PRIME CARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PRIME CARE INC (EIN 22-2759566)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202223149349304382
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-10T13:01:03-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Ernst & Young US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 MANHATTAN WESTAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222759566EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIME CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRIMBusinessNameControlTxt
Phone9734512005PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKevin LenahanPersonNm
Person TitleEVP, Chief Bus & Strategy OfficerPersonTitleTxt
Phone9736603166PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKevinPersonFirstNm
Person LastLenahanPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole SokolowskiPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKevin LenahanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,984GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionProvide home health and other health care services to the surrounding communities.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$93,095PYProgramServiceRevenueAmt
CY Program Service Revenue$22,806CYProgramServiceRevenueAmt
PY Investment Income$296PYInvestmentIncomeAmt
CY Investment Income$178CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$93,391PYTotalRevenueAmt
CY Total Revenue$22,984CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$0CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$0CYTotalExpensesAmt
PY Revenues Less Expenses$93,391PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,984CYRevenuesLessExpensesAmt
Total Assets BOY$2,096,959TotalAssetsBOYAmt
Total Assets EOY$2,119,943TotalAssetsEOYAmt
Total Liabilities BOY$925,328TotalLiabilitiesBOYAmt
Total Liabilities EOY$925,328TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,171,631NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,194,615NetAssetsOrFundBalancesEOYAmt
MissionPrime Care, Inc. was organized to provide Home Health and Other Health Care Services to residents of Sussex County, New Jersey and surrounding communities. It was transferred to AHS Hospital Corp. effective January 1, 2012.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$0ExpenseAmt
Grant$0GrantAmt
Revenue$22,806RevenueAmt
DescPrime Care, Inc. is a not for profit organization that operated a Medicare certified home health agency and provided various wellness, health education, and other health promotion services. The home health agency was transferred to the AHS Hospital Corp. effective January 1, 2012. A minority investment in the Sparta Cancer Center is the only current activity of Prime Care, Inc.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ken ButkowskiBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9734512005PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Kevin Lenahan
President2.0055.00Yes (X)Yes (X)$0$2,093,426$464,680
Sheilah O'Halloran
Secretary2.0055.00Yes (X)Yes (X)$0$1,444,729$198,122
David Ferguson
Director2.0055.00Yes (X)Yes (X)$0$359,045$36,825
Robert Peake
VP, Facilities2.0055.00Yes (X)Yes (X)$0$806,957$123,611
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,704,157TotReportableCompRltdOrgAmt
Total Other Compensation$823,238TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSparta Cancer Ctr, LLCDesc
Business621400BusinessCd
Total Revenue Column$22,806TotalRevenueColumnAmt
Related Or Exempt Func Income$22,806RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,806TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$178TotalRevenueColumnAmt
Exclusion$178ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,984TotalRevenueColumnAmt
Related Or Exempt Func Income$22,806RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$178ExclusionAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$772,375BOYAmt
EOY$895,053EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,091,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$125,569LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$965,654BOYAmt
EOY$965,654EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$236,430BOYAmt
EOY$259,236EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$122,500BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,096,959BOYAmt
EOY$2,119,943EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$925,328BOYAmt
EOY$925,328EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$925,328BOYAmt
EOY$925,328EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,171,631BOYAmt
EOY$1,194,615EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,171,631BOYAmt
EOY$1,194,615EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,096,959BOYAmt
EOY$2,119,943EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$22,984ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,214,271BeginningYearBalanceAmt
Contributions$65,191ContributionsAmt
Investment Earnings Or Losses$517,461InvestmentEarningsOrLossesAmt
Other Expenditures$12,460OtherExpendituresAmt
End Year Balance$3,784,463EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,823,120BeginningYearBalanceAmt
Contributions$58,625ContributionsAmt
Investment Earnings Or Losses$342,388InvestmentEarningsOrLossesAmt
Other Expenditures$9,862OtherExpendituresAmt
End Year Balance$3,214,271EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,296,394BeginningYearBalanceAmt
Contributions$77,749ContributionsAmt
Investment Earnings Or Losses$454,977InvestmentEarningsOrLossesAmt
Other Expenditures$6,000OtherExpendituresAmt
End Year Balance$2,823,120EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,401,087BeginningYearBalanceAmt
Contributions$78,589ContributionsAmt
Investment Earnings Or Losses-$140,158InvestmentEarningsOrLossesAmt
Other Expenditures$43,124OtherExpendituresAmt
End Year Balance$2,296,394EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,074,077BeginningYearBalanceAmt
Contributions$76,694ContributionsAmt
Investment Earnings Or Losses$276,664InvestmentEarningsOrLossesAmt
Other Expenditures$26,348OtherExpendituresAmt
End Year Balance$2,401,087EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,500OtherCostOrOtherBasisAmt
Book Value$77,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$910,552OtherCostOrOtherBasisAmt
Depreciation$22,398DepreciationAmt
Book Value$888,154BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,670OtherCostOrOtherBasisAmt
Depreciation$2,670DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,501OtherCostOrOtherBasisAmt
Depreciation$100,501DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$965,654TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestment in Sparta Cancer CtrDesc
Book Value$259,236BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$259,236TotalBookValueSecuritiesAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe endowment funds represent permanently restricted net assets that have been restricted by donors to be maintained by Atlantic Health System, Inc. in perpetuity.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kevin Lenahan
President$0$1,107,938$0$964,080$0$21,408$0$449,632$0$15,048$0$2,558,106$0$0
Sheilah O'Halloran
Secretary$0$713,179$0$568,622$0$162,928$0$185,430$0$12,692$0$1,642,851$0$120,873
Robert Peake
VP, Facilities$0$465,278$0$315,580$0$26,099$0$107,251$0$16,360$0$930,568$0$0
David Ferguson
Director$0$273,769$0$83,640$0$1,636$0$19,782$0$17,043$0$395,870$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
Explanation2021 Mid Career Hire Plan Earned Credits The following Trustee earned credits in his non-qualified retirement plan-457(f) plan known as the Mid-Career Hire Plan (MCHP): Kevin Lenahan 423,532 The above amount represents earned credits which have not vested and were not included in the respective 2021 Form W-2 compensation. However, the earned credits were included as Other Compensation in Column (F) of Part VII and as Deferred Compensation in Column (C) of Part II, Schedule J of the 2021 Form 990 per Internal Revenue Service guidance. Once the Trustee meets the applicable vesting criteria of the plan, the MCHP credit will be included as taxable compensation in the respective Form W-2 of that year. 2021 Supplemental Executive Retirement Plan (SERP) Earned Credits Atlantic Health implemented a non-qualified Supplemental Executive Retirement Plan (SERP) paid entirely by Atlantic Health System. The SERP is provided to individuals that hold an executive position with Atlantic Health System. The SERP is in addition to benefits provided under the Atlantic Health System 403(b) and the Cash Balance plan if hired prior to December 15, 2013. During 2021, the following Trustees received SERP credits: Sheilah O'Halloran 159,330 Robert Peake 81,151 The above amounts represent earned credits which have not vested and were not included in their respective 2021 W-2 compensation. However, the earned credits were included as Other Compensation in Column (F) of Part VII and in Schedule J, Column (C) of the 2021 IRS 990 tax return per IRS guidance. Once the officer meets the applicable vesting criteria of the plan, the SERP credits will be included as taxable compensation in their respective Form W-2 of that year. 2021 Supplemental Executive Retirement Plan (SERP)Taxable Distributions The following Trustee received a taxable SERP distribution during 2021 based on the vesting criteria of the plan document. This taxable SERP distribution was included in the respective 2021 W-2 and is reported in Other Reportable Compensation in Schedule J (Sch J, (B)(ii) of this IRS 990: Sheilah O'Halloran 120,873ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bThe 2021 Form 990 filings for Prime Care, Inc. were prepared by the Finance Department and reviewed and signed by Ernst & Young LLP. The completed filings were reviewed by Prime Care Inc.'s Chief Executive Officer and Chief Financial Officer. Subsequently, they were presented the audit committee for review. All board members were invited to the audit committee to take part in the detailed review. Upon finalization of the Form 990, all board members were provided a copy for their files. Form 990 is filed with the Internal Revenue Service after this review process is complete.
Form 990, Part VI, Section B, line 12cEach "Interested Person" of Prime Care, Inc. shall annually sign the Prime Care, Inc. conflict of interest disclosure statement which affirms the such person: A. Has received a copy of the conflict of interest policy or the Prime Care, Inc. bylaws, B. Has read and understands the policy, C. Has agreed to comply with the policy, and D. Understands that Prime Care, Inc. is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes under Section 501(c)(3) or 501(c)(4) of the Internal Revenue Code. On the conflict of interest disclosure statement, all "interested persons" must detail all existing or potential conflicts of interest and file the form with the Chief Compliance Officer annually. Interim disclosures shall also be required as conflicts develop subsequent to the annual disclosures. To ensure that Prime Care, Inc. operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted by the Chief Compliance Officer. The periodic reviews shall, at a minimum, include the following subjects: A. Whether compensation arrangements and benefits are reasonable and are the results of appropriate negotiations. B. Whether physician recruitment practices and other provider services result in inurement of impermissible private benefit. C. Whether partnership and joint venture arrangements conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further Prime Care's charitable purposes, and do not result in inurement or impermissible private benefit. D. Whether agreements to provide health care and agreements with other health care providers, employees and third party payors further Prime Care's charitable purposes and do not result in inurement or impermissible private benefit.
Form 990, Part VI, Section B, line 15A review of officer compensation by an independent 3rd party (Sullivan Cotter) is completed every year by AHS Hospital Corp, a related organization. The most recent survey was conducted in 2022.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Newton Medical Center Foundation Inc
175 High StreetNewtonNJ07860222618102Administers Donations, Grants and Bequests, and Performs FundraisingNJ501(c)(3)Line 7Atlantic Health System IncYes (1)
North Jersey Health Care Properties Inc
175 High StreetNewtonNJ07860223519709Owns commercial buildings and conducts leasing activitiesNJ501(c)(2)Atlantic Health System IncYes (1)
AHS Hospital Corp
475 South StreetMorristownNJ07960521958352Hospital System - HealthcareNJ501(c)(3)Line 3Atlantic Health System IncYes (1)
Atlantic Ambulance Corp
475 South StreetMorristownNJ07960223820288Ambulance Transportation Services - HealthcareNJ501(c)(3)Line 10Atlantic Health System IncYes (1)
Practice Associates Medical Group PC
475 South StreetMorristownNJ07960202088165Physician Practice - HealthcareNJ501(c)(3)Line 12a, IAtlantic Health System IncYes (1)
Atlantic Health System Inc
475 South StreetMorristownNJ07960223380375Healthcare ParentNJ501(c)(3)Line 12a, I0N/A
Foundation For The Morristown Medical Center
475 South StreetMorristownNJ07960223392808FundraisingNJ501(c)(3)Line 7Atlantic Health System IncYes (1)
Chilton Medical Center Auxiliary Inc
97 West ParkwayPompton PlainsNJ07444222883605Support charitiable exempt programs and services of Medical CenterNJ501(c)(3)Line 12a, IAtlantic Health System IncYes (1)
Chilton Medical Center Foundation Inc
97 West ParkwayPompton PlainsNJ07444223084817Support charitiable exempt programs and services of Medical CenterNJ501(c)(3)Line 7Atlantic Health System IncYes (1)
Chilton Realty Holding Inc
97 West ParkwayPompton PlainsNJ07444223067739Real estate and leasing activities for the benefit of exempt organizationNJ501(c)(2)Atlantic Health System IncYes (1)
Foundation for Hackettstown Medical Center
651 Willow Grove StreetHackettstownNJ07840222333410Support charitiable exempt programs and services of Medical CenterNJ501(c)(3)Line 7Atlantic Health System IncYes (1)
Medical Center Partners Inc
651 Willow Grove StreetHackettstownNJ07840454789273Support charitiable exempt programs and services of Medical CenterNJ501(c)(3)Line 12a, IAtlantic Health System IncYes (1)
Hackettstown Reg Medical Ctr Emergency Medical Services Inc
651 Willow Grove StreetHackettstownNJ07840270820164Support charitiable exempt programs and services of Medical CenterNJ501(c)(3)Line 12a, IAtlantic Health System IncYes (1)
Prime Care Inc
175 High StreetNewtonNJ07860222759566Provides home health and other healthcare servicesNJ501(c)(3)Line 11Atlantic Health System IncYes (1)
Adult Day Center of the Visiting Nurse Association of Somerset County
200 Mount Airy RdBasking RidgeNJ07920222865641Home health servicesNJ501(c)(3)Line 7Atlantic Health System IncYes (1)
Visiting Nurse Association of Somerset Hills Community Health Services Inc
200 Mount Airy RdBasking RidgesNJ07920223413041Home health servicesNJ501(c)(3)Line 7Atlantic Health System IncYes (1)
Visiting Nurse Assoc of Somerset Hills Home Health and Hospice Services IN
200 Mount Airy RdBasking RidgeNJ07920221487373Home health and hospice servicesNJ501(c)(3)Line 7Atlantic Health System IncYes (1)
Visiting Nurse Association of Somerset Hills Inc
200 Mount Airy RdBasking RidgeNJ07920222888648Home health servicesNJ501(c)(3)Line 7Atlantic Health System IncYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Morris Photopheresis
100 Madison AvenueMorristownNJ07960223314012Healthcare ResearchNJN/AN/A00
Affiliated Collection Services LLC
17 Prospect StreetMorristownNJ07960270555659Collection ServicesNJN/AN/A00
Morristown Medical Investors
200 American RoadMorris PlainsNJ07950650840535Real EstateNJN/AN/A00
Primary Care Partners LLC
475 South StreetMorristownNJ07960274980253Physician ServicesNJN/AN/A00
Atlantic Health Partners LLC
475 South StreetMorristownNJ07960824198770Physician ServicesNJN/AN/A00
Healthcare Transformation Consortium LLC
475 South StreetMorristownNJ07960832553269Physician ServicesNJN/AN/A00
HTC Telemedicine Physician Group LLC
475 South StreetMorristownNJ07960842191233Physician ServicesNJN/AN/A00
Atlantic Rehabilitation Institute
680 South Fourth StreetLouisvilleKY40202814711074Rehabilitation FacilityNJN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Nutley Medical Care PA
100 Madison AvenueMorristownNJ07960223645010Physician PracticeNJN/A0
Non-Invasive Diagnostics PA
100 Madison AvenueMorristownNJ07960202027439Physician PracticeNJN/A0
Specialty Care Of Practice Associates
100 Madison AvenueMorristownNJ07960030376428Physician PracticeNJN/A0
Maternal Fetal Medicine of Practice Associates PA
100 Madison AvenueMorristownNJ07960030376421Physician PracticeNJN/A0
Madison Pediatrics PA
100 Madison AvenueMorristownNJ07960223645007Physician PracticeNJN/A0
Atlantic Health Management Corporation and Subsidiaries
200 American RoadMorris PlainsNJ07950223538027Healthcare related services and supportNJN/A0
AHS ACO LLC
475 South StreetMorristownNJ07960273800813Physician PracticeNJ0AHS Investment Corp
The Northwest New Jersey MedicalSurgical Alliance PC
175 High StreetNewtonNJ07860450577942Healthcare ServicesNJ0AHS Investment Corp
The Northwest New Jersey Urgent Care Alliance PC
175 High StreetNewtonNJ07860830492357Healthcare ServicesNJ0AHS Investment Corp
AHS Insurance Company LTD
200 The American RoadMorris PlainsNJ07950223380375InsuranceNJN/A0
Chilton Community Care Inc and Subs
97 West ParkwayPompton PlainsNJ07444222869148HealthcareNJN/A0
Atlantic Advanced Urgent Care LLC
475 South StreetMorristownNJ07960831558799HealthcareNJN/A0
Care Better ACO LLC
475 South StreetMorristownNJ07960831224464Physician PracticeNJN/A0
Atlantic Executive Health PA
475 South StreetMorristownNJ07960471944011Physician PracticeNJN/A0
AHS Health Network LLC
475 South StreetMorristownNJ07960474079001Physician PracticeNJN/A0
Atlantic Health ACO LLC
475 South StreetMorristownNJ07960474126650Physician PracticeNJN/A0
Tertiary Care Specialists of Practice Associates PA
475 South StreetMorristownNJ07960830713277Physician PracticeNJN/A0
Visiting Nurse Association of Somerset Hills Office Park Condominium
200 Mount Airy RdBasking RidgeNJ07920261183397Home health serviceNJN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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