2024-05-14T13:04:21-05:00 2023-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-07-01 264203938 PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC % GUILHERME VALLADARES MBA PRIN 6098537107 ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 GUILHERME VALLADARES SR VP & CFO 6098537107 2024-05-14 true GUILHERME VALLADARES 999009999 ANTONIO C RUSSO DIRECTOR P00858539 2673303000 2024-05-10 2 2022 2023-04-26 12:10:37Z GUILHERME VALLADARES ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 48692329 false X WWW.PRINCETONHSC.ORG X 2009 NJ THE ORGANIZATION PROVIDES PHYSICIAN SERVICES IN FURTHERANCE OF THE CHARITABLE PURPOSES OF PRINCETON HEALTHCARE SYSTEM, A RELATED IRC SECTION 501(C)(3) TAX-EXEMPT HOSPITAL 1 0 415 0 0 0 52386 0 44780810 48692329 0 0 0 0 44833196 48692329 0 0 0 0 38290369 42134254 0 0 0 21415248 23192304 59705617 65326558 -14872421 -16634229 4378401 3520461 27202133 42978422 -22823732 -39457961 X THE ORGANIZATION PROVIDES PHYSICIAN SERVICES IN FURTHERANCE OF THE CHARITABLE PURPOSES OF PRINCETON HEALTHCARE SYSTEM, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. false false 59679935 0 48692329 SEE SCHEDULE O 59679935 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true false false false true X 0 0 true 415 true false false false false false false false false false false false false X 1 0 false false false false true true true true true false false true true true true true true true true false NJ X GUILHERME VALLADARES MBA 6098537107 ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 X JOHN HEIM MD PHYSICIAN 55.0 0.0 X 770730 0 21266 BUSHRA F MIRZA PHYSICIAN 55.0 0.0 X 607321 0 38817 ANISH A SHETH MD PHYSICIAN 55.0 0.0 X 626007 0 63 KHARE MADHURANI PHYSICIAN 55.0 0.0 X 576948 0 37372 LISA MOTAVELLI MD PHYSICIAN 55.0 0.0 X 551369 0 36905 GUILHERME VALLADARES MBA TREASURER 5.0 50.0 X 0 454602 34174 KATHRYN ROBISON PRESIDENT, PHAP 55.0 0.0 X X 0 406293 14753 3132375 860895 183350 133 false true false 0 0 NET PATIENT SERVICE REVENUES 541900 29452334 29452334 0 0 PROFESSIONAL SERVICE REVENUE 541900 14071219 14071219 0 0 OTHER HEALTHCARE REVENUE 541900 5168776 5168776 0 0 48692329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48692329 48692329 0 0 X 0 0 0 0 0 0 34494794 31045315 3449479 0 0 5744643 5170180 574463 0 1894817 1705335 189482 0 0 0 0 0 0 0 16233717 15280063 953654 0 286 257 29 0 108076 97268 10808 0 38637 34772 3865 0 0 3302642 2972378 330264 0 161859 145673 16186 0 0 37873 34086 3787 0 0 0 62015 55813 6202 741408 667267 74141 MEDICAL SUPPLIES 2163156 2163156 0 0 DUES & LICENSES 180323 162291 18032 0 TAXES 93408 84067 9341 0 REPAIRS & MAINTENANCE 16704 15034 1670 0 52200 46980 5220 65326558 59679935 5646623 0 X 1226 636 604343 255916 0 0 2416471 2246010 0 0 0 0 0 0 496051 595453 472744 81310 1474344 1186891 349468 287453 0 0 0 0 0 0 0 0 38098 53683 4378401 3520461 3981339 3702752 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23220794 39275670 27202133 42978422 X -22823732 -39457961 0 0 -22823732 -39457961 4378401 3520461 -16634229 X false true X true false X 0 607430 0 52386 0 659816 54017200 50695834 53586457 44780810 48692329 251772630 0 0 0 54017200 51303264 53586457 44833196 48692329 252432446 0 0 0 252432446 9493 80966 0 0 0 90459 0 9493 80966 0 0 0 90459 0 0 54026693 51384230 53586457 44833196 48692329 252522905 0.99964 0.99969 0.00036 0.00031 X 347062 161763 185299 1127282 1025128 102154 287453 0 OTHER LIABILITES 44553656 INTERCO DUE TO/(FROM) AFFILIATES -5518094 ACCRUED EXPENSES 240108 39275670 X SCHEDULE D, PART X, LINE 1 DETAIL OF OTHER LIABILITIES THE INTERCO DUE TO/(FROM) AFFILIATES ACCOUNT REPRESENTS AMOUNTS DUE TO/(OWED TO) THIS ORGANIZATION BY THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("PENN"), A RELATED ORGANIZATION, BASED UPON PENN'S CENTRAL TREASURY OFFICE MANAGING THE CASH BALANCES OF CERTAIN OF ITS AFFILIATES. ------------ SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2023 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. false false false false false false false true false GUILHERME VALLADARES MBA TREASURER 0 381377 0 71983 0 1242 0 0 0 34174 0 488776 0 0 LISA MOTAVELLI MD PHYSICIAN 438846 0 112136 0 387 0 0 0 36905 0 588274 0 0 0 JOHN HEIM MD PHYSICIAN 698488 0 68678 0 3564 0 0 0 21266 0 791996 0 0 0 ANISH A SHETH MD PHYSICIAN 625197 0 0 0 810 0 0 0 63 0 626070 0 0 0 KHARE MADHURANI PHYSICIAN 252985 0 323963 0 0 0 0 0 37372 0 614320 0 0 0 BUSHRA F MIRZA PHYSICIAN 270575 0 335832 0 914 0 0 0 38817 0 646138 0 0 0 KATHRYN ROBISON PRESIDENT, PHAP 0 396822 0 4000 0 5471 0 0 0 14753 0 421046 0 0 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 OFFICIALS' 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 7 PROVISION OF NON-FIXED PAYMENTS PRICENTON 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. FORM 990, PART III, LINE 4A STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PENN MEDICINE PRINCETON MEDICINE PHYSICIANS IS A NETWORK OF BOARD CERTIFIED PHYSICIANS WHO ARE DEDICATED TO EXCELLENCE IN PRIMARY AND SPECIALTY MEDICAL CARE. PATIENTS OF PRINCETON MEDICINE PHYSICIANS BENEFIT FROM THE ORGANIZATION BEING PART OF PENN MEDICINE - A NATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER WITH MEDICAL, BEHAVIORAL HEALTH, AND SURGICAL CARE CAPABILITIES. THE HIGHLY-TRAINED PHYSICIANS IN THE PRINCETON MEDICINE PHYSICIANS NETWORK ARE EXPERTS IN THEIR FIELDS AND ARE SKILLED IN THE NON-SURGICAL AND SURGICAL TREATMENT OF ACUTE AND CHRONIC HEALTH CONDITIONS, AS WELL AS PREVENTIVE HEALTHCARE, INCLUDING ROUTINE EXAMS AND HEALTH SCREENINGS. PRINCETON MEDICINE PHYSICIANS PRACTICES INCLUDE SPECIALTIES SUCH AS: BARIATRIC AND METABOLIC SURGERY; BEHAVIORAL HEALTH; CARDIOLOGY; DIGESTIVE HEALTH; EPILEPSY; FAMILY MEDICINE; GASTROENTEROLOGY; GERIATRIC MEDICINE; GYNECOLOGIC ONCOLOGY; GYNECOLOGIC SURGERY; HEMATOLOGY/ONCOLOGY; HOSPITALISTS; INTERNAL MEDICINE; OBSTETRICS AND GYNECOLOGY; PLASTIC SURGERY; PULMONARY MEDICINE; SLEEP MEDICINE; AND THORACIC SURGERY. ACROSS THE PRACTICE LOCATIONS, MEDICARE AND MOST MAJOR INSURANCE PLANS ARE ACCEPTED, INCLUDING NEW PLANS OFFERED THROUGH THE HEALTH INSURANCE MARKETPLACE. PATIENTS CAN MAKE APPOINTMENTS WITH PRINCETON MEDICINE PHYSICIANS PRACTICES BY CALLING A DEDICATED SCHEDULING TELEPHONE NUMBER AND BY VISITING PRINCETONHCS.ORG AND CLICKING A LINK TO ZOCDOC, A THIRD PARTY SCHEDULING SYSTEM. PATIENTS OF PRINCETON MEDICINE PHYSICIANS ARE SEEN IN PERSON AND ALSO HAVE ACCESS TO PENN CONNECTED HEALTH VIRTUAL VISIT. A VIRTUAL VISIT ALLOWS PATIENTS AND THEIR PRINCETON MEDICINE PHYSICIANS PROVIDER TO CONNECT REMOTELY THROUGH A SECURE VIDEO APP, OR VIA TELEPHONE WHEN NECESSARY, FROM THE COMFORT OF THEIR HOME OR OFFICE. THE PRINCETON HEALTH COMMUNITY WELLNESS DEPARTMENT SUPPORTS PRINCETON MEDICINE PHYSICIANS PATIENTS THROUGH A SERIES OF FREE COMMUNITY LECTURES HOSTED BY PRINCETON MEDICINE PHYSICIANS ON A VARIETY OF TOPICS, SUCH AS: - WEIGHT LOSS SURGERY, IS IT RIGHT FOR ME?: SEVERE OBESITY IS A SERIOUS HEALTH CONDITION THAT CAN IMPACT EVERY ASPECT OF YOUR LIFE. IF TRADITIONAL WEIGHT-LOSS METHODS HAVE FAILED, SURGERY MAY BE AN OPTION. THE LECTURE INCLUDES AN OVERVIEW OF TRADITIONAL AND MINIMALLY INVASIVE SURGICAL WEIGHT LOSS OPTIONS, INCLUDING LAPAROSCOPIC GASTRIC BYPASS SURGERY, SLEEVE GASTRECTOMY AND LAPAROSCOPIC STOMACH BANDING, TO HELP YOU MAKE THE CHOICE THAT'S RIGHT FOR YOU. - WHAT YOU NEED TO KNOW ABOUT HIGH BLOOD PRESSURE: HYPERTENSION, OR HIGH BLOOD PRESSURE, PUTS YOU AT RISK FOR MANY OTHER HEALTH CONDITIONS, INCLUDING HEART ATTACK, STROKE, AND KIDNEY DISEASE. JOIN US TO LEARN WHAT YOU CAN DO TO MANAGE YOUR BLOOD PRESSURE, AND THE IMPORTANCE OF TAKING CONTROL OF YOUR HEALTH. - EAT BETTER, SLEEP BETTER: THEY SAY YOU ARE WHAT YOU EAT, BUT DID YOU ALSO KNOW THERE ARE FOODS THAT ARE BEST IF YOU WANT PROPER REST? THIS INFORMATIVE SESSION WILL TEACH YOU WHICH FOODS KEEP YOU UP AT NIGHT AND WHICH ONES HELP YOU SLEEP BETTER. ---------- FORM 990, PART V, LINE 1A FORMS 1099 THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("TRUSTEES"). THE FORMS 1099 DISTRIBUTED AS PART OF THIS ENTITY'S ACTIVITIES ARE DONE SO THROUGH THE UNIVERSITY HEALTH SYSTEM AND CONSOLIDATED WITH TRUSTEES. ----------------------------- FORM 990, PART VI, SECTION A, LINES 6 & 7 DETAIL OF MEMBERS THE UNIVERSITY IS THE SOLE MEMBER OF HOLDING. HOLDING IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. ---------- FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE JUNE 30, 2023 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS SUBMITTED TO THE BOARD FOR THEIR REVIEW. A COPY OF THE FINAL JUNE 30, 2023 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ---------- FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ---------- FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ---------- FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC THE ORGANIZATION'S FORM 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF TREASURY. ---------- FORM 990, PART IV, LINE 32 & PART X INAPPLICABILITY OF SCHEDULE N SCHEDULE N IS NOT APPLICABLE SINCE THE CURRENT YEAR REDUCTION IN NET ASSETS WAS DUE TO CURRENT YEAR RESULTS OF OPERATIONS RATHER THAN BEING DUE TO A SALE, EXCHANGE, DISPOSITION, OR TRANSFER OF 25% OR MORE OF NET ASSETS. ---------- FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY & OUTSOURCED EMPLOY TOTAL FEES:8557025 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES - MEDICAL TOTAL FEES:1868233 FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE SERVICES TOTAL FEES:1060904 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING EXPENSES TOTAL FEES:220880 FORM 990 PART IX LINE 11G DESCRIPTION:FEES - PROFESSIONAL SERVICES TOTAL FEES:79801 FORM 990 PART IX LINE 11G DESCRIPTION:OVERHEAD ALLOCATION TOTAL FEES:-14229 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES 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