2024-11-13T15:29:07-06:00 2023-12-31 346565596 Ernst & Young US LLP 1 Manhattan West New York NY 10001 990 2023-01-01 651301877 Atlantic Health System Inc Group Return ATLA 9736603100 475 South Street ACCTG 920 Morristown NJ 07960 Michael Walter SVP, Chief Financial Officer 9738294240 2024-11-13 1 0 Nicole Sokolowski P01683199 2127733000 2023 2024-10-15 13:58:12Z Michael Walter 475 South Street ACCTG 920 Morristown NJ 07960 4971477302 1 1 9704 X www.atlantichealth.org X 1996 NJ Refer to Schedule O Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. 41 16 23126 1257 11215591 0 71105177 122508809 3719286268 4018853750 46709329 70634864 35256259 26575531 3872357033 4238572954 1297896 1266526 0 0 2019935499 2245822557 0 0 3430879 1657300429 1767762441 3678533824 4014851524 193823209 223721430 5605741294 6064671986 2779737762 2664289882 2826003532 3400382104 X Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers. 0 0 3359944993 1266526 4017070715 This group return consists of five not-for-profit hospitals (AHS Hospital Corp), a not-for-profit physicians practice (Practice Associates Medical Group PC) a not-for-profit ambulance corporation (Atlantic Ambulance Corp), a not-for-profit Primary Care and OB/GYN Medical Center (Medical Center Partners, Inc.) and a not-for-profit emergency ambulance service for Hackettsown, NJ and community (Hackettsown Regional Medical Center Emergency Medical Services, Inc.).Continued on Schedule O AHS Hospital Corp.(the "Hospital") is comprised of five hospitals, the Morristown Medical Center ("Morristown Division"), the Overlook Medical Center ("Overlook Division"), the Newton Medical Center ("Newton Division"),the Chilton Medical Center ("Chilton Division"), Hackettstown Medical Center ("Hackettstown Division") and Practice Associates Medical Group (PAMG). The Hospital and PAMG are organized under the not-for-profit corporation law of the State of New Jersey and are exempt from Federal income tax under Section 501(c) (3) of the Internal Revenue Code. The Hospital provides regional health care services including a broad range of adult, pediatric, obstetrical/gynecological, psychiatric, oncology, intensive care, cardiac care and newborn acute care services to patients from the counties of Morris, Essex, Passaic, Sussex, Bergen, Hunterdon, Union, Warren and Somerset in New Jersey, Pike County in Pennsylvania and southern Orange County in New York.The Hospital is also a regional health trauma center that provides tri-state coverage and provides numerous outpatient ambulatory services, rehabilitation and skilled care and emergency care.Practice Associates Medical Group doing business as Atlantic Medical Group, PA ("AMG") is a faculty plan serving all of the Hospital divisions. It is a nonprofit coroporation and an organization described in Section 501(c)(3) of the Internal Revenue Code. Originally formed to provide billing and collection services for fees generated by physicians employed by the hospital division, AMG now serves as physician-governed group practice entity with more than 1,100 providers. AMG supports the System by improving consistency, enhancing collaboration among delivering care and optimizing care system operations.Atlantic Amblulance Corp (the "Company") was established as a not-for-profit organization of Augst 3, 2001 in the State of New Jersey, exempt from income tax under Section 501(c)(3) of the Internal Revenue Code. The Company in organized for scientific, educational and charitable purposes to sponsor, promote and assist in the establishment or maintenance of activities relating to the improvement of human health and to maintain and operate a system for providing land and air based ambulance services, primarily in New Jersey. The Company's sole member is Atalntic Health System, Inc. , a New Jersey based not-for-profit corporation.The ambulance company (Atlantic Ambulance Corp) is a not-for-profit organization established for scientific, educational and charitable purposes to sponsor, promote and assist in the establishment or maintenance of activities relating to the improvement of human health and to maintain and operate a system for providing ambulance services, including mobile intensive care unit services together with related emergency medical services, primarily in New Jersey. Medical Center Partners, Inc. opened in 2012 with two offices according to the needs assessment of the community: A Primary Care and OB/GYN.Hackettstown Regional Medical Center Emergency Medical Services, Inc. (HRMC-EMS) provides emergency ambulance service for Hackettstown, NJ and the surrounding communities. HRMC-EMS also provides patient transportation services for HRMC patients and residents/patients of other institutions such as assisted living facilities and nursing homes. Van service is also provided for outpatients in need of transportation. HRMC-EMS also provides 911 ambulance service for residents of Mount Olive Township, Knowlton Township, Roxbury and Long Valley, NJ.The following 4 entities provide assistance to older people and their caregivers by assisting them with finding the health care services and community resources that they need to live longer, healthier and more active lives. It provides skilled and compassionate support to the residents of Essex, Hunterdon, Morris, Passaic, Somerset, Sussex, Union and Warren Counties in New Jersey and Pike County in Pennsylvania.1 Adult Day Center of the Visiting Nurse Association of Somerset Hills, Inc.is an adult day services in Basking Ridge, NJ. 2. Visiting Nurse Association of Somerset Hills, Inc. is home health services.3. Visiting Nurse Association of Visiting Nurse Association of Somerset Hills Community Health Services, Inc. provides community health services.4. Visiting Nurse of Somerset Hills Home Health & Hospice Services, Inc. provides home health and hospice services.Atlantic Core Therapy and Wellness PA is a Corporation organized to engage in the business of rendering the same professional services to the public that a Doctor of Medicine or Osteopathy is authorized to render and any closely allied services. The Corporation is organized and will be operated exclusively to further the charitable purposes of Atlantic Health System, Inc. and AHS Hospital Corp.Eye Care of Practice Associates PA is a Corporation organized to engage in the business of rendering the same professional services to the public that a Doctor of Medicine or Osteopathy is authorized to render and any closely allied services. The Corporatoin is organized and will be operated exclusively to further the charitbale purposes of Atlantic Health System, Inc. and AHS Hospital Corp. 3359944993 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 0 0 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 694 0 1 23126 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 41 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X Ken Butkowski 9734512005 475 South Street - Acctg Box 920 Morristown NJ 07962 Samantha Pozner MD Trustee-AHS 2.00 X 96155 0 0 Albert Ritter MD Trustee-Atlantic Ambulance 2.00 X 0 0 0 Dennis Wilson Trustee-AHS 2.00 X 0 0 0 Jeanine Liburd Trustee-AHS 2.00 X 0 0 0 Brian Gragnolati President & CEO 55.00 X X 8373068 0 1137448 Christopher R Reidy Trustee-AHS 2.00 X 0 0 0 David Ferguson AA Director Trustee-Atlantic Ambulance 55.00 X 351340 0 34080 Arthur Orduna Trustee-AHS 2.00 X 0 0 0 Domenick Randazzo MD PAMG-Trustee 55.00 X 572245 0 33775 Grant Parr MD Trustee-AHS 2.00 X 0 0 0 Finn Wentworth Trustee-AHS 2.00 X 0 0 0 John Calicchio MD PAMG-Trustee 55.00 X 334600 0 31706 John F Vigorita MD Trustee-AHS 2.00 X 0 0 0 David Peterson Trustee-Atlantic Ambulance 2.00 X 200775 0 32305 Katharine Driebe VP of Finance 55.00 X X 787518 0 119910 Kevin Lenahan EVP,Chief Bus & Strategy 55.00 X X 6754515 0 406954 Laura A Kelly Trustee-AHS Vice Chair 2.00 X X 0 0 0 Navpreet Minhas MD PAMG-TTE Vice Chair 55.00 X X 416910 0 30375 Peter Bolo MD PAMG-Trustee 55.00 X 508257 0 50000 Jeanine Bulan MD PAMG-Trustee 55.00 X 399767 0 33328 Richard W Herbst Trustee-AHS 2.00 X 0 0 0 Robert E McCracken Trustee-AHS Chairman 2.00 X X 0 0 0 Sean Nicholson Trustee-AHS 2.00 X 0 0 0 Seth Stoller MD PAMG-Trustee 55.00 X 612663 0 29980 Sheilah O'Halloran EVP,General Counsel 55.00 X X 1616347 0 272919 Steven Sheris MD EVP,Chief Phy Exec 55.00 X X 1817270 0 282400 Shai Gavi MD PAMG-Trustee 55.00 X 474887 0 29446 Theresa Giannattasio DO PAMG-Trustee 55.00 X 210251 0 19525 Christina Johnson MD PAMG-Trustee 55.00 X 470798 0 21277 Jessica Petilla-Onorato MD PAMG-Trustee 55.00 X 373041 0 25286 Jason Smith MD PAMG-Trustee 55.00 X 994359 0 29427 Lee Starker MD PAMG-Trustee 55.00 X 1362459 0 29365 Anthony Frisoli MD PAMG-Trustee 55.00 X 287154 0 4596 Charles Reid III Trustee-VNASH Organization 2.00 X 0 0 0 Scott Leighty EVP,Chief Health Sy Officer 55.00 X X 1464724 0 236487 Michael Walter SVP,Chief Financial Office 55.00 X X 971184 0 137577 Robert Pedowitz DO PAMG-Trustee 55.00 X 336671 0 34028 Justice Jaynee LaVecchia Trustee-AHS 2.00 X 0 0 0 Mai Pham MD Trustee-AHS 2.00 X 0 0 0 Michael Ranger Trustee-AHS 2.00 X 0 0 0 Christopher Herzog PAMG,VP & COO 55.00 X 736807 0 95317 Christopher Zipp MD PAMG-Physician 55.00 X 608497 0 41303 Frederico Cerrone MD PAMG-Chair 55.00 X 759425 0 26446 Nichell Sumpter EVP,Chief Admin Officer 55.00 X 1570206 0 243678 Patricia O'Keefe SVP,Pres MMC 55.00 X 1781450 0 250125 Robert Adams Jr SVP,Pres West Region 55.00 X 1088433 0 146989 Stephanie Schwartz SVP,Pres OMC 55.00 X 1345679 0 179808 Suja Mathew EVP,Chief Clinical Officer 55.00 X 1364036 0 223531 Maureen Schneider SVP,Pres CMC 55.00 X 949148 0 121265 Sunil Dadlani EVP,Chief-Inf/Dig Trans Of 55.00 X 1414223 0 238367 Eric Whitman MD Physician 55.00 X 1070539 0 50002 James Wittig MD Physician-Chair 55.00 X 3829922 0 19886 Rolando Rolandelli MD Chairman-Dep of Surgery 55.00 X 1002452 0 50002 Madeline Ferraro VP,Gov't and Public Affair 55.00 X 1459004 0 111767 Jeffrey Leary Physician 55.00 X 1408581 0 28357 Mark Widmann Physician 55.00 X 1674383 0 29553 Philippe Genereux MD Physician 55.00 X 1621621 0 32553 Tom Thomas Physician 55.00 X 1736207 0 30842 Sean Calhoun Physician 55.00 X 1629424 0 30054 56836995 0 5012039 5775 0 1 0 RIGHTSOURCING LLC PO BOX 515743 LOS ANGELES CA 90051 CONTRACT EMPLOYMENT 73838735 TORCON INC 328 NEWMAN SPRINGS ROAD RED BANK NJ 07701 CONSTRUCTION MANAGEMENT SERVICES 62595630 GIFTED NURSES LLC PO BOX 205426 DALLAS TX 75320 CONTRACT EMPLOYMENT 36300695 ZOTEC PARTNERS LLC PO BOX 2288 INDIANAPOLIS IN 46206 PATIENT BILLING 20000569 DELOITTE PO BOX 844717 DALLAS TX 75284 CONSULTING 19179762 407 1507873 22007718 93024029 5969189 122508809 PATIENT SERVICE REV 621990 1980314473 1980314473 MEDICARE-MEDICAID 621990 1515471188 1515471188 PHYSICIAN SERVICES 621110 520862013 520862013 LAB SPEC PROCESSING 621500 2206076 2206076 4018853750 61172823 2720064 58452759 423041 423041 2206939 0 2206939 2206939 2206939 741631898 732592898 9039000 9039000 9039000 0 1507873 311450 -311450 -311450 Cafeteria 722514 7335817 7335817 Corporate Health 621610 6277272 6277272 Parking 812930 2988286 2988286 8078667 12179 8066488 24680042 4238572954 4017070715 11215591 87777839 1266526 1266526 68591916 68591916 1808855005 1500454154 306217063 2183788 81620932 67704966 13814884 101082 175284565 145399412 29680892 204261 111470139 92465031 18867060 138048 69744338 69744338 3761296 3761296 1687898 1687898 323500 323500 128096222 128096222 25367138 25367138 106073004 87047169 18895875 129960 11187063 9279724 1893485 13854 104544130 86186596 18228859 128675 15674978 13002471 2653114 19393 54151707 44919108 9165817 66782 181435320 150922719 30290965 221636 73481996 59952232 13440257 89507 MEDICAL EXPENSES 880868147 880868147 REPAIRS & MAINTENANCE 72760268 60355001 12315641 89626 EQUIPMENT AND RENTAL 6661030 5525357 1130444 5229 DUES 2628875 2182781 442854 3240 29315531 24317377 4962356 35798 4014851524 3359944993 651475652 3430879 24827 689045249 526209951 6583394 24096398 384485779 381082151 40967741 42163199 63201207 159594672 4206889021 2466812550 1658886931 1740076471 2425457902 2768995744 3599813 3497000 333513278 418931573 5605741294 6064671986 620725822 580563917 497403875 479518340 925000000 925000000 736608065 679207625 2779737762 2664289882 X 2622107208 3189410768 203896324 210971336 2826003532 3400382104 5605741294 6064671986 X 223721430 289748468 60908672 X 0 1 X 1 1 1 X Listing of Subordinates in this Group 990: Atlantic Health System - AHS Hospital Corp 52-1958352 Atlantic Ambulance Corp 22-3820288 Practice Assoc Med Group PC 20-2088165 Hackettstown Regional Medical Center Emergency Medical Serv Inc 27-0820164 Medical Center Partners, Inc 45-4789273 Adult Day Center of the Visiting Nurse Assoc. of Somerset Hills 22-2865641 Visting Nurse Assoc. of Somerset Hills Community Health Serv Inc 22-3413041 Visiting Nurse Assoc. of Somerset Hills Home Health and Hospice 22-1487373 Visting Nurse Association of Somerset Hills, Inc 22-2888648 Atlantic Therapy and Wellness PA 87-3494583 Eye Care of Practice Associates 88-2087708 Determination of the Organizations in this Group IRS 990 Atlantic Ambulance is a Box 10 organization. It receives more than 33 1/3% of its support from activities related to it's exempt functions and no more than 33 1/3% of its support from gross investment income and unrelated income from businesses acquired by the organization after June 30, 1995. Practice Associates Medical Group (PAMG) is a Box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). PAMG is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). Since August 17, 2006, PAMG has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. This organization's supported organization (AHS Hospital Corp) appoints the organization's trustees of this supporting organization. The organization operated only for the benefit of the supported organization (AHS Hospital Corp). Medical Center Partners, Inc. is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. Hackettstown Regional Medical Center Emergency Services, Inc. is a Box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. Adult Day Center of the Visiting Nurse Association of Somerset Hills Medical Center Partners, Inc. is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. The Visiting Nurse Association of Somerset Hills Community Health Services, Inc.is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. The Visiting Nurse Association of Somerset Hills Home Health and Hospice Services, Inc. is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. Visiting Nurse Association of Somerset Hills, Inc. is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. Atlantic Core Therapy and Wellness PA is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii). Determination of the Organizations in this Group IRS 990 below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. Eye Care of Practice Associates is a box 12 organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in Section 509(a)(1) or Section 509(a)(2). The organization is a type 1 organization and is not controlled directly or indirectly by one or more disqualified persons other than managers and other than one or more publicly supported organizations described in section 509(a)(1) or Section 509(a)(2). The organization has not accepted any gift or contribution from (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization. (ii)A family member of a person described in (i) above. (iii) 35% controlled entity of a person in (i) or (ii) above. The trustees of the supporting organization are the same as the trustees of Atlantic Health System which is the sole member of the supported organization, AHS Hospital Corp. X 0 1 0 0 0 0 1 323500 0 0 323500 0 Part II-B, Line 1: The organization compensated four different consultants primarily for their services and time in participating in conference telephone calls, attending meetings and conferences, providing communication emails and correspondence and travel expenses for the following: 1. State Budget Meetings 2. Various State and Federal Legislative/Regulatory Affairs 3 State and Federal Hospital Issues 4. Healthcare Forums 5. NJ bills as listed below: A5757: Extends certain pay parity regarding telemedicine and telehealth for one year A4619: Codifies and extends authorization for certain out-of-State health care practitioners and recent graduates of health care training programs to practice in New Jersey A5225: Provides for coverage of community-based palliative care benefits under Medicaid A5669: Appropriates $54,357,547,000 in State funds and $26,144,171,463 in federal funds for the State budget for fiscal year in 2023-2024 S304: Establishes minimum registered professional nurse staffing standards for hospitals and ambulatory surgery facilities and certain DHS facilities S3929: Revises certain requirements for involuntary commitment for mental health treatment State Health Benefits Plan Design Committee: Reference-Based Pricing Resolution Also, the following represents the vendors were paid $323,500 in 2023 for lobbying expenses. 1. Edge Advocacy LLC $ 97,000 2. CLB Partners 42,000 3. OPTIMUS Partners 126,000 4. Keywood Strategies 58,500 203896324 33838255 6786637 33549880 210971336 215821109 33869600 -7047457 -38746939 203896324 181506836 57379727 5719346 28784800 215821109 167116847 40804893 5073267 31488171 181506836 149622240 52656881 5050049 40212323 167116847 0.25000 0.75000 0 0 74772350 74772350 2169298798 1748821070 420477728 123857669 11571502 112286167 1838960204 706419978 1132540226 1740076471 DUE FROM AFFILIATES 415782322 FOUNDATION ACCOUNTS 3149251 418931573 ADVANCES THIRD PARTY PAYORS 67192763 LONG TERM LIABILITIES 299337609 LONG TERM LEASE LIABILITIES 270570555 SHORT TERM LEASE LIABILITIES 42106698 679207625 4387786151 289748468 15283419 305031887 4082754264 155818690 155818690 4238572954 3928375613 0 3928375613 86475911 86475911 4014851524 Part V, Line 4: Temporarily restricted net assets are those funds whose use by the Hospital has been limited by donors to a specific time period and/or purpose. Once the restrictions are satisfied, or have been deemed to have been satisfied, those temporarily restricted net assets are released from restrictions. Temporarily restricted net assets are available and intended for the following purposes: - Research - Newton Medical Center's Redesign of the Behavioral Health of the Emergency Room - Overlook Medical Center's Master improvement plan - Chilton Medical Center's Emergency Room Renovation - Haackettstown Medical Center's expansion of infusion services - Morristown Medical Center's cogeneration plan - Purchase of plant and equipment - Scholarships and education - Program Services Permanently restricted net assets are restricted to investments to be held in perpetuity, the income from which is expendable to support health care services. Part XI, Line 2d - Other Adjustments: Net Assets Released From Restrictions 15,283,419. Part XI, Line 4b - Other Adjustments: Revenue recorded as an offset in the AFS expenses 47,451,865. Grant revenue recorded as an offset to the AFS expenses 22,014,085. Unrestricted Net Asset Distribution for Capital 8,094,472. MMC FDN Off Set - Restricted Activity 14,169,515. Reclass Contra Revenue to Expenses 17,009,961. Government Grants Used for Capital Purposes 47,078,792. Part XII, Line 4b - Other Adjustments: Revenue recorded as an offset in the AFS expenses 47,451,865. Grant revenue recorded as an offset to the AFS expenses 22,014,085. Reclass Contra Revenue to Expenses 17,009,961. Central America and the Caribbean - 1 0 Asset Investment Insurance 39821272 1 0 0 0 1 0 39821272 0 39821272 0 0 0 0 0 0 Spring Rummage Sale 792211 792211 89585 66140 Fall Rummage Sale 715662 715662 89585 66140 1507873 1507873 179170 132280 311450 -311450 1 1 X 1 X 1 X 1 1 1 0 1 1 45424777 13294818 32129959 0.00800 368265604 252997358 115268246 0.02870 413690381 266292176 147398205 0.03670 21737820 636841 21100979 0.00530 71369754 19197283 52172471 0.01300 246387730 12394925 233992805 0.05830 4323577 1823750 2499827 0.00060 1266526 0 1266526 0.00030 345085407 34052799 311032608 0.07750 758775788 300344975 458430813 0.11420 1 99387754 19195891 750328835 852843582 -102514747 X 1 1 6 1 Morristown Medical Center 100 Madison Avenue Morristown NJ 07960 www.atlantichealth.org 11403 X X X X X X 2 Overlook Medical Center 99 Beauvoir Avenue Summit NJ 07902 www.atlantichealth.org 11902 X X X X X X 3 Newton Medical Center 175 High Street Newton NJ 07960 www.atlantichealth.org 12005 X X X 4 Chilton Medical Center 97 West Parkway Pompton Plains NJ 07444 www.atlantichealth.org 11401 X X X 5 Atlantic Rehabilitation Institute 95 Mt Kemble Avenue Morristown NJ 07962 www.atlantichealth.org 11404 X Comprehensive Rehabilitaiton Hospital 6 Hackettstown Medical Center 631 Willow Grove Street Hackettstown NJ 07840 www.atlantichealth.org 12101 X X X Morristown Medical Center 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X Refer to Sch H, Part VI for the full URL X www.njhealthmatters.org X 1 23 1 Refer to Sch H, Part VI for the full URL 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X X X X X X 1 X 0 X X X X X 1 X 0 0 Overlook Medical Center 2 0 0 1 X X X X X X X X X 22 1 0 0 1 X Refer to Sch H, Part VI for the full URL X www.njhealthmatters.org X 1 23 1 Refer to Sch H, Part VI for the full URL 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X X X X X X 1 X 0 X X X X X 1 X 0 0 Newton Medical Center 3 0 0 1 X X X X X X X X X 21 1 0 0 1 X Refer to Sch H, Part VI for the full URL X www.njhealthmatters.org X 1 23 1 Refer to Sch H, Part VI for the full URL 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X X X X X X 1 X 0 X X X X X 1 X 0 0 Chilton Medical Center 4 0 0 1 X X X X X X X X X 22 1 0 0 1 X Refer to Sch H, Part VI for the full URL X www.njhealthmatters.org X 1 23 1 Refer to Sch H, Part VI for the full URL 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X X X X X X 1 X 0 X X X X X 1 X 0 0 Atlantic Rehabilitation Institute 5 0 0 1 X X X X X X X X X 22 1 0 0 1 X Refer to Sch H, Part VI for the full URL X www.njhealthmatters.org X 1 23 1 Refer to Sch H, Part VI for the full URL 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X X X X X X 1 X 0 X X X X X 1 X 0 0 Hackettstown Medical Center 6 0 0 1 X X X X X X X X X 21 1 0 0 1 X Refer to Sch H, Part VI for the full URL X www.njhealthmatters.org X 1 23 1 Refer to Sch H, Part VI for the full URL 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X https://ahs.atlantichealth.org/patients-visitors/financial-information.html X X X X X X 1 X 0 X X X X X 0 X 0 0 Part V, Section A: In addition to the non-hospital based facilities listed separately in Schedule H, Part V, Section D, AHS operates numerous physician offices related to it's various medical disciplines throughout the tristate area. These physician facilities practice under Practice Associates Medical Group (D/B/A Altantic Medical Group). Morristown Medical Center Part V, Section B, Line 5: Morristown Medical Center (MMC) is committed to the people it serves and the communities where they reside. Healthy communities lead to lower health care costs, robust community partnerships, and an overall enhanced quality of life. To that end, beginning in June 2022, MMC, a member of Atlantic Health System (AHS), undertook a comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area, that encompasses portions of Essex, Hunterdon, Morris, Passaic, Somerset, Sussex, Union and Warren counties in New Jersey. The purpose of the assessment was to gather current statistics and qualitative feedback on the key health issues facing residents of MMC's service area. The assessment examined a variety of health indicators including chronic health conditions, access to health care, and social determinants of health.The completion of the CHNA provided MMC with a health-centric view of the population it serves, enabling MMC to prioritize relevant health issues and inform the development of future community health implementation plan(s) focused on meeting community needs. This CHNA Final Summary Report serves as a compilation of the overall findings of the CHNA process. This document is not a compendium of all data and resources examined in the development of the CHNA and the identification of health priorities for MMC's service area, but rather an overview that highlights statistics relevant to MMC's health priorities for the CHNA/CHIP planning and implementation period.Key components of the MMC CHNA process include: Secondary Data Research Key Informant Survey Prioritization Session Implementation Plan Adoption of Key Community Health IssuesMorristown Medical Center, in conjunction with community partners, examined the findings of qualitative and quantitative data review to prioritize key community health issues. The following issues were identified and adopted as the key health priorities for MMC's 2022-2024 CHNA: Behavioral Health (Including Substance Use Disorders) Diabetes/Obesity/Unhealthy Weight Heart Disease Cancer Stroke Geriatrics & Healthy AgingBased on feedback from community partners, health care providers, public health experts, health and human service agencies, and other community representatives, Morristown Medical Center plans to focus on multiple key community health improvement efforts and will create an implementation strategy of their defined efforts, to be shared with the public on an annual basis through its Community Health Improvement Plan (CHIP).MethodologyMMC's CHNA comprised quantitative and qualitative research components. A brief synopsis of the components is included below with further details provided throughout the document:- A secondary data profile depicting population and household statistics, education and economic measures, morbidity and mortality rates, incidence rates, and other health statistics related to the service area was compiled with findings presented to advisory committees for review and deliberation of priority health issues in the community.- A key informant survey was conducted with community leaders and partners. Key informants represented a variety of sectors, including public health and medical services, non-profit and social organizations, public schools, and the business community.- An analysis of hospital-utilization data was conducted which allowed us to identify clinical areas of concern based on high utilization and whether there were identified disparities among the following socioeconomic demographic cohorts: insurance type, gender, race/ethnicity, and age cohort.Analytic SupportAtlantic Health System's corporate Planning & System Development staff provided MMC with administrative and analytic support throughout the CHNA process. Staff collected and interpreted data from secondary data sources, collected and analyzed data from key informant surveys, provided key market insights, and prepared all reports.Community RepresentationCommunity engagement and feedback were an integral part of the CHNA process. MMC's Community Health Department played a critical role in obtaining community input through key informant surveys of community leaders and partners and included community leaders in the prioritization and implementation planning process. Public health and health care professionals shared knowledge about health issues, and leaders and representatives of non-profit and community-based organizations provided insight on the community, including the medically underserved, low income, and minority populations.Research LimitationsTimelines and other restrictions impacted the ability to survey all potential community stakeholders. MMC sought to mitigate these limitations by including, in the assessment process, a diverse cohort of representatives or and/or advocates for medically underserved, low income, and minority populations in the service area.Prioritization of NeedsFollowing the completion of the CHNA research, MMC's Community Health Advisory Board's Community Health Sub-Committee prioritized community health issues, which are documented herein. MMC will utilize these priorities in its ongoing development of an annual Community Health Improvement Plan (CHIP) which will be shared publicly. Overlook Medical Center Part V, Section B, Line 5: Overlook Medical Center (OMC) is committed to the people it serves and the communities where they reside. Healthy communities lead to lower health care costs, robust community partnerships, and an overall enhanced quality of life. To that end, beginning in June 2022, OMC, a member of Atlantic Health System (AHS), undertook a comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area, that encompasses portions of Union, Essex, Morris, Somerset, Hudson and Middlesex counties in New Jersey. The purpose of the assessment was to gather current statistics and qualitative feedback on the key health issues facing residents of OMC's service area. The assessment examined a variety of health indicators including chronic health conditions, access to health care, and social determinants of health.The completion of the CHNA provided OMC with a health-centric view of the population it serves, enabling OMC to prioritize relevant health issues and inform the development of future community health implementation plan(s) focused on meeting community needs. This CHNA Final Summary Report serves as a compilation of the overall findings of the CHNA process. This document is not a compendium of all data and resources examined in the development of the CHNA and the identification of health priorities for OMC's service area, but rather an overview that highlights statistics relevant to OMC's health priorities for the CHNA/CHIP planning and implementation period.Key components of the OMC CHNA process include: Secondary Data Research Key Informant Survey Prioritization Session Adoption of Key Community Health Issues Key Community Health IssuesOverlook Medical Center, in conjunction with community partners, examined the findings of qualitative and quantitative data review to prioritize key community health issues. The following issues were identified and adopted as the key health priorities for OMC's 2022-2024 CHNA: Mental Health & Substance Use Disorder Cancer Heart Disease (Including as i relates to Stroke) Diabietes Maternal/Infant Health Based on feedback from community partners, health care providers, public health experts, health and human service agencies, and other community representatives, Overlook Medical Center plans to focus on multiple key community health improvement efforts and will create an implementation strategy of their defined efforts, to be shared with the public on an annual basis through its Community Health Improvement Plan (CHIP).MethodologyOMC's CHNA comprised quantitative and qualitative research components. A brief synopsis of the components is included below with further details provided throughout the document: A secondary data profile depicting population and household statistics, education and economic measures, morbidity and mortality rates, incidence rates, and other health statistics related to the service area was compiled with findings presented to advisory committees for review and deliberation of priority health issues in the community. A key informant survey was conducted with community leaders and partners. Key informants represented a variety of sectors, including public health and medical services, non-profit and social organizations, public schools, and the business community. An analysis of hospital-utilization data was conducted which allowed us to identify clinical areas of concern based on high utilization and whether there were identified disparities among the following socioeconomic demographic cohorts: insurance type, gender, race/ethnicity, and age cohort.Analytic SupportAtlantic Health System's corporate Planning & System Development staff provided OMC with administrative and analytic support throughout the CHNA process. Staff collected and interpreted data from secondary data sources, collected and analyzed data from key informant surveys, provided key market insights and prepared all reports.Community RepresentationCommunity engagement and feedback were an integral part of the CHNA process. OMC's Community Health Department played a critical role in obtaining community input through key informant surveys of community leaders and partners and included community leaders in the prioritization and implementation planning process. Public health and health care professionals shared knowledge about health issues, and leaders and representatives of non-profit and community-based organizations provided insight on the community, including the medically underserved, low income, and minority populations.Research LimitationsTimelines and other restrictions impacted the ability to survey all potential community stakeholders. OMC sought to mitigate these limitations by including in the assessment process a diverse cohort of representatives or and/or advocates for underserved population in the service area.Prioritization of NeedsFollowing the completion of the CHNA research, OMC's Community Health Advisory Board's Community Health Sub-Committee prioritized community health issues, which are documented herein. OMC will utilize these priorities in its ongoing development of an annual Community Health Improvement Plan (CHIP) which will be shared publicly on an annual basis. Newton Medical Center Part V, Section B, Line 5: Newton Medical Center (NMC) is committed to the people it serves and the communities where they reside. Healthy communities lead to lower health care costs, robust community partnerships, and an overall enhancedquality of life. To that end, beginning in June 2021, NMC, a member of Atlantic Health System (AHS), undertook a comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals livingin the hospital service area, that encompasses portions of Sussex and Warren counties in New Jersey as well as portions of Pike County in Pennsylvania. The purpose of the assessment was to gather current statistics and qualitative feedback on the key health issues facing residents of NMCfs service area. The assessment examined a variety of health indicators including chronic health conditions, access to health care, and social determinants of health. The completion of the CHNA provided NMC with a health-centric view of the population it serves, enabling NMC to prioritize relevant health issues and inform the development of future community health implementation plan(s) focused on meeting community needs. This CHNA Final Summary Report serves as a compilation of the overall findings of the CHNA process. This document is not a compendium of all data and resources examined in the development of the CHNA and the identification of health priorities for NMCfs service area, but rather an overview that highlights statistics relevant to NMCfs health priorities for the CHNA/CHIP planning and implementation period.CHNA Components- Secondary Data Research- Key Informant Survey- Prioritization Session- Implementation Plan- Key Community Health IssuesKey Community Health IssuesNewton Medical Center, in conjunction with community partners, examined secondary data and community stakeholder input to select key community health Issues. The following issues were identified and adopted as thekey health priorities for NMC's 2021-2023 CHNA:- Mental Health and Substance Misuse- Cancer- Heart Disease- Diabetes- Obesity- StrokeBased on feedback from community partners, health care providers, public health experts, health and human service agencies, and other community representatives, Newton Medical Center plans to focus on multiple keycommunity health improvement efforts and will create an implementation strategy of their defined efforts, to be shared with the public on an annual basis through its community health improvement plan (CHIP). Chilton Medical Center Part V, Section B, Line 5: Chilton Medical Center (CMC) is committed to the people it serves and the communities where they reside. Healthy communities lead to lower health care costs, robust community partnerships, and an overall enhanced quality of life. To that end, beginning in June 2022, CMC, a member of Atlantic Health System (AHS), undertook a comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area, that encompasses portions of Morris and Passaic counties in New Jersey. The purpose of the assessment was to gather current statistics and qualitative feedback on the key health issues facing residents of CMC's service area. The assessment examined a variety of health indicators including chronic health conditions, access to health care, and social determinants of health.The completion of the CHNA provided CMC with a health-centric view of the population it serves, enabling CMC to prioritize relevant health issues and inform the development of future community health implementation plan(s) focused on meeting community needs. This CHNA Final Summary Report serves as a compilation of the overall findings of the CHNA process. This document is not a compendium of all data and resources examined in the development of the CHNA and the identification of health priorities for CMC's service area, but rather an overview that highlights statistics relevant to CMC's health priorities for the CHNA/CHIP planning and implementation period.CHNA Development Process Secondary Data Research Key Informant Survey Prioritization Session Adoption of Key Community Health IssuesKey Community Health IssuesChilton Medical Center, in conjunction with community partners, examined secondary data and community stakeholder input to select key community health Issues. The following issues were identified and adopted as the key health priorities for CMC's 2022-2024 CHNA: Mental Health/ Substance Abuse Heart Disease Cancer Diabetes Respiratory DiseaseBased on feedback from community partners, health care providers, public health experts, health and human service agencies, and other community representatives, Chilton Medical Center plans to focus on multiple key community health improvement efforts and will create an implementation strategy of their defined efforts, to be shared with the public on an annual basis thorugh its Community Heatlh Improvement Plan (CHIP).MethodologyCMC's CHNA comprised quantitative and qualitative research components. A brief synopsis of the components is included below with further details provided throughout the document: A secondary data profile depicting population and household statistics, education and economic measures, morbidity and mortality rates, incidence rates, and other health statistics related to the service area was compiled with findings presented to advisory committees for review and deliberation of priority health issues in the community. A key informant survey was conducted with community leaders and partners. Key informants represented a variety of sectors, including public health and medical services, non-profit and social organizations, public schools, and the business community. An analysis of hospital-utilization data was conducted which allowed us to identify clinical areas of concern based on high utilization and whether there were identified disparities among the following socioeconomic demographic cohorts: insurance type, gender, race/ethnicity, and age cohort.Analytic SupportAtlantic Health System's corporate Planning & System Development staff provided CMC with administrative and analytic support throughout the CHNA process. Staff collected and interpreted data from secondary data sources, collected and analyzed data from key informant surveys, provided key market insights and prepared all reports.Community RepresentationCommunity engagement and feedback were an integral part of the CHNA process. CMC's Community Health Department played a critical role in obtaining community input through key informant surveys of community leaders and partners and included community leaders in the prioritization and implementation planning process. Public health and health care professionals shared knowledge about health issues, and leaders and representatives of non-profit and community-based organizations provided insight on the community, including the medically underserved, low income, and minority populations.Research LimitationsTimelines and other restrictions impacted the ability to survey all potential community stakeholders. CMC sought to mitigate these limitations by including in the assessment process a diverse cohort of representatives or and/or advocates for underserved population in the service area.Prioritization of NeedsFollowing the completion of the CHNA research, CMC's Community Health Advisory Sub-Committee prioritized community health issues, which are documented herein. CMC will utilize these priorities in its ongoing development of an annual Community Health Improvement Plan (CHIP) which will be shared publicly. Atlantic Rehabilitation Institute Part V, Section B, Line 5: Refer to the MMC CHNA Hackettstown Medical Center Part V, Section B, Line 5: Hackettstown Medical Center (HMC) is committed to the people it serves and the communities where they reside. Healthy communities lead to lower health care costs, robust community partnerships, and an overall enhanced quality of life. To that end, beginning in June 2021, HMC, a member of Atlantic Health System (AHS), undertook a comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area, that encompasses portions of Warren, Morris and Sussex counties in New Jersey. The purpose of the assessment was to gather current statistics and qualitative feedback on the key health issues facing resident of HMC's service area. The assessment examined a variety of health indicators including chronic health conditions, access to health care, and social determinants of health.The completion of the CHNA provided HMC with a health-centric view of the population it serves, enabling HMC to prioritize relevant health issues and inform the development of future community health implementation plan(s) focused on meeting community needs. This CHNA Final Summary Report serves as a compilation of the overall findings of the CHNA findings. This document is not a compendium of all data and resources examined in the development of the CHNA and the identification of health priorities for HMC's service area, but rather an overview that highlights statistics relevant to HMC's health priorities for the next CHNA/CHIP planning and implementation period.CHNA Components- Secondary Data Research- Key Informant Survey- Prioritization Session- Implementation Plan- Key Community Health IssuesKey Community Health IssuesHackettstown Medical Center, in conjunction with community partners, examined the findings of qualitative and quantitative data review to prioritize key community health issues. The following issues were identified:- Heart Disease- Diabetes and Overweight/Obesity- Substance Misuse- Mental Health- CancerBased on feedback from community partners, health care providers, public health experts, health and human service agencies, and other community representatives, Hackettstown Medical Center plans to focus on multiple key community health improvement efforts and will create an implementation strategy of their defined efforts, to be shared with the public on an annual basis through its community health improvement plan (CHIP). Morristown Medical Center Part V, Section B, Line 6a: No other hospital facilities Overlook Medical Center Part V, Section B, Line 6a: No other hospital facilities Newton Medical Center Part V, Section B, Line 6a: No other hospital facilities Chilton Medical Center Part V, Section B, Line 6a: No other hospital facilities Atlantic Rehabilitation Institute Part V, Section B, Line 6a: No other hospital facilities Hackettstown Medical Center Part V, Section B, Line 6a: No other hospital facilities Hackettstown Medical Center Part V, Section B, Line 6b: No other oragnizations other than hospital facilities Morristown Medical Center Part V, Section B, Line 11: Refer to the May 2023 and May 2024 Community Health Improvement Plan (CHIP)The URL for the May 2023 and May 2024 CHIP is: https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Overlook Medical Center Part V, Section B, Line 11: Refer to the May 2023 and May 2024 Community Health Improvement Plan (CHIP)The URL for the May 2023 and May 2024 CHIP is: https://www.atlantichealth.org/patients-visitors/education-support/Click on the link "Community Resources and Programs" Click on the link "Community Health Needs Assessment" Newton Medical Center Part V, Section B, Line 11: Refer to the May 2023 and May 2024 Community Health Improvement Plan (CHIP)The URL for the May 2023 and May 2024 CHIP is: https://www.atlantichealth.org/patients-visitors/education-support/Click on the link "Community Resources and Programs" Click on the link "Community Health Needs Assessment" Chilton Medical Center Part V, Section B, Line 11: Refer to the May 2023 and May 2024 Community Health Improvement Plan (CHIP)The URL for the May 2023 and May 2024 CHIP is: https://www.atlantichealth.org/patients-visitors/education-support/Click on the link "Community Resources and Programs" Click on the link "Community Health Needs Assessment" Atlantic Rehabilitation Institute Part V, Section B, Line 11: Refer to the May 2023 and May 2024 Community Health Improvement Plan (CHIP)The URL for the May 2023 and May 2024 CHIP is: https://www.atlantichealth.org/patients-visitors/education-support/Click on the link "Community Resources and Programs" Click on the link "Community Health Needs Assessment" Hackettstown Medical Center Part V, Section B, Line 11: Refer to the May 2023 and May 2024 Community Health Improvement Plan (CHIP)The URL for the May 2023 and May 2024 CHIP is: https://www.atlantichealth.org/patients-visitors/education-support/Click on the link "Community Resources and Programs" Click on the link "Community Health Needs Assessment" Morristown Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Overlook Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Newton Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Chilton Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Atlantic Rehabilitation Institute Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. Hackettstown Medical Center Part V, Section B, Line 20e: 1. Information regarding Atlantic Health System's Financial Assistance Policy will be provided to the public in consumer-friendly terminology and in a language the patient can understand.2. Invoices to patients will include information related to the availability of financial assistance and how the patient can obtain further information and apply for financial assistance.3. Information on financial assistance will be posted in appropriate Patient Access sites with instructions on how patients can obtain information on financial assistance and apply for available programs.4. Staff interacting with patients will receive training regarding financial assistance programs, how to communicate these programs to patients and how to direct patients to appropriate financial counseling staff.5. Staff providing financial counseling will receive training to treat patients seeking financial assistance with courtesy, confidentiality and cultural sensitivity.6. Translation services will be made available as needed. 134 1 - The Family Health Center 200 South Street Morristown NJ 07962 Ambulatory Care Facility 2 - Atlantic Rehabilitation Institute 95 Mt Kemble Avenue Morristown NJ 07962 Long Term Care Facility 3 - Atlantic Home Care and Hospice 111 East Catherine Street Suite 2400 Milford PA 18337 Home Health Agency, Hospice Care Program 4 - Atlantic Home Care and Hospice 465 South Street Morristown NJ 07960 Hospice Care Program and Home Health Agency 5 - Atlantic Maternal Fetal Med Bridgewater 784-792 Chimney Rock Road Martinsville NJ 08886 Off-Site Ambulatory Care Facility 6 - Atlantic Maternal Fetal Medicine 435 South Street - Suite 380 Morristown NJ 07960 Off-Site Ambulatory Care Facility 7 - Atlantic Health Sleep Centers 95 Mt Kemble Avenue Morristown NJ 07962 Off-Site Ambulatory Care Facility 8 - Chilton Health Network at Pike Drive 1 Pike Drive Wayne NJ 07470 Off-Site Ambulatory Care Facility 9 - Chilton Health Network at 242 West Pkwy 242 West Parkway Pompton Plains NJ 07444 Off-Site Ambulatory Care Facility 10 - Morristown Medical Center Care Now 57 US Highway Route 46 Hackettstown NJ 07840 Off-Site Ambulatory Care Facility 11 - OP Audiology and Speech 575 Route 28 2nd Floor Raritan NJ 08869 Speech Therapy 12 - Cardiac Imaging at Florham Park 10 James Street Florham Park NJ 07932 Off-Site Ambulatory Care Facility 13 - Cardiac Iamging at 435 South Street 435 South Street-First Floor Morristown NJ 07962 Off-Site Ambulatory Care Facility 14 - Morristown Surgical Center at Madison Av 111 Madison Avenue Morristown NJ 07960 Off-Site Ambulatory Care Facility 15 - MMC Radiolgy at 111 Madison Avenue 111 Madison Avenue Morristown NJ 07960 Off-Site Ambulatory Care Facility 16 - MMC Internal Medicine Faculty Associates 435 South Street - Suite 360 Morristown NJ 07962 Off-Site Ambulatory Care Facility 17 - The Wound Care Center at MMC 435 South Street - Suite 320 Morristown NJ 07962 Off-Site Ambulatory Care Facility 18 - The Medical Institute of New Jersey 11 Saddle Road Cedar Knolls NJ 07927 Off-Site Ambulatory Care Facility 19 - Morristown Outpatient Radiology 310 Madison Avenue Morristown NJ 07960 Off-Site Ambulatory Care Facility 20 - Overlook Hospital Satellite ED 1000 Galloping Hill Road Union NJ 07083 Off-Site Ambulatory Care Facility 21 - Overlook Health Services 1 Springfield Avenue Summit NJ 07901 Off-Site Ambulatory Care Facility 22 - Cardiac Imaging CT 435 South Street Morristown NJ 07962 Imaging Services 23 - Cardiac Imaging at Cedar Knolls - OP 11 Saddle Road Cedar Knolls NJ 07927 Imaging Services 24 - Imaging- Florham Park 10 James Street Florham Park NJ 07932 Imaging Services 25 - Cardiac Image 95 Madison Avenue - Suite B07 Morristown NJ 07960 Cardiac Imaging 26 - Cardiac Imaging - North Morrist 356 Route 46 Mountain Lakes NJ 07046 Cardiac Imaging 27 - Imaging Center-Atlantic Cardiology 95 Madison Avenue - Suite 300 Morristown NJ 07960 Imaging Services 28 - Imaging Center-Atlantic Cardiology 8 Tempe Wick Rd Mendham NJ 07945 Imaging Services 29 - CV Imaging Mt Arlington 400 Valley Road - Suite 102 Mt Arlington NJ 07856 Imaging Services 30 - Cardiac Imaging at Dr Wall 50 Cherry Hill Road Parsippany NJ 07054 Imaging Services 31 - Atlantic Maternal Fetal 784-792 Chimney Rock Road Martinsville NJ 08836 Imaging Services 32 - Diabetes Center Adult and Endocrinology 435 South Street - Suite 340 Morristown NJ 07960 Wellness Center 33 - Maternal Fetal Medicine 435 South Street - Sutie 380 Morristown NJ 07960 Physican Practice 34 - Metobolic Medicine 435 South Street - Suite 330 Morristown NJ 07960 Physican Practice 35 - CTR Rheumatic Disease 435 South Street- Suite 220A Morristown NJ 07962 Physican Practice 36 - Assoc Rehab ARI 95 Mt Kemble Avenue Morrsitown NJ 07962 Rehab Services 37 - Ped family Practice 200 South ST 200 South Street Morristown NJ 07962 Pediatrice Physician Practice 38 - Ryan White HIV Clinic 200 South Street Morristown NJ 07962 Physican Clinic 39 - MMC Wound Care 435 South Street - Suite 320 Morristown NJ 07962 Wound Care 40 - MMC Imaging Center 111 Madison Avenue - 4th Floor Morristown NJ 07962 Imaging Services 41 - MMC Surgical Center 111 MAdison Avenue - 2nd Floor Morristown NJ 07960 Surgical Center 42 - MMC OP Radiology at 310 Madison 310 MAdison Avenue Morristown NJ 07960 Radiology Services 43 - Pain Center 95 Madison Avenue - Suite 402 Morristown NJ 07962 Pain Management 44 - Cardiac Imaging 14 Smull Avenue - Suite 402 West Caldwell NJ 07006 Imaging Services 45 - Center for Physical Therapy & Sports Reh 111 Madison Avenue - 1st Floor Morristown NJ 07960 Rehab Services 46 - OP Radiology at 435 435 South Street Morristown NJ 07960 Radiology Services 47 - Arthritis Center Pre-Joint Testing Cente 435 South Street - Suite 150 Morristown NJ 07962 Pain Management 48 - Pre-Procedural EvaluationOP Lab 435 South Street - Suite 140 Morristown NJ 07962 OP Lab Services 49 - The Infusion Center 8 Saddle Road - Suite 202 Cedar Knolls NJ 07927 Infusion Center 50 - Radiology Imaging Bio-Sport 720 US highway 202-206 Bridewater NJ 08807 Radiology Services 51 - Adult Family Practice 435 South Street -S 3rd Floor Morristown NJ 07962 Physician Practice 52 - Imaging at Children's Orth & Sports 261 James Street Morristown NJ 07960 Imaging Services 54 - Cardiac Rehab 435 South Street - Suite 160 Morristown NJ 07962 Rehab Services 55 - Geriatric Assessment Center 465 South Street Morristown NJ 07962 Geriatric Services 56 - Pulmonary & Allergy Associates Technical 8 Saddle Road Cedar Knolls NJ 07927 Pulmonary Group 57 - Child Development Center 435 South Street - Suite 250 Morristown NJ 07962 Child Development Center 58 - Carol W Breast Screening Center 435 South Street Morristown NJ 07962 Preventive Care 59 - Adult Cystic Fibrosis Center 435 South Street - Suite 210 Morristown NJ 07962 Pulmonary Rehab Group 60 - Autism Center 435 South Street - Suite 255 Morristown NJ 07962 Autism Support Group 61 - MMC Eden Lane Radiation Oncology 16 Eden Lane Whippany NJ 07981 Oncology Group 62 - MMC Health Pavilion Vascular Serv 333 Mount Hope Road Rockaway NJ 07866 Cardiology Group 63 - Rippel Screening Breast Center Rockaway 333 Mount Hope Ave 130 Rockaway NJ 07866 Womens Health Group 64 - OP Radiology at Rockaway 333 Mount Hope Ave 140 Rockaway NJ 07866 Radiology Services 65 - Vascular Imaging 182 South Street Morristown NJ 07962 Imaging Services 65 - Cardiac Imaging at Rockaway 333 Mount Hope Road Rockaway NJ 07866 Daignostic Cardiology Group 66 - Atlantic Maternal Fetal Medicine 333 Mount Hope Ave 120 Rockaway NJ 07866 Obstetrics Group 67 - Cardiovascular Imaging at Barone-Catania 89 Mountain Boulevard - Suite 200 Watchung NJ 07069 Cardiovascular Iamging Center 68 - Respiratory Services MMC Health Pavili 333 Mount Hope Ave 220 Rockaway NJ 07866 Pulmonary Therapy 69 - Associates in Cardiovascular Disease 211 Mountain Ave Springfield NJ 07081 Cardiology Group 70 - Associates in Cardiovascular Disease 571 Central 115 New Providence NJ 07974 Cardiology Group 71 - Cardiac Imaging at Union -Suburban Group 1000 Galloping Hill Road Union NJ 07083 Cardiac Imaging 72 - Clark Multicare - Radiolgy 100 Commerce Place Clark NJ 07066 Radiology Services 73 - Cardiac Imaging at MDA Cardiology 215 North Ave Westfield NJ 07090 Cardiac Imaging 74 - Cardiac Imaging at MDA Cardiology 99 Beauvoir Avenue - Mac II Summit NJ 07901 Cardiac Imaging 75 - Advanced Care Oncology & Hematology 385 Morris Ave - Suite 100 Springfield NJ 07081 Oncology Group 76 - Overlook Imaging at One Springfield Ave 1 Springfield Avenue Summit NJ 07901 Imaging Services 77 - Overlook -Developmnetal Disabilities Ctr 1000 Galloping Hill Road Union NJ 07083 Development Disabilities Center 78 - Overlook Medical Center Imaging 1000 Galloping Hill Road Union NJ 07083 Imaging Services 79 - Overlook-Atlantic Laboratory - Union PSC 1000 Galloping Hill Road Union NJ 07083 Laboratory Services 80 - Overlook-Vascular Lab at Union 1000 Galloping Hill Road Union NJ 07083 Vascular Lab Services 81 - Overlook-Wound Healing Ctr-Union 1000 Galloping Hill Road Union NJ 07083 Wound Care 82 - Atlantic Rehabilitation 1000 Galloping Hill Road Union NJ 07083 Rehab Services 83 - Atlantic Behavioral Services 46-48 Beauvior Avenue Summit NJ 07901 Behavioral Health Services 84 - Pulmonary Allergy Associates 1 Springfield Avenue Summit NJ 07901 Pulmonary Group 85 - CV Imaging at Advance Cardiolgy 449 Mount Pleasant Ave - Suite 1 West Orange NJ 07052 Imaging Services 86 - CV Imaging At Livingston 340 East Northfield Ave Suite 1D Livingston NJ 07039 Imaging Services 87 - Milford Urgent Care 111 East Catherine Street Suite 130 Milford PA 18337 Urgent Care Center 88 - Milford Health & Wellness 111 East Catherine Street Suite 130 Milford PA 18337 Wellness Center 89 - Sparta Health & Wellness 89 Sparta Avenue - Suite 205 Sparta NJ 07871 Wellness Center 90 - Growth House 91 Plotts Road Newton NJ 07860 Supportive Living Group Arrangement 91 - PALS House 272 Andover Sparta Road Newton NJ 07860 Supportive Living Group Arrangement 92 - HRMC's Counseling & Addiction Center 112 East Avenue Unit 9 Hackettstown NJ 07840 Behavioral Health Services 93 - Atlantic Rehabilitation 550 Central Ave New Providence NJ 07974 Rehab Services 94 - Cardiac Imaging at MDA Cardiology 1511 Park Avenue - 2nd Floor South Plainfield NJ 07080 Cardiac Imaging 95 - Cardiac Imaging at Cedar Knolls 11 Saddle Road Cedar Knolls NJ 07927 Cardiac Imaging 96 - West Parkway Physical Therapy 242 West Parkway Pompton Plains NJ 07080 Rehab Services 97 - West Parkway Physical Therapy 242 West Parkway Parsippany NJ 07080 Rehab Services 98 - Radiology Services Sports Medicine 150 North Finley Ave C Basking Ridge NJ 07920 Radiology Services 99 - Cadiology Practice 100 Madison Avenue Morristown NJ 07960 Cardiology Services 100 - Northfield Infusion 741 Northfield Ave - Suite 202 West Orange NJ 07052 Infusion Center 101 - Total Cardiology 1777 Hamburg Turnpike Suite 10 Wayne NJ 07470 Cardiology Group 102 - Newton Infusion 89 Sparta Avenue - Suite 207A Sparta NJ 07871 Infusion Center 103 - Atlantic Health Sports Physical Therapy 333 Mount Hope Ave Rockaway NJ 07866 Rehab Services 104 - Cedar Crest One Cedar Crest-Medical Suite 2 Pompton Plains NJ 07080 Off-Site Ambulatory Care Facility 105 - CV Imaging at PHANorthern NJ Cardiology 242 West Parkway Pompton Plains NJ 07444 Cardiac Imaging 106 - Geriatric Assessment Center 435 South Street - Suite 390 Morristown NJ 07960 Off-Site Ambulatory Care Facility 106 - Atlantic Health Sports Phy Therapy-Rock 333 Mount Hope Ave Rockaway NJ 07866 Rehab Services 107 - PT NEW PROV AQUATIC 629 Central Avenue New Providence NJ 07974 Rehab Services 108 - Newton Infusion Sparta Health & Wellness 89 Sparta Avenue - Suite 207A Sparta NJ 07871 Wellness Center 109 - Infusion Ctr Rockaway 333 Mount Hope Ave Suite 210A Rockaway NJ 07866 Infusion Center 110 - MMC Endoscopy 111 Madison Ave Suite 401 Morristown NJ 07960 Gastroenterology 111 - Cardiovascular Imaging Center-CV Imaging 242 West Parkway Pompton Plains NJ 07444 Cardiac Imaging 112 - Atlantic Heatlh Sports OT Rockaway 333 Mount Hope Ave Rockaway NJ 07866 Rehab Services 113 - Mountain Lakes Physical Therapy 333 Route 46 Mt Lakes NJ 07046 Rehab Services 115 - Atlantic Health Adult Rehab 6 Saddle Road Cedar Knolls NJ 07927 Rehab Services 116 - Randolph YMCA Physical Therapy 14 Dover Chester Road Randolph NJ 07869 Rehab Services 117 - OMC Warren Physical Therapy 23 Mountain Blvd Warren NJ 07059 Rehab Services 119 - Chilton West Parway ASC 97 W Parkway 1 Pompton Plains NJ 07844 Ambulatory Surgery Center 120 - Infusion Center 1125 Route 22 Suite 265 Bridgewater NJ 08807 Infusion Center 121 - OMC CV Imaging MDA WF 1511 Park Avenue - 2nd Floor South Plainfield NJ 07080 Imaging Services 122 - HMC Cener For Healthcare Living 108 Bilby Road STE 101 Hackettstown NJ 07840 Center For Healthier Living 123 - CV Imaging Medicore Branchburg 3322 Route 22 STE 1205 Branchburg NJ 08876 Imaging Services 124 - Sleep Disorder Center of MMC 5 Regent St STE 512 Livingston NJ 07039 Sleep Disorder 125 - Randolph YMCA Physical Therapy 14 Dover Chester Road Randolph NJ 07869 Physical Therapy 126 - Rehab Byram 90 US Rt 206 Byram Township NJ 07874 Rehab Services 126 - Atlantic Behavioral HealthMMC 25A Vreeland RD Florham Park NJ 07932 Behavioral Health Services 127 - Primary Care at Philipsburg 222 Red School Lane Philipsburg NJ 08865 Primary Care 128 - Imaging 194 Route 31 Flemington NJ 08822 Imaging Services 129 - Diabetes EDU Center 1125 Route 22 Suite 280 Bridewater NJ 08807 Diabeters Education 130 - OMC Rehab PT Bayonne 471 Broadway Bayonne NJ 07002 Physical Therapy 131 - Imaging Metuchen 45 Pearl Street Metuchen NJ 08840 Imaging Services 132 - CV Iamging 131 Madison Ave 2nd Floor Morristown NJ 07960 Imaging Services 133 - MMC CV Iamging 757 State Route 15 S STE 103B Lake Hopatcong NJ 07840 Imaging Services 134 - Atlantic Consolidated Laboratory 299 Madison Avenue Morristown NJ 07960 Laboratory Services Part I, Line 6a: The 2023 community benefit report will be made available to the public via the Atlantic Health System website (www.atlantichealth.org).Search "Community Benefit Report" Part I, Line 7: Charity and unreimbursed Medicaid gross patient charges were decreased to cost by applying the cost to charge ratio which was calculated on Worksheet 2 per the IRS instruction, The charity care results from this methodology was compared to the cost of charity care as calculated on S-10 of the 2023 Medicare Cost Reports.All other costs for the remaining programs were compiled by the applicable program directors and represent actual expenses that were made. Part I, Line 7g: Subsidized Health Services represent clinical patient care services that are provided, despite a negative margin, because they are needed in the community. During 2023 the organization provided 42 such clinical patient care programs. The net community benefit expense represents the total actual expenses offset by any patient and grant revenue. Part III, Line 2: The bad debt expense at cost was established by "grossing up" the bad debt expense per the audited financial statements to gross charges and applying the 2023 cost to charge ratio as calculated on worksheet 2. Part III, Line 3: The portion of bad debt expense that reasonably could be attributable to patients who may qualify for financial assistance under the Organization's Charity Care program was calculated by identifying patients that were admitted with no insurance benefits. The Organization's collection agency's review process and charity care eligibility notification efforts are thorough, it is highly likely that these patients would have qualified for the Organization's Charity Care program had they applied. As a result, the organization believes this amount should have been treated as community benefit expense. Part III, Line 4: The Hospital recorded $73,838,421 and $96,913,998 of implicit priceconcessions as a direct reduction of patient service revenues for theyears ended December 31, 2023 and 2022, respectively. The organization's audited financial statements does not include a separate bad debt footnote. Part III, Line 8: 2023 Medicare Allowable Costs as calculated per the 2023 Medicare Cost report exceeds the 2023 Medicare payments received generating a Medicare shortfall to the organization of approx. $103 million. Such a Medicare shortfall should be considered as additional community benefit. Medicare shortfall(s) should be treated as community benefit because:- Non-negotiated Medicare rates are sometimes out-of-line with the true costs of treating Medicare patients.- By continuing to treat patients eligible for Medicare, hosptials alleviate the federal government's burden for directly providing medical services. The IRS recently acknowledged that lessening the government burden associated with providing Medicare benefits is a charitable purpose.- IRS Rev Ruling 69-545 states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. Part III, Line 9b: The organization's collection policy is as follows:This Section sets forth the billing and collection policies and procedures of Atlantic Health System and explains the actions that may be taken if a bill for medical care, including a bill for a remaining balanceafter financial assistance discounts are applied, is not paid. Collection agencies and attorneys acting on behalf of Atlantic Health System will be provided with a copy of this FAP.Each billing statement will include a conspicuous notice regarding the availability of financial assistance, along with a telephone number for the specific hospital facility's Financial Counseling Office where apatient can receive information about the FAP and assistance with the application for financial assistance.The billing statement will also include the website address where copies of the FAP, application for financial assistance, and PLS can be obtained.A. Notification period: Atlantic Health System will bill patients for any outstanding balance as soon as the patient balance is confirmed. For uninsured patients, the first post-discharge billing statement will mark the beginning of the 120 day notification period in which no extraordinary collection actions ("ECA") (defined below) may be initiated against the patient. For insured or underinsured patients, the first post-discharge billing statement reflecting processing by an insurer will mark the beginning of the l20 day notiflrcation period in which no ECAs may be initiated against the patient (the "12O-day notification period").B. When a patient is delinquent in payment, a notice will be sent to the patient offering to discuss the billing statement to determine if financial assistance or a new or revised payment plan is needed.Atlantic Health System may accommodate patients who request and establish payment plans.C. When no payment has been received at the end of the 120-day notification period and a patient has not applied for financial assistance or arranged with the hospital facility's Financial Counseling Office or the hospital facility's Customer Service Office for an alternate payment plan, the patient's account will be turned over to a collection agency. Atlantic Health System will inform the patient in writing that the patient's account will be turned over to a collection agency if no payment is received within l0 days (the "Final Notice"). The Final Notice will inform the patient that financial assistance is available for eligible patients and will include a telephone number for the specific hospital facility's Financial Counseling Office where a patient can receive information about the FAP and assistance with the financial assistance application process. The billing statement will also include the website address where copies of the FAP, application for financial assistance and PLS can be obtained.D. Atlantic Health System may authorize collection agencies and attorneys working on Atlantic Health System's behalf (a "Third Party") to initiate ECAs on delinquent patient accounts afterthe 120-day notification period, Once an account has been referred to a Third Party,the Third Party will confirm that reasonable efforts have been taken to determine whether a patient is eligible for financial assistance under the FAP and that the following actions have been taken prior to initiating an ECA:The patient has been provided with written notice (the "30-Day Letter") which:(a) indicates that financial assistance is available for eligible patients; (b) identifies the ECA(s) that the Third Party intends to initiate to obtain paymentfor the care; and (c) states a deadline after which such ECAs may be initiated(which deadline is no earlier than 30 days after date that notice is provided);The 30-Day Letter included a copy of a plain-language summary of the FAP;and Atlantic Health System and/or the Third Party have taken reasonable efforts to orally notify the patient about the FAP and how the patient may obtain assistance with the financial assistance application process.E. Once it has been confirmed that reasonable efforts have been taken to determine whether a patient is eligible for financial assistance under the FAP, Third Parties may initiate the following ECAs against a patient to obtain payment for care:Actions that require a legal or judicial process, including but not limited to:a. Placing a lien on a patient's property, except as otherwise provided inI.R.C. Section 501(r);b. Attaching or seizing a patient's bank account;c. Commencing a civil action against a patient;d. Causing apatient to be subject to a writ of body attachment;e. Garnishing a patient's wages.ECAs do not include liens on proceeds of personal injury judgments,settlements, or compromises, nor claims filed in bankruptcy.F. If an incomplete application for financial assistance is received, Atlantic Health System will provide the patient with written notice that describes the additional information or documentation required to make a FAP-eligibility determination. Atlantic Health System will inform Third Parties that an incomplete application for financial assistance was submitted and Third Parties will suspend any ECAs to obtain payment for care for a 30-day period.G. If a completed application for financial assistance is received, Atlantic Health System will ensure that the following will take place:1. ECAs against the patient will be suspended;2. An eligibility determination will be made and documented in a timely manner;3. Atlantic Health System will notify the patient in writing of the determination and the basis for the determination;4. An updated billing statement will be provided which will indicate the amount owed by the FAP-eligible patient (if applicable), how that amount was determined and the applicable AGB percentage;5. Any amounts paid in excess of the amount owed by the FAP-eligible patient will be refunded accordingly (if applicable); and6. Third Parties will take all reasonable available measures to reverse any ECAs taken against the patients to collect the debt such as vacating a judgment or lifting a levy or lien.H. If any of the hospital facilities make presumptive eligibility determinations the following is required:1. If a patient is presumptively determined to be eligible for less than the most generous assistance available under the FAP, then Atlantic Health System will:a. Notify the patient regarding the basis for the presumptive FAP-eligibilitydetermination and explain how to apply for more generous assistance;b. Give the patient a reasonable period of time to apply for more generousassistance before authorizing the initiation of ECAs to obtain thediscounted amount calculated;c. Re-determine the patient's FAP-eligibility status if a completed application for financial assistance is received. Part VI, Line 2: In addition to conducting a triennial community health needs assessment and developing an annual community health plan, Atlantic Health utilizes multiple methods to consistently understand and respond to the health needs of the communities we serve. First, we consistently analyze multiple years of utilization data from our emergency departments and inpatient records to identify emerging health needs in the community. Second, we actively participate in community coalitions and engage with community partners from government agencies to faith communities, to understand the unique needs that their clients/participants are expressing. Finally, we actively monitor multiple public health data sources to identify trends in our local community. Part VI, Line 3: Per the Financial Assistance Policy (FAP)I. Purpose:To ensure all patients receive essential emergency and other medically necessary health care services provided by Atlantic Health System, Inc.'s ("Atlantic Health System") hospital facilities regardless of their ability to pay. This policy shall apply to any Atlantic Health System hospital, including Morristown Medical Center, Overlook Medical Center, Chilton Medical Center, Newton Medical Center, Hackettstown Medical Center, and Atlantic Rehabilitation Institute, and any Atlantic Health System facility that is designated as provider-based pursuant to 42 C.F.R. 413.65.II. PolicyIt is the policy of Atlantic Health System to ensure all patients receive essential emergency and other medically necessary health care services provided by its hospital facilities regardless of a patient's ability to pay. Financial assistance is available through a variety of programs as described in Section IV below to those low-income, uninsured and underinsured patients who do not otherwise have the ability to pay all or part of their hospital bill. This policy shall apply to any Atlantic Health System hospital facility, as noted above, and any Atlantic Health System facility that is designated as provider-based pursuant to federal regulations governing provider-based status at 42 C.F .R. 413.65.Financial assistance and discounts are available only for emergency or other medically necessary health care services. Some services, including but not limited to, physician fees, anesthesiology fees, radiologyinterpretation and outpatient prescriptions are separate from hospital charges and may not be eligible for financial assistance through Atlantic Health System. A list of all providers, other than the hospital facilityitself, providing emergency or other medically necessary care in the hospital facility, by facility, specifying which providers are covered by this Financial Assistance Policy ("FAP") and which are not can be found at Appendix A to this FAP. The provider listings will be reviewed quarterly and updated if necessary.III.General:A. Atlantic Health System will render health care services, inpatient and outpatient, to all New Jersey residents who are in need of emergency or medically necessary care, regardless of the ability of the patient to pay for such services and regardless of whether and to what extent such patients may qualify for financial assistance pursuant to this FAP.B. Atlantic Health System will not engage in any actions that discourage individuals from seeking emergency medical care, such as by demanding that emergency departrnent patients pay before receiving treatment or by pennitting debt collection activities in the emergency department or other areas where such activities could interfere with the provision of emergency care on a non-discriminatory basis.C. Atlantic Health System's FAP, application for financial assistance and Plain Language Summary ("PLS") are all available on-line at the following website: www. atlantichealth.org/financialassistanceD. Atlantic Health System's FAP, application for financial assistance and PLS are available in English and in the primary language of populations with limited proficiency in English that constitute the lesser of 1,000 individuals or 5o/o of the community served by each hospital facility's primary service area. Translations of the FAP, application for financial assistance and PLS are available in the languages set forth on Appendix B to this FAP. Every effort will be made to ensure that the FAP, application for financial assistance and PLS are clearly communicated to patients whose primary languages are not included among the available translations.E. Paper copies of the FAP, application for financial assistance and PLS are available upon request by mail, without charge, and are provided in various areas throughout the hospital facilities including admissions departments, emergency departments, and financial counseling offices listed below. Applications for financial assistance can be submitted in person, by mail, by fax or by e-mail.Financial Counseling Offices :Morristown Medical Center: 100 Madison Avenue, Morristown, New Jersey 07960, Financial Counseling Office, Phone # 973-971-8964OverlookMedical Center: 99 Beauvoir Avenue, Summit, New Jersey 07901, Financial Counseling Office, Phone # 908-522-4689Chilton Medical Center: 97 West Parkway, Pompton Plains, New Jersey 07444, Financial Counseling Office, Phone # 973-831-5113Newton Medical Center: 175 High Street, Newton, New Jersey 07860, Financial Counseling Office, Phone # 973-579-8407Hackettstown Medical Center: 651 Willow Grove Street, Hackettstown, New Jersey 07840, Financial Counseling Office, Phone # 908-850-6902Atlantic Rehabilitation Institute 100 Madison Avenue, Morristown, New Jersey 07960, Financial Counseling Office, Phone # 973-971-8964.F. If patients need assistance obtaining paper copies of the FAP, application for financial assistance or PLS, or if they need other assistance, they can reach the Customer Service Department at1 -800-619-4024 or visit or contact the Financial Counseling Offices listed above.G. Signs or displays will be conspicuously posted in public hospital locations including admissions areas, emergency departments, and Financial Counseling Offices that notify and inform patients about the availability of financial assistance.H. The PLS will be offered to all patients as part of the intake processI. Atlantic Health System is committed to offering financial assistance to eligible patients who do not have the ability to pay for emergency and other medically necessary health care services in whole or in part. In order to accomplish this charitable goal, Atlantic Health System will widely publicize this FAP, the application for financial assistance and the PLS in the communities it serves through collaborations with local social service and non-profit agencies.J. Patients or their representatives may request financial assistance. Patients or their representatives may be referred to financial counselors by Atlantic Health System employees, referring physicians or others. Financial counselors will explain the requirements for the available financial assistance programs and will determine whether a patient is eligible for an available frnancial assistance program. Those patients requesting financial assistance will be required to complete the Atlantic Health System application for financial assistance (including the certification pages) and to provide the supporting documentation set forth in the application in order to be considered for financial assistance. Translated materials and interpreters will be used, as required, to allow for meaningful communication with individuals who have limited English proficiency.K. An uninsured patient has up to 365 days after the first post-discharge billing statement to submit a completed application for financial assistance. An insured or underinsured patient has up to 365 days from the first post-discharge billing statement reflecting processing by an insurer to submit a completed application for financial assistance.IV. Financial Assistance Programs:Patients of Atlantic Health System may qualify for free or discounted care under the various programs described below. In each case, Atlantic Health System will be deemed to have provided financial assistance in an amount equal to the gross charges for services provided, net of amounts paid by the patient or the patient's insurer (if any) and any governmental reimbursement or payment for such services. Atlantic Health System will report such net amounts (subject to application of a cost-to-charge ratio, in cases where financial assistance is appropriately reported based on costs rather than charges) as financial assistance provided by the organization.A. New Jersey State Proqrams:1. Charity Care:2. Eligibilty For Discounted Care Under N.J.S.A 26:2H--12.523. Catastrophic Illness in Children Relief Fund Program4. New Jersey Victim of Crime Compensation OfficeB. Self PayC. Amounts Generally Billed Part VI, Line 4: MMC - Morris County Overview MMC defines the area it serves as the geographic reach from which it receives 75% of its inpatient admissions. For MMC, this represents 81 ZIP Codes, encompassing Morris County with portions extending to Sussex, Union,Somerset, and Hunterdon. There is broad racial, ethnic, and socioeconomic diversity across the geographic area served by MMC, from more populated suburban settings to rural-suburban areas of the state. Throughout the service area, MMC always works to identify the health needs of the community it serves.MMC's Service Area's projected population change is 1.20%. About 51% of MMC's service area population is female and 49% male. MMC's service area is predominately White (Non-Hispanic). The New Jersey average for White (Non-Hispanic) is approximately 53.5%, MMC's service area is 61.99%. About 74% of the population speak only English at home. About 10% speak Spanish at home. In the MMC service area about 71% of households had an income greater than $75,000, a figure expected to remain constant through 2028. The average household income in MMC service area is $176,214, while the national average is $104,972. About 50% of the population have a bachelor's degree or greater and about 24% of the population have some college or an associate degree.OMC - Union County OverviewOMC defines the area it serves as the geographic reach from which it receives 75% of its inpatient admissions. For OMC, this represents 46 ZIP Codes, encompasses portions of Essex, Hudson, Middlesex, Morris, Somerset, and Union counties in New Jersey.1 There is broad racial, ethnic, and socioeconomic diversity across the geographic area served by OMC, from more populated suburban settings to rural-suburban areas of the state. Throughout the service area, OMC always works to identify the health needs of the community it serves.OMC's Service Area's projected population change is 1.43%. About 52% of OMC's service area population is female and 48% male. OMC's service area is predominately White (Non-Hispanic). The New Jersey average for White (Non-Hispanic) is approximately 53.5%, OMC's service area is 64.47%. About 62% of the population speak only English at home. About 20% speak Spanish at home. In the OMC service area about 57% of households had an income greater than $75,000, a figure expected to remain constant through 2028. The average household income in the OMC service area is $139,809, while the national average is $104,972. About 38% of the population have a college degree or greater and 24% of the population have some college or an associate degree.NMC - Sussex County Overview NMC defines the area it serves as the geographic reach from which it receives 75% of its inpatient admissions. For NMC, this represents 11 ZIP Codes, encompassing portions of Warren and Sussex counties in New Jersey and Pike County in Pennsylvania 1 There is broad racial, ethnic, and socioeconomic diversity across the geographic area served by NMC, from more populated suburban settings to rural]suburban areas of the state. Throughout the service area, NMC always works to identify the health needs of the community it serves. Following are the towns and cities served by NMC. NMC's Service Area's projected population change is -1.7% through. At approximately 274.97 residents per square mile, the area is the 2nd least densely populated area in New Jersey; NJfs 21 counties range from a low of 183.02 population/sq. mile (Salem County) to a high of 14,864.40 population/sq. mile (Hudson County). NMC's service area is predominately White (Non]Hispanic). The New Jersey average for White(Non-Hispanic) is approximately 54%, NMCfs service area is 85%. About 87% of the population speak only English only at home. About 7% speak Spanish at home. In 2021, 64% of households had an income greater than $75,000, a figure expected to remain constant through 2026. About 35% of the population have a college degree or greater and 30% of the population have some college or an associate degree.CMC-Passaic County OverviewChilton Medical Center's hospital service area encompasses a population of more than 204,000 residents across 15 ZIP Codes primarily in Passaic and Morris County. The area is defined as ZIP Codes from which CMC receives 75% of its inpatient cases. There is broad racial, ethnic, and socioeconomic diversity across the geographic area served by CMC, from more populated suburban settings to rural-suburban areas of the state. Throughout the service area, CMC always works to identify the health needs of the community it serves. Following are the towns and cities served by CMC.CMC's Service Area is projected to increase by approximately 0.3% by 2027, with variable changes throughout the geography CMC serves. About 51% of the population in CMC's service area is female, while 49% is male. CMC's service area is predominately White (Non-Hispanic). The New Jersey average for White (Non-Hispanic) is approximately 54%, CMC's service area is 74%. In the CMC Service Area, the largest age group in the population is the age group 18-44 at 32%. All age groups are projected to decrease, except the age group of 65 and older which is projected to increase. About 77% of the population speak only English only at home. About 8% speak Spanish at home. The average household income within CMC's service area is about $160,000. About 45% of the population have a college degree or greater and 24% of the population have some college or an associate degree.HMC-Warren County OverviewHMC receives 75% of its inpatient admission from 10 ZIP Codes, encompassing portions of Warren, Morris, and Sussex counties in New JerseyHackettstown Medical Center's hospital service area encompasses a population of more than 118,000 residents across 10 ZIP Codes primarily in Warren County with portions extending to Sussex and Morris Counties. The area is defined as ZIP Codes from which HMC receives 75% of its inpatient cases. It's projected that total service area population will remain flat will through 2025, with variable changes throughout the geography HMC serves. Approximately 18% of the area's population are females of childbearing age (0% change through 2025). About 18% of the area are residents age 65+; by 2025 this cohort will increase to 21%. 20% of the population are age 0-17; this cohort will decrease to 18% by 2025. At 295.89 residents per square mile, Warren County is the 4th least densely populated county in New Jersey; the 21 counties range from a low of 187.80 population/sq. mile (Salem County) to a high of 13,744.70 population/sq. mile (Hudson County). HMC's service area is predominately White (Non-Hispanic). The New Jersey average for White (Non-Hispanic) is 53.9%, HMC's service area is 79.2%. Over 95% of the population, ages 5 years and older, speak English only or speak English "very well; this is 8 percentage points higher than the New Jersey average. The median household income for the HMC service area was over $97,200 which was $19,200 more than the state average (Long Valley was 196% greater than the state average). There were five towns over $100,000 (Flanders, Long Valley, Andover, Blairstown, and Great Meadows) however, in 2025 there are eight towns with a median household income projected to be over $100,000. Great Meadows and Washington have been projected to increase over 11% in the next five years, both larger than the state average. The state average for families below poverty was 7.8%; HMC's service area was 3.3% and Warren county was 6.7%. HMC's service area has been projected to have a larger increase in the 'number of families below poverty' than the state average; however, the number of Warren county families has been projected to decrease. Currently, there are about 4% of people within HMC's service area receiving food stamps/SNAP benefits which was lower than the state average, 9.3%, and lower than Warren county, 6.6%. Within HMC's service area, there were no towns higher than the state average. Part VI, Line 5: The 2023 Community Benefit Report which explains the description of community health promotion is located on organization's internet website:https://ahs.atlantichealth.org/patients-visitors/education-support.htmlSearch "Community Benefit" Part VI, Line 6: Atlantic Health System strengthens communities by training New Jersey's future health care professionals. In the academic year 2023 - 2024, Atlantic Health System trained 344 residents and fellows, 238 at Morristown Medical Center and 106 at Overlook Medical Center. AHS graduated 113 residents from various programs in June 2023. 36 of these graduates chose to pursue fellowship training. Fifteen residents and fellows were recruited by AHS and remained in our system.Atlantic Health System provides third- and fourth-year medical students with clinical educational experiences:Atlantic Health System's major medical school affiliation is with The Sidney Kimmel College of Medicine at Thomas Jefferson University. The affiliation provides opportunities for student rotations, faculty teaching and appointments, and research and clinical collaborations. Atlantic Health System also maintains medical school affiliations with St. George's University Medical School, Rutgers- New Jersey Medical School, and Rowan School of Osteopathic Medicine. These affiliations have the added benefit of enabling Atlantic Health System to offer patients the opportunity to participate in the latest clinical trials and allowing us to provide even more advanced care.Atlantic Health System also trains allied health professional and nursing students from dozens of NJ institutions. These numbers have grown every year.A number of critical services that benefit the community are located within Atlantic Health System organization, rather than at an individual medical center. They include protection and security services/emergency management, ambulance and helicopter service, research and clinical trials, library services, and efforts to provide a sustainable, green environment of care. Part VI, Line 7, Reports Filed With States NJ Morristown Medical Center, Part V, Section B, Line 7a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Morristown Medical Center, Part V, Section B, Line 10a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Overlook Medical Center, Part V, Section B, Line 7a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Overlook Medical Center, Part V, Section B, Line 10a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Newton Medical Center, Part V, Section B, Line 7a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Newton Medical Center, Part V, Section B, Line 10a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Chilton Medical Center, Part V, Section B, Line 7a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Chilton Medical Center, Part V, Section B, Line 10a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Atlantic Rehabilitation Institute, Part V, Section B, Line 7a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Atlantic Rehabilitation Institute, Part V, Section B, Line 10a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Hackettstown Medical Center, Part V, Section B, Line 7a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html Hackettstown Medical Center, Part V, Section B, Line 10a The URL for the full CHNA is:https://ahs.atlantichealth.org/patients-visitors/education-support/community-resources-programs/community-health-needs-assessment.html 1 ARC MORRIS COUNTY CHAPTER 1 EXECUTIVE DRIVE MORRIS PLAINS NJ 07950 221629144 501(c)(3) 7500 0 GENERAL SUPPORT Atlantic Visiting Nurse 200 Mt Airy Road Basking Ridge NJ 07920 222888648 501(c)(3) 30000 0 General Support Boys & Girls Club of Northwest NJ 19 Oak Ave Pequannock NJ 07444 222169444 501(c)(3) 16897 0 General Support CARING CONTACT 201 EAST GROVE ST WESTFIELD NJ 07090 237442645 501(c)(3) 11800 0 GENERAL SUPPORT Centenary University 400 Jefferson St Hackettstown NJ 07840 221500484 501(c)(3) 6350 0 General Suppport CENTER FOR FAMILY RESOURCES 12 MORRIS ROAD RINGWOOD NJ 07456 222305341 501(c)(3) 9270 0 GENERAL SUPPORT Center for Prevention and Counseling 61 Spring Street Newton NJ 07860 237387757 501(c)(3) 77721 0 General Support CentraState Healthcare Foundation 225 Willow Brook Rd Suite 5 Freehold NJ 07728 222383065 501(c)(3) 20000 0 General Support Chilton Medical Center Foundation 97 West Parkway Pompton Plains NJ 07444 223084817 501(c)(3) 53250 0 General Support CITY OF SUMMIT (512 SPRINGFIELD AVE) 512 SPRINGFIELD AVE SUMMIT NJ 07901 CITY OF SUMMIT 25000 0 GENERAL SUPPORT Community Hope 959 Route 46 East Suite 402 Parsippany NJ 07054 222647038 501(c)(3) 10500 0 General Support COMMUNITY IN CRISIS PO BOX 85 LIBERTY CORNER NJ 07938 813303136 501(c)(3) 15000 0 GENERAL SUPPORT CONNECTION FOR WOMEN AND FAMILIES 79 MAPLE ST SUMMIT NJ 07901 221489919 501(c)(3) 20000 0 GENERAL SUPPORT DEIDRE'S HOUSE 8 COURT STREET MORRISTOWN NJ 07960 223308574 501(c)(3) 7500 0 General Support FAMILY PROMISE 71 SUMMIT AVENUE SUMMIT NJ 07901 521591461 501(c)(3) 20000 0 General Support Family Promise of Morris County PO Box 1494 Morristown NJ 07962 204557357 501(c)(3) 7500 0 General Support FAMILY PROMISE OF SUSSEX COUNTY 19 CHURCH STREET NEWTON NJ 07860 223496775 501(c)(3) 25000 0 GENERAL SUPPORT FANWOOD SCOTCH PLAINS YMCA 1340 MARTINE AVENUE SCOTCH PLAINS NJ 07076 221589199 501(c)(3) 7500 0 GENERAL SUPPORT FOODSHED ALLIANCE FARMERS ACCESS NETWORK P O BOX 713 BLAIRSTOWN NJ 07825 272834150 501(c)(3) 10500 0 General Support Foundation for Hackettstown Medical Center 651 Willow Grove St Madison NJ 07840 222333410 501(c)(3) 25650 0 General Support Foundation for Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 501(c)(3) 25000 0 General Support GINNIES HOUSE CHILDRENS ADVOCACY CENTER 4 HIGH STREET NEWTON NJ 07860 223485259 501(c)(3) 15000 0 GENERAL SUPPORT Girl Scouts of Northern NJ 95 Newark Prompton Turnpike Riverdale NJ 07457 221512252 501(c)(3) 9000 0 General Support GLENWOOD BAPTIST CHURCH 6 COUNTRY LANE SUSSEX NJ 07461 222103321 501(c)(3) 10000 0 GENERAL SUPPORT Grace 13 De Bary Pl Summit NJ 07901 851144186 501(c)(3) 24000 0 General Suppport Hunterdon Health Care Foundation 9100 Wescott Dr Ste 202 Flemington NJ 08822 222526895 501(c)(3) 51700 0 General Support INTERFAITH FOOD PANTRY 2 EXECUTIVE DRIVE MORRIS PLAINS NJ 07950 223618468 501(c)(3) 9500 0 General Support LAKELAND REGIONAL HIGH SCHOOL 205 CONKLINTOWN ROAD WANAQUE NJ 07465 226016076 5175 0 GENERAL SUPPORT MARKET STREET MISSION 9 MARKET STREET MORRISTOWN NJ 07960 226047486 501(c)(3) 10000 0 GENERAL SUPPORT MAYO PERFORMING ARTS CENTER 100 SOUTH STREET MORRISTOWN NJ 07960 223348540 501(c)(3) 12830 0 GENERAL SUPPORT Morris Catholic High School 200 Morris Avenue Denville NJ 07834 453648657 7000 0 General Support MOUNTAIN RIDGE COUNTRY CLUB 713 PASSAIC AVENUE WEST CALDWELL NJ 07006 221131110 59846 0 GENERAL SUPPORT NATIONAL WINTER ACTIVITY CENTER 44 BREAKNECK ROAD WERNON NJ 07462 471476384 501(c)(3) 5300 0 GENERAL SUPPORT New York Jets Foundation 610 5th Avenue New York NY 10020 227108291 501(c)(3) 120000 0 General Support NEWBRIDGE SERVICES 7 INDUSTRIAL ROAD PEAUANNOCK NJ 07440 221725830 501(c)(3) 19875 0 GENERAL SUPPORT NEWTON COUNTRY CLUB 25 CLUB ROAD NEWTON NJ 07860 221414269 501(c)(7) 19063 0 GENERAL SUPPORT OUR LADY OF PEACE PARISH AND ACADEMY 99 SOUTH STREET NEW PROVIDENCE NJ 07974 221551925 501(c)(3) 7500 0 GENERAL SUPPORT Outreach Connection Inc 431 Rt 31 WASHINGTON NJ 07882 833788777 501(c)(3) 28814 0 General Support Partnership for Maternal & Child Health of Northern NJ 50 Park Place Suite 700 Newark NJ 07102 521815234 501(c)(3) 14500 0 General Support PASS IT ALONG 75 STATE RT 15 LAFAYETTE NJ 07848 800018706 501(c)(3) 15000 0 GENERAL SUPPORT PASSAIC VALLEY COACH LINES 71 RIVER ROAD CHATHAM NJ 07928 465334817 26100 0 GENERAL SUPPORT PETER COOPER ELEMENTARY SCHOOL 54 ROGER COURT RINGWOOD NJ 07456 222952161 7667 0 GENERAL SUPPORT RAISERIGHT PO BOX 8158 KENTWOOK MI 49518 200856016 14824 0 GENERAL SUPPORT REEVES-REED ARBORETUM 165 HOBART AVENUE SUMMIT NJ 07901 237335987 501(c)(3) 10000 0 GENERAL SUPPORT Ringwood Board of Education 266 Sloatsburg Road Ringwood NJ 07456 222952161 5544 0 General Support ROOTS AND WINGS 75 BLOOMFIELD AVE - SUITE 303 DENVILLE NJ 07834 223683539 501(c)(3) 10500 0 General Support SAGE ELDER CARE 290 BROAD STREET SUMMIT NJ 07901 221657929 501(c)(3) 6014 0 General Support Saint Elizabeth University 2 Convent Road Morristown NJ 07960 221529785 501(c)(3) 12536 0 General Support Salvation Army 95 Spring Street Morristown NJ 07960 155562351 501(c)(3) 12900 0 General Support SCARC Foundation 11 US Route 206 Suite 100 Augusta NJ 07822 222585052 501(c)(3) 10800 0 General Support Soft Bones Inc 141 Hawkins Place 267 Boonton NJ 07005 264619055 501(c)(3) 20000 0 General Support SPARTA COMMUNITY FOOD PANTRY 99 DEMAREST ROAD SPARTA NJ 07871 872275775 501(c)(3) 10000 0 GENERAL SUPPORT SPRING STREET CDC 65 SPRING STREET MORRISTOWN NJ 07960 450942880 501(c)(3) 6500 0 GENERAL SUPPORT SUMMIT HEALTH CARES PO Box 992 New Providence NJ 07974 463355413 501(c)(3) 10000 0 General Support SUMMIT INTERFAITH COUNCIL 70 MAPLE STREET SUMMIT NJ 07901 822980565 501(c)(3) 11800 0 GENERAL SUPPORT SUSSEX COUNTY HEALTH DEPT 201 WHEATSWORTH ROAD HAMBURG NJ 07419 226002477 Section 115 5700 0 GENERAL SUPPORT TOWNSHIP OF WAYNE 475 VALLEY ROAD WAYNE NJ 07470 226002384 21400 0 GENERAL SUPPORT United Way of Northern NJ PO Box 6835 Bridgewater NJ 08807 221487247 501(c)(3) 8754 0 General Support VISIONS AND PATHWAYS 49 BRAHMA AVE BRIDGEWATER NJ 08807 237061564 501(c)(3) 20000 0 General Support WARREN COUNTY HABITAT FOR HUMANITY 31 BELVIDERE AVE WASHINGTON NJ 07882 223575191 501(c)(3) 7000 0 GENERAL SUPPORT WAYNE ALLIANCE FOR THE PREVENTION 475 VALLEY ROAD WAYNE NJ 07470 226002384 501(c)(3) 6000 0 GENERAL SUPPORT WEEKEND BAG PROGRAM INC PO BOX 205 ANDOVER NJ 07821 842446888 501(c)(3) 15000 0 GENERAL SUPPORT William Paterson University Foundation Hobart Manor 300 Pompton Road Wayne NJ 07470 223160107 501(c)(3) 15075 0 General Support 54 9 Schedule I - Part I, Line #2 The organization uses due diligence for reviewing and selecting grant recipients and is comfortable that the grants are used for their intended purpose within the US. The donee IRS 990's are reviewed to ensure the grants are consistent with exempt organization's mission and operations. All assistance and grants are reviewed and approved by senior management via the accounts payable cycle. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 Brian Gragnolati President & CEO 3027508 0 2305875 0 3039685 0 1124068 0 13380 0 9510516 0 2980366 0 Kevin Lenahan EVP,Chief Bus & Strategy 1347725 0 992992 0 4413798 0 393574 0 13380 0 7161469 0 4372618 0 James Wittig MD Physician-Chair 2197233 0 1629494 0 3195 0 10349 0 9537 0 3849808 0 0 0 Steven Sheris MD EVP,Chief Phy Exec 922581 0 690603 0 204086 0 264519 0 17881 0 2099670 0 164570 0 Patricia O'Keefe SVP,Pres MMC 955756 0 637768 0 187926 0 240910 0 9215 0 2031575 0 159977 0 Sheilah O'Halloran EVP,General Counsel 839197 0 593867 0 183283 0 259539 0 13380 0 1889266 0 148702 0 Nichell Sumpter EVP,Chief Admin Officer 824559 0 598039 0 147608 0 231147 0 12531 0 1813884 0 126755 0 Tom Thomas Physician 993962 0 741502 0 743 0 12643 0 18199 0 1767049 0 0 0 Mark Widmann Physician 1184643 0 487608 0 2132 0 11350 0 18203 0 1703936 0 0 0 Scott Leighty EVP,Chief Health Sy Officer 1103492 0 359100 0 2132 0 218606 0 17881 0 1701211 0 0 0 Sean Calhoun Physician 1578376 0 50000 0 1048 0 11851 0 18203 0 1659478 0 0 0 Philippe Genereux MD Physician 1621136 0 0 0 485 0 14350 0 18203 0 1654174 0 0 0 Sunil Dadlani EVP,Chief-Inf/Dig Trans Of 842694 0 546000 0 25529 0 224987 0 13380 0 1652590 0 0 0 Suja Mathew EVP,Chief Clinical Officer 895314 0 449900 0 18822 0 205655 0 17876 0 1587567 0 0 0 Madeline Ferraro VP,Gov't and Public Affair 435399 0 207424 0 816181 0 101878 0 9889 0 1570771 0 0 0 Stephanie Schwartz SVP,Pres OMC 746218 0 462882 0 136579 0 161932 0 17876 0 1525487 0 113537 0 Jeffrey Leary Physician 830071 0 578330 0 180 0 10154 0 18203 0 1436938 0 0 0 Lee Starker MD PAMG-Trustee 594308 0 767828 0 323 0 11162 0 18203 0 1391824 0 0 0 Robert Adams Jr SVP,Pres West Region 575002 0 353445 0 159986 0 129108 0 17881 0 1235422 0 153967 0 Eric Whitman MD Physician 810531 0 257876 0 2132 0 36300 0 13702 0 1120541 0 0 0 Michael Walter SVP,Chief Financial Office 879991 0 75000 0 16193 0 119777 0 17800 0 1108761 0 0 0 Maureen Schneider SVP,Pres CMC 525334 0 334513 0 89301 0 120822 0 443 0 1070413 0 73518 0 Rolando Rolandelli MD Chairman-Dep of Surgery 761049 0 237790 0 3613 0 36300 0 13702 0 1052454 0 0 0 Jason Smith MD PAMG-Trustee 663228 0 330808 0 323 0 11224 0 18203 0 1023786 0 0 0 Katharine Driebe VP of Finance 471265 0 235676 0 80577 0 102029 0 17881 0 907428 0 67545 0 Christopher Herzog PAMG,VP & COO 472920 0 200923 0 62964 0 77436 0 17881 0 832124 0 62280 0 Frederico Cerrone MD PAMG-Chair 576743 0 180550 0 2132 0 12744 0 13702 0 785871 0 0 0 Christopher Zipp MD PAMG-Physician 521220 0 86534 0 743 0 23100 0 18203 0 649800 0 0 0 Seth Stoller MD PAMG-Trustee 428564 0 183356 0 743 0 11777 0 18203 0 642643 0 0 0 Domenick Randazzo MD PAMG-Trustee 565530 0 5326 0 1389 0 16533 0 17242 0 606020 0 0 0 Peter Bolo MD PAMG-Trustee 449875 0 56250 0 2132 0 36300 0 13700 0 558257 0 0 0 Shai Gavi MD PAMG-Trustee 416505 0 56250 0 2132 0 11243 0 18203 0 504333 0 0 0 Christina Johnson MD PAMG-Trustee 344891 0 125585 0 322 0 11742 0 9535 0 492075 0 0 0 Navpreet Minhas MD PAMG-TTE Vice Chair 325057 0 91368 0 485 0 12172 0 18203 0 447285 0 0 0 Jeanine Bulan MD PAMG-Trustee 319226 0 79498 0 1043 0 15125 0 18203 0 433095 0 0 0 Jessica Petilla-Onorato MD PAMG-Trustee 330581 0 41071 0 1389 0 15750 0 9536 0 398327 0 0 0 David Ferguson AA Director Trustee-Atlantic Ambulance 297180 0 52691 0 1469 0 20538 0 13542 0 385420 0 0 0 Robert Pedowitz DO PAMG-Trustee 320247 0 15421 0 1003 0 15829 0 18199 0 370699 0 0 0 John Calicchio MD PAMG-Trustee 249226 0 84631 0 743 0 13503 0 18203 0 366306 0 0 0 Anthony Frisoli MD PAMG-Trustee 218334 0 67241 0 1579 0 0 0 4596 0 291750 0 0 0 David Peterson Trustee-Atlantic Ambulance 170376 0 30032 0 367 0 14355 0 17950 0 233080 0 0 0 Theresa Giannattasio DO PAMG-Trustee 201884 0 8044 0 323 0 9989 0 9536 0 229776 0 0 0 Part I, Line 1a The organization pays for and/or provides life insurance premiums and long term disability premiums and executive health physical examinations for certain officers, directors and key employees. Such payments made on behalf of these individuals are generally grossed up and inputed and included as taxable compensation in their respective W-2's. The organization provided the following individuals with additional Basic Long Term Disability, Supplemental Long Term Disability, Life Insurance and Long Term Care. The value of these premiums indicated below were included in each of the individual's 2023 W-2 as taxable compensation. Brian Gragnolati 55,778 Kevin Lenahan 39,791 Sheilah O'Halloran 32,186 Patricia O'Keefe 23,903 Stephanie Schwartz 21,653 Steven Sheris 37,383 Nichell Sumpter 20,110 Madeline Ferraro 7,979 Robert Adams 5,276 Suja Mathew 18,079 Katharine Driebe 11,642 Maureen Schneider 12,918 Michael Walter 14,804 Sunil Dadlani 24,140 Part I, Line 4b 2023 Mid Career Hire Plan The organization provides a supplemental non-qualified retirement plan (457f plan) known as the Mid-Career Hire Plan (MCHP) for certain officers and key employees. During 2023, the following officer/key employee received vested distributions in this non-qualified retirement plan. Such distributions were included in Box 1, Box 5 and Box 16 of their respective Form W-2: Kevin Lenahan $4,372,618 Madeline Ferraro 804,643 The Mid Career Hire Plan was terminated effective January 1, 2023. Any existing participants were transferred at that time into the Supplmental Exectiuve Retirement Plan (SERP) as outlined below. 2023 Supplemental Executive Retirement Plan (SERP) Earned Credits Atlantic Health implemented a non-qualified Supplemental Executive Retirement Plan (SERP) paid entirely by Atlantic Health System. The SERP is provided to individuals that hold an executive position with Atlantic Health System. The SERP is in addition to benefits provided under the Atlantic Health System 403(b) and the Cash Balance plan if hired prior to December 15, 2013. During 2023, the following Officers (Executives) received SERP credits: Brian Gragnolati 1,112,605 Steven Sheris, MD 251,319 Katharine Driebe 72,329 Sheilah O'Halloran 223,239 Patricia O'Keefe 198,010 Nichell Sumpter 218,068 Stephanie Schwartz 150,376 Christopher Herzog 65,560 Robert Adams, Jr. 113,790 Michael Walter 117,061 Scott Leighty 218,606 Suja Mathew 202,886 Sunil Dadlani 212,257 Maureen Schneider 104,162 Madeline Ferraro 65,578 Kevin Lenahan 357,274 The above amounts represent earned credits which have not vested and were not included in their respective 2023 W-2 compensation. However, the earned credits were included as Other Compensation in Column (F) of Part VII and in Schedule J, Column (C) of the 2023 IRS 990 tax return per IRS guidance. Once the officer meets the applicable vesting criteria of the plan, the SERP credits will be included as taxable compensation in their respective Form W-2 of that year. 2023 Supplemental Executive Retirement Plan (SERP)Taxable Distributions The following officers received taxable SERP distributions during 2023 based on the vesting criteria of the plan document. These taxable SERP distributions were included in their respective 2023 W-2s and are reported in Other Reportable Compensation in Schedule J (Sch J, (B)(ii))of the this IRS 990: Brian Gragnolati $2,980,366 Katharine Driebe 67,545 Sheliah O'Halloran 148,702 Patricia O'Keefe 159,977 Steven Sheris 164,570 Stephanie Schwartz 113,537 Nichell Sumpter 126,755 Christopher Herzog 62,280 Robert Adams 153,967 Maureen Schneider 73,518 Part I, Line 7 An annual incentive plan exists for the senior management team. The incentive plan distributes bonuses to the senior management team based on performance results on various performance measurements. The performance measurements include: operating gain/loss expense per adjusted admission patient satisfaction scores inpatient and outpatient volumes employee engagement scores quality and safety results. The above performance measures have the following three specific performance goals in order to determine any incentive award: Threshold Target Maximum A NJ Healthcare Facilities Series 2008B 221987084 64579FWP4 2008-05-14 88555000 To redeem revenue bonds 0 0 0 B NJ Healthcare Facilities Series 2008C 221987084 64579FWQ2 2008-05-14 88555000 To redeem revenue bonds 0 0 0 C NJ Healthcare Facilities Series 2008A 221987084 64579FWL3 2008-05-14 181712419 To redeem revenue bonds 0 0 0 D NJ Healthcare Facilities Series 2016 221987084 645790FA9 2016-10-06 252386641 To redeem revenue bonds 0 0 0 A 88555000 256240 510043 65914 87722803 2008 1 0 1 1 B 88555000 256240 510043 65914 87722803 2008 1 0 1 1 C 179642419 177110000 512481 1329584 175267935 2016 1 0 1 1 D 74733594 224800000 9739340 1782471 213278189 2016 0 0 1 1 A 0 1 0 0 0.00750 0.00750 0 0 1 B 0 1 0 0 0.00750 0.00750 0 0 1 C 0 1 0 0 0.00750 0.00750 0 0 1 D 0 1 0 0 0.00750 0.00750 0 0 1 A 0 0 0 0 1 0 NA 0 0 0 NA 0 0 1 B 0 0 0 0 1 0 NA 0 0 0 NA 0 0 1 C 0 0 0 1 0 0 NA 0 0 0 NA 0 0 1 D 0 0 0 1 0 0 NA 0 0 0 NA 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: NJ Healthcare Facilities Series 2008A Date the Rebate Computation was Performed: 05/14/2023 Issuer Name: NJ Healthcare Facilities Series 2016 Date the Rebate Computation was Performed: 07/01/2021 Schedule K, Part II, Proceeds - Line 3 Series 2008A - Issue Price and Total Proceeds of Issuance Total Proceeds per Bond Issuance $177,110,000 Original Issue Premium on Series 2008A Bonds 4,602,419 Total Issue Price per Form 8038, Line 21(b) $181,712,419 Schedule K, Part II, Proceeds - Line 3 Series 2016 - Issue Price and Total Proceeds of Issuance Total Proceeds per Bond Issuance $ 224,800,000 Original Issue Premium on Series 2016 Bonds 27,586,641 Total Issue Price per Form 8038, Line 21(b) $252,386,641 Riley Ferguson Refer to below 52210 Employee Compensation. Riley Furguson is the daughter of Dave Ferguson (Trustee-Atlantic Ambulance). The organization compensated Riley Ferguson $52,210 during 2023 via W-2 compensation. Transaction is considered to be negotiated at arms-length. 0 Form 990, Part VI, Section A, line 1a The Organization's Group 990 tax return consists of the following exempt organizations comprising of a total of 41 voting trustees: 1. AHS Hospital Corp. This organization primarily consists of major health care programs for five hospitals and its supporting administrative functions. It comprises the majority of Atlantic Health Care System's resources in terms of operational, financial and management decision making. Fourteen (14) of the sixteen (16) voting trustees are deemed to be independent in conjunction with IRS guidance. 2. Atlantic Ambulance Corp This organization is comprised primarily of ambulance transportation for emergency medical services. Due to the rather small operations, five (5) of its six (6) voting trustees represent management employees from an affiliated organization (AHS Hospital Corp). As a result, one (1) of the six (6) trustees are deemed to be independent. 3. Practice Associates Medical Group PC (Atlantic Medical Group) This organization consists of a physician group providing physician programs. Fourteen (14) out of the entire fourteen (14) voting trustees are physicians and are generally affiliated with Atlantic Health System, Inc. through employment. As a result, none of the voting trustees are deemed to be independent. 4. Hackettstown Regional Medical Center Emergency Medical Services, Inc - Due to a 4/1/16 merger with Atlantic Health System, trustees consist of those from Atlantic Health System at 12/31/23. 5. Medical Center Partners, Inc. - Due to a 4/1/16 merger with Atlantic Health System, trustees consist of those from Atlantic Health System at 12/31/23. 6. (A) Adult Day Center of the Visiting Nurse Assoc. of Somerset Hills, Inc, (B) Visting Nurse Assoc. of Somerset Hills Community Health Serv Inc, (C) Visiting Nurse Assoc. of Somerset Hills Home Health and Hospice Services Inc, (D) Visting Nurse Association of Somerset Hills, Inc were due to a 1/1/20 merger with Atlantic Health System. Five (5) of the six (6) voting trustees are deemed to be independent in conjunction with IRS guidance. 7. Atlantic Core Therapy and Wellness PA - Incorporated 9/29/2021 in the State of NJ as a Professional Corporation to further the charitable purposes of Atlantic Health System, Inc. and AHS Hospital Corp. The Director being Steven Sheris, MD, in care of Atlantic Health System. As a result, the trustees consist of those from Atlantic Health System at 12/31/23. 8. Eye Care of Practice Associates PA - Incorporated 3/31/2022 in the State of NJ as a Professional Corporation to further the charitable purposes of Atlantic Health System, Inc. and AHS Hospital Corp. The Director being Steven Sheris, MD, in care of Atlantic Health System. As a result, the trustees consist of those from Atlantic Health System at 12/31/23. Form 990, Part VI, Section A, line 6 As per the by-laws, each of the entities has one "member", that being Atlantic Health System, Inc. There are no other members or classes of membership whatsoever as indicated in the by-laws. Form 990, Part VI, Section A, line 7a Atlantic Health System, Inc. is the only "member" which wholly owns each of the entities. As a result, Atlantic Health System, Inc. may elect the members of the governing bodies for each of the entities. Form 990, Part VI, Section A, line 7b Atlantic Health System, Inc. is the only "member" which wholly owns each of the entities. As a result, Atlantic Health System, Inc. approves the decisions of the governing bodies. Form 990, Part VI, Section B, line 11b The 2023 IRS 990 was distributed to Senior Management and the Board of Trustees for their review. Any comments were addressed accordingly. Form 990, Part VI, Section B, line 12c We require disclosure of potential conflicts. This policy governs all personnel at Atlantic, including Board Members. Additionally, the Board Committee members must fill out annual disclosures with specific questions regarding potential conflicts. For potential conflicts involving employees, conflicts involving business relationships require prior disclosure and approval by the Compliance Officer (General Counsel). Conflicts involving Board members require approval from the Compliance Officer and the head of the Audit Committee, who may refer those conflicts to the Compliance Committee of the Board. Restrictions are fact-dependent, but may include recusal from deliberations regarding subject matter affected by the conflict. Form 990, Part VI, Section B, line 15 A review of officer compensation by an independent 3rd party (Sullivan-Cotter)is completed every year. The most recent survey was conducted in 2023. Officers reviewed include: EVP, Chief Administrative Officer EVP, Chief Business and Strategy Officer EVP, Chief Clinical Officer EVP, Chief Health System Officer EVP, Chief Information and Digital Transformation Officer EVP, Chief Physician Executive EVP, General Counsel President and Chief Executive Officer - AHS SVP, Chief Financial Officer SVP, CNE/President, MMC SVP, AHS/President, CMC SVP, AHS/President, OMC SVP, AHS/President, Western Region VP, AHS, President ACO VP, Ambulatory Services and Network Development VP, Chief Marketing Officer VP, Chief Medical Officer, ACO VP, Chief Quality and Patient Safety Officer VP, Chief Risk Officer VP, Chief Strategy Officer VP, COO Atlantic Medical Group VP, Corporate Legal Services VP, Facilities Management and Real Estate VP, Finance VP, Government & Public Affairs VP, Information Technology VP, Insurance Networks VP, Integrated Care VP, Physician Enterprise Strategy VP, Revenue Cycle VP, Strategic Service Lines VP, Talen Management and Chief Diversity and Inclusive Officer VP, Workforce Experience VP, Research On behalf of Atlantic Health, Sullivan Cotter conducts an annual total compensation survey based on appropriate comparability data for like positions in like organizations. The results of the survey are presented to the Executive Committee of the board which documents the findings and recommendations in committee minutes. Compensation for key physicians is determined by soliciting salary data from published sources. These salary recommendations are then approved by the Executive Committee of the board. Form 990, Part VI, Section C, line 18 Currently the organization retains copies of the filed Form 990's for the last three years and IRS Form 1023 with the Director, Corporate Tax and Reporting. Any requests for copies of the 990's throughout the sites are centralized through the Director, Corporate Tax and Repporting. Public disclosure of these Form 990's can be made at any time though this process. In addition, the 990 is posted on the following websites: "www.atlantichealth.org" "www.foundationcenter.org" "www.irs.gov" "guidestar.org" Form 990, Part VI, Section C, line 19 The organization currently make it's current and prior year financial statements open to public disclosure on it's public website, "www.atlanthealth.org". The governing documents and conflict of interest polices are not currently made available to the public. Form 990, Part XI, line 9: Investment in Non Controlling Interest -395,495. Change in funded status of benefit plans 35,312,256. Contributions - Temp Restricted Net Assets 33,837,255. Investment Income - Donor Restricted 1,643,596. Equity Transfers to Restricted Parties -28,675,717. Change in Unrealized Gains-Donor Restricted 5,143,041. Unrestricted Net Asets Distribution for Capital -8,094,472. MMC Foundation Offset - Restricted Activity -14,169,515. Forgiveness of Intercompany Advances 36,307,723. AMBULATORY SURGICAL CENTER AT MMC HEALTH PAVILION LLC 475 South Street Morristown NJ 07960 844303225 To own and operate an ambulatory surgical center NJ 24568488 7185 AHS Hospital Corp Healthcare Quality Partners LLC 475 South Street Morristown NJ 07960 821547892 Accountable Care Organization (ACO) Services NJ 0 0 AHS Hospital Corp Atlantic Alliance LLC 475 South Street Morristown NJ 07960 Accountable Care Organization (ACO) Services NJ 0 0 AHs Hospital Corp Atlantic Health System Inc 475 South Street Morristown NJ 07960 223380375 Human Health through AHS Hospital Corp NJ 501(c)(3) Line 12, I N/A 0 Foundation for Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising for Morristown Medical Center. NJ 501(c)(3) 7 Atlantic Health System 1 Newton Medical Center Foundation 175 High Street Newton NJ 07860 222618102 Administers donations, grants and bequests and performs fundraising NJ 501(c)(3) Line 7 Atlantic Health System 1 Prime Care Inc 175 High Street Newton NJ 07860 222759566 Provides home health and other healthcare services NJ 501(c)(3) Line 11 Atlantic Health System 1 North Jersey Health Care Properties Inc 175 High Street Newton NJ 07860 223519709 Own commercial buildings and conducts leasing activities NJ 501(c)(2) Atlantic Health System 1 Chilton Medical Center Foundation Inc 97 West Parkway Pompton Plains NJ 07444 223084817 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 7 Atlantic Health System 1 Chilton Medical Center Auxilliary Inc 97 West Parkway Pompton Plains NJ 07444 222883605 Support Charitable Exempt Programs and Services of Medical Hospital. NJ 501(c)(3) Line 12b, II Atlantic Health System 1 Chilton Realty Holding Inc 97 West Parkway Pompton Plains NJ 07444 223067739 Real estate and leasing activities for benefit of exempt organization. NJ 501(c)(2) Atlantic Health System 1 Foundation for Hackettstown Medical Center 651 Willow Grove Street Hackettstown NJ 07840 222333410 Fundraising for Hackettstown Medical Center. NJ 501(c)(3) Line 7 Atlantic Health System 1 Center for Aging Inc 901 West Main Street Freehold NJ 07728 222575377 Health Services NJ 501(c)(3) Line 10 Atlantic Health System 1 CentraState Assisted Living Inc 901 West Main Street Freehold NJ 07728 223520730 Health Services NJ 501(c)(3) Line 10 Atlantic Health System 1 Healthcare Affiliates Inc 901 West Main Street Freehold NJ 07728 521594300 Health Services NJ 501(c)(3) Line 10 Atlantic Health System 1 CentraState Healthcare System Inc 901 West Main Street Freehold NJ 07728 222482803 Management NJ 501(c)(3) Line 12a, I Atlantic Health System 1 CentraState Healthcare Foundation Inc 901 West Main Street Freehold NJ 07728 272383065 Fundraising NJ 501(c)(3) Line 7 Atlantic Health System 1 CentraState Medical Center 901 West Main Street Freehold NJ 07728 221750190 Healthcare Services NJ 501(c)(3) Line 3 Atlantic Health System 1 Chambers Center for Well-Being LLC 475 South Street Morristown NJ 07960 832620066 Health Services NJ 501(c)(3) Line 10 Atlantic Health System 1 Morristown Medical Investors 200 American Road Morris Plains NJ 07950 650840535 Real Estate NJ 0 0 Primary Care Partners LLC 475 South Street Morristown NJ 07960 274980253 Physician Services NJ 0 0 Atlantic Rehabilitation Institute LLC 680 South Fourth Street Louisville KY 40202 814711074 Rehabilitation Facility KY 0 0 Atlantic Health Partners LLC 475 SOUTH STREET Morristown NJ 07960 824198770 Physician Services NJ 0 0 Atlantic Brain and Spine LLC 465 South Street Morristown NJ 07960 931467537 Physician Services NJ 0 0 Atlantic Health Management Corp and Subsidiaries 200 American Road Morris Plains NJ 07950 223538027 Healthcare Related Services NJ C 0 AHS Insurance Company Ltd 200 American Road Morris Plains Grand Cayman CJ 07950 223380375 Insurance NJ C 0 Nutley Medical Care PA 100 Madison Ave Morristown NJ 07960 223645010 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Non-Invasive Diagnostics PA 100 Madison Ave Morristown NJ 07960 202027439 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Speciality Care of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376428 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Maternal Fetal Medicine of Practice Associates PA 100 Madison Ave Morristown NJ 07960 030376421 Healthcare NJ Atlantic Health System Inc C 1.00000 1 Madison Pediatrics PA 100 Madison Ave Morris Plains NJ 07960 223645007 Healthcare NJ Atlantic Health System Inc C 1.00000 1 AHS ACO LLC 475 South Street Morristown NJ 07960 273800813 Physician Practice NJ C 0 The Northwest New Jersey MedicalSurgical Alliance PC 175 High Street Newton NJ 07860 450577942 Healthcare Services NJ C 0 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ C 0 Chilton Community Care Inc and Subs 97 West Parkway Pompton Plains NJ 07444 222869148 Healthcare NJ C 0 Atlantic Advanced Urgent Care LLC 475 South Street Morristown NJ 07960 831558799 Healthcare NJ C 0 Care Better ACO LLC 475 South Street Morristown NJ 07960 831224464 Physician Practice NJ C 0 Atlantic Executive Health PA 475 South Street Morristown NJ 07960 471944011 Physician Practice NJ C 0 AHS Health Network LLC 475 South Street Morristown NJ 07960 474079001 Physician Practice NJ C 0 Atlantic Health ACO LLC 475 South Street Morristown NJ 07960 474126650 Physician Practice NJ C 0 Tertiary Care Specialists of Practice Associates PA 475 South Street Morristown NJ 07960 830713277 Physician Practice NJ C 0 Visiting Nurse Assoc of Somerset Hills Office Park Condo 200 Mount Airy Rd Basking Ridge NJ 07920 261183397 Home health services NJ C 0 Ancillary Specialists of Practice Associates PA 475 South Street Morristown NJ 07960 844693833 Physician Practice NJ C 0 Functional Medicine of Practice Associates PA 475 South Street Morristown NJ 07960 845006796 Physician Practice NJ C 0 Atlantic Urgent Care LLC 181 High Street Newton NJ 07860 461693160 Healthcare NJ C 0 CentraState Healthcare Services Inc 901 West Main Street Freehold NJ 07728 222512830 Heatlh Services NJ Atlantic Health System Inc C 0.51000 0 CentraState Medical Associates PC 901 West Main Street Freehold NJ 07728 223402359 Health Services NJ Atlantic Health System Inc C 0.51000 0 CentraState Specialists PC 901 West Main Street Freehold NJ 07728 823704077 Health Services NJ Atlantic Health System Inc C 0.51000 0 CentraState Captive Insurance Co LTD 901 West Main Street Freehold NJ 07728 981205985 Health Services CJ Atlantic Health System Inc 0.51000 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 1 At Home Medical P 230510 Actual amount of transacation. At Home Medical P 169582 Actual amount of transacation. At Home Medical P 191027 Actual amount of transacation Morristown Medical Investors (MMI) K 5684787 Actual amount of transacation. AHS Investment Corp K 498596 Actual amount of transacation AHS Investment Corp K 2062810 Actual amount of transacation. AHS Investment Corp K 100613 Actual amount of transacation. AHS Investment Corp K 83138 Actual amount of transacation. AHS Investment Corp K 288750 Actual amount of transacation. AHS Investment Corp K 319200 Actual amount of transacation. AHS Investment Corp K 94051 Actual amount of transacation. AHS Investment Corp K 28135 Actual amount of transacation. AHS Investment Corp K 587396 Actual amount of transacation. AHS Investment Corp K 446669 Actual amount of transacation. AHS Investment Corp K 485362 Actual amount of transacation. AHS Investment Corp K 531391 Actual amount of transacation. AHS Investment Corp K 1653698 Actual amount of transacation. AHS Investment Corp K 3884722 Actual amount of transacation. AHS Investment Corp Q 990407 Actual amount of transacation. AHS Investment Corp Q 2383905 Actual amount of transacation. AHS Investment Corp Q 1041402 Actual amount of transacation. AHS Investment Corp Q 619287 Actual amount of transacation. AHS Investment Corp Q 702362 Actual amount of transacation. AHS Investment Corp Q 250000 Actual amount of transacation. AHS Investment Corp Q 3500000 Actual amount of transacation. AHS Investment Corp Q 50000 Actual amount of transacation. AHS Investment Corp K 33000 Actual amount of transacation. AHS Investment Corp K 27057 Actual amount of transacation AHS Investment Corp K 37500 Actual amount of transacation. AHS Investment Corp K 100613 Actual amount of transacation. AHS Investment Corp Q 642236 Actual amount of transacation. AHS Investment Corp K 17888 Actual amount of transacation. AHS Investment Corp K 49858 Actual amount of transacation. AHS Investment Corp Q 428502 Actual amount of transacation. AHS Investment Corp K 129801 Actual amount of transacation. AHS Investment Corp Q 12865771 Actual amount of transacation. AHS Investment Corp K 231957 Actual amount of transacation AHS Investment Corp E 2741836 Actual amount of transacation AHS Investment Corp E 535743 Actual amount of transacation AHS Investment Corp E 1311983 Actual amount of transacation AHS Investment Corp E 963425 Actual amount of transacation AHS Investment Corp E 485477 Actual amount of transacation AHS Investment Corp J 213262 Actual amount of transacation AHS Investment Corp J 390000 Actual amount of transacation AHS Investment Corp K 343340 Actual amount of transacation AHS Investment Corp K 43200 Actual amount of transacation AHP K 1436521 Actual amount of transacation AHP K 332686 Actual amount of transacation PCP K 4153186 Actual amount of transacation AHS (PARENT) S 9212943 Actual amount of transacation CENTRASTATE S 3447262 Actual amount of transacation OVERLOOK FOUNDATION C 10120148 Actual amount of transacation FOUNDATION FOR MORRISTOWN MEDICAL CENTER C 8094472 Actual amount of transacation NEWTON MEDICAL CENTER FOUNDATION C 100000 Actual amount of transacation ATLANTIC AMBULANCE Q 22100889 Actual amount of transacation CHILTON MEDICAL CENTER FOUNDATION INC C 314166 Actual amount of transacation FOUNDATION FOR MORRISTOWN MEDICAL CENTER C 30236473 Actual amount of transacation FOUNDATION FOR MORRISTOWN MEDICAL CENTER C 15369635 Actual amount of transacation FOUNDATION FOR HACKETTSTOWN MEDICAL CENTER C 7044 Actual amount of transacation ATLANTIC HEALTH SYSTEM (PARENT) C 5901389 Actual amount of transacation CHILTON MEMORIAL HOSPITAL AUXILIARY INC C 20000 Actual amount of transacation