2025-11-13T14:23:20-06:00 2024-12-31 346565596 Ernst & Young US LLP 1 Manhattan West New York NY 10001 990 2024-01-01 222883605 Chilton Memorial Hospital Auxiliary Inc CHIL 9734512005 97 West Parkway Pompton Plains NJ 074441696 Michael Walter SVP, CFO 9736603190 2025-11-13 1 0 Nicole Sokolowski P01683199 2127733000 2024 2025-03-06 01:10:19Z Michael Walter 475 South Street Morristown NJ 07960 104853 0 X www.chiltonhealth.org X 1986 NJ See Schedule O 14 14 0 15 0 0 1299 1136 20036 11311 124 239 14478 -2341 35937 10345 20000 38000 0 0 0 0 0 0 0 0 0 20000 38000 15937 -27655 98650 70995 0 0 98650 70995 See Schedule O 0 0 38000 38000 11311 Expenses incurred in conducting fundraising acivities in support of the charitable purposes, programs and services of AHS Hospital Corporation (Chilton Medical Center Division); 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. 38000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 NJ X Ken Butkowski 9734512005 100 Madison Avenue - Box 920 Morristown NJ 07960 Jamie McKeever Trustee-Gift Gallery Coord 2.00 20.00 X X 0 0 0 Louisa Barresi Trustee-Gift Gallery Board 2.00 X X 0 0 0 Sushma Vir Trustee-Event Chair 2.00 X X 0 0 0 MaryAnn Morgan Trustee-Event Chair 2.00 X X 0 0 0 Beverly Cannata Trustee-President 2.00 X X 0 0 0 Fran Maletsky Trustee-Gift Gallery Board 2.00 X X 0 0 0 Joan Walker Trustee-Past President 2.00 X X 0 0 0 Gail Raebiger Trustee-Vice Pres./Members 2.00 X X 0 0 0 Barbara Lawrence Trustee-Gift Gallery Board 2.00 X X 0 0 0 Linda Oremland Trustee-Record'g Secretary 2.00 X X 0 0 0 Marie Ricci Trustee-Correspd'g Secreta 2.00 X X 0 0 0 Joann Falcone Trustee-Event Chair 2.00 X X 0 0 0 Marilyn Grimes Trustee-Event Chair 2.00 X X 0 0 0 Victoria Cimuluca Trustee-Treasurer 2.00 X X 0 0 0 Michael Walter SVP-Chief Financial Office 2.00 55.00 X 0 1615288 257152 Kevin Lenahan EVP-Chief Business & Strat 2.00 55.00 X 0 2924716 461142 0 4540004 718294 0 0 1 0 0 420 716 1136 Program Service Revenu 900099 11311 11311 11311 239 239 10200 0 10200 10200 10200 81967 94508 -12541 -12541 10345 11311 0 -2102 38000 38000 38000 38000 0 0 36625 47337 44692 18439 17333 5219 98650 70995 0 0 X 98650 70995 98650 70995 98650 70995 -27655 0 X 0 0 0 X X 1 AHS Hospital Corp (CMC Division) 521958352 3 1 38000 0 1 38000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 AHS Hospital Corp (CMC Division) 97 West Parkway Pompton Plains NJ 07444 521958352 501(c)(3) 38000 0 Program services 0 Part I, Line 2: The organization conducts due diligence to review and select grant recipients and is comfortable that the grants are used for their intended purposes. The grants issued were made to related organizations to further their tax-exempt purposes. 0 1 0 0 0 0 0 0 0 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 Office 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. 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 officer received a taxable SERP distribution during 2024 based on the vesting criteria of the plan document. This taxable SERP distribution was included in their respective 2024 W-2s and are reported in Other Reportable Compensation in Schedule J (Sch J, (B)(ii))of the this 990: Kevin Lenahan $357,274 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 tax manager 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 reflected 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 C, line 18 Currently the Chilton Memorial Hospital Auxiliary, 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 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 Provdides 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 07860 202088165 Physician Services NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 1 Chilton Medical Center Foundation Inc 97 West Parkway Pompton Plains NJ 07444 223084817 Support charitable exempt programs and services of the Medical Center 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 Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 Fundraising for Morristown Medical Center NJ 501(c)(3) Line 7 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 the Medical Center NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Hackettstown Regional Medical Center Emergency Services Inc 651 Willow Grove Street Hackettstown NJ 07840 270820164 Support charitable exempt programs and services of the Medical Center NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 1 Medical Center Partners Inc 651 Willow Grove Street Hackettstown NJ 07840 454789273 Physician services NJ 501(c)(3) Line 12a, I Ambluance Services 1 Adult Day Ctr of Visiting Nurses Assoc 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 Visiting Nurse Assoc of Somerset Hills Community Health Svc 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 Inc 200 Mount Airy Rd Basking Ridge NJ 07920 222888648 Home Health Services NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 Visiting Nurse of Somerset Hills Home Health & Hospice Srvc Inc 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 Center for Aging Inc 901 West Main Street Freehold NJ 07728 222575377 Health Services NJ 501(c)(3) Line 10 Atlantic Health System Inc 1 CentraState Assisted Living Inc 901 West Main Street Freehold NJ 07728 223520730 Health Services NJ 501(c)(3) Line 10 Atlantic Health System Inc 1 Healthcare Affiliates Inc 901 West Main Street Freehold NJ 07728 521594300 Health Services NJ 501(c)(3) Line 10 Atlantic Health System Inc 1 CentraState Healthcare System Inc 901 West Main Street Freehold NJ 07728 222482803 Management NJ 501(c)(3) Line 12a, I Atlantic Health System Inc 1 CentraState Healthcare Foundation Inc 901 West Main Street Freehold NJ 07728 272383065 Fundraising NJ 501(c)(3) Line 7 Atlantic Health System Inc 1 CentraState Medical Center 901 West Main Street Freehold NJ 07728 221750190 Healthcare Services NJ 501(c)(3) Line 3 Atlantic Health System Inc 1 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 N/A 0 0 Primary Care Partners LLC 475 South Street Morristown NJ 07960 274980253 Physician Services NJ N/A 0 0 Atlantic Rehabilitation Institute LLC 680 South Fourth Street Louisville KY 40202 814711074 Rehabilitation Facility NJ N/A 0 0 Atlantic Health Partners LLC 475 South Street Morristown NJ 07960 824198770 Physician Services NJ N/A 0 0 Atlantic Brain and Spine LLC 465 South Street Morristown NJ 07960 931467537 Physician Services NJ N/A 0 0 Premier Health Associates LLC 532 Lafayete Sparta NJ 07871 222705732 Physician Services NJ N/A 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 Speciailty 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 MedicalSurgical Alliance 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 Ancillary Services of Practice Associates PA 475 South Street Morristown NJ 07960 844693833 Healthcare NJ N/A C 0 Functional Medicine of Practice Associates PA 475 South Street Morristown NJ 07960 845006796 Healthcare NJ N/A C 0 Visiting Nurse Assoc of Somerset Hills Office Park Condominium 200 Mount Airy Rd Basking Ridge NJ 07920 261183397 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 CentraState Healthcare Services Inc 901 West Main Street Freehold NJ 07728 222512830 Health Services NJ Atlantic Health System Inc C 0 CentraState Medical Associates PC 901 West Main Street Freehold NJ 07728 223402359 Health Services NJ Atlantic Health System Inc C 0 CentraState Specialists PC 901 West Main Street Freehold NJ 07728 823704077 Health Services NJ Atlantic Health System Inc C 0 CentraState Captive Insurance Co LTD 901 West Main Street Freehold NJ 07728 981205985 Health Services CJ Atlantic Health System Inc 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AHS Hospital Corp (CMC Division) B 38000 Actual Amount of Transaction