Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2500 ENGLISH CREEK AVENUE
BUILDING C Suite
Room/suite
City or town, state or country, and ZIP + 4
EGG HARBOR TOWNSHIP, NJ08234
D Employer identification number

90-0779828
E Telephone number

G Gross receipts $ 727,853,860
F Name and address of principal officer:
DAVID P TILTON
2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP,NJ08234
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.ATLANTICARE.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5788
K Form of organization:
 
L Year of formation: 1897
M State of legal domicile: NJ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE ORGANIZATIONS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NEW JERSEY BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 5,687
6 Total number of volunteers (estimate if necessary) ............. 6 248
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 66,574
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -318,465
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 22,314,854 21,952,444
9 Program service revenue (Part VIII, line 2g) ......... 720,414,410 684,863,326
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 8,886,049 14,432,616
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,880,807 5,681,448
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 754,496,120 726,929,834
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 11,711,240 19,763,049
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 327,285,408 331,453,859
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 60,946
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet60,946    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 370,628,764 332,123,551
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 709,625,412 683,401,405
19 Revenue less expenses. Subtract line 18 from line 12....... 44,870,708 43,528,429
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 934,523,141 1,000,526,805
21 Total liabilities (Part X, line 26)............. 515,666,546 536,013,076
22 Net assets or fund balances. Subtract line 21 from line 20..... 418,856,595 464,513,729
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: THE ORGANIZATIONS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NEW JERSEY BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES. THE ENTITIES PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 86,579,022 including grants of $ 0 ) (Revenue $ 75,940,837 )
EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY GENERAL MEDICINE SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2012 THE ORGANIZATION TREATED 8,001 INPATIENT GENERAL MEDICINE CASES FOR A TOTAL OF 39,490 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 73,208,172 including grants of $ 0 ) (Revenue $ 65,643,841 )
EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY CARDIOLOGY/CARDIAC SURGERY SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2012 THE ORGANIZATION TREATED 5,261 INPATIENT CARDIOLOGY/CARDIAC SURGERY CASES FOR A TOTAL OF 22,447 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 65,780,031 including grants of $ 0 ) (Revenue $ 67,798,290 )
EXPENSES INCURRED BY ATLANTICARE REGIONAL MEDICAL CENTER IN PROVIDING MEDICALLY NECESSARY GENERAL SURGERY SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2012 THE ORGANIZATION TREATED 2,981 INPATIENT SURGERY CASES FOR A TOTAL OF 21,412 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 391,445,545 including grants of $ 19,763,049 ) (Revenue $ 475,385,533 )
4e Total program service expensesMediumBullet617,012,770
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions).... Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
635
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
5,687
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJAMES P NOLAN JR CPA2500 ENGLISH CREEK AVEEGG HARBOR TWNSHPNJ08234 (609) 569-7040
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) KENNETH R STEINBERG........................................................................
CHAIRMAN - TRUSTEE
 1.0
.......................   		X   X       0 0 0
(2) DAVID GODDARD........................................................................
VICE CHAIRMAN - TRUSTEE
 1.0
.......................   		X   X       0 0 0
(3) FRANCE GOLDSTEIN........................................................................
SECRETARY - TRUSTEE
 1.0
.......................   		X   X       0 0 0
(4) MANUEL APONTE........................................................................
TREASURER - TRUSTEE
 1.0
.......................   		X   X       0 0 0
(5) HOWARD AXELROD MD........................................................................
TRUSTEE
 3.0
.......................   		X           126,667 0 0
(6) DEBORAH BAYER DO........................................................................
TRUSTEE
 1.0
.......................   		X           9,870 0 0
(7) BLAIR A BERGEN MD........................................................................
TRUSTEE
 55.0
.......................   		X           0 766,789 50,436
(8) DAVID CARR PHD........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(9) MICHAEL CHARLTON........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(10) MATHEW D FINKELSON dMD........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(11) NOEL FORRESTEL........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(12) LORI S HERNDON........................................................................
TRUSTEE - ARMC PRES/CEO/EVP
 55.0
.......................   		X           587,427 0 153,909
(13) ROSALIND KINCAID........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(14) ALDALBERTO LOPEZ........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(15) PATRICIA RICH........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(16) FRANCIS WREN MD........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(17) CHARLES F BEIRNE........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) KEITH L DAWN........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(19) PAUL J GALLAGHER ESQ........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(20) GARY ROSMAN MD........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(21) DAVID P TILTON........................................................................
TRUSTEE (1/1-7/31) - PRES/CEO
 55.0
.......................   		X   X       0 1,117,094 562,430
(22) ERIC M WOOD ESQ........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(23) MICHAEL GROSSMAN........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(24) LYNNE LEVIN KAUFMAN ESQ........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(25) JOSEPH D KELLY........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(26) RICHARD S MAIRONE ESQ........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(27) CARMEN ROYAL........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(28) ALAN J SIMPSON MD........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(29) MARGARET SYKES........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(30) MICHAEL J WALSH........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(31) RONALD CAPLAN PHD........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(32) MARY L CHEEKS........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(33) MERYDAWILDA COLON........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(34) HONORABLE MICHAEL CONNOR........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(35) JORGE F COOMBS ESQ........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(36) GARY HANSON........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(37) KANDI HAYDEN........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(38) REV MILTON L HENDRICKS........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(39) ELLEN LOUGHNEY ESQ........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(40) DEE W KASSIS RN........................................................................
CHAIR - TRUSTEE
 1.0
.......................   		X   X       0 0 0
(41) BENJAMIN ZELTNER ESQ........................................................................
VICE CHAIRMAN - TRUSTEE
 1.0
.......................   		X   X       0 0 0
(42) CAROLINE TILL........................................................................
SECRETARY - TRUSTEE
 1.0
.......................   		X   X       0 0 0
(43) STOWELL FULTON........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(44) TIM GLENN........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(45) STANLEY M GROSSMAN........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(46) GARY L HILL........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(47) LARRY KAUFMAN MD........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(48) J EDWARD KLINE........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(49) RANDOLPH C LAFFERTY ESQ........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(50) MARK J LIPPMAN........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(51) ALVIN ONG MD........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(52) TRACY SANTORO........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(53) MAUREEN SIMAN........................................................................
TRUSTEE
 1.0
.......................   		X           0 0 0
(54) WILLIAM B AARONS JR MD........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(55) HARRY L CHAIKIN MD........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(56) PRAVIN KHATIWALA........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(57) GINA MERRITT EPPS ESQ........................................................................
TRUSTEE (1/1-7/31)
 1.0
.......................   		X           0 0 0
(58) IRA M STEIN MD........................................................................
TRUSTEE (1/1-3/17)
 55.0
.......................   		X           45,729 0 8,671
(59) DOMINIC S MOFFA........................................................................
TRUSTEE-VICE CHAIR SR VP ADMIN
 55.0
.......................   		X   X       0 453,784 134,247
(60) JAMES P NOLAN JR CPA........................................................................
TRUSTEE - TREAS/SR VP FINANCE
 55.0
.......................   		X   X       0 598,217 159,549
(61) DAVID A DESIMONE ESQ........................................................................
VP GENERAL COUNSEL
 55.0
.......................   		    X       0 323,892 77,455
(62) WALTER A GREINER........................................................................
VP OF FINANCE/CFO
 55.0
.......................   		    X       376,346 0 78,127
(63) MARGARET A BELFIELD........................................................................
CHIEF OPERATING OFFICER
 55.0
.......................   		    X       410,269 0 81,708
(64) CHRISTOPHER A SCANZERA........................................................................
VICE PRESIDENT/CIO
 55.0
.......................   		    X       0 341,590 62,885
(65) TERRI LU SCHIEDER........................................................................
VP CLINICAL DEV & INTEGRATION
 55.0
.......................   		    X       347,748 0 81,628
(66) CHARISSE FIZER........................................................................
VP CLINICAL OPS & AMB SERVICES
 55.0
.......................   		    X       316,657 0 57,886
(67) RICHARD D LOVERING........................................................................
VP HUMAN RESOURCES & ORG. DEV.
 55.0
.......................   		    X       0 314,334 76,181
(68) ROBYN O BEGLEY........................................................................
VP NURSING
 55.0
.......................   		    X       302,543 0 72,570
(69) JOAN MARY BRENNAN........................................................................
VP QUALITY MANAGEMENT
 55.0
.......................   		    X       227,252 0 70,034
(70) MEL A MECK........................................................................
VP MATERIALS Mgmt (1/1-11/3)
 55.0
.......................   		    X       178,857 0 43,176
(71) MARILOUISE VENDITTI MD........................................................................
VP MEDICAL AFFAIRS
 55.0
.......................   		    X       420,774 0 74,349
(72) KEVIN T MCDONNELL........................................................................
COO (1/1 - 10/13)
 55.0
.......................   		    X       200,165 0 40,862
(73) JULIA DREW........................................................................
CHIEF EXECUTIVE OFFICER
 55.0
.......................   		    X       145,863 0 21,396
(74) JOHN R RIOS........................................................................
CHIEF FINANCIAL OFFICER
 55.0
.......................   		    X       122,703 0 35,600
(75) LOYAL M OWNES 415-826........................................................................
SENIOR DIRECTOR - CLINICAL
 55.0
.......................   		    X       61,200 0 5,530
(76) DONNA MICHAEL ZIEREIS ESQ........................................................................
ASSOCIATE GENERAL COUNSEL
 55.0
.......................   		    X       0 161,372 44,701
(77) RENE A ZANELOTTI BUNTING........................................................................
VP MARKETING
 55.0
.......................   		    X       0 290,969 54,662
(78) GLENN ANN STOLL........................................................................
CORP DIR REG BUS DEVELOPMENT
 55.0
.......................   		    X       114,846 0 10,119
(79) KATHERINE A SCHNEIDER MD........................................................................
SENIOR VP (1/1/12 - 5/19/12)
 55.0
.......................   		    X       240,676 0 77,027
(80) STEVEN M BLUMBERG........................................................................
SVP EXECUTIVE DIRECTOR
 55.0
.......................   		    X       226,829 0 59,300
(81) ALEXANDER D SHARNOFF ESQ........................................................................
ASSOCIATE LEGAL COUNSEL
 55.0
.......................   		    X       0 162,737 38,718
(82) ROMEO PERICIC MD........................................................................
PHYSICIAN - ARMC
 55.0
.......................   		        X   695,313 0 51,330
(83) JAVID IQBAL MD........................................................................
PHYSICIAN - ARMC
 55.0
.......................   		        X   583,176 0 50,798
(84) ALEXANDER AXELRAD MD........................................................................
PHYSICIAN - ARMC
 55.0
.......................   		        X   554,001 0 50,842
(85) AYOOLA ALI MD........................................................................
PHYSICIAN - ARMC
 55.0
.......................   		        X   550,845 0 49,571
(86) OLAWALE A FADUGBA MD........................................................................
PHYSICIAN - ARMC
 55.0
.......................   		        X   533,611 0 51,572
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,379,367 4,530,778 2,487,269
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet390
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
P AGNES INC, 2101 PENROSE AVENUEPHILADELPHIAPA191455614 BUILDING CONTRACTOR 6,272,382
CERNER CORPORATION, PO BOX 412702KANSAS CITYMO64141 IT 5,935,833
SODEXO SERVICES, PO BOX 360170PITTSBURGHPA152516170 MEDICAL 4,555,207
MASSETT BUILDING COMPANY, 6815 W DELILAH ROADPLEASANTVILLENJ08232 BUILDING CONTRACTOR 3,963,960
PHILIPS MEDICAL SYSTEMS HSG DIVISIO, PO BOX 100355ATLANTAGA303840355 IT 3,787,317
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet116
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 311,512
d Related organizations...1d 3,014,993
e Government grants (contributions)1e 16,736,467
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,889,472
g Noncash contributions included in lines
1a-1f:$ 		186,294
h Total. Add lines 1a-1f.......MediumBullet 21,952,444
Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541900 668,681,829 668,681,829    
b OTHER HEALTHCARE RELATED REVENUE 541900 16,181,497 16,020,098 161,399  
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 684,863,326
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 13,454,337   -94,825 13,549,162
4 Income from investment of tax-exempt bond proceeds..MediumBullet 1,059,108     1,059,108
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 5,895,768  
b Less: rental expenses 241,719  
c Rental income or (loss) 5,654,049 0
d Net rental income or (loss).......MediumBullet 5,654,049     5,654,049
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   26,925
b Less: cost or other basis and sales expenses   107,754
c Gain or (loss)   -80,829
d Net gain or (loss)..........MediumBullet -80,829     -80,829
8a Gross income from fundraising events (not including
$ 311,512
of contributions reported on line 1c). See Part IV, line 18 ..
a 574,286
b Less: direct expenses ...b 574,286
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 3,000
b Less: direct expenses ...b 267
c Net income or (loss) from gaming activities...MediumBullet 2,733     2,733
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a TELEPHONE 517000 24,666     24,666
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 24,666
12 Total revenue. See Instructions......MediumBullet 726,929,834 684,701,927 66,574 20,208,889
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 19,482,187 19,482,187
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 280,862 280,862
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 5,434,312 4,890,881 543,431 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 233,442,356 210,098,121 23,344,235  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 27,818,735 25,036,862 2,781,873  
9 Other employee benefits ....... 44,735,117 40,261,605 4,473,512  
10 Payroll taxes ........... 20,023,339 18,021,005 2,002,334  
11 Fees for services (non-employees):        
a Management ...... 1,819,974 1,637,977 181,997  
b Legal ......... 686,926 618,233 68,693  
c Accounting ........... 495,874 446,287 49,587  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 60,946 60,946
f Investment management fees ...... 198,022 178,220 19,802  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 11,511,095 10,359,985 1,151,110  
12 Advertising and promotion .... 560,941 504,847 56,094  
13 Office expenses ....... 50,830,826 45,747,743 5,083,083  
14 Information technology ...... 1,071,810 964,629 107,181  
15 Royalties .. 0      
16 Occupancy ........... 4,993,805 4,494,425 499,380  
17 Travel ............ 714,999 643,499 71,500  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 510,236 459,212 51,024  
20 Interest ........... 11,672,560 10,505,304 1,167,256  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 46,890,176 42,201,158 4,689,018  
23 Insurance .............. 6,828,978 6,146,080 682,898  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 94,723,913 85,251,522 9,472,391 0
b PHYSICIAN FEES 47,312,227 42,581,004 4,731,223 0
c PURCHASED SERVICES 16,777,676 15,099,908 1,677,768 0
d ADMINISTRATIVE FEES 14,223,493 12,801,144 1,422,349 0
e All other expenses 20,300,020 18,300,070 1,999,950  
25 Total functional expenses. Add lines 1 through 24e 683,401,405 617,012,770 66,327,689 60,946
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 3,393,679 1 3,510,192
2 Savings and temporary cash investments ......... 3,773,005 2 5,005,374
3 Pledges and grants receivable, net ........... 2,486,485 3 1,863,421
4 Accounts receivable, net ............. 76,135,894 4 67,843,375
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 9,377,908 8 8,995,932
9 Prepaid expenses and deferred charges .......... 8,513,999 9 8,807,330
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 872,396,515
b Less: accumulated depreciation ..... 10b 454,858,116 405,193,849 10c 417,538,399
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 391,825,207 13 449,344,634
14 Intangible assets ............... 4,527,584 14 4,262,429
15 Other assets. See Part IV, line 11 ........... 29,295,531 15 33,355,719
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 934,523,141 16 1,000,526,805
Liabilities 17 Accounts payable and accrued expenses ......... 81,994,850 17 85,177,567
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 2,308 19 923
20 Tax-exempt bond liabilities ............. 203,830,493 20 188,940,291
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 20,104,856 23 27,582,618
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 209,734,039 25 234,311,677
26 Total liabilities. Add lines 17 through 25......... 515,666,546 26 536,013,076
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 396,097,434 27 441,868,237
28 Temporarily restricted net assets ........... 21,218,586 28 21,075,806
29 Permanently restricted net assets ........... 1,540,575 29 1,569,686
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 418,856,595 33 464,513,729
34 Total liabilities and net assets/fund balances ........ 934,523,141 34 1,000,526,805
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
726,929,834
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
683,401,405
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
43,528,429
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
418,856,595
5
Net unrealized gains (losses) on investments ...............
5
23,916,262
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-21,787,557
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
464,513,729
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
THE PUBLIC CHARITY STATUS REFLECTED ON SCHEDULE A, PART I IS FOR ATLANTICARE REGIONAL MEDICAL CENTER, THE LARGEST SUBORDINATE ORGANIZATION INCLUDED IN THE GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS THE PUBLIC CHARITY STATUS FOR ALL OTHER ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION: ATLANTICARE BEHAVIORAL HEALTH, INC.; SCHEDULE A, PART I, LINE 7, INTERNAL REVENUE CODE SECTION 509(a)(1) PUBLIC CHARITY; ATLANTICARE FOUNDATION; SCHEDULE A, PART I, LINE 7, INTERNAL REVENUE CODE SECTION 509(a)(1) PUBLIC CHARITY; ATLANTICARE HEALTH ENGAGEMENT, INC.; SCHEDULE A, PART I, LINE 11, INTERNAL REVENUE CODE SECTION 509(a)(3) PUBLIC CHARITY; ATLANTICARE HEALTH SERVICES, INC.; SCHEDULE A, PART I, LINE 9, INTERNAL REVENUE CODE SECTION 509(a)(2) PUBLIC CHARITY. ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION; SCHEDULE A, PART I, LINE 11, INTERNAL REVENUE CODE SECTION 509(A)(3) PUBLIC CHARITY. INFOSHARE, INC.; SCHEDULE A, PART I, LINE 11, INTERNAL REVENUE CODE SECTION 509(A)(3) PUBLIC CHARITY.
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
  		Employer identification number

90-0779828
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
  		Employer identification number

90-0779828
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
  		Employer identification number

90-0779828
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 0 253,867
c Total lobbying expenditures (add lines 1a and 1b) ................... 0 253,867
d Other exempt purpose expenditures ........................ 683,401,405 757,217,133
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 683,401,405 757,471,000
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 260,187 0 0 0 260,187
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING ACTIVITIES SCHEDULE C, PART II-A; LINE 2C THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES IN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AH SYSTEM ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ALL AFFILIATES IN THE SYSTEM. DURING 2012, AH SYSTEM PAID $203,013 TO OUTSIDE INDEPENDENT LOBBYING FIRMS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"), A TAX-EXEMPT HOSPITAL WITHIN THE SYSTEM, IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. DURING 2012, AH SYSTEM PAID THE DUES TO THESE ORGANIZATIONS ON BEHALF OF ARMC, A PORTION OF WHICH HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE SYSTEM. THIS ALLOCATION AMOUNTED TO $50,854 IN 2012. THE TOTAL AMOUNT OF LOBBYING EXPENDITURES MADE BY AH SYSTEM, $253,867, ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM IS REPORTED ON AH SYSTEM'S FORM 990 (FEIN: 22-3265213), SCHEDULE C, PART II-A FOR THE YEAR ENDED DECEMBER 31, 2012.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 22,759,161 22,866,332 12,095,347 12,364,504 12,584,882
b Contributions ........ 4,093,000 5,490,000 13,423,000 2,776,000 2,438,000
c Net investment earnings, gains, and losses 29,000 8,000 41,000 26,000 -135,000
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		4,235,669 5,605,171 2,693,015 3,071,157 2,523,378
f Administrative expenses ....          
g End of year balance ...... 22,645,492 22,759,161 22,866,332 12,095,347 12,364,504
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet93.000 %
b
Permanent endowment SchDMd Bullet7.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   20,561,323 20,561,323
b Buildings ................   471,295,250 184,688,224 286,607,026
c Leasehold improvements ............   238,590 221,255 17,335
d Equipment ................   356,194,548 268,763,335 87,431,213
e Other .................   24,106,804 1,185,302 22,921,502
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 417,538,399
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) RESTRICTED 2,117,944 F
(2) PERMANENTLY RESTRICTED 110,393 F
(3) FUNDS; CURRENT 100,968 F
(4) CASH - RESTRICTED; NON-CURRENT 32,515 F
(5) OTHER INVESTMENTS 5,413,952 F
(6) LIMITED USE 197,700,000 F
(7) LIMITED USE 64,411,749 F
(8) FIXED INCOME; LIMITED USE 134,591,000 F
(9) ACCRUED INTEREST; LIMITED USE 141,000 F
(10) LIMITED USE 44,725,000 F
(11) ATLANTICARE FOUNDATION 113 F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 449,344,634
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
DUE TO AFFILIATES 4,433,509
SETTLEMENTS 61,910,297
OTHER LIABILITIES 61,044,712
ACCRUED INTEREST PAYABLE 3,103,145
ACCRUED RETIREMENT BENEFITS 103,820,014




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 234,311,677
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE IN THE ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE HEALTH SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2008 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: IN 2006, FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITION AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURES ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH STATEMENT OF FINANCIAL ACCOUNTING STANDARDS (SFAS) NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007 THE COMPANY ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE BEHAVIORAL HEALTH, INC. ("ABH"), A SUBORDINATE INCLUDED IN THIS CONSOLIDATED GROUP FORM 990, FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2012 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: MANAGEMENT HAS EVALUATED UNCERTAIN TAX POSITIONS TAKEN BY THE COMPANY. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER TAXING AUTHORITY. THE COMPANY HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE FOUNDATION, A SUBORDINATE INCLUDED IN THIS CONSOLIDATED GROUP FORM 990, FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2012 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: MANAGEMENT HAS EVALUATED UNCERTAIN TAX POSITIONS TAKEN BY THE FOUNDATION. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE REOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER TAXING AUTHORITY. THE FOUNDATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 6,588,282
Central America and the Caribbean 0 0 Investments   5,457,703
South Asia 0 0 Investments   1,700,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 13,745,985
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 13,745,985
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
COPPERBEECH CONSULTING
428 CONSHOHOCKEN STOLE ROAD
 
BALA CYNWYD, PA19004 		FUNDRAISING CONSULTANT   No   60,946  
             
             
             
             
             
             
             
             
             
Total .................right arrow   60,946  
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
NJ
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

GALA
(event type) 		(b) Event #2

GOLF TOURN
(event type) 		(c) Other events

0
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 754,263 131,535   885,798
2 Less: Contributions . . 254,876 56,636   311,512
3 Gross income (line 1
minus line 2) . . . 		499,387 74,899   574,286
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .   1,500   1,500
6 Rent/facility costs . . 93,956 50,244   144,200
7 Food and beverages . 292,438     292,438
8 Entertainment . . . 35,000     35,000
9 Other direct expenses . 77,993 23,155   101,148
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 574,286
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow  
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    49,208,661 26,633,954 22,574,707 3.720 %
b Medicaid (from Worksheet 3,
column a) .... 		    86,991,259 67,608,626 19,382,633 3.200 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    0 0 0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		    136,199,920 94,242,580 41,957,340 6.920 %
Other Benefits
     1,866,396 4,305 1,862,091 0.310 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    5,094,105 3,561,260 1,532,845 0.250 %
g Subsidized health services
(from Worksheet 6) .. 		    12,934,724 3,171,873 9,762,851 1.610 %
h Research (from Worksheet 7)     264,542 47,293 217,249 0.040 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    224,936 0 224,936 0.040 %
j Total. Other Benefits ..     20,384,703 6,784,731 13,599,972 2.250 %
k Total. Add lines 7d and 7j .     156,584,623 101,027,311 55,557,312 9.170 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
38,624,116
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
112,403
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
178,712,628
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
221,570,253
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-42,857,625
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ARMC - MAINLAND CAMPUS
65 W JIMMIE LEEDS ROAD
POMONA,NJ08240
WWW.ATLANTICARE.ORG 		X X   X X   X     1
2 ARMC - CITY CAMPUS
1925 PACIFIC AVENUE
ATLANTIC CITY,NJ08401
WWW.ATLANTICARE.ORG 		X X   X X   X     1
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ARMC
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 12
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3    
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4    
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 500.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?15
Name and address Type of Facility (describe)
1 ARMC FACULTY PRACTICE
65 W JIMMIE LEEDS ROAD
POMONA,NJ082409102 		CARDIOTHORACIC SURGERY, CARDIAC DIAG, SURGERY GROUP, HOSPITALISTS, PSYCH & MAMM.
2 ARMC FACULTY PRACTICE
1925 PACIFIC AVENUE
ATLANTIC CITY,NJ08401 		CARDIAC DIAGNOSTIC, SURGERY GROUP, HOSPITALISTS, PSYCH AND TRAUMA
3 ARMC CANCER CAREFACULTY PRACTICE
2500 ENGLISH CREEK AVE BUILDING 40
EGG HARBOR TOWNSHIP,NJ08234 		CANCER CARE INSTITUTE, IMAGING CENTER AND GYNECOLOGY/ONCOLOGY
4 ATLANTICARE HEALTHPLEX
1401 ATLANTIC AVENUE
ATLANTIC CITY,NJ08401 		CLINIC, SPECIALTY CARE CLINIC, RADIOLOGY, LAB, SCC, INFECT. DISEASE, POST ACUTE CARE
5 ARMC CARDIAC DIAGNOSTIC CENTER
2500 ENGLISH CREEK AVE BLD 900 ST
EGG HARBOR TOWNSHIP,NJ08234 		OUTPATIENT CENTER, HEART INSTITUTE CARDIAC AND VASCULAR SVCS. & HEART FAILURE PROGRAM
6 ARMC ADULT PARTIAL CARE SERVICES
400 CHRIS GAUPP DRIVE
GALLOWAY,NJ08205 		BEHAVIORAL HEALTH CLINIC
7 CHILD PARTIAL HOSPITALIZATION
1450 19TH STREET
MAYS LANDING,NJ08330 		ADOLESCENT BEHAVIORAL HEALTH
8 ARMC WOUND HEALING CENTER
2500 ENGLISH CREEK AVE BLDG 700 ST
EGG HARBOR TOWNSHIP,NJ08234 		WOUND CARE
9 ATLANTICARE PHARMSPECIALTY CARE CLINIC
54 WEST JIMMIE LEEDS ROAD
GALLOWAY,NJ082059401 		PHARMACY, SPECIALTY CARE
10 PAVILION AT PARKARMC FACULTY PRACTICE
2500 ENGLISH CREEK AVE BLD 200 ST
EGG HARBOR TOWNSHIP,NJ08234 		OUTPATIENT WOMEN'S CLINIC, ADOLESCENT WEIGHT LOSS, BREAST CENTER, UROLOGY/GYNECOLOGY
11 ARMC WOUND HEALING CENTER
219 N WHITE HORSE PIKE
HAMMONTON,NJ08037 		WOUND CARE, HEART INSTITUTE CARDIAC DIAGNOSTICS
12 ARMC OUTPATIENT SERVICES
2500 ENGLISH CREEK AVE BLD 1000 STE
EGG HARBOR TOWNSHIP,NJ08234 		OUTPATIENT PRENATAL
13 ARMC PREADMISSION TESTING
310 CHRIS GAUPP ROAD
GALLOWAY,NJ08205 		PREADMISSION TESTING
14 ARMC SATELLITE EMERGENCY DEPARTMENT
219 NORTH WHITE HORSE PIKE
HAMMONTON,NJ080372014 		SATELLITE EMERGENCY DEPARTMENT
15 ARMC THE HEART INSTITUTE CARDIAC DIAG
219 NORTH WHITE HORSE PIKE
HAMMONTON,NJ080372014 		OUTPATIENT CENTER, HEART INSTITUTE CARDIAC AND VASCULAR SVCS. & HEART FAILURE PROGRAM
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
ELIGIBILITY FOR DISCOUNTED CARE PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2012 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A IN 2009 THE ORGANIZATION ISSUED A REPORT FOR COMMUNITY BENEFIT ACTIVITIES FOR THE THREE YEAR PERIOD 2006-2008. IN ADDITION, THE ORGANIZATION FILED A COMMUNITY BENEFIT REPORT WITH THE NEW JERSEY HOSPITAL ASSOCIATION WITH THE 2011 DATA, WHICH SUBSEQUENTLY WAS PUBLISHED IN 2012 AS A COMBINED REPORT FOR NEW JERSEY HOSPITALS.
SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I; QUESTION 7G SUBSIDIZED HEALTH SERVICES INCLUDE NICU, PRENATAL, PALLIATIVE CARE, RNS VAN SERVICE, BREAST HEALTH, PSYCHIATRIC INTERVENTION PROGRAM, HIV COUNSELING AND OUTPATIENT DIALYSIS. THOSE PROGRAMS ARE IDENTIFIED AS A NEED IN THE COMMUNITY AND ARE SUBSIDIZED BY EXTERNAL AND INTERNAL FUNDS.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST SCHEDULE H, PART I, QUESTION 7 THE ORGANIZATION UTILIZED MCKESSON'S COST ACCOUNTING SYSTEM TO ESTIMATE COSTS.
BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS, ADJUSTED FOR SELF-PAY CONTRACTUAL ALLOWANCES MULTIPLIED BY ITS COST TO CHARGE RATIO. ATLANTICARE HEALTH SYSTEM, INC. AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ATLANTICARE HEALTH SYSTEM, INC. CHARITY CARE THE MEDICAL CENTER PROVIDES CARE TO CERTAIN PATIENTS WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE DERIVED FROM BOTH ESTIMATED AND ACTUAL DATA. THE ESTIMATED COST OF CHARITY CARE INCLUDES THE DIRECT AND INDIRECT COST OF PROVIDING SUCH SERVICES AND IS ESTIMATED UTILIZING THE MEDICAL CENTER'S RATIO OF COST TO GROSS CHARGES, WHICH IS THEN MULTIPLIED BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS WHO MEET THE CHARITY CARE ELIGIBILITY REQUIREMENTS APPROXIMATED $49,209,000 AND $49,100,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THESE AMOUNTS INCLUDE $1,684,000 AND $1,790,000, RESPECTIVELY, OF CHARITY CARE PROVIDED THAT MET THE ELIGIBILITY CRITERIA BUT FOR WHICH STATE SUPPORT WAS NOT AVAILABLE. THE STATE OF NEW JERSEY HEALTH CARE REFORM ACT OF 1992, CHAPTER 160, ESTABLISHED THE HEALTH CARE SUBSIDY FUND (HCSF) TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE HOSPITALS FOR ELIGIBLE CHARITY CARE PROVIDED. FOR CHARITY CARE SERVICES RENDERED, THE MEDICAL CENTER RECOGNIZED IN NET PATIENT SERVICE REVENUE A TOTAL ALLOCATION FROM THE HCSF OF $24,561,000 AND $24,314,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THE MEDICAL CENTER ALSO PROVIDES FREE CARE TO OTHER PATIENTS WHO DO NOT MEET THE STATE ELIGIBILITY REQUIREMENTS OR ARE NOT COMPLIANT IN PURSUING ELIGIBILITY STATUS. SUCH AMOUNTS ARE INCLUDED IN THE COMBINED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS PART OF THE PROVISION FOR UNCOLLECTIBLES, NET OF ANY RECOVERIES REALIZED THROUGH COLLECTION EFFORTS. BEHAVIORAL HEALTH PROVIDES SERVICES TO CLIENTS WITHOUT INSURANCE COVERAGE AND CHARGES RATES BASED ON A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS THAT MEET THE ESTABLISHED CRITERIA APPROXIMATED $2,261,000 AND $1,923,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. ADDITIONALLY, THE COMPANY SPONSORS OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO THE NEEDY AND ELDERLY POPULATION THAT REQUIRE SPECIAL SUPPORT, VARIOUS CLINICAL OUTREACH PROGRAMS, AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. HEALTHCARE AND OTHER SERVICES ARE ALSO PROVIDED TO THOSE COVERED BY MEDICAID AND MEDICARE FOR WHICH THE MEDICAL CENTER IS NOT REIMBURSED ITS FULL COST.
COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2012 MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GEN
COLLECTION POLICY SCHEDULE H, PART III, SECTION B; QUESTION 9B PATIENTS RECEIVE A STATEMENT AFTER RECEIVING SERVICES. IF CONTACTING THE ORGANIZATION REGARDING THEIR INABILTY TO PAY, PATIENTS IMMEDIATLEY WILL BE REFERRED TO AN INTERNAL FINANCIAL ASSISTANCE COUNSELOR. THIS INDIVIDUAL WILL SCREEN THE PATIENT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE OR THE STATE MEDICAID PROGRAM.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 NOT APPLICABLE.
FACILITY INFORMATION SCHEDULE H, PART V,SECTION B,QUESTIONS 10,11,12H,14G,16E,17E,18E,19D,21&22 NOT APPLICABLE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 20D ATLANTICARE REGIONAL MEDICAL CENTER HAS INSTITUTED A SELF PAY DISCOUNT POLICY THAT LIMITS CHARGES FOR MEDICAL SERVICES TO AN AMOUNT NOT TO EXCEED 115% OF THE APPLICABLE MEDICARE REIMBURSEMENT RATE FOR ALL QUALIFIED UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR EXISTING STATE, FEDERAL AND LOCAL PROGRAMS.
NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 IN PRIOR YEARS, ATLANTICARE REGIONAL MEDICAL CENTER HAS PARTICPATED IN A COUNTY WIDE COMMUNITY NEEDS ASSESSMENT IN CONJUNCTION WITH THE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH. ATLANTICARE REGIONAL MEDICAL CENTER ALSO RECEIVES COMMUNITY NEEDS ASSESSMENT INFORMATION FROM LOCAL AGENCIES SUCH AS THE UNITED WAY WHICH WE UTILIZE IN OUR PLANNING PROCESS. ANOTHER TOOL THAT IS USED BY ATLANTICARE REGIONAL MEDICAL CENTER TO IDENTIFY COMMUNITY NEEDS ARE THE CUSTOMER FOCUS GROUPS THAT ARE HELD BY OUR MARKETING DEPARTMENT. ATLANTICARE REGIONAL MEDICAL CENTER IS PLANNING ON UPDATING THE NEEDS ASSESSMENT IN 2012.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 ALL PATIENTS ARE INFORMED REGARDING THE AVAILABILITY OF CHARITY CARE. THIS IS ACCOMPLISHED THROUGH POSTED SIGNS AND WRITTEN NOTICES PROVIDED AT THE TIME OF REGISTRATION IN BOTH ENGLISH AND SPANISH. ATLANTICARE REGIONAL MEDICAL CENTER WILL ASSIST ANY PATIENT INTERESTED IN APPLYING BY PLACING THEM IN CONTACT WITH THE APPROPRIATE PERSONNEL IN THE COMPANY'S REGISTRATION OR BUSINESS OFFICE.
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 ATLANTICARE REGIONAL MEDICAL CENTER PROVIDES URGENT AND EMERGENT HEALTHCARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO APPROXIMATELY 430,000 MEMBERS IN THE SOUTH JERSEY COMMUNITY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, CREED, AGE, SEX, LIFESTYLE OR ABILITY TO PAY. THE PRIMARY SERVICE AREAS ARE ATLANTIC COUNTY (COMPRISED OF 16 ZIP CODES IN CENTRAL AND EASTERN ATLANTIC COUNTY) AND SOUTHERN OCEAN COUNTY (TUCKERTON ZIP CODE ONLY). THE REGIONAL SERVICE IS COMPRISED OF ATLANTIC COUNTY RSA (REMAINING ZIP CODES), CAPE MAY COUNTY RSA AND SOUTHERN OCEAN COUNTY RSA (LONG BEACH ISLAND, MANAHAWKIN AND WEST CREEK).
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES FOR FURTHER INFORMATION ON HOW THE ORGANIZATION'S HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER ATLANTICARE'S CHARITABLE TAX-EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY AND MEET THE CRITERIA OUTLINED IN REVENUE RULING 69-545.
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 ATLANTICARE HEALTH SYSTEM, INC. IS THE PARENT ENTITY OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. PLEASE ALSO REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. THE FOLLOWING ARE THE NOT FOR-PROFIT ATLANTICARE HEALTHCARE SYSTEM, INC. ENTITIES ATLANTICARE HEALTH SYSTEM, INC. =============================== ATLANTICARE HEALTH SYSTEM, INC. ("AH SYSTEM") IS THE TAX-EXEMPT PARENT OF THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER AH SYSTEM OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY AH SYSTEM. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. ATLANTICARE HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AH SYSTEM ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OF ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AH SYSTEM IS THE SOLE CORPORATE MEMBER OF ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"); A HOSPITAL PROVIDING COMPREHENSIVE INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. ARMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF IT RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF ATLANTICARE HEALTH SYSTEM, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ATLANTICARE REGIONAL MEDICAL CENTER =================================== ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC") IS A 589-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN ATLANTIC CITY, ATLANTIC COUNTY, NEW JERSEY. ARMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, ARMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, ARMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION ========================================================================= ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT ORGANIZATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). ATLANTICARE BEHAVIORAL HEALTH, INC. =================================== ATLANTICARE BEHAVIORAL HEALTH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ATLANTICARE BEHAVIORAL HEALTH, INC. MANAGES A 30-BED ACUTE CARE PSYCHIATRIC FACILITY IN ATLANTIC COUNTY, NEW JERSEY AND OPERATES 26 LOCATIONS THROUGHOUT THE REGION. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS AND OLDER ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. ATLANTICARE BEHAVIORAL HEALTH, INC. IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. ATLANTICARE FOUNDATION ====================== ATLANTICARE FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ATLANTICARE REGIONAL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ATLANTICARE HEALTH ENGAGEMENT, INC. =================================== ATLANTICARE HEALTH ENGAGEMENT, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND ATLANTICARE REGIONAL MEDICAL CENTER TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONAS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. ATLANTICARE HEALTH SERVICES, INC. ================================= ATLANTICARE HEALTH SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND ATLANTICARE REGIONAL MEDICAL CENTER TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. ATLANTICARE PHYSICIAN GROUP, P.A. ================================= ATLANTICARE PHYSICIAN GROUP, P.A. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES SERVICES OUTSIDE OF THE HOSPITAL ATMOSPHERE TO SPECIALIZE IN PREVENTIVE CARE AND IN DIAGNOSING AND TREATING VARIOUS ILLNESSES. INFOSHARE, INC. =============== INFOSHARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE INFORMATION TECHNOLOGY FIRM OF ATLANTICARE REGIONAL MEDICAL CENTER. AND, AS SUCH, SUPPORTS ALL OTHER ATLANTICARE HEALTH SYSTEM, INC. AFFILIATES TO ACHIEVE MAXIMUM RESULTS THROUGH THE USE OF INFORMATION TECHNOLOGY. THE FOLLOWING ARE THE FOR PROFIT ATLANTICARE HEALTHCARE SYSTEM, INC. ENTITIES: ATLANTICARE HEALTH PLANS, INC. ============================== A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ENTITY PROVIDES INSURANCE SERVICES FOR BOTH ATLANTICARE HEALTH SYSTEM ENTITIES AND NON ATLANTICARE HEALTH SYSTEM ENTITIES. ATLANTICARE HEALTH SOLUTIONS, INC. ================================== A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. ATLANTICARE SURGERY CENTER, L.L.C. ================================= A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP LOCATED IN EGG HARBOR TOWNSHIP, ATLANTIC COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. BENEFIT SPECIALISTS, INC. ========================= A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS AH SYSTEM. THE ENTITY PROVIDES INSURANCE SERVICES FOR BOTH ATLANTICARE HEALTH SYSTEM ENTITIES AND NON ATLANTICARE HEALTH SYSTEM ENTITIES. PLEASE NOTE THAT THIS ORGANIZATION WAS LEGALLY DISSOLVED WITH THE STATE OF NEW JERSEY IN 2012. COOPERATIVE HEALTHCARE SERVICES OF SOUTH JERSEY, L.L.C. ======================================================= A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY ATLANTICARE HEALTH SYSTEM, INC. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. ENGLISH CREEK ASSURANCE, LTD. ============================= A CONTROLLED FOREIGN CORPORATION BY ATLANTICARE HEALTH SYSTEM, INC. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. SOUTH JERSEY ONCOLOGY PROPERTIES, L.L.C. ======================================== A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY ATLANTICARE HEALTH SERVICES, INC. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. SOUTH JERSEY SPECIALTY HOSPITAL, INC. =======================
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART III, SECTION B; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY.
FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 THE ORGANIZATION HAS TWO HOSPITAL FACILITIES INCLUDED IN ONE FACILITY REPORTING GROUP. THESE INCLUDE ATLANTICARE REGIONAL MEDICAL CENTER - MAINLAND CAMPUS AND ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS AS REFLECTED IN SCHEDULE H, PART V, SECTION A. PLEASE REFER TO OUR RESPONSES IN SCHEDULE H, PART VI, QUESTION 1 ABOVE.
Schedule H (Form 990) 2012
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number
90-0779828
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP,NJ08234 		61-1608389 501(C)(3) 2,000,000       PROGRAM SUPPORT
(2) ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUE
ATLANTIC CITY,NJ08401 		21-0634549 501(C)(3) 914,993       PROGRAM SUPPORT
(3) ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP,NJ08234 		02-0701782 501(C)(3) 16,567,194       PROGRAM SUPPORT


















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
3
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) EMPLOYEE ASSISTANCE 16 14,801      
(2) SCHOLARSHIPS 29 266,061      










Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
GRANT AND FUND MONITORING SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2012


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)BLAIR A BERGEN MDTRUSTEE (i)
(ii)		 0
395,258 		0
352,617 		0
18,914 		0
19,839 		0
30,597 		0
817,225 		0
0
(2)LORI S HERNDONTRUSTEE - ARMC PRES/CEO/EVP (i)
(ii)		 403,206
0 		135,985
0 		48,236
0 		120,409
0 		33,500
0 		741,336
0 		0
0
(3)DAVID P TILTONTRUSTEE (1/1-7/31) - PRES/CEO (i)
(ii)		 0
692,912 		0
267,750 		0
156,432 		0
535,319 		0
27,111 		0
1,679,524 		0
0
(4)DOMINIC S MOFFATRUSTEE-VICE CHAIR SR VP ADMIN (i)
(ii)		 0
322,421 		0
101,997 		0
29,366 		0
99,274 		0
34,973 		0
588,031 		0
0
(5)JAMES P NOLAN JR CPATRUSTEE - TREAS/SR VP FINANCE (i)
(ii)		 0
394,735 		0
150,926 		0
52,556 		0
122,312 		0
37,237 		0
757,766 		0
0
(6)DAVID A DESIMONE ESQVP GENERAL COUNSEL (i)
(ii)		 0
239,852 		0
55,000 		0
29,040 		0
43,949 		0
33,506 		0
401,347 		0
0
(7)WALTER A GREINERVP OF FINANCE/CFO (i)
(ii)		 271,552
0 		60,990
0 		43,804
0 		47,551
0 		30,576
0 		454,473
0 		0
0
(8)MARGARET A BELFIELDCHIEF OPERATING OFFICER (i)
(ii)		 309,525
0 		64,448
0 		36,296
0 		48,297
0 		33,411
0 		491,977
0 		0
0
(9)CHRISTOPHER A SCANZERAVICE PRESIDENT/CIO (i)
(ii)		 0
262,466 		0
57,610 		0
21,514 		0
43,734 		0
19,151 		0
404,475 		0
0
(10)TERRI LU SCHIEDERVP CLINICAL DEV & INTEGRATION (i)
(ii)		 270,900
0 		54,048
0 		22,800
0 		48,927
0 		32,701
0 		429,376
0 		0
0
(11)CHARISSE FIZERVP CLINICAL OPS & AMB SERVICES (i)
(ii)		 239,251
0 		45,024
0 		32,382
0 		42,191
0 		15,695
0 		374,543
0 		0
0
(12)RICHARD D LOVERINGVP HUMAN RESOURCES & ORG. DEV. (i)
(ii)		 0
241,085 		0
51,000 		0
22,249 		0
43,281 		0
32,900 		0
390,515 		0
0
(13)ROBYN O BEGLEYVP NURSING (i)
(ii)		 218,242
0 		47,502
0 		36,799
0 		43,446
0 		29,124
0 		375,113
0 		0
0
(14)JOAN MARY BRENNANVP QUALITY MANAGEMENT (i)
(ii)		 159,363
0 		42,510
0 		25,379
0 		36,711
0 		33,323
0 		297,286
0 		0
0
(15)MEL A MECKVP MATERIALS Mgmt (1/1-11/3) (i)
(ii)		 113,636
0 		28,010
0 		37,211
0 		16,768
0 		26,408
0 		222,033
0 		14,008
0
(16)MARILOUISE VENDITTI MDVP MEDICAL AFFAIRS (i)
(ii)		 315,628
0 		62,100
0 		43,046
0 		51,428
0 		22,921
0 		495,123
0 		0
0
(17)KEVIN T MCDONNELLCOO (1/1 - 10/13) (i)
(ii)		 171,853
0 		25,551
0 		2,761
0 		16,311
0 		24,551
0 		241,027
0 		0
0
(18)JULIA DREWCHIEF EXECUTIVE OFFICER (i)
(ii)		 129,796
0 		14,653
0 		1,414
0 		12,498
0 		8,898
0 		167,259
0 		0
0
(19)JOHN R RIOSCHIEF FINANCIAL OFFICER (i)
(ii)		 109,301
0 		13,071
0 		331
0 		9,811
0 		25,789
0 		158,303
0 		0
0
(20)DONNA MICHAEL ZIEREIS ESQASSOCIATE GENERAL COUNSEL (i)
(ii)		 0
143,418 		0
17,626 		0
328 		0
13,931 		0
30,770 		0
206,073 		0
0
(21)RENE A ZANELOTTI BUNTINGVP MARKETING (i)
(ii)		 0
204,902 		0
46,036 		0
40,031 		0
40,138 		0
14,524 		0
345,631 		0
0
(22)KATHERINE A SCHNEIDER MDSENIOR VP (1/1/12 - 5/19/12) (i)
(ii)		 149,501
0 		75,047
0 		16,128
0 		57,461
0 		19,566
0 		317,703
0 		0
0
(23)STEVEN M BLUMBERGSVP EXECUTIVE DIRECTOR (i)
(ii)		 171,789
0 		50,000
0 		5,040
0 		46,053
0 		13,247
0 		286,129
0 		0
0
(24)ALEXANDER D SHARNOFF ESQASSOCIATE LEGAL COUNSEL (i)
(ii)		 0
145,317 		0
17,236 		0
184 		0
13,960 		0
24,758 		0
201,455 		0
0
(25)ROMEO PERICIC MDPHYSICIAN - ARMC (i)
(ii)		 591,828
0 		84,167
0 		19,318
0 		21,648
0 		29,682
0 		746,643
0 		0
0
(26)JAVID IQBAL MDPHYSICIAN - ARMC (i)
(ii)		 413,389
0 		168,750
0 		1,037
0 		21,651
0 		29,147
0 		633,974
0 		0
0
(27)ALEXANDER AXELRAD MDPHYSICIAN - ARMC (i)
(ii)		 454,684
0 		79,350
0 		19,967
0 		21,695
0 		29,147
0 		604,843
0 		0
0
(28)AYOOLA ALI MDPHYSICIAN - ARMC (i)
(ii)		 379,029
0 		154,200
0 		17,616
0 		20,655
0 		28,916
0 		600,416
0 		0
0
(29)OLAWALE A FADUGBA MDPHYSICIAN - ARMC (i)
(ii)		 445,324
0 		70,200
0 		18,087
0 		21,681
0 		29,891
0 		585,183
0 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION PAID FOR FINANCIAL/TAX PLANNING SERVICES FOR CERTAIN EMPLOYEES. THE FINANCIAL/TAX PLANNING SERVICES AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S RESPECTIVE 2012 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $1,500; MARGARET A. BELFIELD, $1,500 AND MEL A. MECK, $1,850.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MEL A. MECK, $14,008. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $36,333; DAVID P. TILTON, $308,000; DOMINIC S. MOFFA, $28,583; JAMES P. NOLAN, JR., CPA, $37,000; DAVID A. DESIMONE, ESQ., $22,917; WALTER A. GREINER, $25,833; MARGARET A. BELFIELD, $27,917; CHRISTOPHER A. SCANZERA, $23,333; TERRI LU SCHIEDER, $23,750; CHARISSE FIZER, $21,760; RICHARD D. LOVERING, $22,167; ROBYN O. BEGLEY, $20,833; JOAN MARY BRENNAN, $15,833; MARILOUISE VENDITTI, M.D., $28,750; RENE A. ZANELOTTI BUNTING, $19,250 AND STEVEN M. BLUMBERG, $27,083. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LORI S. HERNDON, $59,950; DAVID P. TILTON, $203,500; DOMINIC S. MOFFA, $47,163; JAMES P. NOLAN, JR., CPA, $61,050 AND KATHERINE A. SCHNEIDER, M.D., $36,563.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
COMPENSATION INFORMATION SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2012 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AS FOLLOWS: MEL A. MECK, $14,008.
Schedule J (Form 990) 2012

Additional Data


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Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number
90-0779828
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		21-0634549 64579FRP0 06-01-2007 113,420,000 EQUIPMENT/CONSTRUCTION/RENOVATION X   X     X
B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		21-0634549 64579FX65 01-19-2012 39,325,000 EQUIP/CONSTRUCTION/RENOV/REFUND   X   X   X
C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		21-0634549   04-11-2012 41,810,000 EQUIP/CONSTRUCTION/RENOV/REFUND   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 39,000,000 50,275,000  
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0  
3 Total proceeds of issue . . . . . . . . . . . . . . 113,420,000 39,325,000 48,810,000  
4 Gross proceeds in reserve funds . . . . . . . . . . . . 4,152,081 0 0  
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0  
6 Proceeds in refunding escrows . . . . . . . . . . . . 62,514,897 0 0  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,225,397 325,000 249,155  
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0  
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0  
10 Capital expenditures from proceeds . . . . . . . . . . . 49,115,000 0 0  
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0  
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0  
13 Year of substantial completion . . . . . . . . . . . . 2007
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X      
15 Were the bonds issued as part of an advance refunding issue? . . . . . X   X   X      
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X    
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X      
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0%   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X      
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X    
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . . X     X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X    
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
               
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X    
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X    
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X      
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X      
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MARISSA SCIBILIA FAMILY MEMBER OF OFFICER 114,736 EMPLOYEE OF ARMC   No
(2) FOX ROTHSCHILD LLP COMPANY OF TRUSTEE 323,681 LEGAL SERVICES   No
(3) SULIN G YAO FAMILY MEMBER OF TRUSTEE 51,845 EMPLOYEE OF ARMC   No
(4) CYNTHIA V ARNONE FAMILY MEMBER OF TRUSTEE 40,574 EMPLOYEE OF AH SERVICES   No
(5) LAURA GRASSO FAMILY MEMBER OF OFFICER 22,576 EMPLOYEE OF ARMC   No
(6) SCOTT J TILTON FAM MEMBER OF OFF/TRUSTEE 67,107 EMPLOYEE OF ARMC   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV ERIC M. WOOD, ESQ. WAS A TRUSTEE FOR ATLANTICARE REGIONAL MEDICAL CENTER FOR THE PERIOD JANUARY 1, 2012 THROUGH JULY 31, 2012. ATLANTICARE HEALTH SYSTEM, INC. AND SUBORDINATES UTILIZED THE SERVICES OF HIS COMPANY, FOX ROTHSCHILD, L.L.P., DURING 2012. TOTAL FEES PAID TO FOX ROTHSCHILD, L.L.P. BY ATLANTICARE REGIONAL MEDICAL CENTER WERE $323,681. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( DINING, VALET & GRATUTIY ) X 1 5,611 FMV
26 Other Right pointing arrow large image ( JEWELRY ) X 1 5,000 FMV
27 Other Right pointing arrow large image ( VENUE RENTAL ) X 1 93,956 FMV
28 Other Right pointing arrow large image ( EQUIPMENT ) X 1 50,000 FMV
Other Right pointing arrow large image ( GFT CERT,BOOKS&MISC ITEMS ) X 131 31,817 FMV
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
NON-CASH CONTRIBUTIONS SCHEDULE M, PART I; QUESTION 32A THE ORGANIZATION HIRES INDEPENDENT THIRD-PARTIES TO SELL NON-CASH CONTRIBUTIONS IT RECEIVES; IF THE ORGANIZATION DECIDES NOT TO RETAIN THE ITEM(S). THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES.
Schedule M (Form 990) (2012)
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ATLANTICARE HEALTH SYSTEM, INC. FEID: 22-3265213 ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") IS A NOT-FOR-PROFIT ORGANIZATION LOCATED IN ATLANTIC CITY, NEW JERSEY. THE SYSTEM IS THE SOLE CORPORATE MEMBER OF VARIOUS HEALTHCARE RELATED ORGANIZATIONS, THE MAJORITY OF WHICH ARE TAX-EXEMPT ENTITIES (COLLECTIVELY "ATLANTICARE"). THE SYSTEM PROVIDES LEADERSHIP, MANAGERIAL AND SUPPORT SERVICES TO A NUMBER OF AFFILIATED HEALTHCARE RELATED ORGANIZATIONS. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE SYSTEM AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") CODE SECTION 501(C)(3). SYSTEM AND AFFILIATES ("ATLANTICARE") IS AN INTEGRATED HEALTHCARE SYSTEM DEDICATED TO TRANSFORMING HEALTHCARE AT THE REGIONAL LEVEL BY PROVIDING HIGH QUALITY HEALTH AND WELLNESS SERVICES. ATLANTICARE INCLUDES THE SYSTEM, ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC" AND FORMERLY THE ATLANTIC CITY MEDICAL CENTER), ATLANTICARE BEHAVIORAL HEALTH ("ABH"), ATLANTICARE FOUNDATION ("FOUNDATION"), ATLANTICARE HEALTH SERVICES ("SERVICES"), ATLANTICARE HEALTH PLANS ("HEALTH PLANS"), ATLANTICARE HEALTH ENGAGEMENT (HEALTH ENGAGEMENT), ATLANTICARE HEALTH SOLUTIONS ("SOLUTIONS") AND INFOSHARE. ADDITIONALLY, THESE KEY ATLANTICARE DIVISIONS PARTICIPATE IN OTHER HEALTHCARE RELATED ACTIVITIES IN COLLABORATION WITH OTHER MEMBERS OF THE COMMUNITY. IN 2012, ATLANTICARE REGIONAL HEALTH SERVICES WAS FORMED AND IS THE SOLE MEMBER OF ARMC, ABH AND SERVICES. THE REGION'S LARGEST HEALTHCARE ORGANIZATION AND LARGEST NON-CASINO EMPLOYER, ATLANTICARE'S NEARLY 5,000 EMPLOYEES SERVE THE COMMUNITY IN MORE THAN 80 LOCATIONS. ATLANTICARE AND ITS AFFILIATED ORGANIZATION ARE GOVERNED BY MORE THAN 50 VOLUNTEER COMMUNITY LEADERS WHO DEDICATE CONSIDERABLE TIME AND ENERGY TOWARD THE ULTIMATE ACHIEVEMENT OF ATLANTICARE'S MISSION, VISION AND VALUES: MISSION STATEMENT ================= WE DELIVER HEALTH AND HEALING TO ALL PEOPLE THROUGH TRUSTING RELATIONSHIPS. VISION ====== ATLANTICARE BUILDS HEALTHY COMMUNITIES. VALUES ====== ATLANTICARE STRESSES THE FOLLOWING VALUES: INTEGRITY --------- ACTIONS AND DECISIONS CONSISTENTLY REFLECT THE HIGHEST ETHICAL STANDARDS. ATLANTICARE OPERATES ON THE BASIS OF OPENNESS, TO NURTURE AN ENVIRONMENT OF HONESTY AND TRUST. RESPECT ------- EACH INDIVIDUAL IS TREATED WITH DIGNITY AND COMPASSION. CREATIVITY IS ENCOURAGED. EACH INDIVIDUAL IS EQUALLY IMPORTANT IN A UNIQUE WAY. SAFETY ------ SAFETY OF PATIENTS AND STAFF IS OUR TOP PRIORITY. WE CONTINUE TO APPLY NEW LEARNING IN QUALITY IMPROVEMENT AND SAFETY MANAGEMENT TO ALL ASPECTS OF OUR CARE ENVIRONMENT. SERVICE ------- CUSTOMER COMMITMENTS ARE BUILT UPON THE PHILOSOPHY THAT QUALITY AND SERVICE WILL ENSURE LOYALTY. SERVICE IS DEFINED AND MEASURED BY OUR CUSTOMERS. OUR GOAL IS TO EXCEED THEIR EXPECTATIONS. TEAMWORK -------- TO ACHIEVE THE GREATEST SUCCESS, COLLABORATION AND OPEN COMMUNICATION ARE ESSENTIAL. CHARITABLE PURPOSE ================== ATLANTICARE IS PROUD TO BE ABLE TO PROVIDE HEALTHCARE SERVICES TO ALL INDIVIDUALS WHO RESIDE IN OUR PRIMARY AND REGIONAL SERVICE AREAS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, COLOR, CREED, SEX, NATIONAL ORIGINS, HANDICAP, AGE, LIFESTYLE, FINANCIAL STATUS OR ABILITY TO PAY. ATLANTICARE SERVICES RANGE FROM EMERGENT SERVICES FOR THOSE WHO MANY HAVE AN ACUTE OR EPISODIC CONCERN, TO DISEASE MANAGEMENT SERVICES FOR THOSE ARE LIVING WITH A CHRONIC CONDITION. ARMC IS ONE OF TWO "SAFETY NET" HOSPITALS IN SOUTHERN NEW JERSEY PROVIDING APPROXIMATELY $49 MILLION IN CHARITY CARE, AT COST, WHICH REPRESENTS APPROXIMATELY 90% OF THE CHARITY CARE PROVIDED IN ATLANTIC COUNTY. WITHIN THE REGION ATLANTICARE PROVIDES MORE CHARITY CARE THAN THE 7 CLOSEST HOSPITALS COMBINED. TO FURTHER INSURE THAT OUR COMMUNITY'S HEALTHCARE NEEDS ARE MEET, ATLANTICARE ALSO PROVIDES FREE CARE TO PATIENTS THAT DO NOT MEET THE STATE ELIGIBILITY REQUIREMENTS FOR CHARITY CARE DESIGNATION OR WHO ARE NOT COMPLIANT IN PURSUING ELIGIBILITY STATUS. WHILE THE ABOVE STATISTICS ALONE DIFFERENTIATE ATLANTICARE'S COMMITMENT TO THE COMMUNITY IT SERVES, IT RECOGNIZES THAT HEALTH AND THE ASSURANCE OF GOOD HEALTH IS TRULY CULTIVATED BEYOND THE WALLS OF ITS CLINICAL SETTINGS. AS SUCH, ATLANTICARE HAS ESTABLISHED ITSELF WITHIN ITS SERVICE AREA AS A COLLABORATOR AND PARTNER TO AGENCIES AND SERVICES THAT IMPROVE THE QUALITY OF LIFE FOR OUR AREA RESIDENTS. ATLANTICARE SPONSORS MANY CHARITABLE AGENCIES AND THEIR PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT AND CLOSE EVIDENT SERVICE GAPS. THESE PROGRAMS INCLUDE SERVICES FOR ELDERLY POPULATION, CLINICAL OUTREACH PROGRAMS FOR AT-RISK POPULATION, SUPPORT INITIATIVES FOR HEALING PATIENTS OR CAREGIVERS, IN ADDITION TO HEALTH PROMOTION AND DISEASE PREVENTION CAMPAIGNS TO IMPROVE THE GENERAL WELFARE. EXAMPLES INCLUDE ATLANTICARE'S SUPPORT OF THE UNITED WAY OF GREATER PHILADELPHIA AND SOUTHERN NEW JERSEY, WHICH THROUGH IT'S THE GENEROSITY OF ATLANTICARE EMPLOYEES OVER $100,000 WAS RAISED; OR ITS EMPLOYEE-LED FUNDRAISING EFFORTS TO SUPPORT THE AMERICAN HEART ASSOCIATION IN THE AMOUNT OF $80,000. ADDITIONAL COMMUNITY AGENCIES WHICH ATLANTICARE AND ITS EMPLOYEES HAVE SUPPORTED INCLUDE BUT IT NOT ARE NOT LIMITED TO THE BIG BROTHERS & BIG SISTERS, JEWISH FAMILY SERVICES, RUTH NEWMAN SHAPIRO HEART & CANCER MEMORIAL FUND, SHIRLEY MAE BREAST CANCER ASSISTANCE FUND, THE GOLD FOUNDATION, GUILDA'S CLUB OF SOUTH JERSEY, MARCH OF DIMES, AND JUVENILE DIABETES RESEARCH FUND TO NAME A FEW. ATLANTICARE HOSTS AND SUPPORTS VARIOUS PROFESSIONAL AND HIGHER EDUCATIONAL PROGRAMS AND STRONGLY BELIEVES IN INVESTING IN THE INDIVIDUALS WHO ONE DAY WILL BECOME HEALTHCARE PROFESSIONALS. EMPLOYEES PARTICIPATE IN JOB SHADOW DAYS AND CONDUCT CAREER PRESENTATIONS AND SKILLS FAIRS AT LOCAL SCHOOL. OFFERING SCHOLARSHIPS/SUPPORT TO LOCAL STUDENTS WHO WISH TO PURSUE NURSING AND ALLIED HEALTH DEGREES, AND BY SPONSORING TECHNICAL HONOR SOCIETIES, ATLANTICARE FURTHER ASSISTS THESE INDIVIDUALS. VARIOUS COMMUNITY EVENTS AND ACTIVITIES ARE OFFERED BY ATLANTICARE. THESE COMMUNITY EVENTS ARE PROMOTED VIA ATLANTICARE ADVANCES, AN ELECTRONIC CALENDAR MAILING, ADS PLACED IN LOCAL NEWSPAPERS AND ATLANTICARE'S WEBSITE. COMMUNITY EVENTS INCLUDE: - CANCER SURVIVORS DAY - ADULT DIABETES SUPPORT GROUP - WEIGHT LOSS SURGERY SEMINARS & SUPPORT GROUPS - HEART HEROES MEETINGS - SAFE SITTER CLASSES - FIRST AID AND CPR COURSES - BIRTHING AND BREASTFEEDING CLASSES - WOMEN'S HEALTH EVENTS - HEALTHY COOKING DEMONSTRATIONS BEYOND EDUCATIONAL EVENTS, ATLANTICARE BRINGS HEALTH AND WELLNESS SERVICES TO THE COMMUNITY THROUGH RISK BASED CARDIOVASCULAR, CANCER AND DIABETIC SCREENINGS. NURSING AND ALLIED HEALTH VOLUNTEERS SUPPORT THESE ENDEAVORS AND ASSIST IN DETECTING EARLY STAGE DISEASE AND IDENTIFYING SERVICES FOR FOLLOW-UP. IN 2012 APPROXIMATELY 3,000 WOMEN WERE SCREENED THROUGH THE MOBILE MAMMOGRAPHY VAN, AND 757 CARDIOVASCULAR SCREENINGS WERE CONDUCTED. LASTLY, ATLANTICARE OPERATES THREE SIGNATURE COMMUNITY PROGRAMS WHERE AS PARTNERS WE HELP THOSE WHO LIVE AND WORK IN OUR COMMUNITY TO IMPROVE THEIR HEALTH AND WELL-BEING. THESE UNIQUE PROGRAMS: HEALTHY SCHOOLS, HEALTHY CHILDREN; GROWING GREEN; HEALING ARTS ALLOW US TO SERVE DISTINCT AUDIENCES; CHILDREN THOSE WITH LIMITED ACCESS TO HEALTHY FOODS, AND THOSE SEEKING RESPITE AND HEALING. ATLANTICARE IS PROUD TO HAVE RECEIVED THE FOLLOWING AWARDS AND RECOGNITIONS -------------------------------------------------------------- - AMERICAN HOSPITAL ASSOCIATION - MCKESSON QUEST FOR QUALITY PRIZE FINALIST-2011 - AMERICAN HOSPITAL ASSOCIATION FOSTER G. MCGAW PRIZE FOR EXCELLENCE IN COMMUNITY SERVICE FINALIST-2011 - ATLANTICARE KIDS EARNS ACCREDITATION FROM THE NATIONAL ASSOCIATION OF THE EDUCATION OF YOUNG CHILDREN (NAEYC)-2010 - ATLANTICARE EARNS SUCCESSFUL OUTCOMES THROUGH LEARNING AWARD IN CATEGORY ENTERPRISE LEARNING BY HEALTH STREAM INC.-2010 - ATLANTICARE'S BREAST HEALTH PROGRAM RECEIVES A THREE YEAR/FULL ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC)-2010 - ATLANTICARE NAMED A WINNER IN THE MALCOLM BALDRIDGE NATIONAL QUALITY AWARD-2009 - ATLANTICARE NAMED ONE OF THE 100 MOST WIRED HOSPITALS AND HEALTH SYSTEMS IN THE NATION BY HOSPITALS & HEALTH NETWORKS MAGAZINE.-2009 - ATLANTICARE HEART INSTITUTE EARNS AMERICAN HEART/AMERICAN STROKE ASSOCIATION'S SILVER GET WITH THE GUIDELINES SILVER PERFORMANCE ACHIEVEMENT AWARD-2009 - ATLANTICARE'S T.E.A.M DIABETES RECEIVES AMERICAN DIABETES ASSOCIATION (ADA) FOR QUALITY SELF-MANAGEMENT EDUCATION RECOGNITION-2009 - ATLANTICARE HOMECARE WAS NAMED ONE OF THE TOP 100 OUT OF 2,600 AGENCIES NATIONWIDE-2008. IN ADDITION, ATLANTICARE PROVIDES A SIGNIFICANT POSITIVE ECONOMIC CONTRIBUTION TO THE COMMUNITY. ATLANTICARE DIRECTLY IMPACTS THE COMMUNITY IN A POSITIVE MANNER BY VIRTUE OF EMPLOYING NEARLY 5,000 AREA RESIDENTS. ATLANTICARE SUPPORTS THE LOCAL BUSINESS COMMUNITY BY PURCHASING GOODS AND SERVICES FROM MANY LOCAL AREA BUSINESSES.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ATLANTICARE REGIONAL MEDICAL CENTER FEID: 21-0634549 BACKGROUND ========== ARMC IS A 589-BED, NOT-FOR-PROFIT HOSPITAL THAT WAS FOUNDED IN 1898 AS A TEN-BED FACILITY IN A CONVERTED HOME ON OHIO AVENUE IN ATLANTIC CITY. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED ARMC AS BEING A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501(C) (3). ARMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: ARMC PROVIDES URGENT AND EMERGENT HEALTHCARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO INDIVIDUALS WHO RESIDE IN OUR PRIMARY SERVICE AREA IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, COLOR, CREED, SEX, NATIONAL ORIGINS, HANDICAP, AGE, LIFESTYLE, FINANCIAL STATUS OR ABILITY TO PAY. ARMC OPERATES TWO ACTIVE EMERGENCY ROOMS FOR ALL PERSONS; WHICH ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; ARMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND CONTROL OF ARMC RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF ARMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF ARMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ARMC'S CITY CAMPUS IS LOCATED IN ATLANTIC CITY WHERE THE HOSPITAL WAS FOUNDED, AND IS A BUSY METROPOLITAN HOSPITAL SERVING A GROWING RESIDENT POPULATION AND MORE THAN 35 MILLION TOURISTS EACH YEAR. ARMC'S MAINLAND CAMPUS, WHICH OPENED IN 1975, IS LOCATED IN GALLOWAY, NEW JERSEY, ONE OF THE STATE'S FASTEST GROWING RESIDENTIAL AND COMMERCIAL AREAS. ARMC OFFERS A NUMBER OF OUTPATIENT SERVICES, MANY OF WHICH IT PROVIDES AT THE ATLANTICARE HEALTHPLEX, OWNED AND OPERATED BY ARMC. LOCATED IN ATLANTIC CITY, THE HEALTHPLEX OFFERS A WIDE RANGE OF OUTPATIENT SERVICES IN ONE CONVENIENT LOCATION. ARMC IS A TEACHING HOSPITAL, TRAINING RESIDENTS IN A NUMBER OF SPECIALTIES. ARMC IS HOME TO MANY CENTERS OF EXCELLENCE AND SPECIALIZED SERVICES, SEVERAL OF WHICH ARE EXCLUSIVE TO THE REGION. - LEVEL II REGIONAL TRAUMA CENTER - NEONATAL INTENSIVE CARE UNIT (NICU) - ACCREDITED CHEST PAIN CENTER - ACCREDITED STROKE CENTER - HEART INSTITUTE - THE REGION'S ONLY FULL SERVICE CARDIAC SURGERY PROGRAM - THE JOINT INSTITUTE - THE SPINE INSTITUTE - STANLEY M. GROSSMAN PEDIATRIC CENTER - THE CANCER CARE INSTITUTE - KLIGERMAN DIGESTIVE DISEASE CENTER - CENTER FOR SURGICAL WEIGHT LOSS AND WELLNESS - ROGER B. HANSEN CENTER FOR CHILDBIRTH - WOMEN'S HEALTH AND WELLNESS - PSYCHIATRIC UNIT AND CRISIS INTERVENTION PROGRAM - SPECIAL CARE CENTER - JOSLIN DIABETES CENTER - WOUNDCARE CENTERS ARMC IS PROUD OF ITS AFFILIATIONS WITH RENOWNED HEALTHCARE ORGANIZATIONS INCLUDING THOMAS JEFFERSON UNIVERSITY HOSPITAL AND JEFFERSON'S PEDIATRIC AFFILIATE, THE NEMOURS DUPONT HOSPITAL FOR CHILDREN IN WILMINGTON, DELAWARE; FOX CHASE CANCER CENTER AND NEW YORK UNIVERSITY. MISSION, VISION AND VALUES ========================== MISSION STATEMENT ================= TO CARE FOR THE SICK, INJURED AND POOR IN AN ENVIRONMENT WHERE PATIENTS, THEIR FAMILIES AND PHYSICIANS ARE EXTENDED A SUPERIOR LEVEL OF PERSONAL SERVICE; WHERE QUALITY IMPROVES IN MEASURABLE TERMS; IN AN ENVIRONMENT WHICH RESPECTS THE DIGNITY OF THE PATIENT, FAMILY AND ALL ON THE HEALTHCARE TEAM. VISION ====== ATLANTICARE REGIONAL MEDICAL CENTER WILL BE THE PREMIER HEALTHCARE PROVIDER IN NEW JERSEY. WE WILL ACHIEVE AND SUSTAIN EXCELLENCE IN QUALITY OF CARE AND PERSONAL SERVICE THROUGH TOTAL CONFORMANCE TO CUSTOMER'S EXPECTATIONS WHILE PROVIDING AN OUTSTANDING WORK ENVIRONMENT. CHARITABLE PURPOSE ================== ARMC PROVIDES URGENT AND EMERGENT HEALTHCARE SERVICES TO ALL INDIVIDUALS AND ALSO PROVIDES ELECTIVE PROCEDURES TO INDIVIDUALS WHO RESIDE IN OUR PRIMARY SERVICE AREA IN A NON-DISCRIMINATORY MANNER REGARDLESS OF MEDICAL CONDITION, RACE, COLOR, CREED, SEX, NATIONAL ORIGINS, HANDICAP, AGE, LIFESTYLE, FINANCIAL STATUS OR ABILITY TO PAY. MOREOVER, ARMC PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS WHO MEET THE STATE-MANDATED CHARITY CARE ELIGIBILITY REQUIREMENTS APPROXIMATED $49 MILLION AND $49 MILLION FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTIONS OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE MEDICAL CENTER ALSO PROVIDES FREE CARE TO PATIENTS WHO DO NOT MEET THE STATE ELIGIBILITY REQUIREMENTS OR ARE NOT COMPLIANT IN PURSUING ELIGIBILITY STATUS. SUCH AMOUNTS ARE INCLUDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS PART OF THE PROVISION FOR UNCOLLECTIBLES, NET OF ANY RECOVERIES REALIZED THROUGH COLLECTION EFFORTS. ARMC HAS ALSO INSTITUTED A SELF-PAY DISCOUNT POLICY THAT LIMITS CHARGES FOR MEDICAL SERVICES TO AN AMOUNT NOT TO EXCEED 115% OF THE APPLICABLE MEDICARE REIMBURSEMENT RATE FOR ALL QUALIFIED UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR EXISTING STATE, FEDERAL AND LOCAL PROGRAMS. ADDITIONALLY, THE COMPANY SPONSORS OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO THE NEEDY AND ELDERLY POPULATION THAT REQUIRE SPECIALS SUPPORT, VARIOUS CLINICAL OUTREACH PROGRAMS AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. ARMC'S COLLECTION POLICIES INCLUDE DISCOUNTS FOR THOSE PATIENTS WHO ARE UNINSURED BUT DO NOT QUALIFY FOR THE STATE CHARITY CARE PROGRAM. ARMC IS ONE OF TWO DESIGNATED SAFETY NET HOSPITALS IN SOUTHERN NEW JERSEY PROVIDING APPROXIMATELY 90% OF THE CHARITY CARE IN ATLANTIC COUNTY AND MORE CHARITY CARE THAN THE 7 CLOSEST HOSPITALS COMBINED. AWARDS AND RECOGNITIONS ======================= - NATIONAL RECOGNITION FOR ORGAN DONATION THROUGH THE DEPARTMENT OF HEALTH & HUMAN SERVICES AT BOTH HOSPITAL CAMPUSES. - MAGNET TM DESIGNATION FOR EXCELLENCE IN NURSING - 2005 AND 2004 (105TH HOSPITAL IN NATION AND 15TH IN NEW JERSEY TO ACHIEVE THIS STATUS) REDESIGNATED IN OCTOBER OF 2008. - J.D. POWERS AND ASSOCIATES DISTINGUISHED HOSPITAL DESIGNATION - 2004, 2005 AND 2006. - VALOR AWARDS - ATLANTIC CITY FIRE DEPARTMENT - 2004 (RECOGNITION OF THE HOSPITAL'S RESPONSE TO THE 2003 TROPICANA GARAGE COLLAPSE). ATLANTICARE BEHAVIORAL HEALTH (ABH) FEID: 21-0721208 ABH IS SOUTHEASTERN NEW JERSEY'S LARGEST PROVIDER OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE/ADDICTION RECOVERY SERVICES. WITH 26 LOCATIONS THROUGHOUT THE REGION, ABH OFFERS A BROAD RANGE OF SERVICES TO HELP INDIVIDUALS AND THEIR FAMILIES WITH SERIOUS MENTAL ILLNESSES, ANXIETIES RELATED TO SCHOOL OR JOB STRESS, AND MARRIAGE COUNSELING SERVICES. ABH ALSO PROVIDES EMPLOYEE ASSISTANCE PROGRAMS FOR AREA EMPLOYERS, WHICH INCLUDE EMPLOYEE COUNSELING SERVICES, BEHAVIORAL HEALTH AND WELLNESS PROGRAMS AND CRITICAL INCIDENT DEBRIEFING SERVICES. ABH MANAGES A 30-BED PSYCHIATRIC INPATIENT PROGRAM LOCATED AT THE MAINLAND CAMPUS AND A PSYCHIATRIC CRISIS INTERVENTION PROGRAM AT THE CITY CAMPUS OF ARMC. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED ABH AS A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501(C)(3). THE MAJORITY OF ABH'S PATIENTS ARE UNDERINSURED (MEDICAID/MEDICARE) OR UNINSURED. BEHAVIORAL HEALTH PROVIDES SERVICES TO CLIENTS WITHOUT INSURANCE COVERAGE AND CHARGES RATES BASED ON A SLIDING SCALE FEE BASED ON INCOME AND FAMILY SIZE. THE COST OF PROVIDING THESE SERVICES AND SUPPLIES TO PATIENTS THAT MEET THE ESTABLISHED CRITERIA APPROXIMATED $2,261,000 AND $1,923,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011 RESPECTIVELY.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ABH PROVIDES MANY OF THEIR SERVICES UNDER GRANTS FROM STATE AND FEDERAL AGENCIES. SUCH PROGRAMS INCLUDE: DEPARTMENT OF EDUCATION ----------------------- - 21ST CENTURY COMMUNITY LEARNING CENTERS DEPARTMENT OF HUMAN SERVICES ---------------------------- - DIVISION OF MENTAL HEALTH SERVICES OUTPATIENT TREATMENT - DIVISION OF ADDICTION SERVICES, OUTPATIENT AND INTENSIVE OUTPATIENT TREATMENT - WELFARE TO WORK SERVICES DEPARTMENT OF CHILDREN AND FAMILIES ----------------------------------- - SCHOOL BASED YOUTH SERVICES PROGRAM - OAKCREST TEEN CENTER - SCHOOL BASED YOUTH SERVICES PROGRAM - AC TEEN - SCHOOL BASED YOUTH SERVICES PROGRAM - BUENA TEEN AND CLEARY MIDDLE SCHOOL - FAMILY FRIENDLY CENTER - HAMMONTON ELEMENTARY SCHOOL - JOB TRAINING PROGRAM - BUENA - FOSTER CARE RESOURCE HOMES - CHILDREN AND ADOLESCENT OUTPATIENT TREATMENT - FAMILY PERMANENCY AND MENTORING PROGRAMS - MOBILE OUTREACH DEPARTMENT OF HEALTH --------------------- - SUBSTANCE ABUSE TREATMENT SERVICES TO WOMEN - COUNTY OF ATLANTIC - SUBSTANCE ABUSE INTENSIVE OUTPATIENT TREATMENT FOR MEDICALLY INDIGENT ADULTS - ADOLESCENT OUTPATIENT SERVICES - FAMILY OUTREACH PROGRAM - ATLANTIC CITY MLK FAMILY CENTER - ATLANTIC CITY UPTOWN SCHOOL FAMILY CENTER - HAMMONTON FAMILY CENTER - NJ AFTER 3 HAMMONTON AFTER SCHOOL PROGRAM ATLANTICARE FOUNDATION FEID: 22-2148992 THE FOUNDATION EXISTS TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY THROUGH A COMPREHENSIVE DEVELOPMENT PROGRAM TO SUPPORT SAFE, EQUITABLE, QUALITY HEALTHCARE; AND TO PROMOTE HEALTHY BEHAVIORS. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE FOUNDATION AS BEING A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501(C)(3). THE FOUNDATION IS COMMITTED TO SUPPORTING ATLANTICARE'S EXPANSION AND CLINICAL INVESTMENTS BY SECURING THE FINANCIAL RESOURCES NECESSARY TO ENSURE HIGH QUALITY EVIDENCED BASED MEDICINE FOR CURRENT AND FUTURE GENERATIONS. ATLANTICARE HEALTH SERVICES FEID: 22-3265214 SERVICES IS PRIMARILY AN AMBULATORY CARE NETWORK THAT REACHES BEYOND THE HOSPITAL TO ADDRESS THE HEALTH AND WELLNESS NEEDS FOR THE REGIONS RESIDENTS THROUGHOUT ALL STAGES OF LIFE. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED SERVICES AS BEING A TAX-EXEMPT ORGANIZATION UNDER THE IRC CODE SECTION 501(C)(3). SERVICES PROGRAMS INCLUDE: - ATLANTICARE SURGERY CENTER LLC, A FULL SERVICE, FREESTANDING AMBULATORY SURGERY CENTERS. - ATLANTICARE KIDS CHILDCARE AND EARLY LEARNING CENTERS, INCLUDING IN-SCHOOL AND AFTER-SCHOOL PROGRAMS PROVIDING INFANT CARE THROUGH PRE-KINDERGARTEN AND PRE-SCHOOL PROGRAMS. APPROXIMATELY 400 CHILDREN ARE ENROLLED. - ATLANTICARE LIFE CENTER, OFFERING A FULL SPECTRUM OF HEALTH AND WELLNESS, PHYSICAL AND REHABILITATIVE CONDITIONING. - ATLANTICARE CLINICAL LABS, PROVIDING LAB SERVICES AT TEN CONVENIENT LOCATIONS. - ATLANTICARE HOME CARE NURSES AND OTHER HEALTHCARE PROFESSIONALS MAKE HOME VISITS TO ASSIST PATIENTS WITH THEIR MEDICAL NEEDS. - ATLANTICARE HOSPICE WORKS WITH PATIENTS AND THEIR FAMILIES TO ENHANCE THE END STAGES OF LIFE IN THE COMFORTABLE SURROUNDINGS OF THE PATIENT'S HOME. - ATLANTICARE HEALTH PARK, A REGIONAL HEALTHCARE AMBULATORY CARE CAMPUS OFFERING A VARIETY OF SERVICES. - ATLANTICARE OCCUPATIONAL MEDICINE PROVIDES OCCUPATIONAL MEDICINE FOR BUSINESSES AND MUNICIPALITIES, INCLUDING THE TREATMENT OF WORK RELATED INJURIES - MISSION HEALTHCARE, A PROGRAM OFFERING PRIMARY CARE TO THE HOMELESS POPULATION OPERATING AS A FEDERALLY QUALIFIED HEALTH CENTER - ATLANTICARE LIFELINE PROVIDES EMERGENCY MEDICAL ALERT CAPABILITY TO INDIVIDUALS WHO REQUIRE CONVENIENT NOTIFICATION CAPABILITIES. - WEISMAN PEDIATRICS JOINT VENTURE PARTNERSHIP PROVIDING MEDICALLY SUPERVISED CHILD CARE TO CHILDREN WITH HEALTH CHALLENGES. ATLANTICARE PHYSICIAN GROUP, P.A. FEID: 22-3265314 THE PHYSICIAN GROUP PROVIDES SERVICES OUTSIDE OF THE HOSPITAL ATMOSPHERE TO SPECIALIZE IN PREVENTIVE CARE AND IN DIAGNOSING AND TREATING VARIOUS ILLNESSES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED SERVICES AS BEING A TAX-EXEMPT ORGANIZATION UNDER THE IRC CODE SECTION 501(C) (3). - ATLANTICARE PRIMARY/URGENT CARE CENTERS (LOCATED IN ATLANTIC, CAPE MAY AND OCEAN COUNTIES) OFFERING PRIMARY CARE AND URGENT CARE AS AN ALTERNATIVE TO MORE EXPENSIVE EMERGENCY ROOM TREATMENT. - PAVILION OB/GYN A FULL SERVICE OBSTETRICS AND GYNECOLOGY PRACTICE. INFOSHARE FEID: 22-3337816 INFOSHARE SUPPORTS ALL OTHER ATLANTICARE AFFILIATES TO ACHIEVE MAXIMUM RESULTS THROUGH THE USE OF INFORMATION TECHNOLOGY. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED INFOSHARE AS A TAX-EXEMPT ORGANIZATION UNDER IRC CODE SECTION 501(C)(3). INFOSHARE'S INNOVATIVE NETWORKING TECHNOLOGY ENHANCES THE SPEED AND EFFICIENCY OF PATIENT'S DIAGNOSIS AND TREATMENT WHILE MAINTAINING PATIENT CONFIDENTIALITY AND SAFETY. INFOSHARE HAS BEEN RECOGNIZED FOR ITS INNOVATION IN HEALTHCARE THROUGH THE FOLLOWING AWARDS: - TOP 100 INTEGRATED HEALTHCARE SYSTEMS BY HOSPITALS AND HEALTH NETWORK MAGAZINE. - TOP (7) NETWORKED HEALTHCARE SYSTEMS IN THE UNITED STATES FOR INFORMATION TECHNOLOGY BY HEALTHCARE INFORMATICS MAGAZINE. WORKING WITH COMMUNITY LEADERS AND IN PARTNERSHIP WITH ATLANTICARE HEALTH PLANS, INFOSHARE HAS BUILT A "CONNECTED COMMUNITY HEALTH EXCHANGE" THAT SHARES HEALTH INFORMATION SEAMLESSLY AMONG ALL PARTICIPATING HEALTHCARE AND HEALTH MANAGEMENT STAKEHOLDERS. THE GOAL OF THIS PROJECT IS TO IMPROVE THE HEALTHCARE STATUS OF THE COMMUNITY. ATLANTICARE HEALTH ENGAGEMENT, INC. FEID: 61-1608389 AT THE END OF 2009 ATLANTICARE HEALTH ENGAGEMENT, INC. WAS ESTABLISHED TO SUPPORT THE DEVELOPMENT OF HEALTH MANAGEMENT CAPABILITIES AND STRUCTURES, AND HEALTH STATUS IMPROVEMENT INITIATIVES FOR THE BENEFIT OF THE BROADER COMMUNITY. THE ATLANTICARE REGIONAL MEDICAL CENTER CONTRIBUTED FOR THE YEAR ENDED DECEMBER 31, 2012 AND 2011 $2,000,000 AND $3,000,000 RESPECTIVELY TO SUPPORT THE MISSION AND VISION OF HEALTH ENGAGEMENT.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION CORE FORM, PART I; SUMMARY THE TOTAL VOTING AND INDEPENDENT VOTING MEMBERS DISCLOSED ON PAGE 1 OF THIS FORM 990 IS FOR ATLANTICARE REGIONAL MEDICAL CENTER; THE LARGEST SUBORDINATE ORGANIZATION INCLUDED IN THE GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS THE VOTING AND INDEPENDENT VOTING DISCLOSURE INFORMATION FOR ALL OTHER ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION: - ATLANTICARE BEHAVIORAL HEALTH, INC.; 16 VOTING, 13 INDEPENDENT; - ATLANTICARE REGIONAL HEALTH SERVICES A NEW JERSEY NONPROFIT CORPORATION; 16 VOTING, 13 INDEPENDENT; - ATLANTICARE FOUNDATION; 18 VOTING, 14 INDEPENDENT; - ATLANTICARE HEALTH ENGAGEMENT; 3 VOTING, 0 INDEPENDENT; - ATLANTICARE HEALTH SERVICES, INC.; 16 VOTING, 13 INDEPENDENT; AND - INFOSHARE, INC.; 3 VOTING, 0 INDEPENDENT.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 4 IN PRIOR YEARS, ATLANTICARE HEALTH SYSTEM, INC. WAS THE SOLE MEMBER OF ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC") AND ATLANTICARE HEALTH SERVICES, INC. ("SERVICES"). IN ADDITION, ARMC WAS THE SOLE MEMBER OF ATLANTICARE BEHAVIORAL HEALTH, INC. ("ABH"). EFFECTIVE IN 2012, A NEW HOLDING COMPANY WAS FORMED, ATLANTICARE REGIONAL HEALTH SERVICES, A NJ NONPROFIT CORPORATION ("ARHS"). ARHS IS NOW THE SOLE MEMBER OF ARMC, SERVICES AND ABH. AT THE END OF 2012, THE NOMINEE OWNER OF ATLANTICARE PHYSICIAN GROUP, P.A. DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITIONS, BECAME AN EMPLOYEE OF ATLANTICARE HEALTH SYSTEM, INC. EFFECTIVE JANUARY 1, 2013. ACCORDINGLY, ATLANTICARE PHYSICIAN GROUP, P.A.'S GOVERNANCE STRUCTURE WAS CHANGED TO REFLECT THE NOMINEE OWNERSHIP RELATIONSHIP BETWEEN ATLANTICARE PHYSICIAN GROUP, P.A. AND ATLANTICARE HEALTH SYSTEM, INC. THE PREVIOUS NOMINEE OWNERSHIP RELATIONSHIP WAS WITH ATLANTICARE REGIONAL MEDICAL CENTER. EFFECTIVE ON AUGUST 1, 2012 CERTAIN ORGANIZATIONAL DOCUMENTS WERE AMENDED, INCLUDING ITS CORPORATE BY-LAWS, TO CHANGE THE COMPOSITION OF THE VOTING MEMBERS OF THE BOARD OF TRUSTEES.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") IS THE SOLE MEMBER OF ALL ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 WITH THE EXCEPTION OF ATLANTICARE REGIONAL MEDICAL CENTER ("ARMC"), ATLANTICARE HEALTH SERVICES, INC. ("SERVICES") AND ATLANTICARE BEHAVIORAL HEALTH, INC. ("ABH"). SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF EACH SUBORDINATE ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN EACH SUBORDINATE ORGANIZATION'S BYLAWS. ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NON-PROFIT CORPORATION HAS THE RIGHT TO ELECT THE MEMBERS OF THE ARMC, SERVICES, AND ABH BOARDS OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN ARMC, SERVICES AND ABH BYLAWS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11b THE ORGANIZATION IS AN AFFILIATE IN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS FEDERAL FORM 990 WAS provided TO THE SYSTEM'S GOVERNING BODY; ITS FULL BOARD OF TRUSTEES, FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. IN ADDITION, THIS FORM 990 WAS ALSO PROVIDED TO THE VOTING MEMBERS OF THE ATLANTICARE HEALTH ENGAGEMENT, INC. BOARD OF TRUSTEES; BUT NOT THE OTHER SUBORDINATES INCLUDED IN THIS FORM 990. ALL SUBORDINATES HAVE DELEGATED THE FORM 990 PREPARATION, REVIEW AND FILING PROCESS TO THE SYSTEM'S GOVERNING BODY. AS PART OF THE TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEM'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE SYSTEM'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE SYSTEM'S FINANCE PERSONNEL AND VARIOUS OTHER SYSTEM INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO EACH MEMBER OF BOTH THE SYSTEM'S AND ATLANTICARE HEALTH ENGAGEMENT, INC.'S GOVERNING BODIES AND FILING WITH THE IRS. A FORM 990 PRESENTATION WAS ALSO GIVEN BY THE CPA FIRM TO THE SYSTEM'S BOARD OF TRUSTEES PRIOR TO FILING.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE IN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"). ATLANTICARE HEALTH SYSTEM, INC., THE TAX-EXEMPT PARENT ORGANIZATION, HAS ADOPTED A SYSTEM WIDE CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF ITS SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S GENERAL COUNSEL FOR REVIEW. THEREAFTER THE GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE SYSTEM'S GENERAL COUNSEL PRESENTS THIS SUMMARY TO THE SYSTEM'S GOVERNANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES ("BOARD") OF ATLANTICARE HEALTH SYSTEM, INC. ("SYSTEM") REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE EXECUTIVE STAFF OF THE SYSTEM. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE SET WITHIN THE FRAMEWORK OF A FORMAL COMPENSATION PHILOSOPHY THAT IS APPROVED BY THE BOARD. THE COMPENSATION PHILOSOPHY APPROVES THE USE OF A NATIONAL PEER GROUP OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS THAT ARE SIMILAR TO THE SYSTEM IN SIZE AND ORGANIZATIONAL CHARACTERISTICS. THE KEY ELEMENTS OF THE COMPENSATION PHILOSOPHY ARE: TOTAL COMPENSATION POSITIONED AROUND THE 75TH PERCENTILE, COMPOSED OF THE FOLLOWING ELEMENTS OF PAY: - BASE SALARIES POSITIONED BETWEEN THE MEDIAN AND THE 75TH PERCENTILE - INCENTIVE OPPORTUNITIES COMPARABLE TO THOSE OF THE PEER GROUP AND DESIGNED TO POSITION TOTAL CASH COMPENSATION AT THE 75TH PERCENTILE FOR EXPECTED PERFORMANCE (INCLUDES BOTH ANNUAL AND LONG-TERM INCENTIVES) - EXECUTIVE BENEFITS POSITIONED AT THE 75TH PERCENTILE - CONSERVATIVE PERQUISITES AND SEVERANCE THE COMMITTEE APPROVES THE PAY OF ALL EXECUTIVES. IT SETS THE COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER ("PRESIDENT"). THE PRESIDENT RECOMMENDS SALARY ADJUSTMENTS AND INCENTIVE AWARD PAYMENTS TO THE COMMITTEE. THE COMMITTEE CAN APPROVE, MODIFY OR REJECT THE PRESIDENT'S RECOMMENDATIONS AS APPROPRIATE. EACH YEAR, PRIOR TO MAKING CHANGES TO THE COMPENSATION OF ANY EXECUTIVE, THE COMMITTEE ENGAGES AN INDEPENDENT, OUTSIDE CONSULTANT TO REVIEW EACH ELEMENT OF EXECUTIVE COMPENSATION, INCLUDING SALARIES, INCENTIVES, BENEFITS, PERQUISITES, AND TOTAL COMPENSATION. THE INTENT OF THE REVIEW IS TO PROVIDE THE COMMITTEE WITH INFORMATION IT NEEDS TO ENSURE THAT COMPENSATION PROVIDED TO THE SYSTEM'S EXECUTIVES IS REASONABLE, APPROPRIATE, AND CONSISTENT WITH THE BOARD-APPROVED COMPENSATION PHILOSOPHY. THE CONSULTANT COMPILES APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION FROM A PEER GROUP OR ORGANIZATIONS COMPARABLE TO THE SYSTEM. IN NOVEMBER OF 2012, THE CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES ("IHSTRATEGIES"), PRESENTED ITS ANALYSES AND FINDINGS TO THE COMMITTEE. THE COMMITTEE HAD DIRECT ACCESS TO THE CONSULTANT TO ASK QUESTIONS ABOUT THE DATA AND ANALYSES, BOTH WITH AND WITHOUT THE PRESENCE OF MANAGEMENT. THE COMMITTEE APPROVED EXECUTIVE SALARIES AND INCENTIVE AWARD PAYOUTS AT A SUBSEQUENT MEETING IN MARCH OF 2013. THE COMMITTEE'S PROCESS FOR REVIEWING EXECUTIVE COMPENSATION ESTABLISHES A "REBUTTABLE PRESUMPTION OF REASONABLENESS," AS DESCRIBED IN IRC SECTION 4958: - COMPENSATION FOR ALL EXECUTIVES IS APPROVED IN ADVANCE BY A COMMITTEE MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITH NO CONFLICT OF INTEREST WITH REGARD TO THE COMPENSATION DECISIONS. - THE COMMITTEE OBTAINS AND RELIES ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION IN MAKING THESE DECISIONS. ("APPROPRIATE" MEANS DATA ON PAY FOR LIKE JOBS IN LIKE ORGANIZATIONS AND LIKE CIRCUMSTANCES). - THE COMMITTEE DOCUMENTS ITS PROCESS AND THE TERMS OF ITS DECISIONS IN TIMELY MINUTES.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATIONS ARE PART OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CERTAIN ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FROM 990 HAVE ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ISSUING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, EACH ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 ARE AFFILIATES IN ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH THESE ORGANIZATIONS AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THESE ORGANIZATIONS. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES; NOT SOLELY THIS ORGANIZATION.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM AN ATLANTICARE HEALTH SYSTEM AFFILIATE. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE AFFILIATE AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF AN AFFILIATE BOARD OF TRUSTEES.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS AND GRANTS RECEIVED FOR THE PURCHASE OF PROPERTY, PLANT AND EQUIPMENT - ($1,060,000); - TRANSFERS TO INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES - ($3,011,000); - CHANGE IN BENEFICIAL INTEREST IN ATLANTICARE FOUNDATION - $11,000; - CHANGE IN PENSION AND POSTRETIREMENT LIABILITIES - ($14,528,000); AND - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($3,199,557).
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS ATLANTICARE HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE HEALTH SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ATLANTICARE REGIONAL MEDICAL CENTER AND ITS CONTROLLED ENTITY ATLANTICARE BEHAVIORAL HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE BEHAVIORAL HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ATLANTICARE FOUNDATION FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE ATLANTICARE HEALTH SYSTEM, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS OF THIS ORGANIZATION, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
SCHEDULE OF CONTRIBUTORS SCHEDULE B THE GIFTS, GRANTS AND CONTRIBUTIONS REFLECTED ON SCHEDULE B ARE AMOUNTS RECEIVED BY ALL ENTITIES INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE REGIONAL MEDICAL CENTER ARE REFLECTED IN NUMBERS 1 THROUGH 3 AND 90. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE BEHAVIORAL HEALTH, INC. ARE REFLECTED IN NUMBERS 4 THROUGH 23. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE FOUNDATION ARE REFLECTED IN NUMBERS 24 THROUGH 88 AND 90 THROUGH 91. GIFTS, GRANTS AND CONTRIBUTIONS RECEIVED BY ATLANTICARE HEALTH ENGAGEMENT, INC. ARE REFLECTED IN NUMBER 89.
BOARD OF TRUSTEES CORE FORM, PART VII CORE FORM, PART VII INCLUDES, AS OF DECEMBER 31, 2012, THE MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES OF EACH OF THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. IN ADDITION, CORE FORM, PART VII INCLUDES THE REMAINING TOP FIVE HIGHEST PAID EMPLOYEES AMONGST ALL ENTITIES COMBINED AFTER OFFICERS AND KEY EMPLOYEES OF ALL ORGANIZATIONS INCLUDED IN THE ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990. OUTLINED BELOW IS A SUMMARY BY ORGANIZATION: THE BOARD OF TRUSTEES FOR EACH OF THE FOLLOWING SUBORDINATES INCLUDED IN THIS CONSOLIDATED GROUP FORM 990, AS OF DECEMBER 31, 2012, IS IDENTICAL. THESE SUBORDINATES ARE: - ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION - ATLANTICARE REGIONAL MEDICAL CENTER - ATLANTICARE HEALTH SERVICES, INC. - ATLANTICARE BEHAVIORAL HEALTH, INC. THE BOARD OF TRUSTEE LIST REFLECTED IN PART VII FOR THESE SUBORDINATES INCLUDES KENNETH R. STEINBERG THROUGH FRANCIS WREN, M.D. PLEASE NOTE THAT THESE SUBORDINATES ALSO HAVE A NUMBER OF INDIVIDUALS THAT WERE VOTING MEMBERS OF EACH SUBORDINATE'S BOARD OF TRUSTEES FOR THE PERIOD JANUARY 1, 2012 THROUGH JULY 31, 2012. THESE INDIVIDUALS ARE REFLECTED IN PART VII AS TRUSTEES FOR THE PERIOD JANUARY 1, 2012 THROUGH JULY 31, 2012 AND INCLUDE CHARLES F. BEIRNE THROUGH ELLEN LOUGHNEY, ESQ. ATLANTICARE FOUNDATION INCLUDES DEE W. KASSIS, RN THROUGH MAUREEN SIMAN. PLEASE NOTE THAT HONORABLE MICHAEL CONNOR, KEITH L. DAWN, GARY HANSON AND DAVID P. TILTON ARE ALSO MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. PLEASE NOTE THAT THE ATLANTICARE FOUNDATION ALSO HAS A NUMBER OF INDIVIDUALS THAT WERE VOTING MEMBERS OF THE BOARD OF TRUSTEES FOR THE PERIOD JANUARY 1, 2012 THROUGH JULY 31, 2012. THESE INDIVIDUALS ARE REFLECTED IN PART VII AS TRUSTEES FOR THE PERIOD JANUARY 1, 2012 THROUGH JULY 31, 2012 AND INCLUDE WILLIAM B. AARONS, JR., M.D. THROUGH IRA M. STEIN, M.D. ATLANTICARE HEALTH ENGAGEMENT, INC. INCLUDES DOMINIC S. MOFFA THROUGH JAMES P. NOLAN, JR., CPA. PLEASE NOTE THAT DAVID P. TILTON IS ALSO A MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES BUT IS ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. THE BOARD OF TRUSTEES FOR INFOSHARE, INC. INCLUDES DOMINIC S. MOFFA, JAMES P. NOLAN, JR., CPA AND DAVID P. TILON. PLEASE NOTE THAT THESE TRUSTEES ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. THE OFFICERS OF ALL ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 WHICH FOLLOW THE LIST OF ATLANTICARE BOARD OF TRUSTEES ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990 ARE OUTLINED IN THE FOLLOWING ORDER: ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NONPROFIT CORPORATION ("ARHS") INCLUDES DAVID A. DESIMONE, ESQ. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION) AND JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE) ARE ALSO OFFICERS OF ARHS BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE REGIONAL MEDICAL CENTER INCLUDES WALTER A. GREINER THROUGH MARILOUISE VENDITTI, MD. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT), DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE) AND DAVID A. DESIMONE, ESQ. (ATLANTICARE REGIONAL MEDICAL CENTER VP GENERAL COUNSEL) ARE ALSO OFFICERS OF ATLANTICARE REGIONAL MEDICAL CENTER BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH SERVICES, INC. INCLUDES KEVIN T. MCDONNELL. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT), DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), MARGARET A. BELFIELD (ATLANTICARE REGIONAL MEDICAL CENTER CHIEF OPERATING OFFICER), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION), DAVID A. DESIMONE, ESQ. (ATLANTICARE REGIONAL MEDICAL CENTER VP GENERAL COUNSEL) AND RICHARD D. LOVERING (ATLANTICARE REGIONAL MEDICAL CENTER VP HUMAN RESOURCES) ARE ALSO OFFICERS OF ATLANTICARE HEALTH SERVICES, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE BEHAVIORAL HEALTH, INC. INCLUDES JULIA DREW THROUGH DONNA MICHAEL-ZIEREIS, ESQ. PLEASE NOTE THAT LORI S. HERNDON (ATLANTICARE REGIONAL MEDICAL CENTER PRESIDENT), WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER VP OF FINANCE/CFO), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION) AND RICHARD D. LOVERING (ATLANTICARE REGIONAL MEDICAL CENTER VP HUMAN RESOURCES) ARE ALSO OFFICERS OF ATLANTICARE BEHAVIORAL HEALTH, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE FOUNDATION INCLUDES RENE A. ZANELOTTI-BUNTING THROUGH GLENN ANN STOLL. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), WALTER A. GREINER (ATLANTICARE REGIONAL MEDICAL CENTER VP OF FINANCE/CFO) AND DONNA MICHAEL ZIEREIS, ESQ. (ATLANTICARE REGIONAL MEDICAL CENTER ASSOCIATE GENERAL COUNSEL) ARE ALSO OFFICERS OF ATLANTICARE FOUNDATION BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE HEALTH ENGAGEMENT, INC. INCLUDES KATHERINE A. SCHNEIDER, M.D. THROUGH STEVEN M. BLUMBERG. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER) DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE) AND DAVID A. DESIMONE, ESQ. (ATLANTICARE REGIONAL MEDICAL CENTER VP GENERAL COUNSEL) ARE ALSO OFFICERS OF ATLANTICARE HEALTH ENGAGEMENT, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990. INFOSHARE, INC. INCLUDES ALEXANDER D. SHARNOFF, ESQ. PLEASE NOTE THAT DAVID P. TILTON (ATLANTICARE HEALTH SYSTEM, INC. PRESIDENT/CHIEF EXECUTIVE OFFICER), JAMES P. NOLAN, JR., CPA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP OF FINANCE), DOMINIC S. MOFFA (ATLANTICARE REGIONAL MEDICAL CENTER SENIOR VP ADMINISTRATION) AND CHRISTOPHER A. SCANZERA (ATLANTICARE REGIONAL MEDICAL CENTER VICE PRESIDENT/CIO) ARE ALSO OFFICERS OF INFOSHARE, INC. BUT ARE ONLY DISCLOSED ONCE ON CORE FORM, PART VII OF THIS CONSOLIDATED GROUP FORM 990.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ATLANTICARE HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

90-0779828
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ATLANTICARE HEALTH SYSTEM INC

2500 ENGLISH CREEK AVE

EGG HARBOR TOWNSHIP,NJ08234
22-3265213 		SUPPORT ARMC NJ 501(C)(3) 509(A)(3) NA
 
 
No
(2) ATLANTICARE PHYSICIAN GROUP PA

2500 ENGLISH CREEK AVE BLDG C

EGG HARBOR TOWNSHIP,NJ08234
02-0701782 		HEALTHCARE NJ 501(C)(3) 509(A)(3) ARMC
 
Yes
 










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) S JERSEY ONCOL PROP

2500 ENGLISH CREEK AVENUE
EGG HARBOR TOWNSHIP,NJ08234
94-3463625 		HEALTHCARE SVCS. NJ AH SVCS
  		RELATED 440,259 5,214,263   No 0   No 53.260 %
(2) ATL SURGERY CTR LLC

2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP,NJ08234
22-3491867 		HEALTH SERVICES NJ N/A
                  
(3) COOP HLTH SVS OF SJ

1301 ATLANTIC AVENUE
ATLANTIC CITY,NJ08401
22-3619231 		WHOLESALE PURCH. NJ N/A
                  








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ATLANTICARE HEALTH PLANS INC

1001 S GRAND STREET PO BOX 941
HAMMONTON,NJ08037
22-3265212 		INSURANCE SVCS. NJ  
C CORP.         No
(2) BENEFIT SPECIALISTS INC

PO BOX 613
HAMMONTON,NJ08037
22-2796056 		INSURANCE SVCS. NJ  
C CORP.         No
(3) SOUTH JERSEY SPECIALTY HOSPITAL INC

2500 ENGLISH CREEK AVE BLDG 600
EGG HARBOR TOWNSHIP,NJ08234
27-0220315 		HEALTHCARE SVCS. NJ  
C CORP.         No
(4) ENGLISH CREEK ASSURANCE LTD

44 CHURCH STREET
HAMILTON,BERMUDAHM 12
BD
98-0656394 		FINANCIAL VEHICLE BD  
FOREIGN CORP.         No
(5) ATLANTICARE HEALTH SOLUTIONS INC

2500 ENGLISH CREEK AVE BLDG 500
EGG HARBOR TOWNSHIP,NJ08234
38-3856295 		ACO/HEALTH NJ  
C CORP.         No




Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ATLANTICARE BEHAVIORAL HEALTH INC

 E 693,742 COST
(2) ATLANTICARE BEHAVIORAL HEALTH INC

 L 406,537 COST
(3) ATLANTICARE BEHAVIORAL HEALTH INC

 Q 100,000 COST
(4) ATLANTICARE BEHAVIORAL HEALTH INC

 K 297,518 COST


Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
ORGANIZATIONS INCLUDED IN GROUP EXEMPTION SCHEDULE R; GROUP EXEMPTION OUTLINED BELOW IS A LIST OF ORGANIZATIONS INCLUDED AS SUBORDINATES IN THE ATLANTICARE HEALTH SYSTEM, INC. GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. ATLANTICARE REGIONAL MEDICAL CENTER (FEID: 21-0634549) ATLANTICARE REGIONAL HEALTH SERVICES, A NEW JERSEY NON PROFIT CORPORATION (FEID: 80-0834222) ATLANTICARE BEHAVIORAL HEALTH, INC. (FEID: 21-0721208) ATLANTICARE FOUNDATION (FEID: 22-2148992) ATLANTICARE HEALTH ENGAGEMENT, INC. (FEID: 61-1608389) ATLANTICARE HEALTH SERVICES, INC. (FEID: 22-3265214) INFOSHARE, INC. (FEID: 22-3337816)

Additional Data


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