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ST PETERS FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST PETERS FOUNDATION (EIN 22-2329197)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349309472
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T16:32:44-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222329197EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Peter's FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTPENameControl
Phone7327458542Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1254 EASTON AVENUEAddressLine1
CityNEW BRUNSWICKCity
StateNJState
ZIP Code08901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARRICK J STOLDT FHFMA CPAName
TitleCFOTitle
Date Signed2011-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEMILY LYSSIKATOSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1254 EASTON AVENUEAddressLine1
CityNEW BRUNSWICKCity
StateNJState
ZIP Code08901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6589563GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SAINTPETERSUH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF SAINT PETER'S UNIVERSITY HOSPITAL WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees4TotalNbrEmployees
Total Nbr Volunteers85TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1782154ContributionsGrantsPriorYear
Contributions Grants Current Year1443850ContributionsGrantsCurrentYear
Program Service Revenue Prior Year901199ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year192934InvestmentIncomePriorYear
Investment Income Current Year239125InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year24363OtherRevenueCurrentYear
Total Revenue Prior Year2876287TotalRevenuePriorYear
Total Revenue Current Year1707338TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1707016GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1466761GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year437276SalariesEtcPriorYear
Salaries Etc Current Year313233SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year55977TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year146643TotalFundrsngExpCurrentYear
Other Expense Prior Year930156OtherExpensePriorYear
Other Expenses Current Year408180OtherExpensesCurrentYear
Total Expenses Prior Year3130425TotalExpensesPriorYear
Total Expenses Current Year2188174TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-254138RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-480836RevenuesLessExpensesCY
Total Assets BOY8831805TotalAssetsBOY
Total Assets EOY9660520TotalAssetsEOY
Total Liabilities BOY437299TotalLiabilitiesBOY
Total Liabilities EOY982616TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8394506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8677904NetAssetsOrFundBalancesEOY
Mission DescriptionTO SUPPORT THE CHARITABLE TAX-EXEMPT 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 REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2041531Expense
Grants1466761Grants
Revenue0Revenue
DescriptionEXPENSES 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 REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Description
Total Program Service Expense2041531TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included2NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGARRICK J STOLDT FHFMA CPANamePerson
Telephone Number7327458600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1254 EASTON AVENUEAddressLine1
CityNew BrunswickCity
StateNJState
ZIP Code08901ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT ZULLO MD
CHAIRMAN - TRUSTEE3.0XX000
GEORGE BRENNAN MD
TRUSTEE3.0X000
PATRICIA CARROLL
TRUSTEE- COO SPHS5.0X01399091989
DONALD M DANIELS
TRUSTEE3.0X000
JOSEPH A DEMARCO
TRUSTEE3.0X000
SALVATORE FALGIANO
TRUSTEE3.0X000
HONORABLE PATRICK J FITTIPALDI
TRUSTEE3.0X000
BERNARD M HANAFIN
TRUSTEE3.0X000
JAMES HANNAN
TRUSTEE3.0X000
HONORABLE BARNETT E HOFFMAN
TRUSTEE3.0X000
SEAN KELLY
TRUSTEE3.0X000
RONALD C RAK JD
TRUSTEE - PRES/CEO SPHS3.0X06012819679
PETER G SCHOBERL
TRUSTEE3.0X000
JOSEPH TABAK
TRUSTEE3.0X000
MEGAN E THOMAS ESQ
TRUSTEE3.0X000
EMILY LYSSIKATOS
EXECUTIVE DIRECTOR55.0X17342208953
MICHAEL F LOCH
DIRECTOR55.0X1303830475
JOAN BARRY MCCORMICK
VP SPCL. INITIATIVES (1/1-8/4)55.0X0110877785
FieldValueIRS element (for citing)
Total Reportable Comp From Org303805TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs852067TotalReportableCompFrmRltdOrgs
Total Other Compensation21881TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events250237FundraisingEvents
Related Organizations40000RelatedOrganizations
All Other Contributions1153613AllOtherContributions
Noncash Contributions15000NoncashContributions
Total Contributions1443850TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column617063TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$617,063ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4190968Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4568906Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-377938Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-377938TotalRevenueColumn
Exclusion-$377,938ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events288956GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events250237CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses288956FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming48726GrossIncomeGaming
Gaming Direct Expenses24363GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column24363TotalRevenueColumn
Exclusion$24,363ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1707338TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$263,488ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1458261Total
Program Services1458261ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8500Total
Program Services8500ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total313233Total
Program Services313233ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31640Total
Fundraising31640Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4168Total
Fundraising4168Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62303Total
Program Services27857ProgramServices
Fundraising34446Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total34680Total
Fundraising34680Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2847Total
Fundraising2847Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2051Total
Fundraising2051Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES23184023184000
OTHER EXPENSES386511840036811

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2188174Total
Program Services2041531ProgramServices
Management And General0ManagementAndGeneral
Fundraising146643Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY152483BOY
EOY488213EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY240000EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable
Land Buildings Equipment Basis68152LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65922LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3212BOY
EOY2230EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY8646010BOY
EOY8872392EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY30000BOY
EOY57585EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8831805BOY
EOY9660520EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY78121BOY
EOY69442EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY359178BOY
EOY913174EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY437299BOY
EOY982616EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-354062BOY
EOY396554EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8648568BOY
EOY8181350EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8394506BOY
EOY8677904EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8831805BOY
EOY9660520EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-480836ReconcilationRevenueExpenses
Reconcilation Other Changes764234ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1846566CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2796429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1630727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1774004CurrentTaxYearMinus1Year
Current Tax Year1443850CurrentTaxYear
Total9491576Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1846566CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2796429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1630727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1774004CurrentTaxYearMinus1Year
Current Tax Year1443850CurrentTaxYear
Total9491576Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total3069104AmountsSubstContributorsTotal
Public Support Total1706422472PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years447491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years534980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years170588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192934CurrentTaxYearMinus1Year
Current Tax Year240220CurrentTaxYear
Total1586213Total
FieldValueIRS element (for citing)
Total Support11077789TotalSupport
Gross Receipts From Admissions Etc14158085GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.57976PublicSupportPertcentage170
Public Support Pertcent Prior Year0.59427PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8748568BeginningOfYearBalance
Contributions915153Contributions
Investment Earnings Or Losses1096InvestmentEarningsOrLosses
Other Expenditures1383467OtherExpenditures
End Of Year Balance8281350EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9228995BeginningOfYearBalance
Contributions1347990Contributions
Investment Earnings Or Losses1005InvestmentEarningsOrLosses
Other Expenditures1829422OtherExpenditures
End Of Year Balance8748568EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10129730BeginningOfYearBalance
Contributions1307870Contributions
Investment Earnings Or Losses2229InvestmentEarningsOrLosses
Other Expenditures2210834OtherExpenditures
End Of Year Balance9228995EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.99000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.01000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis68152OtherCostOrOtherBasis
Depreciation65922Depreciation
Book Value2230BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings2230TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (8 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS; LIMITED USE5129187F
USE439250F
PUBLIC REITS; LIMITED USE161761F
COMMODITIES; LIMITED USE445893F
INSURANCE65814F
ACCRUED INTEREST RECEIVABLE6519F
FIXED ASSET FUND; LIMITED USE2471353F
FIXED INCOME; LIMITED USE152615F
FieldValueIRS element (for citing)
Total Of Book Value Program Related8872392TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$913,174Amount
FieldValueIRS element (for citing)
Total Of Amounts913174TotalOfAmounts
Total Revenue1707338TotalRevenue
Total Expenses2188174TotalExpenses
Excess Or Deficit For Year-480836ExcessOrDeficitForYear
Net Unrealized GL On Investments764234NetUnrealizedGLOnInvestments
Total Adjustments764234TotalAdjustments
Excess Or Deficit Per FS283398ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2784891TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments764234NetUnrealizedGainsInvestments
Other Revenues313319OtherRevenues
Revenue Not Rptd F9901077553RevenueNotRptdF990
Revenue Subtotal1707338RevenueSubtotal
Total Revenue Per Form9901707338TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2501493TotExpensesEtcAuditedFinclStmt
Other Expenses Included313319OtherExpensesIncluded
Expenses Not Rptd F990313319ExpensesNotRptdF990
Expenses Subtotal2188174ExpensesSubtotal
Total Expenses Per Form9902188174TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V; QUESTION 4RESTRICTED/UNRESTRICTED GIFTS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
FIN 48 FOOTNOTESCHEDULE D, PART X; FIN 48 FOOTNOTETHE ORGANIZATION IS AN AFFILIATE IN THE SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT BIG FOUR 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, 2010 AND DECEMBER 31, 2009; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2007 THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48: IN JULY 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN INCOME TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007, THE SYSTEM ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT.
RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTSSCHEDULE D, PART XII; LINE 2DOTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: -SPECIAL EVENT EXPENSES - $313,319
RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTSSCHEDULE D, PART XIII; LINE 2DOTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 INCLUDE: - SPECIAL EVENT EXPENSES - $313,319

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER DANCENameOfEvent1
Gross Receipts Event1322570GrossReceiptsEvent1
Charitable Contributions Event1165657CharitableContributionsEvent1
Gross Revenue Event1156913GrossRevenueEvent1
Rent Facility Costs Event162159RentFacilityCostsEvent1
Entertainment Event112274EntertainmentEvent1
Other Direct Expenses Event182480OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2153263GrossReceiptsEvent2
Charitable Contributions Event256287CharitableContributionsEvent2
Gross Revenue Event296976GrossRevenueEvent2
Rent Facility Costs Event262862RentFacilityCostsEvent2
Food And Beverage Event21329FoodAndBeverageEvent2
Other Direct Expenses Event232785OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events63360GrossReceiptsOtherEvents
Charitable Contrib Other Events28293CharitableContribOtherEvents
Gross Revenue Other Events35067GrossRevenueOtherEvents
Rent Facility Costs Other Events28895RentFacilityCostsOtherEvents
Other Direct Expenses Other Events6172OtherDirectExpensesOtherEvents
Gross Receipts Total539193GrossReceiptsTotal
Charitable Contributions Total250237CharitableContributionsTotal
Gross Revenue Total Events288956GrossRevenueTotalEvents
Rent Facility Costs Total Events153916RentFacilityCostsTotalEvents
Food And Beverage Total Events1329FoodAndBeverageTotalEvents
Entertainment Total Events12274EntertainmentTotalEvents
Other Direct Expenses Total Events121437OtherDirectExpensesTotalEvents
Direct Expense Summary Events288956DirectExpenseSummaryEvents

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming48726GrossRevenueOtherGaming
Cash Prizes Other Gaming24363CashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming48726GrossRevenueTotalGaming
Cash Prizes Total Gaming24363CashPrizesTotalGaming
Direct Expense Summary Gaming24363DirectExpenseSummaryGaming
Net Gaming Income Summary24363NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNJStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonROBERT VALANENameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1254 EASTON AVENUEAddressLine1
CityNEW BRUNSWICKCity
StateNJState
ZIP Code08901ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonMARIE BOWLERGamingManagerNamePerson
Gaming Manager Compensation2304GamingManagerCompensation
Gaming Manager Services ProvidedHANDLES DAY TO DAY ACTIVITES OF RAFFLEGamingManagerServicesProvided
Gaming Manager Is Director OfficerXGamingManagerIsDirectorOfficer
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SAINT PETER'S UNIVERSITY HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1254 EASTON AVENUEAddressLine1
CityNEW BRUNSWICKCity
StateNJState
ZIP Code08901ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient221487330EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1458261AmountOfCashGrant
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATIONAL SCHOLARSHIPTypeOfGrant
Number Of Recipients1NumberOfRecipients
Amount Of Cash Grant8500AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT FUND MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I; QUESTION 2ReturnReference
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EMILY LYSSIKATOS
17295600046600089530182375000
RONALD C RAK JD
059786400034170009679061096000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (26 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11ATHE ORGANIZATION IS AN AFFILIATE IN THE SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT PETER'S HEALTHCARE SYSTEM, INC. IS THE PARENT OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION THE SAINT PETER'S HEALTHCARE SYSTEM, INC. AUDIT 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 THE CHIEF FINANCIAL OFFICER, VICE-PRESIDENT OF FINANCE, DIRECTOR OF FINANCE AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH SAINT PETER'S HEALTHCARE SYSTEM, INC. AUDIT COMMITTEE FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN WITH THE IRS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE IN THE SAINT PETER'S HEALTHCARE SYSTEM, INC. ("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 V.P./CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, THE V.P./CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED BY AN INDIVIDUAL ON AN INDIVIDUAL BASIS. THE SUMMARY IS PRESENTED TO THE CORPORATE SECRETARY FOR REFERENCE DURING BOARD MEETINGS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION IS AN AFFILIATE IN A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES SAINT PETER'S UNIVERSITY HOSPITAL ("SPUH"). THIS FILING ORGANIZATION ITSELF HAS CERTAIN SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. OTHER KEY SENIOR MANAGEMENT PERSONNEL ARE EMPLOYED BY THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS OR BOARD MEMBERS OF THIS ORGANIZATION. THE ORGANIZATION'S BOARD OF TRUSTEES HAS A COMMITTEE THAT REVIEWS THE TOTAL COMPENSATION OF SENIOR MANAGEMENT, INCLUDING BUT NOT LIMITED TO THAT OF, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. 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 THE HOSPITAL AND THE FOUNDATION 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 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. 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET CHANGE IN UNREALIZED GAINS AND LOSSES ON INVESTMENTS; $764,234.
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE TAXPAYERS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT ZULLO MD TITLE:CHAIRMAN - TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GEORGE BRENNAN MD TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICIA CARROLL TITLE:TRUSTEE- COO SPHS HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD M DANIELS TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH A DEMARCO TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SALVATORE FALGIANO TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HONORABLE PATRICK J FITTIPALDI TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BERNARD M HANAFIN TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES HANNAN TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HONORABLE BARNETT E HOFFMAN TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SEAN KELLY TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RONALD C RAK JD TITLE:TRUSTEE - PRES/CEO SPHS HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PETER G SCHOBERL TITLE:TRUSTEE HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH TABAK TITLE:TRUSTEE HOURS:15
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MEGAN E THOMAS ESQ TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EMILY LYSSIKATOS TITLE:EXECUTIVE DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL F LOCH TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOAN BARRY MCCORMICK TITLE:VP SPCL. INITIATIVES (1/1-8/4) HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
MARGARET MCLAUGHLIN MCCARRICK CARE CNTR
254 EASTON AVENUENEW BRUNSWICKNJ08901222577732NURSING CARENJ501(C)(3)509(A)(2)SPUH
ST PETER'S FACULTY FOUNDATION PC
254 EASTON AVENUENEW BRUNSWICKNJ08901113674491PHYS. SVCS.NJ501(C)(3)509(A)(3)SPHCS
SAINT PETER'S HEALTH & MGMT SVCS CORP
254 EASTON AVENUENEW BRUNSWICKNJ08901270045088SUPPORT SPUHNJ501(C)(3)509(A)(3)SPHCS
ST PETER'S HEALTHCARE SYSTEM INC
254 EASTON AVENUENEW BRUNSWICKNJ08901262019056HOLDING CO.NJ501(C)(3)509(A)(3)N/A
ST PETER'S PROPERTIES CORPORATION
254 EASTON AVENUENEW BRUNSWICKNJ08901222428823REAL ESTATENJ501(C)(3)N/ASPHCS
SAINT PETER'S UNIVERSITY HOSPITAL
254 EASTON AVENUENEW BRUNSWICKNJ08901221487330HEALTH SVCS.NJ501(C)(3)HOSPITALSPHCS
SPORTS PHYSICAL THERAPY INST OF NB
254 EASTON AVENUENEW BRUNSWICKNJ08901223664897REHAB SVCS.NJ501(C)(3)509(A)(3)SPHCS
NEW BRUNSWICK AFFILIATED HOSPITALS INC
120 ALBANY STREET SUITE 750NEW BRUNSWICKNJ08901221946837HLTHCARE SVCNJ501(C)(3)509(A)(3)RWJHCC

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsCode VCodeVAmount
CARES SURGICENTER LLC
254 EASTON AVENUENEW BRUNSWICKNJ08901223557777HLTHCARE SVCSNJNAfalse$0
NEW BRUNSWICK CARDIAC CATH LAB LLC
240 EASTON AVENUENEW BRUNSWICKNJ08901202419783HLTHCARE SVCSNJNAfalse$0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
COMMUNITY CARE SERVICES INC
254 EASTON AVENUENEW BRUNSWICKNJ08901223351339HOME CARE SVCS.NJC CORP.
PARK AVENUE COLLECTIONS CORP
254 EASTON AVENUENEW BRUNSWICKNJ08901208498534INACTIVENJC CORP.
RISK ASSURANCE CO OF SPUH
980417672FINANCIAL VEHICLEFOREIGN CORP.720 WEST BAY ROADGRAND CAYMANCAYMAN ISLANDSCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg