2019-11-15T10:44:11-06:00 2018-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2018-01-01 221487330 SAINT PETER'S UNIVERSITY HOSPITAL % GARRICK J STOLDT FHFMA CP SAIN 7327458600 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 GARRICK J STOLDT FHFMA CPA CFO 7327458600 2019-11-07 true Scott J Mariani P00642486 9738989494 65.124.179.218 22006220193195000100 2019-11-15 P 0E7AA6D09474FC827FC900BEE833A570B2ABBB6B 082E2311302191F55D0415F63BDE2ABE529C36FD 2018 2020-04-17 16:48:07Z LESLIE D HIRSCH FACHE 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 474091228 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. 12 10 3746 412 0 153801 5770451 3863260 438203964 461847643 8685277 3129328 4138254 5250997 456797946 474091228 83402 180768 0 0 276628320 267885533 0 0 0 186154653 190395582 462866375 458461883 -6068429 15629345 412372000 414283000 390369000 373447000 22003000 40836000 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 353057230 180768 461847643 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. 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CHIEF HR OFFICER 55.0 0.0 X 0 361969 30152 ALYSSA A VERDERAMI ESQ VP; LEGAL AND RISK MGMT 55.0 0.0 X 0 315188 67594 Lisa M Drumbore VP; CHIEF PATIENT EXP OFFICER 55.0 0.0 X 0 261496 62800 DAVID A LASKOW MD CHAIRMAN SURGERY 55.0 0.0 X 608542 0 25704 NAYAN K KOTHARI MD CHAIRMAN MEDICINE 55.0 0.0 X 515791 0 27190 BIPIN N PATEL MD CHAIRMAN PEDIATRICS 55.0 0.0 X 470601 0 26471 EDWIN R GUZMANTERM 123118 CHAIRMAN OB/GYN 55.0 0.0 X 683289 0 19599 ROBERT MULCAHYTERM 122618 VP; FACILITY SAFETY 55.0 0.0 X 0 359028 31835 DAVID OVIEDO VP; SUPPLY CHAIN MANAGEMENT 55.0 0.0 X 0 215252 33422 DAVID E JACOB MD ASSOCIATE CHAIRMAN 55.0 0.0 X 760398 0 49302 ARKADY BRODER MD PHYSICIAN 55.0 0.0 X 642120 0 46776 John Gallucci md physician 55.0 0.0 X 617129 0 41413 I MARK HIATT MD DIRECTOR NEONATOLOGY 55.0 0.0 X 552253 0 20980 SIVA P JONNA CHIEF PEDIATRIC CRITICAL CARE 55.0 0.0 X 546250 0 41403 RONALD C RAK JD FORMER 0.0 0.0 X 0 921520 14396 RITA M JENNINGS FORMER 0.0 0.0 X 0 328287 0 PETER CONNOLLY FORMER 0.0 0.0 X 0 192311 0 FRANK J DISANZO FORMER 0.0 0.0 X 0 192311 0 6290285 6161137 954685 441 true true false APG Security Services 116 North Broadway 2nd floor SOUTH AMBOY NJ 08879 SECURITY 2308767 MED-METRIX 9 ENTIN ROAD PARSIPPANY NJ 07054 CONS & REV CYCLE SUP 1376140 ATHENAHEALTH INC PO BOX 415615 BOSTON MA 02241 IT 1214447 PATIENT FINANCIAL CONCEPTS PO BOX 3081 CLIFTON NJ 07012 CONS & REV CYCLE SUP 1169095 TURNER CONSTRUCTION COMPANY 200 FRANKLIN SQUARE DRIVE 4TH FLOOR SOMERSET NJ 08873 CONSTRUCTION 1129078 86 1463025 2000994 399241 3863260 NET PATIENT SERVICE REVENUE 541900 446764000 446764000 OTHER HEALTHCARE RELATED REVENUE 541900 15083643 15083643 461847643 2463533 2463533 316334 316334 0 2199454 2199454 0 2199454 2199454 349461 349461 349461 349461 0 0 0 0 0 0 6019 0 6019 6019 CAFETERIA/RESTAURANT 900099 1883575 1883575 ADULT DAY CARE 624100 446050 446050 PARKING REVENUE 812930 438019 438019 277880 277880 3045524 474091228 461847643 8380325 0 0 180768 180768 0 3337085 2569555 767530 0 213591088 164465138 49125950 8914583 6864229 2050354 26029733 20042894 5986839 16013044 12330044 3683000 2571228 1979845 591383 2824136 2174585 649551 421614 324643 96971 119645 92127 27518 0 0 14098179 10855598 3242581 3181749 2449947 731802 11796988 9083681 2713307 562102 432819 129283 0 9755534 7511761 2243773 506187 389764 116423 0 135567 104387 31180 8973875 6909884 2063991 0 23920466 18418759 5501707 4543911 3498812 1045099 MEDICAL SUPPLIES 51759776 39855028 11904748 0 CONTRACTED SERVICES 17461628 13445454 4016174 0 REPAIRS & MAINTENANCE 16044473 12354244 3690229 0 STATE ASSESSMENT 2749838 2117375 632463 0 18968686 14605889 4362797 458461883 353057230 105404653 0 8270 4113 13383605 19161558 0 0 54758735 48986762 0 0 0 0 0 0 6059716 5013072 2959731 2846736 575589448 390828912 187425830 184760536 0 0 0 0 125196571 127039200 1799457 1621709 20780085 24849314 412372000 414283000 55807389 53427049 0 0 0 27240 143470998 138481657 0 0 0 0 11536297 14382362 0 0 179554316 167128692 390369000 373447000 X 13841000 34160000 8062000 6576000 100000 100000 22003000 40836000 412372000 414283000 X 15629345 -2010466 5214121 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 119645 119645 119645 119645 458342239 474914355 458461884 475034000 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 295009 301007 284647 119645 1000308 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 SCHEDULE C, PART II-A; LINE 1B 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 2018 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 AND WOMEN'S HOSPITAL (C-WISH) 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 $59,645 IN 2018. 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IT IS A BEAUTIFICATION OF THE FACILITY TO ENHANCE PATIENT EXPERIENCE. SCHEDULE D, PART V TEMPORARILY AND PERMANENTLY RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. 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X 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 ALTHOUGH NOT EXPLICITLY STATED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), THE ORGANIZATIONS IMPLEMENTATION STRATEGY OUTLINES THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA. Schedule h, part v; section b, questionS 5, 6A, 6B & 11 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 2013-2015. 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 SIX YEARS, DEFINING THOSE AREAS THAT ARE THE MOST IMPACTFUL IN THE COMMUNITY. IDENTIFYING PERVASIVE TRENDS AND ALIGNING THEM WITH THE 2013 CHIP FOCUS AREAS WILL LEAD TO THE CREATION OF A MORE ROBUST AND EVIDENCE-BASED 2016 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 2012 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CONSISTENCY THROUGHOUT THE ASSESSMENT WAS OF PARAMOUNT IMPORTANCE, LEADING TO A FOCUS ON THE QUANTITATIVE MEASURES AND KEY INFORMANT INTERVIEWS, ALLOWING PERVASIVE TRENDS TO EMERGE MORE READILY. THE KEY INFORMANT INTERVIEWS OF THIS CHNA WERE CONDUCTED WITH MANY OF THE SAME COMMUNITY BASED ORGANIZATIONS AS THE 2012 CHNA. FURTHERMORE, BY SHIFTING SOME ALLOCATION OF RESOURCES FROM THE ASSESSMENT TO IMPLEMENTATION, THE HOSPITALS CAN CONTINUE FUNDING CURRENT AND FUTURE PROGRAMS, WITH THE INTENTION OF CYCLING THROUGH A COMPREHENSIVE ASSESSMENT EVERY NINE YEARS, IN ORDER TO IDENTIFY LONG-TERM HEALTH CHANGES OVER TIME. 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. UNDER THE 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), NON-PROFIT HOSPITALS MUST CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFY AN IMPLEMENTATION STRATEGY TO ADDRESS THOSE NEEDS EVERY THREE YEARS. IN ORDER TO CONTINUE COMPLIANCE WITH THIS REQUIREMENT, SAINT PETERS UNIVERSITY HOSPITAL AND ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AGAIN TEAMED TOGETHER AND ENGAGED THE RUTGERS UNIVERSITY CENTER FOR STATE HEALTH POLICY (CSHP) TO COMPLETE A SERIES OF MULTI-METHOD ANALYTIC ACTIVITIES TO INFORM THE SECOND ROUND OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. AS PART OF THAT WORK, CSHP CONDUCTED SECONDARY DATA ANALYSES OF THE 2012 BEHAVIORAL RISK FACTOR AND SURVEILLANCE SYSTEM (BRFSS) DATA AND UNIFORM BILLING HOSPITAL DISCHARGE DATA OVER THE PERIOD 2011-2013. A SEPARATE QUALITATIVE PART OF THE PROJECT REACHED OUT TO BROAD CONSTITUENCIES VIA A SERIES OF KEY INFORMANT INTERVIEWS. FINDINGS CONVERGED IN SEVERAL KEY THEMES ACROSS ALL THREE DATA COMPONENTS. THE HOSPITALS ENGAGED THE RUTGERS UNIVERSITY CENTER FOR STATE HEALTH POLICY (CSHP) TO COMPLETE A SERIES OF MULTI-METHOD ANALYTIC ACTIVITIES TO INFORM THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. AS PART OF THAT WORK, CSHP CONDUCTED SECONDARY DATA ANALYSES OF THE 2012 BEHAVIORAL RISK FACTOR AND SURVEILLANCE ANALYSIS (BRFSS) DATA AND UNIFORM BILLING (UB) HOSPITAL DISCHARGE DATA OVER THE PERIOD 2011-2013. THE ACA ALSO REQUIRES THAT THE COMMUNITY HEALTH NEEDS ASSESSMENT SHOULD INCLUDE "INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH" (U.S. CONGRESS. 2010. "THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, PUBLIC LAW 111148." U.S. GOVERNMENT PRINTING OFFICE). THIS WAS ADDRESSED BY THE QUALITATIVE PART OF THE PROJECT THAT REACHED OUT TO BROAD CONSTITUENCIES VIA A SERIES OF KEY INFORMANT INTERVIEWS. THE INSTITUTIONAL REVIEW BOARD OF RUTGERS UNIVERSITY APPROVED THIS STUDY. FINDINGS FROM ALL THREE OF THESE RESEARCH EFFORTS ARE COMPILED IN THIS REPORT. A BRIEF DESCRIPTION OF EACH DATA SOURCE IS PROVIDED BELOW. CHAPTER 1: HEALTH INDICATORS AND RISKY/PREVENTIVE BEHAVIORS: AN ANALYSIS OF 2012 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) (ANALYZED BY CSHP): THIS CENTERS FOR DISEASE CONTROL AND PREVENTION-SPONSORED SURVEY IS CONDUCTED ANNUALLY BY THE NJ DEPARTMENT OF HEALTH AND SENIOR SERVICES. THE BRFSS SUPPORTS ANALYSIS OF A REPRESENTATIVE SAMPLE OF NJ ADULTS AND IS CAPABLE OF GENERATING COUNTY-LEVEL ESTIMATES. CSHP ANALYZED BRFSS DATA FOR COUNTIES INCLUDED IN THE DESIGNATED SERVICE AREA (MIDDLESEX, SOMERSET) AS WELL AS STATEWIDE COMPARATIVE DATA. HEALTH TOPICS OF INTEREST SUCH AS HEALTH STATUS, HEALTH CARE ACCESS AND UTILIZATION, RISKY AND PREVENTIVE BEHAVIORS, ETC., WERE ANALYZED BY KEY DEMOGRAPHICS (AGE, GENDER, RACE/ETHNICITY, INCOME, AND HEALTH INSURANCE STATUS). GENERAL CHANGES IN PATTERNS OVER TIME FROM THE FIRST COMMUNITY HEALTH NEEDS ASSESSMENT ARE ALSO NOTED. THIS CHAPTER PRESENTS FINDINGS USING DATA FROM THE 2012 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) FOR MIDDLESEX COUNTY AND SOMERSET COUNTY IN NEW JERSEY (BRFSS DATA IS ONLY AVAILABLE AT THE COUNTY LEVEL SO ALL OF SOMERSET COUNTY IS INCLUDED). THE BRFSS IS AN ANNUAL HEALTH SURVEY CONDUCTED IN ALL 50 STATES, THE DISTRICT OF COLUMBIA, AND THREE TERRITORIES. IT IS OVERSEEN BY THE CDC AND ADMINISTERED BY THE INDIVIDUAL STATES. THE BRFSS WAS ESTABLISHED IN 1984 IN A NUMBER OF STATES, AND NEW JERSEY BEGAN DATA COLLECTION IN 1991. IT IS A RANDOM-DIGIT-DIAL TELEPHONE SURVEY OF NON-INSTITUTIONALIZED ADULTS AGES 18 AND OVER AND PROVIDES TIMELY DATA ON A NUMBER OF HEALTH-RELATED MEASURES INCLUDING HEALTH STATUS, RISK BEHAVIORS, PREVENTIVE BEHAVIORS, AND HEALTH CARE UTILIZATION. DETAILED INFORMATION ON THE BRFSS CAN BE FOUND AT HTTP://WWW.CDC.GOV/BRFSS/. THE 2012 QUESTIONNAIRE CAN BE FOUND AT HTTP://WWW.CDC.GOV/BRFSS/QUESTIONNAIRES/PDF-QUES/2012_BRFSS.PDF. THE 2012 DATA IS THE MOST RECENT BRFSS COUNTY DATA AVAILABLE AT THE TIME OF THIS REPORT. THE FINDINGS PRESENTED INCLUDE DATA FROM 884 ADULTS IN MIDDLESEX COUNTY AND 640 ADULTS IN SOMERSET COUNTY. CHAPTER 2: AVOIDABLE HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS: AN ANALYSIS OF HOSPITAL DISCHARGE DATA (ANALYZED BY CSHP): NEW JERSEY UB DATA SUPPORTS EXAMINATION OF AMBULATORY CARE SENSITIVE HOSPITAL INPATIENT AND EMERGENCY DEPARTMENT (ED) UTILIZATION THAT REFLECTS INADEQUACY OF PRIMARY CARE WITHIN THE COMMUNITY. POPULATION-BASED RATES OF THESE INDICATORS WERE EXAMINED ALONG WITH PATIENT DEMOGRAPHIC AND HEALTH INSURANCE PAYER CHARACTERISTICS. GENERAL TRENDS OVER TIME FROM THE FIRST COMMUNITY HEALTH NEEDS ASSESSMENT ARE ALSO NOTED. IN THIS CHAPTER, WE EXAMINE RATES OF SPECIFIC INPATIENT HOSPITALIZATIONS AND TREAT-AND-RELEASE EMERGENCY DEPARTMENT (ED) VISITS BY PATIENTS THAT COULD HAVE BEEN AVOIDED OR PREVENTED IF THESE PATIENTS HAD ADEQUATE AVAILABILITY OF PRIMARY CARE WITHIN THEIR COMMUNITIES. WE USE THE ALL-PAYER NEW JERSEY UNIFORM BILLING HOSPITAL DATA TO CALCULATE GEOGRAPHIC AREA-LEVEL RATES OF SUCH AVOIDABLE HOSPITALIZATIONS AND ED VISITS TO ASSESS THE EXTENT OF PRIMARY CARE AVAILABLE WITHIN COMMUNITIES. WE EXAMINE THESE WITHIN THE COMBINED SERVICE AREAS OF HOSPITALS (COMPRISING ALL OF MIDDLESEX COUNTY ALONG WITH THE TOWNSHIPS OF SOMERSET AND FRANKLIN PARK FROM SOMERSET COUNTY) AND COMPARE TO NEW JERSEY OVERALL. WE ALSO EXAMINE THESE RATES BY PATIENT CHARACTERISTICS INCLUDING AGE, GENDER, RACE/ETHNICITY AND HEALTH INSURANCE PAYER, EXAMINE PAYER, RACIAL, AGE AND GENDER DISTRIBUTION OF AVOIDABLE VISITS, AND ALSO ILLUSTRATE VARIATION IN THESE RATES AMONG TOWNSHIPS WITHIN THE HOSPITALS OVERALL SERVICE AREA. AVOIDABLE HOSPITALIZATIONS HAVE BEEN WIDELY USED IN PREVIOUS RESEARCH TO MEASURE ACCESS TO PRIMARY CARE AND DISPARITIES IN HEALTH OUTCOMES (BILLINGS ET AL. 1993; BASU, FRIEDMAN, AND BURSTIN 2004; BINDMAN ET AL. 1995; HOWARD ET AL. 2007). THESE HOSPITALIZATIONS CAN BE USED TO IDENTIFY UNMET COMMUNITY HEALTH CARE NEEDS SINCE THESE CONDITIONS CAN BE AVOIDED BY HIGH QUALITY COMMUNITY BASED PRIMARY CARE (AHRQ 2012A). BASED ON EASILY AVAILABLE HOSPITAL DISCHARGE DATA, THEY ALLOW PUBLIC HEALTH AGENCIES, PROVIDER/PAYER SYSTEMS, AND OTHERS INTERESTED TO ASSESS THE HEALTH CARE QUALITY IN THEIR COMMUNITIES (AHRQ 2012A) AND SUBSEQUENTLY DEVISE TARGETED INTERVENTIONS TO ADDRESS GAPS. THE AVOIDABLE/PREVENTABLE ED VISITS ARE ALSO SIMILARLY USED FOR IDENTIFYING GAPS IN CARE, BUT THEY UTILIZE OUTPATIENT, TREAT-AND-RELEASE VISITS THAT DO NOT RESULT IN AN OVERNIGHT HOSPITAL STAY (BILLINGS, PARIKH, AND MIJANOVICH 2000). THE METHODS USED HERE HAVE BEEN APPLIED SUCCESSFULLY IN SEVERAL OTHER STUDIES (DELIA 2006; BALLARD ET AL. 2010) AND ARE INCLUDED IN THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) TOOLKIT FOR MONITORING THE HEALTHCARE SAFETY NET (BILLINGS 2003). AVOIDABLE HOSPITALIZATIONS: TO CALCULATE RATES OF AVOIDABLE HOSPITALIZATIONS (THA Schedule h, part v; section b, question 7A 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: http://www.saintpetershcs.com/SaintPeters/media/SaintPeters/Patients/2016- Community-Health-Needs-Assessment-FINAL.pdf Schedule h, part v; section b, question 10A DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: http://www.saintpetershcs.com/SaintPeters/media/SaintPeters/About%20Us/CHI P-Final-9-15-16.pdf Schedule h, part v; section b, question 13H THE ELIGIBILITY CRITERIA FOR DISCOUNTED CARE UNDER OUR "COMPASSIONATE CARE PROGRAM" ("FINANCIAL ASSISTANCE PROGRAM") ARE SOLELY BASED ON THE INSURANCE STATUS OF THE PATIENT AND/OR GUARANTOR. PATIENT'S AND/OR GUARANTOR'S WITHOUT COMMERCIAL OR GOVERNMENTAL HEALTH CARE INSURANCE OR INELIGIBILITY FOR HEALTH CARE RELATED GOVERNMENTAL PROGRAM ARE ELIGIBLE FOR OUR "FINANCIAL ASSISTANCE PROGRAM (FAP)". Schedule h, part v; section b, question 16A, 16B & 16C DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16B & 16C, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA 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 2 SPUH CENTER FOR ADULT HEALTH CARE 300 OVERLOOK DRIVE MONROE TOWNSHIP NJ 08831 PRIMARY CARE SERVICES SAINT PETER'S ADULT DAY CARE CENTER 200 OVERLOOK DRIVE PONDVIEW PLAZA MONROE TOWNSHIP NJ 08831 ADULT DAY HEALTH SERVICES SCHEDULE H, PART I, LINE 3C THE INCOME-BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2014 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES (FPG) ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED 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 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. 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. THE SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM"), INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE SAINT PETER'S HEALTHCARE SYSTEM, INC. CHARITY CARE THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH ("DOH") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE SYSTEM'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. DOH ALLOWS RETROACTIVE APPLICATION FOR CHARITY CARE UP TO TWO YEARS FROM THE DATE OF SERVICE. IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, THE SYSTEM COMMITS SUBSTANTIAL RESOURCES TO SPONSOR A BROAD RANGE OF SERVICES TO BOTH THE INDIGENT AS WELL AS THE BROADER COMMUNITY. COMMUNITY BENEFITS PROVIDED TO THE INDIGENT INCLUDE THE COST OF PROVIDING SERVICES TO PERSONS WHO CANNOT AFFORD HEALTHCARE DUE TO INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: TRADITIONAL CHARITY CARE; UNPAID COSTS OF CARE PROVIDED TO BENEFICIARIES OF MEDICAID AND OTHER INDIGENT PUBLIC PROGRAMS; SERVICES SUCH AS FREE CLINICS AND MEAL PROGRAMS FOR WHICH A PATIENT IS NOT BILLED OR FOR WHICH A NOMINAL FEE HAS BEEN ASSESSED; AND CASH AND IN-KIND DONATIONS OF EQUIPMENT, SUPPLIES OR STAFF TIME VOLUNTEERED ON BEHALF OF THE COMMUNITY. COMMUNITY BENEFITS PROVIDED TO THE BROADER COMMUNITY INCLUDE THE COSTS OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY NOT QUALIFY AS INDIGENT BUT MAY NEED SPECIAL SERVICES AND SUPPORT. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: SERVICES SUCH AS HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, ALL OF WHICH ARE NOT BILLED OR CAN BE OPERATED ONLY ON A DEFICIT BASIS; UNPAID PORTIONS OF TRAINING HEALTH PROFESSIONAL SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS AND STUDENTS IN ALLIED HEALTH PROFESSIONS; AND THE UNPAID PORTIONS OF TESTING MEDICAL EQUIPMENT AND CONTROLLED STUDIES OF THERAPEUTIC PROTOCOLS. A SUMMARY OF THE ESTIMATED COST OF COMMUNITY BENEFITS PROVIDED TO BOTH THE INDIGENT AND THE BROADER COMMUNITY FOLLOWS: 2018(000's) 2017(000's) COMMUNITY BENEFITS PROVIDED TO THE INDIGENT: CHARITY CARE PROVIDED $20,896 $19,987 UNPAID COST OF PUBLIC PROGRAMS, MEDICAID AND OTHER INDIGENT CARE PROGRAMS 9,773 7,896 COMMUNITY BENEFITS PROVIDED TO THE BROADER COMMUNITY: NON-BILLED SERVICES FOR THE COMMUNITY 3,864 4,606 EDUCATION AND RESEARCH PROVIDED FOR THE COMMUNITY 4,754 5,513 --------- --------- ESTIMATED COST OF COMMUNITY BENEFITS $39,287 $38,002 ========= ========= THE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE DERIVED FROM BOTH ESTIMATED AND ACTUAL DATA. THE ESTIMATED COST OF CHARITY CARE INCLUDES THE DIRECT AND INDIRECT COST OF PROVIDING SUCH SERVICES AND IS ESTIMATED USING THE HOSPITAL'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE ESTIMATED COST OF COMMUNITY BENEFIT WAS 8.6 PERCENT AND 8.3 PERCENT OF TOTAL OPERATING EXPENSES IN 2018 AND 2017, RESPECTIVELY. THE SYSTEM RECEIVES PAYMENTS FROM THE NEW JERSEY HEALTH CARE SUBSIDY FUNDS FOR CHARITY CARE AND SUCH AMOUNTS TOTALED APPROXIMATELY $3,423,000 AND $3,477,000 FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2018 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, DESPIT 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. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYOR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE COMPASSIONATE CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. 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 CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. 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 IS THE SECOND MOST POPULOUS COUNTY IN THE STATE WITH 25 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 50 PERCENT OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 23 PERCENT OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. 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. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES THAT COMPRISE THE SAINT PETER'S HEALTHCARE SYSTEM. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES THAT COMPRISE SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES NOT-FOR-PROFIT SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ENTITIES: SAINT PETER'S HEALTHCARE SYSTEM, INC. ------------------------------------- SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SPUH 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 SPUH SYSTEM OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY SPUH 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. MARGARET MCLAUGHLIN MCCARRICK CARE CENTER ----------------------------------------- MARGARET MCLAUGHLIN MCCARRICK CARE CENTER 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). ST. PETER'S FOUNDATION ---------------------- ST. PETER'S FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF 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. ST. PETER'S PROPERTIES CORPORATION ---------------------------------- ST. 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). GIANNA PHYSICIAN PRACTICE OF NEW YORK, P.C. ------------------------------------------- GIANNA PHYSICIAN PRACTICE OF NEW YORK, P.C. IS A PROFESSIONAL CORPORATION WITH AN APPLICATION FOR TAX-EXEMPTION CURRENTLY PENDING WITH THE INTERNAL REVENUE SERVICE TO BE RECOGNIZED AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). 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 HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES, P.C. ---------------------------------------------------------- SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES, P.C. IS A PROFESSIONAL CORPORATION WITH AN APPLICATION FOR TAX-EXEMPTION CURRENTLY PENDING WITH THE INTERNAL REVENUE SERVICE TO BE RECOGNIZED 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). 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. THE NATIONAL GIANNA CENTER FOR WOMEN'S HEALTH AND FERTILITY, INC. ----------------------------------------------------------------- THE NATIONAL GIANNA CENTER FOR WOMEN'S HEALTH AND FERTILITY, 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. FOR-PROFIT SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ENTITIES: SAINT PETER'S SOLAR ENERGY SOLUTIONS, INC. ------------------------------------------ A FOR-PROFIT 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 FOR-PROFIT 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. ---------------------------------------- AN INACTIVE PROFESSIONAL CORPORATION LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. SAINT PETER'S ADVANCED CARE, P.C. --------------------------------- AN INACTIVE PROFESSIONAL CORPORATION LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. A CONTROLLED FOREIGN CORPORATION BY SPUH. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN THE CAYMAN ISLANDS. SAINT PETER'S SPECIALTY PHYSICIANS, P.C. ---------------------------------------- AN INACTIVE PROFESSIONAL CORPORATION LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. SAINT PETER'S ADVANCED CARE, P.C. --------------------------------- AN INACTIVE PROFESSIONAL CORPORATION LOCATED IN NEW BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. X X X X X true true false false false false false true false GOPAL R DESAI MD TRUSTEE 525392 0 0 0 36652 0 0 0 2543 0 564587 0 0 0 LESLIE D HIRSCH FACHE TRUSTEE - PRESIDENT/CEO 0 867388 0 0 0 38844 0 92133 0 27709 0 1026074 0 0 GARRICK J STOLDT FHFMA CPA TREASURER - SPHCS CFO 0 455052 0 0 0 27163 0 28962 0 36776 0 547953 0 0 NIRANJAN V RAO MD CHIEF MEDICAL OFFICER 0 317574 0 0 0 18500 0 2750 0 24103 0 362927 0 0 JORDAN M TANNENBAUM CIO 0 402878 0 0 0 5792 0 556 0 31376 0 440602 0 0 LINDA CARROLL CHIEF NURSING OFFICER 328115 0 0 0 3753 0 22000 0 41443 0 395311 0 0 0 WILLIAM J REARS CHIEF TECHNOLOGY OFFICER 0 216697 0 0 0 906 0 15791 0 29483 0 262877 0 0 BARBARA J Griffiths-WELSH CHIEF COMPLIANCE OFFICER 0 205778 0 0 0 3348 0 4344 0 35646 0 249116 0 0 ALMA S RATCLIFFE VP;CHIEF CLIN TRANS OFFICER 0 427332 0 0 0 26523 0 0 0 20033 0 473888 0 0 PAMELA A TEUFEL VP; CHIEF HR OFFICER 0 360439 0 0 0 1530 0 0 0 30152 0 392121 0 0 ALYSSA A VERDERAMI ESQ VP; LEGAL AND RISK MGMT 0 314122 0 0 0 1066 0 19250 0 48344 0 382782 0 0 Lisa M Drumbore VP; CHIEF PATIENT EXP OFFICER 0 259806 0 0 0 1690 0 21623 0 41177 0 324296 0 0 DAVID A LASKOW MD CHAIRMAN SURGERY 524548 0 55000 0 28994 0 0 0 25704 0 634246 0 0 0 NAYAN K KOTHARI MD CHAIRMAN MEDICINE 507262 0 0 0 8529 0 0 0 27190 0 542981 0 0 0 BIPIN N PATEL MD CHAIRMAN PEDIATRICS 459633 0 0 0 10968 0 0 0 26471 0 497072 0 0 0 EDWIN R GUZMANTERM 123118 CHAIRMAN OB/GYN 643099 0 0 0 40190 0 0 0 19599 0 702888 0 0 0 ROBERT MULCAHYTERM 122618 VP; FACILITY SAFETY 0 333980 0 0 0 25048 0 8250 0 23585 0 390863 0 0 DAVID OVIEDO VP; SUPPLY CHAIN MANAGEMENT 0 212335 0 0 0 2917 0 20527 0 12895 0 248674 0 0 DAVID E JACOB MD ASSOCIATE CHAIRMAN 729928 0 25000 0 5470 0 26600 0 22702 0 809700 0 0 0 ARKADY BRODER MD PHYSICIAN 622870 0 0 0 19250 0 5600 0 41176 0 688896 0 0 0 John Gallucci md physician 613517 0 0 0 3612 0 0 0 41413 0 658542 0 0 0 I MARK HIATT MD DIRECTOR NEONATOLOGY 521643 0 22500 0 8110 0 5529 0 15451 0 573233 0 0 0 SIVA P JONNA CHIEF PEDIATRIC CRITICAL CARE 522206 0 24044 0 41403 587653 0 RONALD C RAK JD FORMER 0 0 0 0 0 921520 0 0 0 14396 0 935916 0 0 RITA M JENNINGS FORMER 0 0 0 0 0 328287 0 0 0 0 0 328287 0 0 PETER CONNOLLY FORMER 0 0 0 0 0 192311 0 0 0 0 0 192311 0 0 FRANK J DISANZO FORMER 0 0 0 0 0 192311 0 0 0 0 0 192311 0 0 SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2018 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: RONALD C. RAK, J.D., $918,008; RITA M. JENNINGS, $328,125; PETER CONNOLLY, $192,311, AND FRANK J. DISANZO, $192,311. SCHEDULE J, PART I, QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER INCLUDES AN UNVESTED BENEFIT OF $89,383 IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, HE MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT WAS NOT INCLUDED IN HIS 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. 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 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 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. 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 6601361 2839321 0 1284750 0 0 56744418 0 0 2013 true false true true B 84163069 0 100604659 8831826 0 0 2063899 0 0 5545865 0 0 2011 true false true true A false false false true true 0.01210 0.00000 0.01210 true false false false B false false false true true 0.00100 0.00000 0.00100 true false false false A false true false false 0 false 0 false false B false true false false 0 false 0 false false A false B false SCHEDULE K, PART III, QUESTION 9 PLEASE NOTE THAT, FOR THE 2018 YEAR, THE ORGANIZATION DID NOT ADOPT ANY WRITTEN PROCEDURES WITH RESPECT TO ENSURING THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2. HOWEVER, SUCH WRITTEN PROCEDURES ARE BEING ADDRESSED FOR ADOPTION IN THE 2019 YEAR. SCHEDULE K, PART IV, LINE 2C THE REBATE CALCULATION FOR THE 12/18/2007 BOND ISSUANCE WAS ISSUED JANUARY 12, 2018. THE REBATE CALCULATION FOR THE 2011 BOND ISSUANCE WAS PERFORMED IN SEPTEMBER 2016. SCHEDULE K, PART I, COLUMN C THE AUGUST 9, 2011 TAX-EXEMPT BOND ISSUANCE ALSO INCLUDES ADDITIONAL CUSIP #'S LISTED BELOW: - 64579FQ30; - 64579FQ48; - 64579FQ55; - 64579FQ22; AND - 64579FP98. THE DECEMBER 18, 2007 TAX-EXEMPT BOND ISSUANCE ALSO INCLUDES ADDITIONAL CUSIP #'S LISTED BELOW: - 64579FSL8; AND - 64579FSM6. 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 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 AVE., 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 REGIONAL MEDICAL CAMPUS AND ACADEMIC AFFILIATE OF RUTGERS UNIVERSITY BIOMEDICAL AND HEALTH SCIENCES DIVISION AND SPONSORS ITS OWN FREESTANDING RESIDENCY PROGRAMS IN OBSTETRICS AND GYNECOLOGY, PEDIATRICS, AND INTERNAL MEDICINE. 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 24,000 INPATIENTS AND 270,000 OUTPATIENTS ANNUALLY. SAINT PETER'S EMPLOYS 3,500 HEALTHCARE PROFESSIONALS AND SUPPORT PERSONNEL, AND MORE THAN 1,100 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 NEONATAL INTENSIVE CARE UNITS IN THE COUNTRY AS A STATE-DESIGNATED REGIONAL PERINATAL CENTER. SAINT PETER'S IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN ALL AREAS OF DIABETES EDUCATION AND IS ALSO A REGIONAL PROVIDER OF RADIATION AND ONCOLOGY SERVICES. 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. 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 (LEVEL 3) AND NEONATAL INTENSIVE CARE UNIT (LEVEL 3), ESTABLISHED IN 1981. - DELIVERS APPROXIMATELY 5,450 NEWBORNS ANNUALLY. ADMITS APPROXIMATELY 700 NEWBORNS TO THE 54-BASSINETT NICU, WHICH IS ONE OF THE LARGEST ON THE EAST COAST. SAINT PETERS INTRODUCED A NEW MIDWIFERY PROGRAM WITH THREE CERTIFIED NURSE-MIDWIVES IN 2017. - 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 14,000 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 OB-GYN. - THE CHILDREN'S HOSPITAL AT SAINT PETER'S IS A STATE-DESIGNATED ACUTE-CARE CHILDREN'S HOSPITAL. 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 23,000 CHILDREN ANNUALLY (THE NEWLY RECONSTRUCTED FACILITY OPENED IN APRIL 2013). COMPREHENSIVE PEDIATRIC SURGERY, INCLUDING MINIMALLY INVASIVE SERVICES AND ORTHOPEDIC SURGERY. 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, RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN ALL AREAS OF DIABETES EDUCATION (WHICH INCLUDES ADULT ENDOCRINOLOGY). - FOR MORE THAN 40 YEARS, A REGIONAL PROVIDER OF COMPREHENSIVE CANCER SERVICES ACCREDITED BY THE COMMISSION ON CANCER, INCLUDING AN 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, TWO DA VINCI ROBOTS THAT ASSIST IN SURGICAL PROCEDURES, 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 PETERS 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 PETERS GIANNA CENTER WHICH PROVIDES A MORE NATURAL ALTERNATIVE TO ASSISTED REPRODUCTIVE TECHNOLOGIES SUCH AS IN VITRO FERTILIZATION. COMPREHENSIVE GYNECOLOGIC PRIMARY CARE AND SPECIALIZED FERTILITY AND FAMILY PLANNING TECHNIQUES ARE USED TO UNMASK THE TRUE CAUSES OF INFERTILITY FOR ALL WOMEN, REGARDLESS OF FAITH. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AFFILIATIONS ============ SAINT PETER'S UNIVERSITY HOSPITAL IS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP) FOR PEDIATRIC CARDIOLOGY SERVICES, ESTABLISHING THE CHOP CARDIAC CENTER AT SAINT PETER'S UNIVERSITY HOSPITAL. THE CENTER SPECIALIZES IN MONITORING AND TREATING CARDIAC ABNORMALITIES IN INFANTS AND CHILDREN. IN SUPPORT OF OUR MISSION TO PROVIDE QUALITY MEDICAL EDUCATION, SAINT PETER'S BECAME AN ACADEMIC AFFILIATE OF RUTGERS BIOMEDICAL AND HEALTH SCIENCES. SPECIALTY SERVICES ================== REGIONAL PERINATAL CENTER (RPC): DELIVERING NEARLY 5,450 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 3-D AND 4-D 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 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. 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 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 PETERS PHYSICIAN ASSOCIATES WITH LOCATIONS IN MONROE AND NEW BRUNSWICK. THE THYROID AND DIABETES CENTER: RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN ALL AREAS OF PATIENT 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 UNIT FOR INPATIENTS 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. GENERAL, VASCULAR AND OTHER SURGICAL PROCEDURES 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 MAMMOGRAPHY AND BONE-DENSITY TESTING AND A COMPLETE PROGRAM FOR THE DIAGNOSIS AND TREATMENT OF BREAST CANCER IS AVAILABLE THROUGH SAINT PETERS 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. IT 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. 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: THE 34-FOOT-LONG SPECIALLY EQUIPPED WINNEBAGO TRAVELS THROUGHOUT CENTRAL NEW JERSEY WITH STAFF PROVIDING HEALTH SCREENINGS, VACCINATIONS AND WELLNESS EDUCATION TO BUSINESSES, SENIOR CENTERS, SOUP KITCHENS AND OTHERS. REFERRALS ARE PROVIDED. THE CHILDREN'S HOSPITAL AT SAINT PETER'S UNIVERSITY HOSPITAL: A STATE-DESIGNATED ACUTE CARE SPECIALTY HOSPITAL, THE CHILDREN'S HOSPITAL AT SAINT PETER'S UNIVERSITY HOSPITAL OFFERS SERVICES THAT INCLUDE THE CHOP CARDIAC CENTER, A PEDIATRIC EMERGENCY DEPARTMENT, INPATIENT ACUTE CARE, INTENSIVE CARE, A NEONATAL AND PEDIATRIC TRANSPORT TEAM, ADOLESCENT MEDICINE, AUTISM, EPILEPSY, HEMATOLOGY-ONCOLOGY, RADIOLOGY, NEPHROLOGY, SURGERY, INCLUDING PEDIATRIC ORTHOPEDIC SURGERY, ANESTHESIOLOGY, SLEEP AND BREATHING DISORDERS, INFECTIOUS DISEASE MEDICINE, OTOLARYNGOLOGY, PHYSICAL THERAPY, AUDIOLOGY AND MORE. 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. DOROTHY B. HERSH REGIONAL CHILD PROTECTION CENTER: 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 AND UNION COUNTIES. 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: - ADULT AND PEDIATRIC EMERGENCY DEPARTMENTS OPERATING 24-HOURS-A-DAY, 365-DAYS-A-YEAR. - OPERATING MORE THAN 50 CLINICS AND MORE THAN 142,000 VISITS IN PEDIATRIC AND PEDIATRIC SUBSPECIALTIES, ADULT MEDICINE AND SUBSPECIALTIES, WOMEN'S HEALTH AND SUBSPECIALTIES, AND GERIATRIC MEDICINE AND SUBSPECIALTIES. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS OTHER COMMUNITY BENEFIT PROGRAMS/SUPPORT GROUPS/SCREENINGS: - ADULT COMMUNITIES: CONCORDIA, CLEARBROOK, THE PONDS, GREENBRIAR AT - WHITTINGHAM, ROSSMOOR, STONEBRIDGE, REGENCY - COMMUNITY HEALTH SERVICES MOBILE HEALTH VAN - PEDIATRIC CALL CENTER - FAMILY HEALTH CENTER ADULT, CHILDREN AND WOMEN'S AMBULATORY SERVICES - THYROID AND DIABETES CENTER - DIABETES AND HYPERTENSION CENTER A PATIENT-CENTERED MEDICAL HOME - GERIATRICS - CHILD PROTECTION CENTER - INFECTION CONTROL - MARKETING AND MEDIA RELATIONS - PHARMACY - EMPLOYEE HEALTH SERVICES - MAIN KITCHEN FOOD SERVICES - PERINATAL SERVICES - MIDWIFERY SERVICES - COMMUNITY OUTREACH - PASTORAL CARE - VOLUNTEER SERVICES - MEDICAL LIBRARY - CRANIOFACIAL-NEUROSURGICAL CENTER - ABSTINENCE EDUCATION - FERTILITY AWARENESS - SPEAKERS BUREAU - BREAST CANCER SUPPORT GROUP - LEUKEMIA, LYMPHOMA, AND MYELOMA SUPPORT GROUP - LIVING WITH CANCER SUPPORT GROUP - NEW VISIONS SUPPORT GROUP (FOR TEENAGERS WITH CANCER) - STRENGTH FOR CARING (FOR CAREGIVERS OF CANCER PATIENTS) - 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 - ADULTS WITH DIABETES SUPPORT GROUP - 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 - BREASTFEEDING - BREASTFEEDING SUPPORT GROUP - NEW DADDY CLASS - NEW FAMILY SUPPORT GROUP - PRENATAL NUTRITION CLASS - SIBLING CLASS - TINY TOTS - CYBERKNIFE ROBOTIC RADIOSURGERY - BREAST CENTER PLEASE NOTE THAT THIS IS NOT AN ALL-INCLUSIVE LIST. Commitment to Teaching ====================== Saint Peter's University Hospital ("SPUH") is committed to the education of healthcare professions at many levels. SPUH is affiliated with Rutgers 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, 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 III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 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 THE 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 REGULARY SCHEDULED MEETING. FINALLY, 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 THE 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 THE SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'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 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 CERTAIN INDIVIDUALS WERE REPORTED AS OFFICERS ON THE PREVIOUS FORM 990, CORE FORM, PART VII AND SCHEDULE J. UPON REVIEW OF THEIR RESPECTIVE DUTIES, ROLES AND RESPONSIBILITIES IT WAS DETERMINED THAT THESE INDIVIDUALS DO NOT SATISFY THE CRITERIA TO BE AN OFFICER UNDER (1) FORM 990 RULES, REGULATIONS AND INSTRUCTIONS; (2) STATE OF NEW JERSEY LAW; OR (3) THE ORGANIZATION'S BYLAWS. HOWEVER, IT WAS DETERMINED THAT THESE INDIVIDUALS SATISFY THE CRITERIA TO BE CLASSIFIED AS A KEY EMPLOYEE FOR FORM 990 REPORTING PURPOSES. ACCORDINGLY, CORE FORM, PART VII OF THIS FORM 990 HAS BEEN UPDATED TO REPORT THESE INDIVIDUALS AS KEY EMPLOYEES OF THE ORGANIZATION. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF 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 THE SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, 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 ON PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART X; LINES 27-29 IN AUGUST 2016, THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ISSUED ACCOUNTING STANDARDS UPDATE ("ASU") 2016-14, NOT-FOR-PROFIT FINANCIAL STATEMENT PRESENTATION, WHICH ELIMINATES THE REQUIREMENT FOR NOT-FOR-PROFITS ("NFPS") TO CLASSIFY NET ASSETS AS UNRESTRICTED, TEMPORARILY RESTRICTED AND PERMANENTLY RESTRICTED. INSTEAD, NFPS ARE REQUIRED TO CLASSIFY NET ASSETS AS NET ASSETS WITH DONOR RESTRICTIONS OR WITHOUT DONOR RESTRICTIONS. THE GUIDANCE ALSO MODIFIES REQUIRED DISCLOSURES AND REPORTING RELATED TO NET ASSETS, INVESTMENT EXPENSES AND QUALITATIVE INFORMATION REGARDING LIQUIDITY. NFPS ARE ALSO REQUIRED TO REPORT ALL EXPENSES BY BOTH FUNCTIONAL AND NATURAL CLASSIFICATION IN ONE LOCATION. THE PROVISIONS OF ASU 2016-14 ARE EFFECTIVE FOR THE SYSTEM FOR ANNUAL PERIODS BEGINNING AFTER DECEMBER 15, 2017. THE SYSTEM ADOPTED ASU 2016-14 EFFECTIVE FOR ITS CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2018. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NON-OPERATING NET PERIODIC PENSION COST; ($1,367,879); - CHANGE IN PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS; $4,086,000; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION; ($25,000); - NET CHANGE IN BENEFICIAL INTEREST IN ST. PETER'S FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; ($1,477,000); AND - DONATED EQUIPMENT AND OTHER INCREASES IN NET ASSETS; $3,998,000. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE 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, 2018 AND DECEMBER 31, 2017; 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. MARGARET MCLAUGHLIN MCCARRICK CARE CNTR 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 222577732 INACTIVE NJ 501(C)(3) 509(A)(1) SPUH true 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 GIANNA PHYSICIAN PRACTICE OF NEW YORK PC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 452043596 HLTHCARE SVCS NY 501(C)(3) 509(A)(2) SPHCS 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) SPHCS false THE NTNL GIANNA CTR FOR WOMEN'S HEALTH 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 320410270 HLTHCARE SVCS NJ 501(C)(3) 509(a)(2) na false CARES SURGICENTER LLC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 223557777 HLTHCARE SVCS. NJ NEW BRUNSWICK CARDIAC CATH LAB LLC 240 EASTON AVENUE NEW BRUNSWICK NJ 08901 202419783 HLTHCARE SVCS. NJ SAINT PETERS SOLAR ENERGY SOLUTIONS INC 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. false RISK ASSURANCE CO OF SPUH 94 SOLARIS AVENUE 2ND FLOOR GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980417672 FOREIGN CORP. CJ SPUH FOREIGN CORP. false SAINT PETER'S SPECIALTY PHYSYCIANS PC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 364761935 INACTIVE NJ SPUH C CORP. 200000 32656 1.00000 true SAINT PETERS ADVANCED CARE PC 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 472597921 HEALTHCARE NJ SPUH C CORP. 104181 400 1.00000 true false false true true true false false false false true true false false true true false true true true ST PETER'S FOUNDATION C 886000 COST ST PETER'S FOUNDATION Q 356000 COST RISK ASSURANCE CO OF SPUH R 4361098 COST SAINT PETER'S HEALTHCARE SYSTEM INC R 17878680 COST 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"). SAINT PETER'S UNIVERSITY HOSPITAL 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.