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
-
Support various capital campaigns.
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.
-
501(c)(3) · Healthcare · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Atlantic Ambulance Corporation
501(c)(3) · Healthcare Transportation · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Human Health Through AHS Hospital Corp · NJ
-
Newton Medical Center Foundation
501(c)(3) · Administers donations, grants and bequests and performs fundraising. · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Provides home health and other healthcare services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
North Jersey Health Care Properties Inc
501(c)(2) · Owns commercial buildings and conducts leasing activities · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Practice Associates Medical Group
501(c)(3) · Physician Services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Chilton Medical Center Auxiliary Inc
501(c)(3) · Support Charitable Exempt Programs and Services of Medical Center · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Foundation for Morristown Medical Center
501(c)(3) · Fundraising for exempt organization · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
501(c)(2) · Real Estate and Leasing Activities for the Benefit of Exempt Organization · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Foundation for Hackettstown Medical Center
501(c)(3) · Support Charitable Exempt Programs and Services of Medical Center · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Support Charitable Exempt Programs and Services of Medical Center · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Hackettstown Reg Medical Ctr Emergency Medical Services Inc
501(c)(3) · Support Charitable Exempt Programs and Services of Medical Center · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Adult Day Center of the Visiting Nurse Association of Somerset County
501(c)(3) · Home health services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Visting Nurse Association of Somerset Hills Community Health Services Inc
501(c)(3) · Home health services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Visiting Nurse Assoc of Somerset Hills Home Health and Hospice ServicesInc
501(c)(3) · Home health and hospice services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Visting Nurse Association of Somerset Hills Inc
501(c)(3) · Home health services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Health Services · NJ
Directly controlled by Atlantic Health System Inc
-
CentraState Assisted Living Inc
501(c)(3) · Health Services · NJ
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Health Services · NJ
Directly controlled by Atlantic Health System Inc
-
CentraState Healthcare System Inc
501(c)(3) · Management · NJ
Directly controlled by Atlantic Health System Inc
-
CentraState Healthcare Foundation Inc
501(c)(3) · Fundraising · NJ
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Health Services · NJ
Directly controlled by Atlantic Health System Inc
-
Chambers Center for Well Being LLC
501(c)(3) · Health Services · NJ
Directly controlled by Atlantic Health System Inc
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
-
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
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