2011-11-01T11:10:11-07:00 2010-12-31 Ernst & Young LLP US 111 Monument Circle Suite 2600 Indianapolis IN 46204 990 2010-01-01 222383065 CentraState Healthcare Foundation CENT 7322947022 916 Highway 33 - Suite 3 Freehold NJ 07728 John A Dellocono 2011-11-01 2010 2016-03-07 17:11:31Z John T Gribbin Pres CEO 1971619 false false X N/A X 1981 NJ To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. 27 26 9 1 0 1291609 1145126 0 248535 220338 263985 211033 1804129 1576497 916242 1462974 0 633042 646594 0 639764 1028469 560613 2577753 2670181 -773624 -1093684 10440672 9736499 547718 708929 9892954 9027570 To inspire broad based community philanthropic support for advancing exceptional healthcare at the CentraState Healthcare System. false false 1583066 1462974 Grant of Equipment, Supplies, and Funds to CentraState Medical Center and related organizations. 1583066 true true false false false false false false false false true false false false true false false true false false false false false false true false false true false true false false false false false false false false false false false false false false false false true true true false false true 12 0 true 9 false false false false false false false false false true true false 0 false false false false false false false false false false false X 27 26 false false false false true true true true true false false false true true true true true true true true false false NJ X Dominick Salerno 7322947022 901 West Main Street Freehold NJ 07728 X Vincent Maltese Esquire 3.00 X 0 0 0 Valerie Mac Phee 3.00 X 0 0 0 Roman Lucky 38.00 X 196365 0 33462 Robert McGirr 3.00 X 0 0 0 Robert Kash 3.00 X 0 0 0 Robert Agel 3.00 X 0 0 0 Robert A Bennett 3.00 X 0 0 0 Peter Licata 3.00 X 0 0 0 Nathan Davidson 3.00 X 0 0 0 Michael Duru 3.00 X 0 0 0 M Michael Jones MD 3.00 X 0 0 0 Larry Metz 3.00 X 0 0 0 Kenneth W Faistl MD 3.00 X 0 0 0 Kenneth Tomkovich MD 3.00 X 0 0 0 June B Duck MD 3.00 X 0 0 0 Joseph Cipriano MD 3.00 X 0 0 0 John T Gribbin Pres CEO 1.00 X X 0 769396 138066 John Szeliga 3.00 X 0 0 0 John F Eggert 3.00 X 0 0 0 John Dellocono 1.00 X 0 406505 91890 John A Amirante 3.00 X 0 0 0 John A Brandeisky DPM 3.00 X 0 0 0 Jack Dworkin MD 3.00 X 0 0 0 Jack Aaronson 3.00 X 0 0 0 Gerard K Norkus 3.00 X 0 0 0 Fred Morelli 3.00 X 0 0 0 Edward M Soffen MD 3.00 X 0 0 0 Daniel Messina 1.00 X 0 529454 117059 Clara Glory 3.00 X 0 0 0 Anthony Caprio 3.00 X 0 0 0 196365 1705355 380477 1 false true false 0 29701 124784 990641 1145126 0 216933 216933 0 0 425 425 425 425 48337 44932 3405 3405 3405 560798 29701 350190 210608 210608 0 0 0 1576497 431371 1462974 1462974 0 0 0 229827 229827 0 317714 47657 270057 0 99053 8915 90138 0 0 0 16550 16550 0 0 0 24326 24326 0 6635 1659 4976 31021 7755 23266 0 0 0 0 19151 4788 14363 0 0 26701 6675 20026 5140 1285 3855 Program Expense 156892 120092 36800 Other Expenses 139238 122240 16998 Campaign Development Expense 74213 74213 Bad Debt 8447 8447 Annual Appeal 52299 52299 0 2670181 1583066 447351 639764 707136 490112 2245803 2441453 2067510 1119841 84541 161546 0 0 1544568 1405695 0 209906 229469 904124 148445 768549 755679 2812659 3132704 0 0 0 0 10440672 9736499 50217 62083 497501 646846 547718 708929 X 1730972 1264030 7548069 7149627 613913 613913 9892954 9027570 10440672 9736499 X -1093684 228300 X false true true X false false X 4688923 2690532 1477017 1291609 1145126 11293207 0 0 4688923 2690532 1477017 1291609 1145126 11293207 1878085 9415122 321063 312519 315622 260968 217358 1427530 0 0 12720737 3371799 0.74010 0.67710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 598320 598320 31197 29007 2190 274607 119438 155169 755679 Liability-Split Interest Agreement 132042 Due to CentraState MC - Intercompany 514804 646846 1576497 2670181 -1093684 228300 228300 -865384 1576497 1576497 1576497 2670181 2670181 2670181 false Annual Ball 218086 13350 204736 173081 MS Events 202840 9750 193090 67673 2 169573 6601 162972 109436 590499 29701 560798 350190 350190 210608 true Monmouth Pk Charity Fd 175 Oceanport Avenue Oceanport NJ 07757 226063135 501 (c) 3 5750 0 Comm Organization Donation CentraState Medical Center 901 West Main Street Freehold NJ 07728 221750190 501 (c) 3 1187767 218137 Cost Equipment Ambulatory Campus addition CentraState Assoc Auxiliary 901 West Main Street Freehold NJ 07728 221750190 501 (c) 3 6500 0 Comm Organization Donation Applewood Estates 1 Applewood Drive Freehold NJ 07728 222575377 501 (c) 3 24125 10695 Cost Equipment Resident Needs Alliance For Lupus Research 28 West 44th Street New York NY 10036 582492929 501 (c) 3 10000 0 Comm Organization Donation 5 0 Grantmaker's Description of How Grants are Used The Foundation solicits and raises funds for operating and capital needs , are recorded and accounted for in accordance with Statement Of Financial Accounting Standards:(SFAS) No 136,transfer of assets to a not-for-profit organization. The Foundation, The Medical Center, Applewood, and The Manor are financially interrelated organizations. Monitoring the use of the funds is accomplished by guidelines established by the granting agency and approved budgets for capital and operations of each agency. X true true X X X X X false true false false false false false true false false Roman Lucky 165121 19558 11686 19347 14115 229827 John T Gribbin Pres CEO 498038 134878 136480 126950 11116 907462 John Dellocono 292343 50103 64059 75844 16046 498395 Daniel Messina 377201 63720 88533 104513 12546 646513 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above Incentive payments are discretionary as certain quality, financial, and statistical indicators must be met. All payments are subject to discretion of the Board. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Gross up payments were used for the Supplemental Executive Retirement Plan.The CentraState Healthcare System Supplemental Executive Retirement Plan (the "Plan") is designed to provide competitive retirement income for a select group of management or highly compensated employees.The plan is a defined contribution plan, and is intended to be governed under Section 457(f)of the Code as a plan for an "eligible employer" providing for deferral of compensation that is not an "eligible deferred compensation plan". Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organization makes its governing documents, conflict of interest policy, and financial statements available upon written request from the public. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Annually, the Foundation establishes and maintains reasonable executive compensation and benefits programs that allow the healthcare system to effectively attract, retain, and motivate key executives while maintaining compliance with all legal requirements.CentraState Healthcare System's Board of Trustees has the primary responsibility to provide executive pay and benefit strategies that are competitive and compliant with all legal requirements.Responsibility for providing direct oversight of the executive compensation and benefit programs are vested with the Executive Compensation Sub-Committee(ECSC).The ECSC will engage an independent compensation consultant that reports directly to the committee and provides them with objective compensation data and advice. Decisions regarding executive pay shall be based on objective compensation data from comparable institutions and shall ensure that executive pay is commensurate with individual and organizational performance. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts All officers, trustees and key employees are required, annually, to review the Corporation's Conflicts of Interest Policy and complete a Conflicts of Interest Questionnaire, which is submitted to Corporate Counsel. Counsel reviews each completed questionnaire and prepares a report, which is shared with the Board's Governance Committee and, ultimately, the Board. The Policy is enforced, as needed, depending on the circumstances -- for example, through recusal from voting, divestiture of conflicting property interests or, in certain past cases, resignation from the Board. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Form 990 was reviewed by CentraState's Audit Committee and Board Of Trustees, prior to being filed. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Trustees meets monthly and is responsible for the control and management of the property, affairs and funds of the Medical Center and for filling vacancies among its members. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder CentraState Healthcare Systems (CSHS) a 501 (C) (3) organization is the sole member of its wholly owned subsidiary corporations and not-for-profit entities. CentraState Assisted Living Inc 560 Iron Bridge Road Freehold NJ 07728 223520730 Assisted Living NJ 501 (c) 3 9 CentraState Healthcare System Inc true CentraState Healthcare Affiliates Inc 689 West Main Street Freehold NJ 07728 521594300 Nursing Home NJ 501 (c) 3 9 CentraState Healthcare System Inc true Center for Aging Inc 1 Applewood Drive Freehold NJ 07728 222575377 CCRC NJ 501 (c) 3 9 CentraState Healthcare System Inc true CentraState Healthcare Systems Inc 901 West Main Street Freehold NJ 07728 222482803 Management NJ 501 (c) 3 11a N/A false CentraState Medical Center 901 West Main Street Freehold NJ 07728 221750190 Medical Center NJ 501 (c) 3 3 CentraState Healthcare System Inc true CentraState Healthcare Services Inc 901 West Main Street Freehold NJ 07728 222512830 Medical/Health NJ N/A C corp true true false false false false false false false false false false false false true true false false CentraState Healthcare Services Inc a 125961 CentraState Medical Center p 768562 CentraState Medical Center o 627536 CentraState Medical Center b 1405904