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Nonprofiteer
← CHILTON MEMORIAL HOSPITAL FOUNDATION INC

Form 990 for tax year 2023

Filed by CHILTON MEMORIAL HOSPITAL FOUNDATION INC.

Totals

Total revenue
$1,714,555
Total expenses
$894,126
Contributions and grants received
$1,298,093
Grants paid
$314,166
Program service revenue
$0
Investment income
$458,707
Other revenue
-$42,245
Total assets, end of year
$17,546,638
Total liabilities, end of year
$900,257
Net assets or fund balances, end of year
$16,646,381
Program services expenses (Part IX)
$314,166
Management and general expenses
$61,375
Fundraising expenses
$518,585
Program service expenses (Part III)
$314,166

Program services were 35.1% 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.

  • 1c · Fundraising events

    $194,094

  • 1d · Related organizations

    $98,645

  • 1f · All other contributions, gifts and grants

    $1,005,354

  • 1g · Noncash contributions included above

    $39,020

  • 3 · Investment income

    total $335,958 · excluded $335,958

  • 7a · Gross sales of assets other than inventory

    securities $1,774,004

  • 7b · Less cost or other basis and sales expenses

    securities $1,651,255

  • 7c · Gain or loss

    securities $122,749

  • 7d · Net gain or loss

    total $122,749 · excluded $122,749

  • 8a · Fundraising events: gross income

    $171,565

  • 8a · Fundraising events: contributions included on line 1c

    $194,094

  • 8b · Fundraising events: direct expenses

    $222,090

  • 8c · Net income from fundraising events

    total -$50,525 · excluded -$50,525

  • 9a · Gaming: gross income

    $16,500

  • 9b · Gaming: direct expenses

    $8,220

  • 9c · Net income from gaming

    total $8,280 · excluded $8,280

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $314,166 · program services $314,166

  • 11a · Fees: management

    total $24,000 · management and general $2,640 · fundraising $21,360

  • 11e · Fees: professional fundraising services

    total $22,000 · fundraising $22,000

  • 11f · Fees: investment management

    total $56,347 · management and general $6,198 · fundraising $50,149

  • 11g · Fees: other

    total $1,417 · management and general $156 · fundraising $1,261

  • 13 · Office expenses

    total $9,967 · management and general $1,096 · fundraising $8,871

  • 16 · Occupancy

    total $27,564 · management and general $3,032 · fundraising $24,532

  • 17 · Travel

    total $261 · management and general $29 · fundraising $232

  • 19 · Conferences, conventions and meetings

    total $5,628 · management and general $619 · fundraising $5,009

  • 24a · Other expenses: Personnel Cost Alloc.

    total $432,586 · management and general $47,584 · fundraising $385,002

  • 24b · Other expenses: Dues and Subscriptions

    total $190 · management and general $21 · fundraising $169

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $2,827,546 · end of year $2,843,972

  • 3 · Pledges and grants receivable

    beginning of year $414,980 · end of year $735,867

  • 10a · Land, buildings and equipment: cost or other basis

    $19,030

  • 10b · Land, buildings and equipment: accumulated depreciation

    $19,030

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $12,214,543 · end of year $13,966,799

  • 17 · Accounts payable and accrued expenses

    beginning of year $84,879 · end of year $83,263

  • 25 · Other liabilities

    beginning of year $959,045 · end of year $816,994

  • 27 · Net assets without donor restrictions

    beginning of year $7,897,429 · end of year $9,439,489

  • 28 · Net assets with donor restrictions

    beginning of year $6,515,716 · end of year $7,206,892

Mission and programs · 2023

Mission

Chilton Medical Center Foundation is solely dedicated to supporting the capital needs of Chilton Medical Center and its family of affiliates. Much like our founding benefactors, the Foundation raises money to enhance the quality of health care available to those we serve - funding clinical services, state-of-the-art technology, facility construction and modernizations, outreach initiatives and other vital programs. A 501(c)(3) non-profit organization, the Foundation is led by a volunteer Board of Trustees that oversees the use of philanthropic donations and directs the organization in partnership with the hospital and representatives of our community.

Activities or mission (Part I)

See Schedule O

  • Expenses incurred in supporting the charitable purposes, programs and services of Chilton Medical Center, a related Internal Revenue Code Section 501(c)(3) tax-exempt organization, which provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay.

    Expenses $314,166 · Grants $314,166

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Andrew Lucchesi

    Trustee-Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Anthony Christiano

    Trustee-Vice Chairman I

    Total calculated
    $0
    Hours/week
    2

  • Benson Chapman

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Brian Donnelly

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Christopher Lobaito MD

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Craig Montanaro

    Trustee-Chairman

    Total calculated
    $0
    Hours/week
    2

  • Douglas I Schwartz CPACFF

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Frank Scanarella

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • George Wolfson

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Steven Kass

    Advisory Board Chair

    Total calculated
    $0
    Hours/week
    2

  • John Prol

    Trustee-Secretary

    Total calculated
    $0
    Hours/week
    2

  • Karen Garrera

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Linda Husti

    Trustee-Vice Chairman II

    Total calculated
    $0
    Hours/week
    2

  • Megan Sandow

    Chief Dev Officer

    Total calculated
    $334,961
    From this org
    $0
    From related orgs
    $304,606
    Other
    $30,355
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,201 related
    Bonus
    $0 + $38,092 related
    Other
    $0 + $2,313 related
    Deferred
    $0 + $12,317 related
    Nontaxable benefits
    $0 + $18,038 related
    Filer's total
    $0 + $334,961 related

  • Margaret Nolan BSN LNHA

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Patrick Mallory

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Richard Grosso

    Trustee - Chairman I

    Total calculated
    $0
    Hours/week
    2

  • Thomas Shara

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Maureen Schneider

    Trustee-Pres Chilton Med Ctr

    Total calculated
    $1,070,413
    From this org
    $0
    From related orgs
    $949,148
    Other
    $121,265
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $525,334 related
    Bonus
    $0 + $334,513 related
    Other
    $0 + $89,301 related
    Deferred
    $0 + $120,822 related
    Nontaxable benefits
    $0 + $443 related
    Filer's total
    $0 + $1,070,413 related

  • Douglas Cook

    Trustee

    Total calculated
    $353,807
    From this org
    $0
    From related orgs
    $322,144
    Other
    $31,663
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $276,293 related
    Bonus
    $0 + $44,512 related
    Other
    $0 + $1,339 related
    Deferred
    $0 + $22,313 related
    Nontaxable benefits
    $0 + $9,350 related
    Filer's total
    $0 + $353,807 related

  • Thomas Delleart

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Phillip Devadan MD

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Mitchell Leibowitz

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Christopher Hubbard MD

    Trustee

    Total calculated
    $584,832
    From this org
    $0
    From related orgs
    $548,065
    Other
    $36,767
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $545,842 related
    Bonus
    $0
    Other
    $0 + $2,223 related
    Deferred
    $0 + $18,564 related
    Nontaxable benefits
    $0 + $18,203 related
    Filer's total
    $0 + $584,832 related

  • Joan Walker

    Trustee-Aux President

    Total calculated
    $0
    Hours/week
    2

  • Rob Ward

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Michael Walter

    SVP-Chief Financial Office

    Total calculated
    $1,108,761
    From this org
    $0
    From related orgs
    $971,184
    Other
    $137,577
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $879,991 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $16,193 related
    Deferred
    $0 + $119,777 related
    Nontaxable benefits
    $0 + $17,800 related
    Filer's total
    $0 + $1,108,761 related

  • Kevin Lenahan

    EVP-Chief Business & Strat

    Total calculated
    $7,161,469
    From this org
    $0
    From related orgs
    $6,754,515
    Other
    $406,954
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,347,725 related
    Bonus
    $0 + $992,992 related
    Other
    $0 + $4,413,798 related
    Deferred
    $0 + $393,574 related
    Nontaxable benefits
    $0 + $13,380 related
    Filer's total
    $0 + $7,161,469 related

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 4b
2023 Supplemental Executive Retirement Plan (SERP) Earned Credits Atlantic Health implemented a non-qualified Supplemental Executive Retirement Plan (SERP) paid entirely by Atlantic Health System. The SERP is provided to individuals that hold an executive position with Atlantic Health System. The SERP is in addition to benefits provided under the Atlantic Health System 403(b) and the Cash Balance plan if hired prior to December 15, 2013. During 2023, the following Trustees received SERP credits: Maureen Schneider $104,162 Michael Walter 117,061 Kevin Lenahan 357,274 The above amounts represent earned credits which have not vested and were not included in the respective 2023 W-2 compensation. However, the earned credits were included as Other Compensation in Column (F) of Part VII and in Schedule J, Column (C) of the 2023 IRS 990 tax return per IRS guidance. Once the Trustee meets the applicable vesting criteria of the plan, the SERP credits will be included as taxable compensation in the respective Form W-2 of that year. 2023 Supplemental Executive Retirement Plan (SERP)Taxable Distributions The following Trustee received taxable SERP distributions during 2023 based on the vesting criteria of the plan document. These taxable SERP distributions were included in the Trustee's 2023 W-2 and reported in Other Reportable Compensation in Schedule J (Sch J, (B)(ii))of the this IRS 990: Maureen Schneider $73,518 2023 Mid Career Hire Plan The organization provides a supplemental non-qualified retirement plan (457f plan) known as the Mid-Career Hire Plan (MCHP) for certain officers and key employees. During 2023, the following officer/key employee received vested distributions in this non-qualified retirement plan. Such distributions were included in Box 1, Box 5 and Box 16 of their respective Form W-2: Kevin Lenahan $4,372,618 The Mid Career Hire Plan was terminated effective January 1, 2023. Any existing participants were transferred at that time into the Supplmental Exectiuve Retirement Plan (SERP) as outlined above.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants 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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Morristown Medical Investors

    Real Estate · NJ

  • Primary Care Partners LLC

    Physician Services · NJ

  • Atlantic Rehabilittation Institute LLC

    Rehabilitation Facility · NJ

  • Atlantic Health Partners LLC

    Physician Services · NJ

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Atlantic Health Management Corp and Subsidiaries

    C · Healthcare · NJ

  • AHS Insurance Company LTD

    C · Insurance · NJ

  • Nutley Medical Care PA

    C · Healthcare · NJ

  • Non-Invasive Diagnostics PA

    C · Healthcare · NJ

  • Specialty Care of Practice Associates PA

    C · Healthcare · NJ

  • Maternal Fetal Medicine of Practice Associates PA

    C · Healthcare · NJ

  • Madison Pediatrics PA

    C · Healthcare · NJ

  • AHS ACO LLC

    C · Physician Practice · NJ

  • The Northwest New Jersey MedicalAlliance PC

    C · Healthcare Services · NJ

  • The Northwest New Jersey Urgent Care Alliance PC

    C · Healthcare Services · NJ

  • Chilton Community Care Inc and Subs

    C · Healthcare · NJ

  • Atlantic Advanced Urgent Care LLC

    C · Healthcare · NJ

  • Care Better ACO LLC

    C · Physician Practice · NJ

  • Atlantic Executive Health PA

    C · Physician Practice · NJ

  • AHS Health Network LLC

    C · Physician Practice · NJ

  • Atlantic Health ACO LLC

    C · Physician Practice · NJ

  • Tertiary Care Specialists of Practice Associates PA

    C · Physician Practice · NJ

  • Visiting Nurse Association of Somerset Hills Office Park Condominium

    C · Home health services · NJ

  • Ancillary Specialists of Practice Assoc

    C · Physician Practice · NJ

  • Functional Medicine of Practice Associates PA

    C · Physician Practice · NJ

  • Atlantic Urgent Care LLC

    C · Healthcare Services · NJ

  • CentraState Healthcare Services Inc

    C · Health Services · NJ

    Directly controlled by Atlantic Heatlh System Inc

  • CentraState Medical Associates PC

    C · Health Services · NJ

    Directly controlled by Atlantic Heatlh System Inc

  • CentraState Specialists PC

    C · Health Services · NJ

    Directly controlled by Atlantic Heatlh System Inc

  • CentraState Captive Insurance Co LTD

    Health Services · CJ

    Directly controlled by Atlantic Heatlh System Inc

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202443189349308839

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