2016-11-15T12:02:52-06:00 2015-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2015-01-01 900779828 ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES % WALTER A GREINER ATLA 6095697040 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 WALTER A GREINER CFO 2016-11-09 true Scott J Mariani P00642486 9738989494 2015 2017-02-10 21:41:12Z LORI S HERNDON 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 807256878 true true 5788 X WWW.ATLANTICARE.ORG X 1897 NJ THE ORGANIZATIONS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NJ BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES. 16 11 5562 404 197157 34231606 39251831 729164913 731458599 33889082 29884566 5762617 2583127 803048218 803178123 12575902 16736065 0 0 331676159 337147665 0 0 0 368112154 368596617 712364215 722480347 90684003 80697776 1138832164 1136752943 592960574 617731208 545871590 519021735 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 86710628 0 79617434 EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY GENERAL MEDICINE SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ability to pay. DURING 2015 THE ORGANIZATION TREATED 7,710 GENERAL MEDICINE CASES FOR A TOTAL OF 35,346 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 70950132 0 71030266 EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY CARDIOLOGY/CARDIAC SURGERY SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ability to pay. DURING 2015 THE ORGANIZATION TREATED 4,452 CARDIOLOGY/CARDIAC SURGERY CASES FOR A TOTAL OF 19,704 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 67985528 0 75505668 EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY GENERAL SURGERY SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2015 THE ORGANIZATION PERFORMED 3,100 SURGICAL PROCEDURES FOR A TOTAL OF 19,730 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 426259631 16736065 505163875 651905919 true true false true false false false false false true true false true false true false false true false false true false false false true false true true true false true false false false false false false true false true false false false false true true true false false true 632 0 true 5562 true true true false false false false true true false false false false X 16 11 false false true false true true true true true false false true true true true true true true true true true NJ X WALTER A GREINER 6095697040 2500 ENGLISH CREEK AVE EGG HARBOR TWNSHP NJ 08234 X KENNETH R STEINBERG CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 DAVID GODDARD VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 FRANCINE GOLDSTEIN SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 MANUEL APONTE TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 BLAIR A BERGEN MD TRUSTEE 55.0 0.0 X 0 558043 46217 JOHN B BULGER MD TRUSTEE 55.0 0.0 X 0 530601 42726 DAVID CARR PHD TRUSTEE 1.0 0.0 X 0 0 0 MATHEW D FINKELSON DMD TRUSTEE 1.0 0.0 X 0 0 0 CRAIG GLICK MD TRUSTEE 1.0 0.0 X 0 0 0 LORI S HERNDON TRUSTEE-ARMC PRES/CEO-EVP SYS 55.0 0.0 X X 617868 0 143675 ROSALIND KINCAID TRUSTEE 1.0 0.0 X 0 0 0 ALDALBERTO LOPEZ TRUSTEE 1.0 0.0 X 0 0 0 EDELYN L MILLER TRUSTEE 55.0 0.0 X 0 1167862 195520 PATRICIA RICH-TUOHY TRUSTEE 1.0 0.0 X 0 0 0 PRIYESH THAKKAR DO TRUSTEE 1.0 0.0 X 0 0 0 FRANCIS WREN MD TRUSTEE 1.0 0.0 X 0 0 0 BENJAMIN ZELTNER ESQ CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 PACIFICO AGNELLINI ESQ SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 RANDOLPH C LAFFERTY ESQ TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JOHN BECHER DO TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL CONNOR ESQ TRUSTEE 1.0 0.0 X 0 0 0 FATEN DIB TRUSTEE 1.0 0.0 X 0 0 0 STOWELL FULTON TRUSTEE 1.0 0.0 X 0 0 0 STANLEY M GROSSMAN TRUSTEE 1.0 0.0 X 0 0 0 GARY HANSEN TRUSTEE 1.0 0.0 X 0 0 0 GARY L HILL TRUSTEE 1.0 0.0 X 0 0 0 ROBERT HORDES TRUSTEE 1.0 0.0 X 0 0 0 DEE W KASSIS RN TRUSTEE 1.0 0.0 X 0 36900 0 LARRY KAUFMAN MD TRUSTEE 1.0 0.0 X 0 0 0 J EDWARD KLINE TRUSTEE 1.0 0.0 X 0 0 0 NEAL MCPEAK TRUSTEE 1.0 0.0 X 0 0 0 ALVIN ONG MD TRUSTEE 1.0 0.0 X 0 0 0 TRACY SANTORO TRUSTEE 1.0 0.0 X 0 0 0 CAROLINE TILL TRUSTEE 1.0 0.0 X 0 0 0 DAVID P TILTON TRUSTEE - PRESIDENT/CEO 55.0 0.0 X X 0 2624875 570146 MICHAEL GIBSON ESQ TRUSTEE (1/1/15 - 9/15/15) 1.0 0.0 X 0 0 0 DOMINIC S MOFFA TRUSTEE - VICE CHAIR/EVP SYS 55.0 0.0 X X 0 510216 125723 WALTER A GREINER TRSTEE-TREAS/SVP&CFO(EFF 12/4) 55.0 0.0 X X 676142 0 90354 JAMES P NOLAN JR CPA TRUSTE - TREASURER/SVP & CFO 55.0 0.0 X X 0 634380 149642 DONNA MICHAEL-ZIEREIS ESQ VP GENERAL COUNSEL 55.0 0.0 X 0 322330 74650 MARGARET A BELFIELD CHIEF OPERATING OFFICER - ARMC 55.0 0.0 X 451220 0 83120 CHRISTOPHER A SCANZERA VP/CHIEF INFORMATION OFFICER 55.0 0.0 X 0 406776 65303 MARILOUISE VENDITTI MD CHIEF MEDICAL OFFICER 55.0 0.0 X 0 471394 76041 RICHARD D LOVERING VP HUMAN RESOURCES & ORG DEV 55.0 0.0 X 0 393079 78725 TERRI LU SCHIEDER VP CLINICAL DEV. & INTEGRATION 55.0 0.0 X 389443 0 81981 ROBYN O BEGLEY VP NURSING/CNO 55.0 0.0 X 384351 0 71005 JOAN MARY BRENNAN VP QUALITY & PERF EXCELLENCE 55.0 0.0 X 365167 0 69831 CHARISSE FIZER VP CLINICAL OPS & AMB SERVICES 55.0 0.0 X 360222 0 58673 RENE A ZANELOTTI-BUNTING VP MARKETING 55.0 0.0 X 0 344491 55671 IRA R PEEZICK VP STRATEGIC PLANNING 55.0 0.0 X 0 294146 70969 HAK J KIM VP FINANCIAL PLANNING 55.0 0.0 X 0 267365 67116 JOSEPH J MCCARTHY CPA VP FINANCIAL OPERATIONS 55.0 0.0 X 177356 0 56841 BARBARA YOUNG CORP. DIRECTOR SUPPLY CHAIN 55.0 0.0 X 123552 0 26561 JATIN MOTIWAL VP PHYSICIAN PRACTICE ADMIN 55.0 0.0 X 362255 0 72407 JULIA DREW EXECUTIVE DIRECTOR 55.0 0.0 X 153888 0 21896 CHRISTOPHER C APGAR DIRECTOR OF FINANCE 55.0 0.0 X 104845 0 12309 MICHAEL J SAYNISCH SENIOR DIRECTOR 55.0 0.0 X 126034 0 38705 LOYAL M OWNES SENIOR DIRECTOR - CLINICAL 55.0 0.0 X 107827 0 23404 SAMANTHA A KILEY EXECUTIVE DIRECTOR 55.0 0.0 X 125188 0 38041 STEVEN M BLUMBERG SVP EXECUTIVE DIRECTOR 55.0 0.0 X 454883 0 119229 ROMEO PERICIC MD PHYSICIAN - ARMC/APG 55.0 0.0 X 77533 677708 56407 RAYMOND C TALUCCI MD PHYSICIAN - ARMC 55.0 0.0 X 506156 0 33237 AYOOLA O ALI MD PHYSICIAN - ARMC 55.0 0.0 X 496341 0 49742 PETER N THOMPSON MD PHYSICIAN - ARMC 55.0 0.0 X 489622 0 48438 CATHERINE A DUDICK MD PHYSICIAN - ARMC 55.0 0.0 X 415600 0 41245 GLENN ANN STOLL FORMER OFFICER 55.0 0.0 X 129286 0 21486 7094779 9240166 2877036 351 true true false LF DRISCOLL 9 PRESIDENTIAL BLVD BALA CYNWYD PA 190040468 BUILDING CONTRACTOR 23839915 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 LAB 6013338 MEDTRONIC USA INC 710 MEDTRONIC PARKWAY MINNEAPOLIS MN 554325604 IT 4458331 P AGNES INC 2101 PENROSE AVENUE PHILADELPHIA PA 19145 BUILDING CONTRACTOR 4277480 VIRTUS TECHNOLOGY PARTNERS LLC 310 E GERMANTOWN PIKE NORRITON PA 19401 IT 3232968 297 X 388816 16735476 19463999 2663540 57502 39251831 NET PATIENT SERVICE REVENUE 541900 719304531 719304531 OTHER HEALTHCARE RELATED REVENUE 541900 12154068 11815555 338513 731458599 29240890 -141356 29382246 542373 542373 0 6274485 3701002 2573483 0 2573483 2573483 101303 101303 101303 101303 374751 388816 374751 0 2920 3002 -82 -82 0 TELEPHONE 517000 9726 9726 9726 803178123 731120086 197157 32609049 16735476 16735476 589 589 0 0 5868994 5282095 586899 0 244699410 220229469 24469941 22970898 20673808 2297090 44217282 39795553 4421729 19391081 17451973 1939108 2612480 2351232 261248 322518 290266 32252 456427 410784 45643 0 0 0 9780950 8802855 978095 674938 607444 67494 53273681 47946313 5327368 1347408 1212667 134741 0 11913531 10722178 1191353 548044 493240 54804 0 778666 700799 77867 11533496 10380146 1153350 0 45046218 40541596 4504622 6781276 6103148 678128 MEDICAL SUPPLIES 101826646 91643981 10182665 0 PHYSICIAN FEES 54286346 48857711 5428635 0 ADMINISTRATIVE FEES 24853033 22367730 2485303 0 PURCHASED SERVICES 19436383 17492745 1943638 0 23124576 20812121 2312455 722480347 651905919 70574428 0 X 7870764 3515166 7415888 7571404 5103656 5630058 58815565 57286795 0 0 0 0 0 0 10409925 11458616 8302205 7274446 980284985 536327671 420738846 443957314 0 0 0 0 581507011 562595487 3109543 225491 35558761 37238166 1138832164 1136752943 91374329 94954240 0 0 4439176 2249323 234109068 0 0 0 0 0 25282968 24802698 0 0 237755033 495724947 592960574 617731208 X 515660325 482615365 28596552 34842584 1614713 1563786 545871590 519021735 1138832164 1136752943 X 80697776 -31491079 -76056552 X X false true X true true true X 1 ATLANTICARE REGIONAL MEDICAL CENTER 800834222 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true 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 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 11, INTERNAL REVENUE CODE SECTION 509(a)(3) PUBLIC CHARITY; ATLANTICARE HEALTH SERVICES, INC.; SCHEDULE A, PART I, LINE 9, INTERNAL REVENUE CODE SECTION 509(a)(2) PUBLIC CHARITY; ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION; SCHEDULE A, PART I, LINE 11, INTERNAL REVENUE CODE SECTION 509(A)(3) PUBLIC CHARITY; AND INFOSHARE, INC.; SCHEDULE A, PART I, LINE 11, INTERNAL REVENUE CODE SECTION 509(A)(3) PUBLIC CHARITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 106564 0 106564 718301795 898041968 718301795 898148532 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 0 0 0 0 0 250000 250000 250000 250000 1000000 1500000 SCHEDULE C, PART II-A, LINCE 2C THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AH SYSTEM ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES IN THE SYSTEM. DURING 2015, AH SYSTEM PAID $70,000 TO OUTSIDE INDEPENDENT LOBBYING FIRMS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"), A TAX-EXEMPT HOSPITAL WITHIN THE SYSTEM, IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. DURING 2015, AH SYSTEM PAID THE DUES TO THESE ORGANIZATIONS ON BEHALF OF ARMC, A PORTION OF WHICH HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE SYSTEM. THIS ALLOCATION AMOUNTED TO $36,564 IN 2015. THE TOTAL AMOUNT OF LOBBYING EXPENDITURES MADE BY AH SYSTEM, $106,564, ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM IS REPORTED ON AH SYSTEM'S FORM 990 (FEIN: 22-3265213), SCHEDULE C, PART II-A FOR THE YEAR ENDED DECEMBER 31, 2015. 30211265 15000000 -20698 8784197 36406370 27823172 14380409 -11000 11981316 30211265 22645492 5695000 56000 573320 27823172 22759161 4093000 29000 4235669 22645492 22866332 5490000 8000 5605171 22759161 0.04000 0.96000 false false 29702975 29702975 486767804 198179393 288588411 69339 0 69339 404096550 336473352 67623198 59648317 1674926 57973391 443957314 POOLED INVESTMENTS 3946300 F LIMITED USE 24300675 F FUNDS; CURRENT 150143 F CASH - RESTRICTED; NON-CURRENT 28247 F OTHER INVESTMENTS 3535258 F BOARD DESIGNATED INVESTMENTS 503523035 F AGREEMENT 11960890 F ENDOWNMENT FUND 1453393 F ACCRUED INTEREST; LIMITED USE 133823 F LIMITED USE 10300000 F ATLANTICARE FOUNDATION 3263723 F 562595487 0 DUE TO AFFILIATES 7470257 SETTLEMENTS 71085488 OTHER LIABILITIES 92782005 ACCRUED INTEREST PAYABLE 220744 ACCRUED RETIREMENT BENEFITS 99866453 (JOINT & SEVERAL LIABILITIES) 224300000 495724947 X SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. SCHEDULE D, PART X ATLANTICARE HEALTH SYSTEM ("SYSTEM") AND GEISINGER HEALTH SYSTEM ("GEISINGER"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM BASED IN DANVILLE, PENNSYLVANIA, SIGNED A DEFINITIVE AGREEMENT FOR THE SYSTEM TO BECOME A MEMBER OF GEISINGER. FINAL REGULATORY APPROVALS WERE RECEIVED AND THE SYSTEM BECAME A MEMBER OF GEISINGER EFFECTIVE OCTOBER 1, 2015. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE BEHAVIORAL HEALTH, INC. ("ABH"), A SUBORDINATE INCLUDED IN THIS CONSOLIDATED GROUP FORM 990, FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE FOLLOWING FOOTNOTE IS INCLUDED IN ABH'S AUDITED FINANCIAL STATEMENTS FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015 THAT REPORTS ABH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): MANAGEMENT HAS EVALUATED UNCERTAIN TAX POSITIONS TAKEN BY THE COMPANY. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER TAXING AUTHORITY. THE COMPANY HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE FOUNDATION ("FOUNDATION"), A SUBORDINATE INCLUDED IN THIS CONSOLIDATED GROUP FORM 990, FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE FOUNDATION'S AUDITED FINANCIAL STATEMENTS FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015 THAT REPORTS THE FOUNDATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): MANAGEMENT HAS EVALUATED UNCERTAIN TAX POSITIONS TAKEN BY THE FOUNDATION. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER TAXING AUTHORITY. THE FOUNDATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. true Central America and the Caribbean Program Services FINANCIAL VEHICLE 6483294 East Asia and the Pacific Investments 6975115 13458409 13458409 true false false false false false GALA 598825 316702 282123 0 0 0 192485 25650 63988 GOLF TOURN. 164742 72114 92628 0 24054 57037 0 0 11537 0 763567 388816 374751 0 24054 57037 192485 25650 75525 374751 true true X true X true X 500. true true true false true true 4805 25916219 25996459 0.00000 38312 142068540 104639765 37428775 0.05690 43117 167984759 130636224 37428775 0.05690 15 28287 1651791 146907 1504884 0.00230 2 60 6050544 3566042 2484502 0.00380 4 8935 13428726 3381414 10047312 0.01530 1 317880 4500 313380 0.00050 1 304075 0 304075 0.00050 23 37282 21753016 7098863 14654153 0.02240 23 80399 189737775 137735087 52082928 0.07930 true 22528182 102314 196140954 234923396 -38782442 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 13 true true false true X WWW.ATLANTICARE.ORG/COMMUNITY X WWW.BACHARACH.ORG X true 13 true WWW.ATLANTICARE.ORG/COMMUNITY false false true X 200. 500. X X X X X true true X X X X true X ATLANTICARE.ORG/FINANCIAL-ASSIST X ATLANTICARE.ORG/FINANCIAL-ASSIST X ATLANTICARE.ORG/FINANCIAL 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 2013, ATLANTICARE REGIONAL MEDICAL CENTER CONDUCTED ITS REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH BACHARACH INSTITUTE FOR REHABILITATION, WHICH IS ALSO LOCATED IN ATLANTIC COUNTY, NEW JERSEY. IN ADDITION TO A REVIEW OF PRIMARY AND SECONDARY DATA SOURCES, BOTH PARTIES ENSURED THAT THEY RECEIVED FEEDBACK FROM COMMUNITY LEADERS THROUGH FORMAL MEETINGS WHERE FINDINGS WERE SHARED FOR VALIDATION AND INPUT. COMMUNITY RESIDENT FEEDBACK WAS ALSO COLLECTED THROUGH A SERIES OF FOCUS GROUPS WHICH WERE CONDUCTED IN FOUR DISTINCT COMMUNITIES WITHIN THE COUNTY, SOMERS POINT, HAMMONTON, GALLOWAY, AND ATLANTIC CITY. 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 WAS ALSO DRAFTED IN 2013 TO DOCUMENT HOW ATLANTICARE WAS GOING TO MEET THE COMMUNITY'S IDENTIFIED NEEDS. IN THE YEARS 2014 AND 2015, ATLANTICARE RELEASED INTERIM REPORTS DETAILING ITS PROGRESS IN MEETING THE COMMUNITY'S NEEDS. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B IN 2013, ATLANTICARE REGIONAL MEDICAL CENTER CONDUCTED ITS REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH BACHARACH INSTITUTE FOR REHABILITATION, WHICH IS A TAX-EXEMPT HOSPITAL LOCATED IN ATLANTIC COUNTY, NEW JERSEY. ATLANTICARE CONTINUES TO WORK WITH ITS COMMUNITY PARTNERS TO FIND SOLUTIONS FOR ALL IDENTIFIED COMMUNITY NEEDS. TO DATE, AT LEAST ONE STRATEGY PER COMMUNITY NEED HAS BEEN IDENTIFIED AND CONTINUED IMPLEMENTATION AND REVISIONS OF PROPOSED STRATEGIES ARE ONGOING. SCHEDULE H, PART V, SECTION B, QUESTION 11 IN 2013, ATLANTICARE REGIONAL MEDICAL CENTER CONDUCTED ITS REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH BACHARACH INSTITUTE FOR REHABILITATION, WHICH IS ALSO LOCATED IN ATLANTIC COUNTY, NEW JERSEY. IN ADDITION TO A REVIEW OF PRIMARY AND SECONDARY DATA SOURCES, BOTH PARTIES ENSURED THAT THEY RECEIVED FEEDBACK FROM COMMUNITY LEADERS THROUGH FORMAL MEETINGS WHERE FINDINGS WERE SHARED FOR VALIDATION AND INPUT. COMMUNITY RESIDENT FEEDBACK WAS ALSO COLLECTED THROUGH A SERIES OF FOCUS GROUPS WHICH WERE CONDUCTED IN FOUR DISTINCT COMMUNITIES WITHIN THE COUNTY, SOMERS POINT, HAMMONTON, GALLOWAY, AND ATLANTIC CITY. 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. COMMUNITY NEEDS THAT EMERGED FROM THIS ASSESSMENT WERE ORGANIZED INTO THEMES, WITH THE IDENTIFIED THEMES BEING: ACCESS TO PRIMARY, PREVENTATIVE AND MENTAL HEALTH CARE; THE COST OF CARE; UNCOORDINATED CARE; AND DEFICIENT COMMUNITY SUPPORTS. UNDER THESE THEMES, SPECIFIC NEEDS THAT OUR COMMUNITY FACES INCLUDE LONG WAIT TIME FOR SPECIALTY CARE DUE TO THE LACK OF PROVIDERS; THE COST OF MEDICAL SERVICES AND PRESCRIPTION DRUGS FOR A COMMUNITY WHICH IS DEPENDENT ON SEASONAL TOURISM AS ITS MAIN ECONOMIC DRIVER; LACK OF MASS TRANSIT AND FEW REGIONAL TRANSIT OPTIONS; AND LACK OF CONVENIENT AND/OR CULTURALLY APPROPRIATE HEALTH CARE OPTIONS (IE: AFTERHOURS CARE, ON-LINE SERVICES, ETC). AS A RESULT OF THIS REPORT A MULTI-DISCIPLINARY TEAM, COMPRISED OF INTERNAL AND EXTERNAL MEMBERS MET AND, THROUGH A RIGOROUS PROCESS, DETERMINED ACTIONABLE ITEMS WHICH WERE INCLUDED INTO ATLANTICARE'S IMPLEMENTATION STRATEGY. THIS DOCUMENT INCLUDES STRATEGIES WHICH, OVER A THREE YEAR TIMEFRAME, ATLANTICARE INTENDS TO CARRY OUT IN RESPONSE TO THE COMMUNITY'S UNMET NEEDS. INCLUDED STRATEGIES WERE SELECTED BASED ON ALIGNMENT WITH THE HOSPITAL'S MISSION AND ABILITY TO POSITIVELY IMPACT GIVEN AVAILABLE RESOURCES. THESE PLANS WERE APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES ON OCTOBER 30, 2013. IN 2014 AND IN 2015, ATLANTICARE RELEASED A PROGRESS REPORT DOCUMENTING ACTIONS TOWARD THE ATTAINMENT OF SUCH STRATEGIES. THIS CAN BE FOUND ON ATLANTICARE'S WEBSITE, UNDER COMMUNITY. HOSPITALS ARE NOT REQUIRED TO, NOR CAN THEY RESPOND TO ALL UNMET NEEDS IN THE COMMUNITY. ANY UNMET 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. AN EXAMPLE OF THIS WOULD BE TRANSPORTATION, WHERE THE LOCAL COUNTY GOVERNMENT IS ACTIVELY WORKING TO ADDRESS WITH OTHER AREA PARTNERS INTERESTED IN IMPROVING TRANSIT ACROSS THE COUNTY. 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 WHICH HAVE THE LARGEST IMPACT ON THE HEALTH OF OUR COMMUNITY. SCHEDULE H, PART V, SECTION B, QUESTION 22D ATLANTICARE REGIONAL MEDICAL CENTER HAS INSTITUTED A SELF-PAY DISCOUNT POLICY THAT LIMITS CHARGES FOR MEDICAL SERVICES TO AN AMOUNT NOT TO EXCEED 115% OF THE APPLICABLE MEDICARE REIMBURSEMENT RATE FOR ALL QUALIFIED UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR EXISTING STATE, FEDERAL AND LOCAL PROGRAMS. SCH H H,PART V,SECT B,Q'S 3J,7D,13B,13H,15E,16I,18D,19D,20E,21C,21D,23,24 NOT APPLICABLE. 16 ARMC CANCER CAREFACULTY PRACTICE 2500 ENGLISH CREEK AVE BUILDING 40 EGG HARBOR TOWNSHIP NJ 08234 CANCER CARE INSTUTUTE, IMAGING CENTER AND GYNECOLOGY/ONCOLOGY ARMC SATELLITE EMERGENCY DEPARTMENT 219 NORTH WHITE HORSE PIKE HAMMONTON NJ 080372014 SATELLITE EMERGENCY DEPARTMENT ARMC FACULTY PRACTICE 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 CARDIAC DIAGNOSTIC, SURGERY GROUP, HOSPITALISTS, PSYCH AND TRAUMA 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 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, SPECIALTY CARE CLINIC, RADIOLOGY, LAB, SCC, INFECT. DISEASE, POST ACUTE CARE ATLANTICARE PHARMSPECIALTY CARE CLINIC 54 WEST JIMMIE LEEDS ROAD GALLOWAY NJ 082059401 PHARMACY, SPECIALTY CARE CHILD PARTIAL HOSPITALIZATION 6010 BLACK HORSE PIKE EGG HARBOR TOWNSHIP NJ 08234 ADOLESCENT BEHAVIORAL HEALTH ARMC WOUND HEALING CENTER 2500 ENGLISH CREEK AVE BLDG 700 ST EGG HARBOR TOWNSHIP NJ 08234 WOUND CARE ARMC PREADMISSION TESTING 2500 ENGLISH CREEK AVENUE BLDG 20 EGG HARBOR TOWNSHIP NJ 08234 PREADMISSION TESTING ARMC OUTPATIENT SERVICES 2500 ENGLISH CREEK AVE BLD 1000 STE EGG HARBOR TOWNSHIP NJ 08234 OUTPATIENT PRENATAL ARMC FACULTY PRACTICE 65 W JIMMIE LEEDS ROAD POMONA NJ 082409102 CARDIOTHORACIC SURGERY, CARDIAC DIAG, SURGERY GROUP, HOSPITALISTS, PSYCH & MAMM. ARMC WOUND HEALING CENTER 219 N WHITE HORSE PIKE HAMMONTON NJ 08037 WOUND CARE ARMC CARDIAC DIAGNOSTIC CENTER 2500 ENGLISH CREEK AVE BLDG 900ST EGG HARBOR TOWNSHIP NJ 08234 OUTPATIENT CENTER, HEART INSTITUTE CARDIAC & VASCULAR SVCS. & HEART FAILURE PROGRAM ATLANTICARE COMMUNITY PHARMACY 65 W JIMMIE LEEDS ROAD POMONA NJ 082409102 PHARMACY ARMC THE HEART INSTITUTE CARDIAC DIAG 219 NORTH WHITE HORSE PIKE HAMMONTON NJ 080372014 OUTPATIENT CENTER, HEART INSTITUTE CARDIAC & VASCULAR VCS. & HEART FAILURE PROGRAM 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 2013 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. SCHEDULE H, PART I; QUESTION 6 SINCE 2012, THE ORGANIZATION HAS BEEN PARTICIPATING IN A DATA COLLECTION AND SHARING EXERCISE WITH THE NEW JERSEY HOSPITAL ASSOCIATION (NJHA) TO PUBLICALLY REPORT COMMUNITY BENEFITS DERIVED FROM COMMUNITY HOSPITALS AND HEALTH SYSTEMS. ATLANTICARE CONTINUES TO CONTRIBUTE TO THIS EFFORT BY SPECIFICALLY REPORTING ALL OF THEIR 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 7G SUBSIDIZED HEALTH SERVICES INCLUDE NICU, PRENATAL, PALLIATIVE CARE, RNS VAN SERVICE, BREAST HEALTH, PSYCHIATRIC INTERVENTION PROGRAM, HIV COUNSELING AND OUTPATIENT DIALYSIS. THOSE PROGRAMS ARE IDENTIFIED AS A NEED IN THE COMMUNITY AND ARE SUBSIDIZED BY EXTERNAL AND INTERNAL FUNDS. SCHEDULE H, PART I, QUESTION 7 THE ORGANIZATION UTILIZED MCKESSON'S COST ACCOUNTING SYSTEM TO ESTIMATE COSTS. SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS, ADJUSTED FOR SELF-PAY CONTRACTUAL ALLOWANCES MULTIPLIED BY ITS COST TO CHARGE RATIO. ATLANTICARE HEALTH SYSTEM, INC. AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ATLANTICARE HEALTH SYSTEM, INC. CHARITY CARE THE MEDICAL CENTER PROVIDES CARE TO CERTAIN PATIENTS WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE DERIVED FROM BOTH ESTIMATED AND ACTUAL DATA. THE ESTIMATED COST OF CHARITY CARE INCLUDES THE DIRECT AND INDIRECT COST OF PROVIDING SUCH SERVICES AND IS ESTIMATED UTILIZING THE MEDICAL CENTER'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE ESTIMATED COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS WHO MEET THE CHARITY CARE ELIGIBILITY REQUIREMENTS APPROXIMATED $21,862,000 FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE AMOUNT INCLUDES $429,000 OF CHARITY CARE PROVIDED THAT MET THE ELIGIBILITY CRITERIA BUT FOR WHICH STATE SUPPORT WAS NOT AVAILABLE. THE ESTIMATED UNREIMBURSED COST OF PROVIDING CARE TO MEDICAID PATIENTS WAS $21,892,000 FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE STATE OF NEW JERSEY HEALTH CARE REFORM ACT OF 1992, CHAPTER 160, ESTABLISHED THE HEALTH CARE SUBSIDY FUND (HCSF) TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE HOSPITALS FOR ELIGIBLE CHARITY CARE PROVIDED. FOR CHARITY CARE SERVICES RENDERED, THE MEDICAL CENTER RECOGNIZED IN NET PATIENT SERVICE REVENUE A TOTAL ALLOCATION FROM THE HCSF OF $18,120,000 FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE MEDICAL CENTER ALSO PROVIDES FREE CARE TO OTHER PATIENTS WHO DO NOT MEET THE STATE ELIGIBILITY REQUIREMENTS OR ARE NOT COMPLIANT IN PURSUING ELIGIBILITY STATUS. SUCH AMOUNTS ARE INCLUDED IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS PART OF THE PROVISION FOR BAD DEBTS, NET. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2015 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") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED 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 THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS A SCHEDULE H, PART III, SECTION B; QUESTION 9B PATIENTS RECEIVE A STATEMENT AFTER RECEIVING SERVICES. IF CONTACTING THE ORGANIZATION REGARDING THEIR INABILITY TO PAY, PATIENTS IMMEDIATELY WILL BE REFERRED TO AN INTERNAL FINANCIAL ASSISTANCE COUNSELOR. THIS INDIVIDUAL WILL SCREEN THE PATIENT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE OR THE STATE MEDICAID PROGRAM. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE SECTION 501(R) COMMUNITY HEATLTH NEEDS ASSESSMENT INFORMATION OUTLINED IN THE FORM 990, SCHEUDLE 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 FREQUENCY. ATLANTICARE REGIONAL MEDICAL CENTER ALSO RECEIVES COMMUNITY NEEDS ASSESSMENT INFORMATION FROM LOCAL AGENCIES SUCH AS THE UNITED WAY WHICH WE UTILIZE IN OUR PLANNING PROCESS. ANOTHER TOOL THAT IS USED BY ATLANTICARE REGIONAL MEDICAL CENTER TO IDENTIFY COMMUNITY NEEDS ARE THE CUSTOMER FOCUS GROUPS THAT ARE HELD BY OUR MARKETING DEPARTMENT. ATLANTICARE REGIONAL MEDICAL CENTER IS PLANNING ON UPDATING THE NEEDS ASSESSMENT IN 2015. SCHEDULE H, PART VI; QUESTION 3 ALL PATIENTS ARE INFORMED REGARDING THE AVAILABILITY OF CHARITY CARE. THIS IS ACCOMPLISHED THROUGH POSTED SIGNS AND WRITTEN NOTICES PROVIDED AT THE TIME OF REGISTRATION IN BOTH ENGLISH AND SPANISH. ATLANTICARE REGIONAL MEDICAL CENTER WILL ASSIST ANY PATIENT INTERESTED IN APPLYING BY PLACING THEM IN CONTACT WITH THE APPROPRIATE PERSONNEL IN THE COMPANY'S REGISTRATION OR BUSINESS OFFICE. SCHEDULE H, PART VI; QUESTION 4 ATLANTICARE REGIONAL MEDICAL CENTER PROVIDES URGENT AND EMERGENT HEALTHCARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO APPROXIMATELY 430,000 MEMBERS IN THE SOUTH JERSEY COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, CREED, AGE, SEX, LIFESTYLE OR ABILITY TO PAY. THE PRIMARY SERVICE AREAS ARE ATLANTIC COUNTY (COMPRISED OF 16 ZIP CODES IN CENTRAL AND EASTERN ATLANTIC COUNTY) AND SOUTHERN OCEAN COUNTY (TUCKERTON ZIP CODE ONLY). THE REGIONAL SERVICE IS COMPRISED OF ATLANTIC COUNTY RSA (REMAINING ZIP CODES), CAPE MAY COUNTY RSA AND SOUTHERN OCEAN COUNTY RSA (LONG BEACH ISLAND, MANAHAWKIN AND WEST CREEK). SCHEDULE H, PART VI; QUESTION 5 PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES FOR FURTHER INFORMATION ON HOW THE ORGANIZATION'S HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER ATLANTICARE'S CHARITABLE TAX-EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY AND MEET THE CRITERIA OUTLINED IN REVENUE RULING 69-545. SCHEDULE H, PART VI; QUESTION 6 ATLANTICARE HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. PLEASE ALSO REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. IN MAY 2014, ATLANTICARE HEALTH SYSTEM ("SYSTEM") WHICH INCLUDES THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 AND GEISINGER HEALTH SYSTEM ("GEISINGER"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM BASED IN DANVILLE, PENNSYLVANIA, SIGNED A DEFINITIVE AGREEMENT FOR THE SYSTEM TO BECOME A MEMBER OF GEISINGER. FINAL REGULATORY APPROVALS WERE RECEIVED AND THE SYSTEM BECAME A MEMBER OF GEISINGER EFFECTIVE OCTOBER 1, 2015. THE FOLLOWING ARE THE NOT FOR-PROFIT ATLANTICARE HEALTHCARE SYSTEM, INC. ENTITIES. ATLANTICARE HEALTH SYSTEM, INC. =============================== ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS THE TAX-EXEMPT PARENT OF THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER AH SYSTEM OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY AH SYSTEM. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. ATLANTICARE HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AH SYSTEM ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OF ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AH SYSTEM IS THE SOLE CORPORATE MEMBER OF ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"); A HOSPITAL PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. ARMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF IT RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF ATLANTICARE HEALTH SYSTEM, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ATLANTICARE REGIONAL MEDICAL CENTER =================================== ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC") IS A 593-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN ATLANTIC CITY, ATLANTIC COUNTY, NEW JERSEY. ARMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, ARMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ARMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ATLANTICARE 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 IN ATLANTIC COUNTY, NEW JERSEY AND OPERATES 26 LOCATIONS THROUGHOUT THE REGION. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS AND OLDER ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. ATLANTICARE BEHAVIORAL HEALTH, INC. IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. ATLANTICARE FOUNDATION ====================== ATLANTICARE FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ATLANTICARE REGIONAL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ATLANTICARE HEALTH ENGAGEMENT, INC. =================================== ATLANTICARE HEALTH ENGAGEMENT, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND ATLANTICARE REGIONAL MEDICAL CENTER TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONALS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. ATLANTICARE HEALTH SERVICES, INC. ================================= ATLANTICARE HEALTH SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND ATLANTICARE REGIONAL MEDICAL CENTER TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. ATLANTICARE PHYSICIAN GROUP, P.A. ================================= ATLANTICARE PHYSICIAN GROUP, P.A. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES SERVICES OUTSIDE OF THE HOSPITAL ATMOSPHERE TO SPECIALIZE IN PREVENTIVE CARE AND IN DIAGNOSING AND TREATING VARIOUS ILLNESSES. INFOSHARE, INC. =============== INFOSHARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE INFORMATION TECHNOLOGY FIRM OF ATLANTICARE REGIONAL MEDICAL CENTER. AND, AS SUCH, SUPPORTS ALL OTHER ATLANTICARE HEALTH SYSTEM, INC. AFFILIATES TO ACHIEVE MAXIMUM RESULTS THROUGH THE USE OF INFORMATION TECHNOLOGY. THE FOLLOWING ARE THE FOR PROFIT ATLANTICARE HEALTHCARE SYSTEM, INC. ENTITIES: ATLANTICARE ASSURANCE ALLIANCE, INC. ==================================== A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ORGANIZATION PROVIDES BENEFITS RELATED TO MALPRACTICE LIABILITY INSURANCE TO ITS MEMBERS. ATLANTICARE HEALTH PLANS, INC. ============================== A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ENTITY PROVIDES INSURANCE SERVICES FOR BOTH ATLANTICARE HEALTH SYSTEM ENTITIES AND NON ATLANTICARE HEALTH SYSTEM ENTITIES. ATLANTICARE HEALTH SOLUTIONS, INC. ================================== A FOR-PROFIT 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. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. COOPERATIVE HEALTHCARE SERVICES OF SOUTH JERSEY, L.L.C. ======================================================= A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY ATLANTICARE HEALTH SYSTEM, INC. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. ENGLISH CREEK ASSURANCE, LTD. ============================= A CONTROLLED FOREIGN CO SCHEDULE H, PART III, SECTION B; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. true ATLANTICARE HEALTH ENGAGEMENT INC 2500 ENGLISH CREEK AVE EGG HARBOR TWP NJ 08234 611608389 501(C)(3) 15000000 PROGRAM SUPPORT ATLANTICARE REGIONAL MEDICAL CENTER 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 210634549 501(C)(3) 1735476 PROGRAM SUPPORT 2 0 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X false true false false false false false true false BLAIR A BERGEN MD TRUSTEE 0 478303 0 57479 0 22261 0 20409 0 25808 0 604260 0 0 JOHN B BULGER MD TRUSTEE 0 366826 0 127094 0 36681 0 19110 0 23616 0 573327 0 0 LORI S HERNDON TRUSTEE-ARMC PRES/CEO-EVP SYS 436518 0 129060 0 52290 0 112456 0 31219 0 761543 0 0 0 EDELYN L MILLER TRUSTEE 0 637270 0 303969 0 226623 0 179209 0 16311 0 1363382 0 184105 DAVID P TILTON TRUSTEE - PRESIDENT/CEO 0 761007 0 264708 0 1599160 0 541922 0 28224 0 3195021 0 1434139 DOMINIC S MOFFA TRUSTEE - VICE CHAIR/EVP SYS 0 352691 0 105469 0 52056 0 95593 0 30130 0 635939 0 0 WALTER A GREINER TRSTEE-TREAS/SVP&CFO(EFF 12/4) 318921 0 135078 0 222143 0 69956 0 20398 0 766496 0 171048 0 JAMES P NOLAN JR CPA TRUSTE - TREASURER/SVP & CFO 0 442016 0 131359 0 61005 0 114147 0 35495 0 784022 0 0 DONNA MICHAEL-ZIEREIS ESQ VP GENERAL COUNSEL 0 268371 0 28000 0 25959 0 44484 0 30166 0 396980 0 0 MARGARET A BELFIELD CHIEF OPERATING OFFICER - ARMC 327521 0 78965 0 44734 0 50347 0 32773 0 534340 0 0 0 CHRISTOPHER A SCANZERA VP/CHIEF INFORMATION OFFICER 0 310839 0 71033 0 24904 0 46197 0 19106 0 472079 0 0 MARILOUISE VENDITTI MD CHIEF MEDICAL OFFICER 0 341895 0 81747 0 47752 0 52524 0 23517 0 547435 0 0 RICHARD D LOVERING VP HUMAN RESOURCES & ORG DEV 0 297966 0 68625 0 26488 0 46184 0 32541 0 471804 0 0 TERRI LU SCHIEDER VP CLINICAL DEV. & INTEGRATION 296710 0 67146 0 25587 0 51508 0 30473 0 471424 0 0 0 ROBYN O BEGLEY VP NURSING/CNO 256101 0 61012 0 67238 0 45510 0 25495 0 455356 0 26078 0 JOAN MARY BRENNAN VP QUALITY & PERF EXCELLENCE 184651 0 47140 0 133376 0 39666 0 30165 0 434998 0 95913 0 CHARISSE FIZER VP CLINICAL OPS & AMB SERVICES 258245 0 70046 0 31931 0 42671 0 16002 0 418895 0 0 0 RENE A ZANELOTTI-BUNTING VP MARKETING 0 217291 0 54728 0 72472 0 39915 0 15756 0 400162 0 22175 IRA R PEEZICK VP STRATEGIC PLANNING 0 183528 0 47370 0 63248 0 38135 0 32834 0 365115 0 20212 HAK J KIM VP FINANCIAL PLANNING 0 206369 0 43817 0 17179 0 40859 0 26257 0 334481 0 0 JOSEPH J MCCARTHY CPA VP FINANCIAL OPERATIONS 166447 0 7351 0 3558 0 31716 0 25125 0 234197 0 0 0 BARBARA YOUNG CORP. DIRECTOR SUPPLY CHAIN 116120 0 6751 0 681 0 9584 0 16977 0 150113 0 0 0 JATIN MOTIWAL VP PHYSICIAN PRACTICE ADMIN 259270 0 71625 0 31360 0 45027 0 27380 0 434662 0 0 0 JULIA DREW EXECUTIVE DIRECTOR 137942 0 15000 0 946 0 12168 0 9728 0 175784 0 0 0 MICHAEL J SAYNISCH SENIOR DIRECTOR 112935 0 11179 0 1920 0 11182 0 27523 0 164739 0 0 0 SAMANTHA A KILEY EXECUTIVE DIRECTOR 122084 0 3000 0 104 0 10076 0 27965 0 163229 0 0 0 STEVEN M BLUMBERG SVP EXECUTIVE DIRECTOR 325996 0 95774 0 33113 0 86679 0 32550 0 574112 0 0 0 ROMEO PERICIC MD PHYSICIAN - ARMC/APG 72027 592828 5000 81000 506 3880 6202 21433 2468 26304 86203 725445 0 0 RAYMOND C TALUCCI MD PHYSICIAN - ARMC 434857 0 44917 0 26382 0 21247 0 11990 0 539393 0 0 0 AYOOLA O ALI MD PHYSICIAN - ARMC 389449 0 87900 0 18992 0 21122 0 28620 0 546083 0 0 0 PETER N THOMPSON MD PHYSICIAN - ARMC 380596 0 82400 0 26626 0 21330 0 27108 0 538060 0 0 0 CATHERINE A DUDICK MD PHYSICIAN - ARMC 343134 0 71933 0 533 0 21194 0 20051 0 456845 0 0 0 GLENN ANN STOLL FORMER OFFICER 121880 0 7172 0 234 0 9673 0 11813 0 150772 0 0 0 SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION PAID FOR FINANCIAL/TAX PLANNING SERVICES FOR CERTAIN EMPLOYEES. THE FINANCIAL/TAX PLANNING SERVICES AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S RESPECTIVE 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $1,500; WALTER A. GREINER, $500; TERRI LU SCHIEDER, $1,500 AND JATIN MOTIWAL, $2,000. SCHEDULE J, PART I; QUESTION 4B THE AMOUNTS 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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: EDELYN L. MILLER, $184,105; DAVID P. TILTON, $1,434,139; WALTER A. GREINER, $171,048; ROBYN O. BEGLEY, $26,078; JOAN MARY BRENNAN, $95,913; RENE A. ZANELOTTI-BUNTING, $22,175 AND IRA R. PEEZICK, $20,212. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $50,477; DAVID P. TILTON, $172,550; DOMINIC S. MOFFA, $41,250; WALTER A. GREINER, $21,560; JAMES P. NOLAN, JR., CPA, $51,376 AND STEVEN M. BLUMBERG, $37,458. 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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $38,240; EDELYN L. MILLER, $160,099; DAVID P. TILTON, $345,101; DOMINIC S. MOFFA, $31,250; WALTER A. GREINER, $27,066; JAMES P. NOLAN, JR., CPA, $38,921; DONNA MICHAEL-ZIEREIS, ESQ., $23,333; MARGARET A. BELFIELD, $29,246; CHRISTOPHER A. SCANZERA, $26,308; MARILOUISE VENDITTI, M.D., $30,277; RICHARD D. LOVERING, $25,417; TERRI LU SCHIEDER, $28,378; ROBYN O. BEGLEY, $23,340; JOAN MARY BRENNAN, $17,459; CHARISSE FIZER, $22,795; RENE A. ZANELOTTI-BUNTING, $20,270; IRA R. PEEZICK, $17,544; HAK J. KIM, $17,896; JOSEPH J. MCCARTHY, CPA, $15,833; JATIN MOTIWAL, $23,740 AND STEVEN M. BLUMBERG, $28,378. SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AS FOLLOWS: EDELYN L. MILLER, $184,105; DAVID P. TILTON, $1,434,139; WALTER A. GREINER, $171,048; ROBYN O. BEGLEY, $26,078; JOAN MARY BRENNAN, $95,913; RENE A. ZANELOTTI-BUNTING, $22,175 AND IRA R. PEEZICK, $20,212. LAURA GRASSO FAMILY MEMBER OF OFFICER 48756 EMPLOYEE OF ARMC false X RECEPTION AND DINNER 1 24492 FMV X GOLF FOURESOME 24 5760 FMV X CHILD ONESIES 2725 27250 FMV false true true SCHEDULE M, PART I; QUESTION 32A THE ORGANIZATION HIRES INDEPENDENT THIRD-PARTIES TO SELL NON-CASH CONTRIBUTIONS IT RECEIVES; IF THE ORGANIZATION DECIDES NOT TO RETAIN THE ITEM(S). THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AtlantiCare Health System, Inc. Feid: 22-3265213 AtlantiCare Health System, Inc. ("System") is a not-for-profit organization located in Atlantic City, New Jersey. It is an affiliate member of the Geisinger Health System, having joined the enterprise in October of 2015. The System is the sole corporate member of various healthcare related organizations, the majority of which are tax-exempt entities (collectively "AtlantiCare"). The System provides leadership, managerial and support services to a number of affiliated healthcare related organizations. The internal revenue service has recognized the System as being a tax-exempt organization under internal revenue code ("IRC") code section 501(c)(3). System and affiliates ("AtlantiCare") is an integrated healthcare system dedicated to transforming healthcare at the regional level by providing high quality health and wellness services. AtlantiCare includes the System, AtlantiCare Regional Medical Center ("ARMCformerly the Atlantic City Medical Center), AtlantiCare Behavioral Health ("ABH"), AtlantiCare Foundation ("Foundation"), AtlantiCare Health Services ("Services"), AtlantiCare Health Solutions ("Health Solutions"), and AtlantiCare Information Technology ("AIT"). Additionally, these key AtlantiCare divisions 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 5,000 employees serve the community in more than 80 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. Values ====== AtlantiCare stresses the following values: Integrity --------- Actions and decisions consistently reflect the highest ethical standards. AtlantiCare operates on the basis of openness, to nurture an environment of honesty and trust. Respect ------- Each individual is treated with dignity and compassion. Creativity is encouraged. Each individual is equally important in a unique way. Safety ------ Safety of patients and staff is our top priority. AtlantiCare continues to apply new learning in quality improvement and safety management to all aspects of our care environment. Service ------- Customer commitments are built upon the philosophy that quality, service, and kindness will ensure loyalty. Service is defined and measured by our customers. AtlantiCare's goal is to exceed their expectations. Teamwork -------- To achieve the greatest success, collaboration and open communication are essential. Charitable purpose ================== AtlantiCare is proud to be able to provide 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 services range from emergent services for those who many have an acute or episodic concern, to disease management services for those are living with a chronic condition. ARMC is one of two "safety net" hospitals in southern New Jersey providing approximately $26 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 is 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 elderly population, clinical 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 the general welfare. Examples include AtlantiCare's support of the United Way of Greater Philadelphia and Southern New Jersey, which through the generosity of AtlantiCare employees raised over $145,000 and its employee-led fundraising efforts to support the American Heart Association in the amount of $40,000. Additional community agencies which AtlantiCare and its employees have supported include but it not are not limited to the Big Brothers & Big Sisters, 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 Juvenile Diabetes Research Fund. 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. AtlantiCare also extended scholarships to displaced casino workers who recently lost their job as a result of casino closures in Atlantic City to diversify workforce skills in the area. Various community events and activities are offered by AtlantiCare. These community events are promoted in a variety of ways including via social media, the AtlantiCare website, word of mouth, and distributed at community events. Examples of events include: - Cancer Survivors Day - Diabetes, Breast Cancer, and Stroke Support Groups - Weight loss surgery seminars & support groups - Heart Heroes meetings - First aid and CPR courses - Healthy baby classes such as prenatal and breastfeeding classes - Healthy cooking demonstrations - Senior University, an educational program for older adults - Safe driving program for youth In 2015, AtlantiCare added a new community education program entitled, Matter of Balance, which is an evidenced based 8-week structured group education that emphasizes practical strategies to reduce fear of falling and increase activity levels in older adults. The class is conducted by wellness staff members who have received a Matter of Balance Coach certification. In addition to educational events, AtlantiCare brings health and wellness services to the community through risk based screenings. Specially trained nurses and health care professionals provide screenings in an effort to detect health conditions early when they are easier to treat, promote healthy lifestyle behaviors, and to refer individuals to needed programs and support services. In 2015, AtlantiCare staff conducted over 200 wellness screenings (for example, blood pressure, body mass index, cholesterol) in the community, in addition to educational lectures, health fairs, cooking demonstration and other health events conducted at a variety of venues, including senior centers, faith based organizations, municipalities, and other community settings where individuals gather. Lastly, AtlantiCare operates three 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; and Healing Arts: Healthy Schools, Healthy Children partners with 92 schools to teach children and their parents how to eat healthy and stay active. Throughout the year, the program educators also provide a school nurse lecture series and professional development workshop opportunities to school staff as well assist them with the implementation of wellness programming. Growing Green program addresses the root causes of chronic disease by increasing consumption of healthy foods through the creation of access points for fresh, local produce. This program has funded the construction of 42 school gardens and 19 community gardens in Southeastern New Jersey. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS These two aforementioned programs have collectively impacted approximately 8350 lives. Healing Arts is a unique initiative designed to showcase original artwork. By integrating the arts within and near our facilities, we visibly demonstrate our intent to create a healing presence in our community. These programs allow us to serve distinct audiences: children and their caretakers, those with limited access to healthy foods, and those seeking respite and healing, respectively. Staffing costs to support screening outreach and the aforementioned signature programs is approximately $213,000. AtlantiCare is proud to have received the following awards and recognitions ---------------------------------------------------------------- -U.S. News & World Report recognizes AtlantiCare Regional Medical Center as one of the best hospitals in 16 specialties for 2015-16 -American Heart Association recognizes AtlantiCare as a Platinum-Level Fit-Friendly Worksite - 2015 and 2016 -New Jersey Business and Industry Association recognizes AtlantiCare with its Outstanding Employer Award 2014 -Named in HealthGrades as one of America's Best 100 Hospitals for cardiac care, joint replacement, and orthopedic surgery- 2014. - ARMC joint commission's named a top performer on key quality measures - 2013. - ARMC Mainland ICU received the silver Beacon Award for critical care nursing excellence - 2013. - ARMC earned reaccreditation by the American Society for Metabolic and Bariatric Surgery (ASMBS) as a Bariatric Surgery Center of Excellence (BSCOE) - 2013. - AtlantiCare PRIDE employee resource group achieved "leader in LGBT healthcare equality" status in the Healthcare Equality Index (HEI) for the second consecutive year - 2013. - AtlantiCare Homecare named one of the "top 100" home care agencies in the nation by Homecare Elite - 2013 In addition, AtlantiCare provides a significant positive economic contribution to the community. AtlantiCare directly impacts the community in a positive manner by virtue of employing nearly 5,000 area residents. AtlantiCare supports the local business community by purchasing goods and services from many local area businesses. AtlantiCare Regional Medical Center Feid: 21-0634549 Background ========== ARMC is a 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 section 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 who reside in our primary service area in a non-discriminatory manner regardless of medical condition, race, color, creed, sex, national origins, handicap, age, lifestyle, financial status or ability to pay. ARMC operates 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; and Control of ARMC rests with its board of trustees; which is comprised of independent civic leaders and other prominent members of the community. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. The operations of ARMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of ARMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. ARMC's City Campus is located in Atlantic City where the hospital was founded, and is a busy metropolitan hospital serving a growing resident population and more than 35 million tourists each year. ARMC's Mainland Campus, which opened in 1975, is located in Galloway, New Jersey, one of the state's fastest growing residential and commercial areas. ARMC also has a satellite emergency department in Hammonton, NJ. ARMC offers a number of outpatient services spread out over 70 locations. One of these locations, the AtlantiCare HealthPlex, which is located in Atlantic City, offers services regardless of the ability to pay. ARMC is a teaching hospital, training residents in a number of specialties. ARMC is home to many centers of excellence and specialized services, several of which are exclusive to the region. - Level II Regional Trauma Center - Neonatal Intensive Care Unit (NICU) - Accredited Chest Pain Center - Accredited Stroke Center - Heart Institute - the region's only full service cardiac surgery program - The Joint Institute - Stanley M. Grossman Pediatric Center - The Cancer Care Institute - Center for Surgical Weight Loss and Wellness - Roger B. Hansen Center for Childbirth - Psychiatric Unit and Crisis Intervention Program - Special Care Center - Team Diabetes - Wound Care Centers 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 ====== AtlantiCare Regional Medical Center will be the premier healthcare provider in New Jersey. We will achieve and sustain excellence in quality of care and personal service through total conformance to customer's expectations while providing an outstanding work environment. Charitable purpose ================== ARMC provides urgent and emergent healthcare services to all individuals and also provides elective procedures to individuals who reside in our primary service area in a non-discriminatory manner regardless of medical condition, race, color, creed, sex, national origins, handicap, age, lifestyle, financial status or ability to pay. Moreover, ARMC provides 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 $26 million and $31 million for the years ended December 31, 2015 and 2014, respectively. The significant reduction in the cost of providing charity care is the result of the Medical Center's efforts in assisting patients to enroll in the State Medicaid Program. The estimated unreimbursed cost of providing care to Medicaid patients was $37 million and $32 million for the years ended December 31, 2015 and 2014, respectively. Because the medical center does not pursue collections of amounts determined to qualify as charity care, they are not reported as revenue. The medical center also provides free care to patients who do not meet the state eligibility requirements or are not compliant in pursuing eligibility status. Such amounts are included in the consolidated statements of operations and changes in net assets as part of the provision for uncollectibles, net of any recoveries realized through collection efforts. ARMC has also instituted a self-pay discount policy that limits charges for medical services to an amount not to exceed 115% of the applicable Medicare reimbursement rate for all qualified uninsured patients who are not eligible for existing state, federal and local programs. Additionally, the company sponsors other charitable programs, which provide substantial benefit to the broader community. Such programs include services to the needy and elderly population that require specials support, various clinical outreach programs as well as health promotion and education for the general community welfare. ARMC's collection policies include discounts for those patients who are uninsured but do not qualify for the state charity care program. ARMC is one of two designated safety net hospitals in southern New Jersey providing approximately 90% of the charity care in Atlantic County and more charity care than the 7 closest hospitals combined. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Awards and recognitions ======================= - U.S. News & World Report recognizes AtlantiCare Regional Medical Center as one of the best hospitals in 16 specialties for 2015-16 - Named in HealthGrades as one of America's Best 100 Hospitals for cardiac care, joint replacement, and orthopedic surgery- 2014. - ARMC joint commission's named a top performer on key quality measures - 2013. - U.S. News & World Report named ARMC "the best hospital in the region" - recognizing 10 specialties - 2012/2013. - ARMC mainland ICU received the silver beacon award for critical care nursing excellence - 2013. - ARMC earned reaccreditation by the American Society for Metabolic and Bariatric Surgery (ASMBS) as a Bariatric Surgery Center of Excellence (BSCOE) - 2013. (BSCOE) - 2013. AtlantiCare Behavioral Health (ABH) Feid: 21-0721208 ABH is southeastern New Jersey's largest provider of behavioral health and substance abuse/addiction recovery services. With 26 locations throughout the region, ABH offers a broad range of services to help individuals and their families with serious mental illnesses, anxieties related to school or job stress, and marriage counseling services. ABH also provides employee assistance programs for area employers, which include employee counseling services, behavioral health and wellness programs and critical incident debriefing services. ABH manages a 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 section 501 (c)(3). The majority of ABH's patients are underinsured (Medicaid/Medicare) or uninsured. Behavioral health provides services to clients without insurance coverage and charges rates based on a sliding scale fee based on income and family size. The cost of providing these services and supplies to patients that meet the established criteria approximated $1,646,424 and $2,122,017 for the years ended December 31, 2015 and 2014 respectively. 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 housing - Supported employment - Substance abuse intensive outpatient treatment for medically indigent adults - Program assertive community treatment Department of children and families ----------------------------------- - School based youth services program - Oakcrest teen center - School based youth services program - ac teen - School based youth services program - Buena teen and Buena Regional middle school - Hammonton family success center Department of Children and Families - Family friendly center - Hammonton elementary school - Outreach to at-risk youth - Atlantic City High School- East Campus - Adolescent pregnancy prevention initiative- Oakcrest High School - Juvenile delinquency prevention - Atlantic City High School -Department of Human Services - Children and adolescent outpatient treatment - Mobile outreach - Substance abuse treatment services to women U.S. Department of Health and Human Services - Primary and Health and Human Services AtlantiCare Foundation Feid: 22-2148992 The Foundation exists to improve the health and wellbeing of our community through a comprehensive development program to support safe, equitable, quality healthcare; and to promote healthy behaviors. The internal revenue service has recognized the Foundation as being a tax-exempt organization under IRC code section 501(c)(3). The Foundation is committed to 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 Feid: 22-3265214 Services is primarily an ambulatory care network that reaches beyond the hospital to address the health and wellness needs for the regions residents throughout all stages of life. The internal revenue service has recognized services as being a tax-exempt organization under the IRC code section 501(c)(3). Services programs include: - AtlantiCare Surgery Center LLC, a full service, freestanding ambulatory surgery centers. - AtlantiCare Life Center, offering a full spectrum of health and wellness, physical and rehabilitative conditioning. - AtlantiCare Clinical Labs, providing lab services at fifteen convenient locations. - AtlantiCare Home Care Nurses and other healthcare professionals make home visits to assist patients with their medical needs. - AtlantiCare Hospice works with patients and their families to enhance the end stages of life in the comfortable surroundings of the patient's home. - AtlantiCare Health Park, a regional healthcare ambulatory care campus offering a variety of services. - AtlantiCare Occupational Medicine provides occupational medicine for businesses and municipalities, including the treatment of work related injuries. - Mission healthcare, a program offering primary care to the homeless population operating as a federally qualified health center - AtlantiCare Lifeline provides emergency medical alert capability to individuals who require convenient notification capabilities. AtlantiCare physician group Feid: 02-0701782 The physician group 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 services as being a tax-exempt organization under the IRC code section 501(c)(3). - AtlantiCare primary/urgent care centers (located in Atlantic, Cape May, 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. AtlantiCare Information Technology Feid: 22-3337816 AtlantiCare Information Technology supports all other AtlantiCare affiliates to achieve maximum results through the use of information technology. The internal revenue service has recognized AIT as a tax-exempt organization under IRC code section 501(c)(3). AIT's innovative networking technology enhances the speed and efficiency of patient's diagnosis and treatment while maintaining patient confidentiality and safety. AIT has been recognized for its innovation in healthcare through the following awards: - Top 100 integrated healthcare systems by hospitals and health network magazine. - Top (7) networked healthcare systems in the United States for information technology by healthcare informatics magazine. AtlantiCare Health Engagement, Inc. Feid: 61-1608389 At the end of 2009 AtlantiCare Health Engagement, Inc. was established to support the development of health management capabilities and structures, and health status improvement initiatives for the benefit of the broader community. The AtlantiCare Regional Medical Center contributed for the year ended December 31, 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 mission of Health Engagement. AtlantiCare Health Engagement, Inc. Feid: 61-1608389 At the end of 2009 AtlantiCare Health Engagement, Inc. was established to support the development of health management capabilities and structures, and health status improvement initiatives for the benefit of the broader community. The AtlantiCare Regional Medical Center contributed for the year ended December 31, 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 mission of Health Engagement. CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART I; SUMMARY THE TOTAL VOTING AND INDEPENDENT VOTING MEMBERS DISCLOSED ON PAGE 1 OF THIS FORM 990 IS FOR ATLANTICARE REGIONAL MEDICAL CENTER; THE LARGEST SUBORDINATE ORGANIZATION INCLUDED IN THE GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS THE VOTING AND INDEPENDENT VOTING DISCLOSURE INFORMATION FOR ALL OTHER ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION: - ATLANTICARE BEHAVIORAL HEALTH, INC.; 16 VOTING, 11 INDEPENDENT; - ATLANTICARE REGIONAL HEALTH SERVICES A NEW JERSEY NONPROFIT CORPORATION; 16 VOTING, 11 INDEPENDENT; - ATLANTICARE FOUNDATION; 20 VOTING, 15 INDEPENDENT; - ATLANTICARE HEALTH ENGAGEMENT; 4 VOTING, 0 INDEPENDENT; - ATLANTICARE HEALTH SERVICES, INC.; 16 VOTING, 11 INDEPENDENT; AND - INFOSHARE, INC.; 4 VOTING, 0 INDEPENDENT. CORE FORM, PART VI, SECTION A; QUESTION 4 IN MAY 2014, ATLANTICARE HEALTH SYSTEM ("SYSTEM") WHICH INCLUDES THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 AND GEISINGER HEALTH SYSTEM ("GEISINGER"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM BASED IN DANVILLE, PENNSYLVANIA, SIGNED A DEFINITIVE AGREEMENT FOR THE SYSTEM TO BECOME A MEMBER OF GEISINGER. FINAL REGULATORY APPROVALS WERE RECEIVED AND THE SYSTEM BECAME A MEMBER OF GEISINGER EFFECTIVE OCTOBER 1, 2015. 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"). EFFECTIVE OCTOBER 1, 2015, WHEN ATLANTICARE HEALTH SYSTEM, INC. BECAME A MEMBER OF GEISINGER HEALTH SYSTEM ("GEISINGER"), GEISINGER HEALTH SYSTEM FOUDNATION ("GHSF"), THE TAX-EXEMPT PARENT ENTITY OF GEISINGER BECAME THE SOLE MEMBER OF THE SYSTEM. GHSF HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF EACH SUBORDINATE ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN EACH SUBORDINATE ORGANIZATION'S BYLAWS. ATLANTICARE REGIONAL 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, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") IS THE TAX-EXEMPT PARENT ENTITY OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES. THIS FEDERAL FORM 990 WAS provided TO THE SYSTEM'S GOVERNING BODY; ITS FULL BOARD OF TRUSTEES, FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). ALL SUBORDINATES HAVE DELEGATED THE FORM 990 PREPARATION, REVIEW AND FILING PROCESS TO THE SYSTEM'S GOVERNING BODY. AS PART OF THE TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEM'S FINANCE PERSONNEL AND 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 FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE SYSTEM'S FINANCE PERSONNEL AND 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 SYSTEM'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO EACH MEMBER OF THE SYSTEM'S GOVERNING BODY AND FILING WITH THE IRS. A FORM 990 PRESENTATION WAS ALSO GIVEN BY THE CPA FIRM TO THE SYSTEM'S BOARD OF TRUSTEES PRIOR TO FILING. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ATLANTICARE HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ATLANTICARE HEALTH SYSTEM, INC. HAS ADOPTED A SYSTEM WIDE CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF ITS SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH 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 ATLANTICARE HEALTH SYSTEM, INC.'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 ATLANTICARE HEALTH SYSTEM, INC.'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, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ATLANTICARE HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES ("BOARD") OF ATLANTICARE HEALTH SYSTEM, INC. 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 THE SYSTEM IN SIZE AND ORGANIZATIONAL CHARACTERISTICS. THE KEY ELEMENTS OF THE COMPENSATION PHILOSOPHY ARE: TOTAL COMPENSATION POSITIONED AROUND THE 75TH PERCENTILE, COMPOSED OF THE FOLLOWING ELEMENTS OF PAY: - BASE SALARIES POSITIONED BETWEEN THE MEDIAN AND THE 75TH PERCENTILE; - INCENTIVE OPPORTUNITIES COMPARABLE TO THOSE OF THE PEER GROUP AND DESIGNED TO POSITION TOTAL CASH COMPENSATION AT THE 75TH PERCENTILE FOR EXPECTED PERFORMANCE (INCLUDES BOTH ANNUAL AND LONG-TERM INCENTIVES); - EXECUTIVE BENEFITS POSITIONED AT THE 75TH PERCENTILE; 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 THE SYSTEM. IN NOVEMBER OF 2015, THE CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES ("IHSTRATEGIES"), PRESENTED ITS ANALYSES AND FINDINGS TO THE COMMITTEE. THE COMMITTEE HAD DIRECT ACCESS TO THE CONSULTANT TO ASK QUESTIONS ABOUT THE DATA AND ANALYSES, BOTH WITH AND WITHOUT THE PRESENCE OF MANAGEMENT. THE COMMITTEE APPROVED EXECUTIVE SALARIES AND INCENTIVE AWARD PAYOUTS AT A SUBSEQUENT MEETING IN MARCH OF 2016. 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 19 THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CERTAIN ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FROM 990 HAVE ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ISSUING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, EACH ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM, INC. 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 THESE ORGANIZATIONS AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THESE ORGANIZATIONS. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM AN ATLANTICARE HEALTH SYSTEM AFFILIATE. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE AFFILIATE AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF AN AFFILIATE BOARD OF TRUSTEES. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS AND GRANTS RECEIVED FOR THE PURCHASE OF PROPERTY, PLANT AND EQUIPMENT - ($23,226); - OTHER INCREASES IN FUND BALANCE - $8,026 - TRANSFERS TO INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES - ($17,710,476); - COLAR MARKET TO MARKET ADJUSTMENT - $381,484; - CHANGE IN BENEFICIAL INTEREST IN ATLANTICARE FOUNDATION - $1,270,194; - CHANGE IN PENSION AND POSTRETIREMENT LIABILITIES - ($35,274,604); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($6,882,658); - ADJUSTMENTS RECORDED AS A RESULT OF GEISINGER HEALTH SYSTEM AFFILIATION - ($18,163,217); - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $388,852; AND - NET CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - ($50,927). CORE FORM, PART XII; QUESTION 2 FOR THE PERIOD JANUARY 1, 2015 THROUGH SEPTEMBER 30, 2015, THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 WERE AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ATLANTICARE HEALTH SYSTEM AND GEISINGER HEALTH SYSTEM ("GEISINGER"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM BASED IN DANVILLE, PENNSYLVANIA, SIGNED A DEFINITIVE AGREEMENT FOR THE SYSTEM TO BECOME A MEMBER OF GEISINGER. FINAL REGULATORY APPROVALS WERE RECEIVED AND THE SYSTEM BECAME A MEMBER OF GEISINGER EFFECTIVE OCTOBER 1, 2015. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. GEISINGER OPERATES ON A JUNE 30TH FISCAL YEAR-END. THE ACTIVITIES AND OPERATIONS OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES FOR THE NINE-MONTH PERIOD BEGINNING OCTOBER 1, 2015 AND ENDING JUNE 30, 2016 WILL BE INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF GEISINGER HEALTH SYSTEM AND AFFILIATES FOR ITS FISCAL YEAR ENDED JUNE 30, 2016. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM FOR THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE SYSTEM'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE BEHAVIORAL HEALTH, INC. FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE FOUNDATION FOR THE NINE-MONTH PERIOD ENDED SEPTEMBER 30, 2015. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE ATLANTICARE HEALTH SYSTEM, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. 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 3. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE BEHAVIORAL HEALTH, INC. ARE REFLECTED IN NUMBERS 4 THROUGH 13. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE FOUNDATION ARE REFLECTED IN NUMBERS 14 THROUGH 18 AND 24 THROUGH 26. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE HEALTH ENGAGEMENT, INC. ARE REFLECTED IN NUMBER 19. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE HEALTH SERVICES, INC. ARE REFLECTED IN NUMBERS 20 THROUGH 23. CORE FORM, PART VII CORE FORM, PART VII INCLUDES, AS OF DECEMBER 31, 2015, THE MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES OF EACH OF THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. IN ADDITION, CORE FORM, PART VII INCLUDES THE REMAINING TOP FIVE HIGHEST PAID EMPLOYEES AMONGST ALL ENTITIES COMBINED AFTER OFFICERS AND KEY EMPLOYEES OF ALL ORGANIZATIONS INCLUDED IN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS A SUMMARY BY ORGANIZATION: THE BOARD OF TRUSTEES FOR EACH OF THE FOLLOWING SUBORDINATES INCLUDED IN THIS CONSOLIDATED GROUP FORM 990, AS OF DECEMBER 31, 2015, 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 KENNETH R. STEINBERG THROUGH FRANCIS WREN, M.D. ATLANTICARE FOUNDATION INCLUDES BENJAMIN ZELTNER, ESQ. THROUGH DAVID P. TILTON. PLEASE NOTE THAT LORI S. HERNDON IS ALSO A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT IS ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990 AS A BOARD MEMBER OF ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION, ATLANTICARE REGIONAL MEDICAL CENTER, ATLANTICARE HEALTH SERVICES, INC. AND ATLANTICARE BEHAVIORAL HEALTH, INC. ATLANTICARE HEALTH ENGAGEMENT, INC. INCLUDES DOMINIC S. MOFFA THROUGH JAMES P. NOLAN, JR., CPA. PLEASE NOTE THAT DAVID P. TILTON IS ALSO A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT IS ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990 AS A BOARD MEMBER OF ATLANTICARE FOUNDATION. THE BOARD OF TRUSTEES FOR INFOSHARE, INC. INCLUDES DOMINIC S. MOFFA, JAMES P. NOLAN, JR., CPA, WALTER A. GREINER AND DAVID P. TILON. PLEASE NOTE THAT THESE TRUSTEES ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990 AS BOARD MEMEBERS OF ATLANTICARE HEALTH ENGAGEMENT, INC. THE OFFICERS OF ALL ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 WHICH FOLLOW THE LIST OF ATLANTICARE BOARD OF TRUSTEES ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990 ARE OUTLINED IN THE FOLLOWING ORDER: ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION ("ARHS") INCLUDES DONNA MICHAEL-ZIEREIS, ESQ. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT/CHIEF EXECUTIVE OFFICER), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER EXECUTIVE VICE PRESIDENT), JAMES P. NOLAN, JR., CPA. (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER) AND WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER EFFECTIVE 12/4/2015) ARE ALSO OFFICERS OF ARHS BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE REGIONAL MEDICAL CENTER INCLUDES MARGARET A. BELFIELD THROUGH BARBARA YOUNG. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT/CHIEF EXECUTIVE OFFICER), DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER EXECUTIVE VICE PRESIDENT), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER), WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER EFFECTIVE 12/4/2015) AND DONNA MICHAEL-ZIEREIS, ESQ. (ATLANTICARE REGIONAL HEALTH SERVICES VP AND GENERAL COUNSEL) ARE ALSO OFFICERS OF ATLANTICARE REGIONAL MEDICAL CENTER BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH SERVICES, INC. INCLUDES JATIN MOTIWAL. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT/CHIEF EXECUTIVE OFFICER), DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), MARGARET A. BELFIELD (ATLANTICARE REGIONAL MEDICAL CENTER CHIEF OPERATING OFFICER), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER), WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER EFFECTIVE 12/4/2015), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER EXECUTIVE VICE PRESIDENT), RICHARD D. LOVERING (ATLANTICARE REGIONAL MEDICAL CENTER VP HUMAN RESOURCES AND ORGANIZATIONAL DEVELOPMENT), DONNA MICHAEL-ZIEREIS, ESQ. (ATLANTICARE REGIONAL HEALTH SERVICES VP AND GENERAL COUNSEL), AND BARBARA YOUNG (ATLANTICARE REGIONAL MEDICAL CENTER CORPORATE DIRECTOR - SUPPLY CHAIN) ARE THE OFFICERS OF ATLANTICARE HEALTH SERVICES, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE BEHAVIORAL HEALTH, INC. INCLUDES JULIA DREW THROUGH LOYAL M. OWNES. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT/CHIEF EXECUTIVE OFFICER), JOSEPH J. MCCARTHY, CPA (ATLANTICARE REGIONAL MEDICAL CENTER VP FINANCIAL OPERATIONS), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER EXECUTIVE VP), RICHARD D. LOVERING (ATLANTICARE REGIONAL MEDICAL CENTER VP HUMAN RESOURCES AND ORGANIZATIONAL DEVELOPMENT), DONNA MICHAEL-ZIEREIS, ESQ. (ATLANTICARE REGIONAL HEALTH SERVICES VP AND GENERAL COUNSEL) AND BARBARA YOUNG (ATLANTICARE REGIONAL MEDICAL CENTER CORPORATE DIRECTOR - SUPPLY CHAIN) ARE ALSO OFFICERS OF ATLANTICARE BEHAVIORAL HEALTH, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE FOUNDATION INCLUDES SAMANTHA A. KILEY. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL EXECUTIVE VICE PRESIDENT) AND JOSEPH J. MCCARTHY, CPA (ATLANTICARE REGIONAL MEDICAL CENTER VP FINANCIAL OPERATIONS) ARE ALSO OFFICERS OF ATLANTICARE FOUNDATION BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH ENGAGEMENT, INC. INCLUDES STEVEN M. BLUMBERG. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER EXECUTIVE VICE PRESIDENT), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER), WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER EFFECTIVE 12/4/2015) AND DONNA MICHAEL-ZIEREIS, ESQ. (ATLANTICARE REGIONAL HEALTH SERVICES VP AND GENERAL COUNSEL) ARE ALSO OFFICERS OF ATLANTICARE HEALTH ENGAGEMENT, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER), WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE AND CHIEF FINANCIAL OFFICER EFFECTIVE 12/4/2015), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER EXECUTIVE VICE PRESIDENT) AND CHRISTOPHER A. SCANZERA (ATLANTICARE REGIONAL MEDICAL CENTER VICE PRESIDENT/CHIEF INFORMATION OFFICER) ARE OFFICERS OF INFOSHARE, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 223265213 SUPPORT ARMC NJ 501(C)(3) 509(A)(3) GHSF true 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 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240795959 HEALTH SVCS. PA 501(C)(3) HOSPITAL GHSF true GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHROPIC PA 501(C)(3) 509(A)(1) NA true GEISINGER CLINIC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 236291113 HEALTH SVCS. PA 501(C)(3) 509(A)(3) GHSF true GEISINGER WYOMING VALLEY MEDICAL CT 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231996150 HEALTH SVCS. PA 501(C)(3) HOSPITAL GHSF true MARWORTH 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501(C)(3) HOSPITAL GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS. PA 501(C)(4) N/A GHSF true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SVCS. PA 501(C)(3) 509(A)(3) GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232967235 HEALTH SVCS. PA 501(C)(3) 509(A)(2) GSS true GEISINGER INSURANCE CORPORATION RRG 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 141909894 SELF INS. VT 501(C)(3) 509(A)(3) GHSF true COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240862246 HEALTH SVCS. PA 501(C)(3) HOSPITAL GHSF true COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232429776 PHYSICIAN PA 501(C)(3) 509(A)(2) GHSF true MEDICAL DIMENSIONS INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232369788 R.E. HOLDING PA 501(C)(2) N/A GHSF true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501(C)(3) 509(A)(2) GHSF true COMMUNITY MEDICAL CTR HEALTHCARE SYS 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SVCS. PA 501(C)(3) 509(A)(3) GHSF true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232193572 HEALTH SVCS. PA 501(C)(3) HOSPITAL GHSF true BLOOMSBURG PHYSICIANS SERVICES 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232979856 PHYSICIAN PA 501(C)(3) HOSPITAL GHSF true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU. PA 501(C)(3) 509(A)(2) GHSF true COLUMBIA-MONTOUR HOME HLTH SERVICES 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231704399 HOME HEALTH PA 501(C)(3) 509(A)(2) GHSF true LEWISTOWN HEALTHCARE FOUNDATION 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232344363 PHILANTHROPIC PA 501(C)(3) 509(A)(3) GHSF true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231352187 HEALTH SVCS. PA 501(C)(3) HOSPITAL GHSF true LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232344362 R.E. HOLDING PA 501(C)(3) 509(A)(3) GHSF true FAM HLTH ASSOC OF GEISINGER-LEWISTOWN 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501(C)(3) 509(A)(3) GHSF true KEYSTONE HEALTH INFO EXCHANGE INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501(C)(3) 509(A)(3) GHSF true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SVCS. PA 501(C)(3) 509(A)(3) CMC true S JERSEY ONCOL PROP 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 943463625 HEALTHCARE SVcs. NJ NA ATL SURGERY CTR LLC 2500 ENGLISH CREEK AVE EGG HARBOR TOWNSHIP NJ 08234 223491867 HEALTHCARE SVcs. NJ NA COOP HLTH SVS OF SJ 1301 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 223619231 WHOLESALE PURch. NJ NA KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA NA LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 364718005 BLOOD COLL. PA NA MERIDIAN GEISINGER HLTH NETWORK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG. DEL. SY. NJ NA HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY. THERAPY PA NA EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA NA LEMED II 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232391766 RENTAL PA NA GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 MANAGEMENT DE NA ATLANTICARE HEALTH PLANS INC 1001 S GRAND STREET PO BOX 941 HAMMONTON NJ 08037 223265212 INACTIVE NJ NA C CORP. true ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HAMILTON BERMUDA BD HM 12 980656394 FINANCIAL VEHICLE BD NA FOREIGN CORP. true ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ NA C CORP. true ATLANTICARE ASSURANCE ALLIANCE INC 2500 ENGLISH CREEK AVE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 463730123 HEALTHCARE SVcs. NJ NA C CORP true GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA NA C CORP. true GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HEALTH INSURANCE PA NA C CORP. true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HEALTH INSURANCE PA NA C CORP. true HEALTH ENTERPRISES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232353212 PHARMACY PA NA C CORP. true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE NA C CORP. true GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ CJ 981016737 FINANCIAL VEHICLE CJ NA FOREIGN CORP. true false false false true true false false false false true true true false true true true true true SCHEDULE R; GROUP EXEMPTION OUTLINED BELOW IS A LIST OF ORGANIZATIONS INCLUDED AS SUBORDINATES IN THE ATLANTICARE HEALTH SYSTEM, INC. GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE REGIONAL MEDICAL CENTER (FEID: 21-0634549) ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NON PROFIT CORPORATION (FEID: 80-0834222) ATLANTICARE BEHAVIORAL HEALTH, INC. (FEID: 21-0721208) ATLANTICARE FOUNDATION (FEID: 22-2148992) ATLANTICARE HEALTH ENGAGEMENT, INC. (FEID: 61-1608389) ATLANTICARE HEALTH SERVICES, INC. (FEID: 22-3265214) INFOSHARE, INC. (FEID: 22-3337816) SCHEDULE R, PART V THIS RETURN INCLUDES ORGANIZATIONS THAT ARE ALL AFFILIATES WITHIN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ATLANTICARE REGIONAL MEDICAL CENTER. THE MEDICAL CENTER ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.