CENTRASTATE HEALTHCARE FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CENTRASTATE HEALTHCARE FOUNDATION (EIN 22-2383065)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-11
- IRS object ID
- 201742849349300909
- Schema version
- 2016v3.0
- 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 I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-11T11:05:43-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 5 Times Square | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222383065 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CentraState Healthcare Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 7322947022 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 West Main Street | AddressLine1Txt |
| City | Freehold | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07728 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John A Dellocono | PersonNm |
| Person Title | SVP/CFO | PersonTitleTxt |
| Signature | 2017-10-11 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Laura Kielczewski | PreparerPersonNm |
| PTIN | P00740769 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John T Gribbin Pres CEO | PrincipalOfficerNm |
| Gross Receipts | $6,127,100 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 9 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,081,541 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,174,378 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $216,523 | PYInvestmentIncomeAmt |
| CY Investment Income | $178,981 | CYInvestmentIncomeAmt |
| PY Other Revenue | $374,006 | PYOtherRevenueAmt |
| CY Other Revenue | $392,283 | CYOtherRevenueAmt |
| PY Total Revenue | $2,672,070 | PYTotalRevenueAmt |
| CY Total Revenue | $2,745,642 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $518,493 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $522,353 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $735,079 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $702,105 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $583,809 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $566,415 | PYOtherExpensesAmt |
| CY Other Expenses | $457,491 | CYOtherExpensesAmt |
| PY Total Expenses | $1,819,987 | PYTotalExpensesAmt |
| CY Total Expenses | $1,681,949 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $852,083 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,063,693 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,173,761 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,940,766 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,091,917 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,471,258 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,081,844 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,469,508 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $522,353 | ExpenseAmt |
| Grant | $522,353 | GrantAmt |
| Desc | Grant of Equipment, Supplies, and Funds to CentraState Medical Center and related organizations. | Desc |
| Total Program Service Expenses | $522,353 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 9 | EmployeeCnt |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dominick Salerno | PersonNm |
| Phone | 7322947022 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 West Main Street | AddressLine1Txt |
| City | Freehold | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07728 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 |
|---|---|---|---|---|---|---|---|
| Kenneth Tomkovich MD | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Peter G Licata | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Jack Aaronson | |||||||
| Trustee | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Joseph Cipriano MD | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| June B Duck MD | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Kenneth W Faistl MD | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| James Fisher | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Clara Glory | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Thomas Hogan | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Robert Kash | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Vincent P Labbate | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Anthony J Marino MD | |||||||
| Trustee | 3.00 | 20.00 | Yes (X) | $0 | $85,093 | $4,455 | |
| Robert McGirr | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Larry Metz | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Kenneth Reilly | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| William J Setaro | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Edward M Soffen MD | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Michael Stallone | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Stephen Walsh | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Valerie Mac Phee | |||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| John T Gribbin | |||||||
| President & CEO | 1.00 | 49.00 | Yes (X) | $0 | $948,500 | $42,339 | Yes (X) |
| Nancy Barone | |||||||
| Vice President | 38.00 | 0.00 | $237,459 | $0 | $31,228 | Yes (X) | |
| John Dellocono | |||||||
| SR VP-CFO | 1.00 | 49.00 | $0 | $552,296 | $47,075 | Yes (X) | |
| Thomas Scott | |||||||
| COO | 1.00 | 49.00 | $0 | $457,254 | $35,729 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $237,459 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,043,143 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $160,826 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $80,865 | FundraisingAmt |
| Government Grants | $12,000 | GovernmentGrantsAmt |
| All Other Contributions | $2,081,513 | AllOtherContributionsAmt |
| Total Contributions | $2,174,378 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,803 | TotalRevenueColumnAmt |
| Exclusion | $153,803 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,140,504 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,115,326 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $25,178 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,178 | TotalRevenueColumnAmt |
| Exclusion | $25,178 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $658,415 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $80,865 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $266,132 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $392,283 | TotalRevenueColumnAmt |
| Exclusion | $392,283 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,745,642 | TotalRevenueColumnAmt |
| Exclusion | $571,264 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,353 | TotalAmt |
| Program Services | $522,353 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,687 | TotalAmt |
| Management And General | $268,687 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,914 | TotalAmt |
| Management And General | $51,796 | ManagementAndGeneralAmt |
| Fundraising | $262,118 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,504 | TotalAmt |
| Management And General | $10,755 | ManagementAndGeneralAmt |
| Fundraising | $108,749 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,250 | TotalAmt |
| Management And General | $18,250 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,559 | TotalAmt |
| Management And General | $62,559 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,249 | TotalAmt |
| Management And General | $812 | ManagementAndGeneralAmt |
| Fundraising | $2,437 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,329 | TotalAmt |
| Management And General | $5,332 | ManagementAndGeneralAmt |
| Fundraising | $15,997 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,820 | TotalAmt |
| Management And General | $3,455 | ManagementAndGeneralAmt |
| Fundraising | $10,365 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,313 | TotalAmt |
| Management And General | $9,828 | ManagementAndGeneralAmt |
| Fundraising | $29,485 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,434 | TotalAmt |
| Management And General | $3,359 | ManagementAndGeneralAmt |
| Fundraising | $10,075 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Campaign Development Expense | $83,973 | $83,973 | |
| Direct Corporate Expense | $62,808 | $62,808 | |
| Program Expense | $38,610 | $38,610 | |
| Bank Charges | $33,723 | $33,723 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,423 | TotalAmt |
| Management And General | $44,423 | ManagementAndGeneralAmt |
| Fundraising | $22,000 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,681,949 | TotalAmt |
| Program Services | $522,353 | ProgramServicesAmt |
| Management And General | $575,787 | ManagementAndGeneralAmt |
| Fundraising | $583,809 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,520 | BOYAmt |
| EOY | $273,712 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,870,317 | BOYAmt |
| EOY | $4,811,161 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,762,429 | BOYAmt |
| EOY | $506,415 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $504,016 | BOYAmt |
| EOY | $253,033 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,659 | BOYAmt |
| EOY | $209,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,045,576 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $315,598 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,508 | BOYAmt |
| EOY | $729,978 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,849,312 | BOYAmt |
| EOY | $8,157,308 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,173,761 | BOYAmt |
| EOY | $14,940,766 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,238 | BOYAmt |
| EOY | $113,144 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,933,679 | BOYAmt |
| EOY | $3,358,114 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,091,917 | BOYAmt |
| EOY | $3,471,258 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,669,082 | BOYAmt |
| EOY | -$3,504,493 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,137,013 | BOYAmt |
| EOY | $14,360,088 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,913 | BOYAmt |
| EOY | $613,913 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,081,844 | BOYAmt |
| EOY | $11,469,508 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,173,761 | BOYAmt |
| EOY | $14,940,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,063,693 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $323,971 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $2,719,686 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,351,939 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,388,490 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,081,541 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,174,378 | CurrentTaxYearAmt |
| Total | $10,716,034 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,719,686 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,351,939 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,388,490 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,081,541 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,174,378 | CurrentTaxYearAmt |
| Total | $10,716,034 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $4,268,578 | SubstantialContributorsTotAmt |
| Public Support Total170 | $6,447,456 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $201,412 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $167,623 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $177,983 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $150,719 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,803 | CurrentTaxYearAmt |
| Total | $851,540 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,567,574 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,839,891 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.55740 | PublicSupportCY170Pct |
| Public Support PY170 | 0.65180 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $598,320 | OtherCostOrOtherBasisAmt |
| Book Value | $598,320 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,982 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,982 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $443,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $311,616 | DepreciationAmt |
| Book Value | $131,658 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $729,978 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to CentraState MC - Intercompany | $3,277,690 |
| Liability Split Interest Agreement | $80,424 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,358,114 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,745,642 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $2,745,642 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,745,642 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,681,949 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,681,949 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,681,949 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Band Aid Open | Event1Nm |
| Gross Receipts Event1 | $235,199 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $24,290 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $210,909 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $99,489 | OtherDirectExpensesEvent1Amt |
| Event2 | Annual Ball | Event2Nm |
| Gross Receipts Event2 | $231,609 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $13,750 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $217,859 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $72,456 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $272,472 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $42,825 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $229,647 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $94,187 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $739,280 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $80,865 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $658,415 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $266,132 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $266,132 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $392,283 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| American Cancer Society | ||||||||||
| 2310 Route 34 Suite 1D | Manasquan | NJ | 08736 | 131788491 | 501 (C) (3) | $10,000 | $0 | Comm Organization Donation | ||
| American Heart Association | ||||||||||
| 1 Union Street Suite 301 | Robbinsville | NJ | 08691 | 135613797 | 501 (C) (3) | $12,750 | $0 | Comm Organization Donation | ||
| Applewood Estates | ||||||||||
| 1 Applewood Drive | Freehold | NJ | 07728 | 222575377 | 501 (C) (3) | $216,943 | $22,500 | Resident Needs | Cost | Supplies & Services |
| CentraState Medical Center | ||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 221750190 | 501 (C) (3) | $169,337 | $50,850 | Ambulatory Campus addition | Cost | Equipment |
| Girl ScoutsThe Jersey Shore | ||||||||||
| 1405 Old Freehold Road | Toms River | NJ | 08753 | 210731966 | 501 (C) (3) | $10,000 | $0 | Comm Organization Donation | ||
| VNA Health Group Inc | ||||||||||
| 176 Riverside Avenue | Red Bank | NJ | 07701 | 210639369 | 501 (C) (3) | $27,700 | $0 | Comm Organization Donation | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | The Foundation solicits and raises funds for operating and capital needs which are recorded and accounted for in accordance with Statement Of Financial Accounting Standards:(SFAS) No 136,transfer of assets to a not-for-profit organization. The Foundation, The Medical Center, Center for Aging,Inc. DBA - Applewood, and CentraState Healthcare Affiliates - DBA - The Manor are financially interrelated organizations. Monitoring the use of the funds is accomplished by guidelines established by the granting agency and approved budgets for capital and operations of each agency. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Dellocono | ||||||||||||
| SR VP-CFO | $386,230 | $72,266 | $93,800 | $29,150 | $17,925 | $599,371 | ||||||
| John T Gribbin | ||||||||||||
| President & CEO | $676,955 | $242,874 | $28,671 | $29,150 | $13,189 | $990,839 | ||||||
| Nancy Barone | ||||||||||||
| Vice President | $201,991 | $28,603 | $6,865 | $18,911 | $12,317 | $268,687 | ||||||
| Thomas Scott | ||||||||||||
| COO | $381,640 | $73,870 | $1,744 | $17,622 | $18,107 | $492,983 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a: Relevant information in regards to selections on 1a. | This description is also applicable to Part I - Line 4b.Gross up payments were used for the Supplemental Executive Retirement Plan.The CentraState Healthcare System Supplemental Executive Retirement Plan (the "Plan") is designed to provide competitive retirement income for a select group of management or highly compensated employees.The plan is a defined contribution plan, and is intended to be governed under Section 457(f)of the Code as a plan for an "eligible employer" providing for deferral of compensation that is not an "eligible deferred compensation plan". |
| Part I, Line 7: Non-Fixed payments not listed above | Incentive payments are discretionary as certain quality, financial, and statistical indicators must be met. All payments are subject to discretion of the Board. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Metropolitan Cafe | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | See Part V | RelationshipDescriptionTxt |
| Transaction | $59,272 | TransactionAmt |
| Transaction | See Part V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | 1. Robert Kash, Trustee, is a principal owner of Metropolitan Cafe, which performs catering services for The Foundation & Medical Center events. The transactions are performed on an arms length basis. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | CentraState Healthcare Systems (CSHS) a 501 (C) (3) organization is the sole member of its wholly owned subsidiary corporations and not-for-profit entities. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | As the sole member, the parent corporation has the authority to appoint board members for each of the subsidiary entities of which it is the sole member. This is done by the Chair of the Parent Board, with the advice and consent of the Governance Committee.The Board of Trustees meets monthly and is responsible for the control and management of the property, affairs and funds of the CentraState Healthcare Foundation and for filling vacancies among its members. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | All of the corporate powers and authority of CentraState Healthcare Foundation, Inc.("Corporation") in the certificate of incorporation and in the laws of the State of New Jersey shall be vested in and exercised by a Board of Trustees. The trustees of the corporation, shall be drawn solely from the corporation's Board of Trustees. The corporation shall have no fewer than fifteen nor greater than nineteen Trustee positions made up of Chairman, Vice Chairman, Secretary/Treasurer and members.Governance decisions are presented to the parent board with the advice and consent of the Governance Committee. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Form 990 was reviewed by CentraState's Audit Committee and Board Of Trustees prior to being filed. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | All officers, trustees and key employees are required, annually, to review the Corporation's Conflict of Interest Policy and complete a Conflict of Interest Questionnaire, which is submitted to Corporate Counsel. Counsel reviews each completed questionnaire and prepares a report, which is shared with the Board's Governance Committee and, ultimately, the Board. The Policy is enforced, as needed, depending on the circumstances -- for example, through recusal from voting, divestiture of conflicting property interests or, in certain past cases, resignation from the Board. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | This description is also applicable to Part VI - Line 15a.Annually, the Foundation establishes and maintains reasonable executive compensation and benefits programs that allow the healthcare system to effectively attract, retain, and motivate key executives while maintaining compliance with all legal requirements.CentraState Healthcare System's Board of Trustees has the primary responsibility to provide executive pay and benefit strategies that are competitive and compliant with all legal requirements.Responsibility for providing direct oversight of the executive compensation and benefit programs are vested with the Executive Compensation Sub-Committee(ECSC).The ECSC will engage an independent compensation consultant that reports directly to the committee and provides them with objective compensation data and advice. Decisions regarding executive pay shall be based on objective compensation data from comparable institutions and shall ensure that executive pay is commensurate with individual and organizational performance. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The organization makes its governing documents, conflict of interest policy, and financial statements available upon written request from the public. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CentraState Medical Center | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 221750190 | Medical Center | NJ | 501 (c) 3 | 3 | CentraState Healthcare System Inc | Yes (true) | |
| CentraState Healthcare Systems Inc | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 222482803 | Management | NJ | 501 (c) 3 | 12a | false | N/A | |
| Center for Aging Inc | |||||||||||
| 1 Applewood Drive | Freehold | NJ | 07728 | 222575377 | CCRC | NJ | 501 (c) 3 | 10 | CentraState Healthcare System Inc | Yes (true) | |
| CentraState Healthcare Affiliates Inc | |||||||||||
| 689 West Main Street | Freehold | NJ | 07728 | 521594300 | Nursing Home | NJ | 501 (c) 3 | 10 | CentraState Healthcare System Inc | Yes (true) | |
| CentraState Assisted Living Inc | |||||||||||
| 560 Iron Bridge Road | Freehold | NJ | 07728 | 223520730 | Assisted Living | NJ | 501 (c) 3 | 10 | CentraState Healthcare System Inc | Yes (true) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CentraState Healthcare Services Inc | |||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 222512830 | Med/Hlth | NJ | N/A | C corp | Yes (true) |
| CentraState Medical Associates | |||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 223402359 | Med/Hlth | NJ | N/A | C corp | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CentraState Medical Center | ||
| b | $220,187 | Cost |
| CentraState Medical Center | ||
| p | $352,312 | Cost |
| CentraState Medical Center | ||
| q | $795,535 | Cost |
| Center for Aging Inc | ||
| b | $239,443 | Cost |
| CentraState Healthcare Services Inc | ||
| a | $35,920 | Cost |