COOPERATIVE HOME HEALTH CARE OF ATLANTIC COUNTY INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COOPERATIVE HOME HEALTH CARE OF ATLANTIC COUNTY INC (EIN 22-3836022)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-12
IRS object ID
202141329349302379
Schema version
2019v5.2
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)
Return2021-05-12T12:32:36-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223836022EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOPERATIVE HOME HEALTH CARE OF ATLANTICBusinessNameLine1Txt
Business Name Line2COUNTY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOOPBusinessNameControlTxt
Phone6094847300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16550 DELILAH ROAD NO 304AddressLine1Txt
CityEGG HARBOR TOWNSHIPCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08234ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHAK KIMPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6094847300PhoneNum
Signature2021-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE SOKOLOWSKIPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHAK KIMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 ENLISH CREEK AVEAddressLine1Txt
CityEGG HARBOR TOWNSHIPCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08234ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$700GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ATLANTICARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body5VotingMembersGoverningBodyCnt
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$6,846,217PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$7,208,501PYInvestmentIncomeAmt
CY Investment Income$700CYInvestmentIncomeAmt
PY Other Revenue$31,830PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$14,086,548PYTotalRevenueAmt
CY Total Revenue$700CYTotalRevenueAmt
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$7,701,860PYSalariesCompEmpBnftPaidAmt
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$1,625,842PYOtherExpensesAmt
CY Other Expenses$163,011CYOtherExpensesAmt
PY Total Expenses$9,327,702PYTotalExpensesAmt
CY Total Expenses$163,011CYTotalExpensesAmt
PY Revenues Less Expenses$4,758,846PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$162,311CYRevenuesLessExpensesAmt
Total Assets BOY$5,387,639TotalAssetsBOYAmt
Total Assets EOY$4,009,582TotalAssetsEOYAmt
Total Liabilities BOY$361,026TotalLiabilitiesBOYAmt
Total Liabilities EOY$223,284TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,026,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,786,298NetAssetsOrFundBalancesEOYAmt
MissionHOME HEALTH AGENCY DRIVEN BY CUSTOMER SERVICE NEEDS AND EXPECTATIONS, QUALITY, AND VALUES, PROVIDING SKILLED NURSING, REHAB THERAPY SERVICES, AND CERTIFIED HOME HEALTH AIDE SERVICES, ALL IN THE EFFORT TO ACHIEVE OPTIMAL HEALTH IN THE HOME SETTING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$163,011ExpenseAmt
DescCOOPERATIVE HOME HEALTH CARE OF ATLANTIC COUNTY, INC. WAS ORIGINALLY FORMED AS A MEDICARE CERTIFIED HOME HEALTH AGENCY PROVIDING SKILLED NURSING SERVICES, PHYSICAL, OCCUPATIONAL, AND SPEECH REHABILITATION THERAPY; AS WELL AS SOCIAL WORK, NUTRITIONAL SERVICES AND HOME HEALTH AIDES TO HOMEBOUND PATIENTS IN SOUTHERN NEW JERSEY. THE ENTITY HAS SINCE CEASED CONDUCTING BUSINESS AS OF JUNE 1, 2019. THE EXPENSES INCURRED FOR THE FY19 IS A RESULT OF THE ENTITY WINDING DOWN ITS BUSINESS AND SETTLING THEIR AFFAIRS.Desc
Total Program Service Expenses$163,011TotalProgramServiceExpensesAmt
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 Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
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 Members5GoverningBodyVotingMembersCnt
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 Body0Form990ProvidedToGvrnBodyInd
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 Line1ELLEN WOLOWNIKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6094072396PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 ENGLISH CREEK AVE BLDG 500AddressLine1Txt
CityEGG HARBOR TWPCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08234ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERRI LU SCHIEDER
CHAIRPERSON1.0040.00Yes (X)Yes (X)$0$534,184$83,477
HAK KIM
TRUSTEE1.0040.00Yes (X)Yes (X)$0$493,862$15,694
CHARISSE FIZER
TRUSTEE1.0040.00Yes (X)Yes (X)$0$415,095$24,736
ELIZABETH READEAU
TRUSTEE1.0040.00Yes (X)Yes (X)$0$197,151$35,928
ELLEN WOLOWNIK
TRUSTEE1.0040.00Yes (X)Yes (X)$0$190,681$34,562
THERESE SENESE
DIRECTOR OF FINANCE1.0040.00Yes (X)$0$105,781$30,468
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,936,754TotReportableCompRltdOrgAmt
Total Other Compensation$224,865TotalOtherCompensationAmt
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

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$700TotalRevenueColumnAmt
Exclusion$700ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$700TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$700ExclusionAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,475TotalAmt
Program Services$17,475ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBT$143,141$143,141
RECORD RETENTION$2,395$2,395

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$163,011TotalAmt
Program Services$163,011ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$475,786BOYAmt
EOY$530,440EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$228,292BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$60,821BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,622,740BOYAmt
EOY$3,479,142EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,387,639BOYAmt
EOY$4,009,582EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$361,026BOYAmt
EOY$223,284EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$361,026BOYAmt
EOY$223,284EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,026,613BOYAmt
EOY$3,786,298EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,026,613BOYAmt
EOY$3,786,298EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,387,639BOYAmt
EOY$4,009,582EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$162,311ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,078,004OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,577,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,077,947CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,853,926CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,846,217CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$33,355,852TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,577,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,077,947CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,853,926CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,846,217CurrentTaxYearMinus1YearAmt
Total$33,355,852TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$33,355,852PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$547CurrentTaxYearMinus1YearAmt
Current Tax Year$700CurrentTaxYearAmt
Total$5,506TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$547CurrentTaxYearMinus1YearAmt
Current Tax Year$700CurrentTaxYearAmt
Total$5,506TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,482CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,830CurrentTaxYearMinus1YearAmt
Total$156,408TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,585,912CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,138,643CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,913,917CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,878,594CurrentTaxYearMinus1YearAmt
Current Tax Year$700CurrentTaxYearAmt
Total$33,517,766TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99520PublicSupportCY509Pct
Public Support PY5090.99640PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$3,479,142BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,479,142TotalBookValueOtherAssetsAmt

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 (5 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
TERRI LU SCHIEDER
CHAIRPERSON$0$376,445$0$81,938$0$75,801$0$42,984$0$40,493$0$617,661$0$0
HAK KIM
TRUSTEE$0$401,679$0$67,275$0$24,908$0$12,105$0$3,589$0$509,556$0$0
CHARISSE FIZER
TRUSTEE$0$286,391$0$55,060$0$73,644$0$7,795$0$16,941$0$439,831$0$0
ELIZABETH READEAU
TRUSTEE$0$178,091$0$17,286$0$1,774$0$8,255$0$27,673$0$233,079$0$0
ELLEN WOLOWNIK
TRUSTEE$0$173,338$0$14,051$0$3,292$0$7,048$0$27,514$0$225,243$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4BFormAndLineReferenceDesc
ExplanationTERRI LU SCHIEDER PARTICIPATED IN A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. CONTRIBUTIONS MADE TO THE 457(F) PLAN INCLUDED IN SCHEDULE J, PART II, COLUMN (C) WERE 31,667.ExplanationTxt

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidREIMBURSEMENT FOR LHC PAYMENTS PAID IN ADVANCE BY ATLANTICARE HEALTH SERVICES ON BEHALF OF HOMECARE INC.AssetsDistriOrExpnssPaidDesc
Distribution2020-05-04DistributionDt
Fair Market Value Of Asset$1,126,465FairMarketValueOfAssetAmt
Method Of FMV DeterminationFMV - CASHMethodOfFMVDeterminationTxt
EIN223265214EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ATLANTICARE HEALTH SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 ENGLISH CREEK AVE BAddressLine1Txt
CityEGG HARBORCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08234ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART 1, LINE 1HOME HEALTH AGENCY DRIVEN BY CUSTOMER SERVICE NEEDS AND EXPECTATIONS, QUALITY, AND VALUES, PROVIDING SKILLED NURSING, REHAB THERAPY SERVICES, AND CERTIFIED HOME HEALTH AIDE SERVICES, ALL IN THE EFFORT TO ACHIEVE OPTIMAL HEALTH IN THE HOME SETTING.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS USED TO REVIEW THE FORM 990 THE DIRECTOR OF FINANCE REVIEWS THE FORM 990 WITH THE EXECUTIVE DIRECTOR WHO REPORTS DIRECTLY TO THE BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ATLANTICARE SYSTEM COMPLIANCE DEPARTMENT REGULARLY MONITORS AREAS OF CONCERN BASED ON THE CONFLICT OF INTEREST STATEMENTS FILED ANNUALLY. MONITORING INCLUDES REVIEW OF VARIOUS WEBSITES AND LOCAL AND REGIONAL LEGAL NOTICES. BOARD MEMBERS WILL RECUSE THEMSELVES FROM VOTING ON MATTERS IF A CONFLICT EXISTS.
FORM 990, PART VI, SECTION C, LINE 19PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:NET ASSETS DISTRIBUTED TO ATLANTICARE HEALTH SERVICES, INC. -1,126,465. REVERSAL OF EXPENSES 48,461.
PART XII, LINE 2THIS PROCESS HAS NOT CHANGED FROM LAST YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
GEISINGER HEALTH SYSTEM FOUNDATION
100 NORTH ACADEMY AVENUEDANVILLEPA17822231995911SUPPORTPA501(C)(3)N/A0
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TWPNJ08234223265214HEALTH SERVICESNJ501(C)(3)ARHS0
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TWPNJ08234223265213HEALTH SERVICESNJ501(C)(3)GEISINGER0
ATLANTICARE REGIONAL HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TWPNJ08234800834222HEALTH SERVICESNJ501(C)(3)AH SYSTEM0
ATLANTICARE BEHAVIORAL HEALTH INC
6010 BLACK HORSE PIKEEGG HARBOR TWPNJ08234210721208HEALTHCARE SERVICESNJ501(C)(3)AH SYSTEM0
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUEEGG HARBOR TWPNJ08234020701782HEALTHCARE SERVICESNJ501(C)(3)AH REGIONAL MED CTR0
ATLANTICARE FOUNDATION
2500 ENGLISH CREEK AVENUEEGG HARBOR TWPNJ08234222148992FUNDRAISINGNJ501(C)(3)AH SYSTEM0
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TWPNJ08234611608389ACO/HEALTHNJ501(C)(3)AH SYSTEM0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1S JRSY MED PROP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 ENGLISH CREEK AVENUEAddressLine1Txt
CityEGG HARBOR TWPCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08234ZIPCd
FieldValueIRS element (for citing)
EIN383830843EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateNJLegalDomicileStateCd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
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 OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.