Skip to content
Nonprofiteer
← CHILTON MEMORIAL HOSPITAL FOUNDATION INC

Form 990 for tax year 2022

Filed by CHILTON MEMORIAL HOSPITAL FOUNDATION INC.

Totals

Total revenue
$1,463,981
Total expenses
$3,479,021
Contributions and grants received
$879,313
Grants paid
$2,881,860
Program service revenue
$0
Investment income
$610,869
Other revenue
-$26,201
Total assets, end of year
$15,457,069
Total liabilities, end of year
$1,043,924
Net assets or fund balances, end of year
$14,413,145
Program services expenses (Part IX)
$2,881,860
Management and general expenses
$60,611
Fundraising expenses
$536,550
Program service expenses (Part III)
$2,881,860

Program services were 82.8% 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

    $248,690

  • 1d · Related organizations

    $108,295

  • 1f · All other contributions, gifts and grants

    $522,328

  • 1g · Noncash contributions included above

    $31,821

  • 3 · Investment income

    total $312,057 · excluded $312,057

  • 7a · Gross sales of assets other than inventory

    securities $5,593,067

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

    securities $5,294,255

  • 7c · Gain or loss

    securities $298,812

  • 7d · Net gain or loss

    total $298,812 · excluded $298,812

  • 8a · Fundraising events: gross income

    $160,983

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

    $248,690

  • 8b · Fundraising events: direct expenses

    $200,384

  • 8c · Net income from fundraising events

    total -$39,401 · excluded -$39,401

  • 9a · Gaming: gross income

    $26,400

  • 9b · Gaming: direct expenses

    $13,200

  • 9c · Net income from gaming

    total $13,200 · excluded $13,200

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,881,860 · program services $2,881,860

  • 11a · Fees: management

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

  • 11e · Fees: professional fundraising services

    total $46,147 · fundraising $46,147

  • 11f · Fees: investment management

    total $69,001 · management and general $7,590 · fundraising $61,411

  • 11g · Fees: other

    total $23,449 · management and general $2,579 · fundraising $20,870

  • 13 · Office expenses

    total $13,602 · management and general $1,496 · fundraising $12,106

  • 16 · Occupancy

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

  • 19 · Conferences, conventions and meetings

    total $21,151 · management and general $2,327 · fundraising $18,824

  • 24a · Other expenses: Personnel Cost Alloc.

    total $371,792 · management and general $40,897 · fundraising $330,895

  • 24b · Other expenses: Dues and Subscriptions

    total $455 · management and general $50 · fundraising $405

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $2,021,364 · end of year $2,519,125

  • 3 · Pledges and grants receivable

    beginning of year $695,519 · end of year $414,980

  • 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 $17,651,190 · end of year $12,522,964

  • 17 · Accounts payable and accrued expenses

    beginning of year $80,941 · end of year $84,879

  • 25 · Other liabilities

    beginning of year $589,925 · end of year $959,045

  • 27 · Net assets without donor restrictions

    beginning of year $10,621,063 · end of year $7,897,429

  • 28 · Net assets with donor restrictions

    beginning of year $9,076,144 · end of year $6,515,716

Mission and programs · 2022

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 $2,881,860 · Grants $2,881,860

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

Listed in Part VII

  • Aaron Van Duyne III

    Trustee-Adv.Board Chair

    Total calculated
    $0
    Hours/week
    2
  • 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
  • Diane Markley

    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
  • Gary Drillings MD

    Trustee

    Total calculated
    $0
    Hours/week
    2
  • George Wolfson

    Trustee

    Total calculated
    $0
    Hours/week
    2
  • Joan Beloff

    Chief Dev Officer-Trustee

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • 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
  • Lynn Feldman

    Trustee

    Total calculated
    $0
    Hours/week
    2
  • 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

    Total calculated
    $700,627
    From this org
    $0
    From related orgs
    $612,652
    Other
    $87,975
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $477,823 related
    Bonus
    $0 + $109,714 related
    Other
    $0 + $25,115 related
    Deferred
    $0 + $87,276 related
    Nontaxable benefits
    $0 + $699 related
    Filer's total
    $0 + $700,627 related
  • Douglas Cook

    Trustee

    Total calculated
    $290,379
    From this org
    $0
    From related orgs
    $261,997
    Other
    $28,382
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,697 related
    Bonus
    $0 + $3,670 related
    Other
    $0 + $630 related
    Deferred
    $0 + $18,088 related
    Nontaxable benefits
    $0 + $10,294 related
    Filer's total
    $0 + $290,379 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
    $584,657
    From this org
    $0
    From related orgs
    $545,839
    Other
    $38,818
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $541,023 related
    Bonus
    $0 + $100 related
    Other
    $0 + $4,716 related
    Deferred
    $0 + $15,605 related
    Nontaxable benefits
    $0 + $23,213 related
    Filer's total
    $0 + $584,657 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 Officer

    Total calculated
    $292,478
    From this org
    $0
    From related orgs
    $255,292
    Other
    $37,186
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $205,292 related
    Bonus
    $0 + $50,000 related
    Other
    $0
    Deferred
    $0 + $33,750 related
    Nontaxable benefits
    $0 + $3,436 related
    Filer's total
    $0 + $292,478 related
  • Kevin Lenahan

    EVP-Chief Business & Strategy Officer

    Total calculated
    $6,049,032
    From this org
    $0
    From related orgs
    $4,617,182
    Other
    $1,431,850
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,266,037 related
    Bonus
    $0 + $752,083 related
    Other
    $0 + $2,599,062 related
    Deferred
    $0 + $1,415,320 related
    Nontaxable benefits
    $0 + $16,530 related
    Filer's total
    $0 + $6,049,032 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
2022 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 2022, the following Trustees received SERP credits: Maureen Schneider $73,518 Michael Walter 33,750 The above amounts represent earned credits which have not vested and were not included in the respective 2022 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 2022 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. 2022 Supplemental Executive Retirement Plan (SERP)Taxable Distributions There were no SERP distribution made druing 2022 to any CMCF Trustees or Officers. Part I, Line 4b: 2022 Mid Career Hire Plan Earned Credits The following Officer/trustee/key employee earned credits in the non-qualified retirement plan-457(f) plan known as the Mid-Career Hire Plan (MCHP): Kevin Lenahan $1,387,870 The above amount represents earned credits which have not vested and were not included in the respective 2022 W-2 compensation. However, the earned credits were included as Other Compensation in Column (F) of Part VII and as Deferred Compensation in Column (C) of Part II, Schedule J of the 2022 IRS 990 tax return per IRS guidance. Once the officer meets the applicable vesting criteria of the plan, the MCHP credits will be included as taxable compensation in their respective W-2's of that year. 2022 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 2022, 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 $2,578,814 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
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202333179349304088

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.