2022-10-25T09:50:55-05:00 2021-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2021-01-01 900779828 ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES % HAK J KIM ATLA 6095697031 2500 ENGLISH CREEK AVE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 HAK J KIM CFO 6095697031 2022-10-24 true HAK J KIM 000000000 SCOTT J MARIANI P00642486 9738989494 2 2021 2022-09-23 18:48:47Z LORI S HERNDON 2500 ENGLISH CREEK AVE EGG HARBOR TWNSHIP NJ 08234 915499172 true true 5788 X WWW.ATLANTICARE.ORG X THE ORGANIZATIONS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NJ BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES. 89 55 6320 0 329232 0 27185294 27151070 384918253 826791346 48372494 54765768 154997 517391 460631038 909225575 328202 549300 0 0 177904257 388778990 0 39716 39716 228048230 450858341 406280689 840226347 54350349 68999228 1702453698 1893827880 636066235 607699825 1066387463 1286128055 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 WORK TOGETHER TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 756222898 549300 826853753 EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT, EMERGENCY AND VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES. PLEASE REFER TO THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O. 756222898 true true false true false false false false false true true false true false true false false true false false true false false true true true true true true false true true false false false false false false false false true false false false false false false true true true false false true 588 0 true 6320 true true true false false false false true true false false false false false false X 89 55 false true false false true true true true true false false true true true true true true true true true true NJ X X HAK J KIM 6095697031 2500 ENGLISH CREEK AVE EGG HARBOR TWNSHP NJ 08234 X LORI S HERNDON TRUSTEE - AHS PRESIDENT/CEO 55.0 0.0 X X 0 1526163 389878 MARGARET A BELFIELD TRUSTEE - EVP & COO 55.0 0.0 X X 859341 0 98782 BLAIR A BERGEN MD TRUSTEE 55.0 0.0 X 0 883017 44725 HAK J KIM TRUSTEE - TREASURER/VP & CFO 55.0 0.0 X X 0 777232 105575 MARILOUISE VENDITTI MD SR VP, CHIEF MEDICAL OFFICER 55.0 0.0 X 0 774067 75367 RICHARD D LOVERING TRST-VICE CHAIR/SVP ADMIN CHRO 55.0 0.0 X X 0 677450 88674 DONNA MICHAEL-ZIEREIS ESQ VP GENERAL COUNSEL/ASST. SEC. 55.0 0.0 X 0 664592 95351 TERRI LU SCHIEDER SR VP, POPULATION HEALTH 55.0 0.0 X 598853 0 92976 KATHERINE BIRKENSTOCK VP NURSING/CNO 55.0 0.0 X 533794 0 60951 MOHAMED H ELNAHAL MD TRUSTEE 55.0 0.0 X 0 541920 43604 MOHAMMADYASER MOURAD MD CHIEF MEDICAL QUALITY OFFICER 55.0 0.0 X 464771 0 108555 CHRISTOPHER A SCANZERA VP & CHIEF INFORMATION OFFICER 55.0 0.0 X 0 473697 92773 ALEXANDER ONOPCHENKO MD TRUSTEE 55.0 0.0 X 0 484936 54332 CHARISSE FIZER VP CLINICAL OPS & AMB SERVICES 55.0 0.0 X 465226 0 62632 BENJAMIN J NEGLEY VP PHYSICIAN PRACT ADMIN 55.0 0.0 X 414894 0 103635 JAVID IQBAL MD TRUSTEE 55.0 0.0 X 0 451431 52187 NARESH KUMAR MD PHYSICIAN 55.0 0.0 X 467922 0 19604 CATHERINE DILLANE MD PHYSICIAN 55.0 0.0 X 454854 0 31209 JAMES KILMER VP CHIEF ADMIN OFF. CITY 55.0 0.0 X 410585 0 70226 MARY ONWUKA MD PHYSICIAN ADVISOR 55.0 0.0 X 430201 0 19396 LARISA K GOGANZER VP CHIEF ADMIN OFF. MAINLAND 55.0 0.0 X 362132 0 79605 BRIAN E ISAACSON PSYCHIATRIST 55.0 0.0 X 374447 0 30536 JOAN MARY BRENNAN FORMER OFFICER 0.0 0.0 X 342131 0 22908 BARBARA YOUNG ASSISTANT VP SUPPLY CHAIN 55.0 0.0 X 243432 0 26583 SAMANTHA A KILEY EXECUTIVE DIRECTOR 55.0 0.0 X 213093 0 52699 JULIA DREW EXECUTIVE DIRECTOR 55.0 0.0 X 193845 0 23881 MONIKA FINNEGAN DIRECTOR OF FINANCE 55.0 0.0 X 165487 0 13867 CHRISTOPHER C APGAR FORMER OFFICER 55.0 0.0 X 129186 0 9457 JOSEPH J MCCARTHY CPA VP FINANCIAL OPS (TERMED 2/21) 55.0 0.0 X 0 124220 8796 SULIN YAO MD TRUSTEE 5.0 0.0 X 0 68175 4937 THOMAS BRABSON DO TRUSTEE 2.0 0.0 X 28000 0 0 MANUEL E APONTE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 MATHEW D FINKELSON DMD VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 PATRICIA RICH-TUOHY SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 MICHAEL WALSH TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 CHRISTOPHER C CATCHING EDD TRUSTEE 1.0 0.0 X 0 0 0 ALDALBERTO LOPEZ TRUSTEE 1.0 0.0 X 0 0 0 RICHARD S MAIRONE ESQ TRUSTEE 1.0 0.0 X 0 0 0 BRETT H MATIK TRUSTEE 1.0 0.0 X 0 0 0 YOLANDA N MELVILLE ESQ TRUSTEE 1.0 0.0 X 0 0 0 GINA MERRITT-EPPS ESQ TRUSTEE 1.0 0.0 X 0 0 0 MARISSA TRAVALINE TRUSTEE 1.0 0.0 X 0 0 0 DAVID L CARR PHD TRUSTEE (TERMED) 1.0 0.0 X 0 0 0 DAVID M GODDARD TRUSTEE (TERMED) 1.0 0.0 X 0 0 0 ROSALIND E KINCAID TRUSTEE (TERMED) 1.0 0.0 X 0 0 0 ROBERT L HORDES CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 JOHANNA PERSKIE VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 FATEN DIB TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JOHN BECHER DO TRUSTEE 1.0 0.0 X 0 0 0 LOUIS BONGIOVANNI TRUSTEE 1.0 0.0 X 0 0 0 KRISTINA CARR TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL CONNOR ESQ TRUSTEE 1.0 0.0 X 0 0 0 BERNADETTE DOUGHERTY TRUSTEE 1.0 0.0 X 0 0 0 TIM L GLENN TRUSTEE 1.0 0.0 X 0 0 0 GARY L HANSON TRUSTEE 1.0 0.0 X 0 0 0 ROBERT HIMMELSTEIN TRUSTEE 1.0 0.0 X 0 0 0 CORNELIUS P MCPEAK TRUSTEE 1.0 0.0 X 0 0 0 FABIO OROZCO MD TRUSTEE 1.0 0.0 X 0 0 0 PAUL PJ PULLIA TRUSTEE 1.0 0.0 X 0 0 0 T ERIC REICH TRUSTEE 1.0 0.0 X 0 0 0 MAUREEN SHAY TRUSTEE 1.0 0.0 X 0 0 0 PACIFICO AGNELLINI ESQ TRUSTEE (TERMED) 1.0 0.0 X 0 0 0 LARRY J KAUFMAN MD TRUSTEE (TERMED) 1.0 0.0 X 0 0 0 6635676 7254505 1922763 715 true true false ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVENUE BLDG 50 EGG HARBOR TOWNSHIP NJ 08234 MANAGEMENT 64498817 P AGNES INC 2101 PENROSE AVENUE PHILADELPHIA PA 19145 CONSTRUCTION 17786280 MEDLINE PO BOX 382075 PITTSBURGH PA 152518075 MEDICAL 15358104 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 LAB 6696517 MEDTRONIC USA INC 4642 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MEDICAL 5736828 307 413302 500000 23094078 3143690 6314 27151070 NET PATIENT SERVICE REVENUE 541900 809780787 809780787 OTHER HEALTHCARE RELATED REVENUE 541900 17010559 16743734 266825 826791346 56567870 62407 56505463 0 0 4744048 4249014 495034 0 495034 495034 0 1802102 -1802102 -1802102 -1802102 199293 413302 199293 45545 23188 22357 22357 0 0 0 0 909225575 826524521 329232 55220752 549300 549300 0 0 0 5174519 4657067 517452 0 0 264922806 238430525 26492281 24740939 22266845 2474094 72718164 65446348 7271816 21222562 19100306 2122256 64498817 58048935 6449882 7267 6540 727 636147 572533 63614 0 39716 39716 0 7349910 6614919 734991 448493 403643 44850 10265192 9238673 1026519 1478238 1330414 147824 0 13095605 11786045 1309560 1447646 1302881 144765 0 497530 447777 49753 3761019 3384917 376102 0 47184599 42466139 4718460 8635687 7772118 863569 MEDICAL SUPPLIES 152286311 137057680 15228631 PHYSICIAN SERVICES COST 78009525 70208573 7800952 PURCHASED SERVICES 48961081 44064973 4896108 REPAIRS & MAINTENANCE 4394324 3954892 439432 7900950 7110855 790095 840226347 756222898 83963733 39716 99987801 42209955 9683415 8784116 1499199 1412602 109385258 129431627 0 0 0 0 0 0 16346599 17578676 15429266 15789229 1120099197 652191709 462632935 467907488 0 0 0 0 896166181 1090215928 30344401 35242110 60978643 85256149 1702453698 1893827880 118398919 132078350 0 0 3183481 9963745 0 240650174 0 0 0 0 234697164 14491784 0 0 279786671 210515772 636066235 607699825 X 1057135156 1276051221 9252307 10076834 1066387463 1286128055 1702453698 1893827880 X 68999228 80431151 70310213 X X false true X true true true X 1 ATLANTICARE REGIONAL MEDICAL CENTER 210634549 3 true 0 0 1 0 0 false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART I 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) PUBLIC CHARITY; ATLANTICARE FOUNDATION; SCHEDULE A, PART I, LINE 7, INTERNAL REVENUE CODE SECTION 509(a)(1) PUBLIC CHARITY; ATLANTICARE HEALTH ENGAGEMENT, INC.; SCHEDULE A, PART I, LINE 12, INTERNAL REVENUE CODE SECTION 509(a)(3) PUBLIC CHARITY; ATLANTICARE HEALTH SERVICES, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) PUBLIC CHARITY; AND ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION; SCHEDULE A, PART I, LINE 12, INTERNAL REVENUE CODE SECTION 509(A)(3) PUBLIC CHARITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false true false false true false SCHEDULE C, PART II-B, LINE 1I ATLANTICARE HEALTH SYSTEM, INC. ENGAGES IN LOBBYING EFFORTS ON BEHALF OF THE SYSTEM. PLEASE REFER TO THE ATLANTICARE HEALTH SYSTEM, INC. (FEIN: 22-3265213) FORM 990. 9252307 2565373 1740846 10076834 8963399 948897 659989 9252307 9355390 1543074 1935065 8963399 9243121 2500452 2388183 9355390 28523140 2556590 21836609 9243121 0.24470 0.75530 false false 0 26714678 26714678 0 613179099 307632268 305546831 0 249519 85750 163769 0 425527320 334302638 91224682 0 54428581 10171053 44257528 467907488 POOLED INVESTMENTS 3674315 F CASH & CASH EQUIV; LIMITED USE 32845802 F CASH-RESTR-BROKERAGE FUND CURR 80669 F OTHER INVESTMENTS 75860579 F BOARD DESIGNATED INVESTMENTS 966478137 F PERM RESTR ENDOWNMENT FUND 2354940 F ASSETS LIMITED TO USE; CURRENT 5590216 F OTHER PROGRAM RELATED INVEST. 3331270 F 1090215928 0 EST. 3RD PARTY PAYOR SETTLEMENT 21696813 OTHER LIABILITIES 51702695 ACCRUED INTEREST PAYABLE 2292301 ACCRUED RETIREMENT BENEFITS 77360268 MEDICARE ADVANCE PAYMENT LIABILITY 57463695 210515772 SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 7128588 0 0 0 0 7128588 7128588 true false false false false false X X X X X X X true GABE STAINO 601 PASADENA DRIVE NORTHFIELD NJ 08205 CAMPAIGN MGMT false 280070 39716 280070 39716 FL NJ HARVEST EVENT 389680 263468 126212 95251 5278 25683 GOLF EVENT 222915 149834 73081 55395 1685 16001 0 612595 413302 199293 150646 1685 5278 41684 199293 45545 22773 415 true 1.00000 45545 22773 415 23188 22357 NJ true false false false 0.33333 0.66667 BETH GIBNEY 2500 ENGLISH CREEK AVENUE BUILDING EGG HARBOR TOWNSHIP NJ 08234 false BETH GIBNEY 0 MANAGING GAMING ACTIVITIES X false true true X true X true X true true true false true true 3403 15001521 11583403 3418118 0.00440 32266 158286876 129088994 29197882 0.03770 35669 173288397 140672397 32616000 0.04210 9 21938 2918843 0 2918843 0.00380 1 0 10395071 4424545 5970526 0.00770 4 4185 27847589 3752880 24094709 0.03110 1 0 522518 0 522518 0.00070 1 0 279076 0 279076 0.00040 16 26123 41963097 8177425 33785672 0.04370 16 61792 215251494 148849822 66401672 0.08580 true 30613177 2171055 240946677 273338583 -32391906 X true true 2 1 ARMC - MAINLAND CAMPUS 65 W JIMMIE LEEDS ROAD POMONA NJ 08240 WWW.ATLANTICARE.ORG 10101 X X X X X 1 2 ARMC - CITY CAMPUS 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 WWW.ATLANTICARE.ORG 10102 X X X X X 1 ARMC 12 false false true X X X X X X X X X 19 true false false true X WWW.ATLANTICARE.ORG/COMMUNITY X X true 19 true WWW.ATLANTICARE.ORG/COMMUNITY false true X 200. 400. X X X X true true X X X true X ATLANTICARE.ORG X ATLANTICARE.ORG X ATLANTICARE.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 5 In 2019, AtlantiCare Regional Medical center conducted its required community health needs assessment ("CHNA") for Atlantic county, New Jersey. In addition to a review of primary and secondary data sources, the assessment ensured that the organization received feedback from community leaders through formal meetings where findings were shared for validation and input. Community resident feedback was also collected through a formal survey and a series of focus groups which were conducted in various locations across our community. Additional efforts were taken to ensure that all members of our community; including minority and underserved members were included as part of these feedback sessions. A follow-up implementation strategy will also be drafted to document how AtlantiCare will meet the community's identified needs. The 2019 CHNA expanded upon themes found in the 2013 and 2016 assessments. It also took into account our growing knowledge around the social determinants of health. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7D THE ORGANIZATION IS AN AFFILIATE WITHIN ATLANTICARE HEALTH SYSTEM ("ATLANTICARE"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR ATLANTICARE. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED ON ATLANTICARE'S WEBSITE: https://www.atlanticare.org/for-our-community/programs/community-needs- assessment ALL OF ATLANTICARE REGIONAL MEDICAL CENTER'S CHNA'S CAN BE FOUND ON THE ABOVE WEBSITE. SCHEDULE H, PART V, SECTION B, QUESTION 8 In 2019, AtlantiCare Regional Medical center conducted its third required community health needs assessment for Atlantic county, New Jersey. Through the assessment, several needs within the county were identified. As a result AtlantiCare, along with support from its community partners, will work to find solutions for those prioritized needs. One strategy per prioritized need will be identified and continued implementation and revisions of proposed strategies continue to be ongoing. The newest assessment identified a new priority for our community. These included affordable housing, in addition to employment opportunities, drug and alcohol addiction, other mental health needs, and food insecurity. AtlantiCare Regional Medical Center is actively seeking out partnerships to better understand the root causes of these social determinants of health. It is also working to identify opportunities and partners to accelerate and support ongoing efforts to make a greater impact and improve the health of our community. We have begun implementing programs such as our opioid response, food security initiative and have launched a housing committee in response to identified needs in the CHNA. SCHEDULE H, PART V, SECTION B, QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN ATLANTICARE HEALTH SYSTEM ("ATLANTICARE"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR ATLANTICARE. THE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN ATLANTICARE'S WEBSITE: https://user-8muyts.cld.bz/AtlantiCare-Community-Needs-Assessment-2019 SCHEDULE H, PART V, SECTION B, QUESTION 11 In 2013, AtlantiCare Regional Medical Center conducted its initial required CHNA in collaboration with Bacharach institute for rehabilitation, which is also located in Atlantic County, New Jersey. It again assessed the community in 2016 and 2019, with reports in the published in the same years. In addition to a review of primary and secondary data sources, AtlantiCare Regional Medical center ensured that feedback from community leaders through formal meetings where findings were shared for validation and input was obtained. Community resident feedback was also collected through a series of focus groups and through the implementation of a resident survey. Additional efforts were taken to ensure that all members of our community; including minority and underserved members, were included as part of these feedback efforts. Community needs that emerged from this assessment were reviewed and were prioritized for greater organizational support in order to address. The 2019 CHNA identified the following needs: addictions/mental health services, food insecurity/access to healthy foods, and affordable housing. Our community is also facing a significant rise in drug use, specifically opioids, and housing and employment challenges one faces post recovery. An updated implementation strategy will be adopted to share our progress on previously stated needs, and to incorporate our actions to the new needs that have emerged as community priorities. Weaved into our implementation strategy is the understanding that, in order to have a greater impact on our community, more formalized partnerships need to be established with our local social service and government agencies to develop a more comprehensive approach to meeting the stated needs of our community. Hospitals are not required to, nor can they respond to all unmet needs in the community. Any needs not addressed by the approved implementation strategy are either already being addressed by other agencies within the hospital's service area or have been deemed to not be a viable use of existing resources. Unmet needs and the community partners who impact these will continue to be monitored and assessed annually to ensure that AtlantiCare remains agile and responsive to the needs that have the largest impact on the health of our community. SCH H,PART V,SECT B,Q'S 2,3J,6A&B,13B&H,15E,16J,18E,19E,20E,21C&D,23,24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN ATLANTICARE HEALTH SYSTEM ("ATLANTICARE"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16B AND 16C, IS THE ABBREVIATED WEBSITE FOR ATLANTICARE. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING URL WHICH IS INCLUDED IN ATLANTICARE'S WEBSITE: https://www.atlanticare.org/patients-and-visitors/for-patients/billing-and insurance/financial-assistance/ 10 ARMC CANCER CAREFACULTY PRACTICE 2500 ENGLISH CREEK AVE BUILDING 40 EGG HARBOR TOWNSHIP NJ 08234 CANCER CARE INSTUTUTE, IMAGING CENTER AND GYNECOLOGY/ONCOLOGY ARMC THE CANCER CARE INSTITUTE 106 COURT HOUSE SOUTH DENNIS RD BL CAPE MAY COURT HOUSE NJ 08210 CANCER CARE INSTITUTE, LAB, PHARMACY, SURGERY CENTER/ONCOLOGY ATLANTICARE PHARMSPECIALTY CARE CLINIC 54 WEST JIMMIE LEEDS ROAD GALLOWAY NJ 082059401 PHARMACY ARMC WOUND HEALING CENTER 2500 ENGLISH CREEK AVE BLDG 700 ST EGG HARBOR TOWNSHIP NJ 08234 WOUND CARE ARMC SATELLITE EMERGENCY DEPARTMENT 219 NORTH WHITE HORSE PIKE HAMMONTON NJ 080372014 SATELLITE EMERGENCY DEPARTMENT CHILD PARTIAL HOSPITALIZATION 6010 BLACK HORSE PIKE EGG HARBOR TOWNSHIP NJ 08234 ADOLESCENT BEHAVIORAL HEALTH ARMC ADULT PARTIAL CARE SERVICES 400 CHRIS GAUPP DRIVE GALLOWAY NJ 08205 BEHAVIORAL HEALTH CLINIC ATLANTICARE HEALTHPLEX 1401 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 CLINIC, RADIOLOGY, LAB, ANTI-COAGULATION CLINIC, MATERNAL FETAL MEDICINE ARMC WOUND HEALING CENTER 219 N WHITE HORSE PIKE HAMMONTON NJ 08037 WOUND CARE ARMC PREADMISSION TESTING 2500 ENGLISH CREEK AVENUE BLDG 20 EGG HARBOR TOWNSHIP NJ 08234 PREADMISSION TESTING SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE H, 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 2021 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES ELIGIBILITY CRITERIA NOTED ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO ARE UNINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTHCARE BENEFIT PROGRAM, AND THOSE WHO ARE UNABLE TO PAY FOR THEIR CARE, BASED UPON DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF ATLANTICARE. ATLANTICARE PROVIDES, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF ATLANTICARE TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTALA") AND THE EMTALA REGULATIONS IN PROVIDING A MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL COMING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT. SCHEDULE H, PART I; QUESTION 6A SINCE 2012, THE ORGANIZATION HAS BEEN PARTICIPATING IN A DATA COLLECTION AND SHARING EXERCISE WITH THE NEW JERSEY HOSPITAL ASSOCIATION ("NJHA") TO PUBLICLY REPORT COMMUNITY BENEFITS DERIVED FROM COMMUNITY HOSPITALS AND HEALTH SYSTEMS. ATLANTICARE CONTINUES TO CONTRIBUTE TO THIS EFFORT BY SPECIFICALLY REPORTING ALL OF ITS PROGRAMMING AND SERVICES THAT ARE DEEMED A BENEFIT TO OUR SERVICE AREA. ATLANTICARE'S COMMUNITY BENEFIT INFORMATION IS A PART OF THE AGGREGATE DATA THAT IS REPORTED ANNUALLY BY NJHA. SCHEDULE H, PART I, QUESTION 7 THE ORGANIZATION UTILIZED MCKESSON'S COST ACCOUNTING SYSTEM TO ESTIMATE COSTS. SCHEDULE H, PART I, QUESTION 7B AtlantiCare Regional Medical Center partnered with Atlantic County and the State of New Jersey through a provider assessment mechanism to make the state of New Jersey Medicaid program healthier for all. The program increases financial resources provided to hospital using the State of New Jersey's Medicaid program and certain federal matching funds in order to better serve the needs in the community. These additional funds received from the program are included in Schedule H, Part I; Line 7b; Direct offsetting revenue. during calendar year 2021, AtlantiCare Regional Medical Center also experienced a Medicaid cost per case increase for Medicaid patients which the costs are included in Schedule H, Part I; Line 7b; Total community benefit expense. SCHEDULE H, PART I, QUESTION 7G SUBSIDIZED HEALTH SERVICES INCLUDE PRIMARY CARE, OB-GYN, BEHAVIORAL HEALTH, AND PSYCHIATRIC INTERVENTION PROGRAM, AND HIV COUNSELING, ENDOCRINOLOGY, RHEUMATOLOGY AND OUTPATIENT DIALYSIS. THOSE PROGRAMS ARE IDENTIFIED AS NEEDS IN THE COMMUNITY AND ARE SUBSIDIZED BY EXTERNAL AND INTERNAL FUNDS. SCHEDULE H, PART III, SECTION A; QUESTION 4 Atlanticare regional medical center is an affiliate within atlanticare health system and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Atlanticare health system and affiliates ("atlanticare") prepare and issue audited consolidated financial statements. The system's allowance from 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 consolidated financial statements of atlanticare health system, inc. And affiliates. Net patient service revenue AtlantiCare records net patient service revenue based on standard charges for services provided, reduced by explicit contractual adjustments provided to third-party payors and implicit price concessions provided to patients as reductions from established billing rates. AtlantiCare determines its estimates of explicit and implicit price concessions based on contractual terms and historical data, which considers experience, market conditions, and other factors utilizing a portfolio approach consisting of major payor classes. Explicit and implicit price concessions to net patient service revenue are recorded at the time the performance obligations are satisfied. Substantially all changes to these concessions, as a result of subsequent reassessment, are recognized in the period the change is identified as adjustments to net patient service revenue. Amounts recognized due to changes in estimates of explicit and implicit price concessions for the year ended December 31, 2021 and the six-month period ended December 31, 2020 were not significant. Subsequent changes that are determined to be the result of an adverse change in the patient's or payor's ability to pay, if material, are recorded as bad debt expense. No bad debt expense was recorded for the year ended December 31, 2021 and the six-month period ended December 31, 2020, related to net patient service revenue. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 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 "THE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,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") BELIEVES 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 FINANCIALLY DISADVANTAGED. 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 -- REFERRED TO AS 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 THE 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" ASS SCHEDULE H, PART III, SECTION B; QUESTION 9B ATLANTICARE MANAGEMENT DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FINANCIAL ASSISTANCE FROM ATLANTICARE AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS. BILLING & COLLECTION POLICY --------------------------- THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING ATLANTICARE'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE. ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY. THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE CHIEF FINANCIAL OFFICER AND VICE PRESIDENT FINANCIAL PLANNING HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. ATLANTICARE MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES ---------------------------------------- ATLANTICARE DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, ATLANTICARE DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE ATLANTICARE FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6) ------------------------------------------------------- ATLANTICARE DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD ATLANTICARE, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. ATLANTICARE MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: - INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; - IDENTIFIES THE ECA(S) THAT ATLANTICARE INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND - STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. ATLANTICARE ACCEPTS AND PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE SECTION 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN THE FORM 990, SCHEDULE H, PART V, SECTION B, ATLANTICARE REGIONAL MEDICAL CENTER PARTICIPATES IN A COUNTY WIDE COMMUNITY NEEDS ASSESSMENT IN CONJUNCTION WITH THE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH WHICH OCCURS ON A REGULARLY SCHEDULED BASIS. THE ATLANTIC COUNTY PUBLIC HEALTH DEPARTMENT ALSO REGULARLY CONDUCTS THE YOUTH BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY. THIS DATA AIDS ATLANTICARE IN PREDICTING FUTURE HEALTH ISSUES AND BEHAVIORS THAT OUR PROVIDERS WILL NEED TO ADDRESS. SCHEDULE H, PART VI; QUESTION 3 ATLANTICARE IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR COMMUNITY. ATLANTICARE IS COMMITTED TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS. ALL PATIENTS WILL RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT ALL ATLANTICARE FACILITIES, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER OR SEXUAL ORIENTATION FACTORS. ATLANTICARE STRIVES TO ENSURE THAT ALL PATIENTS RECEIVE ESSENTIAL EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. ATLANTICARE IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, INELIGIBLE FOR GOVERNMENT ASSISTANCE, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. ALL PERSONS WHO PRESENT THEMSELVES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES ARE ADMITTED AND TREATED; THEY ARE REGISTERED AS PATIENTS OF THE HOSPITAL AND RECEIVE ANY NECESSARY SERVICES AS PRESCRIBED BY THE PATIENT'S PHYSICIAN. A PROSPECTIVE PATIENT OF ATLANTICARE IS NEVER DENIED NECESSARY HEALTHCARE SERVICES ON THE BASIS OF THEIR ABILITY TO PAY. ATLANTICARE DOES ITS BEST TO EDUCATE AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. FOR THE BENEFIT OF THE PATIENTS, THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE ALL AVAILABLE ON-LINE. ADDITIONALLY, PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE THE HOSPITAL FACILITY REGISTRATION AREAS WHICH INCLUDE EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BASED CLINICS AND PATIENT FINANCIAL SERVICES. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTES THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE ATLANTICARE'S PRIMARY SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. ATLANTICARE ALSO MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE REFERRALS CAN BE MADE BY A MEMBER OF THE HOSPITAL STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS AND RELIGIOUS SPONSORS. ALL PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE INTAKE OR DISCHARGE PROCESS. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH QUESTIONS CONCERNING CHARGES, PAYMENTS OR ANY OTHER CONCERNS. 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 690,000 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 AREA IS ATLANTIC COUNTY (32 ZIP CODES). THE SECONDARY SERVICE AREAS ARE COMPRISED OF SOUTHERN SSA-CAPE MAY COUNTY AND NORTHERN SSA-SOUTHERN OCEAN COUNTY (18 ZIP CODES). SCHEDULE H, PART VI; QUESTION 5 ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS A TAX-EXEMPT ORGANIZATION LOCATED IN ATLANTIC CITY, NEW JERSEY. AH SYSTEM IS THE SOLE CORPORATE MEMBER OF VARIOUS HEALTHCARE RELATED ORGANIZATIONS, THE MAJORITY OF WHICH ARE TAX-EXEMPT ENTITIES (COLLECTIVELY "ATLANTICARE"). PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE AH SYSTEM'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE ATLANTICARE 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. SCHEDULE H, PART VI; QUESTION 6 AtlantiCare Health System, Inc. ("AH SYSTEM") is a tax-exempt organization located in Atlantic City, New Jersey. AH System is the SOLE CORPORATE MEMBER OF VARIOUS HEALTHCARE RELATED ORGANIZATIONS, THE MAJORITY OF WHICH ARE TAX-EXEMPT ENTITIES (COLLECTIVELY "ATLANTICARE"). PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. The following are the not-for-profit Atlanticare Health 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 ("AMRC"); 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 comprised of two acute care medical centers, one located in atlantic city, new jersey and one located in pomona, new jersey, which have a combined 593-beds. 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, AMRC 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 Regional Health Services, a New Jersey nonprofit corporation Atlanticare Regional Health Services, a New Jersey nonprofit organization 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). 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 34-bed acute care psychiatric facility located in the ARMC Mainland Campus 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 supports and deploys health status improvement initiatives and strategies related to population health for the community it serves. 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 supports AtlantiCare health system; primarily ARMC, which 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. In addition, the organization provides services outside of the hospital atmosphere to specialize in preventive care and in diagnosing and treating various illnesses. The following are other Atlanticare Health System, Inc. entities: Atlanticare Assurance Alliance, Inc. An entity whose sole shareholder is AH system. The organization is currently inactive. Atlanticare Health Solutions, Inc. An entity whose sole shareholder is AH system. The entity is an accountable care organization for Atlanticare Health System. Atlanticare Surgery Center, l.l.c. A limited liability company taxed as a partnership located in Egg Harbor Township, Atlantic County, New Jersey. This organization engages in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of atlanticare health system. Cooperative Healthcare Services of South Jersey, L.L.C. A limited liability company taxed as a partnership majority owned by Atlanticare Health System, Inc. The organization supports atlanticare health system. English Creek Assurance, LTD. A controlled foreign corporation by Atlanticare Health System, Inc. The organization was formed and operates solely in Bermuda with no U.S. activities or presence. South Jersey Oncology Properties, L.L.C. A limited liability company taxed as a partnership with a percentage owned by Atlanticare Health Services, Inc. The organization is currently inactive. 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 FOUNDATION 2500 ENGLISH CREEK AVE EGG HARBOR TWP NJ 08234 222148992 501(C)(3) 500000 PROGRAM SUPPORT LINDENWOLD BOARD OF EDUCATION 801 EGG HARBOR ROAD LINDENWOLD NJ 08021 GOV'T ORG. 28400 PROGRAM SUPPORT ATLANTIC CITY POLICE DEPARTMENT 2711 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 GOV'T ORG. 10000 PROGRAM SUPPORT ABSECON LIGHTHOUSE 31 SOUTH RHODE ISLAND AVENUE ATLANTIC CITY NJ 08401 222937095 501(C)(3) 5900 PROGRAM SUPPORT 4 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 X X X X true true false false false false false true false LORI S HERNDON TRUSTEE - AHS PRESIDENT/CEO 0 951762 0 383907 0 190494 0 356200 0 33678 0 1916041 0 0 MARGARET A BELFIELD TRUSTEE - EVP & COO 551815 0 186559 0 120967 0 64954 0 33828 0 958123 0 52529 0 BLAIR A BERGEN MD TRUSTEE 0 397369 0 451658 0 33990 0 15358 0 29367 0 927742 0 0 HAK J KIM TRUSTEE - TREASURER/VP & CFO 0 461382 0 253125 0 62725 0 63479 0 42096 0 882807 0 0 MARILOUISE VENDITTI MD SR VP, CHIEF MEDICAL OFFICER 0 493595 0 166281 0 114191 0 61324 0 14043 0 849434 0 47464 RICHARD D LOVERING TRST-VICE CHAIR/SVP ADMIN CHRO 0 427898 0 147000 0 102552 0 54365 0 34309 0 766124 0 41781 DONNA MICHAEL-ZIEREIS ESQ VP GENERAL COUNSEL/ASST. SEC. 0 383640 0 237113 0 43839 0 50240 0 45111 0 759943 0 0 TERRI LU SCHIEDER SR VP, POPULATION HEALTH 385282 0 128428 0 85143 0 51038 0 41938 0 691829 0 31667 0 KATHERINE BIRKENSTOCK VP NURSING/CNO 293637 0 81705 0 158452 0 41322 0 19629 0 594745 0 67246 0 MOHAMED H ELNAHAL MD TRUSTEE 0 421238 0 116326 0 4356 0 16213 0 27391 0 585524 0 0 MOHAMMADYASER MOURAD MD CHIEF MEDICAL QUALITY OFFICER 382857 0 72188 0 9726 0 72898 0 35657 0 573326 0 0 0 CHRISTOPHER A SCANZERA VP & CHIEF INFORMATION OFFICER 0 343453 0 91321 0 38923 0 64487 0 28286 0 566470 0 0 ALEXANDER ONOPCHENKO MD TRUSTEE 0 297637 0 158125 0 29174 0 19122 0 35210 0 539268 0 0 CHARISSE FIZER VP CLINICAL OPS & AMB SERVICES 295776 0 82386 0 87064 0 41731 0 20901 0 527858 0 32698 0 BENJAMIN J NEGLEY VP PHYSICIAN PRACT ADMIN 290100 0 79406 0 45388 0 63345 0 40290 0 518529 0 0 0 JAVID IQBAL MD TRUSTEE 0 285105 0 138850 0 27476 0 15394 0 36793 0 503618 0 0 NARESH KUMAR MD PHYSICIAN 231538 0 236113 0 271 0 16235 0 3369 0 487526 0 0 0 CATHERINE DILLANE MD PHYSICIAN 378019 0 56807 0 20028 0 16321 0 14888 0 486063 0 0 0 JAMES KILMER VP CHIEF ADMIN OFF. CITY 224400 0 60834 0 125351 0 36337 0 33889 0 480811 0 56813 0 MARY ONWUKA MD PHYSICIAN ADVISOR 269582 0 139365 0 21254 0 15380 0 4016 0 449597 0 0 0 LARISA K GOGANZER VP CHIEF ADMIN OFF. MAINLAND 260619 0 60834 0 40679 0 40481 0 39124 0 441737 0 0 0 BRIAN E ISAACSON PSYCHIATRIST 267519 0 101095 0 5833 0 16227 0 14309 0 404983 0 0 0 JOAN MARY BRENNAN FORMER OFFICER 0 0 0 0 342131 0 0 0 22908 0 365039 0 3295 0 BARBARA YOUNG ASSISTANT VP SUPPLY CHAIN 207752 0 30018 0 5662 0 13316 0 13267 0 270015 0 0 0 SAMANTHA A KILEY EXECUTIVE DIRECTOR 186571 0 26224 0 298 0 13527 0 39172 0 265792 0 0 0 JULIA DREW EXECUTIVE DIRECTOR 124227 0 21693 0 47925 0 11729 0 12152 0 217726 0 0 0 MONIKA FINNEGAN DIRECTOR OF FINANCE 154486 0 6593 0 4408 0 10775 0 3092 0 179354 0 0 0 CHRISTOPHER C APGAR FORMER OFFICER 122520 0 4162 0 2504 0 7201 0 2256 0 138643 0 0 0 PART VII AND SCHEDULE J IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE TAXABLE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2021 FORMS W-2 AND FORMS 1099 (IF APPLICABLE). SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2021 WHICH WAS INCLUDED IN HER 2021 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOAN MARY BRENNAN, $338,836. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET A. BELFIELD, $52,529; MARILOUISE VENDITTI, M.D., $47,464; RICHARD D. LOVERING, $41,781; TERRI LU SCHIEDER, $38,807; KATHERINE BIRKENSTOCK, $103,043; CHARISSE FIZER, $32,698; JAMES KILMER, $83,244; JOAN MARY BRENNAN, $3,295 AND JOSEPH J. MCCARTHY, CPA, $390. 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 EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $337,155; MARGARET A. BELFIELD, $48,801; HAK J. KIM, $44,083; MARILOUISE VENDITTI, M.D., $43,833; RICHARD D. LOVERING, $38,453; DONNA MICHAEL-ZIEREIS, ESQ., $34,000; TERRI LU SCHIEDER, $32,617; KATHERINE BIRKENSTOCK, $26,667; MOHAMMADYASER MOURAD, M.D., $59,500; CHRISTOPHER A. SCANZERA, $49,679; CHARISSE FIZER, $26,939; BENJAMIN J. NEGLEY, $47,180; JAMES KILMER, $21,629 AND LARISA K. GOGANZER, $27,083. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2021 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2021 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. SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 645790PE0 2021-09-15 216995000 LOAN REFI, CONSTR PROJECT COSTS false false false A 0 0 242807518 0 0 0 1929318 0 0 0 0 4212 2021 false false true true A false false true true true true 0.00000 0.00000 0.00000 false false false true A false true true false false false 0 false 0 false true A true SEAN M BELFIELD FAMILY MEMBER OF OFFICER 34883 ARMC EMPLOYEE false IVENNY D LOPEZ FAMILY MEMBER OF TRUSTEE 38637 AH SERVICES EMPLOYEE false NATASHA E POSTAL FAMILY MEMBER OF TRUSTEE 37011 ARMC EMPLOYEE false ATLANTIC EMERGENCY ASSOC PA COMPANY - TRUSTEE 248000 MEDICAL SERVICES false SCHEDULE L, PART IV Thomas Brabson, M.D. served as a trustee of AtlantiCare Regional Medical Center. AtlantiCare Regional Medical Center utilized the services of his company, Atlantic Emergency Associates, PA, during 2021. Total fees paid by AtlantiCare Regional Medical Center to Atlantic Emergency Associates, PA amounted to $248,000 in 2021. Services were rendered at fair market value rates pursuant to arm's length negotiations. CORE FORM, PART I; SUMMARY THE TOTAL VOTING AND INDEPENDENT VOTING MEMBERS DISCLOSED ON PAGE 1 OF THIS FORM 990 IS THE TOTAL FOR ALL ORGANIZATIONS 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 ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION: - ATLANTICARE BEHAVIORAL HEALTH, INC.; 16 VOTING, 10 INDEPENDENT; - ATLANTICARE FOUNDATION; 21 VOTING, 15 INDEPENDENT; - ATLANTICARE HEALTH ENGAGEMENT; 4 VOTING, 0 INDEPENDENT; - ATLANTICARE HEALTH SERVICES, INC.; 16 VOTING, 10 INDEPENDENT; - ATLANTICARE REGIONAL HEALTH SERVICES A NEW JERSEY NONPROFIT CORPORATION; 16 VOTING, 10 INDEPENDENT; - ATLANTICARE REGIONAL MEDICAL CENTER; 16 VOTING, 10 INDEPENDENT. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AtlantiCare Health System, Inc. Feid: 22-3265213 AtlantiCare Health System, Inc. ("system") is a tax-exempt 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 501(c)(3). System and affiliates ("AtlantiCare") are part of an integrated healthcare delivery 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 ("ARMCformerly the Atlantic City Medical Center), AtlantiCare behavioral health ("ABH"), AtlantiCare foundation ("foundation"), AtlantiCare health services ("services"), AtlantiCare health solutions ("health solutions") and AtlantiCare health engagement ("engagement"). Additionally, other AtlantiCare entities participate in other healthcare related activities in collaboration with other members of the community. The region's largest healthcare organization and largest non-casino employer, AtlantiCare's nearly 6,000 employees serve the community in more than 100 locations. AtlantiCare and its affiliated organizations are governed by more than 50 volunteer community leaders who dedicate considerable time and energy toward the ultimate achievement of AtlantiCare's mission, vision and values: Mission statement ================= We make a difference in health and healing, one person at a time, through trusting relationships. Vision ====== AtlantiCare builds healthy communities together. Values ====== AtlantiCare stresses the following values: Integrity ========= Our behaviors consistently reflect the highest ethical standards. Respect ======= We treat each other with kindness, dignity and compassion. Safety ====== Safety of patients and staff is our top priority. Service ======= Service is defined and measured by our customers. AtlantiCare strives to deliver excellence in every interaction. Teamwork ======== We work together to achieve our goals. Inclusion ========= We create a sense of belonging by embracing the diversity of our AtlantiCare family and community. Charitable purpose ================== AtlantiCare's primary service offering of healthcare delivery, integrated with the complementary and strategic service offerings of health information and health engagement, focuses on delivering quality and value at every stage of health: healthy, at-risk and with acute or chronic illness. We are deeply committed to providing healthcare services to all individuals who reside in our primary and regional service areas in a non-discriminatory manner regardless of medical condition, race, color, creed, sex, national origin, handicap, age, lifestyle, financial status or ability to pay. AtlantiCare Regional Medical Center ("ARMC") is one of two "safety net" hospitals in southern New Jersey providing approximately $4.0 million in charity care, at cost, which represents approximately 90% of the charity care provided in Atlantic County. Within the region, AtlantiCare provides more charity care than the 7 closest hospitals combined. To further ensure that our community's healthcare needs are meet, 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. While the above statistics alone differentiate AtlantiCare's commitment to the community it serves, it recognizes that health and the assurance of good health are truly cultivated beyond the walls of its clinical settings. As such, AtlantiCare has established itself within its service area as a collaborator and partner to agencies and services that improve the quality of life for our area residents. AtlantiCare sponsors many charitable agencies and their programs, which provide substantial benefit and close evident service gaps. These programs include services for older adults, community outreach programs for at-risk populations, support initiatives for the continued healing of patients and their caregivers post discharge, in addition to health promotion and disease prevention campaigns to improve overall health and well-being. Examples include AtlantiCare's support of the American Heart Association, Boys and Girls Club of Atlantic City, Jewish Family Services, Ruth Newman Shapiro Heart & Cancer Memorial Fund, Shirley Mae Breast Cancer Assistance Fund, Gilda's Club of South Jersey, March of Dimes, and the Red Cross. AtlantiCare hosts and supports various professional and higher educational programs and strongly believes in investing in the individuals who one day will become healthcare professionals. Employees participate in job shadow days and conduct career presentations and skills fairs at local schools. In addition, AtlantiCare offers scholarships and other forms of support to local students who wish to pursue nursing and allied health degrees and sponsors technical honor societies. In total, annually a minimum of 18 scholarships were awarded. AtlantiCare offers a broad array of monthly community events, lectures, and/or demonstrations to the community via in-person or virtual platforms. It promotes them through traditional news media, social media, the AtlantiCare website, word of mouth, and community networking. Examples of events include: - diabetes, breast cancer, and stroke support groups - weight loss surgery seminars & support groups - first aid and CPR courses - healthy baby classes including childbirth and breastfeeding classes - healthy cooking demonstrations - senior university, an educational lecture series for older adults - opiates and narcotics anonymous - prediabetes class - matter of balance fall prevention series - family classes and events ranging from resume-writing assistance to engagement activities AtlantiCare brings health and wellness services to the community through risk-based screenings (e.g., blood pressure, body mass index, and cholesterol). Specially trained nurses and health care professionals provide health assessments in an effort to detect health conditions early when they are easier to treat, educate participants about healthy lifestyle behaviors, and to refer individuals to needed programs and support services. Additionally, its representatives address senior centers, faith-based organizations, municipalities, and other community organizations/agencies upon request. Due to safety limitations, our efforts continued to support community groups, organizations, and even local businesses with their health and safety needs continued in an online format for most of 2021. AtlantiCare operates four signature community programs whose sole focus is to improve the health and well-being of our community. These innovative programs are healthy schools, healthy children, growing green, healing arts, and healing Atlantic county. All of AtlantiCare's signature community programs allow us to serve distinct audiences: children and their caretakers, those with limited access to healthy foods, those impacted by the opiate crisis, and those seeking respite and healing. Healthy schools, healthy children partners with more than 110 schools in a variety of different modalities to teach children, parents, and staff about the importance of healthy eating, physical activity, and mental wellbeing. Signature components of this program are the school nurse lecture series and professional development workshops that provide education and resources to school personnel. In recent years, we worked to expand our offerings to address the resiliency needs of children as well. In 2021, AtlantiCare distributed over $60,000 in grants to local schools. The AtlantiCare Growing Green program which includes the Pantry at the Healthplex addresses food insecurity while promoting healthful food choices. This program has funded the construction of over 95 school and community gardens in southeastern New Jersey. In 2017, AtlantiCare established its pantry at the Healthplex, a healthful food pantry. This services patients of our William l. Gormley Healthplex in Atlantic City who are deemed food insecure. AtlantiCare also offers a summer meals program, to provide a healthy lunches and health education to more than 200 children and their families during the summer when school lunches are not available. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Healing arts is a unique initiative designed to showcase local, original artwork throughout our facilities. By integrating the arts within and near our facilities, we visibly demonstrate our intent to create a healing presence in our community. Beyond art on walls, AtlantiCare's Healing arts initiative also celebrated and extended therapeutic art services to our front-line responders. Collectively, these offerings continue to ensure that our healing spaces are serene and calming for both our staff and our patients. Healing Atlantic county works hard to address root causes for substance use and is focused on reducing overall opioid-related deaths. This effort has led to a reduction in the number of opioids prescribed; AtlantiCare placing community disposal receptacles for unwanted and potentially harmful medications; the distribution of Narcan throughout the community, and ongoing recovery supports. Other ways AtlantiCare contributes to the safety and well-being of the communities it serves include: - Distribution of AEDs through heart heroes matching funds program. Today over 300 AEDs have been placed throughout our community. - ensuring shelter services for those deemed housing insecure for those who are medically vulnerable. AtlantiCare embraces its strategic commitment to diversity and inclusion. We have positioned inclusion as a strategic business priority that aligns with our overall vision, mission and values. At the heart of our diversity and inclusion efforts, are our dedicated and engaged employee resource groups ("ergs"). These groups of physicians and staff help us with cultural and community awareness activities, education, and community outreach, thus impacting employee engagement, customer experiences, and community connectivity. The groups are formed around common interests but are open to all employees. The groups continue to experience membership growth. In total there are 11 groups which include African American ("legacy"), Asian-pacific ("APEG"), disabilities ("CAARE"), interfaith ("paths"), Latino ("alma"), LGBTQ ("pride"), military ("honors"), fitness and wellbeing, recovery, and women ("leads") among others. Our ERGs are able to provide financial and in-kind support to community programs and organizations. Additionally, they supported various community organizations through participation in walks, health and career fairs, as well as other in-kind donations. They also provide scholarship opportunities to those pursing healthcare careers. As the largest non-casino employer in the region, AtlantiCare provides a significant positive economic contribution to the community. AtlantiCare directly impacts the community in a positive manner by virtue of employing nearly 6,000 area residents. AtlantiCare supports the local business community by purchasing goods and services from many local area businesses as well as participating in community-based organizations as volunteers or board members. Leveraging our anchor institution status, we continue to find ways to deeply root ourselves into the community. AtlantiCare Regional Medical Center Feid: 21-0634549 Background ========== ARMC is a 593-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 501(c)(3). ARMC operates consistently with the following criteria outlined in irs revenue ruling 69-545: ARMC provides urgent and emergent healthcare services to all individuals and also provides elective procedures to individuals 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 three 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; Control of ARMC rests with its board of trustees; which is comprised of independent civic leaders and other prominent members of the community; and 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 27 million visitors each year. ARMC's mainland campus, which opened in 1975, is located in Galloway, New Jersey. ARMC also has a satellite emergency department in Hammonton, NJ. ARMC offers a number of outpatient services spread out over 100 locations. One of these locations, the William l. Gormley AtlantiCare Healthplex, located in Atlantic City, offers services regardless of the ability to pay and is home to one of AtlantiCare's federally qualified health center locations. It has a satellite operation in Galloway. ARMC is a teaching hospital. In 2019 it provided training for more than 120 medical and pharmacy residents, students and fellows. AtlantiCare also annually hosts conferences and other educational events. While many of our educational offerings were unable to be held in person this year, as a result of the pandemic. AtlantiCare still continued to be a source of medical education to our community via virtual education opportunities. ARMC is home to many centers of excellence and specialized services, several of which are exclusive to the region. - Level II regional trauma center - Joint commission-designated comprehensive stroke center - Heart and vascular institute - the region's only full-service cardiac surgery program - The musculoskeletal institute - Stanley m. Grossman pediatric center - The cancer care institute, a fox chase cancer center partner - Center for surgical weight loss and wellness - Roger b. Hansen center for childbirth, including level iii neonatal intensive care unit - Maternal fetal medicine program - Family planning clinic - Psychiatric unit and crisis intervention program - Neurosciences institute - wound healing center ARMC is proud of its affiliations with renowned healthcare organizations including but not limited to Rothman institute; Thomas Jefferson university hospital; the children's hospital of Philadelphia; and fox chase cancer center. 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 ====== ARMC 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 healthcare services to all individuals and also provides elective procedures to individuals 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 healthcare 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 $15.6 million for 2021. The significant reduction in the cost of providing charity care is the result of ARMC's efforts in assisting patients to enroll in the state Medicaid program. The estimated unreimbursed cost of providing care to Medicaid patients was $37.4 million in 2021. Because ARMC does not pursue collections of amounts determined to qualify as charity care, they are not reported as revenue. ARMC 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. 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 the lesser of the calculated amounts generally billed under irc 501(r)(5) or 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 under-resourced 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. AtlantiCare, recognitions and designations ========================================== Following is a sampling of the many awards, recognitions, and designations AtlantiCare has earned as of December 31, 2021: - 2020 - AtlantiCare earns designation as anticoagulation center of excellence from anticoagulation form. - 2019 - ARMC's wound healing center earns undersea and hyperbaric medical society's (UHMS) full accreditation. The certification recognizes healthcare organizations that provide clinical programs across the continuum of care for diabetes. - 2019 - AtlantiCare earns American heart association's (aha) workplace health achievement index gold level recognition for taking significant steps to build a culture of health in the workplace. The AHA recognized AtlantiCare at the silver level in 2018 and bronze level in 2017. - 2019 - ARMC earns the joint commission's gold seal of approval for advanced certification for inpatient diabetes care. The gold seal is a symbol of quality that reflects a healthcare organization's commitment to providing safe and quality patient care. AtlantiCare is one of only 81 organizations across the country, and four in New Jersey that had then earned the certification. - 2019 - for the seventh year in a row, AtlantiCare earns human rights campaign (HRC) foundation recognition as a "leader in LGBTQ healthcare equality." the HRC is the educational arm of the country's largest lesbian, gay, bisexual and transgender civil rights organization. - 2019 - ARMC's Atlantic City campus again earns the joint commission's gold seal of approval and the American heart association/American stroke association's heart-check mark for advanced certification for comprehensive stroke centers. The gold seal of approval and the heart-check mark represent symbols of quality from their respective organizations. AtlantiCare first earned the designation in May 2017. - 2019 - blue cross, blue shield names ARMC a blue distinction center for cardiac care (also named in 2014). - 2018 - ARMC is re-designated as a magnet facility. ARMC became the 105th hospital in the nation to attain status as a magnet designated hospital in 2004 and was re-designated in 2008, 2013 and 2018. - 2018 - ARMC's satellite emergency department in Hammonton earns the emergency nurses association's lantern award for excellence. The award recognizes exceptional and innovative performance in leadership, practice, education, advocacy and research and the organization's commitment to providing quality are in a safe and healthy work environment. - 2018 - blue cross, blue shield names ARMC a blue distinction center+ for bariatric surgery. - 2017 - ARMC's neonatal intensive care unit earns the American association of critical care nurses' gold beacon award for excellence. The recognition honors individual units that distinguish themselves by improving every facet of patient care. - 2017 - blue cross, blue shield names ARMC a blue distinction center knee and hip replacement. - 2016 - Baby-Friendly USA, Inc., designates ARMC a baby-friendly facility. This prestigious international award recognizes hospitals and birthing centers that offer an optimal level of care for mothers and their babies. - 2016 - national safe sleep hospital certification program certifies ARMC as a gold safe sleep champion organization. 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 17 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 34-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 501(c)(3). The majority of ABH's patients are underinsured (Medicaid/Medicare) or uninsured. ABH 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 $1,892,890 for 2021. ABH provides many of their services under grants from state and federal agencies. Such programs include: Department of human services ---------------------------- - Adult outpatient program. - Intensive outpatient treatment. - Adult partial care. - Adult early intervention program. - Residential intensive support team. - supported employment. - Substance use disorder intensive outpatient treatment for medically indigent adults. - Program assertive community treatment. - Violence Intervention Program Department of children and families ----------------------------------- - School based youth services program - Oakcrest high school teen center - School based youth services program - Atlantic City high school teen center - School based youth services program - Buena Regional high school and middle school - Hammonton family success center - department of children and families U.S. department of health and human services -------------------------------------------- - primary and health and human services AtlantiCare foundation ("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 501(c)(3). The foundation is committed to supporting AtlantiCare's expansion and clinical investments by securing the financial resources necessary to ensure high quality evidenced based medicine for current and future generations. AtlantiCare health services ("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 region's residents throughout all stages of life. The internal revenue service has recognized services as being a tax-exempt organization under the irc code 501(c)(3). Services programs include: - AtlantiCare Surgery Center LLC, a full service, freestanding ambulatory surgery centers. - AtlantiCare life center, offering a full spectrum of health and wellness, physical and rehabilitative conditioning. - 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. The programs outlined above engage in healthcare services which are high quality and cost effective for the benefit of the community and in support of the charitable purposes of AtlantiCare health system. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AtlantiCare physician group, p.a. ("APG") Feid: 02-0701782 APG provides services in and outside of the hospital atmosphere to specialize in preventive care and in diagnosing and treating various illnesses. The internal revenue service has recognized APG as being a tax-exempt organization under the irc 501(c)(3). - AtlantiCare primary/urgent care centers (located in Atlantic, Cape May, Burlington, 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. - select specialty practices including surgical, ent, diabetes, neurology and urology. AtlantiCare information technology ("AIT") AtlantiCare information technology (a division of AtlantiCare Health System, Inc.) supports all other AtlantiCare affiliates to achieve maximum results through the use of information technology. AIT's innovative networking technology enhances the speed and efficiency of patient's diagnosis and treatment while maintaining patient confidentiality and safety. 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. ARMC contributed for the year ended December 31, 2012, and 2013 $2,000,000 and $5,000,000 respectively, and an additional $10,000,000 in 2014. In 2015, the medical center contributed $15,000,000 to support the ongoing mission of health engagement. Today, Health Engagement not only provides health and wellness services to members of the AtlantiCare family, it also supports local employers manage and meet the healthcare needs of their workforce. COVID-19 Response ----------------- AtlantiCare's response to COVID-19 was rapid and coordinated, with system-wide interdisciplinary teams addressing everything from escalating the delivery of personal protective equipment, to creating infection prevention practices, to ensuring constant community updates and education. AtlantiCare's response teams focused on patient and staff safety. The organization was committed to maintaining a patient-centered approach throughout its response. The healthcare system also decided on a coordinated system approach to ensure a consistent response to a rapidly changing emergency spanning AtlantiCare's wide geography. Evolution was immediate in dealing with treatment protocols for patients, safety protections, acquisition of supplies, or testing. In an effort to slow the spread of COVID while continuing to care for patients, AtlantiCare's physicians and clinical staff expanded its telemedicine program. In addition, AtlantiCare was heavily involved in COVID vaccine distribution. AtlantiCare leaders recognized its unique position in the community, given the areas served by the healthcare system. This is a much broader area than many other AtlantiCare's regional healthcare partners, so there was a unique responsibility to distribute and administer as many vaccines as possible. The organization also used its network of regional facilities, including hospitals, physician offices and other ambulatory sites and other locations. AtlantiCare continues to devote resources to address COVID knowing it has not ended and in furtherance of its charitable tax-exempt mission. CORE FORM, PART VI, SECTION A; QUESTION 3 THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND SERVES AS THE PARENT ORGANIZATION OF THE SYSTEM. AS THE PARENT ORGANIZATION OF THE SYSTEM AH SYSTEM PROVIDES VARIOUS CORPORATE RELATED SERVICES FOR THE BENEFIT OF VARIOUS SYSTEM ENTITIES, INCLUDING THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. THESE CORPORATE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, EXECUTIVE, LEGAL AND RISK MANAGEMENT, COMPLIANCE AND GOVERNANCE, HUMAN RESOURCES AND FINANCE. THESE TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 AND OTHER AFFILIATES WITHIN THE SYSTEM. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") IS THE SOLE MEMBER OF ALL ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 WITH THE EXCEPTION OF ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"), ATLANTICARE HEALTH SERVICES, INC. ("SERVICES") AND ATLANTICARE BEHAVIORAL HEALTH, INC. ("ABH"). ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NON-PROFIT CORPORATION HAS THE RIGHT TO ELECT THE MEMBERS OF THE ARMC, SERVICES, AND ABH BOARDS OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN ARMC, SERVICES AND ABH BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B The organizations included in this consolidated group form 990 are affiliates within atlanticare health system 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. The organization's federal form 990 was provided to each voting member of the organization's governing body prior to filing of the form 990 with the internal revenue service ("irs"). As part of the tax return preparation process the organization hired a professional certified public accounting ("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 system's finance personnel and various other system individuals ("internal working group") 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 system's internal working group for their review. The internal working group 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 internal working group for final review. Following this review, the form 990 was then presented to the AtlantiCare Health System, Inc. audit and compliance committee and provided to the organization's governing body prior to filing with the irs. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM"). AH SYSTEM HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF ITS SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH THIS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL OF ALL AFFILIATES ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND AH 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 AND PRESENTS THIS SUMMARY TO AH SYSTEM'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES ("BOARD") OF AH SYSTEM REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE EXECUTIVE STAFF. 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 AH 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; AND - 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 AH SYSTEM. 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. CORE FORM, PART VI, SECTION C; QUESTION 18 Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM 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. CORE FORM, PART VII CORE FORM, PART VII INCLUDES, AS OF DECEMBER 31, 2021, THE MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES OF EACH OF THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS A SUMMARY BY ORGANIZATION: THE BOARD OF TRUSTEES FOR EACH OF THE FOLLOWING SUBORDINATES INCLUDED IN THIS CONSOLIDATED GROUP FORM 990, AS OF DECEMBER 31, 2021, IS IDENTICAL. THESE SUBORDINATES ARE: - ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION; - ATLANTICARE REGIONAL MEDICAL CENTER; - ATLANTICARE HEALTH SERVICES, INC.; AND - ATLANTICARE BEHAVIORAL HEALTH, INC. THE BOARD OF TRUSTEE LIST REFLECTED IN PART VII FOR THESE SUBORDINATES INCLUDES THE FOLLOWING INDIVIDUALS: - MANUEL E. APONTE; - MATHEW D. FINKELSON, D.M.D.; - PATRICIA RICH-TUOHY; - MICHAEL WALSH; - MARGARET A. BELFIELD; - BLAIR A. BERGEN, M.D.; - THOMAS BRABSON, D.O.; - CHRISTOPHER C. CATCHING, ED.D.; - LORI S. HERNDON; - JAVID IQBAL, M.D.; - ALDALBERTO LOPEZ; - RICHARD S. MAIRONE, ESQ.; - BRETT H. MATIK; - YOLANDA N. MELVILLE, ESQ.; - GINA MERRITT-EPPS, ESQ.; - MARISSA TRAVALINE; - DAVID L. CARR, PH.D. (TERMED); - DAVID GODDARD (TERMED); AND - ROSALIND E. KINCAID (TERMED). ATLANTICARE FOUNDATION'S BOARD OF TRUSTEES INCLUDES THE FOLLOWING INDIVIDUALS: - ROBERT L. HORDES; - JOHANNA PERSKIE; - FATEN DIB; - JOHN BECHER, D.O.; - MARGARET A. BELFIELD; - LOUIS BONGIOVANNI; - KRISTINA CARR; - MICHAEL CONNOR, ESQ.; - BERNADETTE DOUGHERTY; - PAUL J. GALLAGHER, ESQ.; - TIM L. GLENN; - GARY L. HANSON; - LORI S. HERNDON; - ROBERT HIMMELSTEIN; - CORNELIUS P. MCPEAK; - ALEXANDER ONOPCHENKO, M.D.; - FABIO OROZCO, M.D.; - PAUL P.J. PULLIA; - T. ERIC REICH; - MAUREEN SHAY; - SULIN YAO, M.D.; - PACIFICO AGNELLINI, ESQ. (TERMED); AND - LARRY J. KAUFMAN, M.D. (TERMED). ATLANTICARE HEALTH ENGAGEMENT, INC.'S BOARD OF TRUSTEES INCLUDES THE FOLLOWING INDIVIDUALS: - LORI S. HERNDON; - RICHARD D. LOVERING; - HAK J. KIM; AND - MARGARET A. BELFIELD. THE OFFICERS OF ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION INCLUDE THE FOLLOWING INDIVIDUALS: - LORI S. HERNDON; - MARGARET A. BELFIELD; - RICHARD D. LOVERING; - HAK J. KIM; - DONNA MICHAEL-ZIEREIS, ESQ.; AND - BARBARA YOUNG. THE OFFICERS OF ATLANTICARE REGIONAL MEDICAL CENTER INCLUDE THE FOLLOWING INDIVIDUALS: - LORI S. HERNDON; - MARGARET A. BELFIELD; - HAK J. KIM; - RICHARD D. LOVERING; - BENJAMIN J. NEGLEY; - MARILOUISE VENDITTI, M.D.; - KATHERINE BIRKENSTOCK; - TERRI LU SCHIEDER; - CHARISSE FIZER; - DONNA MICHAEL-ZIEREIS, ESQ.; - BARBARA YOUNG; - LARISA K. GOGANZER; - JAMES KILMER; AND - CHRISTOPHER A. SCANZERA. THE OFFICERS OF ATLANTICARE HEALTH SERVICES, INC. INCLUDE THE FOLLOWING INDIVIDUALS: - LORI S. HERNDON; - MARGARET A. BELFIELD; - HAK J. KIM; - RICHARD D. LOVERING; - BENJAMIN J. NEGLEY; - MARILOUISE VENDITTI, M.D.; - KATHERINE BIRKENSTOCK; - DONNA MICHAEL-ZIEREIS, ESQ.; AND - BARBARA YOUNG. THE OFFICERS OF ATLANTICARE BEHAVIORAL HEALTH, INC. INCLUDE THE FOLLOWING INDIVIDUALS: - LORI S. HERNDON; - MARGARET A. BELFIELD; - RICHARD D. LOVERING; - BENJAMIN J. NEGLEY; - MARILOUISE VENDITTI, M.D.; - KATHERINE BIRKENSTOCK; - DONNA MICHAEL-ZIEREIS, ESQ.; - BARBARA YOUNG; - JULIA DREW; AND - MONIKA FINNEGAN. THE OFFICERS OF ATLANTICARE FOUNDATION INCLUDE THE FOLLOWING INDIVIDUALS: - LORI S. HERNDON; - MARGARET A. BELFIELD; - SAMANTHA A. KILEY; - RICHARD D. LOVERING; AND - DONNA MICHAEL-ZIEREIS, ESQ. THE OFFICERS OF ATLANTICARE HEALTH ENGAGEMENT INCLUDE THE FOLLOWING INDIVIDUALS: - LORI S. HERNDON; - MARGARET A. BELFIELD; - RICHARD D. LOVERING; - HAK J. KIM; AND - DONNA MICHAEL-ZIEREIS, ESQ. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION AND/OR RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII AND SCHEDULE J LORI S. HERNDON IS AN OFFICER AND MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES; AN UNCOMPENSATED POSITION. MS. HERNDON IS EMPLOYED BY A RELATED ORGANIZATION. ACCORDINGLY, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ATLANTICARE HEALTH SYSTEM, INC. (EIN: 22-3265213). ATLANTICARE HEALTH SYSTEM, INC. FILED A 2021 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HER COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VII AND SCHEDULE J CHRISTOPHER C. APGAR, FORMER DIRECTOR OF FINANCE OF ATLANTICARE BEHAVIORAL HEALTH, INC., IS STILL EMPLOYED WITHIN ATLANTICARE HEALTH SYSTEM AS THE DIRECTOR OF FINANCE FQHC AND GRANT COMPLIANCE. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN ATLANTICARE HEALTH SYSTEM AND AFFILIATES; 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 THIS ORGANIZATION 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, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, 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 THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - EXPECTED RETURN ON PLAN ASSETS AND OTHER COMPONENTS OF NET PENSION AND OTHER POSTRETIREMENT COSTS - $20,343,495; - PENSION LIABILITY ADJUSTMENTS - $49,895,000; - CONTRIBUTIONS RECEIVED FOR CAPITAL PURCHASES - $783,295; - NET ASSETS TRANSFERS AND NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES, NET - $32,758; - NET ASSET TRANSFER TO COOPERATIVE HOME HEALTH CARE OF ATLANTIC COUNTY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($3,422); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($1,905,913); - INCOME ATTRIBUTABLE TO NON-CONTROLLING INTEREST $1,000,000; AND - NET CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $165,000. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ATLANTICARE HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS ATLANTICARE HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE HEALTH SYSTEM, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE Year ended December 31, 2021 and the sixth-month period ended December 31, 2020; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS The AtlantiCare Health System, Inc. audit and compliance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements and the selection of an independent auditor. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN ATLANTICARE HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. 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 1 THROUGH 8 AND 45. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE BEHAVIORAL HEALTH, INC. ARE REFLECTED IN NUMBERS 9 THROUGH 20 AND 45. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE FOUNDATION ARE REFLECTED IN NUMBERS 21 THROUGH 24 AND 42 THROUGH 44. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE HEALTH SERVICES, INC. ARE REFLECTED IN NUMBERS 25 THROUGH 41 AND 45. FORM 990, LINE H(B) FORM 990, LINE H(B) - SUBORDINATES INCLUDED ------------------------------------------- 1. AtlantiCare Behavioral Health, Inc. (FEID: 21-0721208) 6010 Black Horse Pike Egg Harbor Township, NJ 08234 2. AtlantiCare Foundation (FEID: 22-2148992) 2500 English Creek Avenue, Building 600 Egg Harbor Township, NJ 08234 3. AtlantiCare Health Engagement, Inc. (FEID: 61-1608389) 2500 English Creek Avenue, Building 500 Egg Harbor Township, NJ 08234 4. AtlantiCare Health Services, Inc. (FEID: 22-3265214) 2500 English Creek Avenue, Building 600 Egg Harbor Township, NJ 08234 5. AtlantiCare Regional Medical Center (FEID: 21-0634549) 1925 Pacific Avenue Atlantic City, NJ 08401 6. AtlantiCare Regional Health Services, Inc. (FEID: 80-0834222) 2500 English Creek Avenue, Building 500 Egg Harbor Township, NJ 08234 FORM 990, LINE H(B) - SUBORDINATES NOT INCLUDED ----------------------------------------------- 1. AtlantiCare Physician Group, P.A. (FEID: 20-0701782) 2500 English Creek Avenue, Bldg. C Egg Harbor Township, NJ 08234 2. Cooperative Home Health Care Atlantic County (FEID: 22-3836022) 6550 DELILAH ROAD, SUITE 304 Egg Harbor Township, NJ 08234 ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVE BLDG 500 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) ARMC true Cooperative Home Hlth Care Atlantic Co 6550 DELILAH ROAD SUITE 304 EGG HARBOR TOWNSHIP NJ 08234 223836022 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) AH SYSTEM false COOP HLTH SVS OF SJ 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223619231 WHOLESALE PURCH. NJ NA S JERSEY ONCOL PROP 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 943463625 HEALTHCARE SVCS. NJ NA ATL SURGERY CTR LLC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223491867 HEALTHCARE SVCS. NJ NA Southern Jersey Medical Properties LLC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 383830843 RENTAL NJ NA ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HAMILTON BERMUDA BD HM 12 980656394 FINANCIAL VEHICLE BD NA FOREIGN CORP. false ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ NA C CORP. false ATLANTICARE ASSURANCE ALLIANCE INC 2500 ENGLISH CREEK AVE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 463730123 HEALTHCARE SVCS. NJ NA C CORP false false false false true true false false false false false true true true false true true true true true ATLANTICARE HEALTH SYSTEM INC M 58845748 COST ATLANTICARE HEALTH SYSTEM INC M 3230875 COST ATLANTICARE HEALTH SYSTEM INC M 1530982 COST ATLANTICARE HEALTH SYSTEM INC M 891212 COST SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF ATLANTICARE HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.