Form 990 for tax year 2022
Filed by CENTRASTATE HEALTHCARE FOUNDATION.
Totals
- Total revenue
- $6,740,166
- Total expenses
- $5,592,196
- Contributions and grants received
- $5,572,366
- Grants paid
- $4,372,820
- Program service revenue
- $0
- Investment income
- $1,154,000
- Other revenue
- $13,800
- Total assets, end of year
- $18,325,479
- Total liabilities, end of year
- $605,021
- Net assets or fund balances, end of year
- $17,720,458
- Program services expenses (Part IX)
- $4,372,820
- Management and general expenses
- $381,476
- Fundraising expenses
- $837,900
- Program service expenses (Part III)
- $4,372,820
Program services were 78.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
THOMAS W SCOTT
TRST/CSMC PRES/CEO (EFF. 4/9)
- Total calculated
- $1,224,857
- From this org
- $0
- From related orgs
- $1,104,034
- Other
- $120,823
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $620,583 related
- Bonus
- $0 + $119,344 related
- Other
- $0 + $364,107 related
- Deferred
- $0 + $106,304 related
- Nontaxable benefits
- $0 + $14,519 related
- Filer's total
- $0 + $1,224,857 related
-
JOHN T GRIBBIN
TRST/CSMC PRES/CEO(RET. 4/8)
- Total calculated
- $928,129
- From this org
- $0
- From related orgs
- $899,967
- Other
- $28,162
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $338,084 related
- Bonus
- $0 + $557,319 related
- Other
- $0 + $4,564 related
- Deferred
- $0 + $27,000 related
- Nontaxable benefits
- $0 + $1,162 related
- Filer's total
- $0 + $928,129 related
-
JOHN A DELLOCONO
CSMC SVP/CFO
- Total calculated
- $660,031
- From this org
- $0
- From related orgs
- $619,526
- Other
- $40,505
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $486,717 related
- Bonus
- $0 + $125,285 related
- Other
- $0 + $7,524 related
- Deferred
- $0 + $20,500 related
- Nontaxable benefits
- $0 + $20,005 related
- Filer's total
- $0 + $660,031 related
-
NANCY BARONE
VICE PRESIDENT DEVELOPMENT
- Total calculated
- $331,848
- From this org
- $0
- From related orgs
- $297,219
- Other
- $34,629
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $246,608 related
- Bonus
- $0 + $46,711 related
- Other
- $0 + $3,900 related
- Deferred
- $0 + $27,000 related
- Nontaxable benefits
- $0 + $7,629 related
- Filer's total
- $0 + $331,848 related
-
EDWARD M SOFFEN MD
TRUSTEE
- Total calculated
- $1,200
- From this org
- $0
- From related orgs
- $1,200
- Other
- $0
- Hours/week
- 1
-
JOSEPH IANTOSCA
CHAIR - TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
BRETT TAFT
VICE CHAIR - TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
VINCENT LABBATE
SECRETARY/TRESURER - TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ERIX BUXBAUM DO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOHN M CANTALUPO ESQ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JUNE B DUCK MD
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
-
THOMAS M HOGAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
DANIEL JACKSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ROBERT KASH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
BLAKE LAURENCE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JULIAN LEONE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
PETER G LICATA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ANTHONY J MARINO MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 50
-
ROBERT MCGIRR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
SANJAY MEHTA DO FAAP
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
LARRY METZ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
KENNETH J REILLY CWS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ANDREW J SANTORO JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
WILLIAM J SETARO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
KENNETH R TOMKOVICH 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
- 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; QUESTION 4B
- THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS W. SCOTT, $361,485. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS W. SCOTT, $79,304.
- 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
-
CENTRASTATE MEDICAL CENTER INC
$3,956,715
GENERAL SUPPORT
-
$189,443
GENERAL SUPPORT
-
$24,267
GENERAL SUPPORT
-
$20,000
GENERAL SUPPORT
-
CENTRASTATE ASSISTED LIVING INC
$13,691
GENERAL SUPPORT
-
$10,420
GENERAL SUPPORT
-
$6,000
GENERAL SUPPORT
-
$6,000
GENERAL SUPPORT
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.
-
501(C)(3) · HEALTH SVCS. · NJ
Directly controlled by CSHS
-
CENTRASTATE ASSISTED LIVING INC
501(C)(3) · HEALTH SVCS. · NJ
Directly controlled by CSHS
-
501(C)(3) · HEALTH SVCS. · NJ
Directly controlled by CSHS
-
CENTRASTATE HEALTHCARE SYSTEM INC
501(C)(3) · MANAGEMENT · NJ
Directly controlled by AHS
-
CENTRASTATE MEDICAL CENTER INC
501(C)(3) · HEALTH SVCS. · NJ
Directly controlled by CSHS
-
CENTRASTATE HOLDING COMPANY INC
501(C)(3) · MANAGEMENT · NJ
Directly controlled by NA
-
501(C)(3) · MANAGEMENT · NJ
Directly controlled by NA
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
-
C CORP. · HEALTH SVCS. · NJ
Directly controlled by NA
-
CENTRASTATE CAPTIVE INSURANCE CO LTD
FOREIGN CORP. · FINANCIAL VEHICLE · CJ
Directly controlled by NA
-
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
- 202303179349306940
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