2025-11-13T14:23:21-06:00 2024-12-31 346565596 Ernst & Young US LLP 1 Manhattan West New York NY 10001 990 2024-01-01 223178785 Memorial Health Foundation Inc Retirement Employee Medical Trust MEMO 9736606100 100 Madison Avenue Dept 920 Morristown NJ 07962 Michael Walter - Of Sponsoring Org EVP, CFO 9736606100 2025-11-13 1 0 Nicole Sokolowski P01683199 2127733000 2024 2025-03-06 01:10:19Z Michael Walter 475 South Street Morristown NJ 07960 31339557 0 X N/A X 501(c)(9) 1995 NJ Non-Contributory Defined Benefit Health and Welfare Plan 3 2 0 0 0 0 0 0 622377 646692 8661080 7358582 0 0 9283457 8005274 0 0 6781223 6865079 0 0 0 0 0 281569 317682 7062792 7182761 2220665 822513 87047011 85447496 10413099 7738197 76633912 77709299 To provide a non-contributory defined health and welfare plan for eligible participants and retirees. 0 0 Non-Contributory Defined Benefit Health and Welfare Plan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 X Ken Butkowski 9734512005 475 South Street Morristown NJ 07960 LAURA ANN KELLY TRUSTEE 2.00 2.00 X X 0 0 0 BRIAN GRAGNOLATI President and CEO 2.00 55.00 X X 0 9720812 1780496 ROBERT E McCRACKEN TRUSTEE 2.00 2.00 X X 0 0 0 MICHAEL WALTER SVP- Chief Financial Ofice 2.00 55.00 X 0 1615288 257152 KEVIN LENAHAN EVP-Chief Business & Strat 2.00 55.00 X 0 2924716 461142 0 14260816 2498790 0 0 1 0 0 PARTICIPANT CO-PAY 524298 646692 646692 646692 1218787 1218787 29474078 23334283 6139795 6139795 6139795 8005274 646692 0 7358582 6865079 157300 27000 95227 38155 7182761 3329163 3121299 798544 646692 82919304 81679505 87047011 85447496 10413099 7738197 10413099 7738197 X 76633912 77709299 76633912 77709299 87047011 85447496 822513 252874 0 X 0 1 X 1 0 0 8258148 252874 252874 8005274 0 8005274 7182761 0 7182761 0 7182761 0 1 0 BRIAN GRAGNOLATI President and CEO 0 3320521 0 5139690 0 1260601 0 1711138 0 69358 0 11501308 0 1112605 KEVIN LENAHAN EVP-Chief Business & Strat 0 1415590 0 1094600 0 414526 0 423493 0 37649 0 3385858 0 0 MICHAEL WALTER SVP- Chief Financial Ofice 0 982449 0 592546 0 40293 0 211325 0 45827 0 1872440 0 0 Part I, Line 4b 2024 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. Brian Gragnolati $1,723,038 Michael Walter 193,222 Kevin Lenahan 385,483 The above amounts represent earned credits which have not vested and were not included in theor respective 2024 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 2024 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. 2024 Supplemental Executive Retirement Plan (SERP)Taxable Distributions The following officers received taxable SERP distributions during 2023 based on the vesting criteria of the plan document. These taxable SERP distributions were included in their respective 2024 W-2s and are reported in Other Reportable Compensation in Schedule J (Sch J, (B)(ii))of the this IRS 990: Brian Gragnolati $1,112,605 Kevin Lenahan 357,274 Form 990, Part VI, Section B, line 11b The Trustees reviewed the entire Form 990 in detail prior to e-filing the 990. Any applicable input from the trustees was implemented in the Form 990. Form 990, Part VI, Section B, line 12 Atlantic Health System as an organization maintains a conflict of interest policy which covers all related entities (including the Memorial Health Foundation Inc. Retirement Employee Medical Trust). We require disclosure of potential conflicts. This policy governs all personnel at Atlantic Health System, including Board Members. Additionally, Board and Board Committee members, Officers, Trustees, Committee Members and Senior Management 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 C, line 19 Upon request, the organization will provide access to its audited financial statements, organizing documents, governing documents and conflict of interest policy. Atlantic Health System Hospital Corp 475 South Street Morristown NJ 07960 521958352 Healthcare NJ 501(c)(3) 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0