PRIME CARE INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PRIME CARE INC (EIN 22-2759566)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201823189349303102
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T10:04:52-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 North Tyron Street Suite 3800 | AddressLine1Txt |
| City | Charlotte | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222759566 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIME CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRIM | BusinessNameControlTxt |
| Phone | 9734512005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kevin Lenahan | PersonNm |
| Person Title | SVP-CFO & Admin Officer | PersonTitleTxt |
| Phone | 9736603166 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Christopher B Boggs | PreparerPersonNm |
| PTIN | P00032493 | PTIN |
| Phone | 7043726300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 165.225.39.54 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 10:04:44 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 14408212A635E8F42A904D17529EDD5146E6480F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1E2706C375E039EB00F36CED9FDCA9AB677DCF8F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kevin Lenahan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $155,381 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nmhnj.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | Provide home health and other health care services to the surrounding communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $62 | CYInvestmentIncomeAmt |
| PY Other Revenue | $168,347 | PYOtherRevenueAmt |
| CY Other Revenue | $155,319 | CYOtherRevenueAmt |
| PY Total Revenue | $168,347 | PYTotalRevenueAmt |
| CY Total Revenue | $155,381 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $0 | PYOtherExpensesAmt |
| CY Other Expenses | $0 | CYOtherExpensesAmt |
| PY Total Expenses | $0 | PYTotalExpensesAmt |
| CY Total Expenses | $0 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $168,347 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $155,381 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,495,008 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,650,389 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $925,328 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $925,328 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $569,680 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $725,061 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Prime Care, Inc. was organized to provide Home Health and Other Health Care Services to residents of Sussex County, New Jersey and surrounding communities. It was transferred to AHS Hospital Corp. effective January 1, 2012. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | Prime Care, Inc. is a not for profit organization that operated a Medicare certified home health agency and provided various wellness, health education, and other health promotion services. The home health agency was transferred to the AHS Hospital Corp. effective January 1, 2012. A minority investment in the Sparta Cancer Center is the only current activity of Prime Care, Inc. | Desc |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ken Butkowski | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9734512005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Kevin Lenahan | |||||||
| President | 2.00 | 55.00 | Yes (X) | Yes (X) | $0 | $1,203,458 | $239,390 |
| David Rikkola | |||||||
| Treasurer | 2.00 | 55.00 | Yes (X) | Yes (X) | $0 | $429,428 | $24,327 |
| Sheilah O'Halloran | |||||||
| Secretary | 2.00 | 55.00 | Yes (X) | Yes (X) | $0 | $684,103 | $99,559 |
| David Ferguson | |||||||
| Director | 2.00 | 55.00 | Yes (X) | Yes (X) | $0 | $218,735 | $67,102 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,535,724 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $430,378 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62 | TotalRevenueColumnAmt |
| Exclusion | $62 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Sparta Cancer Ctr, LLC | Desc |
| Total Revenue Column | $155,319 | TotalRevenueColumnAmt |
| Exclusion | $155,319 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $155,319 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $155,381 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $155,381 | ExclusionAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,865 | BOYAmt |
| EOY | $201,927 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,091,223 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $125,569 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $965,654 | BOYAmt |
| EOY | $965,654 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,571 | BOYAmt |
| EOY | $481,890 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $918 | BOYAmt |
| EOY | $918 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,495,008 | BOYAmt |
| EOY | $1,650,389 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $925,328 | BOYAmt |
| EOY | $925,328 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $925,328 | BOYAmt |
| EOY | $925,328 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,680 | BOYAmt |
| EOY | $725,061 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,680 | BOYAmt |
| EOY | $725,061 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,495,008 | BOYAmt |
| EOY | $1,650,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $155,381 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $80 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $62 | CurrentTaxYearAmt |
| Total | $310 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $80 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $62 | CurrentTaxYearAmt |
| Total | $310 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $80 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $62 | CurrentTaxYearAmt |
| Total | $310 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99790 | PublicSupportPY509Pct |
| Investment Income CY | 1.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00210 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests PY509 | Yes (X) | ThirtyThrPctSuprtTestsPY509Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,074,077 | BeginningYearBalanceAmt |
| Contributions | $76,694 | ContributionsAmt |
| Investment Earnings Or Losses | $276,664 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $26,348 | OtherExpendituresAmt |
| End Year Balance | $2,401,087 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $861,632 | BeginningYearBalanceAmt |
| Contributions | $1,081,922 | ContributionsAmt |
| Investment Earnings Or Losses | $136,523 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,000 | OtherExpendituresAmt |
| End Year Balance | $2,074,077 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $811,184 | BeginningYearBalanceAmt |
| Contributions | $71,136 | ContributionsAmt |
| Other Expenditures | $20,688 | OtherExpendituresAmt |
| End Year Balance | $861,632 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $817,932 | BeginningYearBalanceAmt |
| Contributions | $407 | ContributionsAmt |
| Investment Earnings Or Losses | $36,965 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $44,120 | OtherExpendituresAmt |
| End Year Balance | $811,184 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $679,732 | BeginningYearBalanceAmt |
| Contributions | $97,618 | ContributionsAmt |
| Investment Earnings Or Losses | $74,679 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $34,097 | OtherExpendituresAmt |
| End Year Balance | $817,932 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,500 | OtherCostOrOtherBasisAmt |
| Book Value | $77,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $910,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,398 | DepreciationAmt |
| Book Value | $888,154 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,670 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $100,501 | OtherCostOrOtherBasisAmt |
| Depreciation | $100,501 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $965,654 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in Sparta Cancer Ctr | Desc |
| Book Value | $481,890 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $481,890 | TotalBookValueSecuritiesAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | The endowment funds represent permanently restricted net assets that have been restricted by donors to be maintained by Atlantic Health System, Inc. in perpetuity. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kevin Lenahan | ||||||||||||||
| President | $0 | $821,671 | $0 | $346,600 | $0 | $35,187 | $0 | $223,163 | $0 | $16,227 | $0 | $1,442,848 | $0 | $0 |
| David Rikkola | ||||||||||||||
| Treasurer | $0 | $362,228 | $0 | $66,700 | $0 | $500 | $0 | $8,100 | $0 | $16,227 | $0 | $453,755 | $0 | $0 |
| Sheilah O'Halloran | ||||||||||||||
| Secretary | $0 | $460,149 | $0 | $180,400 | $0 | $43,554 | $0 | $87,611 | $0 | $11,948 | $0 | $783,662 | $0 | $0 |
| David Ferguson | ||||||||||||||
| Director | $0 | $182,350 | $0 | $34,225 | $0 | $2,160 | $0 | $45,395 | $0 | $21,707 | $0 | $285,837 | $0 | $34,225 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The 2017 Form 990 filings for Prime Care, Inc. were prepared by the Finance Department and reviewed and signed by Ernst & Young LLP. The completed filings were reviewed by Prime Care Inc.'s Chief Executive Officer and Chief Financial Officer. Subsequently, they were presented the audit committee for review. All board members were invited to the audit committee to take part in the detailed review. Upon finalization of the Form 990, all board members were provided a copy for their files. Form 990 is filed with the Internal Revenue Service after this review process is complete. |
| Form 990, Part VI, Section B, line 12c | Each "Interested Person" of Prime Care, Inc. shall annually sign the Prime Care, Inc. conflict of interest disclosure statement which affirms the such person: A. Has received a copy of the conflict of interest policy or the Prime Care, Inc. bylaws, B. Has read and understands the policy, C. Has agreed to comply with the policy, and D. Understands that Prime Care, Inc. is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes under Section 501(c)(3) or 501(c)(4) of the Internal Revenue Code. On the conflict of interest disclosure statement, all "interested persons" must detail all existing or potential conflicts of interest and file the form with the Chief Compliance Officer annually. Interim disclosures shall also be required as conflicts develop subsequent to the annual disclosures. To ensure that Prime Care, Inc. operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted by the Chief Compliance Officer. The periodic reviews shall, at a minimum, include the following subjects: A. Whether compensation arrangements and benefits are reasonable and are the results of appropriate negotiations. B. Whether physician recruitment practices and other provider services result in inurement of impermissible private benefit. C. Whether partnership and joint venture arrangements conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further Prime Care's charitable purposes, and do not result in inurement or impermissible private benefit. D. Whether agreements to provide health care and agreements with other health care providers, employees and third party payors further Prime Care's charitable purposes and do not result in inurement or impermissible private benefit. |
| Form 990, Part VI, Section B, line 15 | In conjunction with Atlantic Health System, Inc. (Parent): Line 15A: A review of officer compensation by an independent 3rd party (Mercer) is completed every year. The most recent survey was conducted in 2017. Officers include President and CEO AHS; SVP Chief Financial & Administrative Officer; VP Legal Affairs & General Counsel; SVP Quality & Chief Medical & Academic Officer, AHS; VP Government Affairs; Chief Information Officer; VP AHS & President OMS; VP AHS & President MMC; VP AHS & President CMC; VP AHS & President NMC; SVP, System & Network Planning & Business Development; SVP, Physician Enterprise & President, AMG; VP, President ACO; VP, Clinical Intelligence; VP, Marketing & Communications; VP, Compliance & Audit. On behalf of Atlantic Health System, Inc., Mercer 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 Compensation Committee of the board which documents the findings and recommendations in committee minutes. Line 15B: Compensation for key physicians is determined by soliciting salary data from 3 to 4 published sources. These salary recommendations are then reviewed with the MD Contract Committee and approved by the Physician Compensation Committee of the board. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Newton Medical Center Foundation Inc | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 222618102 | Administers Donations, Grants and Bequests, and Performs Fundraising | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (1) | |
| North Jersey Health Care Properties Inc | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 223519709 | Owns commercial buildings and conducts leasing activities | NJ | 501(c)(2) | Atlantic Health System Inc | Yes (1) | ||
| AHS Hospital Corp | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 521958352 | Hospital System - Healthcare | NJ | 501(c)(3) | Line 3 | Atlantic Health System Inc | Yes (1) | |
| Atlantic Ambulance Corp | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 223820288 | Ambulance Transportation Services - Healthcare | NJ | 501(c)(3) | Line 10 | Atlantic Health System Inc | Yes (1) | |
| Practice Associates Medical Group PC | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 202088165 | Physician Practice - Healthcare | NJ | 501(c)(3) | Line 12a, I | Atlantic Health System Inc | Yes (1) | |
| Atlantic Health System | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 223380375 | Healthcare Parent | NJ | 501(c)(3) | Line 12a, I | 0 | N/A | |
| Foundation For The Morristown Medical Center | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 223392808 | Fundraising | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (1) | |
| Chilton Memorial Corporation | |||||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 222719339 | Support charitiable exempt programs and services of Medical Center | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (1) | |
| Chilton Medical Center Auxiliary Inc | |||||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 222883605 | Support charitiable exempt programs and services of Medical Center | NJ | 501(c)(3) | Line 12a, I | Atlantic Health System Inc | Yes (1) | |
| Chilton Medical Center Foundation Inc | |||||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 223084817 | Support charitiable exempt programs and services of Medical Center | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (1) | |
| Chilton Realty Holding Inc | |||||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 223067739 | Real estate and leasing activities for the benefit of exempt organization | NJ | 501(c)(2) | Atlantic Health System Inc | Yes (1) | ||
| Foundation for Hackettstown Medical Center | |||||||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 222333410 | Support charitiable exempt programs and services of Medical Center | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (1) | |
| Medical Center Partners Inc | |||||||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 454789273 | Support charitiable exempt programs and services of Medical Center | NJ | 501(c)(3) | Line 12a, I | Atlantic Health System Inc | Yes (1) | |
| Hackettstown Reg Medical Ctr Emergency Medical Services Inc | |||||||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 270820164 | Support charitiable exempt programs and services of Medical Center | NJ | 501(c)(3) | Line 12a, I | Atlantic Health System Inc | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Morris Photopheresis | ||||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223314012 | Healthcare Research | NJ | N/A | N/A | 0 | 0 |
| Affiliated Collection Services LLC | ||||||||||
| 17 Prospect Street | Morristown | NJ | 07960 | 270555659 | Collection Services | NJ | N/A | N/A | 0 | 0 |
| Morristown Medical Investors | ||||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 650840535 | Real Estate | NJ | N/A | N/A | 0 | 0 |
| Primary Care Partners - LLC | ||||||||||
| 475 South Street | Morristown | NJ | 07960 | 274980253 | Physician Services | NJ | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Nutley Medical Care PA | |||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223645010 | Physician Practice | NJ | N/A | 0 | |
| Non-Invasive Diagnostics PA | |||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 202027439 | Physician Practice | NJ | N/A | 0 | |
| Specialty Care Of Practice Associates | |||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 030376428 | Physician Practice | NJ | N/A | 0 | |
| Maternal Fetal Medicine of Practice Associates PA | |||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 030376421 | Physician Practice | NJ | N/A | 0 | |
| Madison Pediatrics PA | |||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223645007 | Physician Practice | NJ | N/A | 0 | |
| Atlantic Health Management Corporation and Subsidiaries | |||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 223538027 | Healthcare related services and support | NJ | N/A | 0 | |
| AHS ACO LLC | |||||||||
| 475 South Street | Morristown | NJ | 07960 | 273800813 | Physician Practice | NJ | 0 | AHS Investment Corp | |
| The Northwest New Jersey MedicalSurgical Alliance PC | |||||||||
| 175 High Street | Newton | NJ | 07860 | 450577942 | Healthcare Services | NJ | 0 | AHS Investment Corp | |
| The Northwest New Jersey Urgent Care Alliance PC | |||||||||
| 175 High Street | Newton | NJ | 07860 | 830492357 | Healthcare Services | NJ | 0 | AHS Investment Corp | |
| AHS Insurance Company LTD | |||||||||
| 200 The American Road | Morris Plains | NJ | 07950 | 223380375 | Insurance | NJ | N/A | 0 | |
| Chilton Community Care Inc and Subs | |||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 222869148 | Healthcare Services | NJ | N/A | 0 | |
| Chilton Medical Group PC | |||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 383769436 | Healthcare | NJ | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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