO THE SERIES 2011 BONDS; AND (IV) PAY THE COSTS OF ISSUANCE OF THE SERIES 2011 BONDS. SCHEDULE K, PART IV, LINE 2C THE REBATE CALCULATION FOR THE 2007 BOND ISSUANCE WAS PERFORMED ON OCTOBER 31, 2017. THE REBATE CALCULATION FOR THE 2011 BOND ISSUANCE WAS PERFORMED ON AUGUST 9, 2021. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SPUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, SEXUAL IDENTITY AND ORIENTATION, NATIONAL ORIGIN, OR ABILITY TO PAY. MOREOVER, SPUH OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. SPUH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. SPUH OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS THAT IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS PER YEAR; 3. SPUH MAINTAINS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF SPUH RESTS WITH ITS BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, CLERGY AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES, AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF SPUH, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF SPUH IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. SAINT PETER'S UNIVERSITY HOSPITAL, LOCATED AT 254 EASTON AVENUE, NEW BRUNSWICK, N.J. IS A 478-BED NONPROFIT ACUTE-CARE TEACHING HOSPITAL SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF METUCHEN. SAINT PETER'S, A MEMBER OF THE SAINT PETER'S HEALTHCARE SYSTEM, IS A MAJOR CLINICAL AFFILIATE OF RUTGERS UNIVERSITY BIOMEDICAL AND HEALTH SCIENCES DIVISION AND SPONSORS ITS OWN FREESTANDING RESIDENCY PROGRAMS IN OBSTETRICS AND GYNECOLOGY, PEDIATRICS, AND INTERNAL MEDICINE AND FELLOWSHIP PROGRAMS IN PULMONOLOGY AND GASTROENTEROLOGY. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION AND IS CERTIFIED AS A MAGNET HOSPITAL FOR NURSING EXCELLENCE BY THE AMERICAN NURSES CREDENTIALING CENTER. SAINT PETER'S IS ALSO A STATE-DESIGNATED ACUTE CARE CHILDREN'S HOSPITAL AND A REGIONAL PERINATAL CENTER AND IS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOR PEDIATRIC CARDIOLOGY SERVICES. SAINT PETER'S WAS THE FIRST HOSPITAL IN MIDDLESEX COUNTY AND HAS SERVED THE HEALTHCARE NEEDS OF CENTRAL NEW JERSEY CONTINUOUSLY SINCE 1907, PROVIDING SUBSTANTIAL COMMUNITY BENEFIT. FROM ITS SIMPLE BEGINNINGS, SAINT PETER'S HAS GROWN TO BECOME A TECHNOLOGICALLY ADVANCED, 478-BED TEACHING HOSPITAL THAT PROVIDES A BROAD ARRAY OF SERVICES TO THE COMMUNITY - FROM SOPHISTICATED CARE OF PREMATURE BABIES TO SPECIALIZED GERIATRIC MEDICINE. SAINT PETER'S BRINGS THE LATEST MEDICAL PRACTICES AND HIGHLY SKILLED PROFESSIONALS TO THE BEDSIDE. HOSPITAL STAFF TREATS APPROXIMATELY 23,000 INPATIENTS AND 280,000 OUTPATIENTS ANNUALLY. SAINT PETER'S EMPLOYS APPROXIMATELY 3,300 HEALTHCARE PROFESSIONALS AND SUPPORT PERSONNEL, AND MORE THAN 1,200 PHYSICIANS AND DENTISTS HAVE PRIVILEGES AT ITS FACILITY. AS A STATE-DESIGNATED ACUTE CARE CHILDREN'S HOSPITAL, SAINT PETER'S OFFERS A FULL RANGE OF SPECIALIZED PEDIATRIC HEALTHCARE SERVICES. SAINT PETER'S ALSO OFFERS ONE OF THE MOST SOPHISTICATED MATERNITY PROGRAMS AND OPERATES ONE OF THE LARGEST, MOST ADVANCED LEVEL IV NEONATAL INTENSIVE CARE UNITS IN THE COUNTRY AS A STATE-DESIGNATED REGIONAL PERINATAL CENTER AND HAS BEEN RECOGNIZED AMONG THE TOP 50 BEST CHILDREN'S HOSPITALS FOR NEONATOLOGY IN THE COUNTRY BY U.S. NEWS AND WORLD REPORT. SAINT PETER'S IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN ALL AREAS OF DIABETES EDUCATION AND IS NEW JERSEY'S FIRST DESIGNATED AGE-FRIENDLY HEALTH SYSTEM. WHILE MEDICAL ADVANCES HELP TO PROVIDE BETTER PATIENT CARE THAN EVER BEFORE, SAINT PETER'S HEALING MISSION WOULD BE INCOMPLETE WITHOUT THE PERSONAL COMMITMENT OF EMPLOYEES THAT RESPOND TO THE TOTAL, INDIVIDUAL PERSON - SPIRITUALLY, EMOTIONALLY AND PHYSICALLY. IN 2020, AS A RESULT OF THE COVID-19 PANDEMIC, SAINT PETER'S ESTABLISHED THE COVID-19 RECOVERY PROGRAM TO ADDRESS THE LINGERING COMPLICATIONS ENDURED BY MANY POST-COVID PATIENTS. THE PROGRAM PROVIDES PATIENTS THAT HAVE PREVIOUSLY TESTED POSITIVE WITH COVID-19 ACCESS TO MULTI-SPECIALTY CARE. MISSION STATEMENT ================= KEEPING FAITH WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND GUIDED BY THE BISHOP OF METUCHEN, SAINT PETER'S UNIVERSITY HOSPITAL IS COMMITTED TO HUMBLE SERVICE TO HUMANITY, ESPECIALLY THE POOR, THROUGH COMPETENCE AND GOOD STEWARDSHIP OF RESOURCES. WE MINISTER TO THE WHOLE PERSON, BODY AND SPIRIT, PRESERVING THE DIGNITY AND SACREDNESS OF EACH LIFE. WE ARE PLEDGED TO THE CREATION OF AN ENVIRONMENT OF MUTUAL SUPPORT AMONG OUR EMPLOYEES, PHYSICIANS AND VOLUNTEERS AND TO THE EDUCATION AND TRAINING OF HEALTHCARE PERSONNEL. WE ARE WITNESSES IN OUR COMMUNITY TO THE HIGHEST ETHICAL AND MORAL PRINCIPLES IN PURSUIT OF EXCELLENCE AND PATIENT SAFETY. FACTS ===== NEW JERSEY'S FIRST STATE-DESIGNATED REGIONAL PERINATAL CENTER AND NEONATAL INTENSIVE CARE UNIT (LEVEL IV), ESTABLISHED IN 1981. DELIVERS APPROXIMATELY 5,300 NEWBORNS ANNUALLY. ADMITS APPROXIMATELY 740 NEWBORNS TO THE 54-BASSINETT LEVEL IV NICU, WHICH IS ONE OF THE LARGEST ON THE EAST COAST. SAINT PETER'S INTRODUCED A NEW MIDWIFERY PROGRAM WITH THREE CERTIFIED NURSE-MIDWIVES IN 2017 AND OPENED THE STATE'S FIRST HOSPITAL-BASED BIRTH CENTER, THE MARY V. O'SHEA BIRTH CENTER IN THE FALL OF 2019. IT IS THE ONLY MIDWIFERY-LED, HOSPITAL-BASED BIRTH CENTER LICENSED IN THE STATE OF NEW JERSEY. RENOWNED FOR ITS PRACTICE OF OBSTETRICS, ESPECIALLY IN THE AREA OF HIGH-RISK PREGNANCIES. SERVICES INCLUDE: - MATERNAL-FETAL MEDICINE (HIGH-RISK OBSTETRICAL CARE); - ANTENATAL TESTING UNIT (ADVANCED ULTRASOUND TESTING). APPROXIMATELY 14,500 ULTRASOUNDS PERFORMED ANNUALLY; - DEPARTMENT OF MEDICAL GENETICS AND GENOMIC MEDICINE (GENETIC COUNSELING, TESTING AND TREATMENT); - PERINATAL EVALUATION AND TREATMENT (PERINATAL EMERGENCY TRIAGE AND TREATMENT); - HIGH-RISK ANTEPARTUM UNIT (HOSPITAL INPATIENT CARE FOR PREGNANT WOMEN EXPERIENCING COMPLICATIONS OR HIGH-RISK PREGNANCIES); - INFANT AND PERINATAL LOSS EVALUATION PROGRAM (DIAGNOSTIC AND TREATMENT CENTER FOR REPEATED MISCARRIAGE/PREGNANCY LOSS); - OBSTETRICAL MEDICINE (TREATS MEDICAL COMPLICATIONS IN PREGNANCY); AND - GENERAL OBSTETRICS AND GYNECOLOGY. FOR MORE THAN 40 YEARS, A REGIONAL PROVIDER OF COMPREHENSIVE CANCER SERVICES ACCREDITED BY THE COMMISSION ON CANCER, INCLUDING A FREE-STANDING ADULT ONCOLOGY CENTER, RADIATION ONCOLOGY, OUTPATIENT CHEMOTHERAPY, PROSTATE SEED IMPLANTATION, A NATIONALLY ACCREDITED BREAST CENTER, BREAST CANCER TREATMENT, GYNECOLOGIC ONCOLOGY, MINIMALLY INVASIVE SURGERY, CYBERKNIFE ROBOTIC RADIOSURGERY, DA VINCI ROBOTICALLY ASSISTED SURGERY, AND SUPPORT GROUPS. SPECIALIZES IN INTEGRATED GERIATRIC MEDICINE, OFFERING SERVICES AND SATELLITE CENTERS THAT INCLUDE GERIATRIC EVALUATION AND MANAGEMENT SERVICE (INTENSIVE OUTPATIENT PROGRAM FOR FRAIL SENIORS), WITH LOCATIONS IN MONROE AND NEW BRUNSWICK, AND COMMUNITY NURSING CARE AT EIGHT RETIREMENT COMMUNITIES IN MONROE. THE SAINT PETER'S THYROID AND DIABETES CENTER, RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN ALL AREAS OF DIABETES EDUCATION. THE DEPARTMENT OF MEDICAL GENETICS AND GENOMIC MEDICINE, THE SOLE HOSPITAL-BASED PROVIDER OF GENETICS SERVICES TO INFANTS, CHILDREN AND ADULTS IN CENTRAL NEW JERSEY, COUNSELS, TESTS AND TREATS THOSE WITH A FAMILY HISTORY OF CHROMOSOME ABNORMALITIES, BIRTH DEFECTS, SKELETAL DYSPLASIA, CANCER SYNDROMES AND OTHER TYPES OF INHERITED DISORDERS. WOMEN'S HEALTH SERVICES, INCLUDING IMAGING SERVICES, GENERAL OB/GYN, MIDWIFERY SERVICES, BREAST DISEASE, UROGYNECOLOGY, GYNECOLOGIC ONCOLOGY AND SAINT PETER'S GIANNA CENTER, DEDICATED TO PROVIDING A MORE NATURAL ALTERNATIVE TO ASSISTED REPRODUCTIVE TECHNOLOGIES SUCH AS IN VITRO FERTILIZATION AND COMPREHENSIVE GYNECOLOGIC PRIMARY CARE AND SPECIALIZED FERTILITY AND FAMILY PLANNING TECHNIQUES USED TO UNMASK THE TRUE CAUSES OF INFERTILITY FOR ALL WOMEN, REGARDLESS OF FAITH. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SPECIALTY SERVICES ================== REGIONAL PERINATAL CENTER (RPC): DELIVERING NEARLY 5,300 BABIES ANNUALLY, SAINT PETER'S OFFERS ONE OF THE LARGEST, MOST SOPHISTICATED MATERNITY PROGRAMS IN THE COUNTRY. THE HOSPITAL WAS THE FIRST REGIONAL PERINATAL CENTER IN NEW JERSEY AND SPECIALIZES IN HIGH-RISK PREGNANCY. THE ANTENATAL TESTING UNIT IS ONE OF THE LARGEST UNITS OF ITS KIND AND FEATURES 3D AND 4D ULTRASOUND TESTING. SPECIALTY MATERNAL-FETAL MEDICINE PROGRAMS INCLUDE THE INFANT AND PERINATAL LOSS EVALUATION PROGRAM AND THE INFANT PREMATURITY ASSESSMENT AND PREVENTION PROGRAM. NEONATAL INTENSIVE CARE UNIT (NICU): SAINT PETER'S OPERATES A 54-BASSINETT, LEVEL IV NICU, THE LARGEST IN CENTRAL NEW JERSEY AND THE FIRST IN THE STATE, WHICH INCLUDES THE NEONATAL RETINA CENTER, PROVIDING LASER SURGERY FOR RETINOPATHY OF PREMATURITY AND OUTPATIENT OPHTHALMOLOGY SERVICES, AND THE INFANT APNEA CENTER. SPECIAL TRAINING IN CARING FOR THESE FRAGILE BABIES IS PROVIDED TO PARENTS AND SUPPORT GROUPS ARE OFFERED. RANKED AMONG THE TOP 50 BEST CHILDREN'S HOSPITALS FOR NEONATOLOGY IN THE NATION AND TOPS IN NEW JERSEY IN U.S. NEWS AND WORLD REPORT'S BEST CHILDREN'S HOSPITALS FOR THREE CONSECUTIVE YEARS (2019, 2020 AND 2021). CANCER PROGRAM: INCLUDES A 24-BED INPATIENT UNIT AND OUTPATIENT SERVICES INCLUDING RADIATION AND INFUSION THERAPIES AND SURGERY. THE PROGRAM PROVIDES STATE-OF-THE-ART TREATMENTS SUCH AS IMRT, CYBERKNIFE AND BREAST CANCER SERVICES. THE HOSPITAL IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER AS A TEACHING HOSPITAL CANCER PROGRAM AND IS THE RECIPIENT OF THE COMMISSION ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THE SAINT PETER'S BREAST CENTER IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS. GERIATRIC SERVICES: A COMPLETE AND MULTIDISCIPLINARY PROGRAM OF GERIATRIC MEDICINE, WITH AN OUTPATIENT GERIATRIC EVALUATION AND MANAGEMENT SERVICE FOR THE FRAIL ELDERLY, ESPECIALLY THOSE WITH ALZHEIMER'S DISEASE. OUTPATIENT SERVICES ARE AVAILABLE THROUGH SAINT PETER'S PHYSICIAN ASSOCIATES WITH LOCATIONS IN MONROE AND NEW BRUNSWICK. THE THYROID AND DIABETES CENTER: RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN ALL AREAS OF DIABETES EDUCATION, THE CENTER DIAGNOSES, TREATS, EDUCATES AND HELPS PATIENTS MANAGE THIS CHRONIC DISEASE. CERTIFIED DIABETES EDUCATORS SERVE ALL INPATIENTS THROUGHOUT SAINT PETER'S, AND THE HOSPITAL HAS A DEDICATED METABOLIC INPATIENT UNIT FOR PATIENTS WITH DIABETES. THE CENTER PROVIDES EXTENSIVE INPATIENT AND OUTPATIENT EDUCATION AND THE MOST CURRENT DIAGNOSTICS AND TREATMENTS, INCLUDING PUMP THERAPY. SURGERY: ORTHOPEDIC PROCEDURES, INCLUDING HIPS, KNEES AND SPINES AND THE NAVIO SURGICAL SYSTEM. GENERAL, VASCULAR AND OTHER SURGICAL PROCEDURES, INCLUDING BARIATRIC, COLORECTAL AND EAR, NOSE AND THROAT, ARE ALSO AVAILABLE. SAME-DAY PROCEDURES ARE PERFORMED IN THE CARES SURGICENTER. GENERAL AND SPECIALTY PEDIATRIC SURGERIES ARE PERFORMED AND SUPPORTED BY THE LARGEST GROUP OF PEDIATRIC ANESTHESIOLOGISTS IN THE AREA. WOMEN'S SERVICES INCLUDES UROGYNECOLOGY, BREAST DISEASE, GENERAL OB/GYN, MIDWIFERY SERVICES, AND GYNECOLOGIC ONCOLOGY. THE WOMEN'S IMAGING CENTER PROVIDES DIAGNOSTIC SERVICES INCLUDING HOLOGICGENIUST3D MAMMOGRAPHYT AND BONE DENSITY TESTING AND A COMPLETE PROGRAM FOR THE DIAGNOSIS AND TREATMENT OF BREAST CANCER IS AVAILABLE THROUGH SAINT PETER'S BREAST CENTER. DEPARTMENT OF MEDICAL GENETICS AND GENOMIC MEDICINE COUNSELS, DIAGNOSES AND TREATS INDIVIDUALS AND FAMILIES WITH A HISTORY OF INHERITED DISEASES, INCLUDING PRENATAL THROUGH ADULT SERVICES. THE DEPARTMENT SERVES AS BOTH A REGIONAL CENTER FOR INHERITED METABOLIC DISORDERS AND A REGIONAL CENTER FOR MEDICAL GENETIC SERVICES FOR CENTRAL NEW JERSEY. SAINT PETER'S IS HOME TO ONE OF THE LARGEST COMPREHENSIVE LYSOSOMAL DISEASE THERAPY CENTERS IN THE UNITED STATES. THE DEPARTMENT PROVIDES COMPREHENSIVE TESTING, TREATMENT AND LIFETIME MANAGEMENT FOR INFANTS FOUND TO HAVE AN INHERITED METABOLIC DISORDER. PRENATAL SERVICES ARE ALSO PROVIDED. THE TEAM INCLUDES GENETICISTS, GENETIC COUNSELORS, ENDOCRINOLOGISTS, NUTRITIONISTS AND A PATHOLOGIST. WOUND CARE CENTER AND HYPERBARIC SERVICES PROVIDES TREATMENT FOR NON-HEALING WOUNDS CAUSED BY DIABETES, RADIATION THERAPY, ETC., INCLUDING HYPERBARIC OXYGEN THERAPY CHAMBERS, IN BOTH NEW BRUNSWICK AND MONROE. THE CENTER FOR SLEEP AND BREATHING DISORDERS DIAGNOSES AND TREATS BOTH ADULTS AND CHILDREN WITH SLEEP APNEA AND OTHER SLEEPING DISORDERS. FAMILY HEALTH CENTER: LOCATED AT 123 HOW LANE IN NEW BRUNSWICK, THE CENTER OFFERS COMPLETE MEDICAL AND SUBSPECIALTY SERVICES FOR UNDERSERVED ADULTS AND CHILDREN THROUGH ITS ADULT FACULTY PRACTICE, PEDIATRIC FACULTY GROUP AND WOMEN'S AMBULATORY CARE SERVICES. THE CENTER ALSO PROVIDES SOCIAL SERVICES, DIETITIAN SERVICES AND PHYSICAL MEDICINE. ENDOSCOPY: OFFERS STATE-OF-THE-ART DIAGNOSTIC SERVICES AND TREATMENTS FOR DISEASES OF THE GASTROINTESTINAL TRACT. ALSO INCLUDES LITHOTRIPSY, A NON-INVASIVE SHOCK-WAVE TREATMENT FOR THE REMOVAL OF KIDNEY STONES. COMMUNITY HEALTH SERVICES: A TEAM OF NURSES AND CLINICIANS TRAVELS THROUGHOUT CENTRAL NEW JERSEY WITH STAFF PROVIDING HEALTH SCREENINGS, VACCINATIONS AND WELLNESS EDUCATION TO BUSINESSES, SENIOR CENTERS, SOUP KITCHENS AND OTHERS. A 34-FOOT-LONG SPECIALLY EQUIPPED VAN SERVES AS A MOBILE HEALTH UNIT. REFERRALS ARE PROVIDED. THE CHILDREN'S HOSPITAL AT SAINT PETER'S UNIVERSITY HOSPITAL ------------------------------------------------------------ CARING FOR CHILDREN HAS ALWAYS BEEN VERY IMPORTANT FOR SAINT PETER'S. AS A STATE-DESIGNATED CHILDREN'S HOSPITAL, WE OFFER MANY SPECIALTY SERVICES FOR CHILDREN. WE CARE FOR HIGH-RISK BABIES AND SERIOUSLY ILL CHILDREN IN OUR NEONATAL INTENSIVE CARE AND PEDIATRIC INTENSIVE CARE UNITS. OUR CHILD LIFE PROGRAM HELPS TO EDUCATE AND PREPARE CHILDREN FOR THEIR STAY AT SAINT PETER'S, WHILE OUR PEDIATRIC EMERGENCY DEPARTMENT CAN HANDLE ANY INJURY OR ILLNESS A CHILD MAY HAVE. AT THE CHILDREN'S HOSPITAL AT SAINT PETER'S, WE CARE FOR 9,000 INPATIENTS AND OVER 45,000 OUTPATIENTS EACH YEAR IN OUR FACILITIES AND THE DOROTHY B. HERSH PEDIATRIC EMERGENCY DEPARTMENT. SERVICES INCLUDE: - AN EIGHT-BED PEDIATRIC INTENSIVE CARE UNIT (PICU) STAFFED BY PEDIATRIC INTENSIVISTS AND SPECIALLY TRAINED PEDIATRIC NURSES. - A DEDICATED PEDIATRIC EMERGENCY DEPARTMENT THAT TREATS MORE THAN 24,500 CHILDREN ANNUALLY (THE NEWLY RECONSTRUCTED FACILITY OPENED IN APRIL 2013). - CHOP CARDIAC CENTER. - COMPREHENSIVE PEDIATRIC SURGERY, INCLUDING MINIMALLY INVASIVE SERVICES AND PEDIATRIC ORTHOPEDIC SURGERY INCLUDING ANTERIOR SCOLIOSIS CORRECTION. - THE LARGEST GROUP OF SPECIALLY TRAINED PEDIATRIC ANESTHESIOLOGISTS IN THE AREA, AVAILABLE 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK. - A DIVISION OF PEDIATRIC HEMATOLOGY-ONCOLOGY THAT INCLUDES INFUSION SERVICES AND A VASCULAR CLINIC. - A REGIONAL CRANIOFACIAL-NEUROSURGICAL CENTER SPECIALIZING IN THE CORRECTION OF CLEFT LIP AND CLEFT PALATE (UNIQUE TO THE REGION). - PEDIATRIC ENDOCRINOLOGY DIVISION RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN DIABETES EDUCATION. MARY V. O'SHEA BIRTH CENTER --------------------------- IN 2019, THE HOSPITAL OPENED THE ONLY MIDWIFERY-LED, HOSPITAL-BASED BIRTH CENTER IN NEW JERSEY. THE MARY V. O'SHEA BIRTH CENTER EXPERIENCE IS BASED ON THE MIDWIFERY MODEL OF CARE THAT EMBRACES PREGNANCY AND BIRTH AS A NORMAL PHYSIOLOGIC PROCESS, HIGHLIGHTING SHARED DECISION-MAKING, MINIMAL INTERVENTIONS, AND THE EMPOWERMENT OF WOMEN AS PARTNERS IN THEIR CARE. THE BIRTH CENTER, STAFFED BY CERTIFIED NURSE-MIDWIVES, SUPPORTS A NATURAL BIRTH WITHOUT ANY PAIN MEDICATION. THE CENTER IS EQUIPPED TO OFFER A VARIETY OF NONPHARMACEUTICAL PAIN MANAGEMENT OPTIONS INCLUDING: - HYDROTHERAPY - AROMATHERAPY - NERVE STIMULATION - STERILE WATER PAPULES - VARIOUS MASSAGE TECHNIQUES CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS OTHER SERVICES ============== THE CENTER FOR DIABETES SELF-MANAGEMENT EDUCATION: DIAGNOSES AND TREATS CHILDREN WITH DIABETES AND OTHER ENDOCRINE DISORDERS, EMPHASIZING FAMILY MANAGEMENT AND SUPPORT. THE CENTER OFFERS PUMP THERAPY TO APPROPRIATE PATIENTS AND SUPPORT GROUPS. CRANIOFACIAL AND NEUROSURGICAL CENTER OFFERS CORRECTIVE SURGERY, MULTIDISCIPLINARY SUPPORT AND FOLLOW-UP SERVICES AND SUPPORT GROUPS FOR CHILDREN BORN WITH CLEFT LIP, CLEFT PALATE AND OTHER FACIAL DEFORMITIES. MEMBERS OF THE MULTIDISCIPLINARY MEDICAL TEAM ARE ACTIVE WITH OPERATION SMILE AND HEAL THE CHILDREN. THE STAFF OF THE CENTER IS RECOGNIZED AS A "CROSS-SPECIALTY TEAM" ONE OF THE HIGHEST RECOGNITIONS DESIGNATED BY THE AMERICAN CLEFT PALATE-CRANIOFACIAL ASSOCIATION (ACPA). DOROTHY B. HERSH REGIONAL CHILD PROTECTION CENTER IS A STATE-DESIGNATED REGIONAL DIAGNOSTIC AND TREATMENT CENTER FOR CHILD ABUSE PREVENTION. THE CENTER IDENTIFIES ABUSE, PROVIDES MEDICAL AND PSYCHOLOGICAL EVALUATION AND REFERRALS TO VICTIMS AND FAMILIES, SERVES AS EXPERT WITNESSES AND EDUCATES CHILD CARE AND LAW ENFORCEMENT PROFESSIONALS. IT SERVES MIDDLESEX, SOMERSET, MERCER, HUNTERDON, MONMOUTH, OCEAN, UNION AND WARREN COUNTIES. THE CHILD PROTECTION CENTER WAS THE ONLY CENTER OF ITS TYPE OPEN DURING THE PANDEMIC. FOR KEEPS - KIDS EMBRACED AND EMPOWERED THROUGH PSYCHOLOGICAL SERVICES PROVIDES MENTAL HEALTH DIAGNOSES AND INTENSIVE TREATMENT FOR AREA CHILDREN, AGES 5 THROUGH 17, WHO SUFFER FROM EMOTIONAL OR BEHAVIORAL DIFFICULTIES THAT NEGATIVELY INFLUENCE THEIR ABILITY TO FUNCTION SUCCESSFULLY IN A SOCIAL ENVIRONMENT. FOR KEEPS IS A FULL-TIME DAY PROGRAM WHERE CHILDREN RECEIVE ACADEMIC INSTRUCTION IN ADDITION TO BEHAVIORAL AND PSYCHOLOGICAL TREATMENTS THROUGH COLLABORATION AMONG DOCTORS, NURSES, SOCIAL WORKERS AND COUNSELORS. ALSO, MEETING THE NEEDS OF THE POOR AND UNDERSERVED, SAINT PETER'S UNIVERSITY HOSPITAL TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS EVIDENT BY, BUT NOT LIMITED TO, THE FOLLOWING: - OPERATING MORE THAN 50 CLINICS AND MORE THAN 146,000 VISITS IN PEDIATRIC AND PEDIATRIC SUBSPECIALTIES, ADULT MEDICINE AND SUBSPECIALTIES, WOMEN'S HEALTH AND SUBSPECIALTIES, AND GERIATRIC MEDICINE AND SUBSPECIALTIES. - SAINT PETER'S SPORTS MEDICINE INSTITUTE OFFERS A MULTIDISCIPLINARY APPROACH TO TREATMENT THAT RECOGNIZES THE UNIQUE RELATIONSHIP BETWEEN SPORTS MEDICINE, ORTHOPEDIC SURGERY AND PHYSICAL REHABILITATION. - THE SIMULATION CENTER FOR INTERPROFESSIONAL LEARNING OFFERS TWO SEPARATE AND DISTINCT SPECIALTY AREAS - AN INSTITUTE FOR BEDSIDE MEDICINE (IBM) AND AN INSTITUTE FOR TECHNICAL SIMULATION (ITS). OTHER COMMUNITY BENEFIT PROGRAMS/SUPPORT GROUPS/SCREENINGS: - ADULT COMMUNITIES: CONCORDIA, CLEARBROOK, THE PONDS, GREENBRIAR AT WHITTINGHAM, ROSSMOOR, STONEBRIDGE, ENCORE AND RENAISSANCE - COMMUNITY HEALTH SERVICES MOBILE HEALTH VAN - PEDIATRIC CALL CENTER - FAMILY HEALTH CENTER - ADULT, CHILDREN AND WOMEN'S AMBULATORY SERVICES - THYROID AND DIABETES CENTER - GERIATRICS - CHILD PROTECTION CENTER - INFECTION CONTROL - MARKETING AND MEDIA RELATIONS - PHARMACY - EMPLOYEE HEALTH SERVICES - MAIN KITCHEN FOOD SERVICES - PERINATAL SERVICES - MIDWIFERY SERVICES - COMMUNITY OUTREACH - OPIOID TASK FORCE - PASTORAL CARE - VOLUNTEER SERVICES - MEDICAL LIBRARY - CRANIOFACIAL AND NEUROSURGICAL CENTER - ABSTINENCE EDUCATION - FERTILITY AWARENESS - SOUP KITCHEN - ELIJAH'S PROMISE - SPEAKERS BUREAU - BREAST CANCER SUPPORT GROUP - LEUKEMIA, LYMPHOMA, AND MYELOMA SUPPORT GROUP - LIVING WITH CANCER SUPPORT GROUP - NEW VISIONS SUPPORT GROUP - ADVANCED CARDIAC LIFE SUPPORT - ADVANCED CARDIAC LIFE SUPPORT RENEWAL - BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDERS - CPR FOR FAMILY AND FRIENDS - FIRST AID - HEARTSAVER AED ADULT/PEDIATRIC - DIABETES SELF-MANAGEMENT EDUCATION - GESTATIONAL DIABETES SELF-MANAGEMENT EDUCATION - PREVENT T2 PROGRAM (DIABETES) - ALZHEIMER'S CAREGIVERS - BEREAVEMENT SUPPORT GROUP - CAREGIVERS SUPPORT GROUP - PREGNANCY AFTER LOSS SUPPORT GROUP - SHARE SUPPORT GROUP - BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS - OSTEOPOROSIS SCREENINGS - BODY MASS INDEX SKIN SCREENINGS - SKIN CANCER SCREENINGS - BREAST HEALTH INFORMATION AND SELF-EXAM INSTRUCTION - PARENT EDUCATION - BABY CARE - BIRTH CENTER CLASS - PRENATAL YOGA AND EXERCISE CLASS - PREPARED CHILDBIRTH/LAMAZE CLASS - BREASTFEEDING - BREASTFEEDING SUPPORT GROUP - NEW DADDY CLASS - NEW MOM SUPPORT GROUP - PRENATAL NUTRITION CLASS - SIBLING CLASS - GRANDPARENTS CLASS - MARVELOUS MULTIPLES - HYPNOBIRTHING CLASS - CYBERKNIFE ROBOTIC RADIOSURGERY - BREAST CENTER AFFILIATIONS ============ SAINT PETER'S HAS DEVELOPED AFFILIATIONS WITH SOME OF THE LEADING MEDICAL INSTITUTIONS IN THE COUNTRY IN ORDER TO BRING THE BEST CARE POSSIBLE TO CENTRAL NEW JERSEY. AS A TEACHING HOSPITAL, SAINT PETER'S SPONSORS RESIDENCY PROGRAMS IN INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, AND PEDIATRICS. THE HOSPITAL IS A MAJOR CLINICAL AFFILIATE OF RUTGERS BIOMEDICAL AND HEALTH SCIENCES. THROUGH THIS RELATIONSHIP, RUTGERS MEDICAL STUDENTS SPEND THEIR ENTIRE THIRD AND FOURTH YEARS OF MEDICAL SCHOOL AT SAINT PETER'S TO GAIN KNOWLEDGE AND EXPERIENCE IN A HOSPITAL SETTING. THIS TEACHING ENVIRONMENT FOSTERS AN EXCHANGE OF IDEAS AND COLLABORATION AMONG THE PHYSICIANS OF TODAY AND THOSE OF TOMORROW. AN AGREEMENT WITH KEAN UNIVERSITY ENHANCES OUR EDUCATIONAL PROGRAMS AND, IN TURN, PROVIDES MEDICAL STUDENTS AND RESIDENTS WITH OPPORTUNITIES TO BECOME THE BEST DOCTORS POSSIBLE. AS A STATE-DESIGNATED CHILDREN'S HOSPITAL, WE ARE COMMITTED TO PROVIDING THE BEST CARE POSSIBLE, WHICH IS WHY WE HAVE AN AFFILIATION WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP). OUR ASSOCIATION WITH THE MOST RESPECTED CHILDREN'S HOSPITAL IN THE NATION MEANS THAT AMERICA'S TOP SPECIALISTS IN PEDIATRIC MEDICINE AND, IN PARTICULAR, PEDIATRIC CARDIAC CARE, ARE AVAILABLE TO FAMILIES LIVING IN CENTRAL NEW JERSEY. COMMITMENT TO TEACHING ====================== SAINT PETER'S UNIVERSITY HOSPITAL IS COMMITTED TO THE EDUCATION OF HEALTHCARE PROFESSIONS AT MANY LEVELS. SPUH IS AFFILIATED WITH RUTGERS ROBERT WOOD JOHNSON MEDICAL SCHOOL AND SAINT GEORGES MEDICAL SCHOOL. BOTH ORGANIZATIONS SEND SOME OF THEIR THIRD- AND FOURTH-YEAR MEDICAL STUDENTS TO SPUH TO COMPLETE THEIR GRADUATE EDUCATION. SPUH SPONSORS ITS OWN MEDICAL RESIDENCY PROGRAMS IN INTERNAL MEDICINE, PEDIATRICS, AND OBSTETRICS AND GYNECOLOGY ALONG WITH FELLOWSHIPS IN GASTROENTEROLOGY AND PULMONOLOGY. IN ADDITION, RUTGERS AND THE NEW JERSEY MEDICAL SCHOOL SEND SPUH ROTATIONS OF MEDICAL RESIDENTS IN ORTHOPEDICS, GENERAL SURGERY, RADIOLOGY AND FELLOWS IN NEONATOLOGY. RUTGERS SCHOOL OF PHARMACY HAS PHARMACY STUDENT ROTATIONS AT SPUH. THE FOLLOWING COLLEGES, CHAMBERLAIN, COLLEGE OF NEW JERSEY, RUTGERS AND SETON HALL, SEND THEIR BSN STUDENTS TO SPUH FOR THEIR PRACTICAL EXPERIENCE AS PART OF THEIR UNDERGRADUATE DEGREE PROGRAM. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SAINT PETER'S HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE SAINT PETER'S HEALTH CARE SYSTEM, INC. AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING, BUT NOT LIMITED TO, THE CHIEF FINANCIAL OFFICER, CONTROLLER AND OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE, FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS APPROVAL, THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE REVIEWED THE FORM 990 AT A REGULARLY SCHEDULED MEETING. IN ADDITION, THE CPA FIRM GAVE A FORM 990 PRESENTATION AT THIS MEETING. THEREAFTER, THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THE CHIEF COMPLIANCE OFFICER THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED BY AN INDIVIDUAL ON AN INDIVIDUAL BASIS. POTENTIAL CONFLICTS WERE THEN REVIEWED AND DISCUSSED AT A MEETING WITH THE SYSTEM'S CHIEF COMPLIANCE OFFICER, CHIEF FINANCIAL OFFICER, CONTROLLER AND DIRECTOR OF INTERNAL AUDIT. THE SUMMARY IS PRESENTED TO THE CORPORATE SECRETARY FOR REFERENCE, REVIEW AND DISCUSSION DURING BOARD MEETINGS. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE HOSPITAL TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1) THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2) THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3) THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE HOSPITAL'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE HOSPITAL. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 18 Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J LESLIE D. HIRSCH, FACHE, IS A VOTING BOARD MEMBER/OFFICER OF THE ORGANIZATION'S BOARD OF TRUSTEES; AN UNCOMPENSATED POSTION. MR. HIRSCH IS EMPLOYED BY A RELATED ORGANIZATION AND IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF SAINT PETER'S HEALTHCARE SYSTEM, INC. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH SAINT PETER'S HEALTHCARE SYSTEM, INC. (EIN: 26-2019056). SAINT PETER'S HEALTHCARE SYSTEM, INC. FILED A 2021 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. HIRSCH'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR KEY EMPLOYEES LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NON-OPERATING NET PERIODIC PENSION COST - ($1,213,547); - CHANGE IN PENSION LIABILITY - $32,970,958; - NET CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - $1,881,030; - NET TRANSFER OF EQUITY FROM A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $51,000; - RESTRICTED GIFTS AND CONTRIBUTIONS - $6,051; - NET ASSETS RELEASED FROM RESTRICTIONS - ($1,051); AND - DONATED EQUIPMENT AND OTHER CHANGES IN NET ASSETS - $1,498,000. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS SAINT PETER'S HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT PETER'S HEALTHCARE SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. ST PETER'S FOUNDATION 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 222329197 FUNDRAISING NJ 501(C)(3) 509(A)(1) SPHCS false SAINT PETER'S HEALTH & MGMT SVCS CORP 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 270045088 SUPPORT SPUH NJ 501(C)(3) 509(A)(3) SPHCS false ST PETER'S HEALTHCARE SYSTEM INC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 262019056 HOLDING CO. NJ 501(C)(3) 509(A)(3) N/A false ST PETER'S PROPERTIES CORPORATION 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 222428823 REAL ESTATE NJ 501(C)(2) N/A SPHCS false NEW BRUNSWICK AFFILIATED HOSPITALS INC 120 ALBANY STREET SUITE 750 NEW BRUNSWICK NJ 08901 221946837 HLTHCARE SVCS NJ 501(C)(3) 509(A)(3) RWJHCC false SAINT PETER'S HEALTHCARE SYST PHYS ASSOC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 274645523 HLTHCARE SVCS NJ 501(C)(3) 509(A)(3) SPUH true MARGARET MCLAUGHLIN MCCARRICK CARE CNTR 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 222577732 INACTIVE NJ 501(C)(3) 509(A)(1) SPUH true CARES SURGICENTER LLC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 223557777 HLTHCARE SVCS NJ SAINT PETER'S SOLAR ENERGY SOLUTIONSINC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 223351339 SOLAR ENERGY NJ NA C CORP. false PARK AVENUE COLLECTIONS CORP 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 208498534 INACTIVE NJ SPUH C CORP. 0 0 1.00000 true RISK ASSURANCE CO OF SPUH 94 SOLARIS AVENUE 2ND FLOOR GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980417672 FINANCIAL VEHICLE CJ SPUH FOREIGN CORP. 4243956 34826284 1.00000 true SAINT PETER'S SPECIALTY PHYSICIANS PC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 364761935 HEALTHCARE SVCS. NJ SPUH C CORP. 135784 4470 1.00000 true SAINT PETER'S ADVANCED CARE PC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 472597921 INACTIVE NJ SPUH C CORP. 0 0 1.00000 true false false true true true false false false false true true false false true true true true true true RISK ASSURANCE CO OF SPUH R 5133956 COST SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.