2013-11-05T10:50:32-08:00 2012-12-31 Ernst & Young LLP US 111 Monument Circle Suite 2600 Indianapolis IN 46204 990 2012-01-01 222383065 CentraState Healthcare Foundation CENT 7322947022 916 Highway 33 - Suite 3 Freehold NJ 07728 John A Dellocono 2013-11-05 false 2012 2016-02-24 21:20:13Z John T Gribbin Pres CEO 3271601 false false X N/A X 1981 NJ To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. 22 20 7 1 0 2137584 2719686 0 225115 215884 140444 120953 2503143 3056523 2188492 1435370 0 626735 695020 0 822579 566914 600284 3382141 2730674 -878998 325849 8869165 10342183 713395 1592230 8155770 8749953 To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. false false 1435370 1435370 Grant of Equipment, Supplies, and Funds to CentraState Medical Center and related organizations. 1435370 true true false false false false false false false false true false false false true false false true false false false false false false true false false true false true false false false false false false false false false false false false false false false false true true true false false true 14 0 true 7 true false false false false false false true true false 0 false false false false false false false false false false X 22 20 false false false false true true true true true false false true true true true true true true true false NJ X Dominick Salerno 7322947022 901 West Main Street Freehold NJ 07728 Kenneth Tomkovich MD 3.00 0.00 X 0 0 0 Edward M Soffen MD 3.00 0.00 X 0 0 0 Gerard K Norkus 3.00 0.00 X 0 0 0 John T Gribbin 1.00 49.00 X X 0 980881 227199 Larry Metz 3.00 0.00 X 0 0 0 Vincent Maltese Esquire 3.00 0.00 X 0 0 0 Valerie Mac Phee 3.00 0.00 X 0 0 0 Robert Kash 3.00 0.00 X 0 0 0 Clara Glory 3.00 0.00 X 0 0 0 Kenneth W Faistl MD 3.00 0.00 X 0 0 0 Peter Licata 3.00 0.00 X 0 0 0 John F Eggert 3.00 0.00 X 0 0 0 Brian Koslow 3.00 0.00 X 0 0 0 Orly Tabak Vallario 3.00 0.00 X 0 0 0 June B Duck MD 3.00 0.00 X 0 0 0 Joseph Cipriano MD 3.00 0.00 X 0 0 0 John A Brandeisky DPM 3.00 0.00 X 0 15151 0 Robert A Bennett 3.00 0.00 X 0 0 0 Wlliam J Setaro Ed D 3.00 0.00 X 0 0 0 Jack Aaronson 3.00 0.00 X 0 0 0 M Michael Jones MD 3.00 0.00 X 0 0 0 Robert McGirr 3.00 0.00 X 0 0 0 John Dellocono 1.00 49.00 X 0 443818 87414 Daniel Messina 1.00 49.00 X 0 597441 112864 Roman Lucky 38.00 0.00 X 206709 0 36063 206709 2037291 463540 1 false true false 0 59780 71971 2587935 2719686 0 201412 201412 0 0 0 64262 49790 14472 14472 14472 286241 59780 165288 120953 120953 0 0 0 3056523 336837 1435370 1435370 0 0 0 242772 242772 0 352483 52872 299611 0 99765 8979 90786 0 0 0 12142 12142 0 0 0 0 0 7211 1803 5408 35851 8963 26888 0 0 0 0 19813 4953 14860 0 0 29013 7253 21760 6963 1741 5222 Bad Debt 77254 77254 Program Expense 124921 124921 Other Expenses 131247 131247 Campaign Development Expense 137622 137622 18247 18247 2730674 1435370 472725 822579 185932 446314 1780669 2203331 1331236 1832007 77177 14008 0 0 1254548 1090040 0 218892 348918 921873 205582 740064 716291 3280647 3691274 0 0 0 0 8869165 10342183 84950 240402 628445 1351828 713395 1592230 X 602911 -182734 6938946 8318774 613913 613913 8155770 8749953 8869165 10342183 325849 268334 X false true X true false X 1477017 1291609 1145126 2137584 2719686 8771022 0 0 1477017 1291609 1145126 2137584 2719686 8771022 1736469 7034553 315622 260968 217358 217478 201412 1212838 0 0 9983860 2831110 0.70460 0.71370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 598320 598320 31197 29803 1394 292356 175779 116577 716291 Liability-Split Interest Agreement 126276 Due to CentraState MC - Intercompany 1225552 1351828 3056523 3056523 3056523 2730674 2730674 2730674 false MS Events 193304 56300 137004 71887 Band Aid Open 152717 3480 149237 93401 346021 59780 286241 165288 165288 120953 true VNA Health Group 176 Riverside Avenue Red Bank NJ 07701 210639369 501 (c) 3 9500 0 Comm Organization Donation National MS Society 1 Kalisa Way Paramus NJ 07652 135661935 501 (c) 3 14200 0 Comm Organization Donation March Of Dimes 2400 Main Street Extension 1 Sayreville NJ 08872 131846366 501 (c) 3 10800 0 Comm Organization Donation CentraState Medical Center 901 West Main Street Freehold NJ 07728 221750190 501 (c) 3 1157178 167684 Cost Equipment Ambulatory Campus addition CentraState Assoc Auxiliary 901 West Main Street Freehold NJ 07728 221750190 501 (c) 3 8645 0 Comm Organization Donation Applewood Estates 1 Applewood Drive Freehold NJ 07728 222575377 501 (c) 3 12936 12767 Cost Equipment Resident Needs American Heart Association 1 Union Street Suite 301 Robbinsville NJ 08691 135613797 501 (c) 3 10000 0 Comm Organization Donation American Cancer Society 2310 Route 34 Suite 1D Manasquan NJ 08736 131788491 501 (c) 3 15800 0 Comm Organization Donation 8 0 Grantmaker's Description of How Grants are Used The Foundation solicits and raises funds for operating and capital needs , 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, Applewood, and 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. X true true false true false false false false false true false false Roman Lucky 176209 24418 6082 20552 15511 242772 John T Gribbin 532598 230545 217738 214688 12511 1208080 John Dellocono 310700 70459 62659 71947 15467 531232 Daniel Messina 404670 92083 100688 98897 13967 710305 Sch J, Part I, Line 7 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. Sch J, Part I, Line 1a 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". Form 990, Part VI, Line 19 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. Form 990, Part VI, Line 15b 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 12c 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 Conflicts of Interest Policy and complete a Conflicts 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 11b 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 7b 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 7a 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 6 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. CentraState Assisted Living Inc 560 Iron Bridge Road Freehold NJ 07728 223520730 Assisted Living NJ 501 (c) 3 9 CentraState Healthcare System Inc true CentraState Healthcare Affiliates Inc 689 West Main Street Freehold NJ 07728 521594300 Nursing Home NJ 501 (c) 3 9 CentraState Healthcare System Inc true Center for Aging Inc 1 Applewood Drive Freehold NJ 07728 222575377 CCRC NJ 501 (c) 3 9 CentraState Healthcare System Inc true CentraState Healthcare Systems Inc 901 West Main Street Freehold NJ 07728 222482803 Management NJ 501 (c) 3 11a N/A false CentraState Medical Center 901 West Main Street Freehold NJ 07728 221750190 Medical Center NJ 501 (c) 3 3 CentraState Healthcare System Inc true CentraState Medical Associates PC 901 West Main Street Freehold NJ 07728 223402359 Med/Hlth NJ N/A C corp true CentraState Healthcare Services Inc 901 West Main Street Freehold NJ 07728 222512830 Med/Hlth NJ N/A C corp true true true false false false false false false false false false false false false false true true false false CentraState Healthcare Services Inc a 103326 Cost CentraState Medical Center q 818785 Cost CentraState Medical Center p 91242 Cost CentraState Medical Center b 1324862 Cost