2024-11-13T15:29:07-06:00 2023-12-31 346565596 Ernst & Young US LLP 1 Manhattan West New York NY 10001 990 2023-01-01 223084817 Chilton Medical Center Foundation Inc CHIL 9734512077 97 West Parkway Pompton Plains NJ 07444 Michael Walter SVP, CFO 9736603190 2024-11-13 1 0 Nicole Sokolowski P01683199 2127733000 2023 2024-10-15 13:58:12Z Michael Walter 475 South Street Morristown NJ 07960 3596120 0 X N/A X 1991 NJ See Schedule O 26 22 0 77 0 0 879313 1298093 0 0 610869 458707 -26201 -42245 1463981 1714555 2881860 314166 0 0 0 0 46147 22000 518585 551014 557960 3479021 894126 -2015040 820429 15457069 17546638 1043924 900257 14413145 16646381 X 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. 0 0 314166 314166 0 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. 314166 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 26 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NJ X Kenneth J Butkowski 9734512005 100 Madison Avenue - Box 920 Morristown NJ 07960 Andrew Lucchesi Trustee-Treasurer 2.00 X X 0 0 0 Anthony Christiano Trustee-Vice Chairman I 2.00 X X 0 0 0 Benson Chapman Trustee 2.00 X 0 0 0 Brian Donnelly Trustee 2.00 X X 0 0 0 Christopher Lobaito MD Trustee 2.00 X 0 0 0 Craig Montanaro Trustee-Chairman 2.00 X X 0 0 0 Douglas I Schwartz CPACFF Trustee 2.00 X 0 0 0 Frank Scanarella Trustee 2.00 X 0 0 0 George Wolfson Trustee 2.00 X 0 0 0 Steven Kass Advisory Board Chair 2.00 X X 0 0 0 John Prol Trustee-Secretary 2.00 X 0 0 0 Karen Garrera Trustee 2.00 X 0 0 0 Linda Husti Trustee-Vice Chairman II 2.00 X X 0 0 0 Megan Sandow Chief Dev Officer 27.50 27.50 X X 0 304606 30355 Margaret Nolan BSN LNHA Trustee 2.00 X 0 0 0 Patrick Mallory Trustee 2.00 X 0 0 0 Richard Grosso Trustee - Chairman I 2.00 X X 0 0 0 Thomas Shara Trustee 2.00 X 0 0 0 Maureen Schneider Trustee-Pres Chilton Med Ctr 2.00 55.00 X X 0 949148 121265 Douglas Cook Trustee 2.00 55.00 X 0 322144 31663 Thomas Delleart Trustee 2.00 X 0 0 0 Phillip Devadan MD Trustee 2.00 X 0 0 0 Mitchell Leibowitz Trustee 2.00 X 0 0 0 Christopher Hubbard MD Trustee 2.00 55.00 X 0 548065 36767 Joan Walker Trustee-Aux President 2.00 X 0 0 0 Rob Ward Trustee 2.00 X 0 0 0 Michael Walter SVP-Chief Financial Office 2.00 55.00 X 0 971184 137577 Kevin Lenahan EVP-Chief Business & Strat 2.00 55.00 X 0 6754515 406954 0 9849662 764581 0 0 1 0 0 194094 98645 1005354 39020 1298093 335958 335958 1774004 1651255 122749 122749 122749 171565 194094 222090 -50525 -50525 16500 8220 8280 8280 1714555 0 0 416462 314166 314166 24000 2640 21360 22000 22000 56347 6198 50149 1417 156 1261 9967 1096 8871 27564 3032 24532 261 29 232 5628 619 5009 Personnel Cost Alloc. 432586 47584 385002 Dues and Subscriptions 190 21 169 894126 314166 61375 518585 2827546 2843972 414980 735867 19030 19030 0 0 12214543 13966799 15457069 17546638 84879 83263 959045 816994 1043924 900257 X 7897429 9439489 6515716 7206892 14413145 16646381 15457069 17546638 820429 1412807 0 X 0 1 X 1 0 X 1928449 935999 1182753 879313 1298093 6224607 1928449 935999 1182753 879313 1298093 6224607 1240820 4983787 293042 317742 380624 312057 335958 1639423 7864030 0.63370 0.63640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2120633 2120633 2120633 2120633 2120633 2120633 2120633 2120633 2120633 2120633 1.00000 0 0 19030 19030 0 0 Mutual Funds-Debt Securities 5708459 F Mutual Funds-Equity Securities 8233778 F Alternative Investments 24562 F 13966799 Liabilities to Annuitants 434551 Due to Chilton Medical Center 382443 816994 X 3349451 1412807 222089 1634896 1714555 0 1714555 1116215 222089 222089 894126 0 894126 Part V, Line 4: The Foundation's endowmnent funds consist of funds established to support various operations of the Medical Center as noted above. The endowments include only donor-restricted endowment funds. As required by accounting principles generally accepted in the United States of America, net assets associated with endowment funds are classified and reported based upon the existence or absence of donor-imposed restrictions. The endowment funds are invested consistent with an investment policy statement that is monitored by the Foundation's board of directors. The investment policy employed is meant to achieve long-term growth while providing modest investment income which would be available for current funding. Funds are primarily invested in cash and cash equivalents, fixed income securities, mutual funds and equities. Part X, Line 2: An independent CPA firm audited the financial statements of Chilton Medical Center Foundation, Inc. for the years ended December 31, 2023 and December 31, 2022, respectively. The following footnote is included in the audited financial statements for the year ended December 31, 2023 that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740): The Foundation follows the recognition and disclosure provisions of the accounting pronouncement related to accounting for uncertainty in income taxes, and, accordingly, tax positions are evaluated for recognition using a more-likely-than-not threshold, and those tax positions requiring recognition are measured at the largest amount of tax benefit that is greater than 50% likely of being realized upon ultimate settlement with a taxing authority that has full knowledge of all relevant information. The Foundation and Hospital have evaluated the likelihood of their tax exempt status being challenged as remote, accordingly the Foundation has not included any income tax provisions, including interest and penalties, in the accompanying financial statemetns related to potential violations of their tax exempt status. The Foundation has no open years prior to 2019 to its tax filings. Part XI, Line 2d - Other Adjustments: Special Events Expenses 222,089. Part XII, Line 2d - Other Adjustments: Special Events Expenses 222,089. X X X X X X 1 Jill Savage 46 Symor Drive Morristown NJ 07960 Grant Writing 0 0 19000 -19000 19000 -19000 NJ Gala 107950 60282 47668 32144 50820 Golf Outing 143103 80342 62761 27375 40751 17336 2 114606 53470 61136 30113 23551 365659 194094 171565 27375 103008 91707 222090 -50525 16500 8220 0 16500 8220 8220 8280 NJ 1 0 0 0 0.00000 1.00000 Megan Sandow 475 South Street Morristown NJ 07960 0 Kim Walsh 79346 Manages and oversees gaming activities. X 0 1 AHS Hospital Corp (Chilton Medical Center Division) 97 W Parkway Pompton Plains NJ 07444 521958352 501(c)(3) 314166 0 Support various capital campaigns. 1 0 Part I, Line 2: The grants are monitored by the organization's finance personnel through the utilization of cost centers and other information: including written documentation and receipts. 0 1 0 0 0 0 0 0 0 Kevin Lenahan EVP-Chief Business & Strat 0 1347725 0 992992 0 4413798 0 393574 0 13380 0 7161469 0 4372618 Michael Walter SVP-Chief Financial Office 0 879991 0 75000 0 16193 0 119777 0 17800 0 1108761 0 0 Maureen Schneider Trustee-Pres Chilton Med Ctr 0 525334 0 334513 0 89301 0 120822 0 443 0 1070413 0 73518 Christopher Hubbard MD Trustee 0 545842 0 0 0 2223 0 18564 0 18203 0 584832 0 0 Douglas Cook Trustee 0 276293 0 44512 0 1339 0 22313 0 9350 0 353807 0 0 Megan Sandow Chief Dev Officer 0 264201 0 38092 0 2313 0 12317 0 18038 0 334961 0 0 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. X 4 39020 FMV-Stock Exchange 0 0 0 Line 9(b) Column B reports the number of contributors. Form 990, Part VI, Section A, line 6 As per the by-laws, each of the entities has one "member", that being Atlantic Health System, Inc. There are no other members or classes of membership whatsoever as indicated in the by-laws. Form 990, Part VI, Section A, line 7a Atlantic Health System, Inc. is the only "member" which wholly owns the Chilton Medical Center Foundation, Inc. As a result, Atlantic Health System, Inc. may elect the members of the governing bodies for each of the entities. Form 990, Part VI, Section A, line 7b Atlantic Health System, Inc. is the only "member" which wholly owns the Chilton Medical Center Foundation, Inc. As a result, Atlantic Health System, Inc. approves the decisions of the governing bodies. Form 990, Part VI, Section B, line 11b The organization is an affiliate of and controlled by Atlantic Health System, Inc. The organization's federal Form 990 was provided to each voting member of its governing body (its board of trustees) prior to the filing with the Internal Revenue Service. In addition, the Atlantic Health System, Inc. audit committee assumed the responsibility to oversee and coordinate the federal Form 990 including the preparation, review and filing process. As part of the organization's federal Form 990 tax return preparation process, the organization's tax manager prepared the Form 990. An independent CPA firm, Ernst & Young, LLP (EY) was engaged to review the entire Form 990 in detail. The organization's Director of Corpoate Tax and Payroll worked closely with EY in order to prepare a complete and accurate tax return. After EY completed the review and any and all issues were resolved and refelcted in the tax return, it was distributed to the board of trustee members governing body for their review and approval. Any and all questions raised by the board of trustees were addressed and cleared accordingly. Form 990, Part VI, Section B, line 12c In conjunction with Atlantic Health System (Parent), the Chilton Medical Center Foundation, Inc. requires disclosure of potential conflicts. This policy governs all personnel at the Foundation, including Board Members. Additionally, the Board Committee members must fill out annual disclosures with specific questions regarding potential conflicts. For potential conflicts involving employees, conflicts involving business relationships require prior disclosure and approval by the Compliance Officer (General Counsel). Conflicts involving Board members require approval from the Compliance Officer and the head of the Audit Committee, who may refer those conflicts to the Compliance Committee of the Board. Restrictions are fact-dependent, but may include recusal from deliberations regarding subject matter affected by the conflict. Form 990, Part VI, Section B, line 15 A review of officer compensation by an independent 3rd party (Sullivan Cotter) is completed every year by AHS Hospital Corp, a related organization. The most recent survey was conducted in 2023. Form 990, Part VI, Section C, line 18 Currently the Chilton Medical Center Foundation, Inc. retains copies of the filed Form 990 for the last three years and Form 1023 with the senior management's assistant. Public disclosure of these Form 990's can be made at any time at each of the organization's sites. In addition, the Form 990 is posted on the website "www.foundationcenter.org and "guidestar.org". Form 990, Part VI, Section C, line 19 The organization does not currently make its financial statements open to public disclosure but the statement of financial position is available by accessing the Form 990 from the website. The governing documents and conflict of interest polices are not currently made available to the public. AHS Hospital Corp 475 South Street Morristown NJ 07960 521958352 Healthcare NJ 501(c)(3) Line 3 Atlantic Health System Inc 1 Atlantic Ambulance Corporation 475 South Street Morristown NJ 07960 223820288 Healthcare Transportation NJ 501(c)(3) Line 10 Atlantic Health System Inc 1 Atlantic Health System Inc 475 South Street Morristown NJ 07960 223380375 Human Health Through AHS Hospital Corp NJ 501(c)(3) Line 12a, I N/A 0 Newton Medical Center Foundation 175 High Street Newton NJ 07860 222618102 Administers donations, grants and bequests and performs fundraising. NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Prime Care Inc 175 High Street Newton NJ 07860 222759566 Provides home health and other healthcare services NJ 501(c)(3) Line 10 Atlantic Health System Inc 1 North Jersey Health Care Properties Inc 175 High Street Newton NJ 07860 223519709 Owns commercial buildings and conducts leasing activities NJ 501(c)(2) Atlantic Health System Inc 1 Practice Associates Medical Group 475 South Street Morristown NJ 07960 202088165 Physician Services NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 1 Chilton Medical Center Auxiliary Inc 97 West Parkway Pompton Plains NJ 07444 222883605 Support Charitable Exempt Programs and Services of Medical Center NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 1 Foundation for Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising for exempt organization NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Chilton Realty Holding Inc 97 West Parkway Pompton Plains NJ 07444 223067739 Real Estate and Leasing Activities for the Benefit of Exempt Organization NJ 501(c)(2) Atlantic Health System Inc 1 Foundation for Hackettstown Medical Center 651 Willow Grove Street Hackettstown NJ 07840 222333410 Support Charitable Exempt Programs and Services of Medical Center NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Medical Center Partners Inc 651 Willow Grove Street Hackettstown NJ 07840 454789273 Support Charitable Exempt Programs and Services of Medical Center NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 1 Hackettstown Reg Medical Ctr Emergency Medical Services Inc 651 Willow Grove Street Hackettstown NJ 07840 270820164 Support Charitable Exempt Programs and Services of Medical Center NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 1 Adult Day Center of the Visiting Nurse Association of Somerset County 200 Mount Airy Rd Basking Ridge NJ 07920 222865641 Home health services NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Visting Nurse Association of Somerset Hills Community Health Services Inc 200 Mount Airy Rd Basking Ridge NJ 07920 223413041 Home health services NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Visiting Nurse Assoc of Somerset Hills Home Health and Hospice ServicesInc 200 Mount Airy Rd Basking Ridge NJ 07920 221487373 Home health and hospice services NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Visting Nurse Association of Somerset Hills Inc 200 Mount Airy Rd Basking Ridge NJ 07920 222888648 Home health services NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Center for Aging Inc 901 West Main Street Freehold NJ 07728 222575377 Health Services NJ 501(c)(3) Line 10 Atlantic Health System Inc 0 CentraState Assisted Living Inc 901 West Main Street Freehold NJ 07728 223520730 Health Services NJ 501(c)(3) Line 10 Atlantic Health System Inc 0 Healthcare Affiliates Inc 901 West Main Street Freehold NJ 07728 521594300 Health Services NJ 501(c)(3) Line 10 Atlantic Health System Inc 0 CentraState Healthcare System Inc 901 West Main Street Freehold NJ 07728 222482803 Management NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 0 CentraState Healthcare Foundation Inc 901 West Main Street Freehold NJ 07728 272383065 Fundraising NJ 501(c)(3) Line 7 Atlantic Health System Inc 0 CentraSate Medical Center 901 West Main Street Freehold NJ 07728 221750190 Health Services NJ 501(c)(3) Line 3 Atlantic Health System Inc 0 Chambers Center for Well Being LLC 475 South Street Morristown NJ 07960 832620066 Health Services NJ 501(c)(3) Line 10 Atlantic Health System Inc 0 Morristown Medical Investors 200 American Road Morris Plains NJ 07950 650840535 Real Estate NJ 0 0 Primary Care Partners LLC 475 South Street Morristown NJ 07960 274980253 Physician Services NJ 0 0 Atlantic Rehabilittation Institute LLC 680 South Fourth Street Louisville KY 40202 814711074 Rehabilitation Facility NJ 0 0 Atlantic Health Partners LLC 475 South Street Morristown NJ 07960 824198770 Physician Services NJ 0 0 Atlantic Health Management Corp and Subsidiaries 200 American Road Morris Plains NJ 07950 223538027 Healthcare NJ N/A C 0 AHS Insurance Company LTD 200 American Road Morris Plains NJ 07950 223380375 Insurance NJ N/A C 0 Nutley Medical Care PA 100 Madison Avenue Morristown NJ 07960 223645010 Healthcare NJ N/A C 0 Non-Invasive Diagnostics PA 100 Madison Avenue Morristown NJ 07960 202027439 Healthcare NJ N/A C 0 Specialty Care of Practice Associates PA 100 Madison Avenue Morristown NJ 07960 030376428 Healthcare NJ N/A C 0 Maternal Fetal Medicine of Practice Associates PA 100 Madison Avenue Morristown NJ 07960 030376421 Healthcare NJ N/A C 0 Madison Pediatrics PA 100 Madison Avenue Morristown NJ 07960 223645007 Healthcare NJ N/A C 0 AHS ACO LLC 475 South Street Morristown NJ 07960 273800813 Physician Practice NJ N/A C 0 The Northwest New Jersey MedicalAlliance PC 175 High Street Newton NJ 07860 450577942 Healthcare Services NJ N/A C 0 The Northwest New Jersey Urgent Care Alliance PC 175 High Street Newton NJ 07860 830492357 Healthcare Services NJ N/A C 0 Chilton Community Care Inc and Subs 97 West Parkway Pompton Plains NJ 07444 222869148 Healthcare NJ N/A C 0 Atlantic Advanced Urgent Care LLC 475 South Street Morristown NJ 07960 831558799 Healthcare NJ N/A C 0 Care Better ACO LLC 475 South Street Morristown NJ 07960 831224464 Physician Practice NJ N/A C 0 Atlantic Executive Health PA 475 South Street Morristown NJ 07960 471944011 Physician Practice NJ N/A C 0 AHS Health Network LLC 475 South Street Morristown NJ 07960 474079001 Physician Practice NJ N/A C 0 Atlantic Health ACO LLC 475 South Street Morristown NJ 07960 474126650 Physician Practice NJ N/A C 0 Tertiary Care Specialists of Practice Associates PA 475 South Street Morristown NJ 07960 830713277 Physician Practice NJ N/A C 0 Visiting Nurse Association of Somerset Hills Office Park Condominium 200 Mount Airy Rd Basking Ridge NJ 07920 261183397 Home health services NJ N/A C 0 Ancillary Specialists of Practice Assoc 475 South Street Morristown NJ 07960 844693833 Physician Practice NJ C 0 Functional Medicine of Practice Associates PA 475 South Street Morristown NJ 07960 844693833 Physician Practice NJ C 0 Atlantic Urgent Care LLC 181 High Street Newton NJ 07860 461693160 Healthcare Services NJ C 0 CentraState Healthcare Services Inc 901 West Main Street Freehold NJ 07728 222512830 Health Services NJ Atlantic Heatlh System Inc C 0 CentraState Medical Associates PC 901 West Main Street Freehold NJ 07728 223402359 Health Services NJ Atlantic Heatlh System Inc C 0 CentraState Specialists PC 901 West Main Street Freehold NJ 07728 823704077 Health Services NJ Atlantic Heatlh System Inc C 0 CentraState Captive Insurance Co LTD 901 West Main Street Freehold NJ 07728 981205985 Health Services CJ Atlantic Heatlh System Inc 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AHS Hospital Corp B 314166 Actual Amount of Transaction