Atlantic Health System

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01/01/2017

01/01/2016 03/06/2015 03/17/2014 05/01/2012 10/19/2009 11/08/2004

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System, Inc. ~("Atlantic Health System") jjfqc11t>1 ~~fi>'ltl.;:i ~~~~~ JITcf~~ 311q1c1cfilc-fto1 Jtt"{ filf.l,ctfll4 ~-crt~ ~fem=~ a<tslitfllif ~~cfira~I

~ ~ ~ 3ft" Atlantic Health System jjfqc11t>1 tR' rfTil'I. ~,~~~~Morristown

Medical Center, Overlook Medical Center, Chilton Medical Center, Newton Medical Center,

Hackettstown Medical Center, Jtt"{- Atlantic Rehabilitation Institute, ~ ~ ~ 3ft" Atlantic

Health System ~~~ti,~ 42 C.F.R. 413 .65 t" Jr.IBR~* Jnm{G"{~~mrr ..3

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C. Atlantic Health System~ F AP, ~ n=?lll '8t;lllcii c);-~ ~ q;r 3tt{ .3tRTTa1" 3=JTllIT ti' llRt~r (Plain Language Summary) ("PLS") ~ iffiJ fa!ta::;:r aiil,(-11$<'.. ~ ::tllcrlt>ll$ai .., ~ t: http://www.atlantichealth.org/financialassistance

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fikd),g <ti13fl@a, ctiFt-Odl.J (Financia l Counseling Offices}:

Morristown Medical Center: 100 Madison Avenue, Morristown, New Jersey 07960,

Financial Counseling Office, q;);;, # 973-971-8964

Overlook Medical Center: 99 Beauvoir Avenue, Summit, New Jersey 07901, Financial

Counseling Office, m # 908-522-4689

Chilton Medical Center: 97 West Parkway, Pompton Plains, New Jersey 07444,

Financial Counseling Office, m # 973-831-5113

Newton Medical Center: 175 High Street, Newton, New Jersey 07860, Financial

Counseling Office, torai # 973-579-8407

Hackettstown Medical Center: 651 Willow Grove Street, Hackettstown, New Jersey

07840, Financial Counseling Office, tmif # 908-850-6902

Atlantic Rehabilitation Institute: 100 Madison Avenue, Morristown, New Jersey

07960, Financial Counseling Office, tmif # 973-971-8964.

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Morristown Medical Center: 26.3% Overlook Medical Center: 26.6%

Chilton Medical Center: 21.7% Newton Medical Center: 14.4%

Hackettstown Medical Center 12.6% Atlantic Rehabilitation Institute: 40.5%

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Jffi!rnfa!t<m"; N.J.S.A. 26:2H-12.52; N.J.A.C. 10:52

fFro:I .tlao-il<>1ll (Brian Gragnolati), ~/CEO

Atlantic Health System, Inc.

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Atlantic Health System, Inc. ("Atlantic Health System")~ .ae;F!.frll ~ ("FAP") Atlantic

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