Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE plainsboro road
Suite
Room/suite
City or town, state or country, and ZIP + 4
plainsboro, NJ08536
D Employer identification number

21-0635009
E Telephone number

G Gross receipts $ 339,770,611
F Name and address of principal officer:
BARRY S RABNER
ONE PLAINSBORO ROAD
PLAINSBORO,NJ08536
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.PRINCETONHCS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1919
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF PRINCETON HEALTHCARE SYSTEM IS TO BE THE FOCAL POINT OF A COMPREHENSIVE COMMUNITY HEALTH SYSTEM THAT RESPONDS TO THE HEALTHCARE NEEDS OF OUR SERVICE AREA RESIDENTS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 31
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 25
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 4,041
6 Total number of volunteers (estimate if necessary) ............. 6 805
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 860,110
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 216,326 1,335,723
9 Program service revenue (Part VIII, line 2g) ......... 333,168,252 329,836,407
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,629,722 7,881,715
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,040,747 625,793
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 340,055,047 339,679,638
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 15,586 33,926
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 163,533,702 171,915,535
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 159,870,318 181,812,348
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 323,419,606 353,761,809
19 Revenue less expenses. Subtract line 18 from line 12....... 16,635,441 -14,082,171
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 808,722,394 802,834,602
21 Total liabilities (Part X, line 26)............. 503,863,049 501,930,099
22 Net assets or fund balances. Subtract line 21 from line 20..... 304,859,345 300,904,503
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: THE MISSION OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION IS TO BE THE FOCAL POINT OF A COMPREHENSIVE COMMUNITY HEALTH SYSTEM THAT RESPONDS TO THE HEALTHCARE NEEDS OF OUR SERVICE AREA RESIDENTS. PRINCETON HEALTHCARE SYSTEM WILL PROVIDE INPATIENT AND OUTPATIENT CARE, COMMUNITY HEALTH EDUCATION, MEDICAL EDUCATION AND SHOULD PROMOTE MEDICAL AND SCIENTIFIC RESEARCH WHEN APPROPRIATE. IT IS INTEGRAL TO THE MISSION OF PRINCETON HEALTHCARE SYSTEM TO CONTINUALLY IMPROVE QUALITY OF SERVICE TO OUR PATIENTS AND COMMUNITY AND TO PROVIDE APPROPRIATE HEALTHCARE TO ALL. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 259,802,675 including grants of $ 33,926 ) (Revenue $ 260,788,827 )
THE UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO PROVIDES COMPREHENSIVE PATIENT CARE AND SUPPORT SERVICES RELATING TO PATIENT CARE. IT IS AN ACUTE CARE FACILITY WITH 319 BEDS COMPRISED OF 288 ACUTE CARE, 17 PHYSICAL REHABILIATION AND 14 SPECIAL CARE NURSeRY BASSINETS. IN 2012, PATIENT DAYS TOTALED 61,997 AND OUTPATIENT VISITS/ENCOUNTERS TOTALED 684,076. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 47,439,459 including grants of $ 0 ) (Revenue $ 51,810,410 )
PRINCETON HOUSE BEHAVIORAL HEALTH PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 110 BEDS PRODUCED 33,059 PATIENT DAYS IN 2012. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 75,323. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 11,143,496 including grants of $ 0 ) (Revenue $ 12,739,382 )
PRINCETON HOMECARE SERVICES IS A HOME CARE AND VISITING NURSE, AND HOSPICE SERVICE. IN 2012, THERE WERE 46,300 OCCASIONS OF SERVICE AND 22,821 HOSPICE VISITS RECORDED. THIS GROWING SERVICE IS VITAL IN THE CAPACITY TO PROVIDE CARE AT THE PATIENT'S HOME RATHER THAN REQUIRING A STAY IN THE HOSPITAL. PRINCETON HOMECARE SERVICES ALSO OPERATES A HOSPICE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 0 including grants of $ 0 ) (Revenue $ 4,674,938 )
4e Total program service expensesMediumBullet318,385,630
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
204
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4,041
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
31
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
25
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletALAN KING993 LENOX DRIVELAWRENCEVILLENJ08648 (609) 620-8502
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DONALD J HOFMANN........................................................................
CHAIRMAN - TRUSTEE
1.0
.......................  
X   X       0 0 0
(2) DAVID F ERTEL........................................................................
VICE CHAIRMAN/TREAS. - TRUSTEE
1.0
.......................  
X   X       0 0 0
(3) MARGARET LANCEFIELD MD PHD........................................................................
VICE CHAIR - TRUSTEE
55.0
.......................  
X   X       0 254,934 39,296
(4) HONORABLE DEBORAH T PORITZ........................................................................
VICE CHAIR - TRUSTEE
1.0
.......................  
X   X       0 0 0
(5) JOANN HEFFERNAN HEISEN........................................................................
SECRETARY - TRUSTEE
1.0
.......................  
X   X       0 0 0
(6) BARRY S RABNER........................................................................
TRUSTEE - PRESIDENT/CEO
55.0
.......................  
X   X       1,255,213 0 102,572
(7) PETER S AMENTA MD PHD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(8) STEVEN R ATKINSON........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(9) SUBHA V BARRY........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(10) ALICIA BRENNAN MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(11) FREDERICK E CAMMERZELL III ESQ........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(12) ROBERT J CARUSO........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(13) GERARD A COMPITO MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(14) DOUGLAS P CORAZZA MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(15) CHARLES S DAWSON........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(16) JOHN F DELORENZO........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(17) STEPHEN P DISTLER........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) CONRAD DRUKER CPA........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(19) BARRY L GOLDBLATT........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(20) JERZY GRUHN........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(21) JOSEPH L HERRING........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(22) STEVEN P KAHN MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(23) RAM KOLLURI........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(24) ELWOOD PHARES II........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(25) KIM J PIMLEY........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(26) MORDECHAI ROZANSKI PHD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(27) MICHAEL C RUDDY MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(28) RICHARD O SCRIBNER ESQ........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(29) HAROLD T SHAPIRO PHD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(30) RUBY SHARMA........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(31) PETER I YI MD........................................................................
TRUSTEE
1.0
.......................  
X           0 0 0
(32) BRUCE L TRAUB FHFMA CPA........................................................................
TREASURER - SVP/CFO (1/1-9/4)
55.0
.......................  
    X       416,486 0 39,728
(33) YALE H BOHN ESQ........................................................................
ASST SEC - VP/GENERAL COUNSEL
55.0
.......................  
    X       323,468 0 48,543
(34) ANNE C SEARLE........................................................................
CHIEF INFORMATION OFFICER
55.0
.......................  
    X       370,792 0 22,156
(35) MARK T JONES........................................................................
SENIOR VP PHCS/ PRESIDENT UMCP
55.0
.......................  
    X       494,078 0 36,980
(36) RICHARD E WOHL........................................................................
SENIOR VP
55.0
.......................  
    X       275,231 0 40,790
(37) LINDA F SIEGLEN MD........................................................................
VICE PRESIDENT
55.0
.......................  
    X       476,758 0 39,323
(38) MARCIA M TELTHORSTER........................................................................
VICE PRESIDENT
55.0
.......................  
    X       293,043 0 13,813
(39) RAY B LEFTON........................................................................
VICE PRESIDENT
55.0
.......................  
    X       273,039 0 24,194
(40) JOSEPHE E STAMPE........................................................................
VICE PRESIDENT
55.0
.......................  
    X       263,388 0 45,155
(41) SUSAN LORENZ........................................................................
VICE PRESIDENT
55.0
.......................  
    X       255,909 0 31,242
(42) BARBARA A YOST........................................................................
VICE PRESIDENT
55.0
.......................  
    X       252,948 0 45,094
(43) JAMES G DEMETRIADES........................................................................
VICE PRESIDENT
55.0
.......................  
    X       251,390 0 21,318
(44) JAMES B HOGLE........................................................................
VICE PRESIDENT
55.0
.......................  
    X       214,916 0 41,966
(45) CAROL NORRIS SMITH........................................................................
VICE PRESIDENT
55.0
.......................  
    X       194,034 0 41,195
(46) PAMELA HERSH........................................................................
VICE PRESIDENT
55.0
.......................  
    X       160,630 0 16,733
(47) PAMELA GARBINI........................................................................
VICE PRESIDENT (1/1/12-9/7/12)
55.0
.......................  
    X       132,839 0 34,483
(48) PETER J THOMAS PHD........................................................................
PHYSICIAN
55.0
.......................  
        X   184,986 0 38,822
(49) SIDDIQ FAISAL MD........................................................................
PHYSICIAN
55.0
.......................  
        X   180,736 0 30,526
(50) LAURIE S GREY........................................................................
ED REVENUE CYCLE MANAGEMENT
55.0
.......................  
        X   176,639 0 24,804
(51) KYRA WILLIAMS........................................................................
PHYSICIAN
55.0
.......................  
        X   170,806 0 45,028
(52) JANET ALEXANDER JAMES........................................................................
NUCLEAR MED TECH
55.0
.......................  
        X   162,988 0 23,364
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 6,780,317 254,934 847,125
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet146
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
MAYO MEDICAL LABORATORIES, PO BOX 9146MINNEAPOLISMN554809146 LABORATORY 1,271,454
SECURITAS SECURITY SERVICES USA IN, PO BOX 403412ATLANTAGA303843412 SECURITY 1,172,250
PINSTRIPE INC, 200 SOUTH EXECUTIVE DRIVEBROOKFIELDWI53005 RECRUITMENT 1,241,743
PEPPER HAMILTON LLP, 301 CARNEGIE CENTERPRINCETONNJ085435276 LEGAL 1,178,527
PRINCETON SURGICAL ASSOCIATES PA, 5 PLAINSBORO ROAD SUITE 400PLAINSBORONJ08536 MEDICAL 660,400
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet55
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 44,473
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,291,250
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 1,335,723
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541900 326,334,891 326,334,891    
b OTHER HEALTHCARE RELATED REVENUE 621500 3,501,516 2,641,406 860,110  
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 329,836,407
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 4,041,322     4,041,322
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 448,643  
b Less: rental expenses    
c Rental income or (loss) 448,643 0
d Net rental income or (loss).......MediumBullet 448,643     448,643
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   3,931,366
b Less: cost or other basis and sales expenses   90,973
c Gain or (loss)   3,840,393
d Net gain or (loss)..........MediumBullet 3,840,393     3,840,393
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a PARKING 812930 138,456 138,456    
b TELEPHONE 517000 38,694 38,694    
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 177,150
12 Total revenue. See Instructions......MediumBullet 339,679,638 329,153,447 860,110 8,330,358
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 33,926 33,926
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 6,549,445 0 6,549,445  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 129,450,194 121,818,921 7,631,273 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,916,252 5,546,792 369,460  
9 Other employee benefits ....... 18,943,001 17,407,290 1,535,711  
10 Payroll taxes ........... 11,056,643 9,950,979 1,105,664  
11 Fees for services (non-employees):        
a Management ...... 872,178 784,960 87,218  
b Legal ......... 385,743 347,169 38,574  
c Accounting ........... 179,312 161,381 17,931  
d Lobbying ........... 39,815 35,834 3,981  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 96,676 87,008 9,668  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 24,146,271 21,731,644 2,414,627  
12 Advertising and promotion .... 2,565,077 2,308,569 256,508  
13 Office expenses ....... 14,516,677 13,065,009 1,451,668  
14 Information technology ...... 6,753,858 6,078,472 675,386  
15 Royalties .. 0      
16 Occupancy ........... 8,794,859 7,915,373 879,486  
17 Travel ............ 833,402 750,062 83,340  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 5,145,906 4,631,316 514,590  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 29,002,900 26,102,610 2,900,290  
23 Insurance .............. 3,863,181 3,476,863 386,318  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 54,513,557 49,062,201 5,451,356  
b UTILITIES 9,247,422 8,322,680 924,742  
c CONTRACTED SERVICES 7,123,610 6,411,249 712,361  
d RESIDENCY EXPENSES 3,045,112 2,740,601 304,511  
e All other expenses 10,686,792 9,614,721 1,072,071  
25 Total functional expenses. Add lines 1 through 24e 353,761,809 318,385,630 35,376,179 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 6,902,560 1 1,223,586
2 Savings and temporary cash investments ......... 18,635,620 2 30,094,311
3 Pledges and grants receivable, net ........... 1,081,400 3 0
4 Accounts receivable, net ............. 39,810,833 4 47,027,975
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 1,968,325 8 4,198,501
9 Prepaid expenses and deferred charges .......... 3,047,012 9 2,360,113
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 677,484,520
b Less: accumulated depreciation ..... 10b 60,314,011 544,176,172 10c 617,170,509
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 129,148,833 13 55,357,436
14 Intangible assets ............... 731,657 14 692,717
15 Other assets. See Part IV, line 11 ........... 63,219,982 15 44,709,454
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 808,722,394 16 802,834,602
Liabilities 17 Accounts payable and accrued expenses ......... 58,710,512 17 54,922,142
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 230,000,000 20 230,000,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 127,730,372 23 128,662,733
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 87,422,165 25 88,345,224
26 Total liabilities. Add lines 17 through 25......... 503,863,049 26 501,930,099
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 199,959,136 27 271,334,255
28 Temporarily restricted net assets ........... 102,584,859 28 22,996,398
29 Permanently restricted net assets ........... 2,315,350 29 6,573,850
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 304,859,345 33 300,904,503
34 Total liabilities and net assets/fund balances ........ 808,722,394 34 802,834,602
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
339,679,638
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
353,761,809
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-14,082,171
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
304,859,345
5
Net unrealized gains (losses) on investments ...............
5
2,080,541
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
8,046,788
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
300,904,503
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
6,210
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
33,605
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
39,815
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING ACTIVITY EXPLAINATION SCHEDULE C, PART II-B; QUESTION 1H DURING 2012, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $6,210 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION EMPLOYS A VICE PRESIDENT OF GOVERNMENTAL AFFAIRS THAT SPENDS APPROXIMATLEY SEVEN PERCENT OF HER TIME ON LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. THE AMOUNT OF HER TIME ALLOCATED TO LOBBYING EFFORTS EFFORTS IN 2012 AMOUNTED TO $12,287. IN ADDITION, PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $21,318. LASTLY, THE ORGANIZATION IS A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $10,000 IN 2012. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 250,000 250,000 250,000 250,000 0
b Contributions ........         250,000
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ...... 250,000 250,000 250,000 250,000 250,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   56,780,252 56,780,252
b Buildings ................   478,546,027 28,750,975 449,795,052
c Leasehold improvements ............   20,817,044 2,630,604 18,186,440
d Equipment ................   107,434,258 28,697,346 78,736,912
e Other .................   13,906,939 235,086 13,671,853
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 617,170,509
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) LIMITED USE 13,691,256 F
(2) DOMESTIC EQUITY MUTUAL FUNDS 10,110,474 F
(3) INTL EQUITY MUTUAL FUNDS 5,263,845 F
(4) ACCRUED INTEREST; LIMITED USE 33,711 F
(5) PROGRAM RELATED INVESTMENTS 5,820,108 F
(6) BOND PROCEEDS HELD BY TRUSTEE 14,011,857 F
(7) LIMITED USE 5,136,418 F
(8) OTHER INVESTMENTS 1,289,767 F

Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 55,357,436
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 3,031,901
(2) OTHER RECEIVABLES 2,526,263
(3) FOUNDATION 29,514,623
(4) OTHER ASSETS 9,636,667





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 44,709,454
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
RETROACTIVE PAYABLE 2,375,556
ACCRUED INTEREST PAYABLE; CURRENT 2,676,221
NON-CURRENT 45,685,875
OTHER LIABILITIES 28,946,314
PAYABLE 8,196,572
DUE TO AFFILIATES 464,686



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 88,345,224
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("SYSTEM") is an affiliate within PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND AFFILIATES ("PHCSH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. EFFECTIVE JUNE 10, 2009, PHCSH ADOPTED THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF 2006 ("UPMIFA"). PHCSH'S endowment consists of seven donor permanently restricted individual funds established for a variety of purposes. As required by Generally Accepted Accounting Principles, net assets associated with endowment funds, are classified and reported based on the existence of donor-imposed restrictions. The Board of Trustees of the System has interpreted the State of New Jerseys enacted version of UPMIFA as requiring the preservation of the historic dollar value of donor-restricted endowment funds (absent explicit donor stipulations to the contrary). As a result of this interpretation, PHCSH classifies as permanently restricted net assets (a) the original value of gifts donated to the permanently restricted net assets (b) the original value of subsequent gifts to the permanent endowment (c) the net realizable value of future payments to permanently restricted net assets in accordance with the donors gift instrument (outstanding endowment pledges net of applicable discount) and (d) appreciation (depreciation), gains (losses) and income earned on the fund when the donor states that such increases or decreases are to be treated as changes in permanently restricted net assets. The Board of Trustees further understands that expenditure from a donor-restricted fund is limited to the uses and purposes for which the endowment fund is established and the use of net appreciation, realized gains (with respect to all assets) and unrealized gains (with respect only to readily marketable assets). Gains are limited to the extent that the fair value of a donor-restricted fund exceeds the historic dollar value of the fund (unless the applicable gift instrument indicates that net appreciation shall not be expended) subject to the following considerations. The expenditure is prudent considering the long and short term needs of PHCSH in carrying out its purposes, its present and anticipated financial requirements, expected total return on its investments, price level trends and general economic conditions. PHCSHs endowment investments fall under the investment policy guidelines as established, and reviewed annually, by the Systems Investment Committee. PHCSH intends to expend a 4% drawdown from 2012 earnings in 2013, as approved by the Systems Investment Committee.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE FOLLOWING, WITH RESPECT TO A FIN 48 DISCLOSURE, IS INCLUDED IN THE TEXT OF THE INCOME TAX FOOTNOTE IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2012: PER THE REQUIReMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
 
No
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
 
No
b
If "Yes," did the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    12,814,690 1,928,628 10,886,062 3.080 %
b Medicaid (from Worksheet 3,
column a) ....
    16,704,991 9,291,922 7,413,069 2.100 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    29,519,681 11,220,550 18,299,131 5.180 %
Other Benefits
    761,608 86,211 675,397 0.190 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    8,132,318 4,945,000 3,187,318 0.900 %
g Subsidized health services
(from Worksheet 6) ..
    18,000   18,000  
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    346,002   346,002 0.100 %
j Total. Other Benefits ..     9,257,928 5,031,211 4,226,717 1.190 %
k Total. Add lines 7d and 7j .     38,777,609 16,251,761 22,525,848 6.370 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
10,612,176
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
88,696,194
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
115,225,903
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-26,529,709
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1UMCP SURGICENTER
 
MEDICAL SERVICES 26.470 %   73.530 %
2PARTNERS LLC
 
       
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 UNIV MED CTR OF PRINCETON PLAINSBORO
ONE PLAINSBORO ROAD
PLAINSBORO,NJ08536
www.princetonhcs.org
X X   X     X     1
2 PRINCETON HOUSE BEHAVIORAL HEALTH
905 HERRONTOWN ROAD
PRINCETON,NJ08540
www.princetonhcs.org
X                 2
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
UNIV MED CTR OF PRINCETON PLAINSBORO
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10   No
If "Yes," indicate the FPG family income limit for eligibility for free care:   %
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
PRINCETON HOUSE BEHAVIORAL HEALTH
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address Type of Facility (describe)
1 PRINCETON HOMECARE SERVICES
208 BUNN DRIVE
PRINCETON,NJ08540
HOMECARE AND VISITING NURSE
2 PRINCETON HOUSE BEHAVIORAL HEALTH
375 NORTH KINGS HIGHWAY
CHERRY HILL,NJ08034
OUTPATIENT BEHAVIORAL PROGRAM
3 PRINCETON HOUSE BEHAVIORAL HEALTH
741 MOUNT LUCAS ROAD
PRINCETON,NJ08542
OUTPATIENT BEHAVIORAL PROGRAM
4 PRINCETON HOUSE BEHAVIORAL HEALTH
1460 LIVINGSTON AVENUE
NORTH BRUSWICK,NJ08902
OUTPATIENT BEHAVIORAL PROGRAM
5 PRINCETON HOUSE BEHAVIORAL HEALTH
300 CLOCKTOWER ROAD SUITE 101
HAMILTON,NJ08690
OUTPATIENT BEHAVIORAL PROGRAM
6 BREAST HEALTH CENTER
300B PRINCETON HIGHTSTOWN ROAD
EAST WINDSOR,NJ08512
OUTPATIENT DIAGNOSIS & TREATMENT
7 UMCPP OUTPATIENT REHABILITATION
1225 STATE ROAD
PRINCETON,NJ08542
PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
8 PRINCETON HOUSE BEHAVIORAL HEALTH
1000 HERRONTOWN ROAD
PRINCETON,NJ08542
OUTPATIENT BEHAVIORAL PROGRAM
9 UMCPP OUTPATIENT REHABILITATION MONROE
2 CENTRE DRIVE SUITE 500
MONROE,NJ08831
PHYSICAL THERAPY & OCCUPATIONAL MEDICINE
10 UMCPP OUTPATIENT REHAB AT HAMILTON
1315 WHITEHORSE-MERCERVILLE ROAD S
HAMILTON,NJ08619
OUTPATIENT REHABILITATION
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
ELIGIBILITY FOR DISCOUNTED CARE 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 2012 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ("FPG") ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY. THE ORGANIZATION USES STATE OF NEW JERSEY CHARITY CARE GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE.
SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIES 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.
BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE INCLUDES UNPAID BALANCES FROM PATIENTS WITHOUT INSURANCE AND UNPAID BALANCES DUE RELATING TO COPAYMENTS, COINSURANCES AND DEDUCTIBLES. UNDER OUR SELF-PAY POLICY ALL uninsured PATIENT BILLS ARE DISCOUNTED TO 115% OF THE MEDICARE ALLOWABLE AMOUNT WHICH APPROXIMATES LESS THAN COSTS . THE DISCOUNT IS RECORDED AS CONTRA REVENUE. ONLY THE DIFFERENCE BETWEEN THE NET AMOUNT (CHARGES LESS DISCOUNT) AND AMOUNT PAID IS RECORDED AS BAD DEBT. HENCE THE BAD DEBT REPORTED ON THE AUDITED FINANCIAL STATEMENTS APPROXIMATES COSTS. THE PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM. CHARITY CARE THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES ("DOHSS") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE MAJORITY OF PATIENTS QUALIFY FOR CHARITY CARE WHERE HOUSEHOLD INCOME IS LESS THAN 200% OF THE FAMILY FEDERAL POVERTY GUIDELINES OF THEIR FINANCIAL CONDITION BEING SUCH THAT REQUIRING PAYMENT WOULD IMPOSE A HARDSHIP ON THE PATIENT. 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 THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED. THE COSTS ASSOCIATED WITH CHARITY CARE CHARGES DURING THE YEARS ENDED DECEMBER 31, 2012 AND 2011 WERE APPROXIMATELY $11,711,000 AND $9,111,000, RESPECTIVELY. THE ESTIMATE COST OF PROVIDING CHARITY SERVICES IS BASED ON VALUING ALL CHARITY CARE CLAIMS USING THE SYSTEM'S DECISION SUPPORT SYSTEM THAT UTILIZES COST TO CHARGE RATIOS DERIVED FROM THE MOST RECENTLY FILED MEDICARE COST REPORTS. DOHSS CHARITY CARE GUIDELINES REQUIRE PARTICIPATION AND SPECIFIC DOCUMENTATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. IN ADDITION TO CHARITY CARE, THE SYSTEM PROVIDES MILLIONS OF DOLLARS OF COMMUNITY BENEFIT THAT INCLUDES BUT IS NOT LIMITED TO THE COMMUNITY OUTREACH PROGRAMS, SUBSIDIZATION OF MEDICAL EDUCATION AND UNDER REIMBURSEMENT FOR SERVICES PROVIDED TO MEDICAID BENEFICIARIES. THE NEW JERSEY HEALTH CARE SUBSIDY FUND ("HCSF") WAS ESTABLISHED FOR VARIOUS PURPOSES INCLUDING THE DISTRIBUTION OF CHARITY CARE PAYMENTS TO HOSPITALS STATEWIDE. AS OF DECEMBER 31, 2012 AND 2011, THE SYSTEM RECEIVED SUBSIDY AMOUNTS OF $1,416,000 AND $1,214,000, RESPECTIVELY, WHICH ARE INCLUDED IN NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE STATE OF NEW JERSEY ESTABLISHED A MENTAL HEALTH SUBSIDY FUND TO PAY FOR SPECIFIC BEHAVIORAL HEALTH SERVICES. THE SYSTEM RECEIVED $1,257,000 FOR THESE SERVICES IN BOTH 2012 AND 2011.
COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2012 MEDICARE COST REPORT. THE ORGANIZATION'S POSITION IS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I BUT ARE NOT. 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," AND 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. THE ORGANIZATION'S POSITION IS THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDBALE ON THE FORM 990, SCHEUDLE H, PART I BUT ARE NOT. THE AMERICAN HOSPITAL ASSOCIATION'S ("AHA") POSITION IS 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 FELT 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 REPORTS INDICATE THAT MEDICARE REIMBURSES HOSPITALS ON AVERAGE APPROXIMATELY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE SYSTEM'S EXPERIENCE IS 85.1%. 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 "DUAL 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 FEEL 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, THE REPORT STATES ROUGHLY 40% 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" AS
COLLECTION POLICY 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 HEALTH SYSTEM 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-PAY" AND/OR ACCOUNTS WITH BALANCES AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING A MINIMUM OF THREE STATEMENTS, THE LAST ONE INDICATING IT IS THE FINAL NOTICE. THE FACILITY ALSO HAS A CHARITY CARE 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 FINANCIAL COUNSELOR 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 THE HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY STATE CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 NOT APPLICABLE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 10 UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE FOR CERTAIN PROGRAM SERVICES PROVIDED. UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO FOLLOWS THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES FOR THOSE PROGRAM SERVICES FOR WHICH IT DOES NOT USE FEDERAL POVERTY GUIDELINES IN DETERMINING ELIGIBILITY FOR FREE CARE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 11 THE ORGANIZATION USES STATE OF NEW JERSEY CHARITY CARE GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 14G THE ORGANIZATION PUBLICIZES THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY BY REFERENCING THE POLICY IN BILLING STATEMENTS. IN ADDITION, CHARITY CARE SIGNAGE IS DISPLAYED THROUGHOUT THE HOSPITAL.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 16E, 17E, 18E, 19C & 19D NOT APPLICABLE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 20D THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 21 & 22 NOT APPLICABLE.
NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 1 PRINCETON HEALTHCARE SYSTEM HIRED AN OUTSIDE FIRM TO CONDUCT A QUANTITATIVE CONSUMER RESEARCH STUDY OF CURRENT AND FUTURE COMMUNITY HEALTHCARE NEEDS AROUND PRINCETON, NEW JERSEY AREA. THE INTENT OF THE STUDY WAS TO UNCOVER CONSUMER INSIGHTS THAT WILL AID THE HOSPITAL'S PLANNING AND STRATEGIC DIRECTION THROUGH BETTER UNDERSTANDING OF THE CHANGING POPULATION - PARTICULARLY FROM THE STANDPOINT OF THE POPULATION'S RACIAL/ETHNIC MIX. THIS WAS A FORWARD-LOOKING STUDY THAT WOULD SUPPORT OTHER PRINCETON HEALTHCARE SYSTEM INITIATIVES THAT ADDRESS A POTENTIAL SHIFT IN THE POPULATION'S CULTURAL DYNAMICS WHEN IT MOVED TO THE NEW UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO IN MAY 2012. AS WELL, PRINCETON HEALTHCARE SYSTEM ANTICIPATED THE COMPETITIVE COMPLEXION TO CHANGE AND INTENSIFY. IT IS THEREFORE THE HOPE THAT THESE AND OTHER INSIGHTS WILL AID PRINCETON HEALTHCARE SYSTEM TO DEVELOP MORE COMMUNITY-CENTERED HEALTHCARE SERVICES WHICH WILL IN TURN INSPIRE A SUSTAINABLE LEADERSHIP POSITION.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 PHCS ACTIVELY PROMOTES ITS PATIENT FRIENDLY BILLING AND COLLECTION PROCESS THROUGH MULTIPLE CHANNELS AND IS AN INTEGRAL PART OF ITS CODE OF ETHICS AND VALUE STATEMENT. THE PHCS WEBSITE AND OTHER MATERIALS INFORMS PATIENTS THAT PHCS MAKES EVERY EFFORT TO WORK WITH OUR PATIENTS TO HELP THEM IN THE PAYMENT OF BILLS. ALSO, DURING THE INTAKE PROCESS DURING SCHEDULING AND/OR REGISTRATION INSURANCE/FINANCIAL RESPONSIBILITY IS COVERED. IF THE PATIENT IS WITHOUT COVERAGE WE HAVE A DEDICATED TEAM OF PROFESSIONALS THAT WILL ASSIST AND ASSESS WHETHER HE/SHE MAY QUALITY FOR ANY GOVERNMENT PROGRAMS. IN PARALLEL WE WILL ASSESS WHETHER THE PATIENT QUALIFIES FOR CHARITY CARE. PHCS PATIENT BILLS, WHERE APPLICABLE, MAKE REFERENCE TO OUR CHARITY CARE POLICY AND ALL PATIENT BILLS HAVE CONTACT INFORMATION. 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.
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 PRINCETON IS LOCATED IN AN AFFLUENT COMMUNITY SERVING PRIMARILY MERCER, MIDDLESEX AND SOMERSET COUNTIES. IN RECOGNITIION OF THIS, WE HAVE DEVELOPED PROGRAMS TO MEET THE NEEDS OF THE LESS FORTUNATE. FOR EXAMPLE WE HAVE INVESTED $3M IN AN OUTPATIENT CENTER (CLINIC) THAT CATERS TO PATIENTS WITHOUT INSURANCE OR MEDICAID. THIS OUTPATIENT CENTER PROVIDES ADULT, PEDIATRICS, OB/GYN AND SPECIALTY CARE. WE PROVIDE AND SUBSIDIZED 24/7 OBSETRICAL COVERAGE TO ENSURE ALL PATIENTS RECEIVE IMMEDIATE ACCESS TO QUALTY CARE. ALSO, WE HAVE DEVELOPED INPATIENT BEHAVIORAL HEALTH PROGRAMS (E.G., SHORT TERM CARE INVOLUNTARY PROGRAMS) THAT PROVIDE CARE TO A MUCH LARGER CATCHMENT AREA AND SERVICE PRIMARILY AN INDIGENT POPULATION.
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF DIRECTORS; 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.
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE PARENT ENTITY OF THE PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("SYSTEM"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. PLEASE ALSO REFER TO SCHEDULE O. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE SYSTEM PROVIDES COMMUNITY EDUCATION, HEALTH SCREENINGS AND OUTREACH PROGRAMS TO PATIENTS RESIDING IN MERCER, MIDDLESEX, AND SOMERSET COUNTIES. MAJOR PROGRAMS INCLUDE AN ANNUAL WOMEN'S CONFERENCE AND A CONFERENCE ADDRESSING THE HEALTH NEEDS OF THE AFRICAN-AMERICAN COMMUNITY. OTHER SPECIAL HEALTH OUTREACH EFFORTS HAVE BEEN DIRECTED TO THE LATINO, INDIAN-AMERICAN, AND KOREAN-AMERICAN COMMUNITIES. THE SYSTEM IS ALSO INVOLVED WITH PARTNERSHIPS WITH THE PRINCETON, HOPEWELL VALLEY, AND WEST WINDSOR/PLAINSBORO REGIONAL SCHOOL DISTRICTS FOR CHILDHOOD AND ADOLESCENT HEALTH ISSUES INCLUDING UNDERAGE DRINKING, SMOKING AND EATING DISORDERS. OTHER PROGRAM VENUES INCLUDE AREA SENIOR CENTERS AND PUBLIC LIBRARIES. IN 2012 THE SYSTEM PROVIDED 1,422 PROGRAMS TO 29,700 PARTICIPANTS. THE DIRECT COSTS TO SUPPORT THESE PROGRAMS IN 2012 WAS $1,244,000. SYSTEM SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED ABOVE FOR PART I, LINE 3C; PART I, LINE 6A; PART I, LINE 7; PART II; PART III, LINE 4 AND 8; AND PART III, LINE 9B ARE REFLECTIVE OF THAT POLICY. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES. NOT FOR PROFIT PRINCETON HEALTHCARE SYSTEM AND AFFILIATES ENTITIES PRINCETON HEALTHCARE SYSTEM HOLDING, INC. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ("PHCS HOLDING") IS THE TAX-EXEMPT PARENT OF THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER PHCS HOLDING OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY PHCS HOLDING. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS IN THE STATE OF NEW JERSEY. PRINCETON HEALTHCARE SYSTEM HOLDING, 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). PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") IS COMPRISED OF THREE DIVISIONS; UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO, PRINCETON HOUSE BEHAVIORAL HEALTH AND PRINCETON HOMECARE SERVICES. PRINCETON HEALTHCARE SYSTEM, LOCATED IN PLAINSBORO, MERCER COUNTY, NEW JERSEY, IS A 267 BED ACUTE CARE FACILITY. PHCS IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, PHCS 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, PHCS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1. PHCS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. PHCS OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. PHCS MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF PHCS RESTS WITH ITS BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, MEMBERS OF THE COMMUNITY AND MEDICAL STAFF REPRESENTATION. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PRINCETON CAREGIVERS, INC. PRINCETON CAREGIVERS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES HOMECARE SERVICES TO INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PRINCETON HEALTHCARE SYSTEM FOUNDATION, INC. PRINCETON HEALTHCARE SYSTEM 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 PRINCETON HEALTHCARE SYSTEM; 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. PRINCETON MEDICAL PROPERTIES, INC. PRINCETON MEDICAL PROPERTIES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION IS A TITLE HOLDING COMPANY WHICH ACQUIRES, CONSTRUCTS, FINANCES AND HOLDS PROPERTY FOR PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AND ITS AFFILIATES. PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. PRINCETON HEALTHCARE AFFILIATED PHYSICIANS, P.C. 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)(2). THE ORGANIZATION SUPPORTS PRINCETON HEALTHCARE SYSTEM, 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. BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF PRINCETON HEALTHCARE SYSTEM AND IS AN INTEGRAL PART OF PRINCETON HEALTHCARE SYSTEM. FOR PROFIT PRINCETON HEALTHCARE SYSTEM AND AFFILIATES ENTITIES PHI PHARMACY, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PHCS HOLDING. THE ORGANIZATION IS AN INACTIVE FOR-PROFIT CORPORATION. PRINCETON HEALTH, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PHCS HOLDING. THE ORGANIZATION IS LOCATED IN PRINCETON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION IS AN INVESTMENT VEHICLE THAT SUPPORTS THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF PHCS. PRINCETON HEALTHCARE MANAGEMENT SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PRINCETON HEALTH, INC. THE ORGANIZATION IS LOCATED IN PRINCETON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICAL BUSINESS MANAGEMENT SERVICES TO THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES TO ASSIST IN PROVIDING 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. PRINCETON HEALTHCARE MEDICAL EQUIPMENT CO. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS PRINCETON HEALTH, INC. THE ORGANIZATION IS LOCATED IN PRINCETON, MERCER COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDED MEDICAL EQUIPMENT TO THE PRINCETON HEALTHCARE SYSTEM AND AFFILIATES TO BE USE IN PROVIDING 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. THIS ORGANIZATION IS NOW INACTIVE.
FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 THE ORGANIZATION HAS TWO HOSPITAL FACILITIES. THESE INCLUDE UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO AND PRINCETON HOUSE BEHAVIORAL HEALTH AS REFLECTED IN SCHEDULE H, PART V, SECTION A. PLEASE NOTE THAT OUR RESPONSES OUTLINED ABOVE TO THE FOLLOWING QUESTIONS RELATE TO UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO: - SCHEDULE H. PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 - SCHEDULE H. PART V, SECTION B, QUESTION 10 - SCHEDULE H. PART V, SECTION B, QUESTION 11 - SCHEDULE H. PART V, SECTION B, QUESTION 14G - SCHEDULE H. PART V, SECTION B, QUESTIONS 16E, 17E, 18E, 19C & 19D - SCHEDULE H. PART V, SECTION B, QUESTION 20D - SCHEDULE H. PART V, SECTION B, QUESTIONS 21 & 22 IN ADDITION, PLEASE NOTE THAT OUR RESPONSES OUTLINED ABOVE TO THE FOLLOWING QUESTIONS RELATE TO PRINCETON HOUSE BEHAVIORAL HEALTH: - SCHEDULE H. PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 - SCHEDULE H. PART V, SECTION B, QUESTION 11 - SCHEDULE H. PART V, SECTION B, QUESTION 14G - SCHEDULE H. PART V, SECTION B, QUESTIONS 16E, 17E, 18E, 19C & 19D - SCHEDULE H. PART V, SECTION B, QUESTIONS 21 & 22
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number
21-0635009
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) THE COLLEGE OF NEW JERSEY
2000 PENNINGTON ROAD
EWING,NJ08628
22-2797398 501(C)(3) 33,926       EDUCATION






















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
GRANT FUND MONITORING SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)MARGARET LANCEFIELD MD PHDVICE CHAIR - TRUSTEE (i)
(ii)
0
251,825
0
0
0
3,109
0
15,297
0
23,999
0
294,230
0
0
(2)BARRY S RABNERTRUSTEE - PRESIDENT/CEO (i)
(ii)
554,530
0
691,686
0
8,997
0
82,773
0
19,799
0
1,357,785
0
0
0
(3)BRUCE L TRAUB FHFMA CPATREASURER - SVP/CFO (1/1-9/4) (i)
(ii)
340,080
0
73,307
0
3,099
0
12,797
0
26,931
0
456,214
0
0
0
(4)YALE H BOHN ESQASST SEC - VP/GENERAL COUNSEL (i)
(ii)
316,846
0
130
0
6,492
0
12,797
0
35,746
0
372,011
0
0
0
(5)ANNE C SEARLECHIEF INFORMATION OFFICER (i)
(ii)
296,257
0
69,635
0
4,900
0
11,547
0
10,609
0
392,948
0
0
0
(6)MARK T JONESSENIOR VP PHCS/ PRESIDENT UMCP (i)
(ii)
367,250
0
121,151
0
5,677
0
11,547
0
25,433
0
531,058
0
0
0
(7)RICHARD E WOHLSENIOR VP (i)
(ii)
227,676
0
41,872
0
5,683
0
14,091
0
26,699
0
316,021
0
0
0
(8)LINDA F SIEGLEN MDVICE PRESIDENT (i)
(ii)
389,946
0
81,952
0
4,860
0
11,547
0
27,776
0
516,081
0
0
0
(9)MARCIA M TELTHORSTERVICE PRESIDENT (i)
(ii)
219,520
0
69,343
0
4,180
0
9,914
0
3,899
0
306,856
0
0
0
(10)RAY B LEFTONVICE PRESIDENT (i)
(ii)
221,532
0
48,223
0
3,284
0
11,173
0
13,021
0
297,233
0
0
0
(11)JOSEPHE E STAMPEVICE PRESIDENT (i)
(ii)
217,058
0
43,411
0
2,919
0
10,097
0
35,058
0
308,543
0
0
0
(12)SUSAN LORENZVICE PRESIDENT (i)
(ii)
204,986
0
47,797
0
3,126
0
9,339
0
21,903
0
287,151
0
0
0
(13)BARBARA A YOSTVICE PRESIDENT (i)
(ii)
203,943
0
45,231
0
3,774
0
12,380
0
32,714
0
298,042
0
0
0
(14)JAMES G DEMETRIADESVICE PRESIDENT (i)
(ii)
203,419
0
45,231
0
2,740
0
10,288
0
11,030
0
272,708
0
0
0
(15)JAMES B HOGLEVICE PRESIDENT (i)
(ii)
175,846
0
36,675
0
2,395
0
7,803
0
34,163
0
256,882
0
0
0
(16)CAROL NORRIS SMITHVICE PRESIDENT (i)
(ii)
156,175
0
35,563
0
2,296
0
9,015
0
32,180
0
235,229
0
0
0
(17)PAMELA HERSHVICE PRESIDENT (i)
(ii)
155,940
0
0
0
4,690
0
6,485
0
10,248
0
177,363
0
0
0
(18)PAMELA GARBINIVICE PRESIDENT (1/1/12-9/7/12) (i)
(ii)
131,148
0
0
0
1,691
0
3,257
0
31,226
0
167,322
0
0
0
(19)PETER J THOMAS PHDPHYSICIAN (i)
(ii)
148,612
0
35,883
0
491
0
6,943
0
31,879
0
223,808
0
0
0
(20)SIDDIQ FAISAL MDPHYSICIAN (i)
(ii)
180,496
0
0
0
240
0
7,814
0
22,712
0
211,262
0
0
0
(21)LAURIE S GREYED REVENUE CYCLE MANAGEMENT (i)
(ii)
172,240
0
3,805
0
594
0
8,399
0
16,405
0
201,443
0
0
0
(22)KYRA WILLIAMSPHYSICIAN (i)
(ii)
170,574
0
0
0
232
0
7,585
0
37,443
0
215,834
0
0
0
(23)JANET ALEXANDER JAMESNUCLEAR MED TECH (i)
(ii)
162,657
0
0
0
331
0
5,491
0
17,873
0
186,352
0
0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER, BARRY S. RABNER, 2012 FORM W-2, BOX 5, INCLUDES A TAX GROSS-UP PAYMENT OF $2,377, RELATED TO HIS FORM W-2, BOX 5, TAXABLE COMPENSATION RESULTING FROM PERSONAL USAGE OF AUTO.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BARRY S. RABNER, $69,976.
COMPENSATION INFORMATION CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number
21-0635009
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A New Jersey Health Care Facilities Authority
 
22-1487148 64579fb93 05-01-2010 230,000,000 CONSTRUCTION OF HOSPITAL, REFINANC   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 230,752,000      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0      
5 Capitalized interest from proceeds . . . . . . . . . . . 0      
6 Proceeds in refunding escrows . . . . . . . . . . . . 0      
7 Issuance costs from proceeds . . . . . . . . . . . . 1,884,000      
8 Credit enhancement from proceeds . . . . . . . . . . . 0      
9 Working capital expenditures from proceeds . . . . . . . . . 0      
10 Capital expenditures from proceeds . . . . . . . . . . . 220,674,000      
11 Other spent proceeds . . . . . . . . . . . . . . 0      
12 Other unspent proceeds . . . . . . . . . . . . . . 8,195,000      
13 Year of substantial completion . . . . . . . . . . . . 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X              
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X            
16 Has the final allocation of proceeds been made? . . . . . . . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X              
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X              
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0%   %   %   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . . X              
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X            
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X            
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X            
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X              
b Exception to rebate? . . . . . . . .   X            
c No rebate due? . . . . . . . . . .
  X            
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X              
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider . . . . . . . . . 0
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X            
b Name of provider . . . . . . . . . 0
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X            
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X              
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X              
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) UNIVERSITY OF MEDICINE DENTISTRY TRUSTEE - AMENTA 2,567,891 MEDICAL SERVICES   No
(2) PRINCETON MEDICAL GROUP PA TRUSTEE - YI 124,267 MEDICAL SERVICES   No
(3) PRINCETON RADIOLOGY ASSOCIATES PA TRUSTEE - COMPITO 524,049 MEDICAL SERVICES   No
(4) PRINCETON SURGICAL ASSOCAITES PA TRUSTEE - KAHN 449,289 MEDICAL SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV PETER S. AMENTA, M.D., PH.D. IS A TRUSTEE OF THE ORGANIZATION. DR. AMENTA IS THE DEAN OF UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY ("UMDNJ"). THE ORGANIZATION UTILIZED THE SERVICES OF UMDNJ, DURING 2012. TOTAL FEES PAID TO UMDNJ DURING 2012 WERE $2,567,891. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. PETER I. YI, M.D., IS A TRUSTEE OF THE ORGANIZATION. DR. YI IS THE OWNER OF PRINCETON MEDICAL GROUP, P.A. THE ORGANIZATION UTILIZED THE SERVICES OF PRINCETON MEDICAL GROUP, P.A., DURING 2012. TOTAL FEES PAID TO PRINCETON MEDICAL GROUP, P.A. DURING 2012 WERE $124,267. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GERARD A. COMPITO, M.D., IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, PRINCETON RADIOLOGY ASSOCIATES, P.A., DURING 2012. TOTAL FEES PAID TO PRINCETON RADIOLOGY ASSOCIATES, P.A. DURING 2012 WERE $524,049. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. STEVEN P. KAHN, M.D., IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, PRINCETON SURGICAL ASSOCIATES, P.A., DURING 2012. TOTAL FEES PAID TO PRINCETON SURGICAL ASSOCIATES, P.A. DURING 2012 WERE $449,289. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Princeton HealthCare System, A NEW JERSEY NON PROFIT CORPORATION ("PHCS") is composed of three divisions: University Medical Center of Princeton at Plainsboro (UMCPP), Princeton House Behavioral Health and Princeton HomeCare Services. PHCS is recognized by the Internal Revenue Service (IRS) as an Internal Revenue Code Section 501(c)(3) tax-exempt organization. In accordance with its charitable mission, PHCS provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, PHCS operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1) PHCS provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self- pay, Medicare and Medicaid patients; 2) PHCS operates for all persons an active emergency department; which is open 24 hours a day, 7 days a week, 365 days per year; 3) PHCS maintains an open medical staff, with privileges available to all qualified physicians; 4) Control of PHCS rests with its Board of Trustees which is composed 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. The operations of PHCS, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of PHCS 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. BACKGROUND ========== PHCS is a leading provider of healthcare services. A respected nonprofit, community teaching system, we offer compassionate care supported by advanced technologies and an outstanding medical staff. Ninety-four percent of our 1,066 of the medical staff members have achieved board certification, the hallmark of professional excellence, the balance are board eligible. Through our affiliations with academic institutions, we are setting new standards in diagnostic and treatment protocols and achieving successful clinical outcomes for our patients. Princeton HealthCare System is Redefining Care through our commitment to delivering an exceptional level of healthcare. Our mission statement is as follows: The Mission of phcs is to be the focal point of a comprehensive community health system that responds to the healthcare needs of our service area residents. Pchs will provide inpatient and outpatient care, community health education, medical education, and should promote medical and scientific research when appropriate. It is integral to the Mission of Phcs to continually improve quality of service to our patients and community and to provide appropriate healthcare to all. PHCS is composed of the following: University Medical Center of Princeton at Plainsboro ("UMCPP") is a teaching hospital that provides comprehensive patient care and support services relating to patient care to all individuals in a non-discriminatory manner regardless of ability to pay. It is an acute care facility with 319 beds comprised of 288 acute care beds, 17 physical rehabilitation beds and 14 neonatal bassinets. In 2012 patient days totaled 61,997. Outpatient patient visits/encounters totaled 684,076. UMCPP launched an intensivists program in 2005 to ensure that physicians with advanced critical care training coordinate the care of the most critically ill patients. The 2005 year also saw the addition of two pediatric outpatient specialties (pediatric nephrology and pediatric cardiology) and UMCPP's bariatric surgery program earned a designation as a center of excellence. In 2009, umcpp kicked off an exciting partnership with the Children's Hospital of Philadelphia bringing world-class pediatric healthcare to our community. UMCPP further developed its diabetes management services providing approximately 3,440 occasions of service in 2012. umcpp Diabetes Management services also reach out into the community. a certified diabetes nurse clinician provides a monthly support group meeting at both our Princeton and Monroe locations. In 2012, 147 residents from the community participated in our diabetes support groups. UMCPP also provides cardiac and pulmonary rehabilitation which includes exercise sessions, maintenance and re-assessments. During 2012, approximately 8,830 cardiac and pulmonary rehabilitation sessions were provided. UMCPP is proud to be among a select number of hospitals nationwide with a 24-bed Acute Care of the Elderly (ACE) unit. In fact, we were one of the first hospitals in New Jersey to offer this nursing unit specifically designed to meet the complex needs of the older adult population. Major Achievements ------------------ - UMCPP named to 100 Great Hospitals, a list published annually by Becker's Hospital Review, a comprehensive ranking that also includes on the 2013 list: the Johns Hopkins Hospital; Mayo Clinic; Cleveland Clinic; Massachusetts General Hospital. - Top Hospital for Patient Safety and Quality of Care in 2008, 2009 and 2010 by The Leapfrog Group, one of fewer than 40 hospitals in the nation and the only one in New Jersey - to receive this designation for three consecutive years. The Leapfrog Group is a partnership of major employers and other large healthcare purchasers in the United States, an independent national nonprofit working to improve the safety, quality and affordability of healthcare. - An "A" in patient safety from The Leapfrog Group, a national nonprofit working to improve the safety, quality and affordability of healthcare. The top grade was awarded as part of The Leapfrog Group's Hospital Safety Score, which is calculated twice yearly based on data related to preventable medical errors, injuries, accidents and infections. UMCPP has earned straight A's since the grades were first published in June 2012. - Magnet status, the highest institutional recognition available for nursing excellence, one of 395 Magnet-recognized organizations, representing fewer than five percent of the hospitals nationwide. The American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association, developed the Magnet Recognition Program to acknowledge superior patient care, nursing excellence and innovations in professional nursing practice. - Press Ganey patient experience surveys ranked UMCPP in the 98th percentile, compared to the New Jersey Peer Group, for overall inpatient services during the fourth quarter of 2012. Also during this same time frame, in the HCAHPS-Hospital Consumer Assessment of Healthcare Providers and Systems-survey, UMCPP ranked in the 92nd percentile among New Jersey hospitals in response to the question: "How would you rate this hospital?" Nearly 75 percent of the patients surveyed rated the hospital 9 or 10 on a scale from 1 to 10. - Center of Excellence for Bariatric Surgery by the American Society for Metabolic & Bariatric Surgery. The designation is based on the Bariatric Surgery program's equipment, staffing, training, safety and patient outcomes. - Clinical Research Affiliate of The Cancer Institute of New Jersey, an accredited oncology-teaching program of the American College of Surgeons' Commission on Cancer (CoC) and recipient of the CoC's Outstanding Achievement Award. - National accreditation recognizing the excellence of its full spectrum of breast care, from preventive services such as mammography to the most advanced cancer treatments. The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, awarded the three-year full accreditation to the breast care services provided at UMCPP and the UMCPP Breast Health Center in East Windsor. - Princeton HealthCare System (PHCS) named one of the nation's Top Performers on Key Quality Measures by The Joint Commission, the leading accrediting agency of healthcare organizations in America. PHCS was recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care. PHCS was recognized for its achievement in the following areas: heart attack, heart failure, pneumonia, and surgical care. - NICHE (Nurses Improving Care for Health System Elders), a national initiative based at the Hartford Institute for Geriatric Nursing at New York University. The program aims to facilitate the infusion of evidence-based geriatric best practices throughout institutions to improve nursing care for older adult patients.
COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - UMCPP's Breast Health Center designated Breast Imaging Center of Excellence by American College of Radiology. Princeton HomeCare Services is a home care and visiting nurse service providing healthcare services to all individuals in a non-discriminatory manner regardless of ability to pay. In 2012 there were 46,300 visits recorded. This growing service is vital in the capacity to provide care at the patient's home rather than requiring a stay in the hospital. Princeton HomeCare Services also operates a Palliative Care Program and a Hospice Program. The Palliative Care Program focuses on comfort and support providing 22,821 Hospice visits in 2012. The Hospice Program offers Grief Support groups in the day and evening, to accommodate the needs of the community. In 2005, the Hospice Program began offering volunteer training in Monroe for individuals who wish to visit and offer support to patients and families. To help children mourn the loss of a loved one, a Child Bereavement Program educates parents and healthcare providers as to the effects of death on children. In 2007 the Hospice Program opened a new Library for bereaved children and teens. Princeton House Behavioral Health (PHBH) offers treatment for acute psychiatric illnesses, substance use problems, and co-occurring disorders at the inpatient, partial hospital, and intensive outpatient levels of care to all patients in a non-discriminatory manner regardless of ability to pay. As an advanced behavioral health service provider in the State of New Jersey, PHBH maintains a main campus in Princeton and outpatient sites throughout Central and Southern New Jersey in Princeton, North Brunswick, Hamilton and Cherry Hill. PHBH's inpatient facility on the main campus in Princeton now has 110 beds that produced 33,059 patient days in 2012. Outpatient visits and treatments across multiple sites amounted to 75,323. PHCS MEDICAL SERVICES AND HEALTHCARE PROGRAMS ============================================== The medical services and healthcare programs conducted by PHCS include, but are not limited to, the following: 1. Behavioral Health Services Princeton House Behavioral Health offers a wide and growing range of behavioral health programs to meet the needs of the communities that it serves. Specialized programs for children, adolescents, adults, women, and older adults are available across the continuum of care, with a few examples that follow. In April 2005, PHBH opened, the "Short Term Care Facility", (STCF), designed to stabilize patients who meet the commitment criteria in the State of New Jersey and help them transition to a less restrictive level of care as quickly as possible. Designated by the New Jersey Department of Health, this STCF unit has 21 beds and its multidisciplinary treatment approach includes the participation of community mental health representatives from various agencies. In 2009, a children's outpatient psychiatric program opened in Hamilton, in addition to the already established children's programs at the North Brunswick and Cherry Hill sites. These partial hospital and intensive outpatient programs provide treatment for children ages 5-12 that cannot function in the classroom due to severe psychiatric and behavioral problems. Across all of its many programs, Princeton House promotes evidence-based practices, continuous improvement of quality, ongoing professional and community education, and innovative approaches to behavioral healthcare. In addition to clinical programs for patients, PHBH hosts professional education programs and is actively involved in the community. For example, PHBH's Department of Training and Research maintains an American Psychological Association (APA)-accredited Pre-Doctoral Psychology Internship Program, which attracts highly qualified candidates from around the country. PHBH community-based activities include free continuing education events to area behavioral health professionals, as well as frequent participation in relevant community events such as the Recovery Rally, the Trenton Drug Free Festival, the Mercer Traumatic Loss Coalition's 5K Run, the National Alliance for Mental Illness's annual "NAMI Walk", and the National Council of Alcohol and Drug Dependence's Tree of Hope Ceremony. 2. Breast Health Center The Breast Health Center is a state of the art breast imaging facility located in East Windsor, the first facility in Mercer County to be designated as a Breast Imaging Center of Excellence by the American College of Radiology. UMCPP Breast Health Center is one of only about five percent of breast imaging facilities nationwide to have been designated a Breast Imaging Center of Excellence by the American College of Radiology signifying that UMCPP meets the highest standards of the radiology profession. The Center was designed to provide a relaxing environment for patients undergoing breast imaging and diagnostics. The goal of the Breast Health Center is to promote recommended screening guidelines, provide education and support to women in an effort to diagnose cancer in early, treatable stages when positive outcomes are most achievable. In addition to mammography, breast ultrasound, stereotactic biopsy and ultrasound biopsy, the Center has certified Breast Health Navigators to assist patients throughout their treatment for breast cancer. Breast Surgeons and Medical Oncologists also see patients at the Breast Health Center. The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, awarded the three-year full accreditation to the breast care services provided at UMCPP and the UMCPP Breast Health Center in East Windsor. Educational programs are presented at the Center by Community Education and Outreach with topics relevant to women. Educational outreach promoting breast health is performed with collaborating organizations such as the Breast Cancer Resource Center of the Princeton YWCA, The Christina Walsh Breast Cancer Foundation and Heart to Heart. A grant from Susan G. Komen for the Cure provided 119 mammograms for underserved women. The Breast Health Center staff participates in the Komen Race for the Cure each year. In 2012, the Breast Health Center participated in 22 educational and outreach programs which included 197 attendees. It also launched a Breast Cancer Support Group in collaboration with CancerCare of New Jersey. 3. Eating Disorders The Eating Disorders Program at University Medical Center of Princeton at Plainsboro is committed to providing exceptional medical, psychotherapeutic and nutritional care as well as highly personal caring for each and every patient in our program. Our multidisciplinary treatment team provides effective and compassionate treatment for adults, adolescents and children who are suffering from anorexia, bulimia and other eating disorders. Our goal is to help patients recover physically and emotionally in a warm, caring environment that offers acceptance, safety and support. Because of our location in a full-service medical center, we emphasize thorough and efficient treatment of any medical complications while simultaneously addressing the psychological issues underlying eating disorders.
COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 4. Emergency Department The Center for Emergency Care at UMCPP provides state-of-the-art emergency medicine, treating patients with all medical problems that cannot wait to be seen by their regular doctor, as well as severe and life-threatening illnesses and injuries. The Center is open 24 hours a day, 365 days a year, and is staffed around-the-clock by physicians who are board certified in emergency medicine and registered nurses who are trained in trauma, emergency care and disaster preparedness. Staffed by physicians who are board certified in emergency medicine and nurses who are trained in trauma, emergency care and disaster preparedness, the Emergency Department realized 42,260 visits in 2012. The focus is on prompt, effective treatment with a bedside registration process and a Fast Track Suite that provides treatment for a less serious injury or illness within an hour. A hospitalist from the world renowned Children's Hospital of Philadelphia (CHOP) is on-site 24/7 to consult on emergency cases involving infants, children and adolescents to ensure the highest-level of, and most age-appropriate, care. A hospitalist is a physician who specializes in caring for patients in the hospital setting only. In 2009, the LIFENET Cardiac Care System was fully implemented enabling EMTs to transmit patients EKGs from the field to the Emergency Department, allowing ED staff more time to prepare for patients requiring emergency care. In addition, the Center for Emergency Care at UMCPP is a state-designated Primary Stroke Center, based on UMCPP's advanced capabilities and protocols for the rapid and effective treatment of stroke patients. Our specially-trained, acute stroke teams are available 24 hours, seven days a week and are ready to see patients within 15 minutes. UMCPP has around-the-clock neuro-imaging capabilities via its state-of-the-art computerized tomography (CT) scanner, and neurosurgical services. 5. Epilepsy Program The University Medical Center of Princeton at Plainsboro's Epilepsy Program provides comprehensive and compassionate outpatient and inpatient services for adults and children over the age of 6 who have seizure disorders. Our program is committed to providing skilled and compassionate care that focuses on achieving successful outcomes, continuity of care and quality of life. Epilepsy is a chronic neurological condition that produces sudden disturbances in the normal electrical function of the brain. This causes seizures that affect an individual's awareness, movement, sensations or behavior. More than 3.0 million Americans have been diagnosed with epilepsy, and 200,000 new cases occur each year. The disorder can occur at any age but is especially common in children and older adults. The Epilepsy Program at University Medical Center of Princeton at Plainsboro is led by a fellowship-trained neurologist with highly specialized training in epilepsy. Each of our board certified physicians emphasizes a team approach to care. They work closely with a patient's personal physician as well as PHCS' skilled nursing and certified technical staff. 6. Inpatient Hospice Program Inpatient hospice care is available at University Medical Center of Princeton at Plainsboro when uncontrolled pain or intractable symptoms make remaining at home extraordinarily difficult. The Inpatient Hospice Program is a unique partnership between University Medical Center of Princeton at Plainsboro, Princeton HomeCare Services and members of the community committed to providing highly skilled and compassionate inpatient care for hospice patients. 7. Intensivists Program Patients have access to highly specialized care if and when it is needed most through the Intensivists Program, now available at The University Medical Center of Princeton at Plainsboro. Intensivists are physicians with advanced critical care board certification who specialize in treating the most seriously ill or injured patients. Studies have shown that patients whose care is managed by a specially trained intensivist in the ICU recover more quickly and achieve better clinical outcomes overall. UMCPP's Intensivists Program is provided in collaboration with the rutgers new jersey medical school, one of the country's leading medical schools. The University Medical Center of Princeton at Plainsboro is an acute care teaching hospital and University Hospital Affiliate of the medical school. 8. Maternity Program The Center for Maternal and Newborn Care at University Medical Center of Princeton at Plainsboro is committed to promoting a unique, family-centered birth experience, healthy pregnancies and safe deliveries. University Medical Center of Princeton at Plainsboro OB patients receive nationally recognized maternity care provided by an exceptional team of physicians and maternal and family health experts. Staff and physicians help patients and their families feel confident and comfortable through pregnancy, labor and delivery as well as prepared to care for their new baby when they go home. The University Medical Center of Princeton at Plainsboro is proud to be a national leader in maternity care. Our partnership with the Maternal Fetal Department at Penn Medicine, a team of nationally recognized experts in high-risk obstetrics, fetal evaluation and ante-partum testing, allows us to offer a broad range of services on site at our new Plainsboro facility. Through this partnership, Penn Maternal Fetal Medicine at UMCPP offers advanced care which provides round-the-clock access to board certified obstetricians, peri-natologists (maternal fetal medicine specialists for complex pregnancies), anesthesiologists, neonatologists and pediatricians. The program also includes daily access to lactation instruction and access to outpatient lactation services through the Community Education and Outreach Program once they are discharged. We provide screening for post partum depression and Community Education provides post partum adjustment support groups. UMCPP has a very busy maternity clinic for patients that are uninsured or uninsured. To support this service, UMCPP provides and pays for 24/7 physician obstetrical care. 9. Orthopedics Program A leading provider of orthopedic care, The University Medical Center of Princeton at Plainsboro helps patients return to active, comfortable living. HealthGrades, the nation's leading healthcare quality company, has named University Medical Center of Princeton at Plainsboro the top-rated provider of overall orthopedic care and joint replacement surgery in the Trenton area. Because of the exceptional quality of our care, University Medical Center of Princeton at Plainsboro has also been ranked among the top five hospitals in New Jersey for overall orthopedics and joint replacement surgery. the umcpp Orthopedic Program offers skilled and comprehensive care. - Board certified physicians with fellowship training in key sub-specialties including spine, hand, shoulder, hip and knee surgeries - Innovators in minimally invasive techniques that promote faster recovery and greater comfort - Pioneers in the use of highly durable advanced materials, resulting in greater function and convenience for patients 10. Bristol-Myers Squibb Community Health Center ("BMSCHC") The BMSCHC is dedicated to providing excellent primary and specialty care for adults and children who meet New Jersey State financial guidelines: - Care provided by board certified physicians, highly trained residents (from the Rutgers New Jersey Medical School working under the guidance of members of our medical staff who also serve on the faculty of the medical school), nutritionists, social workers, RN's, CMA's, and health educators. - Will provide more than 24,194 total patient visits to in 2012, representing approximately a 24 percent increase in visit volume vs. five years ago. - Obstetrics and Gynecology Program that includes extensive counseling, ongoing case management, and provision of services to a uniquely underserved population. The volume of obstetric cases continues to experience steady growth since inception. In 2012 we began to accept direct referrals for Medicaid patients into our Gynecologic service. We experienced a 26 percent volume increase in these types of visits as compared to 2009 volumes. It is important to note that few, if any, private physicians in our community accept Medicaid and very few participate in managed medicaid programs.
COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Our Pediatric PROGRAM serves more than 1,250 children and its visit volume has grown more than 29 percent in the past five years. The program includes provision of a very high volume of pediatric immunizations & EPSDT services, as well as case management and referral for subspecialty care. The Pediatric PROGRAM also coordinates an asthma education/monitoring effort, that includes provision of nebulizers for home administration of respiratory medications, coordination with parents & schools regarding asthma care, and more focused re-education and case coordination for infants/children with respiratory problems. - General Surgery visit volume AT bmschc has grown 66 percent in the past five years, and more than 290 percent in the past 10 years. - Outpatient care includes not only treatment of chronic and acute illnesses/health conditions, but also preventive care and screening services, referral to a wide variety of UMCPP specialty programs, and extensive case management for at-risk populations. bmschc staff participates in a variety of grant-related and community-health focused activities, including the annual Latino Health Fair, breast health outreach/education/mammography screening, and diabetic eye screening efforts. In addition, the bmschc coordinates an ongoing Diabetes Management Initiative for adult patients that include close monitoring of key clinical indicators, individualized follow-up, specialized education/nutrition services, and provision of glucose testing materials. - In addition to the clinical care services provided, the bmschc provides and/or facilitates additional associated support services for bmschc Patients. These include referral/linkages to other community services and resources such as the WIC maternal-child nutrition program, Domestic Violence services and provision of scheduling & translation services for a bi-weekly onsite Medicaid worker. - bmschc staff assists patients in applying for indigent drug programs provided by pharmaceutical companies, and for PAAD/Medicare Part D prescription coverage. UMCPP also provides a variety of medications to bmschc patients who have no prescription coverage through its Pharmacy Department, totaling 2317 prescriptions filled for bmschc patients in 2012. bmschc staff also assists patients & families with submission of/follow-up per their Medicaid and FamilyCare applications, and staff is designated Presumptive Eligibility screeners for facilitated patient access to governmental coverage for obstetric and Pediatric services. - A high volume of interpretive/translation services are also provided for Limited English Proficient patients & families, both within the bmschc and for service provision elsewhere within UMCPP. A full-time Volunteer Translation Coordinator provides interpretive services and translation of written materials, as well as coordination of recruitment/screening/supervision of a cadre of community volunteers who interpret for patient clinical encounters. In addition, a number of bmschc staff are fully bilingual/bicultural and provide a very high volume of interpretive services for patient care and services. 11. Pain Management Program The University Medical Center of Princeton at Plainsboro's Pain Management Program has been providing innovative care to our community since 1995. the mission is to support effective pain control for patients suffering from chronic or acute pain by formulating a comprehensive plan of care. The physicians and staff of the Pain Management Program are committed to offering outstanding clinical care and exceptional personal caring to each and every patient in our program. These services are offered as part of Princeton HealthCare System's full continuum of care. 12. Pediatric HealthCare Center The Pediatric HealthCare Center at University Medical Center of Princeton at Plainsboro offers specialized pediatric care on an inpatient basis to families of the greater Princeton area. Care is provided through Children's Hospital of Philadelphia and the board certified physicians in its Departments of Pediatrics and Neonatology. We provide 24/7 inpatient coverage in the Emergency Department and inpatient well baby care, pediatrics and for low birth weight babies treated in our intermediate level 2 Neonatal intensive care unit ("nicu"). 13. Radiation Oncology The Edward & Marie Matthews Center for Cancer Care at University Medical Center of Princeton at Plainsboro (UMCPP) unites the Cancer Program's cutting-edge services in one specially designed space, allowing our multidisciplinary team to give patients high quality clinical care and compassionate support in a modern, yet warm, setting. By providing a complete continuum of care, the Center gives patients full access to the specialized clinical services, rehabilitative care, and support they need during treatment and recovery from cancer. As the very latest generation of linear accelerator the TrueBeamTM delivers radiation treatments with unparalleled precision and speed, reducing daily treatment times, improving targeting accuracy, and allowing for great versatility in treatment design. Radiation treatment uses an invisible and painless high-energy beam to arrest growth of cancer cells. Radiation may be administered either through a powerful linear accelerator or through the placement of radiation beads. The linear accelerator is capable of generating seven separate beams of high-energy x-rays or electrons, and it is supported by a sophisticated treatment planning computer. A board certified physicist uses this computer to perform the thousands of complex calculations required to tailor each radiation treatment to individual patient needs. Quality radiation treatment depends not only on the sophistication of the equipment, but also on the skill and compassion of the team of professionals providing care: physician, physicist, nurse and technologist. University Medical Center's Radiation Oncology team provides a diverse background of skills and experience to assist the cancer patient during the course of treatment. 14. Sleep Center Sleep disorders are a common condition affecting about one out of every six people in the United States. A sleep disorder can adversely affect health, work performance, school and relationships, so it is important to seek professional help. With prompt diagnosis and effective treatment, patients can sleep, feel and live better. Committed to the study, diagnosis and treatment of sleep-related problems, the University Medical Center of Princeton at Plainsboro Sleep Center offers adults and children expert care from a compassionate team of professionals. Our multidisciplinary treatment team includes: - Board certified physicians - Insomnia specialists - Technologists registered in clinical polysomnography 15. Surgery General and highly specialized surgical procedures are provided by a team of outstanding board certified surgeons and anesthesiologists. Surgeries are performed in our state-of-the-art operating facility, which now includes breakthrough robotic technology such as the da Vinci Surgical System to advance patient's access to high quality care. PHCS surgeons are skilled in innovative minimally invasive surgical techniques that ease and speed recovery while minimizing scarring. Services include: - Abdominal procedures - Bariatric surgery for morbid obesity - Gynecological surgery - Hernia repair - Neurosurgery - Ophthalmologic surgical procedures - Oral surgery - Orthopedic surgery - Otolaryngologic surgical procedures - Pediatric surgery and pediatric urology - Plastic surgery - Thoracic surgery (surgery of the lungs and esophagus) - Thyroid, parathyroid and breast surgeries - Urology - surgeries of the male/female genital and urinary tracts - Vascular surgery
COMMUNITY BENEFIT STATEMENT CONT'D CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY ACTIVITIES AND PROGRAMS ================================= The Community Education & Outreach Program delivers low-cost and free lectures, health screenings, and special events for a service area comprising parts of Mercer, Middlesex, and Somerset Counties. They offer a dynamic curriculum of innovative health and lifestyle-related programming, screenings and support at little or no cost to the communities we serve. Princeton HealthCare System is dedicated to promoting healthy living at every stage of life and to enhancing quality of life by addressing the unique needs of women, men, seniors, children, adolescents and diverse populations. Special outreach efforts have been directed to the Latino, Indian-American, African-American, Chinese and Korean-American communities. The System is also involved with partnerships with the Princeton, Hopewell Valley, West Windsor, Plainsboro and Montgomery Regional School Districts for childhood and adolescent health issues including underage drinking, smoking and eating disorders. Other program venues include area senior centers, public libraries, community centers, YMCA's and YWCA's. In 2012, Community Education & Outreach provided 1154 programs to 43,500 participants. Total monies spent less payments received on Community Education for 2012 was $690,000. Provider Taxes All New Jersey acute care hospitals are required to pay a percentage of their total operating revenue to the Department of Health for deposit into the Health Care Subsidy Fund. We also pay the State of New Jersey an adjusted admission fee. In 2012 PHCS paid a total of $1,611,216 to the State of New Jersey for these assessments. Assistance Provided to Patients without Insurance PHCS provides emergent care irrespective of a patient's ability to pay. Often a patient requires follow-up care after hospitalization and encounter disposition/access problems because of no insurance coverage. PHCS often pays for these needed services. In 2012 PHCS paid other healthcare providers $5,000 for such services until alternative coverage could be obtained or care was not longer indicated. Medical Education Princeton HealthCare System has a long standing relationship with the Rutgers New Jersey Medical School to provide training for medical residents and students. PHCS trained the equivalent of 37 full time medical and surgical residents. The direct costs associated with these programs in 2012 approximated $5.9 million dollars, which was partially offset by Medicare and Medicaid funds of $4.9 million dollars, resulting in a shortfall of $1 million dollars. This shortfall excludes allocated overhead costs of $1.9 million. Also, PHCS is actively involved in the training of approximately 50 medical students a year for which it receives no reimbursement. PHCS is also committed to support the education and training of nursing students. PHCS has long standing affiliation agreements with The College of New Jersey, Rutgers University, Mercer County Community College, and St. Francis School of Nursing to provide training experiences for their nursing students. In 2012, there were 159 students with a total of 848 clinical rotations throughout PHCS. Charity Care PHCS provides care to patients who meet certain criteria defined by the New Jersey Department of Health without charge or at amounts less than its established rates. Because PHCS does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. PHCS's records identify and monitor the level of charity care it provides and the amount of charges foregone for services and supplies furnished. Charges foregone for charity care during 2012 were approximately $55,532,000. This amount is higher than the amount reported in the audited financial statements because many patients subsequently qualified for charity care. The full costs (less some minor payments) associated to provide charity care approximated $12,900,000. DHSS charity care guidelines require participation and specific documentation of the patient in order to be identified as a charity care account. Management believes that the present charity care guidelines understate PHCS's charity care amounts and overstate the level of bad debts reported, because of the difficulties involved with obtaining patient participation and specific documentation. The New Jersey Health Care Subsidy Fund ("HCSF") was established for various purposes including the distribution of charity care payments to hospitals statewide. In 2012, PHCS received subsidy amounts of $1,416,000 which are included in net patient service revenue. Additionally, the State of New Jersey has established a Mental Health Subsidy Fund to pay for specific behavioral health services. In 2012 and 2011, PHCS received $1,257,000 for this program. Since the State created a Mental Health Subsidy Fund in recognition of the need to support Short Term Care Facility (STCF) and Child Community Inpatient Services (CCIS) beds. This fund is not specifically targeted to underfunding related to Charity Care and Medicaid patients but for all patients in need of these services. Approximately 54 percent of Princeton House's STCF days are Charity Care or Medicaid. The charity care provided above is only that reported to DHSS. PHCS does not submit claims to DHSS for qualified patients (financially indigent meeting poverty guidelines) relating to uncovered services such as behavioral health services. In 2012 PHCS provided inpatient behavioral health services to 55 patients that were hospitalized a total of 648 days and $306,055 of direct costs to uninsured patients that would normally meet DHSS financial criteria. Governmental Shortfalls PHCS participates with all governmental programs including but not limited to Medicare, Medicaid, Champus, etc. In 2012 PHCS received approximately $88.7 million dollars from the Medicare program. The costs associated with these revenues in accordance with Medicare rules and reported on the Medicare cost report was $115.2 million, resulting in a shortfall of $26.4 million or 23 percent. In 2012, PHCS received approximately $9.3 million dollars from the Medicaid and Medicaid managed care programs. The costs associated with these revenues in accordance with Medicare rules were $16.7 million, resulting in a shortfall of $7.4 million or 44 percent.
OTHER PROGRAM SERVICES CORE FORM, PART III; QUESTION 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, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 4 IN 2012 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION AMENDED ITS BYLAWS TO AMEND THE DUTIES OF ITS STRATEGIC PLANNING COMMITTEE. THE STRATEGIC PLANNING COMMITTEE WAS CONVERTED FROM A STANDING COMMITTEE TO AN AD HOC COMMITTEE.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ("HOLDING") IS THE SOLE MEMBER OF THIS ORGANIZATION. HOLDING 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.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. 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"). IN ADDITION, PHCS' AUDIT COMMITTEE has ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE 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, CHIEF COMPLIANCE OFFICER, CONTROLLER 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 PHCS' AUDIT COMMITTEE. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS provided TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. 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 FROM THE ORGANIZATION'S BOARD OF TRUSTEES ARE RETURNED TO PHCS' VICE PRESIDENT AND GENERAL COUNSEL FOR REVIEW. THE COMPLETED QUESTIONNAIRES FOR PHCS' OFFICERS AND SENIOR MANAGEMENT ARE RETURNED TO PHCS' CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, PHCS' VICE PRESIDENT AND GENERAL COUNSEL AND THE CHIEF COMPLIANCE OFFICER BRING TO THE ATTENTION OF PHCS' GOVERNANCE COMMITTEE ANY DISCLOSED CONFLICTS OF INTEREST FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION'S ("PHCS") 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 PHCS' SENIOR MANAGEMENT, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE 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 PHCS 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 BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE 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 WHOM 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 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, number OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. 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 BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE 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 PHCS' 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 PHCS. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATION 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. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPTARTMENT OF TREASURY.
COMPENSATION INFORMATION DISCLOSURE 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 THIS ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF trustee MEMBERS, OFFICERS AND/OR trustees 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 ONE HOUR. 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.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - FORGIVENESS OF DEBT OF RELATED PARTY - ($5,299,135); - CHANGE IN MINIMUM PENSION LIABILITY - ($6,554,860); - NET TRANSFER OF ASSETS FROM RELATED PARTIES - $1,922,553; - NET ASSETS RELEASED FROM RESTRICTION - $93,308,191; - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($79,588,461) AND - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $4,258,500. - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($79,588,461) AND - CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $4,258,500.
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED FINANICAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS EACH YEAR. THE organization'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY
NONPROFIT CORPORATION
Employer identification number

21-0635009
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) PRINCETON HEALTHCARE SYSTEM FDN INC

ONE PLAINSBORO ROAD

PLAINSBORO,NJ08536
22-2225911
SUPPORT PHS NJ 501(C)(3) 509(A)(1) PHCS HOLDING
 
 
No
(2) PRINCETON HLTHCARE SYSTEM HOLDING INC

ONE PLAINSBORO ROAD

PLAINSBORO,NJ08536
22-3493256
HOLDING CO. NJ 501(C)(3) 509(A)(3) na
 
 
No
(3) PRINCETON MEDICAL PROPERTIES INC

ONE PLAINSBORO ROAD

PLAINSBORO,NJ08536
22-0022702
REAL ESTATE NJ 501(C)(2) N/A PHCS HOLDING
 
 
No
(4) PRINCETON CAREGIVERS INC

ONE PLAINSBORO ROAD

PLAINSBORO,NJ08536
22-2842773
HOMECARE SVCS NJ 501(C)(3) HOSPITAL PHCS HOLDING
 
 
No
(5) PRINCETON HEALTHCARE AFFILIATED PHYS PC

ONE PLAINSBORO ROAD

PLAINSBORO,NJ08536
26-4203938
HLTHCARE SVCS NJ 501(C)(3) PENDING PHCS
 
Yes
 




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) PRINCETON HEALTH INC

ONE PLAINSBORO ROAD
PLAINSBORO,NJ08536
22-3450093
MEDICAL NJ NA
 
C CORP.         No
(2) PRINCETON HEALTHCARE MGMT SVCS INC

4 PRINCESS ROAD
LAWRENCEVILLE,NJ08648
22-3377256
MEDICAL BILLING NJ NA
 
C CORP.         No
(3) PRINCETON HEALTHCARE MEDICAL EQUIP CO

ONE PLAINSBORO ROAD
PLAINSBORO,NJ08536
22-3467900
INACTIVE NJ NA
 
C CORP.         No
(4) PHI PHARMACY INC

ONE PLAINSBORO ROAD
PLAINSBORO,NJ08536
22-3467899
INACTIVE NJ NA
 
C CORP.         No






Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) PRINCETON HEALTHCARE AFFILIATED PHYS PC

O 5,090,778 COST





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS") AND ITS AFFILIATES CONSTITUTE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. PHCS ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

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