PRIME CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PRIME CARE INC (EIN 22-2759566)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-01-15
- IRS object ID
- 201300159349300330
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-15T11:10:36-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 346565596 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Monument Circle Suite 2600 | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222759566 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIME CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PRIM | NameControl |
| Phone | 9734016848 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kevin Lenahan | Name |
| Title | VP Finance/CFO | Title |
| Phone | 9736603166 | Phone |
| Date Signed | 2013-01-15 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00032493 | PTIN |
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Kevin Lenahan | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4651407 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.nmhnj.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | Provide home health and other health care services to the surrounding communities. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 12282 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 724518 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 45622 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4492221 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4605022 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 49045 | InvestmentIncomePriorYear |
| Investment Income Current Year | -194735 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 19233 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5285017 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4455909 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 750 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3420910 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3585580 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1837927 | OtherExpensePriorYear |
| Other Expenses Current Year | 1742508 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5259587 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5328088 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 25430 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -872179 | RevenuesLessExpensesCY |
| Total Assets BOY | 3110484 | TotalAssetsBOY |
| Total Assets EOY | 2751932 | TotalAssetsEOY |
| Total Liabilities BOY | 1804538 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2318165 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1305946 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 433767 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Prime Care was organized to provide home Health and Other Health Care Services to residents of Sussex County, New Jersey and surrounding communities. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2944747 | Expense |
| Revenue | 4605022 | Revenue |
| Description | "In home Heatlh Services" , a Medicare-certified Home Health Agency, provides home care services to the residents of Sussex County, New Jersey, Pike County, Pennsylvannia, and surrounding communities. The mission of In Home Health Services is to provide comprehensive, professional, cost effective home healthcare to persons in need through highly qualified staff in a progressive, caring environment without discrimination. Professional and support services include nursing, certified home health aides, maternal/child care, infursion therapy, physical therapy, occupational therapy, speech therapy, medical social work, and nutrition counseling. Milford Urgent Care, located at the Milford Health & Wellness Center, provides quality episodic urgent care for the residents of Pike county, Pennsylvania and surrounding communities. Milford Urgent Care is a walk-in facility and provides services seven days a week, with extended twelve hour days including weekend and holiday coverage when primary care providers may not be available. Physicians have immediate access to lab and x-ray services to facilitate medical treatment. | Description |
| Total Program Service Expense | 2944747 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 12282 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ken Butkowski | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9734512005 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Kevin Lenahan | ||||||
| President-Effective 4/1/11 | 2.00 | X | X | 0 | 703595 | 227906 |
| Kevin Shanley | ||||||
| Vice President-Effective 4/1/11 | 2.00 | X | 0 | 1665384 | 1935 | |
| Steven Sepaniak | ||||||
| Secretary-Effective 4/1/11 | 2.00 | X | X | 0 | 1689943 | 1935 |
| Dr Nick P Dibitetto | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Craig U Dana | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Brian Fitzpatrick | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Paul J Owens MD | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| William I Houghton III | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Glenn A Clark | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| George W Morville Jr | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Philip D Deacon | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Jeffrey J Quinn | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Constance C Mierendorf PHD | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Mark Avondoglio | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Richard I Clark | ||||||
| Director-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Claudette Delong | ||||||
| Auxiliary President-Through 3/31/11 | 0.10 | X | 0 | 0 | 0 | |
| Robert E McCracken | ||||||
| Chairman-Through 3/31/11 | 0.10 | X | X | 0 | 0 | 0 |
| Tammie Horsfield | ||||||
| Vice Chairman-Through 3/31/11 | 1.00 | X | X | 0 | 0 | 0 |
| James S Hubley | ||||||
| Secretary-Through 3/31/11 | 0.10 | X | X | 0 | 0 | 0 |
| Christopher Lynch | ||||||
| Treasurer-Through 3/31/11 | 0.10 | X | X | 0 | 0 | 0 |
| E Jane Brown | ||||||
| Assistant Treasurer-Through 3/31/11 | 0.10 | X | X | 0 | 0 | 0 |
| Thomas J Senker | ||||||
| President & CEO-Through 3/31/11 | 1.00 | X | X | 0 | 538931 | 605544 |
| Sean O'Rourke | ||||||
| Director | 1.00 | X | 0 | 293220 | 14894 | |
| David Rikkola | ||||||
| CFO-Through 3/31/11 | 1.00 | X | 0 | 275786 | 15483 | |
| Robert Maloney | ||||||
| Treasurer-4/1/11 to 10/31/11 | 3.00 | X | 0 | 257987 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5424846 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 867697 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMCARE INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Witmer Rd Suite 220 | AddressLine1 |
| City | Horsham | City |
| State | PA | State |
| ZIP Code | 19044 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Urgent Care Physicians | DescriptionOfServices |
| Compensation | 562982 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 45622 | GovernmentGrants |
| Total Contributions | 45622 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Svc Rev | Description |
| Business Code | 621610 | BusinessCode |
| Total Revenue Column | 4605022 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4605022 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4605022 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 763 | TotalRevenueColumn |
| Exclusion | $763 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 195498 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -195498 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -195498 | TotalRevenueColumn |
| Exclusion | -$195,498 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4455909 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4605022 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$194,735 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3085948 | Total |
| Program Services | 1348108 | ProgramServices |
| Management And General | 1737840 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61914 | Total |
| Program Services | 33062 | ProgramServices |
| Management And General | 28852 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437718 | Total |
| Program Services | 235805 | ProgramServices |
| Management And General | 201913 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 675581 | Total |
| Program Services | 603368 | ProgramServices |
| Management And General | 72213 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19432 | Total |
| Program Services | 19432 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205629 | Total |
| Program Services | 106302 | ProgramServices |
| Management And General | 99327 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60486 | Total |
| Program Services | 32300 | ProgramServices |
| Management And General | 28186 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265542 | Total |
| Program Services | 128260 | ProgramServices |
| Management And General | 137282 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174212 | Total |
| Program Services | 173062 | ProgramServices |
| Management And General | 1150 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 663 | Total |
| Program Services | 663 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62715 | Total |
| Program Services | 335 | ProgramServices |
| Management And General | 62380 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Administration Overhead | 219749 | 219749 |
| Membership Dues | 17164 | 17164 |
| Pharmaceuticals | 12578 | 12578 |
| LifeLine Expense | 7881 | 7881 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20876 | Total |
| Program Services | 6678 | ProgramServices |
| Management And General | 14198 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5328088 | Total |
| Program Services | 2944747 | ProgramServices |
| Management And General | 2383341 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64648 | BOY |
| EOY | 28811 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430558 | BOY |
| EOY | 166250 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 581179 | BOY |
| EOY | 779872 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2309738 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1225924 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1127694 | BOY |
| EOY | 1083814 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 813554 | BOY |
| EOY | 618056 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92851 | BOY |
| EOY | 75129 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3110484 | BOY |
| EOY | 2751932 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382635 | BOY |
| EOY | 342590 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221259 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 925328 | BOY |
| EOY | 925328 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275316 | BOY |
| EOY | 1050247 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1804538 | BOY |
| EOY | 2318165 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1305946 | BOY |
| EOY | 433767 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1305946 | BOY |
| EOY | 433767 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3110484 | BOY |
| EOY | 2751932 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -872179 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 196117 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21296 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24428 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24518 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45622 | CurrentTaxYear |
| Total | 311981 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5029044 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5064657 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4988399 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4492221 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4605022 | CurrentTaxYear |
| Total | 24179343 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5225161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5085953 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5012827 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4516739 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4650644 | CurrentTaxYear |
| Total | 24491324 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 24491324 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 563093 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 554320 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 346953 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 49045 | CurrentTaxYearMinus1Year |
| Current Tax Year | 763 | CurrentTaxYear |
| Total | 1514174 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 563093 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 554320 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 346953 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 49045 | CurrentTaxYearMinus1Year |
| Current Tax Year | 763 | CurrentTaxYear |
| Total | 1514174 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4877 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 38774 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27054 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19233 | CurrentTaxYearMinus1Year |
| Total | 89938 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5793131 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5679047 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5386834 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4585017 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4651407 | CurrentTaxYear |
| Total | 26095436 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.93850 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.91120 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.05800 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.08550 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 393183 | BeginningOfYearBalance |
| Contributions | 250 | Contributions |
| Investment Earnings Or Losses | 2767 | InvestmentEarningsOrLosses |
| End Of Year Balance | 396200 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357034 | BeginningOfYearBalance |
| Contributions | 14000 | Contributions |
| Investment Earnings Or Losses | 22149 | InvestmentEarningsOrLosses |
| End Of Year Balance | 393183 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 312268 | BeginningOfYearBalance |
| Contributions | 5000 | Contributions |
| Investment Earnings Or Losses | 39766 | InvestmentEarningsOrLosses |
| End Of Year Balance | 357034 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 314469 | BeginningOfYearBalance |
| Contributions | 60000 | Contributions |
| Investment Earnings Or Losses | -62200 | InvestmentEarningsOrLosses |
| End Of Year Balance | 312268 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 77500 | OtherCostOrOtherBasis |
| Book Value | 77500 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 910552 | OtherCostOrOtherBasis |
| Depreciation | 22397 | Depreciation |
| Book Value | 888155 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2670 | OtherCostOrOtherBasis |
| Depreciation | 2670 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1319016 | OtherCostOrOtherBasis |
| Depreciation | 1200857 | Depreciation |
| Book Value | 118159 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1083814 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Inv in Sparta Cancer Ctr | Description |
| Book Value | 618056 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 618056 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates | $830,941 |
| Est Third Party Payor Settlements | $219,306 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1050247 | TotalOfAmounts |
| Total Revenue | 4455909 | TotalRevenue |
| Total Expenses | 5328088 | TotalExpenses |
| Excess Or Deficit For Year | -872179 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -872179 | ExcessOrDeficitPerFS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kevin Lenahan | |||||||||||||
| 0 | 533346 | 0 | 149000 | 0 | 21249 | 0 | 221700 | 0 | 6206 | 0 | 931501 | 0 | 149000 |
| Kevin Shanley | |||||||||||||
| 0 | 187241 | 0 | 253900 | 0 | 1224243 | 0 | 0 | 0 | 1935 | 0 | 1667319 | 0 | 1412522 |
| Steven Sepaniak | |||||||||||||
| 0 | 257464 | 0 | 192400 | 0 | 1240079 | 0 | 0 | 0 | 1935 | 0 | 1691878 | 0 | 1394583 |
| Thomas J Senker | |||||||||||||
| 0 | 399700 | 0 | 86789 | 0 | 52442 | 0 | 596036 | 0 | 9508 | 0 | 1144475 | 0 | 0 |
| Sean O'Rourke | |||||||||||||
| 0 | 255718 | 0 | 36020 | 0 | 1482 | 0 | 0 | 0 | 14894 | 0 | 308114 | 0 | 0 |
| David Rikkola | |||||||||||||
| 0 | 234129 | 0 | 36204 | 0 | 5453 | 0 | 0 | 0 | 15483 | 0 | 291269 | 0 | 0 |
| Robert Maloney | |||||||||||||
| 0 | 257987 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 257987 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 5 | 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 III | All directors and/or officers were compensated by related organizations. The individuals who were board members before the 4/1/11 merger between Newton Memorial Hospital and Atlantic Health System were compensated by Newton Memorial Hospital (a related organization). Subsequent to 4/1/11, these individuals were compensated by AHS Hospital (a related organization). The individuals who became newly appointed directors and officers subsequent to 4/1/1 were compensated by AHS Hospital Corp (A related organization). | Supplemental Information |
| Part III | Part I, Line 4a: Steven Sepaniak received a severance payout in the amount of $211,788 during 2011 and is included as taxable income in his W-2. This severance was included in prior year 990's as deferred compensation. The terms of Mr. Sepaniak's severance is as follows: - Effective 7/1/11 through 6/30/13 (104 weeks) - Paid lump sum of $58,950 to cover cost of: membership dues, club due, CLE related expenses and insurance related expenses. - Auto allowance, life insurance, long term care, financial planning and club dues to continue during severance period - EIP for 2011 - Remains active on board of directors and reimbursed for all associated expenses. - The two years of severance will count as years of service for the Mid-Career Hire Plan. - Medical and Dental benefits through 3/31/13. Kevin Shanley received a severance payout in the amount $453,546 during 2011 and is included as taxable income in his W-2. This severance was included in prior year 990's as deferred compensation. The terms of Mr. Shanley's severance is as follows: - Effective 4/1/11 through 3/31/13 (104 weeks) - Auto allowance, life insurance, and long term care to continue during the severance period. - Reimbursement provided for financial counsel ($7,000 per year) and MMC Club dues during the severance period. - Remains active on board of directors and reimbursed for all associated expenses. - The two years of severance will count as years of service for the Mid-Career Hire Plan. - Medical and Dental benefits through 3/31/13. | Supplemental Information |
| Part III | Part I, Line 4b: Steven Sepaniak received a taxable lump sum payout of $990,395 during 2011 from the Atlantic Health System, Inc. Mid-Career Hire Plan. This payout was included in his 2011 W-2 as taxable income. This payout was included in prior year 990's as deferred compensation. Kevin Shanley received a taxable lump sum payout of $705,075 during 2011 from the Atlantic Health System, Inc. Mid-Career Hire Plan. This payout was included in his 2011 W-2 as taxable income. This payout was included in prior year 990's as deferred compensation. The Mid-Career Hire plan is a non-qualified, unfunded program for the benefit of certain key executives of the Organization under Internal Revenue Code 457(f). The plan works with the Employees' Cash Balance Plan of Atlantic Health System, Inc. and Social Security to establish the target retirement benefit the System intends the individual to receive. The Organization pays the entire cost of this plan. The following formula was used to calculate the lump sum payouts in 2011: 2.5% of Final Average Pay Multiplied by the Years of Credited Service (Up to 20 years) plus 1% of Final Average Pay Multiplied by the Years of Credited Service in Excess of 20 years (up to 15 years). | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The 2011 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. For 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. | |
| All officers are compensated by a related organization. A review of officer compensation by an independent 3rd party (Integrated Healthcare Strategies) is completed every year. The most recent survey was conducted in 2011. Officers include President and CEO AH, VP HR & CAO, VP Finance & CFO, VP Legal Affairs, VP Quality, VP Government Affairs, VP Information Services & CIO, VP Finance & Treasurer, VP AH & President OH, VP AH & President MMC, and VP AH & President NMC. Note: We no longer have the VP Finance & Treasurer position as of 4/2/2011. - On behalf of Atlantic Health System, Integrated Healthcare Strategies 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. - 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. | |
| Part VII | Kevin Lenahan Kevin Shanley Steven Sepaniak Thomas J Senker Sean O'Rourke David Rikola Robert Maloney The above individuals worked for related organizations of Prime Care, Inc. and averaged approx. 40 hours per week among all entities. | Average Hours Per Week |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Buidlings 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 | 0 | N/A | |
| Foundation for the Morristown Medical Center | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 223392808 | Fundraising | NJ | 501(c)(3) | Line 7 | Atlantic Health System | 1 | |
| Newton Memorial Hospital | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 221500572 | Provides Health Care Services | NJ | 501(c)(3) | Line 3 | Atlantic Health System | 1 | |
| North Jersey Heatlh Care Corporation | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 222618100 | Oversees Policies and Activities of Subsidiaries | NJ | 501(c)(3) | Line 11a, I | 1 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|
| Morris Photopheresis Restenosis | ||||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223314012 | Heatlhcare Research | NJ | Atlantic Heatlh System | 0 | 0 | 0.30000 |
| Morristown Medical Investors | ||||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 650840535 | Real Estate Rentals | NJ | AHS Investment Corp | 0 | 0 | 0.99000 |
| Affiliated Collection Services LLC | ||||||||||
| 17 Prospect Street | Morristown | NJ | 07960 | 270555659 | Collection Services | NJ | AHS Investment Corp | 0 | 0 | 0.50000 |
| Primary Care Partners LLC | ||||||||||
| 475 South Street | Morristown | NJ | 07960 | 274980253 | Physician Services | NJ | AHS Investment Corp | 0 | 0 | 0.80000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| North Jersey Heatlh Ventures Inc | ||||||||
| 175 High Street | Newton | NJ | 07860 | 222705732 | Investments in Health Care Related joint Ventures | NJ | AHS Investment Corp | C |
| Nutley Medical Care PA | ||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223645010 | Physician Practice | NJ | Atlantic Health System | C |
| Non-Invasive Diagnostics PA | ||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 202027439 | Physician Practice | NJ | Atlantic Health System | C |
| Speciality Care of Practice Associates PA | ||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 030376428 | Physician Practice | NJ | Atlantic Health System | C |
| Maternal Fetal Medicine of Practice Associates PA | ||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 030376421 | Physician Practice | NJ | Atlantic Health System | C |
| Madison Pediatrics PA | ||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223645007 | Physician Practice | NJ | Atlantic Health System | C |
| Atlantic Heatlh Management Corporation and Subsidiaries | ||||||||
| 200 American Road | Morris Plains | NJ | 07960 | 223538027 | Healthcare related services and support | NJ | Atlantic Health System | C |
| AHS ACO LLC | ||||||||
| 475 South Street | Morristown | NJ | 07960 | 273800813 | Physician Practice | NJ | Atlantic Health System | C |
| The Northwest New Jersey MedicalSurgical Alliance PC | ||||||||
| 175 High Street | Newton | NJ | 07860 | 450577942 | Heatlhcare Services | NJ | Atlantic Health System | C |
| The Northwest New Jersey Urgent Care Alliance PC | ||||||||
| 175 High Street | Newton | NJ | 07860 | 830492357 | Healthcare Services | NJ | Atlantic Health System | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Jersey Health Care Properties Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | J | TransactionType |
| Amount Involved | 75774 | AmountInvolved |
| Method Of Amt Determination | Cost | MethodOfAmtDetermination |
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