2013-01-30T15:15:28-06:00 2011-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2011-01-01 900779828 ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES % JAMES P NOLAN JR CPA ATLA 6095697040 2500 ENGLISH CREEK AVENUE BUILDING C EGG HARBOR TOWNSHIP NJ 08234 JAMES P NOLAN JR CPA 2013-01-30 true 9738989494 2011 2016-02-25 16:41:14Z DAVID P TILTON 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 755128444 true true 5788 X WWW.ATLANTICARE.ORG X 1897 NJ THE ORGANIZATIONS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NEW JERSEY BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES. 17 10 5690 190 -102831 -425075 23640203 22314854 713038165 720414410 -4620966 8886049 2876370 2880807 734933772 754496120 18390835 11711240 0 0 329622043 327285408 0 0 0 353546133 370628764 701559011 709625412 33374761 44870708 904391661 934523141 452606540 515666546 451785121 418856595 X THE ORGANIZATIONS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NEW JERSEY BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES. THE ENTITIES PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false true 85350221 0 78183865 EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY GENERAL MEDICINE SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2011 THE ORGANIZATION TREATED 8,080 INPATIENT GENERAL MEDICINE CASES FOR A TOTAL OF 43,086 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 71224078 0 63401110 EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY CARDIOLOGY/CARDIAC SURGERY SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2011 THE ORGANIZATION TREATED 4,963 INPATIENT CARDIOLOGY/CARDIAC SURGERY CASES FOR A TOTAL OF 22,867 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 67354088 0 65821939 EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY GENERAL SURGERY SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2011 THE ORGANIZATION TREATED 2,954 INPATIENT SURGERY CASES FOR A TOTAL OF 23,065 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 419220294 11711240 512782676 643148681 true true false true false false false false false true true false true false true false false true false false true false false false true false true true true true true true false false false false false false false true true true true false false false false true true true false false true 803 0 true 5690 true true true false false false false true true false false false false X 17 10 false false false false true true true true true false false true true true true true true true true true true NJ X JAMES P NOLAN JR CPA 6095697040 2500 ENGLISH CREEK AVE EGG HARBOR TWNSHP NJ 08234 X MATHEW D FINKELSON DMD 1.0 X X 0 0 0 FRANCES GOLDSTEIN 1.0 X X 0 0 0 ALDALBERTO LOPEZ 1.0 X X 0 0 0 EUGENE M ARNONE 1.0 X 0 0 0 HOWARD AXELROD MD 1.0 X 70689 0 0 DEBORAH BAYER DO 1.0 X 0 10288 0 CHARLES F BEIRNE 1.0 X 0 0 0 BLAIR A BERGEN MD 55.0 X 0 546709 49184 KEITH L DAWN 1.0 X 0 0 0 NOEL FORRESTEL 1.0 X 0 0 0 PAUL J GALLAGHER ESQ 1.0 X 0 0 0 LORI S HERNDON 55.0 X X 606612 0 143178 PATRICIA RICH 1.0 X 0 0 0 GARY ROSMAN MD 1.0 X 0 0 0 KENNETH R STEINBERG 1.0 X 0 0 0 DAVID P TILTON 55.0 X X 0 1154035 524746 ERIC M WOOD ESQ 1.0 X 0 0 0 ROSALIND KINCAID 1.0 X X 0 0 0 JORGE F COOMBS ESQ 1.0 X X 0 0 0 GARY HANSON 1.0 X X 0 0 0 RONALD CAPLAN PHD 1.0 X 0 0 0 MARY L CHEEKS 1.0 X 0 0 0 MERYDAWILDA COLON 1.0 X 0 0 0 HONORABLE MICHAEL CONNOR 1.0 X 0 0 0 KANDI HAYDEN 1.0 X 0 0 0 REV MILTON L HENDRICKS 1.0 X 0 0 0 ELLEN LOUGHNEY ESQ 1.0 X 0 0 0 DEE W KASSIS RN 1.0 X X 0 0 0 BENJAMIN ZELTNER ESQ 1.0 X X 0 0 0 CAROLINE TILL 1.0 X X 0 0 0 DAVID L CARR PHD 1.0 X X 0 0 0 WILLIAM B AARONS JR MD 55.0 X 236246 0 17741 HARRY L CHAIKIN MD 1.0 X 0 0 0 STOWELL FULTON 1.0 X 0 0 0 TIM GLENN 1.0 X 0 0 0 STANLEY M GROSSMAN 1.0 X 0 0 0 GARY HILL 1.0 X 0 0 0 LARRY KAUFMAN MD 1.0 X 0 0 0 PRAVIN KHATIWALA 1.0 X 0 0 0 J EDWARD KLINE 1.0 X 0 0 0 RANDOLPH C LAFFERTY ESQ 1.0 X 0 0 0 MARK J LIPPMAN 1.0 X 0 0 0 GINA MERRITT EPPS ESQ 1.0 X 0 0 0 ALVIN ONG MD 1.0 X 0 0 0 TRACY SANTORO 1.0 X 0 0 0 MAUREEN SIMAN 1.0 X 0 0 0 IRA M STEIN MD 55.0 X 184291 0 31750 JAMES P NOLAN JR CPA 55.0 X X 0 599405 141883 KATHERINE A SCHNEIDER MD 55.0 X X 412437 0 116305 MICHAEL J WALSH 1.0 X X 0 0 0 DAVID M GODDARD 1.0 X X 0 0 0 MANUEL APONTE 1.0 X X 0 0 0 MICHAEL CHARLTON 1.0 X 0 0 0 MICHAEL GROSSMAN 1.0 X 0 0 0 LYNNE LEVIN KAUFMAN ESQ 1.0 X 0 0 0 JOSEPH D KELLY 1.0 X 0 0 0 RICHARD S MAIRONE ESQ 1.0 X 0 0 0 CARMEN ROYAL 1.0 X 0 0 0 ALAN J SIMPSON MD 1.0 X 0 0 0 MARGARET SYKES 1.0 X 0 0 0 DOMINIC S MOFFA 55.0 X X 0 458926 121605 WALTER A GREINER 55.0 X 378768 0 74609 MARGARET A BELFIELD 55.0 X 412028 0 75771 MARILOUISE VENDITTI MD 55.0 X 422045 0 83248 TERRI LU SCHIEDER 55.0 X 352313 0 77335 DAVID A DESIMONE ESQ 55.0 X 0 330164 72757 CHARISSE FIZER 55.0 X 321957 0 52526 RICHARD D LOVERING 55.0 X 0 316686 71877 ROBYN O BEGLEY 55.0 X 306676 0 58128 JOAN MARY BRENNAN 55.0 X 230082 0 67660 MEL A MECK 55.0 X 195651 0 58334 JULIA DREW 55.0 X 135989 0 18615 JOHN R RIOS 55.0 X 121255 0 27516 GLENN ANN STOLL 55.0 X 4197 110877 7769 RENE A ZANELOTTI BUNTING 55.0 X 0 298074 49574 DONNA MICHAEL ZIEREIS ESQ 55.0 X 0 161610 44797 GWENDOLYN MEUSBURGER 55.0 X 122459 0 42055 GEORGE C STOKES 55.0 X 128245 0 24804 DONALD J PARKER 55.0 X 175175 0 15115 KEVIN T MCDONNELL 55.0 X 184336 0 39053 CHRISTOPHER J STEEN 55.0 X 161101 0 38278 CHRISTOPHER A SCANZERA 55.0 X 30560 298444 55627 DANIEL MORREALE 55.0 X 26665 115904 17667 ALEXANDER D SHARNOFF ESQ 55.0 X 0 160331 33407 ROMEO PERICIC MD 55.0 X 635041 0 49706 JAVID IQBAL MD 55.0 X 560279 0 49879 PETER N THOMPSON MD 55.0 X 520348 0 49733 ALEXANDER AXELRAD MD 55.0 X 507358 0 48482 CATHERINE A DUDICK MD 55.0 X 506288 0 54314 7949091 4561453 2505028 414 false true false LF DRISCOLL COMPANY 9 PRESIDENTIAL BLVD PO BOX 468 BALA CYNWYD PA 190040468 BUILDING CONTRACTOR 11651886 P AGNES INC 2101 PENROSE AVENUE PHILADELPHIA PA 191455614 BUILDING CONTRACTOR 9329776 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 MEDICAL 2698031 PHILIPS MEDICAL SYSTEM HSG DIVISION PO BOX 100355 ATLANTA GA 303840355 IT 2541446 COOPER HEALTH SYSTEM ONE COOPER PLAZA CAMDEN NJ 08103 MEDICAL 2499021 144 223691 3873047 16444758 1773358 76207 22314854 NET PATIENT SERVICE REVENUE 541900 703593324 703593324 OTHER HEALTHCARE RELATED REVENUE 541900 16821086 16699097 121989 720414410 7826845 -224820 8051665 1007316 1007316 0 3153329 307764 2845565 2845565 2845565 51888 0 51888 51888 51888 324560 223691 324560 0 0 0 TELEPHONE 517000 35242 35242 35242 754496120 720292421 -102831 11991676 11675141 11675141 36099 36099 0 0 6284042 5655636 628406 0 241277272 217149544 24127728 16944451 15250005 1694446 41881937 37693744 4188193 20897706 18941740 1955966 2418881 2446566 -27685 661643 591173 70470 360502 324452 36050 0 0 0 10120676 9141422 979254 1476368 1346536 129832 49579396 44659429 4919967 1280092 1162518 117574 0 6450139 5944316 505823 511482 492453 19029 0 706999 643585 63414 12427792 11332177 1095615 0 45106357 40943128 4163229 6104709 5494238 610471 MEDICAL SUPPLIES 97471754 88193254 9278500 0 PHYSICIAN FEES 46185082 41567824 4617258 0 PROVISION FOR BAD DEBTS 36778308 33156276 3622032 0 PURCHASED SERVICES 15213994 13842173 1371821 0 37774590 35465252 2309338 709625412 643148681 66476731 0 4600423 3393679 3710121 3773005 2030673 2486485 62876686 76135894 0 0 0 0 11196556 8474890 8856370 9377908 9006722 8513999 815032709 409838860 386115820 405193849 0 0 0 0 399243391 391825207 4608830 4527584 12146069 20820641 904391661 934523141 91772215 81994850 0 0 4038 2308 210604201 203830493 0 0 0 0 17455371 20104856 0 0 132770715 209734039 452606540 515666546 X 428918789 396097434 21333440 21218586 1532892 1540575 451785121 418856595 904391661 934523141 X 44870708 -77799234 X X false true true X true true X THE PUBLIC CHARITY STATUS REFLECTED ON SCHEDULE A, PART I IS FOR ATLANTICARE REGIONAL MEDICAL CENTER, THE LARGEST SUBORDINATE ORGANIZATION INCLUDED IN THE GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS THE PUBLIC CHARITY STATUS FOR ALL OTHER ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION: ATLANTICARE BEHAVIORAL HEALTH, INC.; SCHEDULE A, PART I, LINE 7, INTERNAL REVENUE CODE SECTION 509(a)(1) ORGANIZATION; ATLANTICARE FOUNDATION; SCHEDULE A, PART I, LINE 7, INTERNAL REVENUE CODE SECTION 509(a)(1) ORGANIZATION; ATLANTICARE HEALTH ENGAGEMENT, INC.; SCHEDULE A, PART I, LINE 11, INTERNAL REVENUE CODE SECTION 509(a)(3) ORGANIZATION; ATLANTICARE HEALTH SERVICES, INC.; SCHEDULE A, PART I, LINE 9, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION. INFOSHARE, INC.; SCHEDULE A, PART I, LINE 11, INTERNAL REVENUE CODE SECTION 509(A)(3) ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 264490 0 264490 709625412 728288510 709625412 728553000 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 276388 260187 0 0 536575 250000 250000 250000 250000 1000000 1500000 LOBBYING ACTIVITIES SCHEDULE C, PART II-A; LINE 2C THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP RETURN ARE AFFILIATES IN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AH SYSTEM ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES IN THE SYSTEM. DURING 2011, AH SYSTEM PAID $232,496 TO OUTSIDE INDEPENDENT LOBBYING FIRMS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"), A TAX-EXEMPT HOSPITAL WITHIN THE SYSTEM, IS A MEMBER OF BOTH THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. DURING 2011, AH SYSTEM PAID THE DUES TO THESE ORGANIZATIONS ON BEHALF OF ARMC, A PORTION OF WHICH HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE SYSTEM. THIS ALLOCATION AMOUNTED TO $31,994 IN 2011. THE TOTAL AMOUNT OF LOBBYING EXPENDITURES MADE BY AH SYSTEM, $264,490, ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM IS REPORTED ON AH SYSTEM'S FORM 990 (FEIN: 22-3265213), SCHEDULE C, PART II-A FOR THE YEAR ENDED DECEMBER 31, 2011. 22866332 5490000 8000 5605171 22759161 12095347 13423000 41000 2693015 22866332 12364504 2776000 26000 3071157 12095347 12584882 2438000 -135000 2523378 12364504 0.93000 0.07000 false false 19129199 19129199 449938893 168659436 281279457 116690 102890 13800 327051010 240006102 87044908 18796917 1070432 17726485 405193849 RESTRICTED 2018063 F PERMANENTLY RESTRICTED 110393 F FUNDS; CURRENT 771235 F CASH - RESTRICTED; NON-CURRENT 57397 F OTHER INVESTMENTS 5969139 F LIMITED USE 155323000 F LIMITED USE 54144013 F FIXED INCOME; LIMITED USE 129795000 F ACCRUED INTEREST; LIMITED USE 417000 F LIMITED USE 43180000 F ATLANTICARE FOUNDATION 39967 F 391825207 0 DUE TO AFFILIATES 4963037 SETTLEMENTS 56374572 OTHER LIABILITIES 60853691 ACCRUED INTEREST PAYABLE 4306960 ACCRUED RETIREMENT BENEFITS 83235779 209734039 ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE IN THE ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE HEALTH SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2008 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48: IN 2006, FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITION AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURES ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH STATEMENT OF FINANCIAL ACCOUNTING STANDARDS (SFAS) NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007 THE COMPANY ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT. true Central America and the Caribbean Program Services FINANCIAL VEHICLE 4626006 4626006 4626006 true false false false false false GALA 424567 163441 261126 66868 17528 159425 17305 GOLF TOURNAMENT 123684 60250 63434 9339 39661 1924 12510 0 0 0 548251 223691 324560 76207 57189 161349 29815 324560 true true X true X 300. true X 500. true true true false true true 30365 49083798 26046099 23037699 0.03890 22702 81592036 64716488 16875548 0.02850 53067 130675834 90762587 39913247 0.06740 21 35525 2033441 1780 2031661 0.00340 3 252 4958573 2795179 2163394 0.00360 7 3525 12683432 3335095 9348337 0.01580 1 0 227714 11426 216288 0.00040 32 39302 19903160 6143480 13759680 0.02320 32 92369 150578994 96906067 53672927 0.09060 true 36220324 76596 164422248 210756892 -46334644 X true true 3 1 ARMC - MAINLAND CAMPUS

65 W JIMMIE LEEDS ROAD POMONA NJ 08240

X X X X X 2 ARMC - CITY CAMPUS

1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401

X X X X X 3 ARMC SATELLITE EMERGENCY DEPARTMENT

219 NORTH WHITE HORSE PIKE HAMMONTON NJ 080372014

X ARMC - MAINLAND CAMPUS 1 true true 300. true 500. true X X X X X X X true true X X X X X true false true X false false ARMC - CITY CAMPUS 2 true true 300. true 500. true X X X X X X X true true X X X X X true false true X false false ARMC SATELLITE EMERGENCY DEPARTMENT 3 true true 300. true 500. true X X X X X X X true true X X X X X true false true X false false 13 ARMC FACULTY PRACTICE

65 W JIMMIE LEEDS ROAD POMONA NJ 082409102

CARDIOTHORACIC SURGERY, CARDIAC DIAG, SURGERY GROUP, HOSPITALISTS, PSYCH & MAMM. ARMC FACULTY PRACTICE

1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401

CARDIAC DIAGNOSTIC, SURGERY GROUP, HOSPITALISTS, PSYCH AND TRAUMA ARMC CANCER CAREFACULTY PRACTICE

2500 ENGLISH CREEK AVE BUILDING 40 EGG HARBOR TOWNSHIP NJ 08234

CANCER CARE INSTITUTE, IMAGING CENTER AND GYNECOLOGY/ONCOLOGY ATLANTICARE HEALTHPLEX

1401 ATLANTIC AVENUE ATLANTIC CITY NJ 08401

CLINIC, SPECIALTY CARE CLINIC, RADIOLOGY, LAB, SCC, INFECT. DISEASE, POST ACUTE CARE ARMC CARDIAC DIAGNOSTIC CENTER

2500 ENGLISH CREEK AVE BLD 900 ST EGG HARBOR TOWNSHIP NJ 08234

OUTPATIENT CENTER, HEART INSTITUTE CARDIAC AND VASCULAR SVCS. & HEART FAILURE PROGRAM ARMC ADULT PARTIAL CARE SERVICES

400 CHRIS GAUPP DRIVE GALLOWAY NJ 08205

BEHAVIORAL HEALTH CLINIC CHILD PARTIAL HOSPITALIZATION

1450 19TH STREET MAYS LANDING NJ 08330

ADOLESCENT BEHAVIORAL HEALTH ARMC WOUND HEALING CENTER

2500 ENGLISH CREEK AVE BLDG 700 ST EGG HARBOR TOWNSHIP NJ 08234

WOUND CARE ATLANTICARE PHARMSPECIALTY CARE CLINIC

54 WEST JIMMIE LEEDS ROAD GALLOWAY NJ 082059401

PHARMACY, SPECIALTY CARE PAVILION AT PARKARMC FACULTY PRACTICE

2500 ENGLISH CREEK AVE BLD 200 ST EGG HARBOR TOWNSHIP NJ 08234

OUTPATIENT WOMEN'S CLINIC, ADOLESCENT WEIGHT LOSS, BREAST CENTER, UROLOGY/GYNECOLOGY ARMC WOUND HEALING CENTER

219 N WHITE HORSE PIKE HAMMONTON NJ 08037

WOUND CARE, HEART INSTITUTE CARDIAC DIAGNOSTICS ARMC OUTPATIENT SERVICES

2500 ENGLISH CREEK AVE BLDG 100 STE EGG HARBOR TOWNSHIP NJ 08234

OUTPATIENT PRENATAL ARMC PREADMISSION TESTING

310 CHRIS GAUPP ROAD GALLOWAY NJ 08205

PREADMISSION TESTING ELIGIBILITY FOR DISCOUNTED CARE PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2011 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A IN 2009 THE ORGANIZATION ISSUED A REPORT FOR COMMUNITY BENEFIT ACTIVITIES FOR THE THREE YEAR PERIOD 2006-2008. IN ADDITION, THE ORGANIZATION FILED A COMMUNITY BENEFIT REPORT WITH THE NEW JERSEY HOSPITAL ASSOCIATION WITH THE 2010 DATA, WHICH SUBSEQUENTLY WAS PUBLISHED IN 2011 AS A COMBINED REPORT FOR NEW JERSEY HOSPITALS. SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I; QUESTION 7G SUBSIDIZED HEALTH SERVICES INCLUDE NICU, PRENATAL, PALLIATIVE CARE, RNS VAN SERVICE, BREAST HEALTH, PSYCHIATRIC INTERVENTION PROGRAM, HIV COUNSELING AND OUTPATIENT DIALYSIS. THOSE PROGRAMS ARE IDENTIFIED AS A NEED IN THE COMMUNITY AND ARE SUBSIDIZED BY EXTERNAL AND INTERNAL FUNDS. PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I; QUESTION 7 COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $36,220,324. CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST SCHEDULE H, PART I, QUESTION 7 THE ORGANIZATION UTILIZED MCKESSON'S COST ACCOUNTING SYSTEM TO ESTIMATE COSTS. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS, ADJUSTED FOR SELF-PAY CONTRACTUAL ALLOWANCES MULTIPLIED BY ITS COST TO CHARGE RATIO. ATLANTICARE HEALTH SYSTEM, INC. AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ATLANTICARE HEALTH SYSTEM, INC. CHARITY CARE THE MEDICAL CENTER PROVIDES CARE TO CERTAIN PATIENTS WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE DERIVED FROM BOTH ESTIMATED AND ACTUAL DATA. THE ESTIMATED COST OF CHARITY CARE INCLUDES THE DIRECT AND INDIRECT COST OF PROVIDING SUCH SERVICES AND IS ESTIMATED UTILIZING THE MEDICAL CENTER'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS WHO MEET THE CHARITY CARE ELIGIBILITY REQUIREMENTS APPROXIMATED $49,100,000 AND $47,200,000 FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. THESE AMOUNTS INCLUDE $1,790,000 AND $6,700,000, RESPECTIVELY, OF CHARITY CARE PROVIDED THAT MET THE ELIGIBILITY CRITERIA BUT FOR WHICH STATE SUPPORT WAS NOT AVAILABLE. THE STATE OF NEW JERSEY HEALTH CARE REFORM ACT OF 1992, CHAPTER 160, ESTABLISHED THE HEALTH CARE SUBSIDY FUND (HCSF) TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE HOSPITALS FOR ELIGIBLE CHARITY CARE PROVIDED. FOR CHARITY CARE SERVICES RENDERED, THE MEDICAL CENTER RECOGNIZED IN NET PATIENT SERVICE REVENUE A TOTAL ALLOCATION FROM THE HCSF OF $24,314,000 AND $21,615,000 FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. THE MEDICAL CENTER ALSO PROVIDES FREE CARE TO OTHER PATIENTS WHO DO NOT MEET THE STATE ELIGIBILITY REQUIREMENTS OR ARE NOT COMPLIANT IN PURSUING ELIGIBILITY STATUS. SUCH AMOUNTS ARE INCLUDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS PART OF THE PROVISION FOR UNCOLLECTIBLES, NET OF ANY RECOVERIES REALIZED THROUGH COLLECTION EFFORTS. BEHAVIORAL HEALTH PROVIDES SERVICES TO CLIENTS WITHOUT INSURANCE COVERAGE AND CHARGES RATES BASED ON A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS THAT MEET THE ESTABLISHED CRITERIA APPROXIMATED $1,923,000 AND $1,991,000 FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. ADDITIONALLY, THE COMPANY SPONSORS OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO THE NEEDY AND ELDERLY POPULATION THAT REQUIRE SPECIAL SUPPORT, VARIOUS CLINICAL OUTREACH PROGRAMS, AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. HEALTH CARE AND OTHER SERVICES ARE ALSO PROVIDED TO THOSE COVERED BY MEDICAID AND MEDICARE FOR WHICH THE COMPANY IS NOT REIMBURSED ITS FULL COST. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2011 MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GEN COLLECTION POLICY SCHEDULE H, PART III, SECTION B; QUESTION 9B PATIENTS RECEIVE A STATEMENT AFTER RECEIVING SERVICES. IF CONTACTING THE ORGANIZATION REGARDING THEIR INABILTY TO PAY, PATIENTS IMMEDIATLEY WILL BE REFERRED TO AN INTERNAL FINANCIAL ASSISTANCE COUNSELOR. THIS INDIVIDUAL WILL SCREEN THE PATIENT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE OR THE STATE MEDICAID PROGRAM. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B,QUESTIONS 9,10,11H,13G,15E,16E,17E,18D,20&21 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 19D ATLANTICARE REGIONAL MEDICAL CENTER HAS INSTITUTED A SELF PAY DISCOUNT POLICY THAT LIMITS CHARGES FOR MEDICAL SERVICES TO AN AMOUNT NOT TO EXCEED 115% OF THE APPLICABLE MEDICARE REIMBURSEMENT RATE FOR ALL QUALIFIED UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR EXISTING STATE, FEDERAL AND LOCAL PROGRAMS. NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 IN PRIOR YEARS, ATLANTICARE REGIONAL MEDICAL CENTER HAS PARTICPATED IN A COUNTY WIDE COMMUNITY NEEDS ASSESSMENT IN CONJUNCTION WITH THE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH. ATLANTICARE REGIONAL MEDICAL CENTER ALSO RECEIVES COMMUNITY NEEDS ASSESSMENT INFORMATION FROM LOCAL AGENCIES SUCH AS THE UNITED WAY WHICH WE UTILIZE IN OUR PLANNING PROCESS. ANOTHER TOOL THAT IS USED BY ATLANTICARE REGIONAL MEDICAL CENTER TO IDENTIFY COMMUNITY NEEDS ARE THE CUSTOMER FOCUS GROUPS THAT ARE HELD BY OUR MARKETING DEPARTMENT. ATLANTICARE REGIONAL MEDICAL CENTER IS PLANNING ON UPDATING THE NEEDS ASSESSMENT IN 2012. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 ALL PATIENTS ARE INFORMED REGARDING THE AVAILABILITY OF CHARITY CARE. THIS IS ACCOMPLISHED THROUGH POSTED SIGNS AND WRITTEN NOTICES PROVIDED AT THE TIME OF REGISTRATION IN BOTH ENGLISH AND SPANISH. ATLANTICARE REGIONAL MEDICAL CENTER WILL ASSIST ANY PATIENT INTERESTED IN APPLYING BY PLACING THEM IN CONTACT WITH THE APPROPRIATE PERSONNEL IN THE COMPANY'S REGISTRATION OR BUSINESS OFFICE. COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 ATLANTICARE REGIONAL MEDICAL CENTER PROVIDES URGENT AND EMERGENT HEALTHCARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO APPROXIMATELY 430,000 MEMBERS IN THE SOUTH JERSEY COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, CREED, AGE, SEX, LIFESTYLE OR ABILITY TO PAY. THE PRIMARY SERVICE AREAS ARE ATLANTIC COUNTY (COMPRISED OF 16 ZIP CODES IN CENTRAL AND EASTERN ATLANTIC COUNTY) AND SOUTHERN OCEAN COUNTY (TUCKERTON ZIP CODE ONLY). THE REGIONAL SERVICE IS COMPRISED OF ATLANTIC COUNTY RSA (REMAINING ZIP CODES), CAPE MAY COUNTY RSA AND SOUTHERN OCEAN COUNTY RSA (LONG BEACH ISLAND, MANAHAWKIN AND WEST CREEK). PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES FOR FURTHER INFORMATION ON HOW THE ORGANIZATION'S HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER ATLANTICARE'S CHARITABLE TAX-EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY AND MEET THE CRITERIA OUTLINED IN REVENUE RULING 69-545. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 ATLANTICARE HEALTH SYSTEM, INC. IS THE PARENT ENTITY OF ATLANTICARE HEALTH SYSTEM, INC. AND ITS AFFILIATES. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. PLEASE ALSO REFER TO SCHEDULE O. NOT FOR-PROFIT ATLANTICARE HEALTHCARE SYSTEM, INC. ENTITIES ATLANTICARE HEALTH SYSTEM, INC. =============================== ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS THE TAX-EXEMPT PARENT OF THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER AH SYSTEM OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY AH SYSTEM. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. ATLANTICARE HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AH SYSTEM ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OF ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AH SYSTEM IS THE SOLE CORPORATE MEMBER OF ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"); A HOSPITAL PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. ARMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF IT RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF ATLANTICARE HEALTH SYSTEM, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ATLANTICARE REGIONAL MEDICAL CENTER =================================== ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC") IS A 589-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN ATLANTIC CITY, ATLANTIC COUNTY, NEW JERSEY. ARMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, ARMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ARMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ATLANTICARE BEHAVIORAL HEALTH, INC. =================================== ATLANTICARE BEHAVIORAL HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ATLANTICARE BEHAVIORAL HEALTH, INC. MANAGES A 30-BED ACUTE CARE PSYCHIATRIC FACILITY IN ATLANTIC COUNTY, NEW JERSEY AND OPERATES 26 LOCATIONS THROUGHOUT THE REGION. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS AND OLDER ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. ATLANTICARE BEHAVIORAL HEALTH, INC. IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. ATLANTICARE FOUNDATION ====================== ATLANTICARE FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ATLANTICARE REGIONAL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ATLANTICARE HEALTH ENGAGEMENT, INC. =================================== ATLANTICARE HEALTH ENGAGEMENT, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND ATLANTICARE REGIONAL MEDICAL CENTER TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONAS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. ATLANTICARE HEALTH SERVICES, INC. ================================= ATLANTICARE HEALTH SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND ATLANTICARE REGIONAL MEDICAL CENTER TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. ATLANTICARE PHYSICIAN GROUP, P.A. ================================= ATLANTICARE PHYSICIAN GROUP, P.A. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES SERVICES OUTSIDE OF THE HOSPITAL ATMOSPHERE TO SPECIALIZE IN PREVENTIVE CARE AND IN DIAGNOSING AND TREATING VARIOUS ILLNESSES. INFOSHARE, INC. =============== INFOSHARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE INFORMATION TECHNOLOGY FIRM OF ATLANTICARE REGIONAL MEDICAL CENTER. AND, AS SUCH, SUPPORTS ALL OTHER ATLANTICARE HEALTH SYSTEM, INC. AFFILIATES TO ACHIEVE MAXIMUM RESULTS THROUGH THE USE OF INFORMATION TECHNOLOGY. FOR PROFIT ATLANTICARE HEALTHCARE SYSTEM, INC. ENTITIES INCLUDE THE FOLLOWING: ATLANTICARE HEALTH PLANS, INC. ============================== A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ENTITY PROVIDES INSURANCE SERVICES FOR BOTH ATLANTICARE HEALTH SYSTEM ENTITIES AND NON ATLANTICARE HEALTH SYSTEM ENTITIES. ATLANTICARE HEALTH SOLUTIONS, INC. ================================== AN INACTIVE FOR-PROFIT CORPORATION. ATLANTICARE SURGERY CENTER, L.L.C. ================================= A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP LOCATED IN EGG HARBOR TOWNSHIP, ATLANTIC COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. BENEFIT SPECIALISTS, INC. ========================= A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ENTITY PROVIDES INSURANCE SERVICES FOR BOTH ATLANTICARE HEALTH SYSTEM ENTITIES AND NON ATLANTICARE HEALTH SYSTEM ENTITIES. COOPERATIVE HEALTHCARE SERVICES OF SOUTH JERSEY, L.L.C. ======================================================= A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY ATLANTICARE HEALTH SYSTEM, INC. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. ENGLISH CREEK ASSURANCE, LTD. ============================= A CONTROLLED FOREIGN CORPORATION BY ATLANTICARE HEALTH SYSTEM, INC. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. SOUTH JERSEY ONCOLOGY PROPERTIES, L.L.C. ======================================== A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY ATLANTICARE HEALTH SERVICES, INC. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. SOUTH JERSEY SPECIALTY HOSPITAL, INC. ===================================== A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ORGANIZATION IS LOCATED IN EGG HARBOR TOWNSHIP, ATLANTIC COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART III, SECTION B; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. true ATLANTICARE HEALTH ENGAGEMENT INC 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 611608389 501(C)(3) 3000000 PROGRAM SUPPORT ATLANTICARE REGIONAL MEDICAL CENTER 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 210634549 501(C)(3) 873047 PROGRAM SUPPORT ATLANTICARE PHYSICIAN GROUP PA 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 020701782 501(C)(3) 7784639 PROGRAM SUPPORT RUTGERS COOPERATIVE EXTENSIONS OF ATLANTIC CO 6260 OLD HARDING HIGHWAY MAYS LANDING NJ 08330 226065311 501(C)(3) 17455 PROGRAM SUPPORT 4 EMPLOYEE ASSISTANCE 21 36099 GRANT AND FUND MONITORING SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X true true false false false false false true false BLAIR A BERGEN MD 0 260451 0 267844 0 18414 0 14604 0 34580 0 595893 0 0 LORI S HERNDON 390416 0 160000 0 56196 0 104858 0 38320 0 749790 0 0 0 DAVID P TILTON 0 676103 0 315000 0 162932 0 494758 0 29988 0 1678781 0 0 WILLIAM B AARONS JR MD 198610 0 16000 0 21636 0 13990 0 3751 0 253987 0 0 0 IRA M STEIN MD 183125 0 0 0 1166 0 12501 0 19249 0 216041 0 0 0 JAMES P NOLAN JR CPA 0 377669 0 165000 0 56736 0 98009 0 43874 0 741288 0 0 KATHERINE A SCHNEIDER MD 294187 0 71980 0 46270 0 83055 0 33250 0 528742 0 0 0 DOMINIC S MOFFA 0 305060 0 120000 0 33866 0 81814 0 39791 0 580531 0 0 WALTER A GREINER 261864 0 70000 0 46904 0 39214 0 35395 0 453377 0 0 0 MARGARET A BELFIELD 359582 0 7500 0 44946 0 40793 0 34978 0 487799 0 0 0 MARILOUISE VENDITTI MD 305699 0 69000 0 47346 0 43760 0 39488 0 505293 0 0 0 TERRI LU SCHIEDER 261713 0 63000 0 27600 0 39589 0 37746 0 429648 0 0 0 DAVID A DESIMONE ESQ 0 233774 0 62250 0 34140 0 35831 0 36926 0 402921 0 0 CHARISSE FIZER 228643 0 50032 0 43282 0 35471 0 17055 0 374483 0 0 0 RICHARD D LOVERING 0 230837 0 60000 0 25849 0 34787 0 37090 0 388563 0 0 ROBYN O BEGLEY 207257 0 55920 0 43499 0 35724 0 22404 0 364804 0 0 0 JOAN MARY BRENNAN 139203 0 50000 0 40879 0 29699 0 37961 0 297742 0 0 0 MEL A MECK 124713 0 29240 0 41698 0 25189 0 33145 0 253985 0 12760 0 JULIA DREW 123604 0 12385 0 0 0 8432 0 10183 0 154604 0 0 0 RENE A ZANELOTTI BUNTING 0 197243 0 55000 0 45831 0 32966 0 16608 0 347648 0 0 DONNA MICHAEL ZIEREIS ESQ 0 143293 0 17997 0 320 0 10079 0 34718 0 206407 0 0 GWENDOLYN MEUSBURGER 122269 0 0 0 190 0 7134 0 34921 0 164514 0 190 0 GEORGE C STOKES 114944 0 12271 0 1030 0 8466 0 16338 0 153049 0 0 0 DONALD J PARKER 57521 0 50000 0 67654 0 10078 0 5037 0 190290 0 60891 0 KEVIN T MCDONNELL 158919 0 15879 0 9538 0 10684 0 28369 0 223389 0 0 0 CHRISTOPHER J STEEN 137021 0 16273 0 7807 0 9804 0 28474 0 199379 0 0 0 CHRISTOPHER A SCANZERA 30446 221431 0 64137 114 12876 2243 35716 0 17668 32803 351828 0 0 DANIEL MORREALE 26665 0 0 0 0 115904 0 0 0 17667 26665 133571 0 354 ALEXANDER D SHARNOFF ESQ 0 143645 0 16507 0 179 0 9933 0 23474 0 193738 0 0 ROMEO PERICIC MD 574306 0 42000 0 18735 0 15458 0 34248 0 684747 0 0 0 JAVID IQBAL MD 373502 0 186460 0 317 0 15223 0 34656 0 610158 0 0 0 PETER N THOMPSON MD 380387 0 119160 0 20801 0 15392 0 34341 0 570081 0 0 0 ALEXANDER AXELRAD MD 414561 0 90150 0 2647 0 15467 0 33015 0 555840 0 0 0 CATHERINE A DUDICK MD 444107 0 61150 0 1031 0 15330 0 38984 0 560602 0 0 0 COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION PAID FOR FINANCIAL/TAX PLANNING SERVICES FOR CERTAIN EMPLOYEES. THE FINANCIAL/TAX PLANNING SERVICES AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S RESPECTIVE 2011 FORM W-2 AS TAXABLE WAGES: LORI S. HERNDON, $1,500; DAVID P. TILTON, $1,500; KATHERINE A. SCHNEIDER, M.D., $1,500; DOMINIC S. MOFFA, $1,500; DAVID A. DESIMONE, ESQ., $1,500; JOAN MARY BRENNAN, $1,500; AND RENE A. ZANELOTTI BUNTING, $1,500. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2011 WHICH THE SEVERANCE PAYMENT WAS INCLUDED IN COLUMN B (III) HEREIN AND IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL MORREALE, $115,550. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MEL A. MECK, $12,760; GWENDOLYN MEUSBURGER, $190; DONALD J. PARKER, $60,891 AND DANIEL MORREALE, $354. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $35,250; DAVID P. TILTON, $308,000; JAMES P. NOLAN, JR., CPA, $33,750; KATHERINE A. SCHNEIDER, $27,500; DOMINIC S. MOFFA, $26,833; WALTER A. GREINER, $23,750; MARGARET A. BELFIELD, $26,667; MARILOUISE VENDITTI, M.D., $27,500; TERRI LU SCHIEDER, $22,500; DAVID A. DESIMONE, ESQ., $20,833; CHARISSE FIZER, $21,333; RICHARD D. LOVERING, $20,000; ROBYN O. BEGLEY, $19,417; JOAN MARY BRENNAN, $14,167; MEL A. MECK, $11,667; RENE A. ZANELOTTI BUNTING, $18,333 AND CHRISTOPHER A. SCANZERA, $21,667. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $51,818; DAVID P. TILTON, $171,500; JAMES P. NOLAN, JR., CPA, $49,613; KATHERINE A. SCHNEIDER, M.D., $40,425 AND DOMINIC S. MOFFA, $39,445. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. COMPENSATION INFORMATION SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AS FOLLOWS: MEL A. MECK, $12,760; GWENDOLYN MEUSBURGER, $190; DONALD J. PARKER, $60,891 AND DANIEL MORREALE, $354. NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FGW7 2005-06-01 25000000 PLEASE REFER TO PART VI false false false NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FQQ9 2007-06-01 113420000 PLEASE REFER TO PART VI true true false NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FJN4 2006-06-01 25000000 PLEASE REFER TO PART VI false false false 0 0 25000000 0 0 0 180200 0 0 24819800 0 0 2007 false false true true 0 0 113420000 4152081 0 62514897 1225397 0 0 49115000 0 0 2007 true true true true 0 0 25000000 0 0 0 104791 0 0 24895209 0 0 2007 false false true true false false true true true true 0.00000 0.00000 0.00000 true false false true true true true 0.00000 0.00000 0.00000 true false false true true true true 0.00000 0.00000 0.00000 true false true false 0 false 0 false false false false false 0 false 0 false false false true false 0 false 0 false false X TAX-EXEMPT BOND ISSUES SCHEDULE K, PART I PLEASE REFER TO SCHEDULE O SUPPLEMENTAL INFORMATION FOR OUR RESPONSE TO CORE FORM PART X, LINE 20; TAX-EXEMPT BOND LIABILITIES. MARISSA SCIBILIA FAMILY MEMBER OF OFFICER 118011 EMPLOYEE OF ARMC false FOX ROTHSCHILD LLP COMPANY OF TRUSTEE 645689 LEGAL SERVICES false SULIN G YAO FAMILY MEMBER OF TRUSTEE 53498 EMPLOYEE OF ARMC false CYNTHIA V ARNONE FAMILY MEMBER OF TRUSTEE 40528 EMPLOYEE OF AH SERVICES false LAURA GRASSO FAMILY MEMBER OF OFFICER 23285 EMPLOYEE OF ARMC false GLENN INSURANCE COMPANY OF TRUSTEE 1781547 INSURANCE false JESSICA L MARTIN FAM MEMBER OF OFF/TRUSTEE 48061 EMPLOYEE OF ARMC false SCOTT J TILTON FAM MEMBER OF OFF/TRUSTEE 67423 EMPLOYEE OF ARMC false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV ERIC M. WOOD, ESQ. IS A TRUSTEE FOR ATLANTICARE REGIONAL MEDICAL CENTER. ATLANTICARE HEALTH SYSTEM, INC. AND SUBORDINATES UTILIZED THE SERVICES OF HIS COMPANY, FOX ROTHSCHILD, L.L.P., DURING 2011. TOTAL FEES PAID TO FOX ROTHSCHILD, L.L.P. BY ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 WERE $645,689. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. TIM GLENN IS A TRUSTEE FOR ATLANTICARE FOUNDATION, INC. ATLANTICARE HEALTH SYSTEM, INC. AND SUBORDINATES UTILIZED THE SERVICES OF HIS COMPANY, GLENN INSURANCE, DURING 2011. TOTAL FEES PAID TO GLENN INSURANCE BY ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 WERE $1,781,547. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. X JEWELRY 1 5000 FMV X GFT CERT,BOOKS&MISC ITEMS 43 71207 FMV false true true NON-CASH CONTRIBUTIONS SCHEDULE M, PART I; QUESTION 32A THE ORGANIZATION HIRES INDEPENDENT THIRD-PARTIES TO SELL NON-CASH CONTRIBUTIONS IT RECEIVES; IF THE ORGANIZATION DECIDES NOT TO RETAIN THE ITEM(S). THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES. COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ATLANTICARE HEALTH SYSTEM, INC. FEID: 22-3265213 ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") IS A NOT-FOR-PROFIT ORGANIZATION LOCATED IN ATLANTIC CITY, NEW JERSEY. THE SYSTEM IS THE SOLE CORPORATE MEMBER OF VARIOUS HEALTHCARE RELATED ORGANIZATIONS, THE MAJORITY OF WHICH ARE TAX-EXEMPT ENTITIES (COLLECTIVELY "ATLANTICARE"). THE SYSTEM PROVIDES LEADERSHIP, MANAGERIAL AND SUPPORT SERVICES TO A NUMBER OF AFFILIATED HEALTHCARE RELATED ORGANIZATIONS. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE SYSTEM AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") CODE SECTION 501(C)(3). SYSTEM AND AFFILIATES ("ATLANTICARE") IS AN INTEGRATED HEALTHCARE SYSTEM DEDICATED TO TRANSFORMING HEALTHCARE AT THE REGIONAL LEVEL BY PROVIDING HIGH QUALITY HEALTH AND WELLNESS SERVICES. ATLANTICARE INCLUDES THE SYSTEM, ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC" AND FORMERLY THE ATLANTIC CITY MEDICAL CENTER), ATLANTICARE BEHAVIORAL HEALTH ("ABH"), ATLANTICARE FOUNDATION ("FOUNDATION"), ATLANTICARE HEALTH SERVICES ("SERVICES"), ATLANTICARE HEALTH PLANS ("HEALTH PLANS"), ATLANTICARE HEALTH ENGAGEMENT(HEALTH ENGAGEMENT) AND INFOSHARE. ADDITIONALLY, THESE KEY ATLANTICARE DIVISIONS PARTICIPATE IN OTHER HEALTH CARE RELATED ACTIVITIES IN COLLABORATION WITH OTHER MEMBERS OF THE COMMUNITY. THE REGION'S LARGEST HEALTHCARE ORGANIZATION AND LARGEST NON-CASINO EMPLOYER, ATLANTICARE'S NEARLY 5,000 EMPLOYEES SERVE THE COMMUNITY IN MORE THAN 60 LOCATIONS. ATLANTICARE AND ITS AFFILIATED ORGANIZATION ARE GOVERNED BY MORE THAN 80 VOLUNTEER COMMUNITY LEADERS WHO DEDICATE CONSIDERABLE TIME AND ENERGY TOWARD THE ULTIMATE ACHIEVEMENT OF ATLANTICARE'S MISSION, VISION AND VALUES: MISSION STATEMENT ================= WE DELIVER HEALTH AND HEALING TO ALL PEOPLE THROUGH TRUSTING RELATIONSHIPS. VISION ====== ATLANTICARE BUILDS HEALTHY COMMUNITIES. VALUES ====== ATLANTICARE STRESSES THE FOLLOWING VALUES: INTEGRITY --------- ACTIONS AND DECISIONS CONSISTENTLY REFLECT THE HIGHEST ETHICAL STANDARDS. ATLANTICARE OPERATES ON THE BASIS OF OPENNESS, TO NURTURE AN ENVIRONMENT OF HONESTY AND TRUST. RESPECT ------- EACH INDIVIDUAL IS TREATED WITH DIGNITY AND COMPASSION. CREATIVITY IS ENCOURAGED. EACH INDIVIDUAL IS EQUALLY IMPORTANT IN A UNIQUE WAY. SAFETY ------ SAFETY OF PATIENTS AND STAFF IS OUR TOP PRIORITY. WE CONTINUE TO INTEGRATE NEW LEARNING IN QUALITY IMPROVEMENT AND SAFETY MANAGEMENT TO ALL ASPECTS OF OUR CARE ENVIRONMENT. SERVICE ------- CUSTOMER COMMITMENTS ARE BUILT UPON THE PHILOSOPHY THAT QUALITY AND SERVICE WILL IMPROVE OVER TIME USING A PROCESS OF CONTINUOUS QUALITY IMPROVEMENT. PERFORMANCE IS MEASURED AGAINST CUSTOMER'S STANDARDS, WITH THE GOAL TO EXCEED THEIR EXPECTATIONS. TEAMWORK -------- TO ACHIEVE THE GREATEST SUCCESS, COLLABORATION AND OPEN COMMUNICATION ARE ESSENTIAL. CHARITABLE PURPOSE ================== ATLANTICARE PROVIDES URGENT AND EMERGENT HEALTH CARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO INDIVIDUALS WHO RESIDE IN OUR PRIMARY AND REGIONAL SERVICE AREAS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, COLOR, CREED, SEX, NATIONAL ORIGINS, HANDICAP, AGE, LIFESTYLE, FINANCIAL STATUS OR ABILITY TO PAY. ARMC IS ONE OF TWO "SAFETY NET" HOSPITALS IN SOUTHERN NEW JERSEY PROVIDING APPROXIMATELY $49 MILLION IN CHARITY CARE, AT COST, WHICH REPRESENTS APPROXIMATELY 90% OF THE CHARITY CARE PROVIDED IN ATLANTIC COUNTY AND MORE CHARITY CARE THAN THE 7 CLOSEST HOSPITALS COMBINED. ATLANTICARE ALSO PROVIDES FREE CARE TO PATIENTS THAT DO NOT MEET THE STATE ELIGIBILITY REQUIREMENTS FOR CHARITY CARE DESIGNATION OR WHO ARE NOT COMPLIANT IN PURSUING ELIGIBILITY STATUS. ADDITIONALLY, ATLANTICARE SPONSORS OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO THE NEEDY AND ELDERLY POPULATION THAT MAY REQUIRE SPECIAL SUPPORT, VARIOUS CLINICAL OUTREACH PROGRAMS, IN ADDITION TO HEALTH PROMOTION AND DISEASE PREVENTION AND MANAGEMENT EDUCATION FOR THE GENERAL COMMUNITY WELFARE. ATLANTICARE PROUDLY SUPPORTS THE COMMUNITY IN MANY WAYS BY PARTICIPATING IN EVENTS AND OFFERING ACTIVITIES AND SERVICES THAT ENHANCE THE OVERALL QUALITY OF LIFE FOR PEOPLE. THE TOTALITY OF THESE ACTIONS WORK TO BUILD HEALTHY COMMUNITIES. THE UNITED WAY OF ATLANTIC COUNTY IS AN ORGANIZATION WITH WHICH ATLANTICARE HAS HAD CONSIDERABLE INVOLVEMENT. EACH YEAR, ATLANTICARE'S UNITED WAY CAMPAIGN IS AMONG THE STRONGEST AND MOST SUCCESSFUL OF ANY BUSINESS IN ATLANTIC COUNTY. DURING THE 2011 CAMPAIGN, ATLANTICARE AND ITS EMPLOYEES CONTRIBUTED APPROXIMATELY $250,000. ATLANTICARE PROVIDES SCHOLARSHIPS/SUPPORT TO LOCAL SCHOOLS WHICH INCLUDE SCHOLARSHIPS FOR NURSING AND ALLIED HEALTH DEGREES, TECHNICAL HONOR SOCIETY, SILVER EAGLE AWARD AND SUPPORT OF NUMEROUS LOCAL SCHOOL SPORTS PROGRAMS. ATLANTICARE ALSO PROVIDES EXTENSIVE SUPPORT TO CHARITABLE EVENTS SUCH AS; THE AMERICAN HEART ASSOCIATION HEART WALK, BIG BROTHERS & BIG SISTERS BOWL-A-THON, RUTH NEWMAN SHAPIRO HEART & CANCER MEMORIAL FUND BALL, SHIRLEY MAE BREAST CANCER ASSISTANCE FUND WALK/RUN AND THE GOLD FOUNDATION GOLF TOURNAMENT TO NAME A FEW. OTHER COMMUNITY SERVICE PROGRAMS/ORGANIZATIONS OF WHICH ATLANTICARE IS INVOLVED WITH ARE GILDA'S CLUB OF SOUTH JERSEY, AMERICAN RED CROSS, MARCH OF DIMES, SOUTH JERSEY AIDS ALLIANCE AND LOCAL POLICE, FIRE & EMS DEPARTMENTS. ATLANTICARE'S INVOLVEMENT IN HEALTH FAIRS, SEMINARS AND SUPPORT GROUPS INCLUDE, BUT IS NOT LIMITED TO, THE ATLANTIC CITY MARATHON, THE HAMMONTON AND MARGATE COMMUNITY FARMERS' MARKETS, NAACP STATE CONFERENCE, SEVERAL HEALTH FAIRS SPONSORED BY LOCAL FAITH BASED GROUPS, THE RICHARD STOCKTON COLLEGE WELLNESS DAYS, ATLANTIC CITY CHAMBER & JEWISH COMMUNITY CENTER'S SENIOR EXPO, COMMUNITY BASED BREAST CANCER SURVIVOR SUPPORT GROUP, THE LINKS/GOLDEN CIRCLE HEALTH FAIR AND HAMMONTON GREEN DAY FESTIVAL. ATLANTICARE IS ALSO INVOLVED WITH VARIOUS EDUCATIONAL PROGRAMS. THESE INCLUDE, BUT ARE NOT LIMITED TO, JOB SHADOW DAYS, COMMUNITY HEALTH SERVICES SCHOOL PRESENTATIONS, SAFE SITTER PROGRAM, FIRST AID CLASSES, PARENTING, SIBLING AND BIRTHING CLASSES. VARIOUS COMMUNITY EVENTS ARE OFFERED BY ATLANTICARE. THESE FREE COMMUNITY EVENTS ARE PROMOTED VIA ATLANTICARE ADVANCES, A CALENDAR MAILING, ADS PLACED IN LOCAL NEWSPAPERS AND ATLANTICARE'S WEBSITE. COMMUNITY EVENTS INCLUDE: - CANCER SURVIVORS DAY - ADULT DIABETES SUPPORT GROUP - WEIGHT LOSS SURGERY SEMINARS & SUPPORT GROUPS - HEART HEROES MEETINGS - HEADACHES: PREVENTION, DIAGNOSIS AND TREATMENT - LOW BACK PAIN: BODY BASICS - DEALING WITH A CANCER DIAGNOSIS - MATTERS OF THE HEART LECTURES & CARDIAC SCREENINGS - DEALING WITH JOINT PAIN - PREPARING FOR CHEMOTHERAPY - STRIKE OUT STROKE - COPING WITH LOSS THIS IS NOT AN ALL INCLUSIVE LIST. ATLANTICARE BRINGS HEALTH AND WELLNESS SERVICES TO THE COMMUNITY THROUGH MOBILE OUTREACH, EDUCATION, SCREENINGS AND SUPPORT GROUPS. COMMUNITY OUTREACH SERVICES IN CURRENT AND PRIOR YEARS INCLUDE: - HEART CHECK IS A THOROUGH, CONVENIENT AND AFFORDABLE CARDIAC SCREENING PERFORMED BY AN EXPERIENCED TEAM FROM THE HEART INSTITUTE ON THE ATLANTICARE COMMUNITY HEALTH MOBILE. - THE ATLANTICARE REGIONAL MEDICAL CENTER RNS MOBILE MAMMOGRAPHY VAN OFFERS WOMEN OVER AGE 35 A BREAST SCREENING IN LESS THAN 30 MINUTES AT A LOCATION CLOSE TO THEIR HOME OR WORKPLACE. ARMC PROVIDES MAMMOGRAPHY SERVICES FREE OR ON A SLIDING FEE BASIS TO WOMEN WHO DO NOT HAVE INSURANCE IN 2011 WE SCREENED APPROXIMATELY 3,000 WOMEN THROUGH THE MOBILE MAMMOGRAPHY VAN. - "MATTERS OF THE HEART" IS A FREE MONTHLY HEART HEALTH SEMINAR THE HEART INSTITUTE AT ARMC OFFERS THE COMMUNITY. IT INCLUDES SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR. IN 2010 THE HEART INSTITUTE CONDUCTED 653 HEART HEALTH CHECKS. - SUPPORT GROUPS INCLUDE A STROKE SUPPORT GROUP, A BREAST CANCER SURVIVOR SUPPORT GROUP AND LOOK GOODFEEL BETTER FOR BREAST CANCER PATIENTS; AND A SUPPORT GROUPS FOR PATIENTS WHO HAVE HAD WEIGHT LOSS SURGERY ALONG WITH CARE FOR THE CAREGIVER SUPPORT GROUP, CHRONIC FATIGUE SYNDROME, TOURETTE SYNDROME ALONG WITH LOSS SUPPORT GROUPS OFFERED THROUGH HOSPICE AND WOMEN EXPERIENCING A PERINATAL LOSS. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - ARMC REGIONAL TRAUMA CENTER DONATED CHILD LIFE VESTS TO LOCAL MARINAS AND SPONSORED ITS SIXTH ANNUAL BIKE HELMET SAFETY PROGRAM ATLANTICARE'S HEALTH ENGAGEMENT SUPPORTS NUMEROUS COMMUNITY OUTREACH PROGRAMS DESIGNED TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF SOUTHEASTERN NEW JERSEY. A NON-INCLUSIVE LIST OF SUCH PROGRAMS ARE AS FOLLOWS: - HEALTHY SCHOOLS/HEALTHY CHILDREN - CHRONIC DISEASE SELF MANAGEMENT CLASSES - A COMMUNITY GARDENING INITIATIVE, ENTITLED GROWING GREEN - HEALING ARTS PROGRAMMING ATLANTICARE PROVIDES VARIOUS LIFE SUPPORT TRAINING CLASSES INCLUDING THE FOLLOWING: - BASIC LIFE SUPPORT PROGRAMS - EMERGENCY CARDIOVASCULAR CARE PROGRAMS - INSTRUCTOR DEVELOPMENT PROGRAMS AWARDS AND RECOGNITIONS ----------------------- - AMERICAN HOSPITAL ASSOCIATION- MCKESSON QUEST FOR QUALITY PRIZE FINALIST-2011 - AMERICAN HOSPITAL ASSOCIATION FOSTER G. MCGAW PRIZE FOR EXCELLENCE IN COMMUNITY SERVICE FINALIST-2011 - ATLANTICARE KIDS EARNS ACCREDITATION FROM THE NATIONAL ASSOCIATION OF THE EDUCATION OF YOUNG CHILDREN (NAEYC)-2010 - ATLANTICARE EARNS SUCCESSFUL OUTCOMES THROUGH LEARNING AWARD IN CATEGORY ENTERPRISE LEARNING BY HEALTH STREAM INC.-2010 - ATLANTICARE'S BREAST HEALTH PROGRAM RECEIVES A THREE YEAR/FULL ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC)-2010 - ATLANTICARE NAMED A WINNER IN THE MALCOLM BALDRIDGE NATIONAL QUALITY AWARD-2009 - ATLANTICARE NAMED ONE OF THE 100 MOST WIRED HOSPITALS AND HEALTH SYSTEMS IN THE NATION BY HOSPITALS & HEALTH NETWORKS MAGAZINE.-2009 - ATLANTICARE HEART INSTITUTE EARNS AMERICAN HEART/AMERICAN STROKE ASSOCIATION'S SILVER GET WITH THE GUIDELINES SILVER PERFORMANCE ACHIEVEMENT AWARD-2009 - ATLANTICARE'S T.E.A.M DIABETES RECEIVES AMERICAN DIABETES ASSOCIATION (ADA) FOR QUALITY SELF MANAGEMENT EDUCATION RECOGNITION-2009 - ATLANTICARE HOMECARE WAS NAMED ONE OF THE TOP 100 OUT OF 2,600 AGENCIES NATIONWIDE-2008. - ARMC JOINT INSTITUTE EARNS JOINT COMMISSION GOLD SEAL OF APPROVAL-2008 - HOSPITAL RECOGNITION FOR QUALITY & SAFETY FROM HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY-2007 - NEW JERSEY'S GOVERNOR'S AWARD FOR PERFORMANCE EXCELLENCE FOR QUALITY AND PERFORMANCE - BRONZE 2007 - FREEDOM FUND AWARD FROM THE NAACP-2007 - UNITED WAY OF ATLANTIC COUNTY - THOMAS J. KUHAR FOUNDER'S AWARD-2006 - ATLANTIC CITY METROPOLITAN BUSINESS & CITIZEN'S APPRECIATION AWARD-2006 - NJ HOSPITAL AWARD FOR OUTREACH- MISSION HEALTHCARE-2006 CENTERS FOR MEDICARE AND MEDICAID (CMS) RANKED ARMC SEVENTH IN THE NATION FOR THE CARE OF HEART ATTACK, CONGESTIVE HEART FAILURE AND PNEUMONIA PATIENTS BASED ON DATA COMPILED BY HARVARD UNIVERSITY FOR THE COMMONWEALTH FUND. - UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) MEDAL OF HONOR FOR OUTSTANDING RATES OF ORGAN DONATION. ONLY THREE PERCENT OF HOSPITALS NATIONWIDE HAVE ACHIEVED THE AWARD. IN ADDITION, ATLANTICARE PROVIDES A SIGNIFICANT POSITIVE ECONOMIC CONTRIBUTION TO THE COMMUNITY. ATLANTICARE DIRECTLY IMPACTS THE COMMUNITY IN A POSITIVE MANNER BY VIRTUE OF EMPLOYING NEARLY 5,000 AREA RESIDENTS. ATLANTICARE SUPPORTS THE LOCAL BUSINESS COMMUNITY BY PURCHASING GOODS AND SERVICES FROM MANY LOCAL AREA BUSINESSES. ATLANTICARE REGIONAL MEDICAL CENTER FEID: 21-0634549 BACKGROUND ========== ARMC IS A 589-BED, NOT-FOR-PROFIT HOSPITAL THAT WAS FOUNDED IN 1898 AS A TEN-BED FACILITY IN A CONVERTED HOME ON OHIO AVENUE IN ATLANTIC CITY. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED ARMC AS BEING A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501(C) (3). ARMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: ARMC PROVIDES URGENT AND EMERGENT HEALTH CARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO INDIVIDUALS WHO RESIDE IN OUR PRIMARY SERVICE AREA IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, COLOR, CREED, SEX, NATIONAL ORIGINS, HANDICAP, AGE, LIFESTYLE, FINANCIAL STATUS OR ABILITY TO PAY. ARMC OPERATES TWO ACTIVE EMERGENCY ROOMS FOR ALL PERSONS; WHICH ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; ARMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND CONTROL OF ARMC RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF ARMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF ARMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ARMC'S CITY CAMPUS IS LOCATED IN ATLANTIC CITY WHERE THE HOSPITAL WAS FOUNDED, AND IS A BUSY METROPOLITAN HOSPITAL SERVING A GROWING RESIDENT POPULATION AND MORE THAN 35 MILLION TOURISTS EACH YEAR. ARMC'S MAINLAND CAMPUS, WHICH OPENED IN 1975, IS LOCATED IN GALLOWAY, NEW JERSEY, ONE OF THE STATE'S FASTEST GROWING RESIDENTIAL AND COMMERCIAL AREAS. ARMC OFFERS A NUMBER OF OUTPATIENT SERVICES, MANY OF WHICH IT PROVIDES AT THE ATLANTICARE HEALTHPLEX, OWNED AND OPERATED BY ARMC. LOCATED IN ATLANTIC CITY, THE HEALTHPLEX OFFERS A WIDE RANGE OF OUTPATIENT SERVICES IN ONE CONVENIENT LOCATION. ARMC IS A TEACHING HOSPITAL, TRAINING RESIDENTS IN A NUMBER OF SPECIALTIES. ARMC IS HOME TO MANY CENTERS OF EXCELLENCE AND SPECIALIZED SERVICES, SEVERAL OF WHICH ARE EXCLUSIVE TO THE REGION. - LEVEL II REGIONAL TRAUMA CENTER - NEONATAL INTENSIVE CARE UNIT (NICU) - ACCREDITED CHEST PAIN CENTER - ACCREDITED STROKE CENTER - HEART INSTITUTE - THE REGION'S ONLY FULL SERVICE CARDIAC SURGERY PROGRAM - THE JOINT INSTITUTE - THE SPINE INSTITUTE - STANLEY M. GROSSMAN PEDIATRIC CENTER - THE CANCER CARE INSTITUTE - KLIGERMAN DIGESTIVE DISEASE CENTER - CENTER FOR SURGICAL WEIGHT LOSS AND WELLNESS - ROGER B. HANSEN CENTER FOR CHILDBIRTH - WOMEN'S HEALTH AND WELLNESS - PSYCHIATRIC UNIT AND CRISIS INTERVENTION PROGRAM - SPECIAL CARE CENTER - JOSLIN DIABETES CENTER - WOUNDCARE CENTERS ARMC IS PROUD OF ITS AFFILIATIONS WITH RENOWNED HEALTHCARE ORGANIZATIONS INCLUDING THOMAS JEFFERSON UNIVERSITY HOSPITAL AND JEFFERSON'S PEDIATRIC AFFILIATE, THE NEMOURS DUPONT HOSPITAL FOR CHILDREN IN WILMINGTON, DELAWARE; FOX CHASE CANCER CENTER AND NEW YORK UNIVERSITY. MISSION, VISION AND VALUES ========================== MISSION STATEMENT ================= TO CARE FOR THE SICK, INJURED AND POOR IN AN ENVIRONMENT WHERE PATIENTS, THEIR FAMILIES AND PHYSICIANS ARE EXTENDED A SUPERIOR LEVEL OF PERSONAL SERVICE; WHERE QUALITY IMPROVES IN MEASURABLE TERMS; IN AN ENVIRONMENT WHICH RESPECTS THE DIGNITY OF THE PATIENT, FAMILY AND ALL ON THE HEALTHCARE TEAM. VISION ====== ATLANTICARE REGIONAL MEDICAL CENTER WILL BE THE PREMIER HEALTHCARE PROVIDER IN NEW JERSEY. WE WILL ACHIEVE AND SUSTAIN EXCELLENCE IN QUALITY OF CARE AND PERSONAL SERVICE THROUGH TOTAL CONFORMANCE TO CUSTOMER'S EXPECTATIONS WHILE PROVIDING AN OUTSTANDING WORK ENVIRONMENT. CHARITABLE PURPOSE ================== ARMC PROVIDES URGENT AND EMERGENT HEALTH CARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO INDIVIDUALS WHO RESIDE IN OUR PRIMARY SERVICE AREA IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, COLOR, CREED, SEX, NATIONAL ORIGINS, HANDICAP, AGE, LIFESTYLE, FINANCIAL STATUS OR ABILITY TO PAY. MOREOVER, ARMC PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS WHO MEET THE STATE-MANDATED CHARITY CARE ELIGIBILITY REQUIREMENTS APPROXIMATED $49 MILLION AND $47 MILLION FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTIONS OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE MEDICAL CENTER ALSO PROVIDES FREE CARE TO PATIENTS WHO DO NOT MEET THE STATE ELIGIBILITY REQUIREMENTS OR ARE NOT COMPLIANT IN PURSUING ELIGIBILITY STATUS. SUCH AMOUNTS ARE INCLUDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS PART OF THE PROVISION FOR UNCOLLECTIBLES, NET OF ANY RECOVERIES REALIZED THROUGH COLLECTION EFFORTS. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ARMC HAS ALSO INSTITUTED A SELF PAY DISCOUNT POLICY THAT LIMITS CHARGES FOR MEDICAL SERVICES TO AN AMOUNT NOT TO EXCEED 115% OF THE APPLICABLE MEDICARE REIMBURSEMENT RATE FOR ALL QUALIFIED UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR EXISTING STATE, FEDERAL AND LOCAL PROGRAMS. ADDITIONALLY, THE COMPANY SPONSORS OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO THE NEEDY AND ELDERLY POPULATION THAT REQUIRE SPECIALS SUPPORT, VARIOUS CLINICAL OUTREACH PROGRAMS AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. ARMC'S COLLECTION POLICIES INCLUDE DISCOUNTS FOR THOSE PATIENTS WHO ARE UNINSURED BUT DO NOT QUALIFY FOR THE STATE CHARITY CARE PROGRAM. ARMC IS ONE OF TWO DESIGNATED SAFETY NET HOSPITALS IN SOUTHERN NEW JERSEY PROVIDING APPROXIMATELY 90% OF THE CHARITY CARE IN ATLANTIC COUNTY AND MORE CHARITY CARE THAN THE 7 CLOSEST HOSPITALS COMBINED. AWARDS AND RECOGNITIONS ======================= - NATIONAL RECOGNITION FOR ORGAN DONATION THROUGH THE DEPARTMENT OF HEALTH & HUMAN SERVICES AT BOTH HOSPITAL CAMPUSES. - MAGNET TM DESIGNATION FOR EXCELLENCE IN NURSING - 2005 AND 2004 (105TH HOSPITAL IN NATION AND 15TH IN NEW JERSEY TO ACHIEVE THIS STATUS) REDESIGNATED IN OCTOBER OF 2008. - J.D. POWERS AND ASSOCIATES DISTINGUISHED HOSPITAL DESIGNATION - 2004, 2005 AND 2006. - VALOR AWARDS - ATLANTIC CITY FIRE DEPARTMENT - 2004 (RECOGNITION OF THE HOSPITAL'S RESPONSE TO THE 2003 TROPICANA GARAGE COLLAPSE). ATLANTICARE BEHAVIORAL HEALTH (ABH) FEID: 21-0721208 ABH IS SOUTHEASTERN NEW JERSEY'S LARGEST PROVIDER OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE/ADDICTION RECOVERY SERVICES. WITH 26 LOCATIONS THROUGHOUT THE REGION, ABH OFFERS A BROAD RANGE OF SERVICES TO HELP INDIVIDUALS AND THEIR FAMILIES WITH SERIOUS MENTAL ILLNESSES, ANXIETIES RELATED TO SCHOOL OR JOB STRESS, AND MARRIAGE COUNSELING SERVICES. ABH ALSO PROVIDES EMPLOYEE ASSISTANCE PROGRAMS FOR AREA EMPLOYERS, WHICH INCLUDE EMPLOYEE COUNSELING SERVICES, BEHAVIORAL HEALTH AND WELLNESS PROGRAMS AND CRITICAL INCIDENT DEBRIEFING SERVICES. ABH MANAGES A 30-BED PSYCHIATRIC INPATIENT PROGRAM LOCATED AT THE MAINLAND CAMPUS AND A PSYCHIATRIC CRISIS INTERVENTION PROGRAM AT THE CITY CAMPUS OF ARMC. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED ABH AS A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501 (C)(3). THE MAJORITY OF ABH'S PATIENTS ARE UNDERINSURED (MEDICAID/MEDICARE) OR UNINSURED. BEHAVIORAL HEALTH PROVIDES SERVICES TO CLIENTS WITHOUT INSURANCE COVERAGE AND CHARGES RATES BASED ON A SLIDING SCALE FEE BASED ON INCOME AND FAMILY SIZE. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS THAT MEET THE ESTABLISHED CRITERIA APPROXIMATED $1,923,000 AND $1,991,000 FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010 RESPECTIVELY. ABH PROVIDES MANY OF THEIR SERVICES UNDER GRANTS FROM STATE AND FEDERAL AGENCIES. SUCH PROGRAMS INCLUDE: DEPARTMENT OF EDUCATION ----------------------- - 21ST CENTURY COMMUNITY LEARNING CENTERS DEPARTMENT OF HUMAN SERVICES ---------------------------- - DIVISION OF MENTAL HEALTH SERVICES OUTPATIENT TREATMENT - DIVISION OF ADDICTION SERVICES, OUTPATIENT AND INTENSIVE OUTPATIENT TREATMENT - WELFARE TO WORK SERVICES DEPARTMENT OF CHILDREN AND FAMILIES ----------------------------------- - SCHOOL BASED YOUTH SERVICES PROGRAM - OAKCREST TEEN CENTER - SCHOOL BASED YOUTH SERVICES PROGRAM - AC TEEN - SCHOOL BASED YOUTH SERVICES PROGRAM - BUENA TEEN AND CLEARY MIDDLE SCHOOL - FAMILY FRIENDLY CENTER - HAMMONTON ELEMENTARY SCHOOL - JOB TRAINING PROGRAM - BUENA - FOSTER CARE RESOURCE HOMES - CHILDREN AND ADOLESCENT OUTPATIENT TREATMENT - FAMILY PERMANENCY AND MENTORING PROGRAMS - MOBILE OUTREACH DEPARTMENT OF HEALTH --------------------- - SUBSTANCE ABUSE TREATMENT SERVICES TO WOMEN - COUNTY OF ATLANTIC - SUBSTANCE ABUSE INTENSIVE OUTPATIENT TREATMENT FOR MEDICALLY INDIGENT ADULTS - ADOLESCENT OUTPATIENT SERVICES - FAMILY OUTREACH PROGRAM - ATLANTIC CITY MLK FAMILY CENTER - ATLANTIC CITY UPTOWN SCHOOL FAMILY CENTER - HAMMONTON FAMILY CENTER - NJ AFTER 3 HAMMONTON AFTER SCHOOL PROGRAM ATLANTICARE FOUNDATION FEID: 22-2148992 THE FOUNDATION EXISTS TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY THROUGH A COMPREHENSIVE DEVELOPMENT PROGRAM TO SUPPORT SAFE, EQUITABLE, QUALITY HEALTHCARE; AND TO PROMOTE HEALTHY BEHAVIORS. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE FOUNDATION AS BEING A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501(C)(3). THE FOUNDATION IS COMMITTED TO SPREADING THE EPIDEMIC OF HEALTH THROUGHOUT OUR COMMUNITY BY PROVIDING FINANCIAL RESOURCES TO HELP FUND HEALTH STATUS IMPROVEMENT, WHICH INCLUDES SUPPORTING THE PROGRAMS AND CAPITAL EXPANSION PROJECTS AT ATLANTICARE REGIONAL MEDICAL CENTER AND ITS AFFILIATES. ATLANTICARE HEALTH SERVICES FEID: 22-3265214 SERVICES IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND THE HOSPITAL TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED SERVICES AS BEING A TAX-EXEMPT ORGANIZATION UNDER THE IRC CODE SECTION 501(C)(3). SERVICES PROGRAMS INCLUDE: - ATLANTICARE SURGERY CENTER LLC, A FULL SERVICE, FREESTANDING AMBULATORY SURGERY CENTERS. - ATLANTICARE KIDS CHILDCARE AND EARLY LEARNING CENTERS, INCLUDING IN-SCHOOL AND AFTER-SCHOOL PROGRAMS PROVIDING INFANT CARE THROUGH PRE-KINDERGARTEN AND PRE-SCHOOL PROGRAMS. APPROXIMATELY 400 CHILDREN ARE ENROLLED. - ATLANTICARE LIFE CENTER, OFFERING A FULL SPECTRUM OF HEALTH AND WELLNESS, PHYSICAL AND REHABILITATIVE CONDITIONING. - ATLANTICARE CLINICAL LABS, PROVIDING LAB SERVICES AT TEN CONVENIENT LOCATIONS. - ATLANTICARE HOME CARE NURSES AND OTHER HEALTHCARE PROFESSIONALS MAKE HOME VISITS TO ASSIST PATIENTS WITH THEIR MEDICAL NEEDS. - ATLANTICARE HOSPICE WORKS WITH PATIENTS AND THEIR FAMILIES TO ENHANCE THE END STAGES OF LIFE IN THE COMFORTABLE SURROUNDINGS OF THE PATIENT'S HOME. - ATLANTICARE HEALTH PARK, A REGIONAL HEALTHCARE AMBULATORY CARE CAMPUS OFFERING A VARIETY OF SERVICES. - ATLANTICARE OCCUPATIONAL MEDICINE PROVIDES OCCUPATIONAL MEDICINE FOR BUSINESSES AND MUNICIPALITIES, INCLUDING THE TREATMENT OF WORK RELATED INJURIES - MISSION HEALTHCARE, A PROGRAM OFFERING PRIMARY CARE TO THE HOMELESS POPULATION OPERATING AS A FEDERALLY QUALIFIED HEALTH CENTER - ATLANTICARE LIFELINE PROVIDES EMERGENCY MEDICAL ALERT CAPABILITY TO INDIVIDUALS WHO REQUIRE CONVENIENT NOTIFICATION CAPABILITIES. - WEISMAN PEDIATRICS JOINT VENTURE PARTNERSHIP PROVIDING MEDICALLY SUPERVISED CHILD CARE TO CHILDREN WITH HEALTH CHALLENGES. ATLANTICARE PHYSICIAN GROUP FEID: 22-3265314 THE PHYSICIAN GROUP PROVIDES SERVICES OUTSIDE OF THE HOSPITAL ATMOSPHERE TO SPECIALIZE IN PREVENTIVE CARE AND IN DIAGNOSING AND TREATING VARIOUS ILLNESSES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED SERVICES AS BEING A TAX-EXEMPT ORGANIZATION UNDER THE IRC CODE SECTION 501(C) (3). - ATLANTICARE PRIMARY/URGENT CARE CENTERS (LOCATED IN ATLANTIC, CAPE MAY AND OCEAN COUNTIES) OFFERING PRIMARY CARE AND URGENT CARE AS AN ALTERNATIVE TO MORE EXPENSIVE EMERGENCY ROOM TREATMENT. - PAVILION OB/GYN A FULL SERVICE OBSTETRICS AND GYNECOLOGY PRACTICE. - ATLANTICARE HEALTHRITE IN-STORE HEALTH CENTER THAT OFFERS QUICK CONVENIENT HEALTHCARE SERVICES TO WALK IN PATIENTS. INFOSHARE FEID: 22-3337816 INFOSHARE IS THE INFORMATION TECHNOLOGY FIRM OF ATLANTICARE AND, AS SUCH, SUPPORTS ALL OTHER ATLANTICARE AFFILIATES TO ACHIEVE MAXIMUM RESULTS THROUGH THE USE OF INFORMATION TECHNOLOGY. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED INFOSHARE AS A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501(C)(3). INFOSHARE'S INNOVATIVE NETWORKING TECHNOLOGY ENHANCES THE SPEED AND EFFICIENCY OF PATIENT'S DIAGNOSIS AND TREATMENT WHILE MAINTAINING PATIENT CONFIDENTIALITY AND SAFETY. INFOSHARE HAS BEEN RECOGNIZED FOR ITS INNOVATION IN HEALTHCARE THROUGH THE FOLLOWING AWARDS: - TOP 100 INTEGRATED HEALTHCARE SYSTEMS BY HOSPITALS AND HEALTH NETWORK MAGAZINE. - TOP (7) NETWORKED HEALTHCARE SYSTEMS IN THE UNITED STATES FOR INFORMATION TECHNOLOGY BY HEALTHCARE INFORMATICS MAGAZINE. WORKING WITH COMMUNITY LEADERS AND IN PARTNERSHIP WITH ATLANTICARE HEALTH PLANS, INFOSHARE HAS BUILT A "CONNECTED COMMUNITY HEALTH EXCHANGE" THAT SHARES HEALTH INFORMATION SEAMLESSLY AMONG ALL PARTICIPATING HEALTHCARE AND HEALTH MANAGEMENT STAKEHOLDERS. THE GOAL OF THIS PROJECT IS TO IMPROVE THE HEALTHCARE STATUS OF THE COMMUNITY. ATLANTICARE HEALTH ENGAGEMENT, INC. FEID:61-1608389 AT THE END OF 2009 ATLANTICARE HEALTH ENGAGEMENT, INC. WAS ESTABLISHED TO SUPPORT THE DEVELOPMENT OF HEALTH MANAGEMENT CAPABILITIES AND STRUCTURES, AND HEALTH STATUS IMPROVEMENT INITIATIVES FOR THE BENEFIT OF THE BROADER COMMUNITY. THE ATLANTICARE REGIONAL MEDICAL CENTER CONTRIBUTED FOR THE YEAR ENDED DECEMBER 31,2011 AND 2010 $3,000,000 AND $4,000,000 RESPECTIVELY TO SUPPORT THE MISSION AND VISION OF HEALTH ENGAGEMENT. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. DISCLOSURE INFORMATION CORE FORM, PART I; SUMMARY THE TOTAL VOTING AND INDEPENDENT VOTING MEMBERS DISCLOSED ON PAGE 1 OF THIS FORM 990 IS FOR ATLANTICARE REGIONAL MEDICAL CENTER; THE LARGEST SUBORDINATE ORGANIZATION INCLUDED IN THE GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS THE VOTING AND INDEPENDENT VOTING DISCLOSURE INFORMATION FOR ALL OTHER ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION: - ATLANTICARE BEHAVIORAL HEALTH, INC.; 12 VOTING, 11 INDEPENDENT; - ATLANTICARE FOUNDATION; 22 VOTING, 15 INDEPENDENT; - ATLANTICARE HEALTH ENGAGEMENT; 3 VOTING, 0 INDEPENDENT; - ATLANTICARE HEALTH SERVICES, INC.; 12 VOTING, 10 INDEPENDENT; AND - INFOSHARE, INC.; 3 VOTING, 0 INDEPENDENT. DISCLOSURE INFORMATION CORE FORM, PART III, QUESTION 3 INFOSHARE, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TRANSFERRED ITS ACTIVITY AND OPERATIONS TO ATLANTICARE HEALTH SYSTEM, INC; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION DURING 2011. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ATLANTICARE HEALTH SYSTEM, INC. ("AHS") IS THE SOLE MEMBER OF ALL ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 OTHER THAN ATLANTICARE BEHAVIORAL HEALTH, INC. ("ABH"). AHS HAS THE RIGHT TO ELECT THE MEMBERS OF EACH SUBORDINATE ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN EACH SUBORDINATE ORGANIZATION'S BYLAWS. ATLANTICARE REGIONAL MEDICAL CENTER HAS THE RIGHT TO ELECT THE MEMBERS OF ABH'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN ABH'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11b THE ORGANIZATION IS AN AFFILIATE IN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS provided TO THE SYSTEM'S GOVERNING BODY; ITS FULL BOARD OF TRUSTEES, FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION AND THE SYSTEM TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER SYSTEM INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO EACH MEMBER OF THE SYSTEM'S GOVERNING BODY AND FILING WITH THE IRS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE IN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"). ATLANTICARE HEALTH SYSTEM, INC., THE TAX-EXEMPT PARENT ORGANIZATION, HAS ADOPTED A SYSTEM WIDE CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF ITS SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S GENERAL COUNSEL FOR REVIEW. THEREAFTER THE GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE SYSTEM'S GENERAL COUNSEL PRESENTS THIS SUMMARY TO THE SYSTEM'S GOVERNANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES ("BOARD") OF ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE EXECUTIVE STAFF OF THE SYSTEM. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE SET WITHIN THE FRAMEWORK OF A FORMAL COMPENSATION PHILOSOPHY THAT IS APPROVED BY THE BOARD. THE COMPENSATION PHILOSOPHY APPROVES THE USE OF A NATIONAL PEER GROUP OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS THAT ARE SIMILAR TO THE SYSTEM IN SIZE AND ORGANIZATIONAL CHARACTERISTICS. THE KEY ELEMENTS OF THE COMPENSATION PHILOSOPHY ARE: TOTAL COMPENSATION POSITIONED AROUND THE 75TH PERCENTILE, COMPOSED OF THE FOLLOWING ELEMENTS OF PAY: - BASE SALARIES POSITIONED BETWEEN THE MEDIAN AND THE 75TH PERCENTILE - INCENTIVE OPPORTUNITIES COMPARABLE TO THOSE OF THE PEER GROUP AND DESIGNED TO POSITION TOTAL CASH COMPENSATION AT THE 75TH PERCENTILE FOR EXPECTED PERFORMANCE (INCLUDES BOTH ANNUAL AND LONG-TERM INCENTIVES) - EXECUTIVE BENEFITS POSITIONED AT THE 75TH PERCENTILE - CONSERVATIVE PERQUISITES AND SEVERANCE THE COMMITTEE APPROVES THE PAY OF ALL EXECUTIVES. IT SETS THE COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER ("PRESIDENT"). THE PRESIDENT RECOMMENDS SALARY ADJUSTMENTS AND INCENTIVE AWARD PAYMENTS TO THE COMMITTEE. THE COMMITTEE CAN APPROVE, MODIFY OR REJECT THE PRESIDENT'S RECOMMENDATIONS AS APPROPRIATE. EACH YEAR, PRIOR TO MAKING CHANGES TO THE COMPENSATION OF ANY EXECUTIVE, THE COMMITTEE ENGAGES AN INDEPENDENT, OUTSIDE CONSULTANT TO REVIEW EACH ELEMENT OF EXECUTIVE COMPENSATION, INCLUDING SALARIES, INCENTIVES, BENEFITS, PERQUISITES, AND TOTAL COMPENSATION. THE INTENT OF THE REVIEW IS TO PROVIDE THE COMMITTEE WITH INFORMATION IT NEEDS TO ENSURE THAT COMPENSATION PROVIDED TO THE SYSTEM'S EXECUTIVES IS REASONABLE, APPROPRIATE, AND CONSISTENT WITH THE BOARD-APPROVED COMPENSATION PHILOSOPHY. THE CONSULTANT COMPILES APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION FROM A PEER GROUP OR ORGANIZATIONS COMPARABLE TO THE SYSTEM. IN NOVEMBER OF 2011, THE CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES ("IHSTRATEGIES"), PRESENTED ITS ANALYSES AND FINDINGS TO THE COMMITTEE. THE COMMITTEE HAD DIRECT ACCESS TO THE CONSULTANT TO ASK QUESTIONS ABOUT THE DATA AND ANALYSES, BOTH WITH AND WITHOUT THE PRESENCE OF MANAGEMENT. THE COMMITTEE APPROVED EXECUTIVE SALARIES AND INCENTIVE AWARD PAYOUTS AT A SUBSEQUENT MEETING IN FEBRUARY OF 2012. THE COMMITTEE'S PROCESS FOR REVIEWING EXECUTIVE COMPENSATION ESTABLISHES A "REBUTTABLE PRESUMPTION OF REASONABLENESS," AS DESCRIBED IN IRC SECTION 4958: - COMPENSATION FOR ALL EXECUTIVES IS APPROVED IN ADVANCE BY A COMMITTEE MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITH NO CONFLICT OF INTEREST WITH REGARD TO THE COMPENSATION DECISIONS. - THE COMMITTEE OBTAINS AND RELIES ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION IN MAKING THESE DECISIONS. ("APPROPRIATE" MEANS DATA ON PAY FOR LIKE JOBS IN LIKE ORGANIZATIONS AND LIKE CIRCUMSTANCES). - THE COMMITTEE DOCUMENTS ITS PROCESS AND THE TERMS OF ITS DECISIONS IN TIMELY MINUTES. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATIONS ARE PART OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CERTAIN ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FROM 990 HAVE ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ISSUING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, EACH ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 ARE AFFILIATES IN ATLANTICARE HEALTH SYSTEM, INC.; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH THESE ORGANIZATIONS AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THESE ORGANIZATIONS. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF ATLANTICARE HEALTH SYSTEM, INC.; NOT SOLELY THIS ORGANIZATION. COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET CHANGE IN UNREALIZED GAINS AND LOSSES - ($16,609,558); - NET ASSETS RELEASED FROM RESTRICTIONS AND GRANTS RECEIVED FOR THE PURCHASE OF PROPERTY, PLANT AND EQUIPMENT - $472,000; - CHANGE IN BENEFICIAL INTEREST IN ATLANTICARE FOUNDATION - $258,000; - TRANSFER FROM ATLANTICARE REGIONAL MEDICAL CENTER TO ATLANTICARE HEALTH SERVICES, INC. - $3,353,991; - TRANSFER FROM ATLANTICARE REGIONAL MEDICAL CENTER TO ATLANTICARE HEALTH FOUNDATION, INC. - ($250,000) -TRANSFER FROM ATLANTICARE REGIONAL MEDICAL CENTER TO ATLANTICARE HEALTH SERVICES, INC. - ($3,447,000) -TRANSFER FROM INFOSHARE, INC. TO ATLANTICARE HEALTH SYSTEM, INC. - ($650,667); - CHANGE IN PENSION AND POSTRETIREMENT LIABILITIES - ($57,086,000); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($3,848,000); AND - NET CHANGE IN UNREALIZED GAINS AND LOSSES; TEMPORARILY RESTRICTED - $8,000. AUDITED FINANCIAL STATEMENTS CORE FORM, PART XI; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS ATLANTICARE HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE HEALTH SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE REGIONAL MEDICAL CENTER AND ITS CONTROLLED ENTITY ATLANTICARE BEHAVIORAL HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE BEHAVIORAL HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE FOUNDATION FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE ATLANTICARE HEALTH SYSTEM, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS OF THIS ORGANIZATION, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. SCHEDULE OF CONTRIBUTORS SCHEDULE B THE GIFTS, GRANTS AND CONTRIBUTIONS REFLECTED ON SCHEDULE B ARE AMOUNTS RECEIVED BY ALL ENTITIES INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE REGIONAL MEDICAL CENTER ARE REFLECTED IN NUMBERS 15 THROUGH 17 AND 60 THROUGH 61. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE BEHAVIORAL HEALTH, INC. ARE REFLECTED IN NUMBERS 1 THROUGH 14 AND 58. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE FOUNDATION ARE REFLECTED IN NUMBERS 18 THROUGH 56 AND 59. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE HEALTH ENGAGEMENT, INC. IS REFLECTED IN NUMBER 57. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE HEALTH SERVICES, INC. IS REFLECTED IN NUMBER 60. BOARD OF TRUSTEES CORE FORM, PART VII CORE FORM, PART VII INCLUDES, AS OF DECEMBER 31, 2011, THE MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES OF EACH OF THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. IN ADDITION, CORE FORM, PART VII INCLUDES THE REMAINING TOP FIVE HIGHEST PAID EMPLOYEES AMONGST ALL ENTITIES COMBINED AFTER OFFICERS AND KEY EMPLOYEES OF ALL ORGANIZATIONS INCLUDED IN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS A SUMMARY BY ORGANIZATION: ATLANTICARE REGIONAL MEDICAL CENTER INCLUDES MATHEW D. FINKELSON, D.M.D. THROUGH ERIC M. WOOD, ESQ. ATLANTICARE BEHAVIORAL HEALTH, INC. INCLUDES ROSALIND KINCAID THROUGH ELLEN LOUGHNEY, ESQ. PLEASE NOTE THAT NOEL FORRESTEL (CHAIRMAN OF ATLANTICARE BEHAVIORAL HEALTH, INC.) AND LORI S. HERNDON ARE ALSO MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE FOUNDATION INCLUDES DEE W. KASSIS, RN THROUGH IRA M. STEIN, M.D. PLEASE NOTE THAT NOEL FORRESTEL AND DAVID P. TILTON ARE ALSO MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH ENGAGEMENT, INC. INCLUDES JAMES P. NOLAN, JR., CPA THROUGH KATHERINE A. SCHNEIDER, M.D. PLEASE NOTE THAT DAVID P. TILTON IS ALSO A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT IS ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH SERVICES, INC. INCLUDES MICHAEL J. WALSH THROUGH MARGARET SYKES. PLEASE NOTE THAT DAVID P. TILTON IS ALSO A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT IS ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. INFOSHARE, INC. INCLUDES DOMINIC S. MOFFA. PLEASE NOTE THAT JAMES P. NOLAN, JR., CPA AND DAVID P. TILON ARE ALSO MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. THE OFFICERS OF ALL ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 WHICH FOLLOW THE LIST OF ATLANTICARE BOARD OF TRUSTEES ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990 ARE OUTLINED IN THE FOLLOWING ORDER: ATLANTICARE REGIONAL MEDICAL CENTER INCLUDES WALTER A. GREINER THROUGH MEL A. MECK. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT), DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT) AND JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE) ARE ALSO OFFICERS OF ATLANTICARE REGIONAL MEDICAL CENTER BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE BEHAVIORAL HEALTH, INC. INCLUDES JULIA DREW THROUGH JOHN R. RIOS. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT), WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER VP OF FINANCE/CFO), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION) AND RICHARD D. LOVERING (ATLANTICARE REGIONAL MEDICAL CENTER VP HUMAN RESOURCES) ARE ALSO OFFICERS OF ATLANTICARE BEHAVIORAL HEALTH, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE FOUNDATION INCLUDES GLENN ANN STOLL THROUGH DONNA MICHAEL ZIEREIS, ESQ. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT) AND WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER VP OF FINANCE/CFO) ARE ALSO OFFICERS OF ATLANTICARE FOUNDATION BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH ENGAGEMENT, INC. INCLUDES GWENDOLYN MEUSBURGER THROUGH GEORGE C. STOKES. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT) AND JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE) ARE ALSO OFFICERS OF ATLANTICARE HEALTH ENGAGEMENT, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH SERVICES, INC. INCLUDES DONALD J. PARKER THROUGH CHRISTOPHER J. STEEN. PLEASE NOTE THAT JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION), DAVID A. DESIMONE, ESQ. (ATLANTICARE REGIONAL MEDICAL CENTER VP GENERAL COUNSEL) AND RICHARD D. LOVERING (ATLANTICARE REGIONAL MEDICAL CENTER VP HUMAN RESOURCES) ARE ALSO OFFICERS OF ATLANTICARE HEALTH SERVICES, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. INFOSHARE, INC. INCLUDES CHRISTOPHER A. SCANZERA THOUGH ALEX SHARNOFF, ESQ. PLEASE NOTE THAT JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE) AND DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION) ARE ALSO OFFICERS OF INFOSHARE, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. TAX-EXEMPT BOND ISSUES SCHEDULE K, PART I THE 06/01/2007 TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES CUSIP NUMBERS IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I, COLUMN (C). THESE ARE THE FOLLOWING: 64579FQR7, 64579FQS5, 64579FQT3, 64579FQU0, 64579FQV8, 64579FQW6, 64579FQX4, 64579FQY2, 64579FQZ9, 64579FRA3, 64579FRB1, 64579FRC9, 64579FRD7, 64579FRE5, 64579FRF2, 64579FRG0, 64579FRH8, 64579FRJ4, 64579FRK1, 64579FRL9, 64579FRM7, 64579FRN5 AND 64579FRP0. THE PROCEEDS OF THE 06/01/2005 LOAN WERE USED FOR THE CONSTRUCTION AND EQUIPPING OF A SEVEN STORY 240,570 SQUARE FOOT ADDITION AND 23,166 SQUARE FOOT RENOVATION AT THE CITY CAMPUS. CONSTRUCTION INCLUDES EXPANSION AND RELOCATION OF THE ED, RADIOLOGY, 26 NEW ICU/CCU BEDS, NEW MEDICAL SURGICAL UNITS AND A ROOF TOP HELIPAD WITH TRAUMA STABILIZATION ROOMS. THE PROCEEDS OF THE 06/01/2007 LOAN WERE USED TO FOR ARCHITECT AND CONSTRUCTION FEES ALONG WITH VARIOUS EQUIPMENT ACQUISITIONS RELATING TO THE CITY CAMPUS. EQUIPMENT INCLUDES; IMAGING EQUIPMENT, MONITORING SYSTEMS, MEDICAL GASES/EQUIPMENT SERVICES BOOMS AND FURNITURE AND FURNISHINGS. THE PROCEEDS OF THE 06/01/2006 LOAN WERE USED FOR THE CONSTRUCTION AND EQUIPPING OF A SEVEN STORY 240,570 SQUARE FOOT ADDITION AND 23,166 SQUARE FOOT RENOVATION AT THE CITY CAMPUS. CONSTRUCTION INCLUDES EXPANSION AND RELOCATION OF THE ED, RADIOLOGY, 26 NEW ICU/CCU BEDS, NEW MEDICAL SURGICAL UNITS AND A ROOF TOP HELIPAD WITH TRAUMA STABILIZATION ROOMS. ALSO INCLUDES A 190 FOOT LONG BRIDGE OVER MICHIGAN AVENUE AT THE SECOND LEVEL, CONNECTING TO THE BALLY'S PARKING GARAGE. ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 223265213 SUPPORT ARMC NJ 501(C)(3) 509(A)(3) NA false ATLANTICARE PHYSICIAN GROUP PA 2500 ENGLISH CREEK AVE BLDG C EGG HARBOR TOWNSHIP NJ 08234 020701782 HEALTHCARE NJ 501(C)(3) 509(A)(3) AH SYSTEM false S JERSEY ONCOL PROP 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 943463625 HEALTHCARE SVCS. NJ AH SVCS RELATED 1391710 10765065 false 0 false 0.53260 ATL SURGERY CTR LLC 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 223491867 HEALTH SERVICES NJ N/A COOP HLTH SVS OF SJ 1301 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 223619231 WHOLESALE PURCH. NJ N/A ATLANTICARE HEALTH PLANS INC 1001 S GRAND STREET PO BOX 941 HAMMONTON NJ 08037 223265212 INSURANCE SVCS. NJ C CORP. BENEFIT SPECIALISTS INC PO BOX 613 HAMMONTON NJ 08037 222796056 INSURANCE SVCS. NJ C CORP. SOUTH JERSEY SPECIALTY HOSPITAL INC 2500 ENGLISH CREEK AVE BLDG 600 EGG HARBOR TOWNSHIP NJ 08234 270220315 HEALTHCARE SVCS. NJ C CORP. ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HAMILTON BERMUDA BD HM 12 980656394 FINANCIAL VEHICLE BD FOREIGN CORP. ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ C CORP. false false false true true false false false false false true true false true false false true false ATLANTICARE BEHAVIORAL HEALTH INC D 491552 COST ATLANTICARE BEHAVIORAL HEALTH INC L 1678007 COST ATLANTICARE BEHAVIORAL HEALTH INC Q 100000 COST ATLANTICARE BEHAVIORAL HEALTH INC K 251338 COST ORGANIZATIONS INCLUDED IN GROUP EXEMPTION SCHEDULE R; GROUP EXEMPTION OUTLINED BELOW IS A LIST OF ORGANIZATIONS INCLUDED AS SUBORDINATES IN THE ATLANTICARE HEALTH SYSTEM, INC. GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE REGIONAL MEDICAL CENTER (FEID: 21-0634549) ATLANTICARE BEHAVIORAL HEALTH, INC. (FEID: 21-0721208) ATLANTICARE FOUNDATION (FEID: 22-2148992) ATLANTICARE HEALTH ENGAGEMENT, INC. (FEID: 61-1608389) ATLANTICARE HEALTH SERVICES, INC. (FEID: 22-3265214) INFOSHARE, INC. (FEID: 22-3337816)