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Nonprofiteer
← CENTRASTATE MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by CENTRASTATE MEDICAL CENTER INC.

Totals

Total revenue
$353,792,707
Total expenses
$379,581,592
Contributions and grants received
$21,469,382
Grants paid
$7,570
Program service revenue
$319,198,497
Investment income
$8,304,094
Other revenue
$4,820,734
Total assets, end of year
$400,044,996
Total liabilities, end of year
$167,447,921
Net assets or fund balances, end of year
$232,597,075
Program services expenses (Part IX)
$341,624,187
Management and general expenses
$37,957,405
Fundraising expenses
$0
Program service expenses (Part III)
$341,624,187

Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $3,989,045

  • 1e · Government grants (contributions)

    $17,480,337

  • 1g · Noncash contributions included above

    $32,330

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $307,776,553 · related or exempt $307,776,553

  • 2b · Program service revenue: OTHER HEALTHCARE RELATED REVENUE

    total $11,421,944 · related or exempt $11,421,944

  • 3 · Investment income

    total $4,254,391 · excluded $4,254,391

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $4,280,144

  • 6c · Rental income or loss

    real property $4,280,144 · personal property $0

  • 6d · Net rental income or loss

    total $4,280,144 · unrelated business $310,705 · excluded $3,969,439

  • 7a · Gross sales of assets other than inventory

    securities $5,518,549

  • 7b · Less cost or other basis and sales expenses

    securities $1,468,846

  • 7c · Gain or loss

    securities $4,049,703

  • 7d · Net gain or loss

    total $4,049,703 · excluded $4,049,703

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: CAFETERIA INCOME

    total $540,590 · excluded $540,590

  • 11e · Other revenue, total

    $540,590

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $7,570 · program services $7,570

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $6,640,048 · program services $5,976,043 · management and general $664,005

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $125,838,445 · program services $113,254,600 · management and general $12,583,845

  • 8 · Pension plan contributions

    total $5,814,095 · program services $5,232,686 · management and general $581,409

  • 9 · Other employee benefits

    total $15,750,598 · program services $14,175,538 · management and general $1,575,060

  • 10 · Payroll taxes

    total $9,567,127 · program services $8,610,414 · management and general $956,713

  • 11a · Fees: management

    total $343,324 · program services $308,992 · management and general $34,332

  • 11b · Fees: legal

    total $878,359 · program services $790,523 · management and general $87,836

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $16,474 · program services $14,827 · management and general $1,647

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $289,818 · program services $260,836 · management and general $28,982

  • 11g · Fees: other

    total $66,179,953 · program services $59,561,957 · management and general $6,617,996 · fundraising $0

  • 12 · Advertising and promotion

    total $3,302,230 · program services $2,972,007 · management and general $330,223

  • 13 · Office expenses

    total $13,017,237 · program services $11,715,513 · management and general $1,301,724

  • 14 · Information technology

    total $4,413,032 · program services $3,971,729 · management and general $441,303

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $7,874,133 · program services $7,086,720 · management and general $787,413

  • 17 · Travel

    total $88,896 · program services $80,006 · management and general $8,890

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $2,220,052 · program services $1,998,047 · management and general $222,005

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $14,848,656 · program services $13,363,790 · management and general $1,484,866

  • 23 · Insurance

    total $2,179,639 · program services $1,961,675 · management and general $217,964

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $75,279,786 · program services $67,751,807 · management and general $7,527,979

  • 24b · Other expenses: PURCHASED SERVICES

    total $7,556,713 · program services $6,801,042 · management and general $755,671

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $5,201,386 · program services $4,681,247 · management and general $520,139

  • 24d · Other expenses: FOOD COSTS

    total $2,418,640 · program services $2,176,776 · management and general $241,864

  • 24e · All other expenses

    total $9,855,381 · program services $8,869,842 · management and general $985,539

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $13,768,100 · end of year $8,308,293

  • 2 · Savings and temporary cash investments

    beginning of year $14,772,162 · end of year $14,535,639

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $29,761,749 · end of year $33,151,129

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $3,020,658 · end of year $3,014,031

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,370,246 · end of year $2,536,435

  • 10a · Land, buildings and equipment: cost or other basis

    $203,622,216

  • 10b · Land, buildings and equipment: accumulated depreciation

    $14,216,145

  • 10c · Land, buildings and equipment, net

    beginning of year $144,556,368 · end of year $189,406,071

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $182,700,703 · end of year $122,190,229

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $26,010,028 · end of year $26,903,169

  • 17 · Accounts payable and accrued expenses

    beginning of year $48,093,151 · end of year $53,010,445

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $53,972,420 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $29,228,177 · end of year $6,271,269

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $51,004,153 · end of year $108,166,207

  • 27 · Net assets without donor restrictions

    beginning of year $215,857,150 · end of year $215,577,120

  • 28 · Net assets with donor restrictions

    beginning of year $19,804,963 · end of year $17,019,955

Mission and programs · 2022

Mission

CENTRASTATE MEDICAL CENTER'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES THROUGH THE COMPASSIONATE DELIVERY OF QUALITY HEALTHCARE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

Activities or mission (Part I)

CENTRASTATE MEDICAL CENTER'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES THROUGH THE COMPASSIONATE DELIVERY OF QUALITY HEALTHCARE.

  • EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT, EMERGENCY AND VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES. PLEASE REFER TO THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O.

    Expenses $341,624,187 · Grants $7,570 · Revenue $319,509,202

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Thomas W Scott

    TRUSTEE - PRES/CEO (EFF. 4/9)

    Total calculated
    $1,224,857
    From this org
    $1,104,034
    From related orgs
    $0
    Other
    $120,823
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $620,583
    Bonus
    $119,344
    Other
    $364,107
    Deferred
    $106,304
    Nontaxable benefits
    $14,519
    Filer's total
    $1,224,857

  • John T Gribbin

    TRUSTEE-PRES/CEO(RETIRED 4/8)

    Total calculated
    $928,129
    From this org
    $899,967
    From related orgs
    $0
    Other
    $28,162
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $338,084
    Bonus
    $557,319
    Other
    $4,564
    Deferred
    $27,000
    Nontaxable benefits
    $1,162
    Filer's total
    $928,129

  • David A De Simone Esq

    SVP TRANSFORM/CLO(TERM 10/14)

    Total calculated
    $827,346
    From this org
    $747,263
    From related orgs
    $0
    Other
    $80,083
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $347,751
    Bonus
    $100,590
    Other
    $298,922
    Deferred
    $66,303
    Nontaxable benefits
    $13,780
    Filer's total
    $827,346

  • John A Dellocono

    SVP/CFO

    Total calculated
    $660,031
    From this org
    $619,526
    From related orgs
    $0
    Other
    $40,505
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $486,717
    Bonus
    $125,285
    Other
    $7,524
    Deferred
    $20,500
    Nontaxable benefits
    $20,005
    Filer's total
    $660,031

  • James J Matera MD

    SVP/MEDICAL DIRECTOR

    Total calculated
    $657,451
    From this org
    $579,740
    From related orgs
    $0
    Other
    $77,711
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $457,771
    Bonus
    $114,445
    Other
    $7,524
    Deferred
    $76,505
    Nontaxable benefits
    $1,206
    Filer's total
    $657,451

  • Cathleen G Janzekovich

    VP, PATIENT SERVICES

    Total calculated
    $451,381
    From this org
    $394,098
    From related orgs
    $0
    Other
    $57,283
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $311,864
    Bonus
    $79,912
    Other
    $2,322
    Deferred
    $55,141
    Nontaxable benefits
    $2,142
    Filer's total
    $451,381

  • Amit S Kharod MD

    TRUSTEE

    Total calculated
    $449,464
    From this org
    $31,000
    From related orgs
    $397,143
    Other
    $21,321
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $396,177 related
    Bonus
    $0
    Other
    $31,000 + $966 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $21,321 related
    Filer's total
    $31,000 + $418,464 related

  • Moustafa Shafey MD

    MEDICAL DIR. - MENTAL HLTH

    Total calculated
    $403,405
    From this org
    $373,965
    From related orgs
    $0
    Other
    $29,440
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $320,953
    Bonus
    $50,231
    Other
    $2,781
    Deferred
    $27,000
    Nontaxable benefits
    $2,440
    Filer's total
    $403,405

  • Deborah Rommel-Connors MBA

    VP REVENUE CYCLE

    Total calculated
    $398,942
    From this org
    $334,854
    From related orgs
    $0
    Other
    $64,088
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $274,088
    Bonus
    $57,202
    Other
    $3,564
    Deferred
    $57,317
    Nontaxable benefits
    $6,771
    Filer's total
    $398,942

  • James Richvalsky

    VP, PHYSICIAN PRACTICE MGMT

    Total calculated
    $386,080
    From this org
    $348,376
    From related orgs
    $0
    Other
    $37,704
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $285,659
    Bonus
    $55,547
    Other
    $7,170
    Deferred
    $26,912
    Nontaxable benefits
    $10,792
    Filer's total
    $386,080

  • Karen B Freeman Msa

    VP QUALITY & PATIENT SAFETY

    Total calculated
    $371,818
    From this org
    $342,484
    From related orgs
    $0
    Other
    $29,334
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $285,257
    Bonus
    $53,663
    Other
    $3,564
    Deferred
    $27,000
    Nontaxable benefits
    $2,334
    Filer's total
    $371,818

  • Howard A Stein MD

    PHYSICIAN

    Total calculated
    $357,998
    From this org
    $333,463
    From related orgs
    $0
    Other
    $24,535
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $291,405
    Bonus
    $40,474
    Other
    $1,584
    Deferred
    $20,500
    Nontaxable benefits
    $4,035
    Filer's total
    $357,998

  • Nancy Barone

    CSHCF VP OF DEVELOPMENT

    Total calculated
    $331,848
    From this org
    $297,219
    From related orgs
    $0
    Other
    $34,629
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $246,608
    Bonus
    $46,711
    Other
    $3,900
    Deferred
    $27,000
    Nontaxable benefits
    $7,629
    Filer's total
    $331,848

  • Vincent L D'Elia

    VP MRKTING PUBLIC/GOVT REL.

    Total calculated
    $313,858
    From this org
    $289,583
    From related orgs
    $0
    Other
    $24,275
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $238,668
    Bonus
    $44,893
    Other
    $6,022
    Deferred
    $20,500
    Nontaxable benefits
    $3,775
    Filer's total
    $313,858

  • Danielle Vanwert

    VP CLINICAL SERVICES

    Total calculated
    $308,775
    From this org
    $281,962
    From related orgs
    $0
    Other
    $26,813
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $243,456
    Bonus
    $38,063
    Other
    $443
    Deferred
    $20,500
    Nontaxable benefits
    $6,313
    Filer's total
    $308,775

  • Kimberly H Simers

    AVP INTEGRATIVE HEALTH

    Total calculated
    $298,778
    From this org
    $268,466
    From related orgs
    $0
    Other
    $30,312
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $230,451
    Bonus
    $36,662
    Other
    $1,353
    Deferred
    $27,000
    Nontaxable benefits
    $3,312
    Filer's total
    $298,778

  • Laura L Schilare

    VP FINANCE

    Total calculated
    $294,043
    From this org
    $273,400
    From related orgs
    $0
    Other
    $20,643
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $224,622
    Bonus
    $47,731
    Other
    $1,047
    Deferred
    $14,945
    Nontaxable benefits
    $5,698
    Filer's total
    $294,043

  • John P Detullio MD

    TRUSTEE

    Total calculated
    $289,974
    From this org
    $0
    From related orgs
    $289,974
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $286,853 related
    Bonus
    $0
    Other
    $0 + $3,121 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $289,974 related

  • Kenneth Eng Do

    TRUSTEE

    Total calculated
    $279,190
    From this org
    $50,000
    From related orgs
    $223,850
    Other
    $5,340
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $222,251 related
    Bonus
    $0
    Other
    $50,000 + $1,599 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,340 related
    Filer's total
    $50,000 + $229,190 related

  • Frances Keane

    VP HR (TERMED 4/29)

    Total calculated
    $203,417
    From this org
    $187,524
    From related orgs
    $0
    Other
    $15,893
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $132,282
    Bonus
    $53,722
    Other
    $1,520
    Deferred
    $11,228
    Nontaxable benefits
    $4,665
    Filer's total
    $203,417

  • Ashish Awasthi MD Facc

    TRUSTEE

    Total calculated
    $20,000
    From this org
    $20,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    5

  • John M Cantalupo Esq

    CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Kenneth J Reilly Cws

    VICE CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Nadia K Batchelor

    SECRETARY/TREASURER - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • John F Eggert

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Robert Gordon DDS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Brian Gragnolati

    TRUSTEE

    Total calculated
    $0
    Hours/week
    55

  • Maureen M Lawrence

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Peter G Licata Esq

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Barbara McMorrow

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Gerard K Norkus

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • William A Schories

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Steven Sheris MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    55

  • Brett Taft

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Dennis Wilson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Maher Youssef MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Travel for companions
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTIONS 1A AND 1B
The organization provided travel for companions of officers and trustees for the annual board retreat and certain educational seminars. The organization paid social club dues for John T. Gribbin, President/CEO of the organization, prior to his retirement, which were part of his employment agreement contract. Utilization of this membership was primarily for the benefit of CentraState Medical Center, Inc. The organization paid social club dues for Thomas W. Scott, President/CEO of the organization, which are part of his employment agreement contract. Utilization of this membership was primarily for the benefit of CentraState Medical Center, Inc.
SCHEDULE J, PART I; QUESTION 4B
THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS W. SCOTT, $361,485 AND DAVID A. DE SIMONE, ESQ., $282,391. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS W. SCOTT, $79,304; DAVID A. DE SIMONE, ESQ., $46,803; JAMES J. MATERA, M.D., $56,005; CATHLEEN G. JANZEKOVICH, $34,641 AND DEBORAH ROMMEL-CONNORS, MBA, $31,317.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN F
THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CENTRASTATE HEALTHCARE SERVICES INC

    C CORP. · HEALTH SVCS. · NJ

    Directly controlled by NA

  • CENTRASTATE MEDICAL ASSOCIATES PC

    C CORP · HEALTH SVCS. · NJ

    Directly controlled by NA

  • CENTRASTATE SPECIALISTS PC

    C CORP. · HEALTH SVCS. · NJ

    Directly controlled by NA

  • CENTRASTATE CAPTIVE INSURANCE CO LTD

    FOREIGN CORP. · FINANCIAL VEHICLE · CJ · 100% owned · controlled entity

    Directly controlled by CSMC

  • CENTRASTATE CARDIOLOGY PC

    C CORP. · HEALTH SVCS. · NJ

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202343179349307189

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