2020-11-16T12:16:30-06:00 2019-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2019-01-01 274645523 SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES PC % GARRICK J STOLDT FHFMA CP SAIN 7327458600 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 GARRICK J STOLDT FHFMA CPA CFO 7327458600 2020-11-09 true Scott J Mariani P00642486 9738989494 72.79.35.191 22006220203215000115 2020-11-16 P AB3D14B9BFD2D107A1EE7F3563C6B7B81598F136 37E8050833CFAADA9214AD63907D3FD2C74FA6F2 2019 2021-01-29 14:40:06Z Susan A McManus MD 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 10466361 false X WWW.SAINTPETERSHCS.COM X 2011 NJ THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT PETER'S UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORG. 2 0 135 0 0 0 0 0 12349521 10408305 14461 7080 50976 -9161 12414958 10406224 17324 9394 0 0 14915001 13038687 0 0 0 7211342 6353986 22143667 19402067 -9728709 -8995843 6567321 11226803 63724219 77418088 -57156898 -66191285 X TO SUPPORT THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT PETER'S UNIVERSITY HOSPITAL ("THE HOSPITAL"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR ANY CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAWS (HEREINAFTER REFERRED TO AS THE ("CODE"), INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE CODE. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE PURPOSES OF THE CORPORATION ARE: (A) TO SERVE AS A PHYSICIAN SERVICES COMPONENT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, AND TO THEREBY PROMOTE, S false false 14941751 9394 10408305 EXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT PETER'S UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. 14941751 true false false false false false false false false false true false false true true false true false false false true false false false false false false false true true false false false false false false false false false false false false false true false false false true 31 0 true 135 true false false false false false false false false false false false false false X 2 0 false false false false true true true true true false false true true true true true true true true false X GARRICK J STOLDT FHFMA CP 7327458600 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 X ALMA S RATCLIFFE MD VP - CH CHIE CLIN TRANS OFFICE 0.0 55.0 X X 0 554251 54156 Susan A McManus MD PRESIDENT 55.0 0.0 X X 525097 0 18759 CHARLES D FRANCO MD PHYSICIAN 55.0 0.0 X 388417 0 42798 ANDREW CAMEROTA MD PHYSICIAN 55.0 0.0 X 406752 0 24230 MICHAEL L CARLUCCI M PHYSICIAN 55.0 0.0 X 377780 0 1019 VIKRAM SATHYENDRA MD PHYSICIAN 55.0 0.0 X 334868 0 28028 MAHMOUD EL-BANNA MD PHYSICIAN 55.0 0.0 X 337876 0 1300 2370790 554251 170290 27 false true false ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 BILLING/COLLECTION 473782 1 0 NET PATIENT SERVICE REVENUE 541900 9539178 9539178 OTHER HEALTHCARE RELATED REVENUE 541900 869127 869127 10408305 0 0 0 50976 60137 -9161 0 -9161 -9161 7080 7080 7080 7080 0 0 0 0 0 0 0 0 0 0 10406224 10408305 -2081 0 9394 9394 0 0 543856 418769 125087 0 10193919 7849318 2344601 355987 274110 81877 1284042 988712 295330 660883 508880 152003 481433 370703 110730 0 0 0 0 0 7468 5750 1718 0 319168 245759 73409 0 0 2263629 1742994 520635 18587 14312 4275 0 28836 22204 6632 0 0 330752 254679 76073 306035 235647 70388 PHYSICIAN FEES 1298957 1000197 298760 0 MEDICAL SUPPLIES 159660 122938 36722 0 CONTRACTED SERVICES 128300 98791 29509 0 OTHER EXPENSES 1011161 778594 232567 0 19402067 14941751 4460316 0 X 468849 384276 0 0 0 0 305179 74920 0 0 0 0 0 0 0 0 61484 33103 3351328 1516579 2087443 1834749 0 0 0 0 0 0 0 0 3644366 8899755 6567321 11226803 1771329 1463208 0 0 0 0 0 0 0 0 0 0 0 5312244 0 0 61952890 70642636 63724219 77418088 X -57156898 -66191285 0 0 -57156898 -66191285 6567321 11226803 X -8995843 -38544 X X false true X true false X X X 1 SAINT PETER'S UNIVERSITY HOSPITAL 221487330 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true true true X true true Schedule A, Part IV, Section D, Question 3 and Section E, Question 2 As more fully outlined below, Saint Peters Healthcare System Physician Associates, P.C. ("Physician Associates") IS A SUPPORTING ORGANIZATION OF Saint Peters University Hospital ("Hospital"); AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT HOSPITAL UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). ALL DECISIONS REGARDING Physician Associates INVESTMENT POLICIES AND USE OF ITS INCOME OR ASSETS ARE MADE by Hospital on behalf of Physician Associates through their relationship. Physician Associates was formed in 2011 as a professional corporation under The Professional Service Corporation Act of New Jersey (Title 14A) to support Hospital by practicing medicine, engaging in medical education and working to improve the welfare of individuals in New Jersey. As described below, Physician Associates constitutes a significant portion of the clinical services physician practice plans of Hospital. Physician Associates is an integral part of Hospitals membership in Saint Peters Healthcare System and Affiliates; a tax-exempt, integrated healthcare delivery system. Saint Peters Healthcare System, Inc. ("System") is the tax-exempt parent of Saint Peters Healthcare System. Physician Associates is controlled by Hospital through System and Physician Associates sole physician shareholder. Due to corporate practice of medicine prohibition rules and regulations in the State of New Jersey, Susan McManus, M.D., an employee of Physician Associates, is the sole shareholder and nominee owner of Physician Associates for the benefit of Hospital. New Jersey corporate practice of medicine prohibition rules and regulations do not permit Hospital to serve as the shareholder of Physician Associates. Control by Hospital of Physician Associates is insured and will continue based on the fact that Dr. McManus is an employee of Physician Associates and a member of Hospitals medical staff. Physician Associates has entered into Administrative Service Agreements with both System and Hospital dated April 1, 2011. These Administrative Agreements were drafted for the purpose of Hospital and System to provide administrative, managerial and support services to Physician Associates. The Administrative Service Agreements, together with Dr. McManus employment at Physician Associates, ensures structural and financial control of Physician Associates by Hospital. Article Second of Physician Associates Amended and Restated Certificate of Incorporation states that Physician Associates is organized exclusively for charitable, educational and scientific purposes within the meaning of IRC 501(c)(3) including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under IRC 501(c)(3). The Amended and Restated Certificate of Incorporation provides that Physician Associates specific purposes are: - To serve as a physician services component of an integrated healthcare delivery system, and to thereby promote, support, and further the charitable purposes and interests of Saint Peters University Hospital, a nonprofit organization exempt from taxation under IRC 501(c)(3). Pursuant to IRC 509(a)(3), Physician Associates shall be operated for the benefit of, to carry out the purposes of, and to support the Hospital; - To provide high quality medical care as part of and in conjunction with the Hospital and consistent with (i) the Hospitals charitable purposes, (ii) the other purposes of Physician Associates, (iii) the rules and regulations of the New Jersey State Board of Medical Examiners and (iv) the Ethical and Religious Directives for Catholic Healthcare Services; - To provide medical care for all of the sick and injured who present for diagnosis, treatment and care without regard to race, color, creed, sex, age or ability to pay for services; - To establish, maintain, sponsor and promote activities relating to the improvement of human health and provision of care to the sick, injured, or disabled, including educational and/or research programs and other programs designed and carried on to improve the physical, psychological and emotional health and welfare of persons living in the surrounding community; - To staff, operate and manage certain outpatient facilities sponsored by the Hospital, to ensure that these facilities are operated efficiently, provide a high quality of medical care, and operate consistent with the Hospitals charitable purposes; and - To do such acts and carry on such businesses as may be authorized for professional corporations under Section 14:9-5(3) of the New Jersey Business Corporation Act, subject to the limitations of the Act, and to the limitations contained in Physician Associates Bylaws. Physician Associates is a medical practice component of Hospital and provides medical services, medical research and education of Hospital residents and medical students. In its role as a medical practice component of Hospital and as an educator, medical students and medical residents of Hospital receive education and training at Physician Associates through medical rotations. These activities further the charitable purposes of Physician Associates and the charitable purposes of Hospital by providing medically necessary healthcare services to all individuals. Physician Associates was formed to (1) expand Hospitals and, thus, Systems integrated healthcare delivery system throughout primarily Middlesex County, New Jersey, (2) be a seamless extension of Hospitals healthcare services and (3) operate for the convenience of Hospitals patients. Consistent with Hospitals general practice described above, Physician Associates is staffed by its own physicians and leased Hospital employed physicians. Although not required, all physicians employed by Physician Associates have admitting privileges at Hospital. Physician Associates performs a crucial function in Hospitals and, thus, Systems integrated healthcare delivery system in New Jersey. Physician Associates supports Hospital by reaching out into the community and thereby allowing Hospital to deliver its state-of-the-art healthcare services to a larger patient base than it would otherwise be able to reach. This community service, includes, but is not limited to, the physicians of Physician Associates providing speaking engagements to the community at no cost in order to educate the public on various medical and healthcare issues. Physician Associates is a diversified multi-specialty group whose physicians are very active within the community and in assisting Hospital and System. Under current IRS Rules and Regulations, an IRC 509(a)(3) supporting organization must satisfy the following three requirements: 1. Organizational and Operational Tests The organization must be organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported charities ("Organizational and Operational Tests"); 2. Relationship Test The organization must be operated, supervised, or controlled by or in connection with one or more publicly supported charities ("Relationship Test"). 3. Disqualified Persons Test The organization must not be controlled directly or indirectly by any disqualified person ("Disqualified Persons Test"). As outlined herein, Physician Associates satisfies the requirements for IRC 509(a)(3) Type III functionally integrated supporting organization classification. Physician Associates, as a Type III functionally integrated supporting organization of Hospital satisfies the following three requirements for supporting organization classification: 1. The relationship between Physician Associates and Hospital has been both continuous and historic while the activities of Physician Associates and Hospital have been, and will continue to be, extremely closely connected ("Organizational and Operational Tests"); 2. Physician Associates is supervised and controlled in connection with Hospital, a publicly supported charity ("Relationship Test"); through System, and 3. Physician Associates is not controlled directly or indirectly by any disqualified person ("Disqualified Persons Test"). The organizational test is satisfied because there has been a historical and continuous relationship between Physician Associates and Hospital. Physician Associates satisfies the requirements of the operational test by operating exclusively in furtherance of Hospitals charitable purpose. The activities of Physician Associates and Hospital have been and will continue to be extremely closely connected to each other. The relationship test subpart, that the supporting organization be "supervised or controlled in connection with" its supported organization, is also met because Physician Associates is under the direct supervision and control of Hospital, thus ensuring that Physician Associates will remain responsive to Hospital. Lastly, Physician Associates is not controlled by disqualified persons. Physician Associates satisfies the 2716897 1092953 1623944 634431 423626 210805 1834749 OTHER RECEIVABLES 13444 SECURITY DEPOSIT 26241 DUE FROM THIRD PARTY 3547826 RIGHT TO USE LEASED ASSETS 5312244 8899755 0 DUE TO THIRD PARTY 70642636 70642636 Central America and the Caribbean Program Services FINANCIAL VEHICLE 306035 306035 306035 false false false false false false SCHEDULE F, PART I SAINT PETER'S UNIVERSITY HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID RISK ASSURANCE CO., A FINANCIAL VEHICLE, $306,035; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. TUITION ASSISTANCE 4 9394 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL AND HUMAN RESOURCES DEPARTMENT PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X false true false false false false false true false ALMA S RATCLIFFE MD VP - CH CHIE CLIN TRANS OFFICE 0 442442 0 78523 0 33286 0 36522 0 17634 0 608407 0 0 Susan A McManus MD PRESIDENT 465208 0 25000 0 34889 0 6300 0 12459 0 543856 0 0 0 CHARLES D FRANCO MD PHYSICIAN 377765 0 4531 0 6301 0 6300 0 36498 0 431395 0 0 0 ANDREW CAMEROTA MD PHYSICIAN 400030 0 2495 0 4227 0 3492 0 20738 0 430982 0 0 0 MICHAEL L CARLUCCI MD PHYSICIAN 372969 0 3556 0 1255 0 0 0 1019 0 378799 0 0 0 VIKRAM SATHYENDRA MD PHYSICIAN 324345 0 10000 0 523 0 0 0 28028 0 362896 0 0 0 MAHMOUD EL-BANNA MD PHYSICIAN 328114 0 9362 0 400 0 0 0 1300 0 339176 0 0 0 SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL 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, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED THEIR 2019 FORM W-2, AS TAXABLE MEDICARE WAGES: ALMA S. RATCLIFFE - $28,797. SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2019 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2019 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. CORE FORM, PART VI, SECTION A; QUESTIONS 1 ALTHOUGH A MAJORITY OF SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES, P.C.'S VOTING MEMBERS OF THE BOARD ARE NOT INDEPENDENT, UNDER THE INTERNAL REVENUE SERVICE FORM 990 RULES AND REGULATIONS, THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT PETER'S HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM, HAS A BOARD OF TRUSTEES; THE MAJORITY OF WHICH ARE INDEPENDENT. THE SYSTEM'S BOARD HAS THE OVERARCHING DUTY AND RESPONSIBILITY FOR GOVERNING ALL AFFILIATES WITHIN THE SYSTEM TO ENSURE THAT THEY ARE OPERATING IN ACCORDANCE WITH AND SUPPORTING THE SYSTEM'S CHARITABLE MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH") IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. SPUH 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 THE SOLE VOTING MEMBER OF ITS GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE SAINT PETER'S HEALTHCARE 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, 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 FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 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. THEREAFTER, THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED BY AN INDIVIDUAL ON AN INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO THE SYSTEM'S CORPORATE SECRETARY FOR REFERENCE 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"), WHICH INCLUDES SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH"). THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL ARE EMPLOYED BY SPUH; THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS REPORTED ON THIS FORM 990 ARE SHOWN BECAUSE THIS PAID INDIVIDUAL IS ALSO AN OFFICER AND/OR BOARD MEMBER OF THIS ORGANIZATION. SPUH HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") THAT REVIEWS THE TOTAL COMPENSATION OF SENIOR MANAGEMENT. TOTAL COMPENSATION 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 SPUH AND SYSTEM 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. 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 REVIEW 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. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE SYSTEM WITH ASSISTANCE FROM SPUH'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 SPUH AND SYSTEM. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'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 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 IS FOR SERVICES RENDERED AS A FULL-TIME EMPLOYEE OF THE ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. THE ORGANIZATION'S SOLE VOTING MEMEBER, SUSAN A. MCMANUS, M.D., LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 IS THE CHIEF MEDICAL OFFICER EMPLOYED BY SPUH AND NOMINEE OWNER OF THIS ORGANIZATION DUE TO CORPORATE PRACTICE OF MEDICINE RULES IN NEW JERSEY. THE HOURS SHOWN FOR DR. MCMANUS REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK ON BEHALF OF THE SYSTEM, NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NON-OPERATING NET PERIODIC PENSION COST; ($38,544). 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, 2019 AND DECEMBER 31, 2018; 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. THE SAINT PETER'S HEALTHCARE SYSTEM, INC. 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. MARGARET MCLAUGHLIN MCCARRICK CARE CNTR 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 222577732 INACTIVE NJ 501(C)(3) 509(A)(1) SPUH false 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 SAINT PETER'S UNIVERSITY HOSPITAL 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 221487330 HLTHCARE SVCS NJ 501(C)(3) HOSPITAL 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 GIANNA PHYSICIAN PRACTICE OF NEW YORK PC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 452043596 HLTHCARE SVCS NY 501(C)(3) 509(A)(2) SPUH false CARES SURGICENTER LLC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 223557777 HEALTHCARE SVCS. NJ NEW BRUNSWICK CARDIAC CATH LAB LLC 240 EASTON AVENUE NEW BRUNSWICK NJ 08901 202419783 HEALTHCARE SVCS. NJ SAINT PETERS SOLAR ENERGY SOLUTIONS INC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 223351339 HOME CARE SVCS. NJ NA C CORP. false PARK AVENUE COLLECTIONS CORP 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 208498534 INACTIVE NJ NA C CORP. false RISK ASSURANCE CO OF SPUH 94 SOLARIS AVENUE 2ND FLOOR GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980417672 FINANCIAL VEHICLE CJ NA FOREIGN CORP. false SAINT PETERS ADVANCED CARE PC 254 EASTEN AVENUE NEW BRUNSWICK NJ 08901 472597921 INACTIVE NJ NA C CORP. false SAINT PETER'S SPECIALTY PHYSYCIANS PC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 364761935 INACTIVE NJ NA C CORP. false false false false true true false false false false false false false false false true false false true false SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH"). SPUH ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.