Skip to content
Nonprofiteer
← PRINCETON HEALTHCARE SYSTEM INC

Form 990 for tax year 2022

Filed by PRINCETON HEALTHCARE SYSTEM INC.

Totals

Total revenue
$2,345,047
Total expenses
$1,488,374
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$1,339,536
Management and general expenses
$148,838
Fundraising expenses
$0
Program service expenses (Part III)
$1,339,536

Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KEVIN B MAHONEY

    TRUSTEE- 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

    TRUSTEE- PRESIDENT & CEO

    Total calculated
    $813,941
    From this org
    $0
    From related orgs
    $722,687
    Other
    $91,254
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $495,587 related
    Bonus
    $0 + $205,800 related
    Other
    $0 + $21,300 related
    Deferred
    $0 + $73,500 related
    Nontaxable benefits
    $0 + $17,754 related
    Filer's total
    $0 + $813,941 related

  • GUILHERME VALLADARES MBA

    ASSISTANT TREASURER

    Total calculated
    $488,776
    From this org
    $0
    From related orgs
    $454,602
    Other
    $34,174
    Hours/week
    5 + 50 related

    Schedule J breakdown matched by us

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

  • ROSEMARIE COSTAGLIOLA

    ASSISTANT SECRETARY

    Total calculated
    $139,667
    From this org
    $0
    From related orgs
    $116,497
    Other
    $23,170
    Hours/week
    5 + 50 related

  • ANTHONY KUCZINSKI

    TRUSTEE- CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • BARRY PERELMAN MD

    TRUSTEE - THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CALVIN L BUTTS JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 2 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

    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 AUTENRIED

    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 — 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

  • 4b · Supplemental nonqualified retirement plan

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O FOR A DESCRIPTION OF THE COMPENSATION REVIEW AND APPROVAL PROCESS. ------------------------------
SCHEDULE J, PART I, LINE 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 --------------------

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202411359349307406

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.