PRIME CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PRIME CARE INC (EIN 22-2759566)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201323169349302747
Schema version
2012v2.1
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)
Timestamp2013-11-12T10:44:35-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN346565596EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Ernst & Young US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 Monument Circle Suite 2600AddressLine1
CityIndianapolisCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222759566EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRIME CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRIMNameControl
Phone9734016848Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1
CityMorristownCity
StateNJState
ZIP Code07960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKevin LenahanName
TitleVP Finance/CFOTitle
Phone9736603166Phone
Date Signed2013-11-12DateSigned
Authorize Third Party0AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00032493PTIN
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKevin LenahanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1
CityMorristownCity
StateNJState
ZIP Code07960ZIPCode
FieldValueIRS element (for citing)
Gross Receipts262202GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nmhnj.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionProvide home health and other health care services to the surrounding communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year45622ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4605022ProgramServiceRevenuePriorYear
Program Service Revenue CY261907ProgramServiceRevenueCY
Investment Income Prior Year-194735InvestmentIncomePriorYear
Investment Income Current Year295InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4455909TotalRevenuePriorYear
Total Revenue Current Year262202TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3585580SalariesEtcPriorYear
Salaries Etc Current Year151205SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1742508OtherExpensePriorYear
Other Expenses Current Year319738OtherExpensesCurrentYear
Total Expenses Prior Year5328088TotalExpensesPriorYear
Total Expenses Current Year470943TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-872179RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-208741RevenuesLessExpensesCY
Total Assets BOY2751932TotalAssetsBOY
Total Assets EOY1932830TotalAssetsEOY
Total Liabilities BOY2318165TotalLiabilitiesBOY
Total Liabilities EOY1966783TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY433767NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-33953NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPrime 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense264238Expense
Grants0Grants
Revenue261907Revenue
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 Expense264238TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ken ButkowskiBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9734512005TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1
CityMorristownCity
StateNJState
ZIP Code07960ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Kevin Lenahan
President2.0037.50XX0846516242106
David Rikkola
Treasurer2.0037.50XX030340055276
Sheilah O'Halloran
Acting Secretary2.0037.50XX043947226047
David Ferguson
Director2.0037.50XX01818816150
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1771269TotalReportableCompFrmRltdOrgs
Total Other Compensation329579TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Svc RevDescription
Business Code621610BusinessCode
Total Revenue Column261907TotalRevenueColumn
Related Or Exempt Function Income261907RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue261907TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column295TotalRevenueColumn
Exclusion$295ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column262202TotalRevenueColumn
Related Or Exempt Function Income261907RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$295ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total151205Total
Management And General151205ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total230312Total
Program Services228475ProgramServices
Management And General1837ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total984Total
Program Services984ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45017Total
Program Services17615ProgramServices
Management And General27402ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total34284Total
Program Services12854ProgramServices
Management And General21430ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4100Total
Program Services22ProgramServices
Management And General4078ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Pharmaceuticals38653865
Membership Dues423423

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total753Total
Management And General753ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total470943Total
Program Services264238ProgramServices
Management And General206705ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY28811BOY
EOY244502EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY166250BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY779872BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1091223LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec123914LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1083814BOY
EOY967309EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY618056BOY
EOY618056EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY75129BOY
EOY102963EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2751932BOY
EOY1932830EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY342590BOY
EOY32955EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY925328BOY
EOY925328EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1050247BOY
EOY1008500EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2318165BOY
EOY1966783EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY433767BOY
EOY-33953EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY433767BOY
EOY-33953EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2751932BOY
EOY1932830EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-208741ReconcilationRevenueExpenses
Reconcilation Other Changes-258979ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21296CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24518CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45622CurrentTaxYearMinus1Year
Total115864Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5064657CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4988399CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4492221CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4605022CurrentTaxYearMinus1Year
Current Tax Year261907CurrentTaxYear
Total19412206Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5085953CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5012827CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4516739CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4650644CurrentTaxYearMinus1Year
Current Tax Year261907CurrentTaxYear
Total19528070Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50919528070PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years554320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years346953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year763CurrentTaxYearMinus1Year
Current Tax Year295CurrentTaxYear
Total951376Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years554320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years346953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year763CurrentTaxYearMinus1Year
Current Tax Year295CurrentTaxYear
Total951376Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27054CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19233CurrentTaxYearMinus2Years
Total85061Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5679047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5386834CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4585017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4651407CurrentTaxYearMinus1Year
Current Tax Year262202CurrentTaxYear
Total20564507Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94960PublicSupportPercentage509
Prior Year Support Percentage0.93850PriorYearSupportPercentage
Investment Income Percentage0.04630InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05800PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance396200BeginningOfYearBalance
Contributions251518Contributions
Investment Earnings Or Losses32014InvestmentEarningsOrLosses
End Of Year Balance679732EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance393183BeginningOfYearBalance
Contributions250Contributions
Investment Earnings Or Losses2767InvestmentEarningsOrLosses
End Of Year Balance396200EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance357034BeginningOfYearBalance
Contributions14000Contributions
Investment Earnings Or Losses22149InvestmentEarningsOrLosses
End Of Year Balance393183EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance312268BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses39766InvestmentEarningsOrLosses
End Of Year Balance357034EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance314469BeginningOfYearBalance
Contributions60000Contributions
Investment Earnings Or Losses-62200InvestmentEarningsOrLosses
End Of Year Balance312268EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis77500OtherCostOrOtherBasis
Book Value77500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis910552OtherCostOrOtherBasis
Depreciation22397Depreciation
Book Value888155BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2670OtherCostOrOtherBasis
Depreciation2670Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis100501OtherCostOrOtherBasis
Depreciation98847Depreciation
Book Value1654BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings967309TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionInv in Sparta Cancer CtrDescription
Book Value618056BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities618056TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Prepaid Rent4965
Deposits918
Due From Milford Clinic Physicians97080
FieldValueIRS element (for citing)
Total Book Value Other Assets102963TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to AffiliatesDescription
Amount$1,008,500Amount
FieldValueIRS element (for citing)
Total Of Amounts1008500TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Intended Use of Endowment Funds:Identifier
Return ReferencePart V, Line 4:ReturnReference
ExplanationThe endowment funds represent permanently restricted net assets that have been restricted by donors to be maintained by the system in perpetuity.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Kevin Lenahan
President06000000221700024816023590006206010886220221700
David Rikkola
Treasurer02522420484230273505010005176035867600
Sheilah O'Halloran
Acting Secretary03462660914000180602340002647046551900
David Ferguson
Director017437603000045050006150018803100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationAll directors and/or officers were compensated by a related organization as follows: Kevin Lenahan (Trustee and Officer) received W-2 (Box 5) compensation from AHS Hospital Corp (a related organization) in the amount of $846,516 and other compensation of $242,106. Mr. Lenahan is the Vice President and CFO of AHS Hospital Corp. Sheilah O'Halloran (Trustee and Officer) received W-2 (Box 5) compensation from AHS Hospital Corp (a related organization) in the amount of $439,472 and other compensation of $26,047. Ms. O'Halloran is Assistant General Counsel of AHS Hospital Corp. David Rikkola (Trustee and Officer)received W-2 (Box 5) compensation from AHS Hospital Corp (a related organization) in the amount of $303,400 and other compensation of $55,276 . Mr. Rikkola is Director of Atlantic Health Managment Corp and Subsidiaires. David Ferguson (Trustee and Officer) received W-2 (Box 5 compensation) from Atlantic Health Management Corp and Subsidiaries in the amount of $181,881 and other compensation of $6,150. Mr. Ferguson is a Director of Atlantic Health Management Corp. and Subsidiaries.Explanation

Schedule N IRS990ScheduleN

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetThe home health agency division of Prime Care, Inc. was transferred to the hospital (AHS Hospital Corp) effective January 1, 2012. The FMV of Net Assets were transferred to AHS Hospital Corp.DescriptionOfAsset
Date Of Distribution2012-01-01DateOfDistribution
FMV Of Asset1038851FMVOfAsset
Method Of FMV DeterminationFair Market ValueMethodOfFMVDetermination
EIN521958352EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AHS Hospital CorpBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1475 South StreetAddressLine1
CityMorristownCity
StateNJState
ZIP Code07960ZIPCode
FieldValueIRS element (for citing)
IRC Section501c3IRCSection
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor20EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, line 11The 2012 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 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.
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 2012. 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. - 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 19The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part IX, line 11gContracted Labor: Program service expenses 228,475. Management and general expenses 0. Fundraising expenses 0. Total expenses 228,475. Other : Program service expenses 0. Management and general expenses 1,837. Fundraising expenses 0. Total expenses 1,837.Other Fees
Form 990, Part XI, line 9:Transfer of Home Health Agency to AHS Hospital Corp -258,979.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Newton Medical Center Foundation
175 High StreetNewtonNJ07860222618102Administers Donations, Grants & Bequests and Performs FundraisingNJ501(c)(3)Line 7Atlantic Health System1
North Jersey Health Care Properties Inc
175 High StreetNewtonNJ07860223519709Owns Commercial Buidlings and Conducts Leasing ActivitiesNJ501(c)(2)Atlantic Health System1
AHS Hospital Corp
475 South StreetMorristownNJ07960521958352Hospital System - HealthcareNJ501(c)(3)Line 3Atlantic Health System1
Atlantic Ambulance Corp
475 South StreetMorristownNJ07960223820288Ambulance Transportation Services - HealthcareNJ501(c)(3)Line 9Atlantic Health System1
Practice Associates Medical Group PC
475 South StreetMorristownNJ07960202088165Physician Practice - HealthcareNJ501(c)(3)Line 11 IAtlantic Health System1
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 System1

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCode
Nutley Medical Care PA
100 Madison AvenueMorristownNJ07960223645010Physician PracticeNJAtlantic Health SystemC0
Non-Invasive Diagnostics PA
100 Madison AvenueMorristownNJ07960202027439Physician PracticeNJAtlantic Health SystemC0
Speciality Care of Practice Associates PA
100 Madison AvenueMorristownNJ07960030376428Physician PracticeNJAtlantic Health SystemC0
Maternal Fetal Medicine of Practice Associates PA
100 Madison AvenueMorristownNJ07960030376421Physician PracticeNJAtlantic Health SystemC0
Madison Pediatrics PA
100 Madison AvenueMorristownNJ07960223645007Physician PracticeNJAtlantic Health SystemC0
Atlantic Heatlh Management Corporation and Subsidiaries
200 American RoadMorris PlainsNJ07960223538027Healthcare related services and supportNJAtlantic Health SystemC0
AHS ACO LLC
475 South StreetMorristownNJ07960273800813Physician PracticeNJAtlantic Health SystemC0
The Northwest New Jersey MedicalSurgical Alliance PC
175 High StreetNewtonNJ07860450577942Heatlhcare ServicesNJAtlantic Health SystemC0
The Northwest New Jersey Urgent Care Alliance PC
175 High StreetNewtonNJ07860830492357Healthcare ServicesNJAtlantic Health SystemC0
AHS Insurance Company LTD
223380375InsuranceNJAtlantic Health SystemC0200 The American RoadMorris PlainsGrand CaymanCJ07950
North Jersey Heatlh Ventures Inc
175 High StreetNewtonNJ07860222705732Investments in Healthcare Related joint VenturesNJAHS Investment CorpC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1North Jersey Health Care Properties IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeKTransactionType
Amount Involved44580AmountInvolved
Method Of Amt DeterminationCostMethodOfAmtDetermination

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