2023-11-13T13:29:07-06:00 2022-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2022-01-01 222575377 CENTER FOR AGING INC % LAURA SCHILARE MBA CPA CENT 7322947050 901 WEST MAIN STREET FREEHOLD NJ 07728 LAURA SCHILARE VP FINANCE 7322947022 2023-11-09 true LAURA SCHILARE 000000000 SCOTT J MARIANI P00642486 9738989494 2 2022 2023-04-26 12:10:37Z APPLEWOOD KEITH GRADY 901 WEST MAIN STREET FREEHOLD NJ 07728 25636418 false X WWW.APPLEWOOD.COM X 1984 NJ PROVIDE SENIORS WITH ACCESSIBLE, COST- EFFECTIVE INDEPENDENT LIVING AND COMPREHENSIVE HEALTHCARE SERVICES, FOSTERING RESIDENT PEACE OF MIND. 6 3 257 20 0 0 233992 189443 21590118 24273447 2234264 1173528 0 0 24058374 25636418 0 0 0 0 11710767 12620796 0 0 0 12920345 16065139 24631112 28685935 -572738 -3049517 90698531 81436562 76130963 77618399 14567568 3818163 X PROVIDE SENIORS WITH ACCESSIBLE, COST-EFFECTIVE INDEPENDENT LIVING AND COMPREHENSIVE HEALTHCARE SERVICES, FOSTERING RESIDENT PEACE OF MIND. SUPERIOR QUALITY SERVICES ARE PROVIDED IN A MANNER THAT ASSURES DIGNITY AND PROVIDES A BALANCED ATMOSPHERE OF SUPPORT AN INDEPENDENCE. false false 25817340 0 24273447 APPLEWOOD CONSISTS OF 281 INDEPENDENT APARTMENTS, 20 COTTAGES, 40 RESIDENTIAL HEALTH CARE UNITS, AND A 60-BED SKILLED NURSING FACILITY. THE ORGANIZATION PROVIDES FOR THE CARE OF THE ELDERLY. APPLEWOOD ALSO GOES OUT TO THE COMMUNITY THROUGH SENIOR'S FIRST, WHICH IS A COMPLIMENTARY COMMUNITY OUTREACH AND HEALTHCARE EDUCATION PROGRAM FOR THOSE 60 YEARS AND OLDER IN A 25-MILE RADIUS OF FREEHOLD, NJ. THE CENTER'S PROGRAMS INCLUDE HEALTH FAIRS, BLOOD PRESSURE SCREENINGS, AND HEALTH EDUCATION AND PRESENTATIONS ON PREVENTION AND TREATMENT. IN ADDITION, THERE IS ALSO A SUPPORT GROUP FOR PARKINSON'S DISEASE AS WELL AS COMMUNITY SERVICE REFERRALS. 25817340 true true false false false false false false false false true false true false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 96 0 true 257 true false false false false false false false false false false false false X 6 3 false false false false true true true true true false false true true true true true true true true false NJ X LAURA SCHILARE MBA CPA 7322947050 901 WEST MAIN STREET FREEHOLD NJ 07728 X THOMAS W SCOTT VC-TRST/CSMC PRES/CEO(EFF.4/9) 55.0 0.0 X X 0 1104034 120823 JOHN T GRIBBIN VC-TRST/CSMC PRES/CEO(RET.4/8) 55.0 0.0 X X 0 899967 28162 JOHN A DELLOCONO TRUSTEE - CSMC SVP/CFO 55.0 0.0 X 0 619526 40505 KEITH GRADY TRUSTEE - EXECUTIVE DIRECTOR 55.0 0.0 X X 234333 0 23832 JENNIFER KOHAN DIR. MARKETING/SALES 40.0 0.0 X 198049 0 9382 MARY SOMMERS ASSIST. DIR. MARKETING/SALES 40.0 0.0 X 173191 0 20895 MATTHEW R MAZZUCCA ASSIST. DIR. MARKETING/SALES 40.0 0.0 X 170799 0 6633 BARBARA RASCH RN REGISTERED NURSE 40.0 0.0 X 149242 0 26432 SUSAN SHU-CHEN HOUNG RN REGISTERED NURSE 40.0 0.0 X 144189 0 27624 KENNETH J REILLY CWS CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 ROBERT GEBERTH TRUSTEE 1.0 0.0 X 0 0 0 DONALD ROBERTSHAW TRUSTEE 1.0 0.0 X 0 0 0 1069803 2623527 304288 13 false true false HIGH ENERGY ELECTRIC 5042 INDUSTRIAL ROAD UNIT D FARMINGDALE NJ 07727 CONSTRUCTION 751856 MDF PROF LLC 129 HAMLET COURT TOMS RIVER NJ 08753 STAFFING 593658 LM HEATING AND COOLING 33 OXFORD ROAD MANALAPAN NJ 07726 PAINTING/CONSTRUCT. 227745 POWERBACK REHABILITATION PO BOX 821322 PHILADELPHIA PA 191821322 REHABILITATION 163955 ZADLOCK OUTDOOR SERVICES PO BOX 67 ENGLISHTOWN NJ 07726 LANDSCAPING 159907 9 189443 189443 PROGRAM SERVICE REVENUE 623990 24273447 24273447 24273447 683462 0 683462 0 0 0 0 0 490066 490066 490066 490066 0 0 0 0 0 0 0 0 0 0 25636418 24273447 0 1173528 X 0 0 0 0 258165 232348 25817 0 9689291 8720362 968929 335853 302268 33585 1463299 1316969 146330 874188 786769 87419 0 162406 146165 16241 54204 48784 5420 0 0 0 4765761 4289185 476576 0 462309 416078 46231 828626 745763 82863 84887 76398 8489 0 2080827 1872744 208083 57473 51726 5747 0 0 466634 419971 46663 0 3497688 3147920 349768 193380 174042 19338 FOOD COSTS 1475368 1327831 147537 REPAIRS & MAINTENANCE 940865 846778 94087 MEDICAL SUPPLIES 335953 302358 33595 OTHER EXPENSES 658758 592881 65877 28685935 25817340 2868595 0 700 700 5429331 4694241 0 0 753587 821394 0 0 0 0 0 0 0 0 187421 188253 50495829 3487791 48923022 47008038 0 0 0 0 31825716 25987957 0 0 3578754 2735979 90698531 81436562 2066235 2506508 0 0 51655696 52785281 19507308 0 0 0 0 0 0 0 0 0 2901724 22326610 76130963 77618399 X 11733644 1094070 2833924 2724093 14567568 3818163 90698531 81436562 X -3049517 -5948444 -1751444 X X false true X true false X 37750 210508 893368 233992 189443 1565061 23540036 24745421 23543372 21590118 24273447 117692394 0 0 0 23577786 24955929 24436740 21824110 24462890 119257455 0 0 0 119257455 765467 925578 961544 760745 683462 4096796 0 765467 925578 961544 760745 683462 4096796 0 0 24343253 25881507 25398284 22584855 25146352 123354251 0.96679 0.96607 0.03321 0.03393 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5907877 5907877 41243306 3153440 38089866 796009 96602 699407 2548637 237749 2310888 47008038 MUTUAL FUNDS 22265519 F OTHER INVESTMENTS 3722438 F 25987957 0 DUE TO AFFILIATES 2557893 EST. 3RD PARTY PAYER SETTLEMENTS 0 OTHER LIABILITIES 87921 AHS OBLIGATED GROUP LIABILITIES 19680796 22326610 X SCHEDULE D, PART X; LINE 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CENTRASTATE HEALTHCARE SYSTEM, INC.; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CENTRASTATE HEALTHCARE SYSTEM, INC AND RELATED ENTITIES FOR THE YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2022 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM ACCOUNTS FOR DEFFERED TAX ASSETS AND LIABILITIES BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL REPORTING AND TAX BASIS OF ASSETS AND LIABILITIES USING ENACTED TAX RATES AND LAWS THAT WILL BE IN EFFECT WHEN DIFFERENCES ARE EXPECTED TO REVERSE. AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, THE SYSTEM HAS MADE REASONABLE ESTIMATES OF THE PROVISION FOR THE INCOME TAXES AND DEFFERED TAX BALANCES BASED ON ACCOUNTING GUIDANCE INCLUDED IN ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES. THE SYSTEM WILL CONTINUE TO REFINE ITS CALCULATIONS IN FUTURE PERIODS AS ADDITIONAL REGULATIONS AND GUIDANCE ARE ISSUED BY THE INTERNAL REVENUE SERVICE (IRS). X X X X false true false false false false false true false THOMAS W SCOTT VC-TRST/CSMC PRES/CEO(EFF.4/9) 0 620583 0 119344 0 364107 0 106304 0 14519 0 1224857 0 53954 JOHN T GRIBBIN VC-TRST/CSMC PRES/CEO(RET.4/8) 0 338084 0 557319 0 4564 0 27000 0 1162 0 928129 0 0 JOHN A DELLOCONO TRUSTEE - CSMC SVP/CFO 0 486717 0 125285 0 7524 0 20500 0 20005 0 660031 0 0 KEITH GRADY TRUSTEE - EXECUTIVE DIRECTOR 192197 0 41123 0 1013 0 15579 0 8253 0 258165 0 0 0 JENNIFER KOHAN DIR. MARKETING/SALES 197870 0 0 0 179 0 4333 0 5049 0 207431 0 0 0 MARY SOMMERS ASSIST. DIR. MARKETING/SALES 173191 0 0 0 0 0 20500 0 395 0 194086 0 0 0 MATTHEW R MAZZUCCA ASSIST. DIR. MARKETING/SALES 170619 0 0 0 180 0 4896 0 1737 0 177432 0 0 0 BARBARA RASCH RN REGISTERED NURSE 147863 0 993 0 386 0 19667 0 6765 0 175674 0 0 0 SUSAN SHU-CHEN HOUNG RN REGISTERED NURSE 138236 0 5953 0 0 0 27000 0 624 0 171813 0 0 0 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. CORE FORM, PART VI, SECTION A; QUESTION 1 ALTHOUGH A MAJORITY OF CENTER FOR AGING, INC.'S VOTING MEMBERS OF THE BOARD ARE NOT INDEPENDENT, THE ORGANIZATION IS AN AFFILIATE WITHIN CENTRASTATE HEALTHCARE SYSTEM, INC.; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CENTRASTATE HEALTHCARE SYSTEM, INC.; THE TAX-EXEMPT PARENT OF THE SYSTEM, HAS A BOARD OF TRUSTEES; THE MAJORITY OF WHICH ARE INDEPENDENT. THE CENTRASTATE HEALTHCARE SYSTEM, INC. BOARD HAS THE OVERARCHING DUTY AND RESPONSIBILITY FOR GOVERNING ALL AFFILIATES WITHIN THE SYSTEM TO ENSURE THAT THEY ARE OPERATING IN ACCORDANCE WITH AND SUPPORTING THE SYSTEM'S CHARITABLE MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CORE FORM, PART V; QUESTION 15 THOMAS W. SCOTT IS LISTED AS AN OFFICER AND A TRUSTEE ON THIS FORM 990. THIS IS HIS SOLE ROLE WITH THE ORGANIZATION. HE PROVIDES NO SERVICES TO OR FOR THE ORGANIZATION AND IS NOT INVOLVED IN THE MANAGEMENT OR DAY TO DAY ACTIVITIES OF THIS ORGANIZATION. MR. SCOTT IS EMPLOYED BY A RELATED ORGANIZATION AND WORKS FULL TIME IN THIS CAPACITY FOR CENTRASTATE MEDICAL CENTER, INC. ACCORDINGLY HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CENTRASTATE MEDICAL CENTER, INC. (EIN: 22-1750190). CENTRASTATE MEDICAL CENTER, INC. FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SCOTT'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CENTRASTATE HEALTHCARE SYSTEM, INC. ("CSHS") IS THE SOLE MEMBER OF THIS ORGANIZATION. CSHS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.EFFECTIVE JANUARY 1, 2022, UPON THE CLOSURE OF AN AFFILIATION TRANSACTION, ATLANTIC HEALTH SYSTEM, INC. AND CENTRASTATE HOLDING COMPANY, INC. HOLD MEMBERSHIP INTERESTS IN CSHS OF 51% AND 49%, RESPECTIVELY. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN CENTRASTATE HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CENTRASTATE HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS") AND AFTER PRESENTATION AND REVIEW BY CENTRASTATE HEALTHCARE SYSTEM, INC.'S AUDIT COMMITTEE. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS PRESENTED TO THE MEMBERS OF CENTRASTATE HEALTHCARE SYSTEM'S AUDIT COMMITTEE FOR REVIEW AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED ANNUALLY, TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, WHICH IS SUBMITTED TO CORPORATE COUNSEL. CORPORATE COUNSEL REVIEWS EACH COMPLETED QUESTIONNAIRE AND PREPARES A REPORT, WHICH IS SHARED WITH THE BOARD OF TRUSTEES GOVERNANCE COMMITTEE AND, ULTIMATELY, THE BOARD OF TRUSTEES. 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 OF TRUSTEES. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION SUB-COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. IN 2022, THE EXECUTIVE COMPENSATION SUB-COMMITTEE REPORTED TO THE FULL BOARD FOR RATIFICATION. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. IN ADDITION, THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION ADJUSTMENTS BASED ON MARKET SURVEYS DEVELOPED BY INDEPENDENT CONSULTANTS, INDUSTRY AVERAGE COMPARISON, YEARS OF SERVICE AND OTHER EXEMPT ORGANIZATIONS IN THE GEOGRAPHIC AREA. AFTER A REVIEW OF THE INDIVIDUAL'S PERFORMANCE FOR THE YEAR AND RELYING ON COMPARABLE INFORMATION AND OTHER OBJECTIVE DATA, THE EXECUTIVE COMMITTEE WILL RECOMMEND AN ADJUSTMENT TO THE INDIVIDUAL'S COMPENSATION. ANY DETERMINATIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE EXECUTIVE COMMITTEE MINUTES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE CENTRASTATE HEALTHCARE SYSTEM, INC.'S PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN THE CENTRASTATE HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF CENTRASTATE HEALTHCARE SYSTEM, INC.; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - LOSS ON EARLY EXTINGUISHMENT OF DEBT - ($187,018); - CHANGE IN BENEFICIAL INTEREST IN CENTRASTATE HEALTHCARE FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($109,831); AND - FAIR VALUE ADJUSTMENT - ($1,454,595). CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CENTRASTATE HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CENTRASTATE HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CENTRASTATE HEALTHCARE SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:3685426 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:645327 FORM 990 PART IX LINE 11G DESCRIPTION:REFURBISHING FEES TOTAL FEES:309373 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING FEES TOTAL FEES:77632 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:48003 CENTRASTATE ASSISTED LIVING INC 901 WEST MAIN STREET FREEHOLD NJ 07728 223520730 HEALTH SVCS. NJ 501(c)(3) 10 CSHS false HEALTHCARE AFFILIATES INC 901 WEST MAIN STREET FREEHOLD NJ 07728 521594300 HEALTH SVCS. NJ 501(C)(3) 10 CSHS false CENTRASTATE HEALTHCARE SYSTEM INC 901 WEST MAIN STREET FREEHOLD NJ 07728 222482803 MANAGEMENT NJ 501(C)(3) 12A AHS false CENTRASTATE MEDICAL CENTER INC 901 WEST MAIN STREET FREEHOLD NJ 07728 221750190 HEALTH SVCS. NJ 501(C)(3) 3 CSHS false CENTRASTATE HEALTHCARE FOUNDATION INC 901 WEST MAIN STREET FREEHOLD NJ 07728 222383065 FUNDRAISING NJ 501(C)(3) 7 CSHS false CENTRASTATE HOLDING COMPANY INC 901 WEST MAIN STREET FREEHOLD NJ 07728 851112301 MANAGEMENT NJ 501(C)(3) 12B NA false ATLANTIC HEALTH SYSTEM INC 475 SOUTH STREET MORRISTOWN NJ 07960 223380375 MANAGEMENT NJ 501(C)(3) 12A NA false CENTRASTATE HEALTHCARE SERVICES INC 901 WEST MAIN STREET FREEHOLD NJ 07728 222512830 HEALTH SVCS. NJ NA C CORP. false CENTRASTATE MEDICAL ASSOCIATES PC 901 WEST MAIN STREET FREEHOLD NJ 07728 223402359 HEALTH SVCS. NJ NA C CORP. false CENTRASTATE SPECIALISTS PC 901 WEST MAIN STREET FREEHOLD NJ 07728 823704077 HEALTH SVCS. NJ NA C CORP. false CENTRASTATE CAPTIVE INSURANCE CO LTD 23 LIME TREE BAY AVE GRAND CAYMAN CJ KY1-1108 981205985 FINANCIAL VEHICLE CJ NA FOREIGN CORP. false CENTRASTATE CARDIOLOGY PC 901 WEST MAIN STREET FREEHOLD NJ 07728 872845417 HEALTH SVCS. NJ NA C CORP. false false false true false false false false false false false false false false false false true true true false SCHEDULE R EFFECTIVE JANUARY 1, 2022, UPON THE CLOSURE OF AN AFFILIATION TRANSACTION, ATLANTIC HEALTH SYSTEM, INC. AND CENTRASTATE HOLDING COMPANY, INC. HOLD MEMBERSHIP INTERESTS IN CENTRASTATE HEALTHCARE SYSTEM, INC. OF 51% AND 49%, RESPECTIVELY. PLEASE REFER TO ATLANTIC HEALTH SYSTEM, INC. (EIN: 22-3380375) FORM 990, SCHEDULE R FOR THE REPORTING OF RELATED ORGANIZATIONS. SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF CENTRASTATE HEALTHCARE SYSTEM, INC.; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.