CENTRASTATE HEALTHCARE FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CENTRASTATE HEALTHCARE FOUNDATION (EIN 22-2383065)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-01
- IRS object ID
- 201103059349301020
- Schema version
- 2010v3.2
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-01T11:10:11-07:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young LLP US | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Monument Circle Suite 2600 | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222383065 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CentraState Healthcare Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 7322947022 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 916 Highway 33 - Suite 3 | AddressLine1 |
| City | Freehold | City |
| State | NJ | State |
| ZIP Code | 07728 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John A Dellocono | Name |
| Title | SVP/CFO | Title |
| Date Signed | 2011-11-01 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John T Gribbin Pres CEO | NameOfPrincipalOfficerPerson |
| Gross Receipts | 1971619 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 27 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 26 | NbrIndependentVotingMembers |
| Total Nbr Employees | 9 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1291609 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1145126 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 248535 | InvestmentIncomePriorYear |
| Investment Income Current Year | 220338 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 263985 | OtherRevenuePriorYear |
| Other Revenue Current Year | 211033 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1804129 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1576497 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 916242 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1462974 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 633042 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 646594 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 639764 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1028469 | OtherExpensePriorYear |
| Other Expenses Current Year | 560613 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2577753 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2670181 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -773624 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1093684 | RevenuesLessExpensesCY |
| Total Assets BOY | 10440672 | TotalAssetsBOY |
| Total Assets EOY | 9736499 | TotalAssetsEOY |
| Total Liabilities BOY | 547718 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 708929 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9892954 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9027570 | NetAssetsOrFundBalancesEOY |
| Mission Description | To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1583066 | Expense |
| Grants | 1462974 | Grants |
| Description | Grant of Equipment, Supplies, and Funds to CentraState Medical Center and related organizations. | Description |
| Total Program Service Expense | 1583066 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 9 | NumberOfEmployees |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 27 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 26 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Dominick Salerno | NamePerson |
| Telephone Number | 7322947022 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 West Main Street | AddressLine1 |
| City | Freehold | City |
| State | NJ | State |
| ZIP Code | 07728 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Vincent Maltese Esquire | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Valerie Mac Phee | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Roman Lucky | ||||||
| VP Development | 38.00 | 196365 | 0 | 33462 | X | |
| Robert McGirr | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Robert Kash | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Robert Agel | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Robert A Bennett | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Peter Licata | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Nathan Davidson | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Michael Duru | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| M Michael Jones MD | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Larry Metz | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Kenneth W Faistl MD | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Kenneth Tomkovich MD | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| June B Duck MD | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Joseph Cipriano MD | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| John T Gribbin Pres CEO | ||||||
| President & CEO | 1.00 | X | 0 | 769396 | 138066 | X |
| John Szeliga | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| John F Eggert | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| John Dellocono | ||||||
| SR VP-CFO | 1.00 | 0 | 406505 | 91890 | X | |
| John A Amirante | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| John A Brandeisky DPM | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Jack Dworkin MD | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Jack Aaronson | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Gerard K Norkus | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Fred Morelli | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Edward M Soffen MD | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Daniel Messina | ||||||
| SR VP-COO | 1.00 | 0 | 529454 | 117059 | X | |
| Clara Glory | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Anthony Caprio | ||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 196365 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1705355 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 380477 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 29701 | FundraisingEvents |
| Government Grants | 124784 | GovernmentGrants |
| All Other Contributions | 990641 | AllOtherContributions |
| Total Contributions | 1145126 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 216933 | TotalRevenueColumn |
| Exclusion | $216,933 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 425 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 425 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 425 | TotalRevenueColumn |
| Exclusion | $425 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 48337 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 44932 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3405 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3405 | TotalRevenueColumn |
| Exclusion | $3,405 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 560798 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 29701 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 350190 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 210608 | TotalRevenueColumn |
| Exclusion | $210,608 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1576497 | TotalRevenueColumn |
| Exclusion | $431,371 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1462974 | Total |
| Program Services | 1462974 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229827 | Total |
| Management And General | 229827 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317714 | Total |
| Management And General | 47657 | ManagementAndGeneral |
| Fundraising | 270057 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99053 | Total |
| Management And General | 8915 | ManagementAndGeneral |
| Fundraising | 90138 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16550 | Total |
| Management And General | 16550 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24326 | Total |
| Fundraising | 24326 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6635 | Total |
| Management And General | 1659 | ManagementAndGeneral |
| Fundraising | 4976 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31021 | Total |
| Management And General | 7755 | ManagementAndGeneral |
| Fundraising | 23266 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19151 | Total |
| Management And General | 4788 | ManagementAndGeneral |
| Fundraising | 14363 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26701 | Total |
| Management And General | 6675 | ManagementAndGeneral |
| Fundraising | 20026 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5140 | Total |
| Management And General | 1285 | ManagementAndGeneral |
| Fundraising | 3855 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| Program Expense | 156892 | 120092 | 36800 | |
| Other Expenses | 139238 | 16998 | 122240 | |
| Campaign Development Expense | 74213 | 74213 | ||
| Bad Debt | 8447 | 8447 | ||
| Annual Appeal | 52299 | 52299 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2670181 | Total |
| Program Services | 1583066 | ProgramServices |
| Management And General | 447351 | ManagementAndGeneral |
| Fundraising | 639764 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 707136 | BOY |
| EOY | 490112 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2245803 | BOY |
| EOY | 2441453 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2067510 | BOY |
| EOY | 1119841 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84541 | BOY |
| EOY | 161546 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1544568 | BOY |
| EOY | 1405695 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209906 | BOY |
| EOY | 229469 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 904124 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 148445 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 768549 | BOY |
| EOY | 755679 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2812659 | BOY |
| EOY | 3132704 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10440672 | BOY |
| EOY | 9736499 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50217 | BOY |
| EOY | 62083 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 497501 | BOY |
| EOY | 646846 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 547718 | BOY |
| EOY | 708929 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1730972 | BOY |
| EOY | 1264030 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7548069 | BOY |
| EOY | 7149627 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 613913 | BOY |
| EOY | 613913 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9892954 | BOY |
| EOY | 9027570 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10440672 | BOY |
| EOY | 9736499 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1093684 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 228300 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4688923 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2690532 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1477017 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1291609 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1145126 | CurrentTaxYear |
| Total | 11293207 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4688923 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2690532 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1477017 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1291609 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1145126 | CurrentTaxYear |
| Total | 11293207 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 1878085 | AmountsSubstContributorsTotal |
| Public Support Total170 | 9415122 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 321063 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 312519 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 315622 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 260968 | CurrentTaxYearMinus1Year |
| Current Tax Year | 217358 | CurrentTaxYear |
| Total | 1427530 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 12720737 | TotalSupport |
| Gross Receipts From Admissions Etc | 3371799 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.74010 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.67710 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 598320 | OtherCostOrOtherBasis |
| Book Value | 598320 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31197 | OtherCostOrOtherBasis |
| Depreciation | 29007 | Depreciation |
| Book Value | 2190 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 274607 | OtherCostOrOtherBasis |
| Depreciation | 119438 | Depreciation |
| Book Value | 155169 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 755679 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Liability-Split Interest Agreement | $132,042 |
| Due to CentraState MC - Intercompany | $514,804 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 646846 | TotalOfAmounts |
| Total Revenue | 1576497 | TotalRevenue |
| Total Expenses | 2670181 | TotalExpenses |
| Excess Or Deficit For Year | -1093684 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 228300 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 228300 | TotalAdjustments |
| Excess Or Deficit Per FS | -865384 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1576497 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 1576497 | RevenueSubtotal |
| Total Revenue Per Form990 | 1576497 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2670181 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 2670181 | ExpensesSubtotal |
| Total Expenses Per Form990 | 2670181 | TotalExpensesPerForm990 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Annual Ball | NameOfEvent1 |
| Gross Receipts Event1 | 218086 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 13350 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 204736 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 173081 | OtherDirectExpensesEvent1 |
| Name Of Event2 | MS Events | NameOfEvent2 |
| Gross Receipts Event2 | 202840 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 9750 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 193090 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 67673 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 169573 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 6601 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 162972 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 109436 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 590499 | GrossReceiptsTotal |
| Charitable Contributions Total | 29701 | CharitableContributionsTotal |
| Gross Revenue Total Events | 560798 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 350190 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 350190 | DirectExpenseSummaryEvents |
| Net Income Summary | 210608 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| Monmouth Pk Charity Fd | ||||||||||
| 175 Oceanport Avenue | Oceanport | NJ | 07757 | 226063135 | 501 (c) 3 | 5750 | 0 | Comm Organization Donation | ||
| CentraState Medical Center | ||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 221750190 | 501 (c) 3 | 1187767 | 218137 | Ambulatory Campus addition | Cost | Equipment |
| CentraState Assoc Auxiliary | ||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 221750190 | 501 (c) 3 | 6500 | 0 | Comm Organization Donation | ||
| Applewood Estates | ||||||||||
| 1 Applewood Drive | Freehold | NJ | 07728 | 222575377 | 501 (c) 3 | 24125 | 10695 | Resident Needs | Cost | Equipment |
| Alliance For Lupus Research | ||||||||||
| 28 West 44th Street | New York | NY | 10036 | 582492929 | 501 (c) 3 | 10000 | 0 | Comm Organization Donation | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Roman Lucky | |||||||||||
| 165121 | 19558 | 11686 | 19347 | 14115 | 229827 | ||||||
| John T Gribbin Pres CEO | |||||||||||
| 498038 | 134878 | 136480 | 126950 | 11116 | 907462 | ||||||
| John Dellocono | |||||||||||
| 292343 | 50103 | 64059 | 75844 | 16046 | 498395 | ||||||
| Daniel Messina | |||||||||||
| 377201 | 63720 | 88533 | 104513 | 12546 | 646513 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. | 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". |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 | 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 11 | Form 990, Part VI, Line 11: 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 7a | Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The Board of Trustees meets monthly and is responsible for the control and management of the property, affairs and funds of the Medical Center 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | false | N/A | |
| CentraState Medical Center | |||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 221750190 | Medical Center | NJ | 501 (c) 3 | 3 | CentraState Healthcare System Inc | true | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CentraState Healthcare Services Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 West Main Street | AddressLine1 |
| City | Freehold | City |
| State | NJ | State |
| ZIP Code | 07728 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222512830 | EIN |
| Primary Activity | Medical/Health | PrimaryActivity |
| Legal Domicile State | NJ | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C corp | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CentraState Healthcare Services Inc | |
| a | 125961 |
| CentraState Medical Center | |
| p | 768562 |
| CentraState Medical Center | |
| o | 627536 |
| CentraState Medical Center | |
| b | 1405904 |