2018-11-14T10:04:52-06:00 2017-12-31 346565596 Ernst & Young US LLP 100 North Tyron Street Suite 3800 Charlotte NC 28202 990 2017-01-01 222759566 PRIME CARE INC PRIM 9734512005 475 South Street Morristown NJ 07960 Kevin Lenahan SVP-CFO & Admin Officer 9736603166 2018-11-14 1 Christopher B Boggs P00032493 7043726300 165.225.39.54 2018-11-14 10:04:44 ES P 14408212A635E8F42A904D17529EDD5146E6480F 1E2706C375E039EB00F36CED9FDCA9AB677DCF8F 2017 2019-02-21 02:37:17Z Kevin Lenahan 475 South Street Morristown NJ 07960 155381 0 X www.nmhnj.org X 1986 NJ Provide home health and other health care services to the surrounding communities. 4 0 0 0 0 0 0 0 0 0 0 62 168347 155319 168347 155381 0 0 0 0 0 0 0 0 0 0 0 0 0 168347 155381 1495008 1650389 925328 925328 569680 725061 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. 0 0 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. 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NJ X Ken Butkowski 9734512005 475 South Street Morristown NJ 07960 Kevin Lenahan President 2.00 55.00 X X 0 1203458 239390 David Rikkola Treasurer 2.00 55.00 X X 0 429428 24327 Sheilah O'Halloran Secretary 2.00 55.00 X X 0 684103 99559 David Ferguson Director 2.00 55.00 X X 0 218735 67102 0 2535724 430378 0 0 1 0 0 62 62 Sparta Cancer Ctr, LLC 155319 155319 155319 155381 0 0 155381 0 0 0 0 201865 201927 1091223 125569 965654 965654 326571 481890 918 918 1495008 1650389 925328 925328 925328 925328 X 569680 725061 569680 725061 1495008 1650389 155381 0 X 0 1 X 1 0 X 0 92 76 80 62 310 92 76 80 62 310 92 76 80 62 310 0.00000 0.99790 1.00000 0.00210 X 2074077 76694 276664 26348 2401087 861632 1081922 136523 6000 2074077 811184 71136 20688 861632 817932 407 36965 44120 811184 679732 97618 74679 34097 817932 1.00000 0 1 1 77500 77500 910552 22398 888154 2670 2670 0 100501 100501 0 965654 Investment in Sparta Cancer Ctr 481890 F 481890 Part V, Line 4: The endowment funds represent permanently restricted net assets that have been restricted by donors to be maintained by Atlantic Health System, Inc. in perpetuity. 0 0 0 0 0 0 0 0 0 Kevin Lenahan President 0 821671 0 346600 0 35187 0 223163 0 16227 0 1442848 0 0 David Rikkola Treasurer 0 362228 0 66700 0 500 0 8100 0 16227 0 453755 0 0 Sheilah O'Halloran Secretary 0 460149 0 180400 0 43554 0 87611 0 11948 0 783662 0 0 David Ferguson Director 0 182350 0 34225 0 2160 0 45395 0 21707 0 285837 0 34225 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. 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 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 1 AHS Hospital Corp 475 South Street Morristown NJ 07960 521958352 Hospital System - Healthcare NJ 501(c)(3) Line 3 Atlantic Health System Inc 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 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 1 Atlantic Health System 475 South Street Morristown NJ 07960 223380375 Healthcare Parent NJ 501(c)(3) Line 12a, I N/A 0 Foundation For The Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising NJ 501(c)(3) Line 7 Atlantic Health System Inc 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 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 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 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 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 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 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 1 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 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 AHS Investment Corp 0 The Northwest New Jersey MedicalSurgical Alliance PC 175 High Street Newton NJ 07860 450577942 Healthcare Services NJ AHS Investment Corp 0 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ AHS Investment Corp 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0