2019-11-14T10:39:01-06:00 2018-12-31 346565596 Ernst & Young US LLP 5 Times Square New York NY 10036 990 2018-01-01 651301877 Atlantic Health System Inc Group Return ATLA 9736603100 475 South Street ACCTG 920 Morristown NJ 07960 Kevin Lenahan SVP-CFO & Admin Officer 9736603166 2019-11-11 1 Nicole Sokolowski P01683199 2127733000 165.225.38.254 2019-11-14 10:38:37 ES P 924F5484B370A9FF257601B07D0C5CFB195EBBD3 D6063055A6803F1C5210E032C865658A36853698 2018 2020-03-31 21:24:44Z Kevin Lenahan 475 South Street ACCTG 920 Morristown NJ 07960 2911070570 1 1 9704 X www.atlantichealth.org X 1996 NJ Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. 31 15 18408 3147 1562722 0 16527494 25398571 2538020705 2804240120 44245308 53332351 37384976 28042122 2636178483 2911013164 749125 1014536 0 0 1321708069 1524910740 0 0 2505421 1161546209 1254769460 2484003403 2780694736 152175080 130318428 3394267440 3432959938 1601731575 1609943234 1792535865 1823016704 X Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. 0 0 2375620335 1014536 2804343730 This group return consists of five not-for-profit hospitals (AHS Hospital Corp), a not-for-profit physicians practice (Practice Associates Medical Group PC) a not-for-profit ambulance corporation (Atlantic Ambulance Corp), a not-for-profit Primary Care and OB/GYN Medical Center (Medical Center Partners, Inc.) and a not-for-profit emergency ambulance service for Hackettsown, NJ and community (Hackettsown Regional Medical Center Emergency Medical Services, Inc.).Continued on Schedule O AHS Hospital Corp.(the "Hospital") is comprised of five hospitals, the Morristown Medical Center ("Morristown Division"), the Overlook Medical Center("Overlook Division"), the Newton Medical Center ("Newton Division"),the Chilton Medical Center ("Chilton Division"), Hackettstown Medical Center ("Hackettstown Division") and Practice Associates Medical Group (PAMG). The Hospital and PAMG are organized under the not-for-profit corporation law of the State of New Jersey and are exempt from Federal income tax under Section 501(c) (3) of the Internal Revenue Code. The Hospital provides regional health care services including a broad range of adult, pediatric, obstetrical/gynecological, psychiatric, oncology, intensive care, cardiac care and newborn acute care services to patients from the counties of Morris, Essex, Passaic, Sussex, Bergen, Hunterdon, Union, Warren and Somerset in New Jersey, Pike County in Pennsylvania and southern Orange County in New York.The Hospital is also a regional health trauma center that provides tri-state coverage and provides numerous outpatient ambulatory services, rehabilitation and skilled care and emergency care.The ambulance company (Atlantic Ambulance Corp) is a not-for-profit organization established for scientific, educational and charitable purposes to sponsor, promote and assist in the establishment or maintenance of activities relating to the improvement of human health and to maintain and operate a system for providing ambulance services, including mobile intensive care unit services together with related emergency medical services, primarily in New Jersey. Medical Center Partners, Inc. opened in 2012 with two offices according to the needs assessment of the community: A Primary Care and OB/GYN.Hackettstown Regional Medical Center Emergency Medical Services, Inc. (HRMC-EMS) provides emergency ambulance service for Hackettstown, NJ and the surrounding communities. HRMC-EMS also provides patient transportation services for HRMC patients and residents/patients of other institutions such as assisted living facilities and nursing homes. Van service is also provided for outpatients in need of transportation. HRMC-EMS also provides 911 ambulance service for residents of Mount Olive Township, Knowlton Township, Roxbury and Long Valley, NJ. 2375620335 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 1188 0 1 18408 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 31 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X Ken Butkowski 9734512005 475 South Street - Acctg Box 920 Morristown NJ 07962 Alan Meltzer MD PAMG-Trustee 55.00 X 229174 0 39282 Albert Ritter MD Trustee-Atlantic Ambulance 2.00 X 0 0 0 Anne S Rooke Trustee-AHS 2.00 X 0 0 0 Brenda Matti-Orozco MD PAMG-Trustee 55.00 X 329032 0 25215 Brian Gragnolati President & CEO 55.00 X X 2591867 0 412093 Christopher R Reidy Trustee-AHS 2.00 X 0 0 0 David Ferguson Trustee-Atlantic Ambulance 2.00 55.00 X 0 257347 15950 David Taylor PAMG-Trustee 2.00 X 0 0 0 Dexter D Earle Trustee/Chair-AHS 2.00 X X 0 0 0 Domenick Randazzo MD PAMG-Trustee 55.00 X 98151 0 0 Federico Cerrone MD PAMG-Trustee 55.00 X 573252 0 24812 Gita F Rothschild Trustee-AHS 2.00 X 0 0 0 Glenn A Clark Trustee-AHS 2.00 X 0 0 0 Grant Parr MD Trustee-AHS 2.00 X 0 0 0 Henry J Driesse Trustee-AHS 2.00 X 0 0 0 James Smith-Termed 42518 Director-Atlantic Amb 55.00 X 119667 0 3232 John F Vigorita MD Trustee-AHS 2.00 X 0 0 0 John Pilla MD PAMG-Trustee 2.00 X 0 0 0 Joseph Cirello MD PAMG-Trustee 55.00 X 340982 0 30393 Katharine Driebe VP - Finance 55.00 X X 549101 0 94121 Kevin Lenahan SVP-CFO & Admin Officer 55.00 X X 1272076 0 245689 Laura Ann Kelly Trustee-AHS 2.00 X 0 0 0 Navpreet Minhas Physician 55.00 X 321938 0 26329 Peter Bolo MD PAMG-Trustee 55.00 X 495905 0 41815 Richard W Herbst Trustee-AHS 2.00 X 0 0 0 Robert E McCracken Trustee-AHS 2.00 X 0 0 0 Robert Toohey Trustee-AHS 2.00 X 0 0 0 Sean Nicholson Trustee-AHS 2.00 X 0 0 0 Seth Stoller PAMG-Trustee 55.00 X 468355 0 27543 Sheilah O'Halloran VP-Ass't Gen Council 55.00 X X 711223 0 110472 Steve A MaserMD-Termed 122118 Trustee-AHS 55.00 X 497236 0 13294 Thomas Zaubler MD PAMG-Trustee 55.00 X 443351 0 43126 Walter Rosenfeld PAMG-Trustee 55.00 X 728899 0 50006 Alan Lieber President - OMC 55.00 X 1112707 0 39006 Amy Perry SVP - Delivery & CEO Hosp. Div. 55.00 X 1422731 0 192832 Christopher Zipp MD PAMG-Trustee 55.00 X 496743 0 33565 Christopher Herzog PAMG- CFO & Treasurer 55.00 X 360468 0 21851 Greg Mulford MD PAMG Physician 55.00 X 573053 0 27643 Jan Schwartz-Miller SVP-Chief Medical & Academ 55.00 X 1615904 0 50006 Joseph Di Paolo President - NMC 55.00 X 748495 0 129766 Joseph Wilkins-Termed 62218 SVP-Chief Trans Officer 55.00 X 765592 0 7159 Karen Flaherty-Oxler SVP-Chief Nursing - Termed 7/2/18 55.00 X 724960 0 394 Linda Gilligan PAMG-COO & Secretary 55.00 X 706551 0 80506 Nichell Sumpter SVP-Chief HR Officer 55.00 X 691983 0 100386 Patricia O'Keefe President-MMC 55.00 X 858256 0 153732 Stephanie Schwartz President CMC 55.00 X 714738 0 113993 Steven Sheris MD SVP-Physician Enterprise 55.00 X 1067087 0 157664 Eric Whitman Physician 55.00 X 855925 0 41815 James Wittig Chairman 55.00 X 871498 0 2150 John Halperin Director - MD 55.00 X 727365 0 39006 Daniel Tobias Physician 55.00 X 942676 0 38643 Mark Widmann Physician 55.00 X 1007994 0 23552 Paul Starker Chairman-Dept of Surgery 55.00 X 1043444 0 38392 Rolando Rolandelli Chairman-Dep of Surgery 55.00 X 948274 0 39006 Yaser Daramna Physician 55.00 X 990424 0 22959 Jason Coe-Termed 33117 Former-Pres HMC 0.00 X 256157 0 0 Kimberly Simensen-Term 12717 Former-SVP-Sys & Network Planning 0.00 X 646360 0 0 29919594 257347 2557398 2893 1 1 0 STRUCTURE TONE 10 WOODBRIDGE CENTER DRIVE WOODBRIDGE NJ 07095 CONSTRUCTION 22963748 THE CSI COMPANIES INC PO BOX 890841 CHARLOTTE NC 28289 CONSULTING 21053195 EPIC SYSTEMS INC PO BOX 88314 MILWAUKEE WI 53288 IT IMPLEMENTATION SERVICES 20533436 HOLT CONSTRUCTION CORP 50 E WASHINGTON AVE PEARL RIVER NY 10965 CONSTRUCTION 18078119 ZOTEC PARTNERS PO BOX 2288 INDIANAPOLIS IN 46206 PHYSICIAN BILLING 14366256 186 1495870 23902701 25398571 MEDICARE-MEDICAID 621990 1348736974 1348736974 PATIENT SERVICE REV 621990 1245964789 1245964789 PHYSICIAN SERVICES 621110 207991736 207991736 LAB SPEC PROCESSING 621500 1546621 1546621 2804240120 53201147 53201147 103610 103610 601547 0 601547 601547 601547 85000 57406 27594 27594 27594 Cafeteria 722514 7897686 7897686 Pharmacy 621400 5510583 5510583 Parking 812930 3508501 3508501 10523805 16101 10507704 27440575 2911013164 2802797109 1562722 81254762 1014536 1014536 25244131 25244131 144559 144559 1269930394 1097006793 171297615 1625986 43593408 36919293 6618185 55930 104540216 88535194 15879157 125865 81458032 68986874 12366648 104510 75746257 75746257 3336586 21684 3314902 1552710 1552710 476000 476000 917 917 33266707 33266707 16770831 16770831 59912239 49819737 10017029 75473 14745728 12488169 2238640 18919 70375710 59137545 11148576 89589 11297181 9567592 1715127 14462 35632981 30177601 5409830 45550 144185712 122352372 21650374 182966 43426160 35954201 7417491 54468 MEDICAL EXPENSES 655758033 655758033 REPAIRS & MAINTENANCE 48810438 41337600 7410794 62044 EQUIPMENT AND RENTAL 5946222 5035860 904783 5579 DUES 3481495 2948572 528457 4466 30047553 25291972 4715967 39614 2780694736 2375620335 402568980 2505421 311919069 291668579 815167 843424 285710173 333189187 6787199 2869098 18114302 18274733 69148058 71360026 2926281925 1703096168 1147769404 1223185757 1440528319 1377809220 113475749 113759914 3394267440 3432959938 268041259 293694524 469423353 455636262 475000000 475000000 389266963 385612448 1601731575 1609943234 X 1642215525 1673394464 150320340 149622240 1792535865 1823016704 3394267440 3432959938 X 130318428 -115623068 15785479 X 0 1 X 1 1 1 X Listing of Subordinates in this Group 990: Atlantic Health System - AHS Hospital Corp 52-1958352 Practice Associates Medical Group PC 20-2088165 Hackettstown Community Medical Center 22-6106281 Hackettstown Regional Medical Center Emergency Medical Serv Inc 27-0820164 Medical Center Partners, Inc 45-4789273 Determination of the Organizations in this Group IRS 990 Atlantic Ambulance is a Box 10 organization. It receives more than 33 1/3% of its support from activities related to it's exempt functions and no more than 33 1/3% of its support from gross investment income and unrelated income from businesses acquired by the organization after June 30, 1995. Practice Associates Medical Group (PAMG) is a Box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). PAMG is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). Since August 17, 2006, PAMG has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. Medical Center Partners, Inc. is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. Hackettstown Regional Medical Center Emergency Services, Inc. is a Box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. X 0 1 0 0 0 0 1 476000 0 0 476000 0 Part II-B, Line 1: The organization compensated five different consultants primarily for their services and time in participating in conference telephone calls, attending meetings and conferences, providing communication emails and correspondence and travel expenses for the following: 1. State Budget Meetings 2. Various State and Federal Legislative/Regulatory Affairs 3. State and Federal Hospital Issues 4. Healthcare Forums 5. Lobbying Days in Washington DC 7. NJ bills as listed below: A3769: Requires DOH to license certain qualifying hospitals to provide full service diagnostic cardiac catheterization, primary angioplasty, and elective angioplasty services A4443: Establishes registration and operational requirements for retail health clinics and urgent care facilities A1827: Concerns earned sick leave to employees S2758: Increases financial resources provided through Medicaid program for certain hospitals; Establishes County Option Hospital Fee Pilot Program S2019: Appropriates $36,517,421,000 in State funds and $16,551,418,698 in federal funds for the State budget for fiscal year 2018-2019 A4249: Expands per adjusted admission charge on hospitals to create a supplemental funding pool for State's graduate medical education subsidy; appropriates $24,285,714 A2164: Healthy Small Food Retailer Act; provides funding to smaller food retailers to sell fresh and nutritious foods A2194: Establishes Behavioral Health Task Force S3099: Behavior Analyst Licensing Act A392: Permits certain physical therapists to perform dry needling The following represents the compensation the vendors were paid totaling $476,000 in 2018 for lobbying expenses. 1. EDGE ADVOCACY LLC 84,000 2. ROSEMONT ASSOCIATES LLC 135,000 3. CAMMARANO LAYTON AND BOMBARDIERI 42,000 4. OPTIMUS 180,000 5. KEYWOOK STRATEGIES 35,000 150320337 38062956 -2684750 -36076305 149622240 135415433 38098907 8223395 -31417398 150320337 127490232 32141880 4168419 -28385098 135415433 127978403 32240327 -1192411 -31536087 127490232 109665354 43163359 2101888 -26952198 127978403 0.36000 0.64000 0 0 65324753 65324753 1444065932 937072465 506993467 81756401 10539473 71216928 1335134839 755484230 579650609 1223185757 ADVANCES THIRD PARTY PAYORS 59022029 ACCRUED EMPLOYEE BENEFITS AND OTHER 326590419 385612448 2877468848 22072135 22072135 2855396713 55616451 55616451 2911013164 2727746760 0 2727746760 52947975 52947975 2780694735 Part V, Line 4: Temporarily restricted net assets are those funds whose use by the Hospital has been limited by donors to a specific time period and/or purpose. Once the restrictions are satisfied, or have been deemed to have been satisfied, those temporarily restricted net assets are released from restrictions. Temporarily restricted net assets are available and intended for the following purposes: - Research - Construction of the Heart Hospital and other projects - Purchase of plant and equipment - Scholarships and education - Program Services Permanently restricted net assets are restricted to investments to be held in perpetuity, the income from which is expendable to support health care services. Part XI, Line 2d - Other Adjustments: Net Assets Released From Restriction 22,072,135. Part XI, Line 4b - Other Adjustments: Physician revenue recorded as an offset in the AFS expenses 33,773,042. Grant revenue recorded as an offset to the AFS expenses 19,174,933. Interest Income -Temp Restricted 2,668,476. Part XII, Line 2d - Other Adjustments: Physician Expenses - Not Allocated in Functional Expenses Part XII, Line 4b - Other Adjustments: Revenue recorded as an offset in the AFS expenses 33,773,042. Grant revenue recorded as an offset to the AFS expenses 19,174,933. Central America and the Caribbean - Program Services Insurance 8362880 0 0 0 0 0 0 8362880 0 8362880 0 0 0 0 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 32889163 9419180 23469983 0.00840 244394368 160889085 83505283 0.03000 277283531 170308265 106975266 0.03840 9711347 66729 9644618 0.00350 57305028 16129598 41175430 0.01480 26631599 8323607 18307992 0.00660 2764457 1211995 1552462 0.00060 1014536 1014536 0.00040 97426967 25731929 71695038 0.02590 374710498 196040194 178670304 0.06430 1 83143053 25506754 756223544 752668359 3555185 X 1 1 6 1 Morristown Medical Center 100 Madison Avenue Morristown NJ 07960 www.atlantichealth.org 11403 X X X X X X 2 Overlook Medical Center 99 Beauvoir Avenue Summit NJ 07902 www.atlantichealth.org 11902 X X X X X X 3 Newton Medical Center 175 High Street Newton NJ 07960 www.atlantichealth.org 12005 X X X 4 Chilton Medical Center 97 West Parkway Pompton Plains NJ 07444 www.atlantichealth.org 11401 X X X 5 Atlantic Rehabilitation Institute 95 Mt Kemble Avenue Morristown NJ 07962 www.atlantichealth.org 11404 X Comprehensive Rehabilitaiton Hospital 6 Hackettstown Medical Center 631 Willow Grove Street Hackettstown NJ 07840 www.atlantichealth.org 12101 X X X Morristown Medical Center 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.atlantichealth.org/patients-visitors/education-support/community-resour X www.njhealthmatters.org X 1 17 1 www.atlantichealth.org/patients-visitors/education-support/community-resour 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Overlook Medical Center 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.atlantichealth.org/patients-visitors/education-support/community-resour X www.njhealthmatters.org X 1 17 1 www.atlantichealth.org/patients-visitors/education-support/community-resour 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Newton Medical Center 3 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.atlantichealth.org/patients-visitors/education-support/community-resour X www.njhealthmatters.org X 1 17 1 www.atlantichealth.org/patients-visitors/education-support/community-resour 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Chilton Medical Center 4 0 0 1 X X X X X X X X X 16 1 0 1 1 X www.atlantichealth.org/patients-visitors/education-support/community-resour X www.njhealthmatters.org X 1 17 1 ww.atlantichealth.org/patients-visitors/education-support/community-resour 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Atlantic Rehabilitation Institute 5 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.atlantichealth.org/patients-visitors/education-support/community-resour X www.njhealthmatters.org X 1 17 1 www.atlantichealth.org/patients-visitors/education-support/community-resour 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Hackettstown Medical Center 6 0 0 1 X X X X X X X X X 18 1 0 0 1 X www.atlantichealth.org/patients-visitors/education-support/community-resour X www.njhealthmatters.org X 1 17 1 www.atlantichealth.org/patients-visitors/education-support/community-resour 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 0 X 0 0 Part V, Section A: In addition to the non-hospital based facilities listed separately in Schedule H, Part V, Section D, AHS operates numerous physician offices related to it's various medical disciplines throughout the tristate area. These physician facilities practice under Practice Associates Medical Group (D/B/A Altantic Medical Group). Morristown Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled Painting a Picture of Community Health . Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including: - Demographic Data - Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources - Key Informant Survey with responses from 74 community leaders - Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Morris County and a total of 124 issues were identified. In July 2015, County committee and Data committee members voted to narrow the list to 12 issues (the top 20%).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Morris County Committee voted to select five priority issues:1. Obesity2. Access to Behavioral Health Care3. Heroin Use4. Diabetes Treatment5. Cardiovascular DiseasesIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Overlook Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled Painting a Picture of Community Health . Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including:- Demographic Data- Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources- Key Informant Survey with responses from 74 community leaders- Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Union County and a total of 125 issues were identified. In July 2015, County committee and Data committee members voted to narrow the list to 16 issues (the top 20% of the vote).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Union County Committee voted to select five priority issues:1. Diabetes2. Access to Mental Health Services3. Health Literacy4. Obesity5. Heart DiseaseIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Newton Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled "Painting a Picture of Community Health". Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including:- Demographic Data- Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources- Key Informant Survey with responses from 74 community leaders- Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Sussex County and a total of 125 issues were identified. In July 2015, County committee and Data committee members voted to narrow he list to 16 issues (the top 20% of the vote).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Sussex County Committee voted to select five priority issues:1. Substance Abuse2. Access to Care3. Obesity4. Mental Health5. TransportationIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Chilton Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled "Painting a Picture of Community Health". Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including:- Demographic Data- Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources- Key Informant Survey with responses from 74 community leaders- Show Us Health Community Art Contest with 50 participantsAfter data were collected, a data review session was held July 2015 at Chilton Medical Center and a list of list of 16 issues were identified by the participants.From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Passaic County Committee voted to select five priority issues:1. Access to HealthCare2. Caregiver Health3. Heroin4. Diabetes5. Cardiovascular DiseasesIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Atlantic Rehabilitation Institute Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled Painting a Picture of Community Health. Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including: - Demographic Data - Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources - Key Informant Survey with responses from 74 community leaders - Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Morris County and a total of 124 issues were identified. In July 2015, County committee and Data committee members voted to narrow the list to 12 issues (the top 20%).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Morris County Committee voted to select five priority issues:1. Obesity2. Access to Behavioral Health Care3. Heroin Use4. Diabetes Treatment5. Cardiovascular DiseasesIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Hackettstown Medical Center Part V, Section B, Line 5: Hackettstown Medical Center (HMC) is committed to the people it serves and the communities where they reside.Healthy communities lead to lower health care costs, robust community partnerships, and an overall enhanced quality of life. To that end, beginning in June 2018, HMC, a member of Atlantic Health System (AHS), undertook a comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area, that encompasses portions of Warren, Morris and Sussex counties in New Jersey.The purpose of the assessment was to gather current statistics and qualitative feedback on the key health issues facing resident of HMC's service area. The assessment examined a variety of health indicators including chronic health conditions, access to health care, and social determinants of health.The completion of the CHNA provided HMC with an health-centric view of the population it serves, enabling HMC to prioritize relevant health issues and develop a community health implementation plan focused on meetingcommunity needs. This CHNA Final Summary Report serves as a compilation of the overall findings of the CHNA findings. This document is not a compendium of all data and resources examined in the development of the CHNA and the identification of health priorities for HMC's service area, but rather an overview that highlights statistics relevant to HMC's health priorities for the next CHNA/CHIP planning and implementation period.CHNA Components- Secondary Data Research- Key Informant Survey- Prioritization Session- Implementation Plan- Key Community Health IssuesKey Community Health IssuesHackettstown Medical Center, in conjunction with community partners, examined the findings of qualitative and quantitative data review to prioritize key community health issues. The following issues were identified:- Substance Use Disorders- Diabetes- Need for Mental Health Providers- Overweight/Obesity- Preventive Care-based on feedback from community partners, health care providers, public health experts, health and human service agencies, and other community representatives, Hackettstown Medical Center plans to focus on multiple key community health improvement efforts and will create an implementation strategy of their defined efforts in 2019. This document will be shared with the public shortly thereafter.Organization Overview Hackettstown Medical Center has been providing care to the community since 1973, primarily serving Warren, Sussex and Morris counties in New Jersey. From preventive services and outpatient testing, to care for minor injuries and life-threatening illness. HMC offers a wide range of services to keep our local population healthy. The medical center is a designated a Primary Stroke Center by the New Jersey Department of Health and The Joint Commission's advanced certification program. Other accreditations include mammography, nuclear medicine and ultrasound from the American College of Radiology, sleep disorder center accreditation from the American Academy of Sleep Medicine, and Quality of Care recognition for our cardiopulmonary department from the American Association for Respiratory Care. HMC provides education, screenings, support groups and wellness programs for people of all ages through our Center for Healthier Living.Hackettstown Medical Center provides emergency care that is close to home for many in northwestern New Jersey with access to high tech specialty services available through Atlantic Health System, when needed. Atlantic Health System Cancer Care provides access to renowned specialists, clinical trials, innovative technology and medical treatments, and compassionate support services right here in NJ. Our vast network of hospitals and providers span 11 counties, so patients can enter our all-encompassing community of cancer care no matter where they live or work. HMC's Women's Imaging Suite community access to 3D mammograms and other high-tech imagingservices.HMC has received numerous awards and designations, including:-American College of Radiology Accreditation for C/T Services, Mammography, Nuclear Medicine, PET and Ultrasound-Certificate of Accreditation from the Undersea and Hyperbaric Medical Society for the Wound Healing Center Hyperbaric Oxygen Therapy Program-American Academy of Sleep Medicine Accreditation for the Sleep Disorders Center-Joint Commission Advanced Certification as a Primary Stroke Center-Joint Commission Certification for Joint Replacement V Hip and Knee-Certificate of Accreditation from the American Association of Diabetes Educators- American Association for Respiratory Care Recognition for Quality of Respiratory Care- College of American Pathologists Accreditation for the Clinical Laboratory- Top Hospitals: Castle Connolly Medical Ltd.- Get With the Guidelines Stroke Silver Plus Performance Achievement Award with Target: Stroke HonorRoll Elite Plus: American Heart Association and American Stroke Association- Accredited in adult transthoracic and adult transesophageal echocardiography by the Intersocietal Accreditation Commission (IAC)Hackettstown Medical Center employs more than 650 staff and volunteers, operates 111 licensed hospital beds and is staffed by more than 275 physicians and allied health providers. HMC treated more than 3,000 inpatients, nearly 23,000 emergency room visits and approximately 54,000 outpatient visits in 2017 (the most recent full year of data available). As part of its community benefit programs, HMC provides screenings, health education programs, classes, support groups, vaccinations, and health professions education.Community OverviewHMC receives 75% of its inpatient admission from 10 ZIP Codes, encompassing portions of Warren, Morris and Sussex counties in New Jersey.MethodologyHMCs CHNA comprised quantitative and qualitative research components. A brief synopsis of the components is included below with further details provided throughout the document:A Statistical Secondary Data Profile depicting population and household statistics, education and economic measures, morbidity and mortality rates, incidence rates, and other health statistics for primary and secondary service areas was compiled with findings presented to advisory committees for review and deliberation of priority health issues in the community.A Key Informant Survey was conducted with community leaders and partners. Key informants represented a variety of sectors, including public health and medical services, non-profit and social organizations, public schools, and the business community.Analytic SupportAtlantic Health System Corporate Planning & System Development staff provided HMC with administrative and analytic support throughout the CHNA process. Staff collected and interpreted data from secondary data sources,collected and analyzed data from key informant surveys, and prepared all reports.Community RepresentationCommunity engagement and feedback were an integral part of the CHNA process. HMC sought community input through key informant surveys of community leaders and partners and included community leaders in the prioritization and implementation planning process. Public health and health care professionals shared knowledge and expertise about health issues, and leaders and representatives of non-profit and community-basedorganizations provided insight on the community, including the medically underserved, low income, and minority populations.Research LimitationsTimelines and other restrictions impacted the ability to survey all potential community stakeholders. HMC sought to mitigate these limitations by including representatives or and/or advocates for diverse and underservedpopulations throughout the assessment process.Prioritization of Needs Following the completion of the CHNA research, HMC's Community Health Advisory Sub-Committee prioritized community health issues and will develop an implementation plan to address prioritized community needs, the content of which will be shared publicly in 2019. Morristown Medical Center Part V, Section B, Line 6a: St. Clare's Health System Overlook Medical Center Part V, Section B, Line 6a: Newton Medical CenterTrinitas Regional Medical Center Newton Medical Center Part V, Section B, Line 6a: Saint Clare's Health System Chilton Medical Center Part V, Section B, Line 6a: No other hospital facilities Atlantic Rehabilitation Institute Part V, Section B, Line 6a: St. Clare's Health System Hackettstown Medical Center Part V, Section B, Line 6a: No other hospital facilities Morristown Medical Center Part V, Section B, Line 6b: Caring PartnersChild & Family Resources (CFR)Community MemberContact We CareDiabetes Foundation, Inc.East Hanover TownshipF.M. Kirby Children's CenterFamily Intervention ServicesGay Activist Alliance in Morris CountyGood GriefGrow it Green MorristownHanover Township Board of HealthHanover Township SchoolHomeless SolutionsInroads to OpportunitiesInterfaith Food PanrtyLincoln Park Health DepartmentMadison Area YMCAMadison Board of HealthMadison Health DepartmentMCOHAMCPIK/CARESMended Hearts of Morris CountyMontal Health Association of Morris CountyMorris- Somerset Regional Chronic Disease and Cancer CoalitionMorris County Department of Human ServicesMorris County Family Success Center Partnership forMaternal and Child HealthMorris County Park CommissionMorris Regional Public Health PartnershipMorris Township Health DepartmentMount Olive TownshipNew Jersey Conservation FoundationNew Bridge ServicesNJ 211NORWESCAPNovo NordiskPanera BreadPartnership for Meternal and Child Health of NNJPequannock Health DepartmentRandolph Township Health DepartmentRockaway Township Health DeparmentScreen For LifeShoprite Lincoln ParkSNAP-ED Rutgers UniversitySpringfield Health DepartmentThe Greater Morristown YMCATransOptionsUnited Way of Northern New JerseyVisting Nurse Association of New JerseyVoorhees Transportation Center/Nj Health Impact CollaborativeWind of the SpititZufall Health Center Overlook Medical Center Part V, Section B, Line 6b: American Cancer SocietyBoard of Health- ClarkBorough of RoselleBridgeway Rehabilitation ServicesCASA of Union CountyCatholic Charities of Archdiocese of NewarkCerebral Palsy LeagueCity of Elizabeth, Dept of Health & Human ServicesCity or RahwayCommunity Access UnlimitiedCommunity Coordinated Child CareContact We CareCuremonosDiabetes Foundation, Inc.Division of Human ServicesEhrhart Gardens-UnionElizabeth Coalition to House the HomelessEnright Melanoma FoundationFamily & Children's ServicesFamily Intervention ServicesFanwood-Scotch Plains YMCAGateway Family YMCAGroundwork USAHoly Redeemer Home CareHozizon Blue Cross Blue Shield of NJImagine, A Center for Coping with LossInroads to OpportunitiesInterweaveJewish Community Center of Central NJJefferson Park MinistriesJefferon Park Pre-SchoolJewish Family Service of MetroWest NJJewish Family Service of Central NJJosephine's PlaceJunior League SummitLegal Services of New JerseyLegal Services of NJLivingston Board of HealthMadison Health DepartmentMiddlesex County Office of Health ServicesMobile Meals of WestfieldNeighborhood HouseNew Jersey State YMCA AllianceNew Providence Municipal Building New Provdience Senior CitizensNJ Alliance of YMCAsNorth Jersey Consultation CenterNorth Jersey Health CollaborativePartnerhip for Maternal & Child HealthPathwaysPilgrim Baptist ChurchPlainfield Neighborhood HealthPrevenention LinksPROCEED, IncResolve Community Counseling CenterRoselle Day Care CenterRobert Wood Johnson Foundation-RahwaySAGE EldercareSenior Citizens CouncilShopriteSouth Mountain YMCASummit Area Public Foundation Summit Area YMCASummit Public SchoolsSummit YMCASusan G Komen North Jersey The ARCCity of SummitThe Elizabethport Presbyterian CenterThe Gateway Family YMCAThe Summit ConservancyUCMJ-Division of Social ServicesUnion County DHSUnion County Office of Health ManagementUnion County SNAP - ED ProgramUnion County WorkeForce Development BoardSAGE Elder CareSenior Citizens CouncilShop RiteSouth Mountain YMCASummit Area Public Foundation Summit Area YMCA Newton Medical Center Part V, Section B, Line 6b: BridewayCneter for Prevention and CounselingDomestic Abuse and Sexual Assault Intervention CenterFamily Intervention ServicesFamily Partners of Morris & SussexFamily Promise of Sussex CountyGinnie's House CACNational Alliance on Mental IllnessNeighborhood Health CenterMcKinney Vento Education Homeless & YouthNewBridge ServicesNORWESCAP Sklands RSVPNORWESCAP WIC ProgramPartnership for Maternal & Child HealthPass it AlongProject Self SufficiencyRutgers.Snap EdShopRiteSt. Kateri Migrant Ministry/Catholic Charities Diocese of PatersonSussex County Dept of Human ServicesSussex County Division of Community & Youth ServicesSussex County Division of Senior ServicesSussex County Health DepartmentSussex County Mental Health BoardSussex County Municipal Alliance CoordinatorSussex County Skylands RideSussex County Special ChildSussex County Tranistional Care ProgramSussex County YMCASussex County Wantage Regional SchoolTransOptionsUnited Way of Northern New JerseyZufall Health Center Chilton Medical Center Part V, Section B, Line 6b: Alzheimer's AssociationAmerican Cancer SocietyAmerican Lung AssociationCedar CrestChristian Health Care CenterClifton Health DeptHome Instead Senior CareInformation Network on AgingNew Bridege ServicesNJ School Nurses AssociationPAssaic County Dept of HealthPequannock Health DeptPush to WalkRingwood Health DeptShopRite of WayneUnited for PreventionUnited Way of Passaic CountyWayne Health DeptWayne Social ServicesWayne Township AllianceWest Milford Health Dept Atlantic Rehabilitation Institute Part V, Section B, Line 6b: Caring PartnersChild & Family Resources (CFR)Community MemberContact We CareDiabetes Foundation, Inc.East Hanover TownshipF.M. Kirby Children's CenterFamily Intervention ServicesGay Activist Alliance in Morris CountyGood GriefGrow it Green MorristownHanover Township Board of HealthHanover Township SchoolHomeless SolutionsInroads to OpportunitiesInterfaith Food PanrtyLincoln Park Health DepartmentMadison Area YMCAMadison Board of HealthMadison Health DepartmentMCOHAMCPIK/CARESMended Hearts of Morris CountyMontal Health Association of Morris CountyMorris- Somerset Regional Chronic Disease and Cancer CoalitionMorris County Department of Human ServicesMorris County Family Success Center Partnership forMaternal and Child HealthMorris County Park CommissionMorris Regional Public Health PartnershipMorris Township Health DepartmentMount Olive TownshipNew Jersey Conservation FoundationNew Bridge ServicesNJ 211NORWESCAPNovo NordiskPanera BreadPartnership for Meternal and Child Health of NNJPequannock Health DepartmentRandolph Township Health DepartmentRockaway Township Health DeparmentScreen For LifeShoprite Lincoln ParkSNAP-ED Rutgers UniversitySpringfield Health DepartmentThe Greater Morristown YMCATransOptionsUnited Way of Northern New JerseyVisting Nurse Association of New JerseyVoorhees Transportation Center/Nj Health Impact CollaborativeWind of the SpititZufall Health Center Hackettstown Medical Center Part V, Section B, Line 6b: No other oragnizations other than hospital facilities Morristown Medical Center Part V, Section B, Line 11: All significant needs identified in the the most recently conducted CHNA in 2016 were identified and are being addressed in the Atlantic Heatlh Community Needs Assessment Impementation Plan for 2016 which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Chilton Medical Center and Hackettstown Medical Center.In addition the 2013 CHNA Implementation Plan - Final Report & Evaluation which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center and Chilton Medical Center was issued in 2016.During 2017 the following work groups were formed in Morris County with the following impact statements and strategies and subsequently updated in 2018 as follows:Morris County CV/Diabetes Workgroup: We will strive to prevent diabetes, improve diabetes management and reduce the prevalence of diabetes, with a focus on low-income, at-risk and elderly populations through increased access and connection to appropriate resources for disease prevention and management. We will accomplish this through educational initiatives, clinical and community partnerships and policy development.STRATEGY 1 [Data development/information for action]: Engage community members and organizational stakeholders in Plainfield, Elizabeth, and Vauxhall.STRATEGY 2 [Provide Tailored Information to Targeted Groups (non-professionals)]: Improve diabetes and hypertension health literacy and awareness, with an emphasis on residents of Plainfield, Elizabeth, and Vauxhall. (Health Literacy).STRATEGY 3 [Participant health improvement, disease specific]: Improve management strategies for adult residents who are diabetic or pre-diabetic with an emphasis on at risk-populations [Horizon Foundation Community Health Worker Diabetes Intervention Pilot].Workgroup Participants:Atlantic Health SystemJohnson & JohnsonLincoln Park Health DepartmentMorris County Office Of Health ManagementMorristown Medical CenterMount Olive Twp Health DepartmentMorris Regional Public Health PartnershipNj-211 PartnershipNovo NordiskShopRite of MorristownZufal Health CenterWe will reduce obesity and chronic disease via improvement to environment, systems and policies to increase physical activity and healthy eating for low-income residents of Morris County. STRATEGY 1 [Provide programs/resources to schools/youth]: Improve physical activity and nutritional intake in children in target low-income preschools.STRATEGY 2 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Develop and utilize an asset inventory of resources for healthy eating and active living in Morris County.STRATEGY 3 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Expand Interfaith Food Pantry food rescue program to distribute food left at local farms to food pantries.STRATEGY 4 [Environment/policy/systems change]: Support local policy and environmental change to enhance physical activity and nutrition via the NJ Healthy Communities Network and other local partnerships.Workgroup Participants:Child & Family ResourcesInterfaith Food PantryJunior League of MorristownMadison Area YMCAMorristown Medical Center Mountain Lakes Health DeptMt.Olive Twp Health DeptNJ Conservation FoundationNJ SNAP EdPMCHNNJRockaway/Randolph/Jefferson HDScreen for LifeShopRite of Lincoln ParkWashington Twp Health DeptMorris County Mental Health Workgroup:We will help Morris County residents have knowledge of and access to behavioral health programs designed to effectively diagnose, support and treat existing conditions via training of first responders in mental health awareness.STRATEGY 1 [Provide training to professionals/providers/Trained volunteers]: Train first responders (police, EMT, faith communities, lawyers, etc.) in mental health awareness.Workgroup Participants:Atlantic Behavioral HealthCommunity Member/VeteransCommunity Soup KitchenHealth Ed ConsultantMadison Board of HealthMadison HDMember NAMI, Board Member of the Grace Counseling CenterMorristown Medical CenterMontville Health DeptNewBridgePequannock HDTransOptionsUnited Way NNJMorris County Heroin Workgroup:We will decrease the number of heroin deaths for young adults aged 18-35 in Morris County via increasing perception of risk and harm, reducing the number of opioids prescribed and increasing access to Medication Assisted Treatment.STRATEGY 1 [Education/Awareness campaign]: Enhance county-wide awareness campaign regarding the consequences of heroin/opiate use.STRATEGY 2 [Provide programs/resources to schools/youth]: Increase the # of substance use prevention programs targeting youth (10-17yrs.) in schools and/or other youth venues.STRATEGY 3 [Provide training to professionals/providers/Trained volunteers]: Provide trainings and educational resources regarding Rx drug abuse and diversion to physicians, dentists and other health professionals.Workgroup Participants:Atlantic Health SystemHanover Twp HDHomeless Solutions, Inc.Lincoln Park HDMadison Chatham CoalitionMontville Health DeptMorris County Dept of Human ServicesMorris County Office of Health ManagementMorris County Prevention is KeyMorris County Prosecutor's OfficeMorris County SheriffSeabrook HouseTwp of Morris HDVisions & PathwaysMorristown United for Healthy Living Coalition:We will improve the condition of existing homes, increase access to affordable housing stock (rented and owned), and improve the built environment/community infrastructure via resident education and outreach, policy change/advocacy, improvements to the physical environment, and oversight of existing protections for all people living in Morristown's census tract 435. STRATEGY 1 [Provide training to targeted groups]: Provide training to community members related to housing issues/resources. STRATEGY 2 [Provide training to professionals/providers/Trained volunteers]: Provide training landlords related to tenant/landlord rights and responsibilities.STRATEGY 3 [Referral Pathway/connect to RESOURCES or services]: Develop a hotline/pathway for housing violations combined with peer and organizational support.STRATEGY 4 [Environment/policy/systems change]: Partner with local agencies and volunteers to make repairs to the existing housing stock.STRATEGY 5 [Environment/policy/systems change]: Work with the local government and other organizations to help identify properties for construction/renovation/re-zoning to increase affordable housing stock.STRATEGY 6 [Engage stakeholders]: Actively recruit and include youth members for the Coalition.STRATEGY 7 [Environment/policy/systems change]: Advocate for structural improvements to neighborhood roads, sidewalks, lighting, crosswalks, parks, etc.STRATEGY 8 [Environment/policy/systems change]: Create a regular presence at Town Council meetings to advocate for resources to improve access to affordable housing.STRATEGY 9 [Environment/policy/systems change]: Provide mini-grants and support to local businesses to better meet health and social needs of community residents (e.g., improvements to storefronts and healthy corner store initiative).STRATEGY 10 [Engage stakeholders]: Create regular volunteer/community engagement activities within the neighborhood (e.g., community clean-up day, community-based art projects) to increase sense of community.STRATEGY 11 [Education/Awareness Campaign]: Spread awareness of existing community resources via Community Organizer and Coalition meetings/communications. Overlook Medical Center Part V, Section B, Line 11: All significant needs identified in the the most recently conducted CHNA in 2016 were identified and are being addressed in the Atlantic Heatlh Community Needs Assessment Impementation Plan for 2016 which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Chilton Medical Center and Hackettstown Medical Center.In addition the 2013 CHNA Implementation Plan - Final Report & Evaluation which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center and Chilton Medical Center was issued in 2016. During 2017 the following work groups were formed in Union County with the following impact statements and subsequently updated in 2018 as follows:Union County CV/Diabetes WorkgroupWe will improve diabetes and hypertension awareness and access to preventative care and treatment via community-based education and referral services, with an emphasis on nutrition, social support and hypertension- and diabetes-related health literacy.STRATEGY 1 [Data development/information for action]: Engage community members and organizational stakeholders in Plainfield, Elizabeth, and Vauxhall.STRATEGY 2 [Provide Tailored Information to Targeted Groups (non-professionals)]: Improve diabetes and hypertension health literacy and awareness, with an emphasis on residents of Plainfield, Elizabeth, and Vauxhall. (Health Literacy)STRATEGY 3 [Participant Health Improvement, Disease Specific]: Improve diabetes and hypertension health literacy and outcomes, with an emphasis on residents of Plainfield, Elizabeth, and Vauxhall. STRATEGY 4 [Referral Pathway/connect to resources or services]: Refer community residents with diabetes, pre-diabetes, or significant risk factors to existing diabetes management and prevention programs, and to clinical services, as needed.STRATEGY 5 [Engage stakeholders]: Identify and establish collaborative relationships with existing health-related resources in the local community.Workgroup Participants: American Heart AssociationCity of ElizabethClark Health DeptCongressman Payne's OfficeGateway YMCAHoly Redeemer Home CareHealthcare Quality StrategiesIn Roads to OpportunitiesJohnson & JohnsonMadison Health DeptNeighborhood Health CenterNovoNordiskOverlook Medical CenterPlainfield Health DepartmentPlainfield YMCAShop Rite of GarwoodShop Rite of UnionSummit Health DepartmentUnited Way of Greater Union County Vauxhill LibraryVillage Super markets/ADAWalgreen's of VauxhallWestfield Regional HDUnion County Mental Health WorkgroupWe will improve access to mental health services via education and advocacy for policy change.STRATEGY 1 [Provide programs/resources to schools/youth]: Implement Zombie Resilience Program in schools/other sites (location and # of sites TBD) to improve youth/family resilience.STRATEGY 2 [Provide tailored information to targeted groups (non-professionals)]: Partner with Crisis Text line to expand services via local agencies (following Caring Contact model).STRATEGY 3 [Provide training to professionals/providers/Trained volunteers]: Train first responders (police, EMT, faith communities, lawyers, etc.) in mental health awareness, with a potential focus on active listening, basic risk assessment, and existing community/clinical services.STRATEGY 4 [Education/Awareness campaign]: Support the distribution of the Union County Mental Health Resources 2017-2018 card and other related resources.Workgroup Participants: Academy of Clinical and Applied PsychoanalysisContact We CareElizabeth Public Health NursingFanwood YMCAIn Roads to OpportunitiesMental Health Assn in NJOverlook Medical CenterSummitUnion County Public Health ServicesUnion County Obesity WorkgroupWe will reduce the obesity rate of low-income children birth to 5 years in Union County via parent/caregiver-targeted education and changes to policy and the built environment, with an emphasis on improving resources and opportunities for healthy eating and active living. STRATEGY 1 [Data development/Information for action]: Develop relationships with medical community in Elizabeth who serve pre-natal woman and new mothers-and with mothers themselves- in order to assess needs and barriers related to healthy eating and active living for children in this target community.STRATEGY 2 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Identify and Map all food access locations within the midtown Elizabeth area with plan to visit and identify healthy food locations or influence location for healthy food options with a focus on those that take WIC and SNAP benefits.STRATEGY 3 [Provide Tailored Information to Targeted Groups (non-professionals)]: Develop strategy for engagement of pregnant and new mothers with the medical community as the "trusted" partner provide information and education in those locations with strategies that have been tested and are determined to reduce disparity and have high evidence ranking.Workgroup Participants: Atlantic Health SystemCity of ElizabethCommunity Food Bank of NJEat Right LLCRutgers Coop Ext. of Union CountyShaping ElizabethUnited Way of Greater Union County Newton Medical Center Part V, Section B, Line 11: All significant needs identified in the the most recently conducted CHNA in 2016 were identified and are being addressed in the Atlantic Heatlh Community Needs Assessment Impementation Plan for 2016 which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Chilton Medical Center and Hackettstown Medical Center.In addition the 2013 CHNA Implementation Plan - Final Report & Evaluation which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center and Chilton Medical Center was issued in 2016. During 2017 the following work groups were formed in Sussex County with the following impact statements and subsequently updatated in 2018 as follows:Sussex County Mental Health WorkgroupWe will improve access to mental health services for Sussex County Residents, with an emphasis on those that have low-incomes, through encouraging appropriately placed peer-support resources, training first responders on mental health issues, and monitoring the impact that the medicaid fee-for-service changes have on access within the county, while addressing the overall stigma associated with seeking treatment for mental health issues. STRATEGY 1 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Increase awareness of non-professional, peer-driven mental health support resources.STRATEGY 2 [Environment/policy/systems change]: Normalize the existence of mental health issues with community members.STRATEGY 3 [Provide training to professionals/providers/Trained volunteers]: Train first responders (e.g EMS, Police, etc.) in mental health awareness and surrounding resources.Workgroup Participants:NAMIDASIFamily Partners of Morris & SussexFamily Promise of Sussex Co.Ginnies House of CACNewton Medical CenterProject Self SufficiencySCDHSSussex County Obesity WorkgroupWe will increase fruit and vegetable consumption and increase physical activity for pre-school, school-aged children and their families via policy level interventions within Sussex County school system.STRATEGY 1 [Data development/Information for action]: Collect data to create a baseline for BMI data (in Sussex County schools, grades K-6) in order to track annual change.STRATEGY 2 [Data development/Information for action]: Engage Schools to understand barriers and opportunities for healthy eating and active living.STRATEGY 3 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Identify and assess current resources for Healthy Living Toolkit.STRATEGY 4 [Environment/policy/systems change]: Work with targeted schools to enhance opportunities for exercise and access to fruits and vegetables.Workgroup Participants:Center for Prevention & CounselingNewton Medical CenterNewton Medical Center Pastoral CareNORWESCAP - WICProject Self SufficiencyShopRiteSNAP ED Sussex County Division of HealthSussex County YMCASussex Wantage Regional SchoolsWe will improve access to care for populations in need via addressing the system of free and reduced care, connecting residents with insurance coverage, and addressing barriers to primary care utilization.STRATEGY 1 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Increase understanding of system of free and reduced cost care in Sussex County (for the workgroup members) in order to identify and address gaps in the system, as well as better inform residents of care access points.STRATEGY 2 [Referral Pathway/connect to RESOURCES or services]: Aid eligible residents in signing-up for and using health insurance.STRATEGY 3 [Data development/Information for action]: Identify and address barriers specific to primary care utilization for individuals who are the most in need.Workgroup Participants:Newton Medical CenterNORWESCAPProject Self SufficiencySt. Kateri Migrant Ministry/Diocese of PattersonSussex County Division of Senior ServicesSussex County Special Child Health ServicesUnited Way of Northern New JerseySussex County Substance Use Disorders WorkgroupWe will reduce the presence of addictive prescription medication in our community via targeted education for prescribers and non-prescribers, prescription drug monitoring, and the collection of un-used prescription medications. STRATEGY 1 [Provide training to professionals/providers/Trained volunteers]: Educate prescribers on addiction and addictive prescription medications to specifically utilize the CDC Guidelines for Prescribing Opioids for Chronic Pain.STRATEGY 2 [Provide training to professionals/providers/Trained volunteers]: Educate non-prescribers about the dangers of addictive prescription medications to support and purposely refer to the CDC Guidelines for Prescribing Opioids for Chronic Pain.STRATEGY 3 [Environment/policy/systems change]: Advocate for the use of the NJ Prescription Drug Monitoring Program within the county by prescribers and other authorized users, including all staff that register within a physician's practice/office.STRATEGY 4 [Environment/policy/systems change]: Enhance the prescription drug disposal system with the addition of mobile drop box units throughout Sussex County and specifically targeting communities that lack access to the permanent disposal sites (Montague, Sussex, Sandyston) and specific populations, such as senior citizens.Workgroup Participants:Sussex Coalition for Healthy & Safe CommunitiesCenter for Prevention & CounselingChilton Medical CenterCommunity VolunteersNewton Medical CenterProject Self SufficiencySussex County Transportation WorkgroupDue to a change in group composition, the Sussex Transportation Workgroup is currently re-focusing their efforts. New information will be added here shortly! Chilton Medical Center Part V, Section B, Line 11: All significant needs identified in the the most recently conducted CHNA in 2016 were identified and are being addressed in the Atlantic Heatlh Community Needs Assessment Impementation Plan for 2016 which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Chilton Medical Center and Hackettstown Medical Center.In addition the 2013 CHNA Implementation Plan - Final Report & Evaluation which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center and Chilton Medical Center was issued in 2016.During 2017 the following work groups were formed in Passaic County with the following impact statements and subsequently updated in 2018 as follows:Passaic County Access to Care WorkgroupWe will work to increase access to heath care among underserved and migrant populations in Passaic County via increased access to primary care.STRATEGY 1 [Data development/Information for action]: Engage underserved populations to understand their unique challenges to accessing healthcare.STRATEGY 2 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Identify and establish collaborative relationships with existing healthcare resources in the local community.STRATEGY 3 [Referral Pathway/connect to RESOURCES or services]: Connect existing screening programs to free clinics in underserved communities to establish a continuum of care.STRATEGY 4 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Increase the capacity of existing free healthcare providers to reach more people in the communities they serve.STRATEGY 5 [Provide Tailored Information to Targeted Groups (non-professionals)]: Work with existing health resource databases to offer information in languages other than English and Spanish.Workgroup Participants:Atlantic Health SystemChilton Medical CenterCenter for Family ResourcesChristian Health Care CenterPassaic County Department of HealthPassaicCounty Human Services - Addiction and Mental HealthRingwood Health Dept.Wayne Health Dept.West Milford Health Dept.Passaic County CV/Diabetes WorkgroupWe will increase participation and engagement with diabetes education programs for Medicare beneficiaries and underserved minority populations with the aim of impacting associated cardiovascular risk factors via geographically targeted evidence-based education, partnerships, and advocacy, while encouraging primary prevention efforts that address the built environment in support of healthy eating and active living. STRATEGY 1 [Engage stakeholders]: Engage and collaborate with stakeholders from targeted populations representing underserved and high diabetes prevalence areas of Passaic County to be part of this workgroup. STRATEGY 2 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Increase use of and participation in diabetes education programs that offer standards of care and evidence based practice to improve management of diabetes and associated complications. STRATEGY 3 [Referral Pathway/connect to resources or services]: Work to develop a referral network of DSME and prevention programs including lower or no cost options as well as organizations that offer people with diabetes access to affordable supplies/medications with the goal of expanding access to these services.STRATEGY 4 [Environment/policy/systems change]: Look for opportunities to improve the built environment in support of healthy eating/active living in Passaic County neighborhoods, especially those where residents are at high risk for diabetes and cardiovascular disease. Workgroup Participants:American Lung AssociationAtlantic Health SystemChilton Medical CenterClifton Health DeptDiabetes Foundation Inc.HQSIInserra Supermarkets, Inc.Montclair State University PHDNovoNordiskRingwood Health Dept.ShopRite Little FallsSt. Joseph's Medical CenterSt. Joseph's Wayne HospitalUnited Way of Passaic CountyWayne YMCAWilliam Paterson UniversityPassaic County Heroin WorkgroupWe will reduce the impact of heroin in Passaic County for impacted persons via education in schools, engagement with physician networks, increased information on the dangers of heroin and dissemination of available resources through collaborative relationships with community agencies and local law enforcement.STRATEGY 1 [Provide programs/resources to schools/youth]: Engage Schools on developing and deploying a comprehensive sustainable substance abuse curriculum.STRATEGY 2 [Provide training to professionals/providers/Trained volunteers]: Engage Physicians and prescribers with educational opportunities and access to referral resources to reduce over prescription of opioids.STRATEGY 3 [Referral Pathway/connect to RESOURCES or services]: Work to establish a referral network for Substance Use Disorders among Community Partners.Workgroup Participants:Parent Advocate/St. Mary's Support Group A Change for NickChilton Medical CenterChilton Medical Center Crisis InterventionCircle of CareCounty Alliance CoordinatorEva's VillageLiasion PCSNANJ State School Nurses AssnPequannock Health DeptPompton Lakes Prevention CoalitionRetired PhysicianSeabrook HouseUnited for Prevention Action TeamUnited for Prevention PCWayne Alliance for Prevention of Substance AbuseWayne Police DeptWayne SchoolsWilliam Paterson UniversityPassaic County Caregivers WorkgroupWe will improve the health status of unpaid caregivers in Passaic County via increased awareness and support, facilitated by the creation of a local caregiver advisory council.STRATEGY 1 [Environment/policy/systems change]: Advocate for self and external awareness of unpaid caregivers.STRATEGY 2 [Engage stakeholders]: Establish Caregivers Advisory Council to guide workgroup plans and ensure that the voice of the caregiver is always at the table.STRATEGY 3 [Identify/Assess Current Resources/Systems in order to improve access or increase capacity]: Look at current system of caregiver support and identify gaps in order to create action.Workgroup Participants:Alzheimer's AssociationAmerican Cancer SocietyCedar CrestChilton Medical CenterCommunity Access UnlimitedCommunity Volunteers/Family CaregiversHome Care Options VNSNew Bridge Services Inc.NORWESCAPPush to WalkSiena Village Atlantic Rehabilitation Institute Part V, Section B, Line 11: All significant needs identified in the the most recently conducted CHNA in 2016 were identified and are being addressed in the Atlantic Heatlh Community Needs Assessment Impementation Plan for 2016 which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Chilton Medical Center and Hackettstown Medical Center.In addition the 2013 CHNA Implementation Plan - Final Report & Evaluation which includes Morristown Medical Center, Overlook Medical Center, Newton Medical Center and Chilton Medical Center was issued in 2016. Refer to the Morris County CHNA 2018 Morris County implemenation plan within Scheudle H of this section. Hackettstown Medical Center Part V, Section B, Line 11: IDENTIFICATION OF COMMUNITY HEALTH NEEDSPrioritizationFollowing a review of secondary data and key informant findings, a select group of providers, community health agency representatives and community stakeholders were asked to participate in a prioritization session. The prioritization ballot listed 19 issues identified during the analysis phase of the community health needs assessment. Participants in the prioritization process were asked to assign a value of 1 (Very Low) to 5 (Very High)to 7 prioritization criteria for each of the 19 identified health issues.Weighted averages for each impact on an issue were calculated. For each of the seven potential impacts on an issue, the weighted averages were combined to create an overall weighted average for each issue (the overallranking). The most impactful factor for each issue had the highest weighted average of the seven impacts for that issue, the least impactful factor had the lowest weighted average for that issue. Two ballots were omitted due toimproper responses. One ballot with incomplete responses was included in the overall weighting.The 19 issues identified for prioritization were: Access to Care for Low Income / Uninsured Access to Health Services Access to Specialists When Needed Cancer Diabetes Educational Attainment in Adult Population Exercise, Nutrition, & Weight Heart Disease & Stroke Income Disparities & Poverty Maternal, Fetal & Infant Health Disparities Mental Health & Mental Disorders Need for Bilingual Providers Need for Health Care Providers Who Accept Medicaid Need for Mental Health Providers Overweight/Obesity Preventative Care Substance Use Disorders Transportation for Medical Appointments Use of the Emergency Room for Primary CareThe 7 prioritization criteria used to evaluate each issue were:- Number of people impacted- The risk of morbidity and mortality associated with the problem- Impact of the problem on vulnerable populations- Availability of resources to address the problem- Relationship of issue to other community issues- Meaningful progress can be made within a 3]year period- Is within the organizationfs capability/ competency to impactWeighted results were presented to the Hackettstown Medical Center Community Advisory Board, which adopted the 5 highest weighted issues as community health priorities for the 2018-2020-HMC Community Health NeedsAssessment.- Substance Use Disorders- Diabetes- Need for Mental Health Providers- Overweight/Obesity- Preventive CareFollowing is a broad overview of each of the 5 health priorities. HMC will develop a Community Health Improvement Plan (CHIP) to address these 5 health priorities in 2019. Morristown Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Overlook Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Newton Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Chilton Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Atlantic Rehabilitation Institute Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Hackettstown Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. 117 1 - MMC Surgical Center 111 MAdison Avenue - 2nd Floor Morristown NJ 07960 Surgical Center 2 - Overlook Hospital Satellite ED 1000 Galloping Hill Road Union NJ 07083 Off-Site Ambulatory Care Facility 3 - OP Radiology at 435 435 South Street Morristown NJ 07960 Radiology Services 4 - CTR Rheumatic Disease 435 South Street- Suite 220A Morristown NJ 07962 Physican Practice 5 - Overlook Medical Center Imaging 1000 Galloping Hill Road Union NJ 07083 Imaging Services 6 - Carol W Breast Screening Center 435 South Street Morristown NJ 07962 Preventive Care 7 - MMC Imaging Center 111 Madison Avenue - 4th Floor Morristown NJ 07962 Imaging Services 8 - Associates in Cardiovascular Disease 211 Mountain Ave Springfield NJ 07081 Cardiology Group 9 - CV Imaging Medicor 225 Jackson Street Bridewater NJ 08807 Imaging Services 10 - Cardiac Image 95 Madison Avenue - Suite B07 Morristown NJ 07960 Cardiac Imaging 11 - The Infusion Center 8 Saddle Road - Suite 202 Cedar Knolls NJ 07927 Infusion Center 12 - Cardiac Imaging CT 435 South Street Morristown NJ 07962 Imaging Services 13 - MMC OP Radiology at 310 Madison 310 MAdison Avenue Morristown NJ 07960 Radiology Services 14 - Atlantic Rehabilitation 550 Central Ave New Providence NJ 07974 Rehab Services 15 - Imaging Center-Atlantic Cardiology 8 Tempe Wick Rd Mendham NJ 07945 Imaging Services 16 - Chilton Medical Center Laboratory 1900 Union Valley Road Suites 302 303 Hewitt NJ 07421 Laboratory Services 17 - Cardiac Imaging - North Morrist 356 Route 46 Mountain Lakes NJ 07046 Cardiac Imaging 18 - Maternal Fetal Medicine 435 South Street - Sutie 380 Morristown NJ 07960 Physican Practice 19 - Cardiac Imaging at Cedar Knolls - OP 11 Saddle Road Cedar Knolls NJ 07927 Imaging Services 20 - Associates in Cardiovascular Disease 571 Central 115 New Providence NJ 07974 Cardiology Group 21 - Imaging- Florham Park 10 James Street Florham Park NJ 07932 Imaging Services 22 - MMC Eden Lane Radiation Oncology 16 Eden Lane Whippany NJ 07981 Oncology Group 23 - Center for Physical Therapy & Sports Reh 111 Madison Avenue - 1st Floor Morristown NJ 07960 Rehab Services 24 - Overlook-Vascular Lab at Union 1000 Galloping Hill Road Union NJ 07083 Vascular Lab Services 25 - MMC Wound Care 435 South Street - Suite 320 Morristown NJ 07962 Wound Care 26 - Sleep Disorder Center of MMC 95 Mt Kemble Avenue - 5th Floor Morristown NJ 07962 Sleep Disorder-Closed 11/30/18 27 - Adult Family Practice 435 South Street -S 3rd Floor Morristown NJ 07962 Physician Practice 28 - CV Imaging Mt Arlington 400 Valley Road - Suite 102 Mt Arlington NJ 07856 Imaging Services 29 - Advanced Care Oncology & Hematology 385 Morris Ave - Suite 100 Springfield NJ 07081 Oncology Group 30 - Pain Center 95 Madison Avenue - Suite 402 Morristown NJ 07962 Pain Management 31 - Cardiac Imaging at Union -Suburban Group 1000 Galloping Hill Road Union NJ 07083 Cardiac Imaging 32 - Milford Health & Wellness 111 East Catherine Street Suite 130 Milford PA 18337 Wellness Center 33 - Overlook-Wound Healing Ctr-Union 1000 Galloping Hill Road Union NJ 07083 Wound Care 34 - Chilton Health Network at 242 West Pkwy 242 West Parkway Pompton Plains NJ 07444 Off-Site Ambulatory Care Facility 35 - Cardiac Imaging at MDA Cardiology 1511 Park Avenue - 2nd Floor South Plainfield NJ 07080 Cardiac Imaging 37 - OP Radiology at Rockaway 333 Mount Hope Road Rockaway NJ 07866 Radiology Services 38 - Overlook-Atlantic Laboratory - Union PSC 1000 Galloping Hill Road Union NJ 07083 Laboratory Services 39 - Sparta Health & Wellness 89 Sparta Avenue - Suite 205 Sparta NJ 07871 Wellness Center 40 - Pulmonary & Allergy Associates Technical 8 Saddle Road Cedar Knolls NJ 07927 Pulmonary Group 41 - Cardiac Imaging at Cedar Knolls 11 Saddle Road Cedar Knolls NJ 07927 Cardiac Imaging 42 - CV Imaging at Advance Cardiolgy 449 Mount Pleasant Ave - Suite 1 West Orange NJ 07052 Imaging Services 43 - Cardiac Imaging at Rockaway 333 Mount Hope Road Rockaway NJ 07866 Daignostic Cardiology Group 44 - Atlantic Rehabilitation 1000 Galloping Hill Road Union NJ 07083 Rehab Services 45 - Pulmonary Allergy Associates 1 Springfield Avenue Summit NJ 07901 Pulmonary Group 47 - Milford Urgent Care 111 East Catherine Street Suite 130 Milford PA 18337 Urgent Care Center 49 - Diabetes Center Adult and Endocrinology 435 South Street - Suite 340 Morristown NJ 07960 Wellness Center 50 - West Parkway Physical Therapy 22 West Parkway Pompton Plains NJ 07080 Rehab Services 51 - Cardiac Rehab 435 South Street - Suite 160 Morristown NJ 07962 Rehab Services 52 - Cardiac Imaging at MDA Cardiology 215 North Ave Westfield NJ 07090 Cardiac Imaging 53 - Cardiovascular Imaging at Barone-Catania 89 Mountain Boulevard - Suite 200 Watchung NJ 07069 Cardiovascular Iamging Center 54 - Chilton Health Network at Pike Drive 1 Pike Drive Wayne NJ 07470 Off-Site Ambulatory Care Facility 55 - Overlook Imaging at One Springfield Ave 1 Springfield Avenue Summit NJ 07901 Imaging Services 56 - Assoc Rehab ARI 95 Mt Kemble Avenue Morrsitown NJ 07962 Rehab Services 57 - Cardiac Imaging at Dr Wall 50 Cherry Hill Road Parsippany NJ 07054 Imaging Services 58 - Metobolic Medicine 435 South Street - Suite 330 Morristown NJ 07960 Physican Practice 59 - Child Development Center 435 South Street - Suite 250 Morristown NJ 07962 Child Development Center 60 - Cardiac Imaging 14 Smull Avenue - Suite 402 West Caldwell NJ 07006 Imaging Services 61 - MMC Health Pavilion Vascular Serv 333 Mount Hope Road Rockaway NJ 07866 Cardiology Group 62 - Ped family Practice 200 South ST 200 South Street Morristown NJ 07962 Pediatrice Physician Practice 63 - Chatham Physical Therapy 14-B Roosevelt Avenue Chatham NJ 07928 Rehab/Physical Therapy Services 64 - Atlantic Maternal Fetal 784-792 Chimney Rock Road Martinsville NJ 08836 Imaging Services 65 - Vascular Imaging 182 South Street Morristown NJ 07962 Imaging Services 66 - Clark Multicare - Radiolgy 100 Commerce Place Clark NJ 07066 Radiology Services 67 - Imaging at Children's Orth & Sports 261 James Street Morristown NJ 07960 Imaging Services 68 - Atlantic Maternal Fetal Medicine 333 Mount Hope Road Rockaway NJ 07866 Obstetrics Group 69 - West Parkway Physical Therapy 22 West Parkway Parsippany NJ 07080 Rehab Services 70 - Radiology Imaging Bio-Sport 720 US highway 202-206 Bridewater NJ 08807 Radiology Services 71 - Overlook -Developmnetal Disabilities Ctr 1000 Galloping Hill Road Union NJ 07083 Development Disabilities Center 72 - Radiology Services Sports Medicine 150 North Finley Ave C Basking Ridge NJ 07920 Radiology Services 73 - Rippel Screening Breast Center Rockaway 333 Mount Hope Road Rockaway NJ 07866 Womens Health Group 74 - Geriatric Assessment Center 465 South Street Morristown NJ 07962 Geriatric Services 75 - Cadiology Practice 100 Madison Avenue Morristown NJ 07960 Cardiology Services 76 - Growth House 91 Plotts Road Newton NJ 07860 Supportive Living Group Arrangement 77 - Respiratory Services MMC Health Pavili 333 Mount Hope Road Rockaway NJ 07866 Pulmonary Therapy 78 - PALS House 272 Andover Sparta Road Newton NJ 07860 Supportive Living Group Arrangement 79 - Northfield Infusion 741 Northfield Ave - Suite 202 West Orange NJ 07052 Infusion Center 80 - The Family Health Center 200 South Street Morristown NJ 07962 Ambulatory Care Facility 81 - Adult Cystic Fibrosis Center 435 South Street - Suite 350 Morristown NJ 07962 Pulmonary Rehab Group 82 - Total Cardiology 1777 Hamburg Turnpike Suite 10 Wayne NJ 07470 Cardiology Group 83 - Autism Center 435 South Street - Suite 255 Morristown NJ 07962 Autism Support Group 84 - Pre-Procedural EvaluationOP Lab 435 South Street - Suite 140 Morristown NJ 07962 OP Lab Services 85 - Newton Infusion 89 Sparta Avenue - Suite 207A Sparta NJ 07871 Infusion Center 86 - Arthritis Center Pre-Joint Testing Cente 435 South Street - Suite 150 Morristown NJ 07962 Pain Management 87 - Atlantic Health Sports Physical Therapy 333 Mount Hope Road Rockaway NJ 07866 Rehab Services 88 - Cedar Crest One Cedar Crest-Medical Suite 2 Pompton Plains NJ 07080 Off-Site Ambulatory Care Facility 89 - CV Imaging at PHANorthern NJ Cardiology 242 West Parkway Pompton Plains NJ 07444 Cardiac Imaging 90 - Atlantic Health Sports Phy Therapy-Rock 333 Mount Hope Road Rockaway NJ 07866 Rehab Services 91 - Cardiac Imaging at MDA Cardiology 99 Beauvoir Avenue - Mac II Summit NJ 07901 Cardiac Imaging 92 - PT NEW PROV AQUATIC 629 Central Avenue New Providence NJ 07974 Rehab Services 93 - CV Imaging At Livingston 340 East Northfield Ave Suite 1D Livingston NJ 07039 Imaging Services 94 - Newton Infusion Sparta Health & Wellness 89 Sparta Avenue - Suite 207A Sparta NJ 07871 Wellness Center 95 - Imaging Center-Atlantic Cardiology 95 Madison Avenue - Suite 300 Morristown NJ 07960 Imaging Services 96 - Urgent Care-MMCAHS 57 US Highway Route 46 Hackettstown NJ 07840 Urgent Care Center - Closed 9/16/2016 97 - CV Imaging Medicor 331 Rt 206 Hillsborough NJ 08844 Imaging Services 98 - Atlantic Behavioral Services 46-48 Beauvior Avenue Summit NJ 07901 Behavioral Health Services 99 - Atlantic Rehabilitation Institute 95 Mt Kemble Avenue Morristown NJ 07962 Long Term Care Facility 100 - Atlantic Home Care and Hospice 111 East Catherine Street Suite 2400 Milford PA 18337 Home Health Agency, Hospice Care Program 101 - Atlantic Home Care and Hospice 465 South Street Morristown NJ 07960 Hospice Care Program and Home Health Agency 102 - Atlantic Maternal Fetal Med Bridgewater 784-792 Chimney Rock Road Martinsville NJ 08886 Off-Site Ambulatory Care Facility 103 - Atlantic Maternal Fetal Medicine 435 South Street - Suite 380 Morristown NJ 07960 Off-Site Ambulatory Care Facility 104 - Atlantic Health Sleep Centers 95 Mt Kemble Avenue Morristown NJ 07962 Off-Site Ambulatory Care Facility 105 - Morristown Medical Center Care Now 57 US Highway Route 46 Hackettstown NJ 07840 Off-Site Ambulatory Care Facility 106 - Geriatric Assessment Center 435 South Street - Suite 390 Morristown NJ 07960 Off-Site Ambulatory Care Facility 107 - Cardiac Imaging at Florham Park 10 James Street Florham Park NJ 07932 Off-Site Ambulatory Care Facility 108 - Cardiac Iamging at 435 South Street 435 South Street-Level 1 Morristown NJ 07962 Off-Site Ambulatory Care Facility 109 - Morristown Surgical Center at Madison Av 111 Madison Avenue Morristown NJ 07960 Off-Site Ambulatory Care Facility 110 - MMC Radiolgy at 111 Madison Avenue 111 Madison Avenue Morristown NJ 07960 Off-Site Ambulatory Care Facility 111 - MMC Internal Medicine Faculty Associates 435 South Street - Suite 360 Morristown NJ 07962 Off-Site Ambulatory Care Facility 112 - The Wound Care Center at MMC 435 South Street - Level 3 Morristown NJ 07962 Off-Site Ambulatory Care Facility 113 - The Medical Institute of New Jersey 11 Saddle Road Cedar Knolls NJ 07927 Off-Site Ambulatory Care Facility 114 - Morristown Outpatient Radiology 310 Madison Avenue Morristown NJ 07960 Off-Site Ambulatory Care Facility 115 - Overlook Health Services 1 Springfield Avenue Summit NJ 07901 Off-Site Ambulatory Care Facility 116 - Ryan White HIV Clinic 200 South Street Morristown NJ 07962 Physican Clinic 117 - HRMC's Counseling & Addiction Center 112 East Avenue Suite 9 Hackettstown NJ 07840 Behavioral Health Services 118 - Infusion Ctr Rockaway 333 Mount Hope Road Suite 210A Rockaway NJ 07866 Infusion Center 119 - MMC Endoscopy 111 Madison Ave Suite 401 Morristown NJ 07960 Gastroenterology 120 - Cardiovascular Imaging Center-CV Imaging 242 West Parkway Pompton Plains NJ 07444 Cardiac Imaging Part I, Line 6a: The 2018 community benefit report will be made available to the public via the Atlantic Health System website (www.atlantichealth.org). Part I, Line 7: Charity and unreimbursed Medicaid gross patient charges were decreased to cost by applying the cost to charge ratio which was calculated on Worksheet 2 per the IRS instructions. All other costs for the remaining programs were compiled by the applicable program directors and represent actual expenses that were made. Part I, Line 7g: Subsidized Health Services represent clinical patient care services that are provided, despite a negative margin, because they are needed in the community. During 2018 the organization provided 37 such clinical patient care programs. The net community benefit expense represents the total actual expenses offset by any patient and grant revenue. Part III, Line 2: The bad debt expense at cost was established by "grossing up" the bad debt expense per the audited financial statements to gross charges and applying the 2018 cost to charge ratio as calculated on worksheet 2. Part III, Line 3: The portion of bad debt expense that reasonably could be attributable to patients who may qualify for financial assistance under the Organization's Charity Care program was calculated by identifying patients that were admitted with no insurance benefits. The Organization's collection agency's review process and charity care eligibility notification efforts are thorough, it is highly likely that these patients would have qualified for the Organization's Charity Care program had they applied. As a result, the organization believes this amount should have been treated as community benefit expense. Part III, Line 4: Patient Service Revenue and Related Adjustments:Effective January 1, 2018, the Hospital adopted FASB ASU 2014-09, Revenue from Contracts with Customers (Topic 606), using a modified retrospective method of adoption. The adoption of ASU 2014-09 resulted in changes to the Hospital's presentation and disclosure of revenue primarilyrelated to uninsured or underinsured patients. Under ASU 2014-09, the estimated uncollectible amounts due from these patients are generally considered implicit price concessions that are a direct reduction to patient service revenues. For the year ended December 31, 2018, the Hospital recorded $91,563,000 of implicit price concessions as a direct reduction of patient service revenues that would have been recorded as provision for bad debts prior to the adoption of ASU 2014-09.For the year ended December 31, 2017 the Hospital recorded $74,646,000 of provision for bad debts. Part III, Line 8: 2018 Medicare Allowable payments received as calculated per the 2018 Medicare Cost report exceeds the 2018 Medicare costs generating a Medicare surplus to the organization of over $3.5 million. Alhtough there was s surplus in 2018, participation in the Medicare program should be considered community benefit because: - Non-negotiated Medicare rates are sometimes out-of-line with the true costs of treating Medicare patients.- By continuing to treat patients eligible for Medicare, hosptials alleviate the federal government's burden for directly providing medical services. The IRS recently acknowledged that lessening the government burden associated with providing Medicare benefits is a charitable purpose.- IRS Rev Ruling 69-545 states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. Part III, Line 9b: The organization's collection policy is as follows:This Section sets forth the billing and collection policies and procedures of Atlantic Health System and explains the actions that may be taken if a bill for medical care, including a bill for a remaining balanceafter financial assistance discounts are applied, is not paid. Collection agencies and attorneys acting on behalf of Atlantic Health System will be provided with a copy ofthis FAP.Each billing statement will include a conspicuous notice regarding the availability of financial assistance, along with a telephone number for the specific hospital facility's Financial Counseling Office where apatient can receive information about the FAP and assistance with the application for financial assistance.The billing statement will also include the website address where copies of the FAP, application for financial assistance, and PLS can be obtained.A. Notification period: Atlantic Health System will bill patients for any outstanding balance as soon as the patient balance is confirmed. For uninsured patients, the first post-discharge billing statement will mark the beginning of the 120 day notification period in which no extraordinary collection actions ("ECA") (defined below) may be initiated against the patient. For insured or underinsured patients, the first post-discharge billing statement reflecting processing by an insurer will mark the beginning of the l2}-day notiflrcation period in which no ECAs may be initiated against the patient (the "12O-day notification period").B. When a patient is delinquent in payment, a notice will be sent to the patient offering to discuss the billing statement to determine if financial assistance or a new or revised payment plan is needed.Atlantic Health System may accommodate patients who request and establish payment plans.C. When no payment has been received at the end of the 120-day notifrcation period and a patient has not applied for financial assistance or arranged with the hospital facility's Financial Counseling Office or the hospital facility's Customer Service Office for an alternate payment plan, the patient's account will be turned over to a collection agency. Atlantic Health System will inform the patient in writing that the patient's account will be turned over to a collection agency if no payment is received within l0 days (the "Final Notice"). The Final Notice will inform the patient that financial assistance is available for eligible patients and will include a telephone number for the specific hospital facility's Financial Counseling Office where a patient can receive information about the FAP and assistance with the financial assistance application process. The billing statement will also include the website address where copies of the FAP, application for financial assistance and PLS can be obtained.D. Atlantic Health System may authorize collection agencies and attorneys working on Atlantic Health System's behalf (a "Third Party") to initiate ECAs on delinquent patient accounts afterthe 120-day notification period, Once an account has been referred to a Third Party,the Third Party will confirm that reasonable efforts have been taken to determine whether a patient is eligible for financial assistance under the FAP and that the following actions have been taken prior to initiating an ECA:The patient has been provided with written notice (the "30-Day Letter") which:(a) indicates that financial assistance is available for eligible patients; (b) identifies the ECA(s) that the Third Party intends to initiate to obtain paymentfor the care; and (c) states a deadline after which such ECAs may be initiated(which deadline is no earlier than 30 days after date that notice is provided);The 30-Day Letter included a copy of a plain-language summary of the FAP;and Atlantic Health System and/or the Third Party have taken reasonable efforts to orally notify the patient about the FAP and how the patient may obtain assistance with the financial assistance application process.E. Once it has been confirmed that reasonable efforts have been taken to determine whether a patient is eligible for financial assistance under the FAP, Third Parties may initiate the following ECAs against a patient to obtain payment for care:Actions that require a legal or judicial process, including but not limited to:a. Placing a lien on a patient's property, except as otherwise provided inI.R.C. Section 501(r);b. Attaching or seizing a patient's bank account;c. Commencing a civil action against a patient;d. Causing apatient to be subject to a writ of body attachment;e. Garnishing a patient's wages.ECAs do not include liens on proceeds of personal injury judgments,settlements, or compromises, nor claims filed in bankruptcy.F. If an incomplete application for financial assistance is received, Atlantic Health System will provide the patient with written notice that describes the additional information or documentation required to make a FAP-eligibility determination. Atlantic Health System will inform Third Parties that anincomplete application for financial assistance was submitted and Third Parties will suspend any ECAs to obtain payment for care for a 30-day period.G. If a completed application for financial assistance is received, Atlantic Health System will ensure that the following will take place:1. ECAs against the patient will be suspended;2. An eligibility determination will be made and documented in a timely manner;3. Atlantic Health System will notify the patient in writing of the determination and the basis for the determination;4. An updated billing statement will be provided which will indicate the amount owed by the FAP-eligible patient (if applicable), how that amount was determined and the applicable AGB percentage;5. Any amounts paid in excess of the amount owed by the FAP-eligible patient will be refunded accordingly (if applicable); and6. Third Parties will take all reasonable available measures to reverse any ECAs taken against the patients to collect the debt such as vacating a judgment or lifting a levy or lien.H. If any of the hospital facilities make presumptive eligibility determinations the following is required:1. If a patient is presumptively determined to be eligible for less than the most generous assistance available under the FAP, then Atlantic Health System will:a. Notify the patient regarding the basis for the presumptive FAP-eligibilitydetermination and explain how to apply for more generous assistance;b. Give the patient a reasonable period of time to apply for more generousassistance before authorizing the initiation of ECAs to obtain thediscounted amount calculated;c. Re-determine the patient's FAP-eligibility status if a completed application for financial assistance is received. Part VI, Line 2: In addition to conducting a triennial CHNA, Atlantic Health utilizes multiple methods to consistently understand and respond to the health needs of the communities we serve. First, we consistently analyze utilization of our emergency departments and inpatient records to identify emerging health needs in the community. Second, we actively participate in community coalitions and engage with community partners from government agencies to faith communities, to understand the unique needs that their clients/participants are expressing. Finally, we actively monitor public health data to identify trends in our local community. We do this through our membership in the North Jersey Health Collaborative which developed the njhealthmatters.org web portal for the most up-to-date data on the health of our local populations. Part VI, Line 3: Per the Financial Assistance Policy (FAP)To ensure all patients receive essential emergency and other medically necessary health care services provided by Atlantic Health System, Inc.'s ("Atlantic Health System") hospital facilities regardless of their ability to pay. This policy shall apply to any Atlantic Health System hospital, including Morristown Medical Center, Overlook Medical Center, Chilton Medical Center, Newton Medical Center, and Atlantic Rehabilitation Institute, and any Atlantic Health System facility that isdesignated as provider-based pursuant to 42 C.F.R. 413.65.II. PolicyIt is the policy of Atlantic Health System to ensure all patients receive essential emergency and other medically necessary health care services provided by its hospital facilities regardless of apatient's ability to pay. Financial assistance is available through a variety of programs as described in Section IV below to those low-income, uninsured and underinsured patients who do not otherwise have the ability to pay all or part of their hospital bill. This policy shall apply to any Atlantic Health System hospital facility, as noted above, and any Atlantic Health System facility that is designated as provider-based pursuant to federal regulations governing provider-based status at 42 C.F .R. 413.65.Financial assistance and discounts are available only for emergency or other medically necessary health care services. Some services, including but not limited to, physician fees, anesthesiology fees, radiologyinterpretation and outpatient prescriptions are separate from hospital charges and may not be eligible for financial assistance through Atlantic Health System. A list of all providers, other than the hospital facilityitself, providing emergency or other medically necessary care in the hospital facility, by facility, specifying which providers are covered by this Financial Assistance Policy ("FAP") and which are not can be found at Appendix A to this FAP. The provider listings will be reviewed quarterly and updated if necessary.III.General:A. Atlantic Health System will render health care services, inpatient and outpatient, to all New Jersey residents who are in need of emergency or medically necessary care, regardless of the ability of the patient to pay for such services and regardless of whether and to what extent such patients may qualify for financial assistance pursuant to this FAP.B. Atlantic Health System will not engage in any actions that discourage individuals from seeking emergency medical care, such as by demanding that emergency departrnent patients pay before receiving treatment or by pennitting debt collection activities in the emergency department or other areas where such activities could interfere with the provision of emergency care on a non-discriminatory basis.C. Atlantic Health System's FAP, application for financial assistance and Plain Language Summary ("PLS") are all available on-line at the following website: www. atlantichealth.org/financialassistanceD. Atlantic Health System's FAP, application for financial assistance and PLS are available in English and in the primary language of populations with limited proficiency in English that constitute the lesser of 1,000 individuals or 5o/o of the community served by each hospital facility's primary service area. Translations of the FAP, application for financial assistance and PLS are available in the languages set forth on Appendix B to this FAP. Every effort will be made to ensure that the FAP, application for financial assistance and PLS are clearly communicated to patients whose primary languages are not included among the available translations.E. Paper copies of the FAP, application for financial assistance and PLS are available upon request by mail, without charge, and are provided in various areas throughout the hospital facilities including admissions departments, emergency departments, and financial counseling offices listed below. Applications for financial assistance can be submitted in person, by mail, by fax or by e-mail.Financial Counseling Offices :Morristown Medical Center: 100 Madison Avenue, Morristown, New Jersey 07960, Financial Counseling Office, Phone # 973-971-8964OverlookMedical Center: 99 Beauvoir Avenue, Summit, New Jersey 07901, Financial Counseling Office, Phone # 908-522-4689Chilton Medical Center: 97 West Parkway, Pompton Plains, New Jersey 07444, Financial Counseling Office, Phone # 973-831-5113Newton Medical Center: 175 High Street, Newton, New Jersey 07860, Financial Counseling Office, Phone # 973-579-8407Hackettstown Medical Center: 651 Willow Grove Street, Hackettstown, New Jersey 07840, Financial Counseling Office, Phone # 908-850-6902Atlantic Rehabilitation Institute 100 Madison Avenue, Morristown, New Jersey 07960, Financial Counseling Office, Phone # 973-971-8964.F. If patients need assistance obtaining paper copies of the FAP, application for financial assistance or PLS, or if they need other assistance, they can reach the Customer Service Department at1 -800-619-4024 or visit or contact the Financial Counseling Offices listed above.G. Signs or displays will be conspicuously posted in public hospital locations including admissions areas, emergency departments, and Financial Counseling Offices that notify and inform patients about the availability of financial assistance.H. The PLS will be offered to all patients as part of the intake processI. Atlantic Health System is committed to offering financial assistance to eligible patients who do not have the ability to pay for emergency and other medically necessary health care services in whole or in part. In order to accomplish this charitable goal, Atlantic Health System will widely publicize this FAP, the application for financial assistance and the PLS in the communities it serves through collaborations with local social service and non-profit agencies.J. Patients or their representatives may request financial assistance. Patients or their representatives may be referred to financial counselors by Atlantic Health System employees, referring physicians or others. Financial counselors will explain the requirements for the available financial assistance programs and will determine whether a patient is eligible for an available frnancial assistance program. Those patients requesting financial assistance will be required to complete the Atlantic Health System application for flrnancial assistance (including the certification pages) and to provide the supporting documentation set forth in the application in order to be considered for financial assistance. Translated materials and interpreters will be used, as required, to allow for meaningful communication with individuals who have limited English proficiency.K. An uninsured patient has up to 365 days after the first post-discharge billing statement to submit a completed application for financial assistance. An insured or underinsured patient has up to 365 days from the first post-discharge billing statement reflecting processing by an insurer to submit a completed application for financial assistance.IV. FinancialAssistancePrograms:Patients of Atlantic Health System may qualify for free or discounted care under the various programs described below. In each case, Atlantic Health System will be deemed to have provided financial assistance in an amount equal to the gross charges for services provided, net of amounts paid by the patient or the patient's insurer (if any) and any governmental reimbursement or payment for such services. Atlantic Health System will report such net amounts (subject to application of a cost-to-charge ratio, in cases where financial assistance is appropriately reported based on costs rather than charges) as financial assistance provided by the organization.A. New Jersey State Proqrams:1. Charity Care:2. Eligibilty For Discounted Care Under N.J.S.A 26:2H--12.523. Catastrophic Illness in Children Relief Fund Program4. New Jersey Victim of Crime Compensation OfficeB. Self PayC. Amounts Generally Billed Part VI, Line 4: Understanding Our Varied Communities and Their Health NeedsAtlantic Health System, covering northern New Jersey, reaches more than two million people across our region. The geographies and community members we serve represent the diversity that is characteristic of the Garden State. The "Atlantic Health System Community" stretches from roadside farm stands in Sussex County to the busy, urban streets of Union County; from quiet Pennsylvania towns nestled on the banks of the Delaware River, to suburbs with a view of the New York City skyline. Our community is ethnically and linguistically diverse as well, with over one third of our community speaking a language other than English at home. We embrace and celebrate this diversity and the fact that there is no "typical" town in our community.About Union CountyUnion County is located in New Jersey and is part of the New York metropolitan area. At the 2014 Census, its estimated population was 552,939 people in 188,118 households, making it the seventh-most populous county in the state. The median age is 38 (lower than the NJ average of 39.6), with 24.5% of the population under the age of 18 and 12.6% of the population ages 65 and older.Six out of 10 residents in Union County are White or Caucasian, with 30.9% of Hispanic/Latino, 5.3% Asian and 22.3% Black or African American. The median household income in Union County is $67,257 with an average income of $98,523. However, 8.76% of families live below the poverty line and 25% fall beneath the ALICE (asset-limited, income-constrained and employed) survival threshold.About Morris CountyLocated about 25 miles west of New York City, Morris County, NJ has a 2015 population of 502,174 residents in 185,005 households. The median age is 42.2 (higher than the NJ average of 39.6, with 21.83% of the population under the age of 18 and 15.68% of the population ages 65 and older. Eight out of 10 residents in Morris County are White or Caucasian, with 12.8% of Hispanic/Latino, 10.1% Asian and 3.4% Black or African American. The median household income in Morris County is $94,383 with an average income of $126,236. However, 3.38% of families live below the poverty line and 25% fall beneath the ALICE (asset-limited, income-constrained and employed) survival threshold.About Sussex CountySussex County is the northernmost county in the State of New Jersey. Its county seat is Newton. It is part of the New York City Metropolitan Area. As of the 2010 United States Census, the county had 149,265residents, an increase of 5,099 (3.5%) over the 144,166 persons enumerated in the 2000 Census, retaining its position as the 17th-most populous county among the state's 21 counties.African American residents of Sussex County account for 2.1% of the population, 7.5% are Hispanic/Latino, and 92.4% are Caucasian. The median household income in Sussex County is $87,300. However, income inequality is at 39.2% with 7% of the population living in poverty. Moreover, 23% fall beneath the ALICE (asset-limited, income-constrained and employed) survival threshold.About Passaic CountyPassaic County is the northernmost county in the State of New Jersey. Its county seat is Newton. It is part of the New York City Metropolitan Area. As of the 2010 United States Census, the county had 149,265 residents, an increase of 5,099 (3.5%) over the 144,166 persons enumerated in the 2000 Census, retaining its position as the 17th-most populous county among the state's 21 counties.African American residents of Passaic County account for 12.5% of the population, 40.4% are Hispanic/Latino, and 60.8% are Caucasian. The median household income in Passaic County is $61,292. However, income inequality is at 47% with 13.6% of the population living below the poverty level. Moreover, 18% fall beneath the ALICE (asset-limited, income-constrained and employed) survival threshold.About Hackettsown According to U.S. Census Bureau 2009-2013 estimates, the total population in the primary service area is 95,392 and 31,586 in the secondary service area, an increase of 7.3% and 4.7% respectively since 2000. The vast majority of residents in both service areas identify their race as White (primary service area: 80.4%; secondary service area: 89.5%), which indicates a less racial diversity. The median age in the secondary service area is 45.1, indicating an older population when compared to the primary service area (41.7), the state (39.1) and the nation (37.3).The racial breakdown of the service areas provides a foundation for primary language statistics. More than 80% of residents in both service areas speak English at home as their primary language. As shown in Figure 1, the percentage of the population who speak a language other than English is lower in the secondary service area when compared to the primary service area, the state, and the nation.Households are identified as either family households or non-family households. A higher percentage of households are family households (71.3%) in the secondary service area when compared to the primary service area (68.9%), the state (69.2%) and the nation (66.4%). In regard to marital status, residents ages 15 years and over in the secondary service area are more likely to be currently married and living together (58.9%) and less likely to be divorced or never married when compared to residents across the primary service area, New Jersey and the nation.The median home value in the primary service area is notably higher than the median value in the secondary service area, across the state and the national median value. The proportion of home owners spending more than 30% of their income on housing is lower in both of the service areas when compared to the state and the nation.The median income for households and families in the secondary service area is notably higher than that of the primary service area, the state and the nation (Median income for households: $96,541; Median income for families: $113,155).Residents in the primary and secondary service areas are less likely to live below the poverty level when compared to residents across New Jersey and the nation. For instance, in the primary and secondary service areas, approximately less than 6% of all people live below the poverty level compared to 10.4% in New Jersey and 15.4% in the nation.A lower percentage of households in the primary and secondary service areas received food stamp/SNAP benefits in the past 12 months (4.0% and 5.3% respectively) when compared to the state (7.8%) and the nation (12.4%). However, households in the secondary service area with one or more adults aged 60 years or older are by far more likely to receive food stamps (45.6%) when compared to their peers in the primary service area (25.0%), the state (31.4%) and the nation (26.0%).According to the U.S. Census estimates (2009-13), the unemployment rate in the secondary service area is 8.1% and 8.3% in the primary service area, and both rates are lower when compared to the state (10.1%) and the nation (9.7%). Of the residents who are employed, the majority work in management, business, science, and arts sectors and are private wage and salary workers.Education is an important social determinant of health. It is well documented that individuals who are less educated tend to have poorer health outcomes. High school graduation rates and educational attainment rates for higher education in the primary service area are substantially higher when compared to secondary service area, the state and nation. Approximately 93% of adults in the primary service area have a high school diploma or higher degree, while 40.6% have a bachelor's degree or higher. This is in comparison to the secondary service area (92.9%; 28.9%), New Jersey (88.0%; 35.8%) and the nation (85.9%; 28.8%). Part VI, Line 5: The 2018 Community Benefit Report which explains the description of community health promotion was attached to the filing of this Form 990 tax return. Refer to Schedule "O" for a listing of the Community Improvement Services and Community Benefit Operations provided by Atlantic Health System. Part VI, Line 6: Atlantic Health System strengthens communities by training New Jersey's future health care professionals. In 2018, Atlantic Health System trained 303 residents and fellows, 207 at Morristown Medical Center and 96 at Overlook Medical Center. AHS graduated 78 residents from various programs in June 2018. 36 of these graduates chose to pursue fellowship training. 17 stayed in the Atlantic Health System catchment area: of these, 4 stayed on as chief residents, 5 practiced in family medicine, 1 in internal medicine, 1 as a hospitalist (internal medicine), 1 in emergency medicine, 1 in primary care sports medicine, and 5 in AHS fellowships.Atlantic Health System provides third- and fourth-year medical students with clinical educational experiences:Atlantic Health System's major medical school affiliation is with The Sidney Kimmel College of Medicine at Thomas Jefferson University. The affiliation provides opportunities for student rotations, faculty teaching and appointments, and research and clinical collaborations. Atlantic Health System also maintains medical school affiliations with, New York-Presbyterian Hospital, St. George's University Medical School, Rutgers- New Jersey Medical School, Rowan- School of Osteopathic Medicine and Rutgers- Robert Wood Johnson Medical School. These affiliations have the added benefit of enabling Atlantic Health System to offer patients the opportunity to participate in the latest clinical trials and allowing us to provide even more advanced care.Atlantic Health System also hosts several allied health certificate programs: Emergency medical technicians were trained through the EMT basic course, EMT refresher course, ACLS/PALS course, and continuing education units in 2018. A number of critical services that benefit the community are located within Atlantic Health System organization, rather than at an individual medical center. They include protection and security services/emergency management, ambulance and helicopter service, research and clinical trials, library services, and efforts to provide a sustainable, green environment of care. Part VI, Line 7, Reports Filed With States NJ 1 AMERICAN CANCER SOCIETY 7 Ridgedale Road Cedar Knolls NJ 07927 131788491 501(c)(3) 40000 General Support AMERICAN HEART ASSOCIATION 122 east 42nd Street New York NY 10168 135613797 501(c)(3) 15000 General Support BOROUGH OF POMPTON LAKES 25 LENOX AVE POMPTON LAKES NJ 07442 226002227 501(c)(3) 7140 General Support BOROUGH OF LINCOLN PARK 34 CHAPEL HILL ROAD LINCOLN PARK NJ 07035 226002031 501(c)(3) 10000 General Support CENTER FOR PREVENTION AND COUNSELING 61 SPRING STREET 3RD FLOOR NEWTON NJ 07860 237387757 501(c)(3) 41322 General Support CETENARY UNIVERSITY 400 Jefferson Street-University Advancement Hackettstown NJ 07840 221500484 501(c)(3) 22400 General Support CHALLENGE DAY 2520 Stanwell Dr Concord CA 94520 943386810 501(c)(3) 49610 General Support COURT APPOINTED SPECIAL ADVOCATES 150 Boulevard - Suite 1 Washington NJ 07882 202625203 501(c)(3) 5121 General Support DOMESTIC ABUSESEXUAL ASSAULT CRISIS CENTER 29C Broad Street Washington NJ 07882 222357790 501(c)(3) 19978 General Support FAMILY PROMISE 71 Summit Avenue Summit NJ 07901 621591461 501(c)(3) 30000 General Support GODLEN RULE CRAFTSMAN CLUB 221 Oswald Pl Vauxhall NJ 07088 220384400 501(c)(3) 10000 General Support GOOD GRIEF 38 Elm Street Morristown NJ 07960 200514996 501(c)(3) 15000 General Support HOMELESS SOLUTIONS 3 Wing St - Ste 245 Cedar Knolls NJ 07927 222491675 501(c)(3) 20000 General Support HUNTERDON MEDICAL CENTER FOUNDATION 2100 Wescott Drive Flemington NJ 08822 223599504 501(c)(3) 70000 General Support KENILWORTH BOARD OF EDUCATION 426 Boulevard Kenilworth NJ 07033 226002562 501(c)(3) 10000 General Support MAYO PERFORMING ARTS CENTER 100 South Street Morristown NJ 07960 223348540 501(c)(3) 15000 General Support METROPOLITAN YMCA OF THE ORANGES 139 EAST MCCLELLAN AVE LIVINGSTON NJ 07039 221487387 501(c)(3) 10000 General Support MORRIS COUNTY ORGANIZATION FOR HISPANIC 95-97 Bassett Highway Dover NJ 07801 222137333 501(c)(3) 20000 General Support MORRISTOWN NEIGHBORHOOD HOUSE 12 Flagler Street Morristown NJ 07960 221487584 501(c)(3) 20000 General Support NJSIAA 1161 Route 130 North Robbinsville NJ 08691 210638152 501(c)(3) 10000 General Support NORTH JERSEY HEALTH COLLABORATIVE PO Box 150 Green Village NJ 07935 463715246 501(c)(3) 20000 General Support NORTHWEST NJ COMMUNITY ACTION PROGRAM 350 Marshall Street Philipsburg NJ 08865 221777156 501(c)(3) 10000 General Support OVERLOOK MEDICAL CENTER FOUNDATION 36 Upper Overlook Rd Summit NJ 07902 510194054 501(c)(3) 29100 General Support PARTNERSHIP FOR MATERNALCHILD HEALTH 50 Park Place - Suite 700 Newark NJ 07102 521815234 501(c)(3) 20000 General Support PASS IT ALONG 76 State Rt 15 - Unit 62 Lafayette NJ 07848 800018706 501(c)(3) 57050 General Support POMPTON LAKES COMMUNITY PARTNERSHIP 25 Lenox Ave Pompton Lakes NJ 07442 226002227 501(c)(3) 7140 General Support SALVATION ARMY 95 Spring Street Morrsitown NJ 07960 135562351 501(c)(3) 70757 General Support ST JOSEPHS HEALTH 703 Main St Paterson NJ 07503 222448138 501(c)(3) 7700 General Support TERESA SOTO VEGA 1126 DICKINSON St Elizabeth NJ 07201 222088378 501(c)(3) 10000 General Support United Way of Northern NJ 222 Ridgedale Avenue Cedar Knolls NJ 07927 221487247 501(c)(3) 6000 General Support WAYNE ALLIANCE FOR THE PREVENTIONSUBS ABUSE 475 VALLEY RD WAYNE NJ 07470 226002384 501(c)(3) 6000 General Support WAYNE HEALTH DEPARTMENT 475 Valley RD Wayne NJ 07470 226002384 501(c)(3) 18407 General Support WEST MILFORD HELATH DEPARTMENT 1480 Union Valley Rd West Milford NJ 07480 266002392 501(c)(3) 10000 General Support LEUKEMIA & LYMPHOMA SOCIETY 14 COMMERCE DRIVE SUITE 301 CRANFORD NJ 07016 135644916 501(c)(3) 15000 General Support LIBERTY SCIENCE CENTER 222 JERSEY CITY BOULEVARD JERSEY CITY NJ 073054600 222302253 501(c)(3) 150000 General Support CHILTON MEDICAL CENTER FOUNDATION 97 WEST PARKWAY POMPTON PLAINS NJ 07444 222883605 501(c)(3) 58800 General Support Womens Association of Morristown Medical Center 100 Madison Avenue Morristown NJ 07962 223392808 501(c)(3) 53050 General Support 37 0 Schedule I - Part I, Line #2 The organization uses due diligence for reviewing and selecting grant recipients and is comfortable that the grants are used for their intended purpose. All assistance and grants are reviewed and approved by senior management via the accounts payable cycle. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 Alan Meltzer MD PAMG-Trustee 199153 0 0 0 30021 0 25026 0 14256 0 268456 0 0 0 Brenda Matti-Orozco MD PAMG-Trustee 295577 0 0 0 33455 0 8150 0 17065 0 354247 0 0 0 Brian Gragnolati President & CEO 1540105 0 918600 0 133162 0 397837 0 14256 0 3003960 0 0 0 David Ferguson Trustee-Atlantic Ambulance 0 221314 0 36033 0 0 0 10575 0 5375 0 273297 0 0 Federico Cerrone MD PAMG-Trustee 469496 0 21385 0 82371 0 8150 0 16662 0 598064 0 0 0 Joseph Cirello MD PAMG-Trustee 210237 0 0 0 130745 0 11000 0 19393 0 371375 0 0 0 Katharine Driebe VP - Finance 384445 0 158266 0 6390 0 74728 0 19393 0 643222 0 0 0 Kevin Lenahan SVP-CFO & Admin Officer 845036 0 397756 0 29284 0 228624 0 17065 0 1517765 0 0 0 Navpreet Minhas Physician 228511 0 0 0 93427 0 6936 0 19393 0 348267 0 0 0 Peter Bolo MD PAMG-Trustee 423223 0 70111 0 2571 0 24750 0 17065 0 537720 0 0 0 Seth Stoller PAMG-Trustee 370042 0 0 0 98313 0 8150 0 19393 0 495898 0 0 0 Sheilah O'Halloran VP-Ass't Gen Council 464707 0 187450 0 59066 0 96216 0 14256 0 821695 0 0 0 Steve A MaserMD-Termed 122118 Trustee-AHS 468197 0 0 0 29039 0 0 0 13294 0 510530 0 0 0 Thomas Zaubler MD PAMG-Trustee 379403 0 62183 0 1765 0 24750 0 18376 0 486477 0 0 0 Walter Rosenfeld PAMG-Trustee 616515 0 100138 0 12246 0 35750 0 14256 0 778905 0 0 0 Alan Lieber President - OMC 558645 0 265700 0 288362 0 24750 0 14256 0 1151713 0 0 0 Amy Perry SVP - Delivery & CEO Hosp. Div. 914533 0 443683 0 64515 0 173439 0 19393 0 1615563 0 0 0 Christopher Zipp MD PAMG-Trustee 423067 0 71732 0 1944 0 16500 0 17065 0 530308 0 0 0 Christopher Herzog PAMG- CFO & Treasurer 312120 0 47928 0 420 0 2458 0 19393 0 382319 0 0 0 Greg Mulford MD PAMG Physician 482504 0 79047 0 11502 0 8250 0 19393 0 600696 0 0 0 Jan Schwartz-Miller SVP-Chief Medical & Academ 652075 0 285672 0 678157 0 35750 0 14256 0 1665910 0 0 0 Joseph Di Paolo President - NMC 520160 0 205543 0 22792 0 115139 0 14627 0 878261 0 0 0 Joseph Wilkins-Termed 62218 SVP-Chief Trans Officer 258501 0 202596 0 304495 0 0 0 7159 0 772751 0 0 0 Karen Flaherty-Oxler SVP-Chief Nursing - Termed 7/2/18 283320 0 160599 0 281041 0 0 0 394 0 725354 0 70697 0 Linda Gilligan PAMG-COO & Secretary 449239 0 162557 0 94755 0 66187 0 14319 0 787057 0 48305 0 Nichell Sumpter SVP-Chief HR Officer 462522 0 197708 0 31753 0 87163 0 13223 0 792369 0 0 0 Patricia O'Keefe President-MMC 572305 0 244200 0 41751 0 139476 0 14256 0 1011988 0 0 0 Stephanie Schwartz President CMC 482596 0 196790 0 35352 0 94600 0 19393 0 828731 0 0 0 Steven Sheris MD SVP-Physician Enterprise 713194 0 309143 0 44750 0 138271 0 19393 0 1224751 0 0 0 Eric Whitman Physician 701307 0 94147 0 60471 0 24750 0 17065 0 897740 0 0 0 James Wittig Chairman 871275 0 0 0 223 0 0 0 2150 0 873648 0 0 0 John Halperin Director - MD 616062 0 100113 0 11190 0 24750 0 14256 0 766371 0 0 0 Daniel Tobias Physician 658219 0 0 0 284457 0 19250 0 19393 0 981319 0 0 0 Mark Widmann Physician 896338 0 0 0 111656 0 8150 0 15402 0 1031546 0 0 0 Paul Starker Chairman-Dept of Surgery 964679 0 75228 0 3537 0 24750 0 13642 0 1081836 0 0 0 Rolando Rolandelli Chairman-Dep of Surgery 752136 0 119515 0 76623 0 24750 0 14256 0 987280 0 0 0 Yaser Daramna Physician 240824 0 0 0 749600 0 5715 0 17244 0 1013383 0 0 0 Jason Coe-Termed 33117 Former-Pres HMC 0 0 0 0 256157 0 0 0 0 0 256157 0 0 0 Kimberly Simensen-Term 12717 Former-SVP-Sys & Network Planning 0 0 179465 0 466895 0 0 0 0 0 646360 0 0 0 Part I, Line 1a The organization pays for and/or provides life insurance premiums and long term disability premiums and executive health phsycial examinations for certain officers, directors and key employees. Such payments made on behalf of these individuals are generally grossed up and inputed and included as taxable compensation in their respective W-2's. The organization provided the following individual with an Executive Physical Exam during 2018 with the following estimated value: Amy Perry $8,500 The organization provided the following individuals with additional Basic Long Term Disability, Supplemental Long Term Disability, Life Insurance and Long Term Care. The value of these premiums indicated below were included in each of the individual's 2018 W-2 as taxable compensation. Joseph DiPaolo $19,720 Katharine Driebe 1,342 Karen Flaherty-Oxler 39,529 Brian Gragnolati 76,244 Kevin Lenahan 21,586 Alan Lieber 20,929 Sheilah O'Halloran 39,940 Patricia O'Keefe 38,779 Amy Perry 41,756 Stephanie Schwartz 22,957 Jan Schwarz Miller 28,170 Steven Sheris 35,676 Nichell Sumpter 15,039 Joseph Wilkins 33,600 Linda Gilligan 37,315 Part I, Lines 4a-b The organization provides a supplemental non-qualified retirement plan (457f plan) known as the Mid Career Hire Plan (MCHP) for officers. During 2018, the following officers received vested distributions in the non-qualified retirement plan. Such distributions were included in Box 1 of their respective W-2's: - Alan Lieber $230,331 - Jan Schwarz-Miller 639,334 2018 Mid Career Hire Plan Earned Credits The following Officer/trustee earned credits in the non-qualified retirement plan-457(f) plan known as the Mid-Career Hire Plan (MCHP): - Kevin Lenahan $203,874 The above amount represents earned credits which have not vested and were not included in the respective 2018 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 2018 IRS 990 tax return per IRS guidance. Once the officer meets the applicable vesting criteria of the plan, the MCHP credits will be included as taxable compensation in their respective W-2's of that year. 2018 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 2018, the following Officers (Executives) received SERP credits: Brian Gragnolati Steven Sheris, MD Katharine Driebe Sheilah O'Halloran Patricia O'Keefe Joseph Di Paolo Nichelle Sumpter Stephanie Schwartz Amy Perry Linda Gilligan The above amounts represent earned credits which have not vested and were not included in their respective 2018 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 2018 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 W-2's of that year. Jason Coe - Summary of Separation Agreement Effective as of March 31, 2017 (the Separation Date), Mr. Coe's employment with Atlantic Health was terminated. The terms of the agreement are as follows: Atlantic Health will pay Mr. Coe $12,689.66 bi-weekly by way of regular payroll check on Atlantic Health's regular pay day for 78 weeks until employee receives the total sum of $494,896.71. Mr.Coe received $253,793 in severance pay during 2018. Kimberly Simensen - Summary of Separation Agreement: Effective as of December 2, 2017 (the Separation Date), Ms. Simensen's employment with Atlantic Health was terminated. The terms of the agreement are as follows: Atlantic Health will pay Ms. Simensen $17,827.12 bi-weekly by way of regular payroll check on Atlantic Health's regular pay day after December 10, 2017 for 52 weeks until employee receives the total sum of $463,505. Ms. Simensen received $445,678 in severance pay during 2018. Joseph Wilkins-Summary of Separation Agreement: Effective as of June 22, 2018 (the Separation Date), Mr. Wilkin's employment with Atlantic Health was terminated. The terms of the agreement are as follows: Atlantic Health will pay Mr. Wilkins $19,615.39 bi-weekly by way of regular payroll check for 52 weeks until employee receives the total sum of $510,000. Mr. Wilkins received $255,000 in severance pay during 2018. Karen Flaherty-Oxler -Summary of Separation Agreement: Effective as of July 21, 2018 (the Separation Date), Ms. Flaherty-Oxler's employment with Atlantic Health was terminated. The terms of the agreement are as follows: Atlantic Health will pay Ms. Flaherty-Oxler $16,731 bi-weekly by way of regular payroll check for 52 weeks until employee receives the total sum of $435,006. Ms. Flaherty-Oxler received $167,310 in severance pay during 2018. Part I, Line 7 An annual incentive plan exists for the senior management team. The incentive plan distributes bonuses to the senior management team based on performance results on various performance measurements. The performance measurements include: operating gain/loss expense per adjusted admission patient satisfaction scores inpatient and outpatient volumes employee engagement scores quality and safety results. The above performance measures have the following three specific performance goals in order to determine any incentive award: Threshold Target Maximum A NJ Healthcare Facilities Series 2008B 221987084 64579FWP4 2008-05-14 88555000 To redeem revenue bonds 0 0 0 B NJ Healthcare Facilities Series 2008C 221987084 64579FWQ2 2008-05-14 88555000 To redeem revenue bonds 0 0 0 C NJ Healthcare Facilities Series 2008A 221987084 64579FWL3 2008-05-14 181712419 To redeem revenue bonds 0 0 0 D NJ Healthcare Facilities Series 2011 221987084 64579FN82 2011-05-17 129969619 To redeem revenue bonds and payment for cap exp 0 0 0 A 88555000 249371 510043 65914 87729672 2008 1 0 1 1 B 88555000 249371 510043 65914 87729672 2008 1 0 1 1 C 177247419 177110000 498743 1329584 175281674 2008 1 0 1 1 D 127749619 130545000 769370 1970739 106458053 127804891 2012 1 0 1 1 A 0 1 0 0 0.00950 0.00950 0 0 1 B 0 1 0 0 0.00950 0.00950 0 0 1 C 0 1 0 0 0.00950 0.00950 0 0 1 D 0 1 0 0 0.00950 0.00950 0 0 1 A 0 0 0 0 1 0 NA 0 0 0 NA 0 0 1 B 0 0 0 0 1 0 NA 0 0 0 NA 0 0 1 C 0 0 0 1 0 0 NA 0 0 0 NA 0 0 1 D 0 0 0 1 0 0 NA 0 0 0 NA 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: NJ Healthcare Facilities Series 2008A Date the Rebate Computation was Performed: 05/17/2018 Issuer Name: NJ Healthcare Facilities Series 2011 Date the Rebate Computation was Performed: 06/21/2016 Schedule K, Part II, Proceeds - Line 3 Series 2011 - Issue Price and Total Proceeds of Issuance Total Proceeds per Bond Issuance $130,545,000 Net Original Discount (575,381) Total Issue Price per Form 8038, Line 21(b) $129,969,619 Schedule K, Part II, Proceeds - Line 3 Series 2008A - Issue Price and Total Proceeds of Issuance Total Proceeds per Bond Issuance $177,110,000 Original Issue Premium on Series 2008A Bonds 4,602,419 Total Issue Price per Form 8038, Line 21(b) $181,712,419 Schedule K, Part II, Proceeds - Line 3 Series 2016 - Issue Price and Total Proceeds of Issuance Total Proceeds per Bond Issuance $224,800,000 Original Issue Premium on Series 2016 Bonds 27,586,641 Total Issue Price per Form 8038, Line 21(b) $252,386,641 A NJ Healthcare Facilities Series 2016 221987084 645790FA9 2016-10-06 252386641 To redeem revenue bonds 0 0 0 A 17331263 224800000 9347651 1782471 213669878 2016 0 1 1 1 A 0 1 0 0 0.00950 0.00950 0 0 1 A 0 1 0 0 0 0 NA 0 0 0 NA 0 0 1 A 1 Elizabeth Lenahan Refer to below. 43184 Performance. Elizabeth Lenahan is the mother of Kevin Lenahan (Trustee and Officer). The organization compensated Elizabeth Lenahan $43,184 during 2018. Transaction is considered to be negotiated at arms-length. 0 Medemerge Refer to below 9859582 John Pilla (Board Member - Trustee-PAMG) is a 68% owner physician partner at Medemerge. The organization paid Medemerge $9,859,582 during 2018 via 1099 payments for expenses and Physician RVUs. Medemerge is an AMG/PAMG physician practice which is a subordinate in this Group IRS 990. Transaction is considered to be negotiated at arms-length. 0 Michael Lieber Refer to below 72772 Performance. Michael Lieber is the son of Alan Lieber (Officer-AHS). The organization compensated Michael Lieber $72,772 during 2018 via W-2 payments. Transaction is considered to be negotiated at arms-length. 0 Ellen Carbone Refer to below 28639 Performance. Ellem Carbone is the sister of Alan Lieber (Officer-AHS). The organization compensated Ellen Carbone $28,639 during 2018 via W-2 payments. Transaction is considered to be negotiated at arms-length. 0 Form 990, Part VI, Section A, line 1 The Organization's Group 990 tax return consists of the following exempt organizations comprising of a total of 31 voting trustees: 1. AHS Hospital Corp. This organization primarily consists of major health care programs for five hospitals and its supporting administrative functions. It comprises the majority of Atlantic Health Care System's resources in terms of operational, financial and management decision making. Thirteen (13) of the fourteen (14) voting trustees are deemed to be independent in conjunction with IRS guidance. 2. Atlantic Ambulance This organization is comprised primarily of ambulance transportation for emergency medical services. Due to the rather small operations, four (4) of its (5) voting trustees represent management employees from an affiliated organization (AHS Hospital Corp). As a result, one (1) of the five (5) trustees are deemed to be independent. 3. Practice Associates Medical Group This organization consists of a physician group providing physician programs. Eleven (11) out of the twelve (12) voting trustees are physicians and are generally affiliated with Atlantic Health System, Inc. either through employment or by practice leasing agreements. As a result, one (1) of the twelve (12) voting trustees are deemed to be independent. 4. Hackettstown Community Hospital - Due to 4/1/16 merger with Atlantic Health System, trustees consist of those from Atlantic Health System at 12/31/18. 5. Hackettstown Regional Medical Center Emergency Medical Services, Inc - Due to 4/1/16 merger with Atlantic Health System, trustees consist of those from Atlantic Health System at 12/31/17. 6. Medical Center Partners, Inc. - Due to 4/1/16 merger with Atlantic Health System, trustees consist of those from Atlantic Health System at 12/31/18. Form 990, Part VI, Section A, line 6 As per the by-laws, each of the entities has one "member", that being Atlantic Health System, Inc. There are no other members or classes of membership whatsoever as indicated in the by-laws. Form 990, Part VI, Section A, line 7a Atlantic Health System, Inc. is the only "member" which wholly owns each of the entities. As a result, Atlantic Health System, Inc. may elect the members of the governing bodies for each of the entities. Form 990, Part VI, Section A, line 7b Atlantic Health System, Inc. is the only "member" which wholly owns each of the entities. As a result, Atlantic Health System, Inc. approves the decisions of the governing bodies. Form 990, Part VI, Section B, line 11b The 2018 IRS 990 was distributed to Senior Management and the Board of Trustees for their review. Any comments were addressed accordingly. Form 990, Part VI, Section B, line 12c We require disclosure of potential conflicts. This policy governs all personnel at Atlantic, including Board Members. Additionally, the Board Committee members must fill out annual disclosures with specific questions regarding potential conflicts. For potential conflicts involving employees, conflicts involving business relationships require prior disclosure and approval by the Compliance Officer (General Counsel). Conflicts involving Board members require approval from the Compliance Officer and the head of the Audit Committee, who may refer those conflicts to the Compliance Committee of the Board. Restrictions are fact-dependent, but may include recusal from deliberations regarding subject matter affected by the conflict. Form 990, Part VI, Section B, line 15 A review of officer compensation by an independent 3rd party (Sullivan Cotter)is completed every year. The most recent survey was conducted in 2019. Officers reviewed include President and Chief Executive Officer ; SVP, Integrated Service Delivery & CEO, Hospital Division SVP, Chief Financial Officer & Chief Administrative Officer SVP, Physician Enterprise SVP, Chief Medical Officer & Chief Academic Officer SVP, Chief Human Resources Officer President, OMC President, MMC President, Western Region President CMC VP, Information Technology VP, Clinical and Business Intelligence SVP, General Counsel VP AHS, President ACO VP, COO Atlantic Medical Group VP, Ambulatory & Post Acute Care VP, Coordinated Care Transitions VP, Insurance Networks VP, Physician Enterprise Strategy VP, Compliance, Privacy & Audit VP, Finance VP, Revenue Cycle VP, Facilities Management and Real Estate VP, Government Affairs VP, Network Planning & Development VP, Integrated Care VP, Marketing & Communications On behalf of Atlantic Health, Sullivan Cotter conducts an annual total compensation survey based on appropriate comparability data for like positions in like organizations. The results of the survey are presented to the Executive Committee of the board which documents the findings and recommendations in committee minutes. Compensation for key physicians is determined by soliciting salary data from published sources. These salary recommendations are then approved by the Executive Committee of the board. Form 990, Part VI, Section C, line 18 Currently each site of the organization retains copies of the filed IRS 990 for the last three years and IRS Form 1023 with the most senior management's assistant. Public disclosure of these IRS 990's can be made at any time at each of the organization's sites. In addition, the 990 is posted on the website "www.foundationcenter.org and "guidestar.org". Form 990, Part VI, Section C, line 19 The organization does not currently make it's financial statements open to public disclosure but the statement of financial position is available by accessing the Form 990. The governing documents and conflict of interest polices are not currently made available to the public. Form 990, Part XI, line 9: Government grants used for capital purchases 43,643. Change in funded status of benefit plans -21,615,850. Contributions - Temp Restricted Net Assets 37,357,686. Atlantic Health System Inc 475 South Street Morristown NJ 07960 223380375 Human Health through AHS Hospital Corp NJ 501(c)(3) Line 12, I N/A 0 Foundation for Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising for Morristown Medical Center. NJ 501(c)(3) 7 Atlantic Health System 1 Newton Medical Center Foundation 175 High Street Newton NJ 07860 222618102 Administers donations, grants and bequests and performs fundraising NJ 501(c)(3) Line 7 Atlantic Health System 1 Prime Care Inc 175 High Street Newton NJ 07860 222759566 Provides home health and other healthcare services NJ 501(c)(3) Line 11 Atlantic Health System 1 North Jersey Health Care Properties Inc 175 High Street Newton NJ 07860 223519709 Own commercial buildings and conducts leasing activities NJ 501(c)(2) Atlantic Health System 1 Chilton Memorial Corporation 97 West Parkway Pompton Plains NJ 07444 222719339 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 7 Atlantic Health System 1 Chilton Medical Center Foundation Inc 97 West Parkway Pompton Plains NJ 07444 223084817 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 7 Atlantic Health System 1 Chilton Medical Center Auxilliary Inc 97 West Parkway Pompton Plains NJ 07444 222883605 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 12b, II Atlantic Health System 1 Chilton Realty Holding Inc 97 West Parkway Pompton Plains NJ 07444 223067739 Real estate and leasing activities for benefit of exempt organization. NJ 501(c)(2) Atlantic Health System 1 Foundation for Hackettstown Medical Center 651 Willow Grove Street Hackettstown NJ 07840 222333410 Fundraising for Hackettstown Medical Center. NJ 501(c)(3) Line 7 Atlantic Health System 1 Morris Photopheresis 100 Madison Avenue Morristown NJ 07960 223314012 Healthcare Research NJ 0 0 Affiliated Collection Services LLC 17 Prospect Street Morristown NJ 07960 270555659 Collection Services NJ 0 0 Morristown Medical Investors 200 American Road Morris Plains NJ 07950 650840535 Real Estate NJ 0 0 Primary Care Partners LLC 475 South Street Morristown NJ 07960 274980253 Physician Services NJ 0 0 Atlantic Rehabilitation Institute LLC 680 South Fourth Street Louisville KY 40202 814711074 Rehabilitation Facility KY 0 0 Atlantic Health Management Corp and Subsidiaries 200 American Road Morris Plains NJ 07950 223538027 Healthcare Related Services NJ C 0 AHS Insurance Company Ltd 200 American Road Morris Plains Grand Cayman CJ 07950 223380375 Insurance NJ C 0 Nutley Medical Care PA 100 Madison Ave Morristown NJ 07960 223645010 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Non-Invasive Diagnostics PA 100 Madison Ave Morristown NJ 07960 202027439 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Speciality Care of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376428 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Maternal Fetal Medicine of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376421 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Madison Pediatrics PA 100 Madison Ave Morris Plains NJ 07960 223645007 Healthcare NJ Atlantic Health System Inc C 1.00000 1 AHS ACO LLC 475 South Street Morristown NJ 07960 273800813 Physician Practice NJ C 0 The Northwest New Jersey MedicalSurgical Alliance PC 175 High Street Newton NJ 07860 450577942 Healthcare Services NJ C 0 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ C 0 Chilton Community Care Inc and Subs 97 West Parkway Pompton Plains NJ 07444 222869148 Healthcare NJ C 0 Chilton Medical Group 97 West Parkway Pompton Plains NJ 07444 383769436 Healthcare NJ C 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 At Home Medical P 329118 Actual amount of transacation. At Home Medical P 231225 Actual amount of transacation. Atlantic Private Care Services (APCS) O 72908 Actual amount of transacation. Morristown Medical Investors (MMI) K 5295535 Actual amount of transacation. AHS Investment Corp K 1315355 Actual amount of transacation. AHS Investment Corp K 107138 Actual amount of transacation. AHS Investment Corp K 198320 Actual amount of transacation. AHS Investment Corp K 296500 Actual amount of transacation. AHS Investment Corp K 123083 Actual amount of transacation. AHS Investment Corp K 441103 Actual amount of transacation. AHS Investment Corp K 419197 Actual amount of transacation. AHS Investment Corp K 264628 Actual amount of transacation. AHS Investment Corp K 494613 Actual amount of transacation. AHS Investment Corp K 1432205 Actual amount of transacation. AHS Investment Corp K 2735300 Actual amount of transacation. AHS Investment Corp Q 358606 Actual amount of transacation. AHS Investment Corp S 1086850 Actual amount of transacation. AHS Investment Corp Q 89028 Actual amount of transacation. AHS Investment Corp Q 137533 Actual amount of transacation. AHS Investment Corp Q 2364171 Actual amount of transacation. AHS Investment Corp Q 1682573 Actual amount of transacation. AHS Investment Corp Q 737713 Actual amount of transacation. AHS Investment Corp S 206378 Actual amount of transacation. AHS Investment Corp Q 195000 Actual amount of transacation. AHS Investment Corp Q 302726 Actual amount of transacation. AHS Investment Corp Q 104282 Actual amount of transacation. Eagle Ambulance Q 914676 Actual amount of transacation. Primary Care Partners (PCP) Q 215886 Actual amount of transacation. Primary Care Partners (PCP) Q 3428285 Actual amount of transacation. Atlantic Health System (Parent) S 4032112 Actual amount of transacation. Atlantic Health System (Parent) S 13408026 Actual amount of transacation. Overlook Foundation C 2027041 Actual amount of transacation. Foundation For Morristown Medical Center C 7493060 Actual amount of transacation. Newton Medical Center Foundation C 362443 Actual amount of transacation. Overlook Foundation P 1764115 Actual amount of transacation. Atlantic Ambulance Q 21791763 Actual amount of transacation. AHS ACO LLC Q 0 Actual amount of transacation. Chilton Medical Center Foundation Inc C 1768472 Actual amount of transacation. Chilton Medical Center Foundation Inc Q 631451 Actual amount of transacation. Newton Medical Center Foundation Q 723576 Actual amount of transacation. Foundation For Morristown Medical Center Q 392999 Actual amount of transacation. Foundation For Morristown Medical Center P 378347 Actual amount of transacation. Foundation For Morristown Medical Center C 13487781 Actual amount of transacation. Foundation For Morristown Medical Center C 22730794 Actual amount of transacation.