2016-11-11T13:33:01-06:00 2015-12-31 346565596 Ernst & Young US LLP 100 North Tyron Street Suite 3800 Charlotte NC 28202 990 2015-01-01 222759566 PRIME CARE INC PRIM 9734016848 475 South Street Morristown NJ 07960 Kevin Lenahan SVP-CFO & Admin Officer 9736603166 2016-11-11 0 P00032493 7043726300 2015 2017-02-10 21:41:12Z Kevin Lenahan 475 South Street Morristown NJ 07960 228862 0 X www.nmhnj.org X 1986 NJ Provide home health and other health care services to the surrounding communities. 4 0 0 0 0 0 0 0 0 0 76 80 68353 228782 68429 228862 0 0 0 0 0 0 0 0 0 739 -29266 739 -29266 67690 258128 1482722 1711334 1963343 1310328 -480621 401006 Prime 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. 0 0 Prime Care, Inc. is a not for profit organization that operated a Medicare certified home health agency and provided various wellness, health education and other health 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. 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NJ X Ken Butkowski 9734512005 475 South Street Morristown NJ 07960 Kevin Lenahan President 2.00 55.00 X X 0 1059098 409450 David Rikkola Treasurer 2.00 55.00 X X 0 407737 88325 Sheilah O'Halloran Acting Secretary 2.00 55.00 X X 0 418878 85185 David Ferguson Director 2.00 55.00 X X 0 225090 61198 0 2110803 644158 0 0 1 0 0 80 80 Sparta Cancer Ctr, LLC 228782 228782 228782 228862 0 0 228862 -29666 -29666 Misc Expenses 400 400 -29266 0 -29266 0 336708 436538 1091223 125569 965654 965654 179442 308224 918 918 1482722 1711334 29515 0 925328 925328 1008500 385000 1963343 1310328 X -480621 401006 -480621 401006 1482722 1711334 X 258128 623500 X 0 1 X 1 0 X 45622 45622 4605022 261907 4866929 4650644 261907 4912551 0 0 0 4912551 763 295 92 76 80 1306 763 295 92 76 80 1306 4651407 262202 92 76 80 4913857 0.99970 0.99270 0.00030 0.00530 X 811184 71136 0 20688 861632 817932 407 36965 44120 811184 679732 97618 74679 34097 817932 396200 251518 32014 679732 393183 250 2767 396200 1.00000 0 1 1 77500 77500 910552 22398 888154 2670 2670 0 100501 100501 0 965654 Inv in Sparta Cancer Ctr 308224 F 308224 Due to Affiliates 385000 385000 Part V, Line 4: The endowment funds represent permanently restricted net assets that have been restricted by donors to be maintained by the system in perpetuity. 0 0 0 0 0 0 0 0 0 Kevin Lenahan President 0 783021 0 247300 0 28777 0 395875 0 13575 0 1468548 0 0 David Rikkola Treasurer 0 345785 0 57900 0 4052 0 74750 0 13575 0 496062 0 57900 Sheilah O'Halloran Acting Secretary 0 358106 0 53000 0 7772 0 73719 0 11466 0 504063 0 53000 David Ferguson Director 0 181481 0 32375 0 11234 0 40223 0 20975 0 286288 0 32375 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 Form 990, Part VI, Section B, line 11 The 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 12c Each "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 15 In 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 19 The 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. Newton Medical Center Foundation 175 High Street Newton NJ 07860 222618102 Administers Donations, Grants & Bequests and Performs Fundraising NJ 501(c)(3) Line 7 Atlantic Health System 1 North Jersey Health Care Properties Inc 175 High Street Newton NJ 07860 223519709 Owns Commercial Buildings and Conducts Leasing Activities NJ 501(c)(2) Atlantic Health System 1 AHS Hospital Corp 475 South Street Morristown NJ 07960 521958352 Hospital System - Healthcare NJ 501(c)(3) Line 3 Atlantic Health System 1 Atlantic Ambulance Corp 475 South Street Morristown NJ 07960 223820288 Ambulance Transportation Services - Healthcare NJ 501(c)(3) Line 9 Atlantic Health System 1 Practice Associates Medical Group PC 475 South Street Morristown NJ 07960 202088165 Physician Practice - Healthcare NJ 501(c)(3) Line 11 I Atlantic Health System 1 Atlantic Health System 475 South Street Morristown NJ 07960 223380375 Healthcare Parent NJ 501(c)(3) Line 11 I N/A 0 Foundation for the Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising NJ 501(c)(3) Line 7 Atlantic Health System 1 Chilton Memorial Corporation 97 West Parkway Pompton Plains NJ 07444 222719339 Support charitable exempt programs and services of Medical Center NJ 501(c)(7) Atlantic Health System 1 Chilton Medical Center Auxiliary Inc 97 West Parkway Pompton Plains NJ 07444 222883605 Support charitable exempt programs and services of Medical Center NJ 501(c)(3) Line 11a, I 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 Center NJ 501(c)(3) Line 7 Atlantic Health System 1 Chilton Realty Holding Inc 97 West Parkway Pompton Plains NJ 07444 223067739 Real estate and leasing activities for the benefit of exempt organization NJ 501(c)(2) Atlantic Health System 1 Morris Photopheresis Restenosis 100 Madison Avenue Morristown NJ 07960 223314012 Heatlhcare Research NJ 0 0 Morristown Medical Investors 200 American Road Morris Plains NJ 07950 650840535 Real Estate Rentals NJ 0 0 Affiliated Collection Services LLC 17 Prospect Street Morristown NJ 07960 270555659 Collection Services NJ 0 0 Primary Care Partners LLC 475 South Street Morristown NJ 07960 274980253 Physician Services NJ 0 0 Nutley Medical Care PA 100 Madison Avenue Morristown NJ 07960 223645010 Physician Practice NJ N/A C 0 Non-Invasive Diagnostics PA 100 Madison Avenue Morristown NJ 07960 202027439 Physician Practice NJ N/A C 0 Speciality Care of Practice Associates PA 100 Madison Avenue Morristown NJ 07960 030376428 Physician Practice NJ N/A C 0 Maternal Fetal Medicine of Practice Associates PA 100 Madison Avenue Morristown NJ 07960 030376421 Physician Practice NJ N/A C 0 Madison Pediatrics PA 100 Madison Avenue Morristown NJ 07960 223645007 Physician Practice NJ N/A C 0 Atlantic Heatlh Management Corporation and Subsidiaries 200 American Road Morris Plains NJ 07960 223538027 Healthcare related services and support NJ N/A C 0 AHS ACO LLC 475 South Street Morristown NJ 07960 273800813 Physician Practice NJ N/A C 0 The Northwest New Jersey MedicalSurgical Alliance PC 175 High Street Newton NJ 07860 450577942 Heatlhcare Services NJ N/A C 0 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ N/A C 0 AHS Insurance Company LTD 200 The American Road Morris Plains NJ 07950 223380375 Insurance NJ N/A C 0 Chilton Community Care Inc and Subs 97 West Parkway Pompton Plains NJ 07444 222869148 Healthcare Services NJ N/A C 0 Chilton Medical Group PC 97 West Parkway Pompton Plains NJ 07444 383769436 Healthcare NJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0