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Nonprofiteer
← ATLANTIC CITY MEDICAL CENTER EMPLOYEE BENEFIT TRUST

Form 990 for tax year 2022

Filed by ATLANTIC CITY MEDICAL CENTER EMPLOYEE BENEFIT TRUST.

Totals

Total revenue
$21,977
Total expenses
$4,807
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$21,977
Other revenue
$0
Total assets, end of year
$1,443,474
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$1,443,474
Program services expenses (Part IX)
$4,807
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$4,807

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $21,977 · unrelated business $0 · excluded $21,977

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: ADMINISTRATIVE FEES

    total $4,807 · program services $4,807

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $1,426,304 · end of year $1,443,474

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $1,426,304 · end of year $1,443,474

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

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

Activities or mission (Part I)

TO PROVIDE LONG-TERM DISABILITY BENEFITS FOR EMPLOYEES OF ATLANTIC CITY MEDICAL CENTER, AS DEFINED IN THE PLAN.

  • 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.

    Expenses $4,807

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Atlanticare Health System Inc

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202323139349305042

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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