ATLANTIC HEALTH SYSTEM INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ATLANTIC HEALTH SYSTEM INC (EIN 65-1301877)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201743189349300624
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T08:41:05-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 651301877 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Atlantic Health System Inc Group Return | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ATLA | BusinessNameControlTxt |
| Phone | 9736603100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street ACCTG 920 | 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 | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | 0 | 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 | 198.140.183.1 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 08:40:47 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7EEB67306374497AF500F3A4989810E880B4B2A8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 114E1D1F23E324535830D0D5509A4A64958E9F65 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | 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 ACCTG 920 | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,582,564,386 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 9704 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.atlantichealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. | ActivityOrMissionDesc |
| Voting Members Governing Body | 38 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 17145 | TotalEmployeeCnt |
| Total Volunteers | 2685 | TotalVolunteersCnt |
| Total Gross UBI | $1,688,972 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,620,841 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,602,036 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,256,056,483 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,508,333,811 | CYProgramServiceRevenueAmt |
| PY Investment Income | $36,033,907 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,031,525 | CYInvestmentIncomeAmt |
| PY Other Revenue | $36,520,888 | PYOtherRevenueAmt |
| CY Other Revenue | $46,156,333 | CYOtherRevenueAmt |
| PY Total Revenue | $2,343,232,119 | PYTotalRevenueAmt |
| CY Total Revenue | $2,577,123,705 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,397,045 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,782,045 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,145,485,317 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,260,478,077 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,498,385 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,085,705,772 | PYOtherExpensesAmt |
| CY Other Expenses | $1,216,258,539 | CYOtherExpensesAmt |
| PY Total Expenses | $2,232,588,134 | PYTotalExpensesAmt |
| CY Total Expenses | $2,478,518,661 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $110,643,985 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $98,605,044 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,614,269,128 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,857,018,047 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,279,799,673 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,384,882,945 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,334,469,455 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,472,135,102 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,144,560,249 | ExpenseAmt |
| Grant | $1,782,045 | GrantAmt |
| Revenue | $2,508,376,169 | RevenueAmt |
| Desc | 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.).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 is exempt from Federal income tax under Section 501(c) (3) of the Internal Revenue Code. The Hospital providesregional 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 andSomerset 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 surroounding communities. HRMC-EMS also provides patient transportation services for HRMC patients and residents/patients of other institutions such as assisted living facilities adn 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. | Desc |
| Total Program Service Expenses | $2,144,560,249 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | 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 | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1305 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 17145 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 38 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 - Acctg Box 920 | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07962 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (89 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Brian Gragnolati | |||||||||
| President & CEO | 55.00 | Yes (X) | Yes (X) | $1,994,402 | $0 | $317,056 | |||
| Kevin Lenahan | |||||||||
| SVP-CFO & Admin Officer | 55.00 | Yes (X) | Yes (X) | $1,120,735 | $0 | $195,052 | |||
| James Smith | |||||||||
| Director-Atlantic Amb | 55.00 | Yes (X) | Yes (X) | $250,672 | $0 | $23,268 | |||
| Joseph Di Paolo | |||||||||
| President - NMC | 55.00 | Yes (X) | Yes (X) | $672,266 | $0 | $119,037 | |||
| Katharine Driebe | |||||||||
| VP - Finance Eff 8/21/16 | 55.00 | Yes (X) | Yes (X) | $402,447 | $0 | $72,969 | |||
| Stanley Fiel | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $722,881 | $0 | $35,938 | ||||
| Walter Rosenfeld | |||||||||
| PAMG-Trustee/Officer | 55.00 | Yes (X) | Yes (X) | $710,023 | $0 | $43,189 | |||
| William Dowling | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $805,729 | $0 | $0 | ||||
| Sheilah O'Halloran | |||||||||
| VP-Ass't Gen Council Eff 4/17/16 | 55.00 | Yes (X) | Yes (X) | $537,249 | $0 | $84,601 | |||
| Jan Schwartz-Miller | |||||||||
| SVP-Chief Medical & Academy | 55.00 | Yes (X) | Yes (X) | $891,581 | $0 | $64,435 | |||
| Steve Sheris MD | |||||||||
| PAMG-Trustee/Officer SVP-Phys Enterprise | 55.00 | Yes (X) | Yes (X) | $784,143 | $0 | $118,903 | |||
| Peter Bolo MD | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $463,730 | $0 | $40,144 | ||||
| Joan Boomsma MD | |||||||||
| PAMG-Trustee Term 8/6/16 | 55.00 | Yes (X) | $413,746 | $0 | $0 | ||||
| Monica Centanni MD | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $313,899 | $0 | $19,434 | ||||
| Tony Frisoli MD | |||||||||
| PAMG-Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Greg Mulford MD | |||||||||
| PAMg-Trustee | 55.00 | Yes (X) | $567,284 | $0 | $24,317 | ||||
| Joseph Cirello MD | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $285,875 | $0 | $26,761 | ||||
| Samantha Pozner MD | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $386,516 | $0 | $0 | ||||
| Domenick Randazzo MD | |||||||||
| PAMG-Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Chris Zipp MD | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $471,557 | $0 | $27,665 | ||||
| David Taylor | |||||||||
| PAMG-Trustee | 55.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mario Capio MD | |||||||||
| Trustee-AHS Term 10/20/16 | 55.00 | Yes (X) | Yes (X) | $457,351 | $0 | $0 | |||
| Glenn A Clark | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Henry J Driesse | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dexter D Earle | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Richard W Herbst | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert J Hugin | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Laura A Kelly | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carol Calabrese MD | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Steve Maser MD | |||||||||
| Trustee-AHS | 55.00 | Yes (X) | $254,069 | $0 | $0 | ||||
| Robert E McCracken | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert E Mulcahy III | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| M Veronica Daly MD | |||||||||
| Trustee-AHS | 55.00 | Yes (X) | $401,796 | $0 | $16,051 | ||||
| Anne S Rooke | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Gita F Rothschild | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Clifford Sales MD | |||||||||
| Trustee-AHS | 10.00 | Yes (X) | $150,000 | $0 | $0 | ||||
| Robert Toohey | |||||||||
| Trustee & Officer-AHS | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Allan L Weisberg | |||||||||
| Trustee-AHS | 2.00 | Yes (X) | $6,000 | $0 | $0 | ||||
| Jose Cortes | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Glenn K Tippy CPU CLU | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Clay Hinrichs MD | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bogden Bienko | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Eric Ross | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Halpin | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Lavery | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Barbara-Jayne Lewthwaite PH D | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Timothy C McDonough | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ray Nisivoccia CPA | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| James J Travis | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Norman Worth | |||||||||
| HCH,MCP,HRMC Trustee 1/1/16-3/31/16 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| James G Lee | |||||||||
| Chair; EVP & CFO, AHC 1/1/16-3/31/16 | 55.00 | Yes (X) | Yes (X) | $113,382 | $0 | $18,860 | |||
| Terry Forde | |||||||||
| President & CEO, AHC 1/1/16-3/31/16 | 55.00 | Yes (X) | Yes (X) | $198,902 | $0 | $28,782 | |||
| Jason C Coe | |||||||||
| Pres-HMC Ending 1/1/16 -9/12/16 | 55.00 | Yes (X) | Yes (X) | $611,378 | $0 | $19,575 | |||
| Karel Raska | |||||||||
| PAMG-Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Albert Ritter MD | |||||||||
| Trustee- Atlantic Ambulance | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Paul Marmora | |||||||||
| VP- Ambulatory Serv Eff 8/21/16 | 55.00 | Yes (X) | $518,597 | $0 | $87,184 | ||||
| Alan Lieber | |||||||||
| President - OMC | 55.00 | Yes (X) | $979,908 | $0 | $38,252 | ||||
| Patricia O'Keefe | |||||||||
| President-MMC Eff 4/17/16 | 55.00 | Yes (X) | $699,860 | $0 | $131,107 | ||||
| Linda Reed | |||||||||
| CIO-Terminated 2/6/2016 | 55.00 | Yes (X) | $1,224,338 | $0 | $0 | ||||
| Madeline Ferraro | |||||||||
| VP - Gov't & Public | 55.00 | Yes (X) | $531,819 | $0 | $36,336 | ||||
| Kimberly Simensen | |||||||||
| SVP-Sys & Network Planning | 55.00 | Yes (X) | $648,982 | $0 | $92,924 | ||||
| Joseph Wilkins | |||||||||
| SVP-Chief Trans Officer-Eff 10/1/16 | 55.00 | Yes (X) | $188,338 | $0 | $36,673 | ||||
| Valerie Simon | |||||||||
| VP-Marketing & Comm Eff 6/27/16 | 55.00 | Yes (X) | $126,733 | $0 | $28,738 | ||||
| Nikki Sumpter | |||||||||
| SVP-Chief HR Officer Eff 11/28/16 | 55.00 | Yes (X) | $93,328 | $0 | $11,199 | ||||
| Thomas Kloos | |||||||||
| President-ACO | 55.00 | Yes (X) | $561,531 | $0 | $76,629 | ||||
| James Barr | |||||||||
| VP-Clinical Intelligence | 55.00 | Yes (X) | $605,818 | $0 | $85,230 | ||||
| Karen Flaherty-Oxler | |||||||||
| SVP-Chief Nursing/Pat Eff 9/26/16 | 55.00 | Yes (X) | $108,750 | $0 | $13,050 | ||||
| Terrance French | |||||||||
| VP-Strat Dev & Net Aff Eff 4/4/16 | 55.00 | Yes (X) | $243,734 | $0 | $39,987 | ||||
| Lisa Monfredi | |||||||||
| VP- Revenue Cycle Eff 8/21/16 | 55.00 | Yes (X) | $389,439 | $0 | $77,739 | ||||
| Stephanie Schwartz | |||||||||
| President CMC Eff 1/25/16 | 55.00 | Yes (X) | $447,661 | $0 | $69,485 | ||||
| Eva Goldenberg | |||||||||
| VP- Compliance & Audit | 55.00 | Yes (X) | $402,930 | $0 | $60,695 | ||||
| Robert C Peterson | |||||||||
| CFO HCH 1/1/16-3/31/16 | 55.00 | Yes (X) | $419,141 | $0 | $22,212 | ||||
| Maureen Bueno | |||||||||
| VP-Chief Quality-Eff 11/13/16 | 55.00 | Yes (X) | $351,795 | $0 | $35,179 | ||||
| David Schreck | |||||||||
| VP-Coord. Care Trans Eff 11/1/16 | 55.00 | Yes (X) | $63,750 | $0 | $6,375 | ||||
| Joseph Ramieri MD | |||||||||
| Chairman - OB/GYN Depart | 55.00 | $688,839 | $0 | $41,238 | Yes (X) | ||||
| Rolando Rolandelli | |||||||||
| Chairman-Dep of Surgery | 55.00 | $1,141,676 | $0 | $35,938 | Yes (X) | ||||
| John Halperin | |||||||||
| Director - MD | 55.00 | $688,022 | $0 | $35,938 | Yes (X) | ||||
| Kenneth Janowski | |||||||||
| CMO HCH 1/1/16 -3/31/16 | 50.00 | $385,746 | $0 | $17,368 | Yes (X) | ||||
| Stella Visaggio | |||||||||
| COO HCH 1/1/16 - 3/31/16 | 55.00 | $435,333 | $0 | $17,699 | Yes (X) | ||||
| Paul Starker | |||||||||
| Chairman-Dept of Surgery | 55.00 | $1,021,350 | $0 | $30,067 | Yes (X) | ||||
| Mark Widmann | |||||||||
| Physician | 55.00 | $876,761 | $0 | $0 | Yes (X) | ||||
| Daniel Tobias | |||||||||
| Physician | 55.00 | $806,567 | $0 | $34,917 | Yes (X) | ||||
| James Wong | |||||||||
| Chairman-Radiology Oncology | 55.00 | $780,590 | $0 | $0 | Yes (X) | ||||
| Eric Whitman | |||||||||
| Physician | 55.00 | $802,044 | $0 | $0 | Yes (X) | ||||
| Andrew Kovach | |||||||||
| VP Human Resources-Term 9/30/15 | 0.00 | $849,091 | $0 | $0 | Yes (X) | ||||
| Thomas J Senker | |||||||||
| Former President-NMC- Term 1/1/15 | 0.00 | $265,229 | $0 | $0 | Yes (X) | ||||
| Michael Regier | |||||||||
| Former VP-Legal Aff-Term 12/31/15 | 0.00 | $783,842 | $0 | $0 | Yes (X) | ||||
| Deborah Zastocki | |||||||||
| Former Pres-CMC Term 8/1/15 | 0.00 | $535,118 | $0 | $0 | Yes (X) | ||||
| William Neigher | |||||||||
| Former VP-System Dev Term 8/1/15 | 0.00 | $295,325 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $32,949,598 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,458,196 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2266 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WM BLANCHARD COMPANY | |||||
| 199 MOUNTAIN AVENUE | SPRINGFIELD | NJ | 07081 | CONSTRUCTION | $12,650,488 |
| MELILLO CONSULTING INC | |||||
| 285 DAVIDSON AVENUE | SOMERSET | NJ | 08873 | TECHNOLOGY SOLUTIONS | $12,241,713 |
| ZOTEC PARTNERS | |||||
| PO BOX 2288 | INDIANAPLIS | IN | 46206 | PHYSICIAN BILLING | $10,855,930 |
| AXISPOINT TECHNOLOGY SOLUTIONS GROUP INC | |||||
| PO BOX 10447 | UNIONDALE | NY | 60693 | HEALTH MANAGEMENT SOLUTIONS | $8,097,841 |
| EPIC SYSTEMS INC | |||||
| PO BOX 88314 | MILWAUKEE | WI | 53288 | IT IMPLEMENTATION SERVICES | $7,243,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 183 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,543,566 | RelatedOrganizationsAmt |
| Government Grants | $13,971,269 | GovernmentGrantsAmt |
| All Other Contributions | $87,201 | AllOtherContributionsAmt |
| Total Contributions | $15,602,036 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REV | 621990 | $1,356,563,916 | $1,356,563,916 | |
| MEDICARE-MEDICAID | 621990 | $962,592,659 | $962,592,659 | |
| PHYSICIAN SERVICES | 621110 | $187,703,898 | $187,703,898 | |
| LAB SPEC PROCESSING | 621500 | $1,473,338 | $1,473,338 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,508,333,811 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,901,325 | TotalRevenueColumnAmt |
| Exclusion | $6,901,325 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,832 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,363,028 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,363,028 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,363,028 | TotalRevenueColumnAmt |
| Exclusion | $2,363,028 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,523,469 | SecuritiesAmt |
| Other | $2,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,277,519 | SecuritiesAmt |
| Other | $159,582 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $245,950 | SecuritiesAmt |
| Other | -$157,582 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,368 | TotalRevenueColumnAmt |
| Exclusion | $88,368 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $4,106 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,580 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $526 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $526 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria | 721000 | $6,442,610 | $6,442,610 |
| Pharmacy | 900099 | $1,644,238 | $1,644,238 |
| Parking | 812930 | $1,154,774 | $1,154,774 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,551,157 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $215,634 | UnrelatedBusinessRevenueAmt |
| Exclusion | $34,335,523 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $43,792,779 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,577,123,705 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,506,902,831 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,688,972 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,929,866 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,782,045 | TotalAmt |
| Program Services | $1,782,045 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,407,180 | TotalAmt |
| Management And General | $29,407,180 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,802 | TotalAmt |
| Management And General | $235,802 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,016,651,157 | TotalAmt |
| Program Services | $903,916,241 | ProgramServicesAmt |
| Management And General | $111,163,718 | ManagementAndGeneralAmt |
| Fundraising | $1,571,198 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,182,724 | TotalAmt |
| Program Services | $33,866,889 | ProgramServicesAmt |
| Management And General | $5,255,364 | ManagementAndGeneralAmt |
| Fundraising | $60,471 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,595,043 | TotalAmt |
| Program Services | $84,419,741 | ProgramServicesAmt |
| Management And General | $13,035,015 | ManagementAndGeneralAmt |
| Fundraising | $140,287 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,406,171 | TotalAmt |
| Program Services | $66,918,325 | ProgramServicesAmt |
| Management And General | $10,368,946 | ManagementAndGeneralAmt |
| Fundraising | $118,900 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,459,754 | TotalAmt |
| Management And General | $61,459,754 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,876,097 | TotalAmt |
| Management And General | $3,876,097 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,175,770 | TotalAmt |
| Management And General | $1,175,770 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,205 | TotalAmt |
| Management And General | $355,205 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,360 | TotalAmt |
| Management And General | $18,360 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,133,043 | TotalAmt |
| Program Services | $243,361,880 | ProgramServicesAmt |
| Management And General | $1,755,977 | ManagementAndGeneralAmt |
| Fundraising | $15,186 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,268,671 | TotalAmt |
| Program Services | $2,726,801 | ProgramServicesAmt |
| Management And General | $10,536,979 | ManagementAndGeneralAmt |
| Fundraising | $4,891 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,101,069 | TotalAmt |
| Program Services | $105,420,369 | ProgramServicesAmt |
| Management And General | $18,528,896 | ManagementAndGeneralAmt |
| Fundraising | $151,804 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,172,590 | TotalAmt |
| Program Services | $891,168 | ProgramServicesAmt |
| Management And General | $281,422 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,697,247 | TotalAmt |
| Program Services | $54,133,657 | ProgramServicesAmt |
| Management And General | $8,464,650 | ManagementAndGeneralAmt |
| Fundraising | $98,940 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,377 | TotalAmt |
| Program Services | $9,342 | ProgramServicesAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,511,017 | TotalAmt |
| Program Services | $6,523,954 | ProgramServicesAmt |
| Management And General | $975,656 | ManagementAndGeneralAmt |
| Fundraising | $11,407 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,595,215 | TotalAmt |
| Program Services | $24,756,140 | ProgramServicesAmt |
| Management And General | $3,795,616 | ManagementAndGeneralAmt |
| Fundraising | $43,459 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,104,784 | TotalAmt |
| Program Services | $112,784,866 | ProgramServicesAmt |
| Management And General | $17,122,351 | ManagementAndGeneralAmt |
| Fundraising | $197,567 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,322,700 | TotalAmt |
| Program Services | $42,790,703 | ProgramServicesAmt |
| Management And General | $7,455,277 | ManagementAndGeneralAmt |
| Fundraising | $76,720 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL EXPENSES | $428,287,023 | $428,271,304 | $15,719 | |
| REPAIRS & MAINTENANCE | $49,126,057 | $23,911,206 | $25,214,851 | |
| EQUIPMENT AND RENTAL | $5,230,957 | $4,557,386 | $666,016 | $7,555 |
| DUES | $155,183 | $155,183 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,658,420 | TotalAmt |
| Program Services | $3,518,232 | ProgramServicesAmt |
| Management And General | $140,188 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,478,518,661 | TotalAmt |
| Program Services | $2,144,560,249 | ProgramServicesAmt |
| Management And General | $331,460,027 | ManagementAndGeneralAmt |
| Fundraising | $2,498,385 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,620,781 | BOYAmt |
| EOY | $318,175,342 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $959,513 | BOYAmt |
| EOY | $924,287 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,574,374 | BOYAmt |
| EOY | $274,365,980 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,759,087 | BOYAmt |
| EOY | $5,940,521 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,232,903 | BOYAmt |
| EOY | $17,816,624 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,994,333 | BOYAmt |
| EOY | $73,134,099 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,484,690,952 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,436,103,921 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $997,411,449 | BOYAmt |
| EOY | $1,048,587,031 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $944,342,237 | BOYAmt |
| EOY | $1,012,022,140 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,872,939 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,501,512 | BOYAmt |
| EOY | $106,052,023 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,614,269,128 | BOYAmt |
| EOY | $2,857,018,047 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,008,333 | BOYAmt |
| EOY | $265,135,902 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $431,514,687 | BOYAmt |
| EOY | $437,446,731 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,000,000 | BOYAmt |
| EOY | $250,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,276,653 | BOYAmt |
| EOY | $432,300,312 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,279,799,673 | BOYAmt |
| EOY | $1,384,882,945 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,206,979,223 | BOYAmt |
| EOY | $1,336,719,671 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,532,277 | BOYAmt |
| EOY | $85,387,561 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,957,955 | BOYAmt |
| EOY | $50,027,870 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,334,469,455 | BOYAmt |
| EOY | $1,472,135,102 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,614,269,128 | BOYAmt |
| EOY | $2,857,018,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $98,605,044 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $41,735,483 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,674,880 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Other Organizations in this Group IRS 990 Tax Filing | FormAndLineReferenceDesc |
| Explanation | Atlantic Ambulance is a Box 9 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). PAMG did not receive a written determination letter from the IRS that it is Type I, Type II or Type III supporting organization. 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. PAMG provided support to AHS Hospital Corp-Morrsitown Division (EIN #52-1958352)during 2016 in the amount of $7,845.180. 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. | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $477,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $477,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | During 2016, the organization compensated four 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 Federal and State legislation and affairs: 1. NJ State Charity Care 2. Budget Clarifications/Meetings 3. Various State and Federal Regulatory Affairs 4. State and Federal Hospital Issues 5. GME 6. Healthcare Forums 7. Lobbying Days in Washington DC Behavioral Health Day Teaching Hospitals Advocacy Hospital Outpatient Department 8. Fair Share Hospitals Collaborative 9. NJ Bills as listed below: A3635/S2329 Temporarily maintains property tax exemption for previously exempt non-profit hospital properties; establishes "Non-Profit Hospital Property Tax Exemption Study Commission." A1877/S1129 "Healthy Small Food Retailer Act; provides funding to small food retailers to sell fresh and nutritious food. S3299 / A4903 - Maintains property tax exemption for certain nonprofit hospitals with on-site for-profit medical providers; requires these hospitals to pay community service contributions to host municipalities; establishes Nonprofit Hospital Community Service Contribution Study Commission A886/S1075 - Establishes certain network adequacy and standard application requirements for health insurance carriers; requires determination of hospital diversity for tiered networks. A887/S634 - Requires carriers to disclose selection standards for placement of health care providers in tiered health benefits plan network; establishes oversight monitor to review compliance. A2327/S3300 - Places moratorium on implementation of certain tiered network health benefits plans until January 1, 2017. A2328/S635 - Requires health insurance carriers to comply with certain network adequacy requirements. A2329/S296 - Establishes certain standards for health benefits plans with tiered network. A2585/S1511 - Requires health insurance carriers offering tiered network health benefits plans to protect covered persons from excess cost sharing in certain circumstances. A1952/S1285 Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act. The following represents the vendors that were paid a total of $477,000 in 2016 for lobbying expenses. 1. EDGE ADVOCACY LLC 90,000 2. ROSEMONT ASSOCIATES LLC 150,000 3. CAMMARANO LAYTON AND BOMBARDIEI 42,000 4. OPTIMUS 195,000 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $127,490,232 | BeginningYearBalanceAmt |
| Contributions | $32,141,880 | ContributionsAmt |
| Investment Earnings Or Losses | $4,168,419 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$28,385,098 | OtherExpendituresAmt |
| End Year Balance | $135,415,433 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $127,978,403 | BeginningYearBalanceAmt |
| Contributions | $32,240,327 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,192,411 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$31,536,087 | OtherExpendituresAmt |
| End Year Balance | $127,490,232 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $109,665,354 | BeginningYearBalanceAmt |
| Contributions | $43,163,359 | ContributionsAmt |
| Investment Earnings Or Losses | $2,101,888 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$26,952,198 | OtherExpendituresAmt |
| End Year Balance | $127,978,403 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $103,477,345 | BeginningYearBalanceAmt |
| Contributions | $26,040,035 | ContributionsAmt |
| Investment Earnings Or Losses | $5,631,915 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$25,483,941 | OtherExpendituresAmt |
| End Year Balance | $109,665,354 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $88,706,191 | BeginningYearBalanceAmt |
| Contributions | $35,834,041 | ContributionsAmt |
| Investment Earnings Or Losses | $4,669,227 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$25,732,114 | OtherExpendituresAmt |
| End Year Balance | $103,477,345 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.37000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.63000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,708,401 | OtherCostOrOtherBasisAmt |
| Book Value | $46,708,401 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,301,376,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $742,049,541 | DepreciationAmt |
| Book Value | $559,326,535 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,790,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,255,289 | DepreciationAmt |
| Book Value | $67,535,680 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,058,815,506 | OtherCostOrOtherBasisAmt |
| Depreciation | $683,799,091 | DepreciationAmt |
| Book Value | $375,016,415 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,048,587,031 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES THIRD PARTY PAYORS | $63,397,785 |
| ACCRUED EMPLOYEE BENEFITS AND OTHER | $368,902,527 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $432,300,312 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,513,528,006 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $18,320,741 | OtherRevenueAmt |
| Revenue Not Reported | $18,320,741 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,495,207,265 | RevenueSubtotalAmt |
| Other Revenues Not Included | $81,916,440 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $81,916,440 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,577,123,705 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,397,821,771 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,397,821,771 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $80,696,890 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $80,696,890 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,478,518,661 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 18,320,741. |
| Part XI, Line 4b - Other Adjustments: | Revenue recorded as an offset in the AFS expenses 43,708,700. Grant revenue recorded as an offset to the AFS expenses 13,871,361. Interest Income -Temp Restricted 1,416,506. Realized Gains-Temp Restricted 306,636. Hackettstown Community Hospital Revenue 1/1/16 - 3/31/16 22,257,420. Hackettstown Regional Medical Center EMS, Inc Revenue 1/1/16-3/31/16 183,036. Medical Center Partners, Inc. Revenue 1/1/16 - 3/31/16 172,781. |
| Part XII, Line 4b - Other Adjustments: | Revenue recorded as an offset in the AFS expenses 43,708,700. Grant revenue recorded as an offset to the AFS expenses 13,871,361. Hackettstown Community Hospital Expenses 1/1/16 - 3/31/16 22,127,484. Hackettstown Regional Medical Center EMS,Inc Revenue 1/1/16-3/31/16 647,182. Medical Center Partners, Inc. Expenses 1/1/16 - 3/31/16 342,163. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - | RegionTxt |
| Offices | 1 | OfficesCnt |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConductedTxt |
| Specific Services Provided | Insurance | SpecificServicesProvidedTxt |
| Region Total Expenditures | $13,536,280 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $13,536,280 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $13,536,280 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 33654 | PersonsServedCnt |
| Total Community Benefit Expns | $32,911,512 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,852,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,058,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 142200 | PersonsServedCnt |
| Total Community Benefit Expns | $199,518,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,257,880 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $73,260,255 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02960 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 175854 | PersonsServedCnt |
| Total Community Benefit Expns | $232,429,647 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $131,110,529 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $101,319,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,463,893 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $779,532 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,684,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,474,512 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,336,707 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,137,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01900 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,325,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,317,812 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,007,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,939,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,681,172 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,258,494 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,219,489 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,219,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,423,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,115,223 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,308,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 175854 | PersonsServedCnt |
| Total Community Benefit Expns | $335,852,894 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $158,225,752 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $177,627,142 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $64,576,479 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $24,242,465 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $681,138,042 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $663,283,213 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $17,854,829 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 6 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (6 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Morristown Medical Center | |||||||||||||
| 1 | 100 Madison Avenue | Morristown | NJ | 07960 | www.atlantichealth.org | 11403 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| Overlook Medical Center | |||||||||||||
| 2 | 99 Beauvoir Avenue | Summit | NJ | 07902 | www.atlantichealth.org | 11902 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| Newton Medical Center | |||||||||||||
| 3 | 175 High Street | Newton | NJ | 07960 | www.atlantichealth.org | 12005 | Yes (X) | Yes (X) | Yes (X) | ||||
| Chilton Medical Center | |||||||||||||
| 4 | 97 West Parkway | Pompton Plains | NJ | 07444 | www.atlantichealth.org | 11401 | Yes (X) | Yes (X) | Yes (X) | ||||
| Atlantic Rehabilitation Institute | |||||||||||||
| 5 | 95 Mt Kemble Avenue | Morristown | NJ | 07962 | www.atlantichealth.org | 11404 | Yes (X) | Comprehensive Rehabilitaiton Hospital | |||||
| Hackettstown Medical Center | |||||||||||||
| 6 | 631 Willow Grove Street | Hackettstown | NJ | 07840 | www.atlantichealth.org | 12101 | Yes (X) | Yes (X) | Yes (X) | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (6 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Morristown Medical Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | www.atlantichealth.org/atlantic/health-education/community-resources.html | Yes (X) | www.njhealthmatters.org | Yes (X) | Yes (1) | 16 | Yes (1) | www.atlantichealth.org/atlantic/health-education/community-resources.html | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Overlook Medical Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | www.atlantichealth.org/atlantic/health-education/community-resources.html | Yes (X) | www.njhealthmatters.org | Yes (X) | Yes (1) | 16 | Yes (1) | www.atlantichealth.org/atlantic/health-education/community-resources.html | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Newton Medical Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | www.atlantichealth.org/atlantic/health-education/community-resources.html | Yes (X) | www.njhealthmatters.org | Yes (X) | Yes (1) | 16 | Yes (1) | www.atlantichealth.org/atlantic/health-education/community-resources.html | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Chilton Medical Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (X) | www.atlantichealth.org/atlantic/health-education/community-resources.html | Yes (X) | www.njhealthmatters.org | Yes (X) | Yes (1) | 16 | Yes (1) | www.atlantichealth.org/atlantic/health-education/community-resources.html | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Atlantic Rehabilitation Institute | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | www.atlantichealth.org/atlantic/health-education/community-resources.html | Yes (X) | www.njhealthmatters.org | Yes (X) | Yes (1) | 16 | Yes (1) | www.atlantichealth.org/atlantic/health-education/community-resources.html | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Hackettstown Medical Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | www.atlantichealth.org/atlantic/health-education/community-resources.html | Yes (X) | www.njhealthmatters.org | Yes (X) | Yes (1) | 16 | Yes (1) | www.atlantichealth.org/atlantic/health-education/community-resources.html | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (31 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: Beginning in June 2015, Hackettstown Regional Medical Center (HRMC) undertook a comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area within 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 service area residents. The assessment examined a variety of health indicators including chronic health conditions, access to health care, and social determinants of health. Hackettstown Regional Medical Center contracted with Holleran, a research and consulting firm based in Lancaster, Pennsylvania, to execute this project.The completion of the CHNA enabled HRMC to take an in-depth look at its community. The findings from the assessment were utilized by the Center to prioritize public health issues and develop a community health implementation plan focused on meeting community needs. Hackettstown Regional Medical Center 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.This CHNA Final Summary Report serves as a compilation of the overall findings of each research component. However, this is not meant to be a completely inclusive summary of each report, but rather an overview that highlights statistics worth noting within each report.CHNA Components Secondary Data Research Key Informant Interviews Prioritization Session Implementation PlanKey Community Health IssuesHackettstown Regional Medical Center, in conjunction with community partners, examined the findings of the Secondary Data and Key Informant Interviews to select Key Community Health Issues. The following issues were identified: Access to Care Chronic Disease Management Coordination of Care Mental HealthPrioritized Community Health IssuesBased on feedback from community partners, including health care providers, public health experts, health and human service agencies, and other community representatives, Hackettstown Regional Medical Center plans to focus on multiple key community health improvement efforts and will create an implementation strategy of their defined efforts in January 2016. This document will be shared with the public shortly thereafter. |
| 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. |
| 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. . |
| 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. . |
| 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. |
| 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. . |
| Hackettstown Medical Center | Part V, Section B, Line 11: All significant needs identified in the the most recently conducted CHNA 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. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 117 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (117 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 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 | Hewitt | NJ | 07421 | Laboratory Services | 303 |
| 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 | |
| 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 Center at 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 | |
| 36 - CV Imaging at Advance Cardiolgy | |||||
| 117 Seber Road Suite 1b | Hackettstown | NJ | 07840 | Imaging Services | |
| 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 | |
| 46 - Urgent Care at Vernon | |||||
| 123 State Route 94 | Venron | NJ | 07462 | Off-Site Ambulatory Care Facility-Closed 3/31/16 | |
| 47 - Milford Urgent Care | |||||
| 111 East Catherine Street Suite 130 | Milford | PA | 18337 | Urgent Care Center | |
| 48 - Sleep Diagnosis and Treatment Ctr-NMC | |||||
| 222 High Street Suite 105 | Newton | NJ | 07860 | Off-Site Ambulatory Care Facility-Closed 7/1/16 | |
| 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 | |
| 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 | |||||
| 177 Hamburg Turnpike-Suite 10 | Wayne | NJ | 07470 | Cardiac Imaging | |
| 90 - Cardiac Imaging at MDA Cardiology | |||||
| 215 North Ave | Westfield | NJ | 07090 | 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 | |
| 91 - PT NEW PROV AQUATIC | |||||
| 629 Central Avenue | New Providence | NJ | 07974 | Rehab Services | |
| 92 - CV Imaging At Livingston | |||||
| 340 East Northfield Ave Suite 1D | Livingston | NJ | 07039 | Imaging Services | |
| 92 - Newton Infusion Sparta Health & Wellness | |||||
| 89 Sparta Avenue - Suite 207A | Sparta | NJ | 07871 | Wellness Center | |
| 93 - Imaging Center-Atlantic Cardiology | |||||
| 95 Madison Avenue - Suite 300 | Morristown | NJ | 07960 | Imaging Services | |
| 93 - Urgent Care-MMCAHS | |||||
| 57 US Highway Route 46 | Hackettstown | NJ | 07840 | Urgent Care Center - Closed 9/16/2016 | |
| 94 - CV Imaging Medicor | |||||
| 331 Rt 206 | Hillsborough | NJ | 08844 | Imaging Services | |
| 95 - Atlantic Behavioral Services | |||||
| 46-48 Beauvior Avenue | Summit | NJ | 07901 | Behavioral Health Services | |
| 96 - Atlantic Rehabilitation Institute | |||||
| 95 Mt Kemble Avenue | Morristown | NJ | 07962 | Long Term Care Facility | |
| 97 - Atlantic Home Care and Hospice | |||||
| 111 East Catherine Street Suite | Milford | PA | 18337 | Home Health Agency, Hospice Care Program | 2400 |
| 98 - Atlantic Home Care and Hospice | |||||
| 465 South Street | Morristown | NJ | 07960 | Hospice Care Program and Home Health Agency | |
| 99 - Atlantic Maternal Fetal Med Bridgewater | |||||
| 784-792 Chimney Rock Road | Martinsville | NJ | 08886 | Off-Site Ambulatory Care Facility | |
| 100 - Atlantic Maternal Fetal Medicine | |||||
| 435 South Street - Suite 380 | Morristown | NJ | 07960 | Off-Site Ambulatory Care Facility | |
| 101 - Atlantic Health Sleep Centers | |||||
| 95 Mt Kemble Avenue | Morristown | NJ | 07962 | Off-Site Ambulatory Care Facility | |
| 102 - Morristown Medical Center Care Now | |||||
| 57 US Highway Route 46 | Hackettstown | NJ | 07840 | Off-Site Ambulatory Care Facility | |
| 103 - Geriatric Assessment Center | |||||
| 435 South Street - Suite 390 | Morristown | NJ | 07960 | Off-Site Ambulatory Care Facility | |
| 104 - Cardiac Imaging at Florham Park | |||||
| 10 James Street | Florham Park | NJ | 07932 | Off-Site Ambulatory Care Facility | |
| 105 - Cardiac Iamging at 435 South Street | |||||
| 435 South Street-Level 1 | Morristown | NJ | 07962 | Off-Site Ambulatory Care Facility | |
| 106 - Morristown Surgical Center at Madison Av | |||||
| 111 Madison Avenue | Morristown | NJ | 07960 | Off-Site Ambulatory Care Facility | |
| 107 - MMC Radiolgy at 111 Madison Avenue | |||||
| 111 Madison Avenue | Morristown | NJ | 07960 | Off-Site Ambulatory Care Facility | |
| 108 - MMC Internal Medicine Faculty Associates | |||||
| 435 South Street - Suite 360 | Morristown | NJ | 07962 | Off-Site Ambulatory Care Facility | |
| 109 - The Wound Care Center at MMC | |||||
| 435 South Street - Level 3 | Morristown | NJ | 07962 | Off-Site Ambulatory Care Facility | |
| 110 - The Medical Institute of New Jersey | |||||
| 11 Saddle Road | Cedar Knolls | NJ | 07927 | Off-Site Ambulatory Care Facility | |
| 111 - Morristown Outpatient Radiology | |||||
| 310 Madison Avenue | Morristown | NJ | 07960 | Off-Site Ambulatory Care Facility | |
| 112 - Overlook Health Services | |||||
| 1 Springfield Avenue | Summit | NJ | 07901 | Off-Site Ambulatory Care Facility | |
| 113 - Ryan White HIV Clinic | |||||
| 200 South Street | Morristown | NJ | 07962 | Physican Clinic | |
| 114 - HRMC's Counseling & Addiction Center | |||||
| 112 East Avenue Suite 9 | Hackettstown | NJ | 07840 | Behavioral Health Services | |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The 2016 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 2016 the organization provided 38 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 2016 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:The Hospital records gross patient service revenue on an accrual basis at established rates, with contractual and other allowances added to or deducted from such amounts to determine net patient service revenue. The Hospital maintains policies and records to identify and monitor these contractual allowances and its level of charity care. These records include the amount of deductions from gross revenue due to qualified services provided under the State's charity care guidelines.The process for estimating the ultimate collection of receivables involves significant assumptions and judgments. The Hospital has implemented a monthly standardized approach to estimate and review the collectability of receivables based on the payer classification and the period from which the receivables have been outstanding. Account balances are written off against the allowance when management feels it is probable the receivable will not be recovered. Historical collection and payer reimbursement experience is an integral part of the estimation process related to reserves for doubtful accounts. In addition, the Hospital assesses the current state of its billing functions in order to identify any known collection or reimbursement issues and assess the impact, if any, on reserve estimates. The Hospital believes that the collectability of its receivables is directly linked to the quality of billing processes, most notably those related to obtaining the correct information in order to bill effectively for the services it provides. Revisions in reserve for doubtful accounts estimates are recorded as an adjustment to bad debt expense. |
| Part III, Line 8: | 2016 Medicare Allowable payments received as calculated per the 2016 Medicare Cost report exceeds the 2016 Medicare costs generating a Medicare surplus to the organization of over $17 million. Alhtough there was s surplus in 2016, 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 patienthas 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 informthe 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 willprovide 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 andThird 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 allpatients 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 facilitiesincluding 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 2016 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 2016, Atlantic Health System trained 292 residents and fellows, 205 at Morristown Medical Center and 87 at Overlook Medical Center. AHS graduated 78 residents from various programs in June 2016. 23 of these graduates chose to pursue fellowship training. 14 stayed in the Atlantic Health System catchment area: of these, 4 stayed on as chief residents, 5 practiced in family medicine, 1 in primary care sports medicine, 3 as hospitalists (internal medicine), and 1 stayed for fellowship training.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. Since 2009, AHS has been partnering with Drew University to offer a certificate of Medical Humanities to AHS medical residents. The three-year program yielded its first graduates in May 2011. Every subsequent year another cohort of internal medicine residents from OMC and MMC and family medicine residents have been conferred degrees. Approximately 125 residents have been conferred degrees to date.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 2016. 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (41 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Alliance For Lupus Research | |||||||
| 28 West 44th Street-Suite 501 | New York | NY | 10036 | 582492929 | 501(c)(3) | $25,000 | General Support |
| American Cancer Society | |||||||
| 7 Ridgedale Avenue - Suite 103 | Cedar Knolls | NJ | 07927 | 131788491 | 501(c)(3) | $40,259 | General Support |
| American Heart Association | |||||||
| 1 Union Street Suite 301 | Robbinsville | NJ | 086914183 | 135613797 | 501(c)(3) | $20,000 | General Support |
| American Lung Association of the Mid Atlantic | |||||||
| 527 Plymouth Road Suite 415 | Plymouth Meeting | PA | 19462 | 131632524 | 501(c)(3) | $6,000 | General Support |
| Borough of Lincoln Park | |||||||
| 34 Chapel Hill Road | Lincoln Park | NJ | 07035 | 226002031 | 501(c)(3) | $10,000 | General Support |
| Boys & Girls Club of Northwest NJ | |||||||
| 153 Garside Avenue | Wayne | NJ | 07470 | 222169444 | 501(c)(3) | $10,000 | General Support |
| Boys & Girls Club of Northwest NJ | |||||||
| 19 Oak Ave | Pequannock | NJ | 07444 | 222169444 | 501(c)(3) | $18,115 | General Support |
| Center for Prevention and Counseling | |||||||
| 61 Spring Street3rd Floor | Newton | NJ | 07860 | 237387757 | 501(c)(3) | $17,500 | General Support |
| Challenge Day | |||||||
| 2520 Stanwell Drive Suite 160 | Concord | CA | 94520 | 943386810 | 501(c)(3) | $32,828 | General Support |
| Chilton Medical Center Foundation | |||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 222883605 | 501(c)(3) | $50,620 | General Support |
| Cleveland Clinic ED Foundation | |||||||
| P O Box 931653 | Cleveland | OH | 441931082 | 340714570 | 501(c)(3) | $20,000 | General Support |
| Coalition To Protect America's Health Care | |||||||
| P O BOX 30211 | Bethesda | MD | 208240211 | 522253225 | 501(c)(3) | $53,750 | General Support |
| College of St Elizabeth | |||||||
| 2 Convent Road | Morristown | NJ | 079606989 | 221529785 | 501(c)(3) | $11,817 | General Support |
| Fellowship Senior Living | |||||||
| 8000 Fellowship Road | Basking Ridge | NJ | 07920 | 223146725 | 501(c)(3) | $7,360 | General Support |
| Good Grief | |||||||
| 34 Elm Street | Morristown | NJ | 07960 | 200514996 | 501(c)(3) | $15,000 | General Support |
| Grow It Green Morristown | |||||||
| 14 Maple Avenue | Morristown | NJ | 07960 | 224560703 | 501(c)(3) | $10,000 | General Support |
| Hackettstown Medical Center Foundation | |||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 222333410 | 501(c)(3) | $568,000 | General Support |
| Homecare Options | |||||||
| 2 Market Street | Paterson | NJ | 07501 | 221589210 | 501(c)(3) | $10,000 | General Support |
| Hunterdon Medical Center Foundation | |||||||
| 2100 Wescott Drive | Flemington | NJ | 08822 | 222526895 | 501(c)(3) | $62,500 | General Support |
| Lakeland Hills Family YMCA | |||||||
| 100 Fanny Road | Mountain Lakes | NJ | 07046 | 221559438 | 501(c)(3) | $10,000 | General Support |
| Liberty Science Center | |||||||
| 222 Jersey City Boulevard | Jersey City | NJ | 073054600 | 222302253 | 501(c)(3) | $10,500 | General Support |
| Mayo Performing Arts Center - Attn Cathy Roy | |||||||
| 100 South Street | Morristown | NJ | 07960 | 223348540 | 501(c)(3) | $25,000 | General Support |
| Meadowlink | |||||||
| 114 Park Place East | WoodRidge | NJ | 07075 | 222508337 | 501(c)(3) | $20,000 | General Support |
| Medical Needs Foundation | |||||||
| P O Box 303 | Mountain Lakes | NJ | 07046 | 223599504 | 501(c)(3) | $20,000 | General Support |
| Metropolitan YMCA of the Oranges | |||||||
| 139 East McClellan Ave | Livingston | NJ | 07039 | 221487387 | 501(c)(3) | $10,000 | General Support |
| New York Jets Foundation | |||||||
| 845 Third Ave - 6th Floor | New York | NY | 10022 | 237108291 | 501(c)(3) | $15,000 | General Support |
| Newton Medical Center Foundation | |||||||
| 175 High Street | Newton | NJ | 07860 | 222618102 | 501(c)(3) | $13,275 | General Support |
| NJSIAA | |||||||
| 1161 Route 130 North P O Box 487 | Robbinsville | NJ | 08691 | 210638152 | 501(c)(3) | $7,500 | General Support |
| Overlook Medical Center Foundation | |||||||
| 33 Overlook Rd | SUMMIT | NJ | 07901 | 510194054 | 501(c)(3) | $51,400 | General Support |
| Passaic County Casa for Children | |||||||
| 415 Hamburg Turnpike | Wayne | NJ | 07470 | 208456398 | 501(c)(3) | $37,208 | General Support |
| Passaic Valley POP Lodge #181 | |||||||
| 576 Valley Road Suie 195 | Wayne | NJ | 07470 | 223802830 | 501(c)(7) | $7,500 | General Support |
| Professional Assistance Program of NJ | |||||||
| 742 Alexander Road-Suite 105 | Princeton | NJ | 08540 | 202798387 | 501(c)(3) | $19,000 | General Support |
| Rutgers University - Rutgers CRSSA | |||||||
| 14 College Farm Rd | New Brunswick | NJ | 08901 | 521182677 | 501(c)(3) | $10,000 | General Support |
| Society of Former Special Agents of the | |||||||
| 3717 Fettler Park Drive | Dumfries | VA | 220252048 | 204716067 | 501(c)(3) | $7,500 | General Support |
| Somerset Healthcare Foundation | |||||||
| 110 Rehill Ave | Somerville | NJ | 08873 | 223294408 | 501(c)(3) | $10,000 | General Support |
| Susan G Komen Race For the Cure | |||||||
| 44 Middle Ave - 2nd Floor | Summit | NJ | 07901 | 223528454 | 501(c)(3) | $15,000 | General Support |
| Township of Hanover | |||||||
| 100 Route 10 | Whippany | NJ | 07981 | 226001855 | 501(c)(3) | $10,000 | General Support |
| United Way of Northern NJ | |||||||
| 22 Ridgedale Avenue | Cedar Knolls | NJ | 07927 | 221487247 | 501(c)(3) | $6,000 | General Support |
| United Way of Passaic County | |||||||
| 201 Main St | Paterson | NJ | 07501 | 226070498 | 501(c)(3) | $10,000 | General Support |
| WAMMC | |||||||
| 100 Madison Ave | Morristown | NJ | 079621956 | 223392808 | 501(c)(3) | $19,685 | General Support |
| YMCA of Eastern Union County | |||||||
| 144 Madison Ave | Elizabeth | NJ | 07201 | 221487381 | 501(c)(3) | $10,000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 38 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I - Part I, Line #2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | 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 (54 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brian Gragnolati | ||||||||||||||
| President & CEO | $1,288,172 | $0 | $625,000 | $0 | $81,230 | $0 | $304,968 | $0 | $12,088 | $0 | $2,311,458 | $0 | $625,000 | $0 |
| Kevin Lenahan | ||||||||||||||
| SVP-CFO & Admin Officer | $793,695 | $0 | $299,300 | $0 | $27,740 | $0 | $178,685 | $0 | $16,367 | $0 | $1,315,787 | $0 | $299,300 | $0 |
| James Smith | ||||||||||||||
| Director-Atlantic Amb | $209,635 | $0 | $40,400 | $0 | $637 | $0 | $15,192 | $0 | $8,076 | $0 | $273,940 | $0 | $40,400 | $0 |
| Joseph Di Paolo | ||||||||||||||
| President - NMC | $455,735 | $0 | $176,500 | $0 | $40,031 | $0 | $105,043 | $0 | $13,994 | $0 | $791,303 | $0 | $176,500 | $0 |
| Katharine Driebe | ||||||||||||||
| VP - Finance Eff 8/21/16 | $339,547 | $0 | $62,900 | $0 | $0 | $0 | $56,602 | $0 | $16,367 | $0 | $475,416 | $0 | $62,900 | $0 |
| Stanley Fiel | ||||||||||||||
| PAMG-Trustee | $616,194 | $0 | $105,700 | $0 | $987 | $0 | $23,850 | $0 | $12,088 | $0 | $758,819 | $0 | $105,700 | $0 |
| Walter Rosenfeld | ||||||||||||||
| PAMG-Trustee/Officer | $574,919 | $0 | $93,500 | $0 | $41,604 | $0 | $29,150 | $0 | $14,039 | $0 | $753,212 | $0 | $93,500 | $0 |
| William Dowling | ||||||||||||||
| PAMG-Trustee | $673,260 | $0 | $121,600 | $0 | $10,869 | $0 | $0 | $0 | $0 | $0 | $805,729 | $0 | $121,600 | $0 |
| Sheilah O'Halloran | ||||||||||||||
| VP-Ass't Gen Council Eff 4/17/16 | $440,358 | $0 | $51,700 | $0 | $45,191 | $0 | $72,513 | $0 | $12,088 | $0 | $621,850 | $0 | $51,700 | $0 |
| Jan Schwartz-Miller | ||||||||||||||
| SVP-Chief Medical & Academy | $621,064 | $0 | $220,400 | $0 | $50,117 | $0 | $50,441 | $0 | $13,994 | $0 | $956,016 | $0 | $220,400 | $0 |
| Steve Sheris MD | ||||||||||||||
| PAMG-Trustee/Officer SVP-Phys Enterp | $673,259 | $0 | $52,620 | $0 | $58,264 | $0 | $102,536 | $0 | $16,367 | $0 | $903,046 | $0 | $0 | $0 |
| Peter Bolo MD | ||||||||||||||
| PAMG-Trustee | $388,000 | $0 | $67,600 | $0 | $8,130 | $0 | $23,850 | $0 | $16,294 | $0 | $503,874 | $0 | $67,600 | $0 |
| Joan Boomsma MD | ||||||||||||||
| PAMG-Trustee Term 8/6/16 | $317,138 | $0 | $96,300 | $0 | $308 | $0 | $0 | $0 | $0 | $0 | $413,746 | $0 | $96,300 | $0 |
| Monica Centanni MD | ||||||||||||||
| PAMG-Trustee | $241,034 | $0 | $0 | $0 | $72,865 | $0 | $9,275 | $0 | $10,159 | $0 | $333,333 | $0 | $0 | $0 |
| Greg Mulford MD | ||||||||||||||
| PAMg-Trustee | $457,065 | $0 | $87,800 | $0 | $22,419 | $0 | $7,950 | $0 | $16,367 | $0 | $591,601 | $0 | $87,800 | $0 |
| Joseph Cirello MD | ||||||||||||||
| PAMG-Trustee | $168,143 | $0 | $72,300 | $0 | $45,432 | $0 | $10,394 | $0 | $16,367 | $0 | $312,636 | $0 | $72,300 | $0 |
| Samantha Pozner MD | ||||||||||||||
| PAMG-Trustee | $213,140 | $0 | $47,865 | $0 | $125,511 | $0 | $0 | $0 | $0 | $0 | $386,516 | $0 | $0 | $0 |
| Chris Zipp MD | ||||||||||||||
| PAMG-Trustee | $392,242 | $0 | $75,700 | $0 | $3,615 | $0 | $13,250 | $0 | $14,415 | $0 | $499,222 | $0 | $75,700 | $0 |
| Mario Capio MD | ||||||||||||||
| Trustee-AHS Term 10/20/16 | $395,220 | $0 | $0 | $0 | $62,131 | $0 | $0 | $0 | $0 | $0 | $457,351 | $0 | $0 | $0 |
| Steve Maser MD | ||||||||||||||
| Trustee-AHS | $242,069 | $0 | $0 | $0 | $12,000 | $0 | $0 | $0 | $0 | $0 | $254,069 | $0 | $0 | $0 |
| M Veronica Daly MD | ||||||||||||||
| Trustee-AHS | $343,659 | $0 | $57,500 | $0 | $637 | $0 | $7,950 | $0 | $8,101 | $0 | $417,847 | $0 | $0 | $0 |
| Terry Forde | ||||||||||||||
| President & CEO, AHC 1/1/16-3/31/16 | $197,714 | $0 | $0 | $0 | $1,188 | $0 | $9,947 | $0 | $18,835 | $0 | $227,684 | $0 | $0 | $0 |
| Jason C Coe | ||||||||||||||
| Pres-HMC Ending 1/1/16 -9/12/16 | $324,014 | $0 | $247,095 | $0 | $40,269 | $0 | $3,322 | $0 | $16,253 | $0 | $630,953 | $0 | $0 | $0 |
| Paul Marmora | ||||||||||||||
| VP- Ambulatory Serv Eff 8/21/16 | $422,814 | $0 | $80,700 | $0 | $15,083 | $0 | $70,817 | $0 | $16,367 | $0 | $605,781 | $0 | $80,700 | $0 |
| Alan Lieber | ||||||||||||||
| President - OMC | $558,852 | $0 | $235,000 | $0 | $186,056 | $0 | $23,910 | $0 | $14,342 | $0 | $1,018,160 | $0 | $235,000 | $0 |
| Patricia O'Keefe | ||||||||||||||
| President-MMC Eff 4/17/16 | $477,490 | $0 | $158,200 | $0 | $64,170 | $0 | $119,019 | $0 | $12,088 | $0 | $830,967 | $0 | $158,200 | $0 |
| Linda Reed | ||||||||||||||
| CIO-Terminated 2/6/2016 | $64,560 | $0 | $191,300 | $0 | $968,478 | $0 | $0 | $0 | $0 | $0 | $1,224,338 | $0 | $191,300 | $0 |
| Madeline Ferraro | ||||||||||||||
| VP - Gov't & Public | $298,149 | $0 | $123,700 | $0 | $109,970 | $0 | $23,850 | $0 | $12,486 | $0 | $568,155 | $0 | $123,700 | $0 |
| Kimberly Simensen | ||||||||||||||
| SVP-Sys & Network Planning | $441,667 | $0 | $50,000 | $0 | $157,315 | $0 | $78,885 | $0 | $14,039 | $0 | $741,906 | $0 | $0 | $0 |
| Joseph Wilkins | ||||||||||||||
| SVP-Chief Trans Officer-Eff 10/1/16 | $115,243 | $0 | $50,000 | $0 | $23,095 | $0 | $22,634 | $0 | $14,039 | $0 | $225,011 | $0 | $0 | $0 |
| Valerie Simon | ||||||||||||||
| VP-Marketing & Comm Eff 6/27/16 | $118,701 | $0 | $0 | $0 | $8,032 | $0 | $13,318 | $0 | $15,420 | $0 | $155,471 | $0 | $0 | $0 |
| Thomas Kloos | ||||||||||||||
| President-ACO | $422,348 | $0 | $90,000 | $0 | $49,183 | $0 | $64,541 | $0 | $12,088 | $0 | $638,160 | $0 | $0 | $0 |
| James Barr | ||||||||||||||
| VP-Clinical Intelligence | $467,906 | $0 | $101,000 | $0 | $36,912 | $0 | $68,936 | $0 | $16,294 | $0 | $691,048 | $0 | $0 | $0 |
| Terrance French | ||||||||||||||
| VP-Strat Dev & Net Aff Eff 4/4/16 | $228,521 | $0 | $0 | $0 | $15,213 | $0 | $24,567 | $0 | $15,420 | $0 | $283,721 | $0 | $0 | $0 |
| Lisa Monfredi | ||||||||||||||
| VP- Revenue Cycle Eff 8/21/16 | $327,903 | $0 | $60,900 | $0 | $636 | $0 | $63,324 | $0 | $14,415 | $0 | $467,178 | $0 | $0 | $0 |
| Stephanie Schwartz | ||||||||||||||
| President CMC Eff 1/25/16 | $427,661 | $0 | $20,000 | $0 | $0 | $0 | $54,065 | $0 | $15,420 | $0 | $517,146 | $0 | $0 | $0 |
| Eva Goldenberg | ||||||||||||||
| VP- Compliance & Audit | $315,797 | $0 | $61,700 | $0 | $25,433 | $0 | $48,607 | $0 | $12,088 | $0 | $463,625 | $0 | $0 | $0 |
| Robert C Peterson | ||||||||||||||
| CFO HCH 1/1/16-3/31/16 | $223,673 | $0 | $176,231 | $0 | $19,237 | $0 | $2,443 | $0 | $19,769 | $0 | $441,353 | $0 | $0 | $0 |
| Maureen Bueno | ||||||||||||||
| VP-Chief Quality-Eff 11/13/16 | $291,795 | $0 | $60,000 | $0 | $0 | $0 | $35,179 | $0 | $0 | $0 | $386,974 | $0 | $0 | $0 |
| Joseph Ramieri MD | ||||||||||||||
| Chairman - OB/GYN Depart | $582,309 | $0 | $105,100 | $0 | $1,430 | $0 | $29,150 | $0 | $12,088 | $0 | $730,077 | $0 | $105,100 | $0 |
| Rolando Rolandelli | ||||||||||||||
| Chairman-Dep of Surgery | $707,539 | $0 | $257,649 | $0 | $176,488 | $0 | $23,850 | $0 | $12,088 | $0 | $1,177,614 | $0 | $134,600 | $0 |
| John Halperin | ||||||||||||||
| Director - MD | $586,008 | $0 | $99,900 | $0 | $2,114 | $0 | $23,850 | $0 | $12,088 | $0 | $723,960 | $0 | $99,900 | $0 |
| Kenneth Janowski | ||||||||||||||
| CMO HCH 1/1/16 -3/31/16 | $241,905 | $0 | $118,400 | $0 | $25,441 | $0 | $2,645 | $0 | $14,723 | $0 | $403,114 | $0 | $0 | $0 |
| Stella Visaggio | ||||||||||||||
| COO HCH 1/1/16 - 3/31/16 | $235,024 | $0 | $177,508 | $0 | $22,801 | $0 | $2,562 | $0 | $15,137 | $0 | $453,032 | $0 | $0 | $0 |
| Paul Starker | ||||||||||||||
| Chairman-Dept of Surgery | $928,236 | $0 | $91,000 | $0 | $2,114 | $0 | $18,550 | $0 | $11,517 | $0 | $1,051,417 | $0 | $91,000 | $0 |
| Mark Widmann | ||||||||||||||
| Physician | $874,598 | $0 | $0 | $0 | $2,163 | $0 | $0 | $0 | $0 | $0 | $876,761 | $0 | $0 | $0 |
| Daniel Tobias | ||||||||||||||
| Physician | $618,518 | $0 | $0 | $0 | $188,049 | $0 | $18,550 | $0 | $16,367 | $0 | $841,484 | $0 | $0 | $0 |
| James Wong | ||||||||||||||
| Chairman-Radiology Oncology | $676,931 | $0 | $0 | $0 | $103,659 | $0 | $0 | $0 | $0 | $0 | $780,590 | $0 | $0 | $0 |
| Eric Whitman | ||||||||||||||
| Physician | $659,220 | $0 | $82,900 | $0 | $59,924 | $0 | $0 | $0 | $0 | $0 | $802,044 | $0 | $82,900 | $0 |
| Andrew Kovach | ||||||||||||||
| VP Human Resources-Term 9/30/15 | $0 | $0 | $167,100 | $0 | $681,991 | $0 | $0 | $0 | $0 | $0 | $849,091 | $0 | $167,100 | $0 |
| Thomas J Senker | ||||||||||||||
| Former President-NMC- Term 1/1/15 | $0 | $0 | $0 | $0 | $265,229 | $0 | $0 | $0 | $0 | $0 | $265,229 | $0 | $0 | $0 |
| Michael Regier | ||||||||||||||
| Former VP-Legal Aff-Term 12/31/15 | $24,388 | $0 | $179,800 | $0 | $579,654 | $0 | $0 | $0 | $0 | $0 | $783,842 | $0 | $179,800 | $0 |
| Deborah Zastocki | ||||||||||||||
| Former Pres-CMC Term 8/1/15 | $0 | $0 | $0 | $0 | $535,118 | $0 | $0 | $0 | $0 | $0 | $535,118 | $0 | $0 | $0 |
| William Neigher | ||||||||||||||
| Former VP-System Dev Term 8/1/15 | $0 | $0 | $79,202 | $0 | $216,123 | $0 | $0 | $0 | $0 | $0 | $295,325 | $0 | $79,202 | $0 |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The organization pays for and/or provides auto leases/auto allowances, life insurance premiums, long term disability premiums, financial planning services and health club membership fees 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 individuals with an auto allowance or an auto lease during 2016: Kevin Lenahan 10,800 Michael Regier 10,800 Alan Lieber 10,800 Jan Schwarz-Miller 10,800 Joseph Di Paolo 10,800 Linda Reed 1,246 Madeline Ferraro 10,800 Thomas Senker 12,000 Deborah Zastocki 10,800 Stanley Fiel 350 Walter Rosenfeld 5,885 William Neigher 2,365 The organization provided the following individuals with Country Club Memebership dues during 2016: Joseph Di Paolo 1,178 The organization provided the following individuals with Executive Physical Exams during 2016: Brian Gragnolati 7,500 Thomas Kloos 7,500 Jason Coe 7,500 Terence French 7,500 Sheilah O'Halloran 7,500 |
| Part I, Lines 4a-b | The organization provides a supplemental non-qualified retirement plan for officers (457f plan). During 2016, 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: Madeline Ferraro 87,369 Alan Lieber 152,006 Linda Reed (Term 2/6/16) 965,935 2016 Mid Career Hire Plan Earned Credits The following Officers earned credits in their non-qualified retirement plan-457(f) plan known as the Mid-Career Hire Plan (MCHP): 1- Kevin Lenahan $160,135 2- Jan Schwartz-Miller $15,991 The above amounts represent earned credits which have not vested and were not included in their respective 2016 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 2016 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. 2016 Supplemental Executive Retirement Plan (SERP) Earned Credits During 2016, 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 2016, the following Officers (Executives) received SERP credits: Brian Gragnolati Steven Sheris, MD Katharine Driebe Sheilah O'Halloran Alan Lieber Patricia O'Keefe Joseph Di Paolo Paul Marmora Kimberly Simensen Joseph Wilkins Valerie Simon Nikki Sumpter Thomas Kloos James Barr Karen Flaherty-Oxler Terrance French Eva Goldberg Lisa Monfredi Stephanie Schwartz David Schreck Maureen Bueno The above amounts represent earned credits which have not vested and were not included in their respective 2016 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 2016 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. |
| Part I, Line 6 | 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 |
| Part I, Line 4a | Andrew Kovach - Separation Agreement Effective as of October 1, 2015 (the Separation Date), Mr. Kovach's employment with Atlantic Health was terminated. The terms of the agreement are as follows: Atlantic Health will pay Mr. Kovach $24,000 bi-weekly byway of regular payroll check on Atlantic Health's regular pay day for 104 weeks until employee receives the total sum of $1,248,000. Mr. Kovach will receive a 2015 prorated incentive award, relating to period through the separation date, at the present achieved in 2014. This will be paid in calendar year 2016 when incentive awards are paid for all other officers of employer. Atlantic Health will pay the COBRA premium allocated for Mr. Kovach's current group medical and dental benefits less employee contribution commencing on the Separation Date and continuing through October 31, 2017. The payment is applicable only to employees who were receiving such benefits as of the date they were informed of their termination. Benefits under Atlantic Health's Pension Plan shall be administered in accordance with the terms of the plan. |
| Part I, Line 4a | Deborah Zastocki - Separation Agreement Effective August 1, 2015 (the Separation Date), Ms. Zastock's employment from Atlantic Health was terminated. Atlantic Health will pay Ms. Zastock $20,258 bi-weekly by way of regular payroll check on Atlantic Health's regular pay day for 104 weeks until employee receives the total sum of $1,053,400. Atlantic Health will pay the COBRA premium allocated for Ms. Zastocki's current group medical and dental benefits less employee contribution commencing on the Separation Date and continuing through August 31, 2017. The payment is applicable only to employees who were receiving such benefits as of the date they were informed of their termination. Pension benefits shall be administered in accordance with the terms of the plan. |
| Part I, Line 4a | Michael Regier - Separation Agreement Effective January 1, 2016,(Separation Date) Mr. Regier's employment with Atlantic Health was terminated. Mr. Regier's last date worked was December 3, 2015. Mr. Regier continued to receive regular pay until December 31, 2015. Atlantic Health will pay Mr. Regier $22,308.-bi-weekly by way of regular payroll check on Atlantic Health's regular pay day for 52 weeks until employee receives a total sum of $580,008. Atlantic Health will pay the COBRA premium allocated for Mr. Regier's current group medical and dental benefits less his contribution commencing on the separation date and continuing through December 31, 2016. Mr. Regier will receive his 2015 incentive award in the amount of $179,800 with 2 weeks of this agreement ($580,008 x 31% = $179,800). Mr. Regier shall be paid a lump sum (less required deductions) for paid time off benefits equal to 14.99 hours. Benefits under Atlantic Health's Cash Balance Pension Plan shall be administered in accordance with the terms of the plan. |
| Part I, Line 4a | Thomas Senker - Separation Agreement Effective as of July 1, 2014 (the "Inactive Status Date"), Mr. Senker went on inactive status with Atlantic Health. From the Inactive status date until the Separation Date, such period referred to as the "Inactive Status Period", Mr Senker was under no obligation to provide services to Atlantic Health. During the inactive status period of Mr. Senker's employment, he shall be paid base compensation at the rate of $450,000 per year, such base compensation rate to be retroactive to January 1, 2014. In addition, during the inactive status period, Mr. Senker shall continue to participate in all employee benefit programs in which he is participating in as of the date of execution of this agreement and to receive current emoluments, including, without limitation, an automobile allowance and cell phone and other mobile device access which employee is receiving as of the date of execution of this agreement, as though Mr. Senker were an active employee. Effective January 1, 2015 (separation date), Mr. Senker's employment with Atlantic Health was terminated. Atlantic Health will pay Mr. Senker $8,653.85 bi-weekly by way of regular payroll check on Atlantic Health's regular pay day for 104 weeks until employee receives the total sum of $450,000. Atlantic Health will pay COBRA premium allocated for Mr. Senker's current group medical and dental benefits less employee contribution commencing six (6) months after the separation date continuing through December 31, 2016. Mr. Senker shall continue to receive an automobile allowance and cell phone and other mobile device access which employee is receiving as of the date of execution of this agreement through December 31, 2015. Benefits under Atlantic Health's Cash Balance Pension Plan shall be administered in accordance with the terms of the plan. |
| Part I, Line 4a | William Neigher - Separation Agreement Effective as of August 1, 2015 (the Separation Date), Mr. Neigher's employment with Atlantic Health was terminated. Atlantic Health will pay Mr. Neigher $14,251 bi-weekly byway of regular payroll check on Atlantic Health's regular pay day for 52 weeks until he receives the total sum of $370,515. Mr. Neigher will receive a lump sum amount of $51,088 per the letter dated and sent on August 12, 2012, which will be paid through the Atlantic Health payroll system on the next regular pay date. Mr. Neigher will receive his IPAD, phone and computer. Mr. Neigher will receive a 2015 prorated incentive award at 37.3% of base salary. This will be paid with incentives as paid for all officers. Atlantic Health will pay the COBRA premium allocated for Mr. Neigher's current group medical and dental benefits less employee contribution commencing on the Separation Date and continuing through August 31, 2016. The payment is applicable only to employees who were receiving such benefits as of the date they were informed of their termination. Benefits under Atlantic Health's Cash Balance Pension Plan shall be administered in accordance with the terms of the plan. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NJ Healthcare Facilities Series 2008B | ||||||||
| A | 221987084 | 64579FWP4 | 2008-05-14 | $88,555,000 | To redeem revenue bonds | 0 | 0 | 0 |
| NJ Healthcare Facilities Series 2008C | ||||||||
| B | 221987084 | 64579FWQ2 | 2008-05-14 | $88,555,000 | To redeem revenue bonds | 0 | 0 | 0 |
| NJ Healthcare Facilities Series 2008A | ||||||||
| C | 221987084 | 64579FWL3 | 2008-05-14 | $181,712,419 | To redeem revenue bonds | 0 | 0 | 0 |
| NJ Healthcare Facilities Series 2011 | ||||||||
| D | 221987084 | 64579FN82 | 2011-05-17 | $129,969,619 | To redeem revenue bonds and payment for cap exp | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $88,555,000 | $246,973 | $510,043 | $65,914 | $87,732,070 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $88,555,000 | $246,973 | $510,043 | $65,914 | $87,732,070 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $177,110,000 | $493,946 | $1,329,584 | $175,286,471 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | $176,447,419 | ||
| D | $130,545,000 | $761,426 | $1,970,739 | $17,782,030 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | $125,114,619 | $106,458,053 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0.01070 | 0.01070 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0.01070 | 0.01070 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0.01070 | 0.01070 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0.01070 | 0.01070 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NA | |||||||||||||
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | NA | 0 | 0 | Yes (1) |
| NA | |||||||||||||
| B | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | NA | 0 | 0 | Yes (1) |
| NA | |||||||||||||
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | Yes (1) |
| NA | |||||||||||||
| D | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: NJ Healthcare Facilities Series 2011 Date the Rebate Computation was Performed: 06/21/2016 |
| Series 2011 - Issue Price and Total Proceeds of Issue | 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 |
| 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 |
| 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 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NJ Healthcare Facilities Series 2016 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 221987084 | BondIssuerEIN |
| CUSIP | 645790FA9 | CUSIPNum |
| Bond Issued | 2016-10-06 | BondIssuedDt |
| Issue Price | $252,386,641 | IssuePriceAmt |
| Purpose | To redeem revenue bonds | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $224,800,000 | TotalProceedsAmt |
| In Reserve Fund | $3,717,628 | InReserveFundAmt |
| Issuance Costs From Proceeds | $1,782,471 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $219,299,901 | OtherSpentProceedsAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.01070 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.01070 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Regulatory Safe Harbor Stsfd | 0 | RegulatorySafeHarborStsfdInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Elizabeth Lenahan | |||
| Refer to below. | $43,400 | Performance. Elizabeth Lenahan is the mother of Kevin Lenahan (Trustee and Officer). The organization compensated Elizabeth Lenahan $43,400 during 2016. Transaction is considered to be negotiated at arms-length. | 0 |
| Robert Rooke | |||
| Refer to below. | $33,096 | Performance. Robert Rooke is the son of Ann Rooke (Trustee and Officer-AHS). The organization compensated Robert Rooke $33,096 during 2016. Transaction is considered to be negotiated at arms-length. | 0 |
| Martinsville Family Prac | |||
| Refer to below. | $197,859 | Performance. Tony Frisoli, MD (Board Member - Trustee-PAMG) is a member/founding member of Martinsville Family Practice. The organization paid Martinsville Familty Practice $197,859 during 2016. Transaction is considered to be negotiated at arms-length. | 0 |
| Mary Mulcahy | |||
| Refer to below | $43,268 | Performance. Mary Mulcahy is the daughter of Robert E Mulcahy (Trustee-AHS). The organization compensated Mary Mulcahy $43,268 during 2016. Transaction is considered to be negotiated at arms-length. | 0 |
| Katherine Monfredi | |||
| REfer to below | $44,559 | Performance. Katherine Monfredi is the daughter of Lisa Monfredi (Officer-AHS). The organization compensated Katherine Monfredi $44,559 during 2016. Transaction is considered to be negotiated at arms-length. | 0 |
| Jacqueline Hydock | |||
| Refer to below | $71,479 | Performance. Jacqueline Hydock is the sister of Lisa Monfredi (Officer-AHS). The organization compensated Jaqueline Hydock $71,479 during 2016. Transaction is considered to be negotiated at arms-length. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 39 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. Eleven (11) of the seventeen (17) 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, five (5) of its (6) voting trustees represent management employees from an affiliated organization (AHS Hospital Corp). As a result, one (1) of the six (6) trustees are deemed to be independent. 3. Practice Associates Medical Group This organization consists of a physician group providing physician programs. Fifteen (15) out of the sixteen (16) voting trustees are physicians and are generally affiliated with Atlantic Health System, Inc. either through employment or by practice leasing agreements. As a result, three (3) of the sixteen (16) 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 12/31/16. 5. Hackettstown Regional Medical Center Emergency Medical Services, Inc - Due to 4/1/16 merger with Atlantic Health System, trustees consiste of those from Atlantic Health System at 12/31/16. 6. Medical Center Partners, Inc. - Due to 4/1/16 merger with Atlantic Health System, trustees consist of those from Atlantic Health System at 12/31/16. |
| Form 990, Part VI, Section A, line 4 | Effective April 1, 2016, the Hackettstown Division was acquired from Adventist Healthcare, Inc. ("Adventist") with the AHS Hospital Corp being substituted as the sole corporate member of Hackettstown Community Hospital. AHS Hospital Corp paid $47,000,000 to purchase property, plant and equipment, along with minimal amounts of long-term investments, inventories, and assumed liabilities of the Hackettstown Division from Adventist. The change in control of the Hackettstown Division was accounted for by the Hospital as an acquisition under the Merger and Acquisition guidance for Not-for-Profit entities. Refer to Footnote #16 in the December 31, 2016 and 2015 AHS Hospital Corp. consolidated financial statements for the detailed vaulation breakout of the assets acquired, liabilites assumed and the net assets of the Hackettstown Division at April 1, 2016. |
| 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 2016 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 (Mercer)is completed every year. The most recent survey was conducted in 2016. Officers reviewed include President and CEO AHS; SVP Chief Financial & Administrative Officer; SVP, Care Innovation & Technology; SVP, Chief Nursing & Patient Experience Officer; SVP, Chief Human Resource Officer; SVP, Integrated Care Delivery & CEO Hospital Division; SVP, System & Network Planning & Business Development; SVP, Physician Enterprise & President, AMG;SVP Quality & Chief Medical & Academic Officer, AHS; VP Government & Public Affairs; VP AHS & President OMC; VP AHS & President MMC; VP AHS & President CMC; VP AHS & President NMC; VP, President ACO; VP, Clinical Intelligence; VP Legal Affairs & General Counsel; VP, Marketing & Communications; VP, Compliance & Audit; VP Ambulatory Services; VP, Finance; VP, Revenue Cycle; VP, Strategic Development & network Affairs; VP, Chief Information Officer; VP, Insurance Networks. On behalf of Atlantic Health, 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 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 282,775. Change in funded status of benefit plans -35,603,127. Contributions - Temp Restricted Net Assets 31,331,421. Donations - Perm Restricted Net Assets 810,459. Hackettstown Community Hospital - 1/1/16 - 3/31/16 -129,936. Hackettstown Regional Med Center Emergency Medical Serv - 1/1/16 - 3/31/16 464,146. Medical Center Partners, Inc - 1/1/16 - 3/31/16 169,382. |
| Entities in Group Return | The following entities comprise of this Group IRS 990: AHS Hosptial Corp. EIN #52-1958352 Practice Associtates Medical Group EIN #20-2088165 Atlantic Ambulance Corp. EIN #22-3820288 Hackettstown Community Hospital EIN #22-6106281 Hackettstown Regional Medical Center Emerg Med Serv Inc EIN #27-0820164 Medical Center Partners, Inc. EIN #45-4789273 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | Atlantic Health System | |
| 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 | Yes (1) | Atlantic Health System | |
| Prime Care Inc | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 222759566 | Provides home health and other healthcare services | NJ | 501(c)(3) | Line 10 | Yes (1) | Atlantic Health System | |
| North Jersey Health Care Properties Inc | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 223519709 | Own commercial buildings and conducts leasing activities | NJ | 501(c)(2) | Yes (1) | Atlantic Health System | ||
| 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 | Yes (1) | Atlantic Health System | |
| 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 | Yes (1) | Atlantic Health System | |
| 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 12a, I | Yes (1) | Atlantic Health System | |
| 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) | Yes (1) | Atlantic Health System | ||
| Foundation for Hackettstown Medical Center | |||||||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 222333410 | Fundraising for Hackettstown Medical Center. | NJ | 501(c)(3) | Line 7 | Yes (1) | Atlantic Health System | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|
| 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 |
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 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Atlantic Health Management Corp and Subsidiaries | |||||||||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 223538027 | Healthcare Related Services | NJ | C | 0 | |||||||
| AHS Insurance Company Ltd | |||||||||||||||
| 223380375 | Insurance | NJ | C | 0 | 200 American Road | Morris Plains | Grand Cayman | CJ | 07950 | ||||||
| Nutley Medical Care PA | |||||||||||||||
| 100 Madison Ave | Morristown | NJ | 07960 | 223645010 | Healthcare | NJ | C | Yes (1) | Atlantic Health System Inc | 1.00000 | |||||
| Non-Invasive Diagnostics PA | |||||||||||||||
| 100 Madison Ave | Morristown | NJ | 07960 | 202027439 | Healthcare | NJ | C | Yes (1) | Atlantic Health System Inc | 1.00000 | |||||
| Speciality Care of Practice Associates PA | |||||||||||||||
| 100 Madison Ave | Morristown | NJ | 07960 | 030376428 | Healthcare | NJ | C | Yes (1) | Atlantic Health System Inc | 1.00000 | |||||
| Maternal Fetal Medicine of Practice Associates PA | |||||||||||||||
| 100 Madison Ave | Morristown | NJ | 07960 | 030376421 | Healthcare | NJ | C | Yes (1) | Atlantic Health System Inc | 1.00000 | |||||
| Madison Pediatrics PA | |||||||||||||||
| 100 Madison Ave | Morris Plains | NJ | 07960 | 223645007 | Healthcare | NJ | C | Yes (1) | Atlantic Health System Inc | 1.00000 | |||||
| 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 | |||||||
| 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 | Yes (1) | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (37 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| At Home Medical | ||
| P | $277,857 | Actual amount of transacation. |
| Morristown Medical Investors (MMI) | ||
| K | $4,159,578 | actual amount of transacation. |
| AHS Investment Corp | ||
| O | $417,092 | Actual amount of transacation. |
| AHS Investment Corp | ||
| K | $376,342 | Actual amount of transacation. |
| AHS Investment Corp | ||
| K | $535,383 | Actual amount of transacation. |
| AHS Investment Corp | ||
| K | $1,390,431 | Actual amount of transacation. |
| AHS Investment Corp | ||
| K | $56,220 | Actual amount of transacation. |
| AHS Investment Corp | ||
| K | $2,383,487 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $379,456 | Actual amount of transacation. |
| AHS Investment Corp | ||
| S | $294,803 | ACtual amount of transacation. |
| AHS Investment Corp (Morristown Surgical Ctr) | ||
| Q | $1,009,749 | ACtual amount of transacation. |
| AHS Investment Corp (Morristown Surgical Ctr) | ||
| S | $54,044 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $2,286,593 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $2,431,882 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $741,681 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $378,029 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $408,422 | Actual amount of transacation. |
| AHS Investment Corp | ||
| S | $386,066 | Actual amount of transacation. |
| AHS Investment Corp (North Jersey Health Ventures) | ||
| S | $496,560 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $195,000 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $133,733 | Actual amount of transacation. |
| AHS Investment Corp | ||
| S | $19,889,578 | Actual amount of transacation. |
| AHS Investment Corp | ||
| Q | $156,961 | Actual amount of transacation. |
| Atlantic Health System (Parent) | ||
| S | $3,368,800 | Actual amount of transacation. |
| Overlook Foundation | ||
| C | $2,662,665 | Actual amount of transacation. |
| Foundation For Morristown Medical Center | ||
| C | $21,308,502 | Actual amount of transacation. |
| Newton Medical Center Foundation | ||
| C | $108,795 | actual amount of transacation. |
| Overlook Foundation | ||
| P | $1,799,467 | Actual amount of transacation. |
| Atlantic Ambulance | ||
| Q | $23,551,798 | Actual amount of transacation. |
| Chilton Medical Center Foundation Inc | ||
| C | $853,242 | Actual amount of transacation. |
| Chilton Medical Center Foundation Inc | ||
| Q | $110,319 | Actual amount of transacation. |
| Foundation For Morristown Medical Center | ||
| P | $447,999 | Actual amount of transacation. |
| Newton Medical Center Foundation | ||
| P | $508,539 | actual amount of transacation. |
| Newton Medical Center Foundation | ||
| Q | $667,663 | Actual amount of transacation. |
| Foundation For Morristown Medical Center | ||
| Q | $441,276 | Actual amount of transacation. |
| Foundation For Morristown Medical Center | ||
| P | $18,234,678 | Actual amount of transacation. |
| Foundation For Morristown Medical Center | ||
| C | $6,883,416 | Actual amount of transacation. |
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