2013-11-12T10:44:35-06:00 2012-12-31 346565596 Ernst & Young US LLP 111 Monument Circle Suite 2600 Indianapolis IN 46204 990 2012-01-01 222759566 PRIME CARE INC PRIM 9734016848 475 South Street Morristown NJ 07960 Kevin Lenahan 9736603166 2013-11-12 0 P00032493 3176817000 2012 2016-02-24 21:20:13Z Kevin Lenahan 475 South Street Morristown NJ 07960 262202 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 45622 0 4605022 261907 -194735 295 0 0 4455909 262202 0 0 0 0 3585580 151205 0 0 0 1742508 319738 5328088 470943 -872179 -208741 2751932 1932830 2318165 1966783 433767 -33953 X Prime Care was organized to provide home Health and Other Health Care Services to residents of Sussex County, New Jersey and surrounding communities. 0 0 264238 0 261907 "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. 264238 1 0 0 0 0 0 0 0 0 1 1 1 0 1 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 1 0 1 1 1 1 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 1 1 NJ X Ken Butkowski 9734512005 475 South Street Morristown NJ 07960 Kevin Lenahan 2.00 37.50 X X 0 846516 242106 David Rikkola 2.00 37.50 X X 0 303400 55276 Sheilah O'Halloran 2.00 37.50 X X 0 439472 26047 David Ferguson 2.00 37.50 X X 0 181881 6150 0 1771269 329579 0 0 1 1 0 Net Patient Svc Rev 621610 261907 261907 261907 295 295 262202 261907 0 295 X 151205 151205 230312 228475 1837 984 984 45017 17615 27402 34284 12854 21430 4100 22 4078 Pharmaceuticals 3865 3865 Membership Dues 423 423 753 753 470943 264238 206705 0 28811 244502 166250 779872 1091223 123914 1083814 967309 618056 618056 75129 102963 2751932 1932830 342590 32955 925328 925328 1050247 1008500 2318165 1966783 X 433767 -33953 433767 -33953 2751932 1932830 X -208741 -258979 X 0 1 X 1 0 X 21296 24428 24518 45622 115864 5064657 4988399 4492221 4605022 261907 19412206 5085953 5012827 4516739 4650644 261907 19528070 0 0 0 19528070 554320 346953 49045 763 295 951376 554320 346953 49045 763 295 951376 38774 27054 19233 85061 5679047 5386834 4585017 4651407 262202 20564507 0.94960 0.93850 0.04630 0.05800 X 396200 251518 32014 679732 393183 250 2767 396200 357034 14000 22149 393183 312268 5000 39766 357034 314469 60000 -62200 312268 1.00000 0 1 1 77500 77500 910552 22397 888155 2670 2670 0 100501 98847 1654 967309 Inv in Sparta Cancer Ctr 618056 C 618056 Prepaid Rent 4965 Deposits 918 Due From Milford Clinic Physicians 97080 102963 Due to Affiliates 1008500 1008500 Description of Intended Use of Endowment Funds: 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 0 600000 0 221700 0 24816 0 235900 0 6206 0 1088622 0 221700 David Rikkola 0 252242 0 48423 0 2735 0 50100 0 5176 0 358676 0 0 Sheilah O'Halloran 0 346266 0 91400 0 1806 0 23400 0 2647 0 465519 0 0 David Ferguson 0 174376 0 3000 0 4505 0 0 0 6150 0 188031 0 0 Supplemental Information Part III All 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. The 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. 2012-01-01 1038851 Fair Market Value 521958352 AHS Hospital Corp 475 South Street Morristown NJ 07960 501c3 0 0 0 0 Form 990, Part VI, Section B, line 11 The 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 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 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 19 The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Other Fees Form 990, Part IX, line 11g Contracted 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Transfer of Home Health Agency to AHS Hospital Corp -258,979. 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 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 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 Atlantic Health System C 0 Non-Invasive Diagnostics PA 100 Madison Avenue Morristown NJ 07960 202027439 Physician Practice NJ Atlantic Health System C 0 Speciality Care of Practice Associates PA 100 Madison Avenue Morristown NJ 07960 030376428 Physician Practice NJ Atlantic Health System C 0 Maternal Fetal Medicine of Practice Associates PA 100 Madison Avenue Morristown NJ 07960 030376421 Physician Practice NJ Atlantic Health System C 0 Madison Pediatrics PA 100 Madison Avenue Morristown NJ 07960 223645007 Physician Practice NJ Atlantic Health System C 0 Atlantic Heatlh Management Corporation and Subsidiaries 200 American Road Morris Plains NJ 07960 223538027 Healthcare related services and support NJ Atlantic Health System C 0 AHS ACO LLC 475 South Street Morristown NJ 07960 273800813 Physician Practice NJ Atlantic Health System C 0 The Northwest New Jersey MedicalSurgical Alliance PC 175 High Street Newton NJ 07860 450577942 Heatlhcare Services NJ Atlantic Health System C 0 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ Atlantic Health System C 0 AHS Insurance Company LTD 200 The American Road Morris Plains Grand Cayman CJ 07950 223380375 Insurance NJ Atlantic Health System C 0 North Jersey Heatlh Ventures Inc 175 High Street Newton NJ 07860 222705732 Investments in Healthcare Related joint Ventures NJ AHS Investment Corp C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 North Jersey Health Care Properties Inc K 44580 Cost