FOUNDATION FOR MORRISTOWN MEDICAL CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FOR MORRISTOWN MEDICAL CENTER INC (EIN 22-3392808)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202313179349303326
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-13T10:19:58-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Manhattan West | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223392808 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation for Morristown Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUN | BusinessNameControlTxt |
| Phone | 9735932400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Walter | PersonNm |
| Person Title | SVP, CFO | PersonTitleTxt |
| Phone | 9735932400 | PhoneNum |
| Signature | 2023-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Michael | PersonFirstNm |
| Person Last | Walter | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicole Sokolowski | PreparerPersonNm |
| PTIN | P01683199 | PTIN |
| Phone | 2127733000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael Walter | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,873,357 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.f4mmc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Other Organization Dsc | 501c3 | OtherOrganizationDsc |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | Refer to Schedule OThe Foundation for Morristown Medical Center is a not-for-profit fundraising organization which solicits funds in its general appeal to support both Morristown Medical Center, which is a division of AHS Hospital Corporation, and the community as the Foundation's Board may deem appropriate. | ActivityOrMissionDesc |
| Voting Members Governing Body | 36 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 28 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 141 | TotalVolunteersCnt |
| Total Gross UBI | $2,784 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24,250,715 | PYContributionsGrantsAmt |
| CY Contributions Grants | $29,657,009 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,307,165 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,504,815 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$46,700 | PYOtherRevenueAmt |
| CY Other Revenue | -$7,033 | CYOtherRevenueAmt |
| PY Total Revenue | $31,511,180 | PYTotalRevenueAmt |
| CY Total Revenue | $32,154,791 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,231,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,062,011 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,364,546 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $328,861 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $475,401 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,592,730 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,110,102 | PYOtherExpensesAmt |
| CY Other Expenses | $5,398,605 | CYOtherExpensesAmt |
| PY Total Expenses | $11,731,974 | PYTotalExpensesAmt |
| CY Total Expenses | $13,238,552 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,779,206 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,916,239 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $194,034,598 | TotalAssetsBOYAmt |
| Total Assets EOY | $173,976,621 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,356,862 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,703,090 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $189,677,736 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $169,273,531 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To inspire community philanthropy to advance exceptional health care for patients at Morristown Medical Center. The objective is to use philanthropy to preserve and expand the Medical Center's programs and services in patient care, clinical research, medical and public health education, and preventive medicine. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,270,711 | ExpenseAmt |
| Desc | The Foundation for Morristown Medical Center (F4MMC) is a standalone foundation, which is a not-for-profit fundraising organization that solicits funds in its general appeal for the benefit and support of Atlantic Health System, Inc. and AHS Hospital Corporation (the Corporation), and all subsidiaries thereof. Morristown Medical Center is the principal recipient of the fundraising carried out by F4MMC. | Desc |
| Total Program Service Expenses | $9,270,711 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 36 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 28 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ken Butkowski | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9734512005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Andrew Rooke Jr | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Anthony A Lombardo | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Anu Gupta | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Brenda Matti-Orozco MD FACP | |||||||
| Trustee | 2.00 | 55.00 | Yes (X) | $0 | $386,608 | $31,334 | |
| Kelly Frank | |||||||
| Trustee-Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Kathy Christie | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Chirag Patel | |||||||
| Trustee | 2.00 | 55.00 | Yes (X) | $0 | $0 | $0 | |
| Christine Gilfillan | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| David Taylor MD | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Eric Whitman MD | |||||||
| Trustee | 2.00 | 55.00 | Yes (X) | $0 | $1,079,907 | $44,344 | |
| Fran Davino | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Glenn Yarnis | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Branee Fetherman | |||||||
| Trustee | 2.00 | 55.00 | Yes (X) | $0 | $405,503 | $44,387 | |
| Meghan Lyon | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| J Peter Simon | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| John Jack Burke III | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Monique Nelson | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Juliet Patsalos-Fox | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Carl Goldberg | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Kelly Sturman | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Keerti Sharma MD | |||||||
| Trustee | 2.00 | 55.00 | Yes (X) | $0 | $306,447 | $27,569 | |
| Keith Richardson | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Linda Gillam MD | |||||||
| Trustee | 2.00 | 55.00 | Yes (X) | $0 | $888,463 | $22,710 | |
| Lori Ingber PHD | |||||||
| Trustee-Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Marc Adee | |||||||
| Trustee-Vice Chairman | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| John O'Grady MD | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Daniel Wiener | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Mary Courtemanche | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Patricia O'Keefe | |||||||
| SVP, CNE/Pres. MMC | 2.00 | 55.00 | Yes (X) | $0 | $1,657,797 | $238,054 | Yes (X) |
| Richard P Goryeb | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Robert Tafaro - Chairman | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Thomas P Mac Mahon | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| W Rodman Ryan | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Walter Lewis MD | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| William D Bruen Jr | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| William Marino | |||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Cynthia W O'Donnell | |||||||
| Director of Gift Planning | 55.00 | 0.00 | $0 | $214,168 | $39,848 | Yes (X) | |
| Michael Walter | |||||||
| SVP-Chief Financial Officer | 2.00 | 55.00 | $0 | $255,292 | $37,186 | Yes (X) | |
| Jennifer Smith | |||||||
| Chief Development Offier | 55.00 | 0.00 | $0 | $476,527 | $36,240 | Yes (X) | |
| Kevin Lenahan | |||||||
| EVP-Chief Business & Strategy Officer | 2.00 | 55.00 | $0 | $4,617,182 | $1,431,850 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,287,894 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,953,522 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $10,000 | FederatedCampaignsAmt |
| Fundraising | $345,920 | FundraisingAmt |
| Related Organizations | $1,160,000 | RelatedOrganizationsAmt |
| All Other Contributions | $28,141,089 | AllOtherContributionsAmt |
| Noncash Contributions | $106,755 | NoncashContributionsAmt |
| Total Contributions | $29,657,009 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,758,239 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2,784 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,755,455 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,276,374 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,529,798 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$253,424 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$253,424 | TotalRevenueColumnAmt |
| Exclusion | -$253,424 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $148,950 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $345,920 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $187,542 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$38,592 | TotalRevenueColumnAmt |
| Exclusion | -$38,592 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $32,785 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $1,226 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,559 | TotalRevenueColumnAmt |
| Exclusion | $31,559 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,154,791 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,784 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,494,998 | ExclusionAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,732,579 | TotalAmt |
| Program Services | $4,013,333 | ProgramServicesAmt |
| Management And General | $1,046,087 | ManagementAndGeneralAmt |
| Fundraising | $1,673,159 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $631,967 | TotalAmt |
| Management And General | $243,116 | ManagementAndGeneralAmt |
| Fundraising | $388,851 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,788 | TotalAmt |
| Management And General | $5,788 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Management And General | $24,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $475,401 | TotalAmt |
| Fundraising | $475,401 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,529 | TotalAmt |
| Management And General | $34,529 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,788 | TotalAmt |
| Fundraising | $45,788 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,263,174 | TotalAmt |
| Program Services | $5,257,378 | ProgramServicesAmt |
| Management And General | $2,230 | ManagementAndGeneralAmt |
| Fundraising | $3,566 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,656 | TotalAmt |
| Management And General | $8,656 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,604 | TotalAmt |
| Management And General | $2,156 | ManagementAndGeneralAmt |
| Fundraising | $3,448 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,091 | TotalAmt |
| Management And General | $1,574 | ManagementAndGeneralAmt |
| Fundraising | $2,517 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,975 | TotalAmt |
| Management And General | $6,975 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,238,552 | TotalAmt |
| Program Services | $9,270,711 | ProgramServicesAmt |
| Management And General | $1,375,111 | ManagementAndGeneralAmt |
| Fundraising | $2,592,730 | FundraisingAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,327,151 | BOYAmt |
| EOY | $15,457,282 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,525,619 | BOYAmt |
| EOY | $82,823,166 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,752,755 | BOYAmt |
| EOY | $68,483,514 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,507,708 | BOYAmt |
| EOY | $3,599,813 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,921,365 | BOYAmt |
| EOY | $3,612,846 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,034,598 | BOYAmt |
| EOY | $173,976,621 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,201,934 | BOYAmt |
| EOY | $2,667,058 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,154,928 | BOYAmt |
| EOY | $2,036,032 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,356,862 | BOYAmt |
| EOY | $4,703,090 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,394,744 | BOYAmt |
| EOY | $37,566,960 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,282,992 | BOYAmt |
| EOY | $131,706,571 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,677,736 | BOYAmt |
| EOY | $169,273,531 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,034,598 | BOYAmt |
| EOY | $173,976,621 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,916,239 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$30,418,754 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,901,690 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,626,509 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,125,139 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,322,498 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,250,715 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,297,150 | CurrentTaxYearAmt |
| Total | $105,622,011 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,626,509 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,125,139 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,322,498 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,250,715 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,297,150 | CurrentTaxYearAmt |
| Total | $105,622,011 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $4,129,829 | SubstantialContributorsTotAmt |
| Public Support Total170 | $101,492,182 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,580,004 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,704,855 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,456,681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,052,367 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,755,455 | CurrentTaxYearAmt |
| Total | $28,549,362 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $8,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $215 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,784 | CurrentTaxYearAmt |
| Total | $18,116 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $134,189,489 | TotalSupportAmt |
| Public Support CY170 | 0.75630 | PublicSupportCY170Pct |
| Public Support PY170 | 0.72190 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $130,282,992 | BeginningYearBalanceAmt |
| Contributions | $26,199,939 | ContributionsAmt |
| Investment Earnings Or Losses | -$7,047,457 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,728,903 | OtherExpendituresAmt |
| End Year Balance | $131,706,571 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $116,826,206 | BeginningYearBalanceAmt |
| Contributions | $22,328,654 | ContributionsAmt |
| Investment Earnings Or Losses | $5,936,231 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,808,099 | OtherExpendituresAmt |
| End Year Balance | $130,282,992 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,624,515 | BeginningYearBalanceAmt |
| Contributions | $17,076,307 | ContributionsAmt |
| Investment Earnings Or Losses | $4,358,410 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,233,023 | OtherExpendituresAmt |
| End Year Balance | $116,826,206 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,868,955 | BeginningYearBalanceAmt |
| Contributions | $18,661,526 | ContributionsAmt |
| Investment Earnings Or Losses | $7,177,359 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $22,083,325 | OtherExpendituresAmt |
| End Year Balance | $112,624,515 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,948,519 | BeginningYearBalanceAmt |
| Contributions | $16,130,639 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,259,437 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,950,766 | OtherExpendituresAmt |
| End Year Balance | $108,868,955 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Annuities Payable | Desc |
| Amt | $2,036,032 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,036,032 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $32,342,333 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $187,542 | OtherRevenueAmt |
| Revenue Not Reported | $187,542 | RevenueNotReportedAmt |
| Revenue Subtotal | $32,154,791 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $32,154,791 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,426,094 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $187,542 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $187,542 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,238,552 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,238,552 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Specific purposes of the Corporation shall be to provide grants and gifts to other 501(c)(3) organizations to pursue their charitable, scientific and educational purposes, which grants and gifts may be restricted to specific purposes or may be for the general operating funds of the organization in the discretion of the Board of Trustees of the Corporation. In particular, the Corporation shall make grants and gifts for the benefit and support of ATLANTIC HEALTH SYSTEM, INC. and AHS HOSPITAL CORP., all subsidiaries thereof, with the principal beneficiary of the Corporation to be Morristown Medical Center, Morristown, NJ, organizations described in 501(c)(3) of the Code which are exempt from Federal income tax pursuant to 501(a) of the Code, and which qualify pursuant to 170(c) of the Code, and to further the charitable, educational and scientific purposes of ATLANTIC HEALTH SYSTEM, INC. and AHS HOSPITAL CORP. (hereinafter referred to collectively as the "AHS"), including but not limited to the receiving of contributions and the use thereof to or for the benefit of AHS ; carrying on fundraising activities for the benefit of the Supported Organization, and the distribution of net income and any excess contributions to the AHS, and the distribution of net income and any excess contributions to AHS. |
| Part XI, Line 2d - Other Adjustments: | Event Expenses - Netted in Statement of Revenue - Part VIII 187,542. |
| Part XII, Line 2d - Other Adjustments: | Event Expenses - Netted in Statement of Revenue - Part VIII 187,542. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Phonathon | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 NW 35th St Ste 104 | AddressLine1Txt |
| City | Boca Raton | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33431 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | Mail/Phone | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $897,493 | GrossReceiptsAmt |
| Retained By Contractor | $475,401 | RetainedByContractorAmt |
| Net To Organization | $422,092 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $897,493 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $475,401 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $422,092 | TotalNetToOrganizationAmt |
| Licensed States | NJ | LicensedStatesCd |
| Licensed States | NY | LicensedStatesCd |
| Licensed States | PA | LicensedStatesCd |
| Licensed States | FL | LicensedStatesCd |
| Licensed States | DE | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | F4MMC Golf Classic | Event1Nm |
| Gross Receipts Event1 | $494,870 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $345,920 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $148,950 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $173,936 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $13,606 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $494,870 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $345,920 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $148,950 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $173,936 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $13,606 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $187,542 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$38,592 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $32,785 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $1,186 | CashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $40 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $32,785 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $1,186 | CashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $40 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $1,226 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $31,559 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed | 0 | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 1.00000 | GamingOwnFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Christine Hajsok | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1Txt |
| City | Morristown | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | Christine Hajsok | GamingManagerPersonNm |
| Gaming Manager Compensation | $4,000 | GamingManagerCompensationAmt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kevin Lenahan | ||||||||||||||
| EVP-Chief Business & Strategy Office | $0 | $1,266,037 | $0 | $752,083 | $0 | $2,599,062 | $0 | $1,415,320 | $0 | $16,530 | $0 | $6,049,032 | $0 | $2,578,814 |
| Patricia O'Keefe | ||||||||||||||
| SVP, CNE/Pres. MMC | $0 | $904,052 | $0 | $569,535 | $0 | $184,210 | $0 | $222,349 | $0 | $15,705 | $0 | $1,895,851 | $0 | $142,351 |
| Eric Whitman MD | ||||||||||||||
| Trustee | $0 | $959,657 | $0 | $117,478 | $0 | $2,772 | $0 | $27,450 | $0 | $16,894 | $0 | $1,124,251 | $0 | $0 |
| Linda Gillam MD | ||||||||||||||
| Trustee | $0 | $846,699 | $0 | $37,600 | $0 | $4,164 | $0 | $12,200 | $0 | $10,510 | $0 | $911,173 | $0 | $0 |
| Jennifer Smith | ||||||||||||||
| Chief Development Offier | $0 | $400,974 | $0 | $75,133 | $0 | $420 | $0 | $13,203 | $0 | $23,037 | $0 | $512,767 | $0 | $0 |
| Branee Fetherman | ||||||||||||||
| Trustee | $0 | $349,239 | $0 | $55,634 | $0 | $630 | $0 | $21,350 | $0 | $23,037 | $0 | $449,890 | $0 | $0 |
| Brenda Matti-Orozco MD FACP | ||||||||||||||
| Trustee | $0 | $331,735 | $0 | $100 | $0 | $54,773 | $0 | $14,440 | $0 | $16,894 | $0 | $417,942 | $0 | $0 |
| Keerti Sharma MD | ||||||||||||||
| Trustee | $0 | $270,023 | $0 | $6,100 | $0 | $30,324 | $0 | $10,675 | $0 | $16,894 | $0 | $334,016 | $0 | $0 |
| Michael Walter | ||||||||||||||
| SVP-Chief Financial Officer | $0 | $205,292 | $0 | $50,000 | $0 | $0 | $0 | $33,750 | $0 | $3,436 | $0 | $292,478 | $0 | $0 |
| Cynthia W O'Donnell | ||||||||||||||
| Director of Gift Planning | $0 | $202,497 | $0 | $8,100 | $0 | $3,571 | $0 | $23,480 | $0 | $16,368 | $0 | $254,016 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | 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 Trustee received SERP credits: Patricia O'Keefe $182,699 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 their respective Form W-2 of that year. 2022 Supplemental Executive Retirement Plan (SERP)Taxable Distributions The following Trustee received taxable SERP distributions during 2022 based on the vesting criteria of the plan document. These taxable SERP distributions were included in the Trustee's 2022 W-2 and reported in Other Reportable Compensation in Schedule J (Sch J, (B)(ii))of the this IRS 990: Patricia O'Keefe $142,351 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. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Various Gift Cards and Toys | Desc |
| Contribution | 346 | ContributionCnt |
| Noncash Contributions Rpt F990 | $106,755 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cash value of cards | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | 346 represents the number of contributions received throughout 2022. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | As per the bylaws, 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 bylaws. Atlantic Health System, Inc. is the sole member of this organization. Atlantic Health System, Inc. has the right to elect the members of this organization's board of trustees and has certain reserved powers as outlined in the organiztion's bylaws. |
| Form 990, Part VI, Section A, line 7a | Atlantic Health System, Inc. is the only "member" that wholly owns the Foundation for Morristown Medical Center. 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" that wholly owns the Foundation for Morristown Medical Center. As a result, Atlantic Health System, Inc. approves the decisions of the governing bodies. |
| Form 990, Part VI, Section B, line 11b | The final draft of the Form 990 was distributed to the "Accounting Sub-Committee" for their review. The "Accounting Sub-Committee" will then present the Form 990 to the Financial Oversight Committee who will then present the Form 990 to the Board of Directors. |
| Form 990, Part VI, Section B, line 12c | We require disclosure of potential conflicts. This policy governs all personnel at Atlantic, 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. The most recent survey was conducted in 2022. Officers reviewed include: President and Chief Executive Officer; EVP, Chief Business and Strategy Officer EVP, Chief Physician Executive EVP, Chief Administrative Officer SVP, President, OMC SVP, CNE/President, MMC SVP, President, Western Region SVP, President, CMC EVP, General Counsel VP, AHS, President ACO VP, COO Atlantic Medical Group VP, Ambulatory Services VP, Insurance Networks VP, Physician Enterprise Strategy VP, Compliance and Audit VP, Finance VP, Revenue Cycle VP, Facilities VP, Government & Public Affairs VP, Service Lines VP, Integrated Care VP, Chief Marketing Officer VP, Talen Management and Chief Diversity adn Inclusive Officer VP, Chief Strategy Officer VP, Chief Quality and Patient Safety Officer EVP, Chief Health System Officer VP, Workforce Experience SVP, Chief Financial Officer EVP, Chief Clinical Officer EVP, Chief Information and Digital Transformation Officer VP, Chief Medical Officer VP, Information Technology VP, Chief Risk Officer VP, Corporate Legal Services On behalf of Atlantic Health, Sullivan Cotter conducts an annual total compensation survey based on appropriate comparability data for like positions in like organizations. The results of the survey are presented to the Executive Committee of the board which documents the findings and recommendations in committee minutes. Compensation for key physicians is determined by soliciting salary data from published sources. These salary recommendations are then approved by the Executive Committee of the board. |
| Form 990, Part VI, Section C, line 18 | Currently the Foundation for Morristown Medical Center retains copies of the filed Form 990 for the last three years and Form 1023 with the most 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. |
| Form 990, Part XI, line 9: | Distributions to Morristown Division-Capital -9,082,953. Beneficial Interest in Charitable Remainder Unitrust 181,263. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AHS Hospital Corp | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 521958352 | Healthcare | NJ | 501(c)(3) | Line 3 | Atlantic Health System Inc | Yes (1) | |
| Atlantic Ambulance Corporation | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 223820288 | Healthcare Transportation | NJ | 501(c)(3) | Line 10 | Atlantic Health System Inc | Yes (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 | 0 | N/A | |
| 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 | Yes (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 | Yes (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 | Yes (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 | Yes (1) | |
| Chilton Memorial Corporation | |||||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 222719339 | Support Charitable Exempt Programs and Services of Medical Center | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (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 | Yes (1) | |
| Chilton Medical Center Foundation Inc | |||||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 223084817 | Support Charitable Exempt Programs and Services of Medical Center | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (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 | Yes (1) | ||
| Foundation for Hackettstown Medical Center | |||||||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 226106281 | Fundraising for Hackettstown Medical Center | NJ | 501(c)(3) | Line 12a, I | Atlantic Health System Inc | Yes (1) | |
| Medical Center Partners Inc | |||||||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 454789273 | Physician Services | NJ | 501(c)(3) | Line 12a, I | Atlantic Health System Inc | Yes (1) | |
| Hackettstown Regional Medical Center Emergency Services Inc | |||||||||||
| 651 Willow Grove Street | Hackettstown | NJ | 07840 | 270820164 | Ambulance Services | NJ | 501(c)(3) | Line 12a, I | Atlantic Health System Inc | Yes (1) | |
| Adult Day Ctr of the Visiting Nurse 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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 for Hackettstown Medical Center | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | 0 | |
| CentraState Medical Center | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 221750190 | Healthcare 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 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|
| 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 Rehabilitation Institute LLC | ||||||||
| 680 South Fourth Street | Louisville | KY | 40202 | 814711074 | Rehabilitation Facility | KY | 0 | 0 |
| Atlantic Health Partners LLC | ||||||||
| 475 SOUTH STREET | Morristown | NJ | 07960 | 824198770 | Physician Services | NJ | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Atlantic Health Management Corp and Subsidiaries | |||||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 223538027 | Health | 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 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 | ||
| Chilton Medical Group PC | |||||||||||
| 97 West Parkway | Pompton Plains | NJ | 07444 | 383769436 | Healthcare | NJ | N/A | C | 0 | ||
| Robert & Susan Sameth 2011 CHA | |||||||||||
| PO Box 218 | Far Hills | NJ | 07931 | 900842326 | Charitable Remainder Uni-Trust (2) | NJ | N/A | T | 0 | ||
| Atlantic Advanced Urgent Care LLC | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 831558799 | Healthcare | NJ | C | 0 | |||
| Care Better ACO LLC | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 831224464 | Physician Practice | NJ | C | 0 | |||
| Atlantic Executive Health PA | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 471944011 | Physician Practice | NJ | C | 0 | |||
| AHS Health Network LLC | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 474079001 | Physician Practice | NJ | C | 0 | |||
| Atlantic Health ACO LLC | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 474126650 | Physician Practice | NJ | C | 0 | |||
| Tertiary Care Specialists of Practice Associates PA | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 830713277 | Physician Practice | NJ | C | 0 | |||
| Visiting Nurse Assoc of Somerset Hills Office Park Cond | |||||||||||
| 200 Mount Airy Rd | Basking Ridge | NJ | 07920 | 261183397 | Home health services | NJ | C | 0 | |||
| Ancillary Specialists of Practice Assoc PA | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 844693833 | Physician Practice | NJ | C | 0 | |||
| Functional Medicine of Practice Associates | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 845006796 | Physician Practice | NJ | C | 0 | |||
| Atlantic Urgent Care LLC | |||||||||||
| 181 High Street | Newton | NJ | 07860 | 491693160 | Healthcare Services | NJ | C | 0 | |||
| CentraState Healthcare Services Inc | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 222512830 | Health Services | NJ | C | 0 | Atlantic Health System Inc | ||
| CentraState Medical Associates PC | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 223402359 | Health Services | NJ | C | 0 | Atlantic Health System Inc | ||
| CentraState Specialists PC | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 823704077 | Health Services | NJ | C | 0 | Atlantic Health System Inc | ||
| CentraState Captive Insurance Co LTD | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 981205985 | Health Services | 0 | Atlantic Health System Inc | CJ | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AHS Hospital Corp | ||
| B | $9,082,953 | Actual amount of transaction. |
| AHS Hospital Corp | ||
| P | $15,732,912 | Actual amount of transaction. |
| Atlantic Health System | ||
| C | $1,055,000 | Actual amount of transaction. |
| AHS ACO LLC | ||
| C | $100,000 | Actual amount of transaction. |
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