2017-11-14T08:41:05-06:00 2016-12-31 346565596 Ernst & Young US LLP 100 North Tyron Street Suite 3800 Charlotte NC 28202 990 2016-01-01 651301877 Atlantic Health System Inc Group Return ATLA 9736603100 475 South Street ACCTG 920 Morristown NJ 07960 Kevin Lenahan SVP-CFO & Admin Officer 9736603166 2017-11-13 0 Christopher B Boggs P00032493 7043726300 198.140.183.1 2017-11-14 08:40:47 ES P 7EEB67306374497AF500F3A4989810E880B4B2A8 114E1D1F23E324535830D0D5509A4A64958E9F65 2016 2017-02-10 21:41:12Z Kevin Lenahan 475 South Street ACCTG 920 Morristown NJ 07960 2582564386 1 1 9704 X www.atlantichealth.org X 1996 NJ Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. 38 15 17145 2685 1688972 0 14620841 15602036 2256056483 2508333811 36033907 7031525 36520888 46156333 2343232119 2577123705 1397045 1782045 0 0 1145485317 1260478077 0 0 2498385 1085705772 1216258539 2232588134 2478518661 110643985 98605044 2614269128 2857018047 1279799673 1384882945 1334469455 1472135102 X Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. 0 0 2144560249 1782045 2508376169 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. 2144560249 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 1305 0 1 17145 1 1 1 0 0 0 0 0 0 0 0 0 X 38 15 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X Ken Butkowski 9734512005 475 South Street - Acctg Box 920 Morristown NJ 07962 Brian Gragnolati President & CEO 55.00 X X 1994402 0 317056 Kevin Lenahan SVP-CFO & Admin Officer 55.00 X X 1120735 0 195052 James Smith Director-Atlantic Amb 55.00 X X 250672 0 23268 Joseph Di Paolo President - NMC 55.00 X X 672266 0 119037 Katharine Driebe VP - Finance Eff 8/21/16 55.00 X X 402447 0 72969 Stanley Fiel PAMG-Trustee 55.00 X 722881 0 35938 Walter Rosenfeld PAMG-Trustee/Officer 55.00 X X 710023 0 43189 William Dowling PAMG-Trustee 55.00 X 805729 0 0 Sheilah O'Halloran VP-Ass't Gen Council Eff 4/17/16 55.00 X X 537249 0 84601 Jan Schwartz-Miller SVP-Chief Medical & Academy 55.00 X X 891581 0 64435 Steve Sheris MD PAMG-Trustee/Officer SVP-Phys Enterprise 55.00 X X 784143 0 118903 Peter Bolo MD PAMG-Trustee 55.00 X 463730 0 40144 Joan Boomsma MD PAMG-Trustee Term 8/6/16 55.00 X 413746 0 0 Monica Centanni MD PAMG-Trustee 55.00 X 313899 0 19434 Tony Frisoli MD PAMG-Trustee 2.00 X 0 0 0 Greg Mulford MD PAMg-Trustee 55.00 X 567284 0 24317 Joseph Cirello MD PAMG-Trustee 55.00 X 285875 0 26761 Samantha Pozner MD PAMG-Trustee 55.00 X 386516 0 0 Domenick Randazzo MD PAMG-Trustee 2.00 X 0 0 0 Chris Zipp MD PAMG-Trustee 55.00 X 471557 0 27665 David Taylor PAMG-Trustee 55.00 X 0 0 0 Mario Capio MD Trustee-AHS Term 10/20/16 55.00 X X 457351 0 0 Glenn A Clark Trustee-AHS 2.00 X 0 0 0 Henry J Driesse Trustee-AHS 2.00 X 0 0 0 Dexter D Earle Trustee-AHS 2.00 X 0 0 0 Richard W Herbst Trustee-AHS 2.00 X 0 0 0 Robert J Hugin Trustee-AHS 2.00 X 0 0 0 Laura A Kelly Trustee-AHS 2.00 X 0 0 0 Carol Calabrese MD Trustee-AHS 2.00 X 0 0 0 Steve Maser MD Trustee-AHS 55.00 X 254069 0 0 Robert E McCracken Trustee-AHS 2.00 X 0 0 0 Robert E Mulcahy III Trustee-AHS 2.00 X 0 0 0 M Veronica Daly MD Trustee-AHS 55.00 X 401796 0 16051 Anne S Rooke Trustee-AHS 2.00 X 0 0 0 Gita F Rothschild Trustee-AHS 2.00 X 0 0 0 Clifford Sales MD Trustee-AHS 10.00 X 150000 0 0 Robert Toohey Trustee & Officer-AHS 2.00 X X 0 0 0 Allan L Weisberg Trustee-AHS 2.00 X 6000 0 0 Jose Cortes HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Glenn K Tippy CPU CLU HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Clay Hinrichs MD HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Bogden Bienko HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Eric Ross HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Michael Halpin HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Michael Lavery HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Barbara-Jayne Lewthwaite PH D HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Timothy C McDonough HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Ray Nisivoccia CPA HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 James J Travis HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 Norman Worth HCH,MCP,HRMC Trustee 1/1/16-3/31/16 2.00 X 0 0 0 James G Lee Chair; EVP & CFO, AHC 1/1/16-3/31/16 55.00 X X 113382 0 18860 Terry Forde President & CEO, AHC 1/1/16-3/31/16 55.00 X X 198902 0 28782 Jason C Coe Pres-HMC Ending 1/1/16 -9/12/16 55.00 X X 611378 0 19575 Karel Raska PAMG-Trustee 2.00 X 0 0 0 Albert Ritter MD Trustee- Atlantic Ambulance 2.00 X 0 0 0 Paul Marmora VP- Ambulatory Serv Eff 8/21/16 55.00 X 518597 0 87184 Alan Lieber President - OMC 55.00 X 979908 0 38252 Patricia O'Keefe President-MMC Eff 4/17/16 55.00 X 699860 0 131107 Linda Reed CIO-Terminated 2/6/2016 55.00 X 1224338 0 0 Madeline Ferraro VP - Gov't & Public 55.00 X 531819 0 36336 Kimberly Simensen SVP-Sys & Network Planning 55.00 X 648982 0 92924 Joseph Wilkins SVP-Chief Trans Officer-Eff 10/1/16 55.00 X 188338 0 36673 Valerie Simon VP-Marketing & Comm Eff 6/27/16 55.00 X 126733 0 28738 Nikki Sumpter SVP-Chief HR Officer Eff 11/28/16 55.00 X 93328 0 11199 Thomas Kloos President-ACO 55.00 X 561531 0 76629 James Barr VP-Clinical Intelligence 55.00 X 605818 0 85230 Karen Flaherty-Oxler SVP-Chief Nursing/Pat Eff 9/26/16 55.00 X 108750 0 13050 Terrance French VP-Strat Dev & Net Aff Eff 4/4/16 55.00 X 243734 0 39987 Lisa Monfredi VP- Revenue Cycle Eff 8/21/16 55.00 X 389439 0 77739 Stephanie Schwartz President CMC Eff 1/25/16 55.00 X 447661 0 69485 Eva Goldenberg VP- Compliance & Audit 55.00 X 402930 0 60695 Robert C Peterson CFO HCH 1/1/16-3/31/16 55.00 X 419141 0 22212 Maureen Bueno VP-Chief Quality-Eff 11/13/16 55.00 X 351795 0 35179 David Schreck VP-Coord. Care Trans Eff 11/1/16 55.00 X 63750 0 6375 Joseph Ramieri MD Chairman - OB/GYN Depart 55.00 X 688839 0 41238 Rolando Rolandelli Chairman-Dep of Surgery 55.00 X 1141676 0 35938 John Halperin Director - MD 55.00 X 688022 0 35938 Kenneth Janowski CMO HCH 1/1/16 -3/31/16 50.00 X 385746 0 17368 Stella Visaggio COO HCH 1/1/16 - 3/31/16 55.00 X 435333 0 17699 Paul Starker Chairman-Dept of Surgery 55.00 X 1021350 0 30067 Mark Widmann Physician 55.00 X 876761 0 0 Daniel Tobias Physician 55.00 X 806567 0 34917 James Wong Chairman-Radiology Oncology 55.00 X 780590 0 0 Eric Whitman Physician 55.00 X 802044 0 0 Andrew Kovach VP Human Resources-Term 9/30/15 0.00 X 849091 0 0 Thomas J Senker Former President-NMC- Term 1/1/15 0.00 X 265229 0 0 Michael Regier Former VP-Legal Aff-Term 12/31/15 0.00 X 783842 0 0 Deborah Zastocki Former Pres-CMC Term 8/1/15 0.00 X 535118 0 0 William Neigher Former VP-System Dev Term 8/1/15 0.00 X 295325 0 0 32949598 0 2458196 2266 1 1 0 WM BLANCHARD COMPANY 199 MOUNTAIN AVENUE SPRINGFIELD NJ 07081 CONSTRUCTION 12650488 MELILLO CONSULTING INC 285 DAVIDSON AVENUE SOMERSET NJ 08873 TECHNOLOGY SOLUTIONS 12241713 ZOTEC PARTNERS PO BOX 2288 INDIANAPLIS IN 46206 PHYSICIAN BILLING 10855930 AXISPOINT TECHNOLOGY SOLUTIONS GROUP INC PO BOX 10447 UNIONDALE NY 60693 HEALTH MANAGEMENT SOLUTIONS 8097841 EPIC SYSTEMS INC PO BOX 88314 MILWAUKEE WI 53288 IT IMPLEMENTATION SERVICES 7243042 183 1543566 13971269 87201 15602036 PATIENT SERVICE REV 621990 1356563916 1356563916 MEDICARE-MEDICAID 621990 962592659 962592659 PHYSICIAN SERVICES 621110 187703898 187703898 LAB SPEC PROCESSING 621500 1473338 1473338 2508333811 6901325 6901325 41832 41832 2363028 0 2363028 2363028 2363028 5523469 2000 5277519 159582 245950 -157582 88368 88368 4106 3580 526 526 Cafeteria 721000 6442610 6442610 Pharmacy 900099 1644238 1644238 Parking 812930 1154774 1154774 34551157 215634 34335523 43792779 2577123705 2506902831 1688972 52929866 1782045 1782045 29407180 29407180 235802 235802 1016651157 903916241 111163718 1571198 39182724 33866889 5255364 60471 97595043 84419741 13035015 140287 77406171 66918325 10368946 118900 61459754 61459754 3876097 3876097 1175770 1175770 355205 355205 18360 18360 245133043 243361880 1755977 15186 13268671 2726801 10536979 4891 124101069 105420369 18528896 151804 1172590 891168 281422 62697247 54133657 8464650 98940 9377 9342 35 7511017 6523954 975656 11407 28595215 24756140 3795616 43459 130104784 112784866 17122351 197567 50322700 42790703 7455277 76720 MEDICAL EXPENSES 428287023 428271304 15719 REPAIRS & MAINTENANCE 49126057 23911206 25214851 EQUIPMENT AND RENTAL 5230957 4557386 666016 7555 DUES 155183 155183 3658420 3518232 140188 2478518661 2144560249 331460027 2498385 214620781 318175342 959513 924287 249574374 274365980 2759087 5940521 17232903 17816624 81994333 73134099 2484690952 1436103921 997411449 1048587031 944342237 1012022140 11872939 93501512 106052023 2614269128 2857018047 195008333 265135902 431514687 437446731 250000000 250000000 403276653 432300312 1279799673 1384882945 X 1206979223 1336719671 78532277 85387561 48957955 50027870 1334469455 1472135102 2614269128 2857018047 X 98605044 41735483 -2674880 X 0 1 X 1 1 1 X Other Organizations in this Group IRS 990 Tax Filing 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. X 0 1 0 0 0 0 1 477000 0 0 477000 0 Part II-B, Line 1: 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 127490232 32141880 4168419 -28385098 135415433 127978403 32240327 -1192411 -31536087 127490232 109665354 43163359 2101888 -26952198 127978403 103477345 26040035 5631915 -25483941 109665354 88706191 35834041 4669227 -25732114 103477345 0.37000 0.63000 0 0 46708401 46708401 1301376076 742049541 559326535 77790969 10255289 67535680 1058815506 683799091 375016415 1048587031 ADVANCES THIRD PARTY PAYORS 63397785 ACCRUED EMPLOYEE BENEFITS AND OTHER 368902527 432300312 2513528006 18320741 18320741 2495207265 81916440 81916440 2577123705 2397821771 0 2397821771 80696890 80696890 2478518661 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. Central America and the Caribbean - 1 Program Services Insurance 13536280 1 0 0 0 1 0 13536280 0 13536280 1 0 0 0 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 33654 32911512 4852649 28058863 0.01130 142200 199518135 126257880 73260255 0.02960 175854 232429647 131110529 101319118 0.04090 11463893 779532 10684361 0.00430 62474512 15336707 47137805 0.01900 25325687 9317812 16007875 0.00650 2939666 1681172 1258494 0.00050 1219489 0 1219489 0.00050 103423247 27115223 76308024 0.03080 175854 335852894 158225752 177627142 0.07170 1 64576479 24242465 681138042 663283213 17854829 X 1 1 6 1 Morristown Medical Center 100 Madison Avenue Morristown NJ 07960 www.atlantichealth.org 11403 X X X X X X 2 Overlook Medical Center 99 Beauvoir Avenue Summit NJ 07902 www.atlantichealth.org 11902 X X X X X X 3 Newton Medical Center 175 High Street Newton NJ 07960 www.atlantichealth.org 12005 X X X 4 Chilton Medical Center 97 West Parkway Pompton Plains NJ 07444 www.atlantichealth.org 11401 X X X 5 Atlantic Rehabilitation Institute 95 Mt Kemble Avenue Morristown NJ 07962 www.atlantichealth.org 11404 X Comprehensive Rehabilitaiton Hospital 6 Hackettstown Medical Center 631 Willow Grove Street Hackettstown NJ 07840 www.atlantichealth.org 12101 X X X Morristown Medical Center 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.atlantichealth.org/atlantic/health-education/community-resources.html X www.njhealthmatters.org X 1 16 1 www.atlantichealth.org/atlantic/health-education/community-resources.html 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Overlook Medical Center 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.atlantichealth.org/atlantic/health-education/community-resources.html X www.njhealthmatters.org X 1 16 1 www.atlantichealth.org/atlantic/health-education/community-resources.html 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Newton Medical Center 3 0 0 1 X X X X X X X X X 16 1 1 1 1 X www.atlantichealth.org/atlantic/health-education/community-resources.html X www.njhealthmatters.org X 1 16 1 www.atlantichealth.org/atlantic/health-education/community-resources.html 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Chilton Medical Center 4 0 0 1 X X X X X X X X X 16 1 0 1 1 X www.atlantichealth.org/atlantic/health-education/community-resources.html X www.njhealthmatters.org X 1 16 1 www.atlantichealth.org/atlantic/health-education/community-resources.html 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Atlantic Rehabilitation Institute 5 0 0 1 X X X X X X X X X 13 1 1 1 1 X www.atlantichealth.org/atlantic/health-education/community-resources.html X www.njhealthmatters.org X 1 16 1 www.atlantichealth.org/atlantic/health-education/community-resources.html 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 1 X 0 0 Hackettstown Medical Center 6 0 0 1 X X X X X X X X X 15 1 0 0 1 X www.atlantichealth.org/atlantic/health-education/community-resources.html X www.njhealthmatters.org X 1 16 1 www.atlantichealth.org/atlantic/health-education/community-resources.html 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X https://atlantichealth.patientcompass.com/hc/sp/atlantichealth/guarantor X X X X X X 1 X 0 X X X X X 0 X 0 0 Part V, Section A: In addition to the non-hospital based facilities listed separately in Schedule H, Part V, Section D, AHS operates numerous physician offices related to it's various medical disciplines throughout the tristate area. These physician facilities practice under Practice Associates Medical Group (D/B/A Altantic Medical Group). Morristown Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled Painting a Picture of Community Health . Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including: - Demographic Data - Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources - Key Informant Survey with responses from 74 community leaders - Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Morris County and a total of 124 issues were identified. In July 2015, County committee and Data committee members voted to narrow the list to 12 issues (the top 20%).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Morris County Committee voted to select five priority issues:1. Obesity2. Access to Behavioral Health Care3. Heroin Use4. Diabetes Treatment5. Cardiovascular DiseasesIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Overlook Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled Painting a Picture of Community Health . Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including:- Demographic Data- Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources- Key Informant Survey with responses from 74 community leaders- Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Union County and a total of 125 issues were identified. In July 2015, County committee and Data committee members voted to narrow the list to 16 issues (the top 20% of the vote).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Union County Committee voted to select five priority issues:1. Diabetes2. Access to Mental Health Services3. Health Literacy4. Obesity5. Heart DiseaseIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Newton Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled "Painting a Picture of Community Health". Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including:- Demographic Data- Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources- Key Informant Survey with responses from 74 community leaders- Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Sussex County and a total of 125 issues were identified. In July 2015, County committee and Data committee members voted to narrow he list to 16 issues (the top 20% of the vote).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Sussex County Committee voted to select five priority issues:1. Substance Abuse2. Access to Care3. Obesity4. Mental Health5. TransportationIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Chilton Medical Center Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled "Painting a Picture of Community Health". Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including:- Demographic Data- Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources- Key Informant Survey with responses from 74 community leaders- Show Us Health Community Art Contest with 50 participantsAfter data were collected, a data review session was held July 2015 at Chilton Medical Center and a list of list of 16 issues were identified by the participants.From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Passaic County Committee voted to select five priority issues:1. Access to HealthCare2. Caregiver Health3. Heroin4. Diabetes5. Cardiovascular DiseasesIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Atlantic Rehabilitation Institute Part V, Section B, Line 5: The North Jersey Health Collaborative is a 501(c)3 organization with over 120 partner organizations aligned around shared goals for collective impact. In 2015, the Collaborative conducted a year-long process of community-based assessment entitled Painting a Picture of Community Health. Throughout this process, 107 community leaders participated from 56 organizations representing 12 community sectors.The data collection process encompasses several elements including: - Demographic Data - Key Data Indicator report of over 140 indicators on njhealthmatters.org and other sources - Key Informant Survey with responses from 74 community leaders - Show Us Health Community Art Contest with 50 participantsAfter data were collected, three data review sessions were held in Morris County and a total of 124 issues were identified. In July 2015, County committee and Data committee members voted to narrow the list to 12 issues (the top 20%).From August through December, the County and Data committees worked together to hone the issues and dig deeper into the indicators, populations, and drivers for each. Finally, in December, the Morris County Committee voted to select five priority issues:1. Obesity2. Access to Behavioral Health Care3. Heroin Use4. Diabetes Treatment5. Cardiovascular DiseasesIn January 2016, workgroups were formed and an implementation planning process developed to generate objectives, outcomes, strategies and action steps on each priority issue. Hackettstown Medical Center Part V, Section B, Line 5: 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. 117 1 - MMC Surgical Center 111 MAdison Avenue - 2nd Floor Morristown NJ 07960 Surgical Center 2 - Overlook Hospital Satellite ED 1000 Galloping Hill Road Union NJ 07083 Off-Site Ambulatory Care Facility 3 - OP Radiology at 435 435 South Street Morristown NJ 07960 Radiology Services 4 - CTR Rheumatic Disease 435 South Street- Suite 220A Morristown NJ 07962 Physican Practice 5 - Overlook Medical Center Imaging 1000 Galloping Hill Road Union NJ 07083 Imaging Services 6 - Carol W Breast Screening Center 435 South Street Morristown NJ 07962 Preventive Care 7 - MMC Imaging Center 111 Madison Avenue - 4th Floor Morristown NJ 07962 Imaging Services 8 - Associates in Cardiovascular Disease 211 Mountain Ave Springfield NJ 07081 Cardiology Group 9 - CV Imaging Medicor 225 Jackson Street Bridewater NJ 08807 Imaging Services 10 - Cardiac Image 95 Madison Avenue - Suite B07 Morristown NJ 07960 Cardiac Imaging 11 - The Infusion Center 8 Saddle Road - Suite 202 Cedar Knolls NJ 07927 Infusion Center 12 - Cardiac Imaging CT 435 South Street Morristown NJ 07962 Imaging Services 13 - MMC OP Radiology at 310 Madison 310 MAdison Avenue Morristown NJ 07960 Radiology Services 14 - Atlantic Rehabilitation 550 Central Ave New Providence NJ 07974 Rehab Services 15 - Imaging Center-Atlantic Cardiology 8 Tempe Wick Rd Mendham NJ 07945 Imaging Services 16 - Chilton Medical Center Laboratory 1900 Union Valley Road Suites 302 303 Hewitt NJ 07421 Laboratory Services 17 - Cardiac Imaging - North Morrist 356 Route 46 Mountain Lakes NJ 07046 Cardiac Imaging 18 - Maternal Fetal Medicine 435 South Street - Sutie 380 Morristown NJ 07960 Physican Practice 19 - Cardiac Imaging at Cedar Knolls - OP 11 Saddle Road Cedar Knolls NJ 07927 Imaging Services 20 - Associates in Cardiovascular Disease 571 Central 115 New Providence NJ 07974 Cardiology Group 21 - Imaging- Florham Park 10 James Street Florham Park NJ 07932 Imaging Services 22 - MMC Eden Lane Radiation Oncology 16 Eden Lane Whippany NJ 07981 Oncology Group 23 - Center for Physical Therapy & Sports Reh 111 Madison Avenue - 1st Floor Morristown NJ 07960 Rehab Services 24 - Overlook-Vascular Lab at Union 1000 Galloping Hill Road Union NJ 07083 Vascular Lab Services 25 - MMC Wound Care 435 South Street - Suite 320 Morristown NJ 07962 Wound Care 26 - Sleep Disorder Center of MMC 95 Mt Kemble Avenue - 5th Floor Morristown NJ 07962 Sleep Disorder 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 2400 Milford PA 18337 Home Health Agency, Hospice Care Program 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 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 1 Alliance For Lupus Research 28 West 44th Street-Suite 501 New York NY 10036 582492929 501(c)(3) 25000 General Support American Cancer Society 7 Ridgedale Avenue - Suite 103 Cedar Knolls NJ 07927 131788491 501(c)(3) 40259 General Support American Heart Association 1 Union Street Suite 301 Robbinsville NJ 086914183 135613797 501(c)(3) 20000 General Support American Lung Association of the Mid Atlantic 527 Plymouth Road Suite 415 Plymouth Meeting PA 19462 131632524 501(c)(3) 6000 General Support Borough of Lincoln Park 34 Chapel Hill Road Lincoln Park NJ 07035 226002031 501(c)(3) 10000 General Support Boys & Girls Club of Northwest NJ 153 Garside Avenue Wayne NJ 07470 222169444 501(c)(3) 10000 General Support Boys & Girls Club of Northwest NJ 19 Oak Ave Pequannock NJ 07444 222169444 501(c)(3) 18115 General Support Center for Prevention and Counseling 61 Spring Street3rd Floor Newton NJ 07860 237387757 501(c)(3) 17500 General Support Challenge Day 2520 Stanwell Drive Suite 160 Concord CA 94520 943386810 501(c)(3) 32828 General Support Chilton Medical Center Foundation 97 West Parkway Pompton Plains NJ 07444 222883605 501(c)(3) 50620 General Support Cleveland Clinic ED Foundation P O Box 931653 Cleveland OH 441931082 340714570 501(c)(3) 20000 General Support Coalition To Protect America's Health Care P O BOX 30211 Bethesda MD 208240211 522253225 501(c)(3) 53750 General Support College of St Elizabeth 2 Convent Road Morristown NJ 079606989 221529785 501(c)(3) 11817 General Support Fellowship Senior Living 8000 Fellowship Road Basking Ridge NJ 07920 223146725 501(c)(3) 7360 General Support Good Grief 34 Elm Street Morristown NJ 07960 200514996 501(c)(3) 15000 General Support Grow It Green Morristown 14 Maple Avenue Morristown NJ 07960 224560703 501(c)(3) 10000 General Support Hackettstown Medical Center Foundation 651 Willow Grove Street Hackettstown NJ 07840 222333410 501(c)(3) 568000 General Support Homecare Options 2 Market Street Paterson NJ 07501 221589210 501(c)(3) 10000 General Support Hunterdon Medical Center Foundation 2100 Wescott Drive Flemington NJ 08822 222526895 501(c)(3) 62500 General Support Lakeland Hills Family YMCA 100 Fanny Road Mountain Lakes NJ 07046 221559438 501(c)(3) 10000 General Support Liberty Science Center 222 Jersey City Boulevard Jersey City NJ 073054600 222302253 501(c)(3) 10500 General Support Mayo Performing Arts Center - Attn Cathy Roy 100 South Street Morristown NJ 07960 223348540 501(c)(3) 25000 General Support Meadowlink 114 Park Place East WoodRidge NJ 07075 222508337 501(c)(3) 20000 General Support Medical Needs Foundation P O Box 303 Mountain Lakes NJ 07046 223599504 501(c)(3) 20000 General Support Metropolitan YMCA of the Oranges 139 East McClellan Ave Livingston NJ 07039 221487387 501(c)(3) 10000 General Support New York Jets Foundation 845 Third Ave - 6th Floor New York NY 10022 237108291 501(c)(3) 15000 General Support Newton Medical Center Foundation 175 High Street Newton NJ 07860 222618102 501(c)(3) 13275 General Support NJSIAA 1161 Route 130 North P O Box 487 Robbinsville NJ 08691 210638152 501(c)(3) 7500 General Support Overlook Medical Center Foundation 33 Overlook Rd SUMMIT NJ 07901 510194054 501(c)(3) 51400 General Support Passaic County Casa for Children 415 Hamburg Turnpike Wayne NJ 07470 208456398 501(c)(3) 37208 General Support Passaic Valley POP Lodge #181 576 Valley Road Suie 195 Wayne NJ 07470 223802830 501(c)(7) 7500 General Support Professional Assistance Program of NJ 742 Alexander Road-Suite 105 Princeton NJ 08540 202798387 501(c)(3) 19000 General Support Rutgers University - Rutgers CRSSA 14 College Farm Rd New Brunswick NJ 08901 521182677 501(c)(3) 10000 General Support Society of Former Special Agents of the 3717 Fettler Park Drive Dumfries VA 220252048 204716067 501(c)(3) 7500 General Support Somerset Healthcare Foundation 110 Rehill Ave Somerville NJ 08873 223294408 501(c)(3) 10000 General Support Susan G Komen Race For the Cure 44 Middle Ave - 2nd Floor Summit NJ 07901 223528454 501(c)(3) 15000 General Support Township of Hanover 100 Route 10 Whippany NJ 07981 226001855 501(c)(3) 10000 General Support United Way of Northern NJ 22 Ridgedale Avenue Cedar Knolls NJ 07927 221487247 501(c)(3) 6000 General Support United Way of Passaic County 201 Main St Paterson NJ 07501 226070498 501(c)(3) 10000 General Support WAMMC 100 Madison Ave Morristown NJ 079621956 223392808 501(c)(3) 19685 General Support YMCA of Eastern Union County 144 Madison Ave Elizabeth NJ 07201 221487381 501(c)(3) 10000 General Support 38 3 Schedule I - Part I, Line #2 The organization uses due diligence for reviewing and selecting grant recipients and is comfortable that the grants are used for their intended purpose. All assistance and grants are reviewed and approved by senior management via the accounts payable cycle. X X 1 1 X X X X X 1 1 0 0 0 1 0 0 0 Brian Gragnolati President & CEO 1288172 0 625000 0 81230 0 304968 0 12088 0 2311458 0 625000 0 Kevin Lenahan SVP-CFO & Admin Officer 793695 0 299300 0 27740 0 178685 0 16367 0 1315787 0 299300 0 James Smith Director-Atlantic Amb 209635 0 40400 0 637 0 15192 0 8076 0 273940 0 40400 0 Joseph Di Paolo President - NMC 455735 0 176500 0 40031 0 105043 0 13994 0 791303 0 176500 0 Katharine Driebe VP - Finance Eff 8/21/16 339547 0 62900 0 0 0 56602 0 16367 0 475416 0 62900 0 Stanley Fiel PAMG-Trustee 616194 0 105700 0 987 0 23850 0 12088 0 758819 0 105700 0 Walter Rosenfeld PAMG-Trustee/Officer 574919 0 93500 0 41604 0 29150 0 14039 0 753212 0 93500 0 William Dowling PAMG-Trustee 673260 0 121600 0 10869 0 0 0 0 0 805729 0 121600 0 Sheilah O'Halloran VP-Ass't Gen Council Eff 4/17/16 440358 0 51700 0 45191 0 72513 0 12088 0 621850 0 51700 0 Jan Schwartz-Miller SVP-Chief Medical & Academy 621064 0 220400 0 50117 0 50441 0 13994 0 956016 0 220400 0 Steve Sheris MD PAMG-Trustee/Officer SVP-Phys Enterp 673259 0 52620 0 58264 0 102536 0 16367 0 903046 0 0 0 Peter Bolo MD PAMG-Trustee 388000 0 67600 0 8130 0 23850 0 16294 0 503874 0 67600 0 Joan Boomsma MD PAMG-Trustee Term 8/6/16 317138 0 96300 0 308 0 0 0 0 0 413746 0 96300 0 Monica Centanni MD PAMG-Trustee 241034 0 0 0 72865 0 9275 0 10159 0 333333 0 0 0 Greg Mulford MD PAMg-Trustee 457065 0 87800 0 22419 0 7950 0 16367 0 591601 0 87800 0 Joseph Cirello MD PAMG-Trustee 168143 0 72300 0 45432 0 10394 0 16367 0 312636 0 72300 0 Samantha Pozner MD PAMG-Trustee 213140 0 47865 0 125511 0 0 0 0 0 386516 0 0 0 Chris Zipp MD PAMG-Trustee 392242 0 75700 0 3615 0 13250 0 14415 0 499222 0 75700 0 Mario Capio MD Trustee-AHS Term 10/20/16 395220 0 0 0 62131 0 0 0 0 0 457351 0 0 0 Steve Maser MD Trustee-AHS 242069 0 0 0 12000 0 0 0 0 0 254069 0 0 0 M Veronica Daly MD Trustee-AHS 343659 0 57500 0 637 0 7950 0 8101 0 417847 0 0 0 Terry Forde President & CEO, AHC 1/1/16-3/31/16 197714 0 0 0 1188 0 9947 0 18835 0 227684 0 0 0 Jason C Coe Pres-HMC Ending 1/1/16 -9/12/16 324014 0 247095 0 40269 0 3322 0 16253 0 630953 0 0 0 Paul Marmora VP- Ambulatory Serv Eff 8/21/16 422814 0 80700 0 15083 0 70817 0 16367 0 605781 0 80700 0 Alan Lieber President - OMC 558852 0 235000 0 186056 0 23910 0 14342 0 1018160 0 235000 0 Patricia O'Keefe President-MMC Eff 4/17/16 477490 0 158200 0 64170 0 119019 0 12088 0 830967 0 158200 0 Linda Reed CIO-Terminated 2/6/2016 64560 0 191300 0 968478 0 0 0 0 0 1224338 0 191300 0 Madeline Ferraro VP - Gov't & Public 298149 0 123700 0 109970 0 23850 0 12486 0 568155 0 123700 0 Kimberly Simensen SVP-Sys & Network Planning 441667 0 50000 0 157315 0 78885 0 14039 0 741906 0 0 0 Joseph Wilkins SVP-Chief Trans Officer-Eff 10/1/16 115243 0 50000 0 23095 0 22634 0 14039 0 225011 0 0 0 Valerie Simon VP-Marketing & Comm Eff 6/27/16 118701 0 0 0 8032 0 13318 0 15420 0 155471 0 0 0 Thomas Kloos President-ACO 422348 0 90000 0 49183 0 64541 0 12088 0 638160 0 0 0 James Barr VP-Clinical Intelligence 467906 0 101000 0 36912 0 68936 0 16294 0 691048 0 0 0 Terrance French VP-Strat Dev & Net Aff Eff 4/4/16 228521 0 0 0 15213 0 24567 0 15420 0 283721 0 0 0 Lisa Monfredi VP- Revenue Cycle Eff 8/21/16 327903 0 60900 0 636 0 63324 0 14415 0 467178 0 0 0 Stephanie Schwartz President CMC Eff 1/25/16 427661 0 20000 0 0 0 54065 0 15420 0 517146 0 0 0 Eva Goldenberg VP- Compliance & Audit 315797 0 61700 0 25433 0 48607 0 12088 0 463625 0 0 0 Robert C Peterson CFO HCH 1/1/16-3/31/16 223673 0 176231 0 19237 0 2443 0 19769 0 441353 0 0 0 Maureen Bueno VP-Chief Quality-Eff 11/13/16 291795 0 60000 0 0 0 35179 0 0 0 386974 0 0 0 Joseph Ramieri MD Chairman - OB/GYN Depart 582309 0 105100 0 1430 0 29150 0 12088 0 730077 0 105100 0 Rolando Rolandelli Chairman-Dep of Surgery 707539 0 257649 0 176488 0 23850 0 12088 0 1177614 0 134600 0 John Halperin Director - MD 586008 0 99900 0 2114 0 23850 0 12088 0 723960 0 99900 0 Kenneth Janowski CMO HCH 1/1/16 -3/31/16 241905 0 118400 0 25441 0 2645 0 14723 0 403114 0 0 0 Stella Visaggio COO HCH 1/1/16 - 3/31/16 235024 0 177508 0 22801 0 2562 0 15137 0 453032 0 0 0 Paul Starker Chairman-Dept of Surgery 928236 0 91000 0 2114 0 18550 0 11517 0 1051417 0 91000 0 Mark Widmann Physician 874598 0 0 0 2163 0 0 0 0 0 876761 0 0 0 Daniel Tobias Physician 618518 0 0 0 188049 0 18550 0 16367 0 841484 0 0 0 James Wong Chairman-Radiology Oncology 676931 0 0 0 103659 0 0 0 0 0 780590 0 0 0 Eric Whitman Physician 659220 0 82900 0 59924 0 0 0 0 0 802044 0 82900 0 Andrew Kovach VP Human Resources-Term 9/30/15 0 0 167100 0 681991 0 0 0 0 0 849091 0 167100 0 Thomas J Senker Former President-NMC- Term 1/1/15 0 0 0 0 265229 0 0 0 0 0 265229 0 0 0 Michael Regier Former VP-Legal Aff-Term 12/31/15 24388 0 179800 0 579654 0 0 0 0 0 783842 0 179800 0 Deborah Zastocki Former Pres-CMC Term 8/1/15 0 0 0 0 535118 0 0 0 0 0 535118 0 0 0 William Neigher Former VP-System Dev Term 8/1/15 0 0 79202 0 216123 0 0 0 0 0 295325 0 79202 0 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. A NJ Healthcare Facilities Series 2008B 221987084 64579FWP4 2008-05-14 88555000 To redeem revenue bonds 0 0 0 B NJ Healthcare Facilities Series 2008C 221987084 64579FWQ2 2008-05-14 88555000 To redeem revenue bonds 0 0 0 C NJ Healthcare Facilities Series 2008A 221987084 64579FWL3 2008-05-14 181712419 To redeem revenue bonds 0 0 0 D NJ Healthcare Facilities Series 2011 221987084 64579FN82 2011-05-17 129969619 To redeem revenue bonds and payment for cap exp 0 0 0 A 88555000 246973 510043 65914 87732070 2008 1 0 1 1 B 88555000 246973 510043 65914 87732070 2008 1 0 1 1 C 176447419 177110000 493946 1329584 175286471 2008 1 0 1 1 D 125114619 130545000 761426 1970739 106458053 17782030 2012 1 0 1 1 A 0 1 0 0 0.01070 0.01070 0 0 1 B 0 1 0 0 0.01070 0.01070 0 0 1 C 0 1 0 0 0.01070 0.01070 0 0 1 D 0 1 0 0 0.01070 0.01070 0 0 1 A 0 0 0 0 1 0 NA 0 0 0 NA 0 0 1 B 0 0 0 0 1 0 NA 0 0 0 NA 0 0 1 C 0 0 0 0 0 0 NA 0 0 0 NA 0 0 1 D 0 0 0 1 0 0 NA 0 0 0 NA 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: NJ Healthcare Facilities Series 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 A NJ Healthcare Facilities Series 2016 221987084 645790FA9 2016-10-06 252386641 To redeem revenue bonds 0 0 0 A 224800000 3717628 1782471 219299901 2016 0 1 1 1 A 0 1 0 0 0.01070 0.01070 0 0 1 A 0 1 0 0 0 0 NA 0 0 0 NA 0 0 1 A 1 Elizabeth Lenahan Refer to below. 43400 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. 33096 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. 197859 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 43268 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 44559 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 71479 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 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 Atlantic Health System Inc 475 South Street Morristown NJ 07960 223380375 Human Health through AHS Hospital Corp NJ 501(c)(3) Line 12, I N/A 0 Foundation for Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising for Morristown Medical Center. NJ 501(c)(3) 7 Atlantic Health System 1 Newton Medical Center Foundation 175 High Street Newton NJ 07860 222618102 Administers donations, grants and bequests and performs fundraising NJ 501(c)(3) Line 7 Atlantic Health System 1 Prime Care Inc 175 High Street Newton NJ 07860 222759566 Provides home health and other healthcare services NJ 501(c)(3) Line 10 Atlantic Health System 1 North Jersey Health Care Properties Inc 175 High Street Newton NJ 07860 223519709 Own commercial buildings and conducts leasing activities NJ 501(c)(2) Atlantic Health System 1 Chilton Memorial Corporation 97 West Parkway Pompton Plains NJ 07444 222719339 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 7 Atlantic Health System 1 Chilton Medical Center Foundation Inc 97 West Parkway Pompton Plains NJ 07444 223084817 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 7 Atlantic Health System 1 Chilton Medical Center Auxilliary Inc 97 West Parkway Pompton Plains NJ 07444 222883605 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 12a, I Atlantic Health System 1 Chilton Realty Holding Inc 97 West Parkway Pompton Plains NJ 07444 223067739 Real estate and leasing activities for benefit of exempt organization. NJ 501(c)(2) Atlantic Health System 1 Foundation for Hackettstown Medical Center 651 Willow Grove Street Hackettstown NJ 07840 222333410 Fundraising for Hackettstown Medical Center. NJ 501(c)(3) Line 7 Atlantic Health System 1 Morris Photopheresis 100 Madison Avenue Morristown NJ 07960 223314012 Healthcare Research NJ 0 0 Affiliated Collection Services LLC 17 Prospect Street Morristown NJ 07960 270555659 Collection Services NJ 0 0 Morristown Medical Investors 200 American Road Morris Plains NJ 07950 650840535 Real Estate NJ 0 0 Primary Care Partners LLC 475 South Street Morristown NJ 07960 274980253 Physician Services NJ 0 0 Atlantic Health Management Corp and Subsidiaries 200 American Road Morris Plains NJ 07950 223538027 Healthcare Related Services NJ C 0 AHS Insurance Company Ltd 200 American Road Morris Plains Grand Cayman CJ 07950 223380375 Insurance NJ C 0 Nutley Medical Care PA 100 Madison Ave Morristown NJ 07960 223645010 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Non-Invasive Diagnostics PA 100 Madison Ave Morristown NJ 07960 202027439 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Speciality Care of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376428 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Maternal Fetal Medicine of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376421 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Madison Pediatrics PA 100 Madison Ave Morris Plains NJ 07960 223645007 Healthcare NJ Atlantic Health System Inc C 1.00000 1 AHS ACO LLC 475 South Street Morristown NJ 07960 273800813 Physician Practice NJ C 0 The Northwest New Jersey MedicalSurgical Alliance PC 175 High Street Newton NJ 07860 450577942 Healthcare Services NJ C 0 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ C 0 Chilton Community Care Inc and Subs 97 West Parkway Pompton Plains NJ 07444 222869148 Healthcare NJ C 0 Chilton Medical Group 97 West Parkway Pompton Plains NJ 07444 383769436 Healthcare NJ C 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 At Home Medical P 277857 Actual amount of transacation. Morristown Medical Investors (MMI) K 4159578 actual amount of transacation. AHS Investment Corp O 417092 Actual amount of transacation. AHS Investment Corp K 376342 Actual amount of transacation. AHS Investment Corp K 535383 Actual amount of transacation. AHS Investment Corp K 1390431 Actual amount of transacation. AHS Investment Corp K 56220 Actual amount of transacation. AHS Investment Corp K 2383487 Actual amount of transacation. AHS Investment Corp Q 379456 Actual amount of transacation. AHS Investment Corp S 294803 ACtual amount of transacation. AHS Investment Corp (Morristown Surgical Ctr) Q 1009749 ACtual amount of transacation. AHS Investment Corp (Morristown Surgical Ctr) S 54044 Actual amount of transacation. AHS Investment Corp Q 2286593 Actual amount of transacation. AHS Investment Corp Q 2431882 Actual amount of transacation. AHS Investment Corp Q 741681 Actual amount of transacation. AHS Investment Corp Q 378029 Actual amount of transacation. AHS Investment Corp Q 408422 Actual amount of transacation. AHS Investment Corp S 386066 Actual amount of transacation. AHS Investment Corp (North Jersey Health Ventures) S 496560 Actual amount of transacation. AHS Investment Corp Q 195000 Actual amount of transacation. AHS Investment Corp Q 133733 Actual amount of transacation. AHS Investment Corp S 19889578 Actual amount of transacation. AHS Investment Corp Q 156961 Actual amount of transacation. Atlantic Health System (Parent) S 3368800 Actual amount of transacation. Overlook Foundation C 2662665 Actual amount of transacation. Foundation For Morristown Medical Center C 21308502 Actual amount of transacation. Newton Medical Center Foundation C 108795 actual amount of transacation. Overlook Foundation P 1799467 Actual amount of transacation. Atlantic Ambulance Q 23551798 Actual amount of transacation. Chilton Medical Center Foundation Inc C 853242 Actual amount of transacation. Chilton Medical Center Foundation Inc Q 110319 Actual amount of transacation. Foundation For Morristown Medical Center P 447999 Actual amount of transacation. Newton Medical Center Foundation P 508539 actual amount of transacation. Newton Medical Center Foundation Q 667663 Actual amount of transacation. Foundation For Morristown Medical Center Q 441276 Actual amount of transacation. Foundation For Morristown Medical Center P 18234678 Actual amount of transacation. Foundation For Morristown Medical Center C 6883416 Actual amount of transacation.