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← CENTRASTATE HEALTHCARE FOUNDATION

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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202303179349306940

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