TY 2023 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Leslie D Hirsch FACHE...................................................................... Trustee - President/CEO	55.0 ................. 0.0	X	X			0	1,703,149	315,335
(2) Arkady Broder MD...................................................................... Gastroenterologist	55.0 ................. 0.0				X	1,012,221	0	61,131
(3) David Jacob MD...................................................................... Cardiologist	55.0 ................. 0.0				X	945,707	0	34,710
(4) Lindsay Arthur...................................................................... Chairman - Surgery	55.0 ................. 0.0				X	903,891	0	52,919
(5) Garrick J Stoldt FHFMA CPA...................................................................... Treasurer - CFO SPHCS	55.0 ................. 0.0		X			0	824,300	121,387
(6) Alma S Ratcliffe MD...................................................................... VP;CHIEF CLINICAL TRANSF. OFF.	55.0 ................. 0.0			X		0	761,241	102,346
(7) Andrew Korman MD...................................................................... Gastroenterologist	55.0 ................. 0.0				X	803,092	0	53,180
(8) Jordan M Tannenbaum MDMBA...................................................................... VP; CIO/CMIO	55.0 ................. 0.0			X		0	684,863	105,762
(9) Kianoush Sheykholeslami MD...................................................................... ENT Surgeon (Term 12/31/2023)	55.0 ................. 0.0				X	745,922	0	36,650
(10) Linda Carroll MSN RN-BC...................................................................... CNO/VP Patient Care Services	55.0 ................. 0.0			X		616,871	0	103,425
(11) Niranjan V Rao MD...................................................................... Chief Medical Officer	55.0 ................. 0.0		X			0	616,194	97,748
(12) Alyssa A Verderami Esq...................................................................... Secretary-VP Legal & Risk Mgt	55.0 ................. 0.0			X		0	555,474	101,794
(13) Nayan K Kothari MD...................................................................... Chief Academic Officer	55.0 ................. 0.0			X		556,572	0	41,666
(14) Lisa M Drumbore...................................................................... VP; Chief Experience Officer	55.0 ................. 0.0			X		0	442,307	81,876
(15) LAURA ATKINSON...................................................................... VP; CHIEF HR OFF.(EFF 3/20/23)	55.0 ................. 0.0			X		0	403,298	64,265
(16) Barbara J Griffiths-Welsh...................................................................... Chief Compliance Officer	55.0 ................. 0.0			X		0	376,216	80,125
(17) William J Rears...................................................................... Chief Technology Officer	55.0 ................. 0.0			X		0	270,798	43,471

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) Vincent J Dicks........................................................................ Chairman - Trustee	1.0 .......................0.0	X	X
(19) Racheal Ankrah-Fosu........................................................................ Trustee	1.0 .......................0.0	X
(20) Judith T Caruso DNP MBA........................................................................ Trustee	1.0 .......................0.0	X
(21) Maureen Cernadas MD........................................................................ TRUSTEE-PRES MED STAFF	1.0 .......................0.0	X
(22) Leonardo DeCandia........................................................................ Trustee	1.0 .......................0.0	X
(23) Rev Monsignor John N Fell........................................................................ Trustee	1.0 .......................0.0	X
(24) Alfred J Gaburo Jr........................................................................ Trustee	1.0 .......................0.0	X
(25) Christopher Gribbon MD........................................................................ TRUSTEE-PAST PRES MED STAFF	1.0 .......................0.0	X
(26) Kevin Nini MD........................................................................ Trustee	1.0 .......................0.0	X
(27) Carol A Purcell........................................................................ Trustee	1.0 .......................0.0	X
(28) DAVID SAMUEL PE PP CME........................................................................ TRUSTEE	1.0 .......................0.0	X
(29) Rev Jon Toborowsky VG........................................................................ Trustee	1.0 .......................0.0	X
(30) Rev Timothy A Christy VG........................................................................ Trustee (Termed 06/01/2023)	1.0 .......................0.0	X
(31) Borislav Stoev DO FACEP........................................................................ Trustee (Termed 01/10/2023)	1.0 .......................0.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
SYMMETRY WORKFORCE SOLUTIONS, PO Box 646064 PITTSBURGH,PA152646064	STAFFING	15,638,978
EPIC Management Incorporated, 136 11th Street PISCATAWAY,NJ08854	CONSTRUCTION	4,827,623
ALLIED UNIVERSAL SECURITY SERVICES, PO Box 828854 PHILADELPHIA,PA191828854	SECURITY	2,470,550
VERICON CONSTRUCTION COMPANY LLC, 1063 Route 22 East MOUNTAINSIDE,NJ07092	CONSTRUCTION	2,220,704
AthenaHealth Inc, PO Box 415615 BOSTON,MA022415615	IT/EHR	1,441,357
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 21

- TIN:

SCHEDULE A
(Form 990)

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.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

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) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization SAINT PETER'S UNIVERSITY HOSPITAL

Part I Contributors	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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization SAINT PETER'S UNIVERSITY HOSPITAL		Employer identification number 22-1487330

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization SAINT PETER'S UNIVERSITY HOSPITAL			Employer identification number 22-1487330
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

90,000

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

85,922

Total. Add lines 1c through 1i ....................................................................................................

175,922

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1G & 1I	THE STATE OF NEW JERSEY FORM LI-L, ANNUAL REPORT OF REPRESENTED ENTITY, FILED BY SAINT PETER'S UNIVERSITY HOSPITAL, REFLECTS THE FOLLOWING LOBBYING ACTIVITIES PERFORMED ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES: THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM A TOTAL OF $90,000 DURING 2023 TO PERFORM LOBBYNG ACTIVITIES ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, CATHOLIC HEALTHCARE PARTNERSHIP OF NEW JERSEY, NEW JERSEY HOSPITAL ASSOCIATION, NATIONAL PERINATAL INFORMATION CENTER (C-WISH) AND 340B HEALTH WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER ORGANIZATIONS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES. THIS ALLOCATION AMOUNTED TO $85,922 IN 2023.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1G & 1I

THE STATE OF NEW JERSEY FORM LI-L, ANNUAL REPORT OF REPRESENTED ENTITY, FILED BY SAINT PETER'S UNIVERSITY HOSPITAL, REFLECTS THE FOLLOWING LOBBYING ACTIVITIES PERFORMED ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES: THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM A TOTAL OF $90,000 DURING 2023 TO PERFORM LOBBYNG ACTIVITIES ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, CATHOLIC HEALTHCARE PARTNERSHIP OF NEW JERSEY, NEW JERSEY HOSPITAL ASSOCIATION, NATIONAL PERINATAL INFORMATION CENTER (C-WISH) AND 340B HEALTH WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER ORGANIZATIONS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF SAINT PETER'S UNIVERSITY HOSPITAL AND ITS AFFILIATES. THIS ALLOCATION AMOUNTED TO $85,922 IN 2023.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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.

If the organization elected, as permitted under FASB 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)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	13,145,992	13,479,619	11,593,589	6,357,732	6,677,335
b	Contributions ...		-4,631	6,051		150
c	Net investment earnings, gains, and losses	2,667,455	-328,996	1,881,030	5,236,075	-316,657
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...			1,051	218	3,096
f	Administrative expenses ....
g	End of year balance ......	15,813,447	13,145,992	13,479,619	11,593,589	6,357,732

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

100.000 %

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. 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 .....	7,237,884		7,237,884
b	Buildings ....	371,022,757	264,920,944	106,101,813
c	Leasehold improvements	5,014,772	5,014,772	0
d	Equipment ....	206,261,656	165,775,950	40,485,706
e	Other .....	6,544,810	898,957	5,645,853
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				159,471,256

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)LIMITED USE ASSETS	230,381,157	F
(2)BENEFICIAL INTEREST IN FDN	15,068,245	F
(3)OTHER INVESTMENTS	6,888,903	F
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	252,338,305

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)EST. 3RD PARTY SETTLEMENTS				1,033,786
(2)DUE FROM RELATED PARTIES				9,291,885
(3)OPERATING LEASE ASSETS				5,078,343
(4)OTHER RECEIVABLES				31,215,954
(5)OTHER ASSETS				26,250,497
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				72,870,465

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
ACCRUED INTEREST	2,454,125
OPERATING LEASE LIABILITY	5,078,343
EST. 3RD PARTY PAYOR SETTLEMENTS	5,455,875
DUE TO RELATED PARTIES	20,587,000
ACCRUED PENSION LIABILITY	52,934,423
OTHER LIABILITIES	34,238,909



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	120,748,675
2. Liability for uncertain tax positions. 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) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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

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.

Return Reference

Explanation

SCHEDULE D, PART III, QUESTION 3A

ARTWORK IS DISPLAYED IN THE HOSPITAL FACILITY FOR THE BENEFIT AND PLEASURE OF PATIENTS, EMPLOYEES AND VISITORS. IT IS A BEAUTIFICATION OF THE FACILITY TO ENHANCE PATIENT EXPERIENCE.

SCHEDULE D, PART V

NET ASSETS WITH DONOR RESTRICTIONS ARE THOSE WHOSE USE BY THE SYSTEM HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME FRAME OR PURPOSE OR HAVE BEEN RESTRICTED BY DONORS AS PERMANENT ENDOWMENTS TO BE MAINTAINED IN PERPETUITY. WHEN DONOR RESTRICTIONS EXPIRE, THAT IS, WHEN A TIME RESTRICTION ENDS OR A PURPOSE RESTRICTION IS ACCOMPLISHED, NET ASSETS WITH DONOR RESTRICTIONS ARE RECLASSIFIED TO NET ASSETS WITHOUT DONOR RESTRICTIONS AND REPORTED AS NET ASSETS RELEASED FROM RESTRICTION. NET ASSETS WITH DONOR RESTRICTIONS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	Program Services	FINANCIAL VEHICLE	5,074,280
	Central America and the Caribbean	Investments		35,319,752















3a	Sub-total ....			40,394,032
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			40,394,032

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
Central America and the Caribbean	HLTH CENTERS	99,659	WIRE

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	1
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
SCHEDULE F, PART I	THIS ORGANIZATION ACCRUED FOR ACCOUNTING PURPOSES EXPENSES TO RISK ASSURANCE COMPANY OF SAINT PETER'S UNIVERSITY HOSPITAL; A FINANCIAL VEHICLE, $5,074,280 FOR THE BENEFIT OF SAINT PETER'S UNIVERSITY HOSPITAL AND CERTAIN RELATED ORGANIZATIONS.

Schedule F (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	22,823,494	21,658,563	1,164,931	0.210 %
b	Medicaid (from Worksheet 3, column a) . . . . .	117,664,880	88,241,836	29,423,044	5.200 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	140,488,374	109,900,399	30,587,975	5.410 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,624,701	3,728,051	3,896,650	0.690 %
f	Health professions education (from Worksheet 5) . . .	16,738,922	8,485,693	8,253,229	1.460 %
g	Subsidized health services (from Worksheet 6) . . . .	9,889,845	7,637,937	2,251,908	0.400 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	191,773		191,773	0.030 %
j	Total. Other Benefits . .	34,445,241	19,851,681	14,593,560	2.580 %
k	Total. Add lines 7d and 7j .	174,933,615	129,752,080	45,181,535	7.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

23,574,412

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. ......

1,178,721

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

Enter total revenue received from Medicare (including DSH and IME).....

60,465,863

Enter Medicare allowable costs of care relating to payments on line 5.....

71,393,439

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-10,927,576

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	SAINT PETER'S UNIVERSITY HOSPITAL 254 EASTON AVENUE NEW BRUNSWICK,NJ08901 WWW.SAINTPETERSHCS.COM 11205	X	X	X	X	X	1

Schedule H (Form 990) 2023

Page 4

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)

	SAINT PETER'S UNIVERSITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.SAINTPETERSHCS.COM

Other website (list url): WWW.HEALTHIERMIDDLESEX.COM

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.SAINTPETERSHCS.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SAINT PETER'S UNIVERSITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.SAINTPETERSHCS.COM

The FAP application form was widely available on a website (list url):

WWW.SAINTPETERSHCS.COM

A plain language summary of the FAP was widely available on a website (list url):
WWW.SAINTPETERSHCS.COM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	SAINT PETER'S UNIVERSITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SAINT PETER'S UNIVERSITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V; SECTION B, QUESTION 3I	The impact of any actions taken to address the significant health needs identified in the hospital's prior community health needs assessment ("CHNA") can be found within appendix J of the organization's 2022 CHNA.
SCHEDULE H, PART V, SECTION B, QUESTION 5	In its most recently conducted CHNA this organization took into account input from persons and organizations who represent the broad interests of the community served. The organization developed an evidenced-based process to determine the health needs of Middlesex County residents. CHNA data sources include both primary and secondary data to provide qualitative and quantitative information about the communities. The CHNA utilized detailed primary and secondary public health data at the state, county, and community levels, from various sources including: the Department of Health and Human Services, The Centers for Disease Control and Prevention, Census Bureau, Healthy People 2030, the County Health Rankings, hospital discharge data and community needs surveys. Data from these sources were reviewed by the steering committee to identify and prioritize the top issues facing residents in our service area. In reviewing the information that follows, it is important to note that the quantitative data utilized precedes the activities of the current Community Health Improvement Plan (CHIP), while the qualitative work coincides with the CHIP work from 2023-2025. The time delay of the quantitative data is due to the reporting procedures of the data sources used, which are standard among research agencies. The delay does not disrupt or negatively influence the value of the information, as it allows analysis of the health trends that are prevalent in the hospital service area over a period of four years, defining those areas that are the most impactful in the community. Identifying pervasive trends and aligning them with the 2023 CHIP focus areas will lead to the creation of a more robust and evidence-based 2025 CHIP. During this process the new and emerging trends that occur throughout both the qualitative and quantitative measures will be highlighted. In addition to the above, there was a purposeful decision to focus on an update, rather than a duplication of the previous CHNA. Consistency throughout the assessment was of paramount importance, leading to a focus on the quantitative measures, community health needs surveys and focus group discussions, allowing pervasive trends to emerge more readily. These decisions represent the correct approach to not only effectively evaluate the community, but the right strategic approach to providing the actual implementation of the programs and policies that affect the health of the community in Middlesex and somerset counties. Primary data sources -------------------- Community Survey A community priorities survey was developed and administered over a five-month period from early April and through the end of August 2021 by the survey firm Bruno & Ridgway, who was contracted directly by the RWJBH system. The survey focused on health issues and concerns that impact the community; community safety and quality of life; personal health attitudes, conditions and behaviors; barriers to accessing health care; discrimination when receiving medical care; and the impact of COVID-19 and vaccination compliance. The survey was administered online and was available by paper in 5 languages (English, Spanish, Portuguese, Arabic, and Chinese). Extensive outreach was conducted with assistance from Healthier Middlesex Consortium members and organizations as well as through social media. A link to the online survey was displayed on RWJUH New Brunswick's web page and social media sites. Additionally, an online panel sample was recruited to capture additional survey responses from specific areas to augment the larger sample. Postcards with QR codes that linked to the survey were distributed at vaccination events for community members to take while they waited for their COVID-19 vaccine. The final sample of the community priorities survey comprised 526 respondents who were residents of Middlesex County. The Appendix E- Resource Inventory in the 2022 CHNA provides a table with demographic composition of survey respondents. Respondents to the Middlesex County Community Health Needs Assessment Survey were predominately White, female, married, and with a high socioeconomic status. About 64% were employed full-time. Throughout this report, Middlesex County residents who participated in the Community Health Needs Assessment Survey are referred to as "respondents" (whereas focus group members and interviewees are referred to as "participants" for distinction.) Key Informant Interviews A total of eleven key informant interview discussions were completed with 13 individuals by Zoom or telephone. Interviews were 45-60-minute semi-structured discussions that engaged institutional, organizational, and community leaders as well as front-line staff across sectors. Discussions explored interviewees' experiences of addressing community needs and priorities for future alignment, coordination, and expansion of services, initiatives, and policies. Sectors represented in these interviews included: individuals working to address structural racism and inequality, food assistance and housing services, workforce development, mental health and substance use services, and those who serve/work with specific populations (e.g., economically vulnerable residents, senior population). Additionally in the 2022 CHNA, see the Appendix B- Key Informant Interviewees' Organization for the list of sectors represented by key informant interviewees and Appendix C- Key Informant Interview Guide for the key informant interview guide. Focus Groups A total of 24 community residents participated in five virtual focus groups (telephone or video) conducted with specific populations of interest: newly arrived residents of South Asian descent, African American men between the ages of 18-35, economically vulnerable residents (one group of English-speaking residents, and one group of Spanish-speaking residents), and one group of youth and young adults. Focus groups were up to 60-minute semi-structured conversations and aimed to delve deeply into the community's needs, strengths, and opportunities for the future and to gather feedback on priorities for action. Please see Appendix D- Focus Group Guide for the focus group facilitator's guide. Secondary data sources ---------------------- Secondary data are data that have already been collected for another purpose. Examining secondary data helps us to understand trends, provide a baseline, and identify differences by sub-groups. It also helps in guiding where primary data collection can dive deeper or fill in gaps. Secondary data for this CHNA were drawn from a variety of sources, including the U.S. Census American Community Survey (ACS), the U.S. Department of Labor Bureau of Labor Statistics, the Federal Bureau of Investigation Uniform Crime Reports, U.S. Bureau of Labor Statistics, the New Jersey Department of Education, New Jersey Department of Health's New Jersey State Health Assessment Data (NJSHAD), and a number of other agencies and organizations. Additionally, hospitalization data can be found in Appendices G and H. Secondary data were analyzed by the agencies that collected or received the data. Data are typically presented as frequencies (%) or rates per 100,000 population. It should be noted that when the narrative makes comparisons between towns, by subpopulation, or with NJ overall, these are lay comparisons and not statistically significant differences. The 2022 Middlesex County community health needs assessment focuses on Middlesex County, New Jersey, which includes 25 municipalities as well as three communities that are in Somerset County (Franklin, Pleasant Plains, and Somerset) and also fall within Healthier Middlesex's primary service area. It is for this reason that data for Franklin, Pleasant Plains, and Somerset were included in the report. However, data specific to these three towns was not discussed in the narrative since the report focuses on Middlesex County. The U.S. Census American Community Survey (ACS) 5-year (2015-2019) estimates are the primary data source for social and economic indicators referenced in the report. Five-year estimates are considered the most reliable and comprise a relatively large sample size. Further, in the case of small population counts found in several municipalities in Middlesex County, five-year estimates provide a more precise statistical profile of the community of interest. Quantitative data included in the report depicting racial/ethnic groups will follow standard terminology consistent with the U.S. Census unless the secondary data source utilizes different categories for race and ethnicity, which will be noted in the narrative. Qualitative data specific to racial/ethnic groups in the narrative will refer to residents using shortened terms such as White, Black, Latino, and Asian. The term communities of color may also be used when discussing themes that emerge, specifically among residents of multiple groups.
SCHEDULE H, PART V, SECTION B, QUESTION 6A & 6B	Under the 2010 patient protection and affordable care act (aca), non-profit hospitals must conduct a CHNA and identify an implementation strategy to address those needs every three years. In order to continue compliance with this requirement, Saint Peter's university hospital and Robert Wood Johnson University hospital again teamed together and engaged with new solutions, inc., to complete a series of multi-method analytic activities to perform the third round of the healthier Middlesex community health needs assessment and implementation strategy. Healthier Middlesex is a diverse, multi-sector, community-focused consortium comprised of a wide variety of stakeholders including community-based organizations, hospitals, academic institutions, and health departments. Through this partnership, healthier Middlesex is able to provide its community with the best programs and policies available. Healthier Middlesex constantly strives to develop more effective strategies to positively impact the health of the community. The consortium is focused on identifying the strengths and opportunities within the community, aligning the efforts and resources of its partners, while developing structure and sustainable strategies that integrate health and wellness into all aspects of its community. RWJUH and SPUH are founding members of the consortium and provide sponsorship for the development of the CHNA. The CHNA is designed to ensure that the hospitals and other community stakeholders continue to serve the health needs of its service area effectively and efficiently.
SCHEDULE H, PART V; SECTION B, QUESTION 7A	The organization is an affiliate within Saint Peter's healthcare system, inc. And affiliates ("system"); a tax-exempt integrated healthcare delivery system. Due to character limitations, the website listed in part v, section b, question 7a, is the home page for the system. The CHNA can be accessed at the following page included in the system's website: https://www.saintpetershcs.com/community-health/community-health-needs-ass essment
SCHEDULE H, PART V; SECTION B, QUESTION 10A	The organization is an affiliate within Saint Peter's healthcare system, inc. and affiliates ("system"); a tax-exempt integrated healthcare delivery system. Due to character limitations, the website listed in part v, section b, question 10a, is the home page for the system. The organization's implementation strategy can be accessed at the following page included in the system's website: https://www.saintpetershcs.com/community-health/community-health-needs-ass essment
SCHEDULE H, PART V, SECTION B, QUESTION 11	PLEASE SEE 2023-2025 CHIP The CHNA and CHIP were conducted during an unprecedented time due to the ongoing novel coronavirus (COVID-19) pandemic and the national movement for racial justice. The COVID-19 pandemic coincided with the activities of the CHNA and impacted both the CHNA data collection process, as well as topics and concerns that residents raised in focus groups and key informant interviews. A wave of national protests for racial equity in 2020 highlighted how racism is embedded in systems across the US. The national movement informed the content of this report including the data collection processes, design of data collection instruments, and the input that was shared during focus groups, key informant interviews, and through survey responses. On June 27, 2022, a one-and-a-half-hour virtual community meeting was held for the Healthier Middlesex Advisory Board members to discuss and vote on preliminary community priorities. During the prioritization meeting, attendees heard a data presentation on the key findings for the Healthier Middlesex CHNA. All members of the Healthier Middlesex Consortium were invited to participate in an additional planning session on July 19, 2022, to further refine the top priorities. Following the voting and subsequent discussions, the Healthier Middlesex Consortium decided on the following four priorities for CHIP planning with Addressing Systemic Racism as an overarching theme across all priority areas: 1. Financial Insecurity and Housing Instability 2. Mental Health and Substance Use 3. Access to Health Care with Chronic Disease and Technology as sub-categories 4. Food Insecurity Planning for the CHIP took place in New Brunswick on September 13, 2022. Fortunately, the CHIP planning process was facilitated in-person during a day-long planning session, with strong representation by Healthier Middlesex Coalition members. The Advisory Board of the Healthier Middlesex Coalition was instrumental in recruiting participants to engage in this full-day, rapid planning process. Priority Area 1: Mental Health and Substance Use ------------------------------------------------ Goal: Establish a system to enhance equitable, local access to, and availability and utilization of, affordable, culturally aware mental health and substance use resources for all in Middlesex County. - By December 2025, increase equitable access and availability of mental health and substance use prevention and wellness programs in Middlesex County by updating and aligning the Behavioral Health Resource and Referral Guide (BHRRG) and the Middlesex County Service Locator. - By December 2025, increase utilization of mental health, substance use, and wellness services by 10% from baseline. - By December 2025, expand the RWJUH- Hospital Violence Intervention Program (HVIP), serving traumatically injured adult victims of community violence, to improve patient outcomes, reduce patient re-injury, and reduce retaliatory violence. - By December 2025, enhance and support collaborations with internal and external partners to improve outcomes for HVIP participants. Priority Area 2: Financial Well-being and Housing Stability ----------------------------------------------------------- Goal: Everyone has equitable access to secure the financial resources to meet their basic needs, save for the future, and maintain safe, quality, and stable housing. - By December 2025, increase the number of people who participate in financial literacy programs within Middlesex County, with a focus on engaging traditionally underserved communities/populations. - By December 2025, partner with community-based organizations in Middlesex County to hold 5 employment fairs within the community for county residents. - By December 2025, engage participants enrolled in financial literacy programs to increase the number of people (by 15%) who can meet their basic needs and save 10% of their income. - By December 2025, hold 3 workshops per year to increase the education and awareness of safe, affordable housing options. Priority 3: Access to Healthcare -------------------------------- Goal: Ensure all community members have awareness of and equitable access to affordable, comprehensive, and culturally appropriate health education/ information and quality care. - By December 2025, create a dynamic access point/hub for culturally appropriate social determinants of health provider information and service resources. - By December 2025, develop a standard for the collection, analysis, and sharing of health service use data by individual, community, and county. - By December 2025, coordinate and align data collected from the community, health systems, and stakeholders to consistently measure social determinants of health (SDOH) (e.g., housing) and identify linguistically/culturally appropriate solutions. - By December 2025, increase (by 10%) the number of people in Middlesex County that participate in education programs to improve their health literacy, with a focus on engaging traditionally underserved communities/populations within the county. - By December 2025, increase annually by 10%, the number of residents that can access health and social services within their community with a focus on engaging medically underserved populations within the county in their preferred language. Priority Area 4: Supplemental Food Assistance ---------------------------------------------- Goal: Ensure access to and utilization of local, healthy, culturally appropriate, and sustainable food choices without stigma or barriers. - By December 2025, establish and increase the number of organizations addressing food insecurity that educate their staff and utilize mapping technology to promote their services and connect the community to resources. - By December 2025, increase annually by 10% from baseline, the number of health and social service providers who are educated on food resources and barriers to access. - By December 2025, to create and expand volunteer base (healthcare and other social service providers) by 50% from baseline to assist Middlesex County's food insecurity programs. - By December 2025, increase community members' awareness and skills related to healthy eating, food safety, and available resources by 70%. - By December 2025, increase access to supplemental food resources within the healthcare setting.
SCHEDULE H, PART V; SECTION B, QUESTION 16	The organization is an affiliate within Saint Peter's healthcare system, inc. and affiliates ("system"); a tax-exempt integrated healthcare delivery system. Due to character limitations, the website listed in part v, section b, question 16, is the home page for the system. The financial assistance policy, application and plain language summary can be accessed at the following page included in the system's website: http://www.saintpetershcs.com/patients/billing-and-payment/financial-assis tance-program

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. 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?7
Name and address		Type of Facility (describe)
1	CLEARBROOK ADULT COMMUNITY 1 CLEARBROOK CLUBHOUSE MONROE TOWNSHIP,NJ08831	HEALTHCARE SERVICES FOR ADULT COMMUNITIES
2	THE PONDS 100 WATERSIDE BLVD MONROE TOWNSHIP,NJ08831	HEALTHCARE SERVICES FOR ADULT COMMUNITIES
3	ROSSMOOR ADULT COMMUNITY 1000 OLD NASSAU ROAD MONROE TOWNSHIP,NJ08831	HEALTHCARE SERVICES FOR ADULT COMMUNITIES
4	GREENBRIAR AT WHITTINGHAM 100 WHITTINGHAM DRIVE MONROE TOWNSHIP,NJ08831	HEALTHCARE SERVICES FOR ADULT COMMUNITIES
5	CONCORDIA ADULT COMMUNITY 1 CLUBHOUSE DRIVE MONROE TOWNSHIP,NJ08831	HEALTHCARE SERVICES FOR ADULT COMMUNITIES
6	STONEBRIDGE ADULT COMMUNITY 1 COBBLESTONE BLVD MONROE TOWNSHIP,NJ08831	HEALTHCARE SERVICES FOR ADULT COMMUNITIES
7	COMMUNITY MOBILE HEALTH UNIT 254 EASTON AVENUE NEW BRUNSWICK,NJ08901	MOBILE HEALTH SERVICES FOR THE COMMUNITY
8
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	In addition to the federal poverty guidelines, Saint Peter's university hospital ("SPUH") uses other factors in determining eligibility criteria for free and discounted care. Other factors to determine eligibility include: - asset level; - medical indigency; - insurance status; - underinsurance status; and - residency. Additional information with respect to SPUH's eligibility criteria for financial assistance is outlined below. New Jersey charity care ----------------------- Nj charity care is free or reduced charge care which is provided to patients who receive inpatient and outpatient services at acute care hospitals throughout the state of New Jersey. Charity care is available only for emergent or medically necessary hospital care. Some services such as physician fees, anesthesiology fees, radiology interpretation, and outpatient prescriptions are separate from hospital charges and may not be eligible for reduction. In accordance with charity care guidelines, payment assistance is available to New Jersey resident patients whose household gross income is at or below 300% of the federal poverty guidelines and who: 1. Have no health coverage or have coverage that pays only part of the bill; 2. Are ineligible for any private or governmental sponsored coverage (such as Medicaid): and 3. Meet the income and assets criteria described below. Charity care is available to those that do not qualify for state or federal programs. Income criteria - patients with family gross income less than or equal to 200% of the federal poverty guidelines ("FPG") are eligible for 100% charity care coverage. Patients with family gross income greater than 200% but less than or equal to 300% of FPG are eligible for discounted care under the charity care program. Assets criteria - individual assets cannot exceed $7,500 and family assets cannot exceed $15,000. Should an applicant's assets exceed these limits, he/she may "spend down" the assets to the eligible limits through payment of the excess toward the hospital bill and other approved out-of-pocket medical expenses. Charity care may be available to non-New Jersey residents, subject to specific provisions (such as emergency medical conditions). All employed physicians of Saint Peter's university hospital and affiliated entities (over 200 providers) accept charity care patients and do not bill for their services. New Jersey uninsured discount care rate --------------------------------------- Uninsured New Jersey state resident patients who do not qualify for charity care and whose income falls less than or equal to 500% of the federal poverty guidelines will be eligible for a discount based upon Medicare rates as per the NJ state statute P.l. 2008, chapter 60, approved on august 8, 2008, assembly, no. 2609, as enacted by the senate and general assembly of the state of New Jersey. Amount generally billed ("AGB") ------------------------------- Per internal revenue code 501(r)(5) charges for emergency or other medically necessary care for fap-eligible individuals under SPUH's fap will be limited to but not billed more than the amounts generally billed to individuals who have insurance covering such care.
SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
SCHEDULE H, PART I, QUESTION 7	THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS UTILIZED.
SCHEDULE H, PART I, QUESTION 7B	SAINT PETER'S UNIVERSITY HOSPITAL PARTNERED WITH MIDDLESEX COUNTY AND THE STATE OF NEW JERSEY THROUGH A PROVIDER ASSESSMENT MECHANISM TO MAKE THE STATE OF NEW JERSEY MEDICAID PROGRAM HEALTHIER FOR ALL. THE PROGRAM INCREASES FINANCIAL RESOURCES PROVIDED TO CERTAIN HOSPITALS USING THE STATE OF NEW JERSEY'S MEDICAID PROGRAM AND CERTAIN FEDERAL MATCHING FUNDS IN ORDER TO BETTER SERVE THE NEEDS IN THE COMMUNITY. THE ADDITIONAL FUNDS RECEIVED FROM THE PROGRAM DURING 2023 TOTALED APPROXIMATELY $44M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; DIRECT OFFSETTING MEDICAID REVENUE. THE ASSOCIATED COUNTY OPTION EXPENSES ASSOCIATED WITH THE PROGRAM DURING 2023 TOTALED APPROXIMATELY $15M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; MEDICAID TOTAL COMMUNITY BENEFIT EXPENSE. IN ADDITION, SAINT PETER'S UNIVERSITY HOSPITAL RECEIVED QUALITY IMPROVEMENT PROGRAM - NEW JERSEY ("QIP-NJ") FUNDING TO SUPPORT CONTINUED POPULATION HEALTH IMPROVEMENT ACROSS NEW JERSEY. THE ADDITIONAL FUNDS RECEIVED FROM QIP-NJ PROGRAM DURING 2023 TOTALED APPROXIMATELY $4M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; DIRECT OFFSETTING MEDICAID REVENUE. IF SAINT PETER'S UNIVERSITY HOSPITAL DID NOT RECEIVE THESE ADDITIONAL FUNDS, THE NET COMMUNITY BENEFIT EXPENSE REPORTED ON SCHEDULE H, PART I; LINE 7K WOULD BE $77,721,941 AND THE NET COMMUNITY BENEFIT PERCENTAGE REPORTED ON SCHEDULE H, PART I; LINE K WOULD BE 13.74%.
SCHEDULE H, PART II	Community building activities undertaken by this organization improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals.
SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4	Bad debt expense was calculated using the providers' bad debt expense from its audited financial statements. Saint Peter's healthcare system, including its hospitals and subsidiaries, prepare and issue audited consolidated financial statements. The below was obtained from the footnotes to the audited financial statements of the system and subsidiaries. Accounts receivable and net patient service revenue --------------------------------------------------- Net patient service revenue is reported at the amount that reflects the consideration to which the system expects to be entitled in exchange for providing patient care. These amounts are due from patients, third-party payors (including health insurers and government programs), and others and includes provisions for variable consideration (reductions to revenue) for retroactive revenue adjustments, including adjustments due to the settlement of ongoing and future audits, reviews, and investigations. The system uses a portfolio approach to account for categories of patient contracts as a collective group rather than recognizing revenue on an individual contract basis. The portfolios consist of major payor classes for inpatient revenue and major payor classes and types of services provided for outpatient revenue. Based on historical collection trends and other analyses, the system believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. The system's initial estimate of the transaction price for services provided to patients is determined by reducing the total standard charges related to the patient services provided by various elements of variable consideration, including contractual adjustments, discounts, implicit price concessions, and other reductions to the system's standard charges. The system determines the transaction price associated with services provided to patients who have third-party payor coverage on the basis of contractual or formula-driven rates for the services rendered (see description of third-party payor payment programs below). The estimates for contractual allowances and discounts are based on contractual agreements, the system's discount policies and historical experience. For uninsured and under-insured patients who do not qualify for charity care, the system determines the transaction price associated with services on the basis of charges reduced by implicit price concessions. Implicit price concessions included in the estimate of the transaction price are based on the system's historical collection experience for applicable patient portfolios. Under the system's policy for self-pay patients, a patient who has no insurance and is ineligible for any government assistance program has his or her bill reduced to the amount which would be billed to a commercially insured patient. Generally, the system bills patients and third-party payors several days after the services are performed and/or the patient is discharged. Net patient service revenue is recognized as performance obligations are satisfied. Performance obligations are determined based on the nature of the services provided by the system. Net patient service revenue for performance obligations satisfied over time is recognized based on actual charges incurred in relation to total charges. The system believes that this method provides a reasonable depiction of the transfer of services over the term of the performance obligation based on the services needed to satisfy the obligation. Generally, performance obligations satisfied over time relate to patients receiving inpatient acute care services or patients receiving services in the system's outpatient and ambulatory care centers. The system measures the performance obligation from admission into the hospital or the commencement of an outpatient service to the point when it is no longer required to provide services to that patient, which is generally at the time of discharge or the completion of the outpatient service. Substantially all of its performance obligations relate to contracts with a duration of less than one year. The unsatisfied or partially unsatisfied performance obligations primarily relate to inpatient acute care services at the end of the reporting period for patients who remain admitted at that time (in-house patients). The performance obligations for in-house patients are generally completed when the patients are discharged, which for the majority of the system's in-house patients occurs within days or weeks after the end of the reporting period. Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2023 and 2022, changes in the system's estimates of implicit price concessions, discounts, contractual adjustments or other reductions to expected payments for performance obligations satisfied in prior periods were not significant. Portfolio collection estimates are updated quarterly based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Medicare costs were derived from the 2022 Medicare cost report. The organization believes that Medicare underpayments and bad debt are community benefit and associated costs should be includable on the form 990, schedule h, part i. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity care standard In 1956, the IRS issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the IRS issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. The American hospital association ("aha") believes that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position. As outlined in the aha letter to the IRS dated august 21, 2007, with respect to the first published draft of the new form 990 and schedule h, the aha believed that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. - Medicare, like Medicaid, does not pay the full cost of care. Recently, Medicare reimburses hospitals on average only 85 cents for every dollar they spend to take care of Medicare patients. The Medicare payment advisory commission ("MEDPAC") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 46 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called eligibles." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the aha and this organization also believe that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40 percent of bad debt is pending charity care. - the CBO concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. - as outlined by th
SCHEDULE H, PART III, SECTION B; QUESTION 9B	Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance. It is the policy of the Saint Peter's university hospital's business office, and all its hospital affiliates, to treat all patients equally regardless of insurance and their ability to pay. The following criteria has been established to ensure that all efforts have been exhausted to ensure that the patient is not eligible for a governmental program, they do have access or means to obtain third-party health insurance coverage, and we have exhausted all reasonable efforts to collect the outstanding payment obligation - including fap-eligibility status (and if eligible, ensure that fees/charges have been adjusted to the applicable levels). The criteria are inclusive of the following: 1) the accounts receivable balance must be confirmed as a patient (or guarantor) responsibility amount. If the account has a prior history of Medicaid or charity care eligibility, we will make all efforts to review current documentation and check for potential eligibility. 2) there must be documentation in account notes that at least four (4) post-discharge billing statements with the confirmed patient balance have been sent to the current address on file. The messages on the statement are progressive in nature - with the last one providing a clear message that, after 30 days from the date of this notice, if the balance is not satisfied in full, or a payment plan established, the account qualifies for placement with one of our external collection agencies. Please note that this "30-day" notice must also: - provide the individual with written notice that states financial assistance is available for eligible individuals; - include a description of any other ECAS that SPUH intends on undertaking in addition to sending to an external collection agency (please refer to number 5 below); and - include a copy of the pls. In addition, SPUH must make a reasonable effort to orally notify the individual about the fap. 3) there must be a minimum span of 120 days, from the date of the first post-discharge billing statement, prior to any bad debt write-off and potential referral to one of our external collection agencies. 4) if at any time our external collection agency is notified that the patient/guarantor is fap-eligible the hospital retains the option to: - recall the account from the collection agency and re-start the collection process with the balance adjusted such that the patient/guarantor is paying no more than they are responsible for as a fap-eligible individual and refund any payments already made in excess of the adjusted balance (if greater than $5); or - have the collection agency retain the account and re-start the collection process with the balance adjusted such that the patient/guarantor is paying no more than they are responsible for as a fap-eligible individual and refund any payments already made in excess of the adjusted balance (if greater than $5). 5) in addition to number four (detailed above - "4"), after determining fap-eligibility SPUH can undertake additional ECAS including, but not limited to: - taking actions that require legal or judicial process - including liens, foreclosures, civil actions; - reporting adverse information to credit agencies or bureaus; - deferring, denying, or requiring a payment before requiring non-medically necessary or emergent care because of non-payment for previously provided care that is covered under the fap; and - SPUH does not impose liens and foreclosures nor does it report non-payment to credit agencies and bureaus.
SCHEDULE H, PART VI; QUESTION 2	In addition to the community health needs assessment process outlined in schedule h, section b, questions 1-12 and section c, this organization conducts a review of key factor information annually which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare service estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties (health research and education trust of Rutgers). This organization conducts an extensive service area population physician need study (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. In addition, this organization works with local providers to plan and discuss health needs of the population. One forum is a perinatal consortium for the greater Middlesex area with representation from local community health centers, other health providers and other community health leaders.
SCHEDULE H, PART VI; QUESTION 3	In addition to the community health needs assessment process outlined in schedule h, section b, questions 1-12 and section c, this organization conducts a review of key factor information annually which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare service estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties (health research and education trust of Rutgers). This organization conducts an extensive service area population physician need study (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. In addition, this organization works with local providers to plan and discuss health needs of the population. One forum is a perinatal consortium for the greater Middlesex area with representation from local community health centers, other health providers and other community health leaders. Saint Peter's university hospital Department: resource services Telephone #: 732.745.8600 extension: 5019 D) SPUH is committed to offering financial assistance to eligible patients who do not have the ability to pay for their medical services in whole or in part. In order to accomplish this charitable goal, SPUH, and all substantially related entities, will widely publicize this fap and the pls in the communities that we serve. E) the fap and the pls are available in English and other languages that constitute the lesser of 5% or 1,000 individuals within SPUH's primary service area. F) signage notifying patients/guarantors of our fap will be placed in conspicuous locations, including the admission department, ambulatory services, and emergency room areas, and will provide a telephone number and office locations that can provide information on applying for our fap. G) In June 2022, SPUH introduced a phone app that allows patients to complete their documents required to receive Medicaid and charity care by imaging their documents without returning to the hospital.
SCHEDULE H, PART VI; QUESTION 4	This organization is in a diverse suburban location serving diverse communities ranging from inner city communities in New Brunswick to more affluent suburban areas. This organization is located in New Brunswick, in Middlesex County. Middlesex county encompasses a land mass of 323 square miles comprised of 25 urban and suburban municipalities. The county's municipalities are diverse, encompassing inner-city communities, such as New Brunswick and Perth Amboy, and the suburban communities of Plainsboro, Cranbury and Monroe township. Economic wealth is not uniformly distributed across municipalities; urban areas include a high number of poor and minority populations. In 2016, 8.9% of people and 6.5% of Middlesex County families were living in poverty compared to 10.9% of people and 8.1% of families statewide. - in 2016, 36.0% of people and 28.9% of families were living in poverty in New Brunswick. - in 2016, 8.4% of families were living in poverty in the highland park zip code. In 2016, 4.6% of Middlesex County residents were unemployed, lower than the state (5.2%). - the unemployment rate in New Brunswick (5.4%) exceeded the county rate (4.6%) and was higher than the state rate (5.2%). - the Monroe unemployment rate was 3.4%, the lowest in the service area and lower than the Middlesex County rate of 4.6%. In 2016, the Middlesex County median household income was $80,716, more than $7,000 above the state average. - the 2016 median household income of New Brunswick residents ($40,428) was a little more than half the statewide figure ($73,702). - East Brunswick had the highest median household income in the RWJUH/SPUH service area at $101,245. - between 2014-2016, income levels across the county and the RWJUH/SPUH service area showed little increase or decline.
SCHEDULE H, PART VI; QUESTION 5	This organization holds an annual community public meeting where the board members are invited as well as senior management team and staff members. The majority of the board of trustees are individuals with local businesses or who reside in the community. Hospital staff members serve on the boards of many local not-for-profit organizations and provide other forms of support (fundraising, activity participation). All qualified physicians are extended privileges by their respective departments. Under the directive of the organization's corporate finance office, surplus funds are used for capital projects to improve services or purchase equipment, which in turn, benefit the community.
SCHEDULE H, PART VI; QUESTION 6	Outlined below is a summary of the entities that comprise Saint Peter's healthcare system, inc. And affiliates. Saint Peter's healthcare system, inc. ------------------------------------- Saint Peter's healthcare system, inc. ("system") is the tax-exempt parent of the Saint Peter's healthcare system; a tax-exempt integrated healthcare delivery system ("system"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either system or another system affiliate controlled by Saint Peter's healthcare system. The system is an integrated network of healthcare providers in the state of New Jersey. Saint Peter's healthcare system, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a supporting organization pursuant to internal revenue code 509(a)(3) Saint Peter's university hospital --------------------------------- Saint Peter's university hospital ("SPUH") is a 478-bed acute care and teaching hospital located in New Brunswick, Middlesex County, New Jersey. SPUH is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, SPUH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, SPUH operates consistently with the criteria outlined in IRS revenue ruling 69-545. 1. SPUH provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self- pay, Medicare and Medicaid patients; 2. SPUH operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. SPUH maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of SPUH rests with its board of governors which is comprised of independent civic leaders, members of the community and medical staff representation; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. St. Peter's foundation ---------------------- St. Peter's foundation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities, the organization supports the charitable purposes, programs and services of SPUH; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Saint Peter's health and management services corporation -------------------------------------------------------- Saint Peter's health and management services corporation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). The organization is a supporting organization of SPUH; a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Saint Peter's properties corporation ------------------------------------ Saint Peter's properties corporation is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(2). New Brunswick affiliated hospitals, inc. ---------------------------------------- New Brunswick affiliated hospitals, inc. Is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). Saint Peter's healthcare system physician associates, p.c. ---------------------------------------------------------- Saint Peter's healthcare system physician associates, p.c. is a professional corporation recognized by the internal revenue service as an internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). Due to state of New Jersey corporate practice of medicine prohibition rules, the organization is owned through a nominee relationship by a licensed professional for the benefit of Saint Peter's university hospital. The organization comprises a component of the clinical service physician practice plans and is an integral part of Saint Peter's university hospital. Saint Peter's solar energy solutions, inc. ------------------------------------------ An entity whose sole shareholder is Saint Peter's health and management services. The organization is located in New Brunswick, Middlesex County, New Jersey. The organization provides solar generated electricity to the hospital and one other non-profit organization. Risk assurance company of Saint Peter's university hospital ----------------------------------------------------------- A controlled foreign corporation by SPUH. The organization was formed and operates solely in the Cayman Islands. Saint Peter's specialty physicians, p.c. ---------------------------------------- Due to state of New Jersey corporate practice of medicine prohibition rules, the organization is owned through a nominee relationship by a licensed professional for the benefit of Saint Peter's university hospital. The organization comprises a component of the clinical service physician practice plans and is an integral part of Saint Peter's university hospital. Saint Peter's advanced care, p.c. --------------------------------- DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES, THE ORGANIZATION IS OWNED THROUGH A NOMINEE RELATIONSHIP BY A LICENSED PROFESSIONAL FOR THE BENEFIT OF SAINT PETER'S UNIVERSITY HOSPITAL. THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS AND IS AN INTEGRAL PART OF SAINT PETER'S UNIVERSITY HOSPITAL. THIS ORGANIZATION WAS DISSOLVED IN 2022.
SCHEDULE H, PART VI; QUESTION 7	The entity and related provider organizations are located in New Jersey. The state of New Jersey does not require hospitals to annually file a community benefit report with the state of New Jersey.

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on 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 .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on 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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

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 on 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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Leslie D Hirsch FACHE Trustee - President/CEO	(i) (ii)	0 ------------- 1,232,193	0 ------------- 427,744	0 ------------- 43,212	0 ------------- 294,160	0 ------------- 21,175	0 ------------- 2,018,484	0 ------------- 0
2Arkady Broder MD Gastroenterologist	(i) (ii)	610,714 ------------- 0	378,017 ------------- 0	23,490 ------------- 0	16,500 ------------- 0	44,631 ------------- 0	1,073,352 ------------- 0	0 ------------- 0
3David Jacob MD Cardiologist	(i) (ii)	602,731 ------------- 0	332,308 ------------- 0	10,668 ------------- 0	14,605 ------------- 0	20,105 ------------- 0	980,417 ------------- 0	0 ------------- 0
4Lindsay Arthur Chairman - Surgery	(i) (ii)	834,609 ------------- 0	65,000 ------------- 0	4,282 ------------- 0	16,500 ------------- 0	36,419 ------------- 0	956,810 ------------- 0	0 ------------- 0
5Garrick J Stoldt FHFMA CPA Treasurer - CFO SPHCS	(i) (ii)	0 ------------- 642,418	0 ------------- 137,395	0 ------------- 44,487	0 ------------- 93,086	0 ------------- 28,301	0 ------------- 945,687	0 ------------- 0
6Alma S Ratcliffe MD VP;CHIEF CLINICAL TRANSF. OFF.	(i) (ii)	0 ------------- 512,100	0 ------------- 116,377	0 ------------- 132,764	0 ------------- 81,370	0 ------------- 20,976	0 ------------- 863,587	0 ------------- 91,146
7Andrew Korman MD Gastroenterologist	(i) (ii)	372,289 ------------- 0	429,963 ------------- 0	840 ------------- 0	16,500 ------------- 0	36,680 ------------- 0	856,272 ------------- 0	0 ------------- 0
8Jordan M Tannenbaum MDMBA VP; CIO/CMIO	(i) (ii)	0 ------------- 454,471	0 ------------- 105,318	0 ------------- 125,074	0 ------------- 75,206	0 ------------- 30,556	0 ------------- 790,625	0 ------------- 85,518
9Kianoush Sheykholeslami MD ENT Surgeon (Term 12/31/2023)	(i) (ii)	742,310 ------------- 0	0 ------------- 0	3,612 ------------- 0	16,500 ------------- 0	20,150 ------------- 0	782,572 ------------- 0	0 ------------- 0
10Linda Carroll MSN RN-BC CNO/VP Patient Care Services	(i) (ii)	506,037 ------------- 0	102,042 ------------- 0	8,792 ------------- 0	72,699 ------------- 0	30,726 ------------- 0	720,296 ------------- 0	0 ------------- 0
11Niranjan V Rao MD Chief Medical Officer	(i) (ii)	0 ------------- 405,486	0 ------------- 92,889	0 ------------- 117,819	0 ------------- 69,273	0 ------------- 28,475	0 ------------- 713,942	0 ------------- 70,884
12Alyssa A Verderami Esq Secretary-VP Legal & Risk Mgt	(i) (ii)	0 ------------- 438,866	0 ------------- 94,797	0 ------------- 21,811	0 ------------- 70,357	0 ------------- 31,437	0 ------------- 657,268	0 ------------- 0
13Nayan K Kothari MD Chief Academic Officer	(i) (ii)	483,243 ------------- 0	54,405 ------------- 0	18,924 ------------- 0	16,500 ------------- 0	25,166 ------------- 0	598,238 ------------- 0	0 ------------- 0
14Lisa M Drumbore VP; Chief Experience Officer	(i) (ii)	0 ------------- 342,421	0 ------------- 73,212	0 ------------- 26,674	0 ------------- 57,310	0 ------------- 24,566	0 ------------- 524,183	0 ------------- 0
15LAURA ATKINSON VP; CHIEF HR OFF.(EFF 3/20/23)	(i) (ii)	0 ------------- 301,733	0 ------------- 100,959	0 ------------- 606	0 ------------- 46,956	0 ------------- 17,309	0 ------------- 467,563	0 ------------- 0
16Barbara J Griffiths-Welsh Chief Compliance Officer	(i) (ii)	0 ------------- 275,707	0 ------------- 67,100	0 ------------- 33,409	0 ------------- 53,029	0 ------------- 27,096	0 ------------- 456,341	0 ------------- 0
17William J Rears Chief Technology Officer	(i) (ii)	0 ------------- 264,647	0 ------------- 0	0 ------------- 6,151	0 ------------- 13,191	0 ------------- 30,280	0 ------------- 314,269	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
SCHEDULE J, PART I, QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTINGS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ALMA S. RATCLIFFE, M.D., $91,146; JORDAN M. TANNENBAUM, M.D., MBA, $85,518 AND NIRANJAN V. RAO, M.D., $70,884. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, AS TAXABLE MEDICARE WAGES: LESLIE D. HIRSCH, FACHE, $277,660; GARRICK J. STOLDT, FHFMA, CPA, $76,586; ALMA S. RATCLIFFE, M.D., $64,870; JORDAN M. TANNENBAUM, M.D., MBA, $58,706; LINDA CARROLL, MSN, RN-BC, $56,879; NIRANJAN V. RAO, M.D., $52,773; ALYSSA A. VERDERAMI, ESQ., $53,857; LISA M. DRUMBORE, $40,810; LAURA ATKINSON, $36,925 and BARBARA J. GRIFFITHS-WELSH, $37,403.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN COLUMN (II) HEREIN AND IN EACH INDIVIDUAL'S 2023 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, PART II, COLUMN F	THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

Schedule J (Form 990) 2023

Additional Data

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Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number
22-1487330

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084	645790RW8	10-25-2022	105,925,000	SEE PART VI		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 ..................	104,814,655
4 Gross proceeds in reserve funds .............	0
5 Capitalized interest from proceeds .............	0
6 Proceeds in refunding escrows ...............	0
7 Issuance costs from proceeds ...............	1,204,975
8 Credit enhancement from proceeds .............	0
9 Working capital expenditures from proceeds .............	0
10 Capital expenditures from proceeds .............	3,150,000
11 Other spent proceeds .............	100,459,680
12 Other unspent proceeds .............	0
13 Year of substantial completion .............	2022
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, 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

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

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
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 ....	1.530 %
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 .........	0 %
6 Total of lines 4 and 5 .............	1.530 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........
c No rebate due? .........
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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 the hedge terminated? ........
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
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. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

SCHEDULE K, PART I, COLUMN C

SCHEDULE K; PART I, LINE A, COLUMN C ------------------------------------ The Series 2022A tax-exempt bond issuance also includes the following additional CUSIP #s: 645790RW8; 645790RX6; 645790RY4; 645790RZ1; 645790SA5; 645790SB3; 645790SC1; 645790SD9; 645790SE7; 645790SF4; 645790SG2; 645790SH0; 645790SJ6; 645790SK3; 645790SL1. SCHEDULE K; PART I, LINE A, COLUMN F ------------------------------------ The proceeds of the Series 2022A tax-exempt bonds were used for: - the reimbursement of costs of the acquisition of certain real property; - the refunding of all of the outstanding Series 2011 Revenue and Refunding Bonds and the Series 2007 Revenue Bonds; and - the payment of the costs of issuance of the Series 2022A bonds.

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

SAINT PETER'S UNIVERSITY HOSPITAL

Employer identification number

22-1487330

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Background ========== Saint Peter's University Hospital is recognized by the Internal Revenue Service (IRS) as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, Saint Peter's University Hospital provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, sexual identity and orientation, national origin, or ability to pay. Moreover, Saint Peter's University Hospital operates consistently within the following criteria outlined in IRS revenue ruling 69-545: 1. Saint Peter's University Hospital provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid; 2. Saint Peter's University Hospital operates an active emergency department for all persons that is open 24 hours a day, seven days a week, 365 days per year; 3. Saint Peter's University Hospital maintains an open medical staff with privileges available to all qualified physicians; 4. Control of Saint Peter's University Hospital rests with its board of trustees, which is comprised of independent civic leaders, clergy, and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand, and renovate facilities, and advance medical care, programs, and activities. The operations of Saint Peter's University Hospital, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of Saint Peter's University Hospital is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Saint Peter's University Hospital, located at 254 Easton Avenue, New Brunswick, N.J., is a 478-bed nonprofit acute-care teaching hospital, a state-designated acute care children's hospital and a state-designated regional perinatal center sponsored by the Roman Catholic Diocese of Metuchen. Saint Peter's University Hospital, a member of the Saint Peter's Healthcare System, is a major clinical affiliate of Rutgers University Biomedical and Health Sciences division and sponsors its own freestanding residency programs in obstetrics and gynecology, pediatrics, and internal medicine and fellowship programs in pulmonology and gastroenterology. The hospital is fully accredited by The Joint Commission, certified as a Magnet hospital for nursing excellence by the American Nurses Credentialing Center (ANCC), and recipient of the Beacon Award for Excellence from the American Association of Critical-Care Nurses (AACN) for the adult intensive care unit, cardiac progressive care unit, neonatal intensive care unit, and pediatric intensive care unit. Saint Peter's was one of only five hospitals worldwide to receive Magnet designation six consecutive times. Saint Peter's was the first hospital in Middlesex County and has served the healthcare needs of central New Jersey continuously since 1907, providing substantial community benefit. From its simple beginnings, Saint Peter's has grown to become a technologically advanced, 478-bed teaching hospital that provides a broad array of services to the community - from sophisticated care of premature babies to specialized geriatric medicine. Saint Peter's brings the latest medical practices and highly skilled professionals to the bedside. Hospital staff treats approximately 23,000 inpatients and 280,000 outpatients annually. Saint Peter's employs approximately 3,600 healthcare professionals and support personnel, and more than 900 physicians and dentists have privileges at its facilities. As a state-designated acute care children's hospital, The Children's Hospital at Saint Peter's University Hospital offers a full range of specialized pediatric healthcare services. Saint Peter's also offers one of the most sophisticated maternity programs and operates one of the largest, most advanced Level IV Neonatal Intensive Care Units (NICUs) in the country as a state-designated regional perinatal center and has been recognized among the top 50 best children's hospitals for neonatology in the country by U.S. News and World Report. While medical advances help to provide better patient care than ever before, Saint Peter's healing mission would be incomplete without the personal commitment of employees that respond to the total, individual person-spiritually, emotionally, and physically. Mission Statement ================= Keeping faith with the teachings of the Roman Catholic Church and guided by the Bishop of Metuchen, Saint Peter's University Hospital is committed to humble service to humanity, especially the poor, through competence and good stewardship of resources. We minister to the whole person, body, and spirit, preserving the dignity and sacredness of each life. We are pledged to the creation of an environment of mutual support among our employees, physicians, and volunteers and to the education and training of healthcare personnel. We are witnesses in our community to the highest ethical and moral principles in pursuit of excellence and patient safety. Facts ===== Saint Peter's is New Jersey's first state-designated regional perinatal center and Level IV Neonatal Intensive Care Unit (NICU) established in 1981. Saint Peter's delivered more than 5,600 newborns in 2023 and admits approximately 740 newborns to the 54-bassinett l Level IV NICU, which is one of the largest on the east coast. Saint Peter's was the first hospital in New Jersey to earn the Level IV Maternal Care Verification from The Joint Commission, the highest level achievable, and is also certified in Perinatal Care by The Joint Commission. Saint Peter's introduced a new midwifery program with certified nurse-midwives in 2017 and opened the state's first hospital-based birth center, the Mary V. O'Shea Birth Center in the fall of 2019. It is the only hospital-based, midwifery-led birth center licensed in the state of New Jersey. It is accredited by the Commission for the Accreditation of Birth Centers. Saint Peter's is renowned throughout the state for its practice of obstetrics, especially in the area of high-risk pregnancies. Services include: - Division of Maternal-Fetal Medicine (high-risk obstetrical care); - Antenatal Testing Unit (advanced ultrasound testing) with approximately 14,500 ultrasounds performed annually; - the Department of Medical Genetics and Genomic Medicine (genetic counseling, testing and treatment); - Perinatal Evaluation and Treatment (perinatal emergency triage and treatment); - High-risk Antepartum Unit (hospital inpatient care for pregnant women experiencing complications or high-risk pregnancies); - Infant and Perinatal Loss Evaluation program (diagnostic and treatment center for repeated miscarriage/pregnancy loss); - Obstetrical Medicine (treats medical complications in pregnancy); and - General Obstetrics and Gynecology For more than 40 years, Saint Peter's has been a regional provider of comprehensive cancer services accredited by the Commission On Cancer, including a free-standing adult oncology center, radiation oncology, outpatient chemotherapy, prostate seed implantation, a nationally accredited breast center, breast cancer treatment, gynecologic oncology, minimally invasive surgery, CyberKnife robotic radiosurgery, da Vinci robotically assisted surgery, and support groups. Saint Peter's specializes in integrated geriatric medicine, offering services and satellite centers that include geriatric evaluation and management service (intensive outpatient program for frail seniors), with locations in Monroe and New Brunswick, and community nursing care at six retirement communities in Monroe. Saint Peter's was the first hospital in New Jersey to be recognized as an Age-Friendly Health System by the Institute for Healthcare Improvement. Saint Peter's is also a NICHE designated Hospital - NICHE (Nurses Improving Care for Healthsystem Elders) is the leading nurse driven program designed to help hospitals and healthcare organizations improve the care of older adults. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to provide principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient centered care for older adults.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Saint Peter's University Hospital was designated a primary stroke center by the New Jersey State Department of Health and Senior Services in 2009. In 2022, Saint Peter's achieved certification as an advanced primary stroke center by The Joint Commission, demonstrating that the hospital has consistently met quality metrics and provided some of the best evidence-based care for its stroke patients. In 2023, Saint Peter's received the American Heart Association and American Stroke Association's Get With The Guidelines - Gold Plus Stroke quality achievement award for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, ultimately leading to more lives saved and reduced disability. The Department of Medical Genetics and Genomic Medicine is the sole hospital-based provider of genetics services to infants, children and adults in central New Jersey, counsels, tests and treats those with a family history of chromosome abnormalities, birth defects, skeletal dysplasia, cancer syndromes and other types of inherited disorders. Women's health services at Saint Peter's include imaging services, general OB/GYN and midwifery services, breast disease services, urogynecology, and gynecologic oncology. Specialty Services ================== Regional Perinatal Center (RPC): Delivering more than 5,600 babies in 2023, Saint Peter's offers one of the largest, most sophisticated maternity programs in the country. The hospital was the first regional perinatal centers in New Jersey and specializes in high-risk pregnancy. The antenatal testing unit is one of the largest units of its kind and features 3D and 4D ultrasound testing. Specialty maternal-fetal medicine programs include the infant and perinatal loss evaluation program and the infant prematurity assessment and prevention program. Neonatal Intensive Care Unit (NICU): Saint Peter's operates a 54-bassinett, Level IV NICU, the largest in central New Jersey and the first in the state. It includes the neonatal retina center, providing laser surgery for retinopathy of prematurity and outpatient ophthalmology services, and the infant apnea center. Special training in caring for these fragile babies is provided to parents and support groups are offered. The Children's Hospital at Saint Peter's University Hospital was ranked among the top 50 best children's hospitals for neonatology in the nation by U.S. News and World Report three years in a row. The Cancer Program at Saint Peter's includes a 24-bed inpatient unit and outpatient services including radiation and infusion therapies and surgery. The program provides state-of-the-art treatments such as IMRT, CyberKnife and breast cancer services. The hospital is accredited by the American College of Surgeons' Commission On Cancer as an Academic Comprehensive Cancer Program. The Saint Peter's Breast Center is accredited by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons. Geriatric Services: A complete and multidisciplinary program of geriatric medicine, with an outpatient geriatric evaluation and management service for the frail elderly, especially those with Alzheimer's disease. Outpatient services are available through Saint Peter's Physician Associates with locations in Monroe and New Brunswick. Cardiac Catheterization: Saint Peter's expertly performs cardiac catheterization; peripheral vascular angiograms; elective and emergency angioplasties to open clogged arteries in the arms, kidneys and legs; and pacemaker implantation. Saint Peter's Thyroid and Diabetes Center is recognized by the American Diabetes Association in all areas of diabetes education. The Center diagnoses, treats, educates, and helps patients manage this chronic disease. Certified diabetes educators serve all inpatients throughout Saint Peter's, and the hospital has a dedicated metabolic inpatient unit for patients with diabetes. The Center provides extensive inpatient and outpatient education and the most current diagnostics and treatments, including pump therapy. Surgery: Saint Peter's offers minimally invasive, robotic, and traditional surgical techniques. Among the surgical procedures offered are bariatric; breast; colorectal; ear, nose and throat and head and neck; gastroenterological; general; gynecological; neurological; oncological; orthopedic including scoliosis; pediatric general, thoracic, and oncologic; plastic and reconstructive; thoracic; urogynecologic; urological; and vascular and endovascular. Same-day procedures are performed in the CARES Surgicenter, which was named the "Best Ambulatory Surgery Center in New Jersey" by Newsweek magazine in 2022 and 2023. General and specialty pediatric surgeries are performed and supported by the largest group of pediatric anesthesiologists in the area. Women's services include urogynecology, breast disease, general OB-GYN and midwifery services, and gynecologic oncology. The Women's Imaging Center provides diagnostic services including HologicGeniusT3D MammographyT and bone density testing. A complete program for the diagnosis and treatment of breast cancer is available through Saint Peter's Breast Center. Saint Peter's Gianna Center provides a more natural alternative to assisted reproductive technologies such as in-vitro fertilization and comprehensive gynecologic primary care and specialized fertility and family planning techniques used to unmask the true causes of infertility for all women, regardless of faith. The Department of Medical Genetics and Genomic Medicine counsels, diagnoses and treats individuals and families with a history of inherited diseases, including prenatal through adult services. The Department serves as both a regional center for inherited metabolic disorders and a regional center for medical genetic services for central New Jersey. Saint Peter's is home to one of the largest comprehensive lysosomal disease therapy centers in the United States. The Department provides comprehensive testing, treatment and lifetime management for infants found to have an inherited metabolic disorder. Prenatal services are also provided. The team includes geneticists, genetic counselors, endocrinologists, nutritionists, and a pathologist. Saint Peter's Wound Care Center and Hyperbaric Services provides treatment for non-healing wounds caused by diabetes, radiation therapy, etc., including hyperbaric oxygen therapy chambers, in both New Brunswick and Monroe. The Center for Sleep and Breathing Disorders diagnoses and treats both adults and children with sleep apnea and other sleeping disorders. Saint Peter's Family Health Center offers complete medical and subspecialty services for underserved adults and children through its Adult Multispecialty Health Center, the Pediatric Health Center and the Women's Health Center. The Center also provides social services, nutrition services, physical therapy and an outpatient lab. Saint Peter's Family Health Center also offers behavioral services to children through the For KEEPS (Kids Embraced and Empowered through Psychological Services) Program. At the Dorothy B. Hersh Child Protection Center, a multidisciplinary team of health care professionals, including certified child abuse pediatricians, nurses, psychologists, and social workers, offers help to children and their families in the evaluation and treatment of physical and emotional injuries caused by child abuse and neglect. Patients 18 and older who are experiencing stress-related disorders, depressive disorders, trauma-related disorders, mood disorders, eating disorder anxiety and family systems disorder, as well as other serious mental health disorders, can access behavioral health services under QIP-NJ (Quality Improvement Program-New Jersey) at Saint Peter's Family Health Center. Saint Peter's offers state-of-the-art diagnostic services and treatments for diseases of the gastrointestinal tract. Endoscopy services also include lithotripsy, a non-invasive shock-wave treatment for the removal of kidney stones. Saint Peter's Health and Wellness Center offers physical therapy, occupational therapy, speech and language therapy, and audiology services for children and adults. Spearheaded by the staff of Saint Peter's Physical Rehabilitation Services, these therapies aim to improve the quality of life for each patient-whether it's helping a patient restore mobility, address balance issues, or improve their communication skills. The Center is also home to Saint Peter's otolaryngology practice for the treatment of children and adults.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Community Health Services (CHS): The Community Health Services mobile team consists of nurses, clinicians, and staff who travel throughout Middlesex County and surrounding Somerset and Union Counties providing health screenings, COVID and influenza vaccinations, and wellness education to businesses, senior centers, soup kitchens, and others various sites in a 43 foot-long specially equipped mobile health unit. At the screening sites, if the participant is identified with specific health issues, they are provided health education and healthcare provider/service referrals that are available in the area. In six of the 55+ adult communities in Monroe Township, a team of geriatric nurses staffs their healthcare centers. These nurses provide services anywhere from 12-24 hours per day based on the 55+ adult community's contract. The nursing staff activities include, but are not limited to, drawing bloodwork, health screening, administering healthcare provider's prescribed treatments, and first aid for emergencies. The Children's Hospital at Saint Peter's University Hospital ------------------------------------------------------------ Caring for children has always been very important for Saint Peter's. As a state-designated children's hospital, we offer many specialty services for children. We care for high-risk babies and seriously ill children in our neonatal intensive care and pediatric intensive care units. Our child life program helps to educate and prepare children for their stay at Saint Peter's, while our pediatric emergency department can handle any injury or illness a child may have. At the Children's Hospital at Saint Peter's, we care for 9,000 inpatients and over 45,000 outpatients each year in our facilities and the Dorothy B. Hersh Pediatric Emergency Department. Services include: - An eight-bed pediatric intensive care unit (PICU) staffed by pediatric intensivists and specially trained pediatric nurses - A dedicated pediatric emergency department that treats more than 24,500 children annually - CHOP Cardiac Center - Comprehensive pediatric surgery, including minimally invasive services and pediatric orthopedic surgery including anterior scoliosis correction - The largest group of specially trained pediatric anesthesiologists in the area, available 24-hours-a-day, seven-days-a-week - Division of Pediatric Hematology/Oncology that includes infusion services and a vascular clinic - Regional Craniofacial-Neurosurgical Center specializing in the correction of cleft lip and cleft palate (unique to the region) - Division of Pediatric Endocrinology recognized by the American Diabetes Association In diabetes education. The Mary V. O'Shea Birth Center at Saint Peter's University Hospital -------------------------------------------------------------------- In 2019, the hospital opened the only midwifery-led, hospital-based birth center in New Jersey. The Mary V. O'Shea Birth Center experience is based on the midwifery model of care that embraces pregnancy and birth as a normal physiologic process, highlighting shared decision-making, minimal interventions, and the empowerment of women as partners in their care. The Birth Center, accredited by the Commission for the Accreditation of Birth Centers, is staffed by certified nurse-midwives, supports a natural birth without any pain medication. The Center is equipped to offer a variety of nonpharmaceutical pain management options including hydrotherapy, aromatherapy, nerve stimulation, sterile water papules, and various massage techniques. Other Services ============== The Center for Diabetes Self-Management Education diagnoses and treats children with diabetes and other endocrine disorders, emphasizing family management and support. The Center offers pump therapy to appropriate patients and support groups. The Craniofacial and Neurosurgical Center offers corrective surgery, multidisciplinary support and follow-up services and support groups for children born with cleft lip, cleft palate, and other facial deformities. Members of the multidisciplinary medical team are active with operation smile and heal the children. The staff of the Center is recognized as a "cross-specialty team" one of the highest recognitions designated by the American cleft palate-craniofacial association (ACPA). The Dorothy B. Hersh Child Protection Center is a state-designated regional diagnostic and treatment center for child abuse prevention. The center identifies abuse, provides medical and psychological evaluation and referrals to victims and families, serves as expert witnesses and educates childcare and law enforcement professionals. It serves eight counties. The Child Protection Center was the only center of its type open during the pandemic. For KEEPS - (Kids Embraced and Empowered Through Psychological Services) provides mental health diagnoses and intensive treatment for area children, ages 5 through 17, who suffer from emotional or behavioral difficulties that negatively influence their ability to function successfully in a social environment. For KEEPS is a full-time day program where children receive academic instruction in addition to behavioral and psychological treatments through collaboration among doctors, nurses, social workers, and counselors. Also, meeting the needs of the poor and underserved, Saint Peter's University hospital treats all patients, regardless of their ability to pay. This is evident by, but not limited to, the following: - Operating more than 50 clinics and more than 146,000 visits in pediatric and pediatric subspecialties, adult medicine and subspecialties, women's health and subspecialties, and geriatric medicine and subspecialties. - The Nayan K. Kothari MD Simulation Center for Interprofessional Learning offers two separate and distinct specialty areas - an Institute for Bedside Medicine (IBM) and an Institute for Technical Simulation (ITS). Other community benefit programs/support groups/screenings: - Adult communities: Concordia, Clearbrook, The Ponds, Greenbriar at Whittingham, Rossmoor, and Stonebridge - Pediatric Call Center - Family Health Center - adult, pediatric and women's health services, behavioral health - Thyroid and Diabetes Center - Geriatrics - Child Protection Center - Infection Control - Marketing and Media Relations - Pharmacy - Employee Health Services - Main Kitchen Food Services - Perinatal Services - Midwifery Services - Community Outreach - Opioid Task Force - Pastoral Care - Volunteer Services - Medical Library - Craniofacial and Neurosurgical Center - Abstinence Education - Fertility Awareness - Soup Kitchen - Elijah's Promise - Speakers Bureau - Bone Marrow Transplant Support Group - Breast Cancer Support Group - Gynecologic Cancer Support Group - Living With Cancer Support Group - Advanced Cardiac Life Support - Advanced Cardiac Life Support Renewal - Basic Life Support for Healthcare Providers - CPR For Family and Friends - First Aid - Heartsaver AED Adult/Pediatric - Diabetes Self-Management Education - Gestational Diabetes Self-Management Education - Prevent T2 Program (Diabetes) - Alzheimer's Caregivers - Bereavement Support Group - Caregivers Support Group - Pregnancy After Loss Support Group - SHARE Support Group - Blood Pressure and Blood Sugar Screenings - Osteoporosis Screenings - Body Mass Index Skin Screenings - Skin Cancer Screenings - Breast Health Information and Self-Exam Instruction - Parent Education - Baby Care - Birth Center Class - Prenatal Yoga and Exercise Class - Prepared Childbirth/Lamaze Class - Breastfeeding - Breastfeeding Support Group - New Daddy Class - New Moms Support Group - Prenatal Nutrition Class - Sibling Class - Grandparents Class - Marvelous Multiples Class - Hypnobirthing Class - Cyberknife Robotic Radiosurgery - Saint Peter's Breast Center - Bariatric Behaviorial Health Support - Bariatric Nutrition Support - MyGoal Autism Family Support Group
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Affiliations ============ Saint Peter's has developed affiliations with some of the leading medical institutions in the country to bring the best care possible to central New Jersey. As a teaching hospital, Saint Peter's sponsors residency programs in internal medicine, obstetrics and gynecology, and pediatrics. The hospital is a major clinical affiliate of Rutgers Biomedical and Health Sciences. Through this relationship, Rutgers medical students spend their entire third and fourth years of medical school at Saint Peter's to gain knowledge and experience in a hospital setting. This teaching environment fosters an exchange of ideas and collaboration among the physicians of today and those of tomorrow. An agreement with Kean University enhances our educational programs and, in turn, provides medical students and residents with opportunities to become the best doctors possible. As a state-designated children's hospital, we are committed to providing the best care possible, which is why we have an affiliation with the Children's Hospital of Philadelphia (CHOP). Our association with one of the most respected children's hospitals in the nation means that America's top specialists in pediatric medicine and, in particular, pediatric cardiac care, are available to families living in central New Jersey. Commitment to Teaching ====================== Saint Peter's University Hospital is committed to the education of healthcare professions at many levels. Saint Peter's University Hospital is affiliated with Rutgers Robert Wood Johnson Medical School and St. George's Medical School. Both organizations send some of their third- and fourth-year medical students to Saint Peter's University Hospital to complete their graduate education. Saint Peter's University Hospital sponsors its own medical residency programs in internal medicine, pediatrics, and obstetrics and gynecology along with fellowships in gastroenterology and pulmonology. In addition, Rutgers Robert Wood Johnson Medical School sends rotations of medical residents in orthopedics, general surgery, radiology, and fellows in neonatology to Saint Peter's. Rutgers University's Ernest Mario School of Pharmacy has pharmacy student rotations at Saint Peter's University Hospital. Chamberlain, The College of New Jersey, Rutgers, and Seton Hall, send their nursing students to Saint Peter's University Hospital for their practical experience as part of their undergraduate degree program.
CORE FORM, PART V; QUESTION 15	LESLIE D. HIRSCH, FACHE, IS A VOTING BOARD MEMBER/OFFICER OF THE ORGANIZATION'S BOARD OF TRUSTEES; AN UNCOMPENSATED POSITION. MR. HIRSCH IS EMPLOYED BY A RELATED ORGANIZATION AND IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF SAINT PETER'S HEALTHCARE SYSTEM, INC. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH SAINT PETER'S HEALTHCARE SYSTEM, INC. (EIN: 26-2019056). SAINT PETER'S HEALTHCARE SYSTEM, INC. FILED A 2023 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. HIRSCH'S COMPENSATION IN EXCESS OF $1M. ARKADY BRODER, M.D. IS INCLUDED WITHIN THE ORGANIZATION'S FEDERAL FORM 990, PART VII AND SCHEDULE J. THE ORGANIZATION WAS NOT REQUIRED TO FILE A FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. LEE BECAUSE HE IS A LICENSED MEDICAL PROVIDER WHOSE COMPENSATION WAS ATTRIBUTABLE TO CLINICAL SERVICES AND THUS EXEMPT FROM EXCISE TAXES AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	SAINT PETER'S HEALTHCARE SYSTEM, INC. ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SAINT PETER'S HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE SAINT PETER'S HEALTH CARE SYSTEM, INC. AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING, BUT NOT LIMITED TO, THE CHIEF FINANCIAL OFFICER, CONTROLLER AND OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE, FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS APPROVAL, THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE REVIEWED THE FORM 990 AT A REGULARLY SCHEDULED MEETING. IN ADDITION, THE CPA FIRM GAVE A FORM 990 PRESENTATION AT THIS MEETING. THEREAFTER, THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THE CHIEF COMPLIANCE OFFICER THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED BY AN INDIVIDUAL ON AN INDIVIDUAL BASIS. POTENTIAL CONFLICTS WERE THEN REVIEWED AND DISCUSSED AT A MEETING WITH THE SYSTEM'S CHIEF COMPLIANCE OFFICER, CHIEF FINANCIAL OFFICER, CONTROLLER AND DIRECTOR OF INTERNAL AUDIT. THE SUMMARY IS PRESENTED TO THE CORPORATE SECRETARY FOR REFERENCE, REVIEW AND DISCUSSION DURING BOARD MEETINGS.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE HOSPITAL TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1) THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2) THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3) THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE HOSPITAL'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE HOSPITAL. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 18	Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. IN ADDITION, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR KEY EMPLOYEES LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, 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 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NON-OPERATING NET PERIODIC PENSION COST - ($4,230,534); - CHANGE IN PENSION LIABILITY - $4,968,408; - NET CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - $2,668,000; AND - DONATED EQUIPMENT AND OTHER CHANGES IN NET ASSETS - $19,953,000.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS SAINT PETER'S HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT PETER'S HEALTHCARE SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION IS AN AFFILIATE WITHIN SAINT PETER'S HEALTHCARE SYSTEM, INC. AND AFFILIATES. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R., PART 200, SUBPART F.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION IS COMMITTED TO HUMBLE SERVICE TO HUMANITY, ESPECIALLY THE POOR, THROUGH COMPETENCE AND GOOD STEWARDSHIP OF RESOURCES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	4,201
6	Total number of volunteers (estimate if necessary) .............	6	90
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	17,476,464	21,031,878
9	Program service revenue (Part VIII, line 2g) .........	556,713,395	554,953,392
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,670,527	4,172,446
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,255,235	4,408,125
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	582,115,621	584,565,841
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	110,560	135,977
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)	315,252,699	336,784,490
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	217,563,647	228,612,908
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	532,926,906	565,533,375
19	Revenue less expenses. Subtract line 18 from line 12.......	49,188,715	19,032,466
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	552,434,880	597,482,000
21	Total liabilities (Part X, line 26).............	312,802,880	297,484,000
22	Net assets or fund balances. Subtract line 21 from line 20.....	239,632,000	299,998,000

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 451,139,475 including grants of $ 135,977 ) (Revenue $ 554,953,392 )
	EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses451,139,475

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	5,584,276	6,637,840	1,497,790

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,562,792
e	Government grants (contributions)		1e	19,002,914

f	All other contributions, gifts, grants, and similar amounts not included above		1f	466,172

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		21,031,878

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	549,344,066	549,344,066
b	OTHER HEALTHCARE RELATED REVENUE	622110	5,609,326	5,609,326
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		554,953,392

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,070,209			5,070,209
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
			(i) Real	(ii) Personal
6a	Gross rents	6a	2,358,933
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	2,358,933	0
d	Net rental income or (loss).......			2,358,933			2,358,933
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b	779,701	118,062
c	Gain or (loss)	7c	-779,701	-118,062
d	Net gain or (loss).........			-897,763			-897,763
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0

Business Code
11a	CAFETERIA/VENDING		900099	1,662,304			1,662,304
b	PARKING REVENUE		812930	386,888			386,888
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,049,192
12	Total revenue. See instructions.....			584,565,841	554,953,392		8,580,571

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	36,318	36,318
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	99,659	99,659
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,318,535	1,051,763	266,772
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........	279,450,635	222,910,849	56,539,786
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,128,912	8,877,257	2,251,655
9	Other employee benefits .......	25,195,881	20,098,130	5,097,751
10	Payroll taxes ...........	19,690,527	15,706,646	3,983,881
11	Fees for services (non-employees):
a	Management ......	2,431,874	1,939,845	492,029
b	Legal .........	2,681,282	2,138,792	542,490
c	Accounting ...........	606,301	483,631	122,670
d	Lobbying ...........	175,922	140,329	35,593
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	464,008	370,128	93,880
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	44,078,769	35,160,542	8,918,227	0
12	Advertising and promotion ....	2,321,563	1,851,853	469,710
13	Office expenses .......	8,678,559	6,922,672	1,755,887
14	Information technology ......	308,204	245,847	62,357
15	Royalties ..	0
16	Occupancy ...........	9,457,240	7,543,806	1,913,434
17	Travel ............	359,349	286,644	72,705
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	129,210	103,068	26,142
20	Interest ...........	5,238,353	4,178,504	1,059,849
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	25,546,623	20,377,908	5,168,715
23	Insurance ...	6,035,363	4,814,260	1,221,103
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	66,514,552	53,057,010	13,457,542
b	GOV'T TAXES & ASSESSMENTS	18,685,865	14,905,252	3,780,613
c	REPAIRS & MAINTENANCE	18,564,070	14,808,099	3,755,971
d	PHYSICIAN SERVICES	7,786,456	6,211,063	1,575,393
e	All other expenses	8,549,345	6,819,600	1,729,745
25	Total functional expenses. Add lines 1 through 24e	565,533,375	451,139,475	114,393,900	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			33,624,820	2	44,298,851
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			56,876,392	4	56,874,316
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			7,269,455	8	7,230,693
9	Prepaid expenses and deferred charges ......			2,599,623	9	3,375,029
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	596,081,879
b	Less: accumulated depreciation	10b	436,610,623	156,371,029	10c	159,471,256
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 ..			229,564,312	13	252,338,305
14	Intangible assets ...............			1,172,116	14	1,023,085
15	Other assets. See Part IV, line 11 ...........			64,957,133	15	72,870,465
16	Total assets. Add lines 1 through 15 (must equal line 33)...			552,434,880	16	597,482,000

17	Accounts payable and accrued expenses .....	68,823,320	17	72,763,234
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,565,108	19	3,968,091
20	Tax-exempt bond liabilities .........	104,838,264	20	97,215,592
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	4,297,736	23	2,788,408
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	133,278,452	25	120,748,675
26	Total liabilities. Add lines 17 through 25..	312,802,880	26	297,484,000

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	226,486,008	27	284,184,553
28	Net assets with donor restrictions ...........	13,145,992	28	15,813,447
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	239,632,000	32	299,998,000
33	Total liabilities and net assets/fund balances ........	552,434,880	33	597,482,000

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(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?
(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	Yes	No
(1)ST PETER'S FOUNDATION 254 EASTON AVENUE NEW BRUNSWICK,NJ08901 22-2329197	FUNDRAISING	NJ	501(C)(3)	7	SPHCS		No
(2)SAINT PETER'S HEALTH & MGMT SVCS CORP 254 EASTON AVENUE NEW BRUNSWICK,NJ08901 27-0045088	SUPPORT SPUH	NJ	501(C)(3)	12B	SPHCS		No
(3)ST PETER'S HEALTHCARE SYSTEM INC 254 EASTON AVENUE NEW BRUNSWICK,NJ08901 26-2019056	HOLDING CO.	NJ	501(C)(3)	12A	N/A		No
(4)ST PETER'S PROPERTIES CORPORATION 254 EASTON AVENUE NEW BRUNSWICK,NJ08901 22-2428823	REAL ESTATE	NJ	501(C)(2)	N/A	SPHCS		No
(5)NEW BRUNSWICK AFFILIATED HOSPITALS INC 2 CRESCENT PLACE OCEANPORT,NJ07757 22-1946837	HEALTH SVCS.	NJ	501(C)(3)	12A	RWJHCC		No
(6)SAINT PETER'S HEALTHCARE SYST PHYS ASSOC 254 EASTON AVENUE NEW BRUNSWICK,NJ08901 27-4645523	HEALTH SVCS.	NJ	501(C)(3)	12C	SPUH	Yes
(7)MARGARET MCLAUGHLIN MCCARRICK CARE CNTR 254 EASTON AVENUE NEW BRUNSWICK,NJ08901 22-2577732	INACTIVE	NJ	501(C)(3)	7	SPUH	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership