2024-11-13T11:37:11-06:00 2023-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2023-01-01 232407905 ATLANTIC CITY MEDICAL CENTER EMPLOYEE BENEFIT TRUST % HAK J KIM ATLA 6095697031 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 HAK J KIM CFO 6095697040 2024-11-04 true true Scott J Mariani P00642486 9738989494 2023 2024-10-15 13:58:12Z ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVE EGG HARBOR TWNSHIP NJ 08234 72050 false X N/A X 1986 NJ TO PROVIDE LONG-TERM DISABILITY BENEFITS FOR EMPLOYEES OF ATLANTIC CITY MEDICAL CENTER, AS DEFINED IN THE PLAN. 1 1 0 0 0 0 0 0 0 0 21977 72050 0 0 21977 72050 0 0 0 0 0 0 0 0 0 4807 4808 4807 4808 17170 67242 1443474 1510716 0 0 1443474 1510716 X ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES (THE "COMPANY") ESTABLISHED THE ATLANTIC CITY MEDICAL CENTER GROUP LONG-TERM DISABILITY PLAN ("PLAN"), A DEFINED WELFARE BENEFIT PLAN, TO PROVIDE LONG-TERM DISABILITY BENEFITS FOR EMPLOYEES OF THE COMPANY, AS DEFINED IN THE PLAN. THE PLAN IS A SELF-INSURED PLAN AND CLAIMS ARE PAID THROUGH GENERAL ASSETS OF THE PLAN AND/OR THROUGH THE EMPLOYEE BENEFIT TRUST [AKA THE ATLANTIC CITY MEDICAL CENTER EMPLOYEE BENEFIT TRUST] (THE "TRUST"). ELIGIBILITY REQUIREMENTS FOR PARTICIPATION IN THE PLAN ARE: ALL REGULAR FULL-TIME EMPLOYEES WORKING 40 HOURS PER WEEK ARE ELIGIBLE FOR COVERAGE ON THE FIRST DAY ACTIVELY AT WORK COINCIDING WITH OR FOLLOWING 12 MONTHS OF CONTINUOUS EMPLOYMENT. BENEFIT PAYMENTS ARE MADE BASED ON 50% OF MONTHLY EARNINGS AT TIME OF TOTAL DISABILITY, REDUCED BY OTHER INCOME BENEFITS, UP TO A MAXIMUM OF $2,500 PER MONTH. PARTICIPANTS MAY ELECT TO "BUY-UP" A HIGHER PERCENTAGE OF BENEFITS, UP TO A MAXIMUM OF 66-2/3%. THE BENEFIT PERIOD false false 4808 0 0 ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES (THE "COMPANY") ESTABLISHED THE ATLANTIC CITY MEDICAL CENTER GROUP LONG-TERM DISABILITY PLAN ("PLAN"), A DEFINED WELFARE BENEFIT PLAN, TO PROVIDE LONG-TERM DISABILITY BENEFITS FOR EMPLOYEES OF THE COMPANY, AS DEFINED IN THE PLAN. THE PLAN IS A SELF-INSURED PLAN AND CLAIMS ARE PAID THROUGH GENERAL ASSETS OF THE PLAN AND/OR THROUGH THE EMPLOYEE BENEFIT TRUST [AKA THE ATLANTIC CITY MEDICAL CENTER EMPLOYEE BENEFIT TRUST] (THE "TRUST"). ELIGIBILITY REQUIREMENTS FOR PARTICIPATION IN THE PLAN ARE: ALL REGULAR FULL-TIME EMPLOYEES WORKING 40 HOURS PER WEEK ARE ELIGIBLE FOR COVERAGE ON THE FIRST DAY ACTIVELY AT WORK COINCIDING WITH OR FOLLOWING 12 MONTHS OF CONTINUOUS EMPLOYMENT. BENEFIT PAYMENTS ARE MADE BASED ON 50% OF MONTHLY EARNINGS AT TIME OF TOTAL DISABILITY, REDUCED BY OTHER INCOME BENEFITS, UP TO A MAXIMUM OF $2,500 PER MONTH. PARTICIPANTS MAY ELECT TO "BUY-UP" A HIGHER PERCENTAGE OF BENEFITS, UP TO A MAXIMUM OF 66-2/3%. THE BENEFIT PERIOD VARIES BASED ON AGE OF EMPLOYEE ON THE DATE TOTAL DISABILITY BEGINS, AS FURTHER DEFINED IN THE PLAN DOCUMENT. THE PLAN IS FUNDED PRIMARILY BY EMPLOYER CONTRIBUTIONS AND NOMINAL EMPLOYEE CONTRIBUTIONS FOR THOSE WHO ELECTED BUY-UP COVERAGE. SUCH CONTRIBUTIONS ARE RECORDED ON A CASH BASIS. THE COMPANY PLANS AND HAS THE ABILITY TO MAKE CONTRIBUTIONS WHICH ARE SUFFICIENT TO MEET THE CURRENT AND FUTURE COST OF THE PLAN. THE ASSETS OF THE PLAN, TOGETHER WITH THE EARNINGS ON THE CASH AND CASH EQUIVALENTS, ARE HELD IN A TRUST FUND AND ARE USED TO PROVIDE BENEFITS TO THE COVERED PARTICIPANTS. THE TRUST FUND IS ADMINISTERED BY NATIONAL RISK MANAGEMENT AND FUNDS ARE MAINTAINED IN CASH AND CASH EQUIVALENTS ACCOUNTS AT PNC BANK (THE "TRUSTEE"), UNDER AN AGREEMENT WITH THE COMPANY. 4808 false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false true 0 0 0 false false false false false false false false false false false false X 1 1 false true false false false false false true true false false true false false false false X HAK J KIM 6095697031 2500 ENGLISH CREEK AVE EGG HARBOR TWP NJ 08234 X ATLANTICARE HEALTH SYSTEM INC TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false 0 0 0 72050 0 72050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72050 0 72050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE FEES 4808 4808 4808 4808 0 0 0 0 1443474 1510716 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1443474 1510716 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1443474 1510716 0 0 1443474 1510716 1443474 1510716 67242 X X false false false CORE FORM, PART VI, SECTION A; QUESTION 3 PURSUANT TO A MANAGEMENT SERVICES AGREEMENT, THE ORGANIZATION HAS ENGAGED THE HARTFORD, ITS THIRD PARTY ADMINISTRATOR, TO MANAGE ITS DAY TO DAY AFFAIRS AND ACTIVITIES. CORE FORM, PART VI, SECTION A; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO ITS BOARD MEMBER FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). ATLANTICARE HEALTH SYSTEM, INC., THE ORGANIZATION'S TRUSTEE AND PLAN SPONSOR, HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH ATLANTICARE HEALTH SYSTEM, INC.'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO ATLANTICARE HEALTH SYSTEM, INC.'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. ATLANTICARE HEALTH SYSTEM, INC.'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO ATLANTICARE HEALTH SYSTEM, INC.'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO THE ORGANIZATION'S BOARD MEMBER AND FILING WITH THE IRS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVE EGG HARBOR TWP NJ 08234 223265213 SUPPORT NJ 501(C)(3) 12A NA false false false false false false false false false false false false false false false false false false false false