PRIME CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PRIME CARE INC (EIN 22-2759566)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-11
IRS object ID
201603169349302965
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-11T13:33:01-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Ernst & Young US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 North Tyron Street Suite 3800AddressLine1Txt
CityCharlotteCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222759566EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIME CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRIMBusinessNameControlTxt
Phone9734016848PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKevin LenahanPersonNm
Person TitleSVP-CFO & Admin OfficerPersonTitleTxt
Phone9736603166PhoneNum
Signature2016-11-11SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00032493PTIN
Phone7043726300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKevin LenahanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$228,862GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nmhnj.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionProvide home health and other health care services to the surrounding communities.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$76PYInvestmentIncomeAmt
CY Investment Income$80CYInvestmentIncomeAmt
PY Other Revenue$68,353PYOtherRevenueAmt
CY Other Revenue$228,782CYOtherRevenueAmt
PY Total Revenue$68,429PYTotalRevenueAmt
CY Total Revenue$228,862CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$739PYOtherExpensesAmt
CY Other Expenses-$29,266CYOtherExpensesAmt
PY Total Expenses$739PYTotalExpensesAmt
CY Total Expenses-$29,266CYTotalExpensesAmt
PY Revenues Less Expenses$67,690PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$258,128CYRevenuesLessExpensesAmt
Total Assets BOY$1,482,722TotalAssetsBOYAmt
Total Assets EOY$1,711,334TotalAssetsEOYAmt
Total Liabilities BOY$1,963,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,310,328TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$480,621NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$401,006NetAssetsOrFundBalancesEOYAmt
MissionPrime Care was organized to provide home Health and Other Health Care Services to residents of Sussex County, New Jersey and surrounding communities. It was transferred to the hospital effective January 1, 2012.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPrime Care, Inc. is a not for profit organization that operated a Medicare certified home health agency and provided various wellness, health education and other health promotionservices. The home health agency was transferred to the hospital effective January 1, 2012. A minority investment in the Sparta Cancer Center is the only current activity.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ken ButkowskiBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9734512005PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Kevin Lenahan
President2.0055.00Yes (X)Yes (X)$0$1,059,098$409,450
David Rikkola
Treasurer2.0055.00Yes (X)Yes (X)$0$407,737$88,325
Sheilah O'Halloran
Acting Secretary2.0055.00Yes (X)Yes (X)$0$418,878$85,185
David Ferguson
Director2.0055.00Yes (X)Yes (X)$0$225,090$61,198
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,110,803TotReportableCompRltdOrgAmt
Total Other Compensation$644,158TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$80TotalRevenueColumnAmt
Exclusion$80ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescSparta Cancer Ctr, LLCDesc
Total Revenue Column$228,782TotalRevenueColumnAmt
Exclusion$228,782ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$228,782OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$228,862TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$228,862ExclusionAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total-$29,666TotalAmt
Management And General-$29,666ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMisc ExpensesDesc
Total$400TotalAmt
Management And General$400ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total-$29,266TotalAmt
Program Services$0ProgramServicesAmt
Management And General-$29,266ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$336,708BOYAmt
EOY$436,538EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,091,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$125,569LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$965,654BOYAmt
EOY$965,654EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$179,442BOYAmt
EOY$308,224EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$918BOYAmt
EOY$918EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,482,722BOYAmt
EOY$1,711,334EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,515BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$925,328BOYAmt
EOY$925,328EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,008,500BOYAmt
EOY$385,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,963,343BOYAmt
EOY$1,310,328EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$480,621BOYAmt
EOY$401,006EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$480,621BOYAmt
EOY$401,006EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,482,722BOYAmt
EOY$1,711,334EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$258,128ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$623,500OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,622CurrentTaxYearMinus4YearsAmt
Total$45,622TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,605,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$261,907CurrentTaxYearMinus3YearsAmt
Total$4,866,929TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,650,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$261,907CurrentTaxYearMinus3YearsAmt
Total$4,912,551TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,912,551PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$763CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$295CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76CurrentTaxYearMinus1YearAmt
Current Tax Year$80CurrentTaxYearAmt
Total$1,306TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$763CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$295CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76CurrentTaxYearMinus1YearAmt
Current Tax Year$80CurrentTaxYearAmt
Total$1,306TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,651,407CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$262,202CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76CurrentTaxYearMinus1YearAmt
Current Tax Year$80CurrentTaxYearAmt
Total$4,913,857TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99970PublicSupportCY509Pct
Public Support PY5090.99270PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00530InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$811,184BeginningYearBalanceAmt
Contributions$71,136ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Other Expenditures$20,688OtherExpendituresAmt
End Year Balance$861,632EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$817,932BeginningYearBalanceAmt
Contributions$407ContributionsAmt
Investment Earnings Or Losses$36,965InvestmentEarningsOrLossesAmt
Other Expenditures$44,120OtherExpendituresAmt
End Year Balance$811,184EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$679,732BeginningYearBalanceAmt
Contributions$97,618ContributionsAmt
Investment Earnings Or Losses$74,679InvestmentEarningsOrLossesAmt
Other Expenditures$34,097OtherExpendituresAmt
End Year Balance$817,932EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$396,200BeginningYearBalanceAmt
Contributions$251,518ContributionsAmt
Investment Earnings Or Losses$32,014InvestmentEarningsOrLossesAmt
End Year Balance$679,732EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$393,183BeginningYearBalanceAmt
Contributions$250ContributionsAmt
Investment Earnings Or Losses$2,767InvestmentEarningsOrLossesAmt
End Year Balance$396,200EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,500OtherCostOrOtherBasisAmt
Book Value$77,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$910,552OtherCostOrOtherBasisAmt
Depreciation$22,398DepreciationAmt
Book Value$888,154BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,670OtherCostOrOtherBasisAmt
Depreciation$2,670DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,501OtherCostOrOtherBasisAmt
Depreciation$100,501DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$965,654TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInv in Sparta Cancer CtrDesc
Book Value$308,224BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$308,224TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to AffiliatesDesc
Amt$385,000Amt
FieldValueIRS element (for citing)
Total Liability$385,000TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe endowment funds represent permanently restricted net assets that have been restricted by donors to be maintained by the system in perpetuity.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kevin Lenahan
President$0$783,021$0$247,300$0$28,777$0$395,875$0$13,575$0$1,468,548$0$0
David Rikkola
Treasurer$0$345,785$0$57,900$0$4,052$0$74,750$0$13,575$0$496,062$0$57,900
Sheilah O'Halloran
Acting Secretary$0$358,106$0$53,000$0$7,772$0$73,719$0$11,466$0$504,063$0$53,000
David Ferguson
Director$0$181,481$0$32,375$0$11,234$0$40,223$0$20,975$0$286,288$0$32,375

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 6FormAndLineReferenceDesc
ExplanationAn 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 MaximumExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The 2015 Form 990 filings for Prime Care, Inc. were prepared by the Finance Department and reviewed and signed by Ernst & Young LLP. The completed filings were reviewed by Prime Care's Chief Executive Officer and Chief Financial Officer. Subsequently, they were presented the audit committee for review. All board members were invited to the audit committee to take part in the detailed review. Upon finalization of the Form 990, all board members were provided a copy for their files. Form 990 is filed with the IRS after this review process is complete.
Form 990, Part VI, Section B, line 12cEach "Interested Person" of Prime Care, Inc. shall annually sign the Prime Care conflict of interest disclosure statement which affirms the such person: A. Has received a copy of the conflict of interest policy or the Prime Care by laws, B. Has read and understands the policy, C. Has agreed to comply with the policy, and D. Understands that Prime Care, Inc. is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes under IRC Section 501(C)(3) or 501(C)(4) of the Internal Revenue Code. On the conflict of interest disclosure statement, all "interested persons" must detail all existing or potential conflicts of interest and file the form with the Chief Compliance Officer annually. Interim disclosures shall also be required as conflicts develop subsequent to the annual disclosures. To ensure that Prime Care, Inc. operates in a manner consistent with it's charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted by the Chief Compliance Officer. The periodic reviews shall, at a minimum, include the following subjects: A. Whether compensation arrangements and benefits are reasonable and are the results of appropriate negotiations. B. Whether physician recruitment practices and other provider services result in inurement of impermissible private benefit. C. Whether partnership and joint venture arrangements conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further Prime Care's charitable purposes, and do not result in inurement or impermissible private benefit. D. Whether agreements to provide health care and agreements with other health care providers, employees and third party payors further Prime Care's charitable purposes and do not result in inurement or impermissible private benefit.
Form 990, Part VI, Section B, line 15In conjunction with Atlantic Health System (Parent): Line 15A: A review of officer compensation by an independent 3rd party (Mercer) is completed every year. The most recent survey was conducted in 2015. Officers include President and CEO AHS; SVP Chief Financial & Administrative Officer; VP Legal Affairs & General Counsel; SVP Quality & Chief Medical & Academic Officer, AHS; VP Government Affairs; Chief Information Officer; VP AHS & President OMS; VP AHS & President MMC; VP AHS & President CMC; VP AHS & President NMC; SVP, System & Network Planning & Business Development; SVP, Physician Enterprise & President, AMG; VP, President ACO; VP, Clinical Intelligence; VP, Marketing & Communications; VP, Compliance & Audit. On behalf of Atlantic Health, Mercer conducts an annual total compensation survey based on appropriate comparability data for like positions in like organizations. The results of the survey are presented to the Executive Compensation Committee of the board which documents the findings and recommendations in committee minutes. Line 15b: Compensation for key physicians is determined by soliciting salary data from 3 to 4 published sources. These salary recommendations are then reviewed with the MD Contract Committee and approved by the Physician Compensation Committee of the board.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part XI, line 9:Equity Contribution 623,500.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Newton Medical Center Foundation
175 High StreetNewtonNJ07860222618102Administers Donations, Grants & Bequests and Performs FundraisingNJ501(c)(3)Line 7Atlantic Health SystemYes (1)
North Jersey Health Care Properties Inc
175 High StreetNewtonNJ07860223519709Owns Commercial Buildings and Conducts Leasing ActivitiesNJ501(c)(2)Atlantic Health SystemYes (1)
AHS Hospital Corp
475 South StreetMorristownNJ07960521958352Hospital System - HealthcareNJ501(c)(3)Line 3Atlantic Health SystemYes (1)
Atlantic Ambulance Corp
475 South StreetMorristownNJ07960223820288Ambulance Transportation Services - HealthcareNJ501(c)(3)Line 9Atlantic Health SystemYes (1)
Practice Associates Medical Group PC
475 South StreetMorristownNJ07960202088165Physician Practice - HealthcareNJ501(c)(3)Line 11 IAtlantic Health SystemYes (1)
Atlantic Health System
475 South StreetMorristownNJ07960223380375Healthcare ParentNJ501(c)(3)Line 11 I0N/A
Foundation for the Morristown Medical Center
475 South StreetMorristownNJ07960223392808FundraisingNJ501(c)(3)Line 7Atlantic Health SystemYes (1)
Chilton Memorial Corporation
97 West ParkwayPompton PlainsNJ07444222719339Support charitable exempt programs and services of Medical CenterNJ501(c)(7)Atlantic Health SystemYes (1)
Chilton Medical Center Auxiliary Inc
97 West ParkwayPompton PlainsNJ07444222883605Support charitable exempt programs and services of Medical CenterNJ501(c)(3)Line 11a, IAtlantic Health SystemYes (1)
Chilton Medical Center Foundation Inc
97 West ParkwayPompton PlainsNJ07444223084817Support charitable exempt programs and services of Medical CenterNJ501(c)(3)Line 7Atlantic Health SystemYes (1)
Chilton Realty Holding Inc
97 West ParkwayPompton PlainsNJ07444223067739Real estate and leasing activities for the benefit of exempt organizationNJ501(c)(2)Atlantic Health SystemYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Morris Photopheresis Restenosis
100 Madison AvenueMorristownNJ07960223314012Heatlhcare ResearchNJ00
Morristown Medical Investors
200 American RoadMorris PlainsNJ07950650840535Real Estate RentalsNJ00
Affiliated Collection Services LLC
17 Prospect StreetMorristownNJ07960270555659Collection ServicesNJ00
Primary Care Partners LLC
475 South StreetMorristownNJ07960274980253Physician ServicesNJ00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Nutley Medical Care PA
100 Madison AvenueMorristownNJ07960223645010Physician PracticeNJN/AC0
Non-Invasive Diagnostics PA
100 Madison AvenueMorristownNJ07960202027439Physician PracticeNJN/AC0
Speciality Care of Practice Associates PA
100 Madison AvenueMorristownNJ07960030376428Physician PracticeNJN/AC0
Maternal Fetal Medicine of Practice Associates PA
100 Madison AvenueMorristownNJ07960030376421Physician PracticeNJN/AC0
Madison Pediatrics PA
100 Madison AvenueMorristownNJ07960223645007Physician PracticeNJN/AC0
Atlantic Heatlh Management Corporation and Subsidiaries
200 American RoadMorris PlainsNJ07960223538027Healthcare related services and supportNJN/AC0
AHS ACO LLC
475 South StreetMorristownNJ07960273800813Physician PracticeNJN/AC0
The Northwest New Jersey MedicalSurgical Alliance PC
175 High StreetNewtonNJ07860450577942Heatlhcare ServicesNJN/AC0
The Northwest New Jersey Urgent Care Alliance PC
175 High StreetNewtonNJ07860830492357Healthcare ServicesNJN/AC0
AHS Insurance Company LTD
200 The American RoadMorris PlainsNJ07950223380375InsuranceNJN/AC0
Chilton Community Care Inc and Subs
97 West ParkwayPompton PlainsNJ07444222869148Healthcare ServicesNJN/AC0
Chilton Medical Group PC
97 West ParkwayPompton PlainsNJ07444383769436HealthcareNJN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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