Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 | |||
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| Yes | No | Yes | No | Yes | No | ||||
| (A)
PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NONPROFIT CORP |
210635009 | 03 | Yes | Yes | Yes | 0 | |||
| Total | 0 | ||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
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| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS A NOT FOR PROFIT HOLDING COMPANY BASED IN PRINCETON, NEW JERSEY. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AND THE SOLE SHAREHOLDER OF VARIOUS OTHER FOR-PROFIT ENTITIES. THE IRS HAS RECOGNIZED PRINCETON HEALTHCARE SYSTEM HOLDING, INC. AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, PRINCETON HEALTHCARE SYSTEM HOLDING, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF CENTRAL NEW JERSEY AND THE SURROUNDING COMMUNITY. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PRINCETON HEALTHCARE SYSTEM HOLDING, INC. IS THE SOLE CORPORATE MEMBER OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("PHCS"); AN ENTITY PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. Princeton HealthCare System, a New Jersey nonprofit corporation ("PHCS") offers a full continuum of care which includes acute care hospital services, behavioral healthcare, acute rehabilitation, home care, hospice care, ambulatory surgery, and fitness and wellness services. PHCS is recognized by the Internal Revenue Service (IRS) as an Internal Revenue Code 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 members; 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-seven percent of our 1,105 medical staff members have achieved board certification, the hallmark of professional excellence. The balance are board eligible. Through PHCS's affiliations with academic institutions, PHCS is setting new standards in diagnostic and treatment protocols and achieving successful clinical outcomes for our patients. 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. PHCS 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 comprised of the following: University Medical Center of Princeton at Plainsboro ---------------------------------------------------- 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 which include 288 acute care beds, 17 physical rehabilitation beds and 14 neonatal bassinets. In 2013, patient days totaled 56,285. Outpatient patient visits/encounters totaled 522,592. UMCPP features single-site access to services in the following Centers for Care: - Center for Emergency Care features 24/7 care and access to such potentially life-saving procedures as emergency angioplasty, emergency neurosurgery and therapeutic hypothermia. - Institute for Surgical Care includes the Center for Bariatric Surgery; Jim Craigie Center for Joint Replacement; interventional lab; peri-operative services; pre-admission testing; surgical services; the vascular lab; hybrid OR; and minimally invasive surgical capabilities, including the da Vinci Surgical System. - Center for Neuroscience Care includes the Epilepsy Program and Neurophysiology Lab. The Center enables patients to complete diagnostic testing, consult with physicians, and begin treatment in one convenient location. The Center joins two specialized programs--one focusing on seizure disorders and another on neurological conditions --in one designated care center. The Center has been designed to provide comprehensive inpatient and outpatient diagnostic and treatment services for adults and children experiencing such conditions as: Epilepsy (seizure disorders), Dizziness, Head injuries, Back pain, Lower extremity weakness, Degenerative diseases such as Parkinson's, dementia and Alzheimer's. Inpatient care includes in-room diagnostics and 24/7 personalized observation. - Edward & Marie Matthews Center for Cancer Care includes cancer program services, radiation oncology, the JoAnn Heffernan Heisen Infusion Therapy Suite, genetic counseling through an affiliation with Rutgers Cancer Institute of New Jersey's LIFE Center, comprehensive support services and clinical trials. The Center 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. - George & Estelle Sands Center for Cardiac and Pulmonary Care includes cardiac services, cardiac catheterization lab, cardiac and pulmonary rehabilitation, respiratory services and the pulmonary function lab. - Center for Eating Disorders Care offers an integrated continuum of care for individuals with anorexia, bulimia and other eating disorders. It provides featuring medical, psychotherapeutic and nutritional care in inpatient and partial hospital programs. The Center for Eating Disorders Care provides treatment for adults, adolescents and children as young as eight years old who are suffering from anorexia, bulimia and other eating disorders. Our patients not only benefit from treatment for the physical, psychosocial and nutritional aspects of their eating disorder, but they also have immediate access to full-service care for other medical needs. - Llura & Gordon Gund Center for Critical Care provides 24-hour intensive care services under the coordination of multi-board certified intensivists, in collaboration with specially trained nurses. - Center for Testing & Treatment includes Hospital Imaging Services and Laboratory Services. - Center for Maternal & Newborn Care includes The Children's Hospital of Philadelphia (CHOP) Newborn and Pediatric Care at UMCPP; Labor and Delivery Unit; Mother-Baby Unit; Nursery and Neonatal Intermediate Care Unit; and Penn Maternal Fetal Medicine at UMCPP (a partnership with Penn Medicine/the Hospital of the University of Pennsylvania). |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - Regan Family Center for Pediatric Care includes 24/7 care from board-certified pediatric hospitalists from The Children's Hospital of Philadelphia (CHOP). It is designed with the understanding that children have very specialized healthcare needs. It includes bright, kid-friendly color accents and separate treatment room. Each child has his or her own room in this dedicated pediatric unit that is focused on exceptional care and comfort for young patients and their families. Care in the Center is provided by pediatric hospitalists (physicians who are specially trained to treat hospitalized children) from The Children's Hospital of Philadelphia (CHOP), who are on-site at the hospital 24/7, working with UMCPP physicians and other healthcare professionals. University Medical Center of Princeton at Plainsboro provides comprehensive medical care for you and your family through a wide range of clinical programs and services. Our programs are led by board certified physicians and skilled administrative directors and staffed by specially trained nurses, therapists and other healthcare professionals. Programs include: - Acute Care of the Elderly: UMCPP is proud to be among a select number of hospitals nationwide with a 24-bed Acute Care of the Elderly (ACE) unit. - Acute Rehabilitation Unit: Patients who receive care on this unit include individuals with disabilities resulting from: strokes, craniotomies, neurological conditions, multiple sclerosis, Guillain-Barre syndrome, Parkinson's disease, complex joint replacements, including bilateral knee and hip replacements, debilitating rheumatoid arthritis, amputations, fractured hip and major multiple trauma. - Anesthesia & Pain Management Services: UMCPP anesthesia services are provided by a group of board certified anesthesiologists, including physicians with specialized fellowship training in areas including obstetric, pediatric, cardiothoracic and regional anesthesia as well as pain management. - Diabetes Management Program: UMCP provides expert care to adults and children to help them learn how to live with and manage diabetes. - Breast Health Center: A state-of-the-art facility, the Breast Health Center offers: Outstanding clinical care under the medical direction of a board certified, fellowship trained breast surgeon; sophisticated breast care technologies, including digital mammography; Genetic counseling and testing services, available through Rutgers Cancer Institute of New Jersey LIFE Center at UMCPP Breast Health Center; Breast health education and support services. The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, awarded the program a three-year full accreditation. 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 Centers for Ambulatory Surgery: UMCPP's outpatient surgical units are designed to provide same-day surgical care for patients who can recuperate safely and comfortably at home. The new Plainsboro center, the Stephen & Roxanne Distler Center for Ambulatory Surgery, features four state-of-the-art operating rooms, a minor procedures room and three endoscopy rooms. - The Bristol-Myers Squibb Community Health Center: The Bristol-Myers Squibb Community Health Center, with 21 exam rooms, will enhance the comprehensive community healthcare services to uninsured and underinsured residents, including mental health services for patients whose physical illnesses are complicated by mental health problems. - GI Services: UMCPP offers access to services to help diagnose and treat conditions and disorders affecting the gastrointestinal system. - Inpatient Hospice: The Inpatient Hospice Program is a unique partnership between University Medical Center of Princeton at Plainsboro, Princeton HomeCare and volunteers committed to providing highly skilled and compassionate inpatient care for hospice patients. - Nutrition Program: Our program provides assistance to individuals who would like to lose weight or improve their health by eating better. Staffed by registered dietitians, our program can provide knowledgeable nutritional support for those with special health conditions-cancer, obesity, diabetes, hypertension and heart disease-that can be prevented or managed through lifestyle changes and healthier habits. - Outpatient Rehabilitation: The program offers therapeutic and rehabilitative services that are designed to reduce discomfort or pain caused by an illness or injury and restore function. - Pharmacy Services: The UMCPP Pharmacy provides pharmaceutical care to patients throughout PHCS and is open 24-hours a day, 365 days per year. - Sleep Center: Committed to the study, diagnosis and treatment of sleep-related problems, the Sleep Center offers adults and children expert care from a experienced, compassionate team of professionals. The UMCPP Sleep Center is fully accredited by the American Academy of Sleep Medicine (AASM), a professional organization dedicated to assuring quality care for patients with sleep disorders, advancement of sleep research, and public and professional education. UMCPP Major Achievements: - UMCPP is one of 401 organizations worldwide to achieve Magnet status, the highest institutional recognition available for nursing excellence. The American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program to acknowledge superior patient care, nursing excellence and innovations in professional nursing practice. UMCPP received the ANCC's 2013 Magnet Honors in recognition of Partnerships for PIECE, a unique program that helps older adults transition from the hospital to home or another healthcare setting in the community. - UMCPP is one of only 33 hospitals nationwide designated as an Exemplar Hospital by NICHE (Nurses Improving Care for Health System Elders), an international program based at the New York University College of Nursing that promotes patient-centered care for older adults. - Clinical care provided by UMCPP received an "A" in the April 2014 Hospital Safety Score published by The Leapfrog Group, a national nonprofit working to improve the safety, quality and affordability of healthcare. The Leapfrog Group publishes grades twice a year based on data related to preventable errors, injuries, accidents and infections. UMCPPP has earned all A's since the grading began in 2012. - PHCS has been named one of the nation's Top Performers on Key Quality Measures by The Joint Commission, the leading accreditor of healthcare organizations, for 2010, 2011 and 2012 (the most recent year possible). Top Performer designation is based on a hospital's use of evidence-based clinical processes that are shown to improve care. PHCS was recognized for exemplary performance related to: heart attack, heart failure, pneumonia, and surgical care. - UMCPP was selected for the 2013 - 2014 100 SafeCare Hospitals list, compiled by the SafeCare Group based on more than 30 key measures related to quality, patient safety and efficiency. The SafeCare Group evaluated three years of data for more than 4,500 hospitals nationwide to determine the top 100. - In 2013 and year-to-date in 2014, inpatient satisfaction at UMCPP ranked in the top 1 percent of 44 hospitals in New Jersey that participate with Press Ganey for patient experience surveys. Nationally, UMCPP currently ranks at the 91st percentile among 722 hospitals that participate with Press Ganey. - UMCPP recently earned a $234,000 award through a program by Horizon Blue Cross Blue Shield of NJ to recognize its member hospitals for quality of care and safe patient outcomes. UMCPP has received a monetary award through the program for four consecutive years. - The Cancer Program at UMCPP earned Accreditation with Commendation from the American College of Surgeons Commission on Cancer (CoC) and will be eligible for a second consecutive Outstanding Achievement Award, which the CoC grants to recognize programs that strive for excellence in providing patient-centered care. UMCPP is an affiliate of Rutgers Cancer Institute of New Jersey. - UMCPP received a 2014 Innovator Award from the Association of Community Cancer Centers to honor a program called From Distress Screening to Solutions: Patient-Centered Support. Staff members of the Edward & Marie Matthews Center for Cancer Care will deliver a presentation on the award-winning program at the 31st National Oncology Conference to be held October 8-10, 2014, in San Diego. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, has awarded full accreditation to the breast care services provided at UMCPP and the UMCPP Breast Health Center in East Windsor. The accreditation recognizes the excellence of UMCPP's full spectrum of breast care, from preventive services such as mammography to the most advanced cancer treatments. UMCPP's Breast Health Center has been designated a Breast Imaging Center of Excellence by the American College of Radiology. - The Jim Craigie Center for Joint Replacement, located in the Institute for Surgical Care at UMCPP, has earned The Joint Commission's Gold Seal of Approval for both hip and knee replacements. The special certification was awarded following a rigorous on-site review addressing three core areas: compliance with consensus-based standards; effective use of evidence-based clinical practice guidelines to manage and optimize care; and an organized approach to performance measurement and improvement activities. - The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program has designated UMCPP as an Accredited Center-Comprehensive, denoting that UMCPP is approved to perform all bariatric and metabolic procedures and meets or exceeds national standards for equipment, staffing, training, safety and patient outcomes. - The UMCPP Sleep Center recently renewed its accreditation by the American Academy of Sleep Medicine (AASM), a professional organization dedicated to ensuring quality, comprehensive care for people with sleep disorders. AASM Accreditation is the gold standard for sleep centers, signifying that they meet the highest standards of quality care. - UMCPP earned a place on the 2013 edition of 100 Great Hospitals in America, a list published annually by Becker's Hospital Review that includes some of the nation's best-known and well-respected hospitals. Becker's Hospital Review develops the list through nominations, its own research, and by considering recognition that a hospital has received for the quality of care it provides, clinical outcomes, patient satisfaction, management capabilities and cost-effectiveness. Also in 2013, UMCPP was featured on the 50 of the Greenest Hospitals in America list published by Becker's Hospital Review. - PHCS received a 2013 New Good Neighbor Award from New Jersey Business & Industry Association (NJBIA) based on the economic benefit, job creation, architectural merit and community involvement in construction of the new hospital in Plainsboro. The New Good Neighbor Awards are given annually to recognize the best and most exciting commercial and industrial projects in New Jersey. Princeton HomeCare ------------------ Princeton HomeCare, a unit of PHCS, provides comprehensive in-home nursing and rehabilitation, hospice care and support services. We offer temporary care for those recovering from surgery or short-term conditions, as well as extended care for individuals with chronic conditions or illnesses. Each year, our highly skilled nurses, allied health professionals and homemakers make nearly 90,000 visits to patients and clients throughout the Greater Central New Jersey region. Princeton HomeCare 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 2013 there were 44,188 homecare visits recorded. The Palliative Care Program focuses on comfort and support providing 25,197 Hospice visits in 2013. Princeton HomeCare provides patients with outstanding and compassionate home healthcare. Exemplary of our exceptional level of caring, Princeton HomeCare receives high patient satisfaction scores and continuous referrals from our patients who praise the quality of their care as well as our personal commitment to caring. As a unit of PHCS, Princeton HomeCare is accredited by the Joint Commission. Princeton HomeCare is licensed by The State of New Jersey and is a Medicare/Medicaid certified provider. Princeton House Behavioral Health --------------------------------- Princeton House Behavioral Health (PHBH) is a leading provider of highly skilled and compassionate behavioral healthcare. A multidisciplinary team of board certified psychiatrists and highly qualified professionals provide a high level of treatment and care for people who need psychiatric support, have chemical dependencies or who struggle with a combination of emotional and addiction problems. PHBH offers innovative programs that are customized to individual needs for children, adolescents, young adults, adults, older adults, men and women. In addition to our main campus in Princeton, we also have outpatient sites in Princeton/Adults, Princeton/Women, North Brunswick, Hamilton and Moorestown. Our outpatient sites primarily offer partial hospitalization and intensive outpatient treatment for those requiring acute care. PHBH is a unit licensed by The State of New Jersey and is accredited by The Joint Commission. PHBH now has 110 beds that produced 31,558 patient days in 2013. Outpatient visits and treatments across multiple sites amounted to 84,048. COMMUNITY ACTIVITIES AND PROGRAMS ================================= The PHCS Community Education & Outreach Program is another example of how PHCS is redefining care by offering a dynamic curriculum of innovative health- and lifestyle-related programming, screenings and support at little or no cost to the communities we serve. PHCS 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. Programs are developed and facilitated by the outstanding physicians, nurses and health professionals of PHCS. We also work closely with leading health organizations - the American Cancer Society, the American Heart Association and the Susan G. Komen Breast Cancer Foundation among others and to raise funds and heighten awareness. 2013 Community Needs Assessment ------------------------------- PHCS demonstrates its commitment to the community offering of a dynamic curriculum and innovative health and lifestyle-related services offered through its Community Education and Outreach Program. In 2013, to ensure that these activities are meeting the health needs in the community, PHCS helped to lead a comprehensive community needs assessment that involved review of Mercer, Middlesex and Somerset Counties. The assessment was completed through the Greater Mercer Public Health Partnership (GMPHP). The GMPHP is a collaboration of hospitals, local and county health departments and other not-for-profit organizations whose mission is to measurably improve the health of residents of Mercer and Middlesex counties. The report provides an overview of the key findings of the community health assessment, which explores a range of health behaviors and outcomes, social and economic issues, healthcare access, and gaps and strengths of existing resources and services with a primary focus on PHCS as a whole. The community health assessment utilized a particularly collaborative approach to look at health in its broadest context. The assessment process included synthesizing existing data on social, economic and health indicators in the region as well as information from 34 focus groups conducted with community residents, 23 interviews with community stakeholders, and 1 forces of change session examining larger external factors that affect health which consisted of 6 discussion groups and overall engaged over 400 individuals. 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 2013 PHCS paid a total of $1,413,924 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 2013 PHCS paid other healthcare providers $5,000 for such services until alternative coverage could be obtained or care was no longer indicated. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | 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 2013 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, Drexel University and St. Francis School of Nursing to provide training experiences for their nursing students. In 2013, there were 230 students with a total of 60 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 2013 were approximately $62,458,000. 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 $12,151,000. 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 2013, PHCS received subsidy amounts of $1,512,000 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. Since inception, 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 53 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 2013 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 2013 PHCS received approximately $76.3 million from the Medicare program. The costs associated with these revenues in accordance with Medicare rules and reported on the Medicare cost report was $107.9 million, resulting in a shortfall of $31.6 million or 29 percent. In 2013, PHCS received approximately $6.4 million from the Medicaid and Medicaid managed care programs. The costs associated with these revenues in accordance with Medicare rules were $14.5 million, resulting in a shortfall of $8.1 million or 44 percent. |
| CORE FORM, PART VI, SECTION B; QUESTION 11b | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("phcs") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE 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 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 THE PHCS' AUDIT COMMITTEE FOR REVIEW AND APPROVAL. 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. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("phcs") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PHCS AND its AFFILIATES, INCLUDING THIS ORGANIZATION, 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. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("phcs") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL INCLUDING, but not limited to, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER, ARE EMPLOYED BY PHCS, THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS OR BOARD MEMBERS OF THIS ORGANIZATION. ACCORDINGLY, 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 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. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM RELATED ORGANIZATIONS. PLEASE NOTE THAT THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("phcs") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR 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. |
| CORE FORM, PART XI; QUESTION 2 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION ("phcs") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF PRINCETON HEALTHCARE SYSTEM HOLDING, INC. and its affiliates FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; 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. PHCS' AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
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