Skip to content
Nonprofiteer
← FOUNDATION FOR HACKETTSTOWN MEDICAL CENTER

Form 990 for tax year 2023

Filed by FOUNDATION FOR HACKETTSTOWN MEDICAL CENTER.

Totals

Total revenue
$436,211
Total expenses
$404,307
Contributions and grants received
$375,927
Grants paid
$78,348
Program service revenue
$0
Investment income
$99,204
Other revenue
-$38,920
Total assets, end of year
$3,847,403
Total liabilities, end of year
$130,434
Net assets or fund balances, end of year
$3,716,969
Program services expenses (Part IX)
$78,348
Management and general expenses
$155,045
Fundraising expenses
$170,914
Program service expenses (Part III)
$78,348

Program services were 19.4% 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

    $220,624

  • 1f · All other contributions, gifts and grants

    $155,303

  • 3 · Investment income

    total $92,493 · excluded $92,493

  • 7a · Gross sales of assets other than inventory

    securities $6,711

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

    securities $0

  • 7c · Gain or loss

    securities $6,711

  • 7d · Net gain or loss

    total $6,711 · excluded $6,711

  • 8a · Fundraising events: gross income

    $13,400

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

    $220,624

  • 8b · Fundraising events: direct expenses

    $56,370

  • 8c · Net income from fundraising events

    total -$42,970 · excluded -$42,970

  • 9a · Gaming: gross income

    $6,925

  • 9b · Gaming: direct expenses

    $2,875

  • 9c · Net income from gaming

    total $4,050 · excluded $4,050

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $78,348 · program services $78,348

  • 7 · Other salaries and wages

    total $238,436 · management and general $121,440 · fundraising $116,996

  • 9 · Other employee benefits

    total $58,584 · management and general $21,276 · fundraising $37,308

  • 11f · Fees: investment management

    total $4,021 · management and general $4,021

  • 11g · Fees: other

    total $2,955 · management and general $2,955

  • 12 · Advertising and promotion

    total $680 · fundraising $680

  • 13 · Office expenses

    total $6,057 · management and general $3,281 · fundraising $2,776

  • 14 · Information technology

    total $13,154 · fundraising $13,154

  • 24a · Other expenses: Auxiliary Expenses

    total $2,072 · management and general $2,072

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $400,032 · end of year $459,287

  • 2 · Savings and temporary cash investments

    beginning of year $3,314,281 · end of year $260,720

  • 4 · Accounts receivable

    beginning of year $31,177 · end of year $7,907

  • 11 · Investments: publicly traded securities

    end of year $3,119,489

  • 17 · Accounts payable and accrued expenses

    beginning of year $442 · end of year $116

  • 19 · Deferred revenue

    beginning of year $2,250 · end of year $1,500

  • 25 · Other liabilities

    beginning of year $27,860 · end of year $128,818

  • 27 · Net assets without donor restrictions

    beginning of year $768,917 · end of year $800,891

  • 28 · Net assets with donor restrictions

    beginning of year $2,946,021 · end of year $2,916,078

Mission and programs · 2023

Mission

Refer to Schedule O

Activities or mission (Part I)

To serve the philanthropic needs for the Hackettstown Medical Center.

  • Foundation for Hackettstown Medical Center transfers funds to Hackettstown Medical Center (the "Hospital") to support the Hospital and the community it serves. Transfers include payments on various capital campaigns supporting capital projects of the Hospital as well as donations made for a specific purpose benefiting various areas of the Hospital.

    Expenses $7,044 · Grants $7,044

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $53,056 · Grants $53,506

  • Board approved funding to Hacketstown Medical Center for a Mobility Aid. This is an early mobilization project that addresses patients needs to be mobile during their hospital stay, contribution to a positive impact on morbidity, mortality, an unnecessary legal lengths of stay.

    Expenses $18,248 · Grants $18,248

As filed on the 2023 return. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Robert Adams Jr

    President, Western Region

    Total calculated
    $1,235,422
    From this org
    $0
    From related orgs
    $1,088,433
    Other
    $146,989
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,002 related
    Bonus
    $0 + $353,445 related
    Other
    $0 + $159,986 related
    Deferred
    $0 + $129,108 related
    Nontaxable benefits
    $0 + $17,881 related
    Filer's total
    $0 + $1,235,422 related

  • Megan Sandow

    Chief Development 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

  • Eric Cross

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Janen Ardia

    Trustee- Chair

    Total calculated
    $0
    Hours/week
    2

  • Judy Arnold

    Auxiliary Rep

    Total calculated
    $0
    Hours/week
    2

  • John H Johnson

    Trustee-Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • Gregory W Stewart

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Mattar Mattar

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Michael S Selvaggi Esq

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Norman Worth

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Peter Olivieri

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Tom R Dartnell

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Virginia Mahoney

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Fawaz Nesheiwat DPM DAPFAS

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Kishore Ballal

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Robert Wanamaker

    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. Robert Adams, Jr. $113,790 Michael Walter 117,061 Kevin Lenahan 357,274 The above amounts represent earned credits which have not vested and were not included in theor respective 2023 W-2's compensation. However, the earned credit was 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 Trustees meet the applicable vesting criteria of the plan, the SERP credits will be included as taxable compensation in their 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: Robert Adams $153,967 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 Rehabilitation 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 · Health · 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 MedicalSurgical Alliance 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 Heatlh 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 Assoc

    C · Physician Practice · NJ

  • Altantic Urgent Care LLC

    C · Physician Practice · NJ

  • CentraState Healthcare Services Inc

    C · Heatlh Services · NJ

    Directly controlled by Atlantic Health System Inc

  • CentraState Medical Associates PC

    C · Health Services · NJ

    Directly controlled by Atlantic Health System Inc

  • CentraState Speciailists PC

    C · Health Services · NJ

    Directly controlled by Atlantic Health System Inc

  • CentraState Captive Insurance Co LTD

    Health Services · CJ

    Directly controlled by Atlantic Health System Inc

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202413189349309376

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

The source document this was parsed from is served over the API, which is where bulk and document access live.