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Nonprofiteer
← PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP

Form 990 for tax year 2022

Filed by PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP.

Totals

Total revenue
$575,161,953
Total expenses
$565,429,689
Contributions and grants received
$3,165,968
Grants paid
$0
Program service revenue
$562,497,298
Investment income
$8,372,949
Other revenue
$1,125,738
Total assets, end of year
$797,475,879
Total liabilities, end of year
$332,198,080
Net assets or fund balances, end of year
$465,277,799
Program services expenses (Part IX)
$521,091,056
Management and general expenses
$44,338,633
Fundraising expenses
$0
Program service expenses (Part III)
$521,091,056

Program services were 92.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $3,165,968

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUES

    total $557,364,370 · related or exempt $557,364,370

  • 2b · Program service revenue: OTHER HEALTHCARE RELATED REVENUES

    total $5,132,928 · related or exempt $5,132,928

  • 3 · Investment income

    total $3,047,296 · excluded $3,047,296

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $1,090,114

  • 6c · Rental income or loss

    real property $1,090,114 · personal property $0

  • 6d · Net rental income or loss

    total $1,090,114 · excluded $1,090,114

  • 7a · Gross sales of assets other than inventory

    securities $5,325,653

  • 7c · Gain or loss

    securities $5,325,653

  • 7d · Net gain or loss

    total $5,325,653 · excluded $5,325,653

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: VENDING MACHINE REVENUES

    total $35,624 · excluded $35,624

  • 11e · Other revenue, total

    $35,624

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $6,814,420 · program services $6,132,978 · management and general $681,442 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $189,291,694 · program services $170,362,525 · management and general $18,929,169 · fundraising $0

  • 8 · Pension plan contributions

    total $9,446,401 · program services $8,501,761 · management and general $944,640 · fundraising $0

  • 9 · Other employee benefits

    total $28,914,814 · program services $26,023,333 · management and general $2,891,481 · fundraising $0

  • 10 · Payroll taxes

    total $14,875,934 · program services $13,388,341 · management and general $1,487,593 · fundraising $0

  • 11a · Fees: management

    total $3,460,209 · program services $3,114,188 · management and general $346,021 · fundraising $0

  • 11b · Fees: legal

    total $422,843 · program services $380,559 · management and general $42,284 · fundraising $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $38,143 · program services $34,329 · management and general $3,814 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $130,323,431 · program services $120,028,497 · management and general $10,294,934 · fundraising $0

  • 12 · Advertising and promotion

    total $2,374,036 · program services $2,136,632 · management and general $237,404 · fundraising $0

  • 13 · Office expenses

    total $669,253 · program services $602,328 · management and general $66,925 · fundraising $0

  • 14 · Information technology

    total $995,009 · program services $895,508 · management and general $99,501 · fundraising $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $22,027,864 · program services $19,825,078 · management and general $2,202,786 · fundraising $0

  • 17 · Travel

    total $668,908 · program services $602,017 · management and general $66,891 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $47,287 · program services $42,558 · management and general $4,729 · fundraising $0

  • 20 · Interest

    total $9,450,770 · program services $8,505,693 · management and general $945,077 · fundraising $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $30,997,736 · program services $27,897,962 · management and general $3,099,774 · fundraising $0

  • 23 · Insurance

    total $1,882,738 · program services $1,694,464 · management and general $188,274 · fundraising $0

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $94,669,240 · program services $94,669,240 · management and general $0 · fundraising $0

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $10,182,551 · program services $9,164,296 · management and general $1,018,255 · fundraising $0

  • 24c · Other expenses: DUES & LICENSES

    total $873,849 · program services $786,464 · management and general $87,385 · fundraising $0

  • 24d · Other expenses: TAXES

    total $170,350 · program services $153,315 · management and general $17,035 · fundraising $0

  • 24e · All other expenses

    total $6,832,209 · program services $6,148,990 · management and general $683,219

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $83,392,231 · end of year $56,259,367

  • 2 · Savings and temporary cash investments

    beginning of year $292,813 · end of year $836,393

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $57,333,417 · end of year $64,939,088

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $6,898,232 · end of year $7,967,186

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,906,813 · end of year $1,413,135

  • 10a · Land, buildings and equipment: cost or other basis

    $817,580,718

  • 10b · Land, buildings and equipment: accumulated depreciation

    $464,537,374

  • 10c · Land, buildings and equipment, net

    beginning of year $360,374,709 · end of year $353,043,344

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $229,433,468 · end of year $231,925,215

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $22,000,000 · end of year $22,000,000

  • 15 · Other assets

    beginning of year $56,930,503 · end of year $59,092,151

  • 17 · Accounts payable and accrued expenses

    beginning of year $38,486,604 · end of year $31,626,668

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $3,739,817 · end of year $3,674,777

  • 20 · Tax-exempt bond liabilities

    beginning of year $261,126,824 · end of year $253,810,917

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $71,175,417 · end of year $43,085,718

  • 27 · Net assets without donor restrictions

    beginning of year $419,590,639 · end of year $434,343,381

  • 28 · Net assets with donor restrictions

    beginning of year $24,442,885 · end of year $30,934,418

Mission and programs · 2022

Mission

THE MISSION OF PRINCETON HEALTHCARE SYSTEM IS TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ENHANCE THE HEALTH AND WELLNESS OF OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY. PRINCETON HEALTHCARE SYSTEM PROVIDES INPATIENT AND OUTPATIENT CARE, COMMUNITY HEALTH EDUCATION, MEDICAL EDUCATION AND ALSO PROMOTES MEDICAL AND SCIENTIFIC RESEARCH WHEN APPROPRIATE. IT IS INTEGRAL TO THE MISSION OF PRINCETON HEALTHCARE SYSTEM TO CONTINUALLY IMPROVE QUALITY OF SERVICE TO OUR PATIENTS AND COMMUNITY AND TO PROVIDE APPROPRIATE HEALTHCARE TO ALL. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O FOR ADDITIONAL INFORMATION.

Activities or mission (Part I)

TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ENHANCE THE HEALTH AND WELLNESS OF OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY.

  • PRINCETON MEDICAL CENTER PROVIDES COMPREHENSIVE PATIENT CARE AND SUPPORT SERVICES RELATING TO PATIENT CARE. IT IS AN ACUTE CARE FACILITY WITH 319 BEDS COMPRISED OF 288 ACUTE CARE, 17 PHYSICAL REHABILIATION AND 14 SPECIAL CARE NURSERY BASSINETS. IN 2023, PATIENT DAYS TOTALED 72,390 AND OUTPATIENT VISITS/ENCOUNTERS TOTALED 146,168 PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

    Expenses $437,167,652 · Revenue $468,179,434

  • PRINCETON HOUSE BEHAVIORAL HEALTH PROVIDES COMPREHENSIVE PSYCHIATRIC AND SUBSTANCE ABUSE RECOVERY PROGRAMS. ITS 116 BEDS PRODUCED 29,423 PATIENT DAYS IN FY2023. OUTPATIENT VISITS AND TREATMENTS ACROSS MULTIPLE SITES AMOUNTED TO 78,835. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

    Expenses $71,188,599 · Revenue $80,557,812

  • PRINCETON HOMECARE SERVICES IS A HOME CARE AND VISITING NURSE, AND HOSPICE SERVICE. IN FY2023, THERE WERE 52,444 OCCASIONS OF SERVICE AND 11,765 HOSPICE VISITS RECORDED. THIS GROWING SERVICE IS VITAL IN THE CAPACITY TO PROVIDE CARE AT THE PATIENT'S HOME RATHER THAN REQUIRING A STAY IN THE HOSPITAL. PRINCETON HOMECARE SERVICES ALSO OPERATES A HOSPICE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

    Expenses $12,734,805 · Revenue $13,760,052

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kevin B Mahoney

    CEO - UPHS

    Total calculated
    $3,396,943
    From this org
    $0
    From related orgs
    $2,872,713
    Other
    $524,230
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,716,661 related
    Bonus
    $0 + $840,000 related
    Other
    $0 + $316,052 related
    Deferred
    $0 + $504,000 related
    Nontaxable benefits
    $0 + $20,230 related
    Filer's total
    $0 + $3,396,943 related
  • Robert Vonderheide MD

    TRUSTEE

    Total calculated
    $958,456
    From this org
    $0
    From related orgs
    $901,747
    Other
    $56,709
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $650,836 related
    Bonus
    $0 + $249,600 related
    Other
    $0 + $1,311 related
    Deferred
    $0 + $38,636 related
    Nontaxable benefits
    $0 + $18,073 related
    Filer's total
    $0 + $958,456 related
  • James G Demetriades

    PRESIDENT & CEO

    Total calculated
    $813,941
    From this org
    $722,687
    From related orgs
    $0
    Other
    $91,254
    Hours/week
    47 + 8 related

    Schedule J breakdown matched by us

    Base
    $495,587
    Bonus
    $205,800
    Other
    $21,300
    Deferred
    $73,500
    Nontaxable benefits
    $17,754
    Filer's total
    $813,941
  • Craig Gronczewski MD

    SENIOR VP MEDICAL AFFAIRS

    Total calculated
    $506,429
    From this org
    $492,697
    From related orgs
    $0
    Other
    $13,732
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $414,622
    Bonus
    $78,075
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $13,732
    Filer's total
    $506,429
  • Guilherme Valladares MBA

    SVP & CFO - ASST. TREAS.

    Total calculated
    $488,776
    From this org
    $454,602
    From related orgs
    $0
    Other
    $34,174
    Hours/week
    34 + 21 related

    Schedule J breakdown matched by us

    Base
    $381,377
    Bonus
    $71,983
    Other
    $1,242
    Deferred
    $0
    Nontaxable benefits
    $34,174
    Filer's total
    $488,776
  • Nancy Fletcher

    VP CORP. COMPL. & REG. AFFAIRS

    Total calculated
    $469,953
    From this org
    $403,133
    From related orgs
    $0
    Other
    $66,820
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $371,143
    Bonus
    $31,990
    Other
    $0
    Deferred
    $47,989
    Nontaxable benefits
    $18,831
    Filer's total
    $469,953
  • Paul Ortiz

    VP BUS. SVC. LINE DEV.

    Total calculated
    $418,860
    From this org
    $392,927
    From related orgs
    $0
    Other
    $25,933
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $278,146
    Bonus
    $83,018
    Other
    $31,763
    Deferred
    $0
    Nontaxable benefits
    $25,933
    Filer's total
    $418,860
  • Stephanie D Tieku

    NURSE MANAGER

    Total calculated
    $384,015
    From this org
    $345,865
    From related orgs
    $0
    Other
    $38,150
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $247,135
    Bonus
    $98,344
    Other
    $386
    Deferred
    $0
    Nontaxable benefits
    $38,150
    Filer's total
    $384,015
  • Hyona Revere

    SENIOR VP DEVELOPMENT

    Total calculated
    $383,907
    From this org
    $347,263
    From related orgs
    $0
    Other
    $36,644
    Hours/week
    54 + 1 related

    Schedule J breakdown matched by us

    Base
    $282,007
    Bonus
    $64,387
    Other
    $869
    Deferred
    $0
    Nontaxable benefits
    $36,644
    Filer's total
    $383,907
  • Yisrael Kraus

    VP PHYSICIAN ALIGNMENT

    Total calculated
    $372,124
    From this org
    $326,929
    From related orgs
    $0
    Other
    $45,195
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $270,390
    Bonus
    $55,943
    Other
    $596
    Deferred
    $0
    Nontaxable benefits
    $45,195
    Filer's total
    $372,124
  • Arun Rao

    MED.DIR. CARE COORDIN.

    Total calculated
    $360,999
    From this org
    $324,101
    From related orgs
    $0
    Other
    $36,898
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $304,953
    Bonus
    $18,000
    Other
    $1,148
    Deferred
    $0
    Nontaxable benefits
    $36,898
    Filer's total
    $360,999
  • Siddiq Faisal MD

    MED. DIR., OCCUPATIONAL HEALTH

    Total calculated
    $357,019
    From this org
    $323,012
    From related orgs
    $0
    Other
    $34,007
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $322,508
    Bonus
    $0
    Other
    $504
    Deferred
    $0
    Nontaxable benefits
    $34,007
    Filer's total
    $357,019
  • Marguerite Pedley

    SENIOR VICE PRESIDENT PHBH

    Total calculated
    $342,092
    From this org
    $321,299
    From related orgs
    $0
    Other
    $20,793
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $274,051
    Bonus
    $44,484
    Other
    $2,764
    Deferred
    $0
    Nontaxable benefits
    $20,793
    Filer's total
    $342,092
  • Fayez Labib

    CLINICAL NURSE II

    Total calculated
    $332,544
    From this org
    $295,669
    From related orgs
    $0
    Other
    $36,875
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $222,297
    Bonus
    $73,173
    Other
    $199
    Deferred
    $0
    Nontaxable benefits
    $36,875
    Filer's total
    $332,544
  • Sheila G Kempf

    CNO&VP PATIENT SVS - THRU 8/22

    Total calculated
    $325,193
    From this org
    $307,245
    From related orgs
    $0
    Other
    $17,948
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $208,036
    Bonus
    $0
    Other
    $99,209
    Deferred
    $0
    Nontaxable benefits
    $17,948
    Filer's total
    $325,193
  • Mary Ann D Santos

    CLINICAL NURSE II

    Total calculated
    $295,699
    From this org
    $295,688
    From related orgs
    $0
    Other
    $11
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $198,155
    Bonus
    $97,533
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $11
    Filer's total
    $295,699
  • Reinaldine Fleury

    VP EMP. RELATIONS - THRU 5/22

    Total calculated
    $286,823
    From this org
    $282,178
    From related orgs
    $0
    Other
    $4,645
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $232,839
    Bonus
    $48,985
    Other
    $354
    Deferred
    $0
    Nontaxable benefits
    $4,645
    Filer's total
    $286,823
  • Ching-Yi Liu

    VP, FINANCE

    Total calculated
    $285,622
    From this org
    $248,485
    From related orgs
    $0
    Other
    $37,137
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $218,872
    Bonus
    $28,862
    Other
    $751
    Deferred
    $0
    Nontaxable benefits
    $37,137
    Filer's total
    $285,622
  • Karyn Book

    VP PAT. SVS & CNO - AS OF 9/22

    Total calculated
    $281,322
    From this org
    $275,599
    From related orgs
    $0
    Other
    $5,723
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $236,895
    Bonus
    $38,268
    Other
    $436
    Deferred
    $0
    Nontaxable benefits
    $5,723
    Filer's total
    $281,322
  • Carol Norris-Smith

    VP PR - MARKETING

    Total calculated
    $279,413
    From this org
    $242,778
    From related orgs
    $0
    Other
    $36,635
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $204,260
    Bonus
    $36,538
    Other
    $1,980
    Deferred
    $0
    Nontaxable benefits
    $36,635
    Filer's total
    $279,413
  • Peter Thomas

    VP, OUTPATIENT ADMINISTRATION

    Total calculated
    $275,351
    From this org
    $252,570
    From related orgs
    $0
    Other
    $22,781
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $224,129
    Bonus
    $26,223
    Other
    $2,218
    Deferred
    $0
    Nontaxable benefits
    $22,781
    Filer's total
    $275,351
  • Jacqueline R Kavouras

    VP POP. HEALTH - THRU 3/23

    Total calculated
    $247,670
    From this org
    $237,574
    From related orgs
    $0
    Other
    $10,096
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $161,901
    Bonus
    $0
    Other
    $75,673
    Deferred
    $0
    Nontaxable benefits
    $10,096
    Filer's total
    $247,670
  • Deborah Casarella

    ASSOC. CHIEF INFORMATION OFF.

    Total calculated
    $241,944
    From this org
    $241,127
    From related orgs
    $0
    Other
    $817
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $196,841
    Bonus
    $43,530
    Other
    $756
    Deferred
    $0
    Nontaxable benefits
    $817
    Filer's total
    $241,944
  • Rosemarie Costagliola

    DIR. OF CORPORATE GOVERNANCE

    Total calculated
    $139,667
    From this org
    $116,497
    From related orgs
    $0
    Other
    $23,170
    Hours/week
    44 + 11 related
  • Anthony Kuczinski

    TRUSTEE - CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Barry Perleman MD

    EX-OFFICIO TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Calvin L Butts Jr

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Heather M Van Raalte MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • James L Dominick

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Jesse I Treu PhD

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Kenneth A Goldman MD Facs

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Kim Pimley

    EX-OFFICIO TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Leonard Grossman MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Lori Feldstein

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Maria Juega

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mark Pollard

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Michael Mardy

    TRUSTEE - TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Myron M Gellman

    TRUSTEE - VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Paul Von Autenreid

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Philip Carchman

    TRUSTEE - SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Robert C Doll Jr

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Samit Hirawat MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • W Thomas Gutowski MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Alexander Wolfson

    TRUSTEE - AS OF 3/23

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, QUESTION 4B
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION CERTAIN TRUSTEES, OFFICERS AND/OR KEY EMPLOYEES OF THIS ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION, THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM ("HEALTH SYSTEM") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED FOR SENIOR ADMINISTRATORS OF THE HEALTH SYSTEM, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE HEALTH SYSTEM WHEN THE CONTRIBUTIONS ARE MADE. VESTING IN THE SERP OCCURS AFTER EACH THREE YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 65, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 65 WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION WHICH IS TAXABLE AS EARNED INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE UNIVERSITY/HEALTH SYSTEM SERP PLAN DURING THE YEAR AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: KEVIN B. MAHONEY - $281,027 JAMES G. DEMETRIADES - NO DISTRIBUTION PAUL ORTIZ - $16,897 THE HEALTH SYSTEM ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DESIGNED FOR SENIOR FACULTY OF THE SCHOOL OF MEDICINE OF THE UNIVERSITY, AS DESIGNATED BY THE BOARD OF TRUSTEES, WHO ARE ACTIVELY EMPLOYED BY THE UNIVERSITY WHEN THE CONTRIBUTIONS ARE MADE (THE "CPUP SERP"). VESTING IN THE MED SERP OCCURS AFTER EVERY TEN YEARS OF PARTICIPATION AND UPON THE OCCURRENCE OF CERTAIN EVENTS (ATTAINMENT OF AGE 60, DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT "CAUSE"). CONTRIBUTIONS FOR THOSE WHO HAVE REACHED AGE 60 (WITH 2 OR MORE YEARS OF PARTICIPATION) WILL BE FULLY VESTED WHEN MADE. UPON REACHING A VESTING DATE, TAXES OWED WILL BE WITHDRAWN FROM THE PLAN, AND THE REMAINING AFTER-TAX BALANCE WILL REMAIN IN THE PLAN. PARTICIPANTS WILL AUTOMATICALLY RECEIVE A FULL DISTRIBUTION THE SUMMER AFTER THE YEAR IN WHICH THEY TERMINATE EMPLOYMENT, AT WHICH TIME ANY EARNINGS NOT YET TAXED WILL BE TREATED AS TAXABLE INCOME. PARTICIPANTS WHO VOLUNTARILY TERMINATE BEFORE VESTING WILL FORFEIT THE NON-VESTED BALANCE IN THEIR ACCOUNTS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE CPUP SERP PLAN DURING THE YEAR: ROBERT VONDERHEIDE, M.D. - NO DISTRIBUTION --------------------
SCHEDULE J, PART I, QUESTION 7
PROVISION OF NON-FIXED PAYMENTS PRINCETON HEALTH PROVIDES DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • PDCP 1740 FUND LP

    INVESTMENT · IL

    Directly controlled by NA

  • CYRUS 1740 FUND LP

    INVESTMENT · NY

    Directly controlled by NA

  • CYRUS 1740 MASTER FUND LP

    INVESTMENT · CJ

    Directly controlled by NA

  • DVG 1740 FUND LP

    INVESTMENT · CT

    Directly controlled by NA

  • EAST MARSHALL STREET PARTNERSHIP LP

    INVESTMENT · PA

    Directly controlled by NA

  • FERN HILL PARTNERSHIP III LP

    RENTAL · PA

    Directly controlled by NA

  • FERN HILL LLC

    RENTAL · PA

    Directly controlled by NA

  • GALLOPAVO LP

    INVESTMENT · TX

    Directly controlled by NA

  • JOG V C LIMITED PARTNERSHIP

    INVESTMENT · CA

    Directly controlled by NA

  • JOG VI C LIMITED PARTNERSHIP

    INVESTMENT · CA

    Directly controlled by NA

  • KINGSTOWN 1740 FUND LP

    INVESTMENT · NY

    Directly controlled by NA

  • LANCASTER PET PARTNERSHIP LLP

    MEDICAL SERVICES · PA

    Directly controlled by NA

  • LG HEALTH COMM CARE COLLAB II

    ACO · PA

    Directly controlled by NA

  • LG HEALTH COMMUNITY CARE COLLABORATIVE

    ACO · PA

    Directly controlled by NA

  • MRI GROUP LLP

    MEDICAL SERVICES · PA

    Directly controlled by NA

  • NEIGHBRHD PRES & DEV FUND LP

    RENTAL · PA

    Directly controlled by NA

  • OAKLANDS WAY MEDICAL BUILDING ASSOCIATES

    RENTAL · PA

    Directly controlled by NA

  • SRP INVESTORS FUND A LP

    INVESTMENT · TX

    Directly controlled by NA

  • TURK'S HEAD SURGERY CENTER

    MEDICAL SERVICES · PA

    Directly controlled by NA

  • ST-TO RIBBIT OPPORTUNITY V LLC

    INVESTMENTS · CA

    Directly controlled by NA

  • UNIVERSA BLACK SWAN PROTECTION PROTOCOL

    INVESTMENT · FL

    Directly controlled by NA

  • AXIS UKA GP LLC

    INVESTMENT · PA

    Directly controlled by NA

  • LIFT REAL ESTATE PARTNERS FUND II LP

    INVESTMENT · CA

    Directly controlled by NA

  • BEXP II (PARALLEL) LP

    INVESTMENT · TX

    Directly controlled by NA

  • FORERUNNER BUILDERS F-G LP

    INVESTMENT · CA

    Directly controlled by NA

  • GCM CARRIAGE SPV LP

    INVESTMENT · NY

    Directly controlled by NA

  • INITIALIZED CBH SPV LLC

    INVESTMENT · CA

    Directly controlled by NA

  • SAILINGSTONE GLOBAL NATURAL RESOURCES

    INVESTMENT · TX

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ARCM 1740 LTD

    C-CORP · INVESTMENTS · CJ

    Directly controlled by TRUSTEES

  • CYRUS 1740 FUND LTD

    LIMITED COMPANY · INVESTMENTS · CJ

    Directly controlled by TRUSTEES

  • CIRCLE MEDICAL ASSURANCE CO

    C-CORP · INSURANCE · PA

    Directly controlled by TRUSTEES

  • CLINICAL HEALTH CARE ASSOC OF NJ PC

    C-CORP · PHYS MGMT · PA

    Directly controlled by CCA

  • DELANCEY CORPORATION

    C-CORP · RENTAL · PA

    Directly controlled by PA HOSPITAL

  • FRANKLIN CASUALTY INSURANCE CO

    C-CORP · INSURANCE · VT

    Directly controlled by TRUSTEES

  • LANCASTER GENERAL 457 DEFERRED COMP PLAN

    TRUST · TRUST · PA

    Directly controlled by LG HEALTH

  • LANCASTER GENERAL INSURANCE COMPANY

    C-CORP · INSURANCE · CJ

    Directly controlled by LG HEALTH

  • LANCASTER GENERAL SERVICES INC

    C-CORP · PROPERTY SVCS · PA

    Directly controlled by LG HEALTH

  • NAYA 1740 FUND LTD

    C-CORP · INVESTMENTS · CJ

    Directly controlled by TRUSTEES

  • PENN MEDICINE LONDON LIMITED

    LIMITED COMPANY · NETWORKING · UK

    Directly controlled by UPENN INT'L

  • PENN WHARTON CONSULTING (BEIJING) CO LTD

    C-CORP · BUS. CONSULTING · CH

    Directly controlled by UPENN INT'L

  • PHI PHARMACY INC

    C-CORP · INACTIVE · NJ

    Directly controlled by PHCS HOLDING

  • PRINCETON HEALTH INC & SUBS

    C-CORP · MEDICAL · NJ

    Directly controlled by PHCS HOLDING

  • QUAKER INSURANCE COMPANY LTD

    C-CORP · SELF-INSURANCE · BD

    Directly controlled by TRUSTEES

  • THE PAM 1740 FUND LTD

    C-CORP · INVESTMENTS · CJ

    Directly controlled by TRUSTEES

  • TURK'S HEAD HEALTH SERVICES INC

    C-CORP · MEDICAL SERVICES · PA

    Directly controlled by CCH&HS

  • UPENN HOSPITALITY INC

    C-CORP · HOTEL/RESTAURANT · PA

    Directly controlled by TRUSTEES

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202431359349307268

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