Form 990 for tax year 2022
Filed by CHAMBERS CENTER FOR WELL-BEING LLC.
Totals
- Total revenue
- $902,752
- Total expenses
- $2,221,052
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $1,842,362
- Management and general expenses
- $376,025
- Fundraising expenses
- $2,665
- Program service expenses (Part III)
- $1,842,362
Program services were 82.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Brian Gragnolati
President & CEO
- Total calculated
- $7,028,324
- From this org
- $0
- From related orgs
- $5,942,931
- Other
- $1,085,393
- Hours/week
- 2 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $2,744,023 related
- Bonus
- $0 + $2,437,600 related
- Other
- $0 + $761,308 related
- Deferred
- $0 + $1,068,675 related
- Nontaxable benefits
- $0 + $16,718 related
- Filer's total
- $0 + $7,028,324 related
-
Nichell Sumpter
EVP-Chief Administrative O
- Total calculated
- $1,861,489
- From this org
- $0
- From related orgs
- $1,650,538
- Other
- $210,951
- Hours/week
- 2 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $768,201 related
- Bonus
- $0 + $757,596 related
- Other
- $0 + $124,741 related
- Deferred
- $0 + $194,240 related
- Nontaxable benefits
- $0 + $16,711 related
- Filer's total
- $0 + $1,861,489 related
-
Cristin Cooney
Director-Workforce Wellbei
- Total calculated
- $113,426
- From this org
- $0
- From related orgs
- $113,426
- Other
- $0
- Hours/week
- 2 + 55 related
-
Christopher Zipp DO
Trustee
- Total calculated
- $615,063
- From this org
- $0
- From related orgs
- $573,458
- Other
- $41,605
- Hours/week
- 2 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $480,052 related
- Bonus
- $0 + $92,440 related
- Other
- $0 + $966 related
- Deferred
- $0 + $21,350 related
- Nontaxable benefits
- $0 + $20,255 related
- Filer's total
- $0 + $615,063 related
-
Michael Walter
SVP-Chief Financial Officer
- Total calculated
- $292,528
- From this org
- $0
- From related orgs
- $255,292
- Other
- $37,236
- 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 + $3,486 related
- Filer's total
- $0 + $292,528 related
-
Kevin Lenahan
EVP-Chief Business & Strategy Officer
- Total calculated
- $2,349,032
- From this org
- $0
- From related orgs
- $917,182
- Other
- $1,431,850
- Hours/week
- 2 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $266,037 related
- Bonus
- $0 + $52,083 related
- Other
- $0 + $599,062 related
- Deferred
- $0 + $1,415,320 related
- Nontaxable benefits
- $0 + $16,530 related
- Filer's total
- $0 + $2,349,032 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 — 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 During 2022, Atlantic Health System implemented a non-qualified 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: Brian Gragnolati $1,051,602 Nichell Sumpter 185,390 Michael Walter 33,750 The above amounts represent earned credits which have not vested and were not included in their respective 2022 Form W-2's 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 Form 990 per Internal Revenue Service guidance. Once the Trustees meet the applicable vesting criteria of the plan, the SERP credits will be included as taxable compensation in their respective Forms W-2's of that year. 2022 Supplemental Executive Retirement Plan (SERP)Taxable Distributions The following Trustees received taxable SERP distributions during 2022 based on their vesting criteria of the plan document. These taxable SERP distributions were included in the respective 2022 W-2's and is reported in Other Reportable Compensation in Schedule J (Sch J, (B)(ii)) of this IRS 990: Brian Gragnolati $690,901 Nichell Sumpter 110,079 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
No itemized grants to organizations 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.
-
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 Assoc of Somerset County
501(c)(3) · Home health services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Visting Nurse Assoc of Somerset Hills Comm Health Serv Inc
501(c)(3) · Home health services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Visiting Nurse Assoc of Somerset Hills Home Hlth &Hosp Serv Inc
501(c)(3) · Home health and hospice services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
Visting Nurse Assoc 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 · controlled entity
Directly controlled by Atlantic Health System Inc
-
CentraState Assisted Living Inc
501(c)(3) · Health Services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Health Services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
CentraState Healthcare System Inc
501(c)(3) · Management · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
CentraState Healthcare Foundation Inc
501(c)(3) · Fundrasing · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
-
501(c)(3) · Healthcare Services · NJ · controlled entity
Directly controlled by Atlantic Health System Inc
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313179349304031
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