2017-10-11T11:03:30-07:00 2016-12-31 Ernst & Young US LLP 5 Times Square New York NY 10036 990 2016-01-01 221750190 Centrastate Medical Center Inc CENT 7322947022 901 West Main Street Freehold NJ 07728 John A Dellocono SVP/CFO 2017-10-11 false Laura Kielczewski P00740769 2127733000 2016 2021-01-29 14:40:06Z John T Gribbin Pres CEO 299255818 false false X www.centrastate.com X 1964 NJ CentraState Medical Center's Mission is to enhance the health and well-being of our communities through the compassionate delivery of quality healthcare. 17 12 2491 694 861795 582325 407949 259550558 269989162 5193665 3542232 4623171 4654728 269949719 278594071 21000 30190 0 132771733 138345268 0 0 128445376 134021959 261238109 272397417 8711610 6196654 340041559 344746823 169429819 161938910 170611740 182807913 CentraState Medical Center's Mission is to enhance the health and well-being of our communities through the compassionate delivery of quality healthcare. false false 223896791 38690 269989162 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. 223896791 true true false true false false false false false false true false false true true false false true false true true false false false false false true true false false true true false false false false false false false true true true true false false false false true true true false false true 225 0 true 2491 true true true true OC false false false false false 0 false false false false false false false false false false X 17 12 false false false false true false false true true false false true true true true true true true true true true NJ X Dominick Salerno 7322947022 901 West Main Street Freehold NJ 07728 X Stephen Perralla Esq Trustee 4.00 0.00 X 0 0 0 Peter G Licata Esq Trustee 4.00 0.00 X 0 0 0 Jack Aaronson Trustee 1.00 3.00 X 0 0 0 Dorothy P Bowers Trustee 1.00 3.00 X 0 0 0 John A Brandeisky DPM Trustee 4.00 0.00 X 50956 0 0 John M Cantalupo Esq Trustee 4.00 0.00 X 0 0 0 John P DeTullio MD Trustee 4.00 0.00 X 52833 0 0 John F Eggert Trustee 4.00 0.00 X 0 0 0 Robert Gordon DDS Trustee 4.00 0.00 X 0 0 0 Michael Greller MD Trustee 4.00 0.00 X 10000 0 0 Daniel R Guadalupe Esq Trustee 4.00 0.00 X 0 0 0 Joseph R Iantosca Trustee 4.00 0.00 X 0 0 0 Peter Kouveliotes MD Trustee 4.00 0.00 X 7000 0 0 Gerard K Norkus Trustee 4.00 0.00 X 0 0 0 William A Schories Trustee 4.00 0.00 X 0 0 0 Moustafa Shafey MD Trustee 42.00 0.00 X 335313 0 33259 John T Gribbin President & CEO 45.00 5.00 X X 948500 0 42339 Jack Dworkin VP/Med Dir 38.00 0.00 X 384278 0 38621 John Dellocono SR. VP-CFO 45.00 5.00 X 552296 0 47075 Thomas Scott COO 45.00 5.00 X 457254 0 35729 Linda Geisler VP-Patient Serv 38.00 0.00 X 279942 0 41099 Vincent D'Elia VP Mkting-Pub R 38.00 0.00 X 79966 0 5578 Frances Keane VP/Human Resour 38.00 0.00 X 310703 0 38385 Kim Kelly VP/Clinical Ser 38.00 0.00 X 267713 0 38553 Richard Mackesy VP/Strat Plan 38.00 0.00 X 154567 0 14446 Deborah Rommel-Connors VP Rev Cycle MG 38.00 0.00 X 224497 0 35797 David De Simone Sr VP Trans/CLO 38.00 0.00 X 390594 0 42620 John Ulett VP - CIO 38.00 0.00 X 325655 0 35609 Howard A Stein MD 38.00 0.00 X 262816 0 35839 Kimberly H Simers AVP Integrat Hlth 38.00 0.00 X 214240 0 24501 Cathleen Janzekovich AVP Of Nursing 38.00 0.00 X 207523 0 13420 Barry Asch AVP Cancer Care Sv 38.00 0.00 X 204976 0 25525 Jane Girling AVP Mat Mgt 38.00 0.00 X 183075 0 26032 5904697 574427 196 false true false Freehold HospitalistsLLC 4255 Rt 9 North Freehold NJ 07728 Medical Professional 906906 Radiation Oncology Consultants 3674 Route 27 Kendall Park NJ 08824 Consultants 871911 Med-Metrix LLC 9 Entin Road Parsippany NJ 07754 Consultants 799295 Health Data Specialists LLC 1720 Sand Creek Road Pomona KS 66076 Consultants 670505 Colts Neck OBGYN 24 Highway 34 Colts Neck NJ 07722 Medical Professional 545000 31 220187 187762 50850 407949 Charity Care 621990 666930 666930 Community Health 621990 319474 319474 Del Syst Ref Incent Pay 621990 914282 914282 Mental Health Subsidy 621990 418908 418908 Net Patient Serv Rev 621990 267485794 267485794 183774 183774 269989162 2924653 197499 2727154 15180 15180 0 3071361 3071361 3071361 664296 2407065 21264146 20661747 602399 602399 602399 0 0 0 Cafeteria 621990 1583367 1583367 1583367 278594071 269989162 861795 7335165 30190 30190 0 0 0 4791816 4791816 162699 162699 106732482 93262842 13469640 5974780 4986403 988377 12585102 10194183 2390919 8098389 6478711 1619678 0 1265542 1265542 153504 153504 14413 14413 0 0 12460077 8351637 4108440 1907459 1907459 33209746 29073614 4136132 2774484 2429060 345424 0 4567035 25590 4541445 5489 5489 0 545187 280281 264906 3589493 3589493 0 13894922 11115938 2778984 2128965 2128965 Medical Supplies 49842802 49842802 Provision for Bad Debt 7654341 7654341 Community Events 8500 8500 0 272397417 223896791 48500626 0 7238530 7235921 29050104 20123114 0 25460378 24932126 0 0 0 1449241 2010274 2714943 2376812 346067833 217494779 126663013 128573054 106554790 116647858 0 454033 527674 0 40456527 42319990 340041559 344746823 32482362 35605955 83768283 79389892 30758335 29578895 22420839 17364168 169429819 161938910 X 160162347 171116027 9949393 11191886 500000 500000 170611740 182807913 340041559 344746823 X 6196654 4757026 1242493 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 14413 14413 false false Part II-B, Line 1i - Other Activities Description 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. 13730397 13730397 179765719 96815119 82950600 145119451 120679660 24439791 7452266 7452266 128573054 Assets Held By Related Organization 11691886 Due From Related Entities - Long Term 4829407 Due From Related Entities - Short Term 6432740 Investment In Cayman Captive 7676184 Life Care Contracts Applewood 7391761 Other Assets 3600011 Other Receivables 698001 42319990 Deferred Rent 66248 Due To Related Entities 2699396 Malpractice Liability 926394 Other Liability - Captive Insurance 4413616 Reserve - Captive Insurance 619950 SERP Liability 1460770 Third Party Payor Settlements 7107160 Workers Comp Insurance - Reserve 70634 17364168 270939730 270939730 7654341 7654341 278594071 264743076 264743076 7654341 7654341 272397417 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 Central America, Caribbean 1 1 Program Services Insurance 8937941 1 1 1 1 8937941 8937941 true false true false false false true true X true X true X 500.000000000 true true true false true true 9764763 2183930 7580833 0.02860 572 20459592 16191471 4268121 0.01620 572 30224355 18375401 11848954 0.04480 63 1038294 1703136 39600 1663536 0.00620 9 321 2254300 8000 2246300 0.00850 11 494721 870923 870923 0.00330 4 30025 227343 126710 100633 0.00040 87 1563361 5055702 174310 4881392 0.01840 87 1563933 35280057 18549711 16730346 0.06320 1 1212 23144 23144 0.00010 4 13758 254135 150 253985 0.00090 3 530 11383 11383 3 86 13276 13276 11 15586 301938 150 301788 0.00100 true 7654341 76209700 90102681 -13892981 X true true 1 1 CentraState Medical Center 901 West Main Street Freehold NJ 07728 www.centrastate.com License # 11302 X X X X X CentraState Medical Center 1 false false true X X X X X X X X 16 true false false true X http://www.centrastate.com/ X X true 16 true http://www.centrastate.com/community-health-needs-assessment false false true X 200.0000 500.0000 X X X X X true true X X X true X http://www.centrastate.com/ X http://www.centrastate.com/ X http://www.centrastate.com/ X X X X X true X false X X X X true X false false 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. 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. X X X true true X X X X false true false false false false false true false false Barry Asch AVP Cancer Care Sv 186307 15678 2991 9568 15957 230501 Cathleen Janzekovich AVP Of Nursing 185387 14499 7637 13420 220943 David De Simone Sr VP Trans/CLO 322264 58911 9419 24513 18107 433214 Deborah Rommel-Connors VP Rev Cycle MG 193936 25664 4897 22244 13553 260294 Frances Keane VP/Human Resour 195086 30893 84724 23246 15139 349088 Howard A Stein MD 239559 12564 10693 17642 18197 298655 Jack Dworkin VP/Med Dir 326887 46105 11286 25432 13189 422899 Jane Girling AVP Mat Mgt 161530 20637 908 11965 14067 209107 John Dellocono SR. VP-CFO 386230 72266 93800 29150 17925 599371 John T Gribbin President & CEO 676955 242874 28671 29150 13189 990839 John Ulett VP - CIO 275459 40763 9433 23850 11759 361264 Kim Kelly VP/Clinical Ser 225555 31858 10300 25776 12777 306266 Kimberly H Simers AVP Integrat Hlth 187241 22804 4195 9568 14933 238741 Linda Geisler VP-Patient Serv 234324 31186 14432 26710 14389 321041 Moustafa Shafey MD Trustee 269086 24060 42167 18550 14709 368572 Richard Mackesy VP/Strat Plan 81437 38581 34549 10531 3915 169013 Thomas Scott COO 381640 73870 1744 17622 18107 492983 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. A NJHCFFA Revenue Bonds Seris 2006-A 221987084 64579FKK8 2006-12-14 42055339 Fund Const of Amb Camp Bldg false false false A 3610000 42674084 3806853 661933 323348 1062496 37041538 false false true true A false false false false false false true A false false false false false A true Dr Gabrielle Pinzon See Part V 162699 See Part V false Pier Practice Solutions See Part V 1267582 See Part V false Schedule L, Part V Supplemental Information 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. X Medical Equip 1 50850 Cost false true false 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. 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 true CentraState Healthcare Affiliates Inc 689 West Main Street Freehold NJ 07728 521594300 Nursing Home NJ 501(c) 3 10 CentraState Healthcare System Inc true CentraState Assisted Living Inc 560 Iron Bridge Road Freehold NJ 07728 223520730 Assisted Living NJ 501(c) 3 10 CentraState Healthcare System Inc true CentraState Healthcare Foundation Inc 901 West Main Street Freehold NJ 07728 222383065 Fundraising NJ 501(c) 3 7 CentraState Healthcare System Inc true CentraState Healthcare Services Inc 901 West Main Street Freehold NJ 07728 222512830 Med/Hlth NJ CS Healthcare System C corp true CentraState Medical Associates 901 West Main Street Freehold NJ 07728 223402359 Med/Hlth NJ CS Healthcare System C corp true true false true false false false false false false true true false false false false true true false true Center for Aging Inc p 4421447 Cost Center for Aging Inc q 4411627 Cost Center for Aging Inc s 1000000 Cost CentraState Healthcare Affiliates Inc j 300000 Cost CentraState Healthcare Affiliates Inc p 3559471 Cost CentraState Healthcare Affiliates Inc q 3827367 Cost CentraState Assisted Living Inc p 1500184 Cost CentraState Assisted Living Inc q 1484833 Cost CentraState Healthcare Foundation Inc c 220187 Cost CentraState Healthcare Foundation Inc p 795535 Cost CentraState Healthcare Foundation Inc q 352312 Cost CentraState Healthcare Services Inc a 197499 Cost CentraState Healthcare Services Inc k 1230000 Cost CentraState Healthcare Services Inc p 1103148 Cost CentraState Healthcare Services Inc q 851811 Cost