CENTRASTATE MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CENTRASTATE MEDICAL CENTER INC (EIN 22-1750190)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-11
IRS object ID
201812849349300006
Schema version
2017v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-10-11T06:03:06-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN221750190EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Centrastate Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone7322947022PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 West Main StreetAddressLine1Txt
CityFreeholdCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07728ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn A DelloconoPersonNm
Person TitleSVP/CFOPersonTitleTxt
Signature2018-10-11SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn T Gribbin Pres CEOPrincipalOfficerNm
Gross Receipts$311,149,866GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.centrastate.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionCentraState Medical Center's Mission is to enhance the health and well-being of our communities through the compassionate delivery of quality healthcare.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee2449TotalEmployeeCnt
Total Volunteers579TotalVolunteersCnt
Total Gross UBI$880,632TotalGrossUBIAmt
PY Contributions Grants$407,949PYContributionsGrantsAmt
CY Contributions Grants$502,365CYContributionsGrantsAmt
PY Program Service Revenue$269,989,162PYProgramServiceRevenueAmt
CY Program Service Revenue$270,015,095CYProgramServiceRevenueAmt
PY Investment Income$3,542,232PYInvestmentIncomeAmt
CY Investment Income$5,330,541CYInvestmentIncomeAmt
PY Other Revenue$4,654,728PYOtherRevenueAmt
CY Other Revenue$4,697,174CYOtherRevenueAmt
PY Total Revenue$278,594,071PYTotalRevenueAmt
CY Total Revenue$280,545,175CYTotalRevenueAmt
PY Grants And Similar Paid$30,190PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$138,345,268PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$136,752,568CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$134,021,959PYOtherExpensesAmt
CY Other Expenses$143,869,675CYOtherExpensesAmt
PY Total Expenses$272,397,417PYTotalExpensesAmt
CY Total Expenses$280,622,243CYTotalExpensesAmt
PY Revenues Less Expenses$6,196,654PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$77,068CYRevenuesLessExpensesAmt
Total Assets BOY$344,746,823TotalAssetsBOYAmt
Total Assets EOY$342,916,647TotalAssetsEOYAmt
Total Liabilities BOY$161,938,910TotalLiabilitiesBOYAmt
Total Liabilities EOY$152,011,873TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$182,807,913NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$190,904,774NetAssetsOrFundBalancesEOYAmt
MissionCentraState Medical Center's Mission is to enhance the health and well-being of our communities through the compassionate delivery of quality healthcare.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$231,359,726ExpenseAmt
Revenue$270,015,095RevenueAmt
DescAll services are geared toward direct patient care. The Medical Center had 14,318 admissions and 67,419 patient days plus 226,760 outpatient visits and 6,437 same day surgery procedures. The Medical Center also provides other community services. The Student Health Awareness Center provides health education and information, as well helping girl and boy scouts to earn badges. The Clinic also provides specialty services such as OBGYN, pediatric, neurology, cardiology, and many others. CentraState established a community advisory council designed to access community health needs. The ER's "Buckle Up" program works with the local Police to check vehicles for seat belt use. An award winning program First Impressions helps new parents to cope with the change in their lifestyle.The Medical Center provides Charity Care to patients who meet certain criteria defined by the New Jersey Department of Health and Senior Services ("DOHSS") without charge or at amounts less than established rates. The amount of Charity Care provided during the year, based on charges the Medical Center established, was approximately $25.0 million.Desc
Total Program Service Expenses$231,359,726TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document261IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2449EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryOCForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDominick SalernoPersonNm
Phone7322947022PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 West Main StreetAddressLine1Txt
CityFreeholdCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07728ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Stephen Perralla Esq
Trustee4.000.00Yes (X)$0$0$0
Peter G Licata Esq
Trustee4.000.00Yes (X)$0$0$0
Jack Aaronson
Trustee1.003.00Yes (X)$0$0$0
Dorothy P Bowers
Trustee1.003.00Yes (X)$0$0$0
John M Cantalupo Esq
Trustee4.000.00Yes (X)$0$0$0
John P DeTullio MD
Trustee4.000.00Yes (X)$61,424$0$0
John F Eggert
Trustee4.000.00Yes (X)$0$0$0
Kenneth Eng DO
Trustee4.000.00Yes (X)$0$0$0
Robert Gordon DDS
Trustee4.000.00Yes (X)$0$0$0
Michael Greller MD
Chief Of Staff4.000.00Yes (X)$30,000$0$0
Daniel R Guadalupe Esq
Trustee4.000.00Yes (X)$0$0$0
Joseph R Iantosca
Trustee4.000.00Yes (X)$0$0$0
Maureen M Lawrence
Trustee4.000.00Yes (X)$0$0$0
Gerard K Norkus
Trustee4.000.00Yes (X)$0$0$0
William A Schories
Trustee4.000.00Yes (X)$0$0$0
Maher Youssef MD
Trustee4.000.00Yes (X)$0$0$0
Moustafa Shafey MD
Trustee42.000.00Yes (X)$320,621$14,560$33,927
John T Gribbin
President & CEO45.005.00Yes (X)$1,330,283$0$45,807Yes (X)
Jack Dworkin
VP/Med Dir38.000.00$388,637$0$40,268Yes (X)
John Dellocono
SR. VP-CFO45.005.00$574,124$0$48,147Yes (X)
Thomas Scott
COO45.005.00$469,443$0$43,462Yes (X)
Linda Geisler
VP-Patient Serv38.000.00$288,941$0$42,008Yes (X)
Vincent D'Elia
VP Mkting-Pub R38.000.00$191,763$0$13,507Yes (X)
Frances Keane
VP/Human Resour38.000.00$284,216$0$39,344Yes (X)
Kim Kelly
VP/Clinical Ser38.000.00$278,535$0$39,388Yes (X)
Karen Freeman
VP Quality38.000.00$121,557$0$13,151Yes (X)
Deborah Rommel-Connors
VP Rev Cycle MG38.000.00$240,722$0$36,823Yes (X)
David De Simone
Sr VP Trans/CLO38.000.00$406,537$0$45,733Yes (X)
John Ulett
VP - CIO38.000.00$336,480$0$36,626Yes (X)
Howard A Stein
Physician38.000.00$282,587$0$36,580Yes (X)
Cathleen Janzekovich
AVP Of Nursing38.000.00$219,532$0$13,995Yes (X)
Kimberly H Simers
AVP Integrat Hlth38.000.00$218,304$0$24,341Yes (X)
Barry Asch
AVP Cancer Care Sv38.000.00$205,947$0$28,080Yes (X)
Robert M Nyman
AVP Finance38.000.00$194,610$0$12,458Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,444,263TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,560TotReportableCompRltdOrgAmt
Total Other Compensation$593,645TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K207IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Freehold HospitalistsLLC
4255 Rt 9 NorthFreeholdNJ07728Medical Professional$740,885
Med-Metrix LLC
9 Entin RoadParsippanyNJ07754Consultants$657,058
Day Pitney LLP
P O Box 416234BostonMA02241Legal$635,534
Observation Medicine Specialists
901 W Main StFreeholdNJ07728Medical Professional$625,000
Radiation Oncology Consultants Of NJ
3674 Route 27Kendall ParkNJ08824Medical Professional$615,390
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Related Organizations$313,547RelatedOrganizationsAmt
Government Grants$188,818GovernmentGrantsAmt
Noncash Contributions$57,354NoncashContributionsAmt
Total Contributions$502,365TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Charity Care621990$418,086$418,086
Community Health621990$292,978$292,978
Medicaid GME Subsidy621990$246,306$246,306
Mental Health Subsidy621990$418,908$418,908
Net Patient Serv Rev621990$268,481,729$268,481,729

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$157,088TotalRevenueColumnAmt
Related Or Exempt Func Income$157,088RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$270,015,095TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,058,440TotalRevenueColumnAmt
Unrelated Business Revenue$213,823UnrelatedBusinessRevenueAmt
Exclusion$2,844,617ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,586TotalRevenueColumnAmt
Exclusion$32,586ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,117,003RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,117,003RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,117,003TotalRevenueColumnAmt
Unrelated Business Revenue$666,809UnrelatedBusinessRevenueAmt
Exclusion$2,450,194ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$32,844,206SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$30,604,691SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,239,515SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,239,515TotalRevenueColumnAmt
Exclusion$2,239,515ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCafeteriaDesc
Business621990BusinessCd
Total Revenue Column$1,580,171TotalRevenueColumnAmt
Exclusion$1,580,171ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,580,171OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$280,545,175TotalRevenueColumnAmt
Related Or Exempt Func Income$270,015,095RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$880,632UnrelatedBusinessRevenueAmt
Exclusion$9,147,083ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,355,503TotalAmt
Management And General$5,355,503ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$166,895TotalAmt
Program Services$166,895ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$104,271,902TotalAmt
Program Services$91,112,788ProgramServicesAmt
Management And General$13,159,114ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,731,609TotalAmt
Program Services$4,795,939ProgramServicesAmt
Management And General$935,670ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,228,297TotalAmt
Program Services$10,727,398ProgramServicesAmt
Management And General$2,500,899ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,998,362TotalAmt
Program Services$6,398,690ProgramServicesAmt
Management And General$1,599,672ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,431,549TotalAmt
Management And General$1,431,549ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$155,513TotalAmt
Management And General$155,513ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$16,652TotalAmt
Management And General$16,652ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,621,552TotalAmt
Program Services$8,459,869ProgramServicesAmt
Management And General$4,161,683ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,020,129TotalAmt
Management And General$2,020,129ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,937,499TotalAmt
Program Services$32,337,091ProgramServicesAmt
Management And General$4,600,408ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,771,189TotalAmt
Program Services$2,426,175ProgramServicesAmt
Management And General$345,014ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,664,673TotalAmt
Program Services$29,284ProgramServicesAmt
Management And General$4,635,389ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,035TotalAmt
Management And General$8,035ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$464,922TotalAmt
Program Services$239,016ProgramServicesAmt
Management And General$225,906ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,695,663TotalAmt
Management And General$3,695,663ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,088,854TotalAmt
Program Services$11,271,083ProgramServicesAmt
Management And General$2,817,771ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,597,947TotalAmt
Management And General$1,597,947ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$57,624,474$57,624,474
Provision for Bad Debt$5,771,024$5,771,024

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$280,622,243TotalAmt
Program Services$231,359,726ProgramServicesAmt
Management And General$49,262,517ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,235,921BOYAmt
EOY$9,795,603EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,123,114BOYAmt
EOY$4,006,102EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,932,126BOYAmt
EOY$24,943,051EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,010,274BOYAmt
EOY$2,296,746EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,376,812BOYAmt
EOY$3,715,543EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$356,953,988LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$229,973,026LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$128,573,054BOYAmt
EOY$126,980,962EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$116,647,858BOYAmt
EOY$124,784,031EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$527,674BOYAmt
EOY$451,223EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,319,990BOYAmt
EOY$45,943,386EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$344,746,823BOYAmt
EOY$342,916,647EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,605,955BOYAmt
EOY$33,302,593EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$79,389,892BOYAmt
EOY$72,543,252EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$29,578,895BOYAmt
EOY$28,521,119EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,364,168BOYAmt
EOY$17,644,909EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$161,938,910BOYAmt
EOY$152,011,873EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$171,116,027BOYAmt
EOY$177,505,546EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,191,886BOYAmt
EOY$12,899,228EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$500,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$182,807,913BOYAmt
EOY$190,904,774EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$344,746,823BOYAmt
EOY$342,916,647EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$77,068ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,070,205NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,103,724OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$16,652OtherActivitiesAmt
Total Lobbying Expenditures$16,652TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationPart II-B Line 1iA small percentage of our membership dues with New Jersey Hospital Association, in the amount of $16,652, is used for lobbying activity as defined by Medicare.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,730,397OtherCostOrOtherBasisAmt
Book Value$13,730,397BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$189,873,657OtherCostOrOtherBasisAmt
Depreciation$102,800,582DepreciationAmt
Book Value$87,073,075BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$150,605,217OtherCostOrOtherBasisAmt
Depreciation$127,172,444DepreciationAmt
Book Value$23,432,773BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,744,717OtherCostOrOtherBasisAmt
Book Value$2,744,717BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$126,980,962TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
Assets Held By Related Organization$13,399,228
Due From Related Entities - Long Term$5,780,031
Due From Related Entities - Short Term$8,822,256
Investment In Cayman Captive$9,146,200
Investment In VAP$371,068
Life Care Contracts Applewood$5,891,761
Other Receivables$612,192
Security Deposits$555,000
SERP Restricted Cash$1,365,650
FieldValueIRS element (for citing)
Total Book Value Other Assets$45,943,386TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Deferred Rent$50,742
Due To Related Entities$2,699,399
Malpractice Liability$926,394
Other Liability - Captive Insurance$7,513,909
Reserve - Captive Insurance$219,950
SERP Liability$1,365,650
Third Party Payor Settlements$4,676,974
Workers Comp Insurance - Reserve$191,891
FieldValueIRS element (for citing)
Total Liability$17,644,909TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America, CaribbeanRegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedInsuranceSpecificServicesProvidedTxt
Region Total Expenditures$9,995,463RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$9,995,463SubtotalSpentAmt
Total Spent$9,995,463TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,999,493TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$418,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,581,407NetCommunityBenefitExpnsAmt
Total Expense0.02760TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served687PersonsServedCnt
Total Community Benefit Expns$21,857,586TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,248,251DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,609,335NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served687PersonsServedCnt
Total Community Benefit Expns$29,857,079TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,666,337DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,190,742NetCommunityBenefitExpnsAmt
Total Expense0.04440TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs58ActivitiesOrProgramsCnt
Persons Served3367701PersonsServedCnt
Total Community Benefit Expns$1,643,737TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,622,137NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served50414PersonsServedCnt
Total Community Benefit Expns$2,704,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,664,286NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served943818PersonsServedCnt
Total Community Benefit Expns$852,062TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$852,062NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served31000PersonsServedCnt
Total Community Benefit Expns$1,836TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,836NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served32637PersonsServedCnt
Total Community Benefit Expns$224,614TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$130,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,614NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs87ActivitiesOrProgramsCnt
Persons Served4425570PersonsServedCnt
Total Community Benefit Expns$5,426,635TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$191,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,234,935NetCommunityBenefitExpnsAmt
Total Expense0.01900TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs87ActivitiesOrProgramsCnt
Persons Served4426257PersonsServedCnt
Total Community Benefit Expns$35,283,714TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,858,037DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,425,677NetCommunityBenefitExpnsAmt
Total Expense0.06340TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1200PersonsServedCnt
Total Community Benefit Expns$24,283TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,283NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served11400PersonsServedCnt
Total Community Benefit Expns$137,376TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$100DirectOffsettingRevenueAmt
Net Community Benefit Expns$137,276NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served710PersonsServedCnt
Total Community Benefit Expns$19,991TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,991NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served60280PersonsServedCnt
Total Community Benefit Expns$21,072TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,072NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served73590PersonsServedCnt
Total Community Benefit Expns$202,722TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$100DirectOffsettingRevenueAmt
Net Community Benefit Expns$202,622NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,771,024BadDebtExpenseAmt
Reimbursed By Medicare$75,502,849ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$91,251,573CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$15,748,724MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CentraState Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 West Main StreetAddressLine1Txt
CityFreeholdCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07728ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.centrastate.comWebsiteAddressTxt
State LicenseLicense # 11302StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CentraState Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLplease see line 10a belowOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.centrastate.com/community-health-needs-assessmentStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.0000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.centrastate.com/billing-insuFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLsame as 16a aboveFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLsame as 16a aboveFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityCentraState is an active member of the Health Improvement Coalition of Monmouth County NJ (HICMC). HICMC is comprised of over 70 partners representing a broad range of communities and interests, particularly healthcare. Data and findings from HICMC 2007, 2012, and 2016 Community Health Improvement Plans (CHIP) were made a part of the CentraState CHNA. Additionally, surveys and meetings with local organizations such as the Howell Chamber of Commerce, the Jackson Chamber of Commerce, etc. contributed to the research.Consultation/Meetings with those with special knowledge of the expertise in public health were held with:Thomas Frank, Health Officer, Colts Neck Health DeptMargaret Jahn, Health Officer, Greater Freehold Area Health DeptDavis Richardson, Health Office, Manalapan Twp Health DeptThomas Frank, Health Officer, Colts Neck Health Dept
Part V, Line 7d - Description of Making Needs Assessment Widely AvailableAvailability of CHNA report was also announced to the public at the Hospital's Annual Meeting in January 12, 2017.
Part V, Line 16j - Other Means Hospital Facility Publicized the PolicyThe availability of reduced charge or free care was made known to patients, prospective and former patients and families on the facility website, on billing invoices, posted in each emergency patient care room, in the emergency and all outpatient registration areas, in the admissions/cashier office, and in writing to admitted patients. The actual policy was not provided, but the existence of the policy is made clear and the patient is requested to apply, or ask for more information. In addition, if the patient indicates difficulty in paying, the existence of free or discounted care is communicated to them and the patient is financially screened by phone and/or a charity application is mailed to them.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)CentraState follows the NJ Administrative Code 8:31B and considers individual assets over $7,500 and family assets over $15,000 in determining eligibility for Financial Assistance. In addition, there is a "spend down" provision allowing Financial Assistance if the amount due from the patient is greater than the assets over the stated thresholds.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsDuring financial counseling, the patient is screened for eligibility in public assistance programs, including Medicare, Medicaid, the Catastrophic Illness Fund for Children, and the Violent Crime Compensation Board. The patient is assisted with the enrollment process for any programs for which the patient has probable eligibility. Bills may be reduced from 20% to 100% based upon Financial Assistance criteria. The patient responsibility portion of 20%, 40%, 60% or 80% is based upon rates established in P.L. 1971 c. 136. Spend down assets, through partial payment of the hospital bill is allowed to enable the patient to qualify for Financial Assistance. The amount for which the patient is responsible after partial Financial Assistance shall be limited to 30% of income, per NJAC 8:31B. Uninsured patients with income between 301%-500% of Federal Poverty Levels will be provided a significant discount, in accordance with P.L. 1971 c. 136. Patients are billed routinely for unpaid balances and shall be notified of any impending collection or legal action. Patients are provided with contact information to discuss any questions or problems. Patient bills indicate the availability of payment schedules. Upon patient request, the following payment schedule for balances of $100 or more may be agreed upon: Balance of $100 - $450 - Monthly payment = 1/4 of the balance, $451 - $3,000 = 1/12 of the balance, over $3,000 = minimum of $250 per month or 1% of gross income/month, whichever is more. If the patient and Medical Center representative mutually agree to a payment schedule and payments are received as agreed, further collection action will not be taken. Exceptions to the above schedule may be made by Patient Financial Services Management upon the request of the patient, and documentation by the patient of inability to pay according to the established schedule.If, at the end of the financial screening attempts and billing cycle, the patient has not been approved for Financial Assistance and/or is not on a payment plan, or after there has been a default in payment, the account will be assigned to a collection agency and/or attorney for collections.
Part VI, Line 2 - Needs AssessmentCentraState Healthcare System continues to be a charter member of the HICMC, formerly known as the Monmouth County MAPP Coalition. The CentraState representative (Community Relations Coordinator) serves on the steering committee and is a member of one of three identified-needs work groups. This collaboration completed the original CHIP for Monmouth County in April, 2007. A new/revised CHIP was completed in 2011 and was released in April 2012 at a county-wide public meeting. Findings from this county-wide plan were adopted by the Strategic Planning committee of the CentraState Board of Trustees so as to be formally incorporated into the Systems Community Health Needs Assessment (CHNA) which was completed in November, 2013 and was filed with tax year 2013 Form 990. Progress of the Implementation Plan was reported with the 2014 and 2015 Form 990 filing. Continued progress of the Implementation Plan is being reported with the 2016 Form 990 filing.In 2010, the coalition began gathering secondary data as part of a community health needs assessment. The planning process for a new/revised CHIP began in 2016.In 2010, needs were identified and in 2011 were prioritized. During 2012, strategies to address the prioritized needs were developed and implemented by the HICMC members including CentraState in its service area. A new cycle began in January of 2016.CentraState developed a plan to complete a CentraState Community Health Needs Assessment as required by the Affordable Care Act and the informal CHNA process began in January 2012 and was completed and implemented in November 2013. The plan is widely available through the CentraState website as well as distribution of printed copies upon request. A new cycle began on January, 2016.Additionally, the Freehold Community Alliance for the Prevention of Alcoholism and Drug Abuse (Freehold Twp and Freehold Boro) conducts a needs assessment every three years in which CentraState participates. CentraStates representative (Community Relations Coordinator) is Co-Chair of the organization (Freehold Twp Mayoral appointment.) CentraState utilizes the results at the Health Awareness Center (HAC) and partners with the Alliance to do programming, particularly in the local schools.CentraState also became a founding member of the Ocean-Monmouth Health Coalition (formerly Monmouth County Cancer Coalition) and is an active participant at all meetings. Data and interventions developed by the coalition were utilized in the preparation of the CentraState CHNA during 2013 and in the Implementation Plans thereafter.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceUnder the Financial Assistance and Financial Discount Policy for the Uninsured, CentraState notifies patients of the existence of financial assistance through the posting of signs in English and Spanish in all intake areas. Patients are also notified of the existence of financial counseling and financial assistance through notification on bills. Patients and their families are offered financial counseling before, during or after their services. Scheduled elective inpatients and outpatients are contacted as soon as possible prior to scheduled services. Inpatients are provided financial counseling as soon as possible during inpatient stays, on regular business days. For any scheduled elective inpatients or outpatients or any inpatients not counseled during their stay, and for all other patients (including Emergency Department patients) financial counseling is offered by phone or in person. Patients are provided, on each bill, a phone number to call a financial counselor.
Part VI, Line 4 - Community InformationThe community in which CentraState serves is concentrated in Monmouth and Ocean counties. The average household income in the service area is $135,517. The median household income is $105,060 and the median age is 44. The total population in the service area for 2017 is 357,528 with 125,219 households. The racial mix of the service area population includes 73% white, 10% Asian, 4% black, 11% Hispanic and 2% multi-racial. Gender mix is represented by 51.2% female and 48.8% male.
Part VI, Line 4 - Community Building ActivitiesCommunity building activities, as listed in Part II, include Childhood Development Center which provides public access to daycare needs $24,283; Cancer Navigation System which provides support and information to members of the community with cancer $137,276; Community Coalitions $19,991; Economic and Workforce Development $21,072.
Part VI, Line 5 - Promotion of Community HealthCentraState contributes to the community through substantial employee involvement with other charitable and public organizations such as Girl Scouts of the Jersey Shore, Work force Investment Bureau of Monmouth County, Veterans Community Association, Fingerprint America, Sunrise Optimist Club, Monmouth-Ocean Development Council, Muscular Dystrophy Association, Freehold Township, Monmouth County child Advocacy Center, the National Organization of Women Business Owners, Rutgers University, Cancer Institute of New Jersey and the College Advisory Boards of Monmouth County Community College and Brookdale Community College. Efforts include increasing services to cancer survivors, coordinating efforts for fund raising and organizing student training programs. CentraState also provides additional community benefit through its 579 volunteers who contributed over 69,322 hours of service to their community through opportunities in every hospital department. Volunteers significantly enhance patient and family support in the following service categories: Blood Cart, Dietary Menu, Emergency Department Lounge, Flowers, Gift Shop/Cart, Hospitality Cart, Information Desks, Mail or Messenger, PRN/Floaters, Pastoral Care, Animal Assisted Therapy, Snack Bar, Surgery Waiting Area, Patient Transport, Hair Care, Service Learning.
Part VI, Line 6 - Affilated Health Care SystemCentraState Healthcare System, Inc. is the sole member of the following not-for-profit corporations: CentraState Medical Center, Inc (the Medical Center), Center for Aging, Inc. d/b/a Applewood Estates, CentraState Healthcare Affiliates, Inc. d/b/a The Manor, CentraState Assisted Living, Inc. d/b/a Monmouth Crossing, and CentraState Healthcare Foundation, Inc. CentraState Healthcare System is the sole stockholder of CentraState Healthcare Services, Inc., a for-profit corporation. CentraState Healthcare Services owns all of the membership interests of CentraState Medical Arts Building LLC, a limited liability company. CentraState Medical Associates, P.C. ("Med Associates") is a controlled subsidiary of the Medical Center.The System formed a new captive insurance company domiciled in Cayman Islands, Centrastate Captive Insurance Company Ltd., SPC (the "Cayman Captive"), a wholly owned subsidiary of the Medical Center.The Medical Center is an acute care hospital whose mission is to provide the highest quality patient care for the central New Jersey community it serves. The Medical Center has 276 licensed beds. Applewood Estates is a continuing care retirement community accredited by the Continuing Care Accreditation Committee. Applewood Estates consists of 286 independent apartments, 20 cottages, 40 residential health care units, and a 60 bed skilled nursing facility. In addition, survivors and caregivers support groups for stroke and Parkinson's disease are among the resources available for the residents. The Manor provides skilled nursing services for the 123 elderly residential units including sub-acute, rehabilitation and I.V. therapy. Monmouth Crossing owns and operates an assisted living facility for the elderly consisting of 76 units. Residents with special needs and memory related diseases receive comprehensive, attentive services in a safe, secure environment where specialized activities and programming are provided. Low and moderate income housing needs are also accommodated at the facility. CentraState Healthcare Foundation was established for the purpose of soliciting and investing funds for the benefit of the Medical Center and other not-for-profit entities of the System. Recent examples of funds raised were for cancer care, multiple sclerosis, and diabetes programs contained within the Medical Center.
Part VI, Line 7 - States Filing of Community Benefit Reportn/a
Part VI - Additional InformationPart I, line 6a - Community Benefit Report is available to the public. It includes CentraState's Mission, Vision and Values as well as the background history of the hospital. Community Benefit Activities for 2017 include Community Partnerships $148,398; Educational Programs & Publications $873,113; Health Screenings & Immunizations $465,942; Maternity & Parenting Activities $31,197; Support for Children and Families $244,029; Support Groups/Self Help Programs $79,743; Teaching Programs $3,042,932; Volunteer Programs $2,190,569; Other Services/Benefit Coordination $277,285, Physician Financial Assistance Remuneration Program $270,800 and Financial Assistance for $7,581,407 for a total benefit of $15,205,415.Part 1,line 7 - Financial Assistance Financial Assistance at cost $7,581,407 in 2017. Medicaid of $4,609,335 includes fees for service and Managed Medicaid. Community Health Improvement Activities such as community Health Education, Community Based Clinical Services, Healthcare support Services, Dedicated Staff and Other Resources cost $1,662,137. Medical Students, Interns, Residents and Fellows Education, Nursing Students Education, Scholarships and other Allied and Continuing Health Profession Education cost $2,664,286. Emergency and Trauma Services, Hospital Outpatient Services, Women's and Children's Services and Subsidized Continuing Care cost $852,062. Cash and In-Kind Contributions cost $94,614. Research for development and betterment of the community cost $1,836. Bad Debt expense of $5,771,024 was excluded from total expense when calculating percentages.Part III, Line 2 & Line 4 - Bad Debt ExpenseThe amount of the allowance for doubtful accounts is based on management's assessment of historical and expected collections, business economic conditions, trends in health care coverage, and other collection indicators. Additions to the allowance for doubtful accounts result from the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance for doubtful accounts.Part III, Line 8 - Explanation of Shortfall As Community BenefitCentraState Medical Center feels that Medicare underpayments (shortfall) are community benefit and associated costs. CentraState believes that these services and related costs promote health of the community as a whole and are rendered in conjuction with the organization's charitable tax-exempt purposes and mission in providing medically necessary health care services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standards promulgated by the IRS. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) are community benefit thus includable on the Form 990, Schedule H, Part I. CentraState agrees with the AHA position for the following reasons:Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. Medicare, like Medicaid, does not pay the full cost of care, and many Medicare spending is for beneficiaries, like Medicaid counterparts, are poor. More than 46% of Medicare spending is for beneficiaries whose income is below 200% of the Federal poverty level.Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community.Part III, Section B - Medicare Line 7Management has reported $15,748,724 as a shortfall for 2017. Management also believes that an additional $4,746,293 should be included on this line due to Managed Medicare losses. See additional schedule attached labeled as Medicare Managed Care P&L. Therefore the Medical Center's total shortfall would be $20,495,017.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Barry Asch
AVP Cancer Care Sv$190,514$14,680$753$11,899$16,181$234,027
Cathleen Janzekovich
AVP Of Nursing$192,095$16,593$10,844$13,995$233,527
David De Simone
Sr VP Trans/CLO$329,327$67,420$9,790$27,000$18,733$452,270
Deborah Rommel-Connors
VP Rev Cycle MG$198,287$36,211$6,224$22,978$13,845$277,545
Frances Keane
VP/Human Resour$199,344$36,715$48,157$23,757$15,587$323,560
Howard A Stein
Physician$244,904$26,828$10,855$18,025$18,555$319,167
Jack Dworkin
VP/Med Dir$334,251$42,942$11,444$26,761$13,507$428,905
John Dellocono
SR. VP-CFO$394,859$90,528$88,737$29,700$18,447$622,271
John T Gribbin
President & CEO$689,742$612,700$27,841$29,700$16,107$1,376,090
John Ulett
VP - CIO$282,038$48,771$5,671$24,975$11,651$373,106
Kim Kelly
VP/Clinical Ser$230,640$41,890$6,005$26,345$13,043$317,923
Kimberly H Simers
AVP Integrat Hlth$192,694$21,042$4,568$10,340$14,001$242,645
Linda Geisler
VP-Patient Serv$239,594$36,501$12,846$27,301$14,707$330,949
Moustafa Shafey MD
Trustee$275,160$26,178$19,283$18,900$15,027$354,548$14,560$14,560
Robert M Nyman
AVP Finance$162,970$24,504$7,136$12,068$390$207,068
Thomas Scott
COO$390,121$77,578$1,744$24,797$18,665$512,905
Vincent D'Elia
VP Mkting-Pub R$182,852$8,911$13,507$205,270

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.Travel for companions of Officers and Trustees was provided for the Annual Board Retreat and certain educational seminars.Gross up payments were used for the Supplemental Executive Retirement Plan. This description is also applicable to Part I - Line 4b.Also, the social club dues are part of the CEO's employment agreement contract.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(b)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 aboveIncentive payments are discretionary as certain quality, financial, and statistical indicators must be met. All payments are subject to discretion of the Board.
Part II, Compensation from Unrelated OrganizationsNot Applicable.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Dr Gabrielle Pinzon
See Part V$166,895See Part Vfalse
Pier Practice Solutions
See Part V$1,429,253See Part Vfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
Explanation1. Dr. Gabrielle Pinzon, is the wife of Stephen Perrella, Trustee. Dr. Gabrielle Pinzon is an employee of CentraState Medical Center and received compensation for her services.2. Fred Morelli,Former Trustee, is a 100% owner of Corporate Star. Corporate Star is a 50% owner of Pier Practice Solutions, the other 50% is owned by Centrastate Healthcare Services, Inc., a related organization. Pier Practice Solutions receives management, production income from placement of medical malpractice insurance and services for CentraState Captive Insurance Company LTD SPC; which is wholly owned by the Medical Center. All transactions are done within an arms length basis.ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMedical EquipDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$57,354NoncashContributionsRptF990Amt
Method Of Determining RevenuesCostMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderCentraState Healthcare System, Inc. (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 11b: Form 990 Review ProcessCentraState Medical Center staff prepared the 990 which was subsequently reviewed by Baker Tilly, an independent accounting firm. The return was then presented to the Audit Committee at the October 2018 meeting and was subsequently reviewed by the Board Of Trustees prior to being filed.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAll 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 15b: Compensation Review and Approval Process for Officers and Key EmployeesThis description is also applicable to Part VI - Line 15a.Annually, the Medical Center 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 AvailableThe organization makes its governing documents, conflict of interest policy, and financial statements available upon written request from the public.
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Interest CS Healthcare Foundation = $1707342
Other Changes In Net Assets Or Fund Balances - Other DecreasesEarly Extinguishment Of Debt = -$603618
Form 990, Part VI 15a & 15b - Compensation Review & Approval ProcessAnnually, the Medical Center 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. Salary increases, when applicable, for executives and employee compensation are discussed and approved by the Board Of Trustees. Further, documentation is disclosed within the minutes of the parent board.
Form 990, Part VII, Section A, Line 1aMoustafa Shafey, MD is an uncompensated Trustee. Dr Shafey received a stipend and is a paid employee in his role as Director of Psychology.John P DeTullio, MD is an uncompensated Trustee. In addition, he received compensation for being the Director Of Physician Integration.Michael Greller, MD is an uncompensated Trustee. In addition, he received a stipend for being the Chief Of Staff.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CentraState Healthcare System Inc
901 West Main StreetFreeholdNJ07728222482803ManagementNJ501(c) 312aNAfalse
Center for Aging Inc
1 Applewood DriveFreeholdNJ07728222575377CCRCNJ501(c) 310CentraState Healthcare System IncYes (true)
CentraState Healthcare Affiliates Inc
689 West Main StreetFreeholdNJ07728521594300Nursing HomeNJ501(c) 310CentraState Healthcare System IncYes (true)
CentraState Assisted Living Inc
560 Iron Bridge RoadFreeholdNJ07728223520730Assisted LivingNJ501(c) 310CentraState Healthcare System IncYes (true)
CentraState Healthcare Foundation Inc
901 West Main StreetFreeholdNJ07728222383065FundraisingNJ501(c) 37CentraState Healthcare System IncYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CentraState Healthcare Services Inc
901 West Main StreetFreeholdNJ07728222512830Med/HlthNJCS Healthcare SystemC corpYes (true)
CentraState Medical Associates
901 West Main StreetFreeholdNJ07728223402359Med/HlthNJCS Healthcare SystemC corpYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Center for Aging Inc
p$4,897,787Cost
Center for Aging Inc
q$4,819,363Cost
Center for Aging Inc
s$1,500,000Cost
CentraState Healthcare Affiliates Inc
j$300,000Cost
CentraState Healthcare Affiliates Inc
p$3,862,381Cost
CentraState Healthcare Affiliates Inc
q$4,069,811Cost
CentraState Assisted Living Inc
p$1,779,064Cost
CentraState Assisted Living Inc
q$1,738,090Cost
CentraState Healthcare Foundation Inc
c$313,547Cost
CentraState Healthcare Foundation Inc
p$726,186Cost
CentraState Healthcare Foundation Inc
q$280,689Cost
CentraState Healthcare Services Inc
a$213,823Cost
CentraState Healthcare Services Inc
k$1,323,000Cost
CentraState Healthcare Services Inc
p$1,197,190Cost
CentraState Healthcare Services Inc
q$471,622Cost

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