2013-01-16T08:34:17-06:00 2011-12-31 346565596 Ernst & Young US LLP 111 Monument Circle Suite 2600 Indianapolis IN 46204 990 2011-01-01 651301877 Atlantic Health System Inc Group Return ATLA 9736603100 475 South Street ACCTG 920 Morristown NJ 07960 Kevin Lenahan 9736603166 2013-01-16 0 P00032493 3176817000 2011 2016-02-25 16:41:14Z Kevin Lenahan 475 South Street ACCTG 920 Morristown NJ 07960 1636622976 1 1 9704 X www.atlantichealth.org X 501c3 2006 NJ To provide high quality, safe and affordable patient care with respect and compassion. 22 8 12282 3096 6094871 212728 10959132 13843206 1216295832 1413827488 10948522 6798502 28084828 115056253 1266288314 1549525449 697630 744557 0 0 665252117 756943557 0 0 2174852 561746412 675417170 1227696159 1433105284 38592155 116420165 1437169614 1861587747 750126202 1098906826 687043412 762680921 X (1)Deliver high-quality, safe, affordable patient care with respect and compassion (2)Educate, in an exemplary manner, present and future health care professionals (3)Innovate through leadership (4)Improve the health status of the communities we serve. 0 0 1218805267 744557 1416705846 This group return consists of a not-for-profit entity comprised of three hospitals and a not-for-profit ambulance corporation. The Hospital which consists of AHS Hospital Corp and Practice Associates Medical Group, provides regional health care services including a broad range of adult, pediatric, obstetrical/gynecological, psychiatric, oncology, intensive care, cardiac care and newborn acute care services to patients from the counties of Morris, Sussex, Hunterdon, Union, Warren and Somerset in New Jersey, Pike County in Pennsylvania and southern Orange County in New York. The Hospital is a regional health trauma center that provides tri-state coverage and provides numerous outpatient services, rehabilitation and skilled care and emergency care. The ambulance company (Atlantic Ambulance Corp) is a not-for-profit organization established for scientific, educational and charitable purposes to sponsor, promote and assist in the establishment or maintenance of activities relating to the improvement of human health and to maintain and operate a system for providing ambulance services, including mobile intensive care unit services together with related emergency medical services, primarily in New Jersey. Refer to Schedule "O" for the entire 2011 Community Benefit Report which explains the exempt accomplishments and achievements of the organization in detail. In addition, refer to Schedule H for detailed disclosures and financial support for the community benefit provided in 2011. 1218805267 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 1 0 1 927 9 1 12282 1 1 1 0 0 0 0 0 0 0 0 0 X 22 8 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X Ken Butkowski 9734512005 475 South Street - Acctg Box 920 Morristown NJ 07962 Joseph Trunfio 37.50 X X 1948454 0 1593510 Kevin Shanley 37.50 X X 1665384 0 1935 Stephen Sepaniak 37.50 X X 1689943 0 1935 Andrew Kovach 37.50 X X 744579 0 305313 Kevin Lenahan 37.50 X X 703595 0 227906 Paul Marmora 37.50 X X 326614 0 55706 Joseph Ramieri MD 37.50 X X 539081 0 38735 Sylvanus Zimmerman 37.50 X X 254213 0 37633 David Shulkin 37.50 X X 879667 0 275161 Karen Kessler-Horowitz 2.00 X 0 0 0 Robert Toohey 2.00 X 0 0 0 Alan Weisberg 2.00 X 0 0 0 Dexter Earle 2.00 X 0 0 0 Richard Herbst 2.00 X 0 0 0 Robert J Hugin 2.00 X 0 0 0 Robert Mulcahy III 2.00 X 0 0 0 Glenn A Clark 2.00 X 0 0 0 Anne S Rooke RN MSN 2.00 X 0 0 0 Earle F Nielsen MD 2.00 X 0 0 0 Robert Sussman MD 2.00 X 0 0 0 Gita F Rothschild 2.00 X 0 0 0 Edward Zampella MD 2.00 X 57815 0 0 Robert E McCracken 2.00 X 0 0 0 Paul J Owens 2.00 X 0 0 0 Alan Leiber 37.50 X 611052 0 159278 Thomas J Senker 37.50 X 336219 0 596197 Rolando Rolandelli 37.50 X 749138 0 2647 Donald Casey Jr 37.50 X 804560 0 400995 Linda Reed 37.50 X 573005 0 189873 Stanley Fiel 37.50 X 553778 0 39994 John Halperin 37.50 X 507638 0 33935 Walter Rosenfeld 37.50 X 483521 0 35006 Madeline Ferraro 37.50 X 387443 0 112824 Eric Whitman 37.50 X 645642 0 6206 Louis DiFazio 37.50 X 533671 0 3606 Louis Schwartz 37.50 X 599564 0 3206 Daniel Tobias 37.50 X 594239 0 9676 William Dowling 37.50 X 623786 0 41302 16812601 0 4172579 1026 0 1 0 Timber Architecture 1503 Glen Avenue Moorestown NJ 08057 Architect Services 2002317 Bubb Grogan & Cocca 25 Prospect Street Morristown NJ 07960 Legal Services 1618638 Hull Resource Management Group 80 White Road Hewitt NJ 07421 Management Services 1434954 Schenck Price Smith & King LLP 220 Park Avenue Florham Park NJ 07932 Legal Services 1265340 Allied Sleep LLC P O BOX 715450 COLUMBUS OH 43271 Medical Services 1011000 101 1575423 12267783 13843206 PATIENT SERVICE REV 900099 957527829 957527829 MEDICARE-MEDICAID 900099 409683573 409683573 PHYSICIAN SERVICES 621110 40678005 40678005 LAB SPEC PROCESSING 621500 5938081 5938081 1413827488 8934870 1510 8933360 25252 25252 2853106 0 2853106 2853106 2853106 84932015 3892 87097527 0 -2165512 3892 -2161620 -2161620 Cont inc-Donation-NMC 900099 76324204 76324204 Cafeteria 721000 3995379 3995379 Parking 812930 3264085 3264085 28619479 155280 28464199 112203147 1549525449 1410767765 6094871 118819607 744557 744557 20927184 20927184 599197349 531812706 66043111 1341532 34406218 29506435 4823291 76492 54861761 47048907 7700505 112349 47551045 40779309 6666020 105716 75178605 31501204 43677401 2925351 2925351 793739 793739 3710917 3182446 520221 8250 9492579 1589018 7899442 4119 74999812 67155670 7734516 109626 45240647 38797934 6344789 97924 5451966 4719723 720812 11431 13503711 11580650 1893500 29561 84925364 72976680 11762148 186536 35781152 30495504 5206592 79056 MEDICAL EXPENSES 224102971 224102971 BAD DEBT 61711642 61711642 REPAIRS AND MAINATENANC 28632831 13479645 15153186 EQUIPMENT AND RENTAL 5514445 4729134 773051 12260 3451438 2891132 560306 1433105284 1218805267 212125165 2174852 58095646 107754148 1419289 1916355 136443090 182042660 13253499 4839933 7361941 8973012 42227913 54607847 1729946073 906243999 734486681 823702074 428206549 594509664 15675006 83242054 1437169614 1861587747 136518887 175699251 347074861 480748207 266532454 442459368 750126202 1098906826 X 649742567 673974732 30960791 50445363 6340054 38260826 687043412 762680921 1437169614 1861587747 X 116420165 -40782656 X 0 1 1 X 1 1 X Schedule A, Part IV, Supplemental Information: Atlantic Ambulance is a Box 9 organization. It receives more than 33 1/3% of its support from activities related to it's exempt functions and no more than 33 1/3% of its support from gross investment income and unrelated income from businesses acquired by the organization after June 30, 1975. Practice Associates Medicald Group (PAMG) is a Box 11 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). PAMG is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). PAMG did not receive a written determination letter from the IRS that it is Type I, Type II or Type III supporting organization. Since August 17, 2006, PAMG has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. PAMG provided support to AHS Hospital Corp-Morrsitown Division (EIN #52-1958352)during 2011 in the amount of $2,910,047. X 0 1 0 0 0 1 302262 0 0 0 302262 0 Explanation of Lobbying Activities: Part II-B, Line 1: During 2011, the organization compensated four different consultants primarily for their services and time in participating in conference telephone calls, attending meetings and conferences, providing communication emails and correspondence and travel expenses for the following Federal and State legislation and affairs: 1. NJ State Charity Care 2. Budget Clarifications 3. Various Regulatory Affairs 4. Hospital Issues 5. GME 6. Budget Meetings 7. Healthcare Forums 8. Lobbying Day in Washington DC 9. A-1993 Helicopters 10.Energy Projects/Grants 11.Fair Share Alliance 12.NJHCFFA 37300845 40121406 -210657 11494597 88706191 74009096 19410940 2006728 -58128919 37300845 98969642 14967701 3030613 -42958860 74009096 82078625 33746017 -2394000 -14461000 98969642 0.37500 0.62500 0 0 17913153 17913153 916005773 375421427 540584346 50842537 8958657 41883880 745184610 521863915 223320695 823702074 ADVANCES THIRD PARTY PAYORS 61223783 ACCRUED EMPLOYEE BENEFITS AND OTHER 381235585 442459368 1549525449 1433105284 116420165 -673685 -40108971 -40782656 75637509 1468066026 0 1468066026 81459422 81459422 1549525448 1351645862 0 1351645862 81459422 81459422 1433105284 Description of Intended Use of Endowment Funds: Part V, Line 4: Temporarily restricted net assets are available and intended for the following purposes: - Research - Construction of the Heart Hospital and other projects - Purchase of plant and equipment - Scholarships and education - Program Services Permanently restricted net assets are restricted to investments to be held in perpetuity, the income from which is expendable to support health care services. Part XI, Line 8 - Other Adjustments: Net Assets released from capital restrictions 9,626,314. Government grants used for capital purchases 1,403,243. Transfer to Parent -400,000. Change in funded status of benefit plans -111,285,524. Increase/Decrease in permanently restricted net assets 5,189,471. Increase/Decrease in temporarily restricted net assets 6,507,761. Removal of 2010 MMHF Net Assets 48,849,764. Total to Schedule D, Part XI, Line 8: -40,108,971. Part XII, Line 4b - Other Adjustments: Revenue recorded as an offset in the AFS expenses 69,191,639. Grant revenue recorded as an offset to the AFS expenses 12,267,783. Part XIII, Line 4b - Other Adjustments: Revenue recorded as an offset in the AFS expenses 69,191,639. Grant revenue recorded as an offset to the AFS expenses 12,267,783. Central America and the Caribbean 1 Program Services Insurance 9079500 Central America and the Caribbean 1 Asset Investment Insurance 73451519 2 0 0 0 2 0 82531019 0 82531019 1 0 0 0 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 42457 41988647 6473154 35515493 0.02570 53711 58516254 39458706 19057548 0.01380 96168 100504901 45931860 54573041 0.03950 2604608 2297294 20165 2277129 0.00170 34354647 11761820 22592827 0.01640 19228769 907400 18321369 0.01330 744557 744557 0.00050 2604608 56625267 12689385 43935882 0.03190 2700776 157130168 58621245 98508923 0.07140 114 1960323 1414500 545823 0.00040 600 44920 44920 0.00000 1917 1917 0.00000 887 32161 32161 0.00000 1601 2039321 1414500 624821 0.00040 1 44827618 13864789 376896928 412914088 -36017160 X 1 1 3 1 Morristown Medical Center

100 Madison Avenue Morristown NJ 07960

X X X X X X 2 Overlook Medical Center

99 Beauvoir Avenue Summit NJ 07902

X X X X X X 3 Newton Medical Center

175 High Street Newton NJ 07960

X X X Morristown Medical Center 1 1 1 200.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 Overlook Medical Center 2 1 1 200.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 Newton Medical Center 3 1 1 200.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 12 Atlantic Rehabilitation Institute

95 Mt Kemble Avenue Morristown NJ 07960

A comprehensive rehabilitation hospital. The Family Health Center

200 South Street Morristown NJ 07960

Ambulatory Care Facility - Primary Dialysis Center of Northwest Jersey

175 Righter Road Succasunna NJ 07876

Ambulatory Care Facility-Chronic Hemodialysis Atlantic Home Care and Hospice

33 Blecker Street Milburn NJ 07041

Home Health Agency, Hospice Care Program Overlook Hospital Satellite ED

1000 Galloping Hill Road Morristown NJ 07960

Emergency Department Overlook Health Services

1 Springfield Avenue Morristown NJ 07960

Ambulatory Care Facility-Compute Axial Tomography Morristown Memorial Hospital Amb Care

95 Madison Avenue Morristown NJ 07960

Ambulatory Care Facility-Compute Axial Tomography Morristown Memorial Hospital Imaging

111 Madison Avenue Morristown NJ 07960

Ambulatory Care Facility-Compute Axial Morristown Memorial Hospital Surgical

111 Madison Avenue Morristown NJ 07960

Ambulatory Care Facility-Ambulatory Surgery Morristown Memorial Hospital Health Serv

65 Maple Avenue Morristown NJ 07960

Ambulatory Care Facility-Compute Axial Sleep Disorder Center of MMH

95 Mt Kemble Avenue Morristown NJ 07960

Ambulatory Care Facility - Sleep Cetner Practice Assocites Medical Group

100 Madison Avenue Morristown NJ 07960

Physician billing-MMH Hospital Based Part I, Line 6a: The 2011 community benefit report will be made available to the public via the Atlantic Health System website (www.atlantichealth.org). Part I, Line 7: Charity and unreimbursed Medicaid gross patient charges were decreased to cost by applying the cost to charge ratio which was calculated on Worksheet 2 per the IRS instructions. All other costs for the remaining programs were compiled by the applicable program directors and represent actual expenses that were made. Part I, Line 7g: Subsidized Health Services represent clinical patient care services that are provided, despite a negative margin, because they are needed in the community. During 2011 the organization provided 56 such clinical patient care programs. The net community benefit expense represents the total actual expenses offset by any patient and grant revenue. Part I, L7 Col(f): The bad debt expense at cost was established by "grossing up" the bad debt expense per the audited financial statements to gross charges and applying the 2011 cost to charge ratio as calculated on worksheet 2. Part II: -Clincical Affiliations with Surgical Technical Schools - Clinical Site is provided for students from Surgical Technical Schools.-Clinical Affiliations with Schools of Nursing - Nursing students are allowed to learn clinical skills under the supervision of an instructor.-Clinical Affiliations with Sterile Processing Schools - Clinical site provided for students from Sterile Processing Schools.-High School Student Shadowing - High School students shadow health care workers to stimulate interest in the health care careers.-Writing Grant Proposals-Staff of Health Foundation involved in getting grants to raise as much money as possible for projects to support the community.-Information Technology related equipment donations throughout the community.-New Jersey State Renal Coalition - Patient Symposium on transplant for patients and their families at Robert Wood Johnson.-Kidney Korner Support Group - Support group for dialysis and transplant patients and their families.-Medicare Coverage for Home Health and Hospice - Education to seniors regarding Medicare coverage if they need home care or hospice services.-YMCA Pioneering Healthy Communities - Collaboration to set goals and help to make Sussex County healthier. Part III, Line 4: Patient Service Revenue and Related Adjustments:The Hospital records gross patient service revenue on an accrual basis at established rates, with contractual and other allowances added to or deducted from such amounts to determine net patient service revenue. The Hospital maintains policies and records to identify and monitor these contractual allowances and its level of charity care. These records include the amount of deductions from gross revenue due to qualified services provided under the State's charity care guidelines.The process for estimating the ultimate collection of receivables involves significant assumptions and judgments. The Hospital has implemented a monthly standardized approach to estimate and review the collectability of receivables based on the payer classification and the period from which the receivables have been outstanding. Account balances are written off against the allowance when management feels it is probable the receivable will not be recovered. Historical collection and payer reimbursement experience is an integral part of the estimation process related to reserves for doubtful accounts. In addition, the Hospital assesses the current state of its billing functions in order to identify any known collection or reimbursement issues and assess the impact, if any, on reserve estimates. The Hospital believes that the collectability of its receivables is directly linked to the quality of billing processes, most notably those related to obtaining the correct information in order to bill effectively for the services it provides. Revisions in reserve for doubtful accounts estimates are recorded as an adjustment to bad debt expense.The bad debt expense at cost was established by "grossing up" the bad debt expense per the audited financial statements to gross charges and applying the 2011 cost to charge ratio as calculated on worksheet 2. Part III, Line 8: 2011 Medicare Allowable Costs as calculated per the 2011 Medicare Cost report exceeds the 2011 Medicare payments received generating a Medicare shortfall to the organization of over $36 million. Part III, Line 9b: The organization's collection policy is as follows:Uninsured patients are registered as Self Pay Uninsured. Whether an uninsured patient is pre-registered or registered on the date of service, the account will be referred to Financial Counseling to determine eligibility for any Federal or State program for the uninsured. These programs include Social Security (retired and disability), Supplemental Security Income (SSI) that is accompanied by Medicaid coverage, Medicaid, the Federal 1011 Program for illegal aliens, Catastrophic Children's Relief fund, of the NJ State Charity Care program. All efforts will be made to enroll qualified patients into one of these programs for the uninsured. Patients who do not qualify for any Federal or State program will be granted Self Pay discount according to the current discount policy, or a payment plan to satisfy their obligation. Failure to meet a patient's financial obligation will lead to referral to a Collection Agency 126 days after the letter/statement series is completed. Part VI, Line 2: The Morris Regional Public Health Partnership completed a comprehensive Morris County Health Improvement Plan at the end of 2007. The assessment included results of a household survey on residents' perception of health needs, county statistical health data, and a formalized county health system assessment. This Health Improvement Plan was systematically reviewed by our Community Health Committee and priorities for outreach programs were strategically set and communicated to the Morristown Medical Center Advisory Board.The Atlantic Health System Board of Directors has approved as one of its Mission imperatives, "improvement of the health status of the communities we serve"The Community Health Department has aligned it's community outreach to support the organization's mission and the identified health needs, To this end we provide a multitude of cardiovascular, diabetes and oncology screenings and provide health counseling and educational lectures. We follow-up with health issues and assist with connections for appropriate services. We focus many of our efforts on the underserved community. At Overlook, projects within the Department of Community Health have been driven by several past Community Needs Assessments and will continue to be, with the current Federally Mandated Assessment which is being prioritized.Following the last two surveys, we met the need for "access to care" with the creation of our "Healthy Avenues Van" which travels to 30 + towns in Overlook's Service area. And another specific project was the hiring of a Domestic Violence social worker in response to results indicating increased violence in the home.The most recent Community Health Improvement Plan conducted in Union County resulted in opportunities for collaboration with other health related agencies in the county, such as the YMCA's, schools, Red Cross and faith based organizations to accomplish goals that were realized from this survey.This department at Overlook Medical Center is also driven by the mission and vision of the hospital, specifically to "improve the health status of the community". To that end, Community Health provides health screenings and education in "well care" and disease management. Our focus is the whole community; all ages and demographics with particular emphasis on the underserved. Part VI, Line 3: It is the financial assistance policy of the organization to ensure patients receive essential health care services regardless of their ability to pay. Financial assistance is available through a variety of programs to those low-income, uninsured and underinsured patients who do not otherwise have the ability to pay all or part of their hospital bill. Financial assistance and discounts are available only for necessary hospital care. Some services such as physician fees, anesthesiology fees, radiology interpretation, and outpatient prescriptions are separate from hospital charges and may not be eligible for financial assistance through Atlantic Health. Only patients qualifying for Social Security (Aged or Disabled), Supplemental Security Income (SSI which is accompanied by Medicaid, and Medicaid would have non-hospital related charges covered.The organization's policy is as follows:-Information regarding Atlantic Health's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.-Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.-Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.-Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.-Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.-Translation services will be made available as needed.To take advantage of any available financial assistance program, the patient must meet with a Financial Counselor at the Hospital. The Financial Counselor will explain the requirements for each program and determine which program, if any, the patient qualifies for. Whether an uninsured patient is pre-registered or registered on the date of service, the account will be referred to Financial Counseling to determine eligibility for any Federal or State program for the uninsured.Available Financial Assistance Programs:A. Federal Programs include:1. Social Security (retired and disability)2. Supplemental Security Income (SSI) accompanied by Medicaid3. Medicaid4. The Federal 1011 Program for undocumented immigrantsB. New Jersey State programs include:1-Charity Care is a State program available to New Jersey residents who:a. Have no health insurance coverage or have coverage that pays only for part of the bill: andb. Are ineligible for any private or governmental sponsored coverage (as listed above under "Federal Programs"); andc. Meet both the income and assets eligibility criteria established by the State.This program covers only acute care hospital charges for medically necessary services that would be covered under the State's Medicaid program if the patient were eligible for Medicaid. All Charity Care applicants must present proof of income and assets. The Financial Counseling office will make a determination of whether the applicant is eligible as soon as possible. If a request for income/asset proof is not provided or inadequate, the application will be denied. The applicant will then be allowed to present additional required information after receiving a denial letter. The applicant has up to twenty three (23) months from the date of service to re-apply for Charity Care with documented income/asset information. Applicants who are ineligible may re-apply at a future date when they present for services and their financial circumstances have changed.2. Catastrophic Children's Relief Fund:The State of New Jersey's Catastrophic Children's Relief Fund assists families of chronically ill children when the family's total medical bills exceed the family's ability to pay based on family income and assets.3. Crime Victims Fund:The State of New Jersey has established a Crime Victims Fund to pay the bills of victims of violent crime.C. Self Pay:1. New Jersey Residents. Uninsured patients who do not qualify for Charity Care or any other type of Federal or State funded financial assistance programs will be charged as follows:a. Inpatients: Patients receiving medically necessary inpatient treatment will be charged the appropriate Medicare DRG rate plus 15% (both Medicare payment and co-payment) for the service rendered.b. Outpatients: Patients receiving outpatient services will be charged a discounted rate of 40% off hospital charges.2. Out of State and Foreign Patients:a. For inpatient services, the rate is based on the Medicare DRG rate plus 25%b. If the inpatient length of stay exceeds the average length of stay for the specifically assigned Medicare DRG rate by two (2) days, the daily rate would be $1,500 per day for each additional day beyond the two (2) day threshold.c. Outpatient services will be charged a rate based on the previous year's Medicare cost to charge ratio.D. Payment PlansAtlantic Health assists patients who request payment plans. The payment plan may not exceed one year and the patient must pay at least $25 per month.E. Discounts and WaiversAfter financial screening, if the patient does not qualify for any financial assistance program and cannot afford to pay the charges, additional discounting or financial arrangements may be made available on a case-by-case basis. Part VI, Line 4: The organization's patient service area is comprised of the following six counties in northern and central New Jersey: Hunterdon, Morris, Somerset, Sussex, Union and Warren. The organization's six county service area population grew from 1,648,929 in 2000 to 1,740,546 in 2007, or 5.6% and is projected to increase to 1,796,500 by 2012, a 3.2% increase from 2007. This is slightly less than the State of New Jersey, which grew from 8,414,350 in 2000 to 8,786,952 in 2007, or 4.4% and is projected to increase to 9,006,488 by 2012, or 2.5%. The 2007 service median household income of $87,460 exceeded the State of New Jersey's $70,078 median household income by 24.8% and the service area is projected to have a median household income of $96,634 by 2012, which will exceed the state of New Jersey's projected $76,423 median household income by 26.4%.The six county service area population growth from 2000 to 2007, by age groups, shows the highest growth of 23.5% for ages 45 to 64, a 8.4% increase in ages 65 and over, and a 4.8% increase in age groups 17 and under, while the population decreased by 5.9% for ages 18 to 44. The female population with ages 18 to 44 decreased by 6.9% between 2000 and 2007. The six county service area population, by ages groups, in 2012 is projected as follows: the highest growth of 16.5% for ages 65 and older, an 11.0% increase is projected in ages 45 to 64, a 1.9% decrease is projected for ages 17 and under, and a 4.1% decrease is projected for ages 18 to 44. The female population is projected to decrease by 3.2%.The organization extends credit without collateral to its patients, most of whom are local residents and are insured under third-party payer agreements. The accounts receivable from patients and third-party payers, excluding allowance for doubtful accounts, as of December 31, 2011 are as follows:-Medicare an Medicaid 34%-Commercial and other third party payers 35-Self Pay 18-Blue Cross 13-Total: 100%The organization provides a wide variety of community health activities, including health education, screening and prevention programs, and health fairs. The organization views these community health activities as a critical component in its effort to improve the health of the community at large, particularly those community members who are underserved. In 2011, Atlantic Health System reached more than 2,604,608 commmunity members, a total benefit to the community of $2,277,129. Part VI, Line 5: Refer to the 2011 Community Benefit Report which is included in Schedule "O" of this 990 for the descrpiton of community health promotion. Part VI, Line 6: The organization is the primary academic affiliate in NJ of Mount Sinai School of Medicine. The affiliation provides opportunities for student rotations, faculty teaching and appointments, and research and clinical collaborations. The organization also maintains medical affiliations with Columbia University College of Physicians and Surgeons, Kirksville College of Medicine, New York College of Osteopathic Medicine, St. George's University, and University of Medicine and Dentistry of New Jersey - New Jersey Medical School. These affiliations have the added benefit of enabling Atlantic Health System to offer patients the opportunity to participate in the latest clinical trials and allowing to provide for even more advanced care.In addition, rotating residents are sent to Atlantic Health System from the following institutions:- Lenox Hill Hospital (Morristown Medical Center- Orthopedic Sports Medicine)- Monmouth Medical Center (Morristown Medical Center- Orthopedic Trauma) - New York Downtown Hospital (Overlook Medical Center- OB/GYN)- New York Presbyterian Hospital (Overlook Medical Center- Surgery)- University of Medicine and Dentistry of New Jersey - New Jersey Medical School (Overlook Medical Center-Orthopedic Surgery)- University of Medicine and Dentistry of New Jersey - Robert Wood Johnson (Overlook Medical Center-Colorectal Surgery)- Warren Hospital (Atlantic Health System - Pediatrics) State Filing of Community Benefit Report Part VI, Line 7: The 2011 Community Benefit Report is filed in the State of New Jersey. 1 Two Kids Foundation PO Box 103 Whippany NJ 07981 113740784 501(c)(3) 20000 General Support American College of Medical Quality 5272 RIVER ROAD Suite 630 Bethesda MD 20814 237318735 501(c)(3) 5850 General Support American Conference on Diversity 109 CHURCH STREET New Brunswick NJ 08901 320154928 501(c)(3) 7000 General Support Blood Center of New Jersey 45 SOUTH GROVE STREET EAST ORANGE NJ 07018 221500510 501(c)(3) 25000 General Support American Cancer Society 7 Ridgedale Avenue Suite 103 Cedar Knolls NJ 07927 131788491 501(c)(3) 40000 General Support American Heart Association 1 Union Street Robbinsville NJ 08691 135613797 501(c)(3) 7000 General Support Project Fit America PO Box 308 Boy Hot Sring CA 92240 363730823 501(c)(3) 15836 General Support Police Unity Tour Inc 49 Woodland Avenue Morristown NJ 07960 223530541 501(c)(3) 6000 General Support Summit Fourth of July Celebration 512 Springfield Avenue Summit NJ 07901 223450164 501(c)(3) 7000 General Support Valerie Fund 2101 Millburn Avenue Maplewood NJ 07040 222126867 501(c)(3) 5000 General Support. Camp Rivebend 116 Hillcrest Road Warren NJ 07059 222673140 501(c)(3) 7000 General Support Chilton Memorial Hospital Foundation 97 West Parkway Pompton Plains NJ 07444 222883605 501(c)(3) 6700 General Support Interfaith Food Pantry 540A West Hanover Avenue Morristown NJ 07960 223618468 501(c)(3) 6000 General Support Komen NJ Race for the Cure 785 Springfield Avenue Summit NJ 07901 223528454 501(c)(3) 25000 General Support Liberty Science Center 222 Jersey City Boulevard Jersey City NJ 07305 222302253 501(c)(3) 25000 General Support Medical Needs Foundation PO Box 303 Mountain Lakes NJ 07076 223599504 501(c)(3) 5000 General Support Morris Education Foundation Fund PO Box 1224 Morristown NJ 07962 223205909 501(c)(3) 5000 General Support Morristown Partnership 14 Maple Avenue Morristown NJ 07960 223307187 501(c)(3) 45300 General Support Mount Sinai Crystal Ball One Gustave L Levy Place New York NY 10029 136271888 501(c)(3) 15000 General Support National Multiple Sclerosis Society 733 Third Avenue New York NY 10017 135661935 501(c)(3) 6500 General Support Newton Memorial Health Foundation 175 High Streeet Newton NJ 07860 222618102 501(c)(3) 22500 General Support Partners for Heatlh PO Box 845578 Boston MA 02284 043567502 501(c)(3) 10000 General Support Soft Bones 1500 Washington Street Hoboken NJ 07030 264619055 501(c)(3) 5000 General Support Summit PAL 512 Springfield Avenue Summit NJ 07901 223294529 501(c)(3) 7500 General Support Union County Performing Arts Center 101 Irving Street Rahway NJ 07065 222278631 501(c)(3) 30000 General Support WAMMH-MIM PO Box 1956 Morristown NJ 07962 223392808 501(c)(3) 7260 General Support Community Blood Services 970 LINWOOD AVENUE WEST PARAMUS NJ 07652 223742663 5500 General Support Hatton Memorial Classic P O BOX 1955 New York NY 10008 133351127 7500 General Support Leukemia & Lymphoma Society 14 COMMERCE DRIVE Suite 301 CRANFORD NJ 07016 135644916 9000 General Support Urban League of Morris County 300 MADISON AVENUE Sutie A MORRISTOWN NJ 07960 221449251 5000 General Support American Nurses Association 8515 GEROGIA AVENUE Suite 400 Silver Springs MD 20910 131893923 25000 General Support Arthritis Foundation - NJ Chapter 555 ROUTE 1 SOUTH ISELIN NJ 08830 800489313 10000 General Support Camp Deeny Riback 760 NORTHFIELD AVENUE WEST ORANGE NJ 07052 222680030 5655 General Support Camp Horizons 33 HEMLOCK ROAD LIVINGSTON NJ 07039 6000 General Support Community Soup Kitchen of Morristown Inc 36 SOUTH STREET MORRISTOWN NJ 07960 223084025 6120 General Support Flying Dreams 245 WEST 55TH STREET Suite 305 NEW YORK NY 10019 133696252 21500 General Support Northstar Foundation C/O MORRIS COUNTY SHERIFFS OFF Suite 900 MORRISTOWN NJ 07963 061589586 5000 General Support ML Weekes & Company P O BOX 156 TWIN MOUNTAIN NH 03595 020522062 10000 General Support Overlook Hospital Foundation 36 UPPER OVERLOOK RD PO BOX 220 SUMMIT NJ 07902 510194054 29890 General Support Curemonos P O BOX 445 SUMMIT NJ 07902 270319634 5000 General Support Joseph Enright Foundation C/O TGMG 46 OAK RODGE ROAD BASKING RIDGE NJ 07920 223680835 11150 General Support NJSIAA 1161 ROUTE 130 NORTH PO BOX 487 ROBBINSVILLE NJ 08691 210638152 5000 General Support Sage Elder Care 290 BROAD STREET SUMMIT NJ 07901 221657929 7500 General Support Summit Wine & Food Festival 417 SPRINGFIELD AVENUE Summit NJ 07901 7000 General Support Summit YMCA 67 MAPLE STREET SUMMIT NJ 07901 221487392 5700 General Support Teddy Bear Foundation 144 KENT PLACE BLVD PO BOX 1220 Summit NJ 07906 223257558 16500 General Support PASS IT ALONG 2 30 BLUE HERON ROAD SPARTA NJ 07871 800018706 11000 General Support 47 The organization uses due diligence for reviewing and selecting grant recipients and is comfortable that the grants are used for their intended purpose. All assistance and grants are reviewed and approved by senior management via the accounts payable cycle. X 1 1 X X X X X 1 1 0 0 0 1 0 0 0 Joseph Trunfio 1185684 0 687500 0 75270 0 1590304 0 3206 0 3541964 0 687500 0 Kevin Shanley 187241 0 253900 0 1224243 0 0 0 1935 0 1667319 0 1412522 0 Stephen Sepaniak 257464 0 192400 0 1240079 0 0 0 1935 0 1691878 0 1394583 0 Andrew Kovach 491286 0 203800 0 49493 0 300397 0 4916 0 1049892 0 203800 0 Kevin Lenahan 533346 0 149000 0 21249 0 221700 0 6206 0 931501 0 149000 0 Paul Marmora 274684 0 51300 0 630 0 52500 0 3206 0 382320 0 51300 0 Joseph Ramieri MD 501604 0 33100 0 4377 0 36800 0 1935 0 577816 0 33100 0 Sylvanus Zimmerman 216393 0 37400 0 420 0 37300 0 333 0 291846 0 37400 0 David Shulkin 610838 0 244100 0 24729 0 271000 0 4161 0 1154828 0 244100 0 Alan Leiber 448778 0 140600 0 21674 0 154802 0 4476 0 770330 0 140600 0 Thomas J Senker 306522 0 0 0 29697 0 589900 0 6297 0 932416 0 0 0 Rolando Rolandelli 706732 0 40600 0 1806 0 0 0 2647 0 751785 0 40600 0 Donald Casey Jr 559064 0 214000 0 31496 0 397579 0 3416 0 1205555 0 214000 0 Linda Reed 414427 0 139600 0 18978 0 185167 0 4706 0 762878 0 139600 0 Stanley Fiel 503006 0 39400 0 11372 0 37500 0 2494 0 593772 0 39400 0 John Halperin 471903 0 32800 0 2935 0 31000 0 2935 0 541573 0 32800 0 Walter Rosenfeld 438794 0 34700 0 10027 0 28800 0 6206 0 518527 0 34700 0 Madeline Ferraro 261457 0 108900 0 17086 0 110513 0 2311 0 500267 0 108900 0 Eric Whitman 566676 0 0 0 78966 0 0 0 6206 0 651848 0 0 0 Louis DiFazio 374073 0 0 0 159598 0 0 0 3606 0 537277 0 0 0 Louis Schwartz 446792 0 50000 0 102772 0 0 0 3206 0 602770 0 50000 0 Daniel Tobias 563400 0 0 0 30839 0 0 0 9676 0 603915 0 0 0 William Dowling 575221 0 43700 0 4865 0 36600 0 4702 0 665088 0 43700 0 Part I, Line 1a The organization pays for the auto leases, cell phones, life insurance premiums, long term disability premiums, financial planning services and health club membership fees for certain officers, directors and key employees. Such payments made on behalf of these individuals are grossed up and inputed and included as taxable compensation in their respective W-2's. Part I, Line 6 An annual incentive plan exists for the senior management team. The incentive plan distributes bonuses to the senior management team based on performance results on various performance measurements. The performance measurements include: operating gain/loss expense per adjusted admission patient satisfaction scores inpatient and outpatient volumes employee engagement scores quality and safety results. The above performance measures have the following three specific performance goals in order to determine any incentive award: Threshold Target Maximum 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). 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0.00620 0.00620 1 0 1 0 0 0.00620 0.00620 1 0 1 0 0 0.00620 0.00620 1 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 NJ Healthcare Facilities Series 2008A 221987084 64579FWH2 2008-04-24 550000 To redeem revenue bonds 0 0 0 NJ Healthcare Facilities Series 2008A 221987084 64579FWJ8 2008-04-24 10840000 To redeem revenue bonds 0 0 0 NJ Healthcare Facilities Series 2008A 221987084 64579FWK5 2008-04-24 1175000 To redeem revenue bonds 0 0 0 NJ Healthcare Facilities Series 2008A 221987084 64579FWL3 2008-04-24 57755000 To redeem revenue bonds 0 0 0 550000 23168 3853 11594 2008 1 0 1 1 10840000 456615 75940 228512 2008 1 0 1 1 1175000 49495 8231 24770 2008 1 0 1 1 57755000 2432823 404604 1217500 2008 1 0 1 1 0 1 0 0 0.00620 0.00620 1 0 1 0 0 0.00620 0.00620 1 0 1 0 0 0.00620 0.00620 1 0 1 0 0 0.00620 0.00620 1 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 NJ Healthcare Facilities Series 2011 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2683892 2011 1 0 1 1 22360000 184440 337742 9413619 2011 1 0 1 1 88450000 729593 1336016 37237684 2011 1 0 1 1 0 0 0 0 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 1 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 0 0 0 NA 0 0 0 NA 0 0 0 Rent-A-Crate Refer to below. 240063 Performance. Andrew Kovach (Trustee and Officer) is a Director of H Brown Investments which is the Parent of Rent-A-Crate. During 2011, Rent-A-Crate received $240,063 in payments from the organization. Transaction is considered to be negotiated at arms-length. 0 Verizon Refer to below. 4845069 Performance. Robert Toohey (Board Member-Trustee) is Senior Vice President of Verizon. The organization paid Verizon $4,845,069 during 2011 for networking and phone services. Transaction is considered to be negotiated at arms-length. 0 Cross Country Inc Refer to below. 1615074 Performance. Joseph Trunfio (Trustee and Officer)is a member of the Board of Directors of Cross Country , Inc. The organization paid Cross Country, Inc. $1,615,074 during 2011. Transaction is considered to be negotiated at arms-length. 0 Atlantic Neurosurgical Specialists Refer to below 945068 Performance. Ed Zampella (Board Member-Trustee) is a member of Atlantic Neurosurgical Specialists. The organization paid Altantic Neurosurgical Specialists $945,068 during 2011 for services. Transaction is considered to be negotiated at arms-length. 0 Elizabeth Lenahan Refer to below 40713 Performance. Elizabeth Lenahan is the mother of Kevin Lenahan (Trustee and Officer). The organization compensated Elizabeth Lenahan $40,713 during 2011. Transaction is considered to be negotiated at arms-length. 0 Pulmonary and Allergy Association Refer to below. 937488 Performance. Robert Sussman MD (Board Member - Trustee) is a partner of Pulmonary and Allergy Association. The organization paid Pulmonary and Allergy Association $937,488 during 2011. Transaction is considered to be negotiated at arms-length. 0 McCarter & English LLP Refer to below 135578 Performance. Gita F Rothschild (Board Member-Trustee) is Partner of McCarter & English, LLP. The organization paid McCarter & English, LLP $135,578 during 2011. Transaction is considered to be negotiated at arms-length. 0 Berskire Consulting Refer to below 72000 Performance. Karen J. Kessler's (Board Member-Trustee)husband (Rob Horowitz) is an employee of Berkshire Consulting which received an annual consulting fee of $72,000 during 2011. Transaction is considered to be negotiated at arms-length. 0 Lakeland Bank Refer to below 13927 Performance. Robert E. McCracken (Board Member-Trustee)is also a board member of Lakeland Bank. The organization paid Lakeland Bank $13,927 during 2011. Transaction is considered to be negotiated at arms-length. 0 Erica Weisberg Refer to below 29212 Performance. Erica Weisberg is the daughter of Alan Weisberg (Trustee). The organization compensated Erica $29,212 during 2011. Transaction is considered to be negotiated at arms-length. 0 Form 990, Part VI, Section A, line 2 Leigh Porges, J Peter Simon and Mark J Simon (all board members of Morristown Memorial Health Foundation) have a "family relationship". Form 990, Part VI, Section A, line 4 The organization made the following changes to its governing documents since the prior Form 990 was filed: Atlantic Health System, Inc., as the sole member of AHS Hospital Corp., pursuant to Section 11.01 of the Bylaws of AHS Hospital Corp., does hereby adopt the following Resolution amending the Bylaws of AHS Hospital Corp. effective as of the date of this Resolution: BE IT RESOLVED THAT: The Bylaws of AHS Hospital Corp. shall and the same are hereby amended as follows: 1. Article V1, Section 6.04 entitled "Committees of the Board; Healthcare Advisory Boards" is hereby amended as follows: (i) Subparagraph (a) is hereby amended to provide for the establishment of a Healthcare Advisory Board for Newton Memorial Hospital. (ii) Subparagraph (c) is hereby amended to contain a reference to a new Section 6.12 entitled "Certain Provisions Regarding the Newton Advisory Board." 2. Conisistent with the requirements of the Affiliation and Merger Agreement by and among Atlantic Health System, Inc., AHS Hospital Corp., North Jersey Health Care Corporation, Newton Memorial Hospital and Newton Memorial Hospital Foundation, Inc., dated as of September 29, 2010 (the "Newton Merger Agreement") Article VI is further amended by the addition of a new Section 6.12 containing the following provisions regarding the Newton Advisory Board: Section 6.12. Certain Provisions Regarding the Newton Advisory Board. The Healthcare Advisory Board established pursuant to Section 6.04(c) of these Bylaws with respect to Newton Memorial Hospital (the "Newton Advisory Board") shall be subject to the following specific provisions. (a) The Newton Advisory Board, as of the Newton Closing (as defined hereinafter), shall consist, in addition to the person referred to in subsection (c) of this Section 6.12, of the members of the Board of Trustees of Newton Memorial Hospital as of the date of the Newton Closing. For purposes of these Bylaws, the term "Newton Closing" shall mean the closing under and pursuant to the Affiliation and Merger Agreement by and among Atlantic, the Hospital, North Jersey Health Care Corporation, Newton Memorial Hospital and Newton Memorial Hospital Foundation, Inc., dated as of September 29, 2010 (the "Newton Merger Agreement"). (b) The members of the Newton Advisory Board (other than the person referred to in subsection (c) of this Section 6.12), as of the Newton Closing, shall hold office, subject to their acceptance of such appointment, for a term beginning on the date of the Newton Closing and ending on the date of the first annual meeting of the Board of Trustees occurring on or after the third anniversary of the Newton Closing. At such annual meeting, the members of the Newton Advisory Board shall be divided, as nearly as practicable, into three (3) classes. The terms of one (1) such class shall expire at the next annual meeting of the Board of Trustees, the terms of another class at the second succeeding annual meeting, and those of the third class at the third succeeding annual meeting of the Board of Trustees. During the period prior to such third succeeding annual meeting of the Board of Trustees, any vacancy in the Newton Advisory Board shall be filled by appointment by the Chairperson of the Board of Trustees, in accordance with these Bylaws, from among nominees of the Newton Advisory Board. Except as set forth in this Section 6.12, appointments to the Newton Advisory Board shall be made in accordance with Section 6.11 of these Bylaws. (c) In addition to the persons referred to hereinabove in this Section 6.12, the person referred to in Article III, Section 2(g) of the bylaws of the Member shall be a member of the Newton Advisory Board, ex-officio, with vote. (d) The chairperson of the Newton Advisory Board, as of the date of the Newton Closing, shall be the person who is the chairperson of the Board of Trustees of Newton Memorial Hospital as of such date. His or her term in such office shall continue until the date of the first annual meeting of the Board of Trustees occurring on or after the third anniversary of the Newton Closing. The chairperson of the Newton Advisory Board shall at all times be a resident of the Newton Service Area. For purposes of these Bylaws, the term "Newton Service Area" shall mean Sussex County (New Jersey), Pike County (Pennsylvania) and the Townships (in Warren County, New Jersey) of Frelinghuysen, Hardwick, Allamuchy, Blairstown, and Knowlton. Except as set forth in this Section 6.12(d), qualification and appointment of the chairperson of the Newton Advisory Board shall be in accordance with Section 6.11 of these Bylaws and with Article III, Section 3, of the bylaws of the Member. 3. Article XI entitled "Amendment of Bylaws" is hereby amended as follows: (i) The title of the Article is amended to "Amendment of Bylaws, Etc." (ii) The title of Section 11.01 is amended to "Amendment of Bylaws, Generally" and a reference is added to Section 11.02. (iii) Consistent with the requirements of the Newton Merger Agreement, a new Section 11.02 is added entitled "Restriction on Amendments Pertaining to Newton Memorial Hospital and Newton Memorial Foundation" incorporating into the Bylaws the following restrictions contained in the Newton Merger Agreement: Section 11.02. Restrictions on Amendments Pertaining to Newton Memorial Hospital. (a) For a period of four (4) years after the Newton Closing, the Board of Trustees shall not adopt, nor propose for adoption by the Member, nor shall the Member approve or adopt, any amendment to these Bylaws, or to the Certificate of Incorporation of the Hospital, which shall amend or modify, nor enter into any contract or agreement to amend or modify, (i) the provisions of Section 6.04(a), (b) or (c) (to the extent, in each case, that they relate to the Newton Advisory Board), (ii) the reference to Section 6.12 in Section 6.04(c), or (iii) the provisions of Section 6.12, or (iv) the provisions of this Section 11.02. (b) For a period of four (4) years after the Newton Closing, the Hospital shall not amend, nor take any action to allow or suffer any amendment to, the Newton Merger Agreement (including the Schedules and Exhibits thereto); and at no time (whether during or after such four year period) shall the Hospital amend, or take any action to allow or suffer an amendment to, Sections 2.3(g)(i) or 2.3(f)(ix) of the Newton Merger Agreement. (c) For a period of four (4) years after the Newton Closing, the Hospital shall not enter into any transaction with any party, nor permit any entity controlled by it to enter into any transaction with any party, which transaction would result in such other party's assuming control of the Hospital, unless such other party agrees to be bound by the provisions of this Section 11.02. ACCOMPANYING STATEMENT The foregoing Bylaw amendments are required by the terms of the Newton Merger Agreement. Dated: March 30, 2011 Form 990, Part VI, Section A, line 6 As per the by-laws, each of the entities has one "member", that being Atlantic Health System, Inc. There are no other members or classes of membership whatsoever as indicated in the by-laws. Form 990, Part VI, Section A, line 7a Atlantic Health System, Inc. is the only "member" which wholly owns each of the entities. As a result, Atlantic Health System, Inc. may elect the members of the governing bodies for each of the entities. Form 990, Part VI, Section A, line 7b Atlantic Health System, Inc. is the only "member" which wholly owns each of the entities. As a result, Atlantic Health System, Inc. approves the decisions of the governing bodies. Form 990, Part VI, Section B, line 11 The 2011 IRS 990 was distributed to Senior Management and the Board of Trustees for their review. Any comments were addressed accordingly. Form 990, Part VI, Section B, line 12c We require disclosure of potential conflicts. This policy governs all personnel at Atlantic, including Board Members. Additionally, the Board Committee members must fill out annual disclosures with specific questions regarding potential conflicts. For potential conflicts involving employees, conflicts involving business relationships require prior disclosure and approval by the Compliance Officer (General Counsel). Conflicts involving Board members require approval from the Compliance Officer and the head of the Audit Committee, who may refer those conflicts to the Compliance Committee of the Board. Restrictions are fact-dependent, but may include recusal from deliberations regarding subject matter affected by the conflict. Form 990, Part VI, Section B, line 15 - 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 and VP AH. - On behalf of Atlantic Health, 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 18 Currently each site of the organization retains copies of the filed IRS 990 for the last three years and IRS Form 1023 with the most senior management's assistant. Public disclosure of these IRS 990's can be made at any time at each of the organization's sites. In addition, the 990 is posted on the website "www.foundationcenter.org" and "guidestar.org". Form 990, Part VI, Section C, line 19 The organization does not currently make it's financial statements open to public disclosure but the statement of financial position is available by accessing the Form 990 from the website. The governing documents and conflict of interest polices are not currently made available to the public. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -673,685. Net Assets released from capital restrictions 9,626,314. Government grants used for capital purchases 1,403,243. Transfer to Parent -400,000. Change in funded status of benefit plans -111,285,524. Increase/Decrease in permanently restricted net assets 5,189,471. Increase/Decrease in temporarily restricted net assets 6,507,761. Removal of 2010 MMHF Net Assets 48,849,764. Total to Form 990, Part XI, Line 5: -40,782,656. 2011 Community Benefit Report - Atlantic Health System Atlantic Health System is one of New Jersey's largest not-for-profit health systems. We offer world-class health care through our three medical centers - Morristown Medical Center (MMC), Overlook Medical Center (OMC), and Newton Medical Center (NMC) - which are known for their outstanding physicians, procedures and technologies. Atlantic Health System is committed to improving the health status of the communities it serves, and provides community benefit as part of a measured approach to meeting identified health needs in the community. In 2011, Atlantic Health System contributed $83,873,859 in community benefit to the communities of Northern New Jersey. Community benefit includes charity care, subsidized health services, uncompensated Medicaid services, community health activities and financial contributions to community-based health organizations. Of this total, $44,967,672 was provided by Morristown Medical Center, $32,156,900 by Overlook Medical Center, and $6,749,287 by Newton Medical Center. Health Care Atlantic Health System's world-class facilities feature state-of-the-art equipment in a comfortable, family-friendly environment that puts patients first. Our nationally recognized physicians, experienced nurses and skilled staff provide outstanding and compassionate care. Atlantic Health System physicians are leaders in such specialties as pediatrics, orthopedics, cancer care, rehabilitation medicine, women's health, cardiovascular care, sports medicine and neuroscience. Morristown Medical Center is renowned for the breadth and expertise of its cardiac services, performing the most heart surgeries in New Jersey. According to U.S. News & World Report, Morristown Medical Center is the Best Regional Hospital in nine specialties, including cancer, diabetes and endocrinology, gastroenterology, geriatrics, nephrology, neurology and neurosurgery, orthopedics, pulmonology, and urology. Overlook Medical Center is the regional leader for comprehensive stroke care and neuroscience. Overlook Medical Center was the first hospital in the Northeast to offer the CyberKnife Robotic Radiosurgery System, a leading technology for precision radiation treatment of prostate cancer, brain tumors, spine, lung, liver and pancreatic cancers. According to U.S. News & World Report, Overlook Medical Center is the Best Regional Hospital in six specialties, including gastroenterology, geriatrics, nephrology, neurology and neurosurgery, pulmonology, and urology. Newton Medical Center offers a variety of inpatient and outpatient programs and services in a state-of-the-art environment. Newton Medical Center is affiliated with the finest physicians in the region and also has a staff of specialists representing more than 40 medical specialties and subspecialties. They include cardiology, endocrinology, nephrology, oncology, orthopedics, pediatric neurology, and reconstructive surgery. According to the Consumers Union and the Consumers Reports magazine, Newton Medical Center was ranked the number 2 safest hospital in New Jersey. Atlantic Health System is a member of the Cancer Institute of New Jersey (CINJ) network of hospitals. CINJ is one of the nation's 40 National Cancer Institute-designated comprehensive cancer centers and the only one in New Jersey. Some of the awards and recognition for our quality programs and dedication to leading technology include: - The Gold Seal of Approval from The Joint Commission for Primary Stroke Centers: Atlantic Health System stroke centers. - CEO Cancer Gold Standard accreditation for commitment to the health of employees and their families. - Top Doctors by New Jersey Monthly and Castle Connolly Medical Ltd. - Gold Seal of Approval from The Joint Commission with Disease-Specific Care Certifications for Joint Replacement Programs in the Hip, Knee, and Spine Categories: Morristown Medical Center. - Magnet Hospital for Excellence in Nursing Service by American Nurses Credentialing Center and Beacon Award for Critical Care Excellence by American Association of Critical Care Nurses: Morristown Medical Center. - Three-Year Approval with Commendation from the American College of Surgeons' Commission on Cancer: Overlook Medical Center and Morristown Medical Center. - Chest Pain Center Accreditation from the Society for Chest Pain Centers: Overlook Medical Center - The ACTION Registry-GWTG Gold Performance Achievement Award from the American College of Cardiology Foundation and American Heart Association: Gagnon Cardiovascular Institute at Morristown Medical Center and Overlook Medical Center. - Joint Commission Accreditation: Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Atlantic Home Care and Hospice. Health Professions Education Atlantic Health System strengthens communities by training New Jersey's future health care professionals. In 2011, Atlantic Health System trained 252 residents and fellows and graduated 66 residents from various programs. 23 of these graduates chose to pursue fellowship training. 19 stayed in the Atlantic Health System catchment area: of these, 6 stayed on as chief residents, 3 practiced in primary care internal medicine, 3 pediatricians, 1 stayed on as an internal medicine hospitalist, 1 podiatrist, 1 family physician, and 4 stayed for fellowship training. In addition, Atlantic Health System provides third- and fourth-year medical students with clinical educational experiences. Atlantic Health System is the primary academic affiliate in New Jersey of Mount Sinai School of Medicine. The affiliation provides opportunities for student rotations, faculty teaching and appointments, and research and clinical collaborations. Atlantic Health System also maintains medical school affiliations with Columbia University College of Physicians and Surgeons, Kirksville College of Medicine, New York College of Osteopathic Medicine, St. George's University and University of Medicine and Dentistry of New Jersey - New Jersey Medical School. These affiliations have the added benefit of enabling Atlantic Health System to offer patients the opportunity to participate in the latest clinical trials and allowing us to provide even more advanced care. In addition, rotating residents are sent to Atlantic Health System from the following institutions: - Lenox Hill Hospital (Morristown Medical Center- Orthopedic Sports Medicine) - Monmouth Medical Center (Morristown Medical Center- Orthopedic Trauma) - New York Downtown Hospital (Overlook Medical Center- OB/GYN) - New York Presbyterian Hospital (Overlook Medical Center- Surgery) - University of Medicine and Dentistry of New Jersey - New Jersey Medical School (Overlook Medical Center- Orthopedic Surgery) - University of Medicine and Dentistry of New Jersey - Robert Wood Johnson (Overlook Medical Center- Colorectal Surgery) - Warren Hospital (Atlantic Health System - Pediatrics) Atlantic Health System also hosts several allied health certificate programs; over 20,019 emergency medical technicians were trained through the EMT basic course, EMT refresher course, and continuing education units in 2011. Economic Development Atlantic Health System contributes significantly to economic development in the region. We are one of New Jersey's largest private employers with 11,667 employees. In 2011, for the 4th year in a row, Atlantic Health System was honored to be among the Fortune 100 Best Companies to Work For - the only hospital system in the New Jersey and New York metropolitan area to earn this prestigious, national recognition. An important part of Atlantic Health System's mission is to improve the health status of its communities. In 2011, Atlantic Health System's Medical Centers engaged in 673,547 patient encounters, of which 71,416 were inpatient and 602,131 were outpatient. Atlantic Health System delivers high-quality safe, affordable patient care with respect and compassion within a healing culture and provides considerable benefit to the communities it serves. Morristown Medical Center In 2011, Morristown Medical Center contributed a total of $44,967,672 in community benefit to its service area. This includes charity care, subsidized health services, uncompensated Medicaid services, community health activities and financial contributions to community-based health organizations. Morristown Medical Center Morristown Medical Center, an acute care hospital with 650 licensed beds, has been serving the Morris County community for almost 120 years. MMC sets high standards for patient care in state-of-the-art facilities with a full range of medical specialties and services. Morristown Medical Center offers advanced technology and support services, and brings specialists renowned for their work in areas such as cancer, cardiology, emergency medicine, orthopedics, women's health, and pediatrics to New Jersey. With its advanced technology and comprehensive support services, Morristown Medical Center has attracted physicians who are leaders in such areas as cancer, cardiology, emergency medicine, orthopedics, women's health and pediatrics. This has enabled Atlantic Health System to build outstanding specialty programs within Morristown Medical Center and across Atlantic Health System. They include the Carol G. Simon Cancer Center, the Goryeb Children's Hospital and the Gagnon Cardiovascular Institute, the largest cardiovascular surgery program in New Jersey. Morristown Medical Center is also home to the North Jersey Regional Arthritis Center. In addition, Morristown Medical Center is the official hospital of the New York Jets and offers a comprehensive sports medicine program. As an organization, Morristown Medical Center always searches for the most effective diagnosis and treatment options for each patient. This commitment to quality patient care has earned the Medical Center national recognition: - Designated as a Magnet Hospital for Excellence in Nursing Service by the American Nurses Credentialing Center, the nation's leading nursing credentialing organization. - Named a Level I Regional Trauma Center by the American College of Surgeons and a Level II Trauma Center by the state of New Jersey. - Accredited stroke trauma center, the only one in the region. - Awarded the Gold Seal of Approval from The Joint Commission with Disease-Specific Care Certifications for Joint Replacement Programs in the Hip and Knee Categories, one of 16 facilities nationwide. - Ranked in the Top 100 Hospitals for Cardiovascular Care by Thomson Reuters. - Named a Level III Regional Perinatal Center, with a 26-bed Neonatal Intensive Care Unit. Morristown Medical Center delivers the largest number of babies in northwestern New Jersey. - Accredited by the Joint Commission. - Winner of the National Research Corporation's 2010 Consumer Choice Award. In 2011, Morristown Medical Center had 352,524 patent encounters, of which 38,568 were inpatient and 313,956 were outpatient. Of these, 20,273 inpatient encounters and 191,258 outpatient encounters were with residents of Morris County, and of these, 2,682 inpatient encounters and 31,746 outpatient encounters were with residents of Morristown. Community Benefit Morristown Medical Center provides community benefit as part of a measured approach to meeting identified health needs in the community. The services highlighted herein support Morristown Medical Center's mission to improve the health status of the communities it serves. The quantifiable services highlighted in this report generate a low or negative margin, even after applying grants and other supplemental revenue. Where possible, both direct and indirect costs have been considered. Additional community benefit services not easily or inadequately portrayed quantitatively are reported in a narrative summary. 1. Charity Care Morristown Medical Center provides charity care for medical services and procedures to patients who are uninsured, under-insured or who lack financial resources to pay. In 2011, these services were provided at a cost to the Medical Center of $19,286,303. This cost has been calculated on an incurred cost basis and reflects the subsidy received from the State of New Jersey. Bad debt has also been excluded. If overhead and bad debt were included, the provision of charity care would total $43,003,303. Morristown Medical Center 2. Subsidized Health Services Subsidized health services are clinical patient care services that are provided, despite a negative margin, because they are needed in the community. In 2011, these services were delivered at a cost to the Medical Center of $9,697,575. This includes community health ($8,056,721), research ($421,957) and training ($1,218,897). 3. Uncompensated Medicaid Services Medicaid is a health insurance program that covers low-income parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled. In 2010, Morristown Medical Center provided Medicaid services at a cost to the Medical Center of $12,224,109. 4. Community Health Activities Morristown Medical Center provides a wide variety of community health activities, including health education, screening and prevention programs, and health fairs (see Appendix A). For instance, at Morristown Medical Center's screenings, participants receive individualized testing from medical professionals who then provide on-site counseling based on test results. These screenings may result in referrals to community services or agencies, or appropriate physicians. Morristown Medical Center also offers a number of ongoing support groups as well as several information and referral lines. In addition, Morristown Medical Center collaborates with New Jersey Blood Services to collect blood and platelet donations for area hospitals. Morristown Medical Center views these community health activities as a critical component in its effort to improve the health of the community at large, particularly those community members who are underserved. In 2011, Morristown Medical Center reached more than 920,773 community members, a total benefit to the community of $3,368,406. This calculation includes staff time, travel, materials and indirect costs. 5. Financial Contributions to Other Community-Based Programs In total, Morristown Medical Center provided $391,277 in direct financial contributions in 2011 to the organizations listed below and others to support and enrich community-building efforts and to assist individuals and families in need. Morristown Medical Center's administrators, managers and staff actively contribute hundreds of hours of their time and leadership to a number of community organizations (see Appendix B). Additional Community Benefit Economic Development Of the 11,667 individuals employed by Atlantic Health System, 4,077 live in Morris County and 819 are Morristown residents. Morristown Medical Center employs 5,702 individuals. Health Professions Education Morristown Medical Center provides a clinical setting for medical education for nursing students, residents and other clinical providers. Morristown Medical Center began its new fellowship training programs in Cardiovascular Disease and Primary Care Sports Medicine in 2011. In addition, it trained four fellows in emergency medicine and pediatrics, two in Allopathic Sports Medicine, and two in Urogynecology. More than 100 nursing students from various nursing schools are educated every month at Morristown Medical Center. Nurses at Morristown Medical Center help students learn to deliver comprehensive nursing care in various health care settings. Morristown Medical Center also offers an external program for nursing students who have completed at least two clinical rotations. These students gain extra hands-on experience by working one-on-one with a preceptor in all nursing units in the hospital. In addition, Morristown provides a clinical setting for training lab technicians and accepts students from six universities that offer a medical technology curriculum. These are Caldwell College, East Stroudsburg University, Fairleigh Dickinson University, Kean University, Rutgers University at New Brunswick and York College of Pennsylvania. Emergency Preparedness Under the supervision of the New Jersey Department of Health and Senior Services, Morristown Medical Center is one of nine designated medical coordination centers designed to organize hospitals in its region to better handle communications and coordination in the event of an epidemic, terrorist attack or other large-scale emergency. The centers will provide information to each other and maintain the integrity of health care delivery in the event that an emergency situation results in mass casualties. Overlook Medical Center In 2011, Overlook Medical Center contributed a total of $32,156,900 in community benefit to the communities it served. This includes charity care, subsidized health services, uncompensated Medicaid services, community health activities and financial contributions to community-based health organizations. Overlook Medical Center Overlook Medical Center, an acute care hospital with 504 licensed beds, has been serving Summit and the Union County community for more than 100 years. Overlook Medical Center is nationally recognized. Its award-winning doctors and nurses provide the most advanced clinical care and unsurpassed patient safety in a healing, family-centered environment. Overlook Medical Center has developed a number of specialized programs: - Atlantic Neuroscience Institute houses the first comprehensive stroke center in New Jersey, offering patients groundbreaking technologies such as the Merci Retrieval System and Penumbra devices. Other inpatient and outpatient services include the Pain Management and Concussion Centers and a Level IV Epilepsy Center. - Carol G. Simon Cancer Center provides expert, comprehensive, compassionate treatment for all types of cancer using the latest medical technology. The Brain Tumor Center of New Jersey, part of the Simon Center, offers such advanced treatments such as the CyberKnife Robotic Radiosurgery System and clinical trials for new targeted brain tumor vaccines. The center ranks second in the world in the number of CyberKnife treatments completed for prostate cancer while its thyroid cancer program provides the broadest treatment available in the region. - The Chest Pain Center, part of Gagnon Cardiovascular Institute, is accredited by the National Society of Chest Pain Centers. In addition, Overlook Medical Center is home to a center of excellence in bariatric surgery designated by the American Society of Metabolic and Bariatric Surgery, a pioneering wound healing program with hyperbaric oxygen therapy, a maternity center, a Level III Intensive Perinatal Unit, Goryeb Children's Center, a pulmonary center and award-winning emergency medicine services. Thanks to these centers and other facilities, Overlook Medical Center offers comprehensive programs in breast health, pulmonary medicine, thyroid cancer, minimally invasive surgery, women's heart health, sleep medicine and adolescent eating disorders, among many others. The activities of Overlook Medical Center have had a substantial impact on the health of the surrounding communities. In 2011, Overlook Medical Center had 232,399 patient encounters, of which 25,212 were inpatient and 207,187 were outpatient. Of these, 15,852 inpatient encounters and 127,171 outpatient encounters were with residents of Union County, and of these, 551 inpatient encounters and 9,065 outpatient encounters were with residents of Summit. Community Benefit Overlook Medical Center provides community benefit as part of a measured approach to meeting identified health needs in the community. Where possible, both direct and indirect costs have been considered. Additional community benefit services not easily or inadequately portrayed quantitatively are reported in a narrative summary. 1. Charity Care Overlook Medical Center provides charity care for medical services and procedures to patients who are uninsured, under-insured or who lack financial resources to pay. In 2011, these services were provided at a cost to the Medical Center of $12,690,184. This cost has been calculated on an incurred cost basis and reflects the subsidy received from the state of New Jersey. Bad debt has also been excluded. If overhead and bad debt were included, the provision of charity care would total $36,353,184. 2. Subsidized Health Services Subsidized health services are clinical patient care services that are provided, despite a negative margin, because they are needed in the community. In 2011, these services were delivered at a cost to the Medical Center of $13,495,718. This includes community health ($9,262,902), research ($287,777) and training ($3,945,039). 3. Uncompensated Medicaid Services Medicaid is a health insurance program that covers low-income parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled. In 2011, Overlook Medical Center provided Medicaid services at a cost to the Medical Center of $5,056,358. 4. Community Health Activities Overlook Medical Center provides a wide variety of community health activities, including health education, screening and prevention programs, and health fairs (see Appendix C). For instance, at Overlook Medical Center's screenings, participants receive individualized testing from medical professionals who then provide on-site counseling based on test results. These screenings may result in referrals to community services or agencies, or appropriate physicians. Overlook has an award-winning follow-up program "Closing the Loop" that has proven to be highly successful in encouraging patients with negative screenings to get follow-up care. Overlook Medical Center also offers a number of ongoing support groups as well as several information and referral lines that connect patients to parenting assistance, drug and alcohol assistance, counseling services and support groups in the community. Overlook Medical Center views these community health activities as a critical component in its effort to improve the health of the community at large, particularly those community members who are underserved. In 2011, Overlook Medical Center reached more than 863,723 community members, a total benefit to the community of $627,541. This calculation includes staff time, travel, materials and indirect costs. 5. Financial Contributions to Other Community-Based Programs In total, Overlook Medical Center provided more than $287,100 in 2011 to organizations and others to support and enrich community-building efforts and to assist individuals and families in need. Overlook Medical Center's administrators, managers and staff actively contribute hundreds of hours of their time and leadership to a number of community organizations (see Appendix D). Additional Community Benefit Economic Development Of the 11,667 individuals employed by Atlantic Health System, 1,903 live in Union County and 283 are Summit residents. Overlook Medical Center employs 3,448 individuals. Health Professions Education Overlook Medical Center provides a clinical setting for medical education for nursing students, residents and other clinical providers. Overlook Medical Center maintains osteopathic programs in Internal Medicine and Family Medicine. Currently, two positions are available for training in family medicine. Overlook trained two fellows in Allopathic Sports Medicine and two fellows in Osteopathic Sports Medicine in 2011. Newton Medical Center In 2011, Newton Medical Center contributed a total of $6,749,287 in community benefit to its service area. This includes charity care, subsidized health services, uncompensated Medicaid services, community health activities and financial contributions to community-based health organizations. Newton Medical Center Newton Medical Center, an acute care hospital with 146 licensed beds, has been serving Warren and Sussex counties in New Jersey, Pike County in Pennsylvania and southern Orange County in New York for more than 80 years. Newton Medical Center is known for its medical and technical excellence, and has emerged as a leader in diagnostic cardiac services with the opening in 2006 of The Charles L. Tice Heart Center for Diagnostic Services. The Heart Center offers the latest services in diagnostic cardiac care. In 2006, Newton Medical Center opened the Sleep Diagnostic & Treatment Center where people are treated more like hotel guests than patients. Newton Medical Center is known for providing state-of-the-art care at the most impressive and dynamic Emergency Department in the area. Equipped to handle 45,000 patient visits per year, the Emergency Department features 30 private treatment areas, a CT scanner and access to Laboratory and Radiology services. In the last decade, Newton Medical Center has effectively positioned itself as a healthcare system with the opening of Ambulatory Wellness Centers in Sparta, NJ and Milford, PA and Urgent Care Centers in Vernon NJ and Milford, PA. The Ambulatory Wellness Centers house physician offices, blood-draw sites, and radiology services. They are proof of the hospital's commitment to providing quality care close to home. At the Urgent Care Centers, no appointments are necessary and extended hours are offered. These centers are designed to care for the whole family from illness to injury including kids' school/sports physicals and drug screenings for work. The Urgent Care Centers have all the testing, diagnostic evaluations and treatment services one might require. For more serious emergencies, the AHS Urgent Care Centers are seamlessly connected to the hospitals of the Atlantic Health System including Morristown Medical Center, Newton Medical Center and Overlook Medical Center. Newton Medical Center is affiliated with the finest physicians in the region and also has a staff of specialists representing more than 40 medical specialties and subspecialties. They include cardiology, endocrinology, nephrology, oncology, orthopedics, pediatric neurology, and reconstructive surgery. Newton Medical Center also provides inpatient and outpatient surgery, state-of-the-art diagnostic services, rehabilitation facilities, aftercare support, the latest and greatest technology in cardiac care, sleep diagnostics, in-house physicians available around the clock and programs for the uninsured and underinsured. Newton Medical Center takes great pride in providing these programs and services in a state-of-the-art environment and by a staff that places high priority on customer service and compassionate care. Newton Medical Center is a community-based healthcare provider that is dedicated to the community allowing them to be a resource not only for outstanding healthcare but also in community support, spirit, and pride. In 2011, Newton Medical Center had 88,624 patent encounters, of which 7,636 were inpatient and 80,988 were outpatient. Of these, 5,933 inpatient encounters and 57,507 outpatient encounters were with residents of Sussex County. Community Benefit Newton Medical Center provides community benefit as part of a measured approach to meeting identified health needs in the community. The services highlighted herein support Newton Medical Center's mission to improve the health status of the communities it serves. The quantifiable services highlighted in this report generate a low or negative margin, even after applying grants and other supplemental revenue. Where possible, both direct and indirect costs have been considered. Additional community benefit services not easily or inadequately portrayed quantitatively are reported in a narrative summary. 1. Charity Care Newton Medical Center provides charity care for medical services and procedures to patients who are uninsured, under-insured or who lack financial resources to pay. In 2011, these services were provided at a cost to the Medical Center of $3,539,006. This cost has been calculated on an incurred cost basis and reflects the subsidy received from the state of New Jersey. Bad debt has also been excluded. If overhead and bad debt were included, the provision of charity care would total $9,577,005. 2. Subsidized Health Services Subsidized health services are clinical patient care services that are provided, despite a negative margin, because they are needed in the community. In 2011, these services were delivered at a cost to the Medical Center of $1,039,565. 3. Uncompensated Medicaid Services Medicaid is a health insurance program that covers low-income parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled. In 2011, Newton Medical Center provided Medicaid services at a cost to the Medical Center of $1,777,081. 4. Community Health Activities Newton Medical Center provides a wide variety of community health activities, including health education, screening and prevention programs, and health fairs (see Appendix A). For instance, at Newton Medical Center's screenings participants receive individualized testing from medical professionals who then provide on-site counseling based on test results. These screenings may result in referrals to community services or agencies, or appropriate physicians. Newton Medical Center also offers a number of ongoing support groups as well as several information and referral lines. Newton Medical Center views these community health activities as a critical component in its effort to improve the health of the community at large, particularly those community members who are underserved. In 2011, Newton Medical Center reached more than 821,713 community members, a total benefit to the community of $327,455. This calculation includes staff time, travel, materials and indirect costs. 5. Financial Contributions to Other Community-Based Programs In total, Newton Medical Center provided $66,180 in direct financial contributions in 2011 to organizations and others to support and enrich community-building efforts and to assist individuals and families in need. Newton Medical Center's administrators, managers and staff actively contribute hundreds of hours of their time and leadership to a number of community organizations (see Appendix F). Additional Community Benefit Economic Development Of the 11,667 individuals employed by Atlantic Health System, 1,274 live in Sussex County and 355 are Newton residents. Newton Medical Center employs 1,167 individuals. Centralized Community Benefit Services A number of critical services that benefit the community are located within Atlantic Health System organization, rather than at an individual medical center. They include public safety and security, ambulance and helicopter service, research and clinical trials, library services, and efforts to provide a sustainable, green environment of care. Public Safety and Security Atlantic Health System's Protection and Security Department is committed to providing a safe and secure working environment for staff, patients and visitors. It also oversees Atlantic Health Systems response to community emergencies. Protection and Security is involved in many community planning committees. Atlantic Health System's Protection and Security Department also offers many programs on personal protection and emergency preparedness. Some of these activities include: - Bioterrorism training - Compliance, Direction, Takedown (CDT) personal protection - Last Resort Tactics (LRT) personal protection - Child protection classes - Outreach services, including HIV and STD awareness, prevention and support groups In addition, staff members in the department contribute their time and leadership to a number of professional organizations. This includes Project ALERT (America's Law Enforcement Retiree Team), of more than 170 retired federal, state and local law-enforcement professionals who donate their time and expertise as consultants to the law-enforcement communities throughout the country. As part of Project ALERT, staff members have worked with the National Center for Missing and Exploited Children. This organization serves as a clearinghouse of information about missing and exploited children, operates a cyber tip line for the public to report Internet-related child sexual exploitation and offers training programs to law enforcement and social service professionals. Atlantic Ambulance Corporation--Ambulances Atlantic Ambulance Corporation ambulances respond to individual health care emergencies as well as disasters in surrounding communities. In both cases, it coordinates with other community agencies. In 2011, ambulances were dispatched 4,920 times for 911 calls, and 3,937 patients were treated. In addition, Atlantic ambulances provided 14,530 transports. Atlantic Ambulance Corporation also strengthens the community's response to emergencies by training emergency responders. Atlantic Ambulance offered a series of basic EMT courses that enrolled 341 people. In addition, 2,427 people participated in continuing education unit (CEU) programs and 315 people participated in EMT refresher programs. 10,000 CEUs were awarded and 7,016 EMT refresher CEUs were awarded in 2011. Atlantic Ambulance Corporation--Helicopter Atlantic Ambulance Corporation began operating a helicopter service in 2006 to ensure the quick transport of patients with medical emergencies. As a result, Atlantic Health System was the first hospital system in New Jersey to have its own helicopter service; other hospitals rely on the state police for air transport. Atlantic Air One, a Eurocopter EC-135 twin turbine engine model designed to reduce noise and created specifically for medical transport, allows Atlantic Ambulance Corporation to provide the quickest transportation to Morristown Medical Center, a regional trauma center or to the closest appropriate facility. In addition to responding to trauma cases, Atlantic Air One also provides inter-hospital transport throughout Northern New Jersey. Patients who require specialized treatment for cardiac care, neuron emergencies, pediatrics or high-risk labor and delivery often are transferred to Morristown Medical Center from elsewhere in the state. The helicopter can travel as far as Boston or Baltimore to take patients to medical facilities with more specialized services. In 2011, Air One was dispatched 322 times for 911 calls and provided 145 Inter-facility transports. Atlantic Air Two, another Eurocopter EC-135, began operating with Atlantic Health System in 2011. Atlantic Air Two is based in Cumberland County, New Jersey. Atlantic Health System is partnering with Cooper University Hospital in Camden to improve emergency medical service delivery to the area. Atlantic Air Two has two primary missions: inter-facility hospital patient transports, and functioning as the closest available Medevac helicopter responder to those areas of southern New Jersey requesting services. In 2011, Air Two was dispatched 273 times for 911 calls and provided 178 Inter-facility transports. Atlantic Center for Research Atlantic Health System conducts research in a wide variety of areas to evaluate experimental drugs and drug combinations, medical devices, and techniques, and to identify new approaches to prevention, diagnosis and treatment of diseases. Currently, more than 350 clinical research studies are underway, led by dedicated physician investigators in most specialties and supported by the organization's 40 research coordinators. These research programs have grown significantly in every discipline, including oncology, pediatrics, surgery, cardiology, neuroscience, internal medicine, nursing, orthopedics and rehabilitative medicine, and includes research conducted by some private practice physicians. The Atlantic Center for Research serves as a central point of contact for new and established clinical trial sponsors and investigators who are affiliated with Atlantic Health System Medical Centers, as well as for attending physicians interested in conducting clinical trials and physicians looking to refer patients to research studies. Led by a medical director and an administrative director under the auspices of a Vice President experienced in clinical research and staffed by trained professionals, Atlantic Center for Research provides grants and contract management, budgeting, biostatistician support and a dedicated institutional review board. Through its electronic research profile, staff at Atlantic Center for Research track each trial, streamlining enrollment, approvals, financial management, compliance and trial monitoring. Atlantic Center for Research's in-depth training and education certification programs ensure that core competencies are maintained for safe and effective research. Its compliance policies and compliance education programs ensure that researchers qualify for the kinds of funding that can help support next-generation breakthroughs. As Atlantic Health System's research enterprise grows, our research facilities continue to expand: - Atlantic Health System's Gagnon Cardiovascular Institute opened its flagship facility on the Morristown Medical Center campus in January 2009. This 250,000-square-foot facility houses space for clinical research and supports Atlantic Health System-affiliated investigators who participate in dozens of research studies each year in electrophysiology, cardiac surgery, vascular surgery and clinical cardiology. - Carol G. Simon Cancer Center has grown from its base at Morristown Medical Center to include a new, expanded center and research office at Overlook Medical Center. A major research clinical affiliate of the Cancer Institute of New Jersey, the cancer center participates in a multitude of clinical studies on new diagnostic procedures and treatments and conducts Phase II and III clinical trials through various pharmaceutical companies. - Atlantic Neuroscience Institute's premier sub-specialists are advancing clinical neurosciences and leading the adoption of innovative technology through clinical research in such areas as stroke, epilepsy, brain tumors and multiple sclerosis. During the past decade, Atlantic Health System has invested more than $22 million in Atlantic Neuroscience Institute and is committed to nearly $17 million in additional funds to expand its facilities, programs and services. - Physician leaders in more than 15 specialty areas of pediatric medical, surgical and emergency care at Goryeb Children's Hospital and Goryeb Children's Center have attracted a wide range of clinical research projects. - An 86,000-square-foot, child-friendly facility at Morristown Medical Center houses the state-designated Regional Perinatal Center for northern and northwest New Jersey. It is also home to the new research laboratory of Atlantic Neonatal Research Institute, where physician-scientists, basic research scientists and clinicians conduct research into the mechanisms of brain and lung injury in extremely premature infants. Atlantic Health System is the primary academic and clinical affiliate in New Jersey of Mount Sinai School of Medicine and The Mount Sinai Hospital, enabling our physicians to pursue research opportunities in areas such as genetics and personalized medicine. These alliances and other clinical partnerships with industrial and cooperative groups allow Atlantic Health System to play a role in regional and national efforts to develop more effective treatments. Atlantic Health System Medical Library Atlantic Health System libraries are open to hospital employees and affiliated physicians, as well as patients, their families and the general public. Our libraries have the largest collection of consumer health materials in New Jersey, including 4,000 health books as well as newsletters, magazines, videos and free pamphlets, all written in non-technical language. In 2011, 521 books were borrowed by the public. Our libraries are staffed by professional medical librarians and well-trained library assistants who provide a full range of services, including reference, circulation, interlibrary loans and computer database searches. Photocopy machines, VCRs, DVD players and computers with Internet access are available in the libraries. The computers can also be used for searching medical/health databases, word processing and creating spreadsheets and presentations. Walk-ins are welcome to use the facilities, which also have Wi-Fi. Atlantic Health System's librarians also provide easily understandable, current, reliable health information to the public through the Consumer-Library Health Information Prescription (CLIP), accessible via a link on the Internet. This service is accessible from Atlantic Health System's website or by phoning or emailing Overlook or Morristown Medical Centers' libraries. In 2010, Atlantic Health System expanded the CLIP program by placing a computer kiosk in the Library of Chatham and in 2011 another one was placed at the Springfield Public Library. An online request form is accessible on this computer or via a link on the public library website. The libraries plan to continue to expand this program to other public libraries in the Atlantic Health System's catchment area. In 2011, the libraries answered 275 health-related questions for the public. Atlantic Health System has developed a number of programs that bring people to the libraries. The Overlook Medical Center Library hosted a traveling exhibit from the National Library of Medicine about "The Yellow Wallpaper," a short story written by Charlotte Perkins Gilman in 1892 that challenged traditional ideas about gender. The exhibit was viewed by 150 people during its six-week stay. The Atlantic Health System librarians exhibited at the Heart Fair held at Gagnon providing information about the CLIP program and the Careers in Healthcare Day held at Overlook Medical Center providing information about health care librarianship as a career choice. The Overlook Library hosted eight young adults, 17 to 21 years old, from the Early Childhood Learning Center of New Jersey in Chatham, who gained work experience in the library from January through May and September through December 2011. In addition, six young adults did the same during the month of July. The young people each spent two to four hours a week working in the library. A Sustainable, Green Environment of Care Consumers nationwide are increasingly concerned about preserving our natural resources and so is Atlantic Health System. Our goal is to pursue recycling and energy savings to the fullest extent possible. From grassroots employee efforts to large-scale construction projects, we are doing our best to treat our environment with respect. For instance, the new and expanded Neonatal Intensive Care Unit at Morristown Medical Center is certified as a Leadership in Energy and Environmental Design (LEED) project by the U.S. Green Building Council. LEED-certified construction projects use materials and finishes with more natural or recycled fibers and more energy-efficient ventilation systems. Other instances of efforts to promote and practice sustainability include: - Certification by the Green Guide for Healthcare of Gagnon Cardiovascular Institute at Morristown Medical Center. - Go Baby Green parent education classes at Morristown Medical Center and Overlook Medical Center, which offer information about creating a non-toxic environment for baby. - The formation of a Go Green team, which initiates and reports on eco-friendly projects throughout our health care system. - Carpooling services and related incentives for our employees. - The use of Green Seal certified cleaning products by our environmental services departments. - Free monthly e-newsletters from Morristown Medical Center, Overlook Medical Center, and Goryeb Children's Hospital. Appendix A - Morristown Medical Center Community Heatlh Activities In 2011, Morristown Medical Center reached more than 920,773 community members though ongoing health education, screening and prevention programs and health fairs, providing a total benefit to the community of $3,368,406. Total Number of Activities 105 Total Persons Served 920,773 Total Community Benefit $3,368,406 Program Descriptions - 2011 Community Benefit Planning Activities - Time and effort spent coordinating and planning activities to benefit the community. - Arts in Healing Coalition Community Group (Building) - Building Arts and Education in the community. - Arts in Healing Coalition Community Group (Caregiver) - Education on the healing aspects of art for the Caregiver. - Arts in Healing Coalition Community Group (Disabled) - Education on the benefits and healing aspects of art for the disabled. - Atlantic Health System Class/Screening Registration Service - The Atlantic Health System Class Registration Service (call center) provides the community with information and enrolls community members in health screenings and health information programs. - Atlantic Health System Healing Arts Public Art Exhibit - bringing art to AHS and to the community. - Atlantic Health System Website - Atlantic Health System website informs users of health care programs and services, including classes and screenings for the communities. - Balance Screening - Assessment of an individual's balance ability and education regarding the various medical reasons for lack of balance. - Behavioral Health Lectures - Lectures concerning important aspects of behavioral health and stress management techniques, and discussions of available resources. - Bicycle Race - Morris Area Freewheelers held a number of varying length bike races to support local Emergency Medical Squads. - Blood Pressure Screenings - Measurement of blood pressure in individuals and health education based on findings. - Body Fat/BMI - Body Mass Index (BMI) measurements to provide the community with the opportunity to learn their body mass index and to take action based on results and health education provided. - Bone Density Screenings - Ultrasound measurement of bone density status screening for high-risk or at risk adults. - Cancer Center Activities - Staff perform outreach, education and community liaison duties on behalf of the Cancer Center such as Health Fairs, ACS, County Cancer Coalition and Komen activities, "Cancer of the Month" to provide education and awareness. - Cancer Lectures - Lectures to increase cancer awareness within community and to improve the health status of our community through education. - Cardiovascular Lectures - Lectures given by cardiologists, vascular physicians and other professional staff concerning cardiac and vascular health. - Caregiver Coalition Development - Donation given to establish a Somerset County Caregiver's Coalition Group and Resource Directory under the supervision and direction of the United Way of Morris County. This would reflect an expansion of a service already available in Morris County. - Carotid Artery Bruit Exam - nurse practitioner exams carotid arteries for bruit. - Carotid Artery Screening - Cardiovascular technician performs Doppler studies of carotid arteries to provide the community with the opportunity to learn about their health status and to improve it or to take action based on results and health education is provided. - Child Development Center - Support Group to discuss childhood developmental issues and best practices with peer support available. - Cholesterol Screenings - Cholesterol screening for measurement of total cholesterol and TC/HDL ratio as well as blood pressure and glucose levels. These screenings provide the community with an opportunity to learn about their health status and to improve it or to take action based on results and health education provided. - Colorectal Cancer Education - Education regarding risks, signs and symptoms, prevention, and treatment of colorectal cancer. - Community Benefit Report Preparation - time and effort spent in preparing Community Benefit report. - Community Education & Outreach on Sleep Disorders -Lecture for community groups on a wide range of sleep disorders. - Community Health and Wellness Lectures - Lectures held to promote general wellness for the community at various community locations. - Cost of Community Benefit Software - cost of software used to capture Community Benefit activities. - Creative Maturity Expo - Donation to this large-scale event that targets older adults with information on options for employment, volunteerism and provides health screenings and health education via Morristown Medical Center Community Health staff. - DD Task Force - Monthly meeting to identify the needs of individuals with developmental disabilities impacted by sexual violence in Morris County and to enhance the collaborative response of system to meet their needs. - DDC Outreach Services - Developmental Disability Center provides various outreach services to the community. - Dermascan - Screening using a facial scanner to view sun damage and provide education on skin protection and skin self-exam. - Diabetes Education - Group lectures regarding diabetes and the management of the disease along with healthy eating education. - Diabetes Screenings - Glucose screening using Accu check inform monitor to provide the community with an opportunity to learn their health status and to improve it or take action based on results and health education provided. - Donation made to Morris County Chamber of Commerce - donation to support Morris County. - E Z Detect Kits - Participants are given kits to test for fecal occult blood along with education on colon cancer and colon cancer screening. - E-health Newsletters - Atlantic Health System E-health newsletters (My Atlantic Health System News - Overlook Medical Center, My Atlantic Health System News - Morristown Medical Center, My Atlantic Health System News - Newton Medical Center, and My Kids' Atlantic Health System News - Goryeb Children's Hospital) inform users regarding health care programs and services, including classes and screenings for the community. - First Night Morris - Cash donation as well as transportation services from 4pm - 1am for this family/community alcohol free celebration of the Arts. - Flu Vaccine Clinic - Administration of influenza vaccine to public and private school staff. - Foot Screening - Assessment of the foot for any abnormalities by Atlantic Rehab Institute and staff podiatrists. - Healing Arts Coalition - Educational luncheon for the community on the healing benefits of art. - Health Fairs - Health Fairs are held in various towns to educate the public on how to be better health care advocates for themselves. Various screenings and exhibitors are invited to attend. - Hearing Screenings - Audiometric community screenings to provide the community an opportunity to learn their health status and to improve it or take action based on results and health education provided. - HIV Counseling and Testing - Provide free anonymous/confidential HIV Antibody testing, counseling and referrals to treatment as needed. - Hypnosis Programs - Lifestyle modification program lead by certified hypnotherapist. - Injury Prevention Bike Rodeo - A mobile event that teaches children safe cycling while riding their bike. Helmets are provided for those who do not have one. - Injury Prevention Booster Seat Assessment - An interactive program for Kindergarten students that educates them on booster seat use. If a child does not have a Booster Seat, we provide one for them. - Injury Prevention Car Seat Inspection Station - We run 2 car seat inspection stations that are open for 6 days a month to provide free car seat inspections by certified techs. - Injury Prevention Concussion Management - An introduction to concussion management for youth parents, coaches and trainers. - Injury Prevention CPS Introduction - An interactive program designed to inform parents and caregivers the 4 steps to car seat safety. - Injury Prevention CPS Tech Class - A 32 hour class that enables interested community members the opportunity to become certified Car seat technicians. - Injury Prevention Distracted Driving - An interactive exhibit on distracted driving for all ages. - Injury Prevention Every 15 minutes - A program designed to highlight the issues associated with Teen MVC. - Injury Prevention Fire Safety - Fire safety & prevention presentation and exhibit including home safety and escape plan. - Injury Prevention Risk Taking Behavior for Teens - A presentation that highlights errors in judgment and risk taking behavior. - Injury Prevention Safe Summer Presentation -Injury Prevention presentation on having a safe summer. - Injury Prevention Sport Safety Injury Prevention - Interactive sport safety exhibit and presentation for students Kindergarten - grade 12. Appendix A - Morristown Medical Center Community Heatlh Activities - Injury Prevention Teen Driving - Presentation highlighting the issues concerning teen driving. - Injury Prevention VIP - An interactive 8 hour course for teens highlighting errors in judgment and risk taking behavior. - Injury Prevention Water Safety PFD Open Water - An interactive program with multiple stations highlighting safety near open water. Each child receives a PFD. - Injury Prevention "Who we are?" - An introduction to the trauma & injury prevention service at MMC and how our injury prevention coalitions work. - Injury Prevention Walk This Way - Pedestrian Safety Program for elementary school children. - IT Related Equipment Donations - Donations of IT related equipment to community organizations in need. - Jersey Health Connect - The Northern and Central New Jersey Health Information Exchange (HIE) Collaborative. It is a collaboration of competing providers, hospital systems and physician organizations serving 6 million people in 10 counties, to support rapid stakeholder expansion and adoption of current data exchange efforts regionally and state-wide. - Kidney and Urology Foundation Walk - Hemodialysis staff, patients & families formed a team "the Lifesavers" to raise awareness about organ and tissue donation. - Kidney Korner Support Group - Support group for dialysis and transplant patients and their families. - Lunch and Learn Lung Cancer Latest Treatments and Screening - A program to describe the surgical and non-surgical management of lung cancer, describe the goal of the International Early Lung Cancer Action Project (I-ELCAP) and discuss the I-ELCAP treatment algorithm. - Male Caregiver Support Group - An opportunity for male caregivers to support one another. - Mended Hearts Support Group - Cardiovascular survivors and caregiver support group that meets one time a month with a guest speaker on cardiovascular health. - Nephrology Education Day - Posters, printed information, handouts and staff members were displayed outside the Mo'Town Cafe at Morristown Medical Center to educate employees and visitors about chronic kidney disease and prevention. - Neuroscience Lectures - Lectures given by neurologists and advanced nursing practitioners concerning aspects of stroke prevention and stroke education. - New Jersey Renal Coalition Meetings - Meetings to plan educational sessions for patients, physicians and community members on CKD. - New Jersey State Renal Coalition - Patient Symposium on Transplant for patients and their families at Robert Wood Johnson. - Newborn Classes - Infant care and safety classes provided to parents. - NJ AIDS Service - Donation for the 2010 NJ AIDS Walk. Goal of walk was to raise funds to provide housing, supportive services and community education to people in our community living with HIV/AIDS. - NJCEED Cancer Grant Screening - Screenings for underserved and uninsured for breast, cervical, colorectal and prostate cancers. To eliminate the barriers to screening such as: language, literacy, poverty, lack of health insurance, fear, cultural inhibitions to provide first line access to the healthcare system and to teach regarding how to use it appropriately, as with free clinics, not the ER. - Nutrition/Weight Control Lectures - Community classes held by a registered nurse to teach methods of weight control and healthy eating. - Oncology Lectures - Community lectures given by oncologists and advanced nurse practitioners to educate the public about current treatments and diagnostic tools for cancer. - Oral Cancer Screening - Participants are examined by a dentist and education and counseling is provided. - Orthopedic/Sports Medicine Lectures - Community lectures given by orthopedic physicians to discuss current treatments modalities for arthritis and sports-related injuries. - Pediatric Lectures - Community lectures given to educate the public on children's health issues. - Perinatal Classes - Classes to help new parents prepare for childbirth and caring for a newborn. These classes are offered free of charge to HealthStart patients. - Project Fit America - The Community Health Committee at MMC funds this fitness program to improve the cardiovascular fitness of children and to create opportunities for children to be active, fit and healthy as part of the everyday school experience. - Project Independence - Grants are given to individuals that have a temporary financial need to allow people to be able to pay for their health care needs. - Prostate Cancer Screening - Screenings to identify men with increased risk of prostate cancer and educate them on resources available. - Pulmonary Function Screening - Pulmonary Function Screening and education at the various health events. - Quit Smoking Program - Quit Smoking Program is a program to support those in the community who wish to quit smoking to better their health. It is 6 week program that offers support as well as nicotine replacement products. - Respiratory Screenings - Community screenings using a spirometer to detect diminished lung capacity of those at risk for pulmonary disease. These screenings provide the community with an opportunity to learn about their health status and to improve it or take action based on results and health education provided. - Skin Cancer Screening - Participants have a whole-body screening by a board-certified dermatologist. Education provided on skin cancer prevention and sun safety. - Spanish Lamaze - Seven-part childbirth and infant care/breastfeeding series for pregnant women and their partners to increase knowledge and comfort level with pregnancy, labor, delivery and early parenting experiences. - Stroke Screenings - Education and screening event including measuring blood pressure, pulse, glucose, cholesterol and carotid artery assessment. - Stroke Survivor Education Lecture - Stroke Survivor educates groups about the signs and symptoms of a stroke and what is involved in recovery. - Tdap Vaccination - Administration of Tdap vaccination to the undeserved population. Planning, organization and administration by community health department staff. - TeenFitFX in the Classroom - An interactive program designed to help students make good choices about eating right and staying active. - TeenFitFX.com - An interactive fitness and nutrition website. - Teen HealthFX.com - an award-winning website for teens that provides health information for teenagers via the Internet. Features include quizzes, "hot topics" and "For Teens, By Teens." - Vascular Screening - To identify those with abdominal aortic aneurysms, carotid artery blockages and/or peripheral vascular disease and to educate participants on ways to reduce their health risks. - Vision Screening - Assessment of visual acuity and gross abnormalities of the eye. - Volunteer Committee for Hemodialysis - Committee that meets monthly to review the needs of the hemodialysis unit and work towards collecting donations for patients and equipment as needed. - Waist Circumference - Screening of waist circumference to evaluate abdominal fat. Increased abdominal fat is associated with an increased risk of heart disease. - Waves of Health (Dominican Republic) - Medical mission to the Dominican Republic serving people in the Dajabon and surrounding areas anticipating 2000-3000 clinic patients and 200 surgeries. - Well Aware - A magazine to educate the community about health issues and programs available. - Wellness Lectures - Community lectures given to education the public on aspects of nutrition, stress management and exercise to maintain or attain optimal health. - Wheel of Health Education - Twelve categories of health-related questions and answers to educate the community. - Women's Health Lecture - Community Health lectures on various women's health topics. - Writing Grant Proposals - Staff of Health Foundation involved in getting grants to raise as much money as possible for projects that support the community. - Zumba Class - Zumba is a dance fitness method based on salsa and other Latin dance moves, performed to Latin and world music beats, and choreographed to allow people of any fitness. Appendix B - Morristown Medical Center Leadership Activities Morristown Medical Center's administrators, managers and staff actively contribute hundreds of hours of their time and leadership to a number of community organizations: - 20 hours were donated to Deirdre's House as a board member. Deirdre's House is a child advocacy center. - 48 hours were donated to Mayo Performing Art Center. - 24 hours were donated to Hillside Food Bank. - 312 hours were donated to the West Morris Hockey Booster Club for fundraising and awareness. - 36 hours were donated to NJ Heroes. - 20 hours were spent knitting and crocheting for St. James Roman Catholic Church to make baby blankets for all infants that are baptized at the sister parish in New Brunswick, NJ, as well as lap blankets for nursing homes. - 100 hours were donated to fundraising for Children's Corner Day Care. - 96 hours were donated to Morristown Rotary. Appendix C - Overlook Medical Center Community Health Activities In 2011, Overlook Medical Center reached more than 863,793 community members though health education, screening and prevention programs and health fairs, providing a total benefit to the community of $627,541. Total Number of Activities 70 Total Persons Served 863,793 Total Community Benefit $627,541 Program Descriptions - "Anna's Story" - Presentation of woman at the end of life followed by discussion of options and advance directives available. - "Hooray for Five A Day" - School-based nutrition program for first graders on eating five fruits and vegetables day. - "Snack Attack"- School-based nutrition program for second and third graders on healthy choices. - "Tar Wars" - School-based program for fourth graders on the dangers of smoking. - A Walk in the Heart - School base program for 4th and 5th graders. The program educates on CPR, how to make a 911 call, healthy diet and exercise. - AAA Screening - vascular screening. - Atlantic Health System Class/Screening Registration Service - The Atlantic Health System Class Registration Service (call center) provides the community with information and enrolls community members in health screenings and information programs. - Atlantic Health System Website - Atlantic Health System website informs users of health care programs and services, including classes and screenings for the communities. - Bereavement Support Groups - An hour and a half support group over a six-week period offered to grieving people in the community to assist in the normal grieving process. - Blood Pressure Screenings - Perform blood pressure screenings at health fairs in Essex, Morris and Union counties to identify seniors with undiagnosed hypertension - Body Fat Screening -Percentage of body fat and body mass index screening with education based on findings. - Bone Density Screenings - Risk level determination for osteoporosis with education based on findings. - Breast Health Presentations - Presentations on maintaining good breast health. - Bully Busters - School-based program on bullying. - Cardiac Health Lectures - Presentations on cardiac health. - Carotid Screening - Screening to listen for bruits in carotid artery. - Cholesterol Screenings - Assessment of total cholesterol, HDL ratio, plus education. - Clinical Affiliations with Schools of Nursing -Nursing students are allowed to learn clinical skills under the supervision of an instructor. - Clinical Affiliations with Sterile Processing Schools - Clinical site provided for students from Sterile Processing Schools. - Clinical Affiliations with Surgical Tech Schools - Clinical site is provided for students from Surgical Tech Schools. - Clinical Breast Exam - Screening to determine good breast health. - Colorectal Screening - Distribution of home test for fecal occult blood with education. - Community Benefit Report Preparation - time and effort spent capturing all community benefit activities. - Community Health Planning - work and effort in planning activities to benefit the community. - Community Health Storefront in the town of Summit - A Community Health office located in the town of Summit, to provide general education and screenings to the community. Integrative Medicine programs are also offered. - Concussion Outreach - Education regarding concussions for the coaches and trainers of the programs as well as the athletes. - Cost of Community Benefit Software - cost of software used to capture Community Benefit activities. - Diabetes Eye Screening - For diabetic patients provided through the Commission for the Blind. The purpose is to follow up on any identified eye diseases and to provide access to an annual eye exam in the underserved population. - Diabetes Screening -Evaluation of blood glucose level with education. - E-Health Newsletters - My Atlantic Health System News - Morristown Medical Center, My Atlantic Health System News - Overlook Medical Center, My Atlantic Health System News - Newton Medical Center, and My Kids' Atlantic Health System News - Goryeb Children's Hospital inform users about health care programs and services, including classes and screenings for the community. - End of Life Education - Guest on WMTR Radio show to discuss hospice care and provide end of life education. - Ethics for Nurses and Social Workers - CEU program for social workers and nurses about ethics in discharge planning and end of life care - Flu Clinic - Home Care nurses assist in providing flu vaccines in the community. - Grief and Bereavement - Educate individuals and professionals about the normal grieving process and resources that can help. - Hb A1C Screening - Evaluation of blood glucose and education. - Health Education - Lectures on health topics with educational materials. - Health Care Externship with Focus on Delirium Prevention - An 8-week program for college students to learn more about health care by providing bedside companionship to patients and shadowing in health care areas. - Healthy Avenues Van - A community health vehicle that offers many health screenings and education, staffed by trained health educators, nurses, medical residents and physicians who complete confidential screenings and answer questions. The van travels throughout 22 communities to community organizations, senior centers, churches, synagogues, pools, schools, YMCAs and health fairs. - Healthy Kids Day - Educational fair where kids are taught the importance of healthy eating & fitness. - Hearing Screenings - Assessment of hearing with education. - Heart Walk - Community event with cardiac education. - High School Shadowing - program to allow for high school students to shadow healthcare workers to stimulate interest in the healthcare field. - Hypnosis (Smoking Cessation) - Program to help individuals to stop smoking through hypnosis. - Hypnosis (Weight Reduction) - Program to help people lose weight and become healthier through hypnosis. - Jefferson Township Football Education - Meet with parents and coaches to explain baseline testing, concussion basics and answer questions. - Medicare Coverage for home health and hospice - Education to seniors regarding Medicare coverage if they need home care or hospice services. - Men's Health Education - General men's health education. - Metabolic Screening - Screening consisting of a total lipid profile, plus blood glucose, height, weight, blood pressure, BMI and waist circumference. - Ostomy Support Group - Support Group to provide support and education to post cholorectal patients. - Palliative Care Education for community - program providing education regarding palliative care and advance directives. - Palliative Care Education to professionals - 2 hour presentation on palliative care to nurses and social workers at Cedar Crest - Perinatal Classes - Classes to help new parents prepare for childbirth and caring for a newborn, offered free of charge to HealthStart patients. - Peripheral Vascular Disease (PVD) Screenings - Screening to determine signs of PVD with education based on findings. - Prostate Cancer Screening - Screening to determine signs of prostate cancer; free DRE and PSA are offered to men. - Public Health Nurse at Summit Health Department - Public Health Nurse is employed by Overlook Medical Center and reports to Community Health. Her duties include health services and nurse services to the town of Summit. - Pulse Screening - Pulse screening with education. - Respiratory Screening and Education - Lung capacity screening with interpretation by pulmonologist and education information. - Scrubby Bear - Hand washing education for preschool and kindergarten children. - Skin Cancer Screening - Screenings to determine signs of skin cancer with education based on findings. - Stress Management - Presentation on stress management techniques to help individuals reduce and manage stress. - Stroke Awareness - Community activities to provide education on stroke symptoms and what to do in the event of a stroke emergency. - Stroke Screening - Evaluate the community's risk for stroke through cholesterol and glucose testing, blood pressure, pulse and carotid artery assessment and education based on findings. - Teddy Bear Clinic - Introduction to kids to the hospital environment and procedures with a free teddy bear. - Well Aware Community Newsletter - A magazine to educate the community about health issues and programs. - Women's Health Education -Screening and education to determine heart disease risk in women. - Women's Heart Lecture - Cardiac Nurse educates the community on the importance of having awareness of women & heart Disease. - Sun Exposure Lectures - Lectures to teach people how to enjoy the sun without the harming effects of the ultraviolet rays. Show the effects of the UV rays in the skin with the Dermaview machine. Appendix D Overlook Medical Center Leadership Activities Additional Uncategorized Activities - Active Summit - Overlook Medical Center is part of a coalition of community agencies called "Active Summit," whose purpose is to develop programs for children and families that address childhood obesity. One of the goals of this group is to provide instructional programs for schools on the importance of good nutrition - Palliative Care Consultation and Education - Palliative care is interdisciplinary care designed to relieve suffering and improve the quality of life of patients with life-threatening illnesses. Overlook Medical Center places strong emphasis on educating the community about palliative care so individuals can make well-informed decisions. Other community services include the publication of Helping Hands, the palliative care newsletter; training for clergy in principles of palliative care; and the Coalition on Family Care giving resource services for families. - TeenHealthFX.com - an award-winning website for teens that provides health information via the Internet. Features include quizzes, "hot topics," and "For Teens, By Teens." The site had 932,913 hits in 2011. APPENDIX D-OVERLOOK MEDICAL CENTER Leadership Activities Overlook Medical Center's administrators, managers and staff actively contribute hundreds of hours of their time and leadership to a number of community organizations: - 9 hours were donated to Newton High School play performances. - 8 hours were donated to making homemade coloring books for children at Children's Specialized Hospital. - 42 hours were donated to be a nurse on call for high school retreats. - 18 hours were donated to giving vaccinations to those in need. - 123 hours were donated to be a volunteer EMT. - 67 hours were donated to providing blood pressure screenings at wellness fairs. - 38 hours were donated to the American Diabetes Association to raise money and awareness. - 35 hours were donated to Walk from Obesity to raise money and awareness. - 38 hours were donated to American Cancer Society/Race for the Cure/Revlon/Relay for Life. - 10 hours were donated to providing diabetes screening and education. - 40 hours were donated to Careers in Healthcare to provide education and information to high school students regarding careers in healthcare. - 44 hours were donated to the Teddy Bear Clinic. The Teddy Bear Clinic is an annual interactive program for local pre-school children to learn about things that may occur if they have to visit the hospital. - 20 hours were donated to National Multiple Sclerosis Society to raise money and awareness. - 6 hours were donated to Hug-A-Bunny to raise money and awareness for pet therapy events for children with special needs. - 10 hours were donated to Stroke screening and education. - 4 hours were donated to the Valerie Fund to raise money and awareness. - 4 hours were donated to teach elementary school children about all different types of germs and the importance of hand washing. - 22 hours were donated to March of Dimes to raise money and awareness. - 10 hours were donated to NJ Fibromyalgia to raise money and awareness. - 8 hours were donated to the AIDs Walk to raise money and awareness. - 4 hours were donated to Service of Remembrance. Service of Remembrance is a yearly service to provide support to those parents who have experiences a perinatal loss. - 10 hours were donated to educate Girl Scouts on the stages of teen development and the issues they may face. - 3 hours were donated to The Promise Walk for Preeclampsia to raise money and awareness. - 5 hours were donated to Cystic Fibrosis to raise money and awareness. - 30 hours were donated to NJ Sharing Network to raise money and awareness. - 4 hours were donated to provide Vascular Screenings. - 170 hours were donated to American Heart Association to raise money and awareness. - 4 hours were donated to Autism Speaks to raise money and awareness. - 24 hours were donated to Union County Medical Reserve Corps to help assure medical professionals have the proper training to be prepared for large scale disasters as well as community health initiatives. - 4 hours were donated to Easter Seals. Easter Seals is a foundation that provides support, services, and information to those individuals in our community who live with physical and mental disabilities. - 10 hours were donated to the VNA to raise money and awareness. - 3 hours were donated to Feed the Homeless providing nutritious meals in a safe, warm, and caring environment to those in need. - 3 hours were donated to Bridges Outreach, Inc. Bridges Outreach, Inc, is an organization that delivers over 100,000 bagged brown lunches, 40,000 breakfast bags, tons of clothing and toiletries, and other necessities each year to those in need. - 48 hours were donated to the Lupus Foundation to raise money and awareness. Appendix E - Newton Medical Center Community Health Activities In 2011, Newton Medical Center reached more than 821,713 community members though health education, screening and prevention programs and health fairs, providing a total benefit to the community of $327,455. Total Number of Activities 38 Total Persons Served 821,713 Total Community Benefit $327,455 Program Descriptions - Atlantic Health System Class/Screening Registration Service - The Atlantic Health System Class Registration Service (call center) provides the community with information and enrolls community members in health screenings and information programs. - Atlantic Health System Website - Atlantic Health System website informs users of health care programs and services, including classes and screenings for the communities. - Basic Life Support Training Center - Provide education related to saving lives within the community including CPR training and early access to Automated External Defibrillators. - Breastfeeding - Education on how to successfully breastfeed. Discussions on proper techniques, knowing when to feed, knowing if you baby is getting enough nutrition, expressing and storage, avoiding common issues, the father's role, and returning to work. - Calendar of Events - Mailing of programs, lectures, CPR training, and screenings that are offered to the community. - Community Benefit Report Preparation - Time and effort spent capturing all community benefit activities. - Community Benefits Coordination - Coordination of qualifying and quantifying Community Benefits. - Conference Room Use for Community Programs - Use of various conference rooms for community programs. - Cost of Community Benefit Software - cost of software used to capture Community Benefit activities. - Diabetes Education (ADA Recognized Center) - Lectures and programs provided to different community groups educating them on various aspects of diabetes mellitus. - Diabetes Lectures - Lecture Series by specialists that speak on a variety of topics specific to the management of diabetes. - Diabetes Support Group - Various Support Groups offering mutual support and education for adults with diabetes. - E-health Newsletters - Atlantic Health System E-health newsletters (My Atlantic Health System News - Overlook Medical Center, My Atlantic Health System News - Morristown Medical Center, My Atlantic Health System News - Newton Medical Center, and My Kids' Atlantic Health System News - Goryeb Children's Hospital) inform users regarding health care programs and services, including classes and screenings for the community. - Grandparents Class - Classes to provide education to grandparents on how to care for their newborn grandchild. The classes offer a guide for the newest trends in childcare, newborn appearance, infant safety, and how to support the new parents and nursing moms. - Liaison for University contract for students and interns - Laison between the medical center and universities and department managers. - Mammograms Saves Lives - Free mammogram and exam by a physician for those who do not have insurance or do not qualify for the NJ CEED program. - Health Education - Lectures on health topics with educational materials. - Mixed Level and Continuing Yoga - Yoga offered for mind and body exercise. - Newborn Parenting - Education on how to care for a newborn in the first few months. This class discusses normal characteristics of newborns, illness and when to call the doctor, proper use of car seats, safety-proofing your home, and sleeping and crying patterns. - Nutrition Education Lectures - Lectures providing education on various aspects of nutrition and proper eating habits. - OSHA Bloodborne Pathogens - Education on HIV/AIDS and Hepatitis information, including modes of transmission, prevention, available treatment and resources. - Pediatric Pre-Op - Preoperative instruction and education for parents and children to help relieve anxiety when faced with surgery. - Physician Lecture Series - Lectures by physicians on various health topics. - Pike County Health Fund Screenings - Various programs and health screenings at the Milford Health & Wellness Center. - Prepared Childbirth - Class to provide an understanding of the process of birth including breathing, relaxation, and pushing techniques. - Sibling Preparation - Program to help children ages 3 through 10 prepare for a new baby. - Single Room Maternity Tour - Tours of the maternity floor to help patients feel more at ease in preparing for child birth. - Hypnosis (Smoking Cessation) - Program to help individuals to stop smoking through hypnosis. - Stress Management - Program to provide education on the causes of stress and techniques to deal with it. - Stroke Support Group - Support Group to offer support and encouragement for persons recovering from a stroke. - Toddler Parenting - Program to provide parents with education on raising a toddler. - Hypnosis (Weight Reduction) - Program to help people lose weight and become healthier through hypnosis. - Well Aware Community Newsletter - A magazine to educate the community about health issues and programs. - YMCA Pioneering Healthy Communities - Collaboration to set goals and help to make Sussex County healthier. Appendix F - Newton Medical Center Leadership Activities Newton Medical Center's administrators, managers and staff actively contribute hundreds of hours of their time and leadership to a number of community organizations: - 30 hours were donated to Big Brothers Big Sisters of Morris, Bergen, Passaic, and Sussex Counties as a board member. - 20 hours were donated to Pioneering Healthy Communities Coalition as a Charter member. - 20 hours were donated to assisting a church in obtaining and maintaining financial security. - 96 hours were donated to Pass it Along. Pass it Along is a program to develop youth leaders and instill a desire to volunteer and give back to those in need in the community. - 40 hours were donated to Sussex County Community College as a member of the Board of Trustees. - 150 hours were donated to the University of Scranton graduate program serving as a preceptor and mentor for students. - 12 hours were donated to Sussex County Caregivers Coalition. This Coalition was formed to connect residents in the community with resources that can help manage their lives. - 61 hours were donated to Sussex County Chamber of Commerce as a board member and a part of the Commerce Wellness Committee. - 108 hours were donated to United Way of Northern NJ. United Way identifies needs in our community. Entities in Group Return The following entities comprise of this Group IRS 990: AHS Hosptial Corp. EIN #52-1958352 Practice Associtates Medical Group EIN #20-2088165 Atlantic Ambulance Corp. EIN #22-3820288 Atlantic Health System Inc 475 South Street Morristown NJ 07960 223380375 Human Health through AHS Hospital Corp NJ 501(c)(3) Line 11, I N/A 0 Foundation for Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising for Morristown Memorial Hospital. NJ 501(c)(3) 7 Atlantic Health System 1 Newton Medical Center Foundation 175 High Street Newton NJ 07860 222618102 Administers donations, grants and bequests and performs fundraising NJ 501(c)(3) Line 7 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 11, I N/A 0 Prime Care Inc 175 High Street Newton NJ 07860 222759566 Provides home health and other healthcare services NJ 501(c)(3) Line 9 Atlantic Health System 1 North Jersey Health Care Properties Inc 175 High Street Newton NJ 07860 223519709 Own commercial buildings and conducts leasing activities NJ 501(c)(2) Atlantic Health System 1 Morris Photopheresis 100 Madison Avenue Morristown NJ 07960 223314012 Healthcare Research NJ Atlantic Health System 0 0 Affiliated Collection Services LLC 17 Prospect Street Morristown NJ 07960 270555659 Collection Services NJ 0 0 Morristown Medical Investors 200 American Road Morris Plains NJ 07950 650840535 Real Estate NJ Atlantic Health System 0 0 Primary Care Partners LLC 475 South Street Morristown NJ 07960 274980253 Physician Services NJ AHS Investment Corp 0 0 Atlantic Health Management Corp and Subsidiaries 200 American Road Morris Plains NJ 07950 223538027 Healthcare NJ Atlantic Health System Inc C 1019997 59036465 1.00000 AHS Insurance Company Ltd 200 American Road Morris Plains Grand Cayman CJ 07950 223380375 Insurance NJ Atlantic Health System Inc C 22874242 55695934 1.00000 Nutley Medical Care PA 100 Madison Ave Morristown NJ 07960 223645010 Healthcare NJ Atlantic Health System Inc C -480 1.00000 Non-Invasive Diagnostics PA 100 Madison Ave Morristown NJ 07960 202027439 Healthcare NJ Atlantic Health System Inc C -500 1.00000 Speciality Care of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376428 Healthcare NJ Atlantic Health System Inc C -936228 25836070 1.00000 Maternal Fetal Medicine of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376421 Healthcare NJ Atlantic Health System Inc C -2746728 3214543 1.00000 Madison Pediatrics PA 100 Madison Ave Morris Plains NJ 07960 223645007 Healthcare NJ Atlantic Health System Inc C -480 1.00000 North Jersey Health Ventures Inc 175 High Street Newton NJ 07860 222705732 Investments in healthcare related joint ventures NJ AHS Investment Corp C -3231798 1845750 1.00000 AHS ACO LLC 475 South Street Morristown NJ 07960 273800813 Physician Practice NJ Atlantic Health System Inc C -500 1.00000 The Northwest New Jersey MedicalSurgical Alliance PC 175 High Street Newton NJ 07860 450577942 Healthcare Services NJ Atlantic Health System Inc C -535173 717333 1.00000 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ Atlantic Health System Inc C -816174 630807 1.00000 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 Atlantic Ambulance O 14761567 Actual amount of transacation. Atlantic Ambulance A 14000000 Actual amount of transacation. Atlantic Health Management Corp Q 400000 Actual amount of transacation. Atlantic Health System Inc R 2508148 Actual amount of transacation. Atlantic Health System Inc O 5918378 Actual amount of transacation. AHS Insurance CoLTD O 5918378 Actual amount of transacation. Overlook Hospital Foundation O 1208524 Actual amount of transacation. Overlook Hospital Foundation C 2380452 Actual amount of transacation. AHS Investment Corp P 60932 Actual amount of transacation. AHS Investment Corp P 1508689 Actual amount of transacation. AHS Investment Corp P 2427277 Actual amount of transacation. AHS Investment Corp F 53156 Actual amount of transacation. Morristown Memorial Health Foundation C 12372472 Actual amount of transacation. Morristown Memorial Health Foundation O 14793255 Actual amount of transacation. AHS Insurance CoLTD Q 10299000 Actual amount of transacation.