| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
CentraState Medical Center ("CSMC") is a 284-bed general acute care hospital located in Freehold, Monmouth County, New Jersey. CSMC is recognized by the Internal Revenue Service ("IRS") as an Internal Revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, CSMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, or ability to pay. Moreover, CSMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. CSMC provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. CSMC operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. CSMC maintains a closed medical staff, with privileges available based on community need; 4. Control of CSMC rests with its board of trustees and the board of trustees of CentraState Healthcare System, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities, and advanced medical care, programs and activities. The operations of CSMC, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of CSMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. CSMC's sole corporate member is CentraState Healthcare System, Inc. ("CSHS"). CSHS is also the tax-exempt New Jersey non-profit parent corporation of CentraState healthcare system; an integrated healthcare delivery system ("system"). The sole member of each entity is either CSHS or another CentraState Healthcare System affiliate controlled or owned by CSHS. CentraState Healthcare System is a tax-exempt integrated healthcare delivery system consisting of a group of affiliate healthcare organizations. CentraState Healthcare System is a world-class patient-focused organization comprised of a renowned team of healthcare professionals working together to transform the lives of those in the community. Mission ======= To enhance the health and well-being of the communities through the compassionate delivery of quality healthcare. Vision ====== An organization of caring professionals trusted as the community's health care system of choice for clinical excellence. Recognition/Quality Awards ========================== Comprehensive Community Cancer Program reaccreditation The Statesir Cancer Center and Karen Olbis Radiation Oncology Center at CentraState received Comprehensive Community Cancer Program reaccreditation from the Commission on Cancer (CoC) of the American College of Surgeons (ACS). CentraState has once again achieved full compliance with all standards for this prominent recognition. National Accreditation Program for Breast Centers (NAPBC) reaccreditation The Star and Barry Tobias Women's Health Center at CentraState received reaccreditation from the National Accreditation Program for Breast Centers (NAPBC)-the hallmark of excellence for breast centers. A quality program of the ACS, NAPBC determined that CentraState had exemplary performance with zero deficiencies. CEO Cancer Gold Standard reaccreditation CentraState received CEO Cancer Gold Standard reaccreditation from the CEO Roundtable on Cancer. This nonprofit organization recognized CentraState for its commitment to the health and well-being of its employees, their families and the community through its focus on cancer risk reduction, prevention, early detection, high-quality treatment and survivorship services. Magnet Nursing Excellence CentraState is in an elite group of less than 2 percent of hospitals nationwide to earn Magnet recognition from the American Nurses Credentialing Center (ANCC) four times, attesting to its excellence in nursing care. Magnet-designated hospitals are regarded as the pinnacle of nursing practice, leadership and innovation. Excellence in Emergency Care CentraState's Emergency Department is one of just six in New Jersey and 53 in the country to earn the national 2023 Lantern Award from the Emergency Nurses Association (ENA) for exceptional and innovative leadership, evidence-based practice, education, advocacy and research performance. Perioperative Nurse Recognitions The Association of periOperative Registered Nurses (AORN), representing more than 200,000 surgical nurses nationwide, named CentraState a Center of Excellence in Surgical Safety: Smoke Evacuation. To earn this designation - called the Go Clear Award - the CentraState Operating Room (OR) team completed an education module, facilitated a 12-week survey of each surgical suite and has taken a comprehensive approach to ensuring a surgical smoke-free environment for patients and staff. An Elite Best Healthcare Workplace Great Place To Work and Fortune magazine selected CentraState for the 2023 Fortune Best Workplaces in Health Care List. One of only three companies in New Jersey to receive this recognition, CentraState ranked #39 among a coveted list of only 40 large companies (1,000+ employees) selected nationally. The award is based on an analysis of survey responses from more than 208,000 employees from Great Place To Work Certified companies in the healthcare industry. Creating an Outstanding Employee Experience For the third consecutive year, CentraState earned Great Place to Work Certification from Great Place to Work, a global authority on workplace culture, employee experience and proven leadership behaviors. Employee feedback and independent analysis determined the scores for this research-backed certification. A Higher Level Most Wired Organization CentraState earned 2023 College of Healthcare Information Management Executives (CHIME) Digital Health Most Wired recognition as a certified Level 8 acute care organization. CentraState has achieved Most Wired designation for 13 of the last 14 years, advancing this year from a prior Level 7 achievement. High-Quality Stroke Care CentraState received the American Heart Association's 2023 Get With The Guidelines - Stroke Gold Plus with Target: Stroke Honor Roll Elite, recognizing the commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines. The Target: Stroke Honor Roll Elite level highlights efforts to expedite the time between a patient's arrival at the hospital and treatment with clot-busting medication. In addition, CentraState was recognized by U.S. News & World Report as "high performing" in stroke treatment in its 2023 rankings. CentraState also received reaccreditation by the Joint Commission as an Advanced Primary Stroke Center. Heart Care Expertise CentraState earned the American Heart Association's 2023 Get With The Guidelines - Heart Failure Gold Plus Award with Targets: Heart Failure Honor Roll for quality outcomes and consistent adherence to the latest evidence-based treatment guidelines. In addition, the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recognized CentraState's Cardiovascular Rehabilitation Program as a certified AACVPR program, signifying the program's quality and adherence to standards and guidelines established by AACVPR and other professional organizations. Radiology Diagnostic Excellence For the third consecutive time, the Radiology Department at CentraState was designated a Diagnostic Imaging Center of Excellence (DICOE) by the American College of Radiology. The DICOE award signifies that an entity delivers the highest levels of imaging quality, safety and care. Bariatric Surgery Reaccreditation CentraState received reaccreditation from the Surgical Review Corporation as a Center of Excellence in Metabolic and Bariatric Surgery. This accreditation recognizes that CentraState continues to meet nationally and internationally recognized standards while fostering a culture of excellence in patient care. Palliative Care Certification CentraState earned The Joint Commission's Gold Seal of Approval for Palliative Care Certification by demonstrating continuous compliance with its performance standards. This certification highlights CentraState's commitment to optimizing quality of life for patients with serious illnesses. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Organ and Tissue Donation Awareness In recognition of efforts to raise organ and tissue donation awareness, CentraState was honored with the 2023 DoNation Campaign Platinum Award from the U.S. Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services. The Platinum Award is the highest accolade granted by HRSA to hospitals that promote organ and tissue donation. Top Doctors in the County Monmouth magazine facilitates an annual poll in which physicians vote for peers they deem best in their specialties from thousands of doctors across Monmouth County. In 2023, 54 CentraState physicians were named "Top Docs." The Manor Health & Rehabilitation - Awarded a Five-Star Rating from the Centers for Medicare & Medicaid Services - Named as a Best Nursing Home for 2023-2024 by U.S. News & World Report for short-term rehabilitation - Received a 2023 Bronze Award from the New Jersey Department of Health Antimicrobial Stewardship Recognition Program Monmouth Crossing - Earned Advanced Standing distinction from the New Jersey Department of Health and the Health Care Association of New Jersey - Ranked consistently in the top 5 percent nationally by Holleran for satisfaction scores Applewood - Received a Five-Star Rating from the Centers for Medicare & Medicaid Services - Earned Advanced Standing distinction from the New Jersey Department of Health and the Health Care Association of New Jersey - Recognized by AV Powell Associates for the top tier in long-term solvency among the Continuing Care Retirement Communities nationwide Accreditations and Affiliations =============================== Accreditations -------------- - The Joint Commission Heart Failure Certification Palliative Care Certification Stroke Certification Total Joint Certification (Hip and Knee) Wound Care Certification - American Academy of Sleep Medicine Sleep Center Accreditation - American Association for Cardiovascular and Pulmonary Rehabilitation Cardiac and Pulmonary Rehabilitation Certification - American College of Cardiology Chest Pain Center Accreditation - American College of Radiology Radiation Oncology Accreditation Diagnostic Imaging Center of Excellence CT Accreditation Low-Dose CT Lung Cancer Screening Center of Excellence Lung Cancer Screening Center Designation Ultrasound Accreditation Nuclear Medicine Accreditation Comprehensive Breast Imaging Center Mammography Accreditation Stereotactic Breast Biopsy Accreditation - American College of Surgeons Commission on Cancer - National Accreditation, Oncology Service Line, CentraState Healthcare System National Accreditation Program for Breast Centers - The Star and Barry Tobias Women's Health Center - American Diabetes Association Certification for Meeting National Standards for Diabetes Self-Management Education American Heart Association Heart Failure Gold Plus Honor Roll Stroke Gold Plus with Target: Stroke Honor Roll Elite Diabetes Quality Achievement Award - American Nurses Credentialing Center Magnet Status (four-time designation) - Centers for Disease Control and Prevention Preliminary Recognition for Diabetes Prevention Program (online) - CEO Roundtable on Cancer CEO Cancer Gold Standard - Surgical Review Corporation Bariatric Center of Excellence Affiliations ------------ - American Physical Therapy Association Clinical Education Center - Brookdale Community College: Schools of Nursing and Allied Health, Medical Technology and Respiratory Therapy - Capella University - Chamberlain University - The College of New Jersey - Drexel University - Indiana State University - Jersey Shore Medical Center for Outreach Renal Dialysis Service - Kean University - Mercer County Community College - Middlesex County College - Monmouth County Vocational School - Monmouth-Ocean hospital shared service association - Monmouth University - Montclair State University - National Network of Libraries of Medicine - Neumann College - New Jersey City University - Rowan College at Burlington County - Rutgers University - Saint Elizabeth College School of Nutrition and Home Economics - Saint Francis Medical Center School of Nursing - Pennsylvania State University - Stockton University - Thomas Edison State College: School of Nursing - University of Medicine and Dentistry of New Jersey - Newark - University of Medicine and Dentistry of New Jersey - School of Health-Related Professionals in Camden and Lean - Southern New Hampshire University - Union County College - University of Delaware - University of Scranton - Wagner University Member of --------- - American Association of Homes and Services for the Aging - American Hospital Association - American Society of Clinical Pathology - Consortium of Multiple Sclerosis Centers - National Disaster Medical System - National Lymphedema Network - National Multiple Sclerosis Society - New Jersey Association of Mental Health Agencies - New Jersey Association of Nonprofit Homes for the Aging - New Jersey Hospital Association - New Jersey Society of Health System Pharmacists - Schizophrenia Foundation of New Jersey - American Academy of Sleep - American Academy of Cardiovascular & Pulmonary Rehab - American College of Radiology - Diagnostic Imaging Center of Excellence - National Accreditation Program for Breast Centers - Mammography Quality Standards Act Laboratory Certified By ----------------------- - American College of Clinical Pathologists Nursing ------- - Credentialing Center (ANCC) of the American Nurses Association. - CSMC is an approved provider of continuing education by the New Jersey State Nurses Association, provider number: p102-9/2001-2003. NJNSA is accredited by the ANCC Commission on Accreditation of the American Nurses' Association. Licensed By ----------- - New Jersey Department of Health Approved By ----------- - American Dental Association for Continuing Medical Education - American Medical Association for continuing Medical Education Specialized Services ==================== CSMC offers a full range of clinical and diagnostic services to meet the diverse healthcare needs of the growing communities we serve. Cardiac Services ---------------- Services and programs include: the Thomas J. Blanchet Cardiac diagnostic Center, cardiac catheterization lab, cardiac rehabilitation center and the Gloria Saker Women's Heart Program. Statesir Cancer Center ---------------------- CSMC's multidisciplinary, integrated approach to cancer treatment ensures that our patients receive compassionate care and support-medical, educational, emotional and spiritual. CSMC is accredited by the American College of Surgeons Commission on cancer (COC) as well as the national accreditation program for breast centers (NAPBC), the American College of Radiology (ACR) for radiation oncology, diagnostic Radiology and mammography. CentraState has been designated as a Breast Imaging Center of Excellence (BICOE) and a Diagnostic Imaging Center of Excellence (DICOE). Services include: - cancer navigator program - cancer rehabilitation - clinical trials - colorectal cancer program (robotic surgery) - comprehensive breast care program - comprehensive lung program - infusion therapy services - lymphedema center - medical oncology - chemotherapy and immunotherapy services - palliative/hospice services - prostate cancer program (robotic surgery) - radiation oncology (including IMRT, IGRT, radiosurgery, HDR, cone beam therapy) - genetic testing and counseling - surgical oncology program Critical Care Unit ------------------ Our unit offers enhanced infection control features such as electronic privacy panels and a dedicated air filtration system that helps to contain infectious conditions. Emergency Services Department ----------------------------- Our goal is for you to see a nurse within 15 minutes and a clinician within 30 minutes. The ED also offers 24/7 pediatric emergency coverage and is designated as an advanced primary stroke center by the Joint Commission and the New Jersey Department of Health. Statesir Family Acute Care for Elders Unit ------------------------------------------ This unit helps senior patients recover from illness or injury by providing quality, safe, and seamless care. The ace unit is comprised of dedicated and trained health care professionals who provide support and information to patients and family to return home, avoid complications, and possibly prevent future hospitalizations. Our goal is to help patients stay strong, mobile, and independent while providing the best possible care. Laboratory ---------- The laboratory is accredited by the American College of Clinical Pathologists and the American Association of Blood Banks. It is conveniently located near outpatient registry and offers state-of-the-art technology. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Maternity --------- CSMC's maternity unit allows mothers to experience labor, delivery, and recovery in a warm, private, home-like room equipped for normal and complicated deliveries. After delivery, when mothers and their newborns are ready, they are moved to a private suite in the First Impressions Maternity Pavilion, dedicated to postpartum care. CSMC also has a special care nursery which provides premature babies with treatment and care by a team of trained professionals. All special needs are met 24 hours a day under the supervision of a neonatologist. The facility is designated by the state as a community perinatal center intermediate and has received the IBCLC care award from the international board of lactation consultant examiners (IBLCE) and the international lactation consultant association (ILCA) for hiring international board-certified lactation consultants (IBCLCS). Pediatrics ---------- CSMC's pediatric department emphasizes family-centered care, with 24-hour visitation for parents. The patient rooms include beds for parents or guardians who wish to stay overnight and play areas for children. Psychiatric Services -------------------- Offers an inpatient unit that provides care for those needing acute psychiatric/mental healthcare, 24-hour psychiatric emergency assessments through the emergency room, and a 24-hour crisis hotline. Electroconvulsive therapy (ECT services are also available on an outpatient or inpatient basis. Orthopedics ----------- Programs and services include: the Total Joint Center of New Jersey for knee/hip repair and replacement; shoulder repair and replacement; hand and foot surgery; the Spine Institute of Central Jersey and non-surgical therapies for other orthopedic problems. The Total Joint Center of New Jersey is accredited by the Joint Commission. Outpatient Nutrition Center --------------------------- Offers individual nutrition counseling with a registered dietitian for children and adults. Includes counseling sessions for weight management, cardiac, renal, hepatic, gastrointestinal problems, and others. Radiology --------- Capabilities include x-ray, ultrasound, computed tomography (CT) scan and nuclear medicine. Princeton radiology associates also houses a positron emission tomography (pet)/CT scanner for diagnosing cancer and other diseases or conditions, and an open bore MRI. OceanFirst Rehabilitation Center -------------------------------- Our fully equipped center offers physical, occupational and speech therapy. Inpatient and outpatient services are offered daily. Specialized services include: Linda E. Cardinale MS Center, Central Jersey Wound Treatment Center with lymphedema program, continence program, swallowing disorder therapy, sports medicine and aquatic therapy, including a hydroworx pool. Progressive Care Unit --------------------- This unit treats heart failure patients, as well as transitions patients from the critical care unit. Following a hospital discharge, a registered nurse health coach is available to work with patients to help them become more knowledgeable and independent in managing diet, medications and lifestyle changes. Patients also learn how to most effectively work with their primary care provider for continued support. Additional support includes a free nurse advice. Patients can call the nurse advice line and speak to our cardiac coordinator for answers and help with any needs the heart failure patient may have. Short stay unit --------------- A short stay unit is available for patients who do not require an overnight stay. Our same day surgery center performs a variety of surgical and endoscopy procedures on a medical outpatient basis. Surgical Services ----------------- CSMC's surgical services are delivered in state-of-the-art facilities by highly trained physicians and nurses. Patients receive comprehensive surgical support for diagnostic, therapeutic and palliative intervention in the following areas: general surgery, bariatric surgery, breast, colorectal, endovascular surgery, gastrointestinal surgery, neurosurgery, obstetrics/gynecology, ophthalmology, ear, nose and throat, orthopedics (including knee and hip replacements at the Total Joint Center of New Jersey at CSMC), plastic, podiatric, and thoracic surgery. The Star and Barry Tobias Women's Health Center ----------------------------------------------- Offers screenings, digital mammograms, computer-aided detection (cad), ultrasound mammotone biopsy, stereotactic needle biopsy, health education, bone densitometry, and individualized health counseling on a number of topics for women. The center is certified by the American college of radiology; has been named a breast imaging center of excellence for providing high-quality mammograms and other services; and has been named a pink ribbon facility by Hologic for providing excellence in breast health. Specialized Centers and Other Services -------------------------------------- CSMC offers specialized diagnostic and treatment services at its center for sleep disorders and comprehensive lung program. Other specialty services include respiratory therapy for pulmonary diagnostic procedures and rehabilitation, and oncology services, including chemotherapy, support groups and hemodialysis, podiatric services, pain management, and palliative care. Freehold Family Health Center ----------------------------- The Freehold Family Health Center is a unique collaborative initiative with the Visiting Nurse Association (VNA) Health Group, VNACJ Community Health Center, inc. (CHS and Rutgers Robert Wood Johnson Medical School through the Family Medicine Residency Program at CSMC. The facility is accessible to all members of the community, including underserved populations. Bilingual staff are available to assist with all services. Services include: - comprehensive primary and specialty care, including geriatrics, prenatal and behavioral health services; - community health programs such as WIC; - programming by the county councils for young children; and - cancer education and early detection programs. Community-based Programs ======================== Good Stewardship Through Solar ------------------------------ CSMC recently celebrated the completion of a solar carport installation in parking areas around the medical center and ambulatory campus, this installment, in combination with the solar farm at the back of the property, will allow CSC to generate approximately 61 percent of its electric consumption and achieve savings of approximately a half million dollars in energy costs each year, reducing its carbon footprint and the impact on Freehold Township's electrical grid. The carports and solar farm were installed by KDC Solar, a Bedminster-based developer, owner, and operator of solar power facilities. CSMC is the only hospital in the state with a solar installation of this size. It now produces the largest percentage of solar power of any hospital in New Jersey. The combined projects will offset greenhouse gases equivalent to: - 1,026,153 gallons of gas used. - 22,296,869 miles of vehicle traffic. - 1.162 billion smartphones charged. - 9,969,586 pounds of coal burned. - 1,590 homes supplied with electricity for one year. Community Health Outreach ========================= - People throughout the community used CentraState's Live Life Well services more than 55,000 times to enhance their health and manage or prevent chronic conditions through a variety of wellness offerings. - More than 9,000 people attended health and wellness fairs, sessions, and screenings throughout the year. -Approximately 8,273 people received COVID vaccines. - More than 275 people attended cancer health lectures and screenings, including those for prostate, colorectal, oral, skin, breast, and thyroid cancers. - CSMC provided approximately 2,000 diabetes education encounters to help people manage or reduce their risk of diabetes. - More than 300 people benefited from the peer support of several CSMC support groups. - More than 2,000 people received life-saving CPR training, including basic life support, advanced life support, and pediatric advanced life support. |
| CORE FORM, PART III; QUESTION 3 |
the organization held an ownership interest in Centrastate captive insurance company, ltd. Spc, a wholly owned captive insurance company. As part of the affiliation with atlantic health, the assets and liabilities of the centrastate captive insurance company, ltd, spc were novated to ahs insurance company, ltd. As of december 31, 2023. in addition, the limited policies with centrastate captive insurance company, ltd., spc. were commuted and terminated and the wholly owned captive insurance company was dissolved as of 12/31/2023. |
| 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. 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 2023, 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 18 |
PURSUANT TO STATE OF NEW JERSEY P.L. 2019, CHAPTER 513, (WHICH WAS EFFECTIVE ON JULY 21, 2020), AND AMENDED P.L. 2008, CHAPTER 58 (C.26: 2H-5.1B), THIS ORGANIZATION HAS POSTED ON ITS INTERNET WEBSITE A COPY OF THIS INTERNAL REVENUE SERVICE (IRS) FORM 990 AND ALL SCHEDULES AND SUPPORTING DOCUMENTATION REQUIRED TO BE SUBMITTED TO THE IRS IN CONJUNCTION WITH THE FORM 990 WITH THE EXCEPTION OF THOSE SCHEDULES NOT OPEN FOR PUBLIC INSPECTION. SAID FORM 990 WAS POSTED BY THE ORGANIZATION AFTER FILING ITS FORM 990 WITH THE IRS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 |
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. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII AND SCHEDULE J |
BRIAN GRAGNOLATI, STEVEN SHERIS, M.D. AND MAUREEN A. SCHNEIDER, PH.D., MBA, RN ARE TRUSTEES OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. THESE INDIVIDUALS RECEIVE A FEDERAL FORM W-2 FROM A RELATED ORGANIZATION WITHIN ATLANTIC HEALTH SYSTEM. ACCORDINGLY, THEIR RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ATLANTIC HEALTH SYSTEM, INC. GROUP RETURN (EIN: 65-1301877) FEDERAL FORM 990. PLEASE REFER TO THE ATLANTIC HEALTH SYSTEM, INC. GROUP RETURN FEDERAL FORM 990 FOR THIS INFORMATION. |
| 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 INCLUDE - NET ASSET TRANSFER FROM ATLANTIC HEALTH SYSTEM, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $15,053,531; - CHANGE IN BENEFICIAL INTEREST IN CENTRASTATE HEALTHCARE FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $3,899,475; - Net asset transfer to AHS Insurance Corp, Ltd. - ($1,902,667); AND - OTHER CHANGES IN NET ASSETS - ($440,221). |
| 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, 2023 AND DECEMBER 31, 2022; 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. |
| CORE FORM, PART XII; QUESTION 3 |
THE ORGANIZATION IS AN AFFILIATE WITHIN CENTRASTATE HEALTHCARE SYSTEM, INC.("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:35391324 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9498810 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:BILLING & COLLECTION FEES TOTAL FEES:2525301 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:CONSULTING FEES TOTAL FEES:2116020 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:140700 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:OTHER FEES TOTAL FEES:1245005 |