CENTRASTATE MEDICAL CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CENTRASTATE MEDICAL CENTER INC (EIN 22-1750190)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-11
- IRS object ID
- 201702849349300845
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-11T11:03:30-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 Times Square | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221750190 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centrastate Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 7322947022 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 West Main Street | AddressLine1Txt |
| City | Freehold | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07728 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John A Dellocono | PersonNm |
| Person Title | SVP/CFO | PersonTitleTxt |
| Signature | 2017-10-11 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Laura Kielczewski | PreparerPersonNm |
| PTIN | P00740769 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John T Gribbin Pres CEO | PrincipalOfficerNm |
| Gross Receipts | $299,255,818 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.centrastate.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | CentraState 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 Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2491 | TotalEmployeeCnt |
| Total Volunteers | 694 | TotalVolunteersCnt |
| Total Gross UBI | $861,795 | TotalGrossUBIAmt |
| PY Contributions Grants | $582,325 | PYContributionsGrantsAmt |
| CY Contributions Grants | $407,949 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $259,550,558 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $269,989,162 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,193,665 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,542,232 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,623,171 | PYOtherRevenueAmt |
| CY Other Revenue | $4,654,728 | CYOtherRevenueAmt |
| PY Total Revenue | $269,949,719 | PYTotalRevenueAmt |
| CY Total Revenue | $278,594,071 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $21,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $30,190 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $132,771,733 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $138,345,268 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $128,445,376 | PYOtherExpensesAmt |
| CY Other Expenses | $134,021,959 | CYOtherExpensesAmt |
| PY Total Expenses | $261,238,109 | PYTotalExpensesAmt |
| CY Total Expenses | $272,397,417 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,711,610 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,196,654 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $340,041,559 | TotalAssetsBOYAmt |
| Total Assets EOY | $344,746,823 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $169,429,819 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $161,938,910 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $170,611,740 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $182,807,913 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CentraState 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $223,896,791 | ExpenseAmt |
| Grant | $38,690 | GrantAmt |
| Revenue | $269,989,162 | RevenueAmt |
| Desc | All services are geared toward direct patient care. The Medical Center had 15,076 admissions and 71,104 patient days plus 234,393 outpatient visits and 6,441 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 $23.7 million. | Desc |
| Total Program Service Expenses | $223,896,791 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 225 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2491 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | OC | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dominick Salerno | PersonNm |
| Phone | 7322947022 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 West Main Street | AddressLine1Txt |
| City | Freehold | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07728 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Stephen Perralla Esq | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Peter G Licata Esq | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jack Aaronson | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Dorothy P Bowers | ||||||||
| Trustee | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| John A Brandeisky DPM | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $50,956 | $0 | $0 | ||
| John M Cantalupo Esq | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| John P DeTullio MD | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $52,833 | $0 | $0 | ||
| John F Eggert | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert Gordon DDS | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Greller MD | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||
| Daniel R Guadalupe Esq | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Joseph R Iantosca | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Peter Kouveliotes MD | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $7,000 | $0 | $0 | ||
| Gerard K Norkus | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| William A Schories | ||||||||
| Trustee | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Moustafa Shafey MD | ||||||||
| Trustee | 42.00 | 0.00 | Yes (X) | $335,313 | $0 | $33,259 | ||
| John T Gribbin | ||||||||
| President & CEO | 45.00 | 5.00 | Yes (X) | $948,500 | $0 | $42,339 | Yes (X) | |
| Jack Dworkin | ||||||||
| VP/Med Dir | 38.00 | 0.00 | $384,278 | $0 | $38,621 | Yes (X) | ||
| John Dellocono | ||||||||
| SR. VP-CFO | 45.00 | 5.00 | $552,296 | $0 | $47,075 | Yes (X) | ||
| Thomas Scott | ||||||||
| COO | 45.00 | 5.00 | $457,254 | $0 | $35,729 | Yes (X) | ||
| Linda Geisler | ||||||||
| VP-Patient Serv | 38.00 | 0.00 | $279,942 | $0 | $41,099 | Yes (X) | ||
| Vincent D'Elia | ||||||||
| VP Mkting-Pub R | 38.00 | 0.00 | $79,966 | $0 | $5,578 | Yes (X) | ||
| Frances Keane | ||||||||
| VP/Human Resour | 38.00 | 0.00 | $310,703 | $0 | $38,385 | Yes (X) | ||
| Kim Kelly | ||||||||
| VP/Clinical Ser | 38.00 | 0.00 | $267,713 | $0 | $38,553 | Yes (X) | ||
| Richard Mackesy | ||||||||
| VP/Strat Plan | 38.00 | 0.00 | $154,567 | $0 | $14,446 | Yes (X) | ||
| Deborah Rommel-Connors | ||||||||
| VP Rev Cycle MG | 38.00 | 0.00 | $224,497 | $0 | $35,797 | Yes (X) | ||
| David De Simone | ||||||||
| Sr VP Trans/CLO | 38.00 | 0.00 | $390,594 | $0 | $42,620 | Yes (X) | ||
| John Ulett | ||||||||
| VP - CIO | 38.00 | 0.00 | $325,655 | $0 | $35,609 | Yes (X) | ||
| Howard A Stein | ||||||||
| MD | 38.00 | 0.00 | $262,816 | $0 | $35,839 | Yes (X) | ||
| Kimberly H Simers | ||||||||
| AVP Integrat Hlth | 38.00 | 0.00 | $214,240 | $0 | $24,501 | Yes (X) | ||
| Cathleen Janzekovich | ||||||||
| AVP Of Nursing | 38.00 | 0.00 | $207,523 | $0 | $13,420 | Yes (X) | ||
| Barry Asch | ||||||||
| AVP Cancer Care Sv | 38.00 | 0.00 | $204,976 | $0 | $25,525 | Yes (X) | ||
| Jane Girling | ||||||||
| AVP Mat Mgt | 38.00 | 0.00 | $183,075 | $0 | $26,032 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,904,697 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $574,427 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 196 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Freehold HospitalistsLLC | |||||
| 4255 Rt 9 North | Freehold | NJ | 07728 | Medical Professional | $906,906 |
| Radiation Oncology Consultants | |||||
| 3674 Route 27 | Kendall Park | NJ | 08824 | Consultants | $871,911 |
| Med-Metrix LLC | |||||
| 9 Entin Road | Parsippany | NJ | 07754 | Consultants | $799,295 |
| Health Data Specialists LLC | |||||
| 1720 Sand Creek Road | Pomona | KS | 66076 | Consultants | $670,505 |
| Colts Neck OBGYN | |||||
| 24 Highway 34 | Colts Neck | NJ | 07722 | Medical Professional | $545,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $220,187 | RelatedOrganizationsAmt |
| Government Grants | $187,762 | GovernmentGrantsAmt |
| Noncash Contributions | $50,850 | NoncashContributionsAmt |
| Total Contributions | $407,949 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Charity Care | 621990 | $666,930 | $666,930 |
| Community Health | 621990 | $319,474 | $319,474 |
| Del Syst Ref Incent Pay | 621990 | $914,282 | $914,282 |
| Mental Health Subsidy | 621990 | $418,908 | $418,908 |
| Net Patient Serv Rev | 621990 | $267,485,794 | $267,485,794 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $183,774 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $183,774 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $269,989,162 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,924,653 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $197,499 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,727,154 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,180 | TotalRevenueColumnAmt |
| Exclusion | $15,180 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,071,361 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,071,361 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,071,361 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $664,296 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,407,065 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,264,146 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,661,747 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $602,399 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $602,399 | TotalRevenueColumnAmt |
| Exclusion | $602,399 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $1,583,367 | TotalRevenueColumnAmt |
| Exclusion | $1,583,367 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,583,367 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $278,594,071 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $269,989,162 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $861,795 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,335,165 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,190 | TotalAmt |
| Program Services | $30,190 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,791,816 | TotalAmt |
| Management And General | $4,791,816 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,699 | TotalAmt |
| Program Services | $162,699 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,732,482 | TotalAmt |
| Program Services | $93,262,842 | ProgramServicesAmt |
| Management And General | $13,469,640 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,974,780 | TotalAmt |
| Program Services | $4,986,403 | ProgramServicesAmt |
| Management And General | $988,377 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,585,102 | TotalAmt |
| Program Services | $10,194,183 | ProgramServicesAmt |
| Management And General | $2,390,919 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,098,389 | TotalAmt |
| Program Services | $6,478,711 | ProgramServicesAmt |
| Management And General | $1,619,678 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,265,542 | TotalAmt |
| Management And General | $1,265,542 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,504 | TotalAmt |
| Management And General | $153,504 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,413 | TotalAmt |
| Management And General | $14,413 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,460,077 | TotalAmt |
| Program Services | $8,351,637 | ProgramServicesAmt |
| Management And General | $4,108,440 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,907,459 | TotalAmt |
| Management And General | $1,907,459 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,209,746 | TotalAmt |
| Program Services | $29,073,614 | ProgramServicesAmt |
| Management And General | $4,136,132 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,774,484 | TotalAmt |
| Program Services | $2,429,060 | ProgramServicesAmt |
| Management And General | $345,424 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,567,035 | TotalAmt |
| Program Services | $25,590 | ProgramServicesAmt |
| Management And General | $4,541,445 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,489 | TotalAmt |
| Management And General | $5,489 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,187 | TotalAmt |
| Program Services | $280,281 | ProgramServicesAmt |
| Management And General | $264,906 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,589,493 | TotalAmt |
| Management And General | $3,589,493 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,894,922 | TotalAmt |
| Program Services | $11,115,938 | ProgramServicesAmt |
| Management And General | $2,778,984 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,128,965 | TotalAmt |
| Management And General | $2,128,965 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $49,842,802 | $49,842,802 |
| Provision for Bad Debt | $7,654,341 | $7,654,341 |
| Community Events | $8,500 | $8,500 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,397,417 | TotalAmt |
| Program Services | $223,896,791 | ProgramServicesAmt |
| Management And General | $48,500,626 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,238,530 | BOYAmt |
| EOY | $7,235,921 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,050,104 | BOYAmt |
| EOY | $20,123,114 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,460,378 | BOYAmt |
| EOY | $24,932,126 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,449,241 | BOYAmt |
| EOY | $2,010,274 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,714,943 | BOYAmt |
| EOY | $2,376,812 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $346,067,833 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $217,494,779 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,663,013 | BOYAmt |
| EOY | $128,573,054 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,554,790 | BOYAmt |
| EOY | $116,647,858 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $454,033 | BOYAmt |
| EOY | $527,674 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,456,527 | BOYAmt |
| EOY | $42,319,990 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,041,559 | BOYAmt |
| EOY | $344,746,823 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,482,362 | BOYAmt |
| EOY | $35,605,955 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,768,283 | BOYAmt |
| EOY | $79,389,892 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,758,335 | BOYAmt |
| EOY | $29,578,895 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,420,839 | BOYAmt |
| EOY | $17,364,168 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,429,819 | BOYAmt |
| EOY | $161,938,910 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,162,347 | BOYAmt |
| EOY | $171,116,027 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,949,393 | BOYAmt |
| EOY | $11,191,886 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,611,740 | BOYAmt |
| EOY | $182,807,913 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,041,559 | BOYAmt |
| EOY | $344,746,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,196,654 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,757,026 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,242,493 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $14,413 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,413 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Part II-B Line 1iA small percentage of our membership dues with New Jersey Hospital Association, in the amount of $14,413, is used for lobbying activity as defined by Medicare. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,730,397 | OtherCostOrOtherBasisAmt |
| Book Value | $13,730,397 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $179,765,719 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,815,119 | DepreciationAmt |
| Book Value | $82,950,600 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $145,119,451 | OtherCostOrOtherBasisAmt |
| Depreciation | $120,679,660 | DepreciationAmt |
| Book Value | $24,439,791 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,452,266 | OtherCostOrOtherBasisAmt |
| Book Value | $7,452,266 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $128,573,054 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets Held By Related Organization | $11,691,886 |
| Due From Related Entities - Long Term | $4,829,407 |
| Due From Related Entities - Short Term | $6,432,740 |
| Investment In Cayman Captive | $7,676,184 |
| Life Care Contracts Applewood | $7,391,761 |
| Other Assets | $3,600,011 |
| Other Receivables | $698,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $42,319,990 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Rent | $66,248 |
| Due To Related Entities | $2,699,396 |
| Malpractice Liability | $926,394 |
| Other Liability - Captive Insurance | $4,413,616 |
| Reserve - Captive Insurance | $619,950 |
| SERP Liability | $1,460,770 |
| Third Party Payor Settlements | $7,107,160 |
| Workers Comp Insurance - Reserve | $70,634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,364,168 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $270,939,730 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $270,939,730 | RevenueSubtotalAmt |
| Other Revenues Not Included | $7,654,341 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,654,341 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $278,594,071 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $264,743,076 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $264,743,076 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $7,654,341 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,654,341 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $272,397,417 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S | Bad Debt Expense $7654341 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | Bad Debt Expense $7654341 |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America, Caribbean | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConductedTxt |
| Specific Services Provided | Insurance | SpecificServicesProvidedTxt |
| Region Total Expenditures | $8,937,941 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $8,937,941 | SubtotalSpentAmt |
| Total Spent | $8,937,941 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,764,763 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,183,930 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,580,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 572 | PersonsServedCnt |
| Total Community Benefit Expns | $20,459,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,191,471 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,268,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 572 | PersonsServedCnt |
| Total Community Benefit Expns | $30,224,355 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,375,401 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,848,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 63 | ActivitiesOrProgramsCnt |
| Persons Served | 1038294 | PersonsServedCnt |
| Total Community Benefit Expns | $1,703,136 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,663,536 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 321 | PersonsServedCnt |
| Total Community Benefit Expns | $2,254,300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,246,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 494721 | PersonsServedCnt |
| Total Community Benefit Expns | $870,923 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $870,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 30025 | PersonsServedCnt |
| Total Community Benefit Expns | $227,343 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,710 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $100,633 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 87 | ActivitiesOrProgramsCnt |
| Persons Served | 1563361 | PersonsServedCnt |
| Total Community Benefit Expns | $5,055,702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $174,310 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,881,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 87 | ActivitiesOrProgramsCnt |
| Persons Served | 1563933 | PersonsServedCnt |
| Total Community Benefit Expns | $35,280,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,549,711 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,730,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06320 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1212 | PersonsServedCnt |
| Total Community Benefit Expns | $23,144 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 13758 | PersonsServedCnt |
| Total Community Benefit Expns | $254,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $150 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $253,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 530 | PersonsServedCnt |
| Total Community Benefit Expns | $11,383 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,383 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 86 | PersonsServedCnt |
| Total Community Benefit Expns | $13,276 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,276 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 15586 | PersonsServedCnt |
| Total Community Benefit Expns | $301,938 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $150 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $301,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,654,341 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $76,209,700 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $90,102,681 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,892,981 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CentraState Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 West Main Street | AddressLine1Txt |
| City | Freehold | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07728 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.centrastate.com | WebsiteAddressTxt |
| State License | License # 11302 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CentraState Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.centrastate.com/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.centrastate.com/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.0000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.centrastate.com/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.centrastate.com/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.centrastate.com/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | CentraState 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 interest, particularly healthcare. Data and findings from HICMC 2007, 2012, and 2016 Community Health Improvement Plan (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 Available | Availability of CHNA report was also announced to the public at the Hospital's Annual Meeting in January 12, 2017. |
| Part V, Line 16i - Other Means Hospital Facility Publicized the Policy | The 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Patients | During 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 - Needs Assessment | CentraState Healthcare System continues to be a charter member of the Health Improvement Coalition of Monmouth County (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 Community Health Improvement Plan (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 gathering as part of a community health needs assessment. CentraState participated in the process as well as hosted regular meetings.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. Planning for a new/revised CHIP is underway with the process to begin in 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 - Patient Education of Eligibility for Assistance | Under 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 - Community Information | The community in which CentraState serves is concentrated in Monmouth and Ocean counties. The average household income in the service area is $134,044. The median household income is $105,060 and the median age is 42. The total population in the service area for 2016 is 356,906 with 124,787 households. The racial mix of the service area population includes 74% white, 10% Asian, 4% black, 10% Hispanic and 1% multi-racial. Gender mix is represented by 51.2% female and 48.8% male. |
| Part VI - Community Building Activities | Community building activities, as listed in Part II, include Childhood Development Center which provides public access to daycare needs $23,144; Cancer Navigation System which provides support and information to members of the community with cancer $254,135; Community Coalitions $11,383; Economic and Workforce Development $13,276. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | CentraState 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 867 volunteers who contributed over 75,686 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 - Affilated Health Care System Roles and Promotion | CentraState 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 - States Where Community Benefit Report Filed | n/a |
| Part VI - Additional Information | Part 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 2016 include Community Partnerships $157,687; Educational Programs & Publications $1,324,953; Health Screenings & Immunizations $220,496; Maternity & Parenting Activities $110,023; Support for Children and Families $444,330; Support Groups/Self Help Programs $139,435; Teaching Programs $2,246,300; Volunteer Programs $1,766,291; Other Services/Benefit Coordination $271,534, Physician Financial Assistance Remuneration Program $270,800 and Financial Assistance for $7,580,833 for a total benefit of $13,410,864.Part 1,line 7 - Financial Assistance Financial Assistance at cost $7,580,833 in 2016. Medicaid of $4,268,121 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 $1,663,536. Medical Students, Interns, Residents and Fellows Education, Nursing Students Education, Scholarships and other Allied and Continuing Health Profession Education cost $2,246,300. Emergency and Trauma Services, Hospital Outpatient Services, Women's and Children's Services and Subsidized Continuing Care cost $870,923. Cash and In-Kind Contributions cost $100,633. Bad Debt expense of $7,654,341 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 $13,892,981 as a shortfall for 2016. Management also believes that an additional $4,556,866 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 $18,449,847. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| Barry Asch | ||||||
| AVP Cancer Care Sv | $186,307 | $15,678 | $2,991 | $9,568 | $15,957 | $230,501 |
| Cathleen Janzekovich | ||||||
| AVP Of Nursing | $185,387 | $14,499 | $7,637 | $13,420 | $220,943 | |
| David De Simone | ||||||
| Sr VP Trans/CLO | $322,264 | $58,911 | $9,419 | $24,513 | $18,107 | $433,214 |
| Deborah Rommel-Connors | ||||||
| VP Rev Cycle MG | $193,936 | $25,664 | $4,897 | $22,244 | $13,553 | $260,294 |
| Frances Keane | ||||||
| VP/Human Resour | $195,086 | $30,893 | $84,724 | $23,246 | $15,139 | $349,088 |
| Howard A Stein | ||||||
| MD | $239,559 | $12,564 | $10,693 | $17,642 | $18,197 | $298,655 |
| Jack Dworkin | ||||||
| VP/Med Dir | $326,887 | $46,105 | $11,286 | $25,432 | $13,189 | $422,899 |
| Jane Girling | ||||||
| AVP Mat Mgt | $161,530 | $20,637 | $908 | $11,965 | $14,067 | $209,107 |
| John Dellocono | ||||||
| SR. VP-CFO | $386,230 | $72,266 | $93,800 | $29,150 | $17,925 | $599,371 |
| John T Gribbin | ||||||
| President & CEO | $676,955 | $242,874 | $28,671 | $29,150 | $13,189 | $990,839 |
| John Ulett | ||||||
| VP - CIO | $275,459 | $40,763 | $9,433 | $23,850 | $11,759 | $361,264 |
| Kim Kelly | ||||||
| VP/Clinical Ser | $225,555 | $31,858 | $10,300 | $25,776 | $12,777 | $306,266 |
| Kimberly H Simers | ||||||
| AVP Integrat Hlth | $187,241 | $22,804 | $4,195 | $9,568 | $14,933 | $238,741 |
| Linda Geisler | ||||||
| VP-Patient Serv | $234,324 | $31,186 | $14,432 | $26,710 | $14,389 | $321,041 |
| Moustafa Shafey MD | ||||||
| Trustee | $269,086 | $24,060 | $42,167 | $18,550 | $14,709 | $368,572 |
| Richard Mackesy | ||||||
| VP/Strat Plan | $81,437 | $38,581 | $34,549 | $10,531 | $3,915 | $169,013 |
| Thomas Scott | ||||||
| COO | $381,640 | $73,870 | $1,744 | $17,622 | $18,107 | $492,983 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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(f)of the Code as a plan for an "eligible employer" providing for deferral of compensation that is not an "eligible deferred compensation plan". |
| Part I, Line 7: Non-Fixed payments not listed above | Incentive payments are discretionary as certain quality, financial, and statistical indicators must be met. All payments are subject to discretion of the Board. |
| Part II, Compensation from Unrelated Organizations | Not Applicable. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NJHCFFA Revenue Bonds Seris 2006-A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 221987084 | BondIssuerEIN |
| CUSIP | 64579FKK8 | CUSIPNum |
| Bond Issued | 2006-12-14 | BondIssuedDt |
| Issue Price | $42,055,339 | IssuePriceAmt |
| Purpose | Fund Const of Amb Camp Bldg | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,610,000 | RetiredAmt |
| Total Proceeds | $42,674,084 | TotalProceedsAmt |
| In Reserve Fund | $3,806,853 | InReserveFundAmt |
| Capitalized Interest | $661,933 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $323,348 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $1,062,496 | CreditEnhancementAmt |
| Capital Expenditures | $37,041,538 | CapitalExpendituresAmt |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Dr Gabrielle Pinzon | |||
| See Part V | $162,699 | See Part V | false |
| Pier Practice Solutions | |||
| See Part V | $1,267,582 | See Part V | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | 1. 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 PIER, RRG. All transactions are done within an arms length basis. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Medical Equip | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $50,850 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | CentraState 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 Process | Paid preparer, Ernst & Young, presented Form 990 to CentraState's Audit Committee during October of 2017 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 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 15b: Compensation Review and Approval Process for Officers and Key Employees | This 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 Available | The 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 Increases | Change in Interest CS Healthcare Foundation = $1242493 |
| Form 990, Part VI 15a & 15b - Compensation Review & Approval Process | 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 VII, Section A, Line 1a | Moustafa Shafey, MD is an uncompensated Trustee. Dr Shafey received a stipend for his position as the Medical Center's Chief of Staff and is a paid employee in his role as Director of Psychology.John Brandeisky, MD is an uncompensated Trustee. In addition, he received compensation for being the Woundcare Director and Director Of Informatics Advisory Committee.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 Assistant Chief Of Staff.Peter Kouveliotes, MD is an uncompensated Trustee. In addition, he received a stipend for being a Department Chairperson. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CentraState Healthcare System Inc | ||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 222482803 | Management | NJ | 501(c) 3 | 12a | NA | false |
| Center for Aging Inc | ||||||||||
| 1 Applewood Drive | Freehold | NJ | 07728 | 222575377 | CCRC | NJ | 501(c) 3 | 10 | CentraState Healthcare System Inc | Yes (true) |
| CentraState Healthcare Affiliates Inc | ||||||||||
| 689 West Main Street | Freehold | NJ | 07728 | 521594300 | Nursing Home | NJ | 501(c) 3 | 10 | CentraState Healthcare System Inc | Yes (true) |
| CentraState Assisted Living Inc | ||||||||||
| 560 Iron Bridge Road | Freehold | NJ | 07728 | 223520730 | Assisted Living | NJ | 501(c) 3 | 10 | CentraState Healthcare System Inc | Yes (true) |
| CentraState Healthcare Foundation Inc | ||||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 222383065 | Fundraising | NJ | 501(c) 3 | 7 | CentraState Healthcare System Inc | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CentraState Healthcare Services Inc | |||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 222512830 | Med/Hlth | NJ | CS Healthcare System | C corp | Yes (true) |
| CentraState Medical Associates | |||||||||
| 901 West Main Street | Freehold | NJ | 07728 | 223402359 | Med/Hlth | NJ | CS Healthcare System | C corp | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Center for Aging Inc | ||
| p | $4,421,447 | Cost |
| Center for Aging Inc | ||
| q | $4,411,627 | Cost |
| Center for Aging Inc | ||
| s | $1,000,000 | Cost |
| CentraState Healthcare Affiliates Inc | ||
| j | $300,000 | Cost |
| CentraState Healthcare Affiliates Inc | ||
| p | $3,559,471 | Cost |
| CentraState Healthcare Affiliates Inc | ||
| q | $3,827,367 | Cost |
| CentraState Assisted Living Inc | ||
| p | $1,500,184 | Cost |
| CentraState Assisted Living Inc | ||
| q | $1,484,833 | Cost |
| CentraState Healthcare Foundation Inc | ||
| c | $220,187 | Cost |
| CentraState Healthcare Foundation Inc | ||
| p | $795,535 | Cost |
| CentraState Healthcare Foundation Inc | ||
| q | $352,312 | Cost |
| CentraState Healthcare Services Inc | ||
| a | $197,499 | Cost |
| CentraState Healthcare Services Inc | ||
| k | $1,230,000 | Cost |
| CentraState Healthcare Services Inc | ||
| p | $1,103,148 | Cost |
| CentraState Healthcare Services Inc | ||
| q | $851,811 | Cost |
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